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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!

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.

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!

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!