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When it comes to gum disease and your child, it’s a good news/bad news situation. The very good news is that children rarely suffer from advanced gum disease, or periodontitis. The not-so-good news? Early gum disease, called gingivitis, is unfortunately an all-too-common childhood problem.

• What does gingivitis look like in children?

Childhood gingivitis has the same causes and symptoms as the adult version. Healthy gums are firm and pink. When bacteria and plaque accumulate on the teeth, your child’s gums become irritated and inflamed. Call our Lewis Center, OH office right away if you notice any of these symptoms of gingivitis: bleeding gums, puffiness, redness, gum tissue receding from the teeth, or bad breath even after brushing.       

• How to Prevent Gingivitis

The most common cause of gingivitis is poor dental care. Creating a regular dental routine is the best way to prevent gingivitis from ever developing! Brushing and flossing with your child for two minutes twice a day from the very beginning helps make healthy cleaning a lifelong habit. Care should be taken to gently brush teeth at the gum line to make sure plaque doesn’t get a chance to build up there and cause gum irritation. And when your child comes in for regular cleanings, Dr. Parulkar can be sure that any plaque that might remain on the teeth is removed.

Two additional notes: as your child approaches adolescence, hormone fluctuations can make gums more sensitive and easily irritated. This is a time to really emphasize careful and gentle brushing and flossing. Also, some medical conditions may make children more pre-disposed to gum problems, so be sure to make us aware of your child’s medical history.

• Uncommon Gum Diseases

While gingivitis is very preventable with proper dental hygiene, there are some rare gum conditions that can occur around the time of puberty that are quite different from gingivitis. Aggressive Periodontitis can cause severe bone loss around the first molars and incisors, even without any kind of plaque build-up, and Generalized Aggressive Periodontitis leads to inflammation of the gums, heavy plaque, and, eventually, loose teeth. Again, these conditions are rare, but if you have a family history of these diseases, let us know. Checkups and cleanings are a great way to catch any potential gum problems, so be sure to bring your child in for regular visits.

Almost all childhood gingivitis is preventable. With careful brushing and flossing at home, and visiting us regularly for checkups and cleanings, your child can enjoy healthy gums and teeth now and learn habits that will keep those gums and teeth healthy for a lifetime. And that is a good news/great news situation!

Our team at Delaware Pediatric Dentistry knows that every parent loves to hear his or her child say, "no cavities!" when leaving our office. Let's talk about why primary (baby) teeth get cavities, what you can do to help prevent them, and what Dr. Parulkar can do if your child gets a cavity. It's a team effort!

Prevention is Key

A well-balanced diet high in protein, vitamins, and minerals (especially calcium and phosphorous) is an important part of cavity prevention. The American Academy of Pediatric Dentistry (AAPD) states that children should eat healthy snacks like cheese, vegetables, and yogurt, and drink milk. Limit hard candy and carbonated beverages, which have acid and can cause tooth decay. Also, do not put children to bed with a bottle of milk, formula, or juice because sugary fluids pool around the teeth and gums, which promotes decay.

In addition to limiting sweets and scheduling regular visits at our Lewis Center, OH office, make sure your child flosses once a day and brushes his or her teeth twice a day with a pea-sized amount of fluoride toothpaste. A good rule of thumb is if children can tie their shoelace, then they should be able to brush their teeth without help. The American Dental Association (ADA) recommends the following basic brushing techniques:

• Place the toothbrush at a 45-degree angle to the gums.
• Move the brush back and forth gently in short strokes
• Brush the outer surfaces, inside surfaces and chewing surfaces of all teeth.
• To clean the inside surface of the front teeth, tilt the brush vertically and make several up-and-down strokes.
• Brush your tongue to remove bacteria and keep your breath fresh.

These tips will greatly increase cavity prevention; however, if your child gets a cavity, it will not heal on its own and must be fixed. Dr. Parulkar will remove the decayed part of the tooth and fill the hole where the decay was. You may wonder why it's important to fill baby teeth if they're going to fall out eventually. Baby teeth hold space for permanent teeth to grow in. If one is lost, teeth may shift and prevent a permanent tooth from growing in. In addition, a decayed tooth can become abscessed and cause pain. No fun!

Let’s work together to help your child develop good oral health habits that last a lifetime. Please contact our office if you have any questions about your child's diet or cavity prevention.

Let’s talk about mouthguards and night guards—two crucial appliances that protect your child’s teeth and jaw.

We could talk about how important a mouthguard is when your family leads an active life. Mouthguards protect teeth, delicate mouth tissue, and jaws from accidents and impacts. 

Or if someone in the house grinds his or her teeth at night, waking up every morning with tooth or jaw pain, we can talk about how a night guard can be a quality-of-life-saver.

But we’re not going to talk about any of these important topics today. Instead of looking at how a guard protects your child, today we’re going to look at how you can help children protect their mouthguards.

If you want their guards to last longer, work better, and stay (and smell!) cleaner, some basic tips make all the difference. Here are some important rules to share with your child.

• Keep your guard clean.

This can’t be stressed enough. Without a good cleaning routine, your guard can become discolored, develop an unpleasant odor, and even cause illness. Not very appealing, right? Happily, keeping mouthguards and night guards clean isn’t difficult.

When you wear your guard, whether during daytime activities or through the night, the same plaque that is present in your mouth makes itself at home your guard. And when your night guard or mouthguard is in its case, that dark, moist environment makes it a perfect breeding ground for all kinds of bacteria, viruses, and fungi.

As soon as you take your mouthguard out, rinse it off. Brush with a soft toothbrush to remove all the plaque, saliva, or food debris that might be lingering in your appliance. (If you are on the playing field, in the park, or at some other inconvenient location, rinse it and brush as soon as you can.) Toothpaste can help get your guard its cleanest, but can be too abrasive for some appliances.

Once you’ve cleaned it, let your guard air dry in a clean spot for about 30 minutes. Air drying helps prevent bacterial growth. After your guard has dried, return it to its case.

Once a week, you might need to give your guard a good soak in a mouthwash or other dental cleaning solution.

Since cleaning instructions can be different depending on which type of guard you have, be sure to follow our instructions if you have a custom guard, or follow the manufacturer’s cleaning instructions if you have a store guard.

• Keep it safe.

When your guard isn’t in your mouth, it should be in its case. Floating loose on the bathroom counter or tumbling around in your gym bag puts your guard at risk for breakage and bacteria.

And don’t forget to clean your case thoroughly every few days and air dry it as well. Bacteria, viruses, fungi, mold, and other unwelcome guests can collect in your case, too.

• Keep it only as long as it’s in good condition.

You can purchase mouthguards from sporting or drug stores, or Dr. Parulkar can make a mouthguard or night guard designed to fit your teeth perfectly. These appliances are made to be strong and durable, but they’re not indestructible. Over time they can wear down or become damaged, especially if you treat them carelessly.

Bacteria can lurk in dents and cracks, and you can cut your mouth on rough, sharp, or broken edges. But if your guard isn’t fitting properly, don’t resort to self-help! Trying to repair, reshape, or trim your appliance yourself is not a good idea, because it might affect its fit and protective ability.

Any sign that your guard isn’t fitting properly or shows signs of wear and tear could mean it’s time for a replacement. You can replace a store model, or ask our Lewis Center, OH team about repairing or replacing your custom guard. A mouthguard that doesn’t fit, doesn’t keep you safe.

Take care of your guard, and it will take care of you. The reward for the small amount of time and effort you put into caring for your mouthguard or night guard is a smile that will last you for a lifetime. That’s a benefit we can talk about all day!

After hours of juggling a wailing baby, you’re probably desperate to address teething pain. If your baby is irritable, drooling, and chewing on hard objects, he or she is likely teething. Although some discomfort while your baby is teething is inevitable, learning a few basic approaches can ease painful gums and soothe your frazzled nerves.

• Offer your finger. Simply chewing on your nice, plump finger may be enough to ease your little one’s pain. Make sure you clean your finger before placing it in your baby’s mouth.
• Use a teething ring. A firm rubber teething ring allows your child to gnaw, and alleviates pain. If your baby seems to like sucking on a bottle, replace the milk or formula with water during teething periods. This reduces sugar intake and decreases the risk of tooth decay.
• Cool it down. Stick a clean, moist washcloth in the freezer (place it on a tray for cleanliness) and offer that to your baby. The cooler temperature of the chilled cloth eases the pain of teeth erupting through the gums. Soaking the washcloth in non-caffeinated tea, such as chamomile, may reduce inflammation associated with teething.
• Grab some hard foods. Certain foods allow your kiddo to gnaw, and can ease teething pain. For example, frozen bananas, large chunks of chilled carrots, an apple, or frozen bagels make good teething pain relievers. If you’re offering your child solid food, watch carefully to ensure that your infant doesn’t bite off a piece and choke.
• Try a natural remedy. Years of grandmotherly wisdom suggest that home remedies might help with teething. Try rubbing clove oil, peeled ginger root, or vanilla extract onto your child’s gums. Although there isn’t scientific evidence to prove these remedies are effective, they may help your little one through the painful teething process. Just remember to test the method out on your own gums first to ensure any tingling or numbing is bearable for your child.
• Use medications. If your baby seems to be especially uncomfortable, over-the-counter medications may be appropriate. Giving an age-appropriate dose of acetaminophen (Tylenol) or ibuprofen (Advil) may reduce discomfort. Make sure you check with your child’s pediatrician or our office first to ensure the medication is safe.

If nothing seems to be helping your child’s teething pain, you can always schedule an appointment with Dr. Parulkar. Our team at Delaware Pediatric Dentistry understands the unique health needs of your little one, and are more than happy to help ensure he or she grows up with a beautiful smile.

For more information about teething, or to schedule an appointment with Dr. Parulkar, please give us a call at our convenient Lewis Center, OH office today!