Blog

Is My Child’s Oral Hygiene Routine Sufficient?

A child’s happy, healthy smile is a source of pride and joy for parents—and dentists, too! For this reason, you’ll likely spend a good deal of time helping them develop superb oral hygiene routines to ensure they keep their teeth for life. 

When you’re just getting started, you may have a lot of questions. We recommend bringing your baby into the Dr. Case at Family Dental Health as soon as their first tooth emerges, and we can show you how to care for their smiles as they grow and change including brushing and flossing techniques, fluoride, and more.

Looking for more guidance?

If you have any questions or you’d like to schedule a visit for your little one to see Portland dentist, Dr. Case at Family Dental Health, contact us at 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.

Can F’s on Dental Checkups Cause F’s in School?

Going to school and getting an education are essential components of a child’s development, and they take the things they learn with them for the rest of their lives. No matter what type of school children attend, their support system at home has a great deal to do with not only their feelings about school, but how well they perform there. 

You may be surprised to learn that children with favorable oral health are more likely to achieve success in school. School attendance is integral to academic achievement, but dental conditions are to blame for 51 million lost school hours among children every year—and dental pain is linked to poorer performance when kids do make it to class. Portland dentist, Dr. Case, shares more about this topic below.

Research Finds…

A 2008 study conducted by the North Carolina Child Health Assessment and Monitoring Program examined risk factors for poor performance among school-aged children. Risk factors included school absences and performance, oral health status, parental education level, health insurance coverage, race, and gender. 

Children in poor oral health were three times as likely to miss school due to dental pain; school absences from dental pain were linked to poor school performance, while school absences from routine dental care showed no correlation between poor school performance and missing class. 

The study ultimately classified children in poor oral health as being up to 40 percent more likely to have trouble in school, further citing low levels of parental education, low socioeconomic status, and below-average overall health to poor academic performance. The study concluded that the improvement of children’s oral health status could be a vehicle to enhance their school experience and progress.

The American Journal of Public Health expanded on the North Carolina study in a 2011 article, acknowledging that former U.S. Surgeon General, C. Everett Koop, had officially acknowledged the relationship between oral health and overall health as far back as the early 1980s and that subsequent health officials had reinforced that acknowledgment. The 2011 article indicated that dental caries (cavities) in children are the most prevalent childhood disease, occurring 5 to 8 times more often than asthma, the second most common childhood illness. Chronic illness affects the quality of life—and for most children, life includes school. 

School-Based Oral Health Programs

Some schools have taken steps to promote better oral hygiene among students. School-based programs like these may include oral health education, fluoride rinses, dental screenings, and even dental sealants to prevent tooth decay. The advantage of programs like these is that they reach children who may not have access to pediatric dentistry, but they are only available in regions with the financial resources to sustain them.

Good Oral Health Habits Start at Home

Good oral hygiene is the foundation of oral health and wellness. Brushing at least twice each day and flossing once each day is a great place to start. Drinking and rinsing with water after meals and snacks also can also make the mouth a little cleaner between brushing.

If you have any questions about oral health and your child’s school performance, your Portland dentist at Family Dental Health can help you find answers. Give us a call or schedule an appointment with 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.

Buds for Life: Your Tongue & Taste

Full disclosure before your Portland dentist Dr. Case at Family Dental Health starts dropping knowledge on the muscles in your mouth that are partially to thank (or blame) for the foods you love: we’re hungry as we write this and are envisioning pizza; yummy, savory pizza with cheese that stretches when you grab a slice, crust with just the right amount of crunch, sauce with the best blend of veggies and herbs…what were we going to talk about? Oh yeah, taste buds! Wait—are you craving pizza now, too? Let’s go halfsies on some ‘za!

Gusta-what?!

The scientific term for your taste buds is gustatory receptor cells. Jot that down because there will be a quiz later (we joke). These taste buddies (that’s just more fun to say, isn’t it?) form before we evacuate the womb. In fact, based on their sensitivity to sweet and bitter tastes, newborns may have more taste buds than adults. For an image to distract from the pizza that may still be on your mind, picture babies trying new foods. Need help? That’s what we’re here for! Here are babies tasting lemons in slow motion.

A common belief about taste buds is that they’re the bumps visible on your tongue, but those are papillae that exist to give your tongue the rough texture that helps you eat—your taste buds cover these papillae but can only be seen with a microscope. A person can have anywhere from 2,000 to 10,000 taste buds co-existing with bacteria in their mouths, and the number of bacteria present? That can range anywhere from 1,000 to 100,000 on each tooth’s surface and jump to 100 million or a whopping 1 billion bacteria in a mouth that needs flossing and brushing.

Why’d We Mention Bacteria?

We’re sorry to derail the humor train, but Dr. Case would be remiss not to mention the importance of oral hygiene when it comes to tongue talk. Your tongue is a favorite haven for bacteria and food debris, after all, and neglecting to give it quality time with your trusty toothbrush and friendly floss (or alternatives like the WaterPik®) can carry consequences like cavities, gum disease, bad breath, and alteration of your taste buds! Do you know how food is harder to taste when you’re fighting an infection or virus? It’s like that, and we think this further highlights the oral-systemic link.

The oral-systemic link is the term used to describe how your body’s systems work together to keep you going strong, or work against you to make you feel crummy (not to be confused with crumbly like a cookie). Your mouth is a gateway—your taste buds being on the roof of your mouth and your upper esophagus, cheeks, and epiglottis (the flap of cartilage that covers your windpipe while you swallow food or liquid to prevent you from inhaling it and choking) illustrate this for us. 

Your Tongue Isn’t the Only Thing with Taste

For another example of how your systems work together, get a whiff of how the nose operates in conjunction with your taste buds. Your olfactory receptors send signals to the brain about whether the food you’re about to consume or reject is spicy, fatty, sugary, salty, and/or acidic—because food can be almost as complex as your body, can’t it? And yes, we did mention the brain! 

Your brain is what provides you with the sense of satisfaction you feel when eating something you love. Your brain’s participation in the consumption process is further evidenced by the ability scientists have to turn taste “on” or “off” by stimulating or silencing clusters of brain cells. (Does this mean they could make onions more palatable to people that don’t usually like them? Maybe! But so far, testing has only been conducted on mice.)

Other Fun Tongue Facts

• Contrary to a somewhat popular belief, your tongue’s ability to taste sweet, savory, salty, sour, and bitter is not relegated to different sections—your whole tongue senses these equally.
• Each person’s tongue is as unique as their fingerprints.
• The size of your tongue can contribute to disorders like Obstructive Sleep Apnea. 
• The average tongue is about three inches in length, with the longest recorded being 3.97 inches.
• Taste buds have an average lifespan of 10 days but can be killed sooner if you burn your tongue on hot beverages or foods. Not to worry—most taste buds regenerate!
• Your sense of smell and taste change with age, which may mean loss of the ability to distinguish between savory, sweet, salty, sour, and bitter. This could be why some of us love hot sauce and add more of it to our food as we grow wiser (the term we prefer to older, thank you!).

We hope you enjoyed reading about your tongue and that it inspires you to treat it kindly along with the rest of your mouth. One of the best ways to show it some love is by scheduling an appointment with your Portland dentist, Dr. Case of Family Dental Health, to make sure everything is in tip-top shape! 

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.

Late for an Important Date: When Baby Teeth Don’t Fall Out

Most kids lose their baby teeth—also called primary teeth—in a distinct sequence at set intervals.  Children’s baby teeth come out naturally starting around age six, becoming progressively looser as they fall out (sometimes with a little extra wiggling because the Tooth Fairy is expected to visit). 

Sometimes baby tooth loss doesn’t happen in the usual order, and a permanent tooth appears prior to the loss of the primary tooth, which leads to a double row of front teeth. While this is a common pediatric dental concern that should be addressed, it is no cause for alarm and rarely has long-term negative effects. 

When the loss of a primary tooth and subsequent eruption of a permanent tooth takes over a year longer than the anticipated date, that primary tooth is considered over-retained. Are you concerned because your child’s baby tooth isn’t falling out, or the permanent tooth hasn’t appeared yet? Portland dentist, Dr. David Case at Family Dental Health, discusses over-retained baby teeth and possible treatment options below.

Baby Teeth Need Assessment

Baby teeth should be checked routinely by a dentist so abnormalities can be identified and treated early for your child’s long-term oral health and comfort.

The first step when assessing a child’s over-retained baby tooth is a comprehensive oral examination that includes a thorough exam with digital x-rays. Condition, color, shape, and position of the over-retained tooth must be evaluated in case it is fused to the bone, a condition known as ankylosis. When ankylosis occurs, the affected tooth appears sunken in the gums and is unable to come out on its own.

What Are Some Causes Over-Retained Baby Teeth?

The most common cause for an over-retained primary tooth is the absence of a permanent tooth to take its place. When the baby and permanent teeth are developing as they should, the permanent tooth will push on and eventually dissolve the primary tooth root, facilitating its loss so the permanent tooth can take its rightful place in the jaw. 

In up to 7% of cases, permanent teeth are absent, which occurs more frequently in girls than boys. Other possible causes for over-retained primary teeth include obstruction, trauma, infection, environmental factors, endocrine disorders, genetics, and misalignment or delayed eruption of the permanent tooth underneath.

What are the Risks of Not Treating Over-Retained Baby Teeth?

Over-retained primary teeth can lead to other serious dental issues later, which is why early assessment and treatment is beneficial. Periodontal (gum) problems, cavities, and misalignment of adjacent permanent teeth can occur if over-retained baby teeth are left untreated.

Treatment Options for Over-Retained Baby Teeth

The condition of the over-retained tooth or teeth and the surrounding structures of the mouth determine the best treatment for your little one. If the child has several over-retained teeth, it is likely that several permanent teeth below are missing. If this is the case, an orthodontist should evaluate your child in addition to your dentist so an acceptable treatment solution can be carefully planned and executed for optimal end results.

If the over-retained baby tooth is structurally strong and satisfactory in appearance, that tooth can be retained. If the tooth is strong but looks unattractive, its aesthetics can be improved with a dental restoration.

If the primary tooth is crooked, extraction is the best option for two reasons: 1) the gap can be closed later with orthodontic treatment; or 2) an absent tooth can be replaced with a fixed bridge or dental implant. A dental implant is currently the superior option due to aesthetics, functionality, jawbone health, and higher rates of success.

If you have questions or concerns about your child’s over-retained baby teeth, your Portland dentist at Family Dental Health would be happy to welcome you and your child for examination and treatment. We’d love to hear from you—contact Family Dental Health today!

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.

How NOT to Pull a Loose Tooth

We’ve all seen variations of DIY methods when it comes to pulling loose baby teeth: the string and door slam method is by far one of the most popular (although we’re not sure why). But our team at Family Dental Health is here to advise against this and similarly aggressive techniques so your kiddo will have the safest and most painless tooth loss experience possible. (Growing up is traumatic enough already, right?)

Read on to learn more about the dos and don’ts of helping wiggly baby teeth make their grand exit.

Why baby teeth?

All this wiggly tooth talk might have you wondering–why do we get two sets of teeth? Well, simply because baby mouths are not yet big enough to house a full set of adult chompers. So, we start out with a smaller set of baby teeth to get us through these early, small-mouthed years until our growth and development allows more space for adult teeth to make their entrance. When the permanent teeth start to come in, the roots of the baby teeth dissolve until they’re loose enough to fall out on their own.

Patience is a virtue

If you ask Dr. David Case at Family Dental Health their advice on pulling a loose baby tooth, they will likely respond with, “Don’t!” If you can avoid it, it’s best to just let baby teeth run their natural course and fall out on their own—it will happen eventually, we promise! 

If the tooth is not ready to come out naturally, any attempts to remove it will pull on sensitive tooth roots and cause unnecessary pain and bleeding. Pulling out a tooth prematurely can damage connective tissues and lead to infection—not to mention the traumatic experience that may create negative feelings about oral health and dental visits for the rest of their life.

However, an extremely wiggly or stubborn tooth that just keeps hanging on by a thread can be frustrating and hard to live with, and we understand why both you and your kiddo might want to expedite the process. If you both feel the tooth is ready to come out and you want to give it a little encouragement, there are some things you can do to help it along.

• Wiggle baby wiggle

Encourage your soon-to-be toothless wonder to wiggle their loose tooth back and forth regularly, either with their tongue or with clean fingers. Wiggling the tooth will help loosen it so hopefully, it will fall out on its own.

• An apple a day

If the tooth is loose enough and on the brink of coming out, eating a crunchy or sticky snack might be just the ticket. Apples and carrots are great healthy options, but if your little one is fearful and needs a little more encouragement, you can opt for a sweet treat like a popsicle (which will also help reduce pain and inflammation) or a sticky tooth trap like a chewy candy. Supervise closely to ensure they don’t bite down on or swallow the tooth.

• Brush & floss

Brushing regularly at least twice per day and flossing daily is always recommended and will give the loose tooth a nudge in the right direction. You can also use floss as a tool for pulling the tooth—if it’s ready to pull. Position the floss in between the gums and the loose tooth and yank quickly outward.

• Twist & pull gently

If you’ve wiggled and wiggled and the tooth is still hanging on by a thread, a gentle twist and pull might be all it takes to pop it out. We encourage you to allow your child to be the one to do so, as they are the only one who can tell if the tooth is ready to pull and feel if (or when) there’s any pain. Use clean fingers or gauze to gently twist and pull the tooth out.

To recap, our best advice is to have patience and allow your child’s baby teeth to fall out naturally on their own. But if they just can’t stand it any longer and the tooth is ready to come out, follow our advice above for the safest, most comfortable, and least traumatic methods. 

As always, if your child experiences any pain, swelling, or excessive bleeding, or the tooth still won’t come out, you should come to see us right away and we’ll remove the tooth safely and painlessly. Contact your Portland dentist, Dr. Case at Family Dental Health today for more advice or to schedule 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.

Applesauce to Zucchini: What Should I Eat After Dental Surgery?

If you need dental surgery, you may have a lot of questions and concerns. How much will it cost? How much will it hurt? Who is going to drive me home? And perhaps most importantly, what can I eat? Recovery can seem a lot more stressful if you don’t stock up on acceptable soft foods in advance. Portland dentist, Dr. David Case at Family Dental Health, shares a comprehensive list of foods in this article to help ease your mind—at least about one aspect of your procedure!

Types of Dental Treatments

Each type of dental treatment is different, so it’s important to follow post-operative instructions from Family Dental Health regarding appropriate foods to eat. Certain surgeries require a strict liquid diet for a certain amount of time before transitioning to soft foods. Types of dental procedures that require soft foods while recovering may include:

• Dental implants
• Extractions
• Periodontal (involving the gums)
• Restorative work (crowns, bridges)

Awesome Post-Op Soft Foods from A to Z

Here we go! And don’t be afraid to get friendly with your blender to make a delicious smoothie or two!

A: Applesauce, avocado, apples (baked)

B: Baby food, beans (black or baked, mashed if necessary), bananas, broccoli (steamed to softness), broth, butternut squash (cooked soft)

C: Carnation Instant Breakfast Essentials® (some available in sugar-free!), carrots (steamed soft), soft cheese, casseroles, clam chowder, cottage cheese, canned fruits and veggies, crab cakes, cranberry sauce, chicken salad, curry

D: Deviled eggs, deviled ham, dumplings (steamed)

E: Ensure®, eggs (poached, fried, or scrambled), egg salad, egg drop soup

F: Fettuccine, fish, frozen yogurt, fruit juice, fruit smoothies, soft fruits (not citrus)

G: Gravy, ground meats (turkey, beef, chicken), guacamole, gelato, gazpacho

H: Hummus

I: Ice cream

J: Jell-O®, juiced vegetables, and fruits

K: Kefir, key lime pie

L: Lentils or lentil soup (puréed), lunch meats

M: Macaroni and cheese, Malt-O-Meal®, mangoes, mashed potatoes, matzoh ball soup, meatloaf, meatballs, miso soup, mousse, muffins (no nuts), melons (very ripe), milkshakes (but don’t use a straw!)

N: Noodles (ramen, egg), nut butters (great when added to shakes and smoothies), nutmeg (for flavor)

O: Oatmeal (soft)

P: Pancakes, pasta (cooked very soft), pies, polenta, pot roast with vegetables (cooked to falling apart), protein powder, protein drinks and shakes like Premier Protein®, pudding

Q: Quiche (no crust)

R: Refried beans, ricotta cheese, risotto, rice

S: Sherbet, smoothies, soft bread (soak in soup), soufflé, soup, spaghetti, spinach, spinach dip, steamed vegetables, stew, sweet potatoes

T: Tapioca pudding, tofu, tuna salad

U: Unsweetened herbal tea (hold the lemon—too acidic!)

V: Vichyssoise (chilled potato leek soup)

W: Waffles

X: Xavier soup (Italian dumpling soup)

Y: Yellow squash, yogurt

Z: Zucchini (baked, mashed)

Foods to Avoid

We hope we’ve sparked a little kitchen creativity with the soft foods listed above, but equally important, you should know which types of foods to avoid to ensure your quickest and most comfortable recovery.

• Anything acidic (tomatoes, tomato sauce, oranges, lemons, or any other acidic fruit or juice)
• Seeds, cracked pepper, or popcorn (can become lodged, causing discomfort or infection)
• Spicy foods (may lead to discomfort)
• Crunchy or especially chewy foods (can interfere with postoperative blood clotting)

Over-the-counter mouth rinses should also be avoided during your recovery. Even though they are not technically a food, they are commonly used and interfere significantly with healing. Dentists will usually prescribe a safe mouth rinse for use following dental surgery.

If you have any questions about dental surgery, Portland dentist, Dr. Case, would love to answer them. Get in touch with us at 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.

The Smoking Gun: Tobacco & Oral Health

They say not everything natural is good for you. Nature has many poisons that humans have experimented with and learned the hard way to avoid. Tobacco is a popular plant that we’ve learned can really do a number on your health. Using tobacco is a personal and communal practice that can be really hard to avoid, even if you know it’s bad for you. Working with your doctor and Portland dentist Dr. Case at Family Dental Health will be essential if you’re concerned about your health and want to stop using tobacco. 

What Is Tobacco?

Tobacco is a green, leafy plant that has long been grown, dried, and used by cultures around the world. It’s usually smoked but is sometimes chewed or inhaled. Tobacco is known to affect the way people think, feel, and behave by interrupting the brain’s normal communication with the rest of the body. The tobacco plant contains the addictive stimulant nicotine, which is why a smoking habit is so hard to break. Cigarettes contain 2,000 ingredients known to be toxic and harmful to the human body.

Effects of Tobacco on Oral Health

There’s nothing good to be said about tobacco use. More than 20 million people have died directly because of tobacco (either personal use or secondhand) since the Surgeon General first put out the warning against it in 1964.

It’s especially bad for your heart and lungs. Since all forms of using tobacco first enter through your mouth, you can imagine it also really takes a toll on your oral health. Using tobacco has immediate and long-term consequences for your mouth and body.  Using tobacco causes:

• Bad breath
• Stained teeth
• Increased plaque
• Increased risk of gum disease
• Decreased ability to taste
• Slow healing
• Drastically increased risk of oral cancer

Oral Health & Overall Wellness

It’s hard (impossible, actually) to be completely healthy if your mouth isn’t healthy. Your oral health affects your overall health in many ways and vice versa—the two go hand in hand. Quitting tobacco completely is the only way to avoid the negative side effects associated with smoking, chewing, and snuffing.

If you want to take better care of yourself and quit using tobacco, your dentist can be a helpful and supportive partner on the journey. Everyone deserves a life that makes them smile and a smile they are proud to show off. If you’re concerned about your tobacco use, you should come to see us for an oral cancer screening at your earliest convenience.

Make an appointment at Family Dental Health today and let us help you make positive changes in your life and smile!

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 Are My Baby’s Teeth Stained?

As brand-new humans, it seems logical that babies and children would have gleaming white teeth to go along with their bright eyes and soft skin. Baby teeth—also called primary teeth—generally do appear whiter than adult permanent teeth because they are more calcified. However,  it is not uncommon for a child’s teeth to appear less than luminous for any number of reasons. Your Portland dental team at Family Dental Health would like to share some causes and possible solutions for yellow, brown, and black stains on kids’ teeth.

What Causes Stained Baby Teeth?

• Poor Oral Hygiene – If baby teeth aren’t brushed and flossed thoroughly, bacteria may form and become plaque, which hardens into tartar and can lead to discoloration. Practice thorough oral hygiene for the healthiest, whitest smile.
• Medication – If babies are given nutritional supplements containing iron, their teeth can become dark and discolored. If their mothers take tetracycline while pregnant or breastfeeding, babies can develop black stains on their teeth.
• Injury – A single blackened tooth can be the result of dental trauma that caused bleeding inside the tooth.
• Weak Enamel – Inadequate enamel formation can be hereditary and lead to baby teeth that appear a dull gray color.
• Excessive Fluoride – Fluorosis is a condition caused by the consumption of too much fluoride when teeth are forming but prior to appearance in the mouth, which takes place before kids are eight years old. To avoid fluorosis, keep an eye on your child’s oral hygiene habits and remind them not to swallow toothpaste or mouthwash. Fluorosis can also be caused by mixing infant formula powder or liquid with fluoridated water if these types of formula are your baby’s main food source. Fluorosis can range in severity from mild, barely visible markings to pitting and black or brown spots in more severe cases.
• Illness – Some kids’ baby teeth develop with a greenish or yellowish tint if they are born with a condition called hyperbilirubinemia, which means there is too much bilirubin in the blood.
• Foods & Beverages – This list of staining culprits wouldn’t be complete without some common staining foods and beverages. Thankfully (hopefully), kids don’t need to worry much about tea, coffee, or red wine, which are some of the biggest factors for adults, but any dark-colored foods and drinks like berries or fruit juice will stain their teeth. Even light-colored foods like apples and potatoes go through a process of oxidation that can cause teeth staining. Who knew!?

How Can Stained Baby Teeth Be Prevented or Treated?

If discoloration is caused by poor dental hygiene, brushing more thoroughly should help. Until your child learns to spit at around age three, don’t use more than a rice-sized smear of fluoride toothpaste on their toothbrush.

To decrease bad bacteria in your child’s mouth, avoid putting soft drinks, juice, formula, or other sugary concoctions in their bottle—only allow them a bottle filled with water. If your child uses a pacifier, never dip it in sugar or honey, and try to avoid sharing utensils with your child as this can transfer bacteria from your mouth to theirs (and vice versa!) and increase the likelihood of cavity formation.

Depending on your child’s unique dental situation, Family Dental Health may watch their teeth for signs of other problems or recommend future procedures like teeth whitening or bonding. Some kids are more sensitive to stained teeth than others due to their natural oral pH level.

If you are concerned about stains on your child’s teeth, contact your Portland dentist, Dr. David Case at Family Dental Health today. We’d love to help!

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.

Oral Piercings: Not Cool for Teeth

Remember that guy with the lip ring you had a crush on in high school? I wonder how his teeth are doing now. Don’t get us wrong—at Family Dental Health, we’re all about the freedom of self-expression, and if body modifications like tattoos and piercings are your thing, we support you. However, as your dental health professionals, we strongly advise against oral piercings specifically because they can be really harmful to your teeth—and we want you to keep your teeth healthy, so you can continue to express yourself with your beautiful smile.

Oral piercings refer to any piercing in or around the mouth. In the old days, the only options were the more traditional tongue or lip piercings, but today there are more options than you can shake a stick at. If it’s in your mouth, you better believe someone has pierced it. From the tongue web piercing to the vampire or upper frenulum piercing, to the gum piercing, venom bites, snake eyes, smiley piercing, frown piercing, and even the uvula piercing—yes, apparently you can pierce your uvula. There’s even a “dental piercing” which is not necessarily a drilled hole, but jewelry that is embedded onto the tooth surface. But of course, we don’t recommend any of these, so don’t get any ideas!

Family Dental Health is here to share some reasons oral piercings are not cool for teeth.

Infection

If you’ve ever had your ears or anything else pierced, you understand the risk of infection and the importance of keeping your new piercing clean. However, oral piercings have a much higher rate of infection because of their location in or around the mouth. The mouth is home to millions of bacteria (some are good, others are extremely dangerous) that have the potential to enter the piercing site and cause infection. 

According to the American Dental Association, secondary infections can result in serious illness including blood-borne hepatitis, angina, and herpes. With oral piercings, there is always a risk of infection, but particularly in the few weeks following the initial piercing. Signs of infection include swelling, pain, fever, chills, shaking, or a red-streaked appearance around the piercing. Contact us right away if you notice signs of infection.

Tooth & Gum Damage

One of the most common dental problems associated with oral piercings is tooth and gum damage. It’s easy enough to damage your teeth and gums already, whether from chewing ice or brushing your teeth too hard. Add a piece of metal jewelry into the equation and you’ve got a recipe for disaster. Oral piercings can irritate the gum tissue, and cause enamel damage in the form of cracks, chips, scratches, and tooth sensitivity. 

If you’ve had any dental work done—including fillings or crowns—oral piercings can damage these as well, so if you don’t want to spend more money and time in the dental chair having your dental work repaired, we recommend choosing a non-oral piercing—if you’ve really got the urge to pierce something.

Nerve Damage

Following a tongue piercing, it’s not uncommon to experience numbness due to nerve damage; this is usually temporary, but can sometimes be permanent. Nerve damage can affect your sense of taste, as well as the movement and function of your mouth. Tongue piercings have also been known to damage the tongue’s blood vessels, which can cause serious blood loss.

Other Hazards

Allergic reactions are always possible with piercings. Some folks are allergic to certain types of metals, and some are just hypersensitive to certain metals. Tongue piercings can create increased saliva production, which can cause excessive drooling and can also affect your speech patterns causing a lisp. Not as appealing as you thought it was going to be, eh? Finally, oral piercings can be a problem when it comes to dental care because they interfere with x-rays and prevent us from seeing the full picture of your mouth.

Our Advice

If you already have an oral piercing, we do recommend removing it, but we understand if it’s become a staple of your signature look. If you’re keeping or still considering getting an oral piercing after reading this article, at least read our advice on how to care for it and avoid or minimize dental problems.

• Choose a jewelry style that works well with the location in your mouth.
• Gauge your jewelry accordingly. Longer or bigger jewelry may be necessary at first due to swelling, but once the swelling goes down the jewelry should be swapped or adjusted to fit.
• If you choose metal jewelry, make sure you’re aware of any sensitivities you may have and make sure the jewelry conforms to surgical implant grade standards.
• Use polymer balls to reduce the risk of damage, and select a smaller ball for the underside of the tongue to reduce contact with this soft tissue area.
• Keep the piercing clean and free of debris by brushing and flossing diligently and rinsing with mouthwash after every meal—contrary to what you might believe, alcohol-free is a better option because alcohol is drying, and a dry mouth is more susceptible to infection.
• Avoid playing with your jewelry or moving it around in your mouth, including chewing on it or clicking it around against your teeth. Be gentle and aware of how the jewelry moves when you speak and eat.
• Check the tightness of your jewelry (with clean hands) regularly to ensure it’s secure so you don’t swallow or choke on it.
• If you participate in sports, you may want to remove your jewelry while playing, and you should always wear a mouthguard.
• Maintain your diligent oral hygiene routine and see us at Family Dental Health regularly so we can catch any small problems before they progress.

We hope this article has made you think twice about oral piercings. There are plenty of other places to pierce, after all, and plenty of other ways to express yourself that don’t involve permanently damaging your mouth. If you already have an oral piercing or are considering getting one, we hope you’ll follow our advice on how to best minimize the damage. 

If you have any more questions about oral piercings or anything else related to oral health, we would love to speak with you. Contact your Portland dentist, Dr. David Case at 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.

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.