teeth
Molar Sealants
Permanent molars usually have very deep pits, grooves, and fissures on the biting surface. These holes can be very difficult to keep clean so they are the most common place to get cavities.
In the 1970′s dentists started cleaning out these pits and fissures then squirting runny plastic into the cleaned out grooves to keep bacteria from growing there. This procedure is called a dental pit and fissure sealant.
First Dental Visit
Many parents are rightfully confused about when is the right time to start their children’s dental visits. Some Pediatricians say the first dentist visit should be about age two or three.
Many general dentists have difficulty managing young children so they ask parents to bring them in after age three.
The American Academy of Pediatric Dentists recommends that the first dental visit be soon after the first tooth erupts or by age one.
Tooth Pain
A toothache is one of the most painful experiences in life. It has been compared with severe back pain and even childbirth.
Although there are many potential causes of toothache, the most common cause is a cavity that infects the pulp inside a tooth and that infection spreads throughout the tooth and into the surrounding bone.
As the infection enters the bone, our bodies try to stop the infection by making chemicals that attract our attention – pain.
Cavity Infections
Some people tell me that “weak teeth” run in the family. I respond that everyone in the family most likely have an aggressive type of plaque on their teeth. Because cavities are caused by bacteria, they are the result of infection.
Infection with a specific type of bacteria is more likely to lead to a cavity than other types of bacteria. One of the most aggressive bacteria is called Streptococcus mutans. It is related to Strep throat bacteria but grows especially well on teeth.
Spotty Teeth
Many kids or their parents ask me about spots they see on teeth.
There are several different types of spots found on teeth:
- white spots
- chalky yellow spots
- chalky brown spots
- dark brown spots
- black spots
Each of these have different causes but most have similar treatment: Treatment is either leaving it, polishing off the surface of the tooth or placing a filling of some sort.
White spots can be caused by:
Brushing Braces
One of the hardest things to do as an adolescent is to brush your teeth. We give brushing instructions but when you have braces, it becomes much, much, much harder to do a good job.
Brushing teeth and especially brushing around braces requires attention to detail and taking enough time to do it well. These are not traits that teens are famous for.
Invisalign for Teens
More teens can be treated with Invisalign now. Techniques for treating patients with more complicated orthodontic problems were recently discussed in a lecture near Portland.
Invisalign trays move teeth step by step by wearing a series of slightly different aligner trays that push teeth into new positions.
When Invisalign was first developed, it was directed only at adults. Now teens can be treated and even be treated for significantly crooked teeth, even for teens whose teeth must be extracted.
Toothpaste
Enough parents ask about toothpaste for their kids that it is worth revisiting. See this page for more information on children’s toothpaste. Most of these questions are concerning fluoride in toothpaste. See the article on Fluoride for more information.
Common questions about children and kid’s toothpaste:
- At what age should I start brushing?
As soon as they have teeth use a soft toothbrush with infant toothpaste or a cloth to wipe them clean.
Shark Teeth
A surprising number of children develop a double row of teeth, especially on the lower front teeth. A six year old girl from Gresham saw me last week in my Portland office with just this condition.
Her mother was concerned that the permanent lower incisors would stay inside the lower primary (baby) incisors and look abnormal. She called them “shark teeth”.
Although this usually happens with lower incisors, it can also occur with upper incisors or primary molars.
- GreatGood to see everyone. Keep working on Dorian's dad, to get Dorian in. Sad that he would let his teeth go!
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- We love going to the dentist!You are all so great. Very good with kids of all ages. Everyone is friendly and patient.
- Five stars!Very caring staff. Dr. Mark gave me great motivating advice for caring for my teeth. Appreciate the video games in the waiting room, toys and books for young children, coffee and magazines for parents. ~Jared (age 15)
- Bailey's Visit TodayYou guys always do an awesome job. I wouldn't take my sons anywhere else!
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