Dental Trauma

Dental Trauma: What to Do When Your Child Suffers an Injury to the Teeth

Spring is almost here, and children’s sports are going to be in full swing!  This means an increased risk for injuries to your child’s teeth.

As children grow and learn new things, the risk of injury is relatively high.  Toddlers fall down when they are learning to walk.  Children have accidents when learning to ride a bicycle.  Adolescents suffer trauma when learning to play sports.

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Accidents and injuries happen.  In children, often these accidents involve injuries to the mouth and teeth.  This blog highlights what you need to know about trauma to the teeth.

Different Types of Trauma to the Teeth

Baby Teeth vs. Permanent Teeth

All of these types of trauma can happen to both baby teeth and permanent teeth.  The consequences of trauma to baby teeth are usually less severe than those for permanent teeth, simply because baby teeth fall out. 

The only serious consequence of trauma to a baby tooth occurs when the trauma affects the underlying permanent tooth as it is developing.  The crown (or visible part) of the permanent tooth forms underneath the roots of the baby tooth.  If an injury occurs which forces the baby tooth or its roots into the developing permanent tooth during this formation stage, the permanent tooth can be deformed.

The majority of injuries to teeth occur on the front of the face and affect front teeth.  It is possible for a back tooth to be injured if a child is hit from the side, for instance with a baseball.  The recommendations below apply to both front teeth and back teeth.

Injuries that Move a Tooth

When force from an injury moves a tooth, it needs to be addressed quickly. 

What You Will See:

The tooth looks whole, but it is in a different position.  It could be pushed up into the gums, hanging down out of the gums, or protruding at an unusual angle.  It is very common to have bleeding in the gums around a tooth that has been moved.

Baby Teeth vs. Permanent Teeth

In general, the treatment for this type of injury is the same for baby teeth and permanent teeth.  In severe cases, the baby tooth may be extracted.

What You Should Do:

Call your dentist immediately and start heading toward the office.  Attempt to move the tooth back to its normal position using light finger pressure only.  Whether you are able to reposition it or not, go to the dentist for an x-ray of the tooth to evaluate the health of the root, and the bone around the tooth.

Follow-Up Care:

Your child will need a soft diet for a period of a few days up to two weeks.  The goal is no additional pressure on the injured tooth as it is healing.  You may need to give your child over-the-counter pain reliever such as Children’s Advil or Children’s Motrin as needed for pain.

Follow-up with your dentist in 3 months.  He will x-ray the tooth to confirm healing and the health of the tooth and its surrounding structures.

Possible Long-Term Consequences:

When a tooth moves, it is possible that the nerve supply to the tooth has been broken where it enters at the tip of the root.  In many cases, the nerve supply can reattach, and the tooth heals.  In other cases, the nerve does not reattach, and the tissue inside the tooth dies.  A dead nerve must be removed, and the tooth needs a root canal.

The injury to the surrounding structures may also damage the connection between the tooth and the jaw bone.  A condition called ankylosis often develops, in which the tooth becomes fused to the bone and is unable to move.  This is a major concern in orthodontic treatment, when you desire to move that tooth.

Injuries that Chip or Break a Tooth

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If an injury to a tooth causes a portion of the tooth to chip or break off, the consequences are usually a little milder than a tooth that is moved or knocked out.  In minor cases, the small chip can be filled in to return the tooth to its natural shape.  In severe cases, the chip extends into the nerve of the tooth, and a root canal is needed.

What You Will See:

The tooth looks broken or jagged on the edge.  Look specifically for any pink or red spots in the center of the tooth.  This is the nerve inside the tooth, and large breaks may extend this far. 

Baby Teeth vs. Permanent Teeth

In general, the treatment for this type of injury is the same for baby teeth and permanent teeth.  Minor cases will be restored with filling material. In severe cases, a permanent tooth will need a root canal, and the baby tooth may be extracted.

What You Should Do:

Call your dentist immediately and start heading toward the office.  Try to locate any fragments of the tooth, and bring them with you.  Whether you are able to find it or not, go to the dentist for an x-ray of the tooth to evaluate the health of the root, and the bone around the tooth.  The dentist will evaluate the depth of the chip and determine whether or not the nerve is affected. 

Follow-Up Care:

If you have the tooth fragment, your dentist can reattach it to the tooth.  If not, he can rebuild the tooth back to its normal shape and size. 

Your child will need a soft diet for a period of a few days.  You may need to give your child over-the-counter pain reliever such as Children’s Advil or Children’s Motrin as needed for pain.

Follow-up with your dentist in 3 months.  He will x-ray the tooth to confirm healing and the health of the tooth and its surrounding structures.

Possible Long-Term Consequences:

The force to the tooth, which chipped it, could also have disrupted the nerve supply, as noted above.  Your dentist will monitor the tooth closely for any signs of a dead nerve.  If a root canal become necessary, your dentist will guide you in the steps involved in treatment.  It is important to know that the nerve inside a tooth could die at any point in the future, even decades later.

The tooth could also become ankylosed

The dental treatment, which restores the broken tooth, may need replacement at any point in the future.  Be careful not to use that tooth for anything besides chewing and speaking (i.e. holding hair pins or cutting fishing line).

Injuries that Knock Out a Tooth

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A tooth that is completely knocked out needs immediate action!  The longer you wait, the less chance the tooth has of surviving.

What You Will See:

The tooth is completely gone from the mouth.  Evaluation of the tooth should show the crown (visible part) of the tooth, as well as the root.

Baby Teeth vs. Permanent Teeth

There is no treatment for knocked out baby teeth.  The child will have a space in that tooth’s site until the permanent tooth comes in.

For a permanent tooth, we make every attempt to save and reattach the natural tooth.

What You Should Do:

Call your dentist immediately and start heading toward the office.  Hold the tooth by the crown ONLY.  Do not touch the root.  If you can, put the tooth back into the socket after very gently rinsing off any dirt or debris.  If you are unable to put the tooth back into the child’s mouth, place it in a cup with milk or saliva.  That’s right: fill up a cup with enough spit to cover the tooth.  Saliva is the best thing to keep the cells and fibers on the knocked-out tooth alive until it can be reimplanted into the mouth.

Whether you are able to reinsert it or not, go immediately to the dentist.  The dentist will clean and reinsert the tooth, using anesthetic if the child is in pain.  The sooner the tooth is reimplanted, the better the chances of its full healing.

Follow-Up Care:

Follow the recommendations for a soft diet and OTC pain relievers noted above.  The dentist will follow-up with you more frequently to confirm healing and reattachment of the tooth.

Possible Long-Term Consequences:

The consequences noted above, a dead nerve and ankylosis, are both highly likely when a tooth is completely knocked out.  Another possible consequence is failure of the tooth to reattach.  In this case, it is necessary to extract the tooth and replace it with a dental implant. 

Adhering to your dentist’s prescribed follow-up schedule will keep you informed of any of these consequences as they occur.

Be Prepared for Injuries to Your Child’s Teeth

As you can see from the instructions listed above, getting in to see your dentist as soon as possible is very important!  Save our number in your phone, and call us at 605-925-4999 (Freeman) or (605) 928-3363 (Parkston) as soon as an injury happens.  Dr. Jason Aanenson, Dr. Alex Whitesell or Dr. Serena Whitesell will treat your child’s emergency and give you all the information you need for the right follow-up care. 

Your Child's First Dental Visit

Your Child’s First Dental Visit

At our Dental Centers in Freeman and Parkston our goal is for every dental visit to be a good one.  We understand that setting the right expectations can help us meet that goal.

When it comes to kids, not knowing what to expect can generate fear, anxiety and/or misbehavior.  Here is what to expect from your child’s first dental visit.

When to Make the Appointment

The American Academy of Pediatric Dentistry recommends that children have a dental evaluation by their first birthday or within 6 months of getting their first tooth, whichever comes first.  The purpose of a dental visit this early in life is not to perform dental treatment.  Education is the main purpose. 

If your child is already past this recommended age, do not worry!  Simply make an appointment as soon as possible.  The visit will vary a little based on the child’s age.  The purpose remains the same.

Educating the Child

If your child is an infant or toddler, the education comes in the form of the experience.  The child learns from the senses of sight, sound, taste, smell and touch.  He will see the smiling face of the dentist and his staff and learn what the dental tools look like.  He will hear the normal sounds of a dental office.  He will taste and smell the toothpaste or dental cleaning paste used by the dental hygienist.  And he will feel the gentle touch of the dentist evaluating his mouth.

It is important for parents to know that it is normal and acceptable for a small child to cry.  The dentist or hygienist may use that as an opportunity to look inside the child’s mouth and see as many teeth as possible. 

Educating the Parent

Even more important than the child’s education is the parents’.  The cause of most preventable problems that arise with children’s teeth is a simple lack of information and education.

A Child’s Oral Hygiene

At this dental visit, every parent receives instruction on proper oral hygiene of the child’s teeth and tips on various ways to accomplish this.  Keep in mind that not every technique or trick works on every child.  You may have to try several different approaches before you find the one that works best for you and your child. 

An example of a unique approach to flossing a toddler’s teeth is this:  Sit on the floor cross-legged.  Have your child lay down with his head in your lap and look straight up at you.  When the child opens his mouth, you will be able to easily see and access the teeth for flossing. 

This technique also works well with brushing.  If you use this technique for brushing, use only a pea-sized dot of toothpaste and no water.

Oral hygiene for baby teeth is just as important as it is for permanent teeth.  Do not make it an optional part of the bedtime routine.  This link has some great songs to sing while brushing and flossing your child’s teeth.  We know it can be a chore; do your best to make it a fun one.

A Child’s Nutrition

At the first dental visit, parents are taught how to help prevent cavities with good nutritional choices.  Your dentist will ask questions about current nutritional habits and eating patterns.  The most common error parents make is sending their child to bed with a sippy cup full of juice or milk.  The only thing a child should have access to overnight is water.

A Child’s Habits

Your dentist will assess risk for damage to the teeth and developing jaws by any habits like thumb-sucking or pacifier use.  For more information on these habits, please read our previous blog.

A Child’s Growth and Development

At this visit, the dentist evaluates the teeth and jaws for proper growth and development.  There is a pretty wide range of “normal” when it comes to teeth coming into the mouth.  The dentist’s objective is to detect any abnormalities in a child’s development as early as possible so that you can plan for the future.

For example, your dentist would inform you if there appears to be a deficiency in the growth of the jaws that would require early orthodontic treatment.  We want you to be as prepared as possible for any future dental work.

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 Dental X-rays

Dental x-rays are only taken on children under the age of 5 if there is evidence of a problem.  An x-ray is necessary if a large cavity is present with the risk of spreading infection into the jawbone.  Any injury to the teeth also requires an x-ray.

Around age 5-6 years, we take dental x-rays to evaluate the proper development of permanent teeth underneath the baby tooth roots.

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Fluoride

Professional fluoride treatments are proven to reduce a child’s risk for developing cavities.  We recommend fluoride as a preventive treatment for most children because we strongly believe in prevention.

If you have questions about professional fluoride treatments, please ask Dr. Jason, Dr. Alex, Dr. Serena or your dental hygienist at your next visit.  We are more than happy to discuss the benefits of fluoride and the reasons we strongly recommend it for children.

Is it Time for Your Child’s First Dental Visit?

Call our office at 605-925-4999 (Freeman) or (605) 928-3363 (Parkston) to set up a happy visit for your child with Dr. Jason Aanenson, Dr. Alex Whitesell or Dr. Serena Whitesell and our fabulous dental hygienists.  They will get you and your child started with a great dental experience.

Are Baby Teeth Really That Important?

Are Baby Teeth Really That Important?

Yes!

We hear this question a lot.  Some parents tend to be less concerned about a child’s baby teeth because they know these teeth will eventually fall out.  This blog will explore all of the reasons baby teeth DO matter and need to be healthy for the years they are in your child’s mouth.

What are Baby Teeth?

Also called primary teeth, baby teeth are the first set of teeth a child gets in his or her mouth.  Other names for baby teeth include deciduous teeth and milk teeth.  There are 20 baby teeth in all, and they enter the mouth from age 6 months through 2 years. 

Baby teeth are fully developed teeth, with the same physical makeup as permanent teeth.  They have nerves and blood vessels on the inside, and they are covered in enamel.

Baby teeth can feel pain, they can get cavities, and they show damage from teeth grinding.

Why Do Humans Have Baby Teeth?

It is all about growth.  A baby’s jaws are too small to hold the full set of permanent teeth.  This initial set of teeth allows a baby to begin chewing and speaking as the jaw continues to grow.

Without baby teeth, a child would not be able to obtain the nutrition necessary for his or her overall growth.  Baby teeth also help in guiding the growth of the jaws.

What are the Purposes of Baby Teeth?

Baby teeth are important for all of the following reasons. Even just one of these functions is reason enough to take great care of your child’s baby teeth. 

 

  • Chewing – A child can only live on milk, formula, and baby food for so long. In order to receive the proper nutrition, he or she has to begin eating solid foods. This is only possible with healthy teeth to chew those foods.

  • Speaking – Many of the letter sounds required for speaking involve interactions between the tongue, lips and teeth. Without teeth, a child cannot learn to make these sounds. Often, the speech habits formed in early childhood persist for many years and require speech therapy to correct.

  • Jaw Growth – A proper bite relationship between the upper and lower teeth is vital to normal, healthy growth of the upper and lower jaws. When teeth are lost and shift into inappropriate positions, it can negatively influence how the jaws grow.

  • Formation of Permanent Teeth – Permanent form from the cells in baby teeth. If a baby tooth is missing, the permanent tooth will not develop. If a baby tooth is infected or injured, the developing permanent tooth is often damaged. This damage may result in an abnormal shape or weakened enamel on the growing permanent tooth, which would cause an unsightly appearance and a higher risk for cavities.

  • Holding Space for Permanent Teeth – Healthy baby teeth maintain the health of the jawbone and keep space available for permanent teeth to come in. If a baby tooth is lost from infection or injury, the teeth around it begin to shift into that space. This results in a lack of space for the underlying permanent tooth to come into its correct position in the jaw. It leads to crooked, crowded teeth, which will require years of braces to fix.

 

How are Baby Teeth Different from Permanent Teeth?

Baby teeth are not meant to last forever.  Their purposes are temporary, lasting only until the permanent teeth replace them in the arch.  Because they are only temporary, they are slightly different from permanent teeth.

Baby teeth have thinner enamel.  The layer of enamel covering a baby tooth is about half the thickness of that covering a permanent tooth.  Thin enamel makes it easier for bacteria to penetrate through and cause cavities to spread very quickly.

Baby teeth roots dissolve under pressure.  The baby teeth fall out at just the right time by this mechanism.  The underlying permanent tooth begins to push toward the oral cavity and put pressure on the roots of the baby tooth.  As the roots dissolve, there is nothing holding the baby tooth in the jawbone, and it becomes loose. 

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Other Reasons to Keep Baby Teeth Healthy

Big cavities on baby teeth cause toothaches.  Babies and young children may experience or communicate that they are experiencing pain differently than an adult does.  You should never assume that a decayed baby tooth is not painful.

Infections on baby teeth can spread to the brain or bloodstream!  These can be extremely dangerous situations.  If there is visible swelling in or near your child’s mouth, seek emergency care immediately!

Baby teeth with dental problems require dental treatment.  By keeping them healthy, you can prevent the need for expensive and traumatic dental visits for your child.

Do You Have More Questions about Baby Teeth?

Call our office at 605-925-4999 (Freeman) or (605) 928-3363 (Parkston) to set up a consultation with Dr. Jason Aanenson, Dr. Alex Whitesell or Dr. Serena Whitesell for an evaluation of your child’s baby teeth.  They will discuss with you all you should know about caring for your child and his or her teeth.

Sugar and Its Effects on Teeth

Sugar and Its Effects on Teeth

It is commonly known and well supported by scientific research that sugar is bad for teeth.  When dentists say “sugar”, most people think of soft drinks and candy.  There are many other sources of sugar that are damaging to teeth, which often get overlooked.  This blog will address why sugar is bad for teeth, which specific sugars are especially dangerous, and how you can fight sugar’s effects on your child’s teeth.

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Why is Sugar Bad for Teeth?

Our mouths are full of bacteria.  Some bacteria are good, and some are bad.  The bad bacteria are those which feed on sugar to produce dangerous acids. (Some people have higher levels of bad bacteria, which gives them a higher risk for cavities!)

Bad Bacteria + Sugar = Acid --> Enamel Damage --> Cavities

Which Specific Sugars are Bad for Teeth?

If you have taken part in any low-carb or no-carb diets, you probably know the important differences between simple and complex carbohydrates.  Nutrition experts emphasize the way these carbs are digested and how they affect your metabolism.

The distinction between simple and complex carbohydrates is also important for your teeth. 

Simple carbohydrates are short-chain sugars that bad bacteria in the mouth quickly and easily break down.  Complex carbohydrates are long, complex chains of sugar molecules that are more difficult for bacteria to break down.

Simple carbohydrates make it easy for bacteria to cause cavities.  Complex carbs are also a sugar source for bacteria, but they take longer to digest, slowing the cavity process down enough for you to intervene and stop them. 

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Examples of simple carbs include the sugar in soft drinks, candy, cookies and other baked sweets, cereal, fruit juices and milk.  Complex carbohydrates include whole grains, starchy vegetables (like potatoes), green vegetables, and beans/peas.

Complex carbs are better for your teeth than simple carbs, but there is still a risk for cavities.  Often, complex carbs are sticky and become stuck in or between the teeth.  If they are not quickly cleaned from the teeth, the bacteria have more time to break them down into simple sugars and cause cavities.

How You Can Fight Sugar’s Effects on Teeth

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1. Limit intake of simple carbohydrates – Cutting simple sugars from your or your child’s diet is a sure way to lower cavity risk.  Sodas have zero nutritional value, so eliminate them completely.  Instead of sticky candies, switch to chocolate.  Chocolate’s fat content gives it a lower risk of causing cavities.

2. Stimulate saliva – Saliva is our body’s best defense against cavities!  Saliva has a slightly basic pH, which neutralizes the acid produced by bad bacteria.  There are two great ways to stimulate saliva to fight sugar:

  • Limit simple sugars to mealtime only! When you eat a meal, saliva production increases. A soda with lunch is less likely to cause a cavity than a soda sipped throughout the afternoon.

  • Chew sugar-free gum. By chewing gum after eating or drinking sugar, you stimulate saliva. Ice Cubes is our favorite cavity-fighting gum. Give a piece to your child after any sugary snack to lower cavity risk.

 

3. Practice great oral hygiene.  Do not let any sugars stay on the teeth.  You can greatly reduce cavity risk by removing any sugary food debris from your tooth surfaces. 

  • Brush after sticky and/or sugary snacks.

  • Floss, if possible, after snacking. If not, floss every night before bed.

  • Use a fluoride containing mouthrinse after brushing and flossing.

Call our office at 605-925-4999 (Freeman) or (605) 928-3363 (Parkston) to schedule your appointment today with Dr. Jason Aanenson, Dr. Alex Whitesell or Dr. Serena Whitesell!

Teaching Your Children to Take Care of Their Teeth

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Teaching Your Children to Take Care of Their Teeth

One of the most important aspects of parenting is teaching your children how to take care of themselves. You teach them to make good choices so that they can be healthy.  In the beginning, you do a task for them until they can do it themselves.  Then you supervise their efforts until you trust that they are competent and consistent in accomplishing the task.  At that point, you can give them the independence to take care of themselves without your intervention.

As with all issues in child development, every child grows and matures at his or her own unique pace.  Rather than looking for your child to perform certain tasks at a certain age, use milestones to tell you when it is time to move from demonstration to supervision and from supervision to delegation of independence.

In dentistry, our most common example of using a milestone is this: your child should not brush his teeth alone until he can easily tie his own shoes.

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Start Early

In order to set the right expectations for your child and oral hygiene, start early. 

How early?  As soon as the first tooth appears in your baby’s mouth!

Begin brushing each tooth with an infant toothbrush or a soft washcloth.  Cleaning your child’s teeth is something he or she should expect as part of your daily routine.  The earlier you start, the easier it is for the child to accept.  The earlier you begin brushing and flossing your child’s teeth, the less likely they are to fight you and resist the process.

Easy Oral Hygiene Techniques:

One of the easiest ways to brush and floss a child’s teeth is to sit cross-legged on the floor and have the child lay down with his head in your lap.  You should be able to look straight down into the child’s open mouth.  Using a very small amount of fluoride-containing toothpaste and NO water, gently brush every exposed surface of his teeth. 

An alternative technique is to have your child stand on a small stool so that their head is just above your waist.  With both of you facing the bathroom mirror, stand behind the child and have her look up and rest her head against your stomach.  Again, you should be able to look straight down into the child’s mouth and visualize all of the teeth.

Use either of these positions to floss any of your child’s teeth that touch each other.  Teeth with small gaps do not have to be flossed. 

Make It Fun

While you are brushing or flossing, it helps to count or sing a song to entertain and/or distract the child.  The American Dental Association has several fun tooth brushing songs here.

If you have multiple children, you can make the oral hygiene routine your special one-on-one time with each child. 

With multiple children, games or competitions can make it fun.  Use plaque disclosing tablets to have a contest of who does the best job brushing.

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Set a Good Example

Brush and floss your own teeth in front of your children as often as possible.  Show them that it is a normal part of your bedtime routine.  Kids are much better at following examples than strictly doing as they are told. 

It is important to teach your children to have an overall attitude toward oral hygiene that is positive and healthy.  One of the best and easiest ways to train this attitude is to model it in your actions and attitudes toward your own oral hygiene.

Unfortunately, the opposite is also true.  If your children see that you do not value your own oral hygiene, they will not believe that it is important for them either.

Don’t Make It Optional

Make every effort to never miss brushing and flossing your child’s teeth.  It is not optional.  Do not ever give your child the impression that they have a choice on whether or not to brush before bedtime. 

The problems that occur from improper oral hygiene in a child can be serious. They can also be prevented with good oral hygiene and good food and drink choices.

Need Help?

Call our office at 605-925-4999 (Freeman) or 605-928-3363 (Parkston) to schedule a consultation with one of our fabulous dental hygienists.  She will show you tips and techniques on brushing and flossing your child's teeth as easily as possible.

Baby Bottle Tooth Decay

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Baby Bottle Tooth Decay

Also known as bottle rot or early childhood caries, baby bottle tooth decay is a condition in which very young children experience moderate to severe cavities in their baby teeth.  As the name implies, this condition is caused by an improper use of baby bottles.

How Does a Baby Get Cavities?

Cavities are caused by bacteria.  Most children acquire cavity-causing bacteria from their parents.  Bacteria are transmitted from the parents’ mouths to the child’s by sharing a spoon and kissing.

The real danger occurs when these bacteria are exposed to sugar.  Baby bottle tooth decay arises when the baby drinks a bottle of any liquid which contains sugar.  The most common culprits are fruit juices and milk.  Even milk contains sugar.

As the teeth are exposed to sugar-containing liquids, the bacteria ingest the sugar and create a by-product that is very acidic.  The acid by-product weakens and softens baby teeth enamel.  The enamel on baby teeth is much thinner than that on permanent teeth.  This allows cavities to spread much more quickly on a baby tooth than on a permanent tooth. 

There are two important factors in the cavity process: 1) the amount of sugar the teeth are exposed to, and2) the amount of time the teeth are exposed to sugar

  1. Amount of Sugar - Fruit juice contains the highest quantity of sugar (besides sodas) and is very damaging to baby teeth.  Soft drinks and sodas should NEVER be given to a child.  Milk contains small amounts of sugar, too.  If left in contact with the teeth long enough, even plain milk will cause tooth decay.
  2. Amount of Time - Even a small amount of sugar can cause a cavity if it stays in contact with the teeth for a prolonged period of time.  Any sugar-containing drink to which the child has continuous access (such as an overnight bottle) creates a higher risk for cavities.  

 

Upper front teeth are at the highest risk for baby bottle tooth decay because they are continually bathed in the liquid as the child drinks.  Other teeth may be affected as well.  The cavities initially appear as dark spots, small holes, or chips in the teeth. 

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How Do I Prevent Cavities for My Baby?

  • Limit bottle time - A bottle’s purpose is to provide nutrition for your baby.  It is not a pacifier or soothing device.  
  • It should never be used to put a baby to sleep.  If a baby falls asleep while drinking from a bottle, remove the bottle and replace it with a pacifier.
  • Limit bottle contents – Baby bottles should contain onlybaby formula, breast milk, or water.  A baby bottle should NEVER be filled with fruit juice, soda, sugar water, or milk.  Not only do they all contain sugar; they do not provide the baby with any proper nutrition.
  • Water only overnight – If a bottle is given to the child overnight, water is the only liquid that will not increase the risk for cavities.  Water is the only thing that contains zero sugar and zero acid.  This rule goes for sippy cups, too.  Toddlers should never go to bed with anything except water!
  • Oral hygiene – Even babies need oral hygiene.  As soon as a tooth is visible, you should clean it with an extra-soft baby toothbrush or a washcloth.  Brush your baby’s teeth twice a day with fluoride toothpaste the size of a grain of rice.  The brushing routine teaches your child good oral hygiene practices as they learn and grow.  The fluoride strengthens their baby teeth to resist cavities.

 

 

    What if My Baby Already Has Cavities?

    Baby teeth have many important functions.  If they get cavities, they need to be treated so that your child can chew and speak properly.  Cavities in baby teeth, if not treated, will progress to abscesses, which are serious dental infections that can spread.  These infections can put your baby’s life in danger!

    If you see cavities in your baby’s teeth, the first step is to schedule a dental appointment.  Your dentist will evaluate the teeth and prescribe the appropriate treatment.  Most small children with extensive decay are treated by pediatric dentists with the use of sedation. 

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    The most important part of this dental visit is the tips and instructions you, as the parent, will receive to help prevent any future cavities from developing.

    More Questions about Baby Bottle Tooth Decay?

    Call our office at 605-925-4999 (Freeman) or (605) 928-3363 (Parkston) to schedule your appointment today with Dr. Jason Aanenson, Dr. Alex Whitesell or Dr. Serena Whitesell! They can answer all of your questions about cavities in young children and advise you on how to proceed.

    Interdisciplinary Dentistry

    Interdisciplinary Dentistry

    You’ve probably heard the saying, “Jack of all trades”; maybe you didn’t know that the rest of that phrase is “ . . . master of none”.  The theory behind this phrase is that a person can be competent in many tasks, but is usually limited to excellence in just a few.  At our dental centers in Freeman, Parkston, and Viborg, we believe that this phrase applies to dentistry.  Because our goal is for each patient to receive excellent care in every realm, we cooperate with medical and dental specialists to accomplish interdisciplinary dentistry. 

    We understand that, as a patient, it is more convenient to have all of your dental care performed in one location.  However, when it comes to a choice between convenience and excellence, we will always choose excellence.  When Dr. Jason, Dr. Alex and Dr. Serena create a customized treatment plan for their patients, they considers what type of practitioner will best perform each individual procedure.  These decisions are made on a case-by-case basis, much like a primary care physician may treat a case of high blood pressure in his or her office, but refer out a complicated cardiovascular issue to a cardiologist.

    Dental Specialties

    The American Dental Association recognizes nine dental specialties in dentistry.  These specialties are characterized by residency programs, which add several years to their education, and certifying boards, which recognize their limitation of practice to a specific specialty.  The nine recognized dental specialties are:

    1. Dental Public Health – promotion of oral health and disease prevention

    2. Endodontics – root canals and surgeries related to infections originating within the tooth

    3. Oral & Maxillofacial Pathology – diagnosis of abnormal lesions and diseases of the oral cavity

    4. Oral & Maxillofacial Radiology – interpretation of images of the head & neck complex, including x-rays and cone beam computed tomography

    5. Oral & Maxillofacial Surgery – surgical intervention ranging from simple extraction of teeth to complex realignment of the upper and lower jaws

    6. Orthodontics – realignment of teeth and bite relationships

    7. Pediatric Dentistry – dentistry for children

    8. Periodontics – treatment of diseases and conditions of the supporting structures of the teeth: bones, ligaments, and gum tissue

    9. Prosthodontics – restoration of missing tooth and jaw structures

    Many people are surprised to learn that there are currently no recognized specialties for TMJ, cosmetic dentistry, and dental implants.  Advertising claims can be misleading in these areas. 

    Why Do Some Dentists Pull Wisdom Teeth, Place Implants or Do Root Canals?

    Many general dentists have practiced long enough to determine which procedures they are able to perform with excellence, rather than just being competent.  They will spend more time in continuing education learning the procedures that they love, and will consistently improve their skill in specific techniques.  This is why some general dentists are able to provide excellent treatment in areas another general dentist would refer to a specialist.

    On the other hand, you may find that a dentist who used to do root canals in his office no longer does.  It is likely that this dentist has found he is not able to efficiently provide the very best root canal for his patients, and they will receive a more positive long-term success rate by seeing an endodontist for that specific procedure. 

    Medical Specialists

    As we discussed in a previous blog on how oral health affects your overall health, there are many connections between the mouth and the rest of the body.  As we continue to gather more information about your head & neck with the 3D imaging and continued learning in dentistry, we are better able to recognize these connections and advise you to see the appropriate medical specialist.

    The Importance of the General Dentist

    In cases where interdisciplinary dentistry is necessary, the general dentist plays an important role.  In addition to performing certain procedures in the care of the patient, the general dentist is instrumental in organizing and coordinating the flow of communication and treatment among the various specialists.  

    If you have a complicated dental history and think you need interdisciplinary dentistry, call our office at 605-925-4999 (Freeman) or (605) 928-3363 (Parkston) to schedule your appointment today with Dr. Jason Aanenson, Dr. Alex Whitesell or Dr. Serena Whitesell! Their commitment to excellent care will ensure you see the proper doctor for each individual procedure your treatment requires.

    New Year, New Smile

    New Year, New Smile

     

    It is that time of year when people around the world are resolving to make changes for the better.  A common theme in many New Year’s resolutions is improved health.  One of the great perks of improving your health is that it usually involves improving your appearance, too!  If you are exercising to enhance your health, you may also be losing weight or toning muscles.  If you resolve to get more sleep, you will lose those dark circles under your eyes.

    The same applies to taking care of your teeth.  The steps you take to make your mouth healthier will make your smile prettier.  Here are a few ways you can improve the health and appearance of your smile.

    Brush Up on Your Oral Hygiene Regimen

     

    Keeping your teeth free from plaque reduces your risk of unsightly cavities and gum disease.  Here is the most effective way to keep your pearly whites pearly and white.

    Brush twice a day, preferably after breakfast and before bed.  Make sure you are using a soft-bristled toothbrush at a 45 degree angle to the edge of the gums.  Make sure you touch every surface of every tooth.  This should include the cheek side, tongue side, and biting surface.  The most commonly missed area is the inside (tongue side) of the lower teeth.  Do not go to bed without brushing!

    Floss nightly!  Brushing alone is not enough to ensure proper plaque removal.  The toothbrush bristles cannot reach in between the teeth; therefore, they leave harmful plaque, bacteria, and food debris on the teeth.  Flossing is absolutely mandatory to keep your teeth and gums healthy and beautiful.

    Use a mouthwash.  Swishing mouthwash is a great way to flush out unhealthy bacteria from the various nooks and crannies of the oral cavity.  If you are cavity prone, use a mouthwash containing fluoride to strengthen your enamel and fight cavities.  If you have a dry mouth, stay away from mouthrinses containing alcohol.  For someone with red, swollen gums, a whitening mouthwash containing hydrogen peroxide is a great tool for reducing gum inflammation.

    Treat Yourself to Teeth Whitening

    There are many ways to improving your smile.  Whitening your teeth is one of the quickest ways to give your smile a boost.  At the dental centers in Freeman, Viborg and Parkston, we are proud to offer KöR professional teeth whitening.  With both in-office and at-home whitening products, we can help you find the type of whitening that most easily and quickly meets your needs. 

    Another way you can achieve a brighter smile is by using an electric toothbrush and whitening toothpaste.  This works to polish off surface stains accumulated by years of drinking coffee or tea and using tobacco products.  Ask our dental hygienists about the other benefits of an electric toothbrush.  Most patients find that once they begin using an electric toothbrush, they cannot return to a manual toothbrush.  Electric toothbrushes truly give a cleaner, smoother, shinier appearance to the teeth.

    Straight Teeth are Healthy Teeth

    Many people consider crooked teeth to be a cosmetic issue.  In addition to an improved appearance, straightening your teeth actually creates a healthier oral environment.  A research experiment was conducted in which plaque was collected from both patients with straight teeth and those with crowded teeth.  This study concluded that not only do crooked and crowded teeth harbor a greater quantity of plaque; they actually harbor more dangerous bacteria than straight teeth.

    Closing gaps between the teeth helps prevent food impaction, which leads to cavities and periodontal disease.  Aligning crooked teeth makes brushing flossing easier to accomplish.  Ask us how Invisalign® can make your mouth healthier!

    Full Smile Makeover

    Perhaps you have always wanted a full smile makeover, and 2018 is your year.  Missing teeth can be replaced with dental implants.  Broken teeth can be restored crowns.  Cavities can be repaired with cosmetic tooth-colored fillings.  

    You can even get a beautiful, straight, white smile with veneers.  A veneer is a covering of at least one full surface of the tooth.  Veneers are made from porcelain or composite (an in-office dental restoration).  They can be contact lens thin for minor corrections and refinements.  Or they can be several millimeters thick to correct misalignments and dark discolorations.

    The possibilities are almost endless!  To get started on your full smile makeover, schedule a consultation with Dr. Jason, Dr. Alex and Dr. Serena.  They will evaluate your current situation and discuss the treatment options available to meet your cosmetic goals.

    Happy New Year!

    Whether 2018 is the year for minor improvements or major life changes for you, there are two things that will always be a great idea: 1) Make healthy choices.  2) Smile! 

    If you’d like help improving that smile, we are here for you. Call our office at 605-925-4999 (Freeman) or (605) 928-3363 (Parkston) to schedule your appointment today with Dr. Jason Aanenson, Dr. Alex Whitesell or Dr. Serena Whitesell!

    Silver Diamine Fluoride

    Silver Diamine Fluoride

    What is SDF?

    Last June, the New York Times published an article on a new dental material called Silver Diamine Fluoride (SDF) that excited all of its readers and everyone who saw it shared on Facebook!  (New York Times article) Correction: it is not new.  SDF has been used in Japan for decades (approved by their ministry of health in the 1960's), but it is new to the United States. 

    This material, which is a clear liquid that looks like water, can stop tooth decay in its tracks.  That is an exciting material!

    The Food & Drug Administration has classified SDF as a fluoride treatment and has only cleared it for use as a desensitizing agent.  This means that when dentists use it to stop cavities, it is being used "off-label".  The evidence is compelling enough that Dr. Jason, Dr. Alex and Dr. Serena have begun offering this "caries arrest" treatment to its applicable patients. 

    Caries arrest, simply put, means stopping a cavity.  Caries is the scientific word for tooth decay or cavities.

    Who is a candidate for SDF? 

    The most common application of SDF is in young children because it prevents them from having a dental appointment involving local anesthetic, drilling and filling.  It takes about 5 minutes to isolate the affected tooth and apply the colorless liquid SDF to the site.  It is also a great option for treating cavities on elderly patients with a very high risk for decay, patients with dementia or Alzheimer's disease, and patients with special needs.  It can be used to stop the progression of decay for a patient who has need of extensive dental treatment and is unable to proceed for financial or medical reasons. 

    Basically, SDF can be used to buy some time when it comes to "fixing" your teeth.

    What are the pros?

    • No local anesthetic = no injections

    • No drilling

    • No filling

    • Much shorter treatment (about 5 minutes compared to 30+ minutes)

    • Decreased cost (about 10% of the cost of a filling)

     

     What are the cons?

    • The biggest con is that the silver particles in SDF stain the tooth black in areas of decay. The amount of staining depends on the amount of decay in the affected tooth. There will be some temporary staining of the gums near the treatment area, which will resolve over a few days. The gum staining is similar to a henna tattoo, reddish brown in color and lasting for several days.

    • It tastes awful. We do our best to keep it away from your tongue, but we cannot guarantee you won't taste it.

    • SDF is not 100% effective. There are some cavities SDF will not stop. So it requires follow-up x-rays to confirm that the SDF did its job and that the cavities have not grown since being treated with SDF.

    • It must be reapplied at your next cleaning appointment for maximum efficacy.

    • It does not fill in any holes created by the cavity, so you still get food impaction in the treated area, which can lead to gum disease or decay on other teeth. This means it is not a good option for normal permanent teeth on a healthy adult.

     

    Is SDF Right for You or Your Loved One?

    Call our office at 605-925-4999 (Freeman) or (605) 928-3363 (Parkston) to schedule your appointment today with Dr. Jason Aanenson, Dr. Alex Whitesell or Dr. Serena Whitesell!  They can discuss the treatment options for each tooth, including which ones could benefit from SDF. 

    Pediatric Sleep Apnea

    Pediatric Sleep Apnea

    Why Is My Dentist Asking If My Child Snores?

    Some of you may have noticed that when you bring your child in for their professional cleaning and periodic evaluation, Dr. Jason, Dr. Alex or Dr. Serena asks questions about your child’s sleep patterns.  “Does your child snore?  Does he grind his teeth?  Does she wake up with a raspy voice or a sour stomach?”  We treat adults who have obstructive sleep apnea with an oral appliance.  After much study and continuing education on the subject, it was only natural that we continue our learning with research into pediatric sleep apnea.  Because we have a chance to look inside their mouths (and inevitably, down their throats) a few times a year, we are in a perfect position to evaluate their airway on a regular basis. 

    Refresher: What is Sleep Apnea?

    An apnea occurs when breathing stops for a period of time.  It is generally caused by an obstruction or blockage in the airway, which causes a disruption of normal breathing.  Snoring is an important warning sign because it indicates that there are excess tissues vibrating in the airway.  These same excess tissues can collapse and block the airway, causing apneas to occur.

    Why Is Pediatric Sleep Apnea an Important Issue?

    According to a 2002 study, children with obstructive sleep apnea consume 226% more health care services than children without.  According to a 2007 study, these children have 40% more visits to the hospital than children without OSA, as well as higher consumption of anti-infective and respiratory system drugs.  The risks of undiagnosed sleep apnea include problems with behavior, learning and development, and in severe cases, failure to grow, heart problems and high blood pressure.

     What Causes Pediatric Sleep Apnea?

    Obstructive sleep apnea can be caused by anything that makes the opening of the airway (through either the nose or the mouth) smaller than it should be.  Some children have very large tonsils or an enlarged tongue that blocks the opening at the back of the throat.  Some may have a jaw that is smaller than normal or a palate (roof of the mouth) that is very long and hangs down into the back of the throat.  Even a deviated nasal septum or an enlarged turbinate can cause a decreased amount of airflow.  The shape of the upper and lower jaws are important in shaping the airway.  Certain growth patterns make some children more susceptible to airway problems than others. 

    What Warning Signs Should I Look For?

    • Snoring, snorting, gasping or squeaking sounds during sleep

    • Restless sleep, nightmares, sleep walking or bedwetting

    • Sleeping in abnormal positions with the head in unusual positions

    • Heavy, irregular breathing or mouth breathing

    • Grinding teeth

    • Difficulty waking up in the morning

     

    Where Do We Go From Here?

    If your child exhibits several of the warning signs and has any narrow airway risk factors, Dr. Jason, Dr. Alex or Dr. Serena will discuss the next step in diagnosis of sleep apnea.  It may involve treatment in our office as well as referral to several different doctors, including a sleep physician, an ENT, an orthodontist, an allergist and possibly 3D imaging to visualize the child’s airway.  In certain cases, your child may be treated with an oral appliance that opens and shapes the airway as the child sleeps.  A sleep physician conducts a sleep study to gather all the data needed to diagnose or rule out a sleep-disordered breathing problem.  If your child is diagnosed with pediatric obstructive sleep apnea, it is possible that an adenotonsillectomy (surgery to remove the adenoids and tonsils) could be recommended, and you would be referred to an ENT for that procedure.  Because the shape of the jaws can affect the breathing space, orthodontic treatment may be necessary to change the shape of the jaws, thereby increasing the airway space.  An allergist can be helpful in decreasing the size of inflamed tissues through allergy therapy.

     Do you think your child may have sleep apnea?

    Call our office at 605-925-4999 (Freeman) or (605) 928-3363 (Parkston) to schedule your appointment today with Dr. Jason Aanenson, Dr. Alex Whitesell or Dr. Serena Whitesell! They will discuss the risk factors your child exhibits and the various treatment options available.

    Caring for Your Teeth While in Braces

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    Caring for Your Teeth While in Braces

    Best Day Ever

    The day you get your braces off should be the best day ever. After months, maybe even years, of hiding your metal mouth and constantly digging food out of the brackets and wires, you will feel a newfound sense of freedom and won’t be able to pass a mirror without smiling at yourself. The end result of orthodontics is always worth the time, money, and effort you put into it. Not only are straight teeth beautiful; they are actually healthier than crooked teeth.

    There are two reasons straight teeth are healthy teeth: 1) Many people understand that crowded and crooked teeth allow more plaque accumulation because of the various nooks and crannies created by overlapping and rotated teeth. 2) Research studies have shown that the types of bacteria collecting on crooked teeth are different than the bacteria typically found on straight teeth. They are more periodontopathogenic - more likely to cause periodontal disease!

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    How the Best Day can become the Worst Day

    If the braces come off, and instead of exposing a beautiful, straight smile, a mouth full of discolored and decayed teeth is revealed, the Best Day has now become the Worst Day. Braces create a dental hygiene challenge that many people, especially preteens and teenagers are not aware of or prepared for. The extra apparatuses on the teeth are havens for plaque, bacteria, and food debris, causing a person’s risk for gum disease and cavities to sky-rocket.  The most common problem we see after braces is a phenomenon called "white spot lesions" that outline where the bracket was.  The white spots are areas of demineralization or weakening of the surface enamel where plaque was allowed to linger for too long and damaged the tooth structure surrounding the bracket.

     

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    How to Lower Your Risk for Cavities & Gingivitis

    • Don’t miss a single dental visit! While you are busy seeing your orthodontist every 4-6 weeks, it is easy to forget your need for dental cleanings and checkups while in braces. Dr. Jason, Dr. Alex and Dr. Serena will be able to reassess your risk for both gum disease and cavities and make recommendations to help you lower your risk. This may include more frequent dental cleanings, a prescription toothpaste, a professional fluoride application, and adjunctive oral hygiene tools for you to use at home.

    • Additional oral hygiene tools - Braces take cleaning your teeth to a whole new dimension. A manual toothbrush usually will not adequately do the job, and traditional floss is virtually impossible to use alone.

      • Brushing - An electric toothbrush is a must because it can remove more plaque and bacteria around the brackets more effectively than a manual toothbrush.

      • Flossing - Using traditional floss requires the addition of something called a floss-threader, which is like a large plastic needle that can be inserted underneath the wire in order to floss between the teeth. An alternative to this is using small pre-threaded floss picks that will fit underneath the wires, called Platypus flossers.

      • Waterpik - Some people choose to add a Waterpik tool to their oral hygiene regimen. It is an effective way to remove food debris from underneath the orthodontic wires.

    • Additional oral hygiene products - The specific type of oral hygiene products you use matters when you have orthodontic appliances. There are many products available that can strengthen enamel and make it more resistant to damage from plaque and bacteria.

    • A prescription fluoride toothpaste or gel - Dr. Jason, Dr. Alex and Dr. Serena will give you recommendations based on your specific risk levels. If they determine that you are high risk for cavities, you may be given a prescription for a special toothpaste or gel to use on your teeth. Make sure to carefully follow the instructions and store any of these products out of the reach of small children.

    • Mouthwash - A mouthwash is a great way to flush out food debris from around the brackets and wires before you begin the flossing and brushing process. Any alcohol-free mouthwash is appropriate for pre-brush rinsing. Before bed and after brushing and flossing, you should swish with a fluoride-containing mouthwash. Do not rinse your mouth after using this one because the fluoride should stay in contact with your teeth for as long as possible. Our favorite fluoride mouthwash for patients in braces is Phos-Flur.

    Questions about Your Risk (or Your Child’s Risk) While in Braces?

    Call our office at 605-925-4999 (Freeman) or (605) 928-3363 (Parkston) to schedule your appointment today with Dr. Jason Aanenson, Dr. Alex Whitesell or Dr. Serena Whitesell! They will assess your risk for gingivitis and cavities while in braces and make the appropriate recommendations for your specific risk.

    Don't Get Tricked by Halloween Treats

    Don’t Get Tricked by Halloween Treats

    Halloween: Making Good Decisions for Your Teeth

    Halloween is almost synonymous with candy, and most people know that candy can cause cavities.  What many people do not know is that some candy is worse and more likely to cause cavities than other types of candy.  As dentists, it is easy to be a killjoy on Halloween.  Since we know kids are going to load up on candy at Halloween, we are not going to tell you not to eat it.  We’re going to give you information that will help you make better decisions about Halloween candy.

    All Candy is Not Created Equal

    The cavity risk associated with candy is based on two factors: 1) the amount of sugar in the candy, and 2) the amount of time the sugar from the candy is exposed to the teeth.  This blog will give you tips to help address both of these factors so that your risk of a Halloween cavity is minimal.

    Moderation and Timing is Key

    In order the address the amount of sugar in Halloween candy, it is important to exercise moderation.  Try not to binge on Halloween candy, and don’t let your kids do it, either.  Eating large amounts of candy fuels the cavity-causing bacteria in our mouths with unlimited sugar.  Limiting your candy intake to “dessert” (with a meal) also reduces cavity risk by counteracting the high amount of sugar with a high volume of healthy, cavity-fighting saliva.

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    Make Good Choices

     

    • 1.  Sort through all your Halloween candy.  Make three piles: 1) Sticky, gooey candy like caramels, Starburst, any kind of taffy, anything “gummy”.  2)  Hard candies or anything that is held in the mouth for a long period of time like a jawbreaker or any kind of sucker (lollipop).  Even mints fall into this category.  3) Chocolates or candy bars containing fat, anything that would be eaten quickly.
    • 2.  Now throw away piles 1 and 2.  These sticky and hard candies have a high risk for causing cavities because they expose the teeth to sugar for a long period of time.  The sugar in sticky candies will adhere to the tooth, especially in deep grooves, and provide fuel for bacteria for as long as the candy is stuck to the tooth.  You also fuel those bacteria by sucking on a piece of candy for an extended length of time.
    • 3.  Eat your chocolates and candy bars in moderation as explained above.

     

     

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    Feel Bad Throwing Candy Away?

    We want to make Halloween as fun as possible while still encouraging good habits.  Consider offering your child a trade-in for his or her Halloween candy.  You can “buy” the candy back at $1 per pound, and then allow then to purchase a non-candy treat with the money, like a Hot Wheels car or sheet of stickers.  You can also use the Halloween candy as an opportunity to teach your child about sharing and giving to others.  Many local shelters and food pantries accept donations of any kind, and they would be happy to receive sweet treats at this time of year.  

     

     

    Call our office at 605-925-4999 (Freeman) or (605) 928-3363 (Parkston) to schedule your appointment today with Dr. Jason Aanenson, Dr. Alex Whitesell or Dr. Serena Whitesell!

    Pizza Burns, Popcorn Shrapnel, and Tortilla Chip Daggers: Soft Tissue Injuries in Your Mouth

    Pizza Burns, Popcorn Shrapnel, and Tortilla Chip Daggers: Soft Tissue Injuries in Your Mouth

    Have you ever been so excited for your pizza that you just could not wait for it to cool down?  You are starving.   You cannot wait one more second.   So you take a big bite of piping hot pizza, only to feel the searing pain of a tomato sauce burn on the roof of your mouth instead of the simple gustatory satisfaction of bread, tomatoes, cheese and {insert your favorite topping here}. 

    Maybe Mexican food is your weakness.  The chips and salsa start calling your name as soon as you walk in the door.  You toss the whole chip with its twists and turns into your mouth, but when you bite down, a shard stabs into your gums. 

    At the movie theater, you eat hot, buttery popcorn by the giant handful.  When one shell of a kernel finds its way between your teeth, you spend the entire movie contorting your tongue to try to work it out and curse yourself for not carrying floss with you at all times.

    Most everyone can relate to these slightly over-dramatized examples.  In some cases, the damage is very minor and only bothers you for an hour or two.  In other cases, the injury leads to a painful ulceration or a localized gum infection if not handled correctly.  Here is what you need to know about reducing your risk for these types of injuries and how to handle them when they inevitably happen.

     

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    How to Reduce the Risk of Injury

    Slow down!  Many of these injuries happen because someone is eating too quickly, not allowing food to cool properly, or taking bites that are too large.  In order to lower your risk of these types of injuries, always wait for your food to cool to a manageable temperature.  Only take bites that are appropriate for your mouth, and chew slowly.  When teeth are aligned properly and chewing is performed at a normal rate, the anatomy of the mouth provides protection for the gum tissues, lips, cheeks and tongue as you chew.

    How to Handle a Soft Tissue Injury

    Keep your mouth as clean as possible!  The initial injury, whether it is a burn, laceration, or impacted food, can quickly progress to an inflammation or infection if not cleaned properly.  Our mouths are full of bacteria, and it is imperative to keep sores clean until they heal.  Gentle swishing of warm salt water or over-the-counter Peroxyl® mouthrinse can keep the injured site clean and promote rapid healing.

    Use mild oral care products.  The injured site can be very tender and overly sensitive.  If you find that your normal mouthrinse and toothpaste cause a stinging or burning sensation to the injured area, you should switch to mild, hypoallergenic products like those made by Biotene.

    Alter your diet.  Areas of ulceration or inflammation are easily irritated by very hot temperatures, very spicy foods, and acidic foods and beverages.  In order to keep the injured site as soothed as possible, you should avoid drinking hot coffee or tea.  Do not eat food that is extremely hot; allow it to cool down before taking a bite.  During the healing period, eat a mild diet that is not spicy or acidic.  Steer clear of foods high in tomato or citrus content until the area has resolved.

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    Avoid toothpicks.  If you feel that a popcorn kernel or other food debris is lodged between your teeth and gums, do not use a traditional wooden toothpick to attempt retrieval.  Ironically, we have removed more fragments of wooden toothpicks from patient’s gum tissues than popcorn kernels.  Only use dental floss or small interdental brushes (like a Proxabrush) to remove the embedded food particles.

    Be careful when flossing.  It is possible to floss too aggressively and cause damage to your gum tissue.  When you floss with the intent to remove a popcorn kernel or other food particle, it is important to be gentle and monitor your progress.  Ideally, you want the floss to reach under the foreign body and pull it out.  If you feel that your flossing is actually pushing the material further into the gum tissue, stop immediately! 

    Come see us.  If you are unable to remove a piece of food or debris, it is important to see your dentist sooner rather than later.  The longer the irritant stays in place, the more likely it is to cause inflammation and can lead to infection.  If you have a painful burn or ulceration, we can prescribe a prescription mouthrinse and/or topical ointment to alleviate the painful symptoms and promote healing.

    Have You Injured Yourself?

    Call our office at 605-925-4999 (Freeman) or (605) 928-3363 (Parkston) to schedule your appointment today with Dr. Jason Aanenson, Dr. Alex Whitesell or Dr. Serena Whitesell!

    FAQ's for New Moms

    FAQ's for New Moms

     When do the teeth break through the gums (erupt)?

    Normal eruption of the first tooth is generally around 6-7 months of age +/- 6 months.  This means that it is normal for a baby to be born with teeth (6 months old minus 6 months = birth) or to have no teeth until they are 1 yr old (6 months old plus 6 months = 1 yr old).  You can see that “normal” encompasses a pretty wide range.  If your baby’s first tooth is later than the average, you can expect them to also lose teeth later than most of their peers.  This is still considered normal. 

    Teething: What can be done, and when will it end? 

    Teething causes intermittent discomfort, irritability and excessive salivation as new teeth are erupting in your baby’s mouth.  It can be managed with over-the-counter analgesics, such as Tylenol Infants’ Drops, or allowing the baby to chew on a soft, chilled teething ring.  Use of teething gels containing topical anesthetics such as benzocaine is NOT recommended due to potential toxicity of these products in infants.  Teething happens intermittently as teeth are erupting, so you may notice that it is off-and-on until the child is around 2 years of age or until all the teeth have erupted.

    When should I start cleaning my baby’s teeth? 

    As soon as a tooth appears!  The American Association of Pediatric Dentistry recommends that you use a smear of fluoridated toothpaste on a soft, infant-sized toothbrush twice a day.

    Wait a minute! I thought I wasn’t supposed to use fluoride until the child is old enough to not swallow it? 

    Yes, that used to be the case.  However, the recommendations were changed due to research showing that the benefits of fluoride, preventing devastating dental disease, far outweigh the risks.  Fluoride has been deemed safe and effective by both the American Dental Association and the American Association of Pediatric Dentists.  It should always be stored out of the reach of young children and should be used under adult supervision for children under age 5.

    What kind of toothbrush should I use? 

    There are many products available to clean your baby’s teeth.  You may have to try out a few different types to see which you like the best.  As the teeth first erupt, a soft wet washcloth is adequate to remove the soft buildup that accumulates on the teeth and gums.  There is a type of “toothbrush” for infants that includes a sleeve that fits over the parent’s finger with small rubbery bristles to clean the teeth.  An infant toothbrush is simply much smaller in size with very soft bristles.  Do not ever use a medium or hard toothbrush on your baby!

    What about baby bottles or sippy cups? 

    Baby bottles are a great way to nourish your child.  Once your child has moved on to a sippy cup and is no longer receiving all of his or her nutrition via bottle, the sippy cup should contain only water.  Anything else that your child sips throughout the day and/or night can greatly increase his risk for tooth decay.  A common cause of cavities in very young children is having a bottle or sippy cup in bed with milk or juice.

    What about pacifiers and thumb-sucking? 

    These habits constitute a behavior known as non-nutritive sucking because it stems from the sucking reflex babies have and does not provide any nutrition.  Pacifiers and thumb-sucking are a common method very young children use to self-soothe.  Please read our earlier blog on pacifiers and thumb-sucking below to learn more about these habits.

    When should my baby visit a dentist?

    The American Association of Pediatric Dentists recommends that every child should see a dentist by his or her first birthday or when the first tooth comes into the mouth.  This will enable the dentist to give you, the parent, valuable information and education regarding how best to care for your child’s teeth.  It will also familiarize your child with the dental office.  You will be shown how to properly clean your child’s teeth and given tips on how to best accomplish this as your child grows and becomes more mobile.

     Do you have other questions about your baby’s teeth?

    Call our office at 605-925-4999 (Freeman) or (605) 928-3363 (Parkston) to schedule your appointment today with Dr. Jason Aanenson, Dr. Alex Whitesell or Dr. Serena Whitesell!

    Back To School

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    Back to School

    For many people, this time of year is more than just back to school.  It is back to daily and weekly routines, back to bedtimes and alarm clocks, and back to good habits that may have gone by the wayside in the easygoing days of summer.  Add this to your list of daily activities as you get back into the swing of things: taking great care of your teeth!  There are many things involved in pursuing a healthy mouth.  Here are some tips to getting that oral hygiene routine back on track.

     Brushing

    • In order to properly remove plaque (the soft, sticky substance that causes cavities and gum disease), it is necessary to brush your teeth twice a day with a soft or extra-soft bristled toothbrush.

    • The most commonly missed area in brushing is at the gumline, so make sure the bristles of your toothbrush are gently touching the gums as you brush.

    • Check the bristles of your toothbrush often. The American Dental Association recommends replacing toothbrushes every 3-4 months or sooner if bristles are splayed and worn (like the photo shows). A worn toothbrush cannot do a thorough job of cleaning teeth.

    • Please remember: never share a toothbrush with anyone, especially your child.

    • If you or your child is sick with any type of infection, replace your toothbrush or run it through your dishwasher’s “Sanitize” cycle.

    • Supervise your children’s brushing. They should only be brushing their own teeth if they can tie their shoelaces or write their name in cursive. Otherwise, you should still be brushing their teeth for them.

     Flossing

    Brushing alone cannot quite get the job done when it comes to removing all of the plaque from your teeth.  The nooks and crannies between your teeth are havens for clumps of bacteria where even the best brusher is not able to reach.  Flossing removes this plaque and reduces your risk for cavities and gum disease.  When you skip flossing, you miss over 35% of the surface of a tooth.  Studies have shown that flossing every day can prolong your life by six years.  

    Because flossing is a more difficult skill to master, you should floss your children’s teeth until they show they can properly do it on their own.  The easiest way to floss your child’s teeth is to sit on a bed or the floor, and have the child lay down with his head in your lap.  Have the child tilt his head up so that you can look straight down into his mouth.  This gives you the simplest access for flossing (also good for brushing).  The earlier you start this process, the easier it is to accomplish. 

     Preventive Dental Care

    • Professional cleanings – So let’s say you’re not a perfect brusher and flosser; no one is. We all have areas that we may miss with our toothbrush or floss. What happens when sticky, soft plaque is not removed from our teeth? In 24 hours, it begins to harden into tartar (also called calculus). Once it has hardened, it cannot be cleaned off with a toothbrush or floss. It has to be removed by your dentist or dental hygienist. Tartar buildup that is not removed on a regular basis leads to painful, chronic conditions that require more extensive and more expensive dental treatment.

    • Dental evaluation and x-rays – A dental evaluation by your dentist can uncover problems that can be treated in the early stages, when damage is minimal and restorations may be small. Dental x-rays show how the teeth are developing and hidden decay that develops between the teeth. X-rays also allow us to monitor the jawbones for any changes, including cancer or abnormal growths. These important steps, taken on a regular basis, can help prevent painful, chronic conditions and save money. Untreated tooth decay is a serious infectious disease for which there is no immunization.

    • Fluoride application – Cavities used to be a fact of life. Over the past few decades, one thing has been responsible for a dramatic reduction in the prevalence of cavities: fluoride. The U.S. Centers for Disease Control says that water fluoridation is “one of 10 great public health achievements of the 20th century”. Fluoride in your water supply is integrated into children’s teeth as they are forming, adding strength and cavity resistance to their enamel. Teeth can also be strengthened and protected with topical fluoride. Topical fluoride includes many products you may already use at home (toothpaste, mouthwash and gel), and it can be professionally applied in your dentist’s office. Your need for professional fluoride treatment should be assessed by your dentist and is based on your cavity risk level.

    • Sealants – Another common area that toothbrush bristles miss is the deep pits and grooves on the biting surfaces of your back teeth. These types of cavities can be prevented by applying dental sealants over the pits and grooves. A dental sealant is a thin coating that goes on in a liquid form, flowing into the pits and grooves and then hardening to form a smooth, flat surface that prevents the accumulation of bacteria and food particles. Sealants are most effective when applied as soon as a back tooth enters the mouth.

     

    If you missed getting in to our office this summer for your preventive care, take a look at your school calendar.  School holidays are busy in our office, and appointments go quickly! Pick the next school holiday for your dental visits and call us today to get on the books for the day you want!  

    Call our office at 605-925-4999 (Freeman) or (605) 928-3363 (Parkston) to schedule your appointment today with Dr. Jason Aanenson, Dr. Alex Whitesell or Dr. Serena Whitesell!

    Radiation Safety

    Radiation Safety

    We are often asked by our patients about the safety of dental x-rays.  Many people are concerned about the radiation they are exposed to when diagnostic x-rays are taken.  Since exact measurements are difficult to obtain, this article will use averages and comparisons to help you understand the radiation dose you receive from dental x-rays.

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    Understanding Dose from X-rays

    A set of four bitewing x-rays, which is typically taken once per year, delivers an average effective dose of 0.005 milliSievert (mSv). Effective dose is not measured. Effective dose is calculated by taking the dose delivered to the specific organs exposed during an x-ray and accounting for the sensitivity of the tissues exposed. Those values are then summed over all of the tissues in the human body to calculate an effective dose, which allows us to compare doses delivered in different ways to one another.

    Comparing the dose from a set of four bite-wings to other doses we are exposed to daily is a useful way to understand dental x-ray doses in context. In the graphic below, dental bitewing x-ray dose is shown in comparison to other medical exposures and different sources of naturally occurring background radiation. Naturally occurring background radiation is exposure that each of us gets every day, and some of us more than others depending on the location in the world in which we live. In the chart below, the average US doses are shown. The total US average natural background dose from all sources per year is right around 3 mSv, or 600 times greater than the dose from one set of four dental bitewing x-rays, so you would nearly need to have bitewing x-rays twice a day for a year to equal the dose you receive annually just from living on the planet.

    Risk from Dental Exposures

    What most people worry about when they hear the word “radiation” is whether or not it can cause cancer.  The likelihood of an adverse effect (cancer) given an exposure to radioactivity is also known as risk. The delivery of radiation dose to the head and neck area during a dental x-ray does come with some associated risk.  According to the World Health Organization (WHO)’s publication, Communicating radiation risks in paediatric imaging: Information to support healthcare discussions about benefit and risk, the increased risk of cancer incidence from various types of diagnostic x-rays can be compared with baseline lifetime cancer risk.  This publication focused on risk to children because: “children are more vulnerable than adults to the development of certain cancer types, and have longer lifespans to develop long-term radiation-induced health effects.” Basically, kids are more susceptible than adults to cancer from radiation because they will live longer from time at exposure than their adult counterparts and their bodies are still growing and developing, so their organs are more vulnerable to exposure.  WHO’s studies showed that the increase in cancer incidence, or risk, for children aged 1-10 years from dental x-rays is <1 in 500,000.  That risk would be even lower in an adult. Levels of risk are generally considered to be “acceptable” among agencies that regulate radiation exposures to the public if they are in the range of 1 in 10,000 to 1 in 1,000,000. The cancer incidence risk from dental x-rays to children reported by WHO falls directly in this range of acceptable risk.

    Benefit

    The benefit of dental bitewing x-rays is the early detection of multiple types of oral disease, including cavities, gum and bone infections, and oral cancer.  As with any disease, the earlier it is detected, the less invasive treatment can be and the better the long-term prognosis.  The risk of these diseases going undetected is the progression of disease, spread of infection, loss of teeth, loss of bone in the jaws, and in severe cases even death.

    Risk vs. Benefit

    Due to the prevalence of oral diseases and the risks associated with those diseases, it is the opinion of our practice, as well as that of the American Dental Association, that the benefits of early detection with diagnostic x-ray imaging far outweigh the risks associated with the x-rays.  The risk of adverse consequences from undetected dental and oral diseases is significantly greater than the risk of increased cancer incidence due to dental x-rays.  Because each patient has different risk factors, the number of x-rays and the frequency at which they are taken can vary widely and is always determined on a case-by-case basis with the utmost respect for balancing patient concerns with positive outcomes.  For example, a patient with a higher risk for cavities or periodontal disease would benefit from more frequent dental x-rays than a patient who has a very low risk for either cavities or periodontal disease.  The more aggressive a dental condition is, the more frequently dental x-rays are needed to provide the best preventive and interceptive dental care.

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    X-rays and Pregnancy

    The American College of Obstetricians and Gynecologists Committee on Health Care for Underserved Women reaffirmed its committee opinion in 2015: “Patients often need reassurance that prevention, diagnosis, and treatment of oral conditions, including dental X-rays (with shielding of the abdomen and thyroid) … [is] safe during pregnancy.”  Dr. Jason, Dr. Alex and Dr. Serena typically postpone any dental x-rays during a patient’s pregnancy until after the baby is born unless the patient has a very high risk for disease, which could affect the patient’s overall health and that of the pregnancy.

     

    Concerned about Radiation from Dental X-rays?

    The number and type of dental x-rays taken on every patient is customized for his or her specific needs.  Call our office at 605-925-4999 (Freeman) or (605) 928-3363 (Parkston) to schedule your appointment today with Dr. Jason Aanenson, Dr. Alex Whitesell or Dr. Serena Whitesell!

    Athletic Mouthguards

    Athletic Mouthguards

    People say that having children involved in sports is expensive.  In dentistry, we commonly see one of  the most expensive aspects of sports: injuries.  The bad news is that the injuries themselves are sometimes unavoidable.  The good news is that the damage to the teeth, gums, lips, cheeks and jaws associated with sports injuries is largely preventable by wearing an athletic mouthguard.

    Sports injuries to the face are very common and very expensive.  A research study on the use of athletic mouthguards cited some interesting statistics.

    “The U.S. surgeon general’s report on oral health identified sporting activities as one of the “principal causes of craniofacial injuries.” Studies have linked sporting activities to nearly one-third of all dental injuries, and approximately one in six sports-related injuries is to the craniofacial area.”

    Who needs an athletic mouthguard?

    Most people associate sports injuries to the teeth with contact sports like football and hockey.  Interestingly, even non-contact sports such as baseball, gymnastics and cycling have a high incidence of injuries to the mouth.  If there is any chance you could be hit in the mouth by another person, a ball, or the ground, then you need an athletic mouthguard.

    How do athletic mouthguards work?

    Mouthguards work to prevent or lessen the severity of many types of damage to the mouth that can occur during a sports injury to the face and jaws.  They function by covering the teeth, separating the lips and cheeks from the teeth, and separating the upper and lower teeth from each other.  These three mechanisms of action are listed below with which types of injuries they can prevent or lessen the severity.

    1.  Covering the teeth - This covering prevents or lessens the severity of various injuries to teeth.  Examples of injuries to the teeth during sports include:

    • Chipping

    • Luxation (forced movement of the tooth out of its natural position)

    • Root fractures

    • Avulsion (a tooth is knocked completely out with the entire root)

    • Intrusion (a tooth being forced into its socket so that it looks shorter than normal)

    • Necrosis (death of the nerves and blood vessels inside a tooth from blunt force)

    2.  Separating the lips and cheeks from the teeth – This separation prevents or lessens the severity of various injuries to the soft tissues of the mouth. 

    • Cuts or lacerations to gum tissue, lips, cheeks, and intraoral muscle attachments

    3.  Separating the upper and lower teeth from each other - This separation prevents or lessens the severity of various injuries to the teeth and jaw joints by preventing a harsh impact of upper and lower teeth and jaws.

    • Condylar fractures – The condyles are the “balls” of the ball-and-socket jaw joints. A sharp impact between the upper and lower jaws can cause a fracture of the jaw bone just underneath the condyle.

    • Dislocation of TMJ (jaw joint) disc – The jaw joints each contain a small cartilage disc that separates the ball from the socket. When the lower jaw is hit with an impact, it can force the condyle (ball) off its correct position on the disc. This leads to TMJ dysfunction and may require surgical intervention to repair.

    • Broken back teeth – Any time the upper and lower teeth are forced together with high forces, the back teeth can crack and break. Sometimes, they can be repaired through dental restorations; in other cases, the tooth has a hopeless long-term prognosis and must be extracted.

    An important thing to note is that these problems can have long-term consequences requiring dental treatment for decades after the injury. 

    What types of athletic mouthguards are available?

    There are three main types of mouthguards: stock, boil-and-bite, and custom.  The stock and boil-and-bite type mouthguards are available over the counter, and a dentist makes the custom mouthguard.  Because a custom mouthguard is made from a model of a patient’s teeth, it will have a better fit and should be very comfortable.  There is typically a direct correlation between cost and comfort; i.e. a stock mouthguard will be very inexpensive and very uncomfortable.  The more comfortable a mouthguard is, the more likely the athlete will be to wear it regularly. 

    How do I take care of my athletic mouthguard?

    Do not clench on the mouthguard or chew it while you are wearing it.  This will speed up the normal wear and tear and cause you to need a replacement much sooner than average.

    After every use, rinse it.  The best thing to do is to clean it with a soft toothbrush and cold water.  You can use liquid hand soap if necessary. 

    When not in use, store it in its vented case in a cool, dry area.

    Do not allow it to get hot because it will lose its shape.  This includes leaving it in your car!  

    Do you or your child need an athletic mouthguard?

    Call our office at 605-925-4999 (Freeman) or (605) 928-3363 (Parkston) to schedule your appointment today with Dr. Jason Aanenson, Dr. Alex Whitesell or Dr. Serena Whitesell!

    Thumb Sucking and Pacifiers

    Thumb sucking and Pacifiers

    Parents of our littlest patients frequently ask us about oral habits such as thumb sucking and pacifiers.  These perfectly normal behaviors in an infant can become damaging to an older child’s facial growth and development.  There are many different opinions and treatment options, and this blog will give you a general overview as to the most widely accepted philosophies and treatments for prolonged habits.

    Non-Nutritive Sucking Behaviors

    Both thumb sucking and pacifier use are classified as “Non-Nutritive Sucking Behaviors” or NNSB.  All infants exhibit sucking behaviors because it is necessary for their nutrition, through either breastfeeding or a bottle.  Non-nutritive sucking behavior is performed with the same sucking motion, but no nutrition is received.  Its purpose is solely comforting or soothing.

    What is “normal”?

    Any non-nutritive sucking behavior in infancy is considered normal.  There are ultrasounds showing babies sucking thumbs or fingers in the womb.  Over 90% of children exhibit NNSB at some point during the first 2 years of life.  Researchers differ on what age at which NNSB is considered “prolonged”.  Most agree that by age 4 years, any NNSB should have naturally stopped.  On average, most children will discontinue thumb-sucking or pacifier use on their own at some point from ages 2 to 4 years.  Prolonged thumb-sucking or pacifier use is anything past 4 years of age. 

    Why is prolonged thumb sucking or pacifier use bad?

    Short explanation: It causes improper development of the jaws and positioning of the teeth that can only be corrected with orthodontics.

    Long explanation: During growth, the jaws are very susceptible to outside influences.  The suction forces can distort the shape of the upper jaw and the position of the teeth causing an incorrect bite (malocclusion).  The pressure of a thumb or pacifier on the roof of the mouth can increase the height or vault and narrow the dental arch, which reverses the proper bite relationship between the upper and lower teeth (a posterior crossbite).  The constant presence of a thumb or pacifier in between the upper and lower teeth pushes them into a position that accommodates the habit and leaves an opening (called an anterior open bite) rather than allowing the upper and lower front teeth to contact in the appropriate way.  This open bite can lead to tongue thrusting and lisping, as well as not being able to bite into foods with the front teeth. 

    What should a parent do about prolonged NNSB?

    The first step to take in aiding your child to discontinue sucking thumbs or using pacifiers is talking to him or her about the negative effects of the habit.  Your child thinks the habit is a good thing because it makes him feel good, and he may not be able to understand the cause and effect relationship between the habit and the consequences to their teeth, jaws and face.  Children who verbalize that they are ready to stop the habit will have the quickest success.

    • Gently discourage the habit and use positive reinforcement when he or she is successful.

    • Start small with goals that are easier for him to meet, such as watching a movie without sucking his thumb.

    • Do not punish the child for continuing the habit. Negative reinforcement is not recommended as a technique because the habit is something that comforts or soothes him. Shaming or scaring him will only cause him to feel a greater need to suck his thumb or use his pacifier.

    • Because stress or anxiety can increase the child’s need to self-soothe by thumb sucking or pacifier use, try to identify situations that make him feel anxious and address them as needed.

    • If possible, gently and quietly remove the thumb or pacifier from his mouth after he has fallen asleep.

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    Pacifiers have one benefit over thumbs: they can be taken away or made dysfunctional (cutting the tip off a pacifier renders it useless).  If the child claims he is ready to stop, simply remove any pacifiers from his possession and go “cold turkey”. 

    Thumb sucking is a bit more difficult because the thumb is always available.  Because of this, thumb sucking typically persists longer than pacifier use.  Some try applying bitter-tasting nail polish or wrapping the thumb in a Band-Aid or covering the entire hand with a sock. 

    Ask your dentist and pediatrician for their input on the habit.  There are many different techniques used to help in stopping the habit before it causes long-term damage.

    As a last resort, a dentist, pediatric dentist or orthodontist can fabricate a dental appliance that prevents the habit by removing the ability to create a suction and impeding the insertion of the thumb or pacifier.  The appliance does not contain sharp spikes or anything that would harm the child’s tongue or fingers; it simply prevents them from being able to enjoy the sensation of the habit.

    Concerned about your child’s thumb-sucking or pacifier habit?

    Call our office at 605-925-4999 (Freeman) or (605) 928-3363 (Parkston) to schedule your appointment today with Dr. Jason Aanenson, Dr. Alex Whitesell or Dr. Serena Whitesell!

    Dental Sealants

    Dental Sealants

    What are dental sealants? 

    Dental sealants are a protective barrier, covering the most vulnerable surface of the teeth and shielding them from cavity-causing bacteria. The sealants are most commonly applied to the chewing surfaces of the back teeth (premolars and molars) where decay occurs most frequently.  They can also be applied to any deep pit or groove that is high risk for decay, including the back of upper front teeth.

    How does a sealant help prevent decay?

    A sealant is a dental material that is applied to the chewing surfaces of the back teeth—premolars and molars. This material has a micromechanical bond to enamel in the deep pits and grooves of the chewing surfaces of back teeth. The sealant acts as a barrier, protecting enamel from plaque, bacteria and acids.

    Thorough brushing and flossing help remove food particles and plaque from smooth surfaces of teeth. But in some cases, toothbrush bristles cannot reach the depth of pits and grooves to extract food and plaque. Sealants protect these vulnerable areas by filling in the grooves to prevent any accumulation of bacteria, plaque or food, and by creating a shallower, more cleansable surface for the toothbrush.

    Is sealant application a complicated procedure?

    Sealants are easy for your dentist or dental hygienist to apply, and it takes only a few minutes to seal each tooth. The teeth that will be sealed are cleaned. Then the chewing surfaces are roughened with an etching solution to help the sealant adhere to the tooth. The sealant is then “painted” onto the tooth enamel, where it bonds directly to the tooth and hardens. Sometimes a special curing light is used to help the sealant harden.

    The only difficult aspects of sealant application are the bad taste of the materials used and the need to keep the tooth dry.  If a child is very cooperative, the sealant can be applied without his or her ever tasting the materials.  There is no pain associated with the application of a sealant.  

    Sealants are just for kids, right? 

    The likelihood of developing pit and fissure decay begins early in life, so children and teenagers are obvious candidates. Children typically do not have the manual dexterity necessary to adequately clean their teeth, so they are at a higher risk of developing cavities.  Adults can benefit from sealants as well.  An easy way to determine where a sealant would be most beneficial for an adult is to look for dark stains in the pits and grooves of the teeth.  A deep crevice that is accumulating stain which cannot be removed by brushing is a high-risk area for a cavity to start.  If it is collecting stain, it is also collecting bacteria.  Over a period of time, the bacteria is very likely to start damaging the enamel surface, leading to a cavity. 

    “CDC Promotes Dental Sealants in New Report

    According to a new U.S. Centers for Disease Control and Prevention (CDC) Vital Signs report, dental sealants are an extremely effective intervention for preventing most of the cavities children get in their permanent back teeth, but the majority of children still don’t have them. The report also found that children from low-income families, who are at increased risk for cavities, are less likely than children from higher-income families to have dental sealants. Increasing sealant use prevalence could substantially reduce untreated decay, associated problems, and dental treatment costs, the CDC report concludes.

    Additional findings of the report include:

    • School-age children (ages 6-11) without sealants have almost three times more first molar cavities than those with sealants.

    • Although the overall number of children with sealants has increased over time, low-income children are 20 percent less likely to have them and two times more likely to have untreated cavities than higher-income children.”

    Sounds great! Can I have dental sealants on all of my teeth?

    Once a tooth already has decay, it cannot be sealed.  The decay must be removed and restored with a filling.  A one surface filling to fix this type of cavity costs over $200.  Placing sealants can prevent this type of decay, decreasing your costs for dental care in the long run.  A thorough evaluation of all of your teeth should be performed by your dentist to determine which teeth could benefit from sealants. 

    Do sealants last forever?

    As long as the sealant remains intact, the tooth surface will be protected from decay. Sealants hold up well under the force of normal chewing and usually last several years before a reapplication is needed. They can be damaged by habits such as teeth grinding and chewing ice.  During your dental evaluations, Dr. Jason, Dr. Alex and Dr. Serena will confirm the effectiveness of the sealants and reapply them when necessary.

    Need more information?

    Call our office at 605-925-4999 (Freeman) or (605) 928-3363 (Parkston) to schedule your appointment today with Dr. Jason Aanenson, Dr. Alex Whitesell or Dr. Serena Whitesell!

    Sports Drinks

    Sports Drinks

    Sports drinks make up a multi-billion dollar industry ($6.8 billion in 2014 according to the Wall Street Journal), and the growth of sports drinks is outpacing the growth of soft drinks.  Many analysts think this trend is due to an improved awareness of the health risks associated with the consumption of soft drinks. 

    Most people know that a Coke is not good for you.  There is a mindset, encouraged by the sports drink industry in its advertisements, that sports drinks are healthier than soft drinks and even better for you than water.  They spend a lot of money to make people think that if you’re going to be a real athlete, you have to drink Gatorade. 

    Unfortunately, sports drinks are not quite the “healthy” option they claim to be.  This blog will address the dental consequences of sports drinks.  Click HERE to read about the general health consequences according to some 2012 studies published in the British Medical Journal

    Sports drinks have two characteristics that make them bad for teeth: 1) high sugar content, and 2) very low pH.  You can see from the following table that the sugar content varies pretty widely, but the pH is consistently as low as a soft drink.

    Most people know that sugar causes cavities.  What you need to know is that a low, or acidic, pH makes it much easier for cavities to start.  In the same way that acid etches glass, acid also softens and weakens enamel.  Enamel, which is the hardest substance in the human body, is damaged when the pH of its environment drops below 5.5.  All of these drinks fall far below that threshold. 

    So if you know you are a cavity-prone individual, or your teenage athlete has a bunch of new suspicious areas on his or her teeth (called incipient lesions by your dentist), it’s time to trade the Gatorade for good old-fashioned water. (Freeman, Parkston, and Viborg all have drinking water that is above neutral on the pH scale, so stick with tap water!)

    A few things to remember when considering a sports drink:

    1)      Always look at the serving size when assessing the nutritional facts.  If the serving size is different than the size of the bottle, you’re going to have to do some math.  Gatorade labels have nutritional information for a 12 fl. oz. serving.  This means if you drink the whole 32 oz. bottle, you need to multiply those grams of sugar by 2.66 to get the true amount of sugar you just ingested. 

    2)      Think about the volume you actually drink.  Most people drink much larger amounts of a sports drink than they ever would of a soda.

    3)     Pay attention to the length of time it takes you to drink your sports drink.  Sipping on a sports drink throughout a long sporting event is much worse for your teeth than quickly guzzling 32 ounces at the end of a game or practice.

     

    Call our office at 605-925-4999 (Freeman) or (605) 928-3363 (Parkston) to schedule your appointment today with Dr. Jason Aanenson, Dr. Alex Whitesell or Dr. Serena Whitesell!