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You’ve always taken care of your child’s smile. You make sure thorough brushing and flossing take place twice a day. You serve foods high in vitamins and minerals and low in sugar. You make and keep regular dental appointments at our Tyler, TX office. But even with the best dental routines, sometimes conditions can occur that will require additional professional care.

One of these conditions can affect your child’s enamel while the tooth is still forming. When baby teeth or adult teeth appear, you might notice white, creamy yellow, or brown spots in otherwise healthy-looking enamel. These spots are softer and rougher than normal hard, smooth enamel. Because of their texture and color, such teeth are often referred to as “chalky teeth,” but this condition is actually known as enamel hypomineralization.

What is hypomineralization?

Enamel is the strongest substance in our bodies—stronger even than bones. Enamel is largely composed of minerals. If something disrupts the process of enamel development in baby or adult teeth, the result can be abnormally low mineral content in the enamel. This leaves teeth weaker and more likely to suffer decay and damage.

Premature birth, low birth weight, and other pre-natal factors have been suggested as risk factors for hypomineralization in primary teeth enamel. Permanent teeth can be vulnerable to this condition as well. Adult teeth are forming in young children well before they make an appearance. It’s been suggested that certain early childhood factors, such as recurring high fevers, some diseases, even specific antibiotics, can interrupt the formation of the enamel and lead to hypomineralization of adult teeth.

What are the results of enamel hypomineralization?

Children with this condition are much more likely to experience rapid tooth decay because of their weaker, more porous enamel, especially in the molars. Further, they tend not to respond as well to the numbing effects of local dental anesthetics, while their teeth tend to be more sensitive to pain. Cases can be mild, moderate, or severe. In severe cases, teeth might require crowns or possibly extractions, but even mild discoloration and other cosmetic problems can lead to self-consciousness in your child.

How can we help?

Catching this condition early is very important. If your child has had any medical conditions that might affect tooth development, let Dr. Smith, Dr. Ogletree, and Dr. Douglas know even before that first tooth comes in. If you notice anything unusual about a new baby or adult tooth, give us a call. For primary or permanent teeth, the sooner we can begin treatment, the better the long-term outlook.

We might suggest fluoride applications or desensitizing treatments. We can apply sealants to reduce the risk of cavities, and use bonding to restore discolored or weak patches in the tooth. Both of these methods have greater success if the enamel near the affected area is in good condition, so early treatment is vital. If teeth require more protection, crowns are often the best choice. We will design a treatment program to suit your child’s individual needs now and for the future.

How can you help?

Dental hygiene is important for every child, but especially for a child with weak and porous enamel. Because children with hypomineralized enamel develop cavities more quickly that those with strong enamel, it is very important to watch your child’s diet and keep to a regular, careful, and thorough routine of brushing and flossing at home. Be attentive to any sensitivity problems, and be sure to follow any suggestions we might have for strengthening enamel.

Remember, early diagnosis and treatment is always best! If at any time you notice chalky patches, or have any other concerns about the appearance of your child’s teeth, if they seem to be causing your child pain or are unusually sensitive, call Dr. Smith, Dr. Ogletree, and Dr. Douglas immediately. We want to work with you to treat any current problems and to prevent new ones.

Of all the dental hygiene techniques you can use at home to promote clean teeth and good oral health, flossing is likely to be the one that troubles most people. It can be viewed as confusing and time-consuming, but when you learn how to floss your teeth correctly, you’ll find it’s easy to do on a daily basis.

Proper flossing techniques are vital to the health of your teeth and gums. These tips will help you with the correct flossing procedures. Likewise, Dr. Smith, Dr. Ogletree, and Dr. Douglas and our team can also help you learn how to floss effectively and efficiently.

Steps to Flossing Your Teeth Properly

1. Choosing Dental Floss. You can find dental floss in various flavors, as well as waxed or unwaxed. If the floss you use seems to get stuck between your teeth, switch to waxed to make it easier.
2. Flossing “Helpers.” Beginner flossers who have trouble coordinating the floss and the movements of their hands can use a floss holder to help them get in and around teeth.
3. Preparing the Floss. Cut an 18-inch piece of floss to use for flossing a few teeth. This allows you to make progress before you must stop and cut another piece of floss.
4. How to Hold It. Wind the ends around your middle fingers. Hold the floss taut, pinching each side with your thumbs and index fingers. Leave a couple inches free in the middle.
5. The Process of Flossing. Use your index fingers to guide the floss toward your gum line. Bring it down between the teeth with a zigzag motion. Hold the floss in a C-shape around the tooth, and move it up and down along the side.
6. Where to Floss. Use a clean portion of the floss to clean around and in between each tooth. Don’t forget about the molars in the back of your mouth, too!

Flossing: A Vital Part of Oral Care

Periodontal disease begins at the gum line; this is where flossing comes in. Regular flossing helps you remove plaque from the gum line and between your teeth to avoid gum disease. In conjunction with daily brushing and twice-a-year visits to Smith Dental Care, floss each day to maintain good oral hygiene and overall health. Gum disease can have an impact on your general health, but it doesn’t have to. This easy-to-prevent condition can be avoided with regular visits to our Tyler, TX office and daily flossing. Allow our team to partner with you in maintaining a bright, shiny smile and good oral health.

You’re constantly playing defense. Your child spends two minutes in the morning and two minutes at night carefully brushing and flossing with a fluoride toothpaste. You make sure sugary and acidic foods are not a major part of your diets. Your child visits our Tyler, TX office for regular exams and cleanings. Really, how can a cavity get past all that?

But even with the best defensive practices, you don’t have a level playing field—literally. The tops of our molars and premolars don’t have the smooth, easy-to-clean surfaces that our other teeth have. If you look at the chewing surfaces, you will notice deep grooves which toothbrush bristles have a much harder time reaching.

Plaque and food particles can become trapped in these grooves (known as pits and fissures), providing perfect conditions for a cavity to develop. That is why cavities are so common in newly erupted molars. Dental sealants protect these teeth from cavities by providing a barrier which smooths out the surface of the tooth and prevents food and bacteria from reaching the molar’s crevices.

Most sealants are invisible plastic resin coatings which we apply in our Tyler, TX office. Usually the procedure is so quick and easy that no dental anesthetic is required. Each tooth will be examined first. If we find any signs of early decay, we will gently treat that area before beginning.

When the tooth is ready, it will be cleaned and dried. An etching solution will be brushed on to the dry surface to roughen the area a bit so that the sealant will hold to the tooth more effectively. A thin coat of the sealant is then painted on and hardened under a curing light. And that’s it!

Once teeth are sealed, they should be cleaned and flossed just as carefully as before. Regular exams and cleanings are still very important, and we can monitor the condition of the sealant and the sealed teeth. Properly applied, sealants can last from three to five years, or even longer.

Who should consider sealants? Sealants are typically recommended when the permanent molars first erupt. Children’s enamel takes a while to become its strongest, and so these just-erupted teeth are more at risk for cavities. Sometimes Dr. Smith, Dr. Ogletree, and Dr. Douglas will recommend sealants for primary (baby) teeth if needed. But even adults can benefit—talk to us if you are interested and we will let you know if sealants might be right for you.

Sealants are a simple, safe, and minimally invasive way to prevent cavities. Studies of sealed molars and premolars show a dramatic reduction in cavities compared to untreated teeth. Sealants are one of the most effective ways to defend your teeth or your children’s teeth from tooth decay. And as we’ve all heard—defense wins championships!

In dentistry, there are a wide variety of treatments, everything from elective procedures to those that are necessary and potentially lifesaving. So given the slew of treatment options, how do you choose what’s right for you? Our experts at Smith Dental Care have handpicked the three must-have procedures that we believe can benefit nearly every patient.

The first: A complete periodontal exam. If you are going to the dentist for scheduled cleanings, this exam should happen at least once a year. A periodontal exam is quick and relatively painless. The dentist or hygienist will carefully probe around each tooth to take measurements that show the health of the bone and its supporting tissue, all while looking for signs of any active infection. It has been suggested that there is a link between periodontal (gum) disease and the increased risk of some potentially fatal diseases such as heart disease, stroke, and diabetes. Signs of some diseases show up in the mouth sometimes before the patient is aware of changes in the body. Diabetes is one of these silent diseases. Many Americans are unaware that they have the disease until sudden and severe changes in the periodontal health of the teeth lead to a trip to the patient’s physician. And did you know that more adults lose teeth to periodontal disease than to cavities? A simple screening once a year can lead to saving your teeth.

The second treatment our team at Smith Dental Care recommends is a dental sealant; it’s not just for kids! Dental sealants provide a protective barrier from bacteria deep in the pits and grooves of the teeth where cavities often start. Sealants placed in childhood will often wear away in adulthood. Replacing a sealant as an adult can also help prevent decay in adulthood. This is a great cost-effective procedure for adults. Dental insurance will likely not cover sealants as an adult, but the cost of a sealant for prevention versus the cost of a filling is much less.

Our third must-have dental treatment is often the most fun: in-office whitening. Who doesn’t want an instantly dazzling smile? In-office whitening is one of the most dramatic and quick ways to brighten a smile. It will take a few years off your age in a two-hour period of time. Whitening is very safe and can give a patient newfound confidence to smile.