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Dr. Anthony LaVacca

pediatric-dentists-teeth-whitening-swabs

Can I get a pediatric dentist’s recommendation for teeth whitening swabs?

By Pediatric Dentist

I’m wondering if teeth whitening swabs are okay to use on my daughter’s teeth. If so, could one of your pediatric dentists give me a recommendation on which brand to use? I would like to use them over the summer to remove at least some of the stains. Her teeth are really yellow despite good hygiene at home. She was teased so much near the end of the school year. I promised her that we will do something about it before she returns to school in September because it will be her first year of middle school and that transition alone is enough without being teased. We searched online and found some swabs at a reasonable price. Will they get stubborn stains out of her teeth? – Lilly

Lilly,

Before you whiten your daughter’s teeth, you need the professional opinion of a pediatric dentist.

Why See a Pediatric Dentist before Using Teeth Whitening?

There are several benefits of doing so:

  • Determine the cause of the stains in her teeth
  • Examine her teeth and gums to ensure they are free of disease and decay
  • Anticipate the results of whitening them. Sometimes bleaching gel can make stains look worse.
  • Provide the correct type of whitening

Depending on the type and concentration of bleaching gel in the whitening swabs, they may or may not be effective. Swabs are not as effective as customized trays, which keep bleaching gel in contact with the teeth for even, thorough penetration that breaks down stains.

When you look at online reviews for whitening swabs, some people report good results, but the majority of users are disappointed with the results. Ask your child’s pediatric dentist to examine your daughter’s teeth and recommend treatment to improve the color of them.

This post is sponsored by Naperville Dental Specialists.

mini-implant-img

How Can I Be Sure Dental Implants are Safe? – Mansueto Scandal

By Dental Implants No Comments

I’ve been following a story in the news and am worried about the safety of some dental implants. The story involves a dentist from San Diego who just got four years in jail for doing the work incorrectly and injuring a woman. It seems like every time I watch the news, there’s new information to be worried about. I don’t know if I will go forward with treatment, but I have to wonder, how is it possible for an average person to know that their dental implants will be safe?

-Joseph

 

Dear Joseph,

It sounds like you’re referencing the Robert Mansueto case. Indeed, this is a heartbreaking case. While a victim of a crime suffers, there were some major red flags that should have been observed.

  • The first red flag here is that the “dentist” in question was meeting patients at his house. That’s certainly not a sign of professionalism. Patients should meet their dentist at the office—not at his or her home.
  • The biggest red flag, however, was that the “dentist” convinced people to leave the country with him. Mansueto drove at least one woman across the border into Tijuana to perform the surgery. Every reputable dental agency in the United States cautions against leaving the country. There is never a good reason for doing so, and it’s unthinkable that any professional would consider incorporating this into the patient’s treatment plan.

How to Stay Safe with Dental Implants

  • Check Credentials. The man involved in this story was not a licensed dentist. Although he was formerly a dentist, he lost his license a decade ago. There’s actually a great online tool to check licensure, and it even notes if the professional has been disciplined. Many states also have their own lists.
  • Choose a Specialist: Although many dentists are legally able to provide patients with dental implants, a prosthodontist has extensive training and generally has more experience than others. This has a significant impact on the overall success of the procedure.
  • See Examples: Find out if the dentist has a smile gallery or other ways to view examples of his work. Don’t accept stock photos that are routinely used for educational purposes. You need to be able to see what the dentist has actually accomplished.
  • Watch for Red Flags: You shouldn’t meet anyone claiming to be a doctor or dentist at his home. You should only get treatment in a dental office. Ideally, with a procedure as sensitive as dental implants, you’ll want a local dentist whom you can visit with ease in case complications arise.

 

This blog is sponsored by Naperville dental implants provider Dr. Anthony LaVacca.

Dental Crowns installed for a patient by a Naperville dental specialist

Why Do Pediatric Dentists ALWAYS Do Silver Crowns?

By Pediatric Dentist

I have a question about pediatric dentistry. Although I’m not a parent, I am an elementary school teacher and just finished up my first year at a new school. The other teachers and I all got together for a last hurrah after the last day of class and somehow we got on the topic of the children’s teeth and why every pediatric dentist seems to prefer silver when doing crowns for kids. One suggested that it might be different in other parts of the state or country because a lot of our kids come from low-income homes. However, I’ve also seen kids who come from higher-income households with mouths full of silver, and I think there must be some other logical reason for it. Still, it’s odd because adults always get the white ones, right?

Thank you,

Ms. Smith

 

Dear Ms. Smith,

This is a great question. Before we get into the logic of silver fillings  it’s important to note that kids from any type of household can get tooth decay. Tooth decay is linked to oral hygiene, preventative care, diet, and habits the child has or had, such as taking a cup or bottle of juice or soda to bed. Moreover, some children are genetically predisposed to tooth decay.

There are also factors such as socioeconomical status and race which are linked with lower rates of preventative care, like cleanings and sealants. These children are also less likely to have tooth decay treated, which means by the time they see a pediatric dentist, the only option is a crown (possibly with a specialized root canal called a pulpotomy) or an extraction. So, then, it’s no surprise that if many of the students in your school come from low-income families and/or are minorities, they would likely have more dental issues.

There are organizations that help low-income families, and many states offer free dental coverage to children. Many parents are quite loving and dedicated, but they could be unaware of the options for getting dental care.

Why Do Pediatric Dentists Use Silver Crowns?

  • The cost. Baby teeth need to remain in place until the adult teeth erupt, so restoring them is preferred over extracting them. Stainless-steel crowns are less expensive than the tooth-colored crowns adults usually get. They come in premade shapes, so they can be placed inexpensively.
  • It reduces the number of visits. Many small children need anesthesia for dental work or are prone to wiggling, so limiting the number of visits is important. Because the crowns are premade, they can be placed in one visit.
  • Stainless steel is effective. When too much tooth structure is lost, a filling won’t preserve the tooth. It needs full coverage, which the stainless-steel crown provides.
  • It can protect the tooth longer. A crown can help prevent the tooth from further decay and repairs. It also helps protect it from sensitivity.
  • The American Academy of Pediatrics recommends stainless-steel crowns. For all these reasons, and more, the AAP recommends stainless steel. Doctors who use these crowns are following the recommendation.

 

This blog is sponsored by Naperville Dental Specialists.

 

Sealants Pediatric Dentist

Dental sealants from pediatric dentist fell out

By Pediatric Dentist

My 9 yr old son sees our pediatric dentist every 6 months for checkups. In April, the dentist insisted that my son get sealants for his teeth. The dentist said that they give kids nitrous for the procedure, although I thought it wasn’t necessary because my son loves going to the dentist. I had to pay out of pocket for the nitrous because my insurance doesn’t cover it.  Now the dentist says my son needs 3 of the 8 sealants replaced because they came off. She says that my son must have been eating something sticky like candied apples or taffy for the sealants to come out. My son has never eaten candied apples or taffy. My kids are only allowed to have sweets on the weekend, and I bake them. The dentist’s office expects me to pay for the new sealants. I didn’t ask, but I suppose they are going to insist on using nitrous again. I feel like finding another pediatric dentist, but I am wondering if there is a certain way I should handle this. What do you suggest? – Teri

Teri – Your son’s pediatric dentist likely used sealants because they are very effective in preventing tooth decay. Children in your son’s age range are usually able to brush and floss on their own, but they often miss brushing in deep crevices. Dentists recommend sealants to protect permanent teeth from decay.

When a pediatric dentist properly applies sealants, they can last ten years or more. If your son’s sealants have fallen out already, there might be a problem with the way they were placed. You have already mentioned that you don’t allow your children to eat sweet, sticky foods, so that issue isn’t the cause of the issue.

Options for Replacing Dental Sealants from the Pediatric Dentist

  • We recommend that you speak with the office manager at your son’s pediatric dentist and ask if the sealants can be replaced at no charge.
  • You can also request that the sealants be replaced without sedating your son with nitrous oxide, given your son’s good track record of cooperation with the dentist. If the office manager seems unwilling to honor your request, you can ask to speak directly to the dentist.
  • As a last resort, consider getting a second opinion from another pediatric dentist.

 

This post is sponsored by the pediatric dentists at Naperville Dental Specialists.

Is it too late for dental implants to help my sagging face?

By Dental Implants No Comments

I’m wondering if it’s too late for dental implants to help my facial sagging. I’ve had dentures since I was 49 years old and I just turned 61 last week. The bags on my face from dentures are finally catching up with me. Other than cosmetic surgery, what are some ways that people with dentures can at least soften their wrinkles? Is it too late for dental implants?

Madge – After years of wearing dentures, facial sagging results from jawbone shrinkage. When all of your teeth are missing, the bone that once supported the teeth is resorbed and used elsewhere in the body. The jawbone is no longer available to support facial muscles, so sagging and shrinking result. Although cosmetic surgery may tighten facial tissue, jawbone shrinkage can continue and additional wrinkles or sagging can occur. Dental implants can help.

How Dental Implants Can Help with Facial Sagging

Bone grafting – If you don’t have enough jawbone density to support your facial muscles, you probably lack the density to support dental implants. But it’s not too late for dental implants. The good news is that jawbone can be built up through bone grafting. After the grafts heal, dental implants can be placed, and jawbone shrinkage can be prevented or interrupted.

Support for your dentures and facial muscles – Your dentures will be attached to the dental implants. Your facial muscles will have support, and the process will rejuvenate your face and help you look longer.

Healthier than cosmetic surgery – Dental implants stimulate jawbone growth. Cosmetic surgery doesn’t. When all of your teeth are missing, dental implants and bone grafting support your oral health, while cosmetic surgery only lifts your facial muscles and improves your facial appearance. Without dental implants, your bone will continue to shrink, and additional cosmetic treatment might be needed in the future.

Before you receive any treatment, diagnostic studies are needed to determine how much jawbone shrinkage has occurred and the best way to address it. The process will take several months, but you’ll have better oral health, and it will enhance your facial appearance.

This post is sponsored by board-certified prosthodontist Dr. Anthony LaVacca.

pediatric-dentists-teeth-whitening-swabs

Pediatric dentist says teeth grinding habit is normal for kids

By Pediatric Dentist

Our pediatric dentist says that my 4 yr old daughter’s teeth grinding is normal for her age. I’m wondering if I need to transfer my daughter to a new pediatric dentist who might know a little more. The dentist said that he will watch our daughter’s teeth to make sure she isn’t wearing them down. Other than that it’s a habit that she will grow out of. I’m very concerned about this. What if she doesn’t grow out of it? What do we do then? If intervention is needed, I want to know about it ASAP. Should I find another pediatric dentist for a second opinion to take a look at her teeth or is our pediatric dentist right? Alejandra

Alejandra – Your pediatric dentist is correct, but for peace of mind, if you want to schedule an appointment with another dentist for a second opinion, you should do so.

Consider a few facts about teeth grinding during childhood:

  • Bruxism, or teeth grinding, is common.
  • It’s most common during cycles of sleep—most frequently during non-Rapid-Eye-Movement (REM) sleep.
  • The habit usually starts after a child is one year old.
  • Sometimes the habit goes unnoticed by parents because it occurs mostly during sleep.
  • Stress can be another cause of teeth grinding.
  • Allergies, certain prescription medication, and sleep apnea can cause the habit.

If in addition to grinding her teeth, your daughter snores or breathes through her mouth, the issue might be related to sleep apnea. If you suspect that sleep apnea might be an issue, speak with your family doctor or pediatrician.

Usually, the teeth grinding habit is temporary and children grow out of it. If your daughter’s teeth grinding habit is accompanied by headaches, neck pain, earaches, or facial pain, it might be a cause for concern. Although she might not tell you that she has certain types of pain, watch closely to see if she is holding her face, jaw, or neck. It’s good that your pediatric dentist will periodically check your daughter’s teeth for signs of excessive wear. If the problem persists and it’s affecting the health of your child’s teeth, a mouth guard to wear at night might be recommended.

Along with your pediatric dentist, keep watch on your daughter’s teeth grinding habit and the condition of her teeth. It will help you and your dentist make decisions on the best way to handle the issue.

This post is sponsored by Dr. Anthony LaVacca and the pediatric dentists at Naperville Dental Specialists.

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