Our Blog

Sometimes the reason for a poor night’s sleep is obvious. Maybe your child watched a scary movie. Or loaded up on sugar before bed. Or can’t get to sleep after a night of computer screens or video games. Not much we can do about these problems.

Sometimes, though, the cause of your child’s sleep difficulties is dental in origin, and that is something Dr. Michelle Slezewski and Dr. Paul Engibous can help with.

Teeth grinding, or bruxism, is a very common childhood dental problem. While children with this condition sleep, their jaws clench and their teeth grind against each other throughout the night. When to suspect children might suffer from bruxism? When they experience:

• Frequent headaches or facial pain
• Waking with a sore jaw, or popping or clicking jaw sounds through the day
• Teeth which are chipped, cracked, flattened, worn down, or sensitive
• Waking up tired, because grinding affects the quality of sleep
• Siblings who complain about nocturnal grinding noises, which affect the quality of their

Pain and fatigue are unpleasant enough, but there are additional serious consequences for those who suffer from bruxism. Our jaws are extremely powerful, and clenching and grinding can put hundreds of pounds on pressure on teeth and jaws over a few hours of sleep.

These forces can lead to damaged teeth and dental work, and problems with the temporomandibular joint, or TMJ, the complex hinge that allows our jaws to move up and down, back and forth, and side to side.

Clearly, prevention is clearly a much better option for a healthy smile. And one of the simplest and most effective treatments for preventing the damage caused by bruxism is a night guard.

Night guards fit over the affected teeth to prevent them from touching directly, saving tooth and enamel from injury and wear. Not only do night guards prevent contact, they spread the biting forces of the jaw over the surface of the guard to greatly reduce their impact. And because they also stop the jaw muscles from clenching tightly, there’s no excess stress placed on the temporomandibular joint.

For all these reasons, a night guard is pretty much a slam dunk for adults who grind their teeth. But for children, it’s not necessarily an automatic decision. Why?

• If tooth grinding is mild and appears to be limited to baby teeth, children often outgrow the condition. Your dentist can let you know if you need to do more than monitor the situation.
• Sometimes it seems like your child’s smile changes from day to day. Between losing baby teeth and erupting adult teeth, this beautiful smile is a work in progress. A fitted night guard might not be a perfect fit while your child’s teeth are still coming in and shifting position.
• Finally, jaw and facial pain can also be caused by problems with your child’s bite or misaligned teeth, and that might mean that an orthodontic consultation is in order.

But if you suspect your child is suffering the effects of night time grinding and clenching, give our Anchorage, AK office a call. A thorough examination will provide you with the best diagnosis and solutions for helping your child retain a healthy smile and regain a healthy night’s sleep.

And if a night guard is recommended, a dental professional is the best person to see for the most effective night guard.

While over-the-counter products are available, a custom night guard is designed to fit your child’s individual teeth and mouth perfectly. Impressions or 3D scans are taken in the office, and a guard is fabricated with the precise shape, strength, and thickness needed to protect young teeth. And, as a bonus, custom night guards offer the most comfortable fit for the most comfortable night’s sleep.

Scary movies, a late night sugar rush, mesmerizing video screens—not much we can do about those! But if your child is suffering lost sleep and painful mornings because of tooth grinding, give us a call. A night guard just might be the key to sweet dreams.

Dental veneers are a popular treatment to improve the appearance of your smile. Dr. Michelle Slezewski and Dr. Paul Engibous and our team want to help you understand whether this dental option is right for you.

Veneers, also known as laminates, are custom-made shells that cover the front of your teeth. They can change the color, size, or length of each individual tooth. The process can require between one and three trips to our Anchorage, AK office to complete.

This treatment is usually done for people who want to change the appearance of their smile: they can get rid of stains, gaps, or chips. Here at Pediatric Dental Associates, we know how getting veneers can dramatically change your smile and help improve your confidence.

Your initial appointment entails preparing the teeth and creating an impression. The impression will help us design each veneer to the exact shape and color you desire. You’ll come back in a week or two to have the veneers placed. Your veneers should last about ten years, as long as you practice proper care and hygiene.

There are plenty of benefits to getting veneers, but you should be aware of the potential downsides of this procedure. This process is irreversible and the veneers cannot usually be fixed. If they chip or crack, they’ll need to be replaced.

It is also possible for veneers to fall off due to excessive pressure from nail biting or chewing on ice. If you grind your teeth a lot, you’re more likely to expose your veneers to damage, which can be costly to repair.

In order to know whether veneers are right for you, schedule an appointment at our Anchorage, AK office for a consultation. We can decide what you’re looking to do with your smile and if this is the best option for you.

When your child loses a tooth for the first time, you both have a lot to look forward to. Sharing in the “I’m a big kid!” excitement. Tales of the Tooth Fairy or other traditions to mark the occasion. Seeing the start of a beautiful grown-up smile.

But before that baby tooth wiggles all the way out of your child’s mouth, let’s talk about how to handle a loose baby tooth.

• Be mindful of your children’s feelings. Reassure them that this is a normal part of growing up. If they are anxious about losing a tooth, there are children’s books which can help ease their fears in a soothing and entertaining way.
• Crunchy and healthy foods like carrot sticks and apple slices can help the tooth fall out naturally—and nutritiously!
• Encourage careful wiggling. No need for children to yank or pull—time, and a child’s own gentle wiggling with tongue or clean hands, should do the trick. If wiggling the tooth is painful, it might not be ready to come out just yet.
• If a tooth absolutely is ready, but just won’t come out, you can help your child without resorting to a string and a doorknob. Give our Anchorage, AK office a call for some suggestions for helping that baby tooth on its way to the Tooth Fairy in a timely—and gentle—fashion.

And if a tooth is clearly loose before its time? Should you encourage its exit?

Probably not. Baby teeth are temporary, but they’re important for your child’s development. They help with speech production, eating and chewing, and serve as placeholders so that permanent teeth can erupt in the right spot at the right time.

There are some situations when a loose baby tooth means a visit to the dentist is in order:

• Baby teeth usually fall out over a period of years, generally from ages 6 through 12. Since children’s teeth tend to fall out in the same order they arrived, if a molar is loose before the front teeth start to wiggle, give your dentist a call.
• If your child suffers a fall, or a sports injury, or any kind of accident that leaves a tooth or teeth loose, call your doctor or dentist right away to make sure there are no serious injuries or chance for infection.
• Any time you feel a tooth is loose that shouldn’t be, make an appointment with your child’s dentist.

Finally, we’ve been talking about loose baby teeth, but loose permanent teeth are another matter entirely.

If you child has a loose permanent tooth due to an injury, or a bad bite, or night-time bruxism (tooth-grinding), or for any other reason, it’s important to call for an appointment immediately. Dr. Michelle Slezewski and Dr. Paul Engibous will be able to pinpoint the cause of the problem and can offer some solutions. In the meantime,

• Make sure your child eats soft foods, and tries to eat on the opposite side of the loose tooth.
• Keep the area clean with gentle rinsing instead of brushing and flossing.
• Tell your child not to wiggle it! If the bone or ligaments holding the tooth in place have been damaged, playing with the tooth can make it looser.

A loose baby tooth is a step in your child’s journey to a beautiful, healthy adult smile. Reassure, encourage, and help your child through this rite of passage—and don’t hesitate to call on Dr. Michelle Slezewski and Dr. Paul Engibous for advice!

Whether you already miss the sun’s bright rays, or can’t wait for some cool, crisp weather and colorful leaves, summer is making way for fall. And the change of seasons might mean it’s time for some adjustments to your dental care routine.

Fall’s in the Air, and You Can Feel It

You might enjoy the brisk weather and the cool autumn breezes, but you’d enjoy fall much more without the tooth sensitivity that cold weather can bring. Sensitivity can be the sign of a cracked tooth, gum disease, or even something as simple as too-energetic brushing. If you’re experiencing sensitivity outdoors or with hot and cold foods, don’t give up your nature walks and hot cider! Give Dr. Michelle Slezewski and Dr. Paul Engibous a call, and we’ll get to the root of your problem.

Fall Sports

The baseball mitts, surfboards, and water skis have been retired for the year, but that won’t stop you from enjoying exercise and team sports. And while you’re keeping your body healthy, remember to keep your teeth and jaws healthy as well. A mouth guard is an essential piece of equipment for any autumn contact sport like football or soccer, and is also a good idea for biking, skateboarding, and other physical activities where a fall or a collision is a possibility.

Fall Feasts

‘Tis the season for sugary Halloween treats, bountiful Thanksgiving desserts, and those over-the-top holiday lattes. By all means, celebrate the season. And celebrate your dental health (and your overall health) as well by enjoying these treats in moderation.

Why not take this opportunity to explore some of autumn’s more nutritious seasonal offerings? Brussels sprouts, sweet potatoes, carrots, pumpkins, and apples are part of a fall harvest of fruits and vegetables rich in vitamin A, vitamin C, potassium, calcium, and other nutrients that help keep our teeth and gums their healthiest. (And if the pumpkins and apples make their way into pies, no one will complain.)

Fall Semester

Many schools require a dental exam before the start of the academic year. If you haven’t made an appointment for your child, now’s the time to do it! And don’t forget a professional cleaning to remove plaque and tartar. Nothing starts a school year off better than entering the classroom with a bright, healthy smile.

And don’t forget to call our Anchorage, AK office for your own regular checkup if it’s that time of year. Spring, summer, winter, fall—it’s always the right season for taking care of your dental health!