The first baby tooth will erupt at age between 6-9 months. It is important that a daily cleaning routine should be established. A soft cloth can be used to gently rub the erupted teeth and gums. Parents should assist the child to clean their teeth up to the age of 10 to 11 years old to ensure that it is done properly
You can introduce a soft children’s toothbrush from 12 months (earlier if tolerated by the infant) and just use water.
We recommend you start using toothpaste from 18 months.
Brush your child’s teeth at least twice a day (morning and before bed) to remove plaque that can cause infant infant tooth decay and gum disease. Signs that your child’s teeth are not being brushed correctly are:
Red and swollen gums
A furry white film over the teeth (plaque)
Here are the biggest mistakes parents are making, learn what you can do to keep your children’s teeth healthy throughout their lifetime.
Letting kids brush alone
Since most children don’t have the motor skills to brush effectively until they’re 8 years old, parents need to supervise brushing and check to make sure every surface of each tooth is clean.
“It’s not that they don’t want to do a good job, they’re just not physically capable yet,” said Dr. Edward H. Moody, Jr., president of the American Academy of Pediatric Dentistry.
Putting baby to bed with a bottle
It’s the easiest way to cause tooth decay, yet parents are still doing it, experts say. In fact, according to a survey by the American Academy of Pediatric Dentistry, 85 percent of parents said it wasn’t a good idea to put their babies to bed with a bottle of milk or juice, yet 20 percent did it anyway.
Whether it’s a bottle at bedtime or a sippy cup all day long, the habit keeps the sugar and bacteria levels in the mouth elevated all the time, Moody said. If your baby wakes up at night for a bottle or to nurse, wipe out her mouth with gauze or a soft cloth or brush if she has teeth.
“If you start early on it becomes part of the normal routine,” he said.
Making the first dentist appointment too late
Expert say it’s common to see children 2 or 3 years-old who need to go under general anesthesia to treat cavities and infections. One of the explanations for this is that parents aren’t bringing their babies to the dentist early enough.
The first trip should either be when the first tooth erupts or by your baby’s first birthday. Dental visits every six months from the get-go will also help your child feel comfortable—and even excited—to go every time.
Offering “healthy” foods
Bananas, raisins, and whole-grain crackers seem like healthy fare but foods that are sticky and have concentrated sugars like these will sit in the grooves of the teeth and create cavities. Instead of nixing them entirely, eat them with meals— when there’s more saliva— and always brush afterwards.
Thinking cavities are no big deal
You might think treating a cavity is an easy fix, but cavities can affect your child throughout his lifetime. For starters, healthy baby teeth are necessary to maintain space for adult teeth. They help guide the jaw so it can grow.
Not using fluoride
Experts agree that the research is clear: it’s one of the best ways to prevent cavities.
The appropriate dose, however, is key. For children 18 months old to 3 years old, use the equivalent of a grain of rice, and for children 3 to 6 years old, a pea-sized amount is enough. Nevertheless, if you’re concerned about your child’s exposure to fluoride in the water and toothpaste, talk to your dentist.
Loading up on sports drinks
A common cause of tooth decay in older kids is sipping on sports drinks and soda at lunch, at games and at home. By bathing their teeth in acid all day, there’s no opportunity for the PH to re-balance, Banker said. If you can’t persuade your child to completely nix it from his diet, encourage him to limit the amount, then drink it and be done with it.
Hold the floss tightly between your thumb and forefinger for the upper teeth and between forefingers for the lower teeth with about 1 cm of floss between them, leaving no slack. Us a gentle rocking motion to guide the floss between your teeth. Avoid jerking or snapping the floss into the gums. When the floss reaches the gum-line, curve the floss into a C-shape against one tooth until you feel resistance. Hold the floss against the tooth and gently scrape the side of the tooth.
By correctly brushing and flossing your teeth and regular professional scale and cleaning you can reduce your risk of gum disease. However, factors such as stress, smoking, diabetes, pregnancy, genetics and poor health can affect gum health. Dentists at TCD will suggest a preventative care program to suit your individual and specific needs.
Denture adhesives may be recommended, especially for the first-time denture wearer. Adhesives may improve the retention and stability of dentures for those with minimal bone support or small ridges. Stability of the denture will help the wearer’s confidence.
Remove and brush the denture daily with a denture cleanser and a brush (one specifically designed for cleaning dentures or a soft toothbrush).
Avoid using boiling water to sterilize the denture, because hot water can cause the denture to lose its shape.
If you wear a partial denture, remove it before brushing your natural teeth.
To avoid misplacing your denture, store it in the same place after removal.
The key to coping with dental anxiety is to discuss your fears with your dentist. Once your dentist knows what your fears are, he or she will be better able to work with you to determine the best ways to make you less anxious and more comfortable. The good news is that today there are a number of strategies that can be used to help reduce fear, anxiety, and pain. These strategies include use of medications (to either numb the treatment area or sedatives or anesthesia to help you relax).
Good daily brushing and flossing are definitely the first steps to eliminating bad breath. Brushing and flossing remove bacteria responsible for creating odorous sulphur compounds and the food they feed on. However, bacteria hide not only on and around the teeth but also on the tongue under a layer of mucous. Here odours are created.. It is best to brush your tongue daily or you may want to consider a tongue scraper.
While you may be advised to wear your denture almost constantly during the first two weeks – even while you sleep – under normal circumstances it is considered best to remove it at night and soak the denture in cleansing solution or water. Research has shown that removing the denture for at least eight hours during either the day or night allows the gum tissue to rest and allows normal stimulation and cleansing by the tongue and saliva. This promotes better long-term health of the gums.
First, when purchasing a toothpaste for you or your child, select one that contains fluoride. Fluoride-containing toothpastes have been shown to prevent cavities. However, one word of caution: check the manufacturer’s label; some toothpastes are not recommended in children under age 6. This is because young children swallow toothpaste and swallowing too much fluoride can lead to tooth discoloration in permanent teeth.
It is also wise to select a product approved by the Australian Dental Association. The ADA’s Seal of Acceptance means that the product has met ADA criteria for safety and effectiveness and that packaging and advertising claims are scientifically supported.
Next, when considering other properties of toothpaste — such as whitening toothpastes, tartar-control, gum care, desensitizing, etc. — the best advice for selecting among these products may be to simply ask your dental hygienist or dentist what the greatest concerns are for your mouth at this time. After consulting with your dentist or hygienist about your oral health’s greatest needs, look for products within that category (for example, within the tartar control brands or within the desensitizing toothpaste brands) that have received the ADA Seal of Acceptance.
Finally, some degree of personal preference comes into play. Choose the toothpaste that tastes and feels best. Gel or paste, wintergreen or spearmint all work alike. If you find that certain ingredients are irritating to your teeth, cheeks or lips, or if your teeth have become more sensitive, or if your mouth is irritated after brushing, try changing toothpastes. If the problem continues, see your dentist.
Clinically referred to as halitosis, bad breath is an unpleasant condition that is cause for embarrassment both socially and professionally. Some people with bad breath aren’t even aware they have a problem. If you’re concerned about bad breath, see one of our dentists for an assessment as they can help to identify the cause and, if it’s due to an oral condition, develop a treatment programme to help eliminate it. What you eat affects the air you exhale. Sometimes bad breath is attributed to certain foods such as garlic and onions. Once the food is absorbed into the bloodstream, it is transferred to the lungs, where it is expelled. Brushing, flossing and mouthwash will only mask the odour temporarily. Odours continue until the body eliminates the food. Dieters may develop unpleasant breath from infrequent eating. If you do not brush and floss daily, particles of food remain in your mouth, collecting bacteria, which can cause bad breath. Food that collects between the teeth, on your tongue and around the gums can rot, leaving an unpleasant odour.
Fissure seals are a plastic material used to coat the grooves or fissures on the top of teeth. It acts primarily to protect the teeth from decay as a barrier is formed to prevent plaque and bacteria from commencing the decay process. Generally, it is applied on 6 and 12 year old molar teeth, depending on the decay risk of the child and their tooth anatomy. The retention rate of fissure sealants is around 70-90 percent. Ask your dentist at TCD about fissure sealants for your child.
Periodontal disease progresses as plaque and calculus are allowed to accumulate. The supporting tissues around the teeth (the gums, periodontal ligaments and bone) are lost. Pockets will form which trap even more plaque. Bad breath frequently occurs. Be mindful that once bone that supports teeth is lost, it will never regrow. Referral to a periodontist may occur.
An abscessed tooth is a painful infection at the root of a tooth or between the gum and a tooth. It’s most commonly caused by severe tooth decay.
These problems can cause openings in the tooth enamel, which allows bacteria to infect the center of the tooth (called the pulp). The infection may also spread from the root of the tooth to the bones supporting the tooth.
What Are the Symptoms of an Abscessed Tooth?
A toothache that is severe and continuous and results in gnawing or throbbing pain or sharp or shooting pain are common symptoms of an abscessed tooth. Other symptoms may include:
Pain when chewing
Sensitivity of the teeth to hot or cold
Bitter taste in the mouth
Foul smell to the breath
General discomfort, uneasiness, or ill feeling
Redness and swelling of the gums
Swollen area of the upper or lower jaw
An open, draining sore on the side of the gum
If the pulp in the root of the tooth dies as a result of infection, the toothache may stop. However, this doesn’t mean the infection has healed; the infection remains active and continues to spread and destroy tissue.
Therefore, if you experience any of the above listed symptoms, it is important to see a dentist even if the pain subsides.
How Is an Abscessed Tooth Treated?
Strategies to eliminate the infection, preserve the tooth, and prevent complications are the goals of treatment for an abscessed tooth.
To eliminate infection, the abscess may need to be drained. Achieving drainage may be done through the tooth by a procedure known as root canal therapy. Then, a crown may be placed over the tooth.
The tooth may also be extracted, allowing drainage through the socket.
Finally, a third way to drain the abscess would be by incision into the swollen gum tissue.
Can an Abscessed Tooth Be Prevented?
Following good oral hygiene practices can reduce the risk of developing a tooth abscess. Also, if your teeth experience trauma (for example, loosened or chipped), seek prompt dental attention.
Teeth that are discolored — either because of root canal treatment; stains from tetracycline or other drugs, excessive fluoride or other causes; or the presence of large resin fillings that have discolored the tooth
Teeth that are worn down
Teeth that are chipped or broken
Teeth that are misaligned, uneven, or irregularly shaped (for example, have craters or bulges in them)
Teeth with gaps between them (to close the space between these teeth)
When wisdom teeth cause problems, or X-rays show they might down the line, they need to come out. Other good reasons to take them out include:
Jaw damage: Cysts can form around the new teeth. If they aren’t treated, they can hollow out your jaw and damage nerves.
Sinus Issues: Problems with wisdom teeth can lead to sinus pain, pressure, and congestion.
Inflamed Gums: Tissue around the area can swell and may be hard to clean.
Cavities: Swollen gums can create pockets between teeth that help bacteria grow and cavities form.
You’ll meet with the Dentist / Oral Surgeon to talk about the process. At this appointment, make sure you:
Talk about any health problems you have.
List any drugs you take on a regular basis.
Ask any questions you have about the surgery.
Discuss what type of anesthesia you’ll have. You can either be numb or asleep during your surgery.
Plan time off from work or school to have your surgery and rest afterward at home. Set up child care, pet care, or a ride home if needed.
Your surgery should take about 60 minutes or more.
You’ll get one of these types of anesthesia so you don’t feel pain during the removal:
Local: Your doctor will numb your mouth with local anaesthesia in your gums. You may also breathe nitrous oxide, or laughing gas, to relax or even doze during surgery. You should feel alert again shortly afterward.
IV sedation: The surgeon will numb your mouth and also give you drugs through a vein in your arm to make you drowsy. You might sleep during the whole procedure.
General: You’ll either get drugs through a vein or breathe gas in through a mask. You’ll be asleep the whole time and might not wake up for an hour or so after the surgery.
Your doctor may have to cut your gums or bone to get the teeth out. If so, he’ll stitch the wounds so they heal quickly. He may also stuff gauze pads in your mouth to soak up some of the blood.
Everyone responds differently to anesthesia. If you had a local anesthetic and feel alert, you might be able to drive home to begin your recovery. You might even be able to go back to work or do your normal activities. If you had general anesthesia or still feel drowsy, you’ll need someone to drive you home.
Most people have little to no pain after surgery. You’ll likely have swelling and mild discomfort for 3 or so days. Your mouth may need a few weeks to completely heal.
Follow your doctor’s instructions for a quicker recovery.
Still not ready to part with your molars? You can ask your dentist to explain what he sees with your teeth. In many cases, you can wait several months to see if things change before making your decision. But if you have pain or notice swelling or a bad odor near your back teeth, it may be time for a second look.
It is recommended that your child attend for their first dental visit six months after the first (primary) teeth have erupted, commonly around 3 years of age. The dentist will carefully examine the development of their mouth and detect any problems such as tooth decay, prolonged thumb-sucking etc. Early examination and preventative care will protect your child’s teeth and assist to establish good oral hygiene and correct brushing and flossing techniques.
We encourage you to bring your children in with you to your check-up appointments from very early on. This introduces them to the dental environment and the Dentist in a non-threatening way and allows your child to have confidence when it is their turn.
Many comparisons have been made between electric toothbrushes and manual toothbrushes to look at the ability of each to remove plaque effectively and prevent or reduce calculus (tartar) build-up, thereby reducing the development of gum disease. Research studies have indicated both powered and manual toothbrushes to be equally effective when used correctly, which mean it is not so much the brush you use, but how you use it is the critical factor. Many people are choosing to use a power toothbrush, especially older patients who find them easier to hold. Advice from our dental hygienists can help ensure that your brushing routine is effective no matter which brush you prefer to use.
Dental radiographs (x-rays) show the structures of your teeth and mouth that cannot be seen visually during your clinical examination. X-rays also allow us to see the very early signs of decay which means we can start treatment early – sometimes without having to do a filling! From time to time there are other more specific reasons to take an x-ray, for example, infection or to check on wisdom teeth. Dental x-rays require small radiation doses (even smaller now that we have digital x-rays!) however, we never take them unnecessarily.
By brushing and flossing correctly every day you prevent plaque from developing around the teeth and gums. However, if there is a build-up of plaque or calculus (hardened plaque) in the fold or pocket where your tooth meets your gum, bacteria develop and if allowed to multiply, gingivitis develops. This can be recognised by red, swollen gums that will bleed easily. Bleeding gums should be taken seriously as if left untreated could lead to periodontal disease.
There are several causes of tooth discoloration, including:
Foods/drinks. Coffee, tea, colas, wines, and some other things can stain your teeth.
Tobacco use. Smoking or chewing tobacco can stain teeth.
Poor dental hygiene. Inadequate brushing and flossing to removeplaque and stain-producing substances like coffee and tobacco can cause tooth discoloration.
Several diseases that affect enamel (the hard surface of the teeth) and dentin (the underlying material under enamel) can lead to tooth discoloration. Treatments for certain conditions can also affect tooth color. For example, head and neck radiation and chemotherapy can cause teeth discoloration. In addition, certain infections in pregnant mothers can cause tooth discoloration in the infant by affecting enamel development.
Medications. The antibiotics tetracycline and doxycycline are known to discolor teeth when given to children whose teeth are still developing (before age 8). Mouth rinses and washes containing chlorhexidine and cetylpyridinium chloride can also stain teeth.Antihistamines (like Benadryl), anti psychotic drugs, and drugs forhigh blood pressure also cause teeth discoloration.
Dental materials.Some of the materials used in dentistry, such as amalgam restorations, especially silver sulfide-containing materials, can cast a gray-black color to teeth.
Advancing age.As you age, the outer layer of enamel on your teeth gets worn away, revealing the natural yellow color of dentin.
Some people have naturally brighter or thicker enamel than others.
Excessive fluoride either from environmental sources (naturally high fluoride levels in water) or from excessive use (fluoride applications, rinses, toothpaste, and fluoride supplements taken by mouth) can cause teeth discoloration.
For example, damage from a fall can disturb enamel formation in young children whose teeth are still developing. Trauma can also cause discoloration to adult teeth.
How Can I Prevent Teeth Discoloration?
By making a few simple lifestyle changes, you may be able to prevent teeth discoloration. For example, if you are a coffee drinker and/or smoker, consider cutting back or quitting all together. Also, improve your dental hygiene by brushing and flossing regularly and getting your teeth cleaned by a dental hygienist every 6 months.
If your teeth appear to be an abnormal color without any explanation and, if other symptoms are also present, make an appointment to see your dentist.
What Treatment Options Are Available to Whiten Teeth?
Treatment options to whiten teeth can vary depending on the cause of the discoloration and may include
In-home whitening agents purchased from your dentist
Just because your wisdom teeth aren’t a source of pain doesn’t mean there’s nothing wrong. The teeth could be stuck, or impacted. That means they can’t break through your jaw and into your mouth. Maybe your mouth is too small to make room for them, or the teeth could be growing at an angle to other teeth. They can damage the tooth next door if they push up against it.
Some dentists take out healthy molars to prevent problems later on. As you age, the bones in your mouth get harder. That makes your teeth tougher to remove.
The tongue is an extraordinary muscle that has many functions. The mouth is the first place from which a baby explores life. With thousands of taste buds on the upper surface, the tongue is a muscle of pure sensation and pleasure. The tongue serves us in many ways. Consider its role in the following activities:
Licking your lips
As well as being a taste/temperature detective, the tongue has one of the larger nerve supplies compared with other organs in the human body and it is full of blood vessels that supply it with nutrients.
People pierce their tongues for various reasons; because it’s trendy, peer group pressure, friends are doing it, rebelling against parents, increasing sexual pleasure, something to toy with etc. But here are the reality checks on the complications that can be triggered by piercing the muscle that is a brilliant engineering feat of nature:
Rupturing of blood vessels
Gum disease – the ring and hole in the tongue becomes a breeding ground for bacteria – the spread of this bacteria extends throughout the mouth and even down the throat
Halitosis (bad breath)
Soft tissue damage such as the roof and floor of the mouth and cheeks.
Ripping of tongue if the ring or stud gets caught on something or locks ‘horns’ with your partner’s ring!
Reported case of a brain abscess through infected tongue.
As we age, the numbers of taste buds on our tongue decreases. By inflicting injury on your tongue you would only speed up this process!