Managing Children’s Anxiety at the Dentist

Whether you specialize in pediatric dentistry or want to make sure your family practice is child-friendly, it’s important to have a wide repertoire of techniques at your disposal to calm children when they are having dental work done. You may even find that some of these techniques also work for skittish adults.

Engage and Educate

Although it isn’t necessary to turn your entire waiting area into a playroom, having activities that engage children while they wait for their appointment can go a long way toward keeping the anxiety at bay prior to their appointment time. You can choose to go the educational route, and use the waiting time as an opportunity to explain some things about the visit and their teeth and what to expect during their appointment, or you can provide movies, games, and toys.

Communicate

It’s important to address fears children might have by allowing them to talk about those fears, and by letting them know what to expect. Fully explaining what will happen during the visit gives them the opportunity to ask questions and can ease some of the fear of the unknown. Make sure they have a way to communicate with you throughout the procedure, or check in with them periodically to let them know how much longer they’ll be in the chair.

Involve Parents

Sometimes just the presence of a parent or familiar face in the exam room may help the child feel more safe and comfortable, especially if it’s their first time. Collaborating with the parent to demonstrate what will happen during the visit is an excellent strategy. You can explain to the child what will occur, demonstrate it on the parent, and then do the procedure with the child.

Parents also have a role in ensuring that children see the dentist for the first time at an early age (preferably by the time they turn 1) so children can have positive experiences from the beginning and learn that the dentist is not a place they should fear. If parents wait until a child requires extensive treatment, visits to the dentist will likely be viewed as fearful or painful events.

Using some or all of these techniques should help children manage their anxiety at the dentist. Doing so can visit more productive and enjoyable for everyone.

Why Daily Brushing May Not Be Enough to Prevent Gum Disease and Tooth Decay

Healthy teeth start with healthy habits. The simple oral care habits that are part of your daily routine actually go a long way towards protecting your teeth and gums against a range of preventable dental problems. Taking care of your teeth requires only a few basic tools and a little know-how.

Protect Your Mouth Against Plaque

Gum disease (gingivitis) is cause in part by the plaque that builds up on your teeth near the gum line. This hard layer is formed by bacteria which flourish by feeding on the food particles that should be cleared away with brushing. Over time, the layer of plaque causes the gum line to recede. Your gums might feel swollen and tender or might bleed slightly after brushing. These are a few signs that plaque is starting to win.

While daily brushing is essential for keeping your mouth healthy, using a toothbrush and toothpaste alone is often not enough to keep plaque at bay. In addition, you should add flossing at least once a day, and make sure you are regularly visiting your dentist, since s/he has specialized tools and treatment options to remove hard-to-reach plaque, and the plaque that has hardened to become tartar.

How Your Dentist Can Help

Even though daily dental care habits will go a long way towards preventing gum disease, regular checkups with your dentist will help ensure a lifetime of good oral health. During your checkup, your dental care team will:

  • Remove the tough layer of plaque that has built up since your last cleaning
  • Check for cavities and places where cavities might develop
  • Identify any chips or cracks that need repairing
  • Provide personalized guidance to help you care for your teeth

Dentists recommend that most patients see them for checkups and cleaning twice a year, although that can vary depending on your own personal oral health needs. This will help prevent the buildup of harmful bacteria.

How Does Mouthwash Work?

You have probably heard that mouthwash is a valuable addition to any dental hygiene routine, but you may not understand why. Simply swishing a tingly liquid around in your mouth may not seem like a big deal, but new research published in 2013 shows that patients who use an effective mouth rinse along with their tooth-brushing routine are able to reduce their gingivitis and plaque significantly. Here is a simple explanation of how mouthwash works.

Toothbrush Reach is Limited

Although toothbrushes are extremely helpful for removing plaque and bacteria from the visible surfaces of the teeth, they are not able to get into the cracks and crannies where bacteria love to grow and flourish. Mouthwash, on the other hand, is able to reach almost 100 percent of the various surfaces in the mouth, which makes it invaluable (along with floss) for cleaning hard-to-reach areas.

Antiseptic Properties

Some types of mouthwash are formulated to have anti-plaque and antiseptic properties. This means that individuals who rinse with antiseptic mouthwashes may be able to kill a significant portion of the bacterial plaque found within the mouth. When used in conjunction with regular brushing and flossing, mouthwash can offer the following benefits:

  • Reduced tooth decay
  • Decreased instances of bad breath
  • Reduced chance of developing gingivitis

How Mouthwash is Used

Mouthwash is most effective when it is forcefully swished around the mouth. This action helps the mouthwash to reach the gaps between the teeth and remove food particles and bacteria from those areas. Individuals who have bad breath are also encouraged to gargle with mouthwash because the bacteria that cause bad breath often reside in the back of the tongue and throat.

It is important not to swallow mouthwash, though, since it may contain alcohol and other ingredients that are not safe for ingestion. In order to discourage swallowing, it is recommended that you only put a pre-measured amount of mouthwash in your mouth at a given time.

Improve Your Dental Health with Mouthwash

If you want to add to your current dental regimen and improve your dental health even more, purchase high-quality mouthwash and use it on a regular basis. 

Diabetes: Your Mouth Matters

Maintaining good oral health and seeing a dentist regularly can reduce the risk of developing or exacerbating diabetes

You know that things like diet and exercise can impact your health, but did you know that what happens in your mouth can also have a significant effect on your whole body, including your risk of developing or exacerbating conditions like diabetes?

Diabetes is quickly becoming one of the largest health crises in America. According to the American Diabetes Association (ADA), 29.1 million Americans had diabetes in 2012, nearly 10 percent of the population. Additionally, the ADA estimates that there are 86 million Americans with pre-diabetes. The annual cost of this disease is also staggering—$245 billion per year in 2012, a 41 percent increase over just a five-year span. About $176 million of that is attributed to direct medical costs, with another $69 million in reduced productivity.

Diabetes & Oral Health – A Two-Way Street

Diabetes is a chronic condition, requiring patients to maintain discipline and strict self-management to prevent complications. Care providers often prescribe diet and exercise changes that can help a patient manage diabetes, and now many are also adding proper oral health care to that list as well.

Many researchers have examined whether a lack of good oral health care puts a person at higher risk for developing diabetes, or whether having diabetes contributes to poor oral health. As it turns out, it goes both ways—individuals with diabetes are more prone to develop periodontal disease, and the existence of periodontal disease can also cause problems in managing diabetes.

The Role of Inflammation

Inflammation is our body’s natural response to harmful pathogens or outside stimuli. When our body senses something harmful, it summons our vascular and immune system to the area, releasing toxins through the blood to remove the harmful pathogens, which allows the body to begin healing. This is known as acute inflammation.

When inflammation persists over a long period of time it is called chronic inflammation. The cells sent to fight inflammation are powerful defenders of the body, but they also release toxins (commonly referred to as cytokines) that can accumulate and become harmful to the body. Research has shown that high levels of these toxins reduce the body’s response to insulin and increase the risk of developing diabetes. Periodontal disease is a chronic inflammatory disease, and the most common form is gingivitis. In fact, as much as 50 percent of the U.S. population suffers from gum disease and, like any inflammatory condition, this causes an increase in cytokines, which is linked to insulin resistance and other risk factors for diabetes and coronary heart disease.

For patients who already have diabetes, periodontal diseases make it harder for the body to maintain metabolic control, which increases the risk of complications, according to research studies.

Mitigating Risk with Proper Oral Care

Poor oral health makes it more difficult to control glucose levels, which can lead to major complications for people with diabetes. Diseases like gingivitis can cause dry mouth and decreased salivary flow, creating favorable conditions for bacteria. The existence of bacteria results in periodontal disease, and the cycle of inflammation and the body’s response ensues, along with all its harmful effects.

But there are ways to mitigate the risk of chronic inflammation. One of the best ways is to visit your dentist regularly.

“If you visit the same dentist regularly at the recommended six-month intervals, he or she can identify subtle changes that may indicate a potential problem,” said Dr. Kenneth King, Associate Dean for Clinical Affairs and Patient Care at Roseman University College of Dental Medicine in South Jordan, Utah.

“Things like gingivitis, recession of the gums, tender tissues, bone loss, calculus build-up, and increased number of cavities can all be indicators of a larger systemic problem,” said King. But since the changes are subtle, a dentist may have a difficult time diagnosing it for someone who comes infrequently for check-ups, or someone who gets a new dentist every couple of years. “Seeing the same dentist at regular intervals over a number of years is ideal, so he or she knows your history and can identify the more subtle indicators.”

If you already have diabetes, seeing a dentist regularly is equally important. A study by Drs. David Mosen, Daniel Pihlstrom and John Snyder published in the January 2012 issue of the Journal of the American Dental Association showed that receipt of regular dental care reduces diabetes-specific medical care utilization. Specifically, study participants (all of whom had diabetes) who saw a dentist at least twice a year over a three-year period had better glycemic control, or the ability to keep blood sugar at a safe level. Regular-dental-care patients were also less likely to have diabetes-related hospital and emergency department admissions.

As with any condition, it is important to meet regularly with your healthcare provider to ensure that you are doing what you can to manage the disease. In the case of diabetes, be sure to schedule regular dental visits as well. Your mouth, and your body, will thank you.