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You’re all set for your happy morning and nighttime ritual. You’ve provided your son with his favorite action hero toothbrush and your daughter with her favorite flavored toothpaste. You’ve gotten them into the healthy habit of two minutes of brushing twice each day. You’ve introduced them to flossing. You have favorite brushing songs! Stickers! Gold stars! And, best of all, you’re teaching great brushing techniques.

Kids need the same basic brushing tools and skills as adults. What makes for the best cleaning?

Find the right brush

No matter how cute—or heroic—the brush, it needs to have soft bristles to protect enamel and delicate gum tissue. The head should be a perfect fit for your child’s mouth. And if the handle is easy to grip and hold, you have a winner.

Find the right toothpaste

The bubblegum flavor might appeal to your child, but it’s the fluoride that helps to prevent cavities. Talk to us about the right time to start using fluoride toothpaste and the right amount for your child’s brush.

Teach your child the angles

If your child is too young to brush alone, start geometry lessons early. Holding the brush at a 45-degree angle toward the gums will clean bacteria and plaque from the tooth surface and the gum line. And don’t forget the chewing surfaces and the insides of the teeth. When your child begins brushing on her own, coach her as she learns the best way to clean all the surfaces of her teeth.

Easy does it

Teeth and gums should be massaged, not scrubbed. Brushing too hard can damage not only tender gum tissue, but even your child’s enamel.

Learn to let go

No matter how comfortable and appealing the brush, after three or four months, it’s time for a change. Frayed bristles don’t clean as effectively, and making up for it by brushing harder isn’t the answer (see above). Also, toothbrushes can build up quite a collection of bacteria over time (see below), so a fresh brush is a must!

Everything in its place

A toothbrush should dry thoroughly between uses without touching other brushes. Placing a brush in a plastic container doesn’t let it dry and encourages bacterial growth. And a toothbrush needs its own space—touching toothbrush heads means sharing toothbrush bacteria. The best way to keep toothbrushes as dry and as germ-free as possible is to store them upright, without touching other brushes, in a clean, well-ventilated area.

Rinse and repeat

Your child should rinse his toothbrush before and after using it, and be sure to rinse his mouth as well. That should get rid of any leftover food particles brushing has removed.

Finally, keep up the good work! As you teach your child proper brushing techniques, and make sure she uses them as she grows, you are preparing her for a lifetime of great checkups with Dr. Dinah Abioro at our Bowie office. Give yourself a gold star—you’ve earned it!

Many varieties of fillings are available at our Bowie office. Most people are familiar with traditional amalgam fillings: those big silver spots on top of teeth.

Made from a mixture of silver, tin, zinc, copper, and mercury, amalgam fillings have been used to fill cavities for more than 100 years. They offer several advantages, including:

• High durability for large cavities or cavities on molars
• Quick hardening time for areas that are difficult to keep dry during placement
• Reduced placement time for children and special-needs patients who may have a difficult time keeping still during treatment

Although dental amalgam is a safe and commonly used dental material, you might wonder about its mercury content. You should know that when it’s combined with the other metals, mercury forms a safe, stable material.

The American Dental Association, U.S. Centers for Disease Control and Prevention, U. S. Food and Drug Administration, and World Health Organization all agree that based on extensive scientific evidence, dental amalgam is a safe and effective cavity-filling material.

White Fillings

Newer, mercury-free, resin-based composite fillings (white fillings) are also available at our Bowie office. Composite resin fillings are made from plastic mixed with powdered glass to make them stronger.

Resin-based fillings offer several benefits for patients, including:

• They match the color of teeth
• Less tooth structure needs to be removed than with amalgam fillings
• BPA-free materials can be used

Resin-based composite fillings also have some disadvantages, including:

• Higher cost than amalgam fillings
• Inlays may take more than one visit
• Requires more time to place than amalgam fillings

There’s a lot to think about when you have to get a cavity filled. We recommend you do your homework and speak with Dr. Dinah Abioro before deciding what’s best for you or your family.

Can you believe it’s already June? Today, Dr. Dinah Abioro and our team at Dental Land Pediatrics thought we’d let you know that June is National Smile Month, so it’s a good time to remind all our young patients to practice proper oral hygiene between their visits to our office!

Below are a few simple steps your child can take to improve his or her oral health so that your family can celebrate National Smile Month for many, many years to come:

• Brush at least twice a day with fluoride toothpaste
• Floss every day to clean between the teeth
• Limit the intake of sugary foods and drinks
• Visit us every six months for regular checkups

If you have questions about any of these tips, we encourage you to give us a call, ask Dr. Dinah Abioro or our team during your next visit, or ask us on Facebook!

Is this a trick question? After all, you and your family probably already know quite a lot about cavities:

• It all begins when bacteria-filled plaque sticks to teeth and starts to attack enamel. How?
• Because the bacteria in plaque use the sugars and other foods we eat to produce acids.
• These acids gradually weaken teeth by dissolving minerals that help make up our enamel (a process called demineralization).
• Over time, a hole, or cavity, develops in the tooth surface.
• Left untreated, bacterial decay can spread to the inside of the tooth, creating a more serious cavity.

Dr. Dinah Abioro might discover an unexpected cavity at a regularly scheduled dental exam at our Bowie office, but there are also some symptoms that should have you calling for an appointment. A cavity can cause sensitivity when eating something hot or cold, or it can be painful, or you might even notice visible discoloration or damage to the tooth surface.

So, if your child has any of these symptoms, it’s a cavity, right? It might be—but it might not. Sometimes, because the symptoms are similar, what we suspect is a cavity is really enamel erosion.

The bacteria-created acids weaken enamel. But it’s not just bacteria that subject our teeth to acids. Acidic foods are one of the leading causes of tooth erosion.

And while we expect damage from a lifetime of acidic foods and beverages to catch up with us as we age, the fact is that erosion is becoming a problem even for young children. How is this possible? Let’s look at some food chemistry.

Our normal saliva pH level is around a 7, which is neutral. Any number lower is acidic; any number higher is alkaline. Acidic foods have a low pH (the pH of lemon juice, for example, measures between 2 and 3), and can reduce our normal, neutral pH level. When saliva pH levels drop to 5.5 or lower, tooth enamel starts to demineralize, just as it does when exposed to the acids from oral bacteria.

Regularly snacking on citrus and other acidic fruits, fruit juices, flavored drinks, sour candies, and other acidic foods can cause enamel erosion. Especially erosive are sports drinks, energy drinks, and colas, because they contain some combination of citric acid, phosphoric acid and/or carbonation.

So, when might you suspect enamel erosion? Your child might be sensitive to hot or cold foods, or feel pain, or even have noticeable enamel loss or pitting. Even though these symptoms may not have been caused by plaque and bacteria, acidic erosion from our diets leaves weakened enamel just as vulnerable to cavities and decay.

How to avoid erosion?

• Serve acidic foods sparingly, or as part of a meal. This helps our saliva pH stay in the neutral zone.
• Balance acidic foods with low-acid choices to neutralize acids and restore a normal pH balance. For example, mix those acidic berries with a banana.
• Use a straw! These are not only fun, but this simple solution keeps erosive drinks from bathing young teeth in acids.
• Encourage your child to drink water instead of an acidic beverage, or drink it afterward to rinse acids away. The pH of pure water? A perfect, neutral 7. And by using tap water instead of bottled water, you’ll be providing fluoride, which helps strengthen enamel.
• What about brushing right after eating or drinking something acidic? Ask Dr. Dinah Abioro if your child should rush for the brush. We may recommend waiting 30 minutes or so after an acidic treat to give the teeth time to remineralize. Otherwise, brushing might cause more wear and tear on enamel.
• Finally, while foods are often the source of acid erosion, medical conditions can cause erosion as well. Talk to us about ways to minimize erosion while addressing these medical needs.

Be proactive. Ask your Dr. Dinah Abioro about healthy drinks and snacks for healthy teeth. Make sure to keep on top of brushing and flossing, and stick with fluoride toothpastes. And visit our Bowie office regularly for exams and cleanings.

There’s really no trick to it—preventing enamel erosion helps keep your child’s teeth structurally strong and cavity-free for a lifetime of beautiful and healthy adult smiles.