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Pediatric Dental Emergency Know-How

July 24th, 2024

Parents are usually expert at taking care of their children’s injuries. You know how to disinfect a cut, soothe a bump on the head, and apply a bandage faster than you can blink.

But what happens if your child suffers a dental injury? Teeth can get broken, knocked out, or displaced from a forceful impact, and parents ought to know what to do in those situations, too. Luckily, Dr. Cynthia Stephenson and our team are here to be a resource for such incidents!

Chipped front teeth are a common injury for young children. First, check to see if the teeth have been broken to the nerve. You can tell this is the case if you see layers and a pinkish center.

Then, wiggle each tooth to make sure it is not loose. If the teeth still feel firmly in place, that’s a good sign. Don’t worry if they are a little loose, because they will tighten again with time.

If your child develops a high temperature or bite sensitivity, treatment is necessary and could include a root canal.

A knocked-out tooth is an injury that requires more attention than just observation. Locate the tooth as soon as you can, and touch only the crown, not the root. Rinse any debris gently with milk or water and place the tooth back in its socket as soon as possible.

According to the American Association of Endodontists, a tooth has a high chance of survival and retention for life if it is returned to the socket within five minutes, and possibly up to 60 minutes, if soaked in milk or saline solution in the meantime.

Say your child is elbowed in the mouth and a tooth gets severely displaced but does not get knocked out. Attempt to shift it back into place by applying light pressure, but be careful not to use too much force. Give your child a cold pack for the swelling and contact our office as soon as possible.

Dental emergencies can be frightening for the child as well as the parent. The best advice we can offer is to stay calm and be assured that we are always here to help! Contact us at our Walnut Creek, California office as soon as you can, if your child encounters a dental emergency.

Clean Toothbrush/Healthy Toothbrush

July 24th, 2024

We’ve all learned a lot about keeping healthy lately. Thorough hand washing, disinfecting cell phones and keyboards, wiping down shopping carts and door handles—all these low-maintenance cleaning habits can have a high impact on our health.

So, in that spirit, let’s talk about low maintenance cleaning routines for something you put in your mouth at least twice a day—your toothbrush.

Brushing Habits

Don’t let germs hitch a ride on your toothbrush before you even begin! Make sure your hands are clean before brushing, and rinse off your toothbrush before you put it in your mouth.

After brushing, be sure to rinse your brush carefully to get rid of leftover toothpaste, food particles, and other debris. And don’t forget to clean your toothbrush holder regularly. Talk to Dr. Cynthia Stephenson or your hygienist when you visit our Walnut Creek, California office for suggestions for deep cleaning brushes to eliminate bacteria if that’s a concern.

And while we’re talking about germs, how about…

  • Flushing Habits

Most toothbrushes share their living space with another bathroom essential—the toilet. Every time we flush, microscopic particles are propelled through the air. And while no definitive relationship has been shown between flushing and disease transmission, closing the toilet lid before flushing is an easy way to reduce unpleasant particle transmission—and reduce the possible risk of toothbrush contamination.

  • Airing? Yes!

Keeping a toothbrush in a dark, moist environment is the perfect setting for bacterial growth. Instead, let your toothbrush air dry after use in an upright position. Give it a shake first for a head start on the drying process.

  • Sharing? No

We’re not talking about sharing a brush, which you would never do. We’re talking about sharing toothbrush holders. If your brush touches other brushes, you’re probably sharing germs as well as space, which can be especially problematic if someone in the house has immune concerns. Toothbrushes shouldn’t be too close to other toothbrushes, no matter how close you are to the other brush’s owner!

Finally, no matter how well you take care of your toothbrush, there comes a time when you must part with even the cleanest and best-maintained of brushes. After three or four months, bristles become frayed. This means you’re not getting the most effective plaque-removal from your brush. And to be on the safe side, consider retiring your toothbrush if you’ve been ill.

Dental self-care is a vital part of keeping yourself healthy, and a clean toothbrush is a simple way to support your oral health. High impact/low maintenance—win/win.

Do You Have an Ageless Smile? Let Us Help You Keep It!

July 17th, 2024

In your golden years, you’ve become a pioneer in tooth care. Yours is probably the first generation in history that can expect to keep most of their natural teeth for a lifetime. You can probably guess the reasons: better oral care, advances in dentistry, improved nutrition, and a lower risk for diseases that could weaken teeth and gums.

As a pioneer, you’re learning with your dentists, and one thing we’ve found is that teeth change with age, just like the rest of the body. Even if your teeth can remain strong and white, here are a few things you may have to cope with:

Cavities: Tooth decay is not just for kids anymore. Seniors often develop cavities on the lower part of the tooth near the root. Thorough flossing and brushing along the gum line is the best preventive measure.

Sensitivity: Gums recede over time, and good dental habits only slow the process. Receding gums leave more of each tooth exposed, and the newly uncovered areas have less enamel. As a result, these teeth may be much more sensitive to hot and cold. If you find your teeth become more sensitive, try a toothpaste designed for sensitive teeth and be sure to tell Dr. Cynthia Stephenson about it at your next checkup.

Difficulty brushing: If you have arthritis or limited motion you may have a hard time brushing your teeth. Consider switching to an electric toothbrush. There are also assistive devices available that make it easier to grip a manual toothbrush.

Other health problems: Diabetes, heart disease, and other chronic illnesses can cause symptoms in your mouth. Be sure to let us know if you have any health conditions, or if your condition changes. We can help treat symptoms that affect your teeth and recommend ways to maintain good oral health habits as part of your overall health program.

What’s in Your Backpack?

July 17th, 2024

Hiking is a great way to appreciate the beauty of nature, to get away from the stresses of daily life, and, of course, to challenge yourself physically. While you’re packing away your sunscreen and your first aid kit, do your body another favor—take a minute to include some lightweight, dental-friendly items.

  • Snacks

When you’re exerting yourself, snacks that provide quick energy on the go are a must. Granola, trail mix, energy bars, candy, dried fruit—these are the foods we think of as trail food, and we generally get that quick energy boost from the sugars and starches they contain. As it happens, Dr. Cynthia Stephenson and our team strongly recommend you pick snack options other than sugary and starchy foods. Why? Because many sugars and starches provide oral bacteria the food they need to produce acids. These acids weaken enamel and damage our teeth. And these common trail foods often have the added “bonus” of sticking to the teeth, leaving acids even more opportunity to attack. Don’t give up the energy boost you need for a safe hike, but do yourself and your teeth a favor and look for the healthiest granola, energy bars, and gorp out there.

Other suggestions for trail treats that are also a treat for teeth? If you need a chocolate pick-me-up, try dark chocolate. Dark chocolate has more caffeine that milk chocolate and less sugar. (It has other health benefits as well that you might want to look up after your hike.) If you like nuts and seeds, take softer nuts, or sliced nuts—a good source of energy and not likely to provide as much stress on your teeth when you’re in the field. (Shell them beforehand—don’t ever use your teeth as a nutcracker!) Similarly, if you take seeds, leave the shells at home. If you like crackers, try whole grains. Looking for protein? How about a tuna pouch instead of chewy beef jerky?

  • Hydrate

Water is always the go-to beverage. Pre-hydrate even before setting out, and have plenty on hand for your trek. Many hiking sources suggest two cups of fluids per hour of activity. (And in hot or humid weather or at high altitudes, you could need even more.) There are actually hiking water calculators online, which can give you a good estimate on how much you’ll need for your trip, taking into account your age, weight, level of activity, and other factors. Because water can get heavy, plan a lengthy hike around the availability of fountains or other clean water sources if necessary.

What if you feel the need for more than water? If you are getting a good workout, you’re probably losing electrolytes. Generally, sports drinks aren’t on the dental menu. They tend to be loaded with sugar and carbs—good for energy, bad for teeth. Sports drinks can be as acidic and hard on your enamel as sodas. But if you need those electrolytes on a long hike, don’t feel guilty. There are many options—choose the healthiest one for you and your workout level.

  • Be prepared!

While you are probably already packing a mini-first aid kit for long hikes, think about a lightweight dental emergency kit as well. These are readily available online and in outdoors stores, and usually contain supplies like cotton balls, dental floss, oral pain relievers, even temporary fillings, in a lightweight bag.

And once your hike is done? Rehydrate, and don’t forget to treat your teeth to a good brushing and flossing when you get home.

Got all that? Great! Now, go take a hike!

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