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We are committed to your oral health!

September 18th, 2019

Dental visits are often negatively associated with discomfort in many people’s minds. But at Pediatric Dental Associates, Dr. Michelle Slezewski and Dr. Paul Engibous and our team have created an atmosphere focused on dispelling those myths. Our team is truly passionate about dentistry, and we are trained to gently accommodate each individual patient’s needs, with every procedure and visit performed with the utmost focus on your comfort.

If you are a patient of record at Pediatric Dental Associates, we are committed to your oral health and are available to you. If you would like to learn more about stress-free dentistry at our Anchorage, AK office, or to schedule an appointment, we encourage you to give us a call!

Quit Smoking to Save Your Smile

September 11th, 2019

You have probably counted a hundred reasons to stop smoking. It’s unhealthy. It’s expensive. It annoys the people around you. You have to schedule your day around the next cigarette. But here’s reason number 101: Did you know that one of the many side effects of smoking is the damage it does to your smile?

Your Appearance

One of the most obvious results of smoking is the constant yellowing and discoloration of your teeth. Tobacco stains can take longer to remove with home brushing and whitening. And, while a professional cleaning and whitening will make a world of difference, all that good work is undone once you start smoking again.

More important, no smile looks its best with periodontal disease and tooth loss. Smoking has been linked to the presence of more harmful oral bacteria and higher occurrences of cavities and gingivitis (early gum disease). Periodontitis, or severe gum disease, is much more common among smokers. Tooth loss is also much more likely.

Healing after Dental Surgery

Smoking slows the healing process. It has been linked to a weaker immune system, so it’s harder to fight off an infection or to heal from one.  And because of the harmful effect of smoking on bone tissue, there is a higher failure rate for dental implants among smokers. Bone density can be so compromised that an implant is not even an option.

Healing after Extractions

If you have a tooth extracted, the formation of a blood clot at the site of the removal is essential to avoid a condition called dry socket. Dry socket can lead to pain, serious infection, and other complications. Luckily, this clot is resilient and pretty hard to dislodge—unless you apply suction such as sipping through a straw or drawing smoke from a cigarette.

Oral Cancer

Research has shown that smoking is the single most serious risk factor for oral cancer. The good news is that this risk is cut dramatically if you quit!

Let Dr. Michelle Slezewski and Dr. Paul Engibous help you maintain your smile. We can offer many more reasons to give up the smoking habit, and we are happy to offer suggestions for quitting during your next visit to our Anchorage, AK office. We want to protect your smile and your health as well. It doesn’t really matter which number on the list finally leads you to quit—every number on that list is your lucky number!

Camping Oral Health Tips

September 4th, 2019

If your idea of camping is a quiet walk through the woods before returning to your rustic hotel, your regular brushing habits will be perfect for your trip. But if you are hiking into the mountains with your tent, backpack, and camp food, Dr. Michelle Slezewski and Dr. Paul Engibous and our team have some suggestions to adapt your dental routine to the great outdoors.

Water

If you wouldn’t drink it, don’t brush with it! Use bottled water if you have brought it, or make sure the local water is safe by using a testing kit. Boiling, filters and purification tablets are all ways to make sure the water tests clean and safe.

Toothpaste

You aren’t the only one in the woods who finds your toothpaste tasty. Bears, raccoons, and other animals are attracted to the scent of your toothpaste, so keep it safe with the same kind of tightly sealed, odor-proof container that you keep your food in. And if you want to discourage unwanted visitors, don’t spit your toothpaste out at your campground! It’s better to go some distance from your site and bury any paste, and best of all to spit used toothpaste into a container that can be tightly closed and removed from the campsite when you head for home. This practice protects you and the environment as well, since toothpaste can be harmful to small animals and plants.

Toothbrush

While there are disposable and camping toothbrushes available, a regular toothbrush will work as well. Normally, air-drying is the healthiest option for drying your toothbrush, but camping is an exception. Just as animals are attracted to toothpaste, they are also attracted to your toothpaste-scented toothbrush. Keep it in a sealed container that is odor-proof.

Floss

There are websites devoted to the many ingenious ways to use dental floss while camping, but we recommend the original use. Don’t forget to floss regularly, keep it in a sealed container, and do be sure to take used floss out of the area with you.

Even though you are roughing it, stick with your home routine as much as possible. If you are unable to brush as usual, rinse your mouth well with clean water and brush when you can. Have a great trip, and just one more thought—maybe go easy on the s’mores. Let us know all about your trip during your next visit to our Anchorage, AK office!

Tips for Lifelong Teeth Whitening

August 28th, 2019

Over time, everyone’s teeth can naturally become dull, due to aging and consumption of staining foods such as chocolate and coffee. The good news is that teeth-whitening treatments can help you maintain white teeth that last a lifetime.

Get Regular Treatments

Regular treatments at Pediatric Dental Associates are necessary to keep your teeth white for life, since whitening treatments are only temporary. Bleaching too frequently, however, can wear away your tooth enamel.

The effects of in-office bleaching are safe and can last for several months to a year. You may need to repeat your use of at-home bleaching kits every few months to maintain your white teeth. As far as day to day, whitening toothpastes are safe to use on a daily basis. The American Dental Association suggests you ask your dentist for advice on which treatment is best for you.

Have Realistic Expectations

Everyone’s teeth are different and, according to the American Dental Association, not all smiles can be turned bright white. Teeth can naturally be a light yellowish color that responds well to teeth-whitening procedures, but bleach is not likely to be effective for grayish teeth. Results for brownish teeth fall somewhere in between.

Practice Good Oral Hygiene

Good hygiene is imperative for teeth-whitening efforts. Visible fillings, implants, or bridges that are metallic can be visible against the white color you desire. These treatments can be prevented by maintaining a good oral hygiene routine.

In addition to brushing your teeth twice a day to remove dirt and potential staining agents, keep the following tips in mind:

  • Floss every day
  • Visit our Anchorage, AK office every six months
  • Rinse your mouth with water after each meal and snack
  • Limit sugary and starchy foods and beverages, especially between meals

 

Getting to the Bottom of Chewing Gum Myths

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!

Dental Emergencies while Traveling

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!

Hypersensitive Teeth

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!

What are dental sealants and how do they work?

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.

Simple Application

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.

Sealant Benefits

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.

Why are my gums shrinking?

July 10th, 2019

If you’ve noticed that your teeth have appeared to be longer, you may be suffering from gum recession. This is a common problem among adults, and can result from several factors. If gum recession seems to be happening in your mouth, schedule an appointment at our Anchorage, AK office. We will take a look and figure out the cause, and help you decide on the best treatment.

The first thing Dr. Michelle Slezewski and Dr. Paul Engibous will do is take measurements of the recession to see if the cause could be periodontal disease. Based on how much attached gingiva is present on the gums, a varying amount of gum recession will be present.

The less bone support you have for your teeth, the higher the chance of tooth loss will be. If you have a high likelihood of tooth loss, it’s critical to address the problem right away.

Gum recession can also be caused by stress-related issues that lead to jaw clenching and teeth grinding in the night. This added, ongoing pressure puts extra stress on your teeth, which flexes them at the gum line.

If this happens over a long period, microscopic breaks in your enamel will cause your gum line to move away from your teeth. An occlusal guard may serve as a solution to gum recession caused by teeth grinding. Talk to Dr. Michelle Slezewski and Dr. Paul Engibous about this option if you consistently wake up with jaw pain, headaches, or uncomfortable pressure on the sides of your face.

The way you brush and floss your teeth may also cause gum recession. If you’re an aggressive brusher, make sure to purchase toothbrushes labeled “soft.” It’s best to brush your teeth in a circular motion in order to sweep over all your gum lines and remove the most plaque. Generally, brushing in a straight line can leave spots of plaque that lead to periodontal disease, which is a common cause of gum recession.

There are several options for treatment of gum recession. Depending on the cause, Dr. Michelle Slezewski and Dr. Paul Engibous will talk with you to decide the best treatment plan. Care may involve a deep cleaning or an antibiotic treatment. In serious cases, treatment might involve pocket-depth reduction, a soft tissue draft, or gum regeneration surgery.

These are just a few of the many potential causes of gum recession and how we can treat the problem. Unfortunately, gums do not grow back, and the consequences of ignoring this condition can be painful and time-consuming.

Please call our Anchorage, AK office to schedule an appointment if you’ve noticed any elongating of your teeth or recurring irritation of the gums. We will work as hard as possible to help rid you of your gum recession and prevent it from getting worse in the future.

Suffer from tooth discoloration? Don’t panic!

July 3rd, 2019

Like many other parts of the human body, teeth age. You may look at old photos and realize your smile was significantly brighter in the past than it is now. Many adults experience tooth discoloration and find it embarrassing.

The good news is there are treatment options! The first step to recovering your bright smile and finding appropriate treatment is to determine what’s causing the discoloration.

There are multiple reasons for tooth discoloration. Some are under your control, but unfortunately, others may not be. Glance at the list below and see if you can pinpoint the cause of your tooth discoloration.

  • Poor Dental Hygiene: This one is obvious. There’s a reason your parents (and dentist) always told you to brush and floss three times a day.
  • Genetics: A big part of your dental health is determined by genetics; in other words, what runs in your family. Sometimes people inherit naturally discolored teeth.
  • Diet: Do you eat sugary foods often? Drink lots of soda? Gulp more than two cups of coffee a day? Are you an energy drink fan? We’re not pointing any fingers ... but you should do the math.
  • Tobacco: Because cigarettes contain nicotine, they can readily stain your teeth. So hardcore smokers often develop prominent brown stains.
  • Medications: Medicines such as doxycycline, tetracycline, antihistamines, blood-pressure medications, and antipsychotic drugs can all create tooth discoloration as a side effect. (If you suspect this could be the case for you, don’t ever discontinue your medication without consulting your doctor first!)

Did you find the culprit? Perhaps the easiest way to avoid tooth discoloration in your case might be to make some simple adjustments to your diet and other habits.

Also, when you consume drinks or foods that are high in acid or sugar content, take a moment to rinse your mouth with water afterward. If you’re an avid tobacco user, you may want to reconsider that; especially because it can have deadly effects that go way beyond your smile.

Dr. Michelle Slezewski and Dr. Paul Engibous can also suggest other treatment options. While over-the-counter agents do help, in-office whitening treatments tend to be more effective. If whitening agents don’t alleviate the problem, you may want to consider bondings or veneers.

If you’re worried about discoloration of your teeth, or have any questions about how to treat it, please feel free to reach out to our Anchorage, AK office! We can help you identify what may be causing the problem and work with you to give you a smile you’ll be proud of.

Good Dental Hygiene Gives You Better Overall Health

June 26th, 2019

What do you think of when you hear the term dental or oral hygiene? Brushing and flossing tend to come to mind, since that is what the terms imply.

What you might not know, however, is that good dental hygiene involves much more than just your mouth. That’s the tip of the iceberg … just a piece of the complex puzzle that is the human body.

Simply put, you cannot be fully healthy if you don’t have good oral health. Studies have shown that oral health and body health are closely linked and in fact almost impossible to define as separate phenomena.

Take gum disease, for example. It’s one of the most common dental infections, but it doesn’t just affect your gums. According to the Academy of General Dentistry, gum disease can be directly linked to more serious complications such as strokes and heart disease. Doesn’t that make you want to floss a little more often?

This goes the other way, too. Many oral events like sores, swollen gums, and dry mouth syndrome, which might seem fairly trivial and even harmless, may be signals of a much bigger problem: possibly leukemia, kidney disease, diabetes, or pancreatic cancer.

Now that you’ve been made aware of just how vital dental health is for your overall health (and vice versa), the best thing to do is what you’re probably already doing: making sure you brush and floss, as well as maintain a well-balanced diet. It’s also smart to keep away from cigarettes and tobacco, because both are known to contribute to periodontal disease.

In addition, be sure to keep getting your teeth cleaned every six months! If you’re due for a cleaning, give our Anchorage, AK office a call to schedule an appointment at Pediatric Dental Associates.

Which whitening is right for you?

June 19th, 2019

Many of our patients at Pediatric Dental Associates have been asking us about brightening their teeth lately, and today we thought we would discuss the options available to you to put the sparkle back in your smile!

Over-the-counter products – You’ve probably seen over-the-counter whiteners such as whitening strips on store shelves. While whitening strips may work for some, they do have certain restrictions. For example, they are not nearly as effective when crowns or fillings are involved. Teeth that are stained gray instead of brown or yellow typically don’t respond as well to these types of whiteners. Whitening strips typically save you money but take longer to work and also require discipline on your part to keep them in place for the right amount of time each day.

Whitening at our office – This type of whitening can be done right at Pediatric Dental Associates. A whitening agent is applied directly to teeth and a special light helps accelerate the whitening process. This may be accomplished in one session or take several appointments. You should expect to spend anywhere from 30 to 60 minutes at each session. If you have a mix of natural teeth and fillings or crowns, Dr. Michelle Slezewski and Dr. Paul Engibous may recommend bonding or veneers on your natural teeth instead of regular bleaching. Teeth whitening at our office can be used to correct many tooth discolorations which may have been caused by staining, aging, or chemical damage to teeth. Using the latest in whitening technology, we can offer a safe method for creating the beautiful smile you've always wanted.

At-home whitening – If you choose this option, Dr. Michelle Slezewski and Dr. Paul Engibous will take a mold of your teeth and create a custom-fit whitening tray. Gel whitening solution is poured in the mouthguard-like tray, and the tray is worn for a pre-determined amount of time, generally from a couple of hours a day to every day during the night, until you’re back in our office for an evaluation.

Give us a call at our convenient Anchorage, AK office to schedule an appointment! Whiter teeth are one just one visit away at Pediatric Dental Associates!

Ways to Prevent Oral Cancer

June 12th, 2019

According to the Oral Cancer Foundation, this form of cancer kills roughly one person an hour, every 24 hours. This means that nearly 10,000 people will die this year from this type of cancer.

Often, the cancer is discovered late, which is the main reason the death rate is unfortunately so high. Dr. Michelle Slezewski and Dr. Paul Engibous and our team want you to know the precautionary steps you can take to avoid oral cancer.

Here are some of the most effective methods:

  • Good oral hygiene is the first step in oral cancer prevention.
  • Visit our Anchorage, AK office every six months for a dental exam.
  • Quit smoking or using chewing tobacco, if you do.
  • Limit alcohol consumption.
  • Maintain a healthy, well-balanced diet.
  • Consume cancer-fighting foods such as vegetables, berries, garlic, green tea, etc.
  • Change how you prepare foods; baked, boiled, or steamed foods are healthier than grilled or fried.
  • Exercise regularly to maintain a healthy immune system.
  • Limit the amount of time you spend in the sun, and be sure to use sunscreen.
  • Conduct an oral self-exam each week.

We know the thought of oral cancer can be frightening, so we hope the above advice can help patients catch it early or prevent it from ever happening. If you notice a negative change in your oral health, contact our Anchorage, AK location right away and schedule an appointment with Dr. Michelle Slezewski and Dr. Paul Engibous.

If you’re ever concerned or have questions about this common form of cancer, don’t hesitate to ask a member of our team.  

 

The Hazards of Smokeless Tobacco

June 5th, 2019

Many smokers believe that chewing tobacco is a safer alternative to smoking cigarettes. This simply isn't the case! In fact, smokeless tobacco can cause serious health concerns.

Smokeless tobacco comes in many forms and goes by many names: dip, snuff, snus, or simply chewing tobacco. Use of these products usually involves sucking or chewing on shredded or loose tobacco leaves, sometimes flavored, for a prolonged period. There are even products that emulate a dissolvable candy-like consistency which are made of compressed tobacco powder.

What are risks and smokeless tobacco?

Whichever form a tobacco product takes, the dangers of using or consuming them is very real. According to a 2007 study by the World Health Organization's International Agency for Research on Cancer, there are upwards of 28 cancer-causing chemicals in smokeless tobacco that are known to cause cancer. And these products are habit-forming just like any other tobacco product that contains nicotine. Using them will increase your risk for many serious diseases including but not limited to: cancer (especially oral and esophageal), gum and heart disease, cavities, and pre-cancerous mouth lesions.

At the end of the day, long-term use of smokeless tobacco can cause serious health issues. These products really take a toll on both your oral and overall health. They put a strain on your immune system and make it less capable of warding off infection and disease.

Dr. Michelle Slezewski and Dr. Paul Engibous and our team strongly advise you to stop using smokeless tobacco—or any kind of tobacco product—and not to pick up the habit if you aren't. There is no safe level of tobacco use, smokeless or otherwise.

Need to quit smoking or using smokeless tobacco products?

You can and should always talk to your doctor, healthcare practitioner, or Dr. Michelle Slezewski and Dr. Paul Engibous for help quitting. But there are many other resources available today for those who'd like to quit. The National Cancer Institute offers information, support (local and online), and tools to help smokers and smokeless tobacco users quit. They offer live online chat with cessation counselors Monday through Friday and even have a smartphone application available to help people who are serious about quitting.

You can take a look at their website at smokefree.gov or call them toll-free at 1–877–44U–QUIT (1-877-448-7848). There is also help available from your state's quit line at 1-800-QUIT-NOW (1-800-784-8669).

Make the best choice for your health and well-being; avoid the bad habit of tobacco products. If you have any questions about how tobacco related products affect your oral health and hygiene, please don't hesitate to ask one of our Anchorage, AK staff members.

Sealants: What are they and how do they help?

May 29th, 2019

Molars are made up of canyons, caves, pits, and seemingly endless caverns that are a breeding ground for decay. The protective solution is a sealant. When done correctly, a sealant from Dr. Michelle Slezewski and Dr. Paul Engibous of Pediatric Dental Associates can be most effective in preventing cavities.

A sealant is made up of composite (a plastic-like) material that contains bonding agents to seal to the edge of the tooth. Sealants placed on the chewing surfaces of back teeth block food from being trapped. The process in which a sealant is placed is quite precise and painless.

First the tooth is cleaned with a sodium bicarbonate (baking soda) spray. Then an acid etch is applied to “roughen up” the surface. No saliva is to touch the tooth. This will re-mineralize the area, then a repeat etching is needed. An alcohol-based liquid then dries out the area and it must remain completely dry. The sealant is placed and guided through all the caverns, pits, fissures, and grooves. It is then cured with a special light, which makes it a hard, plastic-like material.

Sealants can last for several years. It is wise to have them examined on a semi-annual basis. If there is a break in the sealant, a high risk for decay is common. If a sealant is damaged, repair is simple, painless, and quick to complete.

Who can benefit from sealants? Anyone! Children often receive sealants as routine preventive care. Adults with deep canyons with stained grooves on their teeth can also benefit from a sealant. The process is quick, painless, and does not require any anesthesia. It is an effective way to lower dental restorative costs.

An investment in dental sealants can reap great benefits as properly cared for teeth will remain cavity free. Our Anchorage, AK location is available to answer your questions so give us a call today!

How to get Brighter Teeth for Life

May 22nd, 2019

Have you ever wondered why some people have dull and yellow teeth, while others have bright, white smiles? It’s not luck.

Everyone’s teeth naturally dull over time because of aging and the contact our teeth experience with staining foods, such as chocolate and coffee. However, teeth-whitening treatments can give you the whiter smile you’ve been after.

Get Regular Treatments

Unfortunately, the effects of teeth-whitening or bleaching treatments are only temporary, but regular treatments at Pediatric Dental Associates can help keep your teeth white for much longer.

The effects of in-office bleaching can last for several months to a year, so you may prefer to repeat your use of at-home bleaching kits every few months to maintain your white teeth. Whitening toothpastes do not contain bleach and are safe to use every day.

Have Realistic Expectations

Not everyone’s teeth can be turned bright white. Some just don’t respond to whitening treatments. If your teeth are a light yellowish color, they may readily respond to teeth-whitening procedures, but bleach will not likely work on grayish teeth. Brownish teeth tend to fall somewhere in between.

Practice Good Oral Hygiene

For the best whitening results, it’s necessary to keep your teeth in good health. Visible fillings, implants, or bridges that are metallic stand out against the white color you’ll want to achieve.

Maintaining good oral hygiene will help you avoid tooth decay and keep your smile bright. In addition to brushing your teeth twice a day, these actions can help promote a healthy mouth:

  • Floss every day
  • Visit our Anchorage, AK office every six months for professional cleanings
  • Rinse your mouth with water after each meal and snack
  • Limit sugary and starchy foods and beverages that can stain teeth, especially between meals

Common Emergency Care Visits: Toothaches and Abscesses

May 15th, 2019

You never know when a dental problem may arise. Unfortunately, they don’t necessarily occur during office hours. Dr. Michelle Slezewski and Dr. Paul Engibous can provide you with the proper information and treatment options to prevent the problem from becoming worse.

Abscess

An abscess is a bacterial infection, and will normally cause pain and swelling around the affected tooth and gum area. Though antibiotics are not always necessary, you should be seen by Dr. Michelle Slezewski and Dr. Paul Engibous as soon as possible. If left untreated, the infection may grow and cause more serious issues.

Toothache

Toothaches can have many causes. Sometimes it’s as simple as food lodged between your tooth and gums. Rinse your mouth with warm water and try flossing the area to dislodge the particle. If your gums begin to bleed, stop flossing.

Fractures or cavities can also cause toothaches as well as sensitivity to heat or cold. Please schedule an appointment to ensure a minor problem doesn’t develop into a serious one. You may require acetaminophen or another pain reliever before your visit.

If you can’t be treated right away, keep these tips in mind:

  • If you have fractured a tooth, rinse the area with warm water to keep the surfaces clean. Apply a cold compress to the outside of your facial area to reduce swelling.
  • A tooth that has been knocked out should be kept moist, in a clean container, until you can receive treatment.
  • Do not apply aspirin directly to a damaged tooth or gum area, because this can cause tissue irritation.
  • If you suspect your jaw has been broken, go to an emergency room immediately.
  • If you have bitten or damaged your lips or tongue, rinse your mouth well with warm water. If bleeding continues, seek other medical attention right away.

If you experience an emergency, please contact our Anchorage, AK office and provide us with as much information as possible. This way, we can offer recommendations that will assist you until you’re able to arrive for an appointment.

Remember: procrastinating about getting treatment can turn a minor problem into a major one!

Nitrous Oxide Sedation

May 8th, 2019

Some patients may require nitrous oxide to remove pain or anxiety during dental treatments. If you desire any form of dental treatment at our Anchorage, AK office, Dr. Michelle Slezewski and Dr. Paul Engibous may administer nitrous oxide for its anesthetic/analgesic properties.

Commonly known as laughing gas, nitrous oxide is a gaseous sedative that’s inhaled through a mask over the nose. It was first used in the mid 1800s when practitioners didn’t know they should mix oxygen with the nitrous oxide, which wasn’t healthy alone.

These days, nitrous oxide is administered with at least a 30% oxygen mix, which makes it safe for any dental care.

Some of the effects you may experience while you’re sedated include:

  • Lightheadedness, and tingling in the arms and legs, followed by a warm or comforting sensation
  • A euphoric feeling or a sensation that you are floating
  • Inability to keep your eyes open, so it feels as if you’re asleep

The percentage of nitrous oxide can be easily adjusted if necessary. Let Dr. Michelle Slezewski and Dr. Paul Engibous know right away if you feel uncomfortable or sick. The effects wear off quickly after you begin to breathe regular air following your treatment.

If you still have concerns about nitrous oxide, feel free to call our office about it. Our staff can go over other options for sedation and select the best one for you.

How does a tooth decay?

May 1st, 2019

When acids are allowed to erode tooth enamel long enough to leach calcium and other minerals from your enamel and dentin, a process called demineralization occurs. This rapidly leads to tooth decay unless reversed by good oral hygiene and professional dental cleanings at our Anchorage, AK office. Acids responsible for tooth decay come from the wastes of mutans streptococci and lactobacilli bacteria that thrive in dental plaque, a substance that is the leading cause of periodontitis.

Where do demineralizing acids come from?

Dietary sugars comprise the bulk of tooth-decaying acids, including table sugar, cooked starches, fructose, glucose, and lactose. In fact, as soon as you bite down on a sugary cookie or into a French fry, bacteria start digesting sugars, breaking them down and eventually excreting them as demineralizing acids. As this bacteria colony grows and becomes organized, plaque develops and forms that tough, yellowish coating you often see on the tops of teeth at the gumline.

Plaque is the Problem

Dental plaque is a filmy type of nesting place for bacteria that also keeps acids pressed against tooth enamel. Since plaque cannot be removed by brushing, it is important that a person who suffers tooth decay visit Pediatric Dental Associates immediately so we can use special tools to scrape and thoroughly clean teeth.

Signs of Tooth Decay

Early tooth decay and cavities remain asymptomatic until demineralization creates a hole deep enough to reach the tooth’s inner tissues and nerve endings. Eventually, tooth decay will cause tooth sensitivity, toothache, vague pain when biting down on the affected tooth, and possibly pus seeping around a tooth’s gum line if the decay creates an infection. If treatment is delayed long enough, a decaying tooth may loosen, crumble, and ultimately fall out, which leaves an empty or partially empty socket.

Preventing Tooth Decay

Getting regular checkups with Dr. Michelle Slezewski and Dr. Paul Engibous, brushing and flossing twice a day, and eating fruits or crunchy vegetables at snack time instead of a candy bar or doughnut are the three best ways to keep your teeth healthy, white, and where they should be: in your mouth.

Why Baby Teeth Matter

May 1st, 2019

Sleepless nights, crankiness, drooling—how can such tiny teeth cause such a big fuss? But all those uncomfortable days and nights are forgotten when your baby’s first teeth make their appearance. Why? Well, certainly because your child is happier, but also because you know baby teeth, or primary teeth, are important for your child’s growth in so many different ways.

  • Chewing and Eating

Your baby might enjoy solid foods at an early age, but real chewing doesn’t happen until all the baby molars appear between the ages of one to three years. This is the time to feed children size-appropriate and texture-appropriate foods so they acquire proper chewing and eating habits for healthy digestion. Chewing also helps develop your child’s jaw and facial muscles.

  • Developing Speech

Pronouncing many of the common sounds used in speech often requires tongue and teeth working together. If teeth are missing or there is a bite problem such as an open bite, it might be more difficult to pronounce words properly. This could be only a temporary delay, or it could require speech therapy when your child is older.

  • Setting the Stage for Permanent Teeth

Baby teeth not only help with speech and jaw development, but they serve as space holders for permanent teeth. If a primary tooth is lost too early, a permanent tooth might “drift” into the empty space. The adult tooth will not have the room to fit where it should, and crowding or misalignment can occur. This might cause orthodontic problems in the future.

  • Learning Healthy Dental Habits

You are your baby’s first dental health care provider! Wiping the gums and erupting teeth with a soft damp cloth after meals, gently brushing baby teeth when your toddler is young, teaching how to brush as your child gets older, helping to establish daily routines for brushing—all these practices will prepare your child for lifelong healthy dental habits.

  • Making the Dentist a Regular Part of Your Child’s Life

Your child should visit our Anchorage, AK office soon after that first tooth comes in, and definitely by the age of 12 months. Dr. Michelle Slezewski and Dr. Paul Engibous can help with suggestions for your brushing and flossing routine, make sure your child’s teeth are healthy and clean, and ensure that teething progress is on track. In later visits, we will examine your child’s primary teeth and gums, and treat any problems, such as cavities, before they can become serious.

It turns out that baby teeth really are a big deal. Talk to us about suggestions for caring for your toddler’s teeth and about any questions you may have about teething progress, jaw and facial structure, speech development, or any other concerns at any time. We want to have a happy relationship with your child from the very start for a lifetime of healthy and confident smiles.

Your Child’s First Toothbrush

April 24th, 2019

First word, first step, first haircut, first… toothbrush? While it may not be considered a typical milestone, choosing the right first toothbrush is an important first step in your child’s future dental health.

The time to start brushing is when your baby’s first tooth appears. Until then, you have probably been using a clean, moist washcloth or gauze to carefully wipe your baby’s gums. Continue that gentle treatment with a toothbrush designed for infants. Look for a toothbrush designed especially for infants and toddlers, with extra-soft bristles and a small head for tiny mouths.

When your toddler is ready to try brushing for the first time, there are many options to make learning the proper technique enjoyable for both of you! Extra-soft bristles and small brush heads again are important for young children, and brushes are available with colorful patterns and designs to charm any child. There are brushes available with handles designed for easy gripping, right-handed and left-handed options, and even electric models.

No matter which brush you choose, Dr. Michelle Slezewski and Dr. Paul Engibous and our team recommend:

  • Use soft bristles and a brush head sized to fit your child
  • Use the proper amount of toothpaste (when your child is old enough to spit out toothpaste instead of swallowing)
  • Replace the toothbrush every three months, or earlier if it is frayed
  • Always supervise your young child while he or she learns to brush
  • Don’t forget to schedule checkups every six months at our Anchorage, AK office!

You probably won’t be preserving your baby’s first toothbrush in your baby book, but teaching your child the proper way to brush with the right toothbrush can lead to a lifetime of dental health. And that’s a milestone to celebrate!

Amalgam Fillings vs. White Fillings

April 17th, 2019

Many varieties of fillings are available at our Anchorage, AK office. Most people are familiar with traditional amalgam fillings: those big silver spots on top of teeth.

Made from a mixture of silver, tin, zinc, copper, and mercury, amalgam fillings have been used to fill cavities for more than 100 years. They offer several advantages, including:

  • High durability for large cavities or cavities on molars
  • Quick hardening time for areas that are difficult to keep dry during placement
  • Reduced placement time for children and special-needs patients who may have a difficult time keeping still during treatment

Although dental amalgam is a safe and commonly used dental material, you might wonder about its mercury content. You should know that when it’s combined with the other metals, mercury forms a safe, stable material.

The American Dental Association, U.S. Centers for Disease Control and Prevention, U. S. Food and Drug Administration, and World Health Organization all agree that based on extensive scientific evidence, dental amalgam is a safe and effective cavity-filling material.

White Fillings

Newer, mercury-free, resin-based composite fillings (white fillings) are also available at our Anchorage, AK office. Composite resin fillings are made from plastic mixed with powdered glass to make them stronger.

Resin-based fillings offer several benefits for patients, including:

  • They match the color of teeth
  • Less tooth structure needs to be removed than with amalgam fillings
  • BPA-free materials can be used

Resin-based composite fillings also have some disadvantages, including:

  • Higher cost than amalgam fillings
  • Inlays may take more than one visit
  • Requires more time to place than amalgam fillings

There’s a lot to think about when you have to get a cavity filled. We recommend you do your homework and speak with Dr. Michelle Slezewski and Dr. Paul Engibous before deciding what’s best for you or your family.

Tips for a Whiter Smile

April 10th, 2019

Everyday life can take a toll on the whiteness of our teeth: Foods we love as well as soft drinks and coffee can stain them over time. Poor brushing and flossing can also leave behind tooth stains. Even injuries to teeth or gums can cause some yellowing, and in certain cases, medicines can contribute to discoloration.

So don’t get discouraged if you notice your smile has dimmed. You can definitely take action to restore the natural beauty of your teeth. Here are some of the best ways to whiten them:

  1. Drink through a straw or cut back on coffee and soft drinks to reduce risk of stains.
  2. Brush and floss every day.
  3. Try a whitening toothpaste or mouthwash.
  4. Visit our Anchorage, AK office every six months for regular cleanings.

We also offer in-office professional whitening at our Anchorage, AK office. These whitening products are much more effective than whiteners you can buy at the store and are completely safe. Since they’re stronger, application by a member of our team is essential to achieve the best results.

Still, some teeth can resist bleaching. If that’s the case, we can try several other techniques, such as deep bleaching that applies whitening agents over several visits, veneers and bonds that cover existing stains with a whiter, brighter surface, or laser whitening.

If a whitening session is something you’d like to pursue, be careful about whom you trust to perform the procedure. Avoid using “bleaching stations” in shopping malls or at fairs. These so-called whitening techniques can irritate your teeth and gums, and leave them highly sensitive to pain.

Also, operators of these whitening stands will make customers apply the bleach themselves, to avoid charges of practicing without a license. That should serve as a red flag and a caution to seek trained professionals like Dr. Michelle Slezewski and Dr. Paul Engibous, instead.

When to Begin Dental Care for Your Baby

April 3rd, 2019

Children’s oral health differs from the needs of adults in many ways. It’s vital for you to understand what your child needs to keep his or her teeth healthy. Dr. Michelle Slezewski and Dr. Paul Engibous and our team are here to answer your questions to set you and your little one up for success.

In-home dental care should start as soon as your baby show signs of developing that first tooth. At around age one or two, bring your son or daughter to our Anchorage, AK office. Dr. Michelle Slezewski and Dr. Paul Engibous will examine your child’s tooth development and gum health.

The initial appointment will focus on getting your youngster familiar with our office and comfortable with our staff. We will go over several general matters during that first visit:

  • Inspect for signs of decay or other tooth or gum problems
  • Check for gum disease or cavities
  • Examine your child’s bite and possible misalignment
  • Clean the teeth, and apply fluoride if your child is old enough
  • Talk with parents about proper oral health
  • Give you tips for brushing and flossing your little one’s teeth
  • Answer any questions you may have about caring for your son or daughter’s teeth

Once your child is old enough for the first dental visit, you should schedule regular cleanings every six months. Call our Anchorage, AK location if you have any conflicts or questions.

How does a tooth decay?

March 27th, 2019

When acids are allowed to erode tooth enamel long enough to leach calcium and other minerals from your enamel and dentin, a process called demineralization occurs. This rapidly leads to tooth decay unless reversed by good oral hygiene and professional dental cleanings at our Anchorage, AK office. Acids responsible for tooth decay come from the wastes of mutans streptococci and lactobacilli bacteria that thrive in dental plaque, a substance that is the leading cause of periodontitis.

Where do demineralizing acids come from?

Dietary sugars comprise the bulk of tooth-decaying acids, including table sugar, cooked starches, fructose, glucose, and lactose. In fact, as soon as you bite down on a sugary cookie or into a French fry, bacteria start digesting sugars, breaking them down and eventually excreting them as demineralizing acids. As this bacteria colony grows and becomes organized, plaque develops and forms that tough, yellowish coating you often see on the tops of teeth at the gumline.

Plaque is the Problem

Dental plaque is a filmy type of nesting place for bacteria that also keeps acids pressed against tooth enamel. Since plaque cannot be removed by brushing, it is important that a person who suffers tooth decay visit Pediatric Dental Associates immediately so we can use special tools to scrape and thoroughly clean teeth.

Signs of Tooth Decay

Early tooth decay and cavities remain asymptomatic until demineralization creates a hole deep enough to reach the tooth’s inner tissues and nerve endings. Eventually, tooth decay will cause tooth sensitivity, toothache, vague pain when biting down on the affected tooth, and possibly pus seeping around a tooth’s gum line if the decay creates an infection. If treatment is delayed long enough, a decaying tooth may loosen, crumble, and ultimately fall out, which leaves an empty or partially empty socket.

Preventing Tooth Decay

Getting regular checkups with Dr. Michelle Slezewski and Dr. Paul Engibous, brushing and flossing twice a day, and eating fruits or crunchy vegetables at snack time instead of a candy bar or doughnut are the three best ways to keep your teeth healthy, white, and where they should be: in your mouth.

What’s the Big Deal about Sleep Apnea?

March 20th, 2019

What’s the big deal about a little snoring during the night? Or feeling a bit drowsy during the day? Or an occasional bout of insomnia? If your sleep problems are few and far between, probably not a major worry. But if your sleep disruptions are frequent, getting worse, or more noticeable to those around you, your problem might be sleep apnea. And that can be a big deal.

Sleep apnea occurs in three forms:

  • Obstructive sleep apnea

This is the most common form of sleep apnea. It can be the result of the muscles in the back of the throat relaxing during sleep to obstruct the airway. Obstruction can also be caused by a physical condition such as a deviated septum, excess throat tissue or enlarged tonsils.  Loud snoring often results as the sleeper struggles to inhale through the obstructed passageway.

  • Central sleep apnea

Central sleep apnea is caused by the brain failing to transmit the proper signals to breathe during sleep. The sleeper either stops breathing, or takes such shallow breaths that he or she can’t get enough air into the lungs.

  • Complex sleep apnea

This condition is a mix of both obstructive and central sleep apnea.

Any of these forms of sleep apnea will cause a miserable night’s sleep. Sufferers actually stop breathing for a brief time. To start breathing properly again, our bodies move from the deep sleep we need to restore our physical and mental health to shallow sleep or even momentary wakefulness. And these disruptive episodes can happen dozens of times an hour, all night long. You might think you have gotten a full night’s sleep, while in reality you are suffering from sleep deprivation.

When you suffer from obstructive sleep apnea, the immediate consequences are easy to see and hear. Loud snoring, choking, constant drowsiness—you (and your loved ones) suffer from these symptoms night and day. But the hidden consequences of this disorder are even more dangerous. Sleep apnea has been linked to high blood pressure, heart disease, and strokes. It can cause memory problems, depression, and mood changes. Loss of focus and slow reflexes can lead to accidents. Complications from general anesthetics and medications can also become a serious risk.

Snoring is not the only symptom of sleep apnea. If you notice that you often wake up with a sore throat, a dry mouth, or a headache, have difficulty going to sleep at night or staying awake during the day, can’t concentrate,  or constantly feel irritable—you should consider the possibility that you suffer from sleep apnea. Talk to Dr. Michelle Slezewski and Dr. Paul Engibous at our Anchorage, AK office. We can recommend options that will have you once again sleeping soundly in your bed, waking up refreshed and healthy. And that is a big deal.

Warning Signs of Impacted Wisdom Teeth

March 13th, 2019

When your wisdom teeth start to emerge it can definitely be painful, but it can be even worse if your wisdom teeth become impacted. Impacted wisdom teeth are trying to erupt but are unable to do so because there is not sufficient room for them to emerge. This usually means that your wisdom teeth are painfully lodged in your jawbone.

While you may not see any real signs of the emerging wisdom teeth when they are impacted, what you can’t see can still definitely hurt you. Some of the indicators of impacted wisdom teeth are listed below.

  • Jaw Pain: Pain in the back of your jaw is a common indicator of impacted wisdom teeth. The pain often concentrates in the area around your gums.
  • Changes in the Mouth: You may notice some changes in your mouth when you have impacted wisdom teeth. Reddish gums, swelling in the jaw, bleeding gums, and bad breath can all be indicators that you are dealing with impacted wisdom teeth.
  • Headaches: If you suddenly start having headaches, especially at the same time as some of the other issues mentioned above, they may indicate impacted wisdom teeth.
  • Chewing Issues: Problems with chewing normally can indicate impacted wisdom teeth. If you are having trouble making the chewing motions because your mouth won’t quite open and close as easily as it used to, impacted wisdom teeth may be the culprit.

The Solution

If you are suffering from impacted wisdom teeth, the best solution is usually going to be removal. This is not a problem that will resolve naturally, and in fact, your pain and other symptoms may worsen as your wisdom teeth become increasingly impacted. At Pediatric Dental Associates, Dr. Michelle Slezewski and Dr. Paul Engibous can review the details of wisdom teeth removal surgery with you and help you determine if this is the best solution for your situation.

Is Charcoal Teeth Whitening Safe?

March 6th, 2019

Health and beauty trends surface on the web every day, and it can be difficult to tell which ones are worth your time, or even safe, for that matter. Perhaps one of the biggest dental trends recently on Facebook, YouTube, and Instagram has been teeth whitening through brushing with activated charcoal.

Unfortunately, charcoal whitening isn’t everything the Internet makes it out to be. Activated charcoal isn’t what you use to grill at a summer barbecue; it’s an oxidized substance made from peat, coal, wood, coconut shell or petroleum heated with a gas.

Toxins and surface stains can cling to charcoal due to its adhesive qualities, which is why some people declare it’s perfect for removing discoloration on teeth. Although it may show quick results initially, charcoal is nothing more than a temporary solution.

The abrasive texture may roughen up enamel, which will make it easier for future stains to stick to the surface of your teeth. They may show stains shortly after you use charcoal on them, and may become even more discolored than before.

It’s crucial to emphasize the results of damaged tooth enamel because it cannot replenish itself, which means any damage is permanent. People with receding gums or sensitive teeth especially should steer clear of charcoal because it can make brushing too harsh and worsen sensitivity.

Long-time use can deplete enamel, which over time exposes dentin: the soft, yellowish layer in the tooth. This puts you at a higher risk for cavities, tooth discoloration, and complicated dental problems such as periodontal disease in the future.

The American Dental Association does not approve of charcoal as a safe means for whitening teeth. If you do choose to use it, do so with caution.

Charcoal should be used once every other week at the most, even if your teeth feel fine. The only proven ways to whiten teeth safely are with ADA-approved whitening products or in-office bleaching treatments overseen by a dental professional.

Before you begin any whitening treatment at home, consult with Dr. Michelle Slezewski and Dr. Paul Engibous to make sure your teeth won’t be harmed in the process. If you are already experiencing sensitivity, stop charcoal use immediately and make an appointment with our office right away.

If you have questions about whitening or want to schedule an in-office whitening treatment, feel free to give our Anchorage, AK office a call today!

The Many Types of Sedation Dentistry

February 27th, 2019

There are many reasons to choose sedation dentistry. Perhaps anxiety is an issue, or your teeth are extremely sensitive. You may have a low pain threshold, an easily triggered gag reflex, or need a lot of work done in one visit. If you think sedation dentistry might be right for you, this procedure is something we are happy to discuss before your appointment at our Anchorage, AK office.

Because your concerns and condition are unique, we will tailor your sedation to fit your specific needs. We will take a careful health history to make sure whatever medication is used is safe for you, and will not interact with your other medications or affect any medical conditions. The three most common methods of sedation include:

Our experience and training allow us to recommend a method that is specifically designed for your needs. If you would like to remain completely aware, but feel less anxious, if you would like deep sedation through the entire procedure, or if you want something in between, talk to us about your options. Whatever the reason you choose sedation dentistry, Dr. Michelle Slezewski and Dr. Paul Engibous and our team are here to provide you with a skilled and safe sedation experience.

What is a cavity?

February 20th, 2019

Cavities are the reason why most people fear going to the dentist. But they’re also the reason you should be visiting Dr. Michelle Slezewski and Dr. Paul Engibous on a regular basis.

Specifically, cavities are the breakdown of teeth caused by acid from food, bacteria, and plaque that inhabit the inside of the mouth. While many people simply think that cavities only form on top of a tooth, Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates want you to know they can actually form on the sides along the gum line and between the teeth, too. This acid will eat away at the tooth, forming a soft hole.

Anybody, either children and adults, can get cavities. In fact, according to the Centers for Disease Control and Prevention, in the U.S. alone about 16 percent of all children ages six to 19 have untreated cavities, and about 24 percent of adults 20 to 64 years old have them. This is detrimental to overall oral health, because cavities have a tendency to grow over time, potentially spreading to other teeth and causing increased oral pain, possibly even affecting the nerve.

That's why it's important to ensure that you're visiting Pediatric Dental Associates at least once every six months, so that cavities can be found and filled before they become too problematic and painful. Typically, they're found by doing a routine teeth cleaning, though X-rays or further examination may be necessary to determine the full extent of a cavity. Cavities are treated by removing the area of the tooth where decay has set in and rebuilding the tooth with a metal filling. If the cavity is too large, however, more extreme measures may be necessary, such as placing a crown or performing a root canal.

As we noted above, cavities are why people dread going to the dentist, but also the reason everyone should see the dentist every six months. Additionally, brushing twice daily, flossing, and cutting down on sugar-packed foods can reduce the risk of developing cavities.

For more information on how to best care for your teeth and why it's important to visit the dentist twice a year, please give us a call at our convenient Anchorage, AK office today!

The Start of Valentine’s Day

February 13th, 2019

Valentine’s Day, also known as Saint Valentine’s Day, has been said to originate with a Catholic priest named Valentine several thousand year ago. Valentine defied the emperor at the time by secretly marrying men and their brides after the emperor had made it illegal to marry. Emperor Claudius II did this because he wanted as many single young men to fight in his war as he could get.

Valentine disobeyed the emperor’s edict by continuing to marry couples until he was sentenced to death. Before his execution, he sent a letter to a secret love and signed it “From your Valentine.” Dr. Michelle Slezewski and Dr. Paul Engibous and our team have come up with some suggestions on how you can celebrate this Valentine’s Day, whether you have a valentine of your own or not.

Valentine's Day Ideas

  • Enjoy a tasty treat. There are plenty of options when it comes to cooking and/or baking on Valentine’s Day. Make your significant other his or her favorite meal or sweet treat, or make your own favorite dish to enjoy on this day. Oh, and be sure to make enough for leftovers!
  • Make a personalized card. Instead of buying a card from the grocery store, take the time to make your own for a loved one. People love handwritten notes, especially when it’s from someone special. If you’re single this Valentine’s Day, make a card for fellow single friend to brighten the day and remind the person that he or she is also loved.
  • Watch a movie. We all know there are plenty of romance movies out there. Put on your favorite romantic comedy, or pick up your significant other’s favorite movie to watch together. Even better, if you’re single, pick up your own favorite movies to watch to pass the time this Valentine’s Day.
  • Do nothing! We all know Valentine’s Day can sometimes get a lot of hype. If you’re worried about not making a reservation in time, don’t feel like planning an extravagant night out, or simply not in the holiday mood this year, spend your day sitting back and relaxing.

Valentine’s Day is a time to celebrate love and spend quality hours with the people you care about the most. Whether you’re in a relationship or single, take some time today to appreciate those you love in your life.

We wish you a happy Valentine’s Day celebration and look forward to seeing you at our Anchorage, AK office during your next appointment.

What is a water pick and do I need one?

February 6th, 2019

Water picks, sometimes called “oral irrigators,” make an excellent addition to your regular home care regimen of brushing and flossing. Especially helpful to those who suffer from periodontal disease and those patients of ours undergoing orthodontic treatment with full-bracketed braces, water picks use powerful tiny bursts of water to dislodge food scraps, bacteria, and other debris nestled in the crevices of your mouth. Children undergoing orthodontic treatment may find using a water pick is beneficial if their toothbrush bristles tend to get caught on their wires or brackets.

When you use a water pick, you’re not only dislodging any particles or debris and bacteria you might have missed when brushing, you are also gently massaging the gums, which helps promote blood flow in the gums and keeps them healthy. While water picks are an excellent addition to your daily fight against gingivitis and other periodontal diseases, they are incapable of fully removing plaque, which is why Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates want to remind you to keep brushing and flossing every day.

If you have sensitive teeth or gums and find it uncomfortable to floss daily, water picks are a good alternative to reduce discomfort while effectively cleaning between teeth. Diabetics sometimes prefer water picks to flossing because they don't cause bleeding of the gums, which can be a problem with floss. If you have a permanent bridge, crowns, or other dental restoration, you may find that a water pick helps you keep the area around the restorations clean.

So how do you choose the right water pick?

Water picks are available for home or portable use. The home versions tend to be larger and use standard electrical outlets, while portable models use batteries. Aside from the size difference, they work in the same manner, both using pulsating water streams. A more crucial difference between water picks is the ability to adjust the pressure. Most home models will let you choose from several pressure settings, depending on how sensitive your teeth and gums are. Most portable models have only one pressure setting. If you want to use mouthwash or a dental rinse in your water pick, check the label first; some models suggest using water only.

Please give us a call at our Anchorage, AK office if you have any questions about water picks, or ask Dr. Michelle Slezewski and Dr. Paul Engibous during your next visit!

Caring for Your Cat’s Dental Health

January 30th, 2019

While you make sure your family is getting the best care possible, with regular dental checkups and cleanings at our Anchorage, AK office, there is one family member that might be hiding under the bed when it’s time for tooth care. Periodontal disease is the most common clinical condition affecting adult cats—and it is completely preventable!

Periodontal disease starts when the bacteria in your pet’s mouth form plaque. The plaque can harden into tartar, and, if plaque and tartar spread under the gum line, can be responsible for a number of serious problems. Tooth loss, tissue damage, bone loss, and infection can be the result of periodontal disease. Professional dental treatment is important if your cat is suffering from periodontal disease, and your vet can describe the options available to you.

But, like with humans, prevention is the best way to assure these problems never develop, and there are several methods for avoiding plaque and tartar build-up.

Brushing: Yes, there are toothbrushes and toothpastes specifically designed for your cat! If a toothbrush is not working for you or your pet, there are cat-sized finger brushes available as well. Daily brushing is most effective, but try for at least several times each week. The process of introducing brushing should be a slow and gentle one, and seafood and poultry flavored pastes make the process more palatable. (Human toothpaste is not good for your cat due to its abrasiveness, and swallowing the foam might pose a danger to your pet.)

Anti-plaque rinses and gels: If despite your gentle persistence your cat simply will not cooperate with brushing, there are other options! Rinses and gels containing Chlorhexidine are effective and do not usually pose a problem for pets—although they might not take to the flavor. Rinses can be squirted inside each cheek or gels can be applied to the teeth with a toothbrush or finger brush. Talk to your vet to find the safest and most effective products.

Diet: Whether they use a particular shape and texture to simulate brushing or an anti-tartar ingredient, several pet foods claim to reduce the accumulation of plaque and tartar. Your vet is the best resource for nutritional suggestions to make sure your cat’s dental and physical diet is as healthy as it can be.

Whether you try brushing, rinses, gels or a tooth-friendly diet, patience and a gentle touch are the best way to introduce dental hygiene. Talk to your vet at your cat’s next checkup, and find out what you can do to keep your feline friend healthy and happy. An ounce of prevention might be worth a pound of purr!

Eco-Friendly Toothbrushes

January 23rd, 2019

When it comes to dental hygiene, “going green” is not the first phrase that comes to mind. But if you are brushing properly, you are also replacing your toothbrush every three to four months as the bristles become frayed and wear down. Sure, that’s a tiny amount of plastic from each of us going to our landfills, yet it adds up to millions of brushes a year nationally. If you are concerned about reducing your carbon footprint while reducing your risk of cavities, there are several new toothbrushes designed to make brushing more eco-friendly.

Biodegradable Toothbrushes

Some brushes claim to be completely compostable. These models generally have heads fitted with boar bristles and handles manufactured from sustainable woods or bamboo. Boar bristles aren’t for everyone. Some users complain of the taste of the bristles, and boar bristles might be harsher than the soft bristles we recommend to protect both enamel and gums. There is also some concern about bacteria growth on organic bristles.

Earth-friendly Handles and Bristles

If you prefer the consistency and texture of regular synthetic bristles, you can still opt for a brush with a handle of sustainable wood or bamboo. You can also select PBA-free bristles, bristles made primarily of castor oil, or bristles that use natural ingredients in combination with synthetics.

Reduce, Reuse, Recycle

If these exotic brushes aren’t for you, there are more conventional choices that will save energy and cut down on waste.

  • Reduce the amount of electricity you use for your electric toothbrush with a model that requires less charging time.
  • Reuse your toothbrush by buying one with a handle made of metal, natural materials or plastic and replace the detachable head every three months.
  • Recycled plastics can be found in the handles of some toothbrushes, and many brushes come in recyclable packaging. Every bit helps!

If you decide to use one of these green products, remember that your dental health is still the primary goal. Be sure the bristles of your brush are soft enough to protect your gums and enamel and can reach all the places you need to brush. The handle should be easy to grip and the head should be a comfortable fit for your mouth. It’s always best to choose products with a seal of acceptance from your local dental association, or talk to us about greener alternatives during your next visit to our Anchorage, AK office. Luckily, there are several workable options to protect the health of your family's teeth while still being mindful of the health of our planet.

Electric Toothbrushes vs. Regular Toothbrushes

January 16th, 2019

Convertible or sedan? Downtown or suburbs? Electric or manual toothbrush? As life decisions go, it’s certainly not choosing your next car, or deciding where you want to live. But, even when you are selecting a toothbrush, it helps to make a list of the pros and cons of the contenders before you make that final selection.

  • Efficiency

The most important factor in choosing a toothbrush is finding out which model works best to eliminate bacteria and plaque. And studies have shown that, used properly, both electric and manual toothbrushes do a great job of removing plaque. Some electric models can reach the backs of teeth and the gumline more easily, some manual head designs work better for your individual mouth and teeth, so your particular needs should dictate which style of toothbrush you use. Talk to us about the best methods to brush with your preferred toothbrush, and we’ll let you know if one type of toothbrush or the other might work better for you.

  • Health Considerations

Brushing too energetically can actually harm teeth and gums, causing sensitivity and damage to the enamel and gum tissue. An electric toothbrush should provide a continuous brushing motion without needing any pressure from the brusher. This might be the model for you if you have a too-vigorous approach to brushing, or sensitive teeth and gums.

An electric toothbrush can also be more efficient for older and younger brushers, those with limited mobility, and those with health conditions or injuries that make brushing with a regular toothbrush more difficult.

  • Cost

An electric toothbrush is not a one-time investment. You should change the removable head as often as you change your manual toothbrush (every three to four months, please). But this cost is offset if an electric toothbrush is more efficient in removing your plaque, easier to use, or even if you just prefer it to manual brushing. If you find that you brush better and more often with an electric toothbrush, the added expense is well worth it.

Whichever brush you decide on, the most important part of the brush is the person holding it! A regular appointment with your toothbrush for two minutes of thorough brushing in the morning and two in the evening, daily flossing, and regular visits to our office for checkups and cleanings will keep your teeth healthy and strong no matter which toothbrush you choose.

Questions about your toothbrush choices? Don’t hesitate to ask Dr. Michelle Slezewski and Dr. Paul Engibous at our Anchorage, AK office.

Been a While? Come See Us!

January 9th, 2019

Guilt is a powerful feeling. It can keep you from doing many things, including going to the dentist. The good news is that Pediatric Dental Associates is a judgement-free zone, and coming back (even after an extended period of being MIA) can be easier than you think. Our goal is to make you as comfortable as possible during your first appointment back with us — so here’s a little overview of what you can expect.

We’ll start with a series of dental X-rays, which are usually taken every three to five years. The set of X-rays will depend on your individual needs and it will help us get a more thorough look at what’s going on with your dental structure and keep an eye out for any prominent dental issues.

Next up will be your hygiene appointment. That appointment will consist of a review of your medical history and be followed by a thorough cleaning of your teeth. This is the perfect time to share concerns you may have about your oral health and ask us questions.

You’ll finish up with a comprehensive exam, which will review everything you covered with the hygienist. Dr. Michelle Slezewski and Dr. Paul Engibous will go over your medical history with you and address any dental concerns that might remain. If any special treatment is needed for such issues as cavities or broken fillings, we will discuss that with you as well.

Once all that is done, you’ll head over to the front desk to talk about payment and scheduling your next appointment. And that’s it! Your first visit back is an important step toward continuing to look out for your dental health.

Just because you slacked for a little while or life got in the way, this doesn’t mean things have to stay that way! We’re happy to help you get you back on track, so schedule an appointment at our Anchorage, AK office today!

Smile, the New Year is Almost Here!

January 2nd, 2019

We’ve been celebrating the new year for a really, really long time. It goes way back, but it started formally in 1582, when Pope George XIII made January 1st the official holiday for ushering in the new year. The idea was to yell, cheer, and blow horns to scare away all the evil spirits of the previous year with the hope that the new one would be filled with happiness and opportunity.

While scaring away evil spirits isn’t what’s on our mind these days, we still ring in the New Year by cheering and hollering with friends and family. It’s a time to set new goals, refocus on old ones, and look forward to all the surprises the coming year will bring.

Whether you’re saying hello to the New Year snuggled up at home on your couch in the Anchorage, AK area or by gathering your friends for a social celebration, here are some tips to help ensure you welcome this new chapter with a smile.

Tips for a great New Year’s Eve celebration from Pediatric Dental Associates

  • Stay safe. This one’s vital, because nothing puts a damper on your party like an emergency trip to the hospital. Stay responsible and try to plan ahead, whether that means taking a taxi, staying with a friend, or recruiting a designated driver. Do what you have to do to keep yourself and everyone around you safe.
  • Spend time with the people you love most. The way we see it, the whole point of the holiday season is to cherish your family and friends. Regardless of what you’re doing, make sure there’s something for everyone. It’s essential to do something the whole group will enjoy!
  • Smile! Whether you get all dressed to go out or have a quiet gathering with family and friends, make sure you accessorize with a smile. There’s always something to smile about!

We can all agree that change can be scary sometimes, but ringing in the New Year is an observance we all welcome with open arms. We hope you’ll enjoy this transitional holiday in a fun, healthy, and safe way. You have endless possibilities ahead of you!

From Dr. Michelle Slezewski and Dr. Paul Engibous, have a fantastic New Year!

Considerations When Picking the Right Mouthwash

December 26th, 2018

A solid oral health routine begins with daily brushing, flossing, and rinsing. Without a consistent oral health regimen, you may begin to experience tooth decay and bacterial infections. Few patients ask Dr. Michelle Slezewski and Dr. Paul Engibous about different mouthwash options, so we’ve put together a list of the conditions that mouthwashes can treat. This should help you decide which oral rinse would be best for you.

Gum Health

Antiseptic mouthwashes reduce large amounts of bacteria on and near the gum line and generally help to decrease your chances of developing gingivitis. The key ingredients of antiseptic mouthwashes are antibacterial and antimicrobial items. Antiseptic mouthwash is a preferable option if you are concerned about the general gum health of your mouth.

Fluoride

Fluoride is a great tool for preventive tooth decay treatment. It prevents tooth decay and is great for oral health in general because it kills germs that can live in your mouth. Fluoride also builds stronger teeth. If you’re a bottled water drinker, Dr. Michelle Slezewski and Dr. Paul Engibous may recommend that you purchase a simple fluoride rinse to use after brushing.

Bad Breath

Fluoride mouthwash can be used to fight any bad breath issues you may be facing. It’s designed to combat any bacteria that might be building up in your mouth. Most mouthwashes will help eliminate bad breath, but some are specifically designed to address this difficult problem. If you feel as though this might be turning into a chronic problem, please contact Dr. Michelle Slezewski and Dr. Paul Engibous to discuss other options that would be effective for treating your symptoms.

American Dental Association (ADA Approval)

The ADA reviews all mouth rinses for safety measures and to prove effectiveness. Any mouthwash approved by the ADA has met strict guidelines according to whether the manufacturer’s claims are supported with scientific evidence. If you’re looking for a quality mouthwash, look for one that has the ADA seal of approval to ensure you have a great rinse for your mouth.

Considerations

When you’re trying to decide which mouthwash to pick, contact our Anchorage, AK or ask Dr. Michelle Slezewski and Dr. Paul Engibous during your next appointment. If you experience a burning sensation in the soft tissues of your mouth, be sure to discontinue use immediately. Avoid letting children under age six use a mouth rinse, and be sure to keep all mouthwashes out of the reach of children, because they contain alcohol and other substances that could be harmful.

Airplane Oral Health Tips

December 19th, 2018

What’s in your carry-on bag? You’ve got your passport, ticket, and currency, but what about dental floss? Of course! You’re preparing for the trip of a lifetime, and we want to help make sure everything goes according to plan.

Part of your preparation before a long vacation should be a complete check-up at our Anchorage, AK office well in advance of your trip. If there is dental work to be done, now is the time to do it. No one wants to be stuck over the Atlantic with a toothache, and changes in atmospheric pressure can cause serious problems if you have a severely compromised tooth. Tell us when you are planning on traveling, and we can schedule any procedures that should be finished before you fly.

Now that you have the all clear to travel, what about maintenance once you’re on board for a long flight? Some airlines provide toothpaste and brushes for travelers. If you have questions about the quality of the water in the airplane restroom, use bottled water to brush. There are also single-use mini-brushes available for travelers that come loaded with paste and ready to use without any water at all. Crisp fruits and vegetables can help clean teeth on-flight if brushing isn’t an option, and drinking plenty of water will not only keep you hydrated, but help cleanse your mouth and teeth as well. Be sure to travel with floss, a travel-sized tube of toothpaste, and a brush in a well-ventilated container in case you face airport delays between flights.

Taking your electric toothbrush with you? Usually there is no problem bringing your electric toothbrush in your carry-on, but do check in advance to make sure this is allowed on your flight. Most electric toothbrushes have region-specific battery chargers, so find out in advance if you will need a voltage converter or plug adaptor if you are visiting another country. Check to make sure the head is in good condition before you go and replace it if necessary.

Once you’ve landed, try to keep your dental routine as close to normal as possible while you enjoy your visit. Regular brushing and flossing are still necessary, especially if you take the opportunity to explore the local desserts. We’ve given you some tips to make your flight more comfortable—now that you’ve reached your dream destination, the rest is up to you!

Make Brushing Teeth Fun!

December 12th, 2018

It’s understandable that kids would rather be playing outside or watching their favorite movie instead of doing a “boring” task like brushing their teeth. But there are ways to make brushing fun for your son or daughter, and encourage healthy oral hygiene habits early on! Dr. Michelle Slezewski and Dr. Paul Engibous and our team have a few tricks that may help.

Game time

What child doesn’t love a good game? Try to turn brushing time into a game, whether by playing hide-and-seek or singing your child’s favorite song while he or she brushes for two minutes.

Kids also love rewards, so awarding them stickers after a good brushing can encourage them to do a good job every time. You might even tell your child that five stickers will earn a special treat or fun activity at the end of the week.

Fun accessories

Lots of toothbrush options can add something exciting to your child’s daily brushing routine. Toothbrushes that light up tend to be a popular choice with young kids. The same goes for toothbrushes shaped like your child’s favorite animal or cartoon character.

Teaching your kids about how long they should brush each time can also be fun. Let them have the special responsibility of setting a timer for two minutes before they start to brush.

The Great Toothpaste Experiment

Lots of kids can be picky eaters and that can the case with toothpaste flavors. Set aside a time to sample several different flavors, the way they’ve probably tried various flavors at the ice cream shop! Just make sure to be very clear that they shouldn’t swallow the toothpaste.

With your help, your child can easily develop healthy brushing habits over time. If you can find ways to make it fun, it can be an enjoyable experience for both of you!

Call Dr. Michelle Slezewski and Dr. Paul Engibous at our Anchorage, AK office for more fun tips or to make an appointment today!

What are dental implants?

December 5th, 2018

Do you have a space where a tooth used to be? Were you born with a missing tooth? Are you getting ready for dentures? You may be a good candidate for a dental implant. Metal dental implants were invented in 1965. Technology continues to advance with millions of implants placed in the United States and Canada. Placing implants has become mainstream and a common practice for offices like ours.

A dental implant is a small titanium post, which resembles a screw with threads. The post also has holes for bone to integrate. A dental implant is placed into the jawbone during a short dental procedure. It is relatively painless with very little post-operative pain. The threads on the implant post allow for the bone to fill in and integrate. To facilitate this process the implant is re-covered with gum tissue and allowed to heal and integrate for nearly three months. The implant acts as the root for the tooth to provide solid and stable support for the crown that’s yet to be placed.

The next step in the dental procedure is to uncover the implant and place a healing cap to allow the gum tissue to heal. After a short period of healing, an impression is taken to fabricate a crown to fully restore the missing tooth. The crown is then cemented on top of the post, at which point you can resume normal eating activities.

Dental implants do require some special care, but that is easily managed when you follow the directions outlined by Dr. Michelle Slezewski and Dr. Paul Engibous. During your regularly scheduled cleaning, special instruments are used to clean implants. While a dental implant cannot get a cavity, a condition known as peri-implantitis can occur. This is very similar to periodontal disease as the end result is dental implant loss and loss of bone structure. Be sure to floss the dental implant daily and run the floss under the implant crown as far as it can go to remove food and plaque. If you use any picks or small brushes to go in between your teeth, make sure they are plastic. Metal will scratch the implant making it more susceptible to infection. Be sure to keep your regular dental visits and cleanings to monitor the implant and help preserve your investment.

Are you nervous about seeing the dentist? You’re not alone!

November 28th, 2018

With advances in modern dentistry, a trip to Pediatric Dental Associates these days is pretty routine. But visiting Dr. Michelle Slezewski and Dr. Paul Engibous and our team still makes some patients anxious—so much so that they don’t go as often as they should and end up with costly complications down the road, such as tooth decay or gum disease.

When it comes to dental care, prevention is the best medicine. And that begins with regular checkups and dental cleanings at our convenient Anchorage, AK office. Today, we thought we would offer five tips for taking the pain out of a visit to see Dr. Michelle Slezewski and Dr. Paul Engibous:

1. Ask yourself: What are you most afraid of? Is it the sound of the drill? Do you have needle phobia? Have you been traumatized by previous dental visits? Write down your fears, one by one and talk about them during your visit.

2. Don’t wait. The more frequently your visit our office, the less work will need to be done at any given visit. Simply having your teeth cleaned professionally by Dr. Michelle Slezewski and Dr. Paul Engibous twice a year prevents many, if not most, problems down the road.

3. Bring a distraction such as music to your appointment. Just plug in those earphones, close your eyes, and get lost in the music. Listening to tunes can also be a pain killer.

4. Unwind. Inhaling slowly and counting to five helps. Try holding your breath for ten seconds, then exhale slowly to the count of eight, and repeat as needed.

5. Ask us. Before any given procedure, we encourage you to ask Dr. Michelle Slezewski and Dr. Paul Engibous or one of our assistants why we’re using the tools we’re using. Ask us what we’re doing, what the tool is used for, and how it benefits you. Also, please ask about anti-anxiety medications we may prescribe to help you relax during your appointment.

If you suffer from dental anxiety, a visit to Pediatric Dental Associates might seem like a daunting prospect. Perhaps you had a bad experience in the past, but whatever the reason, please know that at our Anchorage, AK office, there is nothing to be afraid of.

Remember, you’re not alone. We understand that going to the dentist isn’t easy for everyone. In fact, the Journal of the American Dental Association estimates that as many as 12 percent of adults suffer from dental anxiety so bad that they avoid the dentist altogether. Many more suffer from varying degrees of dental anxiety, which often results in poor oral health.

If you suffer from dental anxiety, your fears don’t have to keep you from seeing Dr. Michelle Slezewski and Dr. Paul Engibous. Our patients at Pediatric Dental Associates are our most important asset, and we strive to create a comfortable experience, no matter how long it has been since your last visit at our Anchorage, AK office. We hope to see you soon!

Dental Filling Options

November 21st, 2018

You’ve made an appointment at our Anchorage, AK office to treat your cavity, the decayed area has been removed, and the site has been cleaned and prepared for a filling. Now it’s decision time. What kind of filling should you choose? Well, that depends. There are durability, aesthetic, and price considerations involved in any of your choices, so let’s look at some options before you decide.

Gold

This is a classic choice for a reason. Gold is very durable and can last longer than fillings made from other materials. Because they are crafted from precious metal, gold fillings are more expensive than other alternatives. They are also most often indirect fillings—that is, they are not immediately placed in a tooth, but are formed based on a mold of your tooth taken on your first visit and set in position on a second visit. A gold filling is also noticeable, which can be a matter of concern or a style statement!

Metal Amalgam

An amalgam is a mixture, and an amalgam filling is usually composed of several metallic elements, including silver, tin, copper, and mercury. This filling is also very durable and is one of the most cost-effective choices. Its silver color does not blend into the tooth, so visibility is a factor. Amalgam fillings are considered a safe option, but, if you wonder about potential metal allergies or the amount and kind of mercury involved, we will be happy to discuss your concerns. One possible drawback to amalgam fillings is that sometimes more tooth structure needs to be removed to accommodate them, so this is also a subject we can discuss.

Composite Resins

These fillings are often selected because they are both durable and almost invisible when the color is matched to your tooth. Made of acrylic resin and powdered glass, a composite filling is what is called a “direct filling”—one that can be completed and bonded to the tooth in one visit. These are often more expensive than amalgam fillings, but might be preferable for cosmetic reasons, especially when a front tooth is involved. They also need less tooth structure removed to accommodate them and can be better bonded to small excavations than some other options. They can be prone to staining over time.

Ceramic

Ceramic fillings have the virtue of being virtually undetectable. They can be color-matched to your teeth for a seamless look, and are more stain-resistant than composite fillings. They are also a more expensive option, and, like gold fillings, can involve a two-phase process with a filling molded to fit the excavation site placed in your tooth on a second visit.

Dr. Michelle Slezewski and Dr. Paul Engibous and our team are happy to discuss all of your options before it is time to treat your cavity, since there are a number of factors which might impact your decision. A molar will require a more durable filling than a front tooth, while being less visible when you smile or speak. Insurance plans might pay for only a portion of a filling’s cost if it is more expensive than an amalgam, or will pay for a composite filling only if it is in a visible location. We can help you decide which filling best fits all your needs, providing you with the healthy and beautiful smile you deserve!

What exactly is periodontal disease?

November 14th, 2018

Periodontal disease is an infection of the tissues that surround and support your teeth. Our team at Pediatric Dental Associates wants you to know that this common ailment can be fixed with little worry if treated properly.

Periodontal disease is usually identified through dental X-rays, probe depths, and visual exams. If left untreated, it can lead to tooth sensitivity, premature tooth loss, or discomfort and pain in your mouth. Some common symptoms to watch for include bleeding or swollen gums, bad breath, teeth movement, or jaw displacement.

Factors that may increase your risk of developing periodontal disease may include poor oral hygiene, smoking/chewing tobacco, genetics, stress, inadequate nutrition, pregnancy, diabetes, and some medications. Some of these causes are avoidable, but others are not.

If you have diabetes, you may be more prone to periodontal disease due to the greater difficulty in controlling blood glucose levels. Studies have shown that once periodontal disease is treated, glucose levels become more responsive to control as well. If your risk for periodontal disease is heightened by one of these factors, make sure to watch for the signs and keep up with your daily oral hygiene routine.

How can you treat this common disease that affects almost half of the population? Depending on the severity, treatment can include a medicated mouth rinse, antibiotic treatment, laser therapy, or scaling and root planing. It’s useful to recall that this condition can vary from mild to severe, which is why you should make an appointment at our Anchorage, AK office if you notice any of the above symptoms.

 

DIY Cures for Bad Breath

November 7th, 2018

Are you afraid to open your mouth because you have bad breath? You’re not alone bad breath or Halitosis happens to everyone, at one time or another. If you have chronic bad breath there could be a number of reasons, including:

  • Gum disease
  • Sinus problems
  • Bacterial infection in your mouth
  • Stress
  • Strong odor from something you ate
  • Dry mouth

The good news is, none of the causes of bad breath are serious, and they can all be treated. There is a long list of DIY home remedies that have proven effective. Before you try any of them you should be evaluated by Dr. Michelle Slezewski and Dr. Paul Engibous to make sure you do not have a serious oral infection. Of course, you should also always practice good oral hygiene. If you go a week without brushing your teeth, your bad breath is going to be horrible!

1. Cinnamon Mouthwash

Cinnamon is known to help prevent bacteria in your mouth, and lemon has strong citrus properties that will eliminate your bad breath problem.

Preparation

  • Put a half teaspoon of cinnamon in a jar or bottle that has tight fitting lid.
  • Next add the juice from two lemons freshly squeezed lemons.
  • Combine all of the ingredients in a cup of lukewarm water and pour into your jar.
  • Shake the jar well and set it aside for two to three hours.
  • Before using the mouthwash always shake it well.
  • Gargle and swish one to two tablespoons of the mouthwash for about a minute

2. Tea

Black and green tea are beneficial in prevent bad breath. Black tea aids in controlling plaque and bacteria that can cause bad breath. Green tea contains antibacterial properties that fight off the natural occurring germs in your mouth, keeping your breath fresh. Both black and green tea contains polyphenol, a property that can prevent the formation of the foul odor caused by bacterial growth.

Preparation

  • Steep a black of green tea bag in one cup of hot water and drink one to two cups a day to keep your bad breath away.

3. Tea Tree Oil

Tea tree oil contains natural antiseptic and anti-fungal properties that help kill bacteria and fungi in your mouth, caused by particles of food left behind.

Preparation

  • You will need one teaspoon of tea tree oil, peppermint oil, and lemon oil.
  • Combine all three in eight ounces of lukewarm water and stir well. Use daily as a mouthwash to get rid of your bad breath.

Nitrous Oxide

October 31st, 2018

Nitrous oxide is a gaseous sedative that’s inhaled through a small mask placed over the nose. Often referred to as laughing gas — because of the euphoric effects it produces — nitrous is used in our Anchorage, AK office for its anesthetic/analgesic properties.

It will make it so you don’t feel the pain of dental treatment or have an experience that some patients may find traumatic.

Nitrous oxide’s use in the dental field dates back to about the mid-1800s, but when it was introduced, practitioners didn't understand the need to add oxygen. These days all nitrous oxide is administered with at least 30% oxygen for safety (so it forms the compound N2O-O2).

If you need any form of dental treatment, Dr. Michelle Slezewski and Dr. Paul Engibous may find it necessary to administer nitrous oxide. Some of the effects you may experience while you’re sedated include:

  • Lightheadedness, tingling in the arms and legs, followed by a warm or comforting sensation
  • A euphoric feeling or feeling like you are floating
  • Inability to keep your eyes open, so it seems as if you’re asleep

If at any time you feel uncomfortable, irritated, or sick, let Dr. Michelle Slezewski and Dr. Paul Engibous know, so the percentage of nitrous oxide being used can be adjusted. The effects dissipate quickly once you return to breathing regular air.

It’s best to be informed about all aspects of your dental treatment before you arrive. There are alternatives to nitrous oxide, so if you’re at all concerned, please don’t hesitate to ask questions about other options for sedation.

Analgesic (numbing) injections can often be used locally at the surgical site. We’ll find what works best for your particular case.

How many times a day should I floss?

October 24th, 2018

Flossing is one of the most important parts of your oral care routine. Many patients know they need to do it but find it difficult to fit into their busy lives. Well, here's the good news: flossing once a day is enough if you're doing a good job!

Some patients like to brush before they floss and others like to floss before they brush. Some like to floss in the morning when they have more energy, others like to floss at night so they can go to bed with a clean mouth. Don't get hung up on any of this, the important thing is that you floss and floss effectively no matter when you do it.

Effective flossing contributes to oral health in these ways:

  • It reduces the chance of cavities between teeth, since cavities can only form on teeth covered with dental plaque and you're scraping that plaque away when you floss.
  • Along with brushing, it reduces the amount of time the plaque is left on your teeth, allowing them to be in a state of healing and remineralization for longer.
  • It removes plaque that accumulates at or below the gum line, aiding in the prevention of gum disease.

As you can see, flossing offers many benefits for such a simple and inexpensive technique. So if you're still wondering how much to floss, don't worry about it. Don't mistake the frequency of your flossing with the effectiveness of it. Choose a dental floss that you like and one time during the day when you can floss thoroughly and just do it! If you need more tips on how to floss correctly, ask Dr. Michelle Slezewski and Dr. Paul Engibous or any member of our Anchorage, AK team—we'd be glad to help you pick up this healthy habit!

Questions on Dental Implants? We’ve Got You Covered.

October 17th, 2018

Whether you’ve lost a tooth from decay, are preparing for dentures, or were born with a gap where a tooth should have been, you could be a candidate for dental implants.

Dental implants have changed a lot since their debut in 1965, thanks to continuing advances in design and technology. Today, you no longer have to worry about whether dental implants might have a negative aesthetic impact on your smile.

So what are dental implants? Pretty much what they sound like: An implant is a replacement tooth that substitutes for a missing natural one. It gets placed through several steps; it’s a process that can take a few months.

The initial step involves the surgical implantation of the implant root, which resembles a small screw. After that’s placed, the top is covered with gum tissue to enable it to heal faster. This is an essential phase in the process, since this portion of the implant will serve as the base of support for everything else.

In the second step, the implant gets uncovered and an implant restoration (or crown) is created and affixed to it. After that, you’ve got yourself a new tooth!

While dental implants require a little special care, it’s all easily manageable. All you have to do at home is make sure you brush and floss your implant daily, the same as you would for any other tooth. Although an implant can’t develop a cavity, if something were to get stuck in it, that could lead to a gum infection.

If you have any other questions about dental implants, give our Anchorage, AK office a call!

Top Five Best Foods for Oral Health

October 10th, 2018

Some foods are just terrible for your teeth — think cookies and candy bars — but there are certain foods that are beneficial to your oral health. Below, Dr. Michelle Slezewski and Dr. Paul Engibous and our team have covered five of the top foods to keep your teeth and gums healthy!

1. Crispy, low-acid fruits and vegetables: Fruits like apples and vegetables such as carrots and celery act like “natural toothbrushes,” helping to clear plaque from your teeth and freshen your breath.

2. Kiwis: These little green superstars are packed with vitamin C which is essential for gum health. The collagen in your gums is strengthened when you consume foods that are high in vitamin C, like kiwis, thus helping to prevent periodontal problems.

3. Raw onions: Onions have long been studied for their antimicrobial, antibacterial, and antioxidant properties. Proliferation of bacteria is what leads to tooth decay and cavities. By including raw onions in your diet, you'll be doing your part to wipe out those little microbes before they can multiply!

4. Shiitake Mushrooms: A specific compound in shiitake mushrooms, lentinan, has been shown to have antibacterial properties that target the microbes that cause cavities while leaving other beneficial bacteria alone. It may also help prevent gingivitis, or inflammation of the gums.

5. Green Tea: Often lauded for its high antioxidant content and many health benefits, it turns out green tea also benefits your oral health! A Japanese study found men who drank green tea on a regular basis had a lower occurrence of periodontal disease compared to men who drank green tea infrequently. It's believed this is due to the catechins in green tea, a type of flavonoid that may help protect you from free radical damage, but more research needs to be done. Either way, drink up for your overall health, as well as your teeth!

If you have any questions about your oral health, or are looking for even more oral health tips, contact our Anchorage, AK office!

Ask Us about These Dental Treatments

October 3rd, 2018

There are a few dental treatments that Dr. Michelle Slezewski and Dr. Paul Engibous and our team recommend for all patients to get if they wish to protect their oral health. Sometimes it’s hard for patients to decide which treatment plan would be best for their teeth. Learn about these three must-have treatments and how they can help protect your teeth in various ways.

Professional Cleanings

First, get a professional dental cleaning every six months. Regular cleanings can protect you from potential gum disease because they enable us to catch it early.

Cleanings also will get rid of plaque and tartar that have collected on your teeth over time. Oral health has been linked to your body’s overall health. We recommend scheduling your appointments in advance: Feel free to contact our practice’s Anchorage, AK location if you forget when you scheduled your next visit. Our staff will be happy to assist you.

Periodontal Exams

We also recommend that all our patients at Pediatric Dental Associates receive a complete periodontal exam each year. You can ask about this during your regular, scheduled cleanings.

It’s a quick and painless procedure in which our hygienist probes each tooth to make sure the bone and soft tissue are healthy. If there’s a sign of infection, we will be able to treat it effectively before painful symptoms kick in.

Many adult patients are unaware that they have periodontal disease, and they may suffer the loss of a tooth if it goes untreated. Make sure you schedule a periodontal exam each year and save yourself a lot of time and pain.

Sealants

We also recommend dental sealants, particularly to protect your molars. Many people assume this treatment is just for kids to prevent cavities, but it can be used for adults too!

Sealants provide a protective barrier on your teeth that can help block against the buildup of plaque in those hard-to-reach areas in the back of your mouth. If you received sealants as a child, chances are they’ve worn off over time.

So if you want to save dental costs over the long haul, we recommend getting sealants again for cavity protection.

Dr. Michelle Slezewski and Dr. Paul Engibous and our team hope you take our advice when it comes to your oral hygiene and schedule regular appointments for your dental cleanings. We look forward to seeing you at your next appointment!

Xerostomia: Big Word, Common Problem

September 26th, 2018

Xerostomia might sound like a serious and rare condition, but it’s more common than you think. If you’ve been feeling like your mouth is constantly dry, you may already be having your first encounter with it.

Xerostomia refers to when you have a dry mouth due to absent or reduced saliva flow. Now you might assume this is not a big deal, but a lack of saliva can threaten your dental health or worse, because it can be a sign of a bigger overall problem.

Some of the more common symptoms to watch for are a sore throat, difficulty swallowing, a burning sensation on the tongue, and of course, a significant lack of saliva. Because xerostomia entails a reduction in saliva, you have less of a buffer between your teeth and the food you eat, which makes you more vulnerable to cavities and tooth decay. It also means that food is more likely to get stuck in your mouth.

So what causes xerostomia? There can be many different culprits. One of the most common causes involves medication. If you’re taking antidepressants, muscle relaxers, anti-diarrhea medicine, anti-anxiety medicine, or antihistamines, this could be the reason for your xerostomia.

Dry mouth may also be a warning sign for other health issues. These can include lupus, diabetes, thyroid disease, arthritis, or hypertension. Patients that receive any kind of chemotherapy might also experience xerostomia as a side effect of their treatment.

If you’re experiencing symptoms of dry mouth, there are several things you can do:

  • This may seem obvious, but you should drink generous amounts of water. If you’re taking any of the medications known to cause xerostomia, a glass of water before and after administering the medication could be helpful.
  • Avoid heavily caffeinated drinks, since they will dehydrate you further.
  • Opt for a mouthwash that contains little to no alcohol.
  • Consume excessively sugary or acidic foods in moderation, if at all.
  • Try adding a humidifier to your room while you sleep, to add moisture to the air you’ll be breathing.

As always, stay on top of your brushing and flossing routines, and if you feel you might be suffering from xerostomia, please let Dr. Michelle Slezewski and Dr. Paul Engibous know during your next visit to our Anchorage, AK office. We’re happy to recommend products we’ve found to be successful in treating xerostomia.

Tooth Discoloration: Common causes and what you can do to stop it

September 19th, 2018

Looking back at childhood photos, you may notice picture after picture of yourself with a mouthful of shiny white teeth. When you look in the mirror today, you wonder what happened to that beautiful smile. Many adults struggle with tooth discoloration and find it embarrassing to show off their teeth in a smile. Once you identify the cause of your tooth discoloration, there are treatment options at Pediatric Dental Associates that can restore your teeth and your confidence.

What Causes Tooth Discoloration?

There are a host of factors that may cause your teeth to discolor. Some are directly under your control, and others may not be preventable. Here is a list of common reasons that teeth become discolored.

  • Genetics: Much of your dental health is determined by genetic factors beyond your control. Some people naturally have thinner enamel or discolored teeth.
  • Medications: Several medications lead to tooth discoloration as a side effect. If you received the common antibiotics doxycycline or tetracycline as a child, your teeth may have discolored as a consequence. Antihistamines, high blood pressure medications, and antipsychotic drugs can also discolor teeth. If you think a medication may be leading to tooth discoloration, talk to Dr. Michelle Slezewski and Dr. Paul Engibous. Never discontinue the use of a medication without consulting your doctor, however.
  • Medical Conditions: Genetic conditions such as amelogenesis or dentinogenesis cause improper development of the enamel, and can lead to yellowed, discolored teeth.
  • Poor Dental Hygiene: Failing to brush your teeth at least twice a day or regularly floss may lead to tooth decay and discoloration.
  • Foods and Tobacco: Consumption of certain foods, including coffee, tea, wine, soda, apples, or potatoes, can cause tooth discoloration. Tobacco use also causes teeth to turn yellow or brown.

Treatments for Tooth Discoloration

There are a variety of treatments available to individuals with discolored teeth. One of the easiest ways to reduce tooth discoloration is through prevention. Avoid drinking red wine, soda, or coffee and stop using tobacco products. If you drink beverages that tend to leave stains, brush your teeth immediately or swish with water to reduce staining.

After determining the cause of tooth discoloration, Dr. Michelle Slezewski and Dr. Paul Engibous can suggest other treatment options. Over-the-counter whitening agents might help, but in-office whitening treatments provided at our Anchorage, AK office would be more effective. When whitening agents do not help, bondings or veneers are among the alternative solutions for tooth discoloration.

If you are worried about your teeth becoming yellow or brown, think carefully about your diet and medication use. Talk to Dr. Michelle Slezewski and Dr. Paul Engibous to identify substances that may be causing the problem. After treatment for tooth discoloration, you will have a beautiful white smile you can be proud to show off.

Dental Visits Are Not So Bad

September 12th, 2018

Many people dread going to the dentist. Dental visits have the reputation of being painful and uncomfortable, and it is common for people to compare unfortunate situations such as having a root canal or feeling the dentist’s drill. However, at Pediatric Dental Associates, dental visits are not that bad.

Your regular cleaning and checkup are noninvasive. They require no drilling, Novocain, or needles, and you go home with refreshingly clean teeth. When your hygienist cleans your teeth, you are literally receiving individualized care from a professional as you sit back and relax.

In the days before the use of Novocain or other anesthetics, dental work could be painful. Thankfully, those days are gone! Now you are unlikely to feel a thing, even during the most extensive procedures. In addition, most dental work such as fillings, root canals, and crowns can be performed in one to two visits, so you do not need to keep returning to Pediatric Dental Associates.

An incentive for getting over your fear and coming to the dentist is that getting your dental work done can dramatically improve your quality of life. Dr. Michelle Slezewski and Dr. Paul Engibous can address tooth problems that have caused toothaches or prevented you from eating the foods you like. As a bonus, regular visits with Dr. Michelle Slezewski and Dr. Paul Engibous and our staff allow us to identify conditions such as periodontal disease, which can indicate risk for seemingly unrelated health conditions, such as heart disease and diabetes.

Good Teeth Lead to Sporting Success

September 7th, 2018

You already know that taking care of your teeth can help prevent tooth decay and the need for extensive work such as root canals or implants, which can be inconvenient and expensive. But the benefits of good teeth can go far beyond having an attractive smile and being able to crunch carrots and chew meat.

The American Dental Association explains that healthy teeth are linked to a lower risk for heart disease and diabetes. Furthermore, recent research published in the British Journal of Sports Medicine states that good teeth can improve athletic performance among elite athletes.

Researchers examined the oral health of nearly 300 athletes in 25 sports at the 2012 Olympics in London. They looked for conditions such as dental caries, gingivitis, dental erosion, and periodontal disease, and asked about recent visits to a dentist.

Study investigators also asked athletes whether their oral health interfered with quality of life or athletic training and performance. The study concluded that poor oral health and fewer dental visits led to interference with preparation for competition.

This can happen for a few reasons. Tooth pain can disrupt sleep, which leads to slower reaction times. Oral health conditions can indicate chronic inflammation in the body, which means suboptimal performances on an elite level. Tooth pain can interfere with focus during training and competition.

Unfortunately, merely taking good care of your teeth won’t turn you into an Olympic gold medalist. However, the benefits can still be worthwhile. Even if healthy teeth provide little if any detectable gain in your athletic abilities, the potential benefits of maintaining a healthy mouth clearly go far beyond an attractive smile.

Practicing good oral hygiene and seeing Dr. Michelle Slezewski and Dr. Paul Engibous regularly can promote your physical health, and maybe – just maybe – you will start to achieve an advantage over your weekend athletic opponents.

Top Reasons People Choose Veneers

September 5th, 2018

Dental veneers are a way to correct and transform your smile by using “contact lens”-thin shells of porcelain or ceramic material and bonding them to the front of your teeth. They are strong and durable, look and feel like natural teeth, and improve your smile immediately. Here are some of the top reasons to consider getting dental veneers.

They Correct Multiple Cosmetic Issues

Dental veneers can help with cosmetic and dental health issues, and treat multiple problems at once. Some common reasons that individuals choose veneers is to close gaps and spaces between the teeth, fix alignment issues, change the overall shape and appearance of a tooth, whiten a smile by covering stained or discolored teeth, and cover chipped or cracked teeth.

If you have teeth that are already worn down and weakened, veneers help prevent further damage by covering them with a thin, tooth-colored shell.

Durability

Dental veneers are also extremely durable. They last several years longer than traditional composite fillings. You’ll have peace of mind when you choose veneers, knowing that you’ll have your new smile for many years. On average, dental veneers last about ten to 15 years. Just like your natural teeth, when you take good care of your veneers, they last longer.

Easy to Clean and Maintain

Keeping your veneers healthy and white is easy: You simply brush and floss them the way you do all of your teeth. Shortly after having your veneers installed, you’ll begin to think of them as your natural teeth because the thin shells lie right on top of your existing teeth. This makes it easy to floss and brush the way you normally would and keep them as clean as possible.

The Process is Simple

Getting dental veneers is a quick and easy process. You have a few short visits at Pediatric Dental Associates and see results. On average, it only takes about four weeks from your first appointment to your last to complete the veneer process.

If you are considering getting dental veneers, schedule a consultation appointment with Dr. Michelle Slezewski and Dr. Paul Engibous to find out exactly how they can benefit you.

Is there a connection between oral health and school performance?

August 29th, 2018

As a parent, you want the best for your children, and that includes doing their best in school. You can support them by taking an interest in their activities, being enthusiastic about attendance, and helping them with homework. There may also be one more way you can help your children succeed at school. Surprisingly, research suggests that children with better oral health are likely to do better in school.

What the Research Says

One study in North Carolina looked at risk factors for poor school performance among school-aged children. As expected, the study found poor school performance linked to low socioeconomic status, low levels of parental education, and poor overall health. However, it also found a strong link between poor oral health and poor school performance, with children classified as having poor oral health 40 percent more likely struggle in school.

These findings are generalizable to the rest of the country. For example, attendance is an important factor in academic achievement, but dental conditions are responsible for a loss 51 million school hours among schoolchildren each year. Dental pain and infection are linked to poorer performance.

School-Based Programs to Promote Oral Health

In light of the apparent benefits of good oral health for school performance, some schools are taking steps to promote better oral care and health. In Maine, for instance, schools in need can apply for grants through School Oral Health Program (SOHP). The SOHP consists of four components:

  1. Oral health education for all children to support healthy behaviors
  2. A weekly fluoride mouth rinse to strengthen teeth
  3. Dental screenings to identify children who may need dental care
  4. Dental sealants, or plastic coatings, on back teeth to guard against decay

The State of Maine also supports an “Annual Sugar Out Day” to raise awareness of the effects of sugar on dental health and to help students choose low-sugar alternatives.

Oral Health Habits to Adopt

You can help your child improve oral health and do better in school by encouraging good oral hygiene. This includes brushing at least twice a day with a fluoride-containing toothpaste, and reminding your child to drink water after eating. Also, regular trips to our Anchorage, AK office can help prevent serious tooth problems.

What exactly is a cavity?

August 22nd, 2018

We all know how discouraging can be it to hear you have a dental cavity. Knowing how cavities form can help you prevent them from popping up in your mouth. If you want to avoid a trip to see Dr. Michelle Slezewski and Dr. Paul Engibous, pay attention to the measures you can take to prevent bothersome cavities.

Did you know that cavities are properly a symptom of a disease called caries? When you have caries, the number of bad bacteria in your mouth increases, which causes an acceleration in tooth decay. Caries are caused by a pH imbalance in your mouth that creates problems with the biofilm on the teeth.

When there are long periods of low pH balance in the mouth, this creates a breeding ground for bacteria. When you get caries, this type of bacteria thrives in an acidic environment.

Depending on which foods and beverages you consume, the biofilm pH in your mouth will vary. The lower the pH number, the higher the acidity. When your intake contains mostly acidic foods that sit on your teeth, cavities begin to form. Water has a neutral pH, which makes it a good tool to promote a healthy pH balance in your mouth.

A healthy pH balance in your mouth will prevent cavities from forming over time. Mouth breathing and specific medications may also be factors that contribute to the development of caries when saliva flow decreases. Without saliva flow to act as a buffer against acid, bacteria has a higher chance of growing.

Don’t forget: Getting cavities isn’t only about eating too many sweets. It’s also about managing the pH levels in your mouth and preventing bad bacteria from growing on your teeth.

If you think you might have a cavity forming in your mouth, schedule an appointment at our Anchorage, AK office. It’s worthwhile to treat cavities early and avoid extensive procedures such as root canals from becoming necessary.

Keep up with brushing, flossing, and rinsing with mouthwash so you can prevent cavities over time.

Protecting Your Child’s Smile with Mouthguards

August 15th, 2018

If your child participates in sports or other physical activities, it’s wise to consider getting a mouthguard. Also known as mouth protectors, mouthguards are a device worn over the teeth to lessen the impact of a blow to the face.

This reduces the chance that your child might lose teeth or sustain other serious oral injuries. We recommend that all patients involved in a contact sport such as wrestling, football, or hockey wear a mouthguard because of the high risk of such injuries.

However, anyone involved in a physically demanding sport or activity should wear a mouthguard as well.

Can you imagine what it would be like to lose a few of your front teeth? The way you talk, eat, and smile would all change.

Injuries that can be sustained when not wearing a mouthguard include:

  • Chipped and broken teeth
  • Fractured jaws
  • Root damage
  • Concussions
  • Injury to the lips, cheeks, or gums

Types of Mouthguards

There are three different types of mouthguards — typically made of a soft plastic material or laminate. You can decide which works best for your child in terms of budget, fit, and comfort.

  • Stock mouthguards are prefabricated to a standard size. They offer adequate protection, but you need to find one that fits your child properly and comfortably. Stock mouthguards are readily available at department stores, sporting goods stores, and online.
  • Boil-and-bite mouthguards are placed in boiling water to soften them, then into the mouth so they can conform to the shape of the teeth. Boil-and-bite mouthguards are more expensive, but offer a more customized fit than stock ones. You can find these in department stores, pharmacies, sporting goods stores, and online.
  • Custom-made mouthguards are created just for your child by Dr. Michelle Slezewski and Dr. Paul Engibous. These offer the best fit and comfort of all the options, but they are also the most expensive. Ask a member of our Anchorage, AK team for more information.

The American Dental Association says a good mouthguard should be easy to clean, fit properly, be comfortable, and resist tearing or damage. It shouldn’t restrict speech or breathing.

Still not sure if your child needs a mouthguard or which kind is right for his or her smile? Ask Dr. Michelle Slezewski and Dr. Paul Engibous or one of our staff members for more information.

Dental X-Rays: Are They Safe?

August 8th, 2018

X-rays have been a function of dental healthcare for a long time. That in and of itself should be good news, because it means we've had plenty of time to improve them. While there is always some risk in exposure to radiation, dental X-ray exposure has decreased significantly due to all the advances in technology. So there’s risk, but X-rays are quite safe.

Think of X-rays as you would about a car. Automobiles these days have all kinds of technology to make them as safe as possible. There's still a chance that you’ll suffer an accident. Would you stop using a car because of that risk? When it comes to dental X-rays, Dr. Michelle Slezewski and Dr. Paul Engibous and our team believe the positives clearly outweigh the negatives.

X-rays can be done digitally or with film. For film, X-rays require different exposures at different speeds to produce the image. Digital X-rays have software that automatically adjusts the exposure and produces the X-ray in a digital file. Since they substantially reduce your exposure to radiation, digital X-rays are the current standard in dental offices.

In addition to digital X-rays, lead aprons are an essential piece of X-ray safety. They help protect internal organs from X-rays by acting as a shield. They usually come with a thyroid collar as well, since that is one of the most vulnerable areas to X-rays in the body. Lead aprons can absorb up to 95% of any scatter rays that result from an X-ray. Not bad, right?

Although dental X-rays involve some radiation exposure (not all of it can be eliminated), so does everyday life. Getting too much sun, for example, can be dangerous. The truth is, we accumulate radiation in our bodies over a lifetime, so it’s worthwhile to be aware and avoid as much unnecessary exposure as possible. When it comes to your dental health, though, getting an X-ray — especially when your doctor says you need it — offers more benefits than risks.

Ask us about the type of dental X-rays we use during your next visit to our Anchorage, AK office!

How can veneers improve my smile?

August 1st, 2018

Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates know your smile is an important part of your appearance; it can be a source of pride or embarrassment. Everyone deserves beautiful, straight teeth that complement their features, but few are born with natural dental perfection. Fortunately, cosmetic dentistry has come a long way in recent years, with veneers making it possible to make over your smile completely.

With dental veneers, the smile of your dreams can become a reality. These thin, wafer-like shells are crafted of porcelain and completely customized to fit your smile. Once your tooth size, shape, and color have been determined, veneers are adhered to the surface of your natural tooth, instantly transforming your appearance. What used to be a secret of the rich and famous is now highly accessible to dental patients around the world.

Benefits of dental veneers

Appearance

Dental veneers are very natural in appearance and virtually undetectable to other people. Their non-porous surfaces make them resistant to staining, which ensures they do not change color over time.

Improvements

Dental veneers can be used to improve the appearance of many kinds of imperfections. In fact, an entirely new smile can be crafted from veneers, to cover up chipped teeth, discoloration, and gaps between teeth.

Durability

Veneers are long-lasting cosmetic enhancements that can survive many years with appropriate care and maintenance. They are specially fabricated to be resistant to scratches and chipping, which makes them a practical solution for the average person.

Flexibility

Dental veneers are highly adaptable. You can opt for only a single veneer to repair a chipped or cracked tooth, or you can modify multiple teeth at once for a smile makeover.

Considerations

Keep in mind that cosmetic treatments like dental veneers are secondary to primary dental care. You must have healthy teeth and disease-free gums to be a candidate for cosmetic procedures. An initial consultation at our convenient Anchorage, AK office will reveal any underlying decay or other problems that must be addressed prior to getting veneers. Give us a call today!

Improve Your Overall Health with Regular Cleanings

July 25th, 2018

It’s common knowledge that you should get your teeth cleaned every six months. But do you know why that timing is crucial? Studies have shown that your oral health connects directly to the rest of your body. Over time, an unhealthy mouth can cause trouble in other parts of your general system.

Undergoing a regular cleaning every six months at our Anchorage, AK office is vital. During your dental checkups, we remove plaque that collects on your teeth and around your gums. If the plaque gets left in place for an extended period, inflammation can develop and may lead to painful gum diseases such as gingivitis and periodontal disease.

According to the American Academy of Periodontology, periodontal disease has been linked to increased risk for health conditions such as heart disease, stroke, diabetes, inflammation, and osteoporosis. Bacteria from your mouth can spread throughout the rest of your body. So a healthy mouth leads to a healthy body.

Regular checkups can prevent issues from arising in your mouth if problems are caught early by Dr. Michelle Slezewski and Dr. Paul Engibous. If you have been avoiding the dentist, you could be making issues worse for yourself in the long haul. Generally, a dentist will go over a few routine matters during your checkup. They might include taking X-rays, checking for gum disease and tooth decay, examining your bite, inspecting your head and neck for swelling, and of course performing a thorough cleaning of your teeth and gums to remove built-up plaque and tartar. All of these routine practices are worthwhile when it comes to keeping your oral health in top shape.

Now that you know the importance of getting your teeth checked every six months, you should be sure to schedule your next appointment with Pediatric Dental Associates at our Anchorage, AK location. Keeping your mouth healthy will prevent any form of bacteria from spreading to the rest of your body. If you have any questions or concerns regarding your oral health, don’t hesitate to call and our staff will be happy to assist you.

What is a root canal?

July 18th, 2018

A root canal entails the removal of the nerve supply from a tooth. If you know the purpose of a root canal, the process may seem a little less intimidating.

Dr. Michelle Slezewski and Dr. Paul Engibous will explain the steps in person before your scheduled root canal. Here are some reasons why you may need one and how it will be done when you visit our Anchorage, AK office for your appointment.

Let’s look at the parts of a tooth. Teeth are made up of layers. The outside is the enamel you see, which is composed of minerals. The middle layer is called dentin. It is less dense and made of calcified tissues.

The center of the tooth, also known as the pulp, holds the nerves and blood vessels. When a tooth has decayed or been infected all the way down to the pulp, a root canal is used to remove and replace the root with a filling.

A cavity, sudden trauma, severe cracks, or other events that may cause nerve damage can start an infection of the root of your tooth. You may notice an infection if you experience abnormal pain, swelling, sensitivity, or change in tooth appearance.

Don’t hesitate to contact our Anchorage, AK office to schedule an examination if you notice these symptoms. We may need to take X-rays of the problem tooth to find out if a root canal is necessary.

Once an appointment is scheduled for a root canal and we’re ready to begin the procedure, you’ll be given anesthesia to keep you comfortable. The problem tooth will be isolated and sterilized. We work to remove all the infected area after that.

The treatment will include getting rid of nerve tissue and blood vessels, then filling in the spot where the nerve used to be. A crown is placed over the area to secure enamel from breaking down in the future and prevent the potential loss of the tooth. The root canal can block the possibility of having your tooth extracted due to decay or infection.

If you have further questions about root canals or notice any new issues in your mouth, please don’t hesitate to call our office and speak with a member of our staff. We’d be happy to answer your questions and schedule an appointment for you to come and get your problem tooth checked out.

Don’t forget: You can avoid having to undergo a root canal if we catch the problem early on!

Tooth-Colored Fillings

July 11th, 2018

Once upon a time, silver fillings ruled in dental offices everywhere. For a long time, they were the only option dentists used to close off the spaces on teeth where bacteria could easily enter.

Most patients did not regard a pearly white and silver smile as something to be super excited about. Luckily, we have a range of more aesthetically pleasing options today. The most common material used for fillings now is composite, also known as tooth-colored fillings.

Composite fillings are made to match the shade of your teeth, so they offer a seamless addition to your smile. They even let light travel through them the same way that natural enamel does. Composite fillings are great because they erase imperfections and can even reshape your teeth by minimizing excessive spacing. If you have a gap between your two front teeth, for example, a composite filling is an easy, non-invasive, and most important, cost-effective way to give you the instant fix you desire.

Overall, tooth-colored fillings make an easy choice all around. Easily placed, readily repaired, and well disguised. In a world where a perfect smile seems to have become standard for everybody, why not get composite fillings for yourself?

You can smile with the confidence of knowing that nobody will spot a shiny silver thing in your mouth. Visit our Anchorage, AK office to get a consult or give us a call! We’re always happy to answer your questions.

Oral Health Concerns Specific to Pregnant Women

July 4th, 2018

A lot of changes occur in a woman's body during pregnancy. Hormone fluctuations are responsible for many of those changes, including the need for additional attention to the teeth and gums. Women who are expecting are at an increased risk for oral health complications, including gingivitis and tooth decay, which can lead to irreversible damage. Fortunately, there are steps pregnant women can take to keep their teeth and gums in optimal health from the first trimester to delivery day. Today, Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates thought we would share them.

At-home dental care

At-home dental care should not vary much from what you did prior to pregnancy. The American Dental Association recommends brushing at a minimum of twice per day using fluoridated toothpaste. Follow up with floss to keep bacteria from accumulating in hard-to-reach spaces.

Dental checkups

It is safe and recommended to continue visiting Dr. Michelle Slezewski and Dr. Paul Engibous for routine dental checkups and cleanings during pregnancy. However, it is very important to inform Dr. Michelle Slezewski and Dr. Paul Engibous about an existing pregnancy. Special steps must be taken to protect pregnant women from certain medications or X-ray radiation that could be harmful to a growing baby. On the other hand, avoiding teeth cleanings during pregnancy can lead to serious consequences, including advanced tooth decay and infection.

Food and cravings

It is no secret that pregnancy can cause a woman to crave specific foods. Sugary treats like candy, cookies, or sodas may satisfy a sweet tooth, but they can also cause serious dental problems when consumed frequently or without brushing afterward. Trade out these treats for naturally sweet fruits when possible, and never forget to brush and floss thoroughly after eating sugar-filled foods.

Signs of complications

It is important to know and recognize the signs of oral health problems during pregnancy; an early diagnosis usually translates to an easier, less-invasive treatment. Symptoms of potential problems include gums that easily bleed or are swollen, reddened, or painful. These are symptoms of gingivitis, which can lead to a receding gum line and tooth loss if left untreated.

Call our Anchorage, AK office if you experience any of these symptoms or pain in a tooth, loss of a tooth, a broken tooth, or bad breath that does not go away with brushing.

Baby Teeth and Cavities

June 27th, 2018

We know how frustrating it can be to discover your child has one or more cavities when you come to visit Pediatric Dental Associates. There are several ways to prevent baby teeth from forming cavities due to decay. Not to worry: If your child does develop a cavity on a baby tooth, Dr. Michelle Slezewski and Dr. Paul Engibous can help take care of the problem.

Let’s look at how cavities on your little one’s teeth can be prevented from developing in the first place. Most often, children suffer decay from eating sugary foods. You may think, “My child doesn’t eat lots of candy!” In truth, fruits and juices have plenty of natural sugars that can break down teeth if they aren’t brushed thoroughly.

A well-balanced diet that includes calcium and phosphorous is necessary to keep your child’s oral health in a good state. If your son or daughter drinks juice, avoid giving it before bedtime and dilute the juice with water. Good options for snacks include vegetables, low-sugar yogurt or dairy products, and plenty of milk for healthy teeth.

Another excellent preventive strategy consists of scheduling regular appointments with Dr. Michelle Slezewski and Dr. Paul Engibous for your child. Between your youngster’s annual cleanings, make sure he or she brushes and flosses every day. It’s worthwhile for your little one to brush thoroughly for at least two minutes to remove any decay or plaque that has accumulated in the mouth, especially before bedtime.

Brushing Techniques

  • Move the brush both back and forth, and in circular gentle strokes.
  • Brush the outer surfaces, inside surfaces, and chewing surfaces of all teeth.
  • Place the toothbrush at a 45-degree angle to the gums.
  • Brush the tongue to remove excess bacteria and keep breath fresh.

It’s not always possible to prevent cavities from appearing in your son or daughter’s mouth. If your child does develop a cavity, our staff will notify you during the regular scheduled cleaning.

The cavity will need to be eliminated, even when it appears on a baby tooth. Our staff will remove the decayed part of the tooth and fill in the hole so your child doesn’t have to experience any pain.

You may wonder why a baby tooth has to be fixed if it is eventually going to fall out. Baby teeth hold spaces where your child’s permanent teeth have to grow in. If the former aren’t taken care of, multiple teeth may shift and the permanent ones won’t be able to grow in properly.

If you still have questions or concerns about your child’s baby teeth, or notice signs of a cavity, please don’t hesitate to contact our Anchorage, AK office and schedule an appointment. Remember, preventive steps can be taken to avoid bothersome cavities from forming in your child’s mouth.

Is periodontal disease contagious?

June 20th, 2018

According to the Centers for Disease Control and Prevention, half of adults age 30 and over suffer from some form of gum disease. Caused by plaque buildup, gum disease is an infection of the tissue that surrounds and supports the teeth. In its advanced stages, it is known as periodontal disease. If left untreated, it can result in the loss of tissue and bone that support the teeth, causing teeth loss. It’s a preventable condition seen far too often by Dr. Michelle Slezewski and Dr. Paul Engibous.

Research between periodontal disease and other diseases is ongoing. Some studies have indicated that gum disease is linked to other health conditions such as stroke or diabetes. Furthermore, while most factors that lead to periodontal disease are dependent on the individual (genetics, diet, poor oral hygiene) there is a possibility that periodontitis is capable of spreading from one person to another.

What the Research Says

Periodontitis is a gum infection, and the bacteria that cause the gums to become infected travels in saliva. Researches have used DNA coding techniques to track the path of infection from one person to another. In other words, kissing and close contact play a role in the transmission of the infection, so if you’re married to a spouse with periodontal disease, then your chances of having gum problems are slightly increased. Other studies have indicated that saliva contact is common in family settings through coughing, sneezing, and shared utensils and food. Children with parents who have periodontal disease are at a somewhat higher risk of developing it. At the same time, just because you exchange bacteria with your loved ones doesn’t mean you will get periodontal disease.

It is important to note that the scientific evidence supporting the spread of periodontal disease is limited and ongoing. The best way to prevent gum disease is through proper plaque control, which includes brushing, flossing, mouthwash, and twice a year trips for professional cleanings. Contact our Anchorage, AK office if you have any questions about periodontal disease.

Common Emergency Visits: From lost fillings to broken dentures

June 13th, 2018

You never know when you're going to experience a dental emergency, but if you do, it should give you peace of mind to know that emergency dental care is available at our office 24/7. Whether you chip your front tooth playing softball, or your child knocks out a couple of teeth in a playground fall, receiving the emergency dental treatment you need is accessible and convenient.

If you're experiencing a dental emergency, our team at Pediatric Dental Associates is here to help you any time of the day or night. Dental emergencies should not be taken lightly, so don't delay. Contact our office as soon as possible. Common dental emergencies include the following:

Lost Fillings and Crowns

Fillings are used to repair cavities. Crowns, on the other hand, are used to cover broken or damaged teeth. Over time, it’s possible for both of these items to loosen and fall out. A lost filling or crown can be painful, because the exposed tissue may be sensitive. Hot and cold temperatures will cause discomfort. While a lost filling or crown might not be as severe a dental emergency as a broken or chipped tooth (most people respond quicker to pain than self-consciousness about their looks), you need to get it fixed as soon as possible.

Broken Dentures

If your dentures are broken, everyday tasks may become trying and arduous. If you can’t chew, swallow, or eat properly, the situation calls for emergency care. Depending on how damaged your dentures are, Dr. Michelle Slezewski and Dr. Paul Engibous may need to send out a mold of your mouth in order to have the manufacturer make a new pair. On the other hand, if the dentures are not damaged too badly, then we may be able to fix them in-house. If you're having problems with your dentures, you should give us a call as soon as possible.

From chipped and cracked teeth to lost fillings and broken dentures, dental emergencies come in all shapes and sizes. Emergencies are unexpected, but we want you to know that treatment is available, day or night. When your dental health is at risk, we are here to help. In the case of a dental emergency, don't wait; contact our Anchorage, AK office at your earliest convenience.

How HPV and Oral Cancer are Related

June 6th, 2018

Did you know that Human Papilloma Virus (HPV) and oral cancer are linked? This information may prevent you or a loved one from suffering from oral cancer if a diagnosis is made early. Dr. Michelle Slezewski and Dr. Paul Engibous and our team want you to understand how you can prevent the spread of oral cancer and protect yourself if you have HPV.

People don’t often speak up about this common virus, but we believe it’s important to educate yourself to prevent the potential spread of oral cancer. According to the Centers for Disease Control and Prevention, up to 80% of Americans will have HPV infections in their lifetime without even knowing it. Symptoms usually go unnoticed, though it’s one of the most common viruses in the U.S. The body’s immune system is generally able to kill the HPV infection without causing any noticeable issues. If you think you might have HPV, talk with primary care physician about getting the preventive vaccine or taking an HPV test.

According to the Oral Cancer Foundation, “HPV is the leading cause of oropharyngeal cancers (the very back of the mouth and throat), and a very small number of front of the mouth, oral cavity cancers. HPV16 is the version most responsible, and affects both males and females.”

Common signs of oral cancer may include:

  • Ulcers or sores that don’t heal within a couple of weeks
  • Swelling, lumps, and discoloration on the soft tissues in the mouth
  • Difficult or painful swallowing
  • Pain with chewing
  • Persistent sore throat
  • Numbness of the mouth or lips
  • Lumps felt on the outside of the neck
  • Constant coughing
  • Earaches on one side of your head

If you experience any of these side effects, please contact Pediatric Dental Associates as soon as possible.

We hope this information will help you understand the interactions between HPV and oral cancer. Please remember to take precautionary steps if you notice anything out of the ordinary with regard to your oral health. If you have any questions or concerns, contact our Anchorage, AK office.

Avoid Brushing After Every Single Meal!

May 30th, 2018

Here is some surprising yet worthwhile advice you might be hearing for the first time: Brushing can be incredibly bad for your child’s teeth if done right after eating certain foods.

Enamel is an extremely hard mineral on the exterior of each tooth. It’s actually the hardest substance in the human body: It’s even stronger than bones! Its only weakness is that acids in the food we eat can easily destroy enamel.

Healthy teeth thrive in an environment that has the proper pH balance. That ensures the mouth doesn’t start the process of demineralization—the process when alkaline turns into acid, which attacks and softens the enamel on the surface of your child’s teeth. Pores and fissures form, and that’s when the harmful bacteria go to work.

A mouth’s pH level fluctuates depending on what is eaten throughout the day. Examples of the most common highly acidic foods include citrus fruits, soda, and sugary foods. Highly acidic foods tip the balance of pH in the mouth from a healthy alkaline to a dangerous acid.

Can brushing your child’s teeth immediately after a meal lead to even more damage? The answer is yes!

Eating highly acidic foods causes your child’s teeth to be more susceptible. If your child brushes when the teeth have been weakened by acids, even more destruction can happen to the enamel. Your child’s toothbrush bristles will actually wear away some of the enamel. So it’s healthier for your child to wait at least an hour after eating or snacking to brush.

Good preventive measures to take instead of brushing after your child eats include:

  • Rinsing or drinking water
  • Chewing sugarless gum
  • Consuming dairy or non-acidic foods to conclude a meal

These practices help produce saliva, which in turn restores a healthy pH level in your child’s mouth and coats the teeth with minerals they need.

Once your child’s mouth is restored to a healthy pH level, he or she may brush normally. Keep in mind that acidic foods can weaken the enamel on the teeth and take the right measures to prevent spiking pH levels.

Still have questions? Call our Anchorage, AK office and schedule an appointment for your child with Dr. Michelle Slezewski and Dr. Paul Engibous.

The Evolution of the Toothbrush

May 23rd, 2018

Oral hygiene has always been an important part of maintaining overall health. For thousands of years, humans have found ways to keep their teeth and mouths clean. According to the American Dental Association (ADA), “early forms of the toothbrush have existed for nearly 5,000 years.” But what exactly did the first toothbrush look like?

Toothbrush Timeline

With help from The Library of Congress, Dr. Michelle Slezewski and Dr. Paul Engibous and our team have compiled a timeline with some interesting details about the evolution of the toothbrush:

  • 3000 BC – Perhaps the earliest form of the toothbrush, the “chew stick” was used by Ancient civilizations. People would rub this thin twig with a frayed end against their teeth to remove food and plaque.
  • 1498 – The bristle toothbrush was invented in China and had many similarities to the toothbrushes used today. These devices were made by attaching the stiff, coarse hairs from the back of a hog’s neck to handles that were typically made from bone or bamboo.
  • 1938 – Signaling the end of the boar bristle, Dupont de Nemours introduced nylon bristles, and Americans welcomed Doctor West’s Miracle Toothbrush, the first nylon toothbrush.
  • 1960 – The Squibb Company introduced Broxodent, one of the first electric toothbrushes, to the American market.

Toothbrushes Today

Today, there are many brands of toothbrushes that often advertise different benefits. The variety of options may seem overwhelming, but the most important thing is for you to find a toothbrush that you like and find easy to use.

The ADA recommends that you choose a toothbrush that fits comfortably and allows you to effectively reach all areas of your mouth. Whether you decide to use a manual or a powered toothbrush, make sure that you thoroughly clean all surfaces of your teeth twice a day.

Society has come a long way since the days of the chew stick, but one thing that remains the same is the importance of consistent and effective personal oral hygiene.

Canker sores, cold sores, and mouth sores: What's the difference?

May 16th, 2018

At Pediatric Dental Associates, we know many people have experienced some form of mouth sores or irritation. Some mouth sores are harmless and go away on their own after a few days, while others are more serious and should not be ignored. Mouth sores occur for many different reasons, but bacterial infections, viruses, or funguses often trigger them. The best way to tell the difference between a canker sore and a cold sore is that canker sores occur inside the mouth while cold sores occur on the outside the mouth.

The most common mouth sores are:

Canker sores: A non-contagious, small, grayish ulcer with a red border, canker sores appear inside the mouth. While outside factors such as stress, fatigue, or allergies may increase the chances of developing a canker sore, most health experts believe they stem from bacteria or a virus that attacks the immune system. Canker sores typically heal within a week or two.

Cold sores: Also called fever blisters, cold sores are contagious groups of fluid-filled blisters that often erupt around the lips and sometimes under the nose or around the chin. Cold sores are the result of the herpes simplex virus, and once infected, the virus remains in the person’s blood stream.

Leukoplakia: A potential warning sign of oral cancer, leukoplakia is a premalignant lesion that appears as a white patch on the inside of the mouth, tongue, or gums. The lesions, which are caused by excessive cell growth, usually afflict those who smoke tobacco. Dr. Michelle Slezewski and Dr. Paul Engibous may choose to have the lesion biopsied if the outbreak appears severe.

Oral candidiasis: Also called oral thrush or moniliasis, this condition is caused by the overgrowth of a type of yeast called candida. Common symptoms of oral candidiasis include white spots inside the mouth and on the tongue, redness or discomfort in the mouth area, sore throat,difficulty swallowing, and cracking at the corners of the mouth. It is important to visit Dr. Michelle Slezewski and Dr. Paul Engibous if you have oral candidiasis. If left untreated, it may infect your bloodstream, which can be very dangerous. Healthy adults do not usually get thrush, and the condition is most often seen in infants, the elderly, patients undergoing chemotherapy, or people with AIDS or other diseases that are known to weaken the immune system.

Should you have a mouth sore that lasts a week or longer, we encourage you to give us a call and schedule an examination at our Anchorage, AK office.

Xerostomia: What does that mean anyway?

May 9th, 2018

Does your mouth always feel like it’s dry? If it does you may be suffering from xerostomia. Xerostomia is defined as dry mouth resulting from reduced or absent saliva flow. There are various medical conditions that can cause this type of dry mouth, which you can ask more questions next time you visit us at Pediatric Dental Associates.

Xerostomia can factor into both minor and more serious health problems. It can affect the ability to eat and enjoy food and it can jeopardize one’s dental health. Some of the more common symptoms can include sore throat, burning sensation in the oral cavity or tongue, and difficulty swallowing.

One of the more serious problems associated with dry mouth is an increased risk of tooth decay. Decrease in saliva causes more plaque to form and there is less saliva to act as a buffer to the things we eat and drink. Less saliva also means more food debris is retained in the mouth. These things can lead to an increase in tooth decay.

So, what causes xerostomia?

There are several things that may cause xerostomia. Among the biggest culprits are prescription medications. Some examples are antihistamines, antidepressants, anti-hypertensives, anti-anxiety agents, anti-diarrheals, bronchodilators, and muscle relaxers.

Certain diseases can also cause dry mouth. The more common ones include rheumatoid arthritis, lupus, diabetes, hypertension, and thyroid disease. Xerostomia is also common in patients being treated for cancer. Head and neck radiation as well as certain chemotherapy drugs can cause severe dry mouth.

What should you do if you are experiencing dry mouth symptoms? First make sure to hydrate with plenty of water. If you are taking medications that cause xerostomia, make sure to drink water before taking the medication as well as a full glass of water with the medication. Be diligent with brushing and flossing and discuss your condition at your next appointment with Dr. Michelle Slezewski and Dr. Paul Engibous. We can recommend specific products to help moisten the oral cavity and reduce your symptoms such as saliva substitutes, xylitol products, and certain toothpastes. Another option may be a prescription home fluoride treatment to help prevent new cavities. You may want to try gum or candies to stimulate saliva flow but make sure they are sugar free! Avoid food and beverages that dehydrate such as caffeine and alcohol.

Xerostomia is a common problem that is currently on the rise. Our team can help you to reduce any symptoms and improve your comfort while living with a dry mouth. Contact our Anchorage, AK office today!

Early Detection is Key to Treating Oral Cancer

May 2nd, 2018

Every hour of every day, someone in North America dies of oral cancer, the sixth most common diagnosed form of the disease. The five-year survival rate is only 50 percent, and oral cancer is one of the few cancers whose survival rate has not improved.

This grim statistic may make you think that oral cancer is a particularly deadly form, when in fact the high death rate has more to do with how late in its development oral cancer is detected. Routine screening is the key to early detection and survival, and in our continuing efforts to provide the most advanced technology and highest quality care available to our patients at Pediatric Dental Associates, we proudly screen our patients for oral cancer.

So, who’s at risk for oral cancer?

Anyone can develop oral cancer, but some people are at a higher risk. These high-risk groups include those over the age of 50 and men, who are twice as likely as women to develop the disease. Smoking or chewing smokeless tobacco products, consuming alcohol excessively, and constant exposure to the sun at a young age are also risk factors.

How is oral cancer detected?

Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates suggest our patients perform a monthly self-examination to check for unusual red or white patches, sores, lumps, or thickenings anywhere inside the mouth, on the lips, or in the throat and neck area.

We encourage you to give us a call at our convenient Anchorage, AK office if you find any of these symptoms or if you have trouble swallowing or experience a chronic sore throat and hoarseness. During your visit, Dr. Michelle Slezewski and Dr. Paul Engibous will inspect the oral tissues and neck to determine if abnormalities are present.

What happens if oral cancer is detected?

If we discover abnormal tissues during your visit, a biopsy will be required. The results from the biopsy will be sent to a laboratory to determine if the cells are cancerous or precancerous. If a diagnosis of cancer is made, surgery, as well as treatment such as chemotherapy or radiation may be necessary. Dr. Michelle Slezewski and Dr. Paul Engibous and our team will work closely with your oncologist and other members of your medical team to ensure that you achieve the best possible oral health care both during and after treatment.

Finding out you have oral cancer can be devastating news. If you are concerned that you might be at risk for developing oral cancer, talk to us about screenings and other things you can do to reduce your risk. Through a routine visual inspection, Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates can often detect premalignant abnormalities and cancer at an early stage when treatment is both less expensive and more successful, and can potentially save your life. Ask us about a screening during your next visit!

I can't stop grinding my teeth! How can a dentist help?

April 25th, 2018

Dr. Michelle Slezewski and Dr. Paul Engibous will tell you that while you are sleep, your mouth may be very active. If you find yourself waking up with headaches, facial pain, neck aches, or a sore jaw, you may have tooth grinding, a condition we also call bruxism.

We see many people who experience some extent of tooth grinding, but a very small percentage of the population actually experiences symptoms severe enough to warrant visiting a doctor. If you continually experience any of the symptoms listed above, we encourage you to give us a call at our Anchorage, AK office so that we may be able to diagnose and treat the problem.

The most common treatments include:

  • Reducing your stress level to help relax your jaw muscles and prevent grinding
  • A custom-made night guard to cushion your teeth and protect them from damage
  • Changing your eating habits. Coffee, tea, or alcohol before bed can increase your chance of nightly grinding
  • If your jaw or teeth are misaligned, Dr. Michelle Slezewski and Dr. Paul Engibous may also recommend a brace to decrease grinding.

Grinding your teeth can have serious consequences that, if left untreated, can lead to tooth fractures and damage to the TMJ (temporomandibular joint).

If you think your teeth may not be getting the rest they need at night, we encourage you to give us a call and schedule an appointment with Dr. Michelle Slezewski and Dr. Paul Engibous. Call us today!

How Sedation Dentistry Can Help You Overcome Dental Anxiety

April 18th, 2018

Putting off your dental visit to Pediatric Dental Associates because of fear or anxiety only increases the potential for tooth decay or gum problems. At our office, Dr. Michelle Slezewski and Dr. Paul Engibous and our team offer solutions that allow you to relax, without any pain, so you can keep your mouth healthy. Our solutions can help with many different anxiety issues for both adults and children.

Help with minor anxiety

Nitrous oxide is an excellent choice for most patients. Sometimes referred to as laughing gas, nitrous oxide can be regulated to provide you with the amount of sedation you need. When used before a local anesthetic, the injection will not be uncomfortable and you should not notice any pain during your procedure.

If you plan to use nitrous oxide, you can drive yourself to your appointment. In most cases, you will be fine to drive after your treatment: the sedation wears off quickly. Nitrous oxide can also be used along with other sedation techniques to produce a higher level of sedation.

Oral sedatives are available in a liquid or pill form. If you experience moderate anxiety levels, you can be given a tablet to take before your appointment. This type of sedation will be beneficial in relieving the anxiety that can build before your procedure. However, if you choose this method, you cannot drive yourself to your appointment.

Help with major dental anxiety

If you experience extreme levels of stress and anxiety about dental treatment, you may wish to discuss deep sedation or general anesthesia. With these techniques, you will be barely conscious or unconscious during your procedure. You will not feel discomfort or pain. Once you have experienced dentistry with a sedation technique, your anxiety level may decrease on its own.

People are not born with the fear of a dental exam. Unfortunately, most anxiety issues are due to a bad dental experience or childhood trauma. Sometimes anxiety comes from listening to the tales of others, who may have exaggerated their story. Talk to Dr. Michelle Slezewski and Dr. Paul Engibous and our team about your dental concerns or fears. Let us help you so you can get the dental care you need for a healthy mouth for life.

For more information about overcoming dental anxiety, or to schedule an appointment with Dr. Michelle Slezewski and Dr. Paul Engibous, please give us a call at our convenient Anchorage, AK office!

Ten Fun Things to Do with Your Old Toothbrush

April 11th, 2018

Dr. Michelle Slezewski and Dr. Paul Engibous and our staff recommend that you replace your worn-out, germy toothbrush with a new one every three months. But most people either forget or resist getting rid of something that is still “working.”

Maybe if they had a few ideas for putting that old toothbrush to good use, more people would take our advice? To encourage good oral practices, we offer these ten fun things you can do with your used toothbrush:

1. Let your five-year-old budding Da Vinci create a masterpiece with some paint and your old toothbrush.

2. Scrub oily areas on your face with your toothbrush. The bristles are perfect for removing embedded dirt and oil that clogs pores.

3. Pamper your hamster by brushing his fur with an old toothbrush.

4. Dab a bit of Vaseline on the bristles and comb your eyelashes: instant glamour! Got dry, flaky lips? Slough away by using a toothbrush on your lips.

5. Remove the bristles: instant small plant stakes!

6. Old toothbrushes are great for spot-cleaning just about anything.

7. When nobody is around to scratch an unreachable itch on your back, turn that old toothbrush into your personal backscratcher.

8. Is your dog’s breath so bad that all your houseplants have died? Try brushing his teeth with your old toothbrush so that his kisses (and breath) are more tolerable.

9. Give your fish the cleanest tank in the neighborhood by scrubbing it with your old toothbrush.

10. Did you notice a few gray hairs sprouting from your hairline this morning? Old toothbrushes were made for touch-up dye jobs; works for dyeing your eyebrows, too!

Oral Cancer Awareness Month

April 4th, 2018

Happy Oral Cancer Awareness Month! We know oral cancer can be kind of a scary topic, but it’s worth using this opportunity to learn about the disease and spread knowledge so everyone becomes more aware. The more we know, the better we can work to prevent it!

Oral cancer is exactly what it sounds like: cancer that occurs anywhere in the mouth. It could occur on the tongue, the lips, the gums, the tongue, inside the cheek, or in the roof or floor of the mouth. Every  year, more than 8,000 people die from oral cancer. It’s a truly deadly disease.

The reason oral cancer scores a higher death rate than other common cancers such as testicular cancer, Hodgkin’s disease, thyroid cancer, cervical cancer, or even skin cancer, is because it often goes undetected until it's become too advanced and has spread to another part of the body.

So what causes this devastating disease? There is no clear answer, but some potential causes have been identified. By being aware of these, we can be alert and promote prevention of this illness:

  • Age: Most patients who develop oral cancer are above the age of 40. If you’re over 40, make sure your doctor checks for signs of oral cancer and that you stay on your dental hygiene regimen.
  • Tobacco: Excessive tobacco use, whether in the form of cigarette smoking or tobacco chewing, can be a substantial contributor and cause of oral cancer. So that’s another reason, among many, you should avoid tobacco.
  • Alcohol: Excessive alcohol consumption can put you at risk because alcohol converts into a chemical called acetaldehyde, which damages the body’s DNA and blocks cells from repairing the damage. When paired with tobacco, the dehydrating effects of alcohol make it even easier for tobacco to infiltrate mouth tissue.
  • Sun exposure: Your lips need SPF, too! Repeated sun exposure increases your risk of contracting cancer on your lips, especially the lower lip.
  • Diet: Not getting all the nutrients you need, from vegetables and fruits for instance, can weaken your immune system and make you more vulnerable to the disease.

Obviously, many of these causes relate to lifestyle choices, which we have control over. It's all about balance, being aware, and making small tweaks to our habits if we need to.

If you’re concerned that you may be at risk for oral cancer, give us a call to talk about a screening. And if you’ve been putting off a visit to our Anchorage, AK office, now is an excellent time to schedule one. Regular visits to the dentist can be the first line of defense against oral cancer!

What is hand-foot-and-mouth disease?

March 28th, 2018

Hand-foot-and-mouth disease, or HFMD, is a type of contagious viral illness that causes a rash in the mouth and on the hands and feet of infants and young children, and, while rare, adults. Characterized by sores in the mouth and a rash on the hands and feet, hand-foot-and-mouth disease is most commonly caused by a coxsackievirus, a bacterium that lives in the human digestive tract. HFMD can spread from person to person, typically via unwashed hands.

What are the symptoms of HFMD?

Symptoms of HFMD usually begin with a fever, sore throat, poor appetite, or general malaise. A couple of days after the fever starts, kids may develop painful sores in the mouth. A skin rash characterized by red spots may also develop, usually on the palms of your child’s hands and soles of their feet. It’s important to note some children may only experience a rash while others may only have mouth sores.

Is HFMD serious? Should we be concerned?

Usually not. Nearly all children infected recover anywhere between seven to ten days without medical treatment. Rarely, however, a child can develop viral meningitis and may need to be hospitalized. Other rare complications of HFMD can include encephalitis (brain inflammation), which can be fatal.

How can my child prevent HFMD?

There is no known vaccine to defend your child against HFMD. However, the risk of your child contracting the disease can be reduced by:

  • Making sure your child washes his or her hands often
  • Thoroughly cleaning objects and surfaces (these include doorknobs and toys)
  • Making sure your child avoids close contact with those who are infected

To learn more about hand-foot-and-mouth disease or to schedule an appointment for your child, please give us a call at our Anchorage, AK office!

What is Nitrous Oxide?

March 21st, 2018

Many of our young patients experience anxiety during dental appointments. Dr. Michelle Slezewski and Dr. Paul Engibous and our team want to help your child overcome any fear he or she may feel when coming in for regular visits.

If you know your child suffers from anxiety during dental checkups, nitrous oxide sedation, popularly known as “laughing gas,” may be helpful. Nitrous oxide can be used during many types of dental procedures.

It has a sweet odor and taste, and gets mixed with oxygen when supplied through a mask. The effects typically kick in within a few minutes and leave your child feeling calm and relaxed.

Nitrous is helpful because your child will stay conscious and able to move and answer questions the doctor may ask. The drug is also convenient because the effects go away within a few minutes after the mask is removed.

Nitrous oxide is not dangerous when it’s combined with oxygen. It is non-addictive and non-allergenic. When used properly, nitrous oxide reduces anxiety, while allowing continued communication between the patient and dentist during a procedure. It can also help alleviate pain or discomfort during exams.

You should know that nitrous oxide may cause nausea in up to ten percent of patients. This drug is not recommended for people who suffer from certain medical conditions. We recommend discussing this method with Dr. Michelle Slezewski and Dr. Paul Engibous if your child's dental anxiety begins to interfere with his or her appointments.

We want all our patients to feel comfortable during their care. Talk with Dr. Michelle Slezewski and Dr. Paul Engibous at your child's next appointment to find out if nitrous oxide is an option. If you have questions regarding nitrous oxide, call our Anchorage, AK location and we’ll be happy to answer them.

 

Headaches: The Dental Connection

March 14th, 2018

Many people suffer through headaches for years without getting to the root cause of their problem. If you find yourself constantly popping painkillers to get through the day, it might be worth a trip to see a medical professional – but it may not be the person you think.

Talking to Dr. Michelle Slezewski and Dr. Paul Engibous can be a great start when dealing with chronic headaches, because dental issues frequently contribute to head pain. In fact, the American Academy of Craniofacial Pain estimates that 80% of headaches are caused by muscle tension, which often originates in the jaws.

What Do Tension Headaches Feel Like?

A tension headache can originate on one side of your head or can pervade your entire skull. Typically, tension headaches feel like a dull, throbbing ache inside your head. Some patients at our Anchorage, AK office report that they feel as though a metal band has been wrapped around their head and is causing significant pressure. Several common symptoms suggest that tension headaches may be caused by dental issues:

  1. Feeling as though your head or scalp is painful to the merest touch
  2. Experiencing a dull or throbbing pain behind the eyes
  3. Clicking or popping sounds in your jaw joints
  4. Grinding teeth or clenching the jaws, particularly in times of anxiety or during the night
  5. Feeling as though your jaw muscles are sore when you wake up from sleep

Dental Origins of Headaches

Several dozen muscles control your facial expressions, jaw movements, and motions such as swallowing. When these muscles are contracted for long periods of time, tension builds up within the muscle and can lead to headaches. This may happen if you clench or grind your teeth at night, your bite is misaligned, or you have muscle imbalances in the jaw or neck.

Dental Treatments for Tension Headaches

Fortunately, a trip to Pediatric Dental Associates can be a fruitful way to alleviate your headaches, including the following treatments:

  1. Bite. In many cases, correcting your bite through orthodontics releases the stress on your jaw and muscles, and reduces the frequency of headaches.
  2. Nightguard. A nightguard, which resembles a sports mouthguard, may also be helpful if you frequently grind your teeth or clench your jaws during sleep. Nightguards distribute the tension from your clenched jaws and reduce the possibility of dental damage.
  3. Physical therapy and relaxation. Correcting the posture of your shoulders, neck, and head may alleviate muscle tension associated with headaches.

Preventing Periodontal Disease

March 7th, 2018

Periodontal disease is one of the most prevalent health issues in America, with the Centers for Disease Control reporting it affects approximately 65 million people, or roughly 47 percent of the population. People with periodontal disease have bacteria beneath the surface of the gums, which are responsible for tissue inflammation that can lead to pain, bleeding, gum recession, and even permanent tooth loss. Unfortunately, the chances of developing gingivitis and periodontitis only increase with age, with 70 percent of adults over age 65 having at least some degree of gum disease. However, a lot can be done to prevent periodontal disease and keep teeth and gums healthy.

Daily Hygiene

The process you take each day to clean your teeth and gums goes a long way towards preventing periodontal disease. Since gingivitis and periodontitis are caused by plaque build-up, the most important steps you can take to prevent them involve cleaning your teeth each morning, night, and after meals. Start by brushing your teeth and tongue, and follow up with mouthwash to kill any lingering bacteria. At least once per day, take time to floss thoroughly along the gum line to prevent gum infection from occurring in between teeth.

Periodontal Exams

In addition to caring for your teeth and gums at home, it is also important to see Dr. Michelle Slezewski and Dr. Paul Engibous for comprehensive exams. We can detect gingivitis in its earliest stages and treat it before it has a chance to progress. Everyone needs occasional periodontal exams, though people with certain risk factors may require them more often. Examples include individuals who smoke or have a personal or family history of gum disease.

Treating Periodontal Disease

See Dr. Michelle Slezewski and Dr. Paul Engibous right away if you suspect that you may be experiencing the warning signs of periodontal disease. Symptoms may include red, swollen, or bleeding gums, gum recession, pockets that have formed between the teeth and the gums, and even tooth loss. If you are diagnosed with periodontal disease, treatments are available to help restore your oral health depending on how advanced your gum disease has become. For example, gingivitis may require only a thorough cleaning and topical antibiotic. Periodontal disease that has been allowed to progress may require scaling and root planing, and in some cases, surgery to prevent tooth, bone, and gum loss.

Contact our Anchorage, AK office to schedule an appointment and learn about the ways we can help prevent and treat periodontal disease.

The Secret to Lifelong Teeth Whitening

February 28th, 2018

Have you ever noticed your attention being instantly drawn to peoples’ teeth when they smile at you? Some people have dull and yellowing teeth, while others have teeth that appear bright white. Everyone’s teeth naturally dull over time because of aging and the contact your teeth have with staining foods, such as chocolate and coffee. However, teeth-whitening treatments can help you keep your teeth white for life.

Get Regular Treatments

The effects of teeth whitening or bleaching treatments are only temporary, so regular treatments at Pediatric Dental Associates are necessary to keep your teeth white for life. Bleaching too frequently, though, can wear away your tooth enamel. The effects of in-office bleaching can last for several months to a year, while you may need to repeat your use of at-home bleaching kits every few months to maintain your white teeth. Whitening toothpastes do not contain bleach, so you can use them daily. The American Dental Association suggests asking your dentist for advice on which treatment is best for you.

Have Realistic Expectations

Not everyone’s teeth can be turned bright white, according to the American Dental Association. Your teeth may naturally be a light yellowish color that lends itself well to teeth-whitening procedures, but bleach is not likely to be effective for grayish teeth. Brownish teeth fall somewhere in between.

Practice Good Oral Hygiene

Your teeth whitening efforts will not be as effective if your teeth are in poor health. Visible fillings, implants, or bridges that are metallic stand out against the white color you want to achieve. You can help prevent tooth decay and reduce your risk of needing these unsightly treatments by maintaining a good oral hygiene routine. In addition to brushing your teeth twice a day to remove dirt and potential staining agents, the actions below can promote a healthy mouth.

  • Floss every day
  • Visit Pediatric Dental Associates regularly
  • Rinse your mouth with water after each meal and snack
  • Limit sugary and starchy foods and beverages, especially between meals

When to Replace Fillings

February 21st, 2018

A dental filling replaces and restores the health of a tooth that has been damaged. Often, the need for a filling results from a cavity due to a large amount of decay in a tooth.

Teeth may also require repairs after cracking from chewing on hard objects, trauma to the mouth, grinding or clenching of your teeth, uneven chewing pressure, or exposure to extreme hot and cold temperatures.

Over time, a filling may have to be replaced after normal wear and tear has occurred. There are signs and symptoms to watch out for if your tooth may need a replacement filling, or a new filling. Pediatric Dental Associates performs various types of filling treatments, depending on the damage to the tooth.

Common signs and symptoms to watch out for if you have a cracked tooth can include sharp pain when you bite down, pain that comes and goes, discomfort when eating or drinking, or a constant feeling that something is stuck in your teeth. The crack may not be visible to the eye, which makes it hard to tell whether a tooth is actually cracked.

Pain may come and go quickly when you bite down because you’re expanding the crack with the combined pressure of your teeth. If you notice this happening, contact Dr. Michelle Slezewski and Dr. Paul Engibous right away so we can get X-rays of your mouth and quickly fix the problem.

If you’ve had a filling in your mouth in the past, you could be due for a replacement. The seal between the tooth and the filling may break down over time, after which bacteria can build up underneath the filling and cause more decay.

It’s vital to catch this early so a filing can fix the problem. If you wait too long, a crown or a root canal may be the only option. You may not notice that a long-time filing is cracked or worn down, because it can take a long time to feel any discomfort. This is one of the reasons we recommend a dental checkup every six months.

If you need a tooth filling or a replacement filling, different filling choices vary in price. Gold fillings and porcelain fillings are more expensive options that last longer -- typically around 20 years. Porcelain fillings match the color of the rest of your teeth, however, which makes them less visible.

Another option is amalgam, or silver fillings, that less expensive but may be more noticeable in visible areas of your mouth. Composite, or plastic fillings, are another affordable option that can be matched to the color of your teeth. Composites are more likely to wear out over time and not last as long: usually around three to ten years.

If you think a past filling might be due for replacement, schedule an appointment at our Anchorage, AK office. Make sure to stay on top of your routine dental appointments in order to prevent decay from breaking down problem teeth.

If we catch the problem early, we can save you both money and time. Fillings can be a great way to resolve any existing teeth issues, and prevent extensive dental care practices from becoming necessary in the future.

 

The Origins of Valentine's Day

February 14th, 2018

When we think of Valentine’s Day, we think of cards, flowers, and chocolates. We think of girlfriends celebrating being single together and couples celebrating their relationship. We think of all things pink and red taking over every pharmacy and grocery store imaginable. But what Dr. Michelle Slezewski and Dr. Paul Engibous and our team would like to think of is when and how this joyous, love-filled day began.

Several martyrs’ stories are associated with the origins of Valentine’s Day. One of the most widely known suggests that Valentine was a Roman priest who went against the law at a time when marriage had been banned for young men. He continued to perform marriage ceremonies for young lovers in secret and when he was discovered, he was sentenced to death.

Another tale claims that Valentine was killed for helping Christians escape from Roman prisons. Yet another says that Valentine himself sent the first valentine when he fell in love with a girl and sent her a letter and signed it, “From your Valentine.”

Other claims suggest that it all began when Geoffrey Chaucer, an Englishman often referred to as the father of English literature, wrote a poem that was the first to connect St. Valentine to romance. From there, it evolved into a day when lovers would express their feelings for each other. Cue the flowers, sweets, and cards!

Regardless of where the holiday came from, these stories all have one thing in common: They celebrate the love we are capable of as human beings. And though that’s largely in a romantic spirit these days, it doesn’t have to be. You could celebrate love for a sister, a friend, a parent, even a pet.

We hope all our patients know how much we love them! Wishing you all a very happy Valentine’s Day from the team at Pediatric Dental Associates!

Make Brushing Fun!

February 7th, 2018

It’s gratifying to know your child has good oral hygiene, especially starting from an early age. We know it can be difficult to get your son or daughter to brush those tiny teeth, let alone brush them well enough, every day. Dr. Michelle Slezewski and Dr. Paul Engibous and our team are here to give you some tips on how to help your youngster learn excellent oral health habits.

Your child should brush his or her teeth at least twice a day in order to prevent cavities and decay. An grownup may have to assist with flossing or using mouthwash. Always make sure your little one doesn’t swallow toothpaste or mouthwash in the process.

Only buy alcohol-free mouthwash, especially if you have young children in your household. Oral healthcare should be made fun from the start, to create good habits!

Helpful Tips

  • Set a good example. Brush your teeth with your children and make it fun! Pick a two-minute song to play while brushing and dance along to it.
  • Make it a race to the bathroom to see who can get the toothbrush and floss out first.
  • Use a sticker sheet. For every night your children brush well, give them a sticker. After they’ve earned certain number of stickers, they win a reward. Let them pick it!
  • Let your child check your brushwork, or try letting your youngster brush your teeth!
  • Allow children to play with a toothbrush if they want to. They can brush their favorite stuffed animal’s or doll’s teeth before bed as well.
  • Let your child pick his or her own toothbrush or toothpaste from a range of options you provide. Kids might pick one with their favorite cartoon character(s) on it, for example.
  • Get a two-minute brushing timer your child can flip over when he or she starts to brush. Your son or daughter can watch the sand fall until it’s empty, which notifies the kid it’s time to stop brushing.
  • Buy special children’s mouthwash that is colored to stain the areas of the child’s mouth where he or she needs to re-brush for effectiveness.
  • Be gentle when your little one makes a mistake like forgetting to brush, and remind your son or daughter about the importance of good oral health in a fun, loving way.

There are plenty of ways to make brushing your child’s teeth more fun and effective. When Dr. Michelle Slezewski and Dr. Paul Engibous and the parents work together, we can help establish good oral health habits in children that will last a lifetime.

Take the trouble to set a great example for your children, and they will follow in your footsteps. If you’re concerned about your child’s oral health, contact our Anchorage, AK office and schedule an appointment with our team.

Suffer from Dental Anxiety? Not a Problem.

January 31st, 2018

If you suffer from dental anxiety, we understand that paying a visit to our office can seem like a nearly impossible mission. Regardless of what the root of that anxiety might be, we’re here to tell you that at Pediatric Dental Associates, you have no need to be nervous. Our office is dedicated to making your dental experience as comfortable and stress-free as possible.

One of the best things to do if you experience dental anxiety is call our office in advance to let us know. By notifying us in advance, you give us the opportunity to provide you with the dental care you need in the way you need it.

We can prescribe a relaxation medication for you. During your appointment, we can provide a little bit of laughing gas to put you more at ease, teach you some behavioral techniques for relaxation, and make sure you’re never in the dark about what’s happening.

If dental anxiety makes you feel embarrassed, please be assured that you’re not alone. Studies show that as much as 75% of adults suffer some degree of dental anxiety! It might be helpful to remember that your doctor’s goal is the same as yours: We are here to keep your oral health in check so you can be your healthiest self. We certainly don’t want to make you uncomfortable in the process.

If you have any questions about other ways in which we can accommodate you during your visits, please don’t hesitate to contact our Anchorage, AK office!

Do You Have A Cavity?

January 24th, 2018

Sometimes cavities are hard to avoid. Our team at Pediatric Dental Associates wants you to know you aren’t alone when it comes to getting cavities. They can appear in both children and adults, and in order to avoid the pain and hassle, you need to understand how they form and what to do to prevent them from developing in the first place.

Cavities form when bacteria, acids, or sugars build up and form plaque on your teeth, which can destroy your enamel. When you don’t brush and floss properly, the build-up can cause cavities to form. In essence, a cavity is a decayed part of your tooth that cannot be repaired by your body’s immune system. This is why a dentist will need to treat your cavity with a filling. If it grows for too long and manages to infect the root of your tooth, a root canal may be the only solution.

Cavities are often symptom-free; you might not experience any pain at first, other than the occasional irritation when you drink a hot or cold beverage. Other signs of possible cavities include persistent bad breath, pus or discharge around a tooth, black or brown discoloration, small pits or holes in a tooth, and perhaps a sticky feeling when you bite down. It’s crucial to treat cavities sooner rather than later if you wish to avoid excessive pain and the necessity of a root canal.

You can avoid cavities by keeping up with good oral hygiene, eating a well-balanced diet, and scheduling regular cleanings with Dr. Michelle Slezewski and Dr. Paul Engibous. They can still occur at any time, no matter what age you are, so make sure to brush, floss, and rinse every day. If you notice any of the above symptoms, please contact our Anchorage, AK office and schedule an appointment.

Children and Halitosis

January 17th, 2018

Many parents are unaware that children can also suffer from symptoms of halitosis, better known as chronic bad breath. This common oral problem affects a majority of the population, including both adults and children. During treatment for this condition, it’s worthwhile to focus on the cause of the problem. Take a look at the most common reasons why your child might develop bad breath.

Having constant bad breath can be embarrassing and troublesome. Most often, boys and girls develop halitosis as a side effect of some sort of upper respiratory infection. It may be a common cold, allergies, or flu symptoms.

When the nasal passages are blocked, it’s more likely that your child will breathe through the mouth. Mouth breathing may also occur if your youngster is put on medication that decreases saliva flow. Mouth breathing can make bad breath much worse if there isn’t enough saliva to cleanse the area.

Another cause of halitosis in children can be tonsillitis. When your child’s airway is constricted, he or she is more likely to mouth-breath. When the tissues in your mouth dry out, bacteria will grow and increase in potency. If you notice symptoms of tonsillitis in your child such as a fever, swollen throat, trouble swallowing, chills, or congestion, get your little one to treatment right away.

Halitosis in children is can also be caused by an infection of the mouth. If your child’s teeth or gums are infected, odor will developed if untreated. Infection can occur due to inadequate brushing and flossing, which can lead to gum disease or cavities. If cavities are left untreated, they can develop a strong, noticeable odor. If you think your child has an infection or cavity, contact Pediatric Dental Associates and schedule an appointment.

Other causes of halitosis may be certain pungent foods your child eats, or bacteria built up on the tongue. Make sure your son or daughter brushes and flosses thoroughly every day. Some mouthwashes may be beneficial for your child to alleviate bad breath caused by leftover bacteria in the mouth. Other ways of treating of halitosis can vary, based on the cause of the problem.

If you’re unsure about why your child has halitosis, contact Pediatric Dental Associates and we can help you figure out where the issue originated. Remember, masking symptoms of bad breath with gum or mints will be only a temporary fix. Your child’s bad breath problems can be helped with a little investigation from Dr. Michelle Slezewski and Dr. Paul Engibous. Always feel free to call our Anchorage, AK office if you are concerned about your child’s oral health.

Five Common Reasons for Emergency Care Visits

January 10th, 2018

A dental emergency can strike anywhere, anytime, and without warning. Perhaps you’re playing a game of touch football on Thanksgiving and your brother-in-law decides to up the ante and tackles you, accidentally knocking out your two front teeth. Or maybe you’re on vacation somewhere in the tropics and decide to go deep-sea fishing, but when you’re climbing onto the boat you slip on the dock, fall, and chip three of your teeth. From misplaced fly balls to bagel seeds causing a painful bout of inflammation, there are all kinds of dental emergencies.

Here are the five most common reasons for emergency care visits.

  1. Somehow you've managed to knock out a tooth. Whether it's the result of a sports injury or because of decay, when you lose a tooth, you need emergency dental care. If the tooth is salvageable, then it can be reattached to the socket, but this needs to be done within a one- or two-hour window.
  2. A chipped tooth is the most common dental emergency. Small chips can be caused by food (chicken bones and nuts have sent many people to the dentist); however, it's usually some sort of accident or injury that more often causes a chip. While you might be embarrassed to walk around with a gaping chip in your front tooth, it is easily fixed with a bond, crown, or veneer.
  3. A broken tooth is more severe than a chipped tooth. When a tooth breaks, it might be due to a small or hidden chip. However, chances are the pain and discomfort will be more severe.
  4. It might seem comical, but getting a piece of food lodged in the wrong place can result in a dental emergency. If something gets stuck deep in a crevice, it can cause pain and inflammation.
  5. The loss of a filling happens more often than you think. When you lose a filling, you need to receive emergency care immediately. If you don’t, you risk further damage to your tooth.

When you injure your teeth or mouth, you need to seek emergency care as soon as possible. In the event of a suspected emergency, don't wait. Contact Dr. Michelle Slezewski and Dr. Paul Engibous immediately.

Do I lose my wisdom if I lose my wisdom teeth?

January 5th, 2018

The third molars have long been known as your “wisdom teeth,” because they are the last teeth to erupt from the gums – usually sometime during the late teens to early twenties. This is a time in life that many consider an “age of wisdom”; hence the term, “wisdom teeth.”

Extracting the third molars does not have any effect on your actual wisdom … and Dr. Michelle Slezewski and Dr. Paul Engibous and our staff are sorry to say that holding on to them can’t make you smarter, either. So if you somehow feel that you became wiser and smarter when your wisdom teeth appeared, chalk it up to age rather than teeth.

In fact, you may just be showing how smart you are by having your wisdom teeth removed. Mankind once relied on the wisdom teeth to replace teeth that were damaged or missing, thanks to a poor diet. But dietary changes and advances in modern dentistry make it possible for many people to hold on to their teeth for many decades, which eliminated the need for third molars.

For many people, wisdom teeth cause nothing but problems: becoming impacted, irritating surrounding gum tissue, or even causing other teeth to become crooked or overlap. By removing them, patients often enjoy a lower risk of decay, infection, and aesthetic complications.

So rest assured that extracting your wisdom teeth will have no effect on your immediate or long-term intelligence.

Things You Probably Didn’t Know About New Year's Eve

December 27th, 2017

It’s no secret that New Year’s Eve is one of the most widely celebrated holidays in the world. Dr. Michelle Slezewski and Dr. Paul Engibous and our team love it too. It’s a fresh start, another year of surviving the crazy world we live in, a time to refocus on the things we want for ourselves, a celebration with those we love … the list goes on.

Dozens of countries welcome the New Year with over-the-top parties and celebrations. Because it’s a public holiday, many offices, businesses, and schools close for the day. As you think about your plans for this holiday, here are some fun facts about New Year’s that might surprise you!

Can you guess what the most common New Year’s resolutions are? You may already have one or two of these on your own personal list. The top five New Year’s resolutions are: to quit smoking, get a new job, lose weight, increase personal savings, and return to school. Just remember that coming up with a concrete plan to reach your goals is the surest way to achieve your resolutions!

About one million people brave the cold to watch the New Year’s Eve ball drop in New York City’s Times Square in person. Yes, that’s one million! This event is one of the most iconic celebrations in the world. People travel from all over just to experience it, but you can watch from the warmth and comfort of your living room.

If you’re not a fan of cabbage, collard greens, black-eyed peas, or ham hocks, you might want to revise your tastes. All these foods are all regarded as lucky fare on New Year’s Day. Unless you’re allergic, of course!

For many people in Mexico and Latin America, eating 12 grapes at midnight is a tradition that brings good luck in the 12 coming months. Most people even make a wish per grape!

Whether you’re celebrating in Anchorage, AK or traveling elsewhere to observe the holiday, New Year’s Eve is a time to enjoy the company of your friends and family. Don’t forget to send warm wishes to your loved ones, and snag a midnight kiss with that special someone if you can!

I have sensitive teeth. What are my options?

December 20th, 2017

At Pediatric Dental Associates, we have patients coming in asking us why a taste of ice cream or a sip of coffee becomes a painful experience, or why brushing or flossing makes them wince or cringe. The answer, usually, is sensitive teeth. Tooth sensitivity typically occurs when the underlying dentin layer of the tooth is exposed in the oral cavity, and most people experience tooth sensitivity at some point in their lives.

So, why do people experience sensitivity and how do you know if tooth sensitivity is something to be worried about? The most common cause of the sensitivity is exposure of the dentin, which is the layer surrounding the tooth’s nerve. Contributors to tooth sensitivity include teeth whitening and dental work such as fillings, periodontal treatment, and the placement or adjustment of braces. These are temporary and should be of no concern.

Permanent hypersensitivity, however, may require treatment at Pediatric Dental Associates. The first step is to determine the cause, and that begins with a visit to our Anchorage, AK office.

The reasons your teeth may become sensitive vary, but possible causes include:

  • Tooth decay (cavities) near the gum line
  • Cracked or fractured teeth
  • Fillings that are worn
  • Gum (periodontal) disease, or recession of the gums
  • Worn tooth enamel
  • Brushing too hard
  • Consuming acidic foods

Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates want you to know that sensitive teeth can be treated, and the type of treatment will depend on what is causing the sensitivity. Dr. Michelle Slezewski and Dr. Paul Engibous may suggest one the following treatments:

  • Desensitizing toothpaste, which contains ingredients that seal off the microtubules inside the exposed dentin to reduce tooth sensitivity
  • Fluoride gel, which strengthens compromised tooth enamel, helps prevent tooth decay, and decreases hypersensitivity of the teeth
  • A crown, inlay, or bonding, which is used to treat tooth decay and prevents sensitivity
  • A surgical gum graft. If gum tissue has been lost from the root, this procedure will protect the root and reduce sensitivity.
  • Root canal: If you are experiencing severe and persistent sensitivity which cannot be treated by other means, Dr. Michelle Slezewski and Dr. Paul Engibous may recommend you undergo a root canal to eliminate the problem.

If you are experiencing tooth sensitivity, give us a call today so that Dr. Michelle Slezewski and Dr. Paul Engibous can provide you with some much-needed relief!

Root Canal FAQs

December 13th, 2017

Most people hear the word root canal and panic. With today’s state of the art equipment and improved local anesthetic devices, and some knowledge, a root canal does not have to cause panic. Root canals are a common dental procedure, done quite often at our Anchorage, AK office.

Why do I need a root canal?

There are several reasons why Dr. Michelle Slezewski and Dr. Paul Engibous may suggest a root canal including:

  • An infection in your tooth that has reached the nerves
  • A deep cavity that cannot be filled because the pulp and nerves are also effected
  • Injury to the tooth
  • A deep cracked tooth
  • Broken tooth
  • Repeated fillings of the effective tooth

What is a root canal?

A root canal is a dental procedure that is used to prevent the loss of a tooth and relieve pain. Inside your teeth is pulp which consists of soft tissue blood, connective tissue, blood vessels, and nerves. When the pulp becomes infected, swollen or diseased a root canal is necessary to save your tooth. During a root canal, Dr. Michelle Slezewski and Dr. Paul Engibous will remove the infected pulp. The tooth’s root canals and pulp chamber of your tooth will be cleaned, so all the diseased pulp is removed and then your tooth will be sealed.

What to Expect During a Root Canal

Your root canal will start out just like any other dental procedure. We will go over any questions you may have, and then numb the area surrounding the tooth. After the area is numb the root canal will begin.

The amount of time it takes to do your root canal varies depending on number of roots that need to be cleaned. Most teeth have one root canal, while others have between two and four. For a single canal, the procedure usually lasts less than an hour. The more canals your tooth has the longer amount of time it will take and in some cases, you will require more than one visit.

How much pain will I have after a root canal?

Once the local anesthesia wears off, your pain can be controlled by over the counter pain medications such as Ibuprofen, Naproxen, or Acetaminophen. In some cases, Dr. Michelle Slezewski and Dr. Paul Engibous may prescribe a prescription dose of pain medication. Within two days you should be feeling much better and able to return to your regular lifestyle.

How do I know if I need a root canal?

December 6th, 2017

Tooth decay affects everyone, with studies reporting that 92% of adults have had a cavity at one point in their lifetime. In more serious instances of tooth decay, however, the nerve of the tooth may become infected. This type of infection requires a root canal, in which the affected nerve is removed, and the interior of the tooth is cleaned and filled.

Tooth Anatomy

Although each tooth is covered by a hard outer shell, the interior of a tooth consists of dental pulp. This pulp is soft, containing blood vessels that bring nutrients to the tooth. Each tooth also has an associated nerve, which resides within a root canal passing from the tooth’s root into the dental pulp. This nerve provides information about temperature, allowing teeth to sense heat or cold.

Symptoms of Nerve Infection

Damage to the dental pulp or nerve tissue leads to a rapid multiplication of bacteria within the interior of the tooth. The result may be an abscess, a small pocket near the root of the tooth that becomes full of pus. This infected area commonly causes the following symptoms:

  • Intense pain or sensitivity when pressure is applied to the tooth
  • Sensitivity to hot or cold temperatures, even after the heat or cold has been removed
  • Darkening or discoloration of the affected tooth
  • A small, persistent pimple that forms on the gums
  • Swollen or tender gums
  • Swelling in other areas of the face, neck, or head

Nerve infection may occur due to deep decay, although repeated dental procedures, facial trauma, chipping or cracking of a tooth, or large fillings may also contribute to an abscessed tooth.

What to Do if You Think You Need a Root Canal

Only a visit to Dr. Michelle Slezewski and Dr. Paul Engibous can confirm whether a tooth’s nerve has become infected. We will perform an oral examination and X-rays to confirm whether the tooth is abscessed. If a root canal procedure is needed, a small hole will be placed in the tooth. The pulp and nerve tissue are removed from the tooth, which is thoroughly cleaned and filled. Then, the hole is sealed with a special compound to prevent bacteria from entering the tooth’s interior. The entire procedure is performed under local anesthesia to numb pain.

If you think you may have tooth or nerve decay, call our Anchorage, AK office today to schedule a diagnostic appointment.

I drink a lot of coffee. Could it be hurting my smile?

November 29th, 2017

At Pediatric Dental Associates, we know most of our patients enjoy a cup of coffee or two throughout the day. But what many of you don’t know is that coffee can be especially tough on your teeth because tannic acid (the substance that makes the dark color) etches into the pits and grooves of tooth enamel, staining your pearly whites and being generally detrimental to your smile.

Coffee is one of the most popular beverages in the world, with more than 50 percent of people drinking a cup daily. Other foods and drinks such as wine, chocolate-flavored beverages, and soft drinks can all cause tooth enamel discolorations. A hot cup of Joe, however, goes one step farther: extreme temperature changes in your mouth can cause teeth to expand and contract. This allows stains to penetrate deep into the micro-cracks of your tooth enamel.

Additionally, caffeine is considered a diuretic, which means it causes the body to lose fluids. So when you enjoy coffee or any kind of caffeinated beverage, it slows the production of saliva and causes dry mouth, which can potentially lead to bad breath and even tooth decay.

If you just can't make it through the day without a cup of java, we encourage you to consider these tips to help make sure your teeth stay in tip-top shape:

    • Drink a glass of water with your coffee or rinse with a glass of water after every cup. Not only does it help neutralize and rinse away the acid left behind from the coffee, but it also helps replenish fluids drawn out of your body by caffeine.
    • Chew gum after you drink coffee. Chewing gum will help keep your saliva production up and prevent dry mouth.
    • Enjoy your beverage with a straw so that tannins don’t make contact with your front upper and lower teeth.
    • Switch to decaf. Each cup of regular coffee you drink has an average of 110 milligrams of caffeine. Decaf has the same great taste with only two to 12 milligrams of caffeine.

Dr. Michelle Slezewski and Dr. Paul Engibous and our team also invite you to visit our convenient Anchorage, AK office for whitening options. We can help bleach your teeth with proven and professional products. To learn more about whitening options available at Pediatric Dental Associates, please give us a call!

Crushing the Ice-Chewing Habit

November 22nd, 2017

It's a habit many people have and not only can it be annoying to the people around you, it can be detrimental to your dental health. Chewing ice is so common that it even has its own name, pagophagia. We're not talking about a slushy or shaved ice (although those artificially sugary treats should be avoided too!) but more like the hunks of ice rattling around in the bottom of your glass.

Ice chewing can be a sign of emotional problems like stress or obsessive-compulsive disorder, but it can also be a marker for iron deficiency anemia and other physical problems. Then again, some people just like to have something to chew on. For whatever reason you find yourself chewing on it, it's a habit you need to break.

Chewing on ice can cause:

  • Chipped and cracked teeth
  • Damaged enamel
  • Sore jaw muscles
  • Damage to dental work such as crowns, fillings, or other appliances

If chewing on ice is becoming a problem in your life, don’t hesitate to speak with Dr. Michelle Slezewski and Dr. Paul Engibous about it. But if you find yourself still wanting to chew on something, here are a few alternatives to ice:

  • Baby carrots
  • Celery sticks
  • Sugar-free (xylitol) gum

We know you need to chill sometimes, but chomping down your entire glass of ice is not the way to do it. If you have any other questions on the topic, feel free to talk with a member of our Anchorage, AK team. It may be beneficial in solving the issue and helping to remediate any damage to your teeth.

Dentistry around the World

November 15th, 2017

From the clinical perspective, dentistry is similar around the world. Dentists, like Dr. Michelle Slezewski and Dr. Paul Engibous, go to school, obtain a license, and work hard to prevent and treat tooth decay, gum disease, oral infections, throat or oral cancer, tooth loss, and other conditions that might limit a person’s ability to smile, bite, chew, or speak. The quality of dental care, however, and the payment method for dental services varies between nations.

Dentistry throughout the World

Developed countries have more dentists per capita than do developing nations, according to the World Health Organization. There is one dentist for every 150,000 people in Africa, for example, as compared to about one dentist for every 2,000 citizens of an industrialized nation. The lack of dentists in developing nations means that dental care is restricted to pain management and emergency care.

Dentistry often reflects the cultural views of a nation. Some cultures acknowledge only the functional aspect of teeth, so dentists focus on preventing tooth decay, gum disease, and tooth loss. Other cultures emphasize aesthetic appearances, so dentists there provide cosmetic procedures in addition to essential oral care.

Each nation imposes its own education and licensure requirements for dentists but most require some college before four years of dental school. The graduate must then pass local or national exams to practice in that region. European schools and standards are similar to the United States.

From the business perspective, dentistry varies between nations. In the United States, a dentist presents to the patient one bill that includes all of the treatment costs, such as the dentist, his assistant, tools, and labs. This allows the dentist to charge a single, easy-to-pay fee for individual procedures, and gives him an opportunity to mark up items and make a profit.

Across much of Europe, a dentist presents two bills to her patient – one for the dentist and another for the lab. This approach may stem from a cultural belief that profiting from healthcare is unethical and that healthcare should be available to consumers at actual cost; public dental clinics and subsidies ensures all citizens have access to dental care, regardless of ability to pay. In most cases, the government is both overseer and provider of dental care.

While the role of the dentist is nearly the same in every country – to ensure the oral health of the citizens – dental care is different in each nation. Regardless, you can rest assured that the care you receive at our Anchorage, AK office is held to the highest standard.

The Importance of Regular Dental Checkups

November 8th, 2017

When was the last time you paid Dr. Michelle Slezewski and Dr. Paul Engibous a visit? If you're like many people, chances are it was more than six months ago. We hear the reasons why people neglect regular dental visits all the time: lack of money or quality dental insurance, busy schedules, and fear. However, your twice-yearly checkups are so important for your dental health and for your overall health as well.

You may brush your teeth twice a day and even floss, and your teeth may feel fine, but regular dental checkups with Dr. Michelle Slezewski and Dr. Paul Engibous aren’t about addressing problems and reacting — they are about cavity prevention. No matter how much you brush and floss, there is still a chance that food or other debris can get lodged between your teeth, and there is also a chance that food and beverages can wear down your tooth enamel in between visits, making your teeth vulnerable to decay.

In addition to a thorough teeth cleaning and polishing, these regular visits help us detect and prevent the onset of tooth decay and periodontal (gum) disease. During your visit, we’ll check the health of your mouth, teeth, gums, cheeks, and tongue. We’ll also check old fillings and restorations, as these can wear away over time from constant chewing, grinding, or clenching.

It's important to know that the majority of dental problems do not become visible or painful until they are highly advanced. And, unfortunately, serious oral issues are painful and expensive to treat. A deep cleaning twice a year by our team at Pediatric Dental Associates is the best way to hit all the spots you may have missed with brushing and flossing and prevent any problems that may have gone unseen.

Make sure your teeth get the professional attention they deserve! If you’re overdue for your next cleaning, please give us a call to schedule an appointment at our convenient Anchorage, AK office!

What exactly is tinnitus?

November 1st, 2017

It’s estimated that about one in every five people is affected by tinnitus, which is a ringing or noise in the ears. But tinnitus isn’t a condition in itself; it’s actually the symptom of an underlying condition. Some of these underlying conditions could be hearing loss, injury to the ear, or some sort of circulatory disorder.

Another common cause if tinnitus is a dental injury or dental issue, whether it involves the jaw or the temporomandibular joint, better known as the TMJ. “Somatic tinnitus” is the term given to the version that is attributable to injuries to the head or neck area. Symptoms of somatic tinnitus may include noticeable fluctuations in sound volume, intermittency, headaches, memory loss or increased forgetfulness, and an increased likelihood of being depressed or sad.

Dr. Michelle Slezewski and Dr. Paul Engibous will tell you tinnitus usually isn’t serious and is more common in older populations. For that reason, many people won’t even seek an answer to what’s causing it. But people can also experience more severe cases of tinnitus that can affect a person’s ability to complete everyday activities, which has a larger impact on their lives. For people facing these more severe cases of tinnitus, treatment may be necessary to increase their quality of life. It’s also worth noting that tinnitus seems to worsen with age, so while symptoms might not be a problem one year, they may be more significant and distracting the next.

If you have tinnitus that is caused by the misalignment of the TMJ or an injury to the mouth, that’s a condition that can be corrected by Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates. We will work to relieve your symptoms by realigning the jaw or adjusting your bite with routine dental care. Sometimes we won’t even have to go this far, because an oral infection or gum infection may be causing your problem. We might also recommend other life changes, such as dietary adjustments and medication.

If you're experiencing tinnitus-like symptoms and have ruled out various other reasons for it, contact our Anchorage, AK office today. Dr. Michelle Slezewski and Dr. Paul Engibous and our team will carefully analyze your situation and put you on a treatment course so that you can kick the symptoms for good.

Thumb Sucking, Pacifiers, and Your Baby's Teeth

October 25th, 2017

Sucking is a common instinct for babies and the use of a pacifier or their thumb offers a sense of safety and security, as well a way to relax.

According to the American Academy of Pediatric Dentistry, the majority of children will stop using a pacifier and stop sucking their thumb on their own between the ages of two and four years of age. Prolonged thumb sucking or use of a pacifier can have dental consequences and needs be taken care of sooner, rather than later.

Many dentists favor pacifier use over thumb sucking because it makes it easier for parents to control and even limit the use of a pacifier. If thumb sucking lingers, the same strategies used to break the baby from using the pacifier can be used for thumb sucking.

Precautions

  • Try to find "orthodontically correct" pacifiers, as they may reduce the risk of dental problems.
  • Never dip a pacifier in sugar or honey to calm the baby.
  • Give your baby a bottle of water at bedtime, never juice.

Dental Complications

Long term pacifier use can lead to an assortment of dental complications including:

  • The bottom teeth leaning inward
  • The top teeth slanting outward
  • Misalignment of the baby’s jaw

The risk of any or all of these things happening is greatly increased if thumb sucking and pacifier use is sustained after the baby’s teeth start to come in.

Breaking the Thumb Sucking and Pacifier Habit

Most toddlers and children will stop sucking their thumb or using a pacifier between the ages of two and four on their own. However, if intervention is necessary here are a few tips to help your child break the habit:

  • Slowly decreasing the use of a pacifier can be effective for many children. This method does not work very well with thumb sucking.
  • Thumb sucking can be more difficult to break. Dr. Michelle Slezewski and Dr. Paul Engibous may recommend using an over the counter cream that you put on the child’s thumb; it doesn’t taste good and usually does the trick.
  • Rewards can also help with the process.
  • If these simple commonly used strategies do not work, there are oral devices that will prevent a child from sucking their thumb or a pacifier.

Talk to Dr. Michelle Slezewski and Dr. Paul Engibous and our team, as we have many tricks up our sleeves that will be effective in breaking your child’s thumb sucking or pacifier use.

What are the five things I should do in between visits?

October 18th, 2017

When it comes to keeping your smile looking its best, good oral hygiene is a must! Good oral health habits should start early and continue throughout your lifetime. Here, Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates suggest five habits worth adopting that will help keep your teeth healthy:

  • Brush and floss regularly. Brush gently at least twice a day, paying special attention to the gum line to rid your mouth of food and bacteria that may lurk in between your teeth. Floss at least once a day. Replace your toothbrush every three to four months or sooner if the bristles are frayed.
  • Make regular visits to see Dr. Michelle Slezewski and Dr. Paul Engibous. Regular checkups (twice yearly) will help diagnose any dental problems early on when they can be more easily treated.
  • Stop smoking. Did you know smokers are four times as likely as nonsmokers to develop periodontal (gum) disease? Tobacco, whether in the form of cigarettes, pipes, cigars, or chewable tobacco, increases oral and throat cancer risks, and raises the risk for candidiasis, an oral fungal infection. Smokeless tobacco contains sugar, which furthers your risk for cavities.
  • Limit your alcohol intake. Heavy drinking dramatically increases the risk of developing mouth and throat cancers.
  • Eat healthy. Avoid snacking on foods that contain high levels of sugar or starch. We encourage you to eat plenty of fruits and vegetables, which are known to help stimulate the flow of saliva to re-mineralize tooth surfaces and neutralize cavity-causing bacteria.

To learn more about the habits you should practice in between your visits to Pediatric Dental Associates, or to schedule an appointment, please give us a call today!

What are the benefits of visiting a dentist regularly?

October 11th, 2017

Your regularly scheduled dental checkups with Dr. Michelle Slezewski and Dr. Paul Engibous are not just meant to make your smile prettier and healthier. Your mouth’s health has an important impact on your overall physical health as well!

While you may brush your teeth twice a day and even floss, we would like to remind you that dental checkups with Dr. Michelle Slezewski and Dr. Paul Engibous every six months aren’t just about addressing problems and reacting, they are about cavity and gum disease prevention.

In addition to a twice yearly thorough teeth cleaning and polishing at Pediatric Dental Associates, these regular visits help us detect and prevent the onset of tooth decay and gum disease. During your visit, we’ll check the health of your mouth, teeth, gums, cheeks, and tongue. We’ll also check old fillings and restorations, as these can wear away over time from constant chewing, grinding, or clenching.

It’s important to know that the majority of dental problems do not become visible or painful until they are highly advanced. And, unfortunately, serious oral issues are painful and expensive to treat.

While Dr. Michelle Slezewski and Dr. Paul Engibous and our team always strive to provide unmatched dental care for you and your family, we are also committed to your overall wellness as well! A deep cleaning twice a year is the best way to prevent any problems that may have gone unseen. If you are overdue for your next cleaning, please give us a call to schedule an appointment at our Anchorage, AK office!

Is sleep apnea linked to cancer? Studies say, ‘Yes’.

October 4th, 2017

Recently, multiple studies have concluded that people with sleep apnea, a disorder that causes snoring, fatigue, and dangerous gaps in breathing at night due to throat muscles collapsing, are five times more likely to develop cancer. In fact, one of the studies found that people with the most severe forms of sleep apnea had a 65 percent greater risk of developing cancer of any kind.

Researchers believe this could be due to the body lacking enough oxygen, a condition known as hypoxemia. When people are deprived of oxygen, their bodies react by producing more blood vessels, which can feed cancer cells, and as a result cause tumors to grow and spread.

Approximately 28 million North Americans suffer from sleep apnea, with many cases going undiagnosed. This is due to most cancer patients not mentioning any sleep problems they experience unless their physician asks them.

Patients at Pediatric Dental Associates who suffer from sleep apnea can be treated using continuous positive airway pressure (CPAP) therapy, which produces a stream of air to keep the upper airways open while you sleep. An oral appliance may be another option if CPAP therapy isn’t an option. If you have sleep apnea, Dr. Michelle Slezewski and Dr. Paul Engibous and our team will help you understand all of your treatment options, finding one that suits your needs.

If you think you may have sleep apnea, please give us a call at our Anchorage, AK office to schedule an appointment.

Relax with Sedation Dentistry

September 27th, 2017

Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates understand that many of our patients have a fear of dentistry. You may be concerned about experiencing pain from sensitive teeth or routine procedures. General anxiety is also common. Do not put off visiting our Anchorage, AK office; we offer various types of sedation to take the pain and fear out of your dental procedure.

Nitrous Oxide Sedation

For many patients, nitrous oxide, combined with local anesthetics, will both provide pain relief and reduce anxiety. Nitrous oxide is beneficial because the dosage can be regulated during treatment and patients are normally capable of driving shortly after the procedure is completed.

Oral or Injected Sedation

With oral sedation, you may be given a pill or liquid to consume several hours before your procedure. You will not be able to drive yourself to the appointment. An oral liquid is often given to children before any shots or intravenous anesthesia. An intramuscular injection may be given at the office that provides relaxation benefits for 20 to 30 minutes.

Nitrous Oxide with an Oral Sedative

If you experience higher levels of anxiety, an oral or injected sedative can be offered before nitrous oxide is started. This is also effective for reducing anxiety regarding the injection of local anesthetics. A liquid medication followed by nitrous oxide is beneficial for children. This combination can produce a deep sedation level.

General Anesthesia

This type of anesthesia can be offered as an inhaled gas or intravenous liquid. If no oral sedative is given before the general anesthesia is administered, you should wake up quickly after your procedure is complete. An injection, pill, or liquid medication can be offered to reduce anxiety before intravenous sedation begins. Intravenous sedation can also be used at moderate-to-deep sedation levels without complete loss of consciousness.

Do not hesitate to ask Dr. Michelle Slezewski and Dr. Paul Engibous about receiving sedation or pain prevention when you visit. We will be glad to explain the options we have available and answer all your questions to ensure that your exam is pleasant for you.

Don’t procrastinate about dental work!

September 20th, 2017

When you have dental issues or just need routine care, you may try to put off making an appointment at Pediatric Dental Associates. Common reasons for procrastination are not having the time or fear of pain. Avoiding Dr. Michelle Slezewski and Dr. Paul Engibous is not a good idea, though. Putting off dental care can turn small problems into large ones. Short appointments turn into long ones with significantly more work and expense.

What happens when you wait?

The small cavity that could have been filled easily has turned into a large cavity. The larger the cavity, the more work required to fill it. However, this is only a minor problem compared to more advanced issues. The minor toothache you are trying to ignore could be a small fracture or an abscess. Small fractures can sometimes be repaired, but if you wait and the fracture increases, you may need to get a crown.

An abscess can be treated in the early stages. Ignoring an abscessed tooth may lead to root damage and the need for a root canal. Infection can spread to other teeth, which multiplies the damage. These treatments will require more of your time than you would have spent taking care of the problem early.

Perhaps you are just putting off a routine cleaning. Even if you brush, rinse, and floss the way you are supposed to, you need a professional cleaning at Pediatric Dental Associates. Plaque that is left behind hardens into calculus or tartar that you cannot remove by yourself. A build-up of calculus can also lead to gum disease.

Unfortunately, avoiding appointments due to a lack of time may mean that you have to give up substantially more time later on. You also can experience needless pain from tooth problems. It’s always best to visit Dr. Michelle Slezewski and Dr. Paul Engibous for regularly scheduled cleanings and exams to ensure your smile stays healthy and beautiful.

Mouthguard Q&A

September 13th, 2017

Today, Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates thought we would talk about mouthguards, what they are, where to get them, and when to use them.

Q: What is a mouthguard?

A: A mouthguard, which is made of soft plastic, is a flexible, removable device that fits in your mouth and is adapted to fit comfortably to the shape of your upper teeth. A mouthguard will protect not only the teeth, but also your jaws, lips, tongue, cheeks, and gums, and should be worn anytime you are participating in full-contact athletic or recreational activities that may result in injury.

Q: How do mouthguards work? Why are mouthguards important?

A: A mouthguard works as a shock absorber to cushion your mouth from the effects of a blow to the face, head, or neck. Mouthguards protect teeth from not only fractures, but also hold the tongue, lips, and cheeks away from the teeth to avoid lacerations. Using a mouthguard as instructed by Dr. Michelle Slezewski and Dr. Paul Engibous can lessen the possibility of concussion and temporomandibular joint (TMJ) dislocation while you are out on the court or field. Increasingly, organized sports are requiring mouthguards to prevent injury to athletes, and research shows most mouth injuries occur when athletes are not wearing mouth protection.

Q: When should I wear a mouthguard?

A: Whenever you are participating in an activity that involves a risk of falling or head contact with other players. This includes football, baseball, basketball, soccer, hockey, and other competitive sports.

Q: How do I choose a mouthguard?

A: Dr. Michelle Slezewski and Dr. Paul Engibous and our team encourage you to choose a mouthguard that you can wear comfortably. There are several options of mouthguards you may choose from. First, preformed or what we call “boil-to-fit” mouthguards are found in sports stores. But your best choice is asking us for one during your next visit as we can fabricate a custom mouthguard for you at our Anchorage, AK office. A custom mouthguard will be more comfortable to wear and more effective in preventing injuries.

If you have any additional questions about mouthguards, please give us a call or ask us during your next visit!

Sleep Apnea: How we can help

September 6th, 2017

At Pediatric Dental Associates, we understand that getting high-quality sleep is vital to maintaining your overall health. Insufficient sleep can lead to an inability to concentrate, motor vehicle accidents, and difficulty performing at work. Since approximately 18 million Americans suffer from sleep apnea, this poses a significant public health problem. If you think you may have sleep apnea, talk to Dr. Michelle Slezewski and Dr. Paul Engibous and our team about devices that can help you get a good night’s rest.

What is sleep apnea?

Sleep apnea is a relatively common disorder in which breathing stops or becomes very shallow during the night. These bouts of paused breathing may last a few seconds or as long as several minutes. When 30 or more breathing interruptions occur per hour, sleep apnea leads to dramatic reductions in sleep quality. In many cases, this condition is caused by your airway becoming blocked or collapsed during sleep.

Anyone can get sleep apnea, but there are certain factors that increase your risk. Having small airways, being overweight, being male, or having a family history of sleep apnea increases the likelihood that you will develop the disorder. If you think you have sleep apnea, visit highly encourage you to visit our Anchorage, AK office for a thorough physical exam, comprehensive medical history, and a sleep study.

Treatment Options

Several treatment avenues are available for people with sleep apnea. One popular option is to wear an oral appliance. For example, a mandibular advancement device (MAD) looks like a sports mouthguard and slightly repositions your jaw, to keep your airway unobstructed. Another option is a tongue-retraining device (TRD), which holds your tongue in place to ensure that your airway stays open during the night.

For individuals with mild-to-moderate sleep apnea, dental devices are a smart option. Many patients enjoy improved sleep, reductions in snoring, and less fatigue during daytime hours. If you’re curious about getting an oral appliance to help with your sleep apnea, please consult our team at Pediatric Dental Associates. After a consultation and examination, we can fit the type of device that works best for your condition.

How do I know if my gums are receding?

August 30th, 2017

Gum recession, a common result of gum disease, occurs when the gum tissue that surrounds the teeth wears away or pulls back, forming pockets between the gumline and exposing more of the tooth. Gum recession occurs gradually, so you might not know that you have it. Left untreated, gum recession can result in tooth loss. In addition, there are several studies that suggest that gum disease is associated with modest increases in coronary heart disease. Here are five ways to know if your gums are receding.

1. Healthy gums are firm, light pink, and very elastic. If your gums don’t fit that description, then it’s time to visit our Anchorage, AK office. Red, swollen gums are a common symptom of gum disease, and may lead to gum recession.

2. Do your gums bleed easily when you brush or floss? If you have gum recession, even if you brush gently and with toothpaste specifically designed for sensitivity, it may still result in bleeding.

3. When you look in the mirror, do you see more of a tooth than you used to? This is one of the easiest ways to tell if you have gum recession. When gums recede, more of the tooth is visibly exposed. Look for lines or notches along the bottom of the teeth, as this typically indicates areas where the gums have receded.

4. One of the first signs of gum recession is tooth sensitivity. Does it hurt when you bite down or chew? The more gums recede, the more painful it is going to be. However, before you experience tooth sensitivity or pain, you may notice awkwardness when you bit down. When gum recession occurs, teeth can shift slightly, making it feel as if they are not properly aligned.

5. Loose teeth are a symptom of advanced gum recession and periodontal disease. In other words, the supporting bone structure of the teeth has already begun to deteriorate. If left untreated, it will result in tooth loss.

From deep cleaning (scaling) to gingival tissue grafting surgery, there are several ways to combat gum recession and periodontal disease. How gum recession is treated depends on how far advanced it is. Talk to Dr. Michelle Slezewski and Dr. Paul Engibous about what options are best for you.

Why Visiting the Emergency Room for Your Dental Problem isn’t a Good Idea

August 23rd, 2017

Emergency rooms are for emergencies, so before you head to the hospital because of a dental problem, you need to ask yourself this question: Is what you're experiencing really a medical emergency? While emergency room visits for dental related issues are on the rise across the United States , they’re not necessarily the best solution for every problem. Many people don't know about emergency dental care services, many of which are available 24/7, and so they go to the ER.

These types of statistics are common across the country. However, despite the numbers, not all dental problems are created equal. If you've experienced some type of injury to your mouth, jaw, or face, then an ER visit is a good idea, but if you're suffering from a toothache, cavity, or broken crown or veneer, then the ER is not the best place to handle the situation. If you're having a dental emergency, then seeking emergency dental care should be your course of action.

Seeking Long-Term Solutions

The ER doesn't provide a long-term solution to your dental issue; it only gives you temporary relief. There’s a chance they will simply hand you a prescription for pain medication and tell you to call your dentist in the morning. In the end, you’re going to be saddled with two medical bills, and nobody wants that. Even if the ER outfits you with a temporary crown or filling, you're still going to have to make a follow-up appointment our office.

There are numerous homemade remedies that can sooth tooth and gum pain. However, if you're experiencing a dental emergency, the ER is not the place to go. The specialized emergency team at Pediatric Dental Associates is available to take care of every dental problem you may have. In the case of a dental emergency, don't wait any longer than necessary. Feel free to contact our Anchorage, AK office at any time, day or night.

Periodontics and Pregnancy

August 16th, 2017

Periodontal health — which refers to the condition of the structures that support your teeth — is an important part of your oral and overall health. However, periodontal health becomes even more important when you're pregnant. Bad oral health can have detrimental effects on the health of your unborn child and can lead to low-birth weight babies and giving birth to a pre-term baby, according to reports by the American Academy of Periodontology (AAP), the European Federation of Periodontology (EFP), and several research studies.

Periodontal disease (gum disease) is a set of chronic, bacteria-induced, inflammatory diseases that attack the gum tissue and in more severe cases, the bones supporting the teeth. Early signs of periodontal disease usually include tenderness, swelling, and redness. Symptoms can also include bleeding gums when flossing or brushing, receding gums, loose teeth, and bad breath. These signs shouldn't be ignored, especially if you're pregnant.

Prevention is the best tool you have to fight periodontal disease. Here are some steps you can take to keep your gums in tiptop shape:

  • Brush your teeth properly twice a day – angle your toothbrush at the gum line to help disrupt the bacterial growth that eventually leads to periodontal disease, and make sure you don't brush too hard.
  • Floss daily and clean behind the back molars on the top and bottom of your mouth.
  • Use antiseptic mouthwash to rid your mouth of the bacteria that can cause gum disease.
  • Get regular checkups at our Anchorage, AK office to ensure you have no signs of periodontal disease and that your oral hygiene habits are effective.

Dr. Michelle Slezewski and Dr. Paul Engibous and our team urge women to care for their periodontal health during pregnancy to avoid complications. If you have any questions regarding periodontal health and how it affects you and your baby's overall health, please contact our Anchorage, AK office for more information.

Three Must-Have Dental Treatments

August 9th, 2017

In dentistry, there are a wide variety of treatments, everything from elective procedures to those that are necessary and potentially lifesaving. So given the slew of treatment options, how do you choose what’s right for you? Our experts at Pediatric Dental Associates have handpicked the three must-have procedures that we believe can benefit nearly every patient.

The first: A complete periodontal exam. If you are going to the dentist for scheduled cleanings, this exam should happen at least once a year. A periodontal exam is quick and relatively painless. The dentist or hygienist will carefully probe around each tooth to take measurements that show the health of the bone and its supporting tissue, all while looking for signs of any active infection. It has been suggested that there is a link between periodontal (gum) disease and the increased risk of some potentially fatal diseases such as heart disease, stroke, and diabetes. Signs of some diseases show up in the mouth sometimes before the patient is aware of changes in the body. Diabetes is one of these silent diseases. Many Americans are unaware that they have the disease until sudden and severe changes in the periodontal health of the teeth lead to a trip to the patient’s physician. And did you know that more adults lose teeth to periodontal disease than to cavities? A simple screening once a year can lead to saving your teeth.

The second treatment our team at Pediatric Dental Associates recommends is a dental sealant; it’s not just for kids! Dental sealants provide a protective barrier from bacteria deep in the pits and grooves of the teeth where cavities often start. Sealants placed in childhood will often wear away in adulthood. Replacing a sealant as an adult can also help prevent decay in adulthood. This is a great cost-effective procedure for adults. Dental insurance will likely not cover sealants as an adult, but the cost of a sealant for prevention versus the cost of a filling is much less.

Our third must-have dental treatment is often the most fun: in-office whitening. Who doesn’t want an instantly dazzling smile? In-office whitening is one of the most dramatic and quick ways to brighten a smile. It will take a few years off your age in a two-hour period of time. Whitening is very safe and can give a patient newfound confidence to smile.

Is soda really bad for your teeth?

August 2nd, 2017

You take a sip of soda – and someone remarks, “That’s going to ruin your teeth!”

Is that true? Is sweet soda the enemy of a healthy smile? The answer, unfortunately, is that one glass might not hurt your teeth, but drinking soda regularly can do some real damage.

Sodas are one of America’s favorite drinks. The American Academy of Cosmetic Dentistry says about half of us drink soda regularly, averaging 2.6 glasses each day.

That’s a lot of soda considering the drinks are acidic, full of sugar, and have little or no nutritional value. It may surprise you to learn that it’s actually the acidity of cola, not the sugar, which poses the biggest threat to teeth. Over time, repeated exposure to soda wears down tooth enamel, leaving teeth stained and less able to prevent cavities.

As enamel wears away, teeth can become discolored, take on a rough texture, and become highly sensitive to hot or cold. Your teeth may start to tingle, and brushing or flossing can cause pain. If not checked by dental care, teeth may start to erode, becoming thinner and more likely to crack. It’s a pretty high price to pay for a glass of soda.

Of course, sodas are not the only culprits in tooth erosion. Coffee, wine, and some fruit juices are also acidic, though these drinks tend to have less acidity that a typical soda.

So what can you do to protect your teeth?

1. Cut back – way back – on acidic drinks.

2. Add more water to your daily diet in place of sodas.

3. Use a straw when you drink.

4. Don’t confuse diet soda with a healthy alternative. Diet drinks are just as acidic as regular sodas.

5. Rinse your mouth with water after drinking soda. The rinse may remove some acid from your teeth, although abstaining from the soda would do more good.

6. Hold off on brushing your teeth after drinking soda. Brushing too hard can weaken enamel that is already covered in acid.

7. Pay attention to your teeth, both how they look and how they feel. Let Dr. Michelle Slezewski and Dr. Paul Engibous know if you see signs of discoloration or erosion, or feel tingling. Make an appointment at our Anchorage, AK office if you feel tooth or gum pain when eating or drinking.

My gums are shrinking!

July 26th, 2017

Have you ever looked in the mirror and noticed that your teeth looked longer? Does it seem like your gums are shrinking? This condition is called recession—many adults have it. Let’s look at some of the causes and what you can do about it.

During your exam at Pediatric Dental Associates, we will take measurements to check for periodontal disease. Dental professionals take recession measurements to see how much attached gingiva is present. This is the kind of tissue that is most resilient to infection.

The more recession, the less attached gingiva. The less attached gingiva, the less bone support. The less bone support, the higher your chances of tooth loss. It is quite a domino effect.

Don’t lose hope. The effect can be halted once you know the cause of your recession.

Do you ever wake up with your jaw clenched, and/or a headache that originates just above your ears? Clenching or grinding your teeth can cause recession. When there is added stress on a tooth, it flexes at the gum line.

Over time this causes microscopic breaks in the enamel and then a notch appears. The gum line is forced to move away from its original position. If this is something you see in your mouth, we can discuss the possibility of an occlusal guard at your next visit.

How do you brush your teeth? Do you brush in a straight line or circles? What kind of bristles do you use? Are the bristles on your toothbrush frayed?

When you brush in a circle, you are sweeping all along the gum line, removing the plaque from most angles. When you brush in a straight line, you may often miss the concave portion of the gums. This leaves plaque behind and leads to gingivitis. Whenever gingivitis occurs, the body attacks supporting structures like bone while trying to get rid of the infection. This is periodontal disease, which can cause recession.

Recession may also result from an irritant on the gums, such as a bar from a partial denture or orthodontic appliance (braces).

Gums do not “grow back.” The most common treatment for advanced recession is a tissue graft. There are many different kinds of tissue grafts.

Other factors can cause recession. If you think recession is happening in your mouth, schedule an appointment with Dr. Michelle Slezewski and Dr. Paul Engibous to discuss your options, so you can make the appropriate treatment choice.

Are you a tooth grinder?

July 19th, 2017

Perhaps you had a particularly irritating commute home from work, and you realize at the end that your jaw was clenched tight the entire time. Or maybe you grind your teeth when you are nervous or anxious about an upcoming business meeting. Most people grind their teeth from time to time, but it’s important to recognize the signs and symptoms of chronic tooth grinding. Known as bruxism, this condition can lead to oral health problems and dental issues later.

Signs and symptoms of bruxism

  • Your partner might complain about the fact that you grind your teeth while you sleep. People who grind their teeth on a regular basis often do so during the night, and aren’t necessarily aware it is happening. However, your partner will more than likely notice if you develop this condition. If he or she mentions that it happens often, you might want to contact our team at Pediatric Dental Associates.
  • You may experience a persistent and unexplained headache if you grind your teeth too often. You may not realize why you have this headache, because you are not aware of the fact that you have been grinding your teeth. Take note of any headaches you have, and if you cannot attribute them to another source, please give us a call to set up an appointment with Dr. Michelle Slezewski and Dr. Paul Engibous.
  • Your jaw will more than likely become sore if you suffer from bruxism. If you wake up in the morning and have any discomfort in your jaw, you might have spent the night grinding your teeth. Our team can give you tips and advice for managing bruxism.

While many people associate their teeth grinding with stress, it actually is caused more often by crooked teeth, an overbite, or an under bite. If left untreated, bruxism can lead to a variety of complications, including dental injuries, hearing loss, and the onset of TMD. If you think that you might be a chronic tooth grinder, it might be time to set up an appointment at our Anchorage, AK office in order to find out which treatment options are available to you.

Drill-Free Dentistry with Air Abrasion

July 12th, 2017

Do you dread the dentist? Do you hate the sound of the drill, fear anesthesia or needles, and put off your regular checkups because you dread being told you will have to undergo dental procedures? Then drill-free air abrasion dentistry is for you. Air abrasion is a drill-free technique used by Dr. Michelle Slezewski and Dr. Paul Engibous to remove tooth decay, prepare teeth for bonding, and remove old fillings and stains. It is particularly appropriate for young children or people with dental anxiety, because it is sound- and vibration-free. It allows the creation of a relaxing atmosphere, requires less anesthesia in many cases, and involves much less noise.

How does drill-free dentistry work?

Air abrasion is like a mini sandblaster; it sprays away decay-causing tartar and plaque. Tartar and plaque is removed by a fine stream of particles, comprised of silica, aluminum oxide, or a baking soda mixture, which is sprayed toward the tooth by compressed air or a gas in a dental hand-piece. The debris is then suctioned away.

Advantages of air abrasion dentistry

  • Leaves more of the healthy tooth matter
  • Reduces the risk of chipping or fracturing the tooth
  • Generates no heat, sound, vibration, or pressure
  • Reduces the need for anesthesia
  • Is a relatively simple, quick procedure
  • Allows treatment of multiple teeth in one visit
  • Is a relatively dry procedure, which allows for easy placement of composite fillings

Drill-free dentistry can go a long way to easing your dental anxiety. To enter Pediatric Dental Associates and not hear the high-pitched squealing of the drill is, in itself, a big plus. Then to know you will have to receive little or no anesthesia to have a cavity filled with air abrasion, and that this method will be a quiet, relatively pain-free procedure … can you imagine it?

Contact Pediatric Dental Associates at our convenient Anchorage, AK office to see if air abrasion dentistry is right for you!

Teeth Whitening For a Bright Summer

July 5th, 2017

Summer brings sunshine and warm weather, and many of our patients begin thinking about brightening their smiles this time of year. A whiter smile is one just one visit away at Pediatric Dental Associates!

Teeth whitening is safe, quick, and inexpensive. It can be used to correct many tooth discolorations which may have been caused by staining, aging, or chemical damage to teeth. Using the latest in whitening technology, we can offer a safe method for creating the beautiful smile you've always wanted. Just let us know at any appointment if you would like a brighter smile.

Get your beautiful smile today! Give us a call at our convenient Anchorage, AK office to schedule an appointment!

Is there really a link between my mouth and heart?

June 28th, 2017

Yes, indeed! While brushing, flossing, and regular visits to Pediatric Dental Associates are all key to maintaining a healthy smile and mouth, Dr. Michelle Slezewski and Dr. Paul Engibous and our team want you to know the state of your oral health has a significant effect on your overall health.

Our mouths are full of bacteria—some good, and some harmful. Some types of bad bacteria can cause cavities, gingivitis and even periodontal (gum) disease. Without proper oral care and hygiene, these harmful types of bacteria are capable of entering your blood stream through inflamed gums, when inhaled through the mouth or through saliva.

Gum disease, in turn, has been linked to a number of health problems, researchers have found. These include:

  • Heart disease: Gum disease may increase the risk of heart disease. Gum disease also is believed to worsen existing heart disease.
  • Stroke: Gum disease may increase the risk of the type of stroke caused by blocked arteries.
  • Diabetes: People with diabetes and periodontal disease may be more likely to have trouble controlling their blood sugar than diabetics with healthy gums.
  • Premature birth: Women who suffer from gum disease during pregnancy may be more likely deliver their baby early, and it is likely her infant may be of low birth weight.

Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates are experts in identifying and treating periodontal disease. Give us a call today at our convenient Anchorage, AK office to schedule an appointment to improve your oral health and your overall health, too!

The Effects of Biting Your Nails

June 21st, 2017

Also known as onchophagia, the habit of nail biting is one of the so-called “nervous habits” that can be triggered by stress, excitement, or boredom. Approximately half of all kids between the ages of ten and 18 have been nail biters at one time or another. Experts say that about 30 percent of children and 15 percent of adults are nail biters, however most people stop chewing their nails by the time they turn 30.

Here are four dental and general reasons to stop biting your nails:

1. It’s unsanitary: Your nails harbor bacteria and germs, and are almost twice as dirty as fingers. What’s more, swallowing dirty nails can lead to stomach problems.

2. It wears down your teeth: Gnawing your nails can put added stress on your pearly whites, which can lead to crooked teeth.

3. It can delay your orthodontic treatment: For those of our patients wearing braces, nail biting puts additional pressure on teeth and weakens roots.

4. It can cost you, literally: It has been estimated that up to $4,000 in extra dental bills can build up over a lifetime.

Dr. Michelle Slezewski and Dr. Paul Engibous and our team recommend the following to kick your nail biting habit:

  • Keep your nails trimmed short; you’ll have less of a nail to bite.
  • Coat your nails with a bitter-tasting nail polish.
  • Ask us about obtaining a mouthguard, which can help prevent nail biting.
  • Put a rubber band around your wrist and snap it whenever you get the urge to gnaw on your nails.
  • Think about when and why you chew your nails. Whether you are nervous or just bored, understanding the triggers can help you find a solution and stop the habit.
  • If you can’t stop, behavioral therapy may be an effective option to stop nail biting. Ask Dr. Michelle Slezewski and Dr. Paul Engibous and our team for a recommendation.

When do children usually lose their baby teeth?

June 14th, 2017

Many parents worry that their children’s teeth are not falling out on time. A lot of concerned parents want to know: When will my child lose his or her first baby tooth? At what age should the last tooth fall out? Is there a specific order in which the teeth are lost?

Dr. Michelle Slezewski and Dr. Paul Engibous and our team explain that a child's 20 baby teeth (primary teeth) typically come in by age three and begin to loosen and fall out on their own to make room for permanent teeth, which usually appear by the time your child is six. It is important to know that timing may vary, and girls typically lose their baby teeth earlier than boys. The last baby teeth will likely fall out by the time your child is 13.

So, which teeth do children lose first? Baby teeth tend to fall out in the order in which they came, which means the lower center incisors are usually the first to go when your child is between six and seven years old. The next teeth your child will lose are his or her top center pair, also called the upper central incisors.

It’s important to note that if a child loses a baby tooth early as a result of decay or an unforeseen accident, his or her permanent tooth may erupt early and potentially come in crooked due to limited space. If your child suffers an injury or has tooth decay, we encourage you to give us a call to set up an appointment with Dr. Michelle Slezewski and Dr. Paul Engibous.

While we know some children couldn’t be more excited to lose their baby teeth, we know others are anxious about this childhood milestone. When your child starts to lose teeth, our team at Pediatric Dental Associates encourages you to stress the importance of proper dental care on a daily basis.

Remember to:

  • Remind your child to brush his or her teeth at least twice a day. Supervise and offer assistance as needed.
  • Help your child floss his or her teeth at bedtime.
  • Limit eating and drinking between meals and at bedtime, especially sugary treats and drinks, such as candy and soda.
  • Schedule regular dental visits for your child every six months.
  • Ask about the use of fluoride treatments and dental sealants to help prevent tooth decay.

To learn more about baby teeth, or to schedule your child's next visit with Dr. Michelle Slezewski and Dr. Paul Engibous at our Anchorage, AK office, please give us a call today!

Top Five Things to Keep Your Dentist Smiling

June 7th, 2017

Come say hello twice a year. The American Dental Association says two times is the charm. Multiple visits a year lets us keep an eye out for any developing issues. It’s important to remember that this goes for the whole family. Children over one year old should be seeing Dr. Michelle Slezewski and Dr. Paul Engibous!

Stay fresh. At Pediatric Dental Associates, we have a virtually unlimited stock of toothbrushes and floss, which means you have no excuse to be using a sad, ineffective toothbrush. As soon as bristles begin to fray, pick up a new one or stop by our Anchorage, AK office and we’ll replace yours. On average, you should be opening a new one every two to three months.

For goodness sake, floss! Flossing is an efficient way to keep your whole mouth healthy. It not only protects your teeth by removing aggregated plaque, it keeps your gums happy, too.

And brush. Practicing regular healthy habits is essential to keeping your mouth—and us—happy! When it comes to brushing that means two minutes, two times a day. If your kids need some encouragement, try making a calendar or playing a song like this.

Tell a friend. One way you can help us is by spreading the love. Tell your friends about what a good thing we’ve got going here. The more the merrier. And the healthier.

Proper Brushing Techniques

May 31st, 2017

Brushing your teeth properly removes the food particles and bacteria that can lead to tooth decay and gum disease. However, you do not want to scrub your teeth or gums heavily. A heavy hand can lead to tooth and gum erosion, as Dr. Michelle Slezewski and Dr. Paul Engibous and our staff see all too often.

You should also use a soft bristle toothbrush to avoid damaging the surface of your teeth. Make sure the head of the brush fits in your mouth, because if it is too large you will not be able to reach all tooth surfaces. Follow these steps to ensure you are brushing properly.

  1. Use a small amount of toothpaste on your brush. The recommendation is a pea-sized amount or thin strip on the bristles.
  2. Hold your toothbrush at a 45-degree angle to the surface of your teeth, angling towards your gums. Use a circular motion on all exterior tooth surfaces, and avoid back-and-forth “scrub” brushing.
  3. Once you have cleaned the outer surfaces, hold the brush vertically and clean the inner teeth surfaces — the side of your teeth that face your tongue. Do not forget the inner surfaces of your front teeth.
  4. Finally, finish by cleaning all the chewing surfaces of your teeth. You need to maintain a gentle touch, but make sure you get into the full depth of your molars. The entire process should take about two minutes.

Dr. Michelle Slezewski and Dr. Paul Engibous and our staff recommend changing your toothbrush every three to four months for best results. Do not forget to clean your tongue, which helps remove excess bacteria from your mouth. Special brushes are available just for cleaning your tongue, and they are easy to use.

Proper care of your teeth also requires flossing on a regular basis. Flossing can be performed before or after you brush. Following up with a quality mouthwash will provide you with even more protection. Do not be afraid to ask the Pediatric Dental Associates team for tips on proper brushing and flossing.

Happy Gums, Happy Heart!

May 24th, 2017

Medical doctors and dental health professionals, like Dr. Michelle Slezewski and Dr. Paul Engibous, have debated over the connection (or lack thereof) between gum disease and heart disease. While there still is no unanimous consensus on whether there is a link – or the extent to any link there may be – several studies offer some interesting insight into possible correlations that may prove that there are some common factors that point to a likely correlation between the two.

Could there be a link between gum disease and heart disease?

Dr. Simone Ricketts reported on the findings of an Australian study of 80 patients in Profile Magazine. That study showed that 70% of the patients who participated in the study and needed heart transplants also had gum disease. She noted that other studies show a similar pattern, indicating that patients who needed heart transplants or other cardiac surgery procedures, were more likely to have dental problems.

Not Just Heart Disease Linked to Gum Disease

It isn’t just heart disease that experts are linking to periodontal disease, however. More and more evidence is showing that many chronic inflammatory diseases such as diabetes can be linked to periodontal disease. Poor oral hygiene resulting in gum disease was evident in blood tests that showed positive markers for inflammation.

Experts looked at a combination of over 120 medical studies focusing on a link between dental health and heart health. The findings of that research were published in the Journal of Periodontology and the American Journal of Cardiology. While there was no agreement on a definitive link, the research showed some promising results, and offer information that may be helpful to both dental health professionals and their patients.

On its own, gum disease increases the risk of developing coronary artery disease. Data from the National Health and Nutrition Examination Survey (NHANES) showed that gum disease increases the risk factor for blood vessel and artery diseases when those arteries supply blood to the brain.

This is especially important for strokes because they are a common cause of inadequate blood flow to the brain. Data from another study of 50,000+ people found a higher risk of stroke among people with gum disease and tooth loss.

The study did, however, show two very important connections between gum and heart disease:

  • Both the gums of people with gum disease and the blood vessels of people who had atherosclerosis tested positive for similar types of bacteria.
  • Both patients with atherosclerosis and those with gum disease showed the presence of inflammation in their bodies.

Patients need to understand the importance of taking care of their mouths and doing whatever is necessary to ensure or support heart health – even if there is no guarantee that doing so will prevent either disease.

Oral Cancer Facts and Figures

May 17th, 2017

Oral cancer is largely viewed as a disease that affects those over the age of 40, but it can affect all ages, even non-tobacco and alcohol users. Oral cancer can occur on the lips, gums, tongue, inside lining of the cheeks, roof of the mouth, and the floor of the mouth. Our team at Pediatric Dental Associates recently put together some facts and figures to illustrate the importance of visiting our Anchorage, AK office.

Our friends at the American Cancer Society recommend an oral cancer screening exam every three years for people over the age of 20 and annually for those over age 40. Because early detection can improve the chance of successful treatment, be sure to ask Dr. Michelle Slezewski and Dr. Paul Engibous and our team to conduct an oral exam during your next visit to our Anchorage, AK office.

  • Symptoms of oral cancer may include a sore in the throat or mouth that bleeds easily and does not heal, a red or white patch that persists, a lump or thickening, ear pain, a neck mass, or coughing up blood. Difficulties in chewing, swallowing, or moving the tongue or jaws are often late symptoms.
  • The primary risk factors for oral cancer in American men and women are tobacco (including smokeless tobacco) and alcohol use. Risk rises dramatically (30%) for people who both smoke and consume alcohol regularly.
  • Oral cancers are part of a group of cancers commonly referred to as head and neck cancers, and of all head and neck cancers they comprise about 85% of that category.
  • Oral cancer is the sixth most common cancer among men.
  • Oral cancer is more likely to affect people over 40 years of age, though an increasing number of young people are developing the condition.
  • Death rates have been decreasing over the past three decades; from 2004 to 2008, rates decreased by 1.2% per year in men and by 2.2% per year in women, according to the American Cancer Society.
  • About 75% to 80% of people with oral cavity and pharynx cancer consume alcohol.
  • The risk of developing oral cavity and pharynx cancers increases both with the amount as well as the length of time tobacco and alcohol products are used.
  • For all stages combined, about 84% of people with oral cancer survive one year after diagnosis. The five- and ten-year relative survival rates are 61% and 50%, respectively.
  • It is estimated that approximately $3.2 billion is spent in the United States annually on treatment of head and neck cancers.

Cancer can affect any part of the oral cavity, including the lip, tongue, mouth, and throat. Through visual inspection, Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates can often detect premalignant abnormalities and cancer at an early stage, when treatment is both less extensive and more successful.

Please let us now if you have any questions about your oral health either during your next scheduled appointment, by giving us a call or asking us on Facebook.

Diabetes and Dental Care

May 10th, 2017

When most people think of complications of diabetes, they think of an increased risk of blindness, limb amputation, heart disease, and neuropathy. However, Dr. Michelle Slezewski and Dr. Paul Engibous and our team want you to know that emerging research is revealing a possible connection between uncontrolled diabetes and dental problems. Whether you have type 2 diabetes or type 1, uncontrolled high blood glucose level increases the risk of certain oral health conditions, including:

  • Cavities
  • Tooth decay
  • Gingivitis (early gum disease)
  • Periodontal disease (advanced gum disease)

Diabetes and proper dental care

If you have diabetes, it is more important than ever to take your dental care seriously and practice excellent oral hygiene. These recommendations will help:

  1. Manage your diabetes. First and foremost, it is vital to control your high blood sugar in accordance with your physician’s instructions — not only for the sake of your oral health, but your overall health. With properly controlled blood sugar, you reduce your risk of developing gingivitis and other oral health issues.
  2. Practice good at-home oral hygiene. This means brushing at least twice a day AND flossing. At a minimum, brush your teeth in the morning and at night, but after meals and snacks if you can. Use a soft toothbrush to avoid injuring your gums. Don’t neglect flossing, because it helps to remove plaque below the gumline and between teeth.
  3. Visit the dentist regularly. While it is important to see the dentist every six months even if you don’t have diabetes, it is even more crucial to have a professional teeth cleaning and dental exam if you have the disease. As dental professionals, our team at Pediatric Dental Associates is able to detect early dental conditions before they develop into something more serious and costly.
  4. Tell your dentist that you have diabetes. If you were recently diagnosed with diabetes, be sure to let us know as soon as possible, and remind us at every appointment.
  5. Be conscientious about examining your own gums and teeth. By looking for early signs of gum disease, which can include bleeding gums, irritated gums, gums that are red (versus a healthy pink), or swelling, we can get started on treatment right away.

Managing diabetes takes effort, not only in watching your diet, exercising, monitoring your blood sugar levels, and taking your medication, but obtaining proper dental care.

To learn more about the link between diabetes and oral health, or to schedule an appointment with Dr. Michelle Slezewski and Dr. Paul Engibous, please give us a call at our convenient Anchorage, AK office!

Are thumb sucking and pacifier habits harmful for a child’s teeth?

May 3rd, 2017

Depending on how long the thumb sucking or constant pacifier use continues, and how aggressively the child sucks a thumb or the pacifier, it can indeed be an oral health issue. Generally speaking, most children outgrow these behaviors or are able to be weaned off them successfully sometime between ages two and four. When children wean off the behaviors in this age range, long-term damage is unlikely.

Why Kids Suck Their Thumb or Pacifier

Both of these habits are actually a form of self soothing that your child likely uses when he or she is very upset, or feeling stressed, confused, frustrated, or unable to properly express the emotions. If your son or daughters is a regular thumb sucker, or the child wants to use the pacifier almost constantly, it is best to try to taper off these habits at a young age.

If your child continues to suck a thumb or request a pacifier consistently after leaving toddler-hood, this could be a source of concern, and it should be addressed with Dr. Michelle Slezewski and Dr. Paul Engibous and our staff. We will be able to evaluate your child's mouth to look for any signs of damage such as palate changes or teeth shifting.

Say Goodbye to Old Habits

In the event that your child is quite reluctant to give up a pacifier or thumb-sucking habit, there are a few things you can do to discourage these behaviors.

  • When you notice that your child is not using a pacifier or sucking a thumb, offer effusive praise. This type of positive reinforcement can be much more effective than scolding the child.
  • Consider instituting a reward system for giving up the habit. If the child goes a certain amount of time without this behavior, award him or her for being such a “big kid.”
  • Employ the help of older siblings or relatives that your child admires. When a child’s role model says that he or she stopped sucking thumbs at a certain age, your child is likely to try to emulate that.

What is hyperdontia?

April 26th, 2017

When a child is born, he or she will have 20 primary teeth and 32 permanent teeth. But sometimes kids are born with additional teeth, and our team at Pediatric Dental Associates calls this oral condition "hyperdontia." Primary teeth are the first set of teeth that erupt in your child's mouth, typically by the time they are 36 months old, and are shed by the time your child reaches the age of 12. Permanent teeth then take the place of the primary teeth and are usually fully-erupted by the time your son or daughter reaches 21 years of age. Anyone who develops more than 20 primary teeth or more than 32 permanent teeth has hyperdontia, and the additional teeth are referred to as supernumerary teeth.

While the cause of hyperdontia is not entirely clear, it is believed that there may be a genetic factor. Oral professionals have found that patients with extra teeth often have syndromes like cleidocranial dysplasia, Ehler-Danlos syndrome, Gardner syndrome, or cleft lip and palate. The prevalence of hyperdontia affects between one and four percent of the population in the United States, and the majority of cases are limited to a single tooth.

So, what is the best way to deal with hyperdontia? It really depends on the case. The treatment plan your doctor suggests varies according to the potential problem posed by the supernumerary teeth, as well as their type. Orthodontic treatment may certainly may help, but extraction can also be a good option. We recommend that children receive an oral evaluation or checkup no later than the age of seven. In addition to hygiene evaluation, this helps ensure your child does not experience hyperdontia problems.

If you suspect you or your child may be suffering from hyperdontia, please give us a call to schedule an appointment at our convenient Anchorage, AK office to be evaluated.

Can my child really avoid tooth decay?

April 19th, 2017

Great question! Yes, in fact, tooth decay is preventable! Decay, which is caused by sugars left in your child’s mouth, can turn into an acid, which in turn can break down his or her teeth. Children are at high risk for tooth decay for a simple reason: many children and adolescents tend to be lax in their oral hygiene habits.

So, how can your child prevent tooth decay?

  • Start early. After the age of two, brush your child’s teeth with fluoride toothpaste twice a day. And, if possible, clean between the teeth with dental floss at least once a day, preferably before they go to bed.
  • Don’t allow your little ones to eat after cleaning teeth at bedtime, as salivary flow decreases while they sleep and their teeth become vulnerable to cavities.
  • Do not allow your little ones to nibble food or sip drinks continuously, and keep in mind that a low-sugar diet also helps keep tooth decay at bay. Allow time between meals for saliva to neutralize acids and repair the teeth.
  • Drinking water frequently throughout the day can also reduce the possibility of new cavities forming.
  • Dental sealants can also protect your children’s teeth from cavities. Sealants, which are applied to the chewing surfaces of molars, act as a shield between the tooth and harmful bacteria.

Finally, make sure your child visits Pediatric Dental Associates approximately every six months for a checkup and routine cleaning! Please give us a call at our Anchorage, AK office.

Famous Dentists in History

April 12th, 2017

Every six months or so you head down to your local dentist for a teeth cleaning, but have you ever thought that your dentist could one day be famous? Well, the chances are unlikely, however, there have been a number of dentists throughout history that have achieved acclaim and celebrity coming from a profession that is not typically associated with such regard. Here are a few examples:

Doc Holliday

Perhaps most famous for his gun fight at the O.K Corral alongside his buddy, Wyatt Earp, but "Doc" also had a day job as a dentist. He was trained in Pennsylvania and later opened a thriving practice near Atlanta. Sadly, Holliday came down with a case of tuberculosis and had to close his practice. He then packed his stuff and moved west, and we all know how the rest of the story goes.

Mark Spitz

Known around the world as a champion swimmer, Spitz was actually accepted into dentistry school before he became an Olympic gold medalist. While he ultimately decided not to attend school, it's safe to say he made the right choice considering he now has seven gold medals.

Paul Revere

The most famous dentist to come out of the American Revolution, Paul Revere was a man of many hats. He, of course, is known throughout history books for warning the colonies of the impending British troops on the attack, but when he wasn't involved in the fight he had a few different jobs. He was a silversmith, but also advertised his services as a dentist. More specifically, he specialized in making false teeth for people in need.

Miles Davis' Father

Miles Davis Jr. was one of the most acclaimed and influential jazz musicians of all time and his dad was a dentist. Miles Davis Sr. had a thriving dental practice and was a member of the NAACP. Dentistry was how he paid the bills and provided for Miles Jr., so in some ways it seems we all have the dental profession to thank for allowing Miles Jr. to become such a fantastic musician, and treating us to his jazz stylings.

Dr. Michelle Slezewski and Dr. Paul Engibous may not be famous, but you’ll still receive excellent care each and every time you visit our Anchorage, AK office.

Curing the Nail-Biting Habit

April 5th, 2017

Do you ever find yourself gnawing at your nails? Nail-biting is a very common and difficult to break habit which usually has its beginnings in childhood. It can leave your fingers and nail beds red and swollen. But if you think that your nails are the only ones getting roughed up by nail-biting you'd be mistaken—so are your teeth!

According to a study by the Academy of General Dentistry, those who bite their nails, clench their teeth, or chew on pencils are at much higher risk to develop bruxism (unintentional grinding of the teeth). Bruxism can lead to tooth sensitivity, tooth loss, receding gums, headaches, and general facial pain.

Those are some nasty sounding side effects from chewing on your nails. Most nail-biting is a sign of stress or anxiety and its something you should deal with. So what steps can you take if you have a nail-biting habit?

There are several things you can do to ease up on nail-biting:

  • Trim your nails shorter and/or get regular manicures – Trimming your nails shorter is an effective remedy. In so doing, they'll be less tempting and more difficult to bite on. If you also get regular manicures, you’ll be less likely to ruin the investment you’ve made in your hands and fingernails!
  • Find a different kind of stress reduction – Try meditation, deep breathing, practicing qigong or yoga, or doing something that will keep your hands occupied like squeezing a stress ball or playing with a yo-yo.
  • Wear a bitter-tasting nail polish – When your nails taste awful, you won't bite them! Clear or colored, it doesn't matter. This is also a helpful technique for helping children get over the habit.
  • Figure out what triggers your nail-biting – Sometimes it's triggered by stress or anxiety and other times it can be a physical stressor, like having hang nails. Knowing what situations cause you to bite your nails will help you to avoid them and break the habit.
  • Wear gloves or bandages on your fingers – If you've tried the steps above and they aren't working, this technique can prove effective since your fingernails won't be accessible to bite.

If you're still having trouble with nail-biting after trying these self-help steps, it's best to consult your doctor, dermatologist, or Dr. Michelle Slezewski and Dr. Paul Engibous. For some, it may also be the sign of a deeper psychological or emotional problem.

Whatever the cause, nail-biting is a habit you need to break for your physical and emotional well-being. If you have any questions about the effects it can have on your oral health, please don't hesitate to ask Dr. Michelle Slezewski and Dr. Paul Engibous during your next visit to our Anchorage, AK office.

Best Ways to Prevent Bad Breath

March 29th, 2017

Nobody likes bad breath, and although it can sometimes be difficult to tell if you have it, it is always better to practice good oral health than risk having a smelly mouth. There are many ways to reduce or eliminate bad breath, some are definitely more effective and longer lasting than others. Check out ways to do so below.

Floss Regularly

As difficult as it can be to remember to floss regularly, when it comes to bad breath, flossing is one of the easiest and most cost effective ways to freshen your mouth. See, flossing reduces the plaque and bacteria found in areas of your mouth that a toothbrush simply can't reach, and in turn, it rids your mouth of the smell associated with that bacteria. While flossing may not eliminate bad breath on its own, if you do it along with other health oral hygiene habits like brushing, then you may just develop a fresher smelling mouth.

Use Mouthwash

Using some sort of mouthwash can really freshen up your breath, especially if you find it still smells after brushing and flossing. There is a wide variety of mouthwash products on the market, however, you can also create your own by simply using baking soda mixed with water.

Always Brush after You Sleep

Whether after taking a nap, or having a full night of sleep, you will want to brush your teeth in order to reduce bad breath. The truth is, bacteria accumulates in your mouth while you are sleeping (even during a short nap) and that is ultimately the source of bad breath. So next time you wake from a good slumber, give your mouth some brushing and you will find it makes a big difference in the freshness of your breath.

There are many ways to freshen your breath beyond just using gum or mints, the above mentioned are just a few for you to try. Test them out and you will likely find your bad breath problem is solved, or at least considerably reduced. Of course, you can always ask Dr. Michelle Slezewski and Dr. Paul Engibous at your next visit to our Anchorage, AK office.

The History and Mythology of the Tooth Fairy

March 22nd, 2017

While the last baby teeth generally aren’t lost until age ten or 11, most children stop believing in the tooth fairy by the time they're seven or eight. Of course, children are more than happy to play along with the game when there’s money at stake! While it is impossible to know what the tooth fairy does with all those teeth (are they labeled and stored like museum pieces in a giant fairytale castle?), it is possible to trace the history and myth of the tooth fairy to several cultures and traditions. Dr. Michelle Slezewski and Dr. Paul Engibous and our team learned about some interesting myths about the tooth fairy!

The Middle Ages

Legend has it that Europeans in the Middle Ages believed a witch could curse someone by using their teeth, so it was important to dispose of baby teeth correctly. Teeth were swallowed, buried, or burned. Sometimes baby teeth were even left for rodents to eat. Despite being pests, rodents were valued for their strong teeth; it was generally believed a tooth fed to a rodent would lead to the development of a healthy and strong adult tooth.

Eighteenth Century France

The tooth fairy myth began to show more characteristics of a conventional fairytale in 18th century France. La Bonne Petite Souris, a bedtime story, tells the strange tale of a fairy that changes into a mouse to help a good queen defeat an evil king. The mouse secretly hides under the evil king’s pillow and defeats him by knocking out his teeth.

Scandinavian Lore

So, why does the tooth fairy leave money under the pillow? The idea of exchanging a tooth for coins originated in Scandinavia. Vikings paid children for a lost tooth. Teeth were worn on necklaces as good luck charms in battle. While the idea of exchanging a tooth for coins quickly spread throughout the rest of Europe, a fierce, horn-helmeted Viking is far cry from the image of a fairy collecting teeth.

While the tooth fairy as children know her today didn’t make an appearance until the 1900s, tooth myths and rites of passage have existed in numerous cultures since the dawn of time.

Oh no, not the dentist!

March 15th, 2017

If you or your children suffer from dental anxiety, you aren’t alone. According to the Cleveland Clinic, between nine and 15 percent of Americans admit to feeling sufficiently afraid of going to the dentist to avoid making an appointment. The potential consequences of dental anxiety extend beyond poor oral health. Lack of dental care can cause serious but easily preventable medical conditions.

Dental Anxiety versus Dental Phobia

Dental anxiety provokes a sense of fear in people, typically before they arrive at Pediatric Dental Associates. Those fears or worries are often exaggerated. Dental phobia shares many of the symptoms that characterize dental anxiety. It is a much more serious manifestation of that anxiety, and may provoke a sense of panic or terror in people. While people who suffer from dental phobias know that their feelings are irrational, they are unable to control, stop, or change those thoughts.

People who have dental phobias often avoid going to the dentist, and they come up with every possible excuse to justify not going. The only time a person who suffers from a dental phobia will go to the dentist is when he or she is forced to do so, or because of intense tooth pain. People who have dental anxiety don’t go to such extremes to avoid going to the dentist; anxiety usually begins in anticipation of the appointment.

What We Do to Ease Patient Anxiety

Dr. Michelle Slezewski and Dr. Paul Engibous and our staff have many techniques we can use to help patients feel more comfortable at their appointments. Dental Fear Central gives some simple suggestions to help children and adults who are apprehensive about going to the dentist, even if they suffer from the more severe form of anxiety: full-blown dental phobia.

  • The Tell-Show-Do Approach: We help our patients relax by making sure they understand what is involved in the exam and any procedure they may undergo. We tell patients about the procedure, show them the tools and equipment we intend to use, and answer questions before actually performing the procedure. This is helpful for patients who don’t know what to expect.
  • Distraction: We offer personal music players and a collection of CDs that patients can listen to. The relaxing qualities of music may help distract a patient enough to make the process less stressful. In-office televisions allow you to watch TV while waiting for your appointment.

Dr. Michelle Slezewski and Dr. Paul Engibous and our staff know that some patients are anxious about dental treatment, and we go to great lengths to make you feel more comfortable. Good oral health is very important, and when your mouth isn’t healthy, you can suffer from many other easily preventable medical problems.

Common Emergency Care Visits: Toothaches or abscesses

March 8th, 2017

Dental problems do not always wait for normal office hours. Broken fillings or damaged teeth are common reasons for emergency treatment. Toothaches and abscesses can also require prompt attention. Dr. Michelle Slezewski and Dr. Paul Engibous can provide you with the information and treatment you need to prevent the problem from becoming worse. Emergency dental care is only a phone call away, 24 hours a day, seven days a week.

Abscess

An abscess is a bacterial infection, and will normally cause pain and swelling around the affected tooth and gum area. Antibiotics are not always necessary, but you should seek treatment quickly. Left untreated, an infection can spread and cause serious complications.

Toothache

There are many reasons that you may develop a sudden toothache. The cause of the pain may be a particle of food lodged between your tooth and gum line. One of the first steps you can take is to rinse your mouth with warm water. You may also try gently flossing the area to dislodge the particle. Do not continue flossing if bleeding occurs.

Toothaches can occur from a carie — a cavity in the tooth — or from a fracture. Sensitivity to heat or cold may also cause tooth pain. You should make an appointment to ensure that a minor problem does not become serious. We may recommend acetaminophen or another pain reliever to reduce the pain before your visit.

Additional tips and treatments:

  • If you have fractured a tooth, rinse the area with warm water to keep the surfaces clean. Apply a cold compress to the outside of your facial area to reduce swelling.
  • A tooth that has been knocked out should be kept moist, in a clean container, until you can receive treatment.
  • Do not apply aspirin directly on a damaged tooth or gum area as it can cause tissue irritation.
  • If you suspect that your jaw has been broken, go to an emergency room immediately.
  • If you have bitten or damaged your lips or tongue, rinse your mouth well with warm water. If bleeding continues, call us or seek other medical attention immediately.

Our team at Pediatric Dental Associates is ready to assist you when you have an emergency dental need. When you call, please provide us with as much information as possible so we can offer recommendations that will assist you until your appointment. Do not delay; emergency treatment is available and immediate treatment is the best course of action.

Anatomy of a Smile Makeover

March 1st, 2017

A smile makeover is usually a combination of one or more cosmetic dental procedures. To achieve your desired result, Dr. Michelle Slezewski and Dr. Paul Engibous may perform or suggest a variety of options. The entire process is designed specifically for your unique cosmetic needs, and Dr. Michelle Slezewski and Dr. Paul Engibous will make sure all your concerns regarding your smile are addressed.

Here are some of the most common procedures in cosmetic dentistry and how they work:

  • Tooth whitening – Whiter teeth are achieved through a bleaching process typically using hydrogen peroxide or carbamide peroxide. Yellower teeth usually respond well to this procedure, while brown-colored teeth stained by fluorosis or taking tetracycline do not respond as well to whitening. Tooth whitening is not for everyone; if you have sensitive teeth, gum disease, or poor enamel, Dr. Michelle Slezewski and Dr. Paul Engibous may recommend against tooth-whitening services.
  • Orthodontics – Braces are one of the tried-and-true ways of achieving a healthier smile. Braces are typically worn between 12 and 24 months to reposition the teeth in a straighter and safer alignment. Since your bite is also corrected during this process, it helps ensure you won't have any trouble down the line. There are several different types of braces available these days including: traditional metal braces, clear ceramic braces, lingual braces, and clear aligners.
  • Veneers – Veneers are thin, tooth-colored material (porcelain or resin) designed to be placed on the front surface of teeth to improve their overall appearance. They can be used in cases where the color, shape, size, or length is not as desired. Veneers are usually used in cases where teeth are discolored, chipped, worn down, misaligned, irregular, or have gaps.
  • Implants/bridges – Dental implants and bridges are used to replace missing or broken teeth. Nowadays, both implants and bridges are commonly performed procedures. Implants integrate directly with the jawbone, while bridges are placed over the adjacent teeth to the missing tooth. Implant technology has advanced a great deal in recent years and highly biocompatible ceramic materials are becoming more commonplace.

Getting your perfect smile will take time and patience, but the end result will be well worth it! Please schedule an appointment at our Anchorage, AK office about the cosmetic dental services we offer, and achieve the smile you've always wanted!

Can I use mouthwash instead of flossing?

February 22nd, 2017

While mouthwash goes a long way in improving your oral care, it is not a substitute for flossing. Mouthwashes and flossing provide different benefits that you should understand.

Mouthwash Benefits

Mouthwash comes in two categories. Some are considered cosmetic. This type of rinse provides temporary relief from bad breath and has a pleasant taste. These do not actually kill any bacteria.

Therapeutic mouthwashes provide the healthier benefits. These may contain different ingredients including fluoride or antimicrobial agents. This type is used to remove plaque buildup and reduce the potential for calculus formation. Therapeutic rinses can also help prevent cavities, bad breath, and gingivitis. In addition, Dr. Michelle Slezewski and Dr. Paul Engibous can prescribe special rinses to assist patients after periodontal surgery or other procedures.

Flossing Benefits

Flossing is what removes the plaque formation before it can harden and become calculus. While a rinse reduces buildup, only flossing will fully remove plaque, especially between teeth. The bristles on a toothbrush do not get between teeth completely. If plaque is not removed, it hardens into tartar or calculus. When this builds below the gum line, gum disease can start.

Types of Floss

Floss is available in a thin string form or a tape. It can be waxed or unwaxed. If you find flossing difficult, you might want to try a different type of floss. You can buy bulk floss in containers or purchase the disposable type with a plastic handle attached. This style can be easier for many individuals to use. Interdental picks are available for bridgework or other situations where regular floss cannot be used.

If you have questions regarding the best mouthwash or floss, or need tips for easier flossing, please ask our Anchorage, AK team for advice. We will be glad to give you solutions to help keep your mouth clean and healthy.

How a High-Tech Office Helps Your Dental Treatment

February 15th, 2017

A dental office on the cutting edge of technology offers numerous benefits to its patients. Whether you are in need of a simple cleaning or extensive restorative work, these technologies will help you stay more comfortable and give you better results than the outdated tools used in many offices. Here are some of the technologies that you can expect to see in our modern dental office:

  • Digital radiography – Digital X-rays and imaging expose patients to far less radiation than traditional X-rays. Not only that, but these digital images provide a more detailed and easier-to-view snapshot of what is going on in and around your teeth. They make it easier for patients to see what's going on since we can show them right on the computer monitor. It's also better for the environment because there’s no need for the toxic chemicals used to develop traditional X-ray films.
  • Panoramic X-rays – This digital X-ray gives Dr. Michelle Slezewski and Dr. Paul Engibous a more in-depth understanding of the entire structure of your mouth and head than a regular X-ray. The panoramic X-ray machine rotates around your head and takes a 3D image of it, giving us a very complete picture that allows for more effective and timely treatment planning.
  • Bioceramic implants, prosthetic devices, and sealants – Advances in implants and prosthetic devices over the past several decades has led to the creation of bioceramic (nontoxic) materials ideal for crowns, veneers, and implants. These materials allow for more visually appealing dental work since there are no metals used with these high-tech ceramics.
  • Paperless bills and records – We all know the inconvenience of paper bills and receipts; they can create clutter and get lost. Our office has done away with this trouble by going paperless. This means you'll receive all your pertinent paperwork in your email inbox and records will be kept digitally at the office. No more wall full of patient records!

This is just an overview of the many advances that we’ve made to our Anchorage, AK office to make it cleaner, quieter, more comfortable, and more efficient, helping you spend less time in the chair and more time smiling!

What to Look for when Choosing a Mouthwash

February 8th, 2017

Mouthwash is important for more than just keeping your breath fresh and smelling great. Combined with other forms of dental hygiene, it can help prevent plaque, cavities, gingivitis, and other gum diseases. But it may be difficult for you to choose the right mouthwash off the shelf. Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates wanted to share a few things to look for when choosing a mouthwash.

Fluoride mouthwashes

Fluoride has been the subject of many debates in the oral health community. If you live in the United States, the tap water already contains small amounts of fluoride to promote dental health. You may not need to use a fluoride mouthwash if this is the case. However, if you are cavity-prone, fluoride creates a protective film over the teeth that protects against these buildups. It also helps strengthen the enamel over the teeth, maintain good dental hygiene, and keep your teeth strong for the rest of your life.

Alcohol mouthwashes

Alcohol in mouthwash works as an antiseptic: it clears the mouth of germs and some viral infections. However, if you have issues relating to dry mouth, alcohol can exacerbate the problem. If this is the case, consider using an alcohol-free mouthwash. This will free your mouth from the drying effects of the alcohol base. Also, if you have children, you will want to get an alcohol-free children’s mouthwash, because kids are prone to swallowing the substance, and this can lead to toxic side effects. Even if you are an adult using the mouthwash, if it contains alcohol, you should avoid swallowing it.

Antibacterial mouthwashes

Antibacterial mouthwashes have chemicals to help fight gum disease and other infections. Most mouthwash products contain at least trace amounts of these antibacterials; however, some mouthwashes are made specifically to fight bacterial infections. Remember that mouthwash is prevention, not a cure, so if you are presently suffering from a bacterial infection, you should visit our Anchorage, AK office right away. Dr. Michelle Slezewski and Dr. Paul Engibous may be able to recommend a more powerful antibacterial mouthwash that can help you reduce your pain and other symptoms.

How can parents help prevent tooth decay?

January 25th, 2017

Children are born with a set of primary teeth – 20 to be exact – that help them learn to chew and speak, and develop enough space in the jaw for the permanent teeth that will appear several years later. Kids are especially susceptible to decay, which can cause pain and tooth loss – a problem that could interfere with oral development. As a parent, it is important that you take proactive steps to keep your child’s teeth as healthy as possible.

Bottles and “Sippie Cups”

One of the biggest culprits of childhood tooth decay is poor diet. This begins as early as a few months old, when children are often allowed to go to bed with bottles and “sippie cups” of milk or juice. The sugars in these beverages – even natural sugars – can steadily decay the teeth.

Dr. Michelle Slezewski and Dr. Paul Engibous and our staff suggest serving children milk and juice only at meal times, and limiting juice intake to just a few ounces per day. If your child becomes thirsty between meals or likes to go to bed with a bottle, serve water during these times.

Hygiene

As a parent, you can establish healthy dental habits long before your child’s first tooth erupts. Start by gently wiping your baby’s gums with a clean wash cloth during the first months of life. By age one, graduate to an appropriately sized toothbrush with fluoridated toothpaste, and brush at least twice a day.

Dental Visits

Dental visits should start young and continue on a regular basis throughout your child's life. Dr. Michelle Slezewski and Dr. Paul Engibous and our staff recommend parents bring their children to Pediatric Dental Associates for the first time no later than the child’s first birthday. Initial visits concentrate on parental education, while later visits may include thorough cleanings and fluoride treatments as your child grows.

For more information about keeping your child’s teeth cavity-free, contact our Anchorage, AK office to schedule a dental consultation and checkup.

What's the best dental floss?

January 18th, 2017

Dental floss is similar to a lot of products that depend mainly on the consumer’s preference. Fact is, floss comes in a wide variety of flavors, coatings, and other variations, but all types of floss essentially do the same thing. After all, that is what is most important: that the dental floss you buy is functional—cleaning the areas in between your teeth. If you want to know what the best dental floss is, the answer is the kind that enables you to successfully and regularly clean those areas. So to help you find the right type of floss for you, here are some options.

Flavored Dental Floss

Many people that floss prefer a flavored dental floss because it freshens their breath even more than unscented floss. The latter can also take on the smells associated with bacteria in your mouth. And we all know how bad that can be. So, if flavored dental floss is what you prefer, and it allows you to floss your teeth regularly, then it is automatically best for your mouth.

Flossers

There are also products on the market called flossers, which usually consist of a plastic instrument with strung floss and a pick on the opposite end. This option can be both effective at cleaning the areas in between your teeth and scraping off plaque. These flossers also come flavored in mint and various other varieties.

Gentle Dental Floss

Some people find that typical dental floss is too harsh on their gums. For that reason some companies make floss with soft coatings that are less abrasive on the gums. For the most part these types of floss are just as effective as regular floss, and for those people that require a more sensitive approach to flossing, especially when just starting out, this is the best option.

Of the aforementioned options, it is difficult to name an absolute best type of floss. However, Dr. Michelle Slezewski and Dr. Paul Engibous and our team say that the type of floss that works best for you, giving you the greatest chance of succeeding at regular flossing, is the best. For more information on floss, contact our Anchorage, AK office.

My gums are inflamed. What can I do?

January 11th, 2017

Inflamed gums are a fairly common dental issue, but unfortunately, many people don't take the problem seriously enough. If you ignore inflamed gums and continue your usual routine, you could be encouraging a much more severe inflammation problem, and the pain that goes along with that. Fortunately, it is quite easy to relieve inflamed gums if you use the tips below.

Use Soft Bristles

A soft-bristle toothbrush - the softest you can buy - is a must for anyone with inflamed gums. Anything that makes contact with your gums can cause you pain, so fine and soft bristles are always the best choice.

Use Sensitive Formula Toothpaste

The toothpaste marketed as “Sensitive Teeth Formula” contain special ingredients to help relieve sensitivity. When your gums are inflamed, even light brushing can cause some pain. Using a special toothpaste will help reduce that pain and make it easier to brush your teeth effectively. The effect becomes stronger as you use the toothpaste more, so use it for each brushing.

Visit Our Office

If your gums remain swollen for more than a few days or a week, set up an appointment with Dr. Michelle Slezewski and Dr. Paul Engibous. There is a long list of conditions that could be causing your swollen gums, everything from gum disease to pregnancy, so you need to find out where your issue is coming from. Most of the time, Dr. Michelle Slezewski and Dr. Paul Engibous can easily treat the swollen gum issue at our Anchorage, AK office, or can give you an effective treatment to take home.

What did the first dentures look like?

January 4th, 2017

Remember hearing about George Washington and his wooden choppers? Not his tools for cutting down cherry trees, but his false teeth.

Actually, George’s teeth were made of ivory but were so stained that they appeared to be made out of wood. You might think those were the earliest dentures. In fact, the history of false teeth goes back centuries before President Washington.

Ancient Times

The earliest known dentures consisted of human or animal teeth tied together with wires. Examples of such dentures have been found in Egyptian and Mexican archeological sites. Other ancient peoples use carved stones and shells to replace lost teeth. These early dentures were probably made for cosmetic purposes. The materials they used were not likely to stand up to the pressure placed on teeth during eating.

The earliest surviving set of complete dentures were actually made out of wood (sorry, George). They were found in Japan and date back to the 16th century.

Human and animal teeth continued to be popular materials for dentures until the 20th century in some parts of the world. But the difficulty obtaining healthy teeth (and the risk of disease from unhealthy teeth) led dentists to search for other substances.

Modern Era

In the 18th century, dentists began using porcelain, ivory, gold, silver and even rubber as tooth substitutes. Dentures made with these substances could be used in eating. They were often ill-fitting, however, which may explain why George Washington looks puffy and glum in many portraits.

Porcelain and metals were the most popular denture materials until about 1950, when plastics and resins were developed. Tough and durable, these materials make up most of the dentures Dr. Michelle Slezewski and Dr. Paul Engibous and our team use today.

Still, what goes around comes around. Researchers at the University of Texas are looking at using human teeth for dentures once again. Only in this case, the researchers hope to use biotechnology to spur the growth of new sets of teeth to replace those lost over a lifetime.

Top Five Ways to Improve Heart Health

December 28th, 2016

While there is no definite evidence that if your prevent gum diseases, like periodontitis, that you may be able to prevent a heart condition or heart disease. The only thing experts, like Dr. Michelle Slezewski and Dr. Paul Engibous, know for sure is that if you take care of your gums it can lessen atherosclerosis, (build-up of artery clogging plaque) that may result in a heart attack or stroke.

Could periodontal disease cause heart attacks?

Regardless of your oral health, if you're at a high risk for heart disease, you need to take action.

  • Maintain a healthy weight or lose weight.
  • Consume healthy foods and beverages.
  • Exercise several days the week. Walking is a powerful and lightweight exercise and will clear your head while helping your body get or stay healthy.
  • Control any medical conditions you may have such as high cholesterol, diabetes, or high blood pressure.
  • Reduce your stress. Have lunch with a friend, go for a walk in the park, take a bubble bath, mediate, or do whatever you find relaxing.
  • Get a social life. Laughing reduces stress and “feel good” hormones. Everyone needs to feel like they are a part of something: join a book club or any activity where you can interact with other people at least once or twice a week
  • Be sure to get enough sleep. The recommended amount is eight to nine hours a night. It has been proven that a lack of sleep increases your risk for angina, strokes, and heart attacks.
  • Practice good oral hygiene to keep bacteria in check and your mouth healthy.

Contact our Anchorage, AK office if you have questions about your heart and oral health. If you take practice good oral hygiene, both your mouth and your heart will thank you.

Top Five Dental Myths

December 21st, 2016

Sometimes the line between fact and fiction is easily blurred. This is certainly the case when it comes to dentistry, where myths and misconceptions abound. In a bid to put an end to health hoaxes, here are five dental myths to chew over.

Sugar Is the Number One Culprit of Tooth Decay

Sugar will rot your teeth. If you’re a parent, chances are you tell your children this every time they ask for something sweet. And chances are your parents told you the same thing. There’s no denying that sugar leads to cavity formation, but it's not the number one culprit of tooth decay. Sugar adds fuel to the fire, but it doesn’t light the match.

Going to the Dentist Is a Painful Experience

There are people who don’t go to the dentist because they think it’s going to be a painful experience. It’s time to put this myth to rest. New dental technology, developments in anesthetics and analgesics, and more conservative dental procedures have made visits to our Anchorage, AK office a more comfortable experience.

Bad Breath Means You’re Not Brushing

Poor dental hygiene can cause bad breath, but it’s not the only thing that will leave you looking for a breath mint. There are many factors that can cause bad breath, including illness, acid reflux, medication, and dehydration. In addition, sometimes what you eat or drink can give you bad breath no matter how many times you brush and floss. Next time you order a sub for lunch, skip the onions and garlic.

Bleaching Products Weaken Teeth

Gels, pastes, strips — there are all sorts of products available to make our pearly whites even whiter. If used according to the directions, bleaching products are harmless. They do not affect the health or strength of the teeth, only the color. At the same time, too much bleaching can cause temporary tooth sensitivity or irritated gums; the enamel, however, is not weakened.

You Will Know When You Have Tooth Decay

This is the type of false information that can lead to serious dental problems. There are no early symptoms of tooth decay. By the time you experience pain, your tooth decay has led to nerve damage, which means your decay is advanced and extensive. The only way to know if you have tooth decay —and to prevent it — is to visit Dr. Michelle Slezewski and Dr. Paul Engibous twice a year for a checkup and cleaning.

Warning Signs of Impacted Wisdom Teeth

December 14th, 2016

You might suspect that your wisdom teeth are starting to emerge, but knowing the signs of impacted wisdom teeth can help you be more proactive about your dental care. Impacted wisdom teeth can be extremely painful and can make your life truly miserable until they are removed. Therefore, looking for the early warning signs listed below, and seeing Dr. Michelle Slezewski and Dr. Paul Engibous if you experience them, can help you conquer the problem before it conquers you.

There are three primary signs of impacted wisdom teeth. While every person may not have all three of these signs, you can usually expect to experience at least one of these if your wisdom teeth are impacted.

Unusual Pain

If you are feeling a type of teeth pain you've never felt before, especially when it is focused in the back area of your jaw, this may be a sign that you have a tooth impaction. You may be fortunate enough to catch it early, before all of your wisdom teeth become impacted, if you see Dr. Michelle Slezewski and Dr. Paul Engibous as soon as you feel the pain.

Swollen Jaw

If your jaw is suddenly swollen and the area feels tender to the touch, you have a high chance of having an impacted tooth. Since the wisdom teeth are set so far back in your jaw, the swelling tends to show itself low in the jaw, towards the ears, when they are impacted.

Bleeding Gums

If your gums are bleeding, something you may notice when you see a pink or red tinged toothbrush, you may be dealing with a wisdom tooth issue. When the wisdom teeth are impacted, they put a lot of pressure on your back teeth and gums, which often leads to bleeding.

Visit our Anchorage, AK office as soon as possible if you have any of the above signs of impacted wisdom teeth. The sooner you get treatment, the sooner the pain will be behind you for good!

Should I use mouthwash?

December 7th, 2016

Mouthwashes are commonly used as a part of a daily oral care regimen. Not only do they freshen breath, but some are capable of improving dental health too. Using a mouthwash daily can rinse fine debris away and out of reach while brushing. It can also make the teeth and gums more resilient to decay and disease.

Types of Mouthwashes

There are several types of mouthwashes available today that Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates want you to be aware of. Some do little more than freshen breath and are known as cosmetic mouthwashes. These are ideal for quickly eliminating odors that linger after eating, drinking, or taking medication. Using a cosmetic mouthwash does not offer any health benefits.

Other mouthwashes offer more comprehensive benefits; they can potentially prevent tooth decay and gum disease. Mouthwashes that contain antimicrobial agents work by preventing the buildup of plaque that can lead to gingivitis and decay of the tooth enamel. However, it should be noted that the use of a mouthwash is never a substitute for regular brushing and flossing.

In some cases, prescription mouthwashes are necessary to treat patients with gum disease or who have undergone periodontal surgery. These specialty mouthwashes are designed specifically for the treatment of gum disease and should not be used outside of their intended use. The majority of mouthwashes require no prescription.

Tips for Choosing a Mouthwash

The choice to use a mouthwash and which one to use is between you and your dentist, depending on your individual oral health needs. If you determine that a mouthwash is right for you, look for one that contains fluoride, if possible. Fluoride provides an added layer of protection for your teeth, and helps them become more resistant to decay. As always, if you have any questions or concerns when choosing a mouthwash, please give our team at Pediatric Dental Associates a call for assistance in selecting the rinse that is best for you. Or, we invite to ask us during your next visit to our Anchorage, AK office!

How do I know if I need dentures?

November 30th, 2016

The choice to get dentures is a permanent decision so there are several important factors you should take into consideration. Many people have teeth that are not able to be repaired due to a variety of reasons, but for those who have the option and the money to repair their natural teeth they need to consider every choice they may have.

You have a choice!

Yes, it’s true! We do have a choice about whether we will have to have dentures in the future. Many people don’t realize that just by taking certain precautions they can actually prevent any serious issues from arising. For example, it’s very easy to reschedule that dental cleaning. However, it’s very important that you keep every appointment because Dr. Michelle Slezewski and Dr. Paul Engibous will be able to catch small problems before you even realize you have them. Also, if there are any signs of gum disease you will know early enough to stop any further damage. One of the main reasons that many people end up needing dentures is because of either gum disease or because severe cavities have cause too many teeth to be extracted.

If you notice any of the following you should make an appointment at our Anchorage, AK office right away:

  • Teeth are moving further apart
  • Soreness or tenderness of the gums
  • Trouble eating hard food
  • Sensitivity
  • You have already lost several teeth
  • Toothaches

The key to avoiding dentures is prevention. Avoiding dentures is not impossible and can be as simple as staying on top of your oral hygiene. However, if you are currently experiencing any dental issues you should see Dr. Michelle Slezewski and Dr. Paul Engibous now, because a small problem can quickly escalate into a very large and expensive dental procedure.

Germs living on my toothbrush? Say it ain’t so!

November 23rd, 2016

You may have heard talk about the germs that can reside on your toothbrush and thought, “really?”

It’s true—there are several kinds of bacteria that can lurk on the bristles of your toothbrush, including streptococci, staphylococci, Herpes Simplex I, and the Influenza virus. To protect your toothbrush from bacteria, Dr. Michelle Slezewski and Dr. Paul Engibous and our team want you to consider the following three tips:

  • Wash your hands before and after brushing.
  • Allow the brush to air dry after each use, as harmful bacteria dies after being exposed to oxygen. It is best to disinfect your toothbrush weekly and allow it to dry in between use. Store the toothbrush in an upright position to allow water to drain and dry faster
  • Replace your toothbrush every three to four months, or after being ill. Worn bristles are less effective in properly cleaning your teeth, and can actually be damaging to teeth if used too long!

We hope these tips help! Feel free to give us a call at our Anchorage, AK office or ask us on Facebook if you have any questions!

Breaking Bad Oral Habits

November 16th, 2016

The effects of bad oral habits are something our team sees all too often. You might have bad oral habits that stem from childhood, possibly because your parents did not know about proper oral care or force you to follow it. Or, your bad habits could develop gradually, like slacking on your frequency of brushing.

Bad oral habits can lead to tooth decay, gum disease, and consequences such as losing teeth and experiencing bad pain. They may be deeply ingrained and easy to continue, but you can break them with a little effort. Focus on developing good habits to replace your current ones, and eating a diet that is healthy for your teeth.

Replace Bad Habits with Good

Breaking your bad oral habits may not be as difficult as you expect when you focus instead on developing good habits. These new good habits can naturally replace your bad habits.

  • Brush your teeth after each meal or at least twice a day.
  • Visit a dentist every six months for an exam and a professional cleaning.
  • Floss your teeth every day.

These good habits may not seem natural, so you can take steps to make sure you follow these behaviors. For example, make a daily checklist with your scheduled sessions of brushing and flossing your teeth and using mouthwash. You can also set a timer to be sure you brush your teeth for the full recommended two minutes.

Eat Properly

Poor eating habits can be detrimental to your teeth. A common mistake is to let food, especially carbohydrates such as starch and sugar, stay on your teeth for a long time. You can stop doing this by rinsing your mouth with water after each meal or snack. Also, avoid candy and soft drinks between meals, since the sugar sits on your teeth.

A healthy diet provides the nutrients you need to maintain strong teeth. The mineral calcium is key for healthy teeth, so try to get your three daily servings of high-calcium foods, such as low-fat milk or yogurt, canned fish, or fortified soy or almond milk. Also include vegetables and fruits, which have a high water content.

If you need more tips about breaking your bad oral health habits, contact our Anchorage, AK office and speak with Dr. Michelle Slezewski and Dr. Paul Engibous or a member of our team.

Antibiotic Prophylaxis or Pre-Medication

November 9th, 2016

At Pediatric Dental Associates, we know the human mouth contains a lot of bacteria. A bacterium can travel through your body with routine activities that are a normal part of daily living. You spread bacteria when you brush or floss your teeth, when you chew, and when you swallow.

For most people, bacteria don’t cause any problem. For some people, however, especially those who have chronic medical conditions, specific cardiac conditions, or whose immune systems are compromised, bacteria that spreads throughout the bloodstream can lead to much more serious bacterial infections.

The goal of pre-medication or antibiotic prophylaxis, Dr. Michelle Slezewski and Dr. Paul Engibous will tell you, is to prevent bacterial endocarditis, a serious infection of the endothelial heart surfaces or the heart valves. The condition is also called infective endocarditis. A small population of people with certain health problems has a high risk for contracting this potentially deadly bacterium.

The American Heart Association states that people at greatest risk for contracting bacterial or infective endocarditis are:

  • Patients who underwent cardiac valve surgery in the past
  • Those who have suffered past incidents of infective endocarditis
  • Patients who have mitral valve prolapse, resulting in or causing valve leakage
  • People who have had rheumatic fever or any degenerative cardiac condition that produces abnormalities in cardiac valves
  • Patients who suffer from certain congenital heart diseases

For these patients, any dental procedure may cause bleeding, and prophylactic antibiotic administration is recommended as a preventive measure.

Other patients who require prophylactic antibiotics

The American Association of Endodontists extends recommendations to patients who have undergone joint replacement surgery within the past two years, suffer from type 1 diabetes, or have immune deficiencies from diseases such as lupus, rheumatoid arthritis, or HIV; cancer patients whose immune systems are suppressed because of radiation or chemotherapy; people who have had organ transplants; and hemophiliacs.

The American Academy of Pediatric Dentistry also includes people who suffer from sickle cell anemia, as well as patients who suffer from conditions that require chronic steroid therapy.

Typical endodontic procedures for which antibiotic prophylaxis is recommended include root canal therapy (when it involves going deeper than the root apex), surgical tooth extractions, and any other dental, endodontic, or periodontal procedure during which the doctor anticipates bleeding.

Although different medical societies and organizations offer these guidelines as a way of identifying patients for whom prophylactic pre-medication is essential prior to dental procedures, dentists will take each patient's medical history and personal risk factors into consideration. Some doctors may choose to administer antibiotics following a procedure, especially for patients who have previously suffered from oral infections either as a result of dental procedures or that necessitated oral surgery.

For more information about antibiotic prophylaxis, or to schedule an appointment with Dr. Michelle Slezewski and Dr. Paul Engibous, please give us a call at our convenient Anchorage, AK office!

When snoring becomes more than just annoying: The dangers of sleep apnea

November 2nd, 2016

Sawing wood. That’s what your wife calls it when you wake her up with your snoring. This type of scenario plays out in homes around the world, and couples have to find a way to make light of the nocturnal annoyance. Snoring can become more than just an irritating nighttime disturbance, however. It can be the first sign of a potentially serious sleep disorder.

Sleep apnea is a disorder in which breathing repeatedly pauses throughout the night. Possible symptoms of sleep apnea include snoring loudly and feeling tired after a full night’s sleep.

Three health problems linked to sleep apnea

Sleep apnea often goes undiagnosed and untreated, which puts you at a greater risk of developing health problems. While being robbed of quality sleep can take its toll on you, sleep apnea can also result in the following.

  1. High blood pressure. When you wake frequently throughout the night, it causes your body's hormonal systems to become unbalanced and go into overdrive. This results in high blood pressure.
  2. Heart disease. The disrupted oxygen flow caused by sleep apnea increases your chances of having a heart attack or stroke. The cutoff of oxygen makes it difficult for the brain to regulate the flow of blood in the arteries.
  3. Excessive daytime sleepiness. Daytime fatigue often results in impaired judgment and slow reaction times, and this may increase your risk of being involved in a motor vehicle accident.

Lifestyle changes like losing weight, avoiding alcohol, and quitting smoking are often enough to cure sleep apnea. Medical treatment is also a potential solution. Surgery, oral appliances, and continuous positive airway pressure (CPAP), which is a treatment involving a specialized breathing mask, are all possible ways to resolve the problem of sleep apnea.

If you think you may be suffering from sleep apnea, or to schedule a visit with Dr. Michelle Slezewski and Dr. Paul Engibous at our convenient Anchorage, AK office, please give us a call! Our entire team at Pediatric Dental Associates look forward to giving you back a full night’s rest!

Oral Health for the Young Adult

October 26th, 2016

Young adults often have the reputation of not taking good care of themselves. You may feel invincible, and not realize how much your behaviors now can affect your health later in life. Oral health is one area that is easy to neglect now, but that can lead to serious financial and quality of life consequences later.

Follow a Good Oral Care Regimen

If you don’t already do so, it’s time to brush, floss, and rinse as Dr. Michelle Slezewski and Dr. Paul Engibous taught you. Brush at least twice a day or after meals, and floss your teeth every day. If recommended, use mouthwash to kill germs in your mouth. If you are not able to brush your teeth after eating, swish water around in your mouth to remove the food from your teeth. Leaving carbohydrates in your mouth allows bacteria to ferment it and produce acid, which can destroy your tooth enamel and put you at risk for decay.

Visit Our Office Regularly

Young adulthood can be a challenging time when it comes to medical care. Your parents are no longer paying for your health insurance or taking you to your appointments. You may not worry much about getting regular cleanings and exams, especially if you’re paying for them yourself.

However, young adults have a lot to gain from visiting our Anchorage, AK office regularly. We can check for signs of problems and fix them early, which can save thousands of dollars and, ultimately, your teeth. These are some examples of what Dr. Michelle Slezewski and Dr. Paul Engibous and our hygiene team can do for you.

  • Get rid of plaque so it does not develop into tartar and cause periodontitis.
  • Identify and fill small areas of tooth decay to prevent it from progressing.
  • Examine your gums for signs of gingivitis, or early gum disease.

Consume a Tooth-Healthy Diet

A nutritious diet is not just for preventing heart disease and diabetes later in life. It also supports your teeth. Make sure to get plenty of calcium, such as from dairy products, canned fish, and leafy green vegetables to allow for strong teeth. Also, limit sticky foods and sugary sweets.

Dental Infections

October 19th, 2016

Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates will tell you that dental infections can be very serious; sometimes, they develop into a life-threatening situation. Cavities are caused by acid-generating microorganisms that deposit themselves on teeth surfaces. Over time, acid erodes tooth enamel, compromising tooth strength. The major culprit or cause of cavities is sweets, but even diet soda plays a substantial role in tooth erosion, largely because the phosphoric acid it contains alters the oral pH. Cavities can pave the way for other, more serious infections to develop.

Types of infections

Pulpitis

Pulpitis is an inflammation of the tooth pulp. It typically occurs when cavities get deep enough to allow infection to reach the pulp. When this happens, bacteria travel through the pit or fissure that the cavity created. It can also develop from a fractured tooth. The symptoms may include moderate pain that comes and goes. Pain may intensify when cold liquids touch the pulp.

Periodontitis

Periodontitis is a consequence of chronic gingivitis, which occurs when the supportive bone structure of the tooth erodes, causing the periodontal tooth ligament to detach from the tooth. Kids between the ages of 12 and 17 and adults over age 30 are most likely to develop this disease. In severe cases of periodontitis, a periodontal abscess may form. Symptoms of the infection typically include redness, sensitivity to touch, and swelling.

Pericoronitis

Pericoronitis is an infection that occurs when food particles and other microorganisms get trapped under gum flaps. It typically happens when impacted wisdom teeth erupt. Pain at the site of the infection is a common symptom. You should try to prevent food particles from lodging in the gingivitis flaps.

Dental abscesses

A dental abscess is one of the most serious dental infections anyone can get. It begins at the base of the tooth, but without treatment can spread rapidly. When the abscess is more severe, the bacteria spread, often very rapidly, and cause severe facial swelling, pain, and discomfort.

The best way to minimize the risk of developing a dental infection is by practicing good oral hygiene, making sure that food or other particles aren’t trapped between the teeth for too long, flossing, using oral rinses that bear the ADA seal of approval, and seeing the dentist regularly. If or when there are any symptoms of infection, even if the only symptom is pain, be sure to visit the dentist. Early intervention may prevent the infection from escalating into something far more severe, painful, and costly to treat.

To learn more about dental infections, or to schedule an appointment with Dr. Michelle Slezewski and Dr. Paul Engibous, please give us a call at our convenient Anchorage, AK office!

What's the connection between gum disease and diabetes?

October 12th, 2016

People who have diabetes are usually familiar with many of the other health risks they face, including damage to the nerves, eyes, heart, and kidneys. But did you know that if you have diabetes you also have a much greater chance of developing gum disease? It's true, and like other diseases related to diabetes, the risk potential severity of gum disease is directly related to how well blood sugar is controlled.

The Causes

In diabetics, there are two primary mechanisms that increase the risk of developing gum disease, also called periodontal disease:

  • Bacterial growth: Bacteria love sugar including the glucose found in blood and bodily fluids. Elevated levels of sugar in saliva can provide a very hospitable environment for bacterial growth. The risk may be elevated if your gums bleed.
  • Circulatory changes: In diabetes, the blood vessels become thick, making it more difficult for blood to carry oxygen to the gums and to carry away harmful waste products. This decrease in circulation can weaken the mouth's natural resistance to decay. If you smoke, circulation can become even more compromised, significantly increasing your risk of periodontal disease.

Preventing Gum Disease

If you're diabetic, the number-one key to preventing gum disease is to make sure you do all you can to keep your blood sugar under control. In fact, studies show diabetics who have excellent control of their blood sugar levels have no more risk for gum disease than those who don't have diabetes. Here are some other tips to keep your gums healthy:

  • Floss your teeth gently, curving the floss so it can gently reach just below your gum line to remove plaque and food particles. Rinse your mouth when you're done flossing.
  • Use a soft-bristle brush to brush teeth twice daily, using small circular motions. Avoid pressing too hard on tooth surfaces.
  • Brush your tongue gently to remove germs that can hide there.
  • Use an anti-bacterial mouthwash to kill germs that are hard to reach.
  • Keep track of how well your blood sugar is controlled and let Dr. Michelle Slezewski and Dr. Paul Engibous know at each visit.
  • Be aware that having diabetes may mean it takes you longer to heal after undergoing oral surgery.

Most importantly, be sure to visit our Anchorage, AK office for regular checkups and tell Dr. Michelle Slezewski and Dr. Paul Engibous about your diabetes so you can be sure to get the care you need. Follow these steps, and you can enjoy healthy teeth and gums for years to come.

Minimally Invasive Dentistry

October 5th, 2016

As the field of dentistry advances and the use of technology in the field increases, the concept of minimally invasive dentistry has emerged. Preservation of a healthy set of natural teeth for each patient should be the objective of every dentist. Minimally invasive dentistry is characterized by the following core beliefs:

  • Regard original tissue as more valuable than its artificial counterpart.
  • Preserve, rather than replace, original tissue.
  • Focus on the prevention of disease above its treatment.
  • When treatment is necessary, use invasive means as little as possible.

Prevention

  • Prevention begins with good oral hygiene.
  • Dental caries are considered an infectious disease.
  • Early detection of caries and other diseases can prevent the spread of infection and, consequently, further damage to healthy tissue.
  • Infection control can reduce the incidence of restoration practices by as much as 50 percent.
  • Focus on remineralization of enamel and dentin as a preventive effort in treating caries.

Preservation

Our team at Pediatric Dental Associates will tell you the goal of minimally invasive dentistry is to preserve as much original tissue as possible. The preservation of original tissue leaves a tooth stronger in structure than one which has been modified through invasive measures.

When a restoration, such as a filling, must be made to a tooth, a greater amount of healthy tooth tissue than actual decayed tissue is often removed. An estimated 50 to 71 percent of the work a dentist completes involves repair or replacement of previous restorations. The use of durable restoration materials decreases the need for later repair or restoration work.

Treatments

Tooth tissue can be preserved at a greater percentage through the use of innovative adhesive materials. Glass ionomer cements release minerals into the surrounding tooth tissue and help prevent future cavities. Resin-based composite and dentin bonding agents are designed to bond to the enamel and preserve it.

New technology and the invention of small, hand-held tools allow for a less-invasive form of restoration. One such form is air abrasion, a technique that involves using powerful air pressure to direct aluminum oxide particles toward the tooth, which results in a gentler, less-damaging cut to the tooth.

For more information about minimally-invasive surgeries, or to schedule an appointment with Dr. Michelle Slezewski and Dr. Paul Engibous, please give us a call at our convenient Anchorage, AK office!

Ways to Make Brushing Fun for Your Child

September 28th, 2016

According to the American Academy of Pediatric Dentistry, your child should visit a dentist, like Dr. Michelle Slezewski and Dr. Paul Engibous, when his or her first tooth pops through the gum, or by time they are one year old.

Children do not always want to brush their teeth. In fact, the average child has three cavities by the time they reach their third birthday. However, if you make brushing fun for them, they will look forward to it, and develop a lifelong habit of good oral hygiene.

How to Make Brushing Fun

  • Let them pick out their own toothbrush, like one with their favorite cartoon character.
  • Allow your child to choose their own special toothpaste, as long as it adheres to AAPD guidelines for safety.
  • Brush to a fun song that is two to three minutes long. When the music stops they are done brushing.
  • Brush your teeth with them. Make it a family affair!
  • Toddlers may be afraid of having their teeth brushed or brushing them by themselves. Allow them watch as you brush your teeth; this will help them to see that brushing their own teeth will not hurt them.
  • Reward systems are great incentives for children, just don’t overdo it. You’re trying to instill good brushing habits, not simply reward them for something they need to do.
  • Try an app on your phone; you’ll be surprised how many there are and how much fun your child will have using them.
  • It’s important to make sure every tooth gets brushed, so as you child brushes their teeth, count them. Then when they are finished ask them how many teeth they have. You can switch it up a little by giving each tooth a silly name or make up a short rhyme about each tooth as your child brushes.
  • Use educational tools, such as the movie “The Adventures of Timmy the Tooth.”
  • Read books to your child about brushing their teeth and good oral hygiene.

All you need is a little imagination to help your child learn to love brushing their teeth!

How safe are dental X-rays?

September 21st, 2016

Dr. Michelle Slezewski and Dr. Paul Engibous and our staff rely on digital X-rays to help us diagnose oral conditions and process images at incredibly high speeds. You can also view digital X-rays in real time while we examine your mouth with an intraoral camera and upload the images to a software program. A chairside computer monitor lets you see these images as we refine areas of concern to ensure an accurate diagnosis.

But are dental X-rays safe?

Yes! They emit 80 percent less radiation than exposure-type X-rays and provide detailed images to improve diagnosis and treatment. We can now detect dental problems in their earliest stages without subjecting you to unnecessary radiation. The amount of radiation released by digital X-rays is “negligible,” which means the amount is so small, that it can be safely disregarded.

Safe enough for children and pregnant women, digital X-rays detect microscopic pitting in tooth enamel and other abnormalities in the oral tissues that might have remained undetected with traditional X-rays. When Dr. Michelle Slezewski and Dr. Paul Engibous and our staff discover dental caries in their earliest stages, we can initiate treatment measures that will effectively prevent cavity development, tooth decay, and potential tooth loss.

Patient appointment lengths are shortened with digital X-rays as well, because images are immediately viewable and do not require the exposure time associated with old-style X-rays.

How Digital X-Rays Differ from Traditional X-Rays

Instead of using cardboard-contained film, we insert a small sensing device about the size of a pen in your mouth and engage the digital X-ray machine by manually manipulating control buttons. Within seconds, images appear on the monitor that can later be stored in your file or sent to another doctor for further examination.

The increased resolution afforded by digital X-rays means that patients are able to understand the seriousness of their dental issues better, and are more inclined to follow through with procedures recommended by Dr. Michelle Slezewski and Dr. Paul Engibous.

Safer, Better and Faster

For detection of cancerous tumors in their early states, digital X-ray technology offers vast improvements over film X-rays because of its cutting-edge image processing capability. Early detection of oral cancer and dental caries is the best way to prevent any type of oral health problem from exceeding the treatable stage.

What is nitrous oxide and is it safe?

September 14th, 2016

Our team at Pediatric Dental Associates understands that the sights, sounds and sensations at a dental office can be unsettling for some patients. One effective technique that we use to comfort you is to offer the gas nitrous oxide. Nitrous oxide is a common anesthetic used during many dental procedures.

What is nitrous oxide?

Nitrous oxide is an oxide of nitrogen which has a slight sweet odor and taste. During medical or dental procedures, the gas is mixed with oxygen then inhaled through a mask that covers your nose. Within minutes, you should feel calm and experience an overall sense relaxation. You will be able to breathe on your own, move your limbs, and be conscious enough to hear and respond to our dentist's questions. The effects of nitrous oxide disappear shortly after the mask is removed and the drug is quickly eliminated from your body.

Is nitrous oxide safe?

Recreational use of nitrous oxide for its euphoric effects can be dangerous, however, the drug is combined with oxygen at dental offices. This ensures oxygen reaches the brain and prevents dangerous side effects or hypoxia. Nitrous oxide inhalation is a safe and effective technique to reduce anxiety, produce analgesia, and enhance effective communication.

Nitrous oxide is non-addictive and non-allergic, however, it may cause nausea in up to ten percent of patients. The drug is not recommended for people with some medical conditions such as chronic pulmonary disease. We recognize that all patients are different and encourage you to talk with Dr. Michelle Slezewski and Dr. Paul Engibous about whether nitrous oxide would be a good option for you.

Our team wants to help all patients in Anchorage, AK to overcome dental anxiety, so please, give us a call at Pediatric Dental Associates.

What was your favorite part of summer?

September 7th, 2016

It's the end of summer, and fall is just around the corner. Soon the temperatures will cool down, the leaves will start to change, and Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates are sure that you’ll soon be thinking about Halloween costumes and Thanksgiving plans in no time. But wait! First, we want to know about your favorite parts of the summer! Did you go on a wonderful family trip? Did you pick up a new hobby? Did you try to spend as much time outside and in the sun as possible?

Share your favorite memories, stories, or photos with us by leaving a comment below or on our Facebook page.

Dental Veneers

August 31st, 2016

Are you looking to improve the appearance of your front teeth? Dental veneers are widely used to improve the appearance of front teeth and are a much more conservative option than a full dental crown. Veneers can be used to improve the appearance of staining, large gaps, large fillings, chipped teeth, or overall shape. Veneers are a thin covering over the front and biting end of the tooth used to restore the beauty of a smile. Over the years we have helped many patients who opted for veneers and now have the confidence to smile again.

Dental veneers are made in a lab from long-lasting porcelain materials. The shade can be chosen to a desirable color to whiten the appearance of your smile. Dental veneers are usually placed on the anterior, or front teeth, where the chewing forces are not as hard as the back teeth. The process of placing veneers is relatively easy requiring only two dental appointments. In some cases, only one appointment is needed. It depends on the fabrication process.

The first appointment is to “prep” the teeth and take an impression to be sent to a lab to fabricate the veneers. Veneers are fairly conservative in the preparation as it requires a small amount of space to be created on the face (front), bottom, and sides of each tooth to allow space for the veneer to be placed and look natural. You will leave the office with temporary veneers for the next week or two while the permanent veneers are being made.

The second appointment is to place the veneers and make minor adjustments if needed. What a difference it makes in the appearance of the teeth! If you’re interested in learning more, give Dr. Michelle Slezewski and Dr. Paul Engibous a call today!

I have halitosis. What can I do?

August 24th, 2016

Halitosis is the fancy, scientific word for “bad breath.” Dr. Michelle Slezewski and Dr. Paul Engibous and our team know there are several reasons why you may have halitosis; let’s look at a few:

  • Gum disease (also known as periodontal disease) – There are five main types of gum disease, and each one can range from mild to severe. For example the most common one is gingivitis; it is caused by bacteria in the plaque that has been allowed to build up, usually as a result of poor oral hygiene. A more serious and uncommon type of gum disease is called necrotizing periodontal disease. It is most common in people who have a suppressed immune system.
  • Smoking
  • Dry Mouth – This can be caused by something as simple as a medication you take.
  • Food – Of course, if you eat something that is potent like garlic, it is going to give you bad breath.
  • Diseases of the Body – Some diseases such as sinus infections and diabetes, among a few other types of infections, can also cause you to have halitosis.

How to Get Rid of Halitosis

The most obvious answer to how to get rid of halitosis is to practice good oral hygiene, although, depending on the cause of halitosis it may not be that simple. If you have an infection that is causing the halitosis then you may need an antibiotic to clear up the infection and then the bad breath will go away. Here are more tips:

  • Brush your teeth after every meal and before bed.
  • Floss your teeth. The more plaque you get out of your teeth, the better chance you have of not getting cavities or bad breath.
  • Address any medical conditions that are not related to your teeth that can be causing the halitosis.
  • Ask Dr. Michelle Slezewski and Dr. Paul Engibous for a prescription mouthwash that kills bacteria.

Halitosis (bad breath) can be an embarrassing condition to live with, but there are plenty of ways to get rid of it permanently. Start by talking to a member of our team at our Anchorage, AK office.

Five Reasons for Your Bad Breath

August 17th, 2016

Bad breath, or halitosis, is probably not a matter of life or death. But it can make you feel self-conscious and have a negative impact on your life. The majority of people suffering from bad breath are dealing with oral bacterial. However, there are other causes of this embarrassing problem. Learning more can help you fight this solvable problem.

Five Causes of Embarrassingly Bad Breath

  1. Dry Mouth. A decrease in saliva flow can be caused by several things. Most often, medication or mouth breathing are the culprits. As saliva helps wash away food particles from your mouth, it prevents bad breath. Dry mouth can be dealt with by stimulating salivation.
  2. Gum Disease and Poor Oral Hygiene. Not brushing and flossing well enough or with enough frequency can lead to gum disease, which leads to bad breath. Halitosis can be a sign that plaque is present on your teeth.
  3. Food-Related Bad Breath. Food particles that aren't brushed or flossed away attract bacteria that leads to bad breath. It's especially important to brush after eating strong-smelling foods, such as garlic or onions.
  4. Smoking and Tobacco. Tobacco is bad for your health, and that includes your oral health. Smoking or chewing tobacco can contribute toward the development of gum disease, as well as oral cancer.
  5. Mouth Infections and Other Medical Problems. A mouth infection, sinus infection or even the common cold can cause you to temporarily have bad breath. Even conditions such as diabetes and reflux can cause halitosis. It's always wise to see Dr. Michelle Slezewski and Dr. Paul Engibous to help determine the cause.

We are Your Ally

Even if you maintain good oral hygiene, it's important to see Dr. Michelle Slezewski and Dr. Paul Engibous at our Anchorage, AK office to deal with or avoid problems with bad breath. We can help you uncover the cause of halitosis, while also providing solutions that allow you to enjoy fresh breath without relying on mints and breath fresheners. As is the case with all things related to oral health, we are your number-one ally when it comes to eliminating the problem of bad breath.

How Missing Teeth Can Affect Your Health

August 10th, 2016

According to the American Academy of Periodontology, an estimated three out of four Americans suffer from gum disease. In milder cases, the disease is called gingivitis. More severe cases are called periodontitis. Despite the prevalence of periodontal disease (and it is very common), only three percent of people who suffer from periodontal disease get treatment for it. Gum disease has been linked to other serious diseases, including cancer, diabetes, and heart disease.

Periodontal Disease Is Common Among Americans

The Journal of Dental Research published the findings of a joint study from the Centers for Disease Control (CDC) and the American Academy of Periodontology (AAP). The study compared the full periodontal exam that participants received for this study against partial periodontal exams participants received for an older study.

The results show the rate of periodontal disease today could be as much as 50 percent higher than earlier estimated. Shockingly, this means that about twice as many Americans as previously believed suffer from gum disease – either moderate or severe.

The Link between Chronic Illness and Periodontal Disease

Many people who have chronic medical problems don’t have dental insurance, or the money to spend on dental care. Not surprisingly, this and a lack of understanding about proper oral hygiene leads to situations in which an initially minor problem turns into something far more severe, and probably preventable.

Gum diseases and cavities are caused by infections. When you get a cavity, the infection develops in the tooth itself. You may never feel anything, so unless you get regular, twice-a-year dental exams, you might not know there is a problem.

With gum disease, the infection occurs in the bones and tissues that form the gums and support the teeth. The tissues that surround teeth, and the bones that lie below the gums, are necessary to hold your teeth in. When those aren’t strong enough to support your teeth, you lose them.

Tooth loss has been linked to heart disease, diabetes, and an increased risk for kidney disease. Gum disease and severe infections in the mouth can spread to other parts of the body faster than people realize. A healthy mouth is alkaline. It’s vital for you to maintain an alkaline pH to keep harmful bacteria away.

When people eat, their pH changes, and the environment inside the mouth becomes more acidic. Since the typical American diet is very acidic, harmful bacteria thrive in the mouth. Typical foods include breads, grains, starches, and sweets – the foods people love the most. Since it isn’t always possible for people to brush after every meal, the mouth pH remains acidic, and the acid contributes to faster tooth erosion.

What does all this mean for you? The health of your mouth is more important than you realize. Get those regular dental exams, and make sure that you and your family keep to a regular routine of brushing and flossing. Good oral hygiene can help prevent periodontal disease, and that will lower your risk of tooth loss.

Surprising Ways to Prevent Cavities

August 3rd, 2016

There are numerous ways to prevent cavities. Some, like brushing your teeth regularly and visiting our Anchorage, AK office, are more obvious than others. Beyond the standard methods of preventing cavities there are a number of different ways to keep your mouth healthy that you might also find surprising.

1. Reduce your consumption of carbs and sugar.

The consumption of sugar is ultimately the biggest catalyst for cavities. By limiting the sugar you consume both at meals and while snacking you will in turn be preventing cavities. But this goes for all carbs, not just sugar. See, even more complex, lower glycemic, carbs can lead to cavities in your mouth, so the best way to prevent them is to limit your carbohydrate intake. This is not to say that you have to cut out carbs all together, but by reducing your intake, you will prevent cavities and it can also lead to a healthier body overall.

2. Rinse your mouth with food-grade hydrogen peroxide.

For some people this may seem a little odd, but washing your mouth out with a food-grade hydrogen peroxide is an excellent way to prevent cavities. Doing so will kill harmful bacteria that accumulates in your mouth much in the same way applying the anti-septic to a cut does. That said, when you rinse your mouth out similar to how you would use a mouth wash, you want to make sure you don't swallow the hydrogen peroxide, spit it out instead.

3. Use a straw.

If you are someone that drinks a lot of sugary beverages a great way to prevent cavities is to use a straw. This way the sugar in the beverage does not come into contact with your teeth as much as it would if you were to drink straight from a glass, can, cup, or bottle.

4. Chew gum.

Chewing gum is another viable way of preventing cavities. You, of course, will need to chew a sugarless gum flavored with a substitute like Xylitol, and preferably with a cavity fighting ingredient in it.

5. Eat cheese.

Plain and simple cheese has a protein called casein which helps build calcium in your teeth which is vital to the integrity of your mouth and preventing cavities.

How do I make my child’s diet safe for his or her teeth?

July 27th, 2016

The food you feed your child can have a lasting effect on his or her oral health. In fact, diet plays a major role in whether a child develops cavities and decay, which can lead to many dental visits and potential tooth loss. So what should you feed your child to ensure he or she has a healthy smile for life?

Foods to Avoid

It is normal for your child to take interest in many foods -- especially those filled with sugar and carbohydrates. But as tasty as these foods are, they can cause rapid decay when eaten in excess. That’s not to say your child can never have sugar again. Dr. Michelle Slezewski and Dr. Paul Engibous and our staff suggest limiting starchy and sugary foods such as candy and potato chips as much as possible.

Remember that some seemingly healthy foods can present the threat of decay too. Some of the most common culprits are sticky foods like peanut butter, raisins, and granola bars, which can stick to the teeth after eating. If you serve these foods to your child, be sure to have him or her brush immediately after eating to remove any lingering sugary residue.

Beverages

Many beverages marketed toward children contain sugar servings that far exceed the daily recommendations from national health organizations. They suggest no more than three to four teaspoons of added sugar per day for young children.

Make an effort to serve only water to your child any time other than meal times. During meals, allow your child to have milk or juice, but in limited serving sizes. Most importantly, never allow your young child to sleep with a bottle or “sippie cup” full of juice or milk. Doing so can cause rapid tooth decay: a condition known as “baby bottle caries.”

A Healthy and Balance Diet

So long as your child is brushing regularly and eating a healthy, balanced diet full of fruits, vegetables, lean proteins and whole grains, you should have little or no problem with tooth decay. For more questions about how your child’s diet affects his or her oral health, contact our Anchorage, AK office to schedule a consultation.

Solutions for Dry Mouth (Xerostomia)

July 20th, 2016

Dry mouth, or xerostomia, is a common side effect of many medications. It can also be a side effect of cancer treatments, or the result of certain auto-immune diseases. Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates will tell you that for most people, discontinuing their medication isn’t an option. The solution is two-fold: find ways to increase saliva production and eliminate specific things that are likely to increase dryness in the mouth.

Lack of saliva creates a situation in the mouth that allows harmful organisms such as yeast and bacteria to thrive. It may also make it difficult to swallow food, create a burning feeling in your mouth, or cause bad breath, among other problems.

Medications that are known to cause dry mouth include:

  • Anti-depressant drugs
  • Anti-anxiety medications
  • Drugs for lowering blood pressure
  • Allergy and cold medications — antihistamines and decongestants
  • Chemotherapy drugs
  • Medications to alleviate pain
  • Drugs used in the treatment of Parkinson’s disease

Saliva helps people digest their food. It also functions as a natural mouth cleanser. Xerostomia increases the risk you will develop gum disease or suffer from tooth decay.

Solutions for dry mouth

  • Carry water wherever you go, and make a point of taking regular sips.
  • Avoid oral rinses that contain alcohol or peroxide.
  • Chew sugarless gum or suck on sugarless hard candies that contain xylitol.
  • Limit your consumption of caffeine, carbonated beverages (including seltzer and sparkling waters), and alcoholic beverages.
  • Brush your teeth at least twice a day, and use dental floss or other inter-dental products to remove food particles that get stuck between your teeth.
  • Look for oral rinses and other oral hygiene products that bear the American Dental Association (ADA) Seal of Approval.
  • Brush your teeth and use oral rinses that contain xylitol. Certain gels and oral sprays are equally helpful. Biotene is one over-the-counter brand that makes products designed to treat dry mouth.
  • Make sure you get your teeth checked and cleaned twice a year. Dr. Michelle Slezewski and Dr. Paul Engibous will be able to examine your mouth for problems and treat them before they turn into something more serious.

You may not be able to solve your dry mouth problem altogether, but you’ll be able to deal with it by following these recommendations. You’ll be able to increase saliva production while reducing your risk of more serious dental problems. To learn more about preventing dry mouth, or to schedule an appointment with Dr. Michelle Slezewski and Dr. Paul Engibous, please give us a call at our convenient Anchorage, AK office!

Why do wisdom teeth need to be removed?

July 13th, 2016

Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates get this question a lot. Wisdom teeth are the last teeth to come in, once young people get their adult teeth. Because they are the last teeth to break through the gums, they are often called the third molars. There are four wisdom teeth: two on each side of the top and bottom of the mouth.

There is no hard-and-fast rule that says everyone must have the wisdom teeth removed. There are certain situations in which they either cause problems directly, or create a situation where there is a greater likelihood problems will arise eventually.

Impacted wisdom teeth

If Dr. Michelle Slezewski and Dr. Paul Engibous and our team say you have a soft tissue impaction, it means your wisdom tooth is covered by gum tissue that is preventing it from erupting — most likely because your mouth is too small to provide the tooth with the room it needs to emerge.

The term “partial bony impaction” means that gum tissue is covering the wisdom tooth, but part of the jaw bone is also covering it, in which case there is no room in your mouth for the tooth to erupt. The opposite end of this spectrum is a complete bony impaction, where the wisdom tooth is completely covered by gum tissue and the jawbone, which prevent it from ever erupting.

The importance of removing impacted wisdom teeth

Dentists often want to remove impacted wisdom teeth because of the likelihood that they will cause problems, or because a problem already exists. One such problem is pericoronitis, an acute abscess that affects partially impacted wisdom teeth. Food, bacteria, and other mouth debris can become lodged under the gum flap that covers the wisdom tooth, which prevents it from erupting. Pericoronitis symptoms include pain, swelling, and the presence of an abscess.

Regular dental checkups will enable your dentist to keep an eye on your wisdom teeth, especially if they have some type of impaction. Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates typically recommend removal of impacted wisdom teeth because of the likelihood that severe infections such as pericoronitis will develop.

If you have any questions about wisdom teeth, or if you would like to schedule an appointment with Dr. Michelle Slezewski and Dr. Paul Engibous, please give us a call at our convenient Anchorage, AK office!

Tell us about your summer!

July 6th, 2016

The dog days of summer are upon us, and what better time for Dr. Michelle Slezewski and Dr. Paul Engibous and our team to ask our patients about their summer!

Whether you visited our nation’s capital, went on a camping trip, or just stayed in Anchorage, AK and relaxed, we want to know how you’re all spending your summer! Please feel free to share your summer plans and experiences with us below or on our Facebook page as summer rolls on!

Three Signs You May Have Gingivitis

June 29th, 2016

Gingivitis, or inflammation of the gums, is an early stage of gum disease. If you have gingivitis, it’s important to visit Dr. Michelle Slezewski and Dr. Paul Engibous to get proper treatment, since home care isn’t enough to get rid of the plaque that leads to tartar and eventually to gum disease. Monitor yourself to see if you have these signs of gingivitis, and get help as soon as you can to prevent the progression to periodontitis. Your vigilance could save your teeth.

1. You have one or more risk factors.

Having risk factors for gingivitis doesn’t mean that you have or will get the disease, but it does mean that you should be especially watchful. You’re more likely to get gum disease if you have the following risk factors:

  • You are a smoker.
  • You are a female going through puberty, pregnancy, or menopause.
  • You have diabetes.
  • You have a compromised immune system, as is the case if you have HIV/AIDS.
  • You have a family history of gum disease.

2. You have inflammation in your gums.

Gingivitis is inflammation of the gums, and that is a tell-tale sign of the condition. Gingivitis or periodontitis can involve a bacterial infection, and inflammation is your body’s response to an injury or infection. The four standard signs of inflammation are pain, redness, swelling, and a higher temperature than normal.

If you have inflammation around your teeth, your gum disease may have progressed to the more serious condition of periodontitis. Dr. Michelle Slezewski and Dr. Paul Engibous can evaluate your case using a scope, or small ruler. The ruler is used to measure the pockets around your teeth, with a depth of one to three millimeters being normal.

3. Your teeth seem to be moving around.

Loose teeth are a classic sign of periodontitis. You may also have them if you have gingivitis. They can occur when your gum line recedes, or as the result of having soft bone in your jaw.

You might also notice other signs of your teeth moving around. For example, they may seem to be oddly spaced, or they could be separating from each other. You might also notice that your partial dentures don’t fit properly anymore, even if they’re not that old.

Gingivitis is a very treatable condition, but you need the help of Dr. Michelle Slezewski and Dr. Paul Engibous to keep it in check. Contact our Anchorage, AK office to schedule an exam today!

The Secret to Fresh Breath

June 22nd, 2016

Bad breath: We’ve all dealt with it. You’ve been around people who have it and, like it or not, you have had it yourself. It can be embarrassing and uncomfortable, but how do you know if you have it? There is actually a simple test you can do to see if you have bad breath.

Wash your hands well, then put your finger in your mouth, way in the back. Scrape a little saliva from the back of your tongue, and then dab it on the back of your hand. Wait for one minute, then hold your hand to your nose and sniff. Is it fresh as a daisy? Or do you need to keep reading and learn how to freshen your breath?

How Bad Breath Starts

There are several ways that bad breath starts. Knowing the causes of bad breath is a solid start toward the cure.

  • The bacteria in your mouth: Bacteria is always in your mouth. It covers your gums, hides between your teeth, and hangs out on your tongue. As it multiplies, it produces toxins that cause the foul odor in your mouth.
  • Your bad habits: If you smoke cigarettes, a pipe, or cigars, or chew tobacco, you are not only harming your mouth and body, you are creating some really smelly breath.
  • Your tonsils: If you still have your tonsils, they can be the cause of bad breath. They are pitted, so smelly substances can collect in the pits and lead to bad breath.
  • Stomach issues: A stomach virus, ulcer, GERD, and other stomach issues could be the cause of your bad breath. A low-carb diet can put your body into a state of ketosis, which causes very bad breath.
  • The foods you eat: Garlic, onion, and other pungent foods will linger with you … on your breath.

Tips for Busting Bad Breath

Achieving fresh breath isn’t difficult, but it does require a little work. Try these tips for fresher breath and a healthier mouth.

  • Brush your teeth after every meal. You can also pick up a tongue scraper to use a couple of times a day to remove any lingering bacteria on your tongue.
  • Floss once a day to remove food particles between your teeth as well as plaque. Your mouth will thank you.
  • Gargle with special mouthwash to banish bad breath. The oxygen in it will kill the bacteria in your mouth that is causing your bad breath, and leave you fresh as a daisy!
  • Drink water to avoid dry mouth, which is a common cause of bad breath.
  • Ease your tummy troubles with antacids and other remedies. Ginger tea is a great tummy tamer.
  • Chew gum that contains xylitol. Saliva keeps your mouth moist, and chewing gum makes you salivate. Bye bye, bad breath!
  • Eat yogurt. It contains “good” bacteria that helps balance your gut and gives you a healthier mouth.
  • Soothe your sinuses. Sinus infections can cause you to have bad breath. Actually, it is the post-nasal drip that causes the foul odor. Cure the infection and your breath will improve.
  • Avoid all tobacco products (cigarettes, pipes, cigars, chewing tobacco, and snuff).
  • Eat a healthy diet of fresh fruits and vegetables, lean meats, and whole grains.

And don't forget! Get regular dental checkups at Pediatric Dental Associates.

Regular Cleanings Lead to Healthier Mouths and Bodies

June 15th, 2016

The American Dental Association and dentists everywhere, including our own Dr. Michelle Slezewski and Dr. Paul Engibous recommend that you schedule an appointment every six months for a cleaning and checkup. Despite this universal recommendation from the experts, some people believe regular cleanings and checkups are unnecessary unless there is something wrong with your teeth—for example, a cavity or a toothache. In fact, coming in for a six-month checkup and cleaning is one of the most important things you can do for your oral health, as well as your overall health.

Why It’s Important to Visit Regularly

Numerous studies have shown that oral health is closely tied to the overall health of your whole body. In fact, having a healthy mouth can help the rest of your body stay in balance. On the other hand, an unhealthy mouth can cause all kinds of problems for you down the road.

One of the most important things we do at Pediatric Dental Associates when you come in for cleanings is remove plaque that has collected on your teeth and around your gums. If left untreated, plaque build-up can cause inflammation and irritation around your gums, and lead to gum diseases like gingivitis and periodontal disease.

According to the American Academy of Periodontology, periodontal disease has been linked to increased risk for serious health conditions such as heart disease, stroke, diabetes, inflammation, osteoporosis, and pregnancy complications.

Most oral health issues will begin with subtle changes before progressing into more serious conditions. If you visit us for regular checkups, we may be able to identify common indicators that could lead to larger issues down the road. If we only see you at our office every few years, it becomes more difficult to catch these conditions before they grow into bigger and more painful problems.

What happens at a dental checkup?

When you come in for your regular checkup, there are several things our dentists and hygienists may do, including:

  • Take X-rays to determine the overall health of your teeth, jaw, bones, and the tissue surrounding your teeth, including a check for early signs of tooth decay, abnormal growths, cavities, and other damage that is not immediately visible
  • Perform a thorough cleaning of your mouth and teeth to remove any excess plaque and tartar, then polish and floss your teeth
  • Check for signs of gum disease or evidence of tooth decay
  • Examine your bite, and look for broken or damaged teeth
  • Identify any changes to your gums or teeth since your last visit
  • Examine your head and neck for signs of oral health problems

Waiting to visit Dr. Michelle Slezewski and Dr. Paul Engibous until you already have a problem, like a cavity, is like waiting to put gasoline in your car until after you run out and your vehicle is stalled on the side of the road. Once you have a problem, the ripple effect can cause you a lot of pain, take considerably more time, and cost a lot more money to fix than if you had come in for preventive care and cleanings every six months.

References: American Academy of Periodontology (2012). Gum Disease Links to Heart Disease and Stroke. Retrieved from http://www.perio.org/consumer/mbc.heart.htm

Healthy Summer Foods

June 8th, 2016

It’s summer—that wonderful time of year when fresh and delicious produce abounds. Dr. Michelle Slezewski and Dr. Paul Engibous will tell you that your teeth, gums, and tissues all rely on an appropriate mix of vitamins and minerals to maintain good oral health no matter what time of year. In previous studies, nutrients in fruits and vegetables such as dietary fiber, potassium, and antioxidants have all been associated with a reduced risk for cardiovascular disease and cancers, including oral cancer.

Here are four foods we want you to enjoy this summer to ensure a healthy mouth:

Watermelons and Strawberries

Watermelons have high water content, which dilutes the affects of the sugars they contain and stimulates the flow of saliva. In addition, research shows that eating foods full of water (watermelon is 92 percent water) helps keep you satiated on fewer calories. Finally, in addition to containing skin-protecting lycopene, eating watermelon can help you stay hydrated during the summer months, which not only keeps your memory sharp and your mood stable, but also helps keep your body cool.

Strawberries are juicy and delicious, and they’re also considered a superfood. Nutrient-rich and packed with antioxidants (such as vitamin C, which can help with cancer prevention), strawberries also promote eye health, help fight bad cholesterol, and regulate blood pressure.

Apples

Did you know consuming apples can help you attain whiter, healthier teeth? It’s true. Biting and chewing an apple stimulates the production of saliva in your mouth, and in the process, lowers the levels of bacteria and other harmful acids, leading to a lower likelihood of tooth decay. Apple consumption can also boost your immune system, reducing cholesterol and helping you avoid Alzheimer’s and Parkinson's diseases. Finally, eating an apple a day has been linked to heart health, including a lower risk of death from both coronary heart disease and cardiovascular disease.

Tomatoes

Tomatoes are a delicious and healthy snack and can help you ward off cancer. The yummy red fruit contains lycopene, which helps protect your skin from sunburn. Tomatoes can also help you fight heart disease due to the niacin, folate, and vitamin B6 nutrients they contain. They’re high in crucial antioxidants, such as vitamin C and vitamin A, which work to prevent DNA damage.

How can I protect my child's teeth during sports?

June 1st, 2016

Sports are great for children for a variety of reasons. Children can develop their motor skills, learn how to solve conflicts and work together, and develop their work ethics. As a parent, you may recognize the benefits of sports, but also naturally worry about your child’s health and safety. Your job goes beyond providing a water bottle and making sure your child follows the rules of the game.

Although you may not think of your child’s teeth first when you think about sports, accidents can happen that affect your children’s teeth. A stray hockey stick, an errant basketball, or a misguided dive after a volleyball are examples of ways a child could lose a tooth. In fact, studies show that young athletes lose more than three million teeth each year.

Becoming a Better Athlete to Protect Teeth

Becoming a better athlete involves refining skills, learning the rules of the game, and being a good sport. These components are not just about winning. They are also about safety. Young athletes who are better ball-handlers and who are careful to avoid fouls and penalties are less likely to have harmful contact with the ball, teammates, or opponents. Children who are better roller-bladers are less likely to take a face plant into the blacktop, and more likely to save their teeth. Being a good sport and avoiding unnecessary contact is one way to protect teeth.

Proper Protective Equipment for Teeth

If your child is in a sport that poses a high threat to teeth, it is essential for your child to wear a mouthguard. Mouthguards fit your child’s mouth and consist of soft plastic. Dr. Michelle Slezewski and Dr. Paul Engibous can custom fit a mouthguard if generic ones are uncomfortable. While children may resist wearing a mouthguard initially, your persistence in insisting that they wear it should be enough to convince them. A helmet or face mask provides additional protection.

While prevention is best, rapid treatment can improve the situation if your child does happen to lose a tooth during sports. Rapid implantation can work in about ten percent of cases. To learn about ways to save a lost tooth, contact our Anchorage, AK office.

How do I handle my child’s dental emergency?

May 25th, 2016

With children undergoing developmental dental changes and engaging in rough-and-tumble activities, dental emergencies can sometimes arise. If your child knocks out a tooth or experiences any type of oral discomfort, call Pediatric Dental Associates right away so we can provide you with a quick assessment and pain-free treatment.

Before an emergency occurs, it’s a good idea to stay informed about the problems your child may encounter. Here are a few things you should keep in mind about teething pain, loose baby teeth, and other common dental issues.

Teething Pain

Typically occurring in babies that are between four months and two and a half years old, teething may cause excessive drooling, tender gums, and some irritability. Giving your baby a cold teething ring or gently rubbing her gums with wet gauze or your finger may also make her feel better.

Loose Baby Tooth

It is normal for a child’s first set of teeth to become loose and fall out. On the other hand, if your child’s baby tooth is knocked loose, schedule an appointment with our office so we can assess whether any damage has been done.

Issues with Permanent Teeth

Sometimes a child’s permanent teeth will grow in before the baby teeth have fallen out. Even if this condition isn’t causing any discomfort, you should schedule an appointment with our office so we can determine whether your child’s permanent teeth are growing in correctly.

Bleeding Gums

Bleeding gums can result from a number of factors, including periodontal disease, rough brushing, or an injury to the gum tissue. If your child’s gums are bleeding heavily, call our office right away so we can address the situation. If you have time before your appointment, wash your child’s mouth with salted water and gently put pressure on the affected area.

Regardless of the type of dental issue your child has, you can always consult Dr. Michelle Slezewski and Dr. Paul Engibous for further guidance. We make sure our emergency services are available 24 hours a day and seven days a week, so you have ready access to convenient and professional dental care that will have your child feeling better in no time.

Five Fun Snacks for Healthy Teeth

May 18th, 2016

Snacks can taste good and give your child’s energy a boost, but they can also be bad for teeth. Sugary, sticky snacks, such as candy, cookies, and snack cakes can lead to tooth decay if eaten regularly between meals. Still, there are plenty of fun snacks for healthy teeth.

The trick when selecting snacks is to avoid too many added sugars and refined carbohydrates that stay on the teeth and give bacteria a chance to ferment and produce acid from them, which can lead to tooth decay. In addition, snacks should provide nutrients to support a healthy mouth. These are five fun snacks you can feel good about giving to your child.

1. Yogurt and cereal.

Yogurt contains calcium, which is an essential mineral for strong and healthy teeth. Select plain yogurt or yogurt flavored with real fruit, rather than flavored yogurt that is sweetened with added sugar. We recommend choosing a whole-grain cereal, which is less likely to lead to dental caries. Choose a low-sugar or unsweetened cereal to avoid accidentally making the snack as sugary as a candy bar.

2. Tuna and whole-wheat crackers.

Canned tuna contains vitamin D, which is an essential vitamin for helping your body absorb and use calcium. Whole-wheat crackers are natural sources of antioxidants for a strong immune system, and they’re lower in refined carbohydrates than white crackers.

3. Bell pepper strips and hummus.

Red, yellow, and green bell peppers are excellent sources of vitamin C, which is an antioxidant. Vitamin C is also a good choice for supporting regeneration or maintenance of healthy gum tissue. Vitamin E is another antioxidant, and it also supports a healthy immune system. A strong immune system is protective against infections, such as bacterial infections associated with gum disease.

4. Turkey and cheese roll-ups.

Turkey is carbohydrate-free, so it doesn’t leave residues of sugars on teeth for bacteria to ferment. Lean ham is another good choice. Low-fat cheddar, mozzarella, or Swiss cheese is a good source of calcium as well as protein. For a more substantial snack that’s still low in carbohydrates and sugar, add a few celery sticks.

5. Peanut butter and carrots.

Peanut butter is another source of vitamin E. Carrots provide vitamin A, which is essential for a strong immune system. You can also substitute cauliflower or broccoli florets for the carrots, and ranch dressing for the peanut butter, and still have a snack that’s fun to eat and good for your child’s teeth.

For more great snack tips, ask a member of our Anchorage, AK team at your child’s next appointment!

Which toothpaste should I use?

May 11th, 2016

Toothpastes come in many forms and boast different flavors, benefits, and endorsements. All are designed to remove surface bacteria and prevent the buildup of plaque that can cause tooth decay. With so many choices, Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates know that selecting the right toothpaste can be intimidating. After all, some benefits are welcome bonuses, while others are absolutely essential. So how can you know which toothpaste is best for you?

ADA Seal of Approval

While all toothpastes must first be approved by the Food and Drug Administration for sale to consumers, the American Dental Association puts these products through further rigorous tests for safety and effectiveness. Toothpaste that boasts the ADA Seal of Approval can be trusted to do exactly what it claims.

Fluoridated

Fluoride is an essential ingredient in a daily toothpaste. It helps to protect the tooth from decay by removing plaque and strengthening the enamel. Although fluoride is found in many public water supplies, many people are deficient in it due to the consumption of bottled water instead of tap water. All toothpastes with the ADA Seal of Approval contain fluoride.

Other benefits

If a toothpaste meets the ADA’s standards and contains fluoride, the next step is to clear it with your dentist. This is especially true if you decide to use a whitening toothpaste, which often contains abrasives to remove surface stains. Though abrasives are an effective aid in tooth whitening, they may not be recommended if you have weak tooth enamel.

Specialty toothpastes

In certain situations, Dr. Michelle Slezewski and Dr. Paul Engibous may suggest or prescribe specialty toothpaste, depending on your oral health needs. For example, patients who are prone to tooth decay and cavities despite frequent brushing and flossing may benefit from prescription-strength fluoridated toothpaste to help prevent the weakening of tooth enamel. Others who suffer from tooth sensitivity may benefit from the use of desensitizing toothpaste. Talk with Dr. Michelle Slezewski and Dr. Paul Engibous if you think a specialty toothpaste could be right for you by scheduling an appointment at our Anchorage, AK office.

Providing the Right Dental Care for your Children

May 4th, 2016

You already know that Pediatric Dental Associates recommends you come in for a checkup and cleaning at least every six months, but do you know what your child’s dental needs are? From the time children are babies and growing in their first teeth, their oral health care needs may be different from adults. It’s important to know what they need, and when, to help them grow strong, healthy teeth.

When to See Our Team at Pediatric Dental Associates

While dental care (at home) can begin as soon as your baby starts to show signs of that first tooth, most experts do not recommend you see a dentist until your child is at least one year old. The child will likely be too young at this point to have a full dental exam, but we can take a look at your baby’s teeth and give you tips for brushing and flossing properly.

By the time your child has all of his or her baby teeth—usually around 24 to 30 months of age—we can begin scheduling regular checkups and cleanings.

What to Expect on the First Visits

The first visit to our Anchorage, AK office for a full exam will mostly involve getting to know Dr. Michelle Slezewski and Dr. Paul Engibous and staff members, and making your child feel comfortable. Let us know if you would like to sit in the exam room during the appointment, but keep in mind that it may be beneficial to leave your child alone with Dr. Michelle Slezewski and Dr. Paul Engibous for a portion of the appointment so we can start building trust with your child.

Our team at Pediatric Dental Associates will likely do some or all of the following during your child's visit:

  • Look for signs of decay or other tooth or gum problems
  • Examine your child’s bite, checking for misalignment that could lead to problems in the future
  • Clean the teeth, and apply fluoride if your child is old enough
  • Talk to you about proper oral health care for your children
  • Answer any questions you may have about caring for your child’s teeth, which may include topics like fluoride needs, nutrition and diet, teething, and the frequency of future checkups

In most cases, we will recommend that you bring your child in every six months for regular checkups, the same as your recommended frequency.

Understanding your child’s unique dental needs is important for providing the best possible care when it becomes necessary. We look forward to building a good relationship with your child so coming to the dentist is a fun, rewarding experience and not a frightening one.

How to Handle a Dental Emergency

April 27th, 2016

Whether it’s a broken tooth or injured gums, a dental emergency can interfere with eating, speaking, or other day-to-day activities. According to the American Dental Association , you can sometimes prevent dental emergencies like these by avoiding the use of your teeth as tools or by giving up hard foods and candies.

Even if you take excellent care of your mouth, however, unexpected dental problems can still arise. Our team at Pediatric Dental Associates is available 24 hours a day, seven days a week to assess and resolve your individual situation. When an emergency arises, you should immediately make an appointment with our office so we can put you at ease, give you the best possible care, and help you return quickly to your regular routine.

Damaged Teeth

For tooth damage in particular, don’t hesitate to call and schedule an emergency dental appointment. You should come in as soon as possible. However, if you have some time before your appointment there are a few things you can do to avoid further injury. If you break your tooth, clean the area well by rinsing it with warm water. To ease any discomfort, put a cold compress against your skin near the area with the affected tooth.

A dislodged tooth should be handled carefully in order to keep it in the best possible condition. Gently rinse off the tooth without scrubbing it and try to place it back into the socket of your gums. If it won’t stay in your mouth, put the tooth in a container of milk and bring it along to your dental appointment.

Injured Soft Tissues

For other problems, such as bleeding gums or an injured tongue, cheek, or lip, the Cleveland Clinic recommends gently rinsing your mouth with salt water and applying pressure to the site with a moist strip of gauze or a tea bag. If you’re also experiencing some discomfort, you can put a cold compress on your cheek near the area of the bleeding. If the bleeding continues, don’t hesitate to contact our office so you can receive further help.

A dental emergency may catch you off guard, but Dr. Michelle Slezewski and Dr. Paul Engibous can provide fast, pain-free treatment. Follow the advice above and set up an appointment with us as soon as possible so you can put your teeth and mouth on the road to recovery.

Care for Your Dentures

April 20th, 2016

Just like natural teeth, Dr. Michelle Slezewski and Dr. Paul Engibous will tell you that dentures have a tendency to get coated with plaque, which is a sticky, transparent film that attracts food and bacteria. When you don’t take care of your dentures adequately and regularly, plaque can build up, harden, and become difficult to remove. More importantly, it can result in dental problems, including gum disease and infection. Proper care for your dentures also helps them maintain their shape, fit the way they are supposed to, and last longer.

Cleaning your dentures

Your dentures should be cleaned with the same diligence as you clean natural teeth.

  • Take out dentures and rinse them after eating. To remove food particles, run water over your dentures.
  • Clean your teeth after denture removal. Once dentures have been removed, use a soft-bristled toothbrush to brush existing teeth, gums, and tongue.
  • Scrub your dentures on a daily basis. At least once per day, gently scrub your dentures with a soft-bristled toothbrush and denture cleanser.
  • Soak dentures overnight. In order to keep their shape intact, many dentures must remain moist. Always use a mild denture solution recommended by our office. Never use hot water on your dentures, as they may warp their shape.
  • Rinse dentures prior to placing them back in your mouth. This is especially important if you soak your dentures in a denture solution.
  • Dentures are fragile and can break when dropped. It’s a good idea to hold them in a soft cloth or towel to keep them from falling and breaking.

Over time, even with diligent daily care, your dentures may form difficult-to-remove tartar. When this happens, our team at Pediatric Dental Associates uses a powerful ultrasonic cleaner to remove stubborn, denture build-up.

Proper care for your dentures can help retain their shape, prevent oral issues, and increase their longevity. Visit Dr. Michelle Slezewski and Dr. Paul Engibous regularly at our convenient Anchorage, AK office to maintain your oral health and keep your dentures in tip-top shape.

Sealants Protect Your Child’s Teeth from Decay

April 13th, 2016

Sealants provide a thin coating over molars that can be a powerful tool to protect your child’s teeth from decay. This simple and painless solution can be applied in a matter of minutes by our team at Pediatric Dental Associates, forming a protective shield and avoiding costly and painful cavities or other forms of tooth decay later.

The Causes of Tooth Decay

Our mouths are routinely filled with germs and bacteria. Some of these bacteria can be helpful in converting the foods we eat (especially sugars in the food) into acids that our bodies use to break down food. However, when we eat too much sugar, the excess acids can cause cavities and other decay in teeth.

Molars (our chewing teeth) are prime sites for tooth decay because they have rough surfaces with lots of little grooves where small food particles and germs find places to stay for extended periods of time. If you can prevent tooth decay in your child’s teeth now, you may be able to avoid treatments for decaying teeth later in life—costly and painful procedures like crowns and fillings.

Protecting Against Decay

A comprehensive plan for mouth care can protect against tooth decay. This plan should include:

  • Drinking water with fluoride in it or using other fluoride supplements
  • Eating a healthy diet (avoiding excessive sugar)
  • Brushing teeth regularly
  • Applying sealants

On their own, each of these activities is good but does not provide enough protection against decay. Fluoride is best for protecting the smooth surfaces of our front teeth, but may not provide enough of a shield for our rough, uneven back teeth. In addition, toothbrush bristles may not get to all the tiny food particles and germs in our mouths. For these reasons, sealants are the recommended preventive measure for molars in the fight against germs.

Who needs sealants, and when?

The best time to get a sealant is when your child’s adult teeth are just growing in. Between the ages of about five and seven, children grow their first permanent molar teeth, and they grow a second set of permanent molars between the ages of 11 and 14. Sealants placed on these teeth as soon as they grow in will be most effective in preventing tooth decay before it occurs.

If your child still has his or her baby teeth, Dr. Michelle Slezewski and Dr. Paul Engibous may recommend sealants for teeth that are especially rough or uneven and may be prone to tooth decay. When your child loses his or her baby teeth, we will apply new sealants to the permanent teeth when they grow in. In addition, our team may recommend sealants for adults in special cases; for example, if a previously placed sealant falls out, if you never had sealants put in as a child, or if your teeth are prone to decay and the preventive treatment may help.

Talk to us during your next visit at our Anchorage, AK office to learn more about how dental sealants can help protect your child’s teeth.

Tips for Managing Oral Pain

April 6th, 2016

Experiencing tooth or oral pain is not fun. If you cannot get to Pediatric Dental Associates right away, the pain may even seem to increase. The old saying that a tooth will stop hurting once you get to a dentist is not that far from true. However, there are many tips you can try to relieve your oral pain until you can see Dr. Michelle Slezewski and Dr. Paul Engibous.

Common Pain Relief Options

First, try to determine the source of the pain. This is sometimes not possible, but it may help. If you are experiencing pain between your teeth or along the gum line, try swishing some warm salt water in your mouth. One teaspoon of salt in eight ounces of warm (not hot) water is all you need.

The pain you are experiencing could be a particle of food stuck under your gum. You can also try flossing as long as bleeding is not present. Salt water soothes other mouth irritations to reduce pain.

You can try over-the-counter pain relievers, including oral medications or topical gels. Avoid taking aspirin; it thins your blood, which could end up being a problem for dental work. Wash your hands before applying any topical pain treatments to avoid spreading germs.

Clove Oil

Clove oil works quickly to relieve most oral pain. Place a few drops of clove oil on a damp cotton ball and place the cotton in your mouth near the painful area. Do not use this method overnight, because you don’t want to swallow the cotton.

Whole cloves can also be used, but try to remove any sharp edges first. Place a few pieces in your mouth and allow your saliva to soften the clove. Some sources say that chewing the clove helps, but you shouldn’t do this if you have a fractured tooth.

Other Household Remedies

If you have cough drops that include benzocaine or menthol, you can try sucking on a cough drop for relief. Placing a warm, wet tea bag against a painful oral area can sometimes reduce the pain as well.

Toothpastes designed to relieve pain from sensitive teeth may work. While these pastes do take time to reach full effectiveness, they can be helpful if you have to wait several days.

Remember that these tips are only designed to provide temporary pain relief. You need to schedule an appointment at Pediatric Dental Associates quickly. Call and schedule an emergency appointment with Dr. Michelle Slezewski and Dr. Paul Engibous as soon as possible.

What is a crown?

March 30th, 2016

Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates hear this question all the time. Millions of people have dental crowns that artificially restore the chewing surface of a tooth. Also known as caps, these restorations surround the entire portion of the tooth that is above the gum line. Crowns are custom fabricated to match the color, shape, and size of other teeth and are visually undetectable to others. Several types of materials can be used to create crowns, including stainless steel, resin, metal alloys, porcelain fused to metal, or ceramic. When properly cared for and accurately fit, crowns can stay in place for a decade or more.

There are many reasons to get a dental crown, including:

  • To restore a broken or cracked tooth
  • To protect a tooth after a root canal
  • To restore a severely decayed tooth
  • To help anchor a dental bridge
  • To complete a dental implant
  • To protect a tooth that is at high risk for developing decay
  • For cosmetic purposes

Getting a dental crown

The process of getting a dental crown begins at our Anchorage, AK office. X-rays are used to ensure the teeth are healthy enough to receive a crown. If the roots and surrounding bone are in satisfactory condition, the tooth will be numbed, filed, and reshaped in preparation for the crown. If the tooth root is not healthy, a root canal may be necessary first.

After the tooth is prepared, a special paste is placed over the upper and lower teeth to make impressions. These impressions serve as blueprints for the dental laboratory responsible for making the crown. They also help ensure the position of the new crown will not negatively affect a patient’s bite. The prepared tooth is protected by a temporary crown while the permanent one is made. When ready, the permanent crown replaces the temporary crown and is cemented in place.

To learn more about crowns, or to schedule an appointment with Dr. Michelle Slezewski and Dr. Paul Engibous, please give us a call at our convenient Anchorage, AK office!

What is gingivitis, and how can I treat it?

March 23rd, 2016

Gingivitis is an early stage of gum disease that results when bacteria in your mouth cause inflammation in your gums. This is a common condition, and you can treat it effectively if you are aggressive. Otherwise, it could develop into more advanced gum disease, or periodontitis, and you could lose one or more teeth.

Watch for symptoms of gingivitis so you can ask Dr. Michelle Slezewski and Dr. Paul Engibous for help as soon as you need it. Strategies for treating gingivitis include thoroughly cleaning your teeth and assessing the scope of your gingivitis and how serious the problem is.

Gingivitis: Early Gum Disease

Your mouth contains many bacteria that form plaque, which is a sticky substance. You can get rid of plaque by brushing well, but if you don’t, it can build up on your teeth and form tartar. Bacteria can make your gums inflamed and cause pain and bleeding, or gingivitis. Other symptoms include loose teeth, bad breath, receding gums, and sensitive teeth. You’re at higher risk for gingivitis if you’re a smoker, if you have a weakened immune system, or if you have diabetes.

Assessment and Diagnosis

If you think you recognize the symptoms of gingivitis, contact our Anchorage, AK office to make an appointment. We will ask you about your risk factors for gingivitis and examine your teeth and mouth for signs of red and swollen gums. We may also measure the pockets around your teeth. If they are larger than usual, your gingivitis may be more advanced. Finally, will take some X-rays to get a picture of the bone structure of your jaw.

Deep Cleaning

You can’t get rid of the tartar on your teeth just by brushing at home. Instead, you need a deep cleaning consisting of scaling and root planing. Scaling involves scraping the plaque off of your teeth, both below and above the line of your gum. In root planing, the rough surfaces of your teeth where tartar is more likely to build up are smoothed. A laser may be used to make the procedure more effective, more accurate, and more comfortable.

St. Patrick's Day

March 16th, 2016

On March 17, everyone has a little Irish in them. St. Patrick’s Day is a joyous celebration of Irish heritage. The holiday originated as a commemoration of Saint Patrick, who brought Christianity to Ireland. The saint arrived in Ireland in 432 and earned the reputation of a champion of Irish Christianity. March 17th, the day of St. Patrick’s death, has been commemorated by the Irish for over 1,000 years. St. Patrick’s Day is still observed as a religious feast day by several Christian denominations, but it is better known in the public imagination as a rich celebration of Irish culture.

St. Patrick’s Day has been an official public holiday in Ireland since 1903. Each year, the Irish celebrate with a several-day festival that includes theater performances, music, fireworks, and festive parades. The celebration is also a public holiday in Northern Ireland, Montserrat, and Newfoundland and Labrador. In other parts of the world with heavy Irish populations, it is an unofficial celebration of Irish heritage. Parts of Great Britain, Canada, Argentina, South Korea, Switzerland, New Zealand, the United States, and Australia commemorate the holiday each year. Typical celebrations in these countries include drinking green beer, wearing green, eating traditional Irish foods, parades, and shamrock decorations.

Many people, Irish and non-Irish alike, take part in the “wearing of the green” on St. Patrick’s Day. In fact, the color originally associated with Saint Patrick was blue. His use of shamrocks to explain the Holy Trinity to the Irish made the green clover emblematic of the holiday, leading to the traditional green attire worn by thousands on St. Patrick’s Day. Other little-known facts about St. Patrick’s Day include the following:

  • Each year, the United States and Ireland face off in a rugby competition called the “St. Patrick’s Day Test.”
  • Montreal celebrates the holiday with an annual parade, which has been held each year since 1824. The Montreal city flag even features a shamrock in its corner, as a nod to its Irish heritage.
  • The Guinness World Records named St. Patrick’s Day the “Friendliest Day of the Year.”
  • Along with Valentine’s Day, St. Patrick’s Day is one of the most widely celebrated saint’s day in the world.

No matter your cultural heritage, St. Patrick’s Day is a great time to let loose and celebrate your inner Irish-ness! Don your greenest attire and exclaim “Erin go Bragh!” (Ireland forever!) to everyone you meet. From Dr. Michelle Slezewski and Dr. Paul Engibous - have a great St. Paddy’s day!

What happens if I don’t have my wisdom teeth removed?

March 9th, 2016

One of the things Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates monitor during your dental appointments is the growth of your wisdom teeth, or third molars. Third molars generally begin to erupt between the ages of 17 and 25. Wisdom teeth may require removal for many reasons, including pain, infection, or growth issues. While not all patients need their wisdom tooth removed, problems can develop if removal is not performed.

Overcrowding

Many patients have smaller mouths and jaws, which do not allow room for the third molars to grow in properly. If these teeth do erupt, overcrowding can occur. Your teeth will begin to shift or overlap each other. Wisdom teeth that erupt after orthodontic care is completed can cause the teeth to shift and negate the work performed.

Impacted Wisdom Teeth

When wisdom teeth are impacted, they are trapped below your gum line. Impacted wisdom teeth can be very painful and may be prone to abscess and infection. The impaction can lead to decay and resorption of healthy teeth.

On occasion, if wisdom teeth are not monitored properly, their growth can shift parallel to the jaw line. They can also shift backward and eventually interfere with the opening and closing of your jaw.

Greater Potential for Decay

Even when wisdom teeth grow in properly, the location can make the teeth harder to care for. This in turn can lead to the growth of more bacteria, and create health issues later in life.

If you do not have your wisdom teeth removed, they will require continued monitoring. Wisdom teeth are just as subject to decay and other problems as the rest of your teeth. Those that appear above the gum surface can often be extracted at a dental office in a fashion similar to any other tooth extraction. Impacted teeth are normally handled by an oral surgeon.

Pain in the back of the jaw and swelling may indicated wisdom teeth that are beginning to rupture or are impacted. A simple set of X-rays will determine the extent and direction of growth. Please do not hesitate to discuss your concerns during your next visit our Anchorage, AK office. We will be happy to explain wisdom teeth, and potential removal, as it applies to your specific case.

March is National Nutrition Month!

March 9th, 2016

While you don’t have to wait to start eating right, March is the month the Academy of Nutrition and Dietetics asks everyone to pay special attention to what goes into our bodies. The Academy has designated the month of March for focusing the public’s awareness on what they eat.

What Not to Eat

The academy points out that the foods you eat have a direct effect on the health of your teeth and specifically on tooth decay. Bacteria rely on carbohydrates to thrive. That is why Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates tell our patients to cut back on both candy and sweets. They consist of simple sugars that feed the bacteria in your mouth and enhance tooth decay.

It’s the hidden sugars that will cost you, though. Get in the habit of reading labels on food and looking for products with added sugar. This includes ingredients that end with the suffix “ose.” When it comes to nutrition, these foods offer little value beyond satisfying that sweet tooth.

What You Should Eat

Turn to foods that not only taste good but are good for your teeth too. Dairy products, for example, provide the body with nutritional items that support tooth enamel. Foods high in protein feature phosphorus, a nutrient critical to oral health.

You can’t really go wrong by adding color to your diet, either. Fruits and vegetables make for a colorful plate and a healthy meal. Use some caution with acidic fruits like oranges or even tomatoes, because the acid can erode tooth enamel. It is better to include these foods in a meal instead of eating them by themselves.

Remember, good nutrition is something you should worry about all year long, not just when celebrating National Nutrition Month. March just serves as a fun reminder that eating right is a proactive step in managing your dental health.

We encourage you to give us a call at our Anchorage, AK office to learn more!

What is gum disease?

February 24th, 2016

Gum disease, also called periodontal disease, is an infection of the gum tissues, and is something seen all too often by Dr. Michelle Slezewski and Dr. Paul Engibous. Extending from inflammation of the gums (gingivitis) to more serious infections and complications (periodontitis), there is a wide range of gum disease severity.

Not only does gum disease affect the health of your mouth and teeth, but according to the National Institute of Dental and Craniofacial Research, it can affect your general health as well. This is because an infection in the mouth as a result of gum disease can travel to other parts of your body through the bloodstream. Gum disease is also a risk factor for heart disease, and can play a role in blood sugar levels.

Causes and Risk Factors

Gum disease is essentially caused by the build-up of bacteria in your mouth. If you brush and floss every day, this bacteria is washed away, but if not, it turns into plaque. If left unchecked, this plaque buildup can lead to gum disease.

Some of the common risk factors for gum disease include not taking good care of your teeth, failing to have one’s teeth cleaned every six months, experiencing hormonal changes, smoking cigarettes, developing diabetes, being genetically exposed to gum disease, or taking certain types of medications.

Gingivitis versus Periodontitis

There are two main types of gum disease: gingivitis and periodontitis. Both are bad for you, but gingivitis is less severe. It is typically the first stage, and involves inflammation of the gums from plaque and tartar on the teeth. If your gums are swollen and bleed, this is a sign of gingivitis.

Periodontitis, a more severe case of gum disease, occurs when your gums pull away from the teeth and pockets form. These pockets are a concern because they can harbor infection.

Treatments for Gum Disease

Treatments for gum disease depend on the cause and severity. Deep cleaning to remove the plaque underneath the gum line – called root scaling and planing – is one of the most common treatments for gum disease. Antibiotics placed under the gums to rid you of an infection or reduce the inflammation may also be advised. In some cases, surgical procedures, including flap surgery and bone and tissue grafts, are needed.

If you have bleeding or swollen gums, pockets between your gums and teeth, pain, or other issues, you might have gum disease. Visit Pediatric Dental Associates for an exam and learn the best course of action.

Kids and Teeth Grinding

February 17th, 2016

Grind, grind, grind… if your little one happens to be a teeth grinder, you may be familiar with this unpleasant sound. Teeth grinding, or what Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates also call bruxism, is common in children. In fact, three out of ten kids grind or clench their teeth, usually in response to stress, jaw growth, malocclusion, losing teeth, or other discomforts, such as allergies. Kids typically outgrow teeth grinding by the time they reach their teenage years.

Many kids who grind their teeth in their sleep have no idea they’re doing it. In fact, when they wake up in the morning they feel no jaw, facial, neck, or shoulder pain. In most cases, if it hadn’t been for a parent or sibling telling them about it, the teeth grinding would have gone unnoticed.

There are children, however, who wake up with jaw pain, shoulder pain, neck pain, and headaches. Teeth grinding can cause a host of dental complications, from cracked teeth and receding gums to a misaligned jaw. Dr. Michelle Slezewski and Dr. Paul Engibous will tell you that teeth grinding is not something to take lightly. Teeth grinding can have serious consequences that, if left untreated, can lead to tooth fractures and damage to the temporomandibular joint, also known as TMJ.

The first step in helping your child recover from teeth grinding is noticing and diagnosing the problem. Symptoms of teeth grinding typically include:

  • Grinding noises when your child is sleeping
  • Complaints of tightness or pain in the jaw
  • Complaints of headaches, earaches, or facial pain
  • Complaints of pain when chewing
  • Tooth sensitivity
  • Chipped, worn down, or loose teeth

If you suspect your child is a teeth grinder, Dr. Michelle Slezewski and Dr. Paul Engibous and our team will be able to help. Please give us a call at our convenient Anchorage, AK office! We look forward to treating your child!

The Transformation of Valentine's Day

February 10th, 2016

Did you know the actions leading to the beginnings of Valentine's Day were actually centered on the avoidance of war? A Catholic priest named Valentine defied the orders of the Emperor Claudius II and secretly married young men and their brides after the emperor had declared it illegal because only single, young men could be sent to war. Rather than lose potential soldiers to fight his war, Claudius attempted to hoard them by proclaiming marriage illegal.

Valentine continued to marry young couples anyway and, eventually, was put to death for it in 270 AD. Before his death, he sent a letter to a secret love and signed it “From your Valentine”. Nearly 1,800 years later, people are still signing letters and cards in this manner. This year, carry on the tradition started long ago, while adding your own twist. Here are a few suggestions.

Simple and Creative Valentine's Day Ideas

  • Memorialize it with a Photo. Couples often have photos taken around Christmas, but Valentine's Day photos allow you to capitalize on romance. Famous couple Julia Child and her husband, Paul, had their picture taken together every Valentine's Day and included their sense of humor with silly props.
  • Return to Your First Date Location. Even if your first date together was at a local hotdog stand, its sentimental value can make it a fun part of your Valentine's Day agenda. Be creative and make a treasure hunt with clues that lead your partner to the original date location, where you can express your love with flowers or a gift.
  • “From Your Valentine” Messages. Deliver your message in a creative way to make this Valentine's Day stand out from the others. Bake your partner's favorite treat and write a message on it with a tube of icing, or draw a note on the steamed up mirror so it shows up when your partner takes a shower.

Although Valentine's Day is a day to celebrate love, it doesn't have to be a special day only for couples. If you're single, use this special day to shower yourself with love, because you're worth it! After all, the priest Valentine believed so strongly in the sanctity of love that he was willing to risk his life for it. Whether you're in a relationship or single, young or old, romantic or not, Valentine's Day is for you. Happy Valentine’s Day from the dental office of Dr. Michelle Slezewski and Dr. Paul Engibous.

Fluoride Use in Adolescents

February 3rd, 2016

Fluoride is a mineral that plays an essential role in oral health. In fact, the significant reduction in American tooth decay in recent decades can be attributed to a greater availability of fluoride in public water supplies, toothpaste, and other resources. When it comes in contact with the teeth, fluoride helps protect the enamel from acid and plaque bacteria. In some cases, it can even reverse tooth decay in its earliest stages.

Despite the benefits of fluoride, tooth decay is still common, especially among teenagers. The Centers for Disease Control reports that cavities can be found in more than half of young teens and two-thirds of older teens over age 16. Many of those teens are deficient in fluoride, either due to a lack of public water fluoridation or the use of bottled water. So how can parents ensure their teens are getting the fluoride they need to facilitate strong, healthy teeth?

Monitor Fluoride Exposure

Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates recommend you start by measuring your teen’s fluoride exposure. Make sure you purchase fluoridated toothpaste for your household, and find out if your tap water is fluoridated. If your teen primarily consumes bottled water, examine the bottle to determine whether fluoride has been added. The majority of bottled waters are not supplemented with fluoride, but those that are will be clearly labeled.

Fluoride Supplementation

Dr. Michelle Slezewski and Dr. Paul Engibous may recommend topical fluoride treatments at routine dental exams. These treatments are painless for your teen and may help establish stronger enamel that is more resistant to plaque and tooth decay. If you have a public water supply that is non-fluoridated, we may recommend fluoride supplementation between visits. These can be administered as drops, tablets, or vitamins.

Keep in mind that fluoride is most important for children and teens under the age of 16. Be proactive about your teen’s oral health by speaking with us about your family’s fluoride needs at your next dental visit.

For more information about fluoride, or to schedule an appointment with Dr. Michelle Slezewski and Dr. Paul Engibous, please give us a call at our convenient Anchorage, AK office!

Headaches, TMJ, and Dentistry

January 27th, 2016

That ache in your head may stem from your jaw. If your jaw falls out of alignment, you could have temporomandibular joint disorder, or TMD.

It's not clear what causes TMD. Obesity may factor in. Stress and pressure on the jaw may also contribute. A misaligned bite (that is, where your upper and lower teeth don't fit together when you close your mouth) may cause TMD symptoms, too.

TMD can affect your life and your health by making it painful to eat and hard to sleep. Some people find the nagging pain difficult to bear.

Symptoms of TMD include:

  • Recurring headaches with no other cause
  • Pain along and behind your ears
  • Pain in your cheeks or lower face
  • Clicking noises when you talk or chew
  • Tired or sore jaw muscles after eating
  • Limited jaw movement

If you experience the symptoms listed here, make an appointment with our office. We’ll take an X-ray to look at your bite, and determine if TMD could be the culprit. If you have TMD we can offer a number of treatments, including:

  • Relaxation and stress reduction techniques
  • Pain reduction recommendations, which might involve visualization or medication
  • Jaw joint exercises that can help reduce stress and improve your alignment

Left untreated, TMD headaches and other symptoms can become quite severe. If you suffer the symptoms of TMD, you do not have to live in pain. Make an appointment at our Anchorage, AK office to learn how we can reduce your pain and restore comfort to your life.

Fluorosis: What is it?

January 20th, 2016

Many people think dental fluorosis is a disease, but it’s not; it’s a condition that affects the appearance of your tooth’s enamel, not the function or health of the teeth. These changes may vary from tiny, white, barely noticeable spots to very noticeable staining, discoloration, and brown markings. The spots and stains left by fluorosis are permanent and may darken over time.

Dental fluorosis occurs in children who are excessively exposed to fluoride between 20 and 30 months of age. Only children ages eight years and younger can develop dental fluorosis. Why? That is the period when permanent teeth are still developing under the gums. For kids, fluorosis can cause significant embarrassment and anxiety about the appearance of their teeth. No matter how much they might brush and floss, the fluorosis stains do not go away.

Many well-known sources of fluoride may contribute to overexposure, including:

  • Fluoridated mouth rinse, which young children may swallow
  • Bottled water which is not tested for fluoride content
  • Inappropriate use of fluoride supplements
  • Exposure to water that is naturally or unnaturally fluoridated to levels well above the recommended levels

One way to reduce the risk for enamel fluorosis is to teach your children not to swallow topical fluoride products, such as toothpaste that contains fluoride. In fact, kids should use no more than a pea-sized amount of fluoride toothpaste when brushing, and children under the age of two shouldn’t use fluoride toothpaste at all.

Dental fluorosis can be treated with tooth bleaching, microabrasion, and conservative composite restorations or porcelain veneers. Please give us a call at our office to learn more or to schedule an appointment with Dr. Michelle Slezewski and Dr. Paul Engibous.

Seven Foods that will Give You a Smashing Smile

January 13th, 2016

As the saying goes, you are what you eat. But did you know that what you eat also affects your smile? Chow down on these seven tasty treats, recommended by Dr. Michelle Slezewski and Dr. Paul Engibous and our staff, for a healthier mouth and a smashing smile!

Sesame Seeds

These tiny seeds that you find in some Chinese and Thai dishes (as well as on top of your hamburger bun) are packed with bone-building calcium. They help to preserve and protect the bone that supports your teeth and gums. As a bonus, they also help to build up your tooth enamel while sloughing away plaque.

Kiwi

This funny little fruit has the highest amount of Vitamin C of any fruit, including oranges! What does this mean for your chompers? Well, you need Vitamin C to keep your gum tissue healthy and strong. Without it, they are more susceptible to periodontal disease.

Sweet Potatoes

These are not just for Thanksgiving and Christmas dinner! You should add sweet potatoes to your regular diet. These tasty spuds are rich in Vitamin A, which your body uses to form tooth enamel and heal gum tissue.

Onions

You know those strong vapors from onions that make you cry? Well, they come from the sulfur compounds in the vegetable, which gives them a superpower-packed antibacterial punch. Get ready, though: Onions are most effective for your smile when you eat them raw!

Cheese

If you love cheese, you will love this news! Munching on some cheese helps prevent gum disease and cavities. The reason is that cheese is very high in calcium and phosphate, which help to balance the pH levels in your mouth. This in turn helps to preserve your tooth enamel and kill harmful bacteria.

Green Tea

Sipping on some green tea can not only help prevent cavities and gum disease, it can also kill the bacteria that cause bad breath. Score! Green tea has catechins, which actually kill the bacteria that cause plaque. So drink up! Your smile depends on it!

Celery

Have some fun with that crunchy stuff because, guess what? It is great for your smile! When you chew celery you produce saliva. Your saliva neutralizes cavity-causing bacteria. As a little added bonus, while you are chewing, it is giving your gums a little massage and cleaning between your teeth.

So grab some of these healthy snacks and give your mouth something to smile about!

New Year's Day Around the World

December 29th, 2015

New Year’s Day marks the beginning of the calendar year in most parts of the world. The holiday is celebrated on January 1st of each year. Customs and celebrations vary by country, religion, and even individual desires. Whether celebrated quietly or with gusto, the day brings the start of new opportunities for those that observe it.

United States and Canada

In both the US and Canada, celebrations begin on New Year’s Eve. At midnight on January 1st the New Year is welcomed with bells, horns, whistles, and other noisemakers. Fireworks are often part of the celebrations. In New York City, Times Square comes alive with revelers. In Toronto, there are large celebrations which may feature concerts, late-night partying, sporting events, and fireworks, with free public transit service during peak party times. Many individuals in North America greet the year by making resolutions for improvements in their lives.

China

In China, many people celebrate two forms of a new year. They may observe January 1st, but the traditional Chinese New Year is based on a lunar calendar. Parades with paper lanterns and dragons made from silk are a significant part of the festivities. Legends say that the dragon spends most of its time in hibernation so fireworks are used to keep the dragon awake.

Jewish Celebration

Jewish New Year’s observances begin with Rosh Hashanah, the first day of the New Year, and end with Yom Kippur, the Day of Atonement. This ten-day celebration is held in September or October, based on the Hebrew calendar. The New Year is not marked as much with loud celebrations as with personal insight to mend wrongs and resolve to better oneself.

Other countries and cultures also have different dates for New Year’s Day observances:

  • Vietnam observes the New Year in February
  • In Iran, the day is celebrated on March 21st
  • Islamic cultures often observe the tenth day of the month of Muharram
  • Russian Orthodox observers use the Julian calendar and celebrate on January 14th
  • Buddhist celebrations are held from April 13th through 15th

If you observe New Year’s Day by making healthy resolutions, include dental care in your plans with Dr. Michelle Slezewski and Dr. Paul Engibous. The health of your teeth and gums contributes to your overall health. Caring for your mouth now can prevent many dental problems later in life. Pediatric Dental Associates wishes you a healthy, prosperous, and happy New Year!

Five Nutrition Tips for Healthy Kids' Smiles

December 22nd, 2015

If your child could have it his way, chances are he would eat Lucky Charms for breakfast, a peanut butter and fluff sandwich for lunch, and chicken fingers slathered in ketchup for dinner.

Kids will be kids, and maintaining a healthy diet is often the farthest thing from their minds. Do you remember the old saying “an apple a day keeps the doctor away”? Well, that folksy wisdom can be applied to oral health, too. Think of it like this: an apple a day keeps the dentist at bay. Here are five nutrition tips Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates wanted to pass along that will give your child a healthy, bright smile.

  1. Eat a well-balanced diet of fruits and vegetables. We weren't joking about the apple. An apple naturally scrubs and cleans your teeth. The nutrients and antioxidants in vegetables are good for the entire body.
  2. According to the Centers for Disease Control and Prevention, calcium is a mineral needed by the body for healthy bones and teeth, and proper function of the heart, muscles, and nerves. Dairy products like milk, cheese, and yogurt are good sources of calcium. Dark leafy vegetables and calcium-fortified foods like orange juice and tofu are also healthy options.
  3. Keep snacking to a minimum. Sticky and gummy snacks can increase a child’s risk of tooth decay. Unless a child brushes after every snack (and what child does?), sticky snacks can easily get lodged between the teeth.
  4. Limit soda intake. Drinking large amounts of soda has been linked to childhood obesity. Soda is loaded with sugars and acids, and these ingredients also damage the teeth. Soft drinks have long been one of the most prominent sources of tooth decay. Have your child drink water throughout the day or juice that’s low in sugar concentrate.
  5. Chew sugarless gum. After all those fruits and vegetables, sooner or later your child is going to want a treat. Chewing gum stimulates saliva, which in turn helps keep teeth clean and bacteria-free. Sugarless gum contains xylitol. The combination of excess saliva and xylitol reduces plaque, fights cavities, and prevents the growth of oral bacteria.

For more information on keeping your child’s smile looking its very best, or to schedule an appointment with Dr. Michelle Slezewski and Dr. Paul Engibous, please give us a call at our convenient Anchorage, AK office!

Dental Fear in Children: Brought on by parents?

December 15th, 2015

Two studies – one conducted in Washington State, and whose findings were published in the Journal of Pediatric Dentistry in 2004, and another conducted in Madrid, Spain, and whose findings were reported in 2012 in Science Daily, reinforce earlier findings that show a direct relationship between parental dental fear and that of their children.

The Washington study looked at dental fear among 421 children whose ages ranged from 0.8 to 12.8 years. The children were all patients at 21 different private pediatric dental practices in Western Washington State. The Spanish study looked at 183 children between the ages of seven and 12, and their parents in Madrid.

The Washington study used the Dental Sub-scale of the Child Fear Survey Schedule. The survey responses came from either parents, or other parties charged with taking care of the children. The people responsible for each child filled out the survey, which consisted of 15 questions to which answers were given based on the child’s level of fear. The scale used was one to five, with one meaning the child wasn’t afraid at all, and five indicating the child was terrified. The maximum possible points (based on the greatest fear) was 75.

Spanish researchers found that like past studies, there is a direct connection between parental dental fear levels and those of their kids. The most important new discovery from the study conducted in Madrid, was that the more anxiety and fear a father has of going to the dentist, the higher the fear levels among the other family members.

Parents, but especially fathers, who suffer from fear of going to the dentist and fear of dental procedures in general pass those fears on to every member of the family. While parents may not feel like they have control over those fears, the best way to help your child understand the importance of going to the dentist is by not expressing your fears in front of them – or around the rest of the family.

Dr. Michelle Slezewski and Dr. Paul Engibous and our team understand that some patients are more fearful than others when it comes to visitingour Anchorage, AK office. We work hard to make our practice as comfortable for our patients, both children and adults.

Is gingivitis preventable?

December 8th, 2015

The earliest sign of gum disease is called gingivitis (sometimes called periodontal disease), and is an inflammation of the gums. If left untreated, gingivitis can lead to gum tissue loss, loss of bone that supports the teeth, and eventually tooth loss. The good news is that gingivitis is easily treatable at Pediatric Dental Associates. Better yet, gingivitis is nearly 100 percent preventable.

Gingivitis is usually caused when plaque and bacteria accumulate on the gums, generally due to poor oral hygiene. A patient with gingivitis will have red and puffy gums that will likely bleed when he or she brushes or flosses.

It is almost entirely within our patients’ power to prevent gingivitis by brushing and flossing on a daily basis. In addition to good oral health habits, regular visits to see Dr. Michelle Slezewski and Dr. Paul Engibous will also help with early detection. We can often detect minor inflammation and other signs of gingivitis before it causes any discomfort or issues.

If left untreated, gingivitis will eventually progress to periodontitis, a breakdown of the tissue and bone that support the teeth. Smokers, women who are pregnant or menopausal, people with heart disease, diabetes, epilepsy or HIV infection, and people who suffer from poor nutrition are more likely to have gum disease.

To learn more about gingivitis, or if you suspect you have gingivitis, we encourage you to give us a call at our Anchorage, AK office today!

My child has canker sores! How can I help?

December 1st, 2015

According to the American Association of Pediatric Density, roughly one in five children suffers from canker sores. Canker sores are small sores that appear inside the cheeks, on the lips, on the surface of the gums, and under the tongue.

Even though, canker sores are not contagious, they do tend to run in families. There are several reasons your child may be suffering from canker sores including:

  • Children who have Vitamin B12, iron, and folic acid deficiencies tend to get canker sores more often than children who have normal levels of these vitamins and minerals.
  • Children who suffer from food allergies are also at a higher risk for developing canker sores. It’s difficult to determine what your child may be allergic to. If you feel strongly that the canker sores are related to an allergy, then a visit to an allergist is highly recommended.
  • Biting their lip or cheek can also result in a canker sore.
  • Any injury to mouth, where the skin breaks can cause a canker sore.
  • Brushing their teeth too hard can also be a problem.
  • Your child may be sensitive to an ingredient in their toothpaste. Try switching toothpastes and see if it makes a difference.
  • Emotional disturbances and stress are also factors to consider.

If your child has frequent canker sores a visit to our Anchorage, AK office will be beneficial. Canker sores are painful and usually last about 14 days. Dr. Michelle Slezewski and Dr. Paul Engibous may recommend one or a few of the following treatment options:

  • Avoid food that is acidic, salty, and spicy.
  • A toothbrush with soft bristles may be helpful.
  • Avoid mouthwash and toothpaste that contain SLS.
  • Do not feed your child foods that they may be allergic to.

Canker Sore Remedies

  • Eating yogurt that contains Acidophilus will relieve the pain and help the canker sore heal faster.
  • Put one teaspoon of baking soda in an eight-ounce glass of lukewarm water. Have your child gargle and swish it around his or her mouth several times a day. Not only does this remedy relieve the pain, the canker sore could be gone in as little as 24 hours.
  • Place a wet tea bag on the sore and hold it there for a few minutes several times a day. This remedy will help with the pain and quickly heal the sore.
  • Camphor, Benzocaine, Lidocaine, and Orajel are over-the-counter medications that can help.

If you have questions about your child’s canker sore, contact Dr. Michelle Slezewski and Dr. Paul Engibous to schedule an appointment.

Thanksgiving in North America

November 24th, 2015

Thanksgiving marks the start to the holidays; a season filled with feasting, indulging, and spending time with family and friends are always special. Thanksgiving is a holiday meant for giving thanks, and while this may seem like such a natural celebration, the United States is only one of a handful of countries to officially celebrate with a holiday.

Unlike many holidays, Thanksgiving is a secular holiday, and it is celebrated on the fourth Thursday in November in the United States. In Canada, it is celebrated on the second Monday of October, which is, oddly enough, much closer to a time when harvests were likely gathered. In addition to the different dates, the origins of the celebration also share different roots.

Thanksgiving in the United States

Giving thanks for a bountiful harvest are not new, but the modern day holiday in the US can be traced to a celebration at Plymouth in Massachusetts in 1621. This feast of thanksgiving was inspired by a good harvest, and the tradition was simply continued on. At first, the colony at Plymouth didn't have enough food to feed everyone present, but the Native Americans helped by providing seeds and teaching them how to fish, and they soon began to be able to hold a feast worthy of the name. The tradition spread, and by the 1660s, most of New England was hosting a Thanksgiving feast in honor of the harvest.

Canadian Thanksgiving

An explorer of early Canada named Martin Frobisher is accredited for the first Canadian Thanksgiving. He survived the arduous journey from England through harsh weather conditions and rough terrain, and after his last voyage from Europe to present-day Nunavut, he held a formal ceremony to give thanks for his survival and good fortune. As time passed and more settlers arrived, a feast was added to what quickly became a yearly tradition. Another explorer, Samuel de Champlain, is linked to the first actual Thanksgiving celebration in honor of a successful harvest; settlers who arrived with him in New France celebrated the harvest with a bountiful feast.

A Modern Thanksgiving

Today, Thanksgiving is traditionally celebrated with the best of Americana. From feasts and football games to getting ready for the start of the Christmas shopping season, Thanksgiving means roasted turkey, pumpkin pie, and green bean casserole. No matter how you celebrate this momentous day, pause for a moment to give thanks for your friends, family, and all the bounties you’ve received. Happy Thanksgiving from Pediatric Dental Associates!

Good Oral Health Habits When You’re Pregnant

November 17th, 2015

Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates will tell you that good oral health habits when you are pregnant are very important. A plaque or infectious buildup can affect the baby in gestation, and cause some unforeseen issues during birth. There are a few steps relating to oral health that can help prevent complications and other pregnancy issues. Here are a few things to consider about oral health when you are expecting.

Proper brushing

Brushing your teeth at least twice a day is essential when you are pregnant. This will peel away any buildup that you have on your teeth, and help create a shield against future buildup. Swallowing large amounts of plaque or bacterial buildup can and will affect the gestation of the fetus, and can cause certain complications.

Floss

Flossing will also help remove a lot of the buildup in your teeth that can promote infection. Make sure you floss at least once a day. Bacterial infections fester on food buildup, and certain destructive viruses can also breed and grow on these remnants.

Morning sickness

The acidity of vomit can erode the enamel on your teeth, and create buildup of damaging particulates in your teeth. If you are experiencing regular morning sickness, rinse your teeth with a mixture of baking soda and water. This will remove buildup, and alleviate some of the acidity from the vomit.

Alcohol-free, antimicrobial mouthwash

Regardless of whether you are trying to or not, you will swallow small amounts of your mouthwash. Alcohol can affect your gestating baby. Use an antimicrobial, alcohol-free mouthwash.

Visit the dentist

If you have any dental issues, please give us a call at our convenient Anchorage, AK office away. We will be able to diagnose and treat any oral health issues immediately, and make sure they do not affect your developing child. Protecting your baby includes protecting your oral health.

Oral Health during Pregnancy

November 10th, 2015

Pregnancy can be one of the most exciting times in a woman’s life, as you eagerly wait for the birth of the new addition. Needless to say, pregnancy comes with a lot of responsibilities. Everything you do to your own body can affect your baby’s health, so you eat right and try to avoid anything that could harm your baby.

You may not realize it, but even your oral health affects your baby. You have a lot to worry about during this time in your life, but it’s important not to let your oral health slide. Maintaining good routines before and during pregnancy can improve the health of your baby.

Gum Disease and Pregnancy

Gum disease includes gingivitis and the more severe condition called periodontitis. Pregnancy gingivitis is a condition that results from bacteria in your teeth. Symptoms include gum inflammation and bad breath. If it progresses to periodontitis, your baby is at higher risk for preterm delivery and low-birth weight. You can also develop pregnancy tumors, or pyogenic granulomas, which can interfere with speaking and eating. Throughout pregnancy, continue to visit Dr. Michelle Slezewski and Dr. Paul Engibous at your regularly scheduled appointments to look for signs of gum disease.

Pregnancy and the Role of Our Office

Make an appointment with Dr. Michelle Slezewski and Dr. Paul Engibous at our Anchorage, AK office when you first learn that you’re pregnant, especially if you have unresolved oral health issues. If possible, try not to schedule necessary treatment during the first trimester or second half of the third trimester.

Oral Health Care Habits to Follow

Maintain a normal good oral health care regimen, which includes brushing your teeth at least twice daily with a fluoride toothpaste and soft toothbrush, and flossing daily. If your regular regimen is not up to par, now is a good time to develop good habits. You can use an unflavored toothpaste if you have morning sickness and regular toothpaste makes you feel nauseous. Also, rinse your mouth with water or mouthwash if you experience morning sickness to prevent acid damage to your teeth.

Does smoking affect oral health?

November 3rd, 2015

By now, everyone knows that smoking is bad for you. But the truth is its broad-reaching health effects are not all known by everyone. This is especially true of oral health. Smoking can have serious repercussions in this regard. To give you a better idea of how smoking can affect your oral health, Dr. Michelle Slezewski and Dr. Paul Engibous and our team have listed some issues that can arise.

Oral Cancer

Oral cancer can have steep ramifications for anyone that gets it. Surgery can be required to eliminate the cancer before it spreads to more vital parts of your body. Any type of cancer is about the worst health effect you can get, and this especially holds true to the affects that smoking has on your mouth. The type of mouth surgery required with oral cancer can leave your face deconstructed in certain areas, and it is all due to smoking or use of other tobacco products.

Tooth Discoloration and Bad Breath

At the very least, it is fair to say that as a smoker you will often have bad breath, and while you may try to cover it up with gum or mints, tooth discoloration is a whole other story. The chemicals and substances in cigarettes stick to your teeth staining them brown and yellow colors that are increasingly difficult to disguise.

Gum Disease and Loss of Bone

Another effect of smoking is the increased risk of gum disease. Your gums may start to recede, which can eventually lead to the loss of teeth. Smoking can also increase bone loss and density in your jaw which is vital to the health of your mouth. Gum disease and bone loss are two signs that smoking is definitely bad for your mouth.

When it comes to the health of your mouth, the question is not whether smoking affects your health, it's how does it affect your health and to what degree. If for no other reason than because smoking involves your mouth as its entry point, it is safe to say that it can have long-lasting and detrimental consequences on your oral health.

To learn more about smoking and your oral health, contact our Anchorage, AK office to schedule an appointment with Dr. Michelle Slezewski and Dr. Paul Engibous.

Halloween: Candy, costumes, and more!

October 27th, 2015

All Hallows' Eve, more commonly known as Halloween, is a yearly event celebrated on October 31, and one that is anticipated by the young and young at heart all over the world. Some scholars claim that Halloween originated from Celtic festivals that honored the dead or that celebrated the harvest, while others doubt that there's any connection at all to Samhain (a Gaelic harvest festival.) Regardless of its origin, our team at the dental office of Dr. Michelle Slezewski and Dr. Paul Engibous hopes that Halloween is fun and enjoyed by all of our awesome patients!

Trick or treat?

In North America, Halloween is predominantly celebrated by children who dress up in costumes, which range from scary to cute, who then go around the neighborhood knocking on doors asking "trick or treat", and they are given candy in return. Trick-or-treating is a time honored tradition, and though many parents groan at the pounds and pounds of candy collected by youngsters and fear for the health of their teeth, there are a few things you can do to help their teeth stay in great shape until the candy is gone:

  • Limit the amount of candy they can consume each day
  • Have them brush their teeth after eating candy
  • Avoid hard, chewy candies as they can stick in hard to brush places
  • Keep candy out of sight to reduce temptation
  • Don't buy candy too far in advance to limit pre-Halloween consumption
  • Help or encourage your children to floss

Halloween Fun

Halloween isn't just about gorging on candy; there are other events associated with this festive day including carving jack-o'-lanterns, painting pumpkins, decorating sugar cookies, bobbing for apples, going to haunted houses, or just curling up on the couch with a bowl full of popcorn and watching some classic, scary movies.

Halloween Around the World

Some countries, like Australia, frown upon Halloween, claiming it is an American event and not based in Australian culture, while others like Italy have embraced the fun and celebrate much as Canadians and Americans do. Mexicans have been celebrating this fun day since around 1960, and it marks the beginning of the Day of the Dead festival. Some countries in Europe have come late to the party, but since the 1990s, countries like Sweden, Norway, and Germany have started celebrating Halloween as well, and finding children in costumes or having ghosts hanging in windows has become commonplace.

Halloween is about fun; stepping outside our normal lives and donning a costume or gathering with friends to knock on doors and ask for candy is as much a part of our culture as hot dogs and barbecue on Labor Day. Have a safe and happy Halloween from the team at Pediatric Dental Associates!

Periodontal Disease Associated with Cardiovascular Risk

October 20th, 2015

We all know that brushing your teeth and flossing regularly keeps your smile sparkly and bright, but did you realize that cleaning your teeth can actually help your heart? Recent research suggests that people with periodontal disease also have a higher cardiovascular risk, which means they are more vulnerable to heart attacks or stroke. It’s probably not time to throw away those running shoes in favor of a new toothbrush, but this is an added incentive to maintain good oral hygiene.

Relationship between Periodontal Disease and Cardiovascular Health

In 2003, researchers from the University of Buffalo conducted analyses which suggested that patients with gum disease were also at elevated risk of cardiovascular problems. Furthermore, people with more severe cases of gum disease have even poorer heart health. Although the exact causes of this relationship remain unknown, scientists continue to explore the impact of oral hygiene on broader health.

One hypothesis is that poor oral hygiene leads to inflammation, which negatively affects the heart. Gum disease occurs when bacteria build up in the mouth, and feed off sugars found in food. These bacteria release compounds that contribute to inflammation and red, swollen gums. The same inflammatory compounds may affect the heart, increasing overall cardiovascular risk.

Protect Your Teeth, Protect Your Heart

Taking a few commonsense measures can go a long way to improving your oral health and your cardiovascular risk. Consider the following:

  • Brush twice daily, and floss at least once per day. Brushing your teeth at least twice a day cleans away the harmful bacteria that contribute to gum disease. Similarly, flossing your teeth ensures that dangerous bacteria that build up between each tooth get swept away. These simple steps are the easiest ways to reduce your risk of periodontal disease.
  • Eat healthy foods. Those sugary snacks that you love so much don’t help your teeth. Whenever possible, stick to a healthy diet of fruits, vegetables, and whole-grain foods. For example, grab an apple or a few celery sticks for a mid-afternoon snack, rather than indulging in that candy bar.
  • Drink water. Staying hydrated doesn’t just help your body – it also swishes bad bacteria away from your tooth and gum surface. Drinking plenty of water improves your overall oral health. It’s particularly helpful after eating a sugary or sticky snack, because water can reduce plaque buildup.
  • Visit Pediatric Dental Associates. Dr. Michelle Slezewski and Dr. Paul Engibous and our staff will monitor your mouth for signs of periodontal disease and can make specific recommendations to keep your mouth – and your heart – safer.

Oral Health Concerns for Infants

October 13th, 2015

Because babies’ teeth don’t appear until around six to eight months of age, it’s a natural misconception that they don’t need dental care. But the steps you take as the parent of an infant can help your baby maintain good oral health and develop healthy dental habits in the future.

It’s easy to take care of a baby’s teeth and gums, especially when oral hygiene for your infant becomes part of the normal daily routine. Learn more about how you can promote good dental health for your baby with these tips and considerations.

Taking Care of Baby’s Oral Hygiene

  • Dental Hygiene for Birth to Six Months. Cleaning your infant’s gums is as important as cleaning teeth will be later. Hold your baby in your arms, and with a clean, moistened washcloth wrapped around your index finger, gently massage his or her gums.
  • Dental Hygiene for Six to 12 Months. After teeth begin to appear, it’s time to switch to a soft, children’s toothbrush for teeth cleaning. New research has shown that fluoride toothpaste is safe and recommended for use once your baby’s first tooth arrives. Gently brush your baby’s teeth after each feeding, in the morning, and before bedtime, just as you did before teeth appeared.
  • Good Bedtime Habits. One of the most important things you can do to protect your infant from tooth decay is to avoid the habit of putting baby to bed with a bottle. Use other soothing bedtime activities, such as rocking and lullabies, to help your baby drift off to sleep.
  • A Note about Dental Decay. Many people are unaware that dental decay is transmissible. Avoid placing your baby’s bottle, sippy cup, or pacifier in your own mouth to test the temperature. Likewise, don’t share utensils with your baby.

Partner With Your Dentist

Your baby should receive his or her first dental health checkup by the age of six months. Even though your infant may not have teeth yet, Dr. Michelle Slezewski and Dr. Paul Engibous can assess the risk your baby might face for oral diseases that affect hard or soft tissues. Dr. Michelle Slezewski and Dr. Paul Engibous can also provide you with instructions for infant oral hygiene, and explain what steps to add as your baby grows and develops.

Pediatric Dental Associates is your partner for good oral health, and we’re here to make caring for your baby’s dental hygiene and health easier and more enjoyable for you.

October is National Dental Hygiene Month: A simple oral health routine for your busy lifestyle

October 6th, 2015

Adults are no strangers to feeling like there is never enough time in the day to get everything done. Your alarm clock rings and within minutes you ping pong around trying to spread peanut butter on sandwiches, answer your cell phone, remove the dog hair from your clothes, and make sure your child has completed his or her science fair project. Brushing your teeth can easily fall to the wayside. That is why our office promotes a simple, daily oral health regimen that you can easily incorporate into your busy lifestyle.

The American Dental Hygienists' Association (ADHA), in partnership with the Wrigley Jr. Company, is celebrating National Dental Hygiene Month (NDHM) during October. The ADHA encourages people to "Brush. Floss. Rinse. Chew...Keep it Clean, Keep it Healthy!" and offers some great tips for a quick and effective home oral health routine, below:

Oral Health Routine at Home

  • Brushing your teeth twice daily is the most important thing you can do to diminish the accumulation of plaque and the potential for other oral problems such as cavities and gingivitis.
  • Flossing once daily removes plaque and food from beneath the gums and between teeth that brushing alone cannot remove. Tooth decay and gum disease often begin in these areas.
  • Rinsing your mouth with an antibacterial, non-alcohol based mouthwash kills plaque and gingivitis germs that brushing and flossing do not catch. We recommend using a mouthwash with the ADA Seal of Acceptance.
  • Chewing sugar-free gum helps produce saliva, which battles cavities. The gum also neutralizes plaque, strengthens enamel, and removes remaining food. It is especially important to chew gum after eating or drinking.

It's easy to put the toothbrush down in order to take care of matters you feel are more urgent, but remember, a good oral health routine at home is the best way to prevent periodontal disease. "Periodontal disease is the most common cause of tooth loss in adults. An estimated 75 percent of Americans reportedly have some form of periodontal disease," said the ADHA. Periodontal disease also is linked to more serious illnesses such as diabetes and stroke.

Also, remember to keep regular visits with our office. Dr. Michelle Slezewski and Dr. Paul Engibous can help you learn more about proper care for your teeth and gums.

What stinks?

September 29th, 2015

Spilling soda on someone’s white shirt, telling an off-color joke at an inappropriate time, or sneezing chewed food all over the dinner table all pale in comparison to the socially unacceptable, embarrassing blunder of having ... bad breath!

Five Possible Causes of Halitosis

  • Poor oral hygiene practices. Failing to brush your teeth encourages anaerobic bacteria growth, which involves a type of bacteria that emits volatile sulfur compounds (gases) responsible for smelly breath.
  • If you have tonsils, you may have tonsil stones embedded in the fissures of your tonsils. Tonsil stones are hard, tiny pieces of bacteria, dead oral tissue, and mucus that form inside tonsil crevices. When accidentally chewed, they release extremely foul odors that others can smell and you can actually taste.
  • You have a chronically dry mouth due to medications, allergies, or persistent sinus conditions that force you to breathe through your mouth. Anaerobic bacteria thrive in dry, stagnant environments where oxygen content is minimal. Consequently, a dry mouth tends to lead to smelly breath.
  • You have acid indigestion or GERD (gastroesophageal reflux disease). If you constantly belch stomach gases, this not only causes your breath to smell fetid but it can lead to enamel erosion and tooth decay.
  • You have one or more oral diseases: gingivitis, periodontitis, or infections in the gums known as abscesses.

Improving oral hygiene practices may eliminate bad breath, but if brushing, flossing, and rinsing with a fluoride mouthwash twice a day doesn’t stop people from backing away from you when you open your mouth, it’s time to visit Pediatric Dental Associates.

How do I overcome my dental anxiety?

September 22nd, 2015

Do you feel anxious before every dentist appointment? If the answer is yes, you are not alone—more than 75 percent of Americans feel anxious when visiting their dentist. Today, Dr. Michelle Slezewski and Dr. Paul Engibous and our team thought we would provide some tips to reduce your stress about visiting our Anchorage, AK office.

The first thing we want you to do is plan ahead. If at all possible, book an appointment at a time when you know you won’t be in a rush to get somewhere else, such as picking up your children from school or an important meeting at the office. We also recommend you avoid caffeine and sugar prior to your visit as too much of either can make you feel even more anxious, not to mention jittery.

Once you’re here at our office, take some slow, deep breaths to relax. Then, try to relax your muscles by sitting back comfortably. If you are still feeling anxious, let Dr. Michelle Slezewski and Dr. Paul Engibous or someone on our team know. We deal with nervous patients all the time and may have additional relaxation techniques for you to try. If you’d like, we also encourage you to bring headphones and listen to music of your choice to distract yourself while we work on your teeth.

If you have additional questions about relaxation techniques, or would like to schedule an appointment, please give us a call!

Steer clear of that candy!

September 15th, 2015

At Pediatric Dental Associates, we know how tempting candy can sometimes be on our sweet tooth, but it’s important to remember that every candy and sugary treat you consume elevates your risk of developing tooth decay, which can break down your teeth.

While not all bad in moderation, when eaten in excess, candy can lead to big problems, especially if good oral hygiene habits are not followed. We have a few helpful tips if you just can’t stay away from all those treats:

1. Consume candy and other sweets during meals when your saliva can help neutralize the acids that are found in some candies, especially the sour variety.

2. Avoid sticky or hard candies, which can stay in your mouth longer than you think, resulting in acids being constantly exposed to your teeth. That leads to cavities and tooth decay.

3. Make sure the water you drink is fluoridated. Water that is fluoridated has been shown to help prevent cavities.

4. Make sure to maintain your daily oral hygiene habits. This includes brushing twice a day, and flossing at least once.

5. Visit our office twice a year for regular dental checkups and cleanings with Dr. Michelle Slezewski and Dr. Paul Engibous. During your visit, we can help catch problems such as cavities early to reduce the effects they have on your teeth, as well as give you tips for improving your oral health.

We hope these tips have helped! To learn more about cavity prevention, or to schedule your next visit at our convenient Anchorage, AK office, please give us a call!

Can baby teeth get cavities?

September 8th, 2015

Our team at Pediatric Dental Associates knows that every parent loves to hear his or her child say, "no cavities!" when leaving our office. Let's talk about why primary (baby) teeth get cavities, what you can do to help prevent them, and what Dr. Michelle Slezewski and Dr. Paul Engibous can do if your child gets a cavity. It's a team effort!

Prevention is Key

A well-balanced diet high in protein, vitamins, and minerals (especially calcium and phosphorous) is an important part of cavity prevention. The American Academy of Pediatric Dentistry (AAPD) states that children should eat healthy snacks like cheese, vegetables, and yogurt, and drink milk. Limit hard candy and carbonated beverages, which have acid and can cause tooth decay. Also, do not put children to bed with a bottle of milk, formula, or juice because sugary fluids pool around the teeth and gums, which promotes decay.

In addition to limiting sweets and scheduling regular visits at our Anchorage, AK office, make sure your child flosses once a day and brushes his or her teeth twice a day with a pea-sized amount of fluoride toothpaste. A good rule of thumb is if children can tie their shoelace, then they should be able to brush their teeth without help. The American Dental Association (ADA) recommends the following basic brushing techniques:

  • Place the toothbrush at a 45-degree angle to the gums.
  • Move the brush back and forth gently in short strokes
  • Brush the outer surfaces, inside surfaces and chewing surfaces of all teeth.
  • To clean the inside surface of the front teeth, tilt the brush vertically and make several up-and-down strokes.
  • Brush your tongue to remove bacteria and keep your breath fresh.

These tips will greatly increase cavity prevention; however, if your child gets a cavity, it will not heal on its own and must be fixed. Dr. Michelle Slezewski and Dr. Paul Engibous will remove the decayed part of the tooth and fill the hole where the decay was. You may wonder why it's important to fill baby teeth if they're going to fall out eventually. Baby teeth hold space for permanent teeth to grow in. If one is lost, teeth may shift and prevent a permanent tooth from growing in. In addition, a decayed tooth can become abscessed and cause pain. No fun!

Let’s work together to help your child develop good oral health habits that last a lifetime. Please contact our office if you have any questions about your child's diet or cavity prevention.

Celebrate Labor Day by Getting Away

September 1st, 2015

Labor Day honors the contributions that workers have made to this country, and for many Americans, the holiday is a great time to relax at home with family and friends. But there are quite a few people who celebrate the holiday by getting out of town, with an estimated 33 million people traveling more than 50 miles over Labor Day weekend each year. If you’re dreaming of a great Labor Day escape but you’re not quite sure where to go, here are a few ideas from our team at Pediatric Dental Associates to give you some travel inspiration.

Explore a National Park

On a national holiday like Labor Day, it’s only fitting to experience the beauty of America’s landscapes by heading to the nearest national park. If you’re confined to an office most days of the year, national parks can provide a relaxing and scenic escape, whether you’re by yourself, traveling with a group of friends, or bringing the whole family along. Depending on how close you live to the nearest park, you can stay for an afternoon or for longer than a week. With 58 parks located in 27 states, there are plenty of beautiful areas to choose from.

Chow Down in a BBQ Haven

Barbecuing is a popular Labor Day activity, but instead of sweating over your own grill or oven, try visiting one of the country’s BBQ capitals. U.S. News and World Report names Memphis as the top BBQ destination, with more than 80 BBQ restaurants in the city, most notably Corky’s BBQ and Central BBQ. Kansas City is also known for the sweet taste of its sauces, while central Texas is said to have perfected the technique of smoking tender and flavorful brisket.

Relax on the Beach

Many people think of Labor Day as the unofficial start of fall, which brings cooler temperatures, more rain, and for many people, an end to lazy days at the beach. End your beach days with a bang by taking a trip to one of the coasts or to a lakeside beach. For an added dose of festivity, find a city or town that celebrates the occasion with a fireworks display over the water.

Whether you’re looking to turn your getaway into a full week affair or you simply want to experience a quick escape, make the most of your holiday by changing your surrounding scenery. Happy Labor Day from the dental practice of Dr. Michelle Slezewski and Dr. Paul Engibous!

Treatment and Diagnosis for Your Child’s Teeth Grinding

August 25th, 2015

The habit of grinding teeth can be both painful and harmful for your children. If you discover that they are frequently grinding their teeth—a condition called bruxism—here is some helpful information on the problem, and how you can find help to put a halt to it.

How to Know if Your Child is Grinding

Sometimes, identifying a child that grinds teeth is as simple as checking in while he or she is asleep. At other times, you may not be able to readily identify the grinding problem. A few of the most common symptoms associated with bruxism include:

  • Frequent teeth grinding or clenching of the jaw (in some cases it may be more subtle; in others it may be loud enough that you can hear it)
  • Teeth that are worn down
  • Complaints of sensitive teeth
  • Pain or tightness in the jaw muscles, or an earache or other jaw pain
  • Frequent unexplained headaches

In most cases, if your children are grinding their teeth, they will do it at night. If the teeth grinding is a result of excessive amounts of stress, it may also happen during the daytime. Some of the most common reasons children grind their teeth involve:

  • Improper alignment of top and bottom teeth
  • As a response to pain, especially for tooth, jaw, or gum pain
  • Excessive stress, tension, or anger

Treatment Options for Bruxism

In many cases, children will grow out of the teeth grinding as their permanent teeth develop, replacing poorly aligned or painful baby teeth. If your child grinds his or her teeth more frequently, or you begin to notice significant damage, it may be more serious and need to be addressed by Dr. Michelle Slezewski and Dr. Paul Engibous before it causes more permanent pain or problems.

In some cases, our team at Pediatric Dental Associates may recommend that your child wears a protective mouthguard to prevent grinding, or work with a therapist or other specialist to develop awareness of the grinding. If the grinding is caused by stress or anxiety, it may be helpful for you to sit down and talk to your child each day about how she is feeling, and why, to help her work through the stress.

Teeth grinding can be a painful, problematic condition for some children. However, a combination of parental vigilance and frequent visits for regular checkups at our Anchorage, AK office can help. If you are concerned that your child may be grinding his or her teeth, and it could cause permanent damage before the child grows out of it, come talk to us about strategies for dealing with bruxism, and ways for you to help your child.

What is baby bottle tooth decay?

August 21st, 2015

Great question! Baby bottle tooth decay is the development of cavities caused by the frequent and long-term exposure of a child's teeth to liquids containing sugars. These liquids include milk, formula, fruit juice, sodas and other sweetened drinks. The bacteria in the mouth thrive on this sugar and produce acids that attack the infant's teeth and gums. After numerous attacks, tooth decay can begin.

The first rule is to make sure your child does not fall asleep with a bottle containing milk, formula, juice or other sweetened liquids. Giving an infant a sugary drink before bedtime is harmful because the flow of saliva decreases during sleep, allowing the sugary liquids to linger on the child's teeth for an extended period of time. If left untreated, pain and infection can result.

So, how can you prevent baby bottle tooth decay? Be sure to clean and massage the baby's gums once a day to help establish healthy teeth and to aid in teething. When brushing your child's teeth, use a soft toothbrush, as well non-fluoride toothpaste. Once your little one is able to spit, around the age of two, you should begin using fluoride toothpaste. From the beginning, have your little one practice spitting the toothpaste out after brushing. That way, he or she will already have the good habit of spitting when you switch to fluoride toothpaste, which should never be swallowed.

Also, be aware that children should visit Pediatric Dental Associates when they are between six and 12 months old. Please give us a call if your child hasn't visited our Anchorage, AK office in the last six months!

The Thumb-Sucking Habit

August 19th, 2015

At Pediatric Dental Associates, we are often asked “should I be concerned with my child’s thumb sucking?” So, our team thought we’d share what our thoughts are on your child sucking his or her thumb.

Infants Who Suck Their Thumbs

As infants begin experimenting with the basic functions of their mouths, from sucking on a bottle to beginning to speak, it is natural for them to suck their thumbs. Parents with young babies who regularly suck their thumbs probably don’t need to feel overly concerned, so long as fingers are kept clean and the habit is kept in check. For most children, the exploratory stage of thumb sucking ends after just a few short years. Problems with thumb sucking occur when infants grow into young children but the habit has not been resolved.

Dangers of Thumb Sucking

One of the main differences between an infant and a child sucking his thumb is the formation of the mouth and teeth. An infant’s mouth is barely beginning to grow and develop, so sucking a thumb might actually help to stimulate the process. For a child with a mouth full of teeth, however, a thumb-sucking habit might cause some serious problems. As a parent, it can be very important to watch your child carefully to make sure the sucking habit is regulated.

As a child grows and develops, baby teeth begin to fall out. A child sucking his or her thumb during the baby teeth stage may not run any great risks. Our team at Pediatric Dental Associates often sees that once a child has developed his or her permanent teeth, the problems with thumb sucking can become more serious. KidsHealth.org states that children who suck their thumbs beyond the age of four or five might increase their risk of developing an overbite, infections, and other dental problems.

What You Can Do To Help

Parents who want to prevent possible problems for their child would be wise to begin preventive care early on. While you don’t need to be overly concerned about an infant sucking a thumb, it might be a good idea to help your toddler break the habit before permanent teeth begin to show.

  • Try to use positive rewards for good behavior instead of negativity or threatening behavior.
  • Talk openly with your child about the potential dangers of a thumb-sucking habit.
  • Help your child find other productive things to do with the hands as a means of distraction. Playing a game of blocks, for example, might be a great diversion.
  • Support and encourage your child while he or she is trying to break the habit.

As children develop, they have many things to learn and to think about. By understanding a few simple facts about thumb sucking, you can help your child develop in a healthy and positive way. If you have any other questions, feel to contact us at our Anchorage, AK office, or ask Dr. Michelle Slezewski and Dr. Paul Engibous during your next appointment!

How Smoking Increases the Risk of Oral Cancer

August 19th, 2015

Cigarette smoke contains more than 6,000 chemicals, and at least 200 of those chemicals are known to be harmful to your health. When smoke is inhaled, moist oral tissues are saturated with excessive amounts of carbon monoxide, hydrogen cyanide, and a host of other known carcinogens. Most oral cancers originate in abnormal squamous cell activity, which are cells found on the lips, inside the mouth, and in the throat.

How Oral Cancer Begins

Cells exposed to consistently high levels of cigarette smoke may eventually suffer abnormal mutations within their DNA. Since deoxyribonucleic acid (DNA) is responsible for providing cells with instructions about growth, reproduction, and death, these instructions become distorted, which causes the cells to reproduce uncontrollably.

Essentially, that is what cancer is: rapid, unchecked growth of genetically mutated cells that encourages the development of malignant tumors. Unfortunately, the chemicals in cigarette smoke are strongly associated with oral cancer.

Signs of Oral Cancer

Early-stage oral cancer is often asymptomatic, which means symptoms appear only after the cancer intensifies and spreads. Possible signs of oral cancer include:

  • Ulcers inside the mouth or on the lips that do not heal
  • White or dark red patches inside the mouth
  • Lumps inside or around the mouth (a lump could appear on your neck)
  • Bleeding, numbness, and soreness in the mouth
  • Chronic halitosis
  • Loose teeth in the absence of tooth decay

Diagnosis and Treatment of Oral Cancer

Squamous cell oral cancer is the most common type diagnosed in smokers. Dr. Michelle Slezewski and Dr. Paul Engibous and our staff often discover squamous cell carcinoma lesions during dental examinations or cancer screenings. Depending on the stage of the oral cancer, treatment may begin with a biopsy or an exfoliative cytology procedure that involves collecting cells from the oral cavity using a scraper.

According to the Oral Cancer Foundation, oral cancer patients may need surgery, radiation therapy, a combination of surgery and radiation therapy, or chemotherapy to eradicate oral cancer.

Smoking, Cancer, and Tooth Decay

Not only is smoking the number-one cause of cancer but it is also detrimental to the overall health of your teeth and gums. Yellow teeth, bad breath, dry mouth, and expedited tooth decay are all caused by smoking, not to mention the damage smoke does to the heart, lungs, and kidneys.

In other words, don’t smoke!

Who’s afraid of the dentist?

July 28th, 2015

Is the sound of a drill enough to make your child flinch or cringe? Does he or she worry about the twice-yearly dental checkup at Pediatric Dental Associates? Trust us when we say your child is not alone!

To help eliminate that distress, Dr. Michelle Slezewski and Dr. Paul Engibous and our team put together five steps to help your child overcome his or her dental anxiety when visiting Pediatric Dental Associates.

1. Ask your child what they’re most afraid of. Is it the sound of the drill? Do you have needle phobia? Has your child been traumatized by previous dental visits? Have children write down their fears, one by one, and talk about them.

2. Don’t wait. The more frequently your child visits our office, the less work will need to be done at any given visit. Simply having Dr. Michelle Slezewski and Dr. Paul Engibous professionally clean your child’s teeth twice a year prevents many, if not most, problems down the road.

3. Bring a distraction such as music to your child’s appointment. Just plug in those earphones, have your child close his or her eyes, and get lost in the music. Listening to tunes can also be a pain killer.

4. Remind your child to unwind. Inhaling slowly and counting to five helps. Encourage children to hold their breath for ten seconds, then exhale slowly to the count of eight, and repeat as needed. It’s easier if they’re not focused on the work going on inside their mouth.

5. Ask us. Before any procedure your child undergoes, we encourage you to ask Dr. Michelle Slezewski and Dr. Paul Engibous or one of our assistants why we’re using the tools we’re using. Ask us what we’re doing during your child’s procedure, what the tool is used for, and how it benefits your child. Also, please ask about anti-anxiety medications we may prescribe to help your child relax during his or her appointment.

Remember, our team at Pediatric Dental Associates are health care professionals who strive to improve your child’s oral health, and will do all we can to ensure a trauma- and pain-free experience during his or her visit!

We hope these tips help! For more on pediatric dental anxieties, ask us during your next visit to our Anchorage, AK office! Or, ask us below or on Facebook!

Don’t let a dental emergency ruin your summer vacation!

July 7th, 2015

For many of our patients at Pediatric Dental Associates, summer means a season of relaxation, vacation, and outdoor fun and activities. While you can’t take a vacation from dental emergencies, you can always be prepared for anything that can happen. Today, Dr. Michelle Slezewski and Dr. Paul Engibous and our team thought we would give our patients a few tips on handling a dental emergency when you’re far from home (and our office).

Throbbing Toothache – Try brushing and flossing to ease the pain; the issue could be simply that a piece of food is nestled in an uncomfortable spot between your teeth. If that is the case, try to gently remove the object with dental floss. If it still hurts, stick to soft foods, try an over-the-counter pain reliever, or dip a cotton ball in clove oil and insert it on the affected area until you can get to a local dentist.

Bitten Lip or Tongue – Clean the area gently with a cloth and apply cold compresses to reduce swelling. If the bleeding doesn’t stop, go to a hospital emergency room immediately.

Lost Filling or Crown – Dental wax will work to keep the sharp edges of your tooth from bothering you. If you can, save the crown or filling, and if you happen to have denture adhesive handy, you can use it to temporarily reattach the crown until you can get to a local dentist.

Broken Tooth – Hold the tooth by the crown and rinse off the root of the tooth in water if it’s dirty. If possible, gently insert and hold the tooth in its socket. If that isn’t possible, put the tooth in a cup of milk and get to a local dentist as quickly as possible.

Broken Jaw – Apply cold compresses to control swelling. Visit a hospital emergency room as soon as possible.

If you have a dental emergency after regular office hours and you happen to be in town, please give us a call. If you are calling us after hours, please follow the emergency prompts to contact Dr. Michelle Slezewski and Dr. Paul Engibous.

Fun Facts for the Fourth

June 30th, 2015

The Fourth of July is a great time to get together with friends and family members for BBQ, games, fireworks, and other celebrations in honor of our country’s independence. While your fellow revelers eat hot dogs and wave flags, you can impress them by sharing these fascinating facts and historical tidbits about some of our country’s traditions and symbols from the team at Pediatric Dental Associates.

The Statue of Liberty

With a torch in one hand and a tablet in the other, the Statue of Liberty is one of the most iconic and recognizable symbols of our country. However, as recognizable as certain parts of the statue are, not many people know that broken shackles, which represent oppression and tyranny, are lying at Lady Liberty’s feet. According to the Statue of Liberty-Ellis Island Foundation, the copper-plated lady weighs in at a whopping 450,000 tons and has been holding her torch up for more than 125 years, which must make for some impressive arm muscles.

Nathan’s Hot Dog Eating Contest

Since 1916, people have been flocking to Coney Island on the Fourth of July to witness what some people call the “superbowl of competitive eating.” Nathan’s Hot Dog Eating contest challenges competitors to devour as many hot dogs as they can in just ten minutes, with the current record holder swallowing a whopping 68 hot dogs! If you’d like to witness this bizarre and frenzied eating competition but you won’t be anywhere near Coney Island on the fourth, don’t worry. ESPN has been broadcasting this popular event for several years, so you can watch from the comfort of your couch while you eat a reasonably portioned meal.

The History Behind Fireworks

Viewing the nighttime fireworks display is exciting way to finish off the fourth. Many people know that these brilliant displays probably originated with the Chinese. However, many historians also believe that fireworks were stumbled upon when the Chinese roasted bamboo sticks over fires and watched them explode. After many years of roasting the sticks, a group of alchemists created an early form of gunpowder, which they stuffed into the bamboo sticks to create an even more powerful explosion, paving the way for the today’s modern fireworks.

Whether you’re planning on visiting the Statue of Liberty, watching fireworks in Anchorage, AK, or even participating in a hot dog eating contest, Dr. Michelle Slezewski and Dr. Paul Engibous and our team hope you have a safe and fun-filled holiday. Happy Fourth of July!

My child is getting blood blisters; is this normal?

June 23rd, 2015

Thanks for the question. The “blisters” you are referring to are actually a normal part of losing baby teeth. Sometimes when teeth start to come through, children experience some bleeding under the skin, which typically causes small blisters or bruises on your child’s gums. The blisters, bluish in color, will disappear once the tooth comes through, and the tooth itself will still come through as it should.

Even though they can look a little frightening at first, there is no treatment required to treat blisters, nor are these blisters preventable. In fact, our bodies do a great job of cleaning up the loose ends of baby tooth loss and permanent tooth emergence, and not too long after, it’s as if no blisters ever happened. It’s important to note, however, that these blisters should not be pricked or cut as doing so may cause an infection in your child’s mouth.

If you are worried about blisters or bruises in your child’s mouth, please give us a call at our convenient Anchorage, AK office to schedule an appointment with Dr. Michelle Slezewski and Dr. Paul Engibous. We especially encourage you to give us a call if your child has had one of these blisters for more than a month and the tooth has yet to come through.

Radiation and the Safety of Dental X-Rays

June 16th, 2015

It is not uncommon to be concerned about your safety when you have dental X-rays performed. Putting on a heavy lead vest may make you apprehensive. The benefits of dental X-rays far outweigh the risks when safety procedures are followed and the number of X-rays is limited to the required number.

About Dental X-rays

Intraoral X-rays are the most common, and include bitewing X-rays. These allow Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates to detect caries (cavities) and check the health of your bone and root structure. Extraoral X-rays provide the information we need to monitor your jaw and temporomandibular joint (TMJ), as well as look for impacted teeth and tooth development.

X-ray Safety

A set of four bitewing X-rays exposes you to about 0.005 mSv (millisievert) of radiation, which is equal to the amount of radiation you receive in an average day from natural sources. A panoramic X-ray exposes you to about twice the amount of a bitewing. In both cases the risk is negligible and worth the diagnostic benefits.

Guidelines from the American Dental Association are offered for individuals who are not at high risk for cavities. Children in this group should have X-rays every one or two years. Teenagers should have X-rays every one-and-a-half to three years. Adults can go two to three years between X-rays. If you are at higher risk, yearly X-rays are not harmful and can save your teeth.

No matter what type of X-ray you are having, it is extremely important to tell Dr. Michelle Slezewski and Dr. Paul Engibous or one of our technicians if you are pregnant or may be pregnant. If you are concerned about the number of X-rays you are having done, or about any radiation you are exposed to, please give us a call at our convenient Anchorage, AK office and talk to us about your concerns.

Snacks for Healthy Teeth

June 10th, 2015

Concerned parents often ask Dr. Michelle Slezewski and Dr. Paul Engibous about which kinds of snacks are best for a child's teeth. While most know that candy isn't always the best choice, many parents are confused about which kinds of after-school snacks can actually be beneficial for teeth. Left to their own devices, children might pick the sugary snack that comes in colorful packaging. There are, however, choices that are much better for your child's teeth.

Go Natural

The foods that are best for your children's teeth are also the best for their overall health. Choosing whole foods, such as fruits and vegetables, is always the best option for snacks. Try sticks of celery and let your kids dip it into all-natural peanut butter, or a juicy and crunchy apple cut into wedges.

Lean Proteins

Lean protein, such as chicken breast, fish, turkey, and lean cuts of pork also make good snacking options. For the best overall health, avoid giving your child a lot of lunch meats, because such products are often higher in sodium. However, these proteins are also low in sugar, which is always a preferable choice when it comes to teeth.

Avoid Packaged Foods

Sugars are unhealthy partly because they stick more readily to the surface of the teeth. Even foods that appear to be healthy, such as many brands of granola bars, can in fact be loaded with hidden sugars. Sugar can also be found in higher concentrations in dried fruit, honey, and syrups. The rule is that if a foodstuff has been altered in any way from its original state then there are perhaps better choices.

Beverages

Drinks are another murky area. Parents often presume that fruit juices are an acceptable beverage when in reality many of them are loaded with excessive sugar as well. The best beverages for your child's teeth are water and low-fat milk. Milk has the added benefit of containing calcium, which is highly beneficial for the bone structure that supports the teeth.

An apple a day might keep the doctor away, but it is also a great snack to keep teeth healthy. The next time your children are looking for an after-school snack, guide them toward healthier, low-sugar options that are beneficial to their overall health and their teeth.

Getting Ready for Summer Sports

June 2nd, 2015

With the warmer and longer days here, we know many of our patients at Pediatric Dental Associates will be much more active in the summer. Though most of our patients are probably already ready to hit the field for some summer fun, we thought we would discuss a few precautions to take when it comes to keeping your teeth safe as you enjoy playing your favorite sports.

Use a Mouthguard

Are your kids participating in contact sports this summer? If the answer is yes, we strongly encourage you to have them fitted for a mouthguard at Pediatric Dental Associates before the season starts. Athletes can avoid serious mouth and jaw injuries by using a mouthguard.

Be Mindful of Sports Drinks

While sports drinks can be refreshing after a game, they unfortunately contain high levels of sugar and citric acid, which are known to erode the teeth and reduce the minerals in the outer tooth enamel. The simplest way to prevent sports drinks from damaging your teeth? Avoid them completely and drink water instead. Water is a great option to keep you hydrated before, during, or after a game.

Floss, Floss, Floss

While we always tell our patients about the importance of flossing, it is especially important on the day of the game. Athletes are likely to consume more sugar; from energy bars and chews to gum, you are not doing your teeth any favors. All that sugar may give you that extra bounce in your step when out on the field, but we want you to remember to floss when you get home, or else contend with an increased risk of cavities down the road.

If you have any questions about keeping your teeth and mouth healthy while participating in summer sports, please give us a call at our Anchorage, AK office! Have fun!

How to Brush a Two-Year-Old’s Teeth Effectively

May 26th, 2015

Our team at Pediatric Dental Associates would like to offer some tips regarding the sometimes dreaded task of brushing a toddler’s teeth.

Much of the trick lies in the positioning. Before you begin, make sure you are in a position of control. This protects both you and your child from injury. Consider how well you can see. If you cannot see clearly, the quality of brushing drops significantly. For instance, if your child is standing, you are likely to see only the bottom teeth well.

Our team finds that the best position for brushing and flossing a toddler is when your child is calm. Have your child lie down on his or her back with arms out to make a T. Sit down just above the head and lightly place your legs over your child’s arms. Using a circular motion, brush all sides of the teeth.

It may sound odd, but approaching the routine this way can make brushing time a cinch! After you’re done, give your child the toothbrush and let him or her have a turn. The benefit of doing the brushing and flossing first is that it gives an example, which your child is more likely to repeat when you’re done.

Different methods work best for different families and children. These practices need to be performed with kindness and care. Be gentle and make this time a happy learning time. Don’t forget to bring your child to our Anchorage, AK office for regular dental checkups and cleanings. Dr. Michelle Slezewski and Dr. Paul Engibous can advise you on ways to implement portions of these tips in a way that may work bests for you and your child.

Memorial Day and Getting Ready for Summer

May 19th, 2015

Memorial Day didn't become an official holiday until 1971, but Americans started gathering annually in the spring to remember those who lost their lives in war during the 1860s, right after the Civil War. Celebrated on the last Monday in May, people still decorate the grave sites of war veterans and hold memorial services, but Memorial Day has also evolved into a day that signifies the beginning of summer.

During the summer months, many people take road trips to visit family members. Some head off to the airport to enjoy a long-awaited vacation far away, while others look forward to spending time with friends and family at home. However you spend Memorial Day and the subsequent summer months, there are a few things you can take care of to ensure your summertime is enjoyable.

Checklist for an Enjoyable Summer

  • Have the AC Checked. During the hottest days of summer, many families find themselves sweating it out due to a broken air conditioning system. Be proactive so you can avoid waiting for hours or days because the HVAC repair person is booked solid. Have your air conditioning system checked before or around Memorial Day each year.
  • Ensure Security While You're Away. When you leave for vacation, the last thing you should have to worry about is the security of your home. Install a home security system, if possible, and put a timer on your lights so they go on and off at normal hours. You can also alert your local police department that you'll be gone, and ask them to drive by your house once in a while to make sure everything is okay.
  • Visit Dr. Michelle Slezewski and Dr. Paul Engibous Before Vacation. Many people put off exams until after summer vacation. Avoid the crowds and make sure your physical and oral health are in top shape prior to vacation time so there are no unpleasant surprises.

Our team at Pediatric Dental Associates wants you to look forward to Memorial Day and the days of summer by preparing to spend the time safely and comfortably. As you plan ahead, take care of your health and secure your home, you can place your focus on creating memories with family members and friends while enjoying your favorite Memorial Day traditions.

Pediatric Dental Emergency Know-How

May 12th, 2015

First aid training is a must when you are a parent. You can put on a bandage with your eyes closed. Perhaps even apply butterfly tape to avoid stitches. What about a dental injury? Do you have a checklist in mind on what to do when a tooth is knocked out, broken, or displaced from impact? All of these situations happen often and should be in a parent’s emergency training regiment. Luckily Dr. Michelle Slezewski and Dr. Paul Engibous and our team are here to be a resource for such an incident!

Children’s most common dental injury is chipping a front tooth. It is so common that it seems like a right of passage. Say, for example, a two year old trips and hits her front teeth on the tile floor. First, check to see if the teeth have been broken to the nerve. You can tell if you see layers and a pinkish center. Then, wiggle each tooth and make sure it is not loose. If the teeth feel firmly in place, that is a good sign. Even if they are a little loose, the teeth will tighten again with time. If she develops a severe temperature or bite sensitivity then you know treatment is needed, which may include a root canal. If there are minor symptoms that diminish with time, continued observation will be fine.

Knocking out a tooth is also common and requires more attention than observation alone. As soon as possible, locate the tooth, touch only the crown (not the root), and rinse any debris gently with milk or water. Place it back into the tooth socket as soon as possible. The American Association of Endodontists states a tooth has a high chance of survival and retention for life if it is re-implanted within five minutes or up to 60 minutes if soaking in milk or saline solution. Our team at Pediatric Dental Associates know many parents are nervous about the thought of doing this alone, but not to worry, our team is here to help!

Here’s another dental emergency example: Your child takes an elbow to the mouth during a basketball game and severely displaces a tooth but does not knock it out. What to do? First, apply light pressure in an attempt to move it back into place. Be extremely careful not to use excessive force. Place a cold pack for swelling and contact our office as soon as possible.

A dental emergency can be frightening. It is often messy and painful. The best initial reaction is to remain calm, and remember that we are here to help! Contact us at our Anchorage, AK office if your child encounters a dental emergency.

Summer is Almost Here: Tips for a bright, white smile!

May 5th, 2015

Summer is almost here, which means a season full of vacations, adventures and great memories is just around the corner for our patients at Pediatric Dental Associates.

Everyone wants a glowing and radiant white smile when the sun comes around and we have a few reminders to keep your pearly whites healthy and beautiful over the summer! Try to stay away from drinks that will stain your teeth like coffee, soft drinks, or dark colored juices. Not only will drinks like this weaken your enamel but they will also darken that fabulous smile you're working on! Another tip is to try and focus on brushing your teeth; everyone knows that when busy schedules start picking up, getting a good brushing session in tends to take the backseat! A good tip for keeping your mouth safe from staining and other possible pitfalls is to rinse your mouth with water after any meal you can’t fully brush your teeth after. Your teeth, inside and out, will benefit!

And remember, whether you are headed to a barbecue, a camping trip, or just having fun in the backyard this summer, we want to hear all about it! Make sure to let us know what you’re up to below or on our Facebook page! We also encourage you to post any photos from your adventures!

Proper Flossing Techniques

April 28th, 2015

Of all the dental hygiene techniques you can use at home to promote clean teeth and good oral health, flossing is likely to be the one that troubles most people. It can be viewed as confusing and time-consuming, but when you learn how to floss your teeth correctly, you’ll find it’s easy to do on a daily basis.

Proper flossing techniques are vital to the health of your teeth and gums. These tips will help you with the correct flossing procedures. Likewise, Dr. Michelle Slezewski and Dr. Paul Engibous and our team can also help you learn how to floss effectively and efficiently.

Steps to Flossing Your Teeth Properly

  1. Choosing Dental Floss. You can find dental floss in various flavors, as well as waxed or unwaxed. If the floss you use seems to get stuck between your teeth, switch to waxed to make it easier.
  2. Flossing “Helpers.” Beginner flossers who have trouble coordinating the floss and the movements of their hands can use a floss holder to help them get in and around teeth.
  3. Preparing the Floss. Cut an 18-inch piece of floss to use for flossing a few teeth. This allows you to make progress before you must stop and cut another piece of floss.
  4. How to Hold It. Wind the ends around your middle fingers. Hold the floss taut, pinching each side with your thumbs and index fingers. Leave a couple inches free in the middle.
  5. The Process of Flossing. Use your index fingers to guide the floss toward your gum line. Bring it down between the teeth with a zigzag motion. Hold the floss in a C-shape around the tooth, and move it up and down along the side.
  6. Where to Floss. Use a clean portion of the floss to clean around and in between each tooth. Don’t forget about the molars in the back of your mouth, too!

Flossing: A Vital Part of Oral Care

Periodontal disease begins at the gum line; this is where flossing comes in. Regular flossing helps you remove plaque from the gum line and between your teeth to avoid gum disease. In conjunction with daily brushing and twice-a-year visits to Pediatric Dental Associates, floss each day to maintain good oral hygiene and overall health. Gum disease can have an impact on your general health, but it doesn't have to. This easy-to-prevent condition can be avoided with regular visits to our Anchorage, AK office and daily flossing. Allow our team to partner with you in maintaining a bright, shiny smile and good oral health.

Every Day is Earth Day

April 21st, 2015

During the early days of the environmental awareness movement, those who demonstrated against pollution, toxic chemicals, and the general public health were known as hippies. The early 1970s were a time of change, and assertions that we needed to pay more attention to the Earth's atmosphere were generally dismissed. But within a couple decades, it had become clear that the previous generation was right; the citizens of the world needed to become more environmentally conscious.

Many people feel that they can't make a difference if they don't do something big. But caring for the environment doesn't have to be an all-or-nothing concept. In fact, the little things you do can add up to make a great impact, especially in our community. Here are a few ways you can help the environment on Earth Day, April 22nd and all year around.

Four Small Ways to be Environmentally Friendly

  • Recycle Your Textiles. Nearly 21 million tons of textiles are added to American landfills each year, according to the Environmental Protection Agency. Donating your unwanted clothing to a secondhand store or an organization that repurposes fabric helps cut down on solid waste and conserves natural resources.
  • Reduce Usage of Disposables. Plastic bottles and bags, disposable diapers and other things we can use and toss out are convenient, but they're not necessary. Simply choosing to replace one of type of disposable with a reusable product can help you cut down on waste that has a large negative impact on our environment.
  • Conserve Water. If everyone in the United States turned off the water while brushing their teeth, more than 1.5 million gallons of water could be conserved. Turn the water on long enough to wet your toothbrush for brushing and rinsing, and then immediately turn the water off again.
  • Turn Off the Lights. Flip the light switch to "Off" if you're going to leave a particular room for 15 minutes or more. This will conserve energy on incandescent light bulbs and cut down on cooling costs.

It's not necessary to be an activist or install solar panels all over your home to help the environment. Although you can do these things, the little everyday measures make a big difference in helping to conserve energy and the environment, while reducing your carbon footprint. Our team at Pediatric Dental Associates wants to remind you to celebrate Earth Day and help the environment, knowing that it will benefit your and your children's generation.

Implants: Why it's important to replace missing teeth

April 14th, 2015

The average adult has 32 teeth, a combination of molars, canines, and incisors. By middle age, however, most adults are missing at least one tooth due to an injury, decay, or gum disease. Though many people choose to forgo tooth replacement, Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates will tell you that every tooth is important. Each plays a vital role in the structure of the mouth and in relationship to the remaining teeth. Leaving the space where a tooth once stood can have serious consequences. There are many reasons why severely decayed or missing teeth should be replaced as quickly as possible.

  • Speech: A missing tooth can negatively affect the way you speak, depending on its location.
  • Bite changes: The loss of one or more teeth can cause the redistribution of bite pressure onto other teeth. Over time, this can cause the teeth to shift and move into the space the tooth once held.
  • Gum disease: Shifting teeth can make it easier for plaque to accumulate in hard-to-reach places. This can increase the risk of gum disease, which can lead to additional tooth loss.
  • Bone loss: The teeth are place-holders in the jaw. When one falls out and is not replaced, the bone that once surrounded it begins to deteriorate and wear down.
  • Aesthetics: A missing tooth leaves a visible gap between the teeth and can be a source of embarrassment and insecurity.

Advancements in modern dentistry have made it easy to replace missing teeth using natural-looking and functioning prosthetics. Dental implants are permanent solutions for replacing missing teeth with the use of special rods that are anchored in the jaw bone. These implants serve as artificial tooth roots that fuse with the jaw over time. When cared for properly, most dental implants can be fitted to last a lifetime.

To learn more about dental implants, or to schedule an appointment with Dr. Michelle Slezewski and Dr. Paul Engibous, please give us a call at our convenient Anchorage, AK office!

April is National Facial Protection Month

April 7th, 2015

The Importance of Facial Protection

Americans from all walks of life should mark April as National Facial Protection Month on their calendars. The American Association of Pediatric Dentistry, Academy for Sports Dentistry, American Academy of Pediatric Dentistry, and American Association of Oral and Maxillofacial Surgeons have combined forces to sponsor this annual campaign, which aims to educate and remind us of the importance of protecting our face and teeth against impacts and injuries.

Wearing a helmet can save your life and prevent devastating physical damage in a variety of situations, from playing football to riding a bicycle. According to the American Association of Oral and Maxillofacial Surgeons, helmets reduce the risk of various head injuries by as much as 85 percent. Whether helmet laws apply in your area or not, Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates want you to make sure you and your loved ones wear helmets with the appropriate safety ratings for specific activities. (A sticker on or inside the helmet will usually indicate this rating.) Helmets can also help save your teeth if they come with an attached faceguard, an essential addition for football players and others involved in contact sports.

Preventing Dental Injuries

A mouthguard can protect you against a variety of dental injuries, such as cracked, broken, or knocked-out teeth. The American Dental Association states that mouthguards play an essential role in preventing up to 200,000 dental injuries each year, and many states mandate their use for sports activities such as football and hockey. The Academy for Sports Dentistry warns, however, that these mouthguards must be custom-fitted as precisely as possible to prove effective. Have a professional-quality mouthguard molded and fitted by our team at Pediatric Dental Associates for better protection than a generic store-bought or “boil-and-bite” variety can offer. These cheaper versions tend to wear out quickly, interfere with proper breathing, and provide uneven degrees of cushion against impacts. Always have a fresh mouthguard fitted for each new sports season.

Choose the right combination of helmet, faceguard, and mouthguard to protect your teeth and face this April, and tell your friends to do the same! To learn more about mouthguards, or to schedule an appointment with Dr. Michelle Slezewski and Dr. Paul Engibous, please give us a call at our convenient Anchorage, AK office!

What's on your child's reading list?

March 31st, 2015

What better way for children to spend their time than cuddled up by the fireplace or out in the yard with a book in hand? Dr. Michelle Slezewski and Dr. Paul Engibous and our team encourage you to inspire your child’s mind with a few great books. Sure it may be easy to put off reading when balancing a busy schedule, but reading is vital to kids’ brain development. Plus, reading is always fun!

This week, we thought we’d ask: What are you or your child reading? Do you have any suggestions for must-read books? Out of ideas for great reads? Ask us during your next visit, and Dr. Michelle Slezewski and Dr. Paul Engibous and our team would be happy to provide a few suggestions. You may also ask a local librarian here in Anchorage, AK for some ideas.

Happy reading! Be sure to share your book picks or your all-time favorites with us below or on our Facebook page!

How much calcium does my child need?

March 24th, 2015

When you were a kid, your parents may have told you to drink milk to build strong bones and grow tall and strong. Now that you have children of your own, you may hear yourself parroting those instructions you received years ago. Getting enough dairy is essential for young children whose teeth are growing. A child who consumes the recommended daily serving of dairy will develop healthy, strong teeth for the rest of his or her life.

So, which foods are the best in terms of acquiring the right amount of calcium? Milk and other dairy products are excellent sources of calcium. Milk also contains vitamin D, phosphorus, magnesium, and proteins. Magnesium promotes calcium deposits in your enamel, while phosphorus forms a small but important barrier against acidic foods that cause cavities. Vitamin D and protein are used by a child’s body to build bone tissue and maintain dental health.

According to a recent study, the majority of Americans, including children, do not receive enough calcium. In fact, according to the Academy of General Dentistry, only one in five children meets even the minimum standards for calcium consumption. The U.S. Department of Agriculture recommends that children under the age of eight should receive two and a half cups of dairy per day. Children older than eight need three full cups, the same as adult men and women. In addition to milk, eating yogurt is a great way your child can increase his or her dairy consumption. Drinking sugary beverages in place of milk causes cavities and tooth decay.

If your child does not get enough dairy consumption, they run the risk of improper tooth development and other dental health problems. Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates encourage you to monitor your child’s dairy consumption to ensure he or she grows healthy teeth to last a lifetime.

Questions? Give us a call at our Anchorage, AK office!

St. Patrick's Day: Celtic pride, green shamrocks, and lucky charms!

March 17th, 2015

“St. Patrick's Day is an enchanted time -- a day to begin transforming winter's dreams into summer's magic.” Adrienne Cook

Lucky green shamrocks, leprechauns, and pots of gold – it must be St. Patrick’s Day! If you’re not Irish, how do you go about celebrating St. Patrick’s Day? It’s easy: You just put on one of those tall leprechauns hats, dress in green from head to toe, and wear one of those carefree pins that say “Kiss Me, I’m Irish”. On St. Patrick’s Day, everyone is Irish, and that is the universal beauty of the holiday. Celtic pride does not discriminate.

Wondering what our team at Pediatric Dental Associates is doing to celebrate March 17th? Well, we’ve thought about doing everything from handing out lucky gold coins (you know, the fake ones that are made of chocolate) to shamrock stickers. Maybe we’ll even give away green toothbrushes and floss! You’ll never know unless you come in to see Dr. Michelle Slezewski and Dr. Paul Engibous !

All kidding aside, St. Patrick’s Day is an important cultural and religious holiday. There are lavish parades and church services across Ireland on March 17th. Over time, however, the holiday has developed into a day to observe Irish culture in general. In places like England and the United States, where there is a large Irish Diaspora, the holiday has greater significance than other countries. From the streets of Boston to St. Patrick’s Cathedral in New York, it is a day of celebration, and many Americans of Irish descent will cook up a traditional meal of corned beef and cabbage.

So, to all of you with Irish ancestry, and to all of you who have decided to be Irish for the day, our office wishes you a Happy St. Patrick’s Day. Good luck looking for a pot of leprechaun gold, which is said to exist at the end of the rainbow. However, keep away from those sugary Lucky Charms; sweet cereals might taste good, but your kids’ teeth might not be feeling too lucky if they eat it for breakfast every day. Have a great St. Paddy’s Day!

How often does my child need to see the dentist?

March 10th, 2015

According to the American Academy of Pediatric Dentistry, checkups at Pediatric Dental Associates are recommended for all children two times a year. Children should be evaluated for cavities and other emerging dental issues every six months, because these problems can lead to more serious dental problems and health issues if left untreated.

While it is always good to follow the official guideline mentioned above, it is also important to understand that each child is unique and his or her dental needs are equally unique. If your child shows signs of dental or orthodontic problems, Dr. Michelle Slezewski and Dr. Paul Engibous might recommend more frequent visits.

One way to help your son or daughter maintain good oral health between pediatric dental visits is to monitor brushing and oral care habits, especially if the child is still very young. Children who are two to five years of age will usually still require at least some degree of monitoring during their dental care routine.

The Checkup Visit

During your child’s regular dental care checkups, Dr. Michelle Slezewski and Dr. Paul Engibous will evaluate the current state of oral health and will be able to recognize any issues. The twice-yearly checkup visits are typically the time at which problems like cavities, irregular growth patterns of the teeth, and oral decay are discovered. Thus, making these appointments for your child, and following through with them, is extremely important.

Learning and Maintaining Good Oral Health

Dr. Michelle Slezewski and Dr. Paul Engibous and our Anchorage, AK staff are your partners in terms of your child’s health care. Even when your child is an infant and a toddler, good brushing and other oral care habits can be taught. We will help you to educate your child about how to care for teeth in the most effective way, and you can carry those lessons home and help your child to follow them for the ultimate in oral health.

Are your teeth ready for the big day?

March 3rd, 2015

Capturing the Moment

At Pediatric Dental Associates we know that just about anyone who has taken on the challenge of planning her own wedding could tell you how important the little details can be. Things like having complementary colors, the right location, show-stopping flowers, and delicious food are all a big part of planning your spring wedding. Another little detail that has a big "I do" related role? Your smile.

Whether you’re the bride, or an attendant, looking your best when you tie the knot (or help someone tie the knot) is essential. If your teeth aren’t ready to make an entrance, turning to one of the many available teeth whitening solutions is a great option.

Reliable Solutions

Before the wedding day arrives, you should take your smile into consideration. If diet and daily wear-and-tear have caused your teeth to lose their original luster, our team can help! In-office procedures do cost more than kits you use at home, but with an in-office treatment, you benefit from a professional taking proper care of your teeth.

In addition, relying on our office to handle teeth whitening before the wedding can give you access to trustworthy advice on how to keep your teeth looking their best for a longer period of time. It’s common for someone experienced in assisting people with their oral health to suggest investing in an in-office whitening technique and then following up with a teeth-whitening kit at home.

This is a season of new beginnings and beauty. Take the time to bring out your most beautiful smile before the big day. Don’t let your smile hold you back on your wedding. With our in-office teeth whitening, you can be sure that you’ll be more confident and comfortable interacting with friends and family. So remember, when in need of some quality oral care in Anchorage, AK to think of Dr. Michelle Slezewski and Dr. Paul Engibous!

When should my child start using toothpaste and how much should I use?

February 24th, 2015

As a parent, it is your job to instill good dental habits in your kids, and this starts even earlier than you might realize. The American Academy of Pediatric Dentistry responds to the “when to start” question with a succinct “The sooner the better!”

From the time your baby is born, you should make sure that your child’s gums are regularly cleaned using water and a toothbrush made for infants. Once the first tooth erupts, you should visit the pediatric dentist for the first time. Dr. Michelle Slezewski and Dr. Paul Engibous and our staff often recommend that if your child is a year old, but has yet to get the first tooth, you should bring your son or daughter to our Anchorage, AK office for his or her initial dental care appointment.

Once your child’s teeth start to appear, you can begin brushing two times per day, using fluoride toothpaste. Choose a toothbrush made specifically for your child’s age group, and one with has soft bristles.

Only a small smear of toothpaste is needed if your child is under two years old. Once the child celebrates his or her second birthday, you can use a pea-sized amount of fluoridated toothpaste. Continue this practice until your child is five.

Of course, it is important that you monitor your child’s tooth brushing closely to help educate about proper techniques. Some young children might try to eat or swallow toothpaste, and this needs to be strongly discouraged. Be sure to teach proper rinsing and spitting behavior to round out your child’s early childhood tooth-care regimen.

For young kids, tooth brushing can be made into a fun event, and you can find a multitude of special toothbrushes that appeal to kids. There are even uniquely flavored and colored toothpastes that might encourage your child to get into the brushing game!

What kind of toothbrush and toothpaste should my child use?

February 17th, 2015

Imagine that you sit down for some evening television, and during the course of the evening, you see five commercials regarding dental products. They all claim to be the best. Then remember your last visit to the dental aisle at a local grocery store. The choices are overwhelming and there seems to be no sure answer as to which would be the best choice for your child.

Pediatric Dental Associates recommends that parents break down the decision process. First, consider your child’s age and stage of development. Up until age ten to 12, your child cannot adequately brush or floss independently. It is not a maturity issue, but rather dexterity. Automatic toothbrushes are highly appropriate for all ages. Brushing quality improves when using a battery-powered toothbrush. Use it together with your child, and always play an active role in your child’s oral home care.

As a general rule, the brush head of the toothbrush should be a little larger than the child’s upper portion of the thumb. This will help ensure it will fit in all the places it needs to.

Flossers are great for children. These will have a horseshoe shape on one end with floss in-between. A particular brand name does not matter. Some have a higher quality and this should be evident when you use them. You can make a choice for individual preference with color, handle size, or shape, etc.

There are many brands of toothpaste and there are also differences in the ingredients. Some contain sodium fluoride, the standard ingredient in cavity prevention. Others have stannous fluoride, which is anti-bacterial and anti-cavity. Potassium nitrate is commonly found in anti-sensitivity, and triclosan is found in one particular brand for anti-bacterial properties. It is most common for children to be at a high risk for cavities. Therefore, our team at Pediatric Dental Associates recommends toothpaste with fluoride once your child is old enough to spit.

Before a child can spit, use toothpaste without fluoride. This is an ideal time to use toothpaste with xylitol. Xylitol should be listed as the first ingredient; this way you’ll get the almost medicinal property of this natural sweetener. After you have found the right type of toothpaste, consider its flavor. The best kind of toothpaste is one that will be used, so choose a flavor that your child will love!

If you have any other questions, our would like specific brand recommendation feel free to call us at Pediatric Dental Associates or ask Dr. Michelle Slezewski and Dr. Paul Engibous during your next appointment!

Choose Chocolate on Valentine's Day

February 10th, 2015

From a student handing out sweets for her classmates to an older married couple exchanging boxes of candy, Valentine’s Day is the time of year when people like to show affection by gifting sugary treats to their loved ones. Whether you’re on the giving or receiving end of Valentine’s Day candy, you can celebrate the holiday in a healthier way by making dark chocolate your confection of choice.

Contribute to Your Health

According to the Cleveland Clinic, studies have shown that the cocoa beans used to make chocolate contain flavonoids, which can help protect the body against damage from various toxins. Flavonoids may also help lower blood pressure and improve blood flow to the heart and the brain. Dark chocolates typically contain a higher amount of flavonoids than other types, making them a great choice for chocolate lovers. However, you should keep in mind that many companies produce chocolate that is so heavily processed that the flavonoids are largely eliminated. Your best bet is to look for high-quality dark chocolates and cocoa powders that have undergone minimal processing.

Protect Against Cavities

If you think there’s no way candy could ever be beneficial for your teeth, think again. The Texas A&M Health Science Center has reported that the tannins present in cocoa beans may actually help prevent cavities by interfering with bacteria’s harmful interaction with teeth. Just like with flavonoids, tannins have been found to be present more often in dark chocolates, rather than milk chocolates, giving you another great reason to choose the richer, sweet varieties.

Avoid a Sticky Situation

One more benefit of choosing chocolate over other candies is that it is less likely to get stuck in the crevices and spaces between teeth. Gooey sweets like taffy can stay lodged in the mouth for longer periods of time, putting you at a greater risk for developing cavities. When you choose your chocolate, be sure to avoid types that also contain sticky ingredients like caramel or marshmallow, and instead opt for the plain varieties.

Remember that the health benefits you can receive from dark chocolate are largely based on eating the candy in moderation. With that being said, it’s easy to make this delicious and health conscious switch when you’re out shopping for your sweetheart, friends, loved ones, and yourself. Have fun satisfying your sweet tooth this year and Happy Valentine’s Day from all of us at Pediatric Dental Associates!

Alleviate Tooth Sensitivity

February 3rd, 2015

If a sip of ice water, spoonful of ice cream, or piping hot latte is enough to send shivers up your spine from tooth sensitivity, be assured you are not alone. It’s estimated that as many as one in eight adults suffers from tooth sensitivity.

What causes sensitive teeth?

Some of the causes of tooth sensitivity include brushing too hard, a cracked tooth, receding gums, periodontal disease, tooth bleaching, or other conditions that expose the sensitive roots of your teeth. For example, brushing too aggressively can injure your gums, and lead to exposed roots and tooth sensitivity.

When the enamel on the outside of the tooth or tissue located between the teeth breaks down or wears away, nerves inside the tooth trigger sensitive teeth that are particularly noticeable when you drink or eat anything hot or cold.

How to alleviate tooth sensitivity

Fortunately, there are a number of things you can do, both at home and at the dental office, to reduce the discomfort of sensitive teeth. Brushing with desensitizing toothpaste is one of the ways to reduce tooth sensitivity: it works well for many patients, and is typically the first course of action.

  • Brush with toothpaste specifically designed for sensitive teeth.
  • Change the way you brush by using a soft toothbrush and not brushing too aggressively.
  • Avoid brushing teeth after consuming acidic foods and beverages, like orange juice and pickles.
  • Drink water or milk after eating or drinking acidic foods or beverages.
  • Sip through a straw when you drink acidic beverages.
  • Wear a mouthguard at night to prevent teeth grinding that wears down teeth.
  • Ask Dr. Michelle Slezewski and Dr. Paul Engibous about fluoride dental treatments or plastic resin.

For moderate-to-serious cases of tooth sensitivity, more invasive professional dental treatments are available. These include a bonding agent designed to seal/cover the exposed root, obtaining new gum tissue through graft (for receding gums), fillings, crowns, inlays, or bonding. When tooth sensitivity is persistent and results in hypersensitivity, endodontic treatment in the form of root canal may be recommended.

To learn more about tooth sensitivity, or to schedule an appointment with Dr. Michelle Slezewski and Dr. Paul Engibous, please give us a call at our convenient Anchorage, AK office!

Heart Disease and Oral Health

January 27th, 2015

According to the National Institute of Dental and Craniofacial Research, more than 200 million Americans suffer from some degree of inflammation of the gums. Over the past decade, researchers have published studies that link the bacteria involved in periodontal disease to cardiovascular disease. The Centers for Disease Control and Prevention have connected oral infections to heart disease, diabetes, stroke, and low birth weights.

Studies suggest bacteria that cause periodontal disease are also responsible for causing a thickening of the carotid arteries, which increases the chance of a heart attack or stroke. Further research is being conducted to understand the link between oral health and heart disease better.

What is periodontal (gum) disease?

Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates hear this question all the time. Periodontal disease is an infection. Our mouths are filled with bacteria, and this bacteria forms plaque. If the plaque is not removed through brushing, flossing, and regular cleanings at the dentist, it hardens into tartar. If gingivitis (gum inflammation) is not treated early, it can advance to periodontitis. Bacteria get under the gum tissue and erode it as well as the bone that supports the teeth. The gums eventually pull away from the teeth, and infected pockets form.

Proving that periodontal gum disease is connected to heart disease has been difficult for researchers. However, there are two theories about to what might connect the processes.

  • Bacteria are released in the bloodstream through chewing and tooth brushing. The same species of bacteria that causes gum disease has been discovered in the plaque in arteries in the heart.
  • Inflammation in the mouth is a catalyst for inflammation throughout the rest of the body.

Practice good oral health habits

While the link between periodontitis and heart disease is not yet fully understood, you can prevent the possibility of health complications by practicing good oral health. It’s recommended that you brush and floss twice a day, as well as visit your dentist twice a year for a cleaning and exam. Oral health should not be taken for granted. By preventing oral diseases, you’re also minimizing the risk of having a heart attack or stroke.

To learn more about the connection between heart disease and oral health, or to schedule an appointment with Dr. Michelle Slezewski and Dr. Paul Engibous, please give us a call at our convenient Anchorage, AK office! A clean mouth leads to a happy heart!

Five Tips to Help Kids Overcome Their Fears of the Dentist

January 20th, 2015

Is your child nervous about visiting Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates? Today, we put together some tips to help ensure your little one relaxes before his or her next dental checkup!

  1. Start early. The earlier your child visits our Anchorage, AK office, the better. This will provide your child with a familiarity and ensure that he or she is comfortable with our team, office, and surroundings, whether it’s for a preventive visit or an emergency. The American Academy of Pediatric Dentistry recommends that your child first visit the dentist at age one or when the first tooth is visible.
  2. Choose your words wisely. When preparing for a visit, go easy on the details. Over-explaining and adding more information about treatment such as a filling will lead to more questions as well as add unnecessary alarm. Remember to keep a positive attitude!
  3. Bring a distraction to your child’s appointment. Bringing along music is a great idea. Just plug in those earphones, have your child close his or her eyes, and get lost in the tunes. Listening to music can also be a pain killer.
  4. Consider a “pretend visit.” Before your child’s appointment, try role playing with him or her—you be the doctor and your child is the patient. All you'll need is a toothbrush. The key is getting your child familiar with the routine so that he or she is more relaxed once it’s time for the real visit with Dr. Michelle Slezewski and Dr. Paul Engibous.
  5. Stress the importance of good oral health. Instill in your child that visiting the dentist is a necessity, not a choice, and that visiting the dentist will lead to a lifetime of smiles.

We hope this helps! For more on dental anxieties, ask us during your next visit to Pediatric Dental Associates! Or, ask us on Facebook!

Are baby teeth really that important?

January 13th, 2015

Your infant’s first teeth will begin to appear around six to 12 months of age. You might wonder how important these primary teeth really are. After all, baby teeth are destined to fall out within a few years and be replaced by a full set of permanent teeth. However, baby teeth have important functions, and proper care can set the stage for excellent oral and overall health.

Promote Better Nutrition

The appearance of your baby’s primary teeth around six to 12 months of age coincides with changes in your infant’s nutritional needs. Beginning at six months, exclusive breastfeeding is no longer nutritionally sufficient; this is the age at which you should introduce solid foods.

At six to eight months, when your baby can start to chew, strained or pureed fruits and vegetables are appropriate. As your little one’s teeth grow in and chewing abilities progress through 12 months of age, you can gradually add cereal, bread, cooked meats, and other adult foods to his or her nutritious diet.

Increase the Life Expectancy of Baby Teeth

Although baby teeth are inevitably going to fall out and be replaced by permanent ones, making baby teeth last serves an important role that can have benefits into the future. Baby teeth serve as placeholders for permanent teeth. If they decay and fall out too soon, permanent teeth are more likely to grow in crooked.

How to Take Care of Baby Teeth

Your baby’s primary teeth are already in his or her mouth at birth; they are just invisible because they have not broken through the gums. Since they are already present, your baby can get cavities if you do not practice proper oral hygiene from the beginning.

  • Do not let your baby fall asleep with a bottle in his or her mouth.
  • Brush your child’s baby teeth twice a day as soon as they come in.
  • Floss your child’s teeth as soon as he or she has two teeth that touch.
  • Visit Pediatric Dental Associates for your baby’s first checkup when the first tooth arrives.

Tooth Eruption Timeline

January 6th, 2015

Parents, and even older children, can become concerned about tooth development. Wondering when teeth should erupt, and being concerned when the teeth do not appear on schedule, is common. First, you need to remember that each individual is different. Guidelines are just guidelines, but Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates thought we would pass on this information to help you.

Primary teeth

Children normally have 20 primary or baby teeth. The first two to appear are usually the lower central incisors between six to ten months of age. These fall out between five and seven years of age.

  • Two upper central incisors – eight to 12 months
  • Two upper lateral incisors – nine to 13 months
  • Two upper cuspids or canines – 16 to 22 months
  • Two upper first molars – 13 to 19 months
  • Two upper second molars – 25 to 33 months
  • Two lower lateral incisors – ten to 16 months
  • Two lower cuspids or canines – 17 to 23 months
  • Two lower first molars – 14 to 18 months
  • Two lower second molars – 13 to 31 months

As you can see, all the primary teeth normally have erupted before three years of age, but the timeline can vary by four to six months. Except for the lower central incisors and second molars, upper teeth tend to appear before lower teeth.

Permanent or adult teeth

Adults normally have 32 permanent teeth. However, four of these are wisdom teeth or third molars, which are often removed.

  • Two upper central incisors – seven to eight years
  • Two upper lateral incisors – eight to nine years
  • Two upper cuspids or canines – 11 to 12 years
  • Two upper first premolars or bicuspids – ten to 11 years
  • Two upper second premolars or bicuspids – ten to 12 years
  • Two upper first molars – six to seven years
  • Two upper second molars – 12 to 13 years
  • Two upper third molars or wisdom teeth – 17 to 21 years
  • Two lower central incisors – six to seven years
  • Two lower lateral incisors – seven to eight years
  • Two lower cuspids or canines – nine to ten years
  • Two lower first premolars or bicuspids – ten to 12 years
  • Two lower second premolars or bicuspids – 11 to 12 years
  • Two lower first molars – six to seven years
  • Two lower second molars – 11 to 13 years
  • Two lower third molars or wisdom teeth – 17 to 21 years

Please discuss any of your dental concerns during your visit with Dr. Michelle Slezewski and Dr. Paul Engibous. If there is a problem with tooth development, the earlier we address it, the better the outcome. We specialize in pediatric dentistry and look forward to helping you and your child with all your dental needs. To learn more about tooth eruption, or to schedule an appointment with Dr. Michelle Slezewski and Dr. Paul Engibous, please give us a call at our convenient Anchorage, AK office!

It's a Wrap: Ending the year with a smile!

December 30th, 2014

People have been ushering in the New Year for centuries but it became an official holiday in 1582 when Pope George XIII declared January 1st to be the day on which everyone would celebrate the New Year. At midnight people would yell, holler, and blow horns to scare away the evil spirits of the previous year so the New Year would be joyous and filled with opportunity. Nearly 500 years later, we still greet the New Year by whooping and hollering, but in a celebratory manner instead. Whether you intend to ring in the New Year quietly at home in the Anchorage, AK area or have plans to join the countdown at a gala extravaganza, these tips can help you ring out the old and usher in the new with a smile.

Tips for a Happy New Year's Eve Celebration from Pediatric Dental Associates

  • Be Safe. There's no way to predict the behavior of others on New Year's Eve, but you can be responsible for your own behavior to keep yourself safe. If adult beverages will be part of your celebration, plan on spending the night wherever you are or line up a designated driver to bring you home after the party is over.
  • Enjoy Family and Friends. Spending time with the important people in your life is what makes the holidays enjoyable. Coordinate your schedules and choose New Year's Eve activities that everyone in the group will enjoy. You don't have to go to a party to ring in the New Year; some people like to go bowling, see a movie, or have a great meal at home.
  • Accessorize with a Smile. Whether you dress up or have a quiet dinner with family and friends, one of the best accessories you can add to your attire is a beautiful smile.

New Year's Eve is a time to gather with friends and family, reflect on the year that's coming to an end, and look forward to the new one with anticipation. Enjoy this transitional holiday in a way that's safe, healthy, and fun. After all, counting down until the clock strikes 12 marks the beginning of a full year of opportunity ahead of you. From Dr. Michelle Slezewski and Dr. Paul Engibous, have a great new year!.

Why Baby Teeth Matter

December 23rd, 2014

The primary teeth are the initial teeth that erupt from a child’s gums in the first few years of childhood. There are a total of 20 primary teeth, most of which will have appeared no later than age three. Because they are only temporary, some parents believe they are less important than the permanent teeth that will emerge around age five or six. However, primary teeth hold a special significance and are important for a child’s long-term oral health.

Function and importance of baby teeth

Baby teeth have several basic functions. Decay can interfere with these functions, and potentially lead to life-long complications. For example, severe tooth decay that causes tooth loss during childhood, perhaps due to sleeping with a bottle at night, can obstruct a child’s speech development. It can also hinder his or her ability to sufficiently chew food.

The primary teeth also serve as place-holders for the permanent teeth. When a primary tooth falls out or must be removed before its time, surrounding teeth may shift into the space the tooth once held. This can cause orthodontic complications once the permanent teeth begin to erupt, which can lead to serious tooth alignment problems and call for extensive orthodontic treatment.

Caring for baby teeth

Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates will tell you it is never too early to begin caring for your child’s teeth. Baby teeth require the same care and attention that permanent teeth do. The American Dental Association recommends that children see a dentist as soon as the teeth begin to erupt from the gums. Early childhood dental visits usually include examinations, cleanings, fluoride treatments, and hygiene education for parents. It is also important to adopt an oral care routine at home that includes daily brushing, flossing, and dietary modifications that support a lifetime of good oral health.

To learn more about baby teeh, or to schedule an appointment with Dr. Michelle Slezewski and Dr. Paul Engibous for your little one, please give us a call at our convenient Anchorage, AK office!

How do I know if I’m at risk for oral cancer?

December 16th, 2014

Every year, over 50,000 North Americans are diagnosed with oral or throat cancer, which has a higher death rate than many other common cancers, including cervical cancer, testicular cancer, Hodgkin’s lymphoma, and thyroid or skin cancers. The high death rate results from the fact that most oral cancers go undiagnosed until the disease is well advanced and has spread to another part of the body, most often, the lymph nodes in the neck.

Because oral cancer is typically painless in its early stages and often goes undetected until it spreads, many patients aren’t diagnosed until they are already suffering from chronic pain or loss of function. However, if detected early, Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates want you to know that early detection of oral cancer improves the survival rate to 80 percent or more.

If you visit our Anchorage, AK office regularly, you have probably received an oral cancer screening and didn’t even realize it. That’s because the exam is quick and painless; Dr. Michelle Slezewski and Dr. Paul Engibous and our team check your neck and mouth for signs of oral cancer such as discolorations, lumps, or any changes to your tissue. Oral cancer is typically found on the tongue, lips, gums, the floor of the mouth, or tissues in back of the tongue.

Factors that may influence your risk for developing oral cancer include:

  • Use of tobacco products. Smoking cigarettes, cigars, a pipe, or chewing tobacco all elevate risk for developing oral cancer. Tobacco use especially is a serious risk factor because it contains substances called carcinogens, which are harmful to cells in your mouth.
  • Excessive consumption of alcohol. Those who drink alcohol regularly have an elevated risk of getting oral cancer. Alcohol abuse (more than 21 drinks in one week) is the second largest risk factor for the development of oral cancer, according to the Oral Cancer Foundation.
  • Excessive sun exposure. Those who spend lots of time outdoors and do not use proper amounts of sunscreen or lip balm have a greater risk for developing lip cancer. Exposure to ultraviolet (UV) radiation from sunlight may also cause melanoma, the most serious type of skin cancer.
  • Your age. Oral cancer is typically a disease that affects older people, usually because of their longer exposure to other risk factors. Most patients diagnosed with oral cancer are over the age of 40.
  • Your gender. Oral cancer strikes men twice as often as it does women.
  • A history with viral infections, such as human papillomavirus (HPV).
  • A diet low in fruits and vegetables.

In between your visits to our office, it is critical for you to be aware of the following signs and symptoms, and give us a call if these symptoms don’t go away after two weeks.

  • A sore or irritation that doesn’t disappear
  • Red or white patches
  • Pain, tenderness, or numbness in mouth or lips
  • Difficulty chewing, swallowing, speaking, or moving your jaw or tongue
  • A change in the way your teeth fit together when you close your mouth

During your next visit, Dr. Michelle Slezewski and Dr. Paul Engibous will examine your mouth for signs of oral cancer. If you have been putting off a visit to our Anchorage, AK office for your regular checkup, now is an excellent time to schedule one. Regular visits can be the first line of defense against oral cancer because we can identify early warning signs of the disease. Give us a call today!

How do you accommodate a child with special needs?

December 9th, 2014

Providing dental care for patients with special needs can be a challenge at times, both for the dentist and the family of the individual. Fortunately, Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates have the experience needed to provide optimal care for your special-needs child. Here are just a few of the ways our office works to help those who need a little extra care.

Assistance with at-home dental health care

We understand that sometimes at-home dental care can be extremely difficult for those with special needs. Individuals with physical difficulties, which may prevent them from holding the toothbrush, and those with developmental issues, who may have difficulty understanding the importance of dental hygiene, need extra attention with regard to home hygiene care. Our team at Pediatric Dental Associates can provide support and education to ensure your child will achieve and maintain a healthy smile. For example, devising improvised toothbrushes to help patients get a properly grip, creating a specialized meal plan, and establishing a more frequent office visitation schedule to monitor overall dental health are all areas where our office is happy to help.

Coordinating office care

Dr. Michelle Slezewski and Dr. Paul Engibous and our team understand that sometimes special-needs patients feel anxiety when it comes to receiving dental care. In many cases, reliably seeing the same dental health professionals can help to promote a relationship and soothe the patient. We encourage special-needs patients to make appointments at the optimal time of day for them to help everything go smoothly as well. We also encourage preparing your child in advance of the appointment so he or she is not surprised in the office. In certain situations, Dr. Michelle Slezewski and Dr. Paul Engibous may also recommend sedation dentistry. Occasionally, special-needs patients are too overwhelmed by the thought of dental care and exams are best performed with the support of light sedation.

Accommodating physical needs

We also understand that special needs patients sometimes need physical accommodations. Two of the more common examples we face are patients in wheelchairs who need access to the office. We are fully compliant with all accessibility regulations to make sure our patients receive the care they need. Other patients need physical props for their mouth to help keep it open if they are physically unable to do so.

Dental care for patients with special needs requires knowledge and experience of limitations and how to address them. In our Anchorage, AK office, you will find an accommodating staff ready to help, so your child can receive optimal dental care.

Halitosis in Children: Causes and treatment

December 2nd, 2014

Halitosis is the scientific name for bad breath. It is one of the most common oral concerns, and it affects a large percentage of the population, including children. Having bad breath can be embarrassing and a nuisance. When considering what to do about halitosis, the team at Pediatric Dental Associates highlights that you need to focus on the cause, rather than just masking the problem.

Children commonly have bad breath because of an upper respiratory infection. This includes a common cold, postnasal drip, or allergies. When this is the case, treatment may be complicated if one or more of these issues is chronic.

Another cause of halitosis in children is a condition with their teeth or gums. Just as in adults, gum disease has a distinctive malodor. The quality of brushing and flossing in children directly influences the presence of gum disease. If there is a large untreated cavity, there will be a strong smell causing bad breath. Both of these issues need professional attention, including a visit to the dentist.

Tonsillitis can also cause halitosis in children. It happens because of a constricted airway, resulting in mouth breathing. Mouth breathing is a concern because of how much it dries the tissue in the mouth. This makes any bacterial infection in the mouth worse and causes an increased potency within the bacteria in the mouth.

Treatment of halitosis is as varied as the causes listed above. Beware of ingredients in products that mask bad breath. Sucking on a mint on a regular basis will cause more harm than good because of potential decay. Chew sugarless gum and mints.

If you have any other questions, feel free to call us at Pediatric Dental Associates or ask Dr. Michelle Slezewski and Dr. Paul Engibous during your next appointment!

Thanksgiving Trivia

November 25th, 2014

At Pediatric Dental Associates we love learning trivia and interesting facts about Thanksgiving! This year, Dr. Michelle Slezewski and Dr. Paul Engibous wanted to share some trivia that might help you feel a bit smarter at the holiday dinner table and help create some great conversation with friends and family.

The Turkey

There is no historical evidence that turkey was eaten at the first Thanksgiving dinner. It was a three-day party shared by the Wamponoag Indians and the pilgrims in 1621. Historians say they likely ate venison and seafood.

According to National Geographic, the dinner at the Plymouth colony was in October and included about 50 English colonists and 90 American Indian men. The first Thanksgiving dinner could have included corn, geese, and pumpkin.

Today, turkey is the meat of choice. According to the National Turkey Association, about 690 million pounds of turkey are consumed during Thanksgiving, or about 46 million turkeys.

The Side Dishes

The green bean casserole became popular about 50 years ago. Created by the Campbell Soup Company, it remains a popular side dish. According to Campbell’s, it was developed when the company was creating an annual holiday cookbook. The company now sells about $20 million worth of cream of mushroom soup each year, which is a major part of the recipe.

While there were likely plenty of cranberries for the pilgrims and Indians to enjoy, sugar was a luxury. What we know today as cranberry sauce was not around in those early Thanksgiving days. About 750 million pounds of cranberries are produced each year in the US, with about 30 percent consumed on Thanksgiving.

The Parade

Since Thanksgiving did not become a national holiday until Lincoln declared it in 1863, the annual parades were not yearly events until much later. The biggest parade that continues to draw crowds is the Macy's Thanksgiving Day Parade. Beginning in 1924 with about 400 employees, they marched from Convent Avenue to 145th Street in New York City. Famous for the huge hot-air balloons today, it was actually live animals borrowed from the Central Park Zoo that were the stars of the show then.

However you choose to spend your Thanksgiving holiday, we wish you a safe, happy and healthy holiday with those you love.

Telltale Signs that Your Tooth has a Cavity

November 18th, 2014

Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates frequently get questions about cavity causes and prevention. You brush twice a day and floss regularly. You rinse with mouthwash, just like the dentist recommended. In fact, you can’t remember the last time you had a cavity, but you think it was when you were a little kid. In all seriousness, you thought only kids got cavities.

The Signs and Symptoms of a Cavity

It’s believed that roughly 90% of North Americans will get at least one cavity in their lifetime. Those other ten percent, it seems, can eat as much pie, cake, and sugary cereals and sweets as they want. That’s not really true; just a stab at dental humor, and it was as bad as the pain your cavity is probably giving you.

When a cavity is in its initial stages, you will often be symptom-free and experience no discomfort at all. It’s not until the tooth decay has reached a certain level that you will begin to notice the signs and symptoms. While a toothache and sensitivity to hot and cold foods and liquids are surefire signs that you have a cavity, there are lesser-known symptoms as well. If you’re experiencing any of these warning signs, you may want to consider making an appointment with our office as soon as possible:

  • Persistent bad breath or a bad taste in the mouth
  • When you bite down, there is a sticky, tarry feeling
  • Puss or discharge around a tooth
  • A visible discoloring, usually black or brown
  • Small pits or holes in the tooth

Routine dental care is important. While good oral hygiene, a healthy diet, and regular cleanings will deter the formation of cavities, they do not constitute a foolproof practice. A cavity can occur at any time, no matter what your age. Bacteria causes tooth decay, and no amount of brushing, flossing, and rinsing will eradicate all the bacteria from your mouth. If you think you may have a cavity, please contact our office immediately.

Five Tips for Taking Tots to the Dentist

November 11th, 2014

Toddlers are notoriously balky about strangers. But their first dental visit should not be cause for fear and tears. Nor should you assume that getting your toddler to Pediatric Dental Associates is going to involve a full-blown tantrum or Mafia-style bribery. “Honey, don’t worry. We’ll go get ice cream after…” sort of defeats the purpose of making that first dental appointment.

These five tips will make your toddler’s trip to see Dr. Michelle Slezewski and Dr. Paul Engibous as fun as a stop at an amusement park.

1. Before you make a dental appointment for your child, take him or her on a ride-along to one of your dental appointments. Let your son or daughter experience the office and get the lay of the land. Toddlers don’t like surprises. But if your little one is already familiar with the big chair that goes up and down, the next time he or she will have no problem taking a seat.

2. About the big dental chair … well, it’s really an amusement park ride. See how it goes up and down? Toddlers love games, and turning the trip to the dentist into a game is among the oldest (and most successful) tricks in the parent playbook.

3. Positive reinforcement is a good thing. That's why Dr. Michelle Slezewski and Dr. Paul Engibous and our staff hand out cool toothbrushes or stickers to children after their appointment. A fun-colored toothbrush with a suction bottom is a good incentive to come back for another cleaning.

4. Timing is everything. Don’t take your child to the dentist an hour before the daily nap. Make the appointment with your child’s schedule in mind. This increases the chances of success.

5. A few days before the scheduled appointment, start reading your toddler bedtimes stories about what happens at the dentist. Dora the Explorer’s Show Me Your Smile, written by Christine Ricci, is a popular dental story that your child might relate to.

Five Things You Should Never Do With Your Toothbrush

November 4th, 2014

When’s the last time you gave your toothbrush any serious thought? Sure, you use it every day (and ideally twice), and you know that with a dollop of toothpaste it waxes up your pearly whites nicely, not to mention preventing bacteria, plaque, and inflammation.

But what are the things you should never do with your toothbrush? Here’s a brush-up on five toothbrush no-nos, from Pediatric Dental Associates.

1. If you have your toothbrush too close to the toilet, you’re brushing your teeth with what’s in your toilet. In other words, keep your toothbrush stored as far from the toilet as possible.

2. The average toothbrush harbors ten million microbes. Many families keep their toothbrushes jammed together in a cup holder on the bathroom sink, but this can lead to cross-contamination. Family members’ toothbrushes should be kept an inch apart. Don’t worry; they won’t take it personally.

3. Don’t delay replacing your toothbrush. It’s best to purchase a new one every three to four months, but by all means get one sooner if the bristles are broken down because of your frequent and vigorous brushing. If you have a cold or the flu, replace your toothbrush after you recover.

4. Store your toothbrush out of the reach of toddlers. The last thing you want is for your toothbrush to be chewed like a pacifier, dipped in toilet water, or used to probe the dusty heating ducts.

5. Sharing is caring, right? Your parents probably taught you the importance of sharing back when you were, well, dipping their improperly stored toothbrushes in toilet water. But here’s the thing: As important as sharing is, there are some things you just don’t share, and your toothbrush is one of them.

The Intriguing History of Halloween

October 28th, 2014

Halloween is fast approaching, and Dr. Michelle Slezewski and Dr. Paul Engibous wanted to be sure to wish our patients a happy day, no matter how you might celebrate this holiday. The Halloween that is familiar to most people today bears little resemblance to the original Halloween; back in the "old days" it wasn't even called Halloween!

Festival of the Dead

Halloween started out as a Celtic festival of the dead that honored departed loved ones and signified a change in the cycle of the seasons. The Celtic people viewed Halloween, then called "Samhain," as a very special day – almost like our New Years day in fact, as their new calendar year began on November 1st. Samhain was the last day of autumn, so it was the time to harvest the last of the season's crops, store food away for winter, and situate livestock comfortably for the upcoming cold weather. The Celts believed that during this day, the last day of winter, the veil between this world and the spirit world is the thinnest, and that the living could communicate with departed loved ones most effectively on Samhain due to this.

Modern Halloween

Halloween as we know it today started because Christian missionaries were working to convert the Celtic people to Christianity. The Celts believed in religious concepts that were not supported by the Christian church, and these practices, which stemmed from Druidism, were perceived by the Christian church as being "devil worship" and dangerous.

When Pope Gregory the First instructed his missionaries to work at converting the Pagan people, he told them to try to incorporate some of the Pagan practices into Christian practices in a limited way. This meant that November 1st became "All Saints Day," which allowed Pagan people to still celebrate a beloved holiday without violating Christian beliefs.

Today, Halloween has evolved into a day devoted purely to fun, candy, and kids. What a change from its origins! We encourage all of our patients to have fun during the holiday, but be safe with the treats. Consider giving apples or fruit roll-ups to the kids instead of candy that is potentially damaging to the teeth and gums.

Remind kids to limit their candy and brush after eating it! Sweets can cause major tooth decay and aggrivate gum disease, so to avoid extra visits to our Anchorage, AK office, make your Halloween a safe one!

Aging and Dental Health

October 21st, 2014

As you grow older, your mind may be preoccupied with the health of your bones, heart, or brain. However, our team at Pediatric Dental Associates will tell you that keeping your teeth healthy is an equally important part of the aging process. Older adults are at increased risk for a variety of oral health conditions, which makes it essential for you to speak with your dentist to create a prevention plan that’s best for you.

Oral health conditions associated with aging

Just as the rest of your body continues to change as you age, your mouth changes, too. Certain conditions become more likely to develop as you reach older adulthood, including:

  • Dry mouth. Although your salivary glands continue to produce saliva as you get older, medications and chronic health problems often cause dry mouth.
  • Root decay. Your teeth have lasted you a lifetime, but improper nutrition or cleaning may lead to decay at the roots of your teeth.
  • Diminished sense of taste. Your eyesight and hearing aren’t the only senses affected by aging. The ability to taste naturally diminishes over the course of older adulthood.
  • Tissue inflammation. Are your gums tender, bleeding, or inflamed? Tissue inflammation may indicate gum disease or may be a consequence of wearing dentures that don’t fit well.
  • Oral cancer. Risk for most cancers increases with age, and oral cancer is no exception. Older adults are at increased risk for oral cancer compared to younger individuals.

Ways you can prevent dental problems

Fortunately, many age-related oral health problems are preventable. Begin by improving your diet to include plenty of fruits and vegetables. Choosing water over coffee or soda will keep your teeth whiter and cavity-free. Also remember to practice good brushing habits to prevent cavities and gum disease.

Visiting the dentist at least twice a year is vitally important when you reach older adulthood. Your dentist is familiar with your oral health and may be the first person to notice a sore, discolored patch, inflammation, or other abnormality that indicates oral cancer or gum disease.

If you’re experiencing any problems with dental health, let your dentist know immediately. Together, you can troubleshoot solutions and create a plan that keeps your mouth and gums healthy.

For more information, or to schedule an appointment with Dr. Michelle Slezewski and Dr. Paul Engibous, please give us a call at our convenient Anchorage, AK office!

What causes tooth loss?

October 14th, 2014

When children lose baby teeth, it’s a time to rejoice. But when adults suffer from tooth loss, it may be a sign of a serious problem. That’s when it’s time to give us a call at Pediatric Dental Associates.

What are the reasons for missing teeth?

The loss of permanent teeth can occur for a variety of reasons, ranging anywhere from hereditary factors to tooth decay to traumatic injury. Here are the following reasons why adults suffer tooth loss:

  • Gum disease: The number one cause of lost teeth in adults is gum disease, also known as periodontal disease, an infection of the structures that support the teeth. Once gum disease reaches and destroys the alveolar bone, the teeth begin to loosen and will eventually fall out or need to be extracted.
  • Tooth decay: If cavities are left untreated, they can destroy tooth structure as well as cause infection in the supporting bone.
  • Tooth injury: An injury can either knock out a tooth immediately or cause damage to the root or pulp that will later require extraction. We recommend using a mouthguard if you play sports.
  • Tooth fracture: A fracture in a tooth is often caused by teeth grinding, or what Dr. Michelle Slezewski and Dr. Paul Engibous and our team call bruxism. A crown may be the answer, but depending on the location of the crack or fracture and how deeply it extends, the tooth may not respond well to repair with a crown and may need to be extracted instead.

What are the risk factors for tooth loss?

  • Poor oral hygiene: Patients who only occasionally brush or floss their teeth are more likely to develop tartar, plaque buildup, and other bacteria that cause decay.
  • Not visiting the dentist: Seeing Dr. Michelle Slezewski and Dr. Paul Engibous every six months for a cleaning and checkup prevents any developing oral health issues, as well as ensures that plaque and tartar do not build up over time.
  • Smoking: Smokers and users of smokeless tobacco are more likely to develop periodontal disease that can cause tooth loss. If you are a smoker it is crucial to visit us on a timely schedule.
  • Various health conditions: Patients with high blood pressure, diabetes, rheumatoid arthritis, and other chronic health issues are more likely to suffer from gum disease.

Scheduling an appointment with Dr. Michelle Slezewski and Dr. Paul Engibous at our Anchorage, AK office will give you an accurate diagnosis and a variety of treatment options. It’s important to know that periodontal disease is “silent,” meaning you will not always experience pain as a signal of infection. When caught early, treatments are usually successful.

Give us a call today to schedule your next visit!

What's on your fall reading list?

October 7th, 2014

How better to spend the fall months than inside by the fireplace with a warm cup of cider and a book in hand? Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates encourage you to warm up your mind this fall season with a few great books. Sure it may be easy to put off reading when balancing a hectic schedule, but reading is vital to brain development. Besides, reading is always a blast!

This week, we thought we’d ask what you or your child are reading this fall. Do you have any suggestions for must-read books this year? Out of ideas for great fall reads? Ask us for suggestions, and we would be happy to provide a few. You may also ask a local librarian here in Anchorage, AK for some ideas.

Happy reading! Be sure to share with us your fall picks or your all-time favorites below or on our Facebook page!

The Importance of Oral Cancer Screenings

September 30th, 2014

In our continuing efforts to provide the most advanced technology and highest quality care available to our patients at Pediatric Dental Associates, we proudly screen our patients for oral cancer. The fact is, every hour of every day in North America, someone dies of oral cancer, which is the sixth most common diagnosed form of the disease. The five-year survival rate is only 50 percent, and oral cancer is one of the few cancers whose survival rate has not improved.

Oral cancer can occur on the lips, gums, tongue, inside lining of the cheeks, roof of the mouth, and the floor of the mouth. Symptoms of oral cancer may include a sore in the throat or mouth that bleeds easily and does not heal, a red or white patch that persists, a lump or thickening, ear pain, a neck mass, or coughing up blood. Difficulties in chewing, swallowing, or moving the tongue or jaws are often late symptoms. While there is no way to predict exactly which individuals will get oral cancer, there are some potential causes we want you to know about. In some cases, it is possible to minimize these risk factors.

  • Age (most patients diagnosed with oral cancer are over the age of 40)
  • Tobacco use, either from cigarettes or smokeless chewing tobacco
  • Excessive alcohol consumption
  • Persistent viral infections, such as HPV16
  • A diet lacking or low in fruits and vegetables

Finding out you have oral cancer can be devastating news. If you are concerned that you might be at risk for developing oral cancer, talk to us about screenings and other things you can do to reduce your risk. Through a routine visual inspection, Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates can often detect premalignant abnormalities and cancer at an early stage, when treatment is both less expensive and more successful, and can potentially save your life. Ask Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates about a screening at your next appointment!

Pacifiers and Your Child's Oral Health

September 23rd, 2014

Children are born with a natural sucking reflex. In fact, sonogram images from the womb often reveal an unborn baby practicing by sucking on his or her fingers or thumb. Not only does sucking aid in your baby’s ability to acquire food and nutrients, but it is also a security and possible analgesic outside of meal times.

Though it is both normal and beneficial for parents to soothe their children with pacifiers during infancy, long-term use could interfere with oral health and development. Most children will stop using a pacifier on their own. However, the American Academy of Pediatric Dentistry recommends halting pacifier use after age three. Prolonged thumb sucking or pacifier use after this time can cause the upper front teeth to begin to lean outward. It can also cause new teeth to erupt crookedly, and it can negatively affect jaw alignment.

If your child is not showing signs of self-weaning by age two, you may begin the process by limiting pacifier usage to specific times, such as nap time or when getting vaccinations. Offer an alternative security item, such as a blanket, and be sure to praise your child when he or she chooses the blanket over the pacifier.

Tips

  • Never under any circumstances should you dip your baby’s pacifier in something sweet. Though it is a tempting way of encouraging your child to take a pacifier when crying, it can also lead to early childhood tooth decay.
  • If your child has not discontinued pacifier use by age three, talk with Dr. Michelle Slezewski and Dr. Paul Engibous about behavioral modifications or appliances that can help your child wean.
  • Never use negative reinforcement to discourage pacifier use. Punishment for pacifier use is not effective for changing your child’s habits.

If you have any questions or concerns about your child’s pacifier usage or which types of pacifiers are best for your child’s oral health, please give our team at Pediatric Dental Associates a call at our convenient Anchorage, AK office!

How to Make Brushing Fun

September 16th, 2014

Let’s call it the cranky phase. Let’s call it the “Mom, I don’t want to” stage. When kids are little, getting them to brush can be a challenge. They bite the toothbrush and eat the toothpaste. They make faces in the bathroom mirror, brush for two seconds, and run away. When it’s time to brush, some kids even resort to kicking and screaming, which makes the bedtime chore a lot like, well, pulling teeth.

As a parent, you know the importance of good oral hygiene, so when the dreaded “brushing hour” arrives, if you want to prevent your child from turning into an angry pumpkin, you better have a few tricks up your sleeve to make brushing fun.

Game time

Kids love games, so it’s time to get creative and turn tooth brushing into game time. Whether you’re playing a hide and seek, peek-a-boo game with your child as he or she brushes, or singing the ABC’s as your child brushes for two minutes, Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates recommend turning the process into play. Games are based on a reward system, right? If your child does a good job, put a sticker on the calendar. Tell your son or daughter that five stickers will earn a treat at the end of the week.

Fun accessories

A toothbrush that lights up and blinks when you turn it on is more fun than a traditional toothbrush from the dentist’s office. The same is true of a toothbrush that’s shaped like your child’s favorite animal or features a cartoon character. A fun accessory like a Smurfs or Angry Birds toothbrush might make all the difference. A timer is another fun accessory. Give your child the special responsibility of setting it for two minutes before brushing.

The Great Toothpaste Experiment

Kids can be notoriously picky eaters, so it stands to reason that they would be picky about their toothpaste flavors too. Little Johnny might like strawberry, whereas Suzie prefers mango. Spend a night experimenting with different flavors (yes, it’s another game). Say something like, “It’s just like sampling different flavors of ice cream, right kids?”

Eventually, your child will develop the healthy habit of brushing on a regular basis, and think nothing of the time it takes to clean his or her teeth. Just remember to make it fun, and it can be a great experience for you both!

To learn more about making brushing fun for your little one, or to schedule an appointment with Dr. Michelle Slezewski and Dr. Paul Engibous, please give us a call at our convenient Anchorage, AK office!

How do I know when I have a cavity?

September 9th, 2014

Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates frequently field questions about cavities and what causes them. Patients will typically ask, “I brush twice a day and floss regularly, as well as rinse with hydrogen peroxide, so a cavity is unlikely, right?”

Not quite.

When cavities, also known as caries, are in their initial stages, people often will feel no symptoms, and they won’t experience any pain or discomfort. It’s not until the tooth decay has reached a certain level that patients begin to notice the signs. If you are experiencing any of the following symptoms, you may want to consider scheduling an appointment with Dr. Michelle Slezewski and Dr. Paul Engibous as soon as possible:

  • Dull or sharp toothache
  • Tooth sensitivity or mild to sharp pain when eating or drinking something sweet, hot, or cold
  • Persistent bad breath or a bad taste in the mouth
  • The presence of a sticky, tarry feeling when biting down
  • Puss or discharge around a tooth, especially when pressing on your gums
  • Visible holes or discoloration in your teeth (usually black or brown)

Cavities can happen at any time, to anyone, no matter how old you are. Routine dental care is important to prevent cavities or the onset of tooth decay, so it is important to visit Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates for regular cleanings. If you are overdue for a checkup or think you may have a cavity, please give us a call at Anchorage, AK office to schedule an appointment.

September is National Gum Care Month!

September 2nd, 2014

Can you believe it's already September? At Pediatric Dental Associates, we know that gingivitis, the early stage of periodontal disease, can be difficult to recognize. Many people don’t recognize the warning signs, bleeding and swollen gums, as a precursor to gum disease. This month, a national campaign is under way to raise awareness about gum health and periodontal disease, and we wanted to help do our part to spread the word!

Dr. Michelle Slezewski and Dr. Paul Engibous will tell you early recognition and action are the most important steps to health gums, and ultimately a health body, too! Studies are published every year linking oral health, including the gums, to the health of other areas of the body, such as your heart. One of the most important steps to improving the care of your gums is recognizing the warning signs for gum disease. These can include:

  • Gums that appear red or swollen
  • Gums that feel tender
  • Gums that bleed easily (during brushing or flossing)
  • Gums that recede or pull away from the teeth
  • Persistent halitosis, or bad breath
  • Loose teeth
  • Any change in the way teeth come together in the biting position

If you happen to notice any of these signs with you or your child, please schedule an appointment at our convenient Anchorage, AK office as soon as possible. Dr. Michelle Slezewski and Dr. Paul Engibous and our team can take proactive steps to prevent gingivitis and gum disease, while showing you how to improve gum care in your or your child’s daily oral hygiene habits.

Happy Labor Day!

August 26th, 2014

Labor Day is upon us, and that means the non-official end to summer. Before the kids head back to school and temperatures start to cool down, this is your last chance to barbeque in the beautiful Anchorage, AK community, head to the lake, and wear your favorite pair of white pants.

About Labor Day

Each year, Labor Day is celebrated on the first Monday of September. It is the one day of year Americans celebrate their achievements in work, which the US Department of Labor says has contributed to prosperity and well-being of America as a whole. Americans have been celebrating Labor Day since the 1880s, and today it is an official federal holiday.

Interesting Facts About Labor Day

  • Every year, more than 30 million Americans travel over Labor Day weekend.
  • Canada was the first to celebrate Labor Day, and the US soon followed.
  • President Cleveland made Labor Day and official US holiday in 1894.
  • Labor Day marks the beginning of the NFL and NCAA sports seasons for fans.
  • Labor Day marks the end of hot dog season, when Americans consume seven billion hot dogs.

Thanks for being a valued patient of our dental office. Our staff would like to wish you a safe and happy Labor Day weekend. Enjoy your time off!

Use Pediatric Dentists to Treat Children

August 19th, 2014

There are many different types of dental specialties out there, so how do you know when you should see a general dentist (your regular dentist), and when you should seek the help of a dentist with specialized training? This article covers the basic differences between a pediatric dentist and a family or general dentist, and why it may be beneficial to find a specialized doctor to work with your children’s teeth.

What is a pediatric dentist?

All dentists, regardless of which specialty they practice, attend a four-year dental school for either a Doctor of Dental Surgery (DDS) or a Doctor of Dental Medicine (DMD) degree. Once they have completed the initial degree program, some dentists choose to proceed to additional training in an area of dental specialty. Pediatric dentistry is one of those specialties.

A pediatric dentist will study the development of teeth from infancy through the teen years. Babies, toddlers, school-age children, and teenagers experience different growth phases and have different needs for their oral health care from adults. A dentist with post-graduate training in this specialty can often provide a more comprehensive approach to treatment to meet those needs.

Specialized Needs Pediatric Dentists Can Address

Starting with the first teeth that grow in your child’s mouth (usually around six months of age), you need to begin caring for your child’s teeth. However, it’s not as simple as just doing the same things you do for your adult teeth, because children have specific needs and may have concerns and issues that you do not face for your oral health care as an adult.

There are several concerns unique to younger dental patients. Beginning with babies, parents need to be aware of the specific oral care required for children. For example, babies who drink from bottles can develop baby bottle tooth decay if parents do not properly clean their teeth. Young children may develop a habit of sucking their thumb, which can contribute to poor oral hygiene. Children who have trouble with teeth grinding may need specialized care. And children have specific dietary needs that serve their need to develop strong teeth and gums.

All these concerns can be addressed by a pediatric dentist with specialized knowledge of childhood oral health and teeth development. General dentists often know some of this information, but without the specialized training they may not be able to provide the care that is geared toward the needs of your children. In addition, pediatric dentists will often have a practice that is built entirely with children in mind, with décor, staff, and other elements that can help put children at ease when it’s time to visit the dentist.

If you have young children, consider our pediatric dentistry office. At Pediatric Dental Associates, our specialized care for young patients features a caregiver with the knowledge and training to provide your children with the best possible care.

My son is turning one. When should I bring him in for a visit?

August 12th, 2014

Dr. Paul Engibous and our team know that cavities know no age boundaries, and that is why we recommend a visit to our Anchorage, AK office by a child’s first birthday. That also happens to be the opinion of our friends at the American Academy of Pediatrics, as well as the American Dental Association.

Research has shown that more than one in four kids has had at least one cavity by the time they’re four years old. In fact, many children get cavities as early as age two, which is a critical reason why you should pay us a visit sooner rather than later. Your child’s appointment at Pediatric Dental Associates also covers topics such as the importance of baby teeth, nutrition, development, and any concerns you may have with your child’s dental health. We believe that your child’s first visit with Dr. Paul Engibous should be an enjoyable and positive one, and we strive to teach good oral care that will enable your child to have a beautiful smile that lasts a lifetime.

To learn more about baby teeth, or to schedule your child’s next visit with Dr. Paul Engibous, please give us a call today! We look forward to seeing you!

What is a pediatric dentist?

August 5th, 2014

Our team at Pediatric Dental Associates hears this question a lot. According to our friends at the American Academy of Pediatric Dentistry (AAPD), pediatric dentistry is “an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral healthcare for infants and children through adolescence, including those with special healthcare needs.”

Pediatric dentists, such as Dr. Paul Engibous, are dedicated to the oral health of our young patients from infancy through their teen years. Our team at Pediatric Dental Associates has the experience and qualifications to care for your child’s teeth, gums, and mouth throughout his or her various stages of childhood.

Pediatric dentists complete at least four years of dental school, including an additional two additional years of residency training in dentistry for infants, children, teens, and children with special needs.

At Pediatric Dental Associates, we know children are not born with a fear of the dentist, but they can fear the unknown. And that is why Dr. Paul Engibous and our team know how to examine and treat children in ways that make them relaxed and comfortable.

To learn more about pediatric dentistry, or to schedule your child's next visit at our Anchorage, AK office, please give us a call today!

How to Care for a Teething Baby

July 29th, 2014

After hours of juggling a wailing baby, you’re probably desperate to address teething pain. If your baby is irritable, drooling, and chewing on hard objects, he or she is likely teething. Although some discomfort while your baby is teething is inevitable, learning a few basic approaches can ease painful gums and soothe your frazzled nerves.

  • Offer your finger. Simply chewing on your nice, plump finger may be enough to ease your little one’s pain. Make sure you clean your finger before placing it in your baby’s mouth.
  • Use a teething ring. A firm rubber teething ring allows your child to gnaw, and alleviates pain. If your baby seems to like sucking on a bottle, replace the milk or formula with water during teething periods. This reduces sugar intake and decreases the risk of tooth decay.
  • Cool it down. Stick a clean, moist washcloth in the freezer (place it on a tray for cleanliness) and offer that to your baby. The cooler temperature of the chilled cloth eases the pain of teeth erupting through the gums. Soaking the washcloth in non-caffeinated tea, such as chamomile, may reduce inflammation associated with teething.
  • Grab some hard foods. Certain foods allow your kiddo to gnaw, and can ease teething pain. For example, frozen bananas, large chunks of chilled carrots, an apple, or frozen bagels make good teething pain relievers. If you’re offering your child solid food, watch carefully to ensure that your infant doesn’t bite off a piece and choke.
  • Try a natural remedy. Years of grandmotherly wisdom suggest that home remedies might help with teething. Try rubbing clove oil, peeled ginger root, or vanilla extract onto your child’s gums. Although there isn’t scientific evidence to prove these remedies are effective, they may help your little one through the painful teething process. Just remember to test the method out on your own gums first to ensure any tingling or numbing is bearable for your child.
  • Use medications. If your baby seems to be especially uncomfortable, over-the-counter medications may be appropriate. Giving an age-appropriate dose of acetaminophen (Tylenol) or ibuprofen (Advil) may reduce discomfort. Make sure you check with your child’s pediatrician or our office first to ensure the medication is safe.

If nothing seems to be helping your child’s teething pain, you can always schedule an appointment with Dr. Paul Engibous. Our team at Pediatric Dental Associates understands the unique health needs of your little one, and are more than happy to help ensure he or she grows up with a beautiful smile.

For more information about teething, or to schedule an appointment with Dr. Paul Engibous, please give us a call at our convenient Anchorage, AK office today!

Pediatric Dentistry Q&A

July 22nd, 2014

Today, Dr. Paul Engibous and our team at Pediatric Dental Associates thought we would answer some of the most frequent questions about pediatric dentistry and oral health we hear from parents.

What constitutes a “healthy, balanced diet” for my child?

A healthy, balanced diet contains all the nutrients your child needs to grow, including one serving each of fruits and vegetables, breads and cereals, milk and dairy products, and meat, fish and eggs per day. Make sure your child limits snacking in between meals and limits how frequently they consume food or beverages that contain sugar, which is known to cause tooth decay. Besides pastries, cookies, and candy, sugars are usually found in processed foods such as crackers, cereals, and soda, as well as in condiments like ketchup.

Should my kid give up all foods that contain sugar?

Absolutely not, we simply recommend choosing and serving sugars sparingly. A food with sugar is safer for teeth if it is eaten with a meal, not as a snack. When your child chews during his or her meal, the saliva produced helps neutralize the acids that are found in sugary and starchy foods. Foods that are not easily washed away from your child’s teeth by saliva, water, or milk have more cavity-causing potential.

What causes cavities?

Many types of bacteria live in our mouths—some good, some bad. When these bacteria come into contact with sugary foods left behind on your child’s teeth after eating, acids are produced. These acids then attack the enamel, and eventually eat through the enamel and create holes in the teeth, which Dr. Paul Engibous and our team call cavities, or caries.

How can I help my child avoid cavities?

This is a great question that we hear a lot. Make sure that your child brushes his teeth twice a day with fluoride toothpaste. Flossing daily is also important, as flossing can reach spots between the teeth that brushing simply can’t. And finally, we encourage you to schedule regular appointments with Dr. Paul Engibous at our Anchorage, AK office so that we can check the state of your child’s teeth and gums, as well as provide a professional cleaning to protect him or her from cavities and gum disease.

What is the best way to clean my baby’s teeth?

We recommend you clean your baby’s gums after feedings with a damp, soft washcloth. This is even before your baby’s first tooth appears. As soon as his or her first tooth does appear, you may begin using a toothbrush with soft bristles and a small head. You can most likely find a toothbrush designed for infants at your local drugstore or ask us for one during your next visit.

What should I do if my child has a toothache?

First, we recommend rinsing the irritated area with warm salt water and placing a cold compress on his or her face if it is swollen. If you have any at home, give your child acetaminophen for any pain, rather than placing aspirin on the affected teeth or gums. Finally, give us a call as soon as possible to schedule an appointment with Dr. Paul Engibous.

We hope that helps! Please give us a call if you have any questions or ask us next time you visit our office for your child’s appointment with Dr. Paul Engibous! If you have any other questions, or would like to schedule an appointment, we would love to hear from you.

When should I begin brushing my baby's teeth?

July 15th, 2014

One question our team at Pediatric Dental Associates hear all the time is, “When should I start brushing my baby’s teeth?”

You should begin regular cleanings even before your baby has teeth. After each breast feeding (or bottle-feeding) use a clean, damp washcloth to gently rub your baby’s gum tissue. You may wrap the material around one finger to make it easier to remove any food bits from your baby’s mouth.

When your baby’s first tooth comes in, switch to a baby toothbrush. Look for special baby toothbrushes in your drugstore; they have just a few bristles and are very soft. There are even brushes shaped like finger puppets that fit over the tip of your pointer finger! All you need at this point is water (no toothpaste yet).

After a few more teeth appear, you may start using toothpaste, but you only need a tiny bit, and make sure it doesn’t contain fluoride for the first two years. From the beginning, have your little one practice spitting the toothpaste out after brushing. That way, he or she will already have the good habit of spitting when you switch to fluoride toothpaste, which should never be swallowed.

If you have any questions about caring for your baby’s teeth, or to schedule an appointment at our convenient Anchorage, AK office, please contact Pediatric Dental Associates.

Are you at risk for tooth erosion?

July 8th, 2014

Many people consume carbonated or sugary drinks and acidic foods every day but have no idea those beverages may be harming their teeth, making them vulnerable to tooth erosion. The acid in the foods we eat and drink can cause tooth enamel to wear away, making your teeth sensitive and discolored. Dr. Paul Engibous will tell you that in many cases, what’s important is not what you eat and drink, but rather how you consume it.

What is tooth erosion?

Tooth erosion is the loss of tooth structure caused by the weakening of dental enamel, which is the strongest substance in the human body. Enamel is the thin, outer layer of hard tissue that helps maintain the tooth’s structure and shape. When the enamel is weakened, it exposes the underlying dentin, causing your teeth to appear yellow.

What causes tooth erosion?

Tooth erosion may occur when the acids in the foods and beverages you eat and drink, as well as other factors we will discuss later, weaken the enamel on your teeth. Typically the calcium contained in saliva will help remineralize (strengthen) your teeth after you consume foods or drinks that contain some acid. However, the presence of a lot of acid in your mouth does not allow for remineralization to happen.

Acid can come from many sources, including the following:

  • Drinking carbonated or fruit drinks. All soft drinks (even diet varieties) contain a lot of acid and are capable of dissolving enamel on your teeth. Bacteria thrive on sugar and produce high acid levels that can eat away at enamel.
  • Eating sour foods or candies. All those sour candies may taste great, but these treats can be acidic to your teeth. Sour and fruity candy, such as Starburst and Skittles, are the worst for your teeth since these candies have a low pH value, which is known to ruin enamel.
  • Low saliva volume. Saliva helps prevent decay by neutralizing acids and washing away leftover food in your mouth.
  • Acid reflux disease. Acid reflux, or GERD, brings stomach acids up to the mouth, where the acids can erode enamel.
  • Bulimia or binge drinking. These conditions can cause tooth damage because they frequently expose teeth to stomach acids.
  • Wear and tear. Brushing your teeth too vigorously or grinding your teeth at night can erode enamel.

What are the symptoms of tooth erosion?

Acid wear may lead to serious dental problems. When your tooth enamel erodes, your teeth become more vulnerable to cavities and decay, and you may begin noticing the following symptoms:

  • Severe sensitivity or tooth pain when consuming hot, cold, or sugary foods or drinks
  • Tooth discoloration
  • Rounded teeth
  • Transparent teeth
  • Visible cracks in teeth
  • Cupping, or dents, that show up on the biting or chewing surfaces of the teeth

What you can do to prevent tooth erosion

  • Reduce or eliminate altogether your consumption of carbonated drinks. Instead, sip water, milk, or tea.
  • If you must consume acidic drinks, drink them quickly and be sure to use a straw so that the liquid is pushed to the back of the mouth. Don’t swish them around or hold them in your mouth for a long period of time.
  • Instead of snacking on acidic foods throughout the day, we suggest eating these foods just during meal times in order to minimize the amount of time the acid makes contact with your teeth.
  • After consuming highly acidic food or drinks, rinse with water to neutralize the acids.
  • Chew sugar-free gum to produce more saliva, as this helps your teeth remineralize.
  • Brush with a soft toothbrush and be sure your toothpaste contains fluoride.
  • Dr. Paul Engibous may also recommend daily use of a toothpaste to reduce sensitivity (over-the-counter or prescription strength) or other products to counter the effects of erosion.

It’s important to know that the majority of dental problems, such as tooth erosion, do not become visible or painful until they are advanced. And, unfortunately, serious oral issues are painful and expensive to treat. A deep cleaning twice a year by our team at Pediatric Dental Associates is the best way to hit all the spots you may have missed with brushing and flossing and prevent any issues that may have gone unseen.

Make sure your teeth get the professional attention they deserve! If you are overdue for your next checkup or cleaning, please give us a call to schedule an appointment at our conv

Happy Fourth of July!

July 1st, 2014

Happy Independence Day from Dr. Paul Engibous and team! The Fourth of July celebrations in America may have changed a lot over the years, but there is no doubt that we Americans love to celebrate the anniversary of our country's independence! Today we're devoting the Pediatric Dental Associates blog to some fun facts about the Fourth!

  • My, how we have grown! This year the United States Census Bureau estimates that our country has 313.9 million residents celebrating the Fourth of July this year, but back in 1776 there were just 2.5 million members of the country.
  • Our country loves to show how proud that we are of our independence. Did you know that there are 31 United States places with the word “Liberty” in their names? The state of Iowa actually has four towns with the word Liberty in the name: Libertyville, New Liberty, North Liberty, and West Liberty.
  • The United States loves Fourth of July food! It is expected that around 150 million hot dogs are eaten on the Fourth each year. One of the Fourth's most popular sides, potato salad, goes just perfectly with the hotdogs and hamburgers that are standard Fourth of July fare. Some people choose potato chips instead, but we wouldn't have such a plethora of potatoes if not for the prodigious production of the states of Idaho and Washington -- they provide about half of all the potatoes in the United States today!
  • Americans love celebrating the Fourth outdoors: About 74 million Americans fire up their BBQ grill every Fourth of July.
  • The Chinese contribution: Did you know that Americans have spent more than $211 million on fireworks that were imported from China?

No matter how your family chooses to celebrate the Fourth, stay safe, take precautions, and don't forget to brush after your fabulous Fourth feast!

How Our Office Makes Your Child’s Visit Anxiety-Free

June 24th, 2014

Dr. Paul Engibous and our team at Pediatric Dental Associates specialize in pediatric dentistry, and we understand that children can be frightened of things they do not understand. This anxiety is often heightened by an unpleasant dental experience or stories they hear from classmates. We have many methods at our Anchorage, AK office to make your child’s dental visit pleasant and anxiety-free.

Listening

The first thing Dr. Paul Engibous and our team do is talk to your child, listen to any concerns he or she may have, and take the time to explain the dental work that will be done. Often children will lose their fears by simply understanding what is happening and why. In addition, you are welcome to be in the room with your child during exams and treatments. When a child is able to see that the parent is relaxed, this is more conducive to the child’s relaxation.

Relaxation

When you arrive at Pediatric Dental Associates, let your child to play with the toys we provide. This starts the visit in a positive manner. Taking your child’s mind off the exam is useful. While your child is undergoing an examination or procedure, listening to music or watching a video can support a sense of relaxation. When children understand that we care, their anxiety levels are reduced.

Sedation

Nitrous oxide is a sedation technique commonly used to reduce anxiety and alleviate any pain. It is beneficial partly because the effects wear off quickly. Topical pain relievers can also be useful for children with sensitive teeth, and this will eliminate discomfort.

Deeper sedation is useful for complex dental issues, extreme anxiety, or a fear of needles. A liquid or tablet sedative can be given before your child’s appointment. This type of sedation is also helpful for children with a fear of the masks used for nitrous oxide.

We welcome you and your child to discuss any concerns that you have regarding his or her dental appointment. We want your child to be free from anxiety about visiting Dr. Paul Engibous. The earlier your child’s fears are addressed, the less likely the fear will carry into adulthood.

Diet and Dental Health: What to eat and what to avoid

June 17th, 2014

You are probably aware that guzzling soda and drinking those sugary Starbucks Frappuccinos aren’t particularly good for your dental health. But how much thought do you give to the effects of your diet on your teeth? Practicing healthy eating habits isn’t just helpful for your waistline, it also ensures that your teeth stay strong and cavity-free.

How diet affects dental health

Our team at Pediatric Dental Associates will tell you that your mouth is a complicated place on a microbiological level. Harmful bacteria form dental plaques which convert the sugars in food to acids that wear away at tooth enamel. Meanwhile, saliva washes away some of the detrimental acids, while minerals work to rebuild where teeth are damaged. The foods you eat are important for managing this balancing act between harmful bacteria and helpful rebuilding agents.

Rethinking your diet to prevent cavities

Carefully considering your dietary choices is a smart way to become mindful of the foods you eat and how they affect oral health.

Foods to eat

  • Calcium- and phosphorus-rich foods. We’ve all heard that milk builds strong bones, and your teeth are included in that. Milk, cheese, nuts, and chicken are strong sources of calcium and phosphorus. These minerals are used to repair damage to the teeth’s enamel.
  • Crunchy fruits and vegetables. Biting into an apple stimulates saliva flow, which washes harmful acids from the surface of your teeth. Turn to other crunchy fruits and vegetables, including carrots, celery, pears, and lettuce, to increase saliva production.
  • Sugar substitutes. If you have a sweet tooth but want to decrease tooth decay, sugar substitutes such as Stevia or Equal provide a sugary kick without harming your teeth.

Foods to avoid

  • Sugary snacks. Cookies, cakes, candies, and other sugary treats provide a feast for the acid-producing bacteria in your mouth. Furthermore, these foods often get stuck in the ridges of your teeth, and provide a breeding ground for new bacteria.
  • Acidic fruits and vegetables. Foods high in acidity, such as tomatoes, citrus fruits, berries, peaches, and lemons, wear away the enamel of your teeth. Because these foods can be part of a healthy diet, remember to brush after eating them or swish with a mouth rinse to protect your teeth.

Eating well is an essential part of keeping your teeth healthy. Consult Dr. Paul Engibous about your diet for tips on food habits that keep your teeth strong and cavity-free. For more information about the link between your diet and your oral health, or to schedule an appointment with Dr. Paul Engibous, please give us a call at our convenient Anchorage, AK office!

Canker Sores and Stress

June 10th, 2014

Canker sores are painful lesions that form in the soft tissues of the mouth, usually along the inner lips, under the tongue, and along the cheek walls. They are usually small and round, and take on a white or yellow hue. Though most are generally harmless and tend to heal on their own within a week or two of appearing, canker sores can be very irritating.

Only about one in five people develop canker sores. Of those who do, many develop them recurrently as a result of external factors. Though canker sores have been connected to allergies and hormonal changes, many people who are prone to developing canker sores find that their outbreaks are stress-related.

A combination of emotional stress and fatigue can be a perfect storm for the development of mouth sores. Some people say they are not under stress when canker sores form, but the sores appear several days after a stressful event or situation instead. Managing stress, reducing anxiety, and getting plenty of sleep may help prevent canker sores from forming and ensure that existing ones heal more quickly.

What to do if you develop canker sores

Do not be alarmed if you develop a canker sore. They are not contagious and are not harmful to your health. Over-the-counter oral numbing products can be used to manage pain, as can ice chips. Canker sores may heal faster if you apply milk of magnesia to them daily and avoid spicy foods that could irritate them.

You should contact your doctor if you find that your canker sores are unusually large or persist without healing for several weeks. Our team at Pediatric Dental Associates also recommends seeking out professional treatment if you experience extreme pain or a fever develops in association with a canker sore outbreak.

For more information about canker sores, or to schedule an appointment with Dr. Paul Engibous, please give us a call at our convenient Anchorage, AK office!

Summer Break: An ideal time for wisdom teeth removal

June 3rd, 2014

After your son or daughter departs for college, the last thing you want to get is a call or text to learn he or she is in pain. Dr. Paul Engibous and our team at Pediatric Dental Associates will tell you there aren’t many emergency situations that can be avoided when it comes to dental health, but one crisis that can easily be prevented before your teen heads hundreds of miles away for college is wisdom tooth extraction.

What are wisdom teeth?

Wisdom teeth are the third set of molars that erupt in the late teen years to early 20s. Spacing and crowding problems often cause impaction and infections, which is why many people elect to have their wisdom teeth removed. Wisdom teeth can go from barely noticeable to extremely painful in a very short period of time.

When your teen’s wisdom teeth erupt, they may cause overcrowding of his or her teeth, which can have a negative effect on their alignment. Most people’s mouths do not have enough room for wisdom teeth to erupt fully and remain perfectly aligned. Thus, pain, swelling, infection, damage to adjacent teeth, and decay are often the most common problems associated with wisdom teeth. These problems can brew beneath the surface for weeks or months, offering no warning before painful symptoms hit.

If your child does elect to go through wisdom tooth extraction, we want to inform you that the first few days of recovery consist of careful measures to control bleeding and swelling, an adherence to a special soft diet, as well as a medication routine that must be followed as recommended by Dr. Paul Engibous after surgery.

Dr. Paul Engibous and our team are dedicated to providing exceptional service before, during, and after your wisdom tooth procedure, so you can have peace of mind knowing that your child’s oral health is in good hands. We will do everything we can to minimize discomfort and help your child heal safely and quickly.

Summer break is the perfect time to remove wisdom teeth so that your child can avoid the stressful scenario of experiencing this medical emergency far away from home. If you have any questions on wisdom teeth removal or to schedule an initial consultation with Dr. Paul Engibous, give us a call today!

Healthy Diet for Adolescents

May 27th, 2014

Adolescence is a critical period for oral hygiene. By the teenage years, kids will have lost all their baby teeth and replaced them with permanent teeth. Furthermore, many oral hygiene habits solidified in adolescence carry through to adulthood. Teaching adolescents to follow a healthy diet not only benefits their physical fitness but helps them maintain strong teeth and healthy gums.

Fruits and vegetables

Parents know that eating broccoli is important, but were you aware that it can keep teeth and gums healthy, too? Dr. Paul Engibous and our team at Pediatric Dental Associates will tell you that eating plenty of crunchy fruits and vegetables, such as broccoli, carrots, celery, apples, and pears, increases your saliva production. Saliva works to brush away bad bacteria that produce dangerous acids that wear away tooth enamel.

It’s also important to avoid acidic foods, which can exacerbate cavities and other dental problems. Although oranges, tomatoes, grapefruit, lemons, and berries are healthy, they can also wear away the enamel of your teeth. To be safe, it’s important to brush after each meal or swish with mouthwash to remove excess acid from your mouth.

Sugar-free foods

Many candies and treats are chock-full of sugar, making them dangerous for your child’s dental health. If you have a sweet tooth, fear not: you don’t have to give up the sweet stuff entirely. Whenever possible, opt for sugar-free substitutes rather than regular sugar. For example, chewing sugar-free gum or drinking sugar-free beverages is better for teeth. These sugar substitute molecules don’t wear away enamel, which makes them safer for dental health.

Watch the beverages

Most adolescents have been told that soda will rot your teeth, but you may not realize that other beverages can be just as sugary. Many fruit juices, even those that boast 100% fruit, contain dozens of grams of sugar per serving. Similarly, popular energy drinks pack a sugary punch. When possible, drink water or milk. If your child is craving a hot beverage, turn to tea over hot chocolate or a sugary latte.

Dairy products

Teeth are like any other bones; they rely on calcium and other minerals to stay strong. To help build strong teeth, have your child drink milk or eat other dairy products to get his or her daily calcium. Yogurt, cottage cheese, and cheese are good options as well. If your child can’t tolerate dairy, consider calcium-fortified soy milk or orange juice to provide that daily dose of vitamins and minerals.

For more information on this topic, or to schedule an appointment with Dr. Paul Engibous, please give us a call at our convenient Anchorage, AK office!

Memorial Day

May 20th, 2014

Memorial Day is not only a federal holiday in the United States, but it is a day of observance and remembrance of those who died in service. Originally known as Decoration Day, this solemn day has been marked on calendars since the end of the American Civil War as a day to commemorate both the Confederate and Union soldiers who fought and died in the war.

Marking the graves of fallen soldiers with flowers, wreaths, or other tokens has been practiced throughout history, but it wasn't until the mark of the end of the Civil War that a special day was decided upon as the one to spend in remembrance. By 1890, every state in the country was observing Decoration Day. It wasn't until 1967 when the name formally changed from Decoration Day to Memorial Day, in order to encompass all fallen American soldiers in all wars and conflicts. In June of 1968, Congress moved the official date of Memorial Day to the last Monday in May in order to create a three day weekend.

Today, while there is certainly an air of remembrance on Memorial Day, it has become more a day of spending time with family, friends, and other loved ones. This day is also heralded as the start of summer, with many schools finishing for the year around this time. Our team at Pediatric Dental Associates remembers it as a day to take solace and remembered those lost.

Traditional observances of Memorial Day are still held, and they often involve raising the American Flag then lowering it to a half-staff position until noon, and then raising it once again to its full height afterwards. The flag is lowered to remember those who've lost their lives while in service to their country, and then it is raised to signify our willingness to not let their sacrifice be in vain.

From community parades in the Anchorage, AK area, backyard cook-outs, and fireworks to formal ceremonies, Memorial Day is commemorated in many different ways. No matter how you choose to spend this day, take a moment to remember those who've lost their lives in an effort to preserve our freedom.

Wisdom Teeth Emergencies: Causes and treatment

May 13th, 2014

When you think of a dental emergency, you may picture teeth that have fallen out or severe tooth pain. But it is not uncommon for wisdom teeth to develop conditions or problems that require urgent care from Dr. Paul Engibous and our team at Pediatric Dental Associates. Wisdom teeth are the third set of molars that erupt in the late teen years to early 20s. Spacing and crowding problems often cause impaction and infections, which is why many people elect to have their wisdom teeth removed. If you are experiencing discomfort or pain related to your wisdom teeth, call our office to schedule a wisdom teeth consultation.

Perisoronitis and Infections

You may develop perisoronitis if you have a partially-erupted wisdom tooth that has become inflamed. Often, inflammation is caused by food lodged beneath the gum. Here at Pediatric Dental Associates, we can gently search for and remove food debris, as well as clean the affected area and treat it with antibiotics. Do not avoid treatment, however, as untreated perisoronitis can lead to infection, which ultimately places your health at risk.

Crowding and Impaction

When your wisdom teeth erupt, they may cause overcrowding of your teeth, which can have a negative effect on their alignment. This can make it harder for you to clean your teeth properly, and it also increases the chances for developing tooth decay and other oral health problems in the future. For some people, the wisdom teeth never erupt, becoming impacted beneath the gum and causing problems with the neighboring teeth.

If you have an impaction or wisdom tooth crowding, make an appointment with our office soon. We will be happy to evaluate the progress of your wisdom teeth, as well as their effect on the rest of your jaw. Depending on our analysis, we will then discuss your options for treatment and whether extraction might be right for you.

Complications from Wisdom Tooth Extraction

If you have recently had your wisdom teeth extracted, blood clots will have formed in the open sockets the teeth previously occupied. In most cases, the gums heal normally, assuming you follow post-surgical care instructions. However, a small percentage of wisdom tooth extractions do not heal according to plan. If you continue to experience pain or other unusual symptoms following a wisdom tooth extraction, please give us a call. We’ll do everything we can to minimize discomfort and help you heal safely and quickly.

Remember, our team is here to support your dental health in every capacity. We are dedicated to providing excellent service before, during, and after all wisdom tooth procedures, so you can rest assured that your oral health is in good hands.

Wishing all our moms a happy Mother’s Day!

May 6th, 2014

"Motherhood: All love begins and ends there." - Robert Browning

We would like to take this moment to thank all the great moms out there for being so great during their child’s visits to Pediatric Dental Associates. Whether it’s driving their kids to regularly scheduled appointments or for “being there” while their child is treatment, the moms who come to our office are all stellar individuals, so Dr. Paul Engibous and our entire staff would like you to know that we appreciate you all!

Happy Mother’s Day and enjoy your special day!

Three Valuable Dental Treatments

April 29th, 2014

In our office, we customize treatment for every patient. Amid all of the fillings, crowns, and veneers, we find there are three treatments that are most valuable when offering our patients options: dental implants, bite guards, and teeth whitening.

Dental implants are a great tool for those who have lost teeth from trauma, genetic predetermination, decay, or fracture. Technology and design have allowed these implants to look and function like a natural tooth. They are a great investment when maintaining bone structure and smile presentation.

In our fast-paced lives, people take their stress and tension out on their teeth. Clenching and grinding, or bruxism, is on the rise. This is traumatic to crowns, fillings, and natural teeth. Headaches are a symptom of bruxism and when not treated, jaw joint inflammation and pain are a result. Bite guards are often worn at night when most of the action occurs. Many are not even aware of this habit until presented with evidence of cracked teeth, broken crowns, and pain.

Last, but most definitely not least, is whitening. Tooth whitening is safe and effective. There are different types of tooth whitening: in-office, custom trays, and over-the-counter strips. Each is effective, though at different levels. First, and your best option, is done in the office. The gums are protected and a gel with high potency is applied to the teeth. Some methods have a light shining on teeth and some have timed intervals without the light. Next are custom trays, which require an impression of your bite. Trays are picked up at a later date. At that point, instructions are given and the gel and trays are delivered. A final option is whitening strips, which can be found in many local stores. They are effective, though the whitening process is slower and some areas may not whiten.

Each treatment has risks and rewards that should always be considered prior to any treatment. Implants must be well cared for. Bite guards must be an accurate fit and worn regularly. Comfort is most important. Whitening causes temporary sensitivity and some people’s teeth whiten better than others.

Consider what your needs are, and then customize your wants to fit into the equation. A little stability from implants, protection from a bite guard, and a brilliant smile may be just what the doctor ordered. And if you have any questions, don’t hesitate to call our office, Pediatric Dental Associates.

Earth Day

April 22nd, 2014

The idea for Earth Day was the brainchild of Gaylord Nelson, a senator from Wisconsin. He envisioned an Earth Day that would be a kind of environmental teach-in. The first Earth Day celebration took place on April 22, 1970, and a surprising 20 million people participated on that day. Ultimately, it became the largest organized celebration in US history.

Earth Day Over the Years

Over the years, the recognition of the day, and the number of people celebrating it all over the world, turned Earth Day into an international celebration. Because it is celebrated throughout the world, it is not only the largest international environmental observation, but it is also more widely celebrated than any other environmental event in the world. Today, Earth Day is celebrated in 175 countries where over 500 million people participate in celebrations.

The Earth Day Movement

The Earth Day movement is credited with developing the idea that people should “think green”. It encouraged congress to enact laws, including one that resulted in the creation of the Environmental Protection Agency. It also inspired the passage of the Endangered Species Act.

The Five R's and Their Importance

  • Reduce – Reduce by avoiding unnecessary purchases. Reduce your use of materials that wind up in landfills. Reduce the use of chemicals around your house. Reduce your use of disposable bags, plates, cups, eating utensils, and batteries.
  • Reuse – Instead of using plastic bags for your groceries or purchases, bring your own reusable bags. When you go to buy coffee at Starbucks, take a travel mug so you don't have to get your coffee in a disposable paper cup. Instead of storing food in disposable refrigerator containers, buy containers that can be washed and reused. Don't use regular batteries. Whenever possible, opt for rechargeable batteries that you can reuse.
  • Recycle – Most cities offer a recycling program to collect used bottles, cans, and newspapers. Recycling includes collecting recyclable materials that would otherwise be considered waste, sorting and processing recyclables into raw materials such as fibers and manufacturing raw materials into new products.
  • Re-buy – Make an effort to purchase things that are made through recycling. When purchasing furniture, look for items that are made from reclaimed wood. When buying paper for kids school work, computer printer paper, holiday cards, or anything else, make a point of purchasing recycled paper products. Instead of buying clothing at full retail price, shop for second hand clothing. You will save a lot of money by doing so!
  • Rethink – Rethink the way you do things so that you do them in an eco-conscious way at all times. Instead of driving to work alone, consider taking the bus or going in a carpool. Walk or ride your bike when you're only going a short distance. Plan your shopping trips and errand runs so that you can do everything on one day, and do it in a way where you can save time and gas.

Other ways to "think green" include growing your own food, composting yard waste and food scraps, or by participating in local recycling programs. Join a group like Freecycle so you can share your unneeded and unwanted possessions with people who can use them. Likewise, you'll be able to get things you need or want for free.

Earth Day teaches people that the planet belongs to everyone, so everyone is equally responsible for protecting it. Although Earth Day is an environmental celebration, our team at Pediatric Dental Associates wants to remind you that you don't have to wait until then to make changes that will allow you and your family to live a greener life.

Happy Earth Day from the team at Pediatric Dental Associates.

Teeth Grinding: Not just a bad habit, but a dental concern

April 15th, 2014

Perhaps you don't even know you grind your teeth. Maybe a spouse or loved one woke you up in the middle of the night and made you aware of what was happening.

For many people, teeth grinding is a habit and a mechanical reflex; when they’re awakened and informed they were grinding their teeth, they have no recollection of it at all. According to the American Dental Association, this is the nightly situation for roughly ten percent of Americans. From young children to the elderly, teeth grinding, known in the dental community as bruxism, is a serious concern.

Many people who grind their teeth in their sleep have no idea they're doing it. In fact, when they wake up in the morning they feel no jaw pain and their teeth are fine: if it hadn’t been for someone telling them about it, the teeth grinding would have gone unnoticed.

There are other people, however, who wake up with jaw pain, shoulder and neck pain, and headaches. Teeth grinding can cause a host of dental complications. From cracked teeth and receding gums to a misaligned jaw, teeth grinding is not something to take lightly.

Preventive measures are the key to combating bruxism, and a visit to Pediatric Dental Associates can set you on the path to a healthy and safe night sleep.

The Reasons for Teeth Grinding

There are many reasons for teeth grinding. For some people, it’s a habit they acquired when they were a child and never grew out of. On the other hand, some research claims that the condition is related to stress, anxiety, or some other type of psychiatric issue.

Still other studies point to everything from poor muscle control or over-eating before bed to gastro-esophageal issues. However, the root cause of the teeth grinding is less important than identifying preventive measures against it.

Common solutions to teeth grinding include:

  • Wearing a protective nightguard
  • Stress management techniques
  • Medications and muscle relaxers

When you make an appointment with Dr. Paul Engibous at our Anchorage, AK office, we will assess your situation and determine what the best course of action is. Teeth grinding is a dental concern that can cause serious health issues down the road, so be sure to take preventive measures today.

They're just baby teeth, right?

April 8th, 2014

“But they are only baby teeth; won’t they just fall out?” Our team at Pediatric Dental Associates has had these questions asked many times from parents over the years. Primary teeth, or “baby teeth,” will indeed come out eventually, to be replaced by permanent teeth as the child grows and develops. These teeth serve a great purpose as the child continues to develop and require specific care.

Because baby teeth are temporary, some parents are unenthusiastic about fixing cavities in them. This may be due to the cost or having to force a child undergo the process—especially having to receive an injection. But if a cavity is diagnosed early enough, an injection can often be avoided. More important, failure to fill cavities in primary teeth when they are small and manageable can have lasting consequences in cost and health concerns. Serious illnesses in children have been diagnosed which began as a cavity.

Primary teeth act as a guide for permanent teeth. When decay reaches the nerve and blood supply of a tooth, this can cause an abscess. Severe pain and swelling may result. At that point, the only treatment options are either to remove the tooth or to perform a procedure similar to a baby root canal. When a primary tooth is lost prematurely—to decay or a painful abscess—the adjacent teeth will often shift and block the eruption of a permanent tooth. Braces or spacers become necessary to avoid crowding or impaction of the permanent tooth.

There is nothing more heartbreaking for Dr. Paul Engibous than to have to treat a child experiencing pain and fear. To all the parents of my little patients our team strongly recommend filling a small cavity and not waiting until it becomes a larger problem such as those described above.

Prevention is the key to a healthy mouth for our smallest patients. Parents should allow the child to brush his or her teeth using a pea-sized amount of fluoride toothpaste and then take a turn to ensure the plaque gets removed from all surfaces: cheek side, tongue side, and chewing edges of all the teeth.

April is Oral Cancer Awareness Month

April 1st, 2014

What is oral cancer?

April is Oral Cancer Awareness Month. If you have been putting off a visit to our Anchorage, AK office, now is an excellent time to schedule one. Regular visits to Pediatric Dental Associates can be the first line of defense against oral cancer, by identifying early warning signs of the disease, or helping you with preventive care tips to lower your chances of developing it.

Oral Cancer Rates in America

Nearly 40,000 people in the U.S. will be diagnosed with oral cancer this year, and more than 8,000 die every year from this disease. It is a devastating illness: most people who are diagnosed with it do not live more than five years beyond their diagnosis. Oral cancer has a higher death rate than many other common cancers, including cervical cancer, testicular cancer, Hodgkin’s lymphoma, and thyroid or skin cancers. The high death rate results from the fact that most oral cancers go undiagnosed until the disease is well advanced and has spread to another part of the body—most often, the lymph nodes in the neck.

What causes oral cancer?

While there is no way to predict exactly which individuals will get oral cancer, there are some potential causes you should know about—because in some cases, you can minimize these risk factors.

  • Age (most patients diagnosed with oral cancer are over the age of 40)
  • Tobacco use, either from cigarettes or smokeless chewing tobacco
  • Excessive alcohol consumption (especially in combination with tobacco use)
  • Persistent viral infections, such as HPV16
  • A diet low in fruits and vegetables

In addition, oral cancer tends to occur at a rate six times greater in men than in women, and more often for African Americans than other ethnic groups. No genetic links have been identified to explain the higher incidence in these populations, so lifestyle choices remain the likeliest cause.

Oral Cancer Treatments

Once a diagnosis has been made, treatment of oral cancer usually involves a multi-disciplinary team that includes surgeons, oncologists, dentists, nutritionists, and rehabilitation and restorative specialists. Our team will decide on the best approach for each patient, depending on the risk factors and how far the cancer has progressed. The strategy will be different in every case. Some of the most common methods include chemotherapy, radiation, and potential surgery.

Finding out you have cancer can be devastating news. If you are concerned that you might be at risk for developing oral cancer, talk to us about screenings and other things you can do to reduce your risk.

How do I avoid bad breath?

March 25th, 2014

At Pediatric Dental Associates, we see a lot of patients who are concerned about their bad breath, also known as halitosis. So today we thought we would educate our patients about what you can do to keep your pearly whites clean and your breath minty fresh!

Naturally, good oral hygiene on your part is the first step. With proper brushing and flossing you can keep halitosis in check. Even though you may have done an excellent job of brushing and flossing your teeth, if you fail to brush your tongue, you may still have bad breath. Bad breath is caused by odor-producing bacteria that grow in your mouth. Certain foods, medications, smoking, sinus issues, or even gum disease can cause bad breath.

Besides proper brushing and flossing, bad breath can be prevented if you:

Stop smoking/chewing tobacco-based products: Ask Dr. Paul Engibous and our team for tips on kicking the habit.

Keep your mouth hydrated: Because a dry mouth typically leads to bad breath, drinking water or eating oranges or celery may help.

Visit our Anchorage, AK office for regular dental checkups: By visiting Pediatric Dental Associates at least twice a year, you will keep bad breath at bay. Dr. Paul Engibous will conduct an oral exam and will be able detect and treat periodontal disease, dry mouth, or other problems that may be the cause of bad mouth odor.

Can children be at risk for developing periodontal disease?

March 18th, 2014

Dr. Paul Engibous and our team hear this question a lot. While many people believe periodontal disease is an adult problem, studies have indicated that periodontal disease, also known as gum disease, as well as other serious infections such as gingivitis and periodontitis, are prevalent among kids and adolescents. First, let’s identify the differences between gingivitis, periodontitis, and periodontal disease.

Gingivitis

Gingivitis is a type of periodontal disease in which only your child’s gums are affected. Characterized by swollen and red gums that bleed easily, gingivitis causes an inflammation of the gums, and is the first stage and mildest form of periodontal disease. The good news is that gingivitis is often reversible. Treatment for gingivitis includes having your child come in for a professional teeth cleaning. It also includes daily brushing, which will help eliminate plaque from the surfaces of your child’s teeth. Your child should also get in the habit of flossing daily to remove plaque and food particles wedged in the crevices between his or her teeth.

Periodontitis

If left untreated, gingivitis can progress to periodontitis, the advanced stage of gum disease that can not only damage your child’s gum tissue, but also destroy the underlying bone which supports the teeth. Eventually, teeth can become loose and may have to be removed. In some cases, the bacteria from the ensuing infection may also be distributed to other areas of the body via the bloodstream.

Periodontal Disease

Periodontal disease is a chronic bacterial infection of the gums, periodontal ligament, and bone that surround and support your child’s teeth. Periodontal disease causes gums to become red, swollen, and tender, and can even cause the gums to recede (pull away) from the teeth. If left untreated, periodontal disease can lead to tooth loss.

Having persistent at-home oral care regimen is a critical step in your child’s fight against periodontal disease. But sometimes brushing and flossing are simply not enough. Having your child’s teeth cleaned twice a year, or as recommended, is crucial.

Early diagnosis of gingivitis, periodontitis, and periodontal disease can give you and your child peace of mind. If you are concerned your child is suffering from gum disease, we recommend that you give us a call at our Anchorage, AK office. We look forward to working with you and giving your child a smile to last a lifetime!

Go Green for St. Patrick’s Day

March 11th, 2014

Millions of people, around Anchorage, AK and beyond, wear green on St. Patrick’s Day so they can show their spirit for the holiday and avoid getting pinched. While it may be easy for you to throw on a green shirt, sport a St. Patrick’s Day button, or wear a pair of emerald-hued shoes, if you’re an avid St. Patty’s Day enthusiast you may want to try something different this year. Dr. Paul Engibous thought of a few ideas that will help you take your holiday spirit to the next level:

Visit Chicago’s Green River

If you happen to be near the Windy City during St. Patrick’s Day or you’re thinking of planning a trip, don’t miss out on going downtown to watch the large-scale celebration that kicks off when the city dyes the river bright green. According to the Chicago Sun-Times, Chicago has been celebrating the holiday with this tradition for more than 50 years, with tens of thousands of people gathering annually to witness the mysterious dying process and the stunning result.

Don Green Face Paint

Just like an avid sports fan on game day, you can use green face paints to showcase your enthusiasm for this holiday. Avoid breakouts or allergic reactions by only using paints that are specifically meant to be applied to the skin. A little bit of face paint can cover a large area, so feel free to get creative and decorate the whole family on St. Patrick’s Day.

Eat Green All Day

Not a fan of green eggs and ham? With the increasing popularity of green smoothies, there’s no better time to get in on this health craze. To create a green smoothie without the aid of food coloring, you can simply blend a generous amount of a leafy green vegetable, such as spinach or kale, with the ingredients that you would typically use to make a smoothie, like fruit, ice, milk, or juice. Keep the trend going throughout the day by using those same vegetables to create a green soup, egg salad, or a batch of bright green pastries. As an added bonus, you’ll get a healthy dose of vitamins without changing the taste of most of these foods.

If your old holiday routine has gotten stale, leave your green T-shirt in the drawer and try one or all of these tips. Don’t be surprised if you have so much fun that you decide to start a new, annual St. Patrick’s Day tradition! Have a happy St. Paddy’s day from Pediatric Dental Associates!

Good Nutrition Leads to Healthy Mouths

March 4th, 2014

At Pediatric Dental Associates, we know the most common oral health diseases are tooth decay and periodontal disease (or gum disease), and both are among the easiest to prevent. One of the most common ways we recommend to boost your oral health is by improving your diet, because you (and your mouth) truly are what you eat. A healthy diet can lead to a healthy mouth and body, while an unhealthy diet can lead to the exact opposite.

The Role Nutrition Plays

While diet is not the only factor that leads to periodontal disease, studies suggest the disease may be more severe among patients whose diets lack essential nutrients. Poor diets will generally lead to a weaker immune system, leaving your body susceptible to all kinds of ailments, including periodontal disease.

A Well-Balanced Approach

There is no “magic” diet that we can recommend to improve your oral health, but the most important thing is to seek a well-balanced approach in your eating. While fad diets that emphasize one food group over another may help you lose weight in the short-term, they probably will not provide all the nutrients your body needs in the long run.

Meals should include a balance of lean meats or other healthy protein sources, colorful fruits and vegetables, whole grains, low-fat dairy, and healthy fats. Foods containing substantial amounts of sugar and salt should be consumed in moderation.

Soda and Sugar: A Dangerous Duo

Millions of gallons of soda are consumed every day in America, but sipping a cold soft drink can be very harmful to your teeth. Many of these beverages wear down the enamel that protects the teeth, which weakens and even destroys them over time. The American Beverage Association estimates that soft drinks account for almost 30 percent of all drink consumption in the U.S., averaging an annual total of about 50 gallons per person (up from only 20 gallons in the 1970s). For healthy teeth and a healthy body overall, try to limit your soda intake.

Sugar is another ubiquitous treat in our daily lives. When we eat sugar, naturally occurring bacteria in our mouths convert it to acids that attack tooth enamel. Consuming too much sugar can swiftly lead to tooth decay, cavities, and gum diseases like gingivitis. Most people do not even realize how much sugar they consume each day. It’s important to limit your daily sugar intake by reading the labels of all the food you eat, and sticking with natural food sources that are low in sugar, especially ones that minimize added sugar, such as fruits and vegetables.

If you have questions about your diet and how it may be affecting your oral health, talk to Dr. Paul Engibous about it. See you soon!

Women's Hormones and Oral Health

February 25th, 2014

At Pediatric Dental Associates, we know that hormones affect a woman's mood, but did you know they can also impact the health of a woman’s mouth? Women are susceptible to gum disease at different times in their lives, and research shows that hormonal highs and lows are part of the problem. According to studies, there are five situations in women’s lives during which hormone fluctuations make them more susceptible to oral health problems: puberty, their menstrual cycles, pregnancy, menopause, and birth control pill usage. So just what happens and how can you help protect your oral health? Dr. Paul Engibous and our team have outlined the five hormonal situations and provided a few tips and tricks to fending off potential issues.

Puberty - The surge of hormone production that occurs during puberty can increase the blood flow to the gums and change the way gum tissue reacts to irritants in plaque. As a result, a woman's gums may bleed during the act of brushing and flossing.

Monthly menstruation cycle - Hormonal changes (especially the increase in progesterone) occur during a woman’s menstrual cycle. These changes can lead to red swollen gums, swollen salivary glands, canker sores, or bleeding gums.

Pregnancy - Hormone levels tend to fluctuate during pregnancy. As a result, women are at greater risk to develop a condition called gingivitis, the early form of gum disease. Dr. Paul Engibous may recommend more frequent professional cleanings during your second or early third trimester to help reduce the chance of developing gingivitis. Please let us know if you are pregnant during your visit.

Menopause - Women are known to experience numerous oral changes as they age. These oral changes can include greater sensitivity to hot and cold foods and beverages, a burning sensation in your mouth, or dry mouth. Dry mouth, also known as xerostomia, can result in the development of tooth decay and gum disease because saliva is not available to moisten and cleanse the mouth. It is important to know that dry mouth can also result from many prescription and over-the-counter medications. The gradual loss in estrogen that occurs with menopause also puts older women at risk for loss of bone density, which can lead to tooth loss. Receding gums, which expose more of the tooth surface to potential tooth decay, can be a sign of bone loss in the jawbone.

Birth control pills - Some birth control pills contain progesterone, which increases the level of that hormone in the body. Women who take pills with progesterone may develop inflamed gum tissue due to the toxins produced from plaque. Be sure to tell us if you are taking an oral contraceptive during your visit.

To prevent gum disease, we recommend:

  • Brushing your teeth at least twice a day with a toothpaste containing fluoride
  • Flossing at least once a day
  • Eating a well-balanced diet
  • Avoiding sugary or starchy snacks

Dr. Paul Engibous and our team at Pediatric Dental Associates encourage you to visit our Anchorage, AK office and practice good oral health habits at home.

When was your last dental checkup?

February 18th, 2014

While Dr. Paul Engibous and our team tell you daily oral hygiene habits, such as brushing and flossing, are essential to optimal oral health, regular dental checkups at Pediatric Dental Associates ensure your teeth are treated to a deeper level of cleaning.

We recommend for most of our patients to have a cleaning at our Anchorage, AK office at least every six months. In addition to a thorough cleaning and polishing of your teeth, visits with Dr. Paul Engibous help us detect and prevent the onset of tooth decay and gum disease, also known as periodontal disease. During your visit, we will check the health of your mouth, teeth, gums, cheeks, and tongue for signs of any decay or disease. We will also check old fillings and restorations as these can wear away over time due to chewing, clenching, or grinding.

If you are predisposed to any oral diseases, Dr. Paul Engibous may recommend checking in with us more often than every six months. We want your teeth to get the professional attention they deserve! If you are overdue for your next cleaning, give us a call at our Anchorage, AK office to schedule a checkup! See you soon!

Valentine's Day History

February 11th, 2014

Valentine’s Day is best known as a celebration of love in all its forms. Pink hearts, red roses, and cute greeting cards adorn every surface you see. What many people don’t realize is that the modern Valentine’s Day celebration arose from a religious holiday.

St. Valentine’s Day was originally celebrated as a religious feast day in honor of early Christian martyrs. Three martyrs named Valentine were honored: a priest in Rome, the persecuted bishop of Interamna (a town in central Italy), and a saint martyred in Africa. This saint’s day was celebrated throughout Christendom, although it was removed from the Roman Catholic Calendar of Saints in 1969.

The origin of Valentine’s Day as a holiday for lovers began with Geoffrey Chaucer in his 1382 poem “Parlement of Foules.” Chaucer wrote, “For this was on Saint Valentine’s Day, when every bird cometh there to choose his mate,” and the modern romantic holiday was born. William Shakespeare and other writers mentioned Valentine’s Day as a day of love.

Valentine’s Day as we know it came about in the early 19th century. In Victorian England, printers began manufacturing small numbers of cards with romantic verses, lace, ribbons, and other frills. Anonymous Valentine’s Day card were a popular way for young lovers to exchange romantic sentiments in an otherwise prudish time. As the 19th century progressed, printers began mass manufacturing Valentine’s Day cards. People in the United States give an estimated 190 million valentines every year, and up to one billion if you count children exchanging cards at school! With the rise of the Internet, Valentine’s Day e-cards have become a popular mode of communication, with millions of e-cards sent each year.

The other items associated with Valentine’s Day include chocolate and flowers. The tradition of giving chocolates has been around for decades, and Richard Cadbury created the first box of Valentine’s Day chocolates nearly 150 years ago. Today, purchases of chocolate total over $1 billion in the United States alone, with 35 million heart-shaped boxes sold each year. Loved ones also exchange flowers, with red roses being associated with Aphrodite, the Greek goddess of love. On Valentine’s Day itself, florists sell nearly 200 stems of roses.

Although many people dismiss Valentine’s Day as a commercialized “Hallmark holiday,” it is beloved to couples and romantics across the United States and other countries. The team at Pediatric Dental Associates wants to remind all patients that no matter what your celebratory plans, February 14th can be a wonderful day to celebrate the loved ones in your life. Happy Valentine’s Day!

February is Heart Month

February 4th, 2014

The American Academy of Periodontology stresses the importance of good oral health since gum disease may be linked to heart disease and stroke. Thus far, no cause-and-effect relationship has been established, but there are multiple theories to explain the link between heart disease and periodontal disease. One theory suggests that oral bacteria may affect heart health when it enters the blood and attaches to the fatty plaque in the heart's blood vessels. This can cause the formation of blood clots. Another theory suggests the possibility that inflammation could be a contributing link between periodontal disease and heart disease. Gum disease increases plaque buildup, and inflamed gums may also contribute to the development of swollen or inflamed coronary arteries.

What is coronary artery disease?

Coronary artery disease is caused in part by the buildup of fatty proteins on the walls of the coronary arteries. Blood clots cut off blood flow, preventing oxygen and nutrients from getting to the heart. Both blood clots and the buildup of fatty proteins (also called plaque) on the walls of the coronary arteries may lead to a heart attack. Moreover, periodontal disease nearly doubles the likelihood that someone will suffer from coronary artery disease. Periodontal disease can also worsen existing heart conditions, so many patients who suffer from heart disease need to take antibiotics before any dental procedures. This is especially true of patients who are at greatest risk for contracting infective endocarditis (inflammation of the inner layer of the heart). The fact that more than 2,400 people die from heart disease each day makes it a major public health issue. It is also the leading killer of both men and women in the United States today.

What is periodontal disease?

Periodontal disease is a chronic inflammatory disease that destroys the bone and gum tissues around the teeth, reducing or potentially eradicating the system that supports your teeth. It affects roughly 75 percent of Americans, and is the leading cause of adult tooth loss. People who suffer from periodontal disease may notice that their gums swell and/or bleed when they brush their teeth.

Although there is no definitive proof to support the theory that oral bacteria affects the heart, it is widely acknowledged better oral health contributes to overall better health. When people take good care of their teeth, get thorough exams, and a professional cleaning twice a year, the buildup of plaque on the teeth is lessened. A healthy, well-balanced diet will also contribute to better oral and heart health. There is a lot of truth to the saying "you are what you eat." If you have any questions about you periodontal disease and your overall health, give our Anchorage, AK office a call!

Periodontal Disease in Adolescents

January 28th, 2014

Dr. Paul Engibous and our team at Pediatric Dental Associates know that periodontal disease isn't something exclusive to adults. It can affect adolescents as well. Gingivitis, which is a milder form of periodontitis, is a form of periodontal disease, and a warning that more serious problems may arise. Untreated gingivitis can develop into full-blown periodontitis.

The American Academy of Periodontology (AAP) explains that research proves that younger people may develop more severe forms of gingivitis. Gingivitis is linked to periodontal disease. Children and adolescents who have type 1 diabetes or immune deficiencies are more likely to suffer from periodontal disease.

There are three types of periodontal diseases Dr. Paul Engibous and our team see in children and adolescents.

Chronic gingivitis

Parents may suspect that their adolescent has chronic gingivitis if he or she shows or complains of symptoms such as redness, swelling, or bleeding gums. Early treatment may prevent gingivitis from developing into a more severe form of periodontal disease.

Aggressive and/or chronic periodontitis

Once called adult periodontitis, the term chronic replaces “adult” because periodontitis can occur in people in their early teenage years, and progress throughout their teens. Chronic and aggressive periodontitis primarily affects incisors and first molars. One of its distinguishing characteristics is bone loss. Curiously, patients who suffer from this form of the disease have minimal dental plaque on examination.

Generalized aggressive and chronic periodontal disease

This form of periodontal disease has many of the same characteristics of the chronic and aggressive form, but this more severe type of the disease affects the entire mouth. Symptoms include major plaque and calculus accumulation, and inflamed gums.

In both forms of more severe periodontal disease, the overall gum structure may change. The severity of these changes may alter gum strength enough to loosen teeth, or even worse, cause them to fall out.

The success of any treatment is largely contingent on early diagnosis. Dr. Paul Engibous should conduct a thorough periodontal exam as part of an adolescent’s twice-yearly complete dental examinations.

The mouth is full of bacteria. Some of it is necessary for food digestion. Diseases are more likely to develop if bacteria travel to open places in the mouth, such as exposed gum pockets or cavities. Proper dental hygiene is essential for a healthy mouth, and a healthy mouth offers greater protection against painful dental diseases.

Be sure every member of your family has a complete dental exam and cleaning twice a year, and contact Dr. Paul Engibous when you or your young kids or adolescents complain of pain, sensitivity, or other oral problems. Early detection at our Anchorage, AK office leads to treatment of oral problems and prevents them from turning into serious periodontal disease and potentially irreversible problems.

My child has autism. What should we expect at your office?

January 21st, 2014

At Pediatric Dental Associates, we know that as many as one in 88 children today have some form of autism, a complex brain disorder that affects a child's ability to communicate or form relationships, and makes a child appear distant, aloof, or detached from other people or surroundings. Autism varies widely in symptoms and severity, and some people have coexisting conditions such as intellectual disability or even epilepsy.

That is why Dr. Paul Engibous and our team are specially trained to provide dental care to the entire special needs community, including autistic children. We know that a visit to the dentist with an autistic child can be difficult. In addition to the common fears associated with strangers, there are also unfamiliar sounds, sensations, bright lights, and tastes with which your child may not be comfortable. We work with parents to make sure visiting the dentist is not so traumatic for our autistic patients.

Dr. Paul Engibous and our team also know that patients with autism may be more interested in equipment and instruments than in us. We show our patients every piece of equipment we are going to use in a way that they can understand. We also allow a patient to sit in a parent's lap in the open bay if he or she is not feeling at ease. We want your child to enjoy getting to know us and to be comfortable while under our care.

A pleasant, comfortable visit at our Anchorage, AK office builds trust and helps put your child at ease for future appointments. Before a visit, we ask parents or guardians to bring their child's favorite toy, comfort item, music, or other coping device their child requires. We have a caring and compassionate team and know how to help autistic children acclimate themselves to a dental environment. We may not get everything done at the first visit, but we are able to schedule several appointments so that your child can get used to our office, the dentist, instruments, and our staff.

Children, especially those afflicted with autism, are not born with a fear of the dentist, but they can fear the unknown. Our team at Pediatric Dental Associates genuinely cares for our patients beyond their teeth, and are more than happy to discuss any concerns you may have, as well as answer questions about your child's ongoing dental treatment. Please give us a call to learn more or schedule an appointment with Dr. Paul Engibous.

Pediatric Dentistry: The benefits of dairy

January 14th, 2014

When you were a child, your mother may have instructed you to drink all your milk to build strong bones. Now that you have children of your own, you may hear yourself parroting those instructions you received years ago. Getting enough dairy is essential for young children whose teeth are growing. A child who consumes the recommended daily serving of dairy will develop healthy, strong teeth for the rest of his or her life.

Structure of the Tooth

To fully grasp the importance of dairy for dental health, it is necessary to understand tooth structure. Your teeth are made of living tissues covered by a hard outer shell. The inner dental pulp is fed by blood vessels and connects to a nerve bed in your gums. Surrounding the pulp is dentine, a calcified tissue that is less brittle than the tooth’s outermost layer, the enamel. The enamel layer is the white part of your teeth, 96% of which consists of minerals such as calcium phosphate.

How does dairy help my child’s teeth?

Milk and other dairy products are excellent sources of calcium. Your child’s body deposits this calcium into her growing bones, including the teeth. Calcium contributes to bone growth and strength, and it forms an important part of the solid enamel that surrounds each tooth’s fragile inner pulp. Milk also contains vitamin D, phosphorus, magnesium, and proteins. Magnesium promotes calcium deposits in your enamel, while phosphorus forms a small barrier against acidic foods that cause cavities. Vitamin D and protein are used by a child’s body to build bone tissue and maintain dental health.

How much dairy does a child need?

According to a study conducted by researchers at the University of Connecticut, the majority of Americans do not receive enough calcium. The U.S. Department of Agriculture recommends that children under the age of eight should receive at least two and a half cups of dairy per day. Children older than eight need three full cups — the same as adult men and women. Supplying your child with nonfat milk to drink and yogurt to eat every day is a great way to increase dairy consumption.

Growing children who do not get enough dairy in their diets risk improper tooth development and other dental health problems. Drinking sugary beverages in place of milk causes cavities and tooth decay. As a parent, it is essential to monitor your child’s dairy consumption to ensure he or she grows healthy teeth to last a lifetime.

It's been years since my last appointment; what should I expect?

January 7th, 2014

Feeling apprehensive or guilty for not visiting a dentist in over a year is common, but coming back to receive dental care is easier than you may think. Our dental team at Pediatric Dental Associates provides caring, non-judgmental, personalized service, and knowing this you can truly feel at ease making your first appointment back.

During your first appointment back, we will focus on three prominent dental issues including gum disease, cavities, and wear and tear by utilizing a full mouth series of X-rays, a hygiene appointment, and a comprehensive exam.

The full mouth series of X-rays are taken every three to five years, or as needed. A full mouth series may be a panoramic X-ray and bitewings (a set of four that checks for cavities) or a set of X-rays that views the entire anatomy of every tooth. The set of X-rays will depend on your individual needs.

Your hygiene appointment will begin with a review of your medical history, personal concerns and questions, and an evaluation checking for any infection. After any necessary diagnoses are made, the appropriate level of cleaning is proposed and completed if time allows.

A comprehensive exam serves as a review of what the hygienist has already covered. Dr. Paul Engibous will again review your medical history and dental concerns, and confirm any periodontal diagnosis. An evaluation of any decay, breakdown or broken fillings, or areas that are at risk for future problems will also be reviewed.

After the appointment, a team member at Pediatric Dental Associates will review any recommended treatments, payment options, insurance coverage, and scheduling. The time spent at your first visit back is an important step in the right direction, and we are committed to making this visit as comfortable and easy as possible! Come see us in Anchorage, AK.

New Year's Eve

December 31st, 2013

Watching the clock tick down the final seconds until midnight, many of us- Pediatric Dental Associates included- feel nostalgic about the passing year and hopeful about the new one to come. New Year’s Eve is one of the most widely celebrated holidays in the world, with over-the-top celebrations taking place in dozens of countries. The Gregorian calendar, which is widely used in Western nations and around the world, was implemented in 1582. Since that time, December 31st has marked the final day of the year, with midnight heralding the beginning of a brand new year. In the United States, New Year’s Day is a public holiday; government offices, schools, public organizations, and many businesses are closed for the day. Ponder the following fun facts as you think about your plans for the holiday:

  • Approximately one billion people watch the New Year’s Eve ball drop in Times Square, New York City. This televised event is one of the most iconic New Year’s celebrations in the world. For many years, watching the ball drop meant tuning in to Dick Clark’s Rockin’ New Year’s Eve, an iconic television special dear to the hearts of many viewers.
  • The idea for the New Year’s Eve ball came about because of a citywide ban on fireworks. Before 1907, when fireworks became illegal in New York City, celebrations included an elaborate fireworks show. The large, glittering, illuminated ball was developed as an alternative. Although the first ball was heavy at 700 pounds, the modern New Year’s Eve ball is made of Waterford crystal and tips the scale at six tons!
  • The top five New Year’s resolutions are: to lose weight, quit smoking, get a new job, return to school, or increase personal savings. However, approximately 88% of New Year’s resolutions fail. But don’t let that discourage you! Resolutions are most likely to succeed when they are clear, achievable goals. Setting out a concrete plan to achieve your resolution also boosts your chances of success.
  • Eating black-eyed peas on New Year’s Day is said to bring good fortune in the new year. Collard greens, cabbage, and ham hocks are also considered lucky foods to enjoy. Just steer clear of the chicken or turkey dinners; eating poultry is a bad omen for the year to come.

Whether you plan to stay in Anchorage, AK, or head out into the crowds to watch the ball drop in Times Square, New Year’s Eve is a time to enjoy friends and family. Send your loved ones well wishes for the New Year, and look for that special someone to share a midnight kiss with for good luck!

Is sedation dentistry right for me?

December 24th, 2013

At Pediatric Dental Associates, we are well-aware of the 25 million Americans who fear having to visit the dentist. Dental phobias are known to range anywhere from feeling mildly nervous to experiencing sweaty palms and even a racing heartbeat upon entering a dentist’s office. This anxiety can sometimes be so severe that it prevents people from visiting a dentist for years, postponing dental procedures that often result in costly problems down the road.

For those of our patients who have dental anxiety or dental phobia, it may be time to look into sedation dentistry, a safe and effective option for patients who are anxious or afraid, have a bad gag reflex, limited jaw opening, or for those who have a difficult time getting numb.

Sedation dentistry, a term that we use to refer to the use of anesthesia during treatment to put patients into a relaxed state, comes in many forms of sedation, from simply easing anxiety, to “conscious sedation,” which places patients in what we call a “twilight sleep.” Sedation dentistry at our Anchorage, AK office allows our patients to drift through their appointments—including complex dental work—as well as feel completely relaxed throughout their visits, without any discomfort or pain. Sedation dentistry can turn a nerve-wracking visit into a comfortable and enjoyable one.

Dr. Paul Engibous and our team will be more than happy to discuss any concerns, issues, or fears you may have before or during your visit, and will be able to tell you if you are a candidate for sedation dentistry.

By talking with Dr. Paul Engibous about sedation dentistry, you can feel more comfortable and relaxed during your next visit to Pediatric Dental Associates. Give us a call today!

Preventing Tooth Decay in Children

December 17th, 2013

Childhood tooth decay is the most common chronic childhood disease, affecting nearly one in three children between the ages of two and five. In fact, the American Academy of Pediatric Dentistry reports that tooth decay can appear in children as young as six months old. As a parent, it is possible to spare your child from early childhood tooth decay, and potentially prevent a lifetime of oral health problems in one fell swoop.

Birth to age two

Good oral health begins before your child’s teeth ever erupt from the gums. During the first few months of life, you should be wiping your child’s gums with a damp cloth after eating. As soon as teeth appear, Dr. Paul Engibous and our team at Pediatric Dental Associates recommend you start brushing them with a toddler toothbrush and water, and call our Anchorage, AK office to schedule your child’s first visit. Never allow your child to go to bed with a bottle, and try to limit beverages other than water only to meal times. Children who walk around or go to sleep with bottles or sippy cups full of juice or milk are exposed to more sugars and are more likely to develop tooth decay.

Ages two to six

All of your child’s primary teeth should erupt by age three. Brush your toddler’s teeth at least twice daily with a toddler toothpaste and toothbrush. As your child gets older and learns not to swallow toothpaste, you may begin to use oral care products specially designed for preschoolers and elementary-age children. Be sure to maintain regular dental appointments and cleanings as recommended by your child’s dentist, and encourage your son or daughter to begin drinking from a regular cup. This is also the time to teach your child the importance of healthy eating habits, which includes limiting sweets and sugary desserts to mealtime.

By first grade, your child will begin to lose primary teeth. This is the time to start talking with Dr. Paul Engibous about dental sealants, which can prevent tooth decay from forming on the chewing surfaces of the teeth. Sealants are painless, easy to apply, and undetectable to other people.

Tips

Fluoride is an important ingredient for healthy teeth. Check to make sure the water your child drinks is enriched with fluoride. Also, brush your child’s teeth with fluoridated toothpaste, and talk to our office about whether fluoride treatments could be right for your family. For more information about preventing your child’s tooth decay, or to schedule an appointment with Dr. Paul Engibous, please give us a call at our convenient Anchorage, AK office!

What are dental crowns?

December 10th, 2013

A dental crown is often called a “cap.” A dental crown covers all of the visible parts of the tooth and has many functions and reasons for placement.

There are several different types of crowns available at Pediatric Dental Associates. They vary in their material, appearance, and functionality. A PFM, or porcelain fused to high-noble metal, is the most common. A full cast, high noble metal crown is a gold crown, and a stainless-steel crown is meant to be temporary. The most natural-looking crown is one that is all porcelain. These are often used for front teeth.

Getting a crown typically requires two appointments. The first is a preparation with impressions, shaping, and placing a temporary. The impressions are either sent to a dental lab, where the process generally takes two weeks, or done in-office with a machine that can make a crown without needing a second appointment. These crowns are made from a high-quality solid block of porcelain. The shape of the tooth is constructed from a digital 3D image of your tooth.

To accurately determine which type of crown is best, you must first know why you need the crown and in what area of your mouth is it needed, which can be answered when you visit us at Pediatric Dental Associates. For instance, if you have a gold crown on the lower right and need a new crown directly above on the upper right, the best durability and long-lasting relationship is another gold crown.

If you need a crown on a front tooth, a gold crown may not be the best choice. A PFM has strength but is not ideal, as a dark line will appear at the gum line. A full porcelain crown is going to look as close to a natural tooth as possible, but will have less strength than a gold crown.

There are two types of porcelain crowns, depending on how they are made. A dental lab makes a full porcelain crown by baking layer upon layer to make the porcelain look like natural enamel. A full porcelain crown made in-office out of a solid piece of porcelain will have increased strength. However, the natural layered appearance is extremely difficult to achieve.

A crown is placed on a tooth when added strength is needed. Cracks, large broken-down fillings, or previous root canal treatment are all conditions where a crown is the standard care. The type of crown that is most appropriate depends greatly on location.

Gum Disease and Your Child

December 3rd, 2013

At Pediatric Dental Associates, we know that unfortunately, gum disease can exist in your child’s mouth without you even knowing. In fact, your child may be suffering from the beginning stages of periodontal (gum) disease without noticing any pain or discomfort. Since gum disease can be undetectable, it’s critical to watch for the warning signs in order to prevent the disease from growing worse!

If your child is experiencing any of the following symptoms, you may want to consider scheduling an appointment with Dr. Paul Engibous as soon as possible:

  • Gums that are red or swollen
  • Gums that feel tender
  • Gums that bleed easily during brushing or flossing
  • Gums that are receding
  • Persistent halitosis (bad breath)
  • Loose teeth
  • Any change in the way teeth come together in the biting position

If your child is experiencing these symptoms, schedule an appointment right away by calling our Anchorage, AK office. Dr. Paul Engibous and our team can diagnose the problem and begin treatment to save your child’s teeth!

Our team at Pediatric Dental Associates looks forward to seeing you!

Thanksgiving

November 26th, 2013

At Pediatric Dental Associates, we love to celebrate the holidays with vigor! Dr. Paul Engibous would love to share some unique ways of celebrating Thanksgiving from beyond the Anchorage, AK area to the national level!

When Americans sit down to dinner on the last Thursday of November, the day that Abraham Lincoln designated as the day on which Thanksgiving would be celebrated, they do so thinking that the first Thanksgiving feast was held at Plymouth in 1621. According to National Geographic, the Spanish explorer Francisco Vásquez Coronado and his men celebrated a feast of Thanksgiving in Texas in 1541, giving Texas the distinction of being the first place where Thanksgiving was celebrated.

Different Types of Celebrations

Native Americans had rituals around which they celebrated in hopes of ensuring a bountiful harvest. The Cherokees had a Green Corn Dance that they did for this very purpose. The Pilgrims (not to be confused with the Puritans,) rejected any type of public religious display. They held a three-day long non-religious Thanksgiving feast. Although they said grace, the focus of their celebration was on feasting, drinking alcohol (they did have beer,) and playing games.

The Pilgrims at the Plymouth Plantation celebrated a different day of Thanksgiving in 1623. Plagued by a crop-destroying drought, the settlers prayed for relief. They even fasted. A few days later, they got the rain they so desperately needed. Soon thereafter, they received another blessing when Captain Miles Standish came with staples they couldn't otherwise get. He also told them that a Dutch supply ship was en route. In gratitude for the abundance of good fortune, the Plymouth settlers celebrated a day of prayer and Thanksgiving on June 30, 1623.

The Story of Squanto

No discussion of Thanksgiving is complete without a discussion of Squanto, or Tisquantum, as he was known among his people, the Patuxet Indians. It is believed that he was born sometime around 1580. As he returned to his village after a long journey, he and several other Native Americans were kidnapped by Jamestown colonist, Thomas Hunt. Hunt put them on a ship heading to Spain where they were to be sold into slavery.

As fate would have it, some local friars rescued him and many of the other kidnapped natives. Squanto was educated by the friars. Eventually, after asking for freedom so he could return to North America, he ended up in London where he spent time working as a ship builder. By 1619, he was finally able to get passage on a ship headed to New England with other Pilgrims.

Upon arriving at Plymouth Rock, he learned that his entire tribe was wiped out by diseases that accompanied earlier settlers from Europe. In gratitude for passage on their ship, he helped them set up a settlement on the very land where his people once lived. They called the settlement Plymouth. Since they knew nothing about how to survive, let alone how to find food, Squanto taught them everything, from how to plant corn and other crops, how to fertilize them, how and where to get fish and eels and much more.

After a devastating winter during which many settlers died, thanks to Squanto's teaching, they had an abundant harvest. After that harvest, they honored him with a feast. It is this feast of 1621 which was celebrated between the Pilgrims and Wampanoag Indians that is widely considered the first Thanksgiving celebration.

About the Meal of the Plymouth Settlers

Surviving journals of Edward Winslow that are housed at Plymouth Plantation indicate that the first Thanksgiving feast was nothing like what Americans eat today. The meal consisted of venison, various types of wild fowl (including wild turkey,) and Indian corn. There were no cranberries, stuffing, pumpkin pie, potatoes, or any of the other “traditional” foods that appear on modern menus.

Today, Thanksgiving is celebrated on the fourth Thursday of November, the day that Abraham Lincoln designated as the holiday. It is still a day of feasting, and for some, a day of prayer and thanksgiving. For others, it is a celebration of gathering, especially for families. Still others may celebrate in entirely different ways, including watching college football bowl games, or by playing family games.

If you ever wonder why you're so tired after the Thanksgiving meal, it's because turkey contains an amino acid, tryptophan, and it sets off chemicals whose chain reaction combine to make people sleepy.

Beat the Brushing Battle

November 19th, 2013

Dr. Paul Engibous and our team know it can be a challenge to get our children to brush, brush well, and brush often. Here are some tips that can help you keep those beautiful little teeth healthy.

Make it Fun, Make it a Habit!

We should all brush twice a day. The most important time to brush is at night before bed. When we sleep, our saliva production decreases, and this creates an environment for oral bacteria to cause greater destruction to our teeth and gums. Brushing should last at least two minutes, followed by flossing and mouthwash if you choose.

Here are some ideas to make this nightly ritual more entertaining.

  • Set a good example. Brush your teeth with your children and make it fun! Pick a song to play while brushing.
  • Make it a race to the bathroom to see who can get their toothbrush and floss ready. But don’t make it a race to finish; make sure brushing lasts at least two minutes.
  • Try using a sticker sheet. For every night your children brush well, give them a sticker. (Be sure to check their work.) After a certain number of stickers, they earn a reward. Let them pick the reward! As the child improves at brushing every night without reminders, you can wean her or him from the reward.
  • SPECIAL TIP: Let your child check your brush work!

As parents, we should help our children make health and wellness something to take pride in. Be gentle with your children when they make mistakes, whether forgetting to brush or maybe developing a cavity. Tell them even our team at Pediatric Dental Associates gets cavities. Thankfully, there is always room for improvement. Happy brushing!

Women’s Medications and Dry Mouth

November 12th, 2013

Women using medication to treat a variety of medical conditions are often unaware of the potential side effects. One common side effect of medications such as blood pressure medication, birth control pills, antidepressants, and cancer treatments is dry mouth. The technical term for dry mouth is xerostomia.

Xerostomia can lead to undesirable effects in the oral cavity including periodontal disease and a high rate of decay. Many women who have not had a cavity in years will return for their routine exam and suddenly be plagued with a multitude of cavities around crowns and at the gum line, or have active periodontal disease. The only thing that the patient may have changed in the past six months is starting a new medication.

Saliva washes away bacteria and cleans the oral cavity, and when saliva flow is diminished harmful bacteria can flourish in the mouth leading to decay and gum disease. Many medications can reduce the flow of saliva without the patient realizing the side effect. Birth control pills can also lead to a higher risk of inflammation and bleeding gums. Patients undergoing cancer treatments, especially radiation to the head and neck region, are at a greatly heightened risk of oral complications due to the possibility of damage to the saliva glands.

There are many over the counter saliva substitutes and products to temporarily increase saliva production and help manage xerostomia. One great option for a woman with severe dry mouth or high decay rate is home fluoride treatments. These work in a number of ways, including custom fluoride trays that are worn for a short period of time daily at home, a prescription strength fluoride toothpaste, or an over the counter fluoride rinse. If you have more questions on fluoride treatments, make sure to ask Dr. Paul Engibous at your next visit to our office.

The benefits of many of the medications on the market outweigh the risks associated with xerostomia, however, with regular exams you can manage the risk and prevent many oral consequences of medications.

Dental Anxiety

November 6th, 2013

If you suffer from dental anxiety, a visit to Pediatric Dental Associates might seem like a daunting prospect. Perhaps you had a bad experience in the past, but whatever the reason, please know that at our Anchorage, AK office, there is nothing to be afraid of. We understand you may be anxious about receiving dental treatments, and we’re here to help you have a comfortable, pain-free experience that will put your fears to rest.

You’re not alone!

A 1984 study that appeared in the Journal of the American Dental Association reported that up to 75% of all adults in the United States have some degree of dental anxiety. This includes five to ten percent whose dental anxiety is so severe that they try to avoid a dentist’s office at all costs.

Treatment

If you experience dental anxiety, it is important to let our office know in advance, so we can provide you with the dental care you need with an added touch of TLC. We can assist by explaining behavioral techniques for relaxation, by administering nitrous oxide (laughing gas), or by prescribing a relaxing medication prior to your dental procedure.

November Marks National Diabetes Awareness Month

November 5th, 2013

Diabetes is a chronic disease that increases the risk for many serious health problems, including severe gum disease. November is Diabetes Awareness Month, and it’s a great time for us at Pediatric Dental Associates to remind our patients that the way you care for your teeth at home doesn’t just affect your oral health; keeping your mouth healthy is vital to your overall health, too.

Diabetes is the result of a deficiency, or lack of the hormone insulin to properly transport glucose (blood sugar) to the cells throughout the body. According to the American Diabetes Association, the most common types of diabetes are Type One (90-95 percent of cases), Type Two (five percent), and gestational or pregnancy diabetes. Women who have had gestational diabetes have a 35 to 60 percent chance of developing diabetes, mostly Type Two, in the ten to 20 years following their pregnancy.

In the past decade, researchers have found links between periodontal (gum) disease and diabetes. Not only are people with diabetes more vulnerable to gum disease, but diabetes may also have the potential to affect blood glucose control, as well as contribute to the advancement of diabetes.

Nearly 26 million Americans currently live with the disease, with an additional 79 million in the pre-diabetes stage. There is some good news we want you to know, however; you can protect your gums and teeth from the effects of diabetes by visiting our Anchorage, AK office for an exam. Patients who are living with diabetes may require more often visits to ensure their dental health remains in tip-top shape. Many insurance plans provide expanded benefits for diabetic patients, and Dr. Paul Engibous can tell you how often you need to come in for an appointment.

For more information on how we can help, please do not hesitate to give us a call at our Anchorage, AK office.

Halloween - Candy, Costumes, and More!

October 30th, 2013

All Hallows' Eve, more commonly known as Halloween, is a yearly event celebrated on October 31, and one that is anticipated by the young and young at heart all over the world. Some scholars claim that Halloween originated from Celtic festivals that honored the dead or that celebrated the harvest, while others doubt that there's any connection at all to Samhain (a Gaelic harvest festival.) Regardless of its origin, our team at the dental office of Dr. Paul Engibous hope that Halloween is fun and enjoyed by all of our awesome patients!

Trick or Treat?

In North America, Halloween is predominantly celebrated by children who dress up in costumes, which range from scary to cute, who then go around the neighborhood knocking on doors asking "trick or treat", and they are given candy in return. Trick-or-treating is a time honored tradition, and though many parents groan at the pounds and pounds of candy collected by youngsters and fear for the health of their teeth, there are a few things you can do to help their teeth stay in great shape until the candy is gone:

  • Limit the amount of candy they can consume each day
  • Have them brush their teeth after eating candy
  • Avoid hard, chewy candies as they can stick in hard to brush places
  • Keep candy out of sight to reduce temptation
  • Don't buy candy too far in advance to limit pre-Halloween consumption
  • Help or encourage your children to floss

Halloween Fun

Halloween isn't just about gorging on candy; there are other events associated with this festive day including carving jack-o'-lanterns, painting pumpkins, decorating sugar cookies, bobbing for apples, going to haunted houses, or just curling up on the couch with a bowl full of popcorn and watching some classic, scary movies.

Halloween Around the World

Some countries, like Australia, frown upon Halloween, claiming it is an American event and not based in Australian culture, while others like Italy have embraced the fun and celebrate much as Canadians and Americans do. Mexicans have been celebrating this fun day since around 1960, and it marks the beginning of the Day of the Dead festival. Some countries in Europe have come late to the party, but since the 1990s, countries like Sweden, Norway, and Germany have started celebrating Halloween as well, and finding children in costumes or having ghosts hanging in windows has become commonplace.

Halloween is about fun; stepping outside our normal lives and donning a costume or gathering with friends to knock on doors and ask for candy is as much a part of our culture as hot dogs and barbecue on Labor Day. Have a safe and happy Halloween from the team at Pediatric Dental Associates!

When Should a Filling be Replaced?

October 23rd, 2013

There is no substitution for a natural healthy tooth. Dental fillings are intended to replace tooth structure and restore a tooth damaged by decay (a cavity) back to its normal function and shape. Silver (amalgam) and tooth-colored (composite) fillings last a long time, though they can develop decay when the integrity is compromised by open margins, fracture, or recurrent decay. In this blog, we discuss the signs and symptoms that indicate your filling may need to be replaced in order to prevent further complications.

Amalgam fillings are made of an alloy (mixed metals) that expands and contracts. They have no bonding properties, and so to place an amalgam filling, the hole in the tooth may need to be larger. Because of these two factors, fractures frequently occur. There are three types of cracks that are commonly associated. Craze lines are superficial with no treatment needed. Fractures extend along other parts of the tooth and may require a filling replacement or crown. Cracks extend toward the root and can require a root canal and crown or, if too severe, extraction.

A filing needs to be sealed to the tooth. If the seal between the tooth and the filling breaks down, food debris and bacteria can seep down under the filling and cause recurrent decay. If the decay is treated early, replacing the filling is adequate. If not, a crown and even a root canal may be needed. The biggest mistake you can make is waiting to do something about a broken or unsealed filling until it is painful. Doing this will only make the treatment more involved and often times more expensive.

Regular dental exams and X-rays are used to evaluate dental fillings. You will not be able to tell on your own when your fillings start to fail. Just as a car mechanic will change the oil, correct your alignment, or change your tires, a dental checkup will help you identify small concerns to fix as you go in order to avoid a critical emergency.

Pay attention to any bite or temperature sensitivity in teeth that have fillings. This can be an indicator for some of the problems listed above. You know your teeth better than anyone. Your observations are most valuable when evaluating a filling for replacement. If replacement is needed, know you are doing what is best to prevent future dental calamities and make an appointment to see Dr. Paul Engibous.

Love your new smile? Tell us about it!

October 16th, 2013

At Pediatric Dental Associates, we have been creating beautiful smiles for years. Whether you have visited Dr. Paul Engibous and our team for a week or for your entire life, we would love to hear your thoughts about your experience! In fact, we encourage you to leave a few words for us below or on our Facebook page!

We look forward to reading your feedback!

What Exactly is a Root Canal?

October 9th, 2013

Hearing that you need a root canal can be highly intimidating. What is a root canal? It is the removal of the nerve supply from the tooth. Here, Dr. Paul Engibous will describe the parts of a tooth and explain the reasons for a root canal and how it is done when you visit us in our Anchorage, AK office.

Your tooth is made up of many layers. The outside layer is called enamel and is made of minerals. The middle layer is dentin, which is also a calcified tissue, but less dense. The center of the tooth is called the pulp, and that hosts the nerves and blood vessels. A root canal is the removal and replacement of this center with a sterile filling.

A root canal is needed when an infection spreads to the center of the tooth. This can be from trauma (recent or previous), a cavity, a severe crack, or other compromise that causes nerve damage. An X-ray and examination are required to see if a root canal is needed. Symptoms may include but are not limited to pain, swelling, change in tooth color, and over-reaction to temperature change or pressure.

When it is time to begin, you’ll receive local anesthesia (via injection) to make you most comfortable. A rubber dam is used to isolate the tooth, while other equipment determines the nerve location and maintains a sterile working environment. All of the infected area is removed including the nerve tissue and blood vessels. Then, medicines are used to sterilize and alleviate any pain. Next is the placement of a filling material in the spot where the nerve used to be.

When your nerve and blood supply are taken away, the tooth is non-vital, or dead, and can become weak and fragile. If your tooth is badly decayed, a large portion of it will have to be removed. It is recommended to place a crown on the tooth to keep the enamel from breaking or falling apart. If you do not get a crown, you could eventually lose the tooth to more decay or infection. The tooth could also break off completely and you would have to have an extraction. The crown fits over the top of the tooth and secures it from breaking down.

A root canal saves the life of a tooth that would otherwise succumb to further infection and eventually extraction. Infection is the cause of most-needed root canals. If you are ever unsure what is happening at your appointment, don’t be afraid to ask questions so you understand the procedure completely.

Year-End Insurance Reminder

October 2nd, 2013

Dr. Paul Engibous, as well as our team at Pediatric Dental Associates, would like to give those patients with flex spend, health savings, or insurance benefits a friendly end of the year reminder that it’s high time to schedule your dental visits so you optimize your benefit.

Now is the time to reserve your appointment with us. Space is limited and we tend to get busy around the holidays, so don’t wait to give us a call at our convenient Anchorage, AK office!

I have fluoride toothpaste and fluoridated water; do I need a fluoride treatment?

September 25th, 2013

Fluoride is a naturally found ion with a history of greatly reducing the incidence of tooth decay in children. However, over the past decade Americans have increasingly consumed bottled water, most of which does not contain fluoride, and children are no longer getting the recommended dosage of fluoride. In addition, many areas do not add the optimum amount of fluoride to the town drinking water.

Everyone’s dental needs are different. The amount of fluoride a person needs is determined by age (children), tooth sensitivity, risk for cavities, and medical conditions. When a patient needs additional fluoride it can be applied in a foam or varnish.

Children receive additional topical fluoride because teeth in the early development stages have a higher mineral uptake. The future strength of the enamel depends on this. When a tooth absorbs the fluoride ion, it creates hydroxyapatite, a harder mineral compound than enamel alone.

Those who have a dry mouth from medication also need extra fluoride. A daily fluoride rinse and a semi-annual fluoride varnish treatment are standard. If you are on medicine for high blood pressure, anxiety, diabetes, depression, or cholesterol, you may fit in this category.

Cancer treatments can also greatly impact your oral health. Fluoride varnish treatments prior to, during, and after radiation and chemotherapy can be beneficial. There are other mouth conditions which coincide with cancer treatments which make it difficult to brush and floss daily, and can contribute to an increased risk for decay. An infection during cancer treatment can be especially harmful, which is why preventive measures are important.

Fluoride treatments, administered topically, are highly beneficial in preventing decay. Feel free to call Pediatric Dental Associates to schedule an appointment or if you have any questions.

I’ve Lost a Filling – Now What?

September 18th, 2013

Dental fillings usually protect our teeth, but sometimes they need to be protected, too. If you lose a filling, contact our Pediatric Dental Associates immediately and let us advise you on the next steps to take.

Fillings serve an important function in oral health by preserving the structural integrity of your tooth. With the materials we use today, dental fillings usually last for many years, but they are subjected to the same stresses as your natural teeth are.

You can wear down, chip, crack, or break your fillings by eating, clenching, and grinding, and sometimes they can fall out completely. While you may not notice normal wear and tear, you should not ignore any fillings that loosen or fall out. Contact us as soon as possible so we can advise you about whether you need to be seen immediately.

If your fillings get damaged or fall out, a timely response can be important. There may be gaps or holes in your tooth which provide an easy access point for bacteria. Once bacteria begin working into your tooth structure, your tooth could become damaged even worse. Since cavities usually form in hard-to-reach places, it will be difficult for you to remove these bacteria through brushing alone.

When is a Lost Filling an Emergency?

A lost or cracked filling is usually not an emergency unless you are in great pain or are bleeding excessively. In that case, contact our office immediately so we can schedule an emergency appointment. Otherwise we will schedule a regular appointment to evaluate and repair your filling. Before coming in for your appointment, try to avoid chewing on that side of your mouth, rinse with warm salt water, and be sure to brush and floss thoroughly after every meal.

Once you come to our office, Dr. Paul Engibous will examine your tooth, assess the situation, and advise you of your options. We may be able to replace the filling and can discuss whether an amalgam or composite material would be the best for your teeth. If the filling was large, a root canal or a dental implant and crown may be necessary.

A lost or cracked filling may not always pose a dental emergency, but it’s always important to contact us so our team can help you take the proper action to preserve your oral health.

Navigating the World of Dental Insurance Terminology

September 11th, 2013

Unless you work for an insurance company, you probably do not spend a lot of your time studying all the terminology that dental insurance companies use to describe the treatments and services they cover. If it seems pretty confusing, here are some of the most commonly used dental insurance terms and what they mean.

A Basic Glossary

Annual Maximum–The maximum amount your policy will pay per year for dental care at Pediatric Dental Associates. It is often divided into costs per individual, and (if you are on a family plan) per family

Co-payment– An amount the patient pays at the time of service before receiving care, and before the insurance pays for any portion of the care

Covered Services– A list of all the treatments, services, and procedures the insurance policy will cover under your contract

Deductible– A dollar amount that you must pay out of pocket each year before the insurance company will pay for any treatments or procedures

Diagnostic/Preventive Services– A category of treatments or procedures that most insurance will cover before the deductible which may include services like routine checkups with Dr. Paul Engibous, cleanings, X-rays, fluoride treatments, and evaluations

In-Network and Out-of-Network– A list of providers that are part of an insurance company’s “network”

  • If you visit in-network providers, the insurance company will typically cover a larger portion of the cost of the care you receive. If you visit someone who is not part of the network, known as an out-of-network provider, the insurance company may pay for a portion of the care, but you will pay a significantly larger share from your own pocket.

Lifetime Maximum– The maximum amount that a dental insurance plan will pay toward dental care for an individual or family (if you have an applicable family plan)

  • This is not a per-year maximum, but rather a maximum that can be paid over the entire life of the patient.

Limitations/Exclusions– A list of all the procedures a dental insurance policy does not cover

  • Coverage may limit the timing or frequency of a specific treatment or procedure (only covering a certain number within a calendar year), or may exclude some treatments entirely. Knowing the limitations and exclusions of a policy is very important.

Member/Insured/Covered Person/Beneficiary/Enrollee– Someone who is eligible to receive benefits under a dental insurance plan

Provider– Dr. Paul Engibous or other oral health specialist who provides treatment

Waiting Period– A specified amount of time that the patient must be enrolled with an insurance plan before it will pay for certain treatments; waiting periods may be waived if you were previously enrolled in another dental insurance plan with a different carrier

There are many different insurance options available, so you need to find out exactly what your insurance covers. It’s important to review your plan with a qualified insurance specialist. Don’t be afraid to ask questions about the policy so you can understand it fully and be confident that you know everything your policy covers the next time you come in for treatment at our Anchorage, AK office.

Some Benefits to Giving Your Smile an Extra Boost

September 4th, 2013

For many individuals, autumn brings with it a number of new beginnings. Fall is the time that many people return to school, get back to the daily grind after an enjoyable summer, and even get married. As the weather cools down, it’s easier to enjoy the outdoors. And regardless of what fall-related events are on your calendar, Dr. Paul Engibous and our team at Pediatric Dental Associates know you’ll want to look your best.

One of the very first things that people will notice about you is your smile. And if yours has become less dazzling over the years — as teeth tend to do — you know how disappointing it is not to have the beautiful, pearly white look you’re used to.

Benefits to Teeth Whitening

For school-bound students and autumn brides, fall calendars are certainly filled. School and weddings call for large financial investments, loads of social interaction, and a large amount of personal dedication. So the last thing any bride or student wants to think about is a less-than radiant smile.

For many, there is a lack of confidence associated with their smile and investing in teeth-whitening techniques can be an effective solution. Studies suggest that not only can you experience a boost in your level of confidence, but also you may find that other advantages quickly fall into place.

A confident smile can affect:

  • Personal and work-related relationships
  • Job interviews and meetings
  • Success when dealing with customers and potential clients
  • Your personality and general happiness with your age
  • Overall outlook on daily interactions

A Real Affect on Daily Living

All of these benefits can relate directly to how you see yourself. When you are insecure with something as prominent as your smile, it can affect the way that you handle your life, everything from social gatherings to professional situations.

Now is the perfect opportunity to rejuvenate your smile. With the right teeth-whitening product and regular hygienic practices, walking down the aisle or starting the new semester with the utmost confidence has never been easier.

References:

Benefits of Teeth Whitening from: http://www.professionalteethwhitening.org/benefits-of-teeth-whitening.html.

Labor Day: Our Favorite Holiday to Rest!

August 28th, 2013

Labor Day, celebrated on the first Monday each September here in the United States, is a holiday devoted to the American working community. The purpose of the holiday is honoring the country's workers and their contributions to the strength of our country as a whole.

How Labor Day Started

There is actually some debate as to the origins of Labor Day. It is uncertain whether Peter McGuire, a co founder for the American Federation of Labor, or Matthew Maguire, who was the secretary of Central Labor Union of New York, had the great idea. However, the Central Labor Union's plans were what launched the first Labor Day in America.

The First Labor Day

The very first Labor Day was celebrated on September 5th, 1882. The Central Labor Union then held annual celebrations on September 5th for what they called a working man's holiday. By the year 1885, the Labor Day celebration had spread to many different industrial areas, and after that it began spreading to all industries in the United States.

Labor Day Today

Labor Day today is a huge United States holiday during which we honor the country's workers with a day of rest and relaxation or a day of picnics and parades. This holiday is truly one to honor the many people who work hard to contribute to the economic well-being of our great country!

Our team at Pediatric Dental Associates hope all of our patients celebrate Labor Day, and every holiday, safely and happily. Whether you stay in the Anchorage, AK area, or travel out of town, have fun, and don't forget to brush!

Toothache: A Dentist or the Emergency Room

August 21st, 2013

Emergency care dentists are equipped to handle any tooth emergency. Seeing us out first takes less time than having to sit in a hospital emergency room, only to be told to see a dentist. When dental emergencies occur, seek emergency care with Pediatric Dental Associates as soon as possible. We are prepared and equipped for any type of dental emergency: day or night, seven days a week, we stand ready to advise and treat you with great dental care.

There are several types of dental emergencies, but only one or two should require a hospital emergency room visit. If you suspect you have a broken jaw or nose, emergency medical attention is required. For pain associated with teeth and gums or injury to a tooth, Pediatric Dental Associates is the better choice. Dental pain almost always becomes worse without treatment, and can create other serious health issues.

If a tooth has been traumatized or knocked out of your mouth, our team can treat the sensitive nerves and tissues that could be damaged. If you can replace the tooth quickly enough, chances are it can be saved. According to the American Dental Association, there are certain precautions to take during a dental emergency that could help preserve a tooth until you can see our professional dentists for emergency dental care.

Call our Anchorage, AK office at the first onset of pain. If you have lost a tooth, crown, or filling, try to keep the tooth or restoration moist. Teeth are strong, but they will crack and shift after an injury or the loss of a bridge or crown. If the crack extends to the root, or the loss of a tooth or crown leaves sensitive tissue or nerves exposed, the pain can be excruciating. Our emergency care dentists will always treat your pain immediately upon examination, and fix the problem or advise you of a plan to address the cause of the pain.

Make your appointment immediately if you have suffered an accident-causing tooth injury. If the pain is the result of decay or cavities, medication for infection may be necessary. Depending on the extent of the decay, a filling, extraction, or root canal may be recommended. These treatments are not available in a hospital emergency room, but can be completed quickly and comfortably at Pediatric Dental Associates .

I haven’t been to the dentist in years – what should I expect?

August 14th, 2013

Time flies when we are not at the dentist! Before you know it, years may have gone by. Let’s take a moment to explain what takes place when a patient comes back to receive care after an extended period of time.

After a while, small dental concerns or issues can grow into an unexpected journey of discovery and expense. Anxiety is common and expected. Let’s discover first of all, “What brings you here today?” It is a good place to start and once the initial concerns are addressed, a comprehensive plan to restore optimum dental health can be arranged. During the first appointment Dr. Paul Engibous and our team want you to feel comfortable, and establish a confidence allowing you to be open with any questions.

Your visit will take approximately 90 minutes. First, a complete medical and dental history will be recorded and reviewed in one-on-one interview style. This is the time to voice any concern, anxiety issues, worries, etc. Then, X-rays are taken to provide additional information about what is happening beneath the surface of your teeth and gums. Finally, a series of screenings including those for oral cancer, home care evaluation, and periodontal disease are conducted to complete your oral health evaluation.

The hygienist has a great eye for other conditions such as broken fillings, cracked teeth, active decay, and other dental concerns. Then, Dr. Paul Engibous will come in for a comprehensive exam and list and prioritize your dental needs. Our treatment coordinator will present scheduling options, insurance coverage, and payment plans.

Our team will coach you and help you gain control of your own dental destiny with good home care habits. You will receive a bag with a toothbrush, floss, appropriate toothpaste, and any other specialized tools for your needs. You will know how often you need to return for hygiene visits or other dental appointments.

Our patients at Pediatric Dental Associates are our most important asset, and we strive to create a comfortable experience, no matter how long it has been since your last visit at our Anchorage, AK office. From phone conversations to financial arrangements to clinical treatment, we want you to feel confident that our team will meet your needs.

I’m on a diet and getting MORE cavities!

August 7th, 2013

Health gurus rave about replacing unhealthy food choices with healthy ones in your diet. If you want to maintain your beautiful smile as well as your waistline, choose foods that are good for your teeth and good for losing weight. This article will discuss some of the worst healthy foods for your teeth and what you can do to continue to enjoy them.

When watching your weight, snacks heavy in sugar and starch are the first target for elimination. You want to trade those empty calories for something with more nutritional value. A healthier snack is fruit and vegetables. When you are substituting empty calories with whole foods such as fruits and vegetables, consider a few implications for your dental health.

The most acidic fruits are grapes, grapefruit, and strawberries. Want to know the number-one worst healthy food for your tooth enamel? Apples! An apple a day may keep the doctor away but you may soon be calling your dentist.

Another healthy food often incorporated into dieting is salads. But consider what you put in those salads. Salad dressings are filled with vinegar and sweeteners. These make a salad very acidic and can change the pH of your mouth from alkaline, which is good for your teeth, to acidic, which puts your smile at risk for erosion and decay.

Last but not least is diet soda. You might be cutting down on the calories but you are still putting your teeth at risk for decay. Though calories are reduced, the acid is not.

You do not need to eliminate any of these foods from your diet. Simply alter what you do after eating these foods to decrease the amount of acid your teeth are exposed to.

During your next visit to Pediatric Dental Associates in our Anchorage, AK office, we can discuss your diet. We may recommend using certain products to fortify your teeth or change the way you routinely care for your teeth.

Please enjoy the wonderful whole foods that are great for a healthy waistline. A healthy waistline and a healthy smile have a positive influence on your general health. A healthier you is a happier you. The happier you are, the more you smile. Keep your smile brilliant and beautiful with the care your teeth deserve at the practice of Dr. Paul Engibous.

How to Handle an Unexpected Dental Emergency

July 31st, 2013

Regardless of the type of dental emergency you experience, it is important that you visit Pediatric Dental Associates for emergency dental care as soon as possible. A chipped or cracked tooth requires professional attention, as bacteria may gather in these areas, potentially causing infection that could require a root canal. Remember, you may be capable of managing pain, bleeding, and swelling at home, but by visiting our office for immediate treatment, you can fight infections and minimize lasting damage to your mouth, teeth, and gums under the expert care of our emergency dentist.

24/7 Emergency Dental Care

Pediatric Dental Associates is proud to offer emergency dental care around the clock, seven days a week. Dental emergencies do not wait for regular business hours, and if you experience a serious dental emergency, you need immediate treatment. Whether you have a broken tooth or if you have bitten through your tongue, do not hesitate to visit us day or night. Until you arrive at our office, however, there are some helpful steps you can take if you encounter a serious dental dilemma.

Managing Your Dental Emergency

If a toothache is causing problems, you can probably keep the discomfort under control until our emergency dentist can treat you. Start by checking the gums that surround the affected tooth for inflammation, bleeding, or foreign objects. There may be food lodged in the gum that could be removed by flossing. You can control pain by placing a cold compress against your mouth, or by using an over-the-counter oral numbing agent.

More serious situations may be extremely time sensitive, and require immediate emergency attention. For example, if a tooth is completely knocked out, carefully clean it with water. Try to place the tooth back into its socket or briefly store it in a cup of milk if it will not fit back into the gum. Never pick up a tooth by the root or force it into the socket. Come straight to our office, as your tooth will need to be replaced within a short amount of time. Similarly, if you have bitten through your lip or tongue, the American Dental Association recommends carefully cleaning the area before coming as quickly as you can to our emergency dental office for treatment.

Remember, there is no reason you should live with discomfort. By visiting our Anchorage, AK office immediately in an emergency, you can take control of your oral health comfortably and safely.

The Link Between Dental Hygiene and Your Overall Health

July 24th, 2013

When patients of Pediatric Dental Associates hear any mention of oral or dental hygiene, they probably think of brushing and flossing their teeth. Although these are extremely important, the term dental hygiene encompasses much more than that. Your mouth’s health, including your teeth, has an important impact on your overall physical health. The National Institute of Dental and Craniofacial Research published the surgeon general's first ever report on dental health. It is called A National Call to Action to Promote Oral Health. In that report, the surgeon general states that the 1948 World Health Organization expanded its earlier definition of health to "a complete state of physical, mental and social well-being, and not just the absence of infirmity."

The Importance of Oral Health to Total Overall Health

One of the most important themes that the dental health report stressed is that you cannot be healthy without oral health. It went on to explain that oral health and general health are inextricably linked, and therefore can't be seen as two separate things. Because oral health is so critical to overall health, it should be included in all community health programs. For individuals, this means that it is just as important to take care of your mouth, your teeth, and your overall oral health as it is to take care of the rest of your body. The two most prevalent dental diseases are caries (cavities), also known as tooth decay, and periodontal (gum) disease.

Ways that Oral Health Impacts Overall Health

One important way in which good oral health contributes to better overall health is seen in the findings of several studies in which the blood sugar levels of diabetic patients were significantly lowered when their periodontal (or gum disease) was successfully treated. Your mouth has roughly 500 different species of bacteria. Many are harmless, and some are even good bacteria that help maintain the balance of your intestinal flora. Harmful bacteria can infect your gums, causing gingivitis. Your body's immune system may try to fight off the alien invaders, but they attack your gums, causing inflammation and bleeding when you brush.

Now that you know how important good dental hygiene is, be sure to see to get your teeth cleaned every six months with Dr. Paul Engibous, have regular dental checkups, brush and floss your teeth at least twice daily, and replace your toothbrush at least every couple of months. Call us to schedule your next appointment at our convenient Anchorage, AK location.

You Broke Your Tooth – Now What?

July 17th, 2013

You may have bitten down on a hard food or object, or perhaps you had a cavity that weakened your tooth. Either way, your tooth is now broken, and the steps you take to care for it will determine whether you get to keep your natural tooth or not. Millions of people suffer from broken teeth every year, so you are not alone. However, that does not mean your newly cracked tooth does not need immediate attention.

What is a Broken Tooth?

A broken tooth is one that has been fractured, chipped, cracked, broken apart, or completely knocked out of the mouth. You may or may not feel your tooth break, depending on the extent of the break and whether your tooth was decaying prior to the break. It is usually very easy to diagnose a broken tooth, because the evidence will be visible. In the case of hairline cracks in the teeth, you may start to note a sensitivity to hot or cold in the neighborhood of the fracture.

The Right Way to Handle a Broken Tooth

As soon as you know your tooth is broken, chipped, or fractured, make an appointment to visit our emergency dental office. Even the tiniest fractures require attention: bacteria can infect the fractured area, which could cause you to lose the tooth altogether.

Until you are in our office, you can manage your pain using over-the-counter pain medication, such as Tylenol, or you can apply a cold compress to prevent swelling and inflammation. Be sure to rinse your mouth with warm salt water after every meal until you are able to visit us.

Keep in mind that while pain medication is an effective way to manage a broken tooth at home, it is only a temporary fix. Broken teeth should not be treated solely at home, and over-the-counter solutions are not substitutions for professional dental care. Failing to make an appointment with Dr. Paul Engibous after breaking or chipping a tooth can place your health at risk.

Treatment

Treating your broken tooth will depend on the type of break you have and how much of the tooth is affected. According to the American Dental Association, a minor chip or tiny fracture line may be repaired with bonding. On the other hand, a more serious break that exposes the tooth's pulp may require a root canal or extraction to prevent infection. Ultimately, our team here at Pediatric Dental Associates will explain to you the best treatment plan based upon our evaluation of the condition and extent of your break.

If you have broken, cracked, chipped, or fractured one or more of your teeth, don’t hesitate to contact our office immediately. We specialize in emergency dental care and are available to serve you 24 hours a day, seven days a week.

Periodontal Disease; I have what?!

July 10th, 2013

The team from Pediatric Dental Associates understand the diagnosis of periodontal disease can be scary and confusing, but the good news in most cases is that it is treatable and manageable with a little work on the part of the patient.

Periodontal disease is an infection of the gum tissue, bone, and supporting structures for the teeth. In the past it was known as pyorrhea. Diagnosis is commonly made through a combination of dental X-rays, periodontal readings (called probe depths), and visual clinical findings.

The mouth is a gateway to the rest of the body and can provide clues to the patient’s overall health. In fact, the first signs of some chronic diseases appear in the oral cavity; they can be a hint for the dentist to refer the patient to a medical doctor for a thorough exam.

If left untreated, periodontal disease can lead to premature tooth loss, sensitivity, and chronic or acute mouth pain. If you have diabetes, you are more prone to periodontal disease and can experience greater difficulty controlling your blood glucose levels. The body ends up spending so much energy fighting the infection in the mouth that it cannot achieve balance elsewhere. Studies have shown that once periodontal disease is treated, the glucose levels become more responsive to control as well.

Standard treatments can include scale and root planing, medicated mouth rinse, and in some cases antibiotic therapy or laser therapy to help control bacteria while promoting healing. Periodontal disease can range from a few localized pockets to extensive and severe infection that may require surgery.

The process of scale and root planing may entail two to four appointments for treatment, with follow-up maintenance exams every three to four months to help prevent the spread of disease. In most cases you will be numbed for comfort during the procedure. After treatment you may feel a little sore—but you are taking steps to improve your health!

Scheduling an appointment with the Anchorage, AK office of Dr. Paul Engibous will give you an accurate diagnosis and a range of treatment options. Periodontal disease is “silent,” which means you will not always experience pain as a signal of infection. When caught early and subjected to proper oral hygiene care on a daily basis, treatments are usually successful.

Happy Fourth of July

July 3rd, 2013

Every year, Americans all over the world celebrate the birth of the country and its independence on the Fourth of July. There are countless ways that people celebrate and they range from community parades and large scale gatherings to concerts, fireworks displays, and smaller scale celebrations among family and friends. For some people, July 4th is synonymous with baseball, while for others it is all about the beach of barbecues. However you celebrate, you can be sure that red, white, and blue is visible everywhere throughout the Anchorage, AK area.

The Beginnings of Fourth of July Celebrations

Although it wasn't officially designated as a federal holiday until 1941, the actual tradition of celebrating Independence Day goes back to the time of the American Revolution (1775 – 1783). At the time of the American Revolution, representatives from the 13 colonies penned the resolution that ultimately declared their independence from Great Britain. The continental congress voted to adopt the Declaration of Independence on July 2nd of 1776. Two days later, Thomas Jefferson's famous document that is now known as the Declaration of Independence, was adopted by delegates representing the 13 colonies.

First States to Recognize the Fourth of July

In 1781, Massachusetts became the first state (or commonwealth) whose legislature resolved to designate July 4th as the date on which to celebrate the country's independence. Two years later, Boston became the first city to make an official designation to honor the country's birth with a holiday on July 4th. In that same year, North Carolina's governor, Alexander Martin, became the first governor to issue an official state order stipulating that July 4th was the day on which North Carolinians would celebrate the country's independence.

Fun Facts About the Fourth of July

  • The reason the stars on the original flag were arranged in a circle is because it was believed that would indicate that all of the colonies were equal.
  • Americans eat over 150 million hot dogs on July 4th.
  • Imports of fireworks each year totals over $211 million.
  • The first “official” Fourth of July party took place at the White House in 1801.
  • Benjamin Franklin didn't want the national bird to be the bald eagle. He believed that the turkey was better suited to the coveted distinction. John Adams and Thomas Jefferson disagreed with him, and he was outvoted, so the bald eagle became the official bird of the United States.

For many, the tradition is something entirely different. Along the coastal areas of the United States, people may haul out huge pots to have lobster or other types of seafood boils. Others may spend the day in the bleachers at a baseball game, or at a park, cooking a great traditional meal over an open fire. No matter how or where you celebrate, one thing is certain: all Americans celebrate July 4th as the birth and independence of our country.

Dr. Paul Engibous and our team at Pediatric Dental Associates wish you a safe and happy Fourth of July!

What is Biofilm?

June 26th, 2013

Biofilm, protective housing for bacteria, is a hot topic in the medical and dental fields. Routinely taking an antibiotic for a bacterial infection has become more complicated because of biofilm. Bacterial infections may become resistant to antibiotics in part because the biofilm allows for communication among the bacteria, allowing the infection to be sustained.

You’re probably wondering, Dr. Paul Engibous , what does this have to do with teeth? Since we’re dental professionals, we can tell you why it’s important and what you should know! There is biofilm in your mouth; healthy biofilm and diseased biofilm. Both are made of the same general compounds, but when combined with certain amino acids and cellular chemicals, the diseased biofilm conquers and destroys.

Periodontal disease, otherwise known as gum disease or pyorrhea, is a biofilm disease. If you are undergoing treatment for gum disease and you do not continue with the treatment plan the disease will progress and/or spread due to the biofilm.

There are several ways to treat diseased biofilm. But remember, antibiotics cannot touch the bacterial infection if the biofilm is established.

When your regular cleaning exam is complete, the Ultrasonic or Piezo Scaler should be used. This method of spraying water disturbs the biofilm and provides an opportunity to treat the infection causing bacteria.

Remember, we all need healthy biofilm. Just as your skin protects your body, biofilm housing good bacteria protects your body. The bacteria in the biofilm replicate every twenty minutes. If your body has healthy bacteria, low levels of hydrogen peroxide are produced by the biofilm, preventing harmful bacteria from residing. Harmful bacteria do not like oxygen.

At your routine exam the dental hygienist will take measurements around your teeth checking for “pockets”. The higher the number, the deeper the pocket giving more room for harmful bacteria where there is no oxygen. Ask what your numbers are and be involved in restoring your healthy biofilm.

Is your child a mouth breather?

June 19th, 2013

Have you ever watched to see if your child is breathing through his or her mouth? Breathing through the mouth instead of the nose may lead to trouble for youngsters. Kids who typically breathe through their mouth—most often children who suffer from allergies—experience problems getting enough oxygen into their blood, a condition that affects their weight, size, sleep, and even their performance in the classroom and daily life.

Mouth breathing as a child can also lead to sleep apnea, behavior and learning problems, delayed speech, dental and facial abnormalities, and even breathing problems as your child grows. There are a multitude of reasons for an individual to mouth breathe, such as enlarged tonsils, adenoids, and deviated nasal septum, but the cause is usually allergies.

As bad as the condition sounds, we want you to know mouth breathing is a treatable condition. Doing so, though, requires early diagnosis and treatment. Since our team at Pediatric Dental Associates sees our patients every six months, we may be in a position to identify the symptoms of mouth breathing.

If you suspect your child is a chronic mouth breather, please give us a call at our convenient Anchorage, AK office to schedule an appointment with Dr. Paul Engibous.

Broken Tooth - Is It an Emergency or Not?

June 12th, 2013

Have you ever had that sinking feeling after biting into something soft and chewy and feeling something hard and crunchy instead? You’ve chipped or broken a tooth, but what should you do next? First try to assess the damage by determining whether it’s a chip or a whole tooth.

As Dr. Paul Engibous will tell you, a broken or chipped tooth is usually not a dental emergency unless you are experiencing a great deal of pain or bleeding, but you should contact us for an appointment shortly afterward. Be sure to mention that you have a broken tooth so we can fit you into our schedule quickly. After a thorough evaluation, we’ll recommend a course of action. If it is a small chip, we may simply smooth it out. For a larger break, the dentist may fill in the space with a composite material that matches your other teeth.

Emergency Dental Care

If you are in severe pain, are bleeding excessively, have a major break, or have lost a tooth, that is a dental emergency and you should contact us. As emergency dental specialists, we’ll be able to schedule an appointment immediately and advise you on the next steps to take.

You can rinse your mouth with warm water and apply pressure to stop the bleeding. An ice pack will help reduce any swelling. Do not take any aspirin as that could increase the amount of bleeding. Should your tooth be knocked out completely, rinse it under running water but do not scrub it. Hold the tooth only by the crown, or the part you normally see above the gum line, not by the root. If you can, put the tooth back into the socket while you travel to our office, or put it in a mild salt solution or milk. Don’t let the tooth become dry, because this can lead to damage. Once you get to our office, our dentist will determine whether the tooth can be saved or if it will need to be replaced.

A broken tooth may not always be an emergency, but it’s best to have it treated with us at Pediatric Dental Associates. While it may only be a cosmetic problem at first, if left too long without treatment, you may experience further damage to your tooth and mouth.

Smile! June is National Smile Month!

June 5th, 2013

Can you believe it’s already June? Today, Dr. Paul Engibous and our team at Pediatric Dental Associates thought we’d tell you June is National Smile Month, and remind all our patients to practice good oral hygiene between your visits to our office!

Below are a few simple steps you can take to improve your oral health so that you may celebrate National Smile Month for many, many years to come:

  • Brush at least twice a day with fluoride toothpaste
  • Floss every day to clean between your teeth
  • Reduce your intake of sugary foods and drinks
  • Visit Dr. Paul Engibous every six months, or as recommended

If you have questions about any of these tips, we encourage you to give us a call, ask our team during your next visit, or ask us on Facebook!

Is there a correlation between my dental and cardiovascular health?

May 29th, 2013

YES!  Studies have shown a correlation between gum disease and heart disease, underscoring the importance of good oral health care. Cardiovascular disease remains American’s leading killer, claiming more lives than the rest of major causes of death, according to our friends at the American Heart Association. In fact, an estimated 80 percent of American adults currently have some form of gum disease, also known as periodontal disease.

Studies also suggest that patients, especially those with gum disease, are believed to have an elevated risk of heart attack and stroke. Since most patients are not regularly visiting a heart specialist, their regular visits to our Anchorage, AK office can help detect early warning signs of heart issues, prevent gum disease or at the very least catch it at its early stage. We’d also like you to know your numbers: blood pressure (less than 120/80), cholesterol (less than 200) and BMI (less than 25).

There are many benefits to visiting Pediatric Dental Associates in addition to maintaining your dental health. If it has been more than six months since your last visit, please give us a call!

Memorial Day: Parades, Remembrance, and the Unofficial Start of Summer

May 22nd, 2013

“The purpose of all war is peace.” - Saint Augustine

Fire truck sirens, baton twirlers, marching bands covering patriotic tunes, colorful floats, costumes, and millions of red, white, and blue American flags being waved in the air on a beautiful day in late May, that is what Memorial Day is all about. It is a federal holiday celebrated with town parades, remembrance, and a sense of unity and community togetherness.

Our team at Pediatric Dental Associates wants to take this time to wish you and your family a happy Memorial Day, as well as pause for a moment to reflect on what this holiday means and how it has changed over time. No, this is not a history lesson, but just a couple of thoughts and observances for you to take with you on your way to the next barbecue.

On the last Monday in May, America observes Memorial Day as a time to remember and celebrate the men and women who have lost their lives while serving our country in the Armed Forces. The holiday originated after the Civil War; at that time it was known as Decoration Day. While holidays like Thanksgiving, Christmas, and Easter remain the same from year to year, Memorial Day has changed over time, and in the 21st century we observe a far different holiday than what Americans did after the Civil War, or even the World Wars.

While many people place flags at cemeteries and visit national memorials in order to honor those who have passed away serving the country, Memorial Day is also a time for family barbecues, pool parties, trips to the beach, blockbuster movies, long weekend getaways, and fireworks. In America, Memorial Day has come to represent the unofficial start of the summer – a long, sunny, warm weekend devoted to family togetherness, outdoor events, and community.

It is time to load up the potato salad and the apple pie and head over to the neighbor’s house for their annual barbecue. And yes, contrary to popular belief, dentists do eat sweets, especially homemade apple pie! Everything in moderation, of course.

So whether you’re in the Anchorage, AK area or beyond- Happy Memorial Day to you and yours from Dr. Paul Engibous!

How Tooth-Colored Fillings Improve Your Smile

May 15th, 2013

Today’s crowns, veneers, and tooth colored fillings are very natural looking compared to early counterparts. There was a time when dentists placed silver fillings exclusively. This material is still used, however the most common material used today in fillings is composite, tooth-colored fillings. Composite fillings can be made to match any shade of tooth and even let light travel through them like natural enamel.

Composite fillings are great in many different scenarios. The most obvious reason is when a cavity is present. This is an excellent way to seemingly erase the imperfection that once was. It is almost as if the cavity was never there.

Placing composite fillings to reshape teeth can also minimize excessive spacing. In the case of a diastema, (a large space between the two front teeth) composite material is a non-invasive and cost-effective choice that provides instant results. It can be an alternative to braces.

Mottled enamel is a symptom of fluorosis, which causes discoloration and imperfections in the enamel. Composites are the material of choice for masking this condition.

Composite fillings are easy to place, easy on the eyes, and easily repaired. With skill and good composite material, a filling can be easily disguised. This look is desired most in our society today, where dental perfection is now standard.

In conclusion, your smile is in good hands with composite fillings. There are some great materials that give a near perfect match to the appearance of natural tooth enamel. Smile with confidence knowing no one ever has to know. Your secret is safe with us at Pediatric Dental Associates!

Is cheese crucial to my child's oral health?

May 8th, 2013

Cheese, as our team at Pediatric Dental Associates will tell you, is one of the healthiest snacks for your child’s teeth. In addition to providing large amounts of much-needed calcium, cheese also helps fight cavities. Cheese helps stimulate the body’s salivary glands to clear your child's mouth of debris and protect them from acids that weaken them. This means cheese disrupts the development of cavities, especially when eaten as a snack or at the end of a meal. Calcium and phosphorous found in cheese reduce or prevent decreases in the plaque’s pH level and work to re-mineralize the enamel of your child’s teeth, according to the American Academy of Pediatric Dentistry.

We hope this helps! If you or your child have any questions about cheese or calcium, or want to schedule an appointment, please give us a call!

May Marks National Physical Fitness and Sports Month!

May 1st, 2013

Did you know the month of May is designated National Physical Fitness and Sports Month? After all, there isn't a better time to celebrate physical activity as when the warm weather and sunshine makes its way back into our lives!

Now that the flowers are in bloom and the weather has warmed up, it's easier to go outside and soak up the sun. After spending the winter working out in gyms or doing crunches at home, exercising outdoors can be a lot more enjoyable as well. Whether you enjoy hikes, jogging, or biking, spring gives us a chance to smell the grass, take in the rays, and enjoy the blue sky—all senses that we just can't duplicate at the gym.

If jogging or biking isn't your cup of tea, we encourage you to try a sport! Sports have some amazing qualities that we often overlook. Team sports like baseball and soccer, and individual sports like golf and tennis can improve your coordination and agility, in addition to building determination, confidence, drive, hard-work, pride, leadership, and time management.

At Pediatric Dental Associates, we always encourage our patients to stay fit by exercising or participating in sports. However, we want to remind you to always wear a mouthguard or other form of facial protection when playing sports. To learn more about how often your child should exercise, or to ask us about obtaining a mouthguard, please give us a call!

Are Dental X-Rays Safe?

April 24th, 2013

YES! X-rays have been used in dentistry for a long time, and the amount of radiation has significantly decreased with advances in technology. While there is risk in every health diagnostic procedure at Pediatric Dental Associates, the benefits must outweigh the risks. Dental X-rays do indeed fall into this category.

X-rays are exposed to a type of film to produce an image. The amount of X-rays required to produce this image differs with film speeds. Speed E or F is highly recommended, and digital X-rays require up to 50% less than speed E or F film. The digital X-ray software can adjust the exposure to produce a quality image. Digital X-rays are becoming a new standard and are most common.

Lead aprons have been used to reduce the amount of scatter radiation. All X-ray units have a cone to focus the X-ray beam so the exposure is highly localized. Lead aprons continue to be worn as a precaution for pregnant women, and a thyroid collar should also be worn. In most cases, this is sewn into the lead apron.

We get radiation exposure from environmental factors as well as healthcare diagnostic and treatment tools. To place this in perspective, in one year a person is expected to have 360mRem per year from the sun, air etc. By comparison, a single set of bitewing X-rays is 0.3mRem. Radiation can accumulate in our body over a lifetime, and additional exposure should be avoided whenever possible.

Do adults need fluoride treatments?

April 18th, 2013

Many dentists and hygienists recommend fluoride treatments for their adult patients. You might ask yourself, “Do I really need a fluoride treatment? I thought those were just for my kids.” After all, most insurance plans cover fluoride treatments only up to the age of 18.

What you need to know as a dental consumer is that studies have shown topical fluoride applications performed by a dental professional create a significant benefit for adults who have moderate to high risk for cavities.

There are several circumstances that warrant extra fluoride protection among adults. Many prescription medications reduce saliva flow or otherwise create dry mouth. A reduction in saliva increases cavity risk.

Adults often experience gum recession, which exposes part of the root surface of teeth. These areas are softer than the hard enamel at the top of the tooth, which makes them more susceptible to decay.

In addition, adults often get restorative work such as crowns or bridges. Fluoride can help protect the margins of these restorations, ultimately protecting your investment.

Today many people opt for orthodontic treatment (braces) as adults. Braces make it more challenging for patients to maintain good oral hygiene. Just ask your kids! Fluoride can keep the teeth strong and cavity-free even with the obstacle of orthodontic appliances.

Have you had a restoration done within the last year due to new decay? If you have, that puts you at a higher risk for cavities. Fluoride treatments are a great way to prevent more cavities in patients who are already prone to them.

How is that flossing coming along? You know you should floss daily, but do you? If your oral hygiene is not ideal, fluoride could be just the thing to keep your neglect from leading to cavities between your teeth.

Fluoride can also help with the growing problem of sensitive teeth. Diets high in acidic foods and beverages, general gum recession, and increased use of whitening products all tend to produce sensitive teeth. Fluoride treatments re-mineralize tooth enamel and reduce that sensitivity.

Patients who undergo radiation treatment for cancer also benefit from topical fluoride applications. Radiation damages saliva glands, thus greatly reducing the flow of saliva. Saliva acts as a buffer against the foods we eat and beverages we drink. Once again, less saliva greatly increases the risk of cavities.

If one or more of these conditions applies to you, consider requesting a topical fluoride treatment. Be sure to ask Dr. Paul Engibous at your next appointment whether you might benefit from a topical fluoride application.

Make Every Day Earth Day

April 18th, 2013

Earth Day began in 1970 as an event to raise awareness of our environment. What began as a single day in April is now recognized around the world to bring attention and education to global environmental issues. Conserving our natural resources, reducing water and air pollution, and developing green technologies are all ways in which we can improve the environment around us.

Reduce, Recycle, and Reuse

One of the easiest ways to participate in Earth Day is by simply reducing the amount of refuse that ends up in landfills. Many communities have recycling programs for paper, plastic, and metal refuse. By keeping recyclable items out of landfills, we reduce the need for new disposal space and the amount of energy needed for burning refuse. Recycling products also helps conserve the resources that are used in making new products.

You can save money by reducing your consumption of many everyday products. Single disposable water bottles can be recycled but they are costly. By using filtered faucet water, you can conserve your financial resources. Disposable paper towels can also be wasteful. Consider reusable cleaning rags for the majority of your chores.

Reusing items saves both the environment and your finances. A large number of products can be re-purposed to create a new item. Old furniture can be remade into a new piece. Old clothing can be used for craft items. If you are not able to find ways to reuse your old items, donate them to a charity. Remember to continue your positive environmental steps on a daily basis.

Other things you can do to improve the environment

April 22, 2012 marked the 42nd Earth Day celebration. The event was recognized in 192 countries around the world. Everyone, young or old, can find ways to participate in improving the environment. Some ideas include:

  • Planting trees
  • Picking up litter
  • Reducing energy consumption
  • Walking, bicycling, or carpooling to work or school
  • Disposing of hazardous waste properly
  • Using rain barrels to conserve water for plants

Earth Day is designed to appreciate and celebrate the health of the earth. Keeping the earth healthy is important, but keeping your mouth healthy is important too. Healthy teeth and gums contribute to your overall health and well-being, so remember to call our team at Pediatric Dental Associates today for a checkup. Have a happy and healthy Earth Day, from Dr. Paul Engibous!

April marks National Facial Protection Month

April 1st, 2013

With spring here, many children, teens and adults will once again pick up the ball, bring the bat out of seasonal retirement, and lace up their cleats to hit the fields for the return of spring sports! April, which is only a few days away, is National Facial Protection Month, and during this time, we urge our young athletes to play it safe when out on the field. If you play sports and are undergoing orthodontic treatment, it’s important that you consult us for special precautions, such as wearing a mouth guard. A protective mouth guard is advised for playing spring sports such as baseball, soccer, lacrosse and others. Be sure, however, to avoid mouth guards that custom form to your teeth as these will resist any tooth movements we are trying to achieve.

In case of any accident involving the face, check your mouth and the appliances immediately. If teeth are loosened or the appliances damaged, please schedule an appointment with our office. Only by using a mouth guard and other forms of facial protection can kids with and without braces avoid serious sports injuries. Please give us a call if you have any questions about mouth guards or your treatment.

When Was Your Last Dental Cleaning?

March 22nd, 2013


You water the garden three times a week, you change your car's oil every three months, and you replace the batteries in your smoke detectors once a year. Your teeth need to see your dentist on a regular schedule, too.
While daily oral hygiene habits are essential to good oral health, professional dental cleanings at our office ensure your teeth are treated to a deeper level of cleaning. We recommend for most of our patients to have a checkup at least every six months. In addition to a thorough cleaning and polishing of your teeth, these regular visits help us detect and prevent the onset of tooth decay and periodontal (gum) disease. During your visit, we’ll check the health of your mouth, teeth, gums, cheeks, and tongue. We’ll also check old fillings and restorations, as these can wear away over time from constant chewing, grinding, or clenching.
If you are predisposed to oral diseases, you may need to visit our office more often than every six months. Factors at play in these diseases include age, pregnancy, tobacco use, medical conditions (such as diabetes, dry mouth, or HIV infection), along with how well you take care of your teeth on a daily basis.
Make sure your teeth get the professional attention they deserve – If you’re overdue for your next cleaning, check with our office to schedule an appointment!

St. Patrick's Day: Celtic Pride, Green Shamrocks and Lucky Charms

March 14th, 2013

“St. Patrick's Day is an enchanted time -- a day to begin transforming winter's dreams into summer's magic.” Adrienne Cook

Lucky green shamrocks, leprechauns, and pots of gold: It must be St. Patrick’s Day! If you’re not Irish, how do you go about celebrating St. Patrick’s Day? It’s easy: You just put on one of those tall leprechauns hats, dress in green from head to toe, and wear one of those carefree pins that say “Kiss Me, I’m Irish”. On St. Patrick’s Day, everyone is Irish, and that is the universal beauty of the holiday. Celtic pride does not discriminate.

St. Patrick’s Day is an important cultural and religious holiday. There are lavish parades and church services across Ireland on March 17th. Over time, however, the holiday has developed into a day to observe Irish culture in general. In places like England and the United States, where there is a large Irish Diaspora, the holiday has greater significance than other countries. From the streets of Boston to St. Patrick’s Cathedral in New York, it is a day of celebration, and many Americans of Irish descent will cook up a traditional meal of corned beef and cabbage.

So, to all of you with Irish ancestry, and to all of you who have decided to be Irish for the day, our office wishes you a Happy St. Patrick’s Day. Good luck looking for a pot of leprechaun gold, which is said to exist at the end of the rainbow. However, keep away from those sugary Lucky Charms; sweet cereals might taste good, but your kids’ teeth might not be feeling too lucky if they eat it for breakfast every day. Have a great St. Paddy’s day and remember to call your favorite dental office soon to keep your oral health in check!

Spring into Spring with a New Smile!

March 8th, 2013

It’s almost spring! Tulips are blooming and the world is awakening from its winter sleep. We thought today we would remind our patients about the need to visit our office for your cleaning. After all, studies have shown there could a link between proper oral and dental care and heart disease, diabetes and even stroke. Regular visits to our office can keep harmful bacteria from entering your body by removing plaque build up.</p.

Another great benefit to scheduling your 6-month visit is the opportunity for us to screen for other potential health hazards. During your visit, we can not only clean and whiten your teeth, but potentially identify other signs or symptoms.

Get your beautiful smile today! Give us a call to schedule an appointment!

Patient question: "How do I prevent gum disease?"

March 4th, 2013

Great question. It’s usually easy to tell when you have a cavity, but unfortunately, gum disease can exist in your mouth without you even knowing. In fact, you can have the beginning stages of gum disease without even noticing any pain or discomfort. Since gum disease can be undetectable, it’s imperative to watch for warning signs in order to prevent the disease from worsening.

Here are the signs to watch for:

• Gums that appear red or swollen
• Gums that feel tender
• Gums that bleed easily (during brushing or flossing)
• Gums that recede or pull away from the teeth
• Persistent bad breath (halitosis)
• Loose teeth
• Any change in the way teeth come together in the biting position
• Any change in the way partial dentures fit

If you or someone in your family is showing these signs, schedule an appointment at our office.  We can diagnose the problem and begin treatment to save your teeth and give you back a healthy mouth!

What's On Your Mind?

February 21st, 2013

By now, you’re probably familiar with our blog-writing process: Each week, we write about important dental topics and your well-being, including the treatments we proudly offer.

This week, though, we thought we’d step back and ask you, our amazing patients: what’s on your mind? What would you like to know about the always-changing and exciting field of dentistry? What would you like us to focus on our blog? Perhaps there’s something you’ve wanted to ask us for a while now? Here’s your chance! Let us know by posting here or on our Facebook page! Give us your best shot, and we’ll try to answer any question you may have!

Valentine’s Day and Your Teeth

February 14th, 2013

Valentine’s Day is here and there is a lot of candy making the rounds this week. It’s once again time to remind all our patients to be extra careful when choosing those candies and treats!

All those sweet, sour and sticky candies may taste great, but these treats are known to damage teeth! Did you know sour candies can be acidic to your teeth, and actually wear down the enamel that protects them? This can cause tooth decay and cavities! Sour and fruity candy, such as Starbursts and Skittles, are the worst for your teeth since these candies have a low pH value, which is known to ruin enamel.

We recommend softer treats, such as soft chocolate or peanut butter cups, or melt-in-your-mouth foods. Those who indulge should make sure they brush and floss between teeth, as well as at the gum line.
Happy Valentine’s Day from all of us!

February is American Heart Month!

February 8th, 2013

You may remember our post from last week, when we discussed February being “National Children’s Dental Health Month.” But did you know February also marks American Heart Month?

It’s a great time to take notice of the health of your heart as cardiovascular disease remains the leading cause of death in the world, according to the American Heart Association. Studies have shown a correlation between gum disease and heart disease, underscoring the importance of good oral health care, especially while you are undergoing orthodontic treatment.

Visiting your dentist on a regular basis during your orthodontic treatment not only ensures a successful outcome, but can also help prevent gum disease or at least catch it in its early stages. In observance of Heart Month, it’s also important to know your numbers: blood pressure (less than 120/80), cholesterol (less than 200) and BMI (less than 25).

If you have any questions about heart health, about the importance of visiting your dentist or about your treatment at our office, please give us a call today!

 

What Do You Love About Our office?

February 1st, 2013

From your very first visit to our office, we strive to provide superior treatment in a pleasant, friendly atmosphere. We are always updating our office with the most advanced and up-to-date technologies and methods and are here to get to know you personally and find out how we might make your visit a wonderful one!

We thought we’d ask you, our wonderful patients: Have you been especially impressed by our work? Did our team go out of their way to make your day? Are you in love with your smile?

Whether you’ve just come in for a one appointment or your family has been visiting our office for years, we’d love to hear your feedback below. Or, you can tell us by posting on our Facebook page!

February is National Children’s Dental Health Month!

January 25th, 2013

Each February for the past 63 years, our friends at the American Dental Association have sponsored National Children’s Dental Health Month to raise awareness about the importance of oral health at a young age, and especially during your orthodontic treatment. Developing good habits at an early age and scheduling regular visits with your dentist—even while you’re wearing braces—helps our young patients get a good start on a lifetime of healthy teeth and gums.

For kids wearing braces, brushing and flossing can become more difficult, requiring extra time and effort to remove food particles that accrue on and between your teeth and braces. If you ignore your oral health during your treatment, the results can be significantly compromised. We are happy to explain why effective brushing and flossing is so critical during orthodontic treatment. If you have any questions, please feel free to give us a call, ask us on Facebook or ask us at your next adjustment appointment!

The Importance of Wearing Mouthguards

January 21st, 2013

With winter sports underway, we wanted to remind our patients about the importance of wearing a mouth guard while you’re on the court or the field. Here are some frequent questions we hear from our patients about mouth guards.

Q: What are mouth guards?

A: Mouth guards are a flexible, removable device made of soft plastic, and are adapted to fit comfortably to the shape of the upper teeth.

Q: Why are mouth guards so important?

A: Mouth guards protect not just the teeth, but the lips, cheeks, and tongue, and help protect athletes from head and neck injuries, as well as concussions and jaw fractures. Increasingly, organized sports are requiring mouth guards to prevent injury to their athletes and research shows us that most oral injuries occur when athletes are not wearing mouth protection.

Q: When should I wear my mouth guard?

A: Whenever you are in an activity with a risk of falls or of head contact with other players or equipment. This includes football, baseball, basketball, soccer, wrestling, hockey, and even gymnastics.

Q: How do I choose a mouth guard that is right for me?

A: We encourage you to choose a mouth guard that you can wear comfortably. You can select from several options in mouth guards. First, preformed or “boil-to-fit” mouth guards are found in sports stores. Otherwise, we can talk about your options for a custom mouthguard, which will be more comfortable to wear, and more effective in preventing injuries this winter. Please give us a call if you have any other questions or ask us on Facebook!

Do germs really live on my toothbrush?

January 9th, 2013

The dreaded cold and flu season is here again! After recovering from your cold, one of the most important steps you can take to avoid becoming reinfected is replacing your toothbrush!

Germs can linger on the bristles, and you risk prolonging your sickness by continuing to use the same toothbrush. Be smart - keep a spare, just in case! To protect your toothbrush from bacteria all year long, consider the following tips:

• Wash your hands before and after brushing
• Allow the brush to air dry after each use, harmful bacteria dies after being exposed to oxygen
• Store the toothbrush in an upright position to allow water to drain and dry faster
• Replace your toothbrush every 3-4 months. Worn bristles are less effective in properly cleaning your teeth, and can actually be damaging to teeth if used too long!

We hope these tips help! Feel free to give us a call or ask us on Facebook if you have any questions!

Apps to help you achieve those 2013 New Year's Resolutions!

January 4th, 2013

With 2012 over, we thought we would ask you, our patients: what was memorable about 2012 for you, and what are you looking forward to in 2013? Do you have a new year’s resolution or any exciting plans for the coming year?

 

Here are the top resolutions for 2013, and some great free iOS and Android apps to help you achieve your 2013 resolutions!

 

Eat Healthier:

Fooducate

iOS Download  |  Android Download

Lose weight, eat real food, and get healthy. Fooducate grades your groceries, explains what's really inside each product, and offers healthier alternatives. We've got the largest database of UPCs - over 200,000 unique products and growing.

 

Work out / Exercise More:

NPT BOOM

iOS Download  |  Android Download

Nike BOOM syncs your music to your dynamic training workouts, with the world’s most elite athletes and coaches motivating you along the way. Choose your type of workout, length of training, best workout music and favorite Nike athletes—then get to work.

 

Become More Organized:

Wunderlist

iOS Download  |  Android Download

Wunderlist 2 is the easiest way to manage and share your daily to-do lists. Whether you’re planning an overseas adventure, sharing a shopping list with a loved one, or simply keeping track of your daily to-dos, Wunderlist is here to help you get things done.

 

Gain More Control of Finances:

Mint.com App

iOS Download  |  Android Download

Mint.com allows you to track, budget and manage your money all in one place, so you can see where you’re spending and where you can save. Open an account, add your bank, credit, loan and retirement accounts and Mint will automatically pull in and categorize your transactions. It’s safe, secure and easy to keep your personal finances organized.

 

Expand Social Circle:

SupperKing

iOS Download  |  Android Download

If you're trying to expand your friend circle in 2013, or maybe just plan more exciting activities with your current friends, apps like Sonar and Highlight can connect you to new people. A new iOS app called SupperKing is like Airbnb for at-home meals. You can charge strangers cash to enjoy a meal at your place with you -- an idea that not everyone is game for. But the app is also great for organizing dinner parties with your friends.

 

We want to wish all our patients, friends, family and all our colleagues a happy and healthy New Year!

 

Sources: MashablePolicyMic

End of the Year Tooth Tips!

December 28th, 2012

Today we thought we would remind our patients to practice good oral hygiene to keep those pearly whites shining and happy! This includes brushing and flossing on a regular basis, brushing after consuming foods that can stain your teeth and visiting our office every six months or as recommended.

The American Dental Association, or ADA, also recommends the following for ideal oral hygiene:

• Brush your teeth twice a day with an ADA-accepted fluoride toothpaste. Replace your toothbrush every three or four months, or sooner if the bristles are frayed. A worn toothbrush won't do a good job of cleaning your teeth.

• Clean between teeth daily with floss or an interdental cleaner. Tooth decay-causing bacteria still linger between teeth where your toothbrush bristles can’t reach. This helps remove plaque and food particles from between the teeth and under the gum line.

• Eat a balanced diet and limit between-meal snacks.

• Visit our office on a regular basis for professional cleanings and oral exams.

Lastly, a great reason to smile is this: smiling can actually help you live longer according to recent studies! Have you visited our office lately for a cleaning or checkup? If not, give us a call to set up an appointment! The beginning of the year is a great time for a visit!

Season's Greetings!

December 20th, 2012