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How to Choose the Right Pediatric Dentist for Your Child

Being the parent of a little one (or a couple or a few) means making a lot of decisions each day—what to dress them in, what to feed them, what books to read, toys to purchase, schools in your district. There are also a lot of questions you’ll ask, such as: “How do I care for my child’s oral health? How do I help them through teething? When is fluoride toothpaste safe for them to use?” 

It can feel a little overwhelming to think about, but Dr. David Case of Family Dental Health wants you to take a deep breath, sit back, and read on to learn about how to choose a pediatric dentist that can answer these questions and more. We’re pleased to provide supportive care and education that teaches Portland children the importance of oral health and good habits that will keep their smiles happy and healthy for life.

1 Tooth, 2 Teeth, Red Tongue, Blue Toothpaste

Did you know Dr. Seuss was a dentist? We joke (but first a little bit of trivia: the beloved writer and illustrator wasn’t actually a doctor at all but wrote under the pen name Dr. Seuss because his father wanted him to practice medicine), but this is to emphasize how we like to make the dental world a fun, creative, exploratory, and yes, sometimes silly place for children to visit. That’s one difference you might find between a pediatric dentist and a general dentist. Other differences include:

• Pediatric dentists study for an additional 2-3 years after obtaining their DDS or DMD (Doctor of Dental Surgery or Doctor of Dental Medicine).
• Pediatric dentists treat children from infancy through adolescence.
• A pediatric dental office will be completely geared toward making children feel safe and comfortable. 
• Besides a warm, friendly atmosphere, even the equipment and tools will be child-sized.

Olly Olly Oxen Free

Finding the right pediatric dentist for your child doesn’t have to be a tricky game of hide-and-seek. The AAPD (American Academy of Pediatric Dentists) has a search tool that can help you narrow your selection based on your location. We also suggest:

• Asking family and friends for their recommendations and experiences.
• Asking your family doctor or pediatrician for a referral.
• Searching local websites or print publications in your area.
• Keeping in mind that if you don’t feel like you’ve found a good fit for your little one(s), you’re not obligated to return. You and your family deserve quality care you can trust.

If you do end up searching around, one thing that should remain constant in any pediatric dental office is an emphasis on education and prevention. At Family Dental Health, we employ digital x-rays that reduce radiation exposure and can be taken from the comfort of the dental chair. The images will help us confirm your child’s mouth is developing properly. If it isn’t, we can get them back on track with fluoride treatments and sealants, and we can provide gentle cleanings and fillings if any of their teeth suffer decay.

Go Forth & Conquer

The team at Family Dental Health believes in you. Even if it takes some time for you to find the right dental family in Portland, you have the power to set a positive example by conducting a diligent oral hygiene routine. 

While our role includes making oral health education fun and protecting those baby teeth that will set the stage for their adult teeth, you know your child best and spend the most time with them. You’ll know their favorite stories and cartoon characters and can use those details to motivate them. If they’re into Pokémon, they won’t be able to catch them all if they’re spending a lot of time at the dentist getting cavities filled, so let’s fight those double-trouble decay-causing bugs by brushing our teeth, gums, and tongue at least twice a day!

If you have additional questions or are contemplating making Family Dental Health your child’s dental home, please contact us today! Family Dental Health would be happy to smile with you and your family!

The content of this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

Why Haven’t My Child’s Permanent Teeth Come In?

If your child’s permanent adult teeth haven’t emerged in a timely manner, you may wonder if there is a reason to worry. Family Dental Health would like to share a few possible reasons permanent adult teeth can be delayed. 

Is There Enough Space for the New Teeth to Grow?

The most common reason for permanent teeth to appear late a simple one: there is just not enough space for them. Adult teeth tend to be larger than the primary baby teeth they replace, and at times, a surrounding tooth (or teeth) may require removal to create extra space. Occasionally, braces also become necessary to facilitate this process.

Are Permanent Teeth Facing the Right Direction?

Sometimes permanent teeth come through the gums facing the wrong way. This is most common with upper canines and bicuspids. The primary teeth around the affected area may require removal to allow repositioning of teeth that are out of place, and braces are usually required for a permanent solution. 

Gender

There are wide variations in every aspect of human development, and the rate that teeth grow is no exception. Girls tend to experience puberty changes before boys do, and studies also show that girls begin losing primary teeth up to six months earlier than boys lose theirs. If your firstborn was a girl and your second child was a boy, keep this in mind if you start comparing the rates their teeth develop!

Genetics

In 80% of cases, kids are going to take after one (or both) biological parents when it comes to their teeth—so if you needed braces or your spouse’s teeth came in late, this could happen to your child, too. 

There are also congenital conditions present at birth that can cause teeth to be missing. Hypodontia is when six or fewer permanent teeth are absent, and is associated with Down’s syndrome, cleft lip, and cleft palate. 

Having more than six permanent teeth missing is a condition called oligodontia. If a child is missing multiple adult teeth, consulting with their pediatrician to rule out medical conditions affecting the entire body is a good idea.

Since each tooth serves an important purpose in the mouth, when one or more teeth are missing, it can impede the function of the overall mouth structure. Dental implants are the most commonly recommended solution for a missing permanent tooth; bridges can also be an option in certain cases. Orthodontics may also be necessary to reposition any teeth that have shifted into the wrong spot to compensate for the absent ones. 

Nutrition

Calcium and other minerals give permanent teeth the strength to push through the gums. If your child is a picky eater, you know that feeding them can be challenging—and what they eat or don’t eat can also affect the development of adult teeth. If essential nutritional components are lacking, dental delays can occur—so you may want to consider dietary changes or supplements to make sure they’re getting the essential nutrients they need.

Height & Weight

Children that are heavier and taller typically develop their adult teeth before children that are shorter or have more slender body types. Heavier children, particularly girls, also tend to go through puberty at a younger age, so this goes along with the correlation between gender and earlier appearance of permanent teeth as well.

Impacted Teeth

If your child lost a baby tooth prematurely—for example, due to injury—the permanent teeth in their mouth may not have room to erupt. A small jaw can also complicate things. These situations can cause impacted teeth, which are teeth trapped in the jawbone that either only partially erupt or fail to emerge at all. 

Impacted molars are the most common, but other teeth may also become impacted. If children with missing teeth complain of jaw pain, infected or swollen gums, bad breath or recurring headaches, impacted teeth may be the problem. Extraction or oral surgery are possible solutions.

Missing Teeth that Never Develop

If wisdom teeth come in—and most do by the time a person turns 21—the adult mouth should, in theory, have 32 teeth. If all four wisdom teeth were extracted and no other teeth have been lost, the tally is reduced to 28. However, about 20% of the population has one or more wisdom teeth that just never showed up. Lucky for them!

Failure to Launch

If there is enough space in the jaw and the teeth are present in the gums but have not erupted, your child may have a rare condition called “primary failure of eruption”. It sounds dire, but the definition is “adult teeth that failed to erupt on their own.” 

The solution to this condition is typically a combination of oral surgery and braces to “save” the teeth in the jaw and prevent additional complications with neighboring ones. Because multiple teeth are usually involved, correction can take many treatments and several years. Family Dental Health will outline a detailed treatment plan to make each step of the process easier to understand.

If you have any questions or concerns about your child’s permanent teeth coming in, we would be happy to speak with you. Contact Family Dental Health today!

The content of this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

What’s a Pulpotomy? Pain Relief for Tiny Teeth

The pulp is found in the center of each tooth and consists of tissue, nerves, and blood vessels, which work together to provide oxygen and nutrients that keep them healthy and strong. If one or more teeth suffer a traumatic injury or decay, the pulp can become inflamed or infected. When this happens in a child’s primary or baby tooth, your dentist Dr. David Case at Family Dental Health may recommend a pulpotomy. 

A pulpotomy–also referred to as pulp therapy or a “baby root canal”–is performed to prevent further infection and early tooth loss. The procedure entails applying a topical anesthetic to numb the area before creating a small opening in the tooth, removing the infected, inflamed pulp, then sealing the chamber with a medicated filling that will prevent bacteria growth and allow a crown (stainless steel, porcelain, or white zirconia are the most common materials to choose from) to be fitted in place to restore the tooth.  

Why Save a Baby Tooth?

When infection strikes a tooth in your little one’s mouth, you might think: “It’s a baby tooth, why not just remove it or let it fall out?” We wish we could tell you it’s that simple, but baby teeth have an important job. Losing them before they’re due to exit can cause permanent teeth to shift and erupt out of proper alignment, not to mention the increased difficulty for them to chew and speak naturally.

Protecting and restoring your child’s baby teeth can save their oral health and self-confidence. While pulpotomies may sound serious and scary, often they’re a source of relief because the inflammation and infection inside the pulp are incredibly painful. Acting fast can prevent increasing pain and the need for a pulpectomy, which is a removal of the diseased pulp from both the crown and the root. It can also make the difference between whether the tooth becomes abscessed—if the infection reaches this level, the tooth needs to be saved or face extraction.

What to Watch For

You should contact Family Dental Health as soon as possible if your child experiences any of the following symptoms:

• Severe toothache, especially when chewing or applying pressure
• Extreme sensitivity to hot or cold food and beverage temperatures
• Tooth discoloration (darkening)
• Swelling of gums
• Small, persistent or recurring bumps on gums

Infection Prevention

At Family Dental Health, we think the best treatment is no treatment. That means we emphasize prevention, which is largely reliant on education, healthy lifestyles, and strong oral hygiene routines. We want learning about the mouth to be fun, and for your little one’s smile to stay healthy and bright for life. 

We offer thorough exams, gentle cleanings, and dental sealants to help ward off infection-causing bugs. Contact us today to schedule a visit!

The content of this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

Why Does My Jaw Hurt?

If your jaw clicks when it opens, or you can’t fully open it, or you have pain in your face and trouble chewing, then you’re among the 15% of Americans who have chronic jaw pain.

Your jaw joint is called the temporomandibular joint, or TMJ. The name comes from the jaw’s role to connect your temporal bone in the skull with your mandible bone. Some people experience short-term pain that goes away with ice and over-the-counter medicine. But if you have chronic jaw pain or you can’t open your mouth, you might have a temporomandibular disorder (TMD) and it’s important to see your dentist right away to find relief.

Dr. David Case, Portland dentist explains more below about the causes and treatments of jaw pain.

Different Kinds of Jaw Pain

Pain in your jaw can feel different depending on what’s going on. In order to best understand what’s causing your pain, try to notice when you specifically feel the pain and what specifically it feels like. 

Do you have tightness, soreness, or clicking? Is the pain shooting sharp or a dull ache? Some jaw problems can also cause pain in your face, head, neck or shoulders. Many patients who have chronic migraines don’t realize it’s actually a dysfunction of their bite and TMJ. It’s important to see a dentist and explain what you’re feeling so that they can offer the best treatment options.

Causes of Jaw Pain 

Your jaw has multiple parts that work together. The temporal bone and mandible bone join together with a piece of cartilage and a shock-absorbing disk. Pain often results from the cartilage being worn down or the disk being dislodged.

Causes of jaw pain include:

• Arthritis that inflames your joints
• Genetics that cause your connective tissues (jaw cartilage) to wear down
• Injury that dislodges the disk or just hurts your jaw
• Clenching or grinding your teeth that puts stress your jaw and muscles (bruxism)
• Headache or migraine that radiates pain down into your jaw (jaw pain can also cause headaches and create a bad cycle of pain)
• Periodontal disease or gum disease
• TMJ or temporomandibular joint dysfunction

Treating Jaw Pain

Only a professional medical provider can diagnose and treat TMD. Fixing your pain and treating it, in the long run, will all depend on what’s exactly causing the problem. If you’re suffering, we would love to help you. We will give you a full examination including watching and listening while you move your jaw and open your mouth. Sometimes dental x-rays and bite analysis are necessary to learn more.

To treat jaw pain, your Portland dentist might recommend:

• Physical therapy
• Avoiding chewing gum
• A custom night guard or mouthguard
• Stretching and massaging the muscle
• Pain medication or anti-inflammatory drugs
• Orthodontics or restorative dentistry to correct bite alignment
• Counseling to relieve the stress that might be causing you to clench your teeth
• Corrective surgery performed by an oral and maxillofacial surgeon

If you have jaw pain or any other oral health questions, make an appointment at Family Dental Health today! Your oral health is key to taking care of yourself and enjoying your life.

The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

Lemon Juice – The Good, The Bad, & The Sour

In a great tale of opposites, lemon juice can be both acidic and basic, or alkaline. Read on to find out why people are talking about this, and what it means for your oral and overall health.

What Is pH & Why Does It Matter?

Drinking lemon juice (usually diluted in a glass of water or added to a cup of tea) is a beloved health tonic among fans of natural medicine. Potential benefits include lower cholesterol, lower inflammation in the body, and increased metabolism and energy. Lemon also contains high levels of antioxidants and vitamin C that boost your immune system. 

On a scale of 0-14, a pH of 7 is neutral (pure water) while numbers below 7 are acidic (unhealthy), while numbers above 7 are basic or alkaline (healthy). Believers in holistic health blame many ailments on the body’s pH being too low or too acidic. Increasing your body’s pH is called “alkalizing.”

Lemon juice in its natural state is acidic with a pH of about 2, but once metabolized it actually becomes alkaline with a pH well above 7. So, outside the body, anyone can see that lemon juice is very acidic. However, once fully digested, its effect is proven to be alkalizing with many health benefits. So how does lemon juice or a daily glass of lemon water affect the health of your mouth and teeth?

Acidity & Oral Health

The bottom line here is that any time you encounter lemon juice, it’s likely to be in its acidic state. Lemons contain citric acid, which is corrosive and damaging to tooth enamel. It’s not until the lemon juice has been fully digested and metabolized that it becomes alkaline. So, it’s important to ingest lemon juice sparingly, assuming the acid can and will eventually affect your tooth enamel. 

Signs Tooth Enamel is Damaged:

Discoloration – The white enamel may wear out and look yellow because of exposed dentin. 

Transparency – Clearness in enamel means it’s not as strong.

Sensitivity – Enamel protects the dentin and deeper layers. When enamel is damaged, your teeth will be more sensitive to hot and cold. 

When it comes to deciding between lemon water and plain water, use your best judgment. A glass of lemon juice diluted in water is certainly not as damaging as sucking juice straight from a lemon wedge. (Now, if you added a load of sugar to that lemon water to make lemonade, you have a new and different problem for dental health!) 

If you’d like to make a refreshing glass of lemon water part of your daily routine, give it a try! You may notice some of the many health benefits and alkalizing effects on your overall health. We do suggest you wait at least 30 minutes before brushing your teeth so as not to agitate your enamel even more with both the brushing motion and acid present in your mouth. Ingesting lemon juice is not recommended if you have acid indigestion or mouth ulcers.

Always consult with your Portland dentist for more personalized support for all things health and wellness. For more information, or to get a checkup on the current state of your enamel, contact Dr. Case at Family Dental Health to make an appointment.

The content of this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

Why Do We Have Baby Teeth?

Baby teeth, also called deciduous, primary, milk, or lacteal teeth, have many different purposes. Dr. Case at Family Dental Health is asked about the purpose of baby teeth often. So what’s the answer?

Tiny Teeth for Tiny Mouths

Child-sized mouths are not large enough to accommodate a full set of adult teeth, so the primary teeth become placeholders in the jaw, saving spaces for adult teeth to grow in as they begin to surface from under the gums. Baby teeth usually begin to erupt around 6 months of age, but may begin forming in the womb even before birth!

By the age of 3 years, children should have all 20 of their baby teeth, which remain in the mouth for the bulk of childhood—roughly 8-10 years. The presence of baby teeth allows children to eat solid foods and helps as they learn to speak clearly and quickly. 

They Grow Up So Fast

The first adult tooth erupts where the baby teeth have been lost around 6 years of age. By age 13, all permanent adult teeth—except wisdom teeth which tend to emerge between the ages of 17 and 21 years—will have taken up residence in the mouth.

Baby teeth are even more prone to cavities than adult teeth because small children lack the dexterity and knowledge to properly care for them. Statistics estimate that more than 50% of kids will be affected by tooth decay before the age of five years. So baby teeth can be very useful tools to educate kids about the importance of good oral hygiene. Premature baby tooth loss can allow permanent teeth to shift into available space in the jaw, causing improper placement and causing further dental problems down the road. 

Poor dental hygiene in childhood can lead to difficulty speaking and eating, infection, pain, and can affect their overall appearance and self-esteem. Baby teeth will be gone for good by age 12 or 13, but good dental hygiene habits formed in childhood will last a lifetime. 

If you have any questions about your child’s baby teeth or would like to schedule a hygiene appointment for your little one, please give us a call and schedule an appointment today!

The content of this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

What Happens in Your Mouth While You Sleep?

Ah, nighttime… the end of the day, the ceasing of work, and hopefully a good night’s sleep. But did you know things are still happening in your mouth all night long, even if you’re blissfully unaware of it?  Portland dentist Dr. Case, sheds some light on the world of your mouth and everything going on inside of it while you catch some zzz’s.

Dry Mouth

You produce much less saliva overnight than you do during the day—your body’s way of minimizing the risk of choking. This leads to the common occurrence of dry mouth. Dry mouth can be a bit uncomfortable and lead to more cavities and bad breath. It’s perfectly fine and normal to have less saliva at night but to take care of your oral health, it’s important that you brush and floss before going to bed. 

Saliva usually rinses away the food debris that can stick around and cause plaque and bad breath, so it’s a good idea to head to bed with a blank canvas. Keeping a glass of water by your bed can relieve the pain in your mouth and throat from dry mouth.

Bruxism

If you wake up with a headache or jaw pain, or your teeth are noticeably ground down and fractured, you might have bruxism. Also known as teeth grinding, bruxism is an extremely common way that everyday stress gets expressed through the body. People grind their teeth for all sorts of reasons, such as:

• Abnormal bite or crooked teeth
• Sleep disorders
• Missing teeth
• Alcohol and tobacco use
  

You can prevent the side effects of bruxism by wearing a nightguard while you sleep.

Sleep Apnea & Snoring

Sleep apnea occurs when your breath is irregular or temporarily stops while you sleep. Sleep apnea can cause snoring, but not all cases are identical. Some cases of sleep apnea are a problem with your brain and its ability to regulate the vital function of breathing. 

Otherwise, sleep apnea can be caused by physical blockages of the airway such as:

• Large tonsils
• Collapsed soft tissues in your throat
• Allergies clogging your sinuses

Being an older, overweight male increases your chances of developing sleep apnea. Whatever the cause of your sleep apnea, talk to your dentist or doctor. Sleep apnea can cause a host of other health issues such as fatigue, high blood pressure, heart problems, diabetes, and depression.

Solutions for sleep apnea include:

• Changing your sleep position
• A Continuous Positive Air Pressure (CPAP) device
• Oral appliances that keep the airway open
• Surgery to fix oral tissues and aid airflow

Morning Breath

Sadly, not everyone wants to have that Hollywood-worthy morning kiss with their partner when they first wake up. Bad breath (or halitosis) tends to be worse in the morning and it can be really unpleasant. Normal oral bacteria become more active overnight, eating and digesting proteins found in your mouth. 

Bacteria produce a sulfur gas while they digest that can smell like rotten eggs. Normally, saliva washes bacteria away and neutralizes the smell, but you make less saliva overnight, so the smell can really build up. This is why it’s essential that you brush, floss, and only drink water right before falling asleep.

Oral Health & Sleep

Did you know that regular visits to the dentist will improve your overall health and well-being, and can even improve your quality of sleep? If you’re looking for a medical professional to help you feel better across the board—with a beautiful smile to boot—come see us at Family Dental Health! Make an appointment to address any concerns and start taking care of your oral health today.

The content of this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

Are Baby Bottles Bad for Baby Teeth?

Tooth decay in infants and very young children is often called baby bottle tooth decay. This happens when liquids with natural or artificial sugars remain in an infant’s mouth for extended periods of time. Bacteria in the baby’s mouth thrive on these sugars, using them to produce acids that attack the teeth and gums. Today, Family Dental Health would like to share some information about baby bottle tooth decay and how to prevent it.

What Not to Do

Children whose pacifiers are dipped in sugar, honey, or syrup and those who are given bottles of sugary concoctions for naptime or bedtime comfort are at increased risk of tooth decay due to the decrease in natural saliva flow during sleep. Even fruit juice, milk, and formula contain natural sugars that can wreak havoc on tiny teeth while your little one slumbers. Here are some helpful “don’ts” for avoiding baby bottle tooth decay:

• Don’t fill bottles with sugar water or soda. Bottles should only be for milk, water, formula, and pediatric electrolyte solutions.
• Don’t allow them to go to sleep without wiping or brushing their gums and teeth.
• Never give your child pacifiers dipped in anything sweet.
• Reduce the sugar in your baby’s diet, especially between meals.

Baby Teeth Are Important

Although baby bottle tooth decay usually affects the upper front teeth the most, other teeth can be affected as well. Some folks underestimate the importance of baby teeth, but they are actually very important for children’s health and development. Not only are baby teeth necessary for chewing, speaking, and smiling, they serve as placeholders for permanent teeth that come later. Left untreated, baby bottle tooth decay can result in pain, infection, and premature tooth loss.

When children lose teeth prematurely because of baby bottle tooth decay, they may develop poor eating habits, speech problems, crooked teeth, and damaged permanent teeth. The chances that the permanent adult teeth will also be crooked and unhealthy are greatly increased by the presence of baby bottle tooth decay.

What to Do

Starting a good oral hygiene routine early can help keep baby bottle tooth decay at bay:

• Wipe your baby’s gums with a clean, warm washcloth after each feeding.
• Begin brushing your baby’s teeth with a baby-sized toothbrush, without toothpaste as soon as they come in.
• Clean and massage the gums in areas of your child’s mouth that do not have teeth.
• Once baby teeth have come in, begin flossing between them.
• Make sure your child is getting enough fluoride. You can begin using fluoridated toothpaste around age three. If your local water supply does not contain fluoride, ask your dentist or doctor if a supplement would be appropriate.
• Start regular dental visits by your baby’s first birthday. If it seems necessary, ask about sealants, which can help prevent tooth decay.

How Do I Break Bad Habits?

It’s never too late to change those bad habits. Start today by:

• Gradually diluting the contents of bottles with water over a period of 2-3 weeks.
• After 2-3 weeks have passed, fill bottles with only water.
• Switching from a bottle to a pacifier at night before bedtime.
• Establishing a nightly oral hygiene routine so they never go to sleep with a sugary mouth.

Remember, the healthier your child’s baby teeth are, the more likely their permanent teeth will be healthy, too. If you have any questions about baby bottle tooth decay or would like to schedule a visit for your little bundle of joy, contact Family Dental Health today!

The content of this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

Finding Your Oasis: Food & Drinks for Dry Mouth

Xerostomia is the technical term for dry mouth, the condition that results from absent or reduced saliva flow. It is not a disease on its own, but it may be a side effect of medication or radiation treatments.  Xerostomia affects about 20% of the elderly population—not because of their age, but due to the increased likelihood of using medication or having radiation therapy that causes dry mouth. Family Dental Health is here to discuss some foods and beverages to alleviate the symptoms of dry mouth.

Food & Beverages that Help Dry Mouth

8-12 glasses of water per day are ideal to keep saliva production on track, so making a habit of carrying a water bottle with you is a great idea. Sugar-free juices, reduced-sugar sports drinks, club soda, and herbal tea with lemon are good beverage choices when you just can’t stand the idea of drinking any more water.

A soft, high-protein diet is recommended for people with dry mouth. Substitute moist fish, eggs, and cheese for red meat. Serving food lukewarm or at room temperature reduces the chances of burning the mouth with hot food. To make bread or rolls easier to eat with dry mouth, soak them in milk or your favorite sauce to soften them. Eat moist casseroles and other foods that incorporate gravy, sauce, or broth in their recipes. Make smoothies, slushies, or shakes in the blender that incorporate milk alternatives like soy, almond, or rice milk (consumption of cow’s milk often produces thicker saliva and can worsen dry mouth).  

More examples of soft natural foods that are helpful for people with dry mouth include tender meats like chicken and fish, smooth peanut butter, soups, canned fruits, soft-cooked/blended vegetables like carrots or celery, mashed potatoes, soft-cooked pasta, oatmeal, ice cream, pudding, and popsicles. Herbal flavor enhancers, condiments, and fruit extracts can be used to make food more flavorful, as the diet for dry mouth may seem bland to many.

There are also artificial saliva substitutes and stimulants that can help curb dry mouth, as can sugarless candies and chewing gums. Sucking on fruit pits from cherries or olives, and lemon rinds can help stimulate saliva flow, as do lemon drops and other hard candies, although be wary of excessive sugar intake. 

Food & Beverages to Avoid for Dry Mouth

Increased water and fluid intake are recommended, but caffeinated fluids such as tea, coffee, and cola act as diuretics and are not ideal for xerostomia sufferers. If you’re craving soda, let it go flat prior to indulging. Alcohol consumption should also be limited or avoided. 

Foods should not be excessively hot or cold, sugary, salty, spicy, or acidic, including citric fruits like tomato, grapefruit, orange, and pineapple and astringent foods like apple, pomegranate, pear, quinoa, legumes, tofu, sprouts, beans, and lentils. You should also avoid dry, crumbly foods like crackers, cereal, pastries, toast, and dry meat.  

If you have any questions or concerns about dry mouth, contact your Portland dentist, Dr. David Case at Family Dental Health today and we’ll be happy to talk about solutions with you!

The content of this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

Pregnant Moms & Oral Health: Brushing & Flossing for Two

There are so many things to be concerned about when you find out you’re expecting. Eating right, taking enough vitamins, getting enough rest, telling your husband there is absolutely no way you are naming your firstborn son Bud Light… but what about your teeth? There’s an old saying—“you lose a tooth for every baby”—but those beliefs are outdated, thank goodness! Still, Dr. David Case at Family Dental Health has some important information to share about pregnancy and oral health.

Taking Care of Yourself is Taking Care of Your Baby

Moms-to-be can become so focused on preparation for the new bundle of joy that they neglect their own health—but try to remember that taking care of yourself is taking care of your baby. If you are pregnant, remain proactive about your oral hygiene routine and don’t skip your regular dental visits. Your teeth and gums need special attention during this time, so be on the alert for symptoms like bleeding gums and dry mouth. 

Gingivitis & Gum Disease

Hormonal changes and diabetes during pregnancy can cause pregnancy gingivitis (inflamed, tender and irritated gums)—about 75% of pregnant women end up with it. Left untreated, gingivitis can become periodontitis, an even more severe form of gum disease that leads to actual bone loss. Older mothers have a higher risk of gum disease in general, and research has linked preterm delivery and low birth weight to gingivitis—sufferers were seven times more likely to have either or both conditions. Researchers also estimate that advanced gum disease could be linked to about 18% of premature births in the United States.

Gum disease may also contribute to preeclampsia, a potentially dangerous condition that affects about 5% of pregnant women, leading to a sharp increase in blood pressure. The only cure for preeclampsia is giving birth, which can put the baby at risk if it happens prematurely. Additional potential complications of preeclampsia include hemorrhage, stroke, and kidney failure. A handful of studies have linked gum disease with preeclampsia, but more research is needed to show a true cause-and-effect relationship.

Acidity & Dry Mouth

Not every pregnant woman has morning sickness, but if you are one of the unlucky ones, keep in mind that along with nausea, stomach acid can make its way into the mouth and erode your teeth. Try rinsing your mouth with water or a fluoride mouthwash to help control the acidity level. This is not only a protective measure for your teeth but may help with nausea a bit as well.

Dry mouth during pregnancy can put pregnant women at higher risk for tooth decay and dental infections. Stay hydrated by drinking plenty of water and chewing sugarless gum to enhance saliva production—try to find sugarless gum sweetened with xylitol, which has been shown to be effective in preventing cavities.

If you’re hungry a lot—which is not unheard of while pregnant—frequent snacking keeps teeth in constant contact with sugars. Bacteria feed on these sugars, speeding up acid production which creates more opportunities to weaken a pregnant mom’s tooth enamel. Be aware of your snacking habits and be sure to rinse your mouth frequently with water after eating or drinking.

How Does Mom’s Oral Health Affect Her Baby?

It’s quite simple: the bacteria in Mom’s mouth is the link to the baby’s health. When a pregnant woman has excessive oral bacteria, pathogens can enter the bloodstream via the gums, travel to the uterus, and trigger the production of chemicals suspected to induce preterm labor. After the baby is born, a mom in poor oral health can still pass harmful bacteria to her newborn in a process known as vertical transmission. This can lead to negative dental consequences down the road for the baby—no one wants to see an active toddler with cavities. 

Good oral hygiene—brushing at least twice a day with fluoridated toothpaste and flossing at least once each day—is your own insurance policy to reduce the risk of dental infection in your newborn baby. Good nutrition and balanced meals limiting acidity and sugar have the most benefits for both Mom and baby. 

Most important of all, don’t forget that when you’re brushing and flossing during pregnancy, you’re doing it for two! If you have any questions or concerns about pregnancy and your dental health, don’t hesitate to contact us today!

The content of this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.