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Diastema is a medical term meaning “space between”—or what Dr. Michelle Slezewski and Dr. Paul Engibous and our team less formally call a gap between the teeth. Such gaps are common for children as they make the transition from baby teeth to adult teeth, and usually close when all the permanent teeth arrive. But not always!

Sometimes a gap, usually between the upper front teeth, stays with you into adulthood, but doesn’t affect your perfectly heathy teeth. Sometimes a diastema develops due to medical conditions or trauma. Whether you would like to close a gap for cosmetic reasons, or need to address gaps that have developed because of dental problems, your treatment will depend on the causes of the diastema.

• The Relationship of Jaws and Teeth

Most of the time, we think of braces as straightening crooked teeth. For many braces wearers, the jaw can’t accommodate all of the adult teeth without crowding. But it’s also possible to have too much space for incoming teeth, and this can lead to a gap between two or more teeth. Orthodontic treatment is a common choice to close this kind of gap, using braces or clear aligners to move the teeth closer together.

• Prominent Labial Frenulum

The labial frenulum is a band of muscular tissue that connects the upper lip and the top of the gums. If it is too large, tissue can extend beyond the top of the front teeth. A gap develops when the front teeth simply can’t meet because of the tissue between them.  Oral surgery can reduce the size of the frenulum, if necessary, and often orthodontic treatment is the go-to option to close the diastema.

• Small Teeth or Small Gap

Occasionally, a few teeth are noticeably smaller than their neighbors. Bonding, veneers, and crowns can be used to enlarge these teeth, making them proportionate to the teeth around them. These treatments can also be successful in reducing a gap between the front teeth.

• Missing Teeth

Sometimes people are born missing a tooth. Sometimes people lose a tooth to injury or decay. And while the space left by a missing or lost tooth is a noticeable gap in itself, the remaining teeth can shift to fill the void, causing other gaps to develop as well. A dental implant or bridge can both replace a missing tooth and maintain the normal spacing of the teeth that surround it.

• Gum Disease

Left untreated, periodontitis (gum disease) can damage or even destroy the bone tissue which holds and supports the teeth. This, in turn, leads to “tooth mobility,” or loose teeth. Spaces between the teeth become more noticeable and larger over time. After the gum disease is treated, patient and dentist can explore options for reducing or eliminating spaces between the teeth.

• Harmful Oral Habits

Tongue thrusting and thumb sucking are two habits that can affect the alignment of the front teeth. Both behaviors pressure the teeth to move forward, which can cause separations between them. Learning how to change these behaviors will help prevent or stop the expansion of a diastema and potentially serious malocclusions (bad bites).

If you would like to discuss your diastema for aesthetic reasons, talk to Dr. Michelle Slezewski and Dr. Paul Engibous for ways to reduce or eliminate the gap. If your diastema is the result of a medical condition, we will be able to recommend treatment options available at our Anchorage, AK office. If you’re teeth and gums are healthy, and you enjoy the individuality of your diastema . . .

• Embrace the Space!

A diastema can be a signature look for you and your smile. Normal brushing, flossing, and regular dental care will keep your smile bright, healthy, and uniquely you. And if you’re happy, healthy, and confidant, why, there’s no reason to mind the gap at all!

As a parent, you know how important a happy, relaxed atmosphere is when it comes to making your child feel at home. We would like to make our Anchorage, AK practice your dental home, where you and your family enjoy the best of dental care in a warm and welcoming environment.

What makes a dental home?

• It’s Welcoming

From your child’s first visit, we strive to make you both feel at ease. Our office is designed to be a happy, entertaining, and relaxing place, and our staff is trained in making little ones feel calm and secure. We want to have a lasting relationship, and we want you and your child to feel welcomed back whenever you return.

• It’s Familiar

We recommend visiting our office for the first time by the time of your child’s first tooth or first birthday. Our early visits are designed to make your child familiar with what a dentist does and how a dentist helps keep children healthy. Regular preventative care will keep those little teeth in great shape, and, if your child has a cavity that needs filling or requires any other dental procedure, we will have a history together and a familiar place to experience an unfamiliar treatment.

• It’s Comfortable

We use state-of-the-art dentistry to make sure your child has the best and most comfortable treatment as a patient, and we also consider the psychological aspect of each visit for your particular child. We are experienced in dealing with children who might feel anxious and working with them to overcome their worries. Part of our job is to make each visit a happy one, so your child is always comfortable visiting us.

• It’s Ongoing

We want to establish a relationship that will last through the years. Continuity of care means that we are able to follow your child’s dental development during those active growing years and the transition from primary to permanent teeth. We provide not only dental health education, treatment, and preventive care, but can track any changes or potential problems before they become major issues. In case of a dental emergency, we will be familiar with your child personally, and with a dental history at hand.

Give Dr. Michelle Slezewski and Dr. Paul Engibous a call to talk about your child and how we can make the dental experience a positive one from the very beginning. When it comes to establishing a happy and healthy foundation for your child’s dental history, there’s no place like our dental home!

It might be the most wonderful time of the year, but if you’re dashing through the snow to an emergency dental appointment, you’re not feeling very jolly. And post-holiday, no one wants to start off their New Year’s Resolutions with “Get Cavities Filled.” How to survive the sweetest of seasons with enamel and fillings intact?

Candies and sweets would normally be on the naughty list, but we’re not Scrooges! Indulging in a treat or two is part of the holiday fun, and we have some advice for how to enjoy them guilt-free. But first, some treats are definitely more naughty than nice. Which are the ones that are better as decorations than desserts?

• Candy Canes

If you’ve ever suffered a chipped or cracked tooth after an innocently biting down on a much-harder-than-expected piece of candy, you know that caution is in order. That’s why we tend to take our time with candy canes, letting them dissolve slowly in the mouth. Of course, the drawback to this strategy is that now we’re slowly bathing our teeth in sugar, encouraging the growth of plaque and cavity-causing bacteria.

Candy canes, peppermints, and other hard candies are potentially bad for your teeth when you crunch away, and definitely bad for your teeth if you let them dissolve slowly.

• Gumdrops

Glistening, colorful gumdrops. Roofing your gingerbread house, trimming a gumdrop tree, or simply sitting in a bowl, they are one of the sweetest ways to decorate for the holidays. And when we say “sweet,” we mean that literally. Most gumdrops are basically made of corn syrup and sugar—and then rolled in more sugar.

But their sugar content isn’t the only problem. This is sugar in an extra-gummy form that sticks between our teeth and around our gums.

• Toffees, Caramels, Taffy

They might come in lovely ribboned boxes, but these extremely sticky foods are not a gift to your teeth.

Not only do chewy candies stick to enamel, they stick to fillings, crowns (especially temporary crowns), and orthodontic wires and brackets. No one wants an unexpected trip to the dentist or orthodontist because dental work has been damaged or dislodged!

• Gingerbread Houses

Nothing says the holidays like a gingerbread house—chewy, sticky gingerbread covered with hard sugar icing, gumdrops, and peppermints. Great for your décor; not so great for your dental health. Eat one gingerbread man if you’re in a spicy mood and leave your architectural masterpiece intact.

• Fruitcake

If you need an excuse to turn down fruitcake, here’s a perfect one: most fruitcake is not great for your teeth. Candied fruit is, well, candied, and dried fruit is sugary, sticky, and chewy. There are delicious exceptions, of course, but even a delicious fruitcake is very high in sugar.

Well, this list wasn’t very jolly. So as a little holiday gift for you, here are some suggestions to help you enjoy your desserts in the healthiest way possible.

• Be choosy.

Just like you search for the perfect presents for your family and friends, take the time to choose the perfect holiday treats for yourself. If you are worried about cavities, or have a temporary crown, or wear braces, or have cracked a tooth before, or are just generally concerned with your oral health, stay away from sticky, hard, and excessively sugary desserts.

What can you accept from your holiday hosts with a grateful (and relieved) smile? The occasional soft chocolate should be nothing to stress about—and if you make it dark chocolate, you’ll actually get nutritional bonuses like magnesium and antioxidants. Cakes, cupcakes, cookies, pies—yes, they are made with lots of sugar, but it is the holidays after all. Just be sure to follow our next suggestions to make that slice of cheesecake guilt-free.

• Eat sweets with a meal.

Saliva does more than keep our mouths from getting dry. It also helps prevent cavities by washing away food particles and neutralizing the acids from food and bacteria, which damage enamel.

Eat dessert with a meal, and you benefit from increased mealtime saliva production. When you snack throughout the day, this acid-neutralizing ability is greatly reduced.

• Rinse after eating.

Rinsing your mouth with water after a meal or a snack, especially a sugary one, also helps wash away the sticky sugars and carbs, which oral bacteria convert into acids.

• Brush immediately. (Maybe.)

It’s always a good idea to brush right after eating—well, almost always. If you’ve been eating acidic foods like citrus or colas, the acids in the food can weaken your enamel just enough to cause some potential enamel damage if you scour your teeth immediately after eating. We often recommend waiting about 30 minutes to brush to give your enamel a chance to recover.

But every mouth is different. If you wear braces, or tend to get food stuck in your teeth or dental work, or have any other concerns, ask Dr. Michelle Slezewski and Dr. Paul Engibous for the best times and methods for holiday brushing.

You don’t want to ho-ho-hope that we can fit you in at our Anchorage, AK office to treat a cavity or a cracked tooth. Make your holiday dessert list and check it twice, and make sure you’re brushing and flossing more often if you’re indulging in seasonal treats—give yourself these two gifts, and you’ll be ringing in the New Year with a beautiful, healthy smile. Sweet!

Many parents have concerns about their children’s teeth not falling out on time. Dr. Michelle Slezewski and Dr. Paul Engibous and our team are here to answer any questions parents may have about when children lose their teeth.

Children have 20 primary teeth that come in around age three. By about age six, these teeth will loosen and begin to fall out on their own to make room for the permanent ones. It is common for girls to lose their baby teeth earlier than boys. Most children lose their final baby tooth by age 13.

Baby teeth normally fall out in the order in which they came in. The lower center incisors are usually the first to fall, around age six or seven, followed by the upper central incisors.

If a child loses a tooth to decay or an accident, the permanent tooth may come in too early and take a crooked position due to teeth crowding. If your child loses a tooth to decay or accident, call Dr. Michelle Slezewski and Dr. Paul Engibous to make an appointment.

Some kids can’t wait for their baby teeth to fall out, while others dread the thought of losing a tooth. When your child begins to lose teeth, you should emphasize the importance of proper dental care on a daily basis to promote a healthy mouth.

Remember to:

• Remind your child to brush his or her teeth at least twice a day and offer assistance if needed
• Help your child floss at bedtime
• Limit eating and drinking between meals and at bedtime, especially sugary treats and drinks
• 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.

Call Pediatric Dental Associates to learn more about caring for baby teeth or to schedule an appointment at our Anchorage, AK office!