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27 Feb 2024
February 27, 2024 by David CaseBlogDental HealthPatient Care

Teens & Tobacco: Know the Risks

Today, Family Dental Health wants to give teens the bottom line about tobacco use: there is no such thing as a “safe” or “safer” tobacco product. Every tobacco product contains nicotine in varying amounts—and not only is nicotine addictive, but it can also harm the brain. (Many people don’t realize the brain continues developing until the mid-20s or even early-30s.)

  • Cigarettes are usually made of tobacco and chemical additives in a paper casing. Inhaled smoke from a lit cigarette contains more than 7,000 harmful chemicals; at least 70 of them are linked to cancer. Smoking cigarettes damages almost every organ of the body and leads to diseases like oral cancer and lung cancer, heart disease and stroke.
  • The “vaping” of e-cigarettes has become increasingly popular in recent years. These devices heat liquid into an aerosol that is then inhaled by the user. Many believe this aerosol is innocuous, but it actually contains many chemicals that are unsafe to breathe. Most e-cigarettes also contain nicotine.
  • Smokeless tobacco is tobacco that is not burned and includes chewing, oral and spitting tobacco, dip, chew, and snuff. Smokeless tobacco has high levels of toxic chemicals, and users are at high risk of oral cancer.

Oral cancer is one of the fastest-growing cancers worldwide, and Family Dental Health wants all their young patients to enjoy long, healthy lives. Get in touch with us at Family Dental Health with any questions about tobacco use and 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.

13 Feb 2024
February 13, 2024 by David CaseBlogPatient Care

Social Stories: Support for Kids with Autism

In this blog article, Family Dental Health discusses Social Stories™ and how they help provide emotional support to autistic kids with the goal of improving their dental (and other) experiences.

A social story about going to the dentist follows specific criteria and story elements to reinforce a safe, detailed description of a dental visit in a way that is both meaningful and comfortable for children with autism or related challenges. This short story tool outlines the relevant social cues and common responses when visiting Family Dental Health for an appointment. The story also explains what happens in that situation and why those things occur.

The physical form social stories take can vary. Some are simple verbal messages that you’ll share with your child as you would any other story. Some are printed materials with or without drawings or photos, while others may be in video form. 

We’d love to help your child learn about their health and good oral hygiene habits. If you need a compassionate dentist in Portland, get in touch with 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.

27 Dec 2023
December 27, 2023 by David CaseBlogPatient Care

Grandparents, Grandkids & Dental Care

Family Dental Health has been thinking about how much things have changed in the world of dentistry since today’s grandparents were growing kids themselves. Grandparents today are often very involved in the daily lives of their grandchildren—they may live close by, provide financial assistance, or assume childcare responsibilities for working parents. Since oral hygiene and dietary habits are established in childhood, it’s important that grandparents’ dental education is on point. 

There are a lot of basic facts that grandparents may or may not know about dentistry, such as:

  • Definitions of dental terms
  • The availability of specialized toothbrushes and toothpaste for kids
  • Sending kids to bed with juice, milk, or formula in their bottles can contribute to tooth decay
  • That oral health is systemically linked to overall health
  • The important role of baby teeth in future dental development
  • The advantages that fluoride treatments and dental sealants may provide
  • The capabilities of modern technology in dental diagnoses and treatments

If your child’s grandparents are part of your family’s daily routine and you think they could use a refresher on their dental knowledge, contact Family Dental Health and bring the whole family to your next appointment—we’d love to meet all of 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.

27 Oct 2023
October 27, 2023 by David CaseBlogDental HealthPatient Care

Social Stories: Support for Kids with Autism

In this blog article, Dr. Case discusses Social Stories™ and how they help provide emotional support to autistic kids with the goal of improving their dental (and other) experiences.

A social story about going to the dentist follows specific criteria and story elements to reinforce a safe, detailed description of a dental visit in a way that is both meaningful and comfortable for children with autism or related challenges. This short story tool outlines the relevant social cues and common responses when visiting Family Dental Health for an appointment. The story also explains what happens in that situation and why those things occur.

The physical form social stories take can vary. Some are simple verbal messages that you’ll share with your child as you would any other story. Some are printed materials with or without drawings or photos, while others may be in video form. 

We’d love to help your child learn about their health and good oral hygiene habits. If you need a compassionate dentist in Portland, get in touch with 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.

13 Oct 2023
October 13, 2023 by David CaseBlogDental HealthPatient Care

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.

13 Sep 2023
September 13, 2023 by David CaseBlogPatient Care

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.

28 Aug 2023
August 28, 2023 by David CaseBlogDental HealthPatient Care

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.

27 Jul 2023
July 27, 2023 by David CaseBlogDental HealthPatient Care

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.

13 Jul 2023
July 13, 2023 by David CaseBlogPatient Care

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.

13 Jun 2023
June 13, 2023 by David CaseBlogPatient Care

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:

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.

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