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Having your teeth cleaned is part of most dental checkups. It’s a great feeling to know your teeth look clean and bright, but there’s more to feel great about! Cleanings help your teeth stay healthy. Let’s talk about why a cleaning at our Chicago pediatric dental office is a bright idea.

• Brushing and Flossing at Home Isn’t Always Enough

Even when you brush and floss every day, sometimes you don’t get rid of all the plaque sticking to your teeth. Plaque, after all, starts forming within hours after you brush, and this can be a problem.

• The Problem with Plaque

Plaque is a sticky film that’s mostly made up of bacteria. These tiny germs use food we eat to make acids, and these acids can make our tooth enamel weaker. Over time, a weak spot in tooth enamel gets bigger and deeper until it becomes—a cavity.

And that’s not all. Plaque near our gums irritates them, and our gum tissue reacts to this irritation. Our gums might turn darker pink, or bleed, or get puffy. We could have bad breath that brushing won’t get rid of. These are signs of gum disease. Clearly, we don’t want plaque sticking around!

• The Trouble with Tartar

Especially because, after only a day or two of letting plaque build up, it starts to turn into tartar. Tartar is hardened plaque, and it can’t be brushed away at home. Tartar can only be removed by an expert at Pediatric Dental Health Associates, Ltd.

It can build up anywhere we might not be brushing as often and as well as we should—especially behind our teeth and between them. Tartar can build up above and below the gum line, where it causes even more gum irritation.

You want your teeth to have the best protection against cavities and gum disease, and that means making sure that plaque and tartar aren’t making themselves at home on your teeth. And that means a visit to your pediatric dentist’s office for an expert cleaning.

What goes on during a cleaning?

• First, a Look at Your Teeth and Gums

Once you’re settled in the comfortable dental chair, Drs. Joanne Oppenheim, Marilia Montero, and Mary J. Hayes will examine your teeth and gums to see if they need any attention before starting the cleaning.

• Scaling

Your hygienist usually begins by carefully scraping away any plaque and tartar with tools called scalers. Scalers can be hand tools or use ultrasonic vibration. Your hygienist will also clean the area around your gums, gently getting rid of any plaque and tartar on your tooth enamel above and below the gum line.

If you’ve been missing any spots in your daily brushing, your hygienist will point out these out so you can brush better.

• Polishing

Sometimes your teeth might be polished to take away stains on the tooth surfaces. This can be done with a special toothpaste applied with a spinning brush or rounded cup. Or your hygienist might use an air polisher, which uses powder, water, and air to clean teeth. Often, scaling on its own will remove any small stains.

• Flossing

Sometimes even adults have a hard time flossing the right way! But it’s a skill you should learn because it’s really important for healthy teeth and gums. Brushes can’t get in the tight spaces between our teeth—but plaque can. Flossing fits in between those tiny spaces to gently scrape away plaque as you move the floss up and down.

Your hygienist will floss between your teeth to remove any plaque, and can show you the right way to floss your teeth and the best kind of floss to use.

• Rinsing

After cleaning your teeth, your hygienist will make sure you rinse well for a shining smile. And that’s it!

Your teeth will look and feel cleaner once any harmful plaque and tartar are gone. You’ll find out if you’ve been missing any areas when you brush. You’ll learn the right way to brush and floss for healthy teeth and gums. And you’ll be helping to prevent cavities and gum disease! No wonder a cleaning at your dentist’s office is always a bright idea.

“But they are only baby teeth; won’t they just fall out?” Our team at Pediatric Dental Health Associates, Ltd has had these questions asked many times from parents over the years. Primary teeth, or “baby teeth,” will indeed come out eventually, to be replaced by permanent teeth as the child grows and develops. These teeth serve a great purpose as the child continues to develop and require specific care.

Because baby teeth are temporary, some parents are unenthusiastic about fixing cavities in them. This may be due to the cost or having to force a child undergo the process—especially having to receive an injection. But if a cavity is diagnosed early enough, an injection can often be avoided. More important, failure to fill cavities in primary teeth when they are small and manageable can have lasting consequences in cost and health concerns. Serious illnesses in children have been diagnosed which began as a cavity.

Primary teeth act as a guide for permanent teeth. When decay reaches the nerve and blood supply of a tooth, this can cause an abscess. Severe pain and swelling may result. At that point, the only treatment options are either to remove the tooth or to perform a procedure similar to a baby root canal. When a primary tooth is lost prematurely—to decay or a painful abscess—the adjacent teeth will often shift and block the eruption of a permanent tooth. Braces or spacers become necessary to avoid crowding or impaction of the permanent tooth.

There is nothing more heartbreaking for Drs. Joanne Oppenheim, Marilia Montero, and Mary J. Hayes than to have to treat a child experiencing pain and fear. To all the parents of my little patients our team strongly recommend filling a small cavity and not waiting until it becomes a larger problem such as those described above.

Prevention is the key to a healthy mouth for our smallest patients. Parents should allow the child to brush his or her teeth using a pea-sized amount of fluoride toothpaste and then take a turn to ensure the plaque gets removed from all surfaces: cheek side, tongue side, and chewing edges of all the teeth.

Children’s oral health differs from the needs of adults in many ways. It’s vital for you to understand what your child needs to keep his or her teeth healthy. Drs. Joanne Oppenheim, Marilia Montero, and Mary J. Hayes and our team are here to answer your questions to set you and your little one up for success.

In-home dental care should start as soon as your baby show signs of developing that first tooth. At around age one or two, bring your son or daughter to our Chicago office. Drs. Joanne Oppenheim, Marilia Montero, and Mary J. Hayes will examine your child’s tooth development and gum health.

The initial appointment will focus on getting your youngster familiar with our office and comfortable with our staff. We will go over several general matters during that first visit:

• Inspect for signs of decay or other tooth or gum problems
• Check for gum disease or cavities
• Examine your child’s bite and possible misalignment
• Clean the teeth, and apply fluoride if your child is old enough
• Talk with parents about proper oral health
• Give you tips for brushing and flossing your little one’s teeth
• Answer any questions you may have about caring for your son or daughter’s teeth

Once your child is old enough for the first dental visit, you should schedule regular cleanings every six months. Call our Chicago location if you have any conflicts or questions.

We know how frustrating it can be to discover your child has one or more cavities when you come to visit Pediatric Dental Health Associates, Ltd. There are several ways to prevent baby teeth from forming cavities due to decay. Not to worry: If your child does develop a cavity on a baby tooth, Drs. Joanne Oppenheim, Marilia Montero, and Mary J. Hayes can help take care of the problem.

Let’s look at how cavities on your little one’s teeth can be prevented from developing in the first place. Most often, children suffer decay from eating sugary foods. You may think, “My child doesn’t eat lots of candy!” In truth, fruits and juices have plenty of natural sugars that can break down teeth if they aren’t brushed thoroughly.

A well-balanced diet that includes calcium and phosphorous is necessary to keep your child’s oral health in a good state. If your son or daughter drinks juice, avoid giving it before bedtime and dilute the juice with water. Good options for snacks include vegetables, low-sugar yogurt or dairy products, and plenty of milk for healthy teeth.

Another excellent preventive strategy consists of scheduling regular appointments with Drs. Joanne Oppenheim, Marilia Montero, and Mary J. Hayes for your child. Between your youngster’s annual cleanings, make sure he or she brushes and flosses every day. It’s worthwhile for your little one to brush thoroughly for at least two minutes to remove any decay or plaque that has accumulated in the mouth, especially before bedtime.

Brushing Techniques

• Move the brush both back and forth, and in circular gentle strokes.
• Brush the outer surfaces, inside surfaces, and chewing surfaces of all teeth.
• Place the toothbrush at a 45-degree angle to the gums.
• Brush the tongue to remove excess bacteria and keep breath fresh.

It’s not always possible to prevent cavities from appearing in your son or daughter’s mouth. If your child does develop a cavity, our staff will notify you during the regular scheduled cleaning.

The cavity will need to be eliminated, even when it appears on a baby tooth. Our staff will remove the decayed part of the tooth and fill in the hole so your child doesn’t have to experience any pain.

You may wonder why a baby tooth has to be fixed if it is eventually going to fall out. Baby teeth hold spaces where your child’s permanent teeth have to grow in. If the former aren’t taken care of, multiple teeth may shift and the permanent ones won’t be able to grow in properly.

If you still have questions or concerns about your child’s baby teeth, or notice signs of a cavity, please don’t hesitate to contact our Chicago office and schedule an appointment. Remember, preventive steps can be taken to avoid bothersome cavities from forming in your child’s mouth.