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!
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
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!
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.