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Regular Exams and Cleanings
Regular exams are an important part of maintaining your child's oral health. During your child's regular exam, we will:
- Check for any problems that may not be seen or felt
- Look for cavities or any other signs of tooth decay
- Inspect the teeth and gums for gingivitis and signs of periodontal disease
- Perform a thorough teeth cleaning
Your child's exam will take between 20 and 45 minutes. Each regular exam includes a detailed teeth cleaning, in which we will clean, polish, and rinse the teeth to remove any tartar and plaque that have built up on the tooth's surface.
Visiting our office every six months gives you the chance to talk to the doctor about any questions you may have about your child's oral health. Regular exams are offered by appointment only, so please contact our practice today to schedule your child's next dental exam and teeth cleaning.
Bonding is a conservative way to repair slightly chipped, discolored, or fractured teeth. During dental bonding, a white filling is placed onto your child's tooth to improve its appearance and protect the tooth. The filling “bonds” with the tooth, and because it comes in a variety of tooth-colored shades, it closely matches the appearance of your child's natural teeth.
There are times when it is necessary to remove a tooth. Sometimes a baby tooth has misshapen or long roots that prevent it from falling out as it should, and the tooth must be removed to make way for the permanent tooth to erupt. At other times, a tooth may have so much decay that it is not restorable, so the doctor may recommend its removal. Infection, orthodontic correction, or problems with a wisdom tooth can also require removal of a tooth.
If it is determined during a regular checkup that a tooth needs to be removed, your child's dentist will inform you of the need for the extraction and plan accordingly. The root of each tooth is encased within the jawbone in a “tooth socket”, and the tooth is held in that socket by a ligament. In order to extract a tooth, the dentist must expand the socket and separate the tooth from the ligament holding it in place. While this procedure is typically very quick, it is important to share with the doctor any concerns or preferences for sedation.
Traditional dental restoratives, or fillings, may include gold, amalgam, or composite. Newer dental fillings include ceramic and plastic compounds that mimic the appearance of natural teeth. These compounds, often called composite resins, are typically used on the front teeth where a natural appearance is important.
Fluoride is effective in preventing cavities and tooth decay and in preventing plaque from building up and hardening on the tooth’s surface. A fluoride treatment in a dentist’s office takes just a few minutes. After the treatment, your child may be asked not to rinse, eat, or drink for at least 30 minutes in order to allow the teeth to absorb the fluoride. Depending on your child's oral health or the doctor’s recommendation, a fluoride treatment may be required every three, six, or 12 months.
In the past, if your child had a permanent tooth with a diseased nerve, he or she would probably lose that tooth. Today, with a special dental procedure called “root canal treatment”, your child's tooth can be saved. When a tooth is cracked or has a deep cavity, bacteria can enter the pulp tissue and germs can cause an infection inside the tooth. If left untreated, an abscess may form. If the infected tissue is not removed, pain and swelling can result. This can not only injure your child's jawbones, but it is also detrimental to his or her overall health.
Root canal treatment usually involves only one visit. During treatment, the dentist will remove the affected tissue. Next, the interior of the tooth will be cleaned and sealed. Finally, the tooth is filled with a dental composite. If the tooth has extensive decay, your doctor may suggest placing a crown to strengthen and protect the tooth from breaking. As long as your child continues to care for his or her teeth and gums with regular brushing, flossing, and checkups, the restored tooth can last a lifetime.
Sometimes brushing is not enough, especially when it comes to those hard-to-reach spots in your child's mouth. It is difficult for a toothbrush to get in between the small cracks and grooves on your child's teeth. If left alone, those tiny areas can develop tooth decay. Sealants give your child's teeth extra protection against decay and help prevent cavities.
Dental sealants are a plastic resin that bonds and hardens in the deep grooves on your child's tooth’s surface. When a tooth is sealed, the tiny grooves become smooth and are less likely to harbor plaque. With sealants, brushing your child's teeth becomes easier and more effective against tooth decay.
Sealants are typically applied to children’s teeth as a preventive measure against tooth decay after the permanent teeth have erupted. It is more common to seal “permanent” teeth rather than “baby” teeth, but every patient has unique needs, and your child's dentist will recommend sealants on a case-by-case basis.
Sealants last from three to five years, but it is fairly common to see adults with sealants still intact from their childhood. A dental sealant only provides protection when it is fully intact, so if your child's sealants come off, let your dentist know, and schedule an appointment for your child's teeth to be re-sealed.
Stainless Steel Crowns
Stainless steel crowns are prefabricated crowns that are used to restore a baby tooth to function after removal of decay. The crown covers the entire tooth and protects it from further decay. Some people refer to these crowns as 'caps.' When the primary tooth falls out to make room for the permanent tooth, the crown comes out naturally with it. In general, stainless steel crowns are used for children's teeth because they don't require multiple dental visits to put in place and are the most reliable way to successfully treat primary teeth with certain types of cavities.
For teeth requiring crowns in the front of the mouth, many times we use a stainless steel crown with an esthetic white plastic coating. This mimics the appearance of the natural dentition and allows the child to have a more esthetic smile.
Wisdom teeth are types of molars found in the very back of your child's mouth. These teeth usually appear in late teens or early twenties, but they may become impacted (fail to erupt) due to lack of room in the jaw or angle of entry. When a wisdom tooth is impacted, it may need to be removed. If it is not removed, your child may develop gum tenderness, swelling, or even severe pain. Impacted wisdom teeth that are partially or fully erupted tend to be quite difficult to clean and are susceptible to tooth decay, recurring infections, and even gum disease.
Wisdom teeth are typically removed in the late teens or early twenties because there is a greater chance that the tooth's roots have not fully formed and the bone surrounding the teeth is less dense. These two factors can make extraction easier as well as shorten the recovery time.
In order to remove a wisdom tooth, your child's dentist first needs to numb the area around the tooth with a local anesthetic. Since the impacted tooth may still be under the gums and imbedded in your jaw bone, the dentist will need to remove a portion of the covering bone to extract the tooth. In order to minimize the amount of bone that is removed with the tooth, the dentist will often “section” the wisdom tooth so that each piece can be removed through a small opening in the bone. Once your child's wisdom teeth have been extracted, the healing process begins. Depending on the degree of difficulty related to the extraction, healing time varies. Your child's dentist will share with you what to expect and provide instructions for a comfortable, efficient healing process.