Our Blog

What is the strongest part of our bodies? Do you think it might be our bones, which help us move and protect our brains, hearts and other organs? Or could it be those tough fingernails and toenails that guard our fingertips and toes? Nope! You might be surprised to learn that the hardest thing in our bodies is the enamel which covers our teeth!

Our bones grow with us and can even knit back together in case we have a broken arm or leg. Our toenails grow more slowly, and our fingernails grow more quickly, so regularly trimming is required for both. But our enamel doesn’t grow or repair itself when it is damaged, so it needs to last us a lifetime. How can such a strong part of our bodies be damaged? And can we do anything to protect our teeth? Luckily, we can!

Prevent Chips and Cracks

You might be the fastest on your bike, or the highest scorer on your basketball team, or able to do the most amazing tricks on your skateboard. But even the strongest teeth can’t win against a paved road, or an elbow under the basket, or a cement skate park. If you’re physically active, talk to us about a mouthguard. This removable appliance fits closely around the teeth and can protect your teeth and jaw in case of accident. And protect your enamel even when you’re not being adventurous! Don’t bite down on ice cubes or hard candy, and save your pens and pencils for writing, not chewing.

Guard Your Teeth from Tooth Grinding

If you grind your teeth, you’re not alone! Many other young people do, too—mostly in their sleep. In fact, it might be a parent or sibling who lets you know you are grinding at night. But constant pressure on your enamel can lead to cracked enamel, sensitivity, and even worn down teeth. How can you protect them? Once again, a mouth guard can be a great solution. We can custom fit one to allow you to sleep comfortably while protecting your teeth.

Eat Healthy Foods & Brush Regularly

We all have bacteria in our mouths. Some are helpful, and some are not. The bacteria in plaque can change food products like sugar and starches into acids. These acids actually break down our enamel, which can lead to tooth sensitivity and decay. Making sugars and carbs a small part of your regular diet, and eating meals rich in proteins, vitamins, and minerals, will help stop acids from attacking your enamel. And careful brushing and flossing twice a day with a fluoride toothpaste can help keep those minerals in enamel from breaking down and even help restore them.

Your enamel is the strongest part of your body, and you can help it stay that way. Protect your teeth from accidents, let our Anchorage, AK team know if you or a parent suspect you are grinding your teeth, eat healthy foods, and keep up your regular brushing. And remember, we are here to help keep your family’s teeth and mouth their healthiest for your strongest, most beautiful smile.

An emergency usually evokes panic, and for good reason. Emergencies don’t discriminate when it comes to time or place. They’ll happen during your vacation, at home, while you’re shopping for groceries, at the movies … whenever they can.

We’ve identified the five most common reasons for emergency visits to our office, so if you ever find yourself in one of these situations, don’t hesitate to reach out and schedule an appointment with us!

1. Getting a piece of food stuck where it doesn’t belong. This might sound trivial, and even comical, but a piece of food stuck and left unattended can cause inflammation, pain, and a serious infection.
2. Losing a filling. If this happens to you, it’s crucial that you receive care immediately. The purpose of a filling is to shut off a space where bacteria can enter. If that barrier is breached, your tooth becomes more vulnerable to decay.
3. A chipped tooth. Even if the chip is small, it’s essential to get it repaired before it grows bigger. Unless chips are affecting a nerve, they are usually easy to repair with a crown, bonding, or veneers.
4. A broken tooth. This can result from a small, hidden chip in the tooth. It’s clearly something to address quickly, because the pain will be much more severe than what you’ll feel with just a chip.
5. Losing the entire tooth. This is the worst of the list. When you lose a tooth, you should not delay in seeking emergency care. Usually, you have a window of one to two hours during which the original tooth can be salvaged and successfully reattached.

Though any of these scenarios can be nerve-wracking, Dr. Michelle Slezewski and Dr. Paul Engibous and our team are here to assist you with any and all dental emergencies. Don’t wait; give our Anchorage, AK office a call!

An article was released to the public stating that dental X-rays contribute to a type of brain cancer. After reading an article like this, your first thought may be to avoid dental X-rays, but you may want to hold off on that quick judgment. As with any treatment we offer at Pediatric Dental Associates, education is your most valuable tool in deciding what is best for you.

How often dental X-rays are taken is based on risk for infection, physical symptoms, and clinical findings. The American Dental Association (ADA) is a governing body over the dental profession. The ADA states, “ . . . healthy adults receive routine mouth X-rays every two to three years. Dental X-rays are recommended every one to two years for children and every 1.5 to three years for teens. Children often require more X-rays than adults because of their developing teeth and jaws and increased likelihood for cavities.”

A "caries risk category" often determines how often dental X-rays are taken. The most recent documented resource to determine a caries risk is Caries Management by Risk Assessment (CAMBRA). This was adopted by the ADA and is used by dental professionals giving interval recommendations for X-rays.

With knowledge of your risk for dental infection, you will be informed by Dr. Michelle Slezewski and Dr. Paul Engibous of the interval at which dental X-rays should be taken. You can rest assured that the standards published by the ADA have been researched extensively and are there to protect your personal health and safety.

Dental X-rays are most commonly digital, which significantly reduces exposure. There is more radiation exposure from the sun or in an airplane than in a dental X-ray. It is common practice to use a lead apron with a thyroid collar for protection during X-ray exposure.

Having a cavity means having an active, potentially harmful infection. Diagnosing such infection with minimal exposure through digital dental X-rays at our Anchorage, AK office does more good than harm.

Accidents happen. Next time you’ll wear your mouthguard when you skateboard, never use your teeth to open anything, and carefully step away from your grandmother’s hard candy dish. But what to do now for your chipped tooth?

First of all, call Pediatric Dental Associates. Dr. Michelle Slezewski and Dr. Paul Engibous and our team can offer tips on dealing with any pain and how to avoid injuring your tooth further. Make an appointment to see us as soon as possible, where one of the following options might be the best treatment for you:

• Bonding

If the chip is small, you might be a good candidate for bonding. A tooth-colored resin is applied to the damaged area with adhesive, molded to shape, and then hardened with a curing light. It is then polished and, if necessary, further shaped to match your surrounding teeth.

• Porcelain Veneer

A veneer is a thin shell of porcelain individually molded for your tooth. If the chip is too large for bonding, or if you would like a more translucent finish, a veneer might be appropriate. During your first appointment, some of the tooth structure will be gently removed to accommodate the size of the veneer. A mold will be taken and sent to a lab for the creation of the veneer, which will be bonded to your tooth on a later visit. Whether a veneer will be successful depends on several variables, such as the condition of the tooth and enamel, your bite, and whether you grind your teeth. We will take all these factors into consideration in discussing possible treatments.

• Crown

A large chip or pain when eating or drinking might mean that you need a crown. This “cap” will protect your tooth from the pressures of chewing as well as restoring its appearance. On your first visit, some of the tooth structure will probably be removed to make room for the crown, impressions will be taken for the dental lab to make a permanent crown, and a temporary model will be fitted to your tooth. In a following visit the permanent crown will be adhered to your tooth.

If the crack has extended to the pulp of the tooth, you might need a root canal. If this is necessary, we will discuss the procedure during our exam.

No matter the size of the chip, it is important to contact our Anchorage, AK office immediately to help avoid infection and prevent further damage. If your tooth is broken below the gumline or otherwise seriously compromised, more intensive care will be necessary. But when a minor accident happens, prompt treatment can quickly restore your smile to health.