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Hygiene | IV Sedation | Hospital Dentistry

h-pediatric5Hygiene

Tooth Decay Prevention
Tooth decay is a progressive disease resulting in the interaction of bacteria that naturally occur on the teeth and sugars in the everyday diet. Sugar causes a reaction in the bacteria, causing it to produce acids that break down the mineral in teeth, forming a cavity. Dentists remove the decay and fill the tooth using a variety of fillings, restoring the tooth to a healthy state. Nerve damage can result from severe decay and may require a crown (a crown is like a large filling that can cap a tooth, making it stronger or covering it). Avoiding unnecessary decay simply requires strict adherence to a dental hygiene regimen: brushing and flossing twice a day, regular dental check-ups, diet control and fluoride treatment. Practicing good hygiene avoids unhealthy teeth and costly treatment.

Brushing
Use a toothbrush with soft bristles and a small strip of fluoride toothpaste, unless the child is under the age of 3. If a child is younger than age 3, parents should clean their child’s teeth with water and a soft-bristled toothbrush. After age 3, parents should supervise brushing. Use no more than a pea-sized amount of toothpaste and make sure children do not swallow excess toothpaste.

When you brush your teeth, move the brush in small circular motions to reach food particles that may be under your gum line. Hold the toothbrush at an angle and brush slowly and carefully, covering all areas between teeth and the surface of each tooth. It will take you several minutes to thoroughly brush your teeth. Brush up on the lower teeth, down on the upper teeth and the outside, inside and chewing surface of all of your front and back teeth. Brush your tongue and the roof of your mouth before you rinse.

Brush your teeth four times daily to avoid the accumulation of food particles and plaque:

  • In the morning after breakfast
  • After lunch or right after school
  • After dinner
  • At bedtime

As soon as the bristles start to wear down or fray, replace your toothbrush with a new one. Do not swallow any toothpaste; rinse your mouth thoroughly with water after you finish brushing. It is important to carefully floss and brush daily for optimal oral hygiene.

Flossing
For areas between the teeth that a toothbrush can’t reach, dental floss is used to remove food particles and plaque. Dental floss is a thin thread of waxed nylon that is used to reach below the gum line and clean between teeth. It is very important to floss between your teeth every day.

Pull a small length of floss from the dispenser. Wrap the ends of the floss tightly around your middle fingers. Guide the floss between all teeth to the gum line, pulling out any food particles or plaque. Unwrap clean floss from around your fingers as you go, so that you have used the floss from beginning to end when you finish. Floss behind all of your back teeth.

Floss at night to make sure your teeth are squeaky clean before you go to bed. When you first begin flossing, your gums may bleed a little. If the bleeding does not go away after the first few times, let a staff member know at your next appointment.

Sealants
The grooves and depressions that form the chewing surfaces of the back teeth are extremely difficult (if not impossible) to clean of bacteria and food. As the bacteria reacts with the food, acids form and break down the tooth enamel, causing cavities. Recent studies indicate that 88 percent of total cavities in American school children are caused this way.
Tooth sealants protect these susceptible areas by sealing the grooves and depressions, preventing bacteria and food particles from residing in these areas. Sealant material is a resin typically applied to the back teeth, molars and premolars and areas prone to cavities. It lasts for several years but needs to be checked during regular appointments.

Fluoride
Fluoride is a substance that helps teeth become stronger and resistant to decay. Regularly drinking water treated with fluoride and brushing and flossing regularly ensures significantly lower cavities. Dentists can evaluate the level of fluoride in a primary drinking water source and recommend fluoride supplements (usually in tablets or drops), if necessary.

Thumb Sucking
Sucking is a natural reflex that relaxes and comforts babies and toddlers. Children usually cease thumb sucking when the permanent front teeth are ready to erupt. Typically, children stop between the ages of 2 and 4 years. Thumb sucking that persists beyond the eruption of primary teeth can cause improper growth of the mouth and misalignment of the teeth. If you notice prolonged and/or vigorous thumb sucking behavior in your child, talk to your dentist.
Here are some ways to help your child outgrow thumb sucking:

  • Don’t scold a child when they exhibit thumb sucking behavior; instead, praise them when they don’t thumb suck.
  • Focus on eliminating the cause of anxiety—thumb sucking is a comfort device that helps children cope with stress or discomfort.
  • Praise them when they refrain from the habit during difficult periods.
  • Place a bandage on the thumb or a sock on their hand at night.

IV Sedation

Sedation dentistry refers to the use of sedation during dental treatment. Sedation is most commonly used during regular pediatric dental procedures for patients who are stressed due to their age and high anxiety. There are different types of sedation.

The anesthesiologist will place your child under general anesthesia and monitor them through their treatment and recovery while Dr. Cohen does their dental treatment. Their treatment will be regular pediatric dental treatment done under general anesthesia.

Sedation is endorsed by the American Dental Association and is an effective way to make many patients comfortable during their dental visit. Before using a sedative, it is important to tell your pediatric dentist about any medications or medical treatments your child is receiving. Before administering any sedative, your pediatric dentist will talk to you about the process of sedation and pre-and post-sedation instructions.

Hospital Dentistry

One of our unique services is hospital dentistry. This is regular pediatric dental treatment done in a hospital setting under general anesthesia on an out-patient basis. A medical anesthesiologist will place your child under general anesthesia and monitor them through the treatment and recovery.

Your child may need hospital dentistry if they are stressed due to their age and high anxiety and cannot cope with dental treatment in our office. If your child has special needs they may also be a candidate for this type of treatment.

If you have any questions about hospital dentistry, or think that it may be needed for your child, please let us know. Dr. Cohen treats these patients at Phoenix Children's Hospital or Banner Estrella Surgery Center. Visit www.phoenixchildrens.com or www.bannerhealth.com for more information.

North Scottsdale Pediatric Dentistry

  • North Scottsdale Pediatric Dentistry - 14269 N. 87th St., Suite 103, Scottsdale, AZ 85260 Phone: 480-607-4949

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