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A new baby! What a joyful, exciting time! Joy, excitement, and lots of questions about the best ways to keep your child healthy and happy. So, we have some suggestions to help start your baby on the path to a lifetime of healthy, happy smiles.

• Before Those First Baby Teeth Appear

After each bottle or breast feeding, it’s a good idea to wipe your baby’s gums with a clean, damp washcloth or gauze pad wrapped around one of your fingers.

This gentle cleaning helps wipe away food and bacteria that can irritate the gums as the teeth start to erupt and helps prepare your child for brushing once those little teeth have arrived.

• Cleaning Your Baby’s Teeth

Most babies start getting their first teeth around the age of six months. And those first teeth mean it’s time for a first toothbrush!

Choose a brush specifically for babies. These brushes are designed to fit tiny mouths to prevent gagging. They have soft bristles to protect tooth enamel and gums. They have handles that are easy for you to maneuver. There are even silicone finger brushes available which fit over your finger and use a textured surface to brush away bacteria and food particles.

Ask Dr. Michelle Slezewski and Dr. Paul Engibous about the right time to start using toothpaste. When your baby is old enough for toothpaste, it’s important to choose the right one, which means a toothpaste formulated for infants. It’s also important to use the right amount of toothpaste. A smear of toothpaste no bigger than a grain of rice grain is enough for early brushing.

Brushing twice a day, morning and night, is the normal recommendation unless your pediatric dentist has other advice. We’re also a great source of information on how to make brushing time easier and more enjoyable for both you and your baby!

• Bottles and Baby Teeth

Cavities begin forming because oral bacteria create acids which erode enamel, the protective outer coating of the tooth. Cavity-causing bacteria love to feed on sugar. Baby formula and even breast milk contain carbohydrates in the form of sugars—which is a good thing!

Carbohydrates are essential for babies’ growth and development. Lactose, the sugar found in breast milk, is a carb which is easy for your baby to digest, and which supports healthy bacteria in the digestive system. Formulas with lactose and other types of sugars also provide your baby with these necessary, easily digestible carbohydrates.

But going to sleep with a bottle or while breastfeeding means those healthy sugars aren’t all digested. Instead, liquid pools in the mouth, bathing those beautiful new teeth in sugars over night. This can lead to a condition called “baby bottle tooth decay,” which is especially damaging to the upper front teeth. (And the chance of cavities is even greater if your child’s bottle contains juice or other sugared drinks.)

That’s why dentists recommend making sure a baby’s finished with breastfeeding or bottle before going to sleep to help prevent cavities and decay.

Baby teeth are important. They help in speech development. They allow your child to eat and chew properly when it’s time for solid foods. They hold places for permanent teeth so the adult teeth erupt where they’re supposed to. All very good reasons to finish feeding baby before bedtime!

• Making New Friends

When your baby has those first teeth, and certainly by the age of 12 months, it’s time to add some new friends to your baby’s life with a first visit to our Anchorage, AK pediatric dental office.

Pediatric dentists have specialized training in caring for children’s teeth. They can assess tooth and bite development. They are experts in treating decay and injuries in primary teeth. They can advise parents on any potential problems with pacifier or thumb sucking habits. And they know how to make sure children are comfortable in a child-friendly environment.

That first checkup will allow Dr. Michelle Slezewski and Dr. Paul Engibous to make sure your baby’s dental development is on schedule. There will be an exam to check those tiny teeth for enamel erosion or cavities. And you dentist will have great advice for proactive dental care, for diet, and for tips on how to brush most effectively.

These early visits are also a chance for your child to become accustomed to visiting the dentist regularly. Your pediatric dentist and staff are experts at creating a dental home, with welcoming, child-oriented dental care which provides comforting continuity from infancy through the teenage years. Look after your baby’s teeth right from the start, and you can look forward to seeing your baby grow up with a healthy and happy smile!

What’s life like for the average 60-year-old today? It’s complicated! We travel. Or we work out. Or we relax with friends. We pursue favorite hobbies or we develop new ones. We work, or start businesses, or volunteer for schools, museums, and charities. We practice the art of writing letters or we text our grandchildren. Whatever else we do, we do our best to stay healthy so we can live our lives to the fullest.

Part of living our lives to the fullest means caring for ourselves. And caring for ourselves means learning how to look out for the potential dental problems that might come with age, and how to keep ourselves in the best of dental health.

• Gum Disease

Gum disease, or periodontitis, is not uncommon in older patients. Certain medical conditions, such as diabetes, can leave you more vulnerable to gum disease. Because gum disease is often symptom free, it can remain unnoticed until the disease has progressed. Good oral hygiene and regular visits to the dentist are the best means of prevention—we are trained to discover gum disease in its earliest stages, and can treat it before the disease causes serious damage to gums, teeth and bone. But if you have delayed seeing a dentist, the good news is that there are many methods of treating gum disease available, including antibiotics, professional plaque removal, and periodontal surgery.

• Tooth Decay

As we age, our gums can recede from the teeth. The new root area that is exposed is more vulnerable to decay because it is not shielded by the hard enamel which protects the upper part, or crown, of the tooth. Maintaining your brushing and flossing routine is the best way to keep cavities from developing. If gum recession is severe, there are surgical methods we can discuss to restore gum health.

• Time

Cosmetically, teeth can yellow with age as the dentin beneath the enamel darkens and the enamel covering it thins. Years of coffee, wine, smoking and other stain-makers take their toll. If you are self-conscious about the appearance of your smile, talk to us about suggestions for whitening and brightening.

Medically, over time our teeth are subject to damage. Enamel and tooth surfaces can wear away, leaving our teeth more at risk for breaks or fractures that can lead to infection, which can result in the need for root canal work. Simple chewing puts an amazing amount of pressure on the teeth—and if you grind your teeth, there is even more stress placed on them. See us regularly for ways to maintain strong teeth, to repair damage if necessary, and to keep your gums and bones healthy if you are a denture wearer.

• Dry Mouth

Dry mouth can be a problem for older patients, often caused by medical conditions or medications. When we produce saliva, it helps remove sugar and the acids sugars produce which attack our enamel. Without normal saliva production, we are more vulnerable to cavities. Dry mouth can also lead to mouth ulcers, oral thrush, sores and infections. If you have been suffering from this condition, talk to us. Dr. Michelle Slezewski and Dr. Paul Engibous and our team have suggestions that will help.

• Oral Cancer

Oral cancer is something we look for during every check-up. And, if you ever notice any change that causes you concern, call us immediately. Early treatment of oral cancer and other oral diseases leads to the best possible outcome.

• Keep Up With Your Dental Care

The best way to keep our teeth and mouths healthy as we age is with prevention. Regular daily brushing and flossing and office visits twice a year for an examination and a professional cleaning are habits that should last a lifetime. Make sure to tell us about any medical conditions you may have and any medications you are taking, to avoid interactions and relieve unpleasant side effects.

What’s life like for the average older person today? There is no average older person! As we age, we are free to explore our interests in any number of creative and individual ways. But there is one goal we have in common: we all want to keep our smiles healthy and attractive. Call our Anchorage, AK office for preventative and restorative care. We want to help you work toward an ageless smile!

Taking care of your gums is one of the best ways to protect your smile. But sometimes, we treat our gums like an afterthought when it comes to dental care. It might surprise you to learn just how common gum disease is—and how damaging it can be for your oral health.

Surprising Fact #1:

About half of all adults have suffered or are suffering from some form of gum disease. And about half of all children do, too. As we age, the percentages jump—in fact, some studies estimate that eventually 70% of older adults will be affected by gum disease.

Surprising Fact #2:

The major cause of tooth loss in adults isn’t tooth decay or accidents or aging—it’s gum disease.

Surprising Fact #3:

Gum disease is progressive. The gingivitis that begins with a bit of redness or some minor bleeding when you brush might seem like a temporary annoyance. But when ignored, this early form of gum disease can lead to periodontitis, a serious gum condition which causes receding gums, loose teeth, bone and tissue damage, infections, and tooth loss.

Gingivitis

Gum disease begins quietly and invisibly, and it usually starts with plaque. Plaque along the gum line irritates our gum tissue. The body’s immune system responds and triggers inflammation. Gum tissue becomes swollen and red. The gums might feel tender, or bleed easily when you brush or floss.

If you’ve experienced any of these symptoms, it’s time to call our Anchorage, AK office. Dr. Michelle Slezewski and Dr. Paul Engibous might recommend better brushing and flossing habits, a professional cleaning, and/or an anti-plaque treatment. At this stage, with proper care, gingivitis is reversible.

But left untreated, gingivitis can progress over time until it becomes periodontitis. Periodontitis affects not only gum tissue, but the bone and connective tissue which surround our teeth, supporting them and holding them firmly in place.

Mild Periodontitis

As plaque and tartar continue to irritate gum tissue above and below the gum line, inflammation increases, and the gums begin to pull away from the teeth. This is a problem, because the gums normally surround the tooth roots snugly, protecting them from plaque, bacteria, and other toxins.

When gum tissue pulls away, pockets are created between gums and teeth. These pockets become home to more bacteria, causing more irritation, inflammation, and infection. During this phase, the connective and bone tissue around the tooth’s roots might start to break down.

Moderate Periodontitis

As the disease progresses, pockets become deeper. The structures that hold the teeth in place continue to break down, and the teeth start to loosen. As the gums recede, tooth roots become more vulnerable to decay.

Advanced Periodontitis

When periodontitis has reached the advanced stage, there is significant loss of tissue and bone around the teeth. Teeth become looser and foul breath, pus, and pain when biting or chewing are common. Without prompt treatment, there’s a high risk of tooth loss.

Unlike gingivitis, periodontitis isn’t reversible, and requires professional care. Advanced treatments can do a lot to restore gum health:

• Topical, time-release, or oral medications treat infection.
• Scaling and root planing, which are non-surgical deep cleaning procedures, remove plaque and tartar above and below the gum line, and smooth tooth roots to remove bacteria and help the gum tissue reattach to the teeth.
• Flap surgery treats more advanced gum infection, reducing pocket depth and re-securing the gums snugly around the teeth.
• Bone grafts, gum grafts, and other regenerative procedures are available that help restore and repair tissue damaged by gum disease.

That’s good news, and there’s even better news: Because gum disease is typically triggered by plaque, it’s very preventable.

• Brush carefully at least twice each day for at least two minutes. Don’t forget to brush along the gum line!
• Use floss at least once each day or as directed by Dr. Michelle Slezewski and Dr. Paul Engibous. If you have trouble flossing, ask us for the flossing tools and techniques that will work best for you.
• See your dentist regularly to catch and treat early gum disease while it is still reversible.

While gum health is essential for dental health, healthy gums might mean more than just healthy teeth. Scientists are studying the potential links between gum disease and its effects on conditions such as heart disease, diabetes, and arthritis. Gum health should never be an afterthought. Taking care of your gums is one of the best things you can do to ensure a lifetime of healthy smiles.

Now that you’re having your wisdom teeth removed at our Anchorage, AK office, you’re probably looking forward to spending a few days on the couch with a cool dish of ice cream in hand. Good! Give yourself time to heal, and choose foods that will be soothing and safe for your mouth as you recover. We’ll provide you with detailed instructions on how to take care of yourself immediately after your surgery, and that includes suggesting the best menu options.

But while you’re making your post-wisdom teeth shopping list, there are several kinds of foods and beverages that should be crossed right off. If it’s small, spicy, sticky, or steamy, put it back on the shelf. Spirits? Not this round. Drinks with straws? Absolutely not. Items like these can undermine your healing and recovery.

• Small and Crunchy

Any small particles, such as seeds or grains, or items like cookies, crackers, nuts, and popcorn which turn into small particles, can wind up lodged in the surgical site where your tooth was removed. These particles can also interfere with the blood clot that forms to protect the socket as it heals. If the clot is dislodged, there is a chance that a painful condition called “dry socket” can develop.

• Spicy

Spicy and acidic foods can irritate delicate gum tissue. It’s best to wait until your gums are back to normal before uncapping the hot sauce.

• Sticky

Sticky, crunchy, and chewy foods can be hard on the extraction site, so stick to a soft diet until you have healed. Now is the time to try all the pudding flavors!

• Steamy

Piping hot foods and drinks can interfere with the protective clot—ask us about the best time to resume your morning coffee.

• Spirits

Mixing pain medication and alcohol can be dangerous. Talk to Dr. Michelle Slezewski and Dr. Paul Engibous about possible interactions. And some studies have suggested that alcohol use slows healing, so even without pain medication, it could be a good idea to wait until you are healed to toast your beautiful smile.

• Straws

And last, but by no means least, leave the straws in their little paper wrappers! Any kind of suction brings a real risk of dislodging the protective blood clot that has formed at the surgical site. Milkshakes are delicious, but eat them with a spoon. (And please, no cigarettes!)

Follow our suggestions for a soothing, safe diet, and you will be enjoying your regular menu favorites in no time. So rest, relax, eat sensibly, and enjoy that second bowl of ice cream. Doctor’s orders!