August 21st, 2019
It's a moment many of our patients have experienced. One second you're chewing on a piece of gum, then suddenly you forget to keep chewing and swallow the entire rubbery gob whole! It's at this point you remember your mother warning you as a child that if you swallow gum it will stake a claim and take up residency in your belly for seven years. Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates hate to take all the fun out of the mystery, but the truth is that chewing gum, when swallowed, will enter your stomach and move through your digestive system just like any other piece of food. So, if you ever accidentally swallow a piece of gum, there is no need to worry!
That being said, it's important to know that gum does not have any dietary benefits, so while it’s not exactly harmful to swallow, you still want to avoid swallowing it. If you are an avid gum-chewer, we encourage you to chew sugarless gum, especially if you are wearing braces, because gum with sugar can lead to cavities. Sugarless gum still has the same amount of flavor, but has fewer cavity-causing ingredients. In fact, many brands contain an additive called xylitol, a natural sweetener known to fight cavity-causing bacteria. Xylitol is also known to increase salivary flow as it rinses away plaque and acid.
The fact is, when the bacterium in your mouth breaks down sugar, what’s left behind is acid. This acid eats away at the enamel coating of your teeth, causing holes that we call cavities. Cavities can lead to other long-term mouth problems if they are not treated in time, so it is best to try and avoid overexposing your teeth to too many harmful substances!
If you have any questions about chewing gum, please contact our office. Happy (sugar-free) gum chewing!
August 14th, 2019
You’ve planned your dream vacation. Your reservations are made. You’re packed and ready. You’ve even scheduled a dental checkup at our Anchorage, AK office to make sure you catch any potential problems, have finished any major work, and have an up-to-date chart.
But things don’t always go according to even the best of plans. So, what to do if you find you have a dental emergency while traveling? Dr. Michelle Slezewski and Dr. Paul Engibous and our team have some recommendations for problems that might arise.
- Toothache—Rinse your mouth with warm water and use dental floss to remove any food particles. Never put aspirin directly on a tooth or gum tissue. If the pain persists, call a dentist.
- Cracked or broken tooth—Immediately rinse with warm water to clean the area and apply cold compresses to the face to minimize swelling. Get in touch with a dentist.
- If you lose a tooth—Keep the tooth moist at all times. Put the tooth back in the socket without touching the root if possible. If that is not an option, place the tooth between the cheek and gums or in milk. See a dentist as soon as possible.
Know where to get help if you need it! If you are traveling in the United States, the American Dental Association offers Find-a-Dentist, a website that can locate a member dentist closest to you. If you are traveling to another country, there are steps you can take to prepare for an emergency.
- If you are out of the country and need to locate a dentist, your local embassy or consulate, your hotel concierge, or friends abroad can be a useful resource.
- Before you go, check your insurance to see if you are covered while traveling.
- If you have travel insurance, find out if it covers dental treatment and can provide information on qualified local dentists and translation help, if necessary.
- Good dental care is available in many areas internationally, but it is important to know what standards are present in the countries you plan to visit. The Organization for Safety and Asepsis Procedures offers a checklist for safe treatment in their “Traveler’s Guide to Safe Dental Care.”
If you have any questions, Dr. Michelle Slezewski and Dr. Paul Engibous and our team are happy to do all we can to answer them. While it’s unlikely that problems will arise, we are always available if you need to contact our Anchorage, AK office. Bon voyage, and we look forward to hearing about your trip!
August 7th, 2019
It is common to experience dentine hypersensitivity, with symptoms ranging from moderate to severe. Why does it happen and how do you know if this sensitivity is something to be concerned about? The first step is to determine the cause.
The most common cause of the sensitivity is exposure of the dentin. Dentin is the layer immediately surrounding the nerve of the tooth. It is alive and usually covered by the gum tissue. When gum recession is present hypersensitivity is common. Other contributors to temporary tooth hypersensitivity include teeth whitening and dental procedures such as fillings, periodontal treatment, and braces placement or adjustment. These are temporary and should be of no concern.
Permanent hypersensitivity, however, may require treatment. To understand the cause of sustained hypersensitivity, let us explain the structure of dentin and why it serves as a ‘hot spot’.
The dentin contains a large numbers of pores or tubes that run from the outside of the tooth to the nerve in the center. When dentin tubes are exposed, there is a direct connection between the mouth and dental pulp, which houses the nerve and blood supply of the tooth. External stimuli, such as mechanical pressure (tooth grinding or clenching - bruising the ligaments holding the teeth in place), temperature changes, as well as chemical stimuli (sweet–sour) are transmitted to the pain-sensitive dental pulp and activate nerve endings. A short and sharp pain is the result. These external stimuli cause fluid movement in the open tube that is transmitted as pain sensations. Something needs to be placed into the dentin tube to plug it and stop this fluid movement.
The first step in doing something about dental hypersensitivity is to determine the cause; our professional team at Pediatric Dental Associates can help you with this. Whether the sensitivity is due to exposed dentin or an underlying cause such as abscess or decay, corrective measures are needed. Contact us sooner rather than later so Dr. Michelle Slezewski and Dr. Paul Engibous can reduce the sensitivity, and provide you with some relief!
July 17th, 2019
A dental sealant is a liquid that is applied to the teeth. The sealant hardens and provides a protective coating that is designed to reduce cavities and create a smoother tooth surface. Dental sealants are clear or white; they do not take away from the appearance of teeth. You can think about this treatment as being similar to varnish that protects a wood floor.
Sealants are not the same as fluoride treatments. The application is similar, but sealants are a semi-permanent protective coating. Dr. Michelle Slezewski and Dr. Paul Engibous and our staff recommend that sealant applications for children begin soon after molars erupt, first molars around the age of six, and second molars around the age of 12.
Having sealants applied is not uncomfortable at all. First, your child's teeth will be cleaned and dried. A gel is applied, which helps the sealant adhere to the tooth, and then is rinsed away. Your child's teeth are dried again and the sealant is applied. A few seconds of exposure to a light source may be used to cure the sealant and make it semi-permanent. Sealants should last for a long time, normally between five and ten years.
The coating on the surface of your child's teeth reduces the amount of acid contact. Normal acids in foods that are consumed can eat away at the surface of teeth. Bacteria also react to plaque formation and create more acid in the mouth. These small pits or weakened areas are prone to caries or cavity formation. Preventing cavities is a much better choice than drilling and filling damaged teeth.
A sealant also helps to smooth the chewing surfaces of your childn't teeth. The smoother surface is not as likely to retain small particles of food and bacteria. Your child's mouth stays cleaner and food is not left behind to form acids. The protective application can also be used on other teeth that have a rough surface, to protect the grooves or pits from decay.
After the sealant is applied, your child still needs to take proper care of his or her teeth. Regular brushing and flossing is required. Dr. Michelle Slezewski and Dr. Paul Engibous may recommend fluoride treatments to strengthen and protect your child's teeth further.
If you have any concerns about sealants, please discuss them with during your child's next appointment at Pediatric Dental Associates. We want your little one's teeth to stay healthy for life.