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Children’s oral health differs from that of adults in a variety of ways. Dr. Michelle Slezewski and Dr. Paul Engibous and our team want you to understand how you can provide the best care for your son or daughter’s teeth. It’s essential to understand what your child will need from you when it comes to his or her oral health in those first few years.

In-home dental care begins when your baby starts to show signs of developing the first tooth. We recommend that you bring your child to our Anchorage, AK office between the ages of one and two. Dr. Michelle Slezewski and Dr. Paul Engibous will take a look at your child’s tooth development and gums during this first scheduled appointment.

The initial appointment with your little one is designed to get him or her accustomed to our office. We recommend allowing your child to be in the exam room alone with us during the first visit in order to become comfortable with our staff at an early age.

We will go over several general matters during your child’s first visit:

• Look for signs of decay or other tooth or gum problems
• Make sure your youngster doesn’t have gum disease or cavities
• Examine your child’s bite, and check for misalignment that could lead to problems in the future
• Clean the teeth, and apply fluoride if your son or daughter is old enough
• Talk to you about proper oral health care for your
• Give you some tips for brushing and flossing your child’s teeth
• Answer any questions you may have about caring for your little one’s teeth

Once your child is old enough for his or her first visit to the dentist, you should begin to schedule regular cleanings every six months. If any problems arise before a scheduled appointment, call our Anchorage, AK location and we will be happy to answer any questions you may have.

Remember, creating healthy oral health habits with your child early on is crucial. We’re here to guide you through this process and make sure your child is healthy and happy.  

On the last Wednesday in September, we celebrate “Women’s Health and Fitness Day.” Because your oral health plays such a large role in your general health and well-being, let’s look at a few of the ways you can treat yourself with the care you need and deserve at different stages of your life.

Puberty 

Puberty begins around the ages of 8 to 13, and typically lasts from 2-5 years. During this time, our bodies begin to produce the hormones estrogen and progesterone, which affect not just the reproductive organs, but our brains, hearts, skin, hair, bones, and more. These hormones can also affect our oral health.

• Gingivitis

Hormonal fluctuations make gum tissue more sensitive to irritants like plaque and bacteria. You might find that your gums are swollen, tender, red, or bleed easily. 

What you can do:

Keeping up with your dental hygiene is the best defense against gingivitis. Even if your gums feel a bit tender, it’s important to keep up with your brushing and flossing because proactive dental hygiene can reverse gingivitis before the condition becomes more serious. If symptoms persist, a visit to the dentist is in order.

Menstruation

• Menstruation gingivitis

Elevated hormone levels can also cause gingivitis during the menstrual cycle, usually beginning a few days before the start of your period and ending soon after your period begins. Some women also experience canker sores and swollen salivary glands during this window.

What you can do:

Be mindful of any oral changes during your menstrual cycle. Pay special attention to dental hygiene, and, if you develop canker sores, talk to your dentist or doctor about the best way to care for yourself while they heal.

Pregnancy

Pregnancy brings about many physical changes, including potential changes in your oral health.

• Pregnancy Gingivitis

Pregnancy hormones cause an increase in the blood supply to your gums while at the same time making them more vulnerable to irritation from bacteria and plaque. You may find that your gums are redder, more swollen, and more likely to bleed when brushing. 

• Loose Teeth

During pregnancy, increased hormone production helps relax and loosen ligaments and joints in preparation for birth. Teeth are held in place by ligaments, and you might be alarmed to discover your teeth are looser as well. Typically, this situation resolves when the baby is born.

• Pregnancy Granulomas

Some pregnant women may also experience pregnancy granulomas. These dark red swellings are benign tumors which appear along the gumline. These generally shrink on their own, but, if a granuloma is causing you pain or discomfort, your dentist can remove it surgically.

What you can do:

Let your dental team at Pediatric Dental Associates know right away when you learn that you’re pregnant. You’ll get helpful advice about brushing and flossing techniques, pregnancy-related oral conditions to look out for, when to schedule dental treatment and cleanings, a tooth-healthy diet, and more.

Menopause and Later Years

As we age, there’s an increased risk of oral health issues.

• Osteoporosis

Osteoporosis causes loss of density in the bones—including the bones and bone tissue which hold our teeth in place. Studies indicate that women with osteoporosis suffer significantly higher tooth loss than women who don’t have the disease.

• Dry Mouth

Saliva helps protect the teeth from cavities by washing away bacteria and food particles and by neutralizing acids in the mouth. Reduced estrogen production, medications, and medical conditions such as diabetes can all cause dry mouth. 

• Gum Disease

About 2/3 of older Americans have gum disease, which is one of the leading causes of tooth loss in adults. Lower hormone levels have been linked to increases in periodontal diseases.

• Oral Cancer

Oral cancer is more common as we age, and, while men are affected almost three times as often as women, we should be aware of the common symptoms of oral cancer, including a sore in the mouth which doesn’t heal, a lump or thickening in the mouth, red or white patches on the tongue, gums, and other oral tissues, loose teeth, or persistent earaches or discomfort when eating or swallowing.

What you can do:

Visit your dentist and doctor for preventative care and whenever you are concerned about your oral health! Whether it’s helping you prevent osteoporosis and dry mouth or discovering dental and medical conditions early, when they are more likely to be treated successfully, regular visits to your dentist and doctor can help ensure that you have years of happy smiles ahead. 

Missed the date this year? No worries! Women’s Health and Fitness Day is one day in September, but every day in the calendar is a good day to think about your oral health. Partner with Dr. Michelle Slezewski and Dr. Paul Engibous and your doctor to help make your healthy smile something to celebrate all year long! Make an appointment with Pediatric Dental Associates in Anchorage, AK today!

Part of every dental checkup is making sure all of your teeth are strong and healthy. Dr. Michelle Slezewski and Dr. Paul Engibous will have you open wide to look at your teeth, use special little mirrors to get a good look around each tooth, and take X-rays to make sure your teeth are healthy both inside and out.

Why does your dentist want to check each tooth so carefully? One big reason is to look for cavities. What are cavities, and why don’t you want them? We have some questions and answers if you’re cavity-curious!

Just What Is a Cavity?

A cavity is a little hole in your tooth caused by tooth decay.

A Hole in My Tooth? How Did It Get There?

Most of the time, we get cavities because of plaque buildup.

Plaque is a sticky film that builds up on our teeth all through the day. It’s mostly made up of saliva (or spit), tiny bits of the food we chew, and germs called bacteria.

The bacteria in plaque use these food particles from our meals for their own food. Part of the way they use that food is to create acids.

Even though our teeth are very strong, acids can make them weaker as they break down the hard enamel on the outside of the tooth. This is the start of tooth decay. As time goes by, and more acids attack our tooth, a weak spot can grow larger and deeper, making a hole in the tooth.

Why Are Cavities Bad for My Teeth?

If a cavity gets too big, it can reach the inside of your tooth. Inside each tooth, we have pulp. Healthy pulp keeps our tooth alive, and it contains nerves which can feel pain. This is why a deep cavity gives you a toothache. If the pulp is damaged, your tooth is in danger.

How Can My Dentist Help?

When you have regular checkups, Dr. Michelle Slezewski and Dr. Paul Engibous can find small cavities and treat them before they become big ones. This helps keep your smile healthy and toothache-free!

To start, your dentist will give you medicine to make the area around your tooth numb if you need it. When your tooth is numb, your dentist will clean away all of the decay with special small drills. They can be noisy, but they won’t hurt.

Once all of the decay is gone, your dentist will fill the hole with—a filling! A filling can be made of metal or a material which matches your tooth color.

When your appointment is finished, your tooth will be free from all the bacteria that were hurting it, the hole in your tooth will be filled, and you’ll be able to eat and bite and chew just like you could before. But what’s even better than treating a cavity? Preventing one!

How Can I Prevent Cavities?

There are lots of ways to get a cavity. Sometimes it’s caused by what people do, like eating lots of the foods which cavity-causing bacteria love. Sometimes, a cavity is caused by what people don’t do, like not brushing and flossing enough. And some people get cavities even with careful brushing and a healthy diet, so they might need extra help to protect their teeth.

Here are three very good ways to help stop cavities before they ever start:

• Don’t Feed the Bacteria!

The bacteria in plaque like sugars and starches because these foods are the easiest for them to use. And when they get more food, they make more acids. Desserts and sodas, soft breads and chips, and sugary cereals—these foods make tasty meals for bacteria and they stick to your teeth. Eating a balanced diet without too many sugary and starchy treats means fewer acids—and fewer cavities!

• Brush and Floss

Brushing at least twice a day helps get rid of the sticky plaque holding those cavity-causing bacteria. Flossing helps remove plaque where your brush has a hard time reaching, like the spaces between your teeth. Your dentist and hygienist can show you the very best ways to brush and floss to get rid of the most plaque.

• Cavity-Fighting Treatments

Your dentist can also treat your teeth to help keep cavities from ever starting, especially if you’re someone who gets cavities more easily. Professional cleanings at our Anchorage, AK dental office and dental sealants are two ways to protect teeth from plaque and bacteria. Your dentist will have some ideas just for you.

Together, you and your dentist make a powerful cavity-fighting team. If you have any questions about keeping your teeth their healthiest, your dentist has the answers!

Sure, you brush your teeth and floss regularly, so you might think you’re off the hook when it comes to the dental chair. However, it’s just as important for adults to get regular dental exams as it is for kids. Cavities are common among adults, with 92% of people aged 18 to 64 having had cavities in their permanent teeth, according to the National Institute of Dental and Craniofacial Research.

How cavities form

Our mouths are teeming with hundreds of types of bacteria. Some are helpful and maintain good health, while others are harmful. Certain types of bacteria process the sugars in food and release acid in return. Although minor decay can be naturally reversed by your body, Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates will tell you that eventually the acid wears away the enamel and creates small holes in the surface of teeth.

Cavity prevention for adults

Some people are naturally more prone to cavities than others. However, making a few lifestyle changes can dramatically reduce your likelihood of developing cavities.

• Food choices. Eating plenty of fresh fruits and vegetables increases saliva production, and reduces cavity risk. It is also important to avoid foods that get stuck in the ridges of your teeth. Candy, cookies, and chips should be eaten sparingly.
• Beverages. Most people know that drinking soda contributes to tooth decay. However, fruit juices and energy drinks also contain large amounts of sugar. Whenever possible, replace these sugary beverages with tea or water, which rinses your mouth and prevents decay.
• Fluoridated water. Fluoride is a naturally-occurring chemical that facilitates enamel growth. Most municipal water supplies are fortified with fluoride, so drinking tap water is a great way to keep teeth healthy. People with well water may use fluoridated toothpaste or other supplemental forms of fluoride to decrease cavity risk.
• Brush teeth and floss frequently. Gently brushing teeth several times a day removes the harmful bacteria that cause cavities to develop. If possible, brush your teeth after each meal or when drinking sugary beverages. Flossing regularly removes small particles that get trapped between teeth, which further decreases tooth decay.

One of the most important steps in cavity prevention is visiting your dentist at least twice a year. Consistent dental exams ensure that cavities are caught early, before they cause major damage to your teeth.

For more information about avoiding cavities, or to schedule an appointment with Dr. Michelle Slezewski and Dr. Paul Engibous, please give us a call at our convenient Anchorage, AK office!