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Choose Chocolate on Valentine's Day

February 12th, 2025

From a student handing out sweets for her classmates to an older married couple exchanging boxes of candy, Valentine’s Day is the time of year when people like to show affection by gifting sugary treats to their loved ones. Whether you’re on the giving or receiving end of Valentine’s Day candy, you can celebrate the holiday in a healthier way by making dark chocolate your confection of choice.

Contribute to Your Health

According to the Cleveland Clinic, studies have shown that the cocoa beans used to make chocolate contain flavonoids, which can help protect the body against damage from various toxins. Flavonoids may also help lower blood pressure and improve blood flow to the heart and the brain. Dark chocolates typically contain a higher amount of flavonoids than other types, making them a great choice for chocolate lovers. However, you should keep in mind that many companies produce chocolate that is so heavily processed that the flavonoids are largely eliminated. Your best bet is to look for high-quality dark chocolates and cocoa powders that have undergone minimal processing.

Protect Against Cavities

If you think there’s no way candy could ever be beneficial for your teeth, think again. The Texas A&M Health Science Center has reported that the tannins present in cocoa beans may actually help prevent cavities by interfering with bacteria’s harmful interaction with teeth. Just like with flavonoids, tannins have been found to be present more often in dark chocolates, rather than milk chocolates, giving you another great reason to choose the richer, sweet varieties.

Avoid a Sticky Situation

One more benefit of choosing chocolate over other candies is that it is less likely to get stuck in the crevices and spaces between teeth. Gooey sweets like taffy can stay lodged in the mouth for longer periods of time, putting you at a greater risk for developing cavities. When you choose your chocolate, be sure to avoid types that also contain sticky ingredients like caramel or marshmallow, and instead opt for the plain varieties.

Remember that the health benefits you can receive from dark chocolate are largely based on eating the candy in moderation. With that being said, it’s easy to make this delicious and health conscious switch when you’re out shopping for your sweetheart, friends, loved ones, and yourself. Have fun satisfying your sweet tooth this year and Happy Valentine’s Day from all of us at Dr. John Rottschalk Dental Group!

February is Heart Month

February 5th, 2025

The American Academy of Periodontology stresses the importance of good oral health since gum disease may be linked to heart disease and stroke. Thus far, no cause-and-effect relationship has been established, but there are multiple theories to explain the link between heart disease and periodontal disease. One theory suggests that oral bacteria may affect heart health when it enters the blood and attaches to the fatty plaque in the heart's blood vessels. This can cause the formation of blood clots. Another theory suggests the possibility that inflammation could be a contributing link between periodontal disease and heart disease. Gum disease increases plaque buildup, and inflamed gums may also contribute to the development of swollen or inflamed coronary arteries.

What is coronary artery disease?

Coronary artery disease is caused in part by the buildup of fatty proteins on the walls of the coronary arteries. Blood clots cut off blood flow, preventing oxygen and nutrients from getting to the heart. Both blood clots and the buildup of fatty proteins (also called plaque) on the walls of the coronary arteries may lead to a heart attack. Moreover, periodontal disease nearly doubles the likelihood that someone will suffer from coronary artery disease. Periodontal disease can also worsen existing heart conditions, so many patients who suffer from heart disease need to take antibiotics before any dental procedures. This is especially true of patients who are at greatest risk for contracting infective endocarditis (inflammation of the inner layer of the heart). The fact that more than 2,400 people die from heart disease each day makes it a major public health issue. It is also the leading killer of both men and women in the United States today.

What is periodontal disease?

Periodontal disease is a chronic inflammatory disease that destroys the bone and gum tissues around the teeth, reducing or potentially eradicating the system that supports your teeth. It affects roughly 75 percent of Americans, and is the leading cause of adult tooth loss. People who suffer from periodontal disease may notice that their gums swell and/or bleed when they brush their teeth.

Although there is no definitive proof to support the theory that oral bacteria affects the heart, it is widely acknowledged better oral health contributes to overall better health. When people take good care of their teeth, get thorough exams, and a professional cleaning twice a year, the buildup of plaque on the teeth is lessened. A healthy, well-balanced diet will also contribute to better oral and heart health. There is a lot of truth to the saying "you are what you eat." If you have any questions about you periodontal disease and your overall health, give our Fairview Heights, IL office a call!

What is gum recession?

January 29th, 2025

Gum (gingival) recession occurs when gums recede from the tops of the teeth enough to expose sensitive roots. People typically experience increased sensitivity to sugary or cold foods when gums no longer cover and protect teeth roots. In addition, untreated gum recession may lead to loosening of teeth and accelerated tooth decay, something Drs. Rottschalk, Acker, and Froidcoeur see all too often.

Causes of Gum Recession

  • Periodontal disease – a serious oral disease arising from poor oral habits
  • Gingivitis – gum disease characterized by bleeding and swollen gums
  • Aging
  • Overly aggressive brushing and/or flossing – brushing hard in a scrubbing fashion will erode gum tissue at the roots of teeth
  • Genetic predisposition to gingival recession – having inherited thin, insufficient gum tissue facilitates gum recession
  • Bruxism – a condition where someone regularly grinds their teeth, usually during sleep
  • Chewing tobacco/smoking – promotes chronically dry mouth and reduced gum health

Periodontal gingivitis may also cause causing drooping of the gums instead of gum recession. A gingivectomy removes excess gum tissue weakened by bacterial decay while a gingivoplasty can reshape gums around the teeth. If sagging or receding gums are left untreated, they may develop pockets (gaps) that provide hiding places for food particles, mucus and other mouth debris conducive to anaerobic bacteria growth. As the most destructive type of oral bacteria, anaerobic bacteria is responsible for tooth decay, cavities, gum disease, and chronic halitosis.

Treatments for Gum Recession

Corrective actions need implemented as soon as possible to reverse gum recession by addressing the cause. For example, people who brush with hard-bristled toothbrushes should switch to a soft-bristled toothbrush and brush more gently. If gum recession is the result of poor oral hygiene, improve oral hygiene habits by brushing after meals, flossing, rinsing with non-alcoholic mouthwash, and getting dental checkups and cleanings every six months. For severe cases of gum recession, soft tissue grafts can add gum tissue to exposed roots by removing tissue from the person's palate and attaching it to existing gums at the area of recession via laser surgery.

If you’re worried about gum recession, visit our Fairview Heights, IL office and talk to a member of our team.

How Our Office Makes Your Child’s Visit Anxiety-Free

January 22nd, 2025

Drs. Rottschalk, Acker, and Froidcoeur and our team at Dr. John Rottschalk Dental Group specialize in pediatric dentistry, and we understand that children can be frightened of things they do not understand. This anxiety is often heightened by an unpleasant dental experience or stories they hear from classmates. We have many methods at our Fairview Heights, IL office to make your child’s dental visit pleasant and anxiety-free.

Listening

The first thing Drs. Rottschalk, Acker, and Froidcoeur and our team do is talk to your child, listen to any concerns he or she may have, and take the time to explain the dental work that will be done. Often children will lose their fears by simply understanding what is happening and why. In addition, you are welcome to be in the room with your child during exams and treatments. When a child is able to see that the parent is relaxed, this is more conducive to the child’s relaxation.

Relaxation

When you arrive at Dr. John Rottschalk Dental Group, let your child to play with the toys we provide. This starts the visit in a positive manner. Taking your child’s mind off the exam is useful. While your child is undergoing an examination or procedure, listening to music or watching a video can support a sense of relaxation. When children understand that we care, their anxiety levels are reduced.

Sedation

Nitrous oxide is a sedation technique commonly used to reduce anxiety and alleviate any pain. It is beneficial partly because the effects wear off quickly. Topical pain relievers can also be useful for children with sensitive teeth, and this will eliminate discomfort.

Deeper sedation is useful for complex dental issues, extreme anxiety, or a fear of needles. A liquid or tablet sedative can be given before your child’s appointment. This type of sedation is also helpful for children with a fear of the masks used for nitrous oxide.

We welcome you and your child to discuss any concerns that you have regarding his or her dental appointment. We want your child to be free from anxiety about visiting Drs. Rottschalk, Acker, and Froidcoeur. The earlier your child’s fears are addressed, the less likely the fear will carry into adulthood.

Root Cavities

January 15th, 2025

When we don’t keep up with our dental hygiene, plaque buildup can result in three kinds of cavities. Pit and fissure cavities are found on the tops of molars, where food particles get stuck in the irregular surfaces. Smooth surface cavities are located on the smooth sides of teeth.

Wait. Top, all around the sides—what’s left for plaque to attack?

Our roots. The roots of our teeth are generally protected by their concealed position in the jaw. Sitting securely in alveolar bone, held firmly in place by connective tissue, with gum tissue snugly surrounding them, roots are generally not cavity prone.

But these cozy conditions can change. Due to gum disease, abrasive habits, or simply the passage of time, gums can recede and expose root surfaces. And this exposure can lead to root cavities.

If you look at a complete tooth, it looks like enamel is covering the entire tooth surface. In fact, enamel, the strongest substance in the body, only covers the visible part of the tooth, called the crown. The roots are covered by a substance called cementum, which is softer than enamel. And if enamel can’t stop decay, cementum is even more vulnerable when it’s exposed to plaque, bacteria, and acidic foods.

How do we protect our roots from decay? Protecting our gums is the first line of defense.

  • Gum Disease

Receding gums caused by periodontitis can be treated by Drs. Rottschalk, Acker, and Froidcoeur. Deep cleaning procedures such as scaling and root planing can remove accumulated plaque and tartar, and help gum tissue reattach to teeth. For serious recession, gum grafts can replace lost tissue.

Early treatment can prevent recession. If you notice any signs of early gum disease, including bleeding, swelling, tenderness, or persistent bad breath, it’s time for a visit to our Fairview Heights, IL office.

  • Gum Abrasion

It’s not just gum disease that can lead to gum recession. Some personal habits are hard on gums and teeth, and can leave roots exposed. If you bite your nails, grind your teeth, irritate your gums with oral piercings, you are at risk for gum recession. Talk to Drs. Rottschalk, Acker, and Froidcoeur about preventing abrasive damage.

A surprising cause of receding gums? Over-vigorous brushing. Use a soft-bristled brush—and don’t use a heavy hand when brushing—to protect your delicate gum tissue.

  • Aging

As we age, our gums recede. So it’s no wonder that older adults are especially at risk for root cavities. That’s why it’s very important to keep up with brushing (at least two minutes twice a day) and flossing (once a day, or more often if needed) to prevent the buildup of plaque and tartar.

And it’s more important than ever to schedule regular dental exams and cleanings. Drs. Rottschalk, Acker, and Froidcoeur can help stop small problems from becoming major ones, and suggest brushing and flossing techniques, fluoride treatments, or other procedures to encourage gum and dental health.

If a cavity develops, no matter what kind, it should be treated as soon as possible. And time is especially important for a root cavity.

Because cementum is weaker than enamel, cavities can progress more quickly in roots. A cavity which has reached pulp tissue might require a root canal and a crown to restore tooth function. Serious decay could lead to extraction.

Don’t let root cavities undermine your dental health. If you notice any sign of gum disease or recession, it’s time for a visit to our Fairview Heights, IL office. After all, even though they go unnoticed, strong roots are the foundation of a healthy, attractive, life-long smile.

Periodontics and Braces Treatment

January 8th, 2025

Most people think braces are all about their teeth. While it is true orthodontics is meant to move your teeth into proper position, there's more to it than that. To safely move your teeth with braces, you're going to need healthy and stable gums (or periodontium—the tissues that support your teeth).

For this reason it's critical to have your periodontal health evaluated prior to getting braces. This applies particularly to adults, since a 2013 study by the Center For Disease Control found that an estimated 47.2% of adults 30 years of age and older had periodontitis (gum disease). If you do have periodontitis, moving your teeth with braces will only make things worse.

Conversely, there is also risk for periodontal disease if you don't get orthodontic treatment. Malocclusion, as well as crooked and spaced teeth, can all contribute to periodontal disease. In these situations your teeth and gums are more difficult to clean and become breeding grounds for disease causing bacteria. Bad oral hygiene combined with these traits can greatly contribute to the development of periodontitis.

So, periodontics and braces have a tricky relationship. On one hand, you shouldn't get braces if you show signs of developing or have periodontitis, while on the other hand, braces can help prevent the possibility of developing periodontitis by correcting the bite and straightening the teeth.

If you are 30 years of age or older and are considering getting braces, it would be wise to first:

  • Let Drs. Rottschalk, Acker, and Froidcoeur know about your desire to get braces
  • Get an exam to make sure you're in good periodontal health and a good candidate for braces
  • If you are a good candidate, keep an eye on your teeth and gums and get regular dental checkups throughout your entire course of treatment.

If you are in any doubt about the status of your teeth and gums, it's always best to get them checked before embarking with braces treatment. For more information or to have your periodontal health assessed for braces treatment, please contact our Fairview Heights, IL office.

Five (Easy-to-Keep!) Dental Resolutions for the New Year

January 1st, 2025

It’s a new year! A blank calendar! A traditional time to make a few changes that could change your life for the better. And while we applaud big goals like learning a new language or finally getting those closets reorganized, we’d like to start small with a few simple, proactive dental resolutions suitable for anyone’s list.

  1. Floss Every Day

Yes, we know we talk a lot about flossing. That’s because flossing can be a game-changer when it comes to healthy teeth and gums.

Proper flossing removes the plaque from spots your brush often misses—between the teeth and near the gum line. When you floss, you accomplish two goals: you help prevent cavities and you help prevent gum disease. And once each day is all it takes—as long as you take your time and floss properly.

If you’re having trouble flossing properly (a very common problem!), don’t hesitate to talk with Drs. Rottschalk, Acker, and Froidcoeur to discover the best techniques and products to make your personal flossing experience as relaxed and effective as possible.

  1. Retire Your Brush

Brushes work hard—that’s why they should be replaced after a few months of use. Bristles start to fray over weeks of brushing, which means you aren’t getting the full benefit of your great brushing technique.

Switch out your brush every three to four months, or earlier if you notice any bristle damage, and you’ll enjoy cleaner teeth without changing your normal brushing habits.

  1. Protect Your Smile

Take some simple, everyday precautions to protect your teeth and your smile.

  • If you haven’t already, be sure to buy a soft-bristled brush when you replace your old one. Soft bristles are strong enough to brush away plaque while protecting your tooth enamel and gum tissue from abrasion.
  • Use a mouthguard when you enjoy any sports or activities where you might make contact with an object or person or the ground.
  • Ask Drs. Rottschalk, Acker, and Froidcoeur about a custom night guard if you grind your teeth. If you have a night guard, don’t forget to wear it.
  • Protect and strengthen your tooth enamel with fluoride, a proven cavity-fighter. Fluoride toothpaste? Yes, please! And if your community doesn’t have fluoridated water, talk to Drs. Rottschalk, Acker, and Froidcoeur about whether fluoride treatments are a good idea.
  1. Pay Attention to Your Body’s Signals

Don’t ignore symptoms which might indicate problems with your oral health.

  • Tooth and Jaw Pain

Pain can be caused by many conditions, including a cavity, an abscess, a pulp infection, a cracked tooth, or problems with your bite. Visit our Fairview Heights, IL office to discover why you’re suffering and to treat any dental problem before it becomes more serious.

  • Signs of Gum Disease

Gum disease can cause symptoms like swelling, redness, pain, receding or bleeding gums, and chronic bad breath. Sometimes, more careful attention to brushing and flossing is all you need to reverse early gum disease. But when your symptoms linger, Drs. Rottschalk, Acker, and Froidcoeur can help you avoid more serious gum disease with periodontal treatment.

  1. Visit Dr. John Rottschalk Dental Group Regularly

Don’t wait for pain or other worrisome symptoms before you give us a call. Proactive care can catch potential problems early, reducing your risk of more serious conditions.

Start the new year off right. These five small adjustments to your daily routine can have a big impact on your oral health. Be proactive now, and you’ll enjoy a new year filled with healthy smiles.

Three Reasons We're Fans of Fluoride

December 26th, 2024

Why all the fuss about fluoride? Your pediatric dentist recommends it, your child’s toothpaste is formulated with it, and most of our drinking water contains it. Just what is it about this mineral that makes dental professionals sing its praises? Read on for three good reasons why fluoride is a healthy choice for healthier teeth.

  1. Fluoride Works!

Fluoride is an attractive option for protecting your child’s teeth—and we mean that literally. Fluoride protects the surface of teeth by working on a molecular level to attract minerals that strengthen enamel and help prevent cavities.

Our tooth enamel is mostly made from calcium and phosphate ions. These elements combine to form hydroxyapatite, strong crystals which make up about 95% of our enamel. Hydroxyapatite is so strong, in fact, that tooth enamel is the hardest part of our bodies. What can go wrong?

Acids. Acids created by the bacteria in plaque and the acids in our diet strip away the calcium and phosphate ions in enamel, weakening the surface of the tooth. This process is called demineralization. Over time, weak spots become bigger as acids eat through enamel to the inner tooth, causing decay and cavities.

So, what can fluoride do?

First, fluoride helps remineralize tooth enamel. Fluoride is attracted to the tooth’s surface and bonds with its minerals. It also attracts the calcium and phosphate ions which are found in our saliva to restore any minerals which have been lost. This process helps repair any weak spots which might have begun to form.

But fluoride does more than restore and repair tooth strength—it improves it! Fluoride ions join with calcium and phosphate to form fluorapatite crystals, which are larger and stronger than hydroxyapatite crystals. Even better? These new crystals are more resistant to acids.

  1. Fluoride Is Doubly Effective

Fluoride works both externally and internally. We just looked at how fluoride helps keep teeth strong when applied to the outside of the teeth. This is called a topical application. Systemic benefits come the fluoride we consume in our diets.

Fluoride isn’t found in many foods, but it is found naturally in lakes, rivers, and other water sources. When the local water’s fluoride level is low, many communities add fluoride for its proven ability to prevent cavities. Water fluoridation is safe, has been studied for decades, and has been shown to reduce the risk of cavities by 25% or more for both children and adults.

Systemic fluoride is important for baby teeth, as fluoride joins with minerals in adult teeth while they grow and develop. This creates stronger, more cavity-resistant teeth even before they erupt.

When your child’s permanent teeth come in, fluoride is still at work! When your child drinks fluoridated water, they increasing the amount of fluoride in their saliva. Just like fluoride toothpaste, saliva bathes the teeth with fluoride ions, remineralizing and strengthening the tooth surface and helping repair weak spots in enamel.

  1. It’s Easy to Get Fluoride Protection

Because so much of our drinking water is fluoridated, most of us really don’t have to think about how to get the recommended amount of fluoride in our diet each day. If your community’s water is low in fluoride, Drs. Rottschalk, Acker, and Froidcoeur can help you. Prescription fluoride rinses, gels, supplements, and other treatments are available at our Fairview Heights, IL pediatric dental office to make sure that your child’s teeth are well protected, wherever you may live. We will let you know which products are best for your child and how often to use them.

Fluoride isn’t, of course, the only way to look out for your dental health. Proper brushing and flossing are still essential for removing plaque. And sealants provide long-lasting protection for chewing surfaces. But when it comes to a proven cavity-fighter that’s simple to use, effective, and easily available—is it any wonder we’re big fans of fluoride?

Healthy Diet for Adolescents

December 18th, 2024

Adolescence is a critical period for oral hygiene. By the teenage years, kids will have lost all their baby teeth and replaced them with permanent teeth. Furthermore, many oral hygiene habits solidified in adolescence carry through to adulthood. Teaching adolescents to follow a healthy diet not only benefits their physical fitness but helps them maintain strong teeth and healthy gums.

Fruits and vegetables

Parents know that eating broccoli is important, but were you aware that it can keep teeth and gums healthy, too? Drs. Rottschalk, Acker, and Froidcoeur and our team at Dr. John Rottschalk Dental Group will tell you that eating plenty of crunchy fruits and vegetables, such as broccoli, carrots, celery, apples, and pears, increases your saliva production. Saliva works to brush away bad bacteria that produce dangerous acids that wear away tooth enamel.

It’s also important to avoid acidic foods, which can exacerbate cavities and other dental problems. Although oranges, tomatoes, grapefruit, lemons, and berries are healthy, they can also wear away the enamel of your teeth. To be safe, it’s important to brush after each meal or swish with mouthwash to remove excess acid from your mouth.

Sugar-free foods

Many candies and treats are chock-full of sugar, making them dangerous for your child’s dental health. If you have a sweet tooth, fear not: you don’t have to give up the sweet stuff entirely. Whenever possible, opt for sugar-free substitutes rather than regular sugar. For example, chewing sugar-free gum or drinking sugar-free beverages is better for teeth. These sugar substitute molecules don’t wear away enamel, which makes them safer for dental health.

Watch the beverages

Most adolescents have been told that soda will rot your teeth, but you may not realize that other beverages can be just as sugary. Many fruit juices, even those that boast 100% fruit, contain dozens of grams of sugar per serving. Similarly, popular energy drinks pack a sugary punch. When possible, drink water or milk. If your child is craving a hot beverage, turn to tea over hot chocolate or a sugary latte.

Dairy products

Teeth are like any other bones; they rely on calcium and other minerals to stay strong. To help build strong teeth, have your child drink milk or eat other dairy products to get his or her daily calcium. Yogurt, cottage cheese, and cheese are good options as well. If your child can’t tolerate dairy, consider calcium-fortified soy milk or orange juice to provide that daily dose of vitamins and minerals.

For more information on this topic, or to schedule an appointment with Drs. Rottschalk, Acker, and Froidcoeur, please give us a call at our convenient Fairview Heights, IL office!

First Filling?

December 11th, 2024

It’s your child’s first filling at our Fairview Heights, IL office, and perhaps you’re both a little nervous. Your child doesn’t know what to expect, and you want to make sure this is a positive experience. We have some suggestions that might help both of you!

  • Partner with Your Child’s Dentist

Because a pediatric dentist is a specialist in treating children and their dental needs, your dentist will have some suggestions for making that first filling a comfortable and comforting experience.

And because you’re the expert when it comes to your child’s needs, you can let Drs. Rottschalk, Acker, and Froidcoeur know about anything that might cause your child difficulty or anxiety beforehand.

  • Age-Appropriate Explanations Are Best!

It’s a good idea not to make any explanations too complicated. “Your dentist will help your tooth get strong and healthy again” might be all a young child needs to hear. And talking about drills or needles can be scary, especially when kids have no experience with dental tools and procedures.

A pediatric dentist can help you describe cavities and the filling procedure in an age-appropriate, non-scary way—and can recommend helpful story books for reading ahead of time!

  • Discuss Sedation Beforehand

If you think your child would benefit from light sedation options such as nitrous oxide or oral medication, talk to Drs. Rottschalk, Acker, and Froidcoeur about sedation procedures.

Your dentist will also have child-appropriate ways to talk about local anesthetics if they’re needed to numb the area around the tooth.

  • Tool Talk

Most adults are familiar with dental tools, but this will be a new experience with new sensations and sounds for your child. A pediatric dentist can describe what each tool is and what it does so kids are comfortable when an instrument is used.

Sometimes a tool can be noisy or vibrate. Some tools squirt water and some (loudly) suck water and debris away. If noises are a problem for your child, let your dentist know in advance, and ask about music or headphones to help minimize sounds.

  • Filling Material Concerns?

For molars, which bear the weight of chewing pressure, a silver-colored amalgam might be recommended. For a filling in the front of the mouth, a tooth-colored composite could be used to blend in. Fillings can also be made with gold or ceramic materials. A severely decayed tooth might require a crown, which is often made of stainless steel when used for a baby tooth.

If you have questions or concerns about the type or appearance of filling material, ask! Your dentist will be happy to explain which material is best suited to restore the appearance and function of your child’s tooth.

  • Getting Ready for the Appointment

Choose an appointment day with a light schedule and let your child dress comfortably. Ask if your child can bring a favorite toy or a stuffed animal friend for comfort.

Your mood will influence your child, so make the day of the appointment as stress-free as possible for the both of you! That’s why it’s a good idea not to talk about any dental fears you might have, or any discomfort your child might experience. Your child will pick up on your feelings, so projecting a calm and positive attitude will help.

  • Aftercare

Your dentist team will give you instructions for your child’s quickest, most comfortable recovery. These instructions include how to treat the extraction site, which foods are best, and over the counter pain medication.

It’s best not to plan strenuous activities immediately after a filling.

  • Partner with Your Child’s Dentist

Yes, we know we already talked about this, but it can’t be stressed enough. When your child has his or her first filling, in a way it’s your first filling, too! Your pediatric dentist is there to help you navigate this procedure and to help make sure that the experience is a positive one for both of you.

Happy Holidays! Healthy Holidays!

December 4th, 2024

It’s the holiday season! With so much to do and so much going on, you want to be at your best. We have some ideas to help make your season bright with a few easy tips for a healthy smile.

  • Keep Your Smile Merry and Bright

There’s a lot going on during the holidays. Visiting friends. Traveling to see family. Parties and get togethers. With all the enjoyable festivities on your holiday schedule, you might be tempted to overlook brushing or flossing. But, please don’t!

Many of our favorite holiday traditions and activities are centered around sharing good company, good cheer—and good food.

Indulging in more treats throughout the day, especially sugars and simple carbs, provides more fuel for the bacteria in plaque. These bacteria produce acids that weaken tooth enamel—the first stage of tooth decay. Plaque buildup also irritates the gums, causing swelling, redness, pain, bleeding, and chronic bad breath.

How to avoid these not-so-jolly consequences? Make time in your holiday schedule for dental care! Brushing twice a day for two minutes and flossing once each day removes plaque buildup and helps prevent cavities and gum disease.

  • Holiday Snacks—Naughty or Nice?

We’re no Scrooges—enjoying holiday treats is one of the ways we celebrate. But since we’re trying to prevent a plaque buffet of sugar and simple carbs, it’s a good idea to add some healthier foods to the mix.

Whether it’s platters of snacks around the game table or a stylish hors d’oeuvre array, don’t forget to add nutritional, dental-friendly items to your plate. Options such as fresh fruits and vegetables, cheeses, nuts, and whole grain breads and crackers are great partners for more indulgent selections because they’re lower in added sugars and provide vitamins and minerals to strengthen teeth and gums.

And from the candy bar? Hard candies and candy canes make our naughty list because they take a long time to dissolve while bathing your teeth in sugar. So do caramels, toffees, and gumdrops, which stick between teeth and gums. Soft chocolates? A much nicer choice, because they are more easily rinsed away by saliva or a drink of water. Which leads us to . . .

  • A Toast to Your (Dental) Health!

The holidays offer some of our favorite seasonal beverages. But spiced lattes, mochas, and hot chocolate can be full of sugar.

The answer? Enjoy in moderation, and enjoy with a glass of water. Water washes away sugars, neutralizes acids, helps increase saliva flow for tooth and gum health, hydrates, and, when it’s fluoridated, protects and repairs your enamel. That’s a lot of gifts in one convenient package!

  • Dashing through the Snow?

If you’re taking to the slopes, or the hills, or the rink for a little holiday exercise, don’t forget to protect your teeth and mouth. It’s not just sports like football and hockey that cause dental injuries—it’s any sport where you can fall or make contact with someone or something.

If you don’t have a mouthguard, they’re available at sporting goods stores in stock sizes or models that can be molded to your teeth. A custom mouthguard from our Fairview Heights, IL office is more comfortable, fits better, and protects you better. This is a perfect gift to give yourself so you can take advantage of all those cold weather sports with confidence.

We all look forward to holiday surprises—but not when they take the form of cavities, gum disease, or dental injuries! In the flurry of holiday activities, keep up with your regular dental care, and you’ll be looking forward to a new year filled with happy and healthy smiles.

Thanksgiving in North America

November 27th, 2024

Thanksgiving marks the start to the holidays; a season filled with feasting, indulging, and spending time with family and friends are always special. Thanksgiving is a holiday meant for giving thanks, and while this may seem like such a natural celebration, the United States is only one of a handful of countries to officially celebrate with a holiday.

Unlike many holidays, Thanksgiving is a secular holiday, and it is celebrated on the fourth Thursday in November in the United States. In Canada, it is celebrated on the second Monday of October, which is, oddly enough, much closer to a time when harvests were likely gathered. In addition to the different dates, the origins of the celebration also share different roots.

Thanksgiving in the United States

Giving thanks for a bountiful harvest are not new, but the modern day holiday in the US can be traced to a celebration at Plymouth in Massachusetts in 1621. This feast of thanksgiving was inspired by a good harvest, and the tradition was simply continued on. At first, the colony at Plymouth didn't have enough food to feed everyone present, but the Native Americans helped by providing seeds and teaching them how to fish, and they soon began to be able to hold a feast worthy of the name. The tradition spread, and by the 1660s, most of New England was hosting a Thanksgiving feast in honor of the harvest.

Canadian Thanksgiving

An explorer of early Canada named Martin Frobisher is accredited for the first Canadian Thanksgiving. He survived the arduous journey from England through harsh weather conditions and rough terrain, and after his last voyage from Europe to present-day Nunavut, he held a formal ceremony to give thanks for his survival and good fortune. As time passed and more settlers arrived, a feast was added to what quickly became a yearly tradition. Another explorer, Samuel de Champlain, is linked to the first actual Thanksgiving celebration in honor of a successful harvest; settlers who arrived with him in New France celebrated the harvest with a bountiful feast.

A Modern Thanksgiving

Today, Thanksgiving is traditionally celebrated with the best of Americana. From feasts and football games to getting ready for the start of the Christmas shopping season, Thanksgiving means roasted turkey, pumpkin pie, and green bean casserole. No matter how you celebrate this momentous day, pause for a moment to give thanks for your friends, family, and all the bounties you’ve received. Happy Thanksgiving from Dr. John Rottschalk Dental Group!

How do I know when I have a cavity?

November 20th, 2024

Drs. Rottschalk, Acker, and Froidcoeur and our team at Dr. John Rottschalk Dental Group frequently field questions about cavities and what causes them. Patients will typically ask, “I brush twice a day and floss regularly, as well as rinse with hydrogen peroxide, so a cavity is unlikely, right?”

Not quite.

When cavities, also known as caries, are in their initial stages, people often will feel no symptoms, and they won’t experience any pain or discomfort. It’s not until the tooth decay has reached a certain level that patients begin to notice the signs. If you are experiencing any of the following symptoms, you may want to consider scheduling an appointment with Drs. Rottschalk, Acker, and Froidcoeur as soon as possible:

  • Dull or sharp toothache
  • Tooth sensitivity or mild to sharp pain when eating or drinking something sweet, hot, or cold
  • Persistent bad breath or a bad taste in the mouth
  • The presence of a sticky, tarry feeling when biting down
  • Puss or discharge around a tooth, especially when pressing on your gums
  • Visible holes or discoloration in your teeth (usually black or brown)

Cavities can happen at any time, to anyone, no matter how old you are. Routine dental care is important to prevent cavities or the onset of tooth decay, so it is important to visit Drs. Rottschalk, Acker, and Froidcoeur and our team at Dr. John Rottschalk Dental Group for regular cleanings. If you are overdue for a checkup or think you may have a cavity, please give us a call at Fairview Heights, IL office to schedule an appointment.

A Spot of Trouble?

November 13th, 2024

Your smile is in the spotlight every day, helping you greet the world with confidence! But when you’re self-conscious about discolored spots on your teeth, it’s time to get some professional advice to deal with these troublesome tints.

Discolored patches, both dark and light, can develop for a number of different reasons. Some markings are cosmetic only, and some spots require treatment. Some can be removed with a professional cleaning, and some might require more serious restoration. Let’s have a look at some of the common causes of enamel discoloration.

  • Cavities

Decayed enamel can appear as a brown spot on the tooth. A dark edge around a filling might mean decay underneath.

Regular checkups at our Fairview Heights, IL office will help catch small cavities before they become big ones. If you need a filling, the filling color can be matched to your tooth color for an undetectable restoration.

  • Demineralization

Bacteria in plaque produce acids, which attack our teeth. These acids erode minerals such as calcium and phosphorus from enamel, leaving a weak spot that is vulnerable to decay. This process is called “demineralization,” and often leaves a whiter spot on a tooth where minerals have leached away. Common reasons for demineralization are neglecting dental hygiene, failure to clean around braces, and a diet filled with sugary and acidic foods.

Fluoride and enamel-strengthening toothpastes, a healthy saliva flow, and a balanced diet help our teeth “remineralize,” bathing teeth in minerals that can help replace those that have been lost. But if you have lingering white spots due to demineralization, Drs. Rottschalk, Acker, and Froidcoeur can provide some options, including whitening, microabrasion, and veneers.

  • Fluorosis

Fluorosis is a cosmetic condition caused by exposure to too much fluoride while the permanent teeth are still forming (generally, during the years before a child’s eighth birthday). Small white spots and patches are a common result of mild fluorosis. In more serious cases, teeth can be pitted and stained with brown, gray, or black spots.

Preventing fluorosis begins in early childhood. Talk to Drs. Rottschalk, Acker, and Froidcoeur about fluoride levels in local tap water if you have any concerns. Use only the recommended amount of toothpaste (the size of a grain of rice for children three and under; the size of a pea for children three to six), and show your child how to spit out toothpaste and rinse after brushing. Keep fluoride toothpastes and other fluoride products out of the reach of young children. Don’t give children fluoride supplements or fluoride rinses without discussing it with Drs. Rottschalk, Acker, and Froidcoeur.

If your own teeth have been affected by fluorosis, talk to us. Again, this is a cosmetic condition affecting otherwise healthy teeth. Whitening treatments can be helpful in mild cases, microabrasion has been effective for mild to moderate cases, and, for severe cases, cosmetic restorations such as bonding and veneers are an option.

  • Tartar

Are you seeing an accumulation of dark brown spots and stains on your teeth, especially between the teeth and at the gum line? This might mean that you have tartar buildup. When you brush plaque away every day, your enamel stays smooth and clear. But when plaque builds up over time, it hardens and becomes tartar.

How hard is tartar? So hard that it can only be removed with a professional cleaning. Eliminate this source of spots and staining with twice daily brushing and daily flossing, and make sure regular professional cleanings are on your calendar.

  • Other Causes

Medications taken while teeth were developing (notably, antibiotics in the tetracycline family) can cause discoloration. Medical conditions such as celiac disease and enamel hypoplasia can affect both tooth color and enamel formation.

Cosmetic treatment and restorations can help with discoloration caused by medications, and restorations such as bonding, veneers, and crowns can restore tooth appearance and function when medical conditions cause imperfections in enamel color and structure.

If you’re unhappy with the overall whiteness of your smile, a professional whitening might be just what you’re looking for. If specific patches, streaks, and spots of a different color are dimming your bright smile, it’s time for an exam. Drs. Rottschalk, Acker, and Froidcoeur will be able to tell you the reason for any discolored enamel as well as present you with all your treatment options. Put the spotlight back where it belongs—on your healthy, confidant smile!

Why You Should Avoid Energy and Sports Drinks

November 6th, 2024

In a world where everything moves so quickly and teens and young adults find themselves pulling “all-nighters” or working long hours, energy drinks have grabbed the spotlight. You’ll have one (or three) and suddenly you have the drive you need to keep going.

The same can be said for sports drinks. It’s common for people to have one even when they’re not engaged in any strenuous physical activity, which is what they were designed for. People will drink them simply because they’ve grown to love the taste.

Although they might taste great and boost your energy, there’s a serious down side to consuming energy and sports drinks on a steady basis. Studies have shown that these drinks contain so much acid that they start to destroy your teeth after just five days of consistent use.

The acid in these drinks destroys your tooth enamel, which makes your teeth more vulnerable to bacteria. This can progress to staining, tooth decay, and hypersensitivity.

That’s why Drs. Rottschalk, Acker, and Froidcoeur and our team want to encourage you to try to limit the amount of sports and energy drinks you consume. If you do enjoy either or both of these drinks, you should make it a habit to rinse your mouth with water immediately after consumption, and brush your teeth about an hour later, after the period when acid has a softening effect on your enamel has passed.

If you feel like you’re already experiencing the side effects of heavy energy and sports drink consumption, visit our Fairview Heights, IL office, and our team can provide solutions for how to prevent further damage from occurring. It’s never too late to change a bad habit!

Energy Drinks and Your Teeth

October 30th, 2024

When working out, studying late, or any time we feel like a bit of a boost would come in handy, energy drinks are a common go-to for many teens and adults. Energy drinks promise more focus and vitality, all wrapped up in clever names and eye-catching graphic designs. What they can’t promise, though, is a drink that’s good for your dental health.

Why? Because most energy drinks come with a high concentration of caffeine, acids, and/or sugar.

  • Caffeine Consequences

Before we talk about your dental health, a word about caffeine. Too much caffeine in a short period can leave us jittery, anxious, irritable, and sleepless. A cup of coffee has about 100 mg of caffeine, and some energy drinks have three to four times that much.

While the recommended daily limit for adults who aren’t pregnant is 400 mg of caffeine, doctors suggest a much lower limit for children and teenagers. Among other reasons, sleep is especially important for developing brains and bodies, and caffeine interferes with healthy sleep.

You might have to go online to find out how various energy drinks measure up and compare in terms of caffeine, but taking the time to check them out is well worth it. Now, back to your dental health!

  • Acid Attacks

Many energy drinks are very acidic. The tart flavors of energy drinks might please your palate, but they attack your enamel.

Our mouths are their healthiest when our saliva is neutral, balanced between acidic and basic on the pH scale. That’s somewhere around a 7 on a scale of 0-14, where lower numbers mean more acidic conditions. That burning feeling we get from acid reflux when stomach acids back up? That’s because stomach acid is a 1-2 on the pH scale.  Many energy drinks rate an eye-opening (and not in an energetic way!) 1.5-3.5 on the pH scale, which means your teeth are bathing in acids.

Even tooth enamel, the strongest substance in the body, can’t stand up to these acids, because acids break down the mineral structure of your enamel. If your teeth are more sensitive to heat and cold, if they appear darker as the white outer layer of enamel thins, if your dentist has discovered weak spots in your enamel—you might be experiencing demineralization. Once enamel is gone, it can’t be replaced.

  • Surplus Sugar

A well-known source of quick energy is sugar. A little more biology and chemistry here—sugar is a food which our bodies can break down quickly. And when sugar molecules break down, this breakdown releases energy—energy which we use to fuel essential bodily functions. This quick burst of sugar energy is why many energy drinks contain lots of added sugar. Some brands have more than 60 grams of sugar per serving—and 60 grams is almost 5 tablespoons!

We get all the sugar we require for our daily energy needs from the natural sugars found in fruits, dairy, even some vegetables and grains. With added sugars, we’re just adding empty calories, affecting the balance of our blood sugar and hormones, and increasing the risk of chronic health conditions—all while providing a convenient food source for the bacteria in plaque.

Because, just like our bodies find it easy to convert sugar to energy, the oral bacteria which cause cavities find it easy to convert sugar to acids. And just like the acids in foods, these acids attack the tooth’s mineral structure and break down its strength. Eventually, the weak spots in enamel grow larger and deeper and become cavities.

While most labels don’t let you know how much caffeine you’re getting, or the pH of the liquid inside, you can see how much sugar is being added to your diet with every can or bottle. Do look for added sugars before you choose your beverages.

If you have several energy drinks a day, a soft drink or two, plus the occasional sports drink—you’re bathing your teeth in acids and sugar all day long. With any beverage high in sugars and acids, limit your consumption. Rinse with water afterward, and don’t brush for about an hour to give your enamel time to remineralize after being exposed to the acids in your drink.

Better yet, choose healthier alternatives. Water is still the best way to hydrate. Try adding protein and carbs to your diet for more energy. Make sure you’re getting the vitamins you need with a balanced diet. If you see signs of enamel erosion, talk to Drs. Rottschalk, Acker, and Froidcoeur. The temporary boost you get from a bottle of caffeine, acids, and sugar might seem tempting, but it can have long-lasting consequences for your dental health!

Can You Stop a Cavity Before It Starts?

October 23rd, 2024

You’re busy getting ready for your day, and of course you’re starting your day off right by looking after your dental health. A two-minute brushing, some careful flossing, and—wait, is that a white spot on your tooth?

If your mirror reveals a patch of white on your enamel, it could be a symptom of early tooth decay.  Does this mean a cavity is necessarily in your future? Perhaps not, if you act promptly to reverse the damage!

Cavities, after all, don’t suddenly appear in our mouths. Tooth decay is a process, and it begins with a weak area in the enamel that often appears as a white spot on the tooth. These weak spots are known as “incipient cavities,” because they can easily become cavities if left untreated.

Why do these weak spots occur? And how can we repair them? Let’s look at some tooth science.

  • Demineralization

Your tooth enamel is one of the marvels of the human body. Enamel is mostly made of calcium and phosphate ions, minerals which combine to form hydroxyapatite crystals. These crystals create a substance so strong that tooth enamel is the hardest part of the body—harder even than bones.

But it’s not indestructible! If you don’t care for your teeth with regular brushing and flossing, you’re leaving your enamel open to attack.

The bacteria in plaque convert the nutrients they get from the food we eat—especially sugars—into acids. These acids strip away the calcium and phosphate minerals which are the building blocks of our enamel, weakening the surface of the tooth.

Over time, these weak spots get bigger and deeper as bacteria and acids continue to attack the tooth surface. Eventually, cavities form, damaging the enamel surface, and, over time, even reaching into the dentin and the pulp inside the tooth. Once a cavity has formed, you need dental treatment to clean away the decay and repair the tooth structure.

The good news is that, when caught early, it’s possible to rebuild a weak spot in the tooth enamel before a cavity can fully develop.

  • Remineralization

While acids strip minerals from your enamel, your body is also replacing those lost minerals all throughout the day. How does this balancing act take place? With the help of saliva.

The very minerals which acids strip from your enamel are found in saliva. Saliva bathes your teeth with calcium and phosphate ions which, in turn, bond with your enamel to rebuild and restore enamel strength. When missing minerals are replaced like this, it’s called remineralization.

But this careful balance of demineralization/remineralization can become upset. If you neglect brushing and flossing, for example, plaque buildup will increase the amount of acids your teeth are exposed to. This means that your body won’t be able to replace the minerals as quickly as they are stripped away, and the result is a white patch on your tooth where the enamel has lost mineral strength.

If you’re surprised by the appearance of a white spot on your tooth, it’s a good idea to visit our Fairview Heights, IL office for a diagnosis. If the spot is caused by an incipient cavity, Drs. Rottschalk, Acker, and Froidcoeur can provide you with some options to restore your enamel’s strength.

Fluoride toothpastes and fluoride treatments are some of the most efficient ways to remineralize your teeth. Fluoride is attracted to the minerals in your enamel. It bonds with the tooth surface, and, once there, it helps attract the calcium and phosphate ions in your saliva to restore lost minerals and repair weak spots.

But fluoride does more than just restore your tooth’s strength—it improves it! Fluoride ions join with the calcium and phosphate minerals in your teeth to form fluorapatite crystals, which are even larger and stronger than hydroxyapatite crystals.

Early treatment is your best opportunity to reverse the early stages of tooth decay. Keeping up with your brushing and flossing, eating a dental-healthy diet, seeing Drs. Rottschalk, Acker, and Froidcoeur regularly, and treating incipient cavities promptly will help ensure there are no unwelcome surprises in the mirror—just beautiful, healthy smiles!

Is there a connection between oral health and school performance?

October 17th, 2024

As a parent, you want the best for your children, and that includes doing their best in school. You can support them by taking an interest in their activities, being enthusiastic about attendance, and helping them with homework. There may also be one more way you can help your children succeed at school. Surprisingly, research suggests that children with better oral health are likely to do better in school.

What the Research Says

One study in North Carolina looked at risk factors for poor school performance among school-aged children. As expected, the study found poor school performance linked to low socioeconomic status, low levels of parental education, and poor overall health. However, it also found a strong link between poor oral health and poor school performance, with children classified as having poor oral health 40 percent more likely struggle in school.

These findings are generalizable to the rest of the country. For example, attendance is an important factor in academic achievement, but dental conditions are responsible for a loss 51 million school hours among schoolchildren each year. Dental pain and infection are linked to poorer performance.

School-Based Programs to Promote Oral Health

In light of the apparent benefits of good oral health for school performance, some schools are taking steps to promote better oral care and health. In Maine, for instance, schools in need can apply for grants through School Oral Health Program (SOHP). The SOHP consists of four components:

  1. Oral health education for all children to support healthy behaviors
  2. A weekly fluoride mouth rinse to strengthen teeth
  3. Dental screenings to identify children who may need dental care
  4. Dental sealants, or plastic coatings, on back teeth to guard against decay

The State of Maine also supports an “Annual Sugar Out Day” to raise awareness of the effects of sugar on dental health and to help students choose low-sugar alternatives.

Oral Health Habits to Adopt

You can help your child improve oral health and do better in school by encouraging good oral hygiene. This includes brushing at least twice a day with a fluoride-containing toothpaste, and reminding your child to drink water after eating. Also, regular trips to our Fairview Heights, IL office can help prevent serious tooth problems.

Sippy Cups

October 9th, 2024

What a milestone! The transition from bottle to sippy cup is one of baby’s first steps toward toddler independence. And like all first journeys, some helpful guideposts come in handy. That’s why Drs. Rottschalk, Acker, and Froidcoeur and our team have several recommendations to help you navigate this transition, making sure your baby’s dental health is protected along the way.

Choosing a Sippy Cup

Sippy cups are often a parent’s first choice for this big step in baby’s development. While sippy cups offer a variety of child-safe materials, lively colors, and comfortable handle options, the feature of interest from a dental perspective is lid design.

Sippy cups curb spills because their lids don’t allow liquids to flow out freely, ensuring that drinks make it into baby’s mouth instead of onto furniture or floor. Cup lids might incorporate:

  • Built-in straws
  • A drinking edge around the rim of the cup which seals when your child isn’t drinking
  • Soft spouts
  • Hard spouts
  • Spouts with valves to prevent liquids from leaking out. (Spouts with valves work like a nipple, which means baby is sucking instead of sipping.)

Which design is best? For short periods, any of these designs can work for you. Over long periods, spouted cups could have the same effects as prolonged thumb-sucking and pacifier use, potentially affecting a child’s tongue positioning, tooth alignment, bite, and speech development. Your dentist will be able to suggest which cups are best for your child’s dental health both short and long term.

What to Put in a Sippy Cup

Once your baby has begun drinking from a cup, it should only hold tooth-friendly drinks.

  • Pediatricians generally recommend breast milk and/or formula until your child is 12 months old. You can switch to regular milk (or a healthy milk alternative) once your child is a year old with your doctor’s okay.
  • Water can be introduced when your pediatrician thinks your child is ready, usually around the age of six months.
  • Because even natural fruit juices have lots of sugar, dentists and pediatricians suggest giving your baby small amounts only—or feed your child fruit instead!
  • Skip the sugared drinks, sports drinks, caffeinated drinks, and sodas. They aren’t healthy for little bodies or little teeth.

Help Prevent Tooth Decay

Just like adults, babies can suffer tooth decay, too—and for the same reasons. The bacteria in plaque use the sugars found in our diets to create acids, and acids erode tooth enamel.

When a toddler totes a sippy cup around all day, even filled with healthy drinks, those baby teeth are constantly exposed to the natural sugars found in breast milk, formula, and, for older children, milk. Drinks with more or added sugars, such as juices or sweetened drinks, cause more damage to tooth enamel. Use a sippy cup wisely:

  • Offer the cup with meals and snacks, when increased saliva production can help wash away sugars and neutralize the acids which cause cavities.
  • Offer water between meals.
  • Don’t let your baby take a sippy cup to bed. Some spill-proof cups are designed to be sucked like bottles, and, like bottles, sugary liquids can pool in babies’ mouths as they sleep.
  • Get into a tooth-cleaning routine as soon as your child’s teeth start to arrive.

And, while we’re talking about healthy teeth, please don’t let your child toddle around with a sippy cup. A fall while drinking can injure a baby’s mouth and teeth.

Partner with Your Child’s Dentist

The journey from baby to toddler can seem overwhelming sometimes for both you and your child, but you have expert help available! It's a good idea to make a first dental appointment at our Fairview Heights, IL office sometime between the appearance of the first baby tooth and your child’s first birthday. This initial visit is an opportunity for Drs. Rottschalk, Acker, and Froidcoeur to:

  • Check your child’s overall dental health and development.
  • Look for signs of early decay.
  • Talk about proactive dental care, including how and when to clean your child’s teeth.
  • Answer questions about how you can support your child’s dental health, including the advantages and disadvantages of sippy cups.

Used properly, sippy cups can be a helpful transition on your child’s journey from bottle to cup, and from baby-who-relies-on-you-for-everything to take-charge-toddler. Drs. Rottschalk, Acker, and Froidcoeur and our team are an ideal guide as you and your child chart this path together.

Dental Insurance Benefits

October 2nd, 2024

Dental insurance can be a great addition to your health care plan, but the way benefits are calculated can also make it a confusing one. If you have dental insurance, you might be wondering how you can make the most of your benefits. Let’s look at some of the important things to remember about taking advantage of your dental insurance.

  • Know Your Benefits

Figuring out what insurance will and won’t pay for, what percentage of a procedure is covered, what the insurance company considers an allowable fee, when you have covered your deductible for the year—these calculations are often bewildering. It’s helpful to call our office and check with your insurance provider to learn the final cost of any treatment, and how much, if any, will be covered by your insurance.

  • Use Your Benefits

Don’t lose benefits you have paid for! If you have not used your benefits, the time to do so is before the end of the insurance period (which may or may not be the end of the calendar year). When your dental plan re-starts, you will be paying for these unused benefits all over again. Similarly, if you have used your insurance and covered your deductible for the year, it makes sense to schedule your appointments before a new year brings a new deductible amount you will have to meet.

If you qualify for a certain number of preventive services such as check-ups and cleanings, you should always take advantage of this benefit—not only to find possible dental problems, but to prevent them.

And, if you have set up a Flexible Spending Account (FSA) to cover medical and dental expenses for the year, be sure to use the money in the account or you might lose it at the end of your year’s coverage. Many dental procedures are covered by an FSA—talk to our Fairview Heights, IL team and your provider for details.

  • Possible Tax Deductions

If you are paying for your own dental insurance, you might be able to take advantage of the deduction for medical and dental premiums and expenses on your taxes. If your employer pays for your insurance, if you take the standard deduction, or if you spend less than a certain proportion of your income on health costs, these expenses are most likely not deductible. Be sure to check with your tax preparer or with the IRS for latest information on dental and medical deductions.

Finally, you should never put off urgent dental work because of insurance considerations. At the same time, you should be able to take full advantage of any dental insurance plan you have purchased, because you deserve to get every benefit you have paid for. Drs. Rottschalk, Acker, and Froidcoeur and our team are here to help you work with your insurance company in any way we can. Our goal is the same as yours—insuring dental health for you and your family!

The Secret to Keeping Your Teeth for Life

September 25th, 2024

The secret to keeping your teeth for life involves more than one secret. The first is that there is no secret; and in fact, there really is no difficulty involved. Follow this simple four-step process – brush, floss, rinse, and visit our Fairview Heights, IL office regularly – and you will have healthy teeth for life!

Brush

You should brush your teeth twice a day, preferably once in the morning and once at night. Three times a day will not hurt. Use a soft-bristled toothbrush and light pressure; you do not want to scrub away your gums or tooth enamel.

Brush for a minimum of two minutes, and carefully clean all tooth surfaces. Three minutes is better. Use quality toothpaste; Drs. Rottschalk, Acker, and Froidcoeur and our staff can recommend the best type for your needs. Keep your toothbrush clean and replace it about every three months.

Floss

Make flossing part of your daily routine, at least once a day. Flossing is important for more than just removing food particles between your teeth. The process also helps to remove bacteria that you cannot see. Bacterial build-up turns into plaque, or calculus: a cement-like substance that cannot be removed by brushing alone.

Use floss gently; you do not want to cut your gums. There are many different types of flosses and flossing tools. Drs. Rottschalk, Acker, and Froidcoeur and our staff will be happy to help you find the style that works best for you.

Rinse

Mouthwash does more than freshen your breath. Rinses help kill the bacteria that lead to plaque formation and gum disease. This extra step can go a long way toward having healthy teeth for life.

Keep your appointments

You should have a professional cleaning at Dr. John Rottschalk Dental Group twice a year. Some patients benefit from more frequent cleanings. Your hygienist will remove any plaque build-up to prevent gingivitis, which left untreated becomes full-blown gum disease. Periodontitis leads to tooth loss.

You also need to see Drs. Rottschalk, Acker, and Froidcoeur twice a year for a teeth and mouth exam. We can find problems such as cavities, and treat them before the situation becomes critical. Ask our Fairview Heights, IL team any questions you have; together we can make your teeth last for life.

Educational and Entertaining Enamel Experiments

September 24th, 2024

Let’s talk about the science of our teeth for a moment. Our enamel has a very high mineral content, making it extremely strong.  In fact, enamel just happens to be the hardest substance in our bodies.  But, unfortunately, it is not indestructible! Certain foods we eat can actually damage the surface of our teeth. Some simple and entertaining experiments can show children how our teeth can be affected by things we eat and drink, and how we can help protect them.

If you have a science-minded student at home, there are many activities you can do together, using educational websites, common household products and lots and lots of eggs. (Why eggs? Eggshells are a great substitute for teeth in these experiments. Not only are they various shades of white--like our own teeth, they are also calcium-rich—like our own teeth.) You can find any number of experiments using uncooked eggs, hardboiled eggs, whole shells with the contents blown out, or eggshells alone, so you can find just the right activity for whichever egg treatment works best for you.

Examine Enamel Erosion

One of the ways we protect our teeth is with healthy eating. The bacteria in plaque use the sugars and starches in our foods to produce acids. These acids are the substances that break down the minerals in our enamel and leave the enamel weaker. Weaker enamel is more easily attacked by bacteria and acids, which leads to cavities.

With eggs or eggshells and some carefully selected food products, you can see just how acidity affects teeth. Different websites suggest a variety of acidic liquids to dunk your eggs in, such as vinegar, soda, or citrus juices, so it’s easy to find an experiment that works with your pantry. Always use a plain water sample when you submerge eggs or shells to act as a control to measure differences against. How do the egg shells soaked in acidic liquids differ from those in plain water? It’s also fun to add simple sugar water as a test liquid to see what happens. Is it sugar or acid that causes more damage? And why might that be?

The Fluoride Fix

Fluoride is well known as a mineral that protects the structure of our teeth and helps prevent cavities. And there are actually experiments out there to test the protection fluoride provides using your egg stand-ins.

In some experiments, a hardboiled egg is coated with fluoride toothpaste or rinse for a specific amount of time and then dunked into vinegar. An untreated egg also gets a vinegar bath. You are asked to observe what is happening to each egg as it sits in its vinegar bath—are there bubbles on one egg and not the other? What do the bubbles mean? Other experiments require longer exposure to fluoride and then to vinegar—what happens to the shells of the treated and untreated eggs? What could this mean for our teeth?

Staining Studies

Our diet can do more than help create cavities. Enamel is very strong, but it is not stain-proof! Dark colored foods and drinks can make our teeth appear darker or more yellow. (And teeth that have suffered enamel erosion can pick up stains more easily.) How does food affect the brightness of our smiles?

If this question interests you, find experiments that use favorite beverages as a soak for your eggs. Choose liquids with a range of color, such as coffee, soda, and apple juice. Or choose an experiment that uses different varieties of soft drinks. Will foods the same color cause the same amount of discoloration in your egg volunteers? Do you want shorter or longer soaks in each liquid? Do you want to make use of a recycled toothbrush to see if brushing that discolored shell makes a difference? With toothpaste or without?

Even though these activities are designed for older children, they still require adult supervision. You can find detailed instructions for any of these experiments at many science and educational sites online. With some household supplies, plenty of extra cups, and a quantity of eggs, you and your child can demonstrate some of the basic effects our food choices have on the health and appearance of our teeth. It’s a wonderful way to promote healthy eating and brushing habits, scientific curiosity, and shared experiences!

Don’t forget to let Drs. Rottschalk, Acker, and Froidcoeur know how your experiments turned out the next time you visit our Fairview Heights, IL office!

Carbs and Cavities

September 4th, 2024

The Good News

Carbohydrates are one of the body’s essential macronutrients (along with protein and fat). We use carbs to convert the food we eat into energy. How does this work? It’s a sophisticated process:

  • Carbs break down into sugars as we digest them
  • Sugars are absorbed into our bloodstream
  • The pancreas releases insulin when blood sugar levels rise
  • Insulin enables sugars to move from our blood to our cells
  • Cells throughout the body use this sugar for energy.

Without the necessary amount of carbohydrates, our bodies lose a vital source of energy. So, why are carbs a dental concern?

The Bad News

Some foods immediately begin breaking down into sugars in the mouth. Sugars are a favorite food source for the oral bacteria that form plaque. They use this sugar to produce the acids that weaken our enamel and lead to cavities. And the more often we eat these foods, and the longer they remain in the mouth, the more damage our enamel suffers.

But there’s a silver lining! We can be healthier physically and get a jump on preventing damage from sugary treats by becoming more discriminating in our choice of carbs and timing our indulgences wisely.

Good Carb/Bad Carb

Unprocessed, complex carbohydrates are found in foods like whole-grain breads and cereals, legumes, and vegetables. They contain the vitamins, minerals, and fibers which are lost when foods are refined. They are composed of larger, more complex molecules, and so they break down gradually for sustained energy.

Some simple carbohydrates break down into sugars more quickly, but also offer important vitamins, minerals, and fiber. Fruits and dairy products, for example, are an important part of a balanced diet.

But some carbs are not pulling their nutritional weight. Refined sugars (think candies, desserts, and sodas) and refined starches (white bread and rice, potato chips, pastries) break down quickly into sugar in the mouth. Worse, many of these foods tend to stick around. Sticky sugars and sticky starches cling to our enamel and hide between the teeth and in the crevices of our molars. Not only do these treats provide a sugary feast for acid-producing bacteria, they take their time doing it!

So, What to Do?

If you have a diet filled with healthy carbs (whole grains, fruit and vegetables, legumes, dairy products), you’re already on the right track. Kudos! But does this mean no desserts? Ever?

No! We all need a cookie sometimes. But you can decrease the chance of enamel damage by interrupting the carbs to cavities cycle.

First, if you are indulging in a rich dessert or some salty chips, better to do it as part of a meal. When you eat a full meal, your body produces more saliva. Saliva not only helps wash away food particles, it also helps neutralize the acids that damage enamel.

Secondly, if you eat simple carbs and sugars all day, your mouth and teeth are being treated to acids all day. If you are going for a snack, there are many great options that don’t use refined sugars and starches. Think fruit smoothies (with a big dollop of vegetables) or whole-grain crackers with hard cheese instead of a can of soda and a bag of pretzels.

Carbs aren’t really bad, they’re just misunderstood. Talk to Drs. Rottschalk, Acker, and Froidcoeur at your next checkup at our Fairview Heights, IL office for ideas for the best carbohydrate choices for healthy metabolisms and healthy smiles!

Periodontal Health during Pregnancy

August 28th, 2024

Congratulations! Your pregnancy is a time of joy and excitement—and a time to take special care of yourself. You’ve discovered that pregnancy brings many physical changes, but it may still come as a surprise to learn that pregnancy hormones can affect your oral health as well. What should you look out for?

Gingivitis

Beginning in the second or third month of pregnancy, your gum tissue may show signs of gingivitis. Pregnancy hormones can cause an increase in the blood supply to your gums and affect the way your gums respond to plaque. These changes may lead to gums that are swollen, red and more likely to bleed upon brushing. This early form of gum disease should be treated as quickly as possible to avoid a more serious condition called periodontitis.

Periodontitis

Without treatment, the inflammation caused by gingivitis can increase. Periodontitis can lead to gums pulling away from the teeth, creating “pockets” that can be home to infection. These infections can lead to bone and tooth loss, so professional treatment is a must.

Pregnancy Granulomas

If you find a dark red swelling along the gumline or between two teeth, it might be a pregnancy granuloma. These granulomas are thought to be triggered by pregnancy hormones and may be a reaction to plaque or some other irritant. They often disappear once your baby is born and usually don’t cause any bother, but if you develop discomfort eating or speaking, your dentist might suggest removal.

You are looking for every way possible to provide your baby with the best start in life, so it is important to know that some studies have suggested a link between periodontal disease in pregnancy and complications such as pre-term delivery and low birth weight. Here are some important ways to maintain your oral health during pregnancy:

  • Call Drs. Rottschalk, Acker, and Froidcoeur when you find out you are pregnant. We have suggestions for your dental care that you can use immediately.
  • Keep to your regular schedule of dental examinations and cleanings at our Fairview Heights, IL office. If you find your gums beginning to show signs of gingivitis, call our office for an appointment. You might need to have your teeth cleaned more often during your pregnancy to avoid plaque buildup.
  • Maintain your daily dental hygiene. Be sure to carefully brush along the gumline to discourage plaque formation. If you have not switched to a soft bristle toothbrush, now is the time! Talk to us about possible rinses or other at-home treatments.
  • See a periodontist if needed for more serious gum problems.

Your pregnancy is a time to treat yourself and your baby with care. Talk to our office as soon as you find out you are pregnant. Making your dental health a priority can bring rewards both now and in the future, and we welcome the opportunity to suggest the best possible ways to care for yourself and your baby!

Balancing Act

August 21st, 2024

We’re all trying to find a healthy balance in our lives. Balancing work and home life. Eating a well-balanced diet. Balancing our budgets. Maintaining the right pH balance in our mouths for better dental health. Wait, what was that last one?

You probably don’t spend a lot of time thinking about your pH levels, but if your oral pH is out of balance it can affect the health of your teeth.

What do we mean by pH levels? In biology and chemistry, the pH scale is a tool used to measure the concentration of hydrogen (H⁺) ions and hydroxide (OH⁻) ions in a solution.  

The higher the concentration of hydrogen atoms, the more acidic a solution. The higher the concentration of hydroxide ions, the more alkaline. The pH scale goes from 0 to 14, with the most acidic reading possible rating a 0, and the most alkaline, a 14.

You don’t have to be a biochemist to use the information provided by pH samples. We use pH readings to discover the ideal acid/alkaline conditions in many everyday applications. Azaleas grow best in very acidic soil. Swimming pools should be just a bit alkaline. Brewers test pH throughout the beer-making process for optimal fermentation—and taste.

When it comes to saliva, a neutral pH range of around 6.2 to 7.6 is generally considered normal. High alkalinity in saliva is rare. High acidity levels? Unfortunately, much more common. And an acidic environment has real-world consequences for teeth.

Plaque contains bacteria, which produce acids. Calcium and phosphate, the minerals that help make enamel the strongest substance in the body, are leached out by these acids. The weak spots left behind make enamel vulnerable to further erosion and, eventually, decay. When saliva has a normal, neutral pH, it helps neutralize plaque acids to reduce the risk of cavities.

But it’s not just bacteria that expose our teeth to acidic conditions—we do it ourselves with our choice of food and drink.

Acidic foods can directly lower the pH level in saliva. Lemon juice, for example, has a pH between 2 and 3. Red wine has a pH between 3 and 4. Blueberries? Around a 3.2. When the pH level in saliva becomes 5.5 or lower, the minerals in our teeth start to “demineralize,” or lose the minerals which keep enamel strong and intact—just the way enamel is demineralized by acids from plaque. This process is known as acid erosion.

Many of our favorite foods are acidic to some degree. Citrus and other fruits, pickled foods, vinegar, wine, coffee, tea—all of them can lower the optimal pH level of saliva. And sports drinks, energy drinks, and sodas? Check the labels and you’ll often find citric acid, phosphoric acid, and/or carbonation, all of which combine to create extremely erosive conditions.

So, no more soda? Or fruit? No. You don’t have to give up acidic foods altogether for healthy teeth. True, you won’t give up much eliminating soda from your diet. But fruits, vegetables, dairy foods, and meats are the source of essential vitamins, minerals, and proteins, and many of these healthy food choices have an acidic pH. How to eat nutritiously while protecting your enamel? Again, it’s a balancing act.

  • Enjoy acidic foods sparingly, or as part of a meal. Saliva can neutralize acids more effectively when they aren’t washing over your teeth all through the day.
  • Use a straw when you drink something with a low pH to reduce your enamel’s exposure to acids.
  • Balance high-acid foods with low-acid choices to help neutralize the acids in your diet. Add a banana to your blueberry smoothie. Pair your wine with some cheese.
  • Rinse with water after eating or drinking. When it comes to balanced pH, pure water is a 7.0 on the scale, a perfect neutral.
  • Chew sugarless gum to increase saliva production.
  • Use fluoride toothpaste—it not only helps prevent cavities, it helps remineralize teeth.

Even with your best efforts, acid erosion can be a problem. You might be experiencing enamel damage if you notice any of these symptoms:

  • Tooth pain or sensitivity.
  • Teeth that appear discolored. This happens as the whiter enamel thins, revealing the yellowish dentin underneath.
  • Changes in the shape of your enamel—your teeth become rounded or have little dents or pits, known as cupping.
  • White spots on your teeth, which could be a sign of demineralization.

If you think you could be suffering from enamel erosion, it’s a good idea to talk to Drs. Rottschalk, Acker, and Froidcoeur when you visit our Fairview Heights, IL office. We can diagnose conditions causing acid erosion, treat you if enamel damage has occurred, and offer suggestions for diet and eating habits to make sure your oral pH—and your dental health—is always in balance.

Dental X-rays: The Inside Story

August 14th, 2024

We’re all friends here, so if you sometimes feel a bit nervous before your dental appointment, no judging! Ask us about any worries you might have. We are happy to explain procedures, equipment, and sedation options so you know just how safe and comfortable your experience can be. And if X-rays are a concern, we can put your mind at ease here as well.

What Exactly Are X-rays?

Sometimes patients feel reluctant about the process of imaging because X-rays are a kind of radiation. But the fact is, radiation is all around us. We are exposed to radiation naturally from our soil and water, sun and air, as well as from modern inventions such as cell phones, Wi-Fi, and air travel.

Why is radiation so common? Because matter throughout the universe constantly gives off energy, and the energy that is emitted is termed radiation. This radiation takes two forms—as particles (which we don’t need to consider!) and as traveling rays. This second type is known as electromagnetic radiation, created by photons traveling in regular waves at the speed of light.

We are exposed to electromagnetic radiation every day, because, whether we can see them or not, these different wavelengths and frequencies create various forms of light. Radio waves, microwaves, infrared, visible, and ultraviolet light, X-rays, and gamma rays are all part of the electromagnetic light spectrum.

Different types of radiation on this spectrum have different wavelengths and different frequencies, and produce different amounts of energy. Longer wavelengths mean lower frequencies and less energy. Because X-rays have shorter wavelengths and higher frequencies than, for example, radio waves and visible light, they have more energy.

How Do Dental X-rays Work?

An X-ray machine produces a very narrow beam of X-ray photons. This beam passes through the body and captures images of our teeth and jaws on special film or digital sensors inside the mouth (intraoral X-rays), or on film or sensors located outside the mouth (extraoral X-rays). These X-ray images are also known as radiographs.

Why are X-rays able to take pictures inside our bodies? Remember that higher energy we talked about earlier? This energy enables X-rays to pass through the softer, less dense parts of our bodies, which are seen as gray background in a radiograph. But some substances in our bodies absorb X-rays, such as the calcium found in our bones and teeth. This is why they show up as sharp white images in radiographs.  

There are different types of common dental X-rays which are used for a number of reasons:

  • Bitewing X-rays, which are used to check on the health of the back teeth.
  • Periapical X-rays, which allow us to look at one or two specific teeth from crown to root.
  • Occlusal X-rays, which show the entire arch of teeth in the upper or lower jaw.
  • Panoramic X-rays, which use a special machine to rotate around the head to create a complete two-dimensional picture of teeth and jaws.
  • Cone Beam Computed Tomography, an external device which uses digital images to create a three-dimensional picture of the teeth and jaws.

Why Do We Need X-rays?

If all of our dental conditions were visible on the surface, there would be no need for X-rays. But there are many conditions that can only be discovered with the use of imaging—infection, decay, a decrease in bone density, or injuries, for example, can show up as darker areas in the teeth or jaws. Among their many diagnostic uses, X-rays can help us find:

  • Cavities between teeth or under old fillings
  • Damage to the tooth’s pulp which might require root canal treatment
  • Injuries to teeth or roots after trauma
  • Abscesses, tumors, or other conditions that might be causing swelling or pain
  • Position and development of wisdom teeth
  • Ideal placement for implants
  • Health and density of the jaw and alveolar bone

X-rays can also serve an important preventative role, by discovering small problems before they become major ones.

How Do Dentists Make Sure Your X-rays Are As Safe As They Can Be?

First of all, the amount of radiation you are exposed to with a dental X-ray is very small. In fact, a set of bitewing X-rays exposes us to slightly less than the amount of radiation we are exposed to through our natural surroundings in just one day. Even so, Drs. Rottschalk, Acker, and Froidcoeur and our team are committed to making sure patients are exposed to as little radiation as possible.

Radiologists, the physicians who specialize in imaging procedures and diagnoses, recommend that all dentists and doctors follow the safety principal known as ALARA: “As Low As Reasonably Achievable.” This means using the lowest X-ray exposure necessary to achieve precise diagnostic results for all dental and medical patients.

The guidelines recommended for X-rays and other imaging have been designed to make sure all patients have the safest experience possible whenever they visit the dentist or the doctor. We ensure that imaging is safe and effective in a number of ways:

  • We take X-rays only when they are necessary.
  • We provide protective gear, such as apron shields and thyroid collars, whenever needed.
  • We make use of modern X-ray equipment, for both traditional X-rays and digital X-rays, which exposes patients to a lower amount of radiation than ever before.
  • When treating children, we set exposure times based on each child’s size and age.

And now that we’ve talked about some things you might like to know,

Please Let Us Know If . . .

  • You’re a new patient, with previous X-rays taken during regular exams or for specific procedures. Ask to have your older X-rays sent to our office. With digital X-ray technology, this transfer can be accomplished with e-mail! Having your dental history available lets us notice any changes that have taken place.
  • You’re pregnant, or think you might be pregnant. Even though radiation exposure is very low with dental radiographs, unless there is a dental emergency, dentists and doctors recommend against X-rays for pregnant patients.

X-rays play an important part in helping us make sure your teeth stay their healthiest. If you have any concerns, contact our Fairview Heights, IL office. When it comes to making sure you’re comfortable with all of our procedures, including any X-rays that might be necessary, we’re happy to give you all the inside information!

Oral Cancer

August 7th, 2024

Drs. Rottschalk, Acker, and Froidcoeur and our team want you to have the healthiest possible smile in the healthiest possible body. Oral cancer can affect the mouth, tongue, throat and jaw. Early detection is vital for the best possible outcome when treating this disease. That is why we check for symptoms of oral cancer at every dental examination.

What can you do to reduce the chance of oral cancer?  Reduce your risk factors. You can help prevent oral cancer by adopting these healthy habits:

  • Don’t smoke. Don’t chew tobacco. Don’t use a pipe. If you use any tobacco products, quit. Tobacco use is the single largest risk factor for head and neck cancers. Talk to us—we have suggestions for helping you break the habit.
  • Drink alcohol in moderation. Heavy drinkers have a higher rate of oral cancer. More than one to two drinks per day can be considered heavy drinking, depending on factors such as weight, age, and even gender. Check with your doctor to find your personal definition of moderation.
  • Eat a healthy diet. Cancer-fighting fruits and vegetables are a great addition to any menu.
  • Protect yourself from the sun. Help prevent sun-related lip cancers by always wearing a UVA/UVB blocking sun screen or lip balm whenever you are working or playing outside—and reapply frequently.
  • Some forms of the HPV virus have been linked to oral cancer, and those affected are generally younger and less likely to be smokers. Research indicates that the HPV vaccine, known for preventing several types of cancer, might also help prevent HPV-related oral cancers.
  • Schedule regular dental exams. We are trained to recognize oral cancer and precancerous conditions that you might miss.

Of course, cancer can occur even with the healthiest habits. Do come see us if you detect any of these symptoms:

  • A sore or ulcer that doesn’t heal, or persistent tenderness and pain in the mouth
  • Lingering sore throat, hoarseness, or vocal changes
  • Pain in the neck or ear that doesn’t go away
  • A lump, a rough or thickened area, or eroded tissue in the skin lining the mouth
  • Red or white patches in the lining of the mouth or on the tongue
  • Difficulties chewing, swallowing, speaking, or moving the tongue or jaw
  • Numbness in the tongue or mouth
  • Changes in the way your natural teeth or your dentures fit together.

Not every symptom is caused by cancer, but it is important to rule out the possibility. We are trained to recognize early signs of oral cancer, and can recommend further tests if needed. Call our Fairview Heights, IL office immediately if you have any concerns. Early detection and treatment lead to the most successful outcomes.  

Protecting Your Smile with Mouthguards

July 31st, 2024

If you participate in sports or other physical activities, it’s wise to consider getting a mouthguard. Also known as mouth protectors, mouthguards are a device worn over the teeth to lessen the impact of a blow to the face.

This reduces the chance that you might lose teeth or sustain other serious oral injuries. We recommend that all patients involved in a contact sport such as wrestling, football, or hockey wear a mouthguard because of the high risk of such injuries.

However, anyone involved in a physically demanding sport or activity should wear a mouthguard as well.

Can you imagine what it would be like to lose a few of your front teeth? The way you talk, eat, and smile would all change. Potential injuries when you don’t wear a mouthguard include chipped and broken teeth, fractured jaws, root damage, damage to crowns and bridgework, concussions, and/or injury to the lips, cheeks, or gums.

Types of Mouthguards

There are three different types of mouthguards — typically made of a soft plastic material or laminate. You can decide which works best for you in terms of budget, fit, and comfort.

  • Stock mouthguards are prefabricated to a standard size. They offer adequate protection, but you need to make sure you find one that fits properly and comfortably. Stock mouthguards are readily available at department stores, sporting goods stores, and online.
  • Boil-and-bite mouthguards are placed in boiling water to soften them, then into the mouth so they can conform to the shape of the teeth. Boil-and-bite mouthguards are more expensive, but offer a more customized fit than stock ones. You can find these in department stores, pharmacies, sporting goods stores, and online.
  • Custom-made mouthguards are created just for you by Drs. Rottschalk, Acker, and Froidcoeur. These offer the best fit and comfort of all the options, but they are also the most expensive. Ask a member of our Fairview Heights, IL team for more information.

The American Dental Association says a good mouthguard should be easy to clean, fit properly, be comfortable, and resist tearing or damage. It shouldn’t restrict speech or breathing.

Still not sure if you need a mouthguard or which kind is right for you? Ask Drs. Rottschalk, Acker, and Froidcoeur or one of our staff members for more information.

How can I protect my child's teeth during sports?

July 24th, 2024

Sports are great for children for a variety of reasons. Children can develop their motor skills, learn how to solve conflicts and work together, and develop their work ethics. As a parent, you may recognize the benefits of sports, but also naturally worry about your child’s health and safety. Your job goes beyond providing a water bottle and making sure your child follows the rules of the game.

Although you may not think of your child’s teeth first when you think about sports, accidents can happen that affect your children’s teeth. A stray hockey stick, an errant basketball, or a misguided dive after a volleyball are examples of ways a child could lose a tooth. In fact, studies show that young athletes lose more than three million teeth each year.

Becoming a Better Athlete to Protect Teeth

Becoming a better athlete involves refining skills, learning the rules of the game, and being a good sport. These components are not just about winning. They are also about safety. Young athletes who are better ball-handlers and who are careful to avoid fouls and penalties are less likely to have harmful contact with the ball, teammates, or opponents. Children who are better roller-bladers are less likely to take a face plant into the blacktop, and more likely to save their teeth. Being a good sport and avoiding unnecessary contact is one way to protect teeth.

Proper Protective Equipment for Teeth

If your child is in a sport that poses a high threat to teeth, it is essential for your child to wear a mouthguard. Mouthguards fit your child’s mouth and consist of soft plastic. Drs. Rottschalk, Acker, and Froidcoeur can custom fit a mouthguard if generic ones are uncomfortable. While children may resist wearing a mouthguard initially, your persistence in insisting that they wear it should be enough to convince them. A helmet or face mask provides additional protection.

While prevention is best, rapid treatment can improve the situation if your child does happen to lose a tooth during sports. Rapid implantation can work in about ten percent of cases. To learn about ways to save a lost tooth, contact our Fairview Heights, IL office.

Relax with Sedation Dentistry

July 17th, 2024

Drs. Rottschalk, Acker, and Froidcoeur and our team at Dr. John Rottschalk Dental Group understand that many of our patients have a fear of dentistry. You may be concerned about experiencing pain from sensitive teeth or routine procedures. General anxiety is also common. Do not put off visiting our Fairview Heights, IL office; we offer various types of sedation to take the pain and fear out of your dental procedure.

Nitrous Oxide Sedation

For many patients, nitrous oxide, combined with local anesthetics, will both provide pain relief and reduce anxiety. Nitrous oxide is beneficial because the dosage can be regulated during treatment and patients are normally capable of driving shortly after the procedure is completed.

Oral or Injected Sedation

With oral sedation, you may be given a pill or liquid to consume several hours before your procedure. You will not be able to drive yourself to the appointment. An oral liquid is often given to children before any shots or intravenous anesthesia. An intramuscular injection may be given at the office that provides relaxation benefits for 20 to 30 minutes.

Nitrous Oxide with an Oral Sedative

If you experience higher levels of anxiety, an oral or injected sedative can be offered before nitrous oxide is started. This is also effective for reducing anxiety regarding the injection of local anesthetics. A liquid medication followed by nitrous oxide is beneficial for children. This combination can produce a deep sedation level.

General Anesthesia

This type of anesthesia can be offered as an inhaled gas or intravenous liquid. If no oral sedative is given before the general anesthesia is administered, you should wake up quickly after your procedure is complete. An injection, pill, or liquid medication can be offered to reduce anxiety before intravenous sedation begins. Intravenous sedation can also be used at moderate-to-deep sedation levels without complete loss of consciousness.

Do not hesitate to ask Drs. Rottschalk, Acker, and Froidcoeur about receiving sedation or pain prevention when you visit. We will be glad to explain the options we have available and answer all your questions to ensure that your exam is pleasant for you.

Teens and Gum Disease

July 10th, 2024

You have a lot going on. School. Sports. Activities. Family. Friends. Teens lead busy lives and have busy schedules, so you need to budget your time and energy. One thing you don’t want to spend any of your time and energy on? Dealing with gum disease.

Gum disease most often begins as a reaction to plaque and tartar. The bacteria in plaque produce acids which irritate gum tissue, causing inflammation, swelling, and bleeding. This is gingivitis, the early stage of gum disease.

Left untreated, early gum disease can become periodontitis. Periodontitis is a serious gum infection which can cause receding gums, loose teeth, and even tooth and bone loss.

We usually think about gum disease as something that only older adults worry about. But the unfortunate fact is that children and teens are also at risk for gum disease—and the teen years bring special risks. Why?

  • Braces

The teen years are the most common years for orthodontic treatment. Wearing traditional or lingual braces can make removing plaque from around brackets and wires, between the teeth, and near the gum line more challenging, and gum disease can be the result. When you’ve been working so hard to create a healthy attractive smile, you don’t want to delay your orthodontic progress to treat gum disease.

  • Less-than-Nutritious Snacking

When you have after school commitments like sports practices, play rehearsals, or work, you probably carry a snack to give you the energy you need until dinner. Popular snacks like energy drinks, chips, or candy bars are common go-to choices, but they contain acids, simple carbs, and sugars which are bad for both gums and tooth enamel.

  • Hormones

Increased hormone levels during puberty can make the gums more sensitive and more easily irritated.

  • Your Busy Life

Maybe you’re not getting enough sleep. Or eating as well as you could. Or you’re feeling anxious. Lack of sleep, poor nutrition, and stress can affect your body’s immune system and your ability to fight off infection. And if you’re also not brushing and flossing regularly, your gum health can really suffer.

How do you know if you have gum disease? Good question! Sometimes the early stages of gum disease aren’t obvious. Perhaps you’ve noticed changes in your gums, such as:

  • Redness
  • Swelling
  • Soreness
  • Bleeding
  • Bad breath even after brushing

Any of these changes can be symptoms of gum disease and are a good reason to give our Fairview Heights, IL office a call, since time is important when treating gum disease.

Caught early, gingivitis is usually very treatable—in fact, you can often reverse early gingivitis by paying more attention to your daily dental hygiene. If gingivitis is more advanced, or if periodontitis develops, you need professional dental care to prevent serious damage to your gums, teeth, and bone.

Preventing gum disease from ever developing is always best, though, so let’s look at what you can do to keep gum disease from becoming a problem.

  • Keep Up with Healthy Dental Habits

Even though you’re leading a busy life, take time for your dental care. Brushing twice a day for at least two minutes per session and flossing once a day take just a bit of your time and are the best way to keep your gums healthy. If you wear braces or have a tendency toward cavities and gum disease, Drs. Rottschalk, Acker, and Froidcoeur might recommend brushing or flossing more often.

  • Use the Right Tools

Using the right tools makes a big difference. You should always choose a toothbrush with soft bristles to protect your delicate gum tissue—especially if it’s extra sensitive. Too-harsh brushing can damage even your super-hard tooth enamel, so you can imagine what it can do to your gums! Change out your brush every three to four months when it starts to get frayed and worn.

If you wear braces, ask Drs. Rottschalk, Acker, and Froidcoeur to recommend the best kind of floss to clean between your teeth and around your brackets and wires. The right tools will make flossing a lot easier, and will help you keep your gums healthy and your orthodontic treatment on track.

  • No Matter How Busy You Are, Treat Yourself Well

Watch your diet. Drinking water to hydrate is a healthy (and inexpensive) alternative to sugary and acidic drinks. When you know you have after-school commitments, pack yourself a healthy snack. After snacking, it’s a good idea to rinse with water when you can’t brush to remove any food particles sticking around your teeth and gums.

And even though your schedule is demanding, caring for your mind and body should be a priority. If you have difficulties with sleep or stress, or questions about a nutritious diet, talk to your doctor for some valuable tips to make your daily life healthier and more enjoyable.

With so much going on in your active life, gum problems are problems you really don’t need. Make room in your schedule now for careful daily brushing and flossing, a healthy lifestyle, and regular visits to Dr. John Rottschalk Dental Group, and you’ll be living that active life with a beautiful, healthy smile!

Can You Repair Your Tooth Enamel?

July 3rd, 2024

There are lots of ads out there for toothpastes that claim to repair damaged tooth enamel.

Can you treat cavities and tooth decay at home? Well, mostly, no, you can’t.

Can you strengthen your enamel at home? Very possibly—in some circumstances. Let us explain!

Cavities and tooth decay start forming when the enamel on the tooth’s surface breaks down. To discover what causes this breakdown, we need to see how chemistry works with our biology.

Tooth enamel is mainly made from calcium and phosphate ions. These minerals combine to form hydroxyapatite, crystals which make up around 95% of our enamel. Hydroxyapatite crystals are so strong that tooth enamel is the hardest part of our bodies. What can weaken a substance this strong?

Acids. Acidic foods and drinks, as well as acids created by the bacteria in plaque, strip away calcium and phosphate ions in enamel, weakening the surface of the tooth. This is a process called demineralization, and it’s the first stage of tooth decay. Left alone, weak spots will become bigger and deeper until they form cavities.

And tooth enamel, unlike the rest of your body, isn’t living tissue. It can’t regenerate. Once bacteria and acids have created a deep enough cavity, only Drs. Rottschalk, Acker, and Froidcoeur can repair it by removing decay and filling the tooth.

Wait, this sounds a lot more like “No, you can’t repair your enamel” and much less like “It’s possible to strengthen your enamel.” But we’re not through!

Demineralization doesn’t equal cavities—yet. Careful attention to your habits and your diet can make a difference in whether your enamel continues to weaken or becomes stronger.

Our body’s first defense against demineralization is saliva. Calcium and phosphate ions in saliva bathe the teeth throughout the day, restoring the minerals which have been lost. This is called remineralization. Saliva also helps neutralize acids from the foods we eat. But with a diet heavy in acids, or a lot of plaque buildup, saliva just can’t keep up with the damage.

That’s where “enamel-repair” toothpastes come in. Toothpastes are available that contain hydroxyapatite to restore calcium and phosphates to weakened enamel. But for many of the most common enamel-repair toothpastes, the not-so-secret secret to their effectiveness is fluoride.

Dentists recommend fluoride toothpastes for several very good reasons. Fluoride is attracted to the minerals in tooth enamel and bonds with them. Once bonded, fluoride attracts the calcium and phosphate ions in saliva, helping restore lost minerals to the enamel. Even better, when fluoride bonds with the calcium and phosphate in our enamel, fluorapatite is created. This is a crystal even stronger and more acid-resistant than hydroxyapatite.

If you’re concerned about the strength of your enamel, and especially if you notice any signs of acidic erosion, talk to our Fairview Heights, IL dental team right away. Drs. Rottschalk, Acker, and Froidcoeur can:

  • Recommend over-the-counter toothpastes or professional fluoride applications to help reverse early demineralization
  • Provide dental bonding, a crown, or a veneer to protect a tooth with serious erosion
  • Treat a cavity caused by more advanced tooth decay.

Keeping your enamel healthy at home can take many forms. By careful brushing and flossing to remove plaque, by watching the acids in your diet, by making sure you’re properly hydrated, and by using fluoride toothpaste, you can both reduce the risk of demineralization and help restore weak spots in your tooth enamel.

So, can enamel-repair toothpastes effectively repair your teeth? Yes, they can be effective—if demineralization is in its early stages and if you make them a regular part of your daily dental routine.

Fluoride Use in Adolescents

June 26th, 2024

Fluoride is a mineral that plays an essential role in oral health. In fact, the significant reduction in American tooth decay in recent decades can be attributed to a greater availability of fluoride in public water supplies, toothpaste, and other resources. When it comes in contact with the teeth, fluoride helps protect the enamel from acid and plaque bacteria. In some cases, it can even reverse tooth decay in its earliest stages.

Despite the benefits of fluoride, tooth decay is still common, especially among teenagers. The Centers for Disease Control reports that cavities can be found in more than half of young teens and two-thirds of older teens over age 16. Many of those teens are deficient in fluoride, either due to a lack of public water fluoridation or the use of bottled water. So how can parents ensure their teens are getting the fluoride they need to facilitate strong, healthy teeth?

Monitor Fluoride Exposure

Drs. Rottschalk, Acker, and Froidcoeur and our team at Dr. John Rottschalk Dental Group recommend you start by measuring your teen’s fluoride exposure. Make sure you purchase fluoridated toothpaste for your household, and find out if your tap water is fluoridated. If your teen primarily consumes bottled water, examine the bottle to determine whether fluoride has been added. The majority of bottled waters are not supplemented with fluoride, but those that are will be clearly labeled.

Fluoride Supplementation

Drs. Rottschalk, Acker, and Froidcoeur may recommend topical fluoride treatments at routine dental exams. These treatments are painless for your teen and may help establish stronger enamel that is more resistant to plaque and tooth decay. If you have a public water supply that is non-fluoridated, we may recommend fluoride supplementation between visits. These can be administered as drops, tablets, or vitamins.

Keep in mind that fluoride is most important for children and teens under the age of 16. Be proactive about your teen’s oral health by speaking with us about your family’s fluoride needs at your next dental visit.

For more information about fluoride, or to schedule an appointment with Drs. Rottschalk, Acker, and Froidcoeur, please give us a call at our convenient Fairview Heights, IL office!

Why Is My Child Getting Cavities?

June 20th, 2024

We want our children to have every advantage, including oral health. That’s why you encourage your child to brush twice a day. You keep the sugary treats to a minimum. You schedule dental exams and cleanings at our Fairview Heights, IL office.

So, how did your child get a cavity? What to do to prevent more tooth decay?

First, don’t feel guilty. Some people are more prone to cavities, even with diligent brushing and flossing. But to make sure children have all the advantages when it comes to preventing cavities, we have some tips which might improve their dental habits.

  • Better Brushing

Even for adults, brushing technique can be haphazard! Brushing’s not as effective without covering all the tooth surfaces (inside, outside, and molar tops), holding the brush at a 45° angle, gently brushing the teeth with small strokes, brushing for at least two minutes, and flossing between the teeth at least once a day.

Until children develop the motor skills to brush by themselves (around age six or seven), you can help by monitoring their brushing and flossing. If you like, you can use these four minutes a day for fun as well as dental care by playing music, awarding stickers, using an app with entertaining timers, or having your child mirror your brushing habits as you brush together.

And do make your child’s life easier with the right tools. Brush heads should be small enough to fit in little mouths comfortably, and bristles should always be soft. Floss, too, should be soft and flexible. Don’t forget to retire your child’s brush after three or four months—bristles start to fray and won’t clean effectively.

  • Sealing the Deal

Ask about dental sealants. This treatment provides a protective coating for your child’s molars. Cavities are so common in molars because the tops of these teeth are quite uneven. Food particles and plaque are trapped in grooves where brushes have a hard time reaching.

The sealant process is a simple and safe one. Healthy teeth are cleaned and dried, an etching solution prepares the tooth surface, a thin coat of sealant is applied, and the coating is hardened under a curing light.

Drs. Rottschalk, Acker, and Froidcoeur might recommend sealants when your child’s first adult molars erupt. Enamel takes a while to develop its full strength, so new molars are especially vulnerable to cavities. Sealants typically last from three to five years, and studies have shown a dramatic reduction in cavities when teeth are treated with sealants.

  • Fluoride Helps Prevent Cavities—in Two Ways!

Fluoride helps strengthen enamel in developing teeth. Because many communities have fluoride available in their water systems, your child gets the benefit of this natural mineral.

If you’re providing your child with fluoride toothpaste, you’re helping prevent cavities in the teeth, which have already erupted. The acids from oral bacteria weaken the mineral structure of enamel, which is the first step in forming a cavity. Fluoride helps repair weakened enamel in a process known as “remineralization.”

Drs. Rottschalk, Acker, and Froidcoeur can let you know the amount of fluoride that is right for your child, including how much or how little fluoride toothpaste to use, a prescription supplement if your water doesn’t contain fluoride, or the application of a fluoride treatment directly to your child’s teeth.

  • Avoid Tricky Treats

Some treats are much better than others. We’re not talking taste, though. When it comes to dental health, texture and time are more important.

When your child enjoys a plain chocolate bar, saliva helps wash away sugary food particles. Sticky candies and starches, like caramels and potato chips, are a “stickier” problem. They cling to enamel, providing lots of sugar as fuel for cavity-creating bacteria. Similarly, drinking a soda with lunch (not every day, of course!) provides a short exposure to sugars. Sipping sodas throughout the day is like bathing teeth in sugar for hours at a time.

To eliminate some of the treats bacteria love, choose snacks with an eye to how they affect teeth throughout the day, and teach your child to brush or rinse with water after eating.

  • Schedule Regular Dental Exams and Cleanings

Most children should be visiting Dr. John Rottschalk Dental Group twice a year, even during the baby teeth years. Drs. Rottschalk, Acker, and Froidcoeur will monitor your child’s primary teeth and developing teeth and bite. And a professional cleaning removes built up plaque that even the most dedicated brusher might miss.

If you have any concerns about cavities and their prevention, Drs. Rottschalk, Acker, and Froidcoeur will have suggestions tailored to your child’s individual needs. Us working together to make sure your child has a healthy, confident smile? That’s a partnership that will provide lifelong advantages!

Mamelons

June 13th, 2024

Quick trivia question: define “mamelon.” Some kind of warm blooded animal? No, not a member of the mammal clan, but good guess. A fruit of the gourd family? Nope! There are watermelons, and honeydew melons, and even canary melons, but no ma-melons. Those little rounded bumps you notice on the edge of your child’s permanent incisors when they first emerge? We have a winning answer!

  • Why Do We Have Mamelons?

We have eight incisors, or biting teeth, in the front of our mouths—four on top and four on bottom. Mamelons are actually a clue as to how these incisors were formed. Even before a baby is born, the permanent teeth begin to take shape. Three different groups of cells develop to form the incisal edge of these front teeth. As they fuse together, they create three lobes of enamel on the erupting edge of the tooth. It’s these lobes, or bumps, that give the teeth a serrated appearance.

Whether your child’s mamelons are quite prominent or barely noticeable, if you are worried about them, relax! They are almost always a temporary part of your child’s smile, and disappear over time with chewing and normal wear. But what if the mamelons overstay their welcome?

  • Cosmetic Concerns

Because mamelons are composed of enamel, without the underlying dentin layer found in the body of the tooth, they can appear translucent or a bit different in color. They might wear away unevenly, leaving the tooth edges looking misaligned. Or, they might not wear away at all if your child’s tooth eruption is delayed. Talk to Drs. Rottschalk, Acker, and Froidcoeur if mamelons are a cosmetic concern for you or your child. You might discover that they are wearing away naturally, or we can discuss ways to polish or smooth them down if needed. This is a painless procedure that doesn’t require an anesthetic. Generally, however, this is a matter where time will resolve the issue for you.

  • Orthodontic Implications

Occasionally, mamelons might become a topic of discussion for orthodontic reasons. Sometimes, mamelons do not wear away over time because of a malocclusion (misaligned bite). Your orthodontist will let you know your child has a bite problem and can explain treatment options. Your orthodontist might also suggest smoothing away the mamelons to ensure that the edges of the incisors align correctly and symmetrically while the teeth are in the process of straightening. Again, this is not always considered a necessity, so weigh your options with your dental care provider.

So, if you notice that your child’s beautiful new teeth are bumpy or serrated as they erupt, don’t be concerned! If you have any questions about mamelons, talk to Drs. Rottschalk, Acker, and Froidcoeur at your next visit to our Fairview Heights, IL office. This is a natural occurrence and most likely just a temporary “bump” in the road. Soon enough, mamelons will be a memory—and the answer to a pretty difficult trivia question.

Floss? Sticks? Picks? Which Should You Choose?

June 5th, 2024

You might have noticed that the dental aisle of your drugstore is larger than ever, with more options than ever for getting the spaces between your teeth their cleanest. Flosses made with different shapes, materials, and coatings. Wooden dental sticks. Flexible plastic picks. Tiny interproximal brushes. Water flossers. With all these choices, what’s a conscientious person to do?

  • Find What Works Best for You!

We’ve come a long way from the one-size-fits-all floss of our grandparents. Today’s plaque-removing tools are designed to make interdental cleaning easier and more efficient for users with a variety of different needs.

  • Floss Choices

Flossing properly is a very effective way to get rid of the plaque that builds up between your teeth and along your gum line—not to mention the food particles which your brush may have missed. And now there are options to suit both your needs and your preferences.

Modern flosses come waxed or unwaxed, flat or rounded, made of natural or synthetic material, flavored or unflavored. There are flosses designed for specifically for braces and eco-friendly, biodegradable flosses. If you’re not happy with your regular floss, a different size, material, or texture might make all the difference.

Even with all these choices, though, flosses don’t always suit everyone. Luckily, if you’ve had trouble with floss, you have many other options available for interdental cleaning:

  • Floss Picks

These tiny, handled tools hold a piece of dental floss in their curved end. You can direct the floss to the perfect spot, which is especially useful if you’re having trouble reaching your back teeth or have mobility issues. Floss picks can be disposable or refillable, and come in different sizes to accommodate adults and children.

  • Dental Picks

Back in the day, toothpicks were the go-to for dislodging food particles. But they weren’t designed for gum health and safety. Today, we have gentler, more efficient options for those of us who like the ease of using a pick and the convenience of being able to clean our teeth at work, at school, or on the go.

Triangular wooden picks are tapered to fit between the teeth and massage the gum line as they scour plaque from tooth enamel. Soft plastic picks are popular because their flexible tips fit easily in between the teeth, while their texture provides gentle scrubbing for your tooth enamel.

  • Interproximal Brushes

Big name; tiny brush. These little cone-shaped brushes come in various sizes so they can fit snugly and comfortably between teeth whether widely or narrowly spaced. They’re especially handy for getting around wires if you wear braces.

  • Water Flossers

These high-tech tools provide a pulsing stream of water to clean between the teeth. They’re particularly helpful for those with mobility issues and those with traditional or lingual braces. To make sure you’re getting the job done, choose a model with a dental seal of approval, which means it has been tested for safety and effectiveness.                                                                                                                                                                   

With so many options, you can sample different flossing alternatives until you find the one that works best for you.

  • Technique Is Key

No matter which product you choose, the key to effective plaque removal is your technique. You need to be thorough. You need to be gentle enough to protect your delicate gums, but not so gentle that you don’t remove any plaque.

Whichever method you choose, carefully follow directions to get optimal cleaning benefits while protecting tooth enamel and gum tissue. And remember, you have an expert ally in your corner—Drs. Rottschalk, Acker, and Froidcoeur and your team at Dr. John Rottschalk Dental Group! If your hygienist is seeing a lot of plaque buildup at your next exam, ask for tips to improve your interdental cleaning technique and suggestions for the best products to accommodate your specific needs.

  • Choose It—Then Use It!

Even after deciding on the best tool and technique, your teeth and gums won’t benefit from your research if your floss or pick or brush or water flosser is languishing in the medicine cabinet. While dentists recommend flossing at least once each day, if you have braces or a tendency toward cavities or gum disease, your dentist might recommend flossing more often.

Why is flossing so important? Even with the best brushing technique, it can be hard to reach plaque and food particles caught between the teeth and near the gum line. Removing plaque from between teeth can help prevent cavities, and it’s especially important for gum health.

Plaque and tartar are extremely irritating to gum tissue. This irritation causes inflammation, and you’ll soon start to see the first signs of gingivitis (early gum disease)—swelling, redness, bleeding, bad breath—when flossing is hit or miss. Over time, left untreated, gingivitis can lead to periodontitis, a serious form of gum disease that can cause tooth and bone loss.

When caught early, you can often reverse the irritation, inflammation, and unpleasant symptoms of gingivitis with a week or two of careful brushing and flossing. If your gums are bothering you despite your careful cleaning, it’s time to visit our Fairview Heights, IL dental office. There are lots of options available for getting your teeth their cleanest—but you have only one smile!

Root Canal Recovery

May 29th, 2024

Anyone who has had a compromised tooth knows that the amount of discomfort it causes can be extremely unpleasant. Although no one looks forward to a root canal, this procedure is actually the best way to both eliminate pain and save your tooth. If the pulp inside your tooth is infected or damaged, a root canal is probably necessary.  

The process is relatively straightforward and can take place over one or two visits to our Fairview Heights, IL office. The area around the tooth is numbed, the pulp is removed from the inside of the tooth, the area is thoroughly cleaned, and a temporary filling or crown is placed on the tooth to prevent bacteria and food from entering the site. A permanent crown will be fabricated and affixed to the tooth at a later visit.

Once your root canal is finished, recovery is usually only a matter of days. What can you to keep yourself as comfortable as possible during that time?

  • The area around the affected tooth might be somewhat sore or sensitive for a few days. Let us know, and we can talk about medication to reduce pain and inflammation. If you are prescribed antibiotics, be sure to take the entire course of medication as directed.
  • Taking an ibuprofen (if this is a pain reliever that is safe for you) before the anesthetic wears off will reduce the soreness in the hours immediately after the procedure.
  • Wait until the numbness is gone before eating to avoid biting down on a temporary filling (or your tongue). Hot drinks are also best avoided.
  • Avoid chewing on the side of the affected tooth until the restoration is complete. A soft diet is recommended for the first several days—chewy, sticky, and crunchy foods should wait.
  • Continue with regular brushing and flossing.
  • Call Drs. Rottschalk, Acker, and Froidcoeur immediately if you experience severe pain or visible swelling, if you have an allergic response to medication, if your bite feels uneven, or if you lose the temporary filling.

Follow the instructions we’ll give you carefully, and feel free to call us with any concerns. We want to ensure that your root canal is as pain-free and worry-free as possible.

Something To Chew On

May 28th, 2024

Chewing gum can be a sticky problem. We’re not talking about etiquette, or nutrition, or how to get rid of the darned stuff when you don’t have a trash container handy. No, we’re talking about gum and its effects on dental health. So, let’s take a moment to chew over the benefits and drawbacks of chewing gum.

  • First, the Good News about Gum

One of the important benefits of chewing gum is increased saliva production. This might not sound especially appealing, but here’s an important fact: saliva is one of oral health’s unsung heroes.

Saliva helps wash away food particles which feed the bacteria in plaque. It helps neutralize acids in the mouth which can damage tooth enamel. The minerals in saliva actually help rebuild weak spots in our enamel.

And, since sugar-free gum has revolutionized the gum-chewing world, we don’t bathe our teeth in sugar while we chew. This is a major advantage, and it’s why sugar-free gums are the only products which are ADA approved. A possible downside? Some people who chew certain sugar-free gums (especially people who chew a lot of them) can experience digestive problems.

  • What about Dental Work?

Yes, gum can be tricky for dentures, crowns, braces, and other dental work, especially with very sticky and chewy products. There are gums out there that claim to be safe for dental work, but finding the right gum can involve some trial and error that you might prefer to avoid. This is a good subject to discuss with Drs. Rottschalk, Acker, and Froidcoeur.

If you have a temporary crown protecting a tooth until your permanent crown is ready, avoid gum entirely until your restoration is complete. The pulling effect of sticky, chewy gum can make your temporary crown even more temporary than you were expecting! After your crown’s finished, talk to your dentist about chewing gum again.

  • “Chews” Wisely

Chewing means jaw movement and pressure. Hours of chewing means hours of jaw movement and pressure. If your jaws ache after a gum marathon, maybe it’s time to cut back! But, if your jaws ache whenever you chew, that’s a sign that a visit to our Fairview Heights, IL office is in order.

The temporomandibular joint (TMJ) is a kind of hinge which allows your mouth to open and close and move from side to side—in other words, to talk, eat, drink, yawn, make faces—all those things we do all day long. Recurring jaw pain can be a sign of TMJ (temporomandibular joint) disorder.

Bruxism, or tooth grinding, is another reason to leave gum off your shopping list. When you grind your teeth, you’re putting stress on your teeth and jaws which can lead to cracked and chipped teeth, headaches, and tooth and jaw pain. If you’re working on getting your bruxism under control, you’ll want to avoid chewing gum and other habits which cause jaw clenching.

You and your dentist are the people who know your oral health best. If you suffer from dry mouth and think chewing gum might help with saliva flow, or if you’re worried about your dental work being damaged by gum, or if you have jaw pain when you chew, or if you have any concerns about your oral health, visit Dr. John Rottschalk Dental Group for all the answers to your sticky questions.

Mouthguard Protection

May 27th, 2024

Let’s talk about mouthguards and night guards—two crucial appliances that protect your teeth and jaw.

We could talk about how important a mouthguard is when you lead an active life. Mouthguards protect teeth, delicate mouth tissue, and jaws from accidents and impacts.  

Or if you grind your teeth at night, waking up every morning with tooth or jaw pain, we can talk about how a night guard can be a quality-of-life-saver.

But we’re not going to talk about any of these important topics today. Instead of looking at how your mouthguard protects you, today we’re going to look at how you can protect your mouthguard.

If you want your guard to last longer, work better, and stay (and smell) cleaner, some basic tips make all the difference.

  • Keep your guard clean.

This can’t be stressed enough. Without a good cleaning routine, your guard can become discolored, develop an unpleasant odor, and even cause illness. Not very appealing, right? Happily, keeping mouthguards and night guards clean isn’t difficult.

When you wear your guard, whether during daytime activities or through the night, the same plaque that is present in your mouth makes itself at home in your appliance. And when your guard is in its case, that dark, moist environment makes it a perfect breeding ground for all kinds of bacteria, viruses, and fungi.

As soon as you take your guard out, rinse it off. Brush with a soft toothbrush to remove all the plaque, saliva, or food debris that might be lingering in your appliance. (If you are on the playing field, in the park, or at some other inconvenient location, rinse it and brush as soon as you can.) Toothpaste can help get your guard its cleanest, but can be too abrasive for some appliances.

Once you’ve cleaned it, let your guard air dry in a clean spot for about 30 minutes. Air drying helps prevent bacterial growth. After your guard has dried, return it to its case.

Once a week, you might need to give your guard a good soak in a mouthwash or other dental cleaning solution.

Since cleaning instructions can be different depending on which type of guard you have, be sure to follow our instructions if you have a custom guard, or follow the manufacturer’s cleaning instructions if you have a store guard.

  • Keep it safe.

When your guard isn’t in your mouth, it should be in its case. Lying loose on the bathroom counter or tumbling around in your gym bag puts your guard at risk for breakage and bacteria.

And don’t forget to clean your case thoroughly every few days and air dry it as well. Bacteria, viruses, fungi, mold, and other unwelcome guests can collect in your case, too.

  • Keep it only as long as it’s in good condition.

You can purchase mouthguards from sporting or drug stores, or Drs. Rottschalk, Acker, and Froidcoeur can make you a mouthguard or night guard designed to fit your teeth perfectly. These appliances are made to be strong and durable, but they’re not indestructible. Over time they can wear down or become damaged, especially if you treat them carelessly.

Bacteria can lurk in dents and cracks, and you can cut your mouth on rough, sharp, or broken edges. But if your guard isn’t fitting properly, don’t resort to self-help! Trying to repair, reshape, or trim your appliance yourself is not a good idea, because it might affect its fit and protective ability.

Any sign that your guard isn’t fitting properly or shows signs of wear and tear could mean it’s time for a replacement. You can replace a store model, or ask our Fairview Heights, IL team about repairing or replacing your custom guard. A mouthguard or night guard that doesn’t fit, doesn’t protect you.

Take care of your guard, and it will take care of you. The reward for the small amount of time and effort you put into caring for your mouthguard or night guard is a smile that will last you for a lifetime. That’s a benefit we can talk about all day!

When to Begin Dental Care for Your Child

May 8th, 2024

Children’s oral health differs from that of adults in a variety of ways. Drs. Rottschalk, Acker, and Froidcoeur and our team want you to understand how you can provide the best care for your son or daughter’s teeth. It’s essential to understand what your child will need from you when it comes to his or her oral health in those first few years.

In-home dental care begins when your baby starts to show signs of developing the first tooth. We recommend that you bring your child to our Fairview Heights, IL office between the ages of one and two. Drs. Rottschalk, Acker, and Froidcoeur will take a look at your child’s tooth development and gums during this first scheduled appointment.

The initial appointment with your little one is designed to get him or her accustomed to our office. We recommend allowing your child to be in the exam room alone with us during the first visit in order to become comfortable with our staff at an early age.

We will go over several general matters during your child’s first visit:

  • Look for signs of decay or other tooth or gum problems
  • Make sure your youngster doesn’t have gum disease or cavities
  • Examine your child’s bite, and check for misalignment that could lead to problems in the future
  • Clean the teeth, and apply fluoride if your son or daughter is old enough
  • Talk to you about proper oral health care for your
  • Give you some tips for brushing and flossing your child’s teeth
  • Answer any questions you may have about caring for your little one’s teeth

Once your child is old enough for his or her first visit to the dentist, you should begin to schedule regular cleanings every six months. If any problems arise before a scheduled appointment, call our Fairview Heights, IL location and we will be happy to answer any questions you may have.

Remember, creating healthy oral health habits with your child early on is crucial. We’re here to guide you through this process and make sure your child is healthy and happy.  

Diastema, or, Mind the Gap!

May 1st, 2024

Diastema is a medical term meaning “space between”—or what Drs. Rottschalk, Acker, and Froidcoeur and our team less formally call a gap between the teeth. Such gaps are common for children as they make the transition from baby teeth to adult teeth, and usually close when all the permanent teeth arrive. But not always!

Sometimes a gap, usually between the upper front teeth, stays with you into adulthood, but doesn’t affect your perfectly heathy teeth. Sometimes a diastema develops due to medical conditions or trauma. Whether you would like to close a gap for cosmetic reasons, or need to address gaps that have developed because of dental problems, your treatment will depend on the causes of the diastema.

  • The Relationship of Jaws and Teeth

Most of the time, we think of braces as straightening crooked teeth. For many braces wearers, the jaw can’t accommodate all of the adult teeth without crowding. But it’s also possible to have too much space for incoming teeth, and this can lead to a gap between two or more teeth. Orthodontic treatment is a common choice to close this kind of gap, using braces or clear aligners to move the teeth closer together.

  • Prominent Labial Frenulum

The labial frenulum is a band of muscular tissue that connects the upper lip and the top of the gums. If it is too large, tissue can extend beyond the top of the front teeth. A gap develops when the front teeth simply can’t meet because of the tissue between them.  Oral surgery can reduce the size of the frenulum, if necessary, and often orthodontic treatment is the go-to option to close the diastema.

  • Small Teeth or Small Gap

Occasionally, a few teeth are noticeably smaller than their neighbors. Bonding, veneers, and crowns can be used to enlarge these teeth, making them proportionate to the teeth around them. These treatments can also be successful in reducing a gap between the front teeth.

  • Missing Teeth

Sometimes people are born missing a tooth. Sometimes people lose a tooth to injury or decay. And while the space left by a missing or lost tooth is a noticeable gap in itself, the remaining teeth can shift to fill the void, causing other gaps to develop as well. A dental implant or bridge can both replace a missing tooth and maintain the normal spacing of the teeth that surround it.

  • Gum Disease

Left untreated, periodontitis (gum disease) can damage or even destroy the bone tissue which holds and supports the teeth. This, in turn, leads to “tooth mobility,” or loose teeth. Spaces between the teeth become more noticeable and larger over time. After the gum disease is treated, patient and dentist can explore options for reducing or eliminating spaces between the teeth.

  • Harmful Oral Habits

Tongue thrusting and thumb sucking are two habits that can affect the alignment of the front teeth. Both behaviors pressure the teeth to move forward, which can cause separations between them. Learning how to change these behaviors will help prevent or stop the expansion of a diastema and potentially serious malocclusions (bad bites).

If you would like to discuss your diastema for aesthetic reasons, talk to Drs. Rottschalk, Acker, and Froidcoeur for ways to reduce or eliminate the gap. If your diastema is the result of a medical condition, we will be able to recommend treatment options available at our Fairview Heights, IL office. If you’re teeth and gums are healthy, and you enjoy the individuality of your diastema . . .

  • Embrace the Space!

A diastema can be a signature look for you and your smile. Normal brushing, flossing, and regular dental care will keep your smile bright, healthy, and uniquely you. And if you’re happy, healthy, and confidant, why, there’s no reason to mind the gap at all!

What’s the Big Deal about Sleep Apnea?

April 24th, 2024

What’s the big deal about a little snoring during the night? Or feeling a bit drowsy during the day? Or an occasional bout of insomnia? If your sleep problems are few and far between, probably not a major worry. But if your sleep disruptions are frequent, getting worse, or more noticeable to those around you, your problem might be sleep apnea. And that can be a big deal.

Sleep apnea occurs in three forms:

  • Obstructive sleep apnea

This is the most common form of sleep apnea. It can be the result of the muscles in the back of the throat relaxing during sleep to obstruct the airway. Obstruction can also be caused by a physical condition such as a deviated septum, excess throat tissue or enlarged tonsils.  Loud snoring often results as the sleeper struggles to inhale through the obstructed passageway.

  • Central sleep apnea

Central sleep apnea is caused by the brain failing to transmit the proper signals to breathe during sleep. The sleeper either stops breathing, or takes such shallow breaths that he or she can’t get enough air into the lungs.

  • Complex sleep apnea

This condition is a mix of both obstructive and central sleep apnea.

Any of these forms of sleep apnea will cause a miserable night’s sleep. Sufferers actually stop breathing for a brief time. To start breathing properly again, our bodies move from the deep sleep we need to restore our physical and mental health to shallow sleep or even momentary wakefulness. And these disruptive episodes can happen dozens of times an hour, all night long. You might think you have gotten a full night’s sleep, while in reality you are suffering from sleep deprivation.

When you suffer from obstructive sleep apnea, the immediate consequences are easy to see and hear. Loud snoring, choking, constant drowsiness—you (and your loved ones) suffer from these symptoms night and day. But the hidden consequences of this disorder are even more dangerous. Sleep apnea has been linked to high blood pressure, heart disease, and strokes. It can cause memory problems, depression, and mood changes. Loss of focus and slow reflexes can lead to accidents. Complications from general anesthetics and medications can also become a serious risk.

Snoring is not the only symptom of sleep apnea. If you notice that you often wake up with a sore throat, a dry mouth, or a headache, have difficulty going to sleep at night or staying awake during the day, can’t concentrate,  or constantly feel irritable—you should consider the possibility that you suffer from sleep apnea. Talk to Drs. Rottschalk, Acker, and Froidcoeur at our Fairview Heights, IL office. We can recommend options that will have you once again sleeping soundly in your bed, waking up refreshed and healthy. And that is a big deal.

Common Wisdom Teeth Problems

April 17th, 2024

Have you ever wondered why people have wisdom teeth? These are a third set of molars that come in behind the rest of all your other teeth, usually during early adulthood. Scientists and anthropologists believe that wisdom teeth are a result of evolution, because our ancestors needed these extra teeth to handle their primitive diets. Nowadays, the average diet consists of fewer hard-to-chew foods, which renders wisdom teeth largely superfluous.

Most people begin to experience wisdom teeth pain between the ages of 17 and 25. Our ancestors nicknamed them wisdom teeth because they appeared at a time in life when we supposedly grew wiser.

If you’ve already had your wisdom teeth removed, you know how painful they can become if they aren’t taken care of promptly. If not, watch out for discomfort in the back of your mouth and let Drs. Rottschalk, Acker, and Froidcoeur know right away if you think your wisdom teeth are coming in.

In some cases, people do not experience any problems or discomfort with their wisdom teeth. These patients may keep their wisdom teeth intact if there’s enough room in their jaw to fit them properly. But this is generally not the case, so wisdom teeth can cause several concerns, depending on which direction they grow.

Common problems include:

  • Damage to surrounding teeth due to the pressure from the emerging teeth
  • Infection that causes the surrounding gums to swell and become painful
  • Tooth decay due to the lack of room to clean the teeth properly
  • Impaction (when the tooth is unable to break through the skin)
  • A cyst that may damage the jaw, the surrounding teeth, and nerves

If you haven’t had your wisdom teeth removed yet, there are many symptoms to watch out for when they begin to grow. Symptoms may include:

  • Pain or stiffness in the jaw
  • Tooth irritation
  • Swelling of gum tissue
  • Crowding of other teeth
  • Spread of tooth decay or gum disease on nearby teeth

If you’ve noticed these symptoms, schedule an appointment at our Fairview Heights, IL office. Don’t forget: This is a common procedure that will take some time to recover from. Allow your mouth to heal, and then you’ll be able to get back to a normal routine quickly and be free from pain!

The Root of the Matter

April 10th, 2024

A strong, healthy smile is built on a strong, healthy foundation. Let’s take a moment to explore just what creates that foundation—your roots.

The Root of the Matter

The visible part of your tooth is called the crown. And while we spent the great majority of our time thinking about what goes on above the gum line—brushing, flossing, whitening, sealing, preventing cavities—the roots, the parts of the teeth below the surface, are also essential to our dental health.

  • What’s inside the root?

The inside of each tooth holds pulp, which is living tissue made of nerves, blood vessels, and connective tissue. The nerves in the pulp allow us to feel pain when a tooth is damaged, decayed, or infected. Tiny blood vessels provide oxygen and nutrients to the cells.

The inside of each root also contains pulp, located in one or more root canals. These canals are small tunnels that travel from the pulp chamber to the tip of each root. Nerves and blood vessels connect pulp tissue to the nervous and circulatory systems in the body, entering and exiting the tooth from very small openings in the root tip.

  • What’s outside the root?

On the outside, while roots look like crowns, they’re covered with a different protective surface. Roots are covered by cementum rather than enamel. This is a hard tissue, but not as hard as enamel. But cementum has another advantage—it not only helps protect our teeth, it helps them stay anchored in our jaws. (More on this below.)

  • How many roots are we talking about?

The number varies, not just depending on the tooth, but depending on the individual. Most adults have 32 adult teeth: eight incisors, four canines, eight premolars, eight molars, and four wisdom teeth, or third molars. Because the number of wisdom teeth can range from four to zero, though, that total can be smaller.

Rooted to the Spot

The reason that you can rely on your teeth for a lifetime of chewing, biting, and grinding food is the fact that they’re so securely anchored in the jaw.

  • Alveolar bone in the jaw contains a socket for each tooth.
  • A thin layer of connective tissue called the periodontal ligament lines the socket and surrounds each root. It’s filled with fibers that attach to the root’s cementum covering and to the alveolar bone, holding the tooth securely in place.
  • The periodontal ligament not only anchors the tooth, it cushions it from the daily pressure of biting and chewing.
  • Finally, the gums surround the teeth and bone, protecting them from bacteria and plaque.

Even though this design is very secure, there are situations where the root becomes vulnerable. In that case, you should see Drs. Rottschalk, Acker, and Froidcoeur at our Fairview Heights, IL office right away. Our goal is for you to keep your teeth healthy and strong, and for a lifetime!

What to do about Dry Mouth

April 3rd, 2024

Xerostomia, commonly known as dry mouth, is a condition in which the salivary glands in the mouth don’t produce enough saliva. Saliva keeps the mouth moist and cleanses it of bacteria. A lack of it makes for an uncomfortably dry mouth that is also more susceptible to infection and disease.

Symptoms of dry mouth include:

  • Dryness or a sticky feeling
  • Frequent thirst
  • Burning sensations or redness in the throat or on the tongue
  • A sore throat or hoarseness
  • Difficulty chewing, swallowing, or tasting food

Dry mouth usually comes about as a side effect of certain medications or medical conditions, but can also be caused by damage to the salivary glands because of injury or surgery.

If you're experiencing any of the symptoms of dry mouth, here are a few tips for what to do:

Double-check medications: If you are taking any prescription or over-the-counter medications, speak with Drs. Rottschalk, Acker, and Froidcoeur to see if any of these could be causing the dry mouth as a side effect.

There may be ways to alleviate the symptoms.

  • Stay hydrated: Whether you have dry mouth or not, it’s essential to stay hydrated. Drink plenty of fresh and pure water throughout the day. A good rule of thumb is to drink eight eight-ounce glasses of water a day.
  • Suck or chew on a natural, sugar-free candy or gum: Sucking on candy or chewing gum will keep your salivary glands producing saliva. Healthier versions of sugar-free candy and gum are available these days. Some are made with xylitol, a sugar alcohol that actually helps prevent tooth decay.
  • Add moisture to your living spaces: Try adding a vaporizer to your bedroom or the rooms where you spend the most time. It’s best for your home to have a humidity level of between 40 to 50%. Anything less than 30% is too low. You can measure humidity with a hygrometer, which is easy to find at your local department store or online.

These are just a few general tips, but if you’re experiencing the symptoms of dry mouth often and it’s interfering with your life, pay a visit to our Fairview Heights, IL office. That way you’re more likely to get to the root of the problem.

Improve your oral health with xylitol!

March 27th, 2024

Xylitol tastes sweet, but unlike sugar, it is not converted to acid that can cause your teeth to decay. It’s a naturally occurring sweetener found in plants, fruits, and vegetables; even the human body produces it in small amounts. Xylitol is widely used in sugar-free chewing gum, mints, candies, and even certain forms of medicine.

The World Health Organization has approved xylitol because only a small amount is needed for its health benefits. It’s even safe for diabetics, with a glycemic index of only seven. Xylitol has 40% fewer calories than other types of carbs: less than three calories per gram.

So how can this natural sweetener benefit your oral health? Take a look at the facts. Tooth decay starts when bacteria consumes the sugars left in your mouth. When you eat sugary foods, the bacteria on your teeth will multiply and make acid that can destroy your enamel.

Xylitol is derived from fibrous parts of plants, so it does not break down like a regular sugar. It actually helps maintain a neutral pH level in the mouth, which in turn prevents bacteria from sticking to the teeth. The bacteria are then unable to digest xylitol, which means your teeth won’t develop enamel damage and cavities.

Studies have shown the consumption of xylitol as a sugar substitute or a dietary addition had a dramatic reduction in new cavities and even reversed existing cavities. These effects are long lasting: low cavity rates remained years after the trials were done.

When there’s less bacteria and acid in your mouth due to xylitol, your teeth stay healthier. The more frequently it’s ingested, the more you will prevent enamel damage.

Aim to consume around five grams a day, or one gram every three hours if possible. You can do this by consuming gum, tablets, candy, or mints that have xylitol as one of the first ingredients after your meals. You can find these products in health food stores and specialty grocery stores.

Since xylitol replaces sugar on a one-to-one ratio, it’s used in several common items:

  • Toothpaste
  • Mouth rinse
  • Baby oral wipes, gel, and pacifiers
  • Nasal wash
  • Dry mouth spray
  • Granulated forms for cooking
  • Granulated packets to add to drinks
  • Commercially prepared foods

Make sure to pick up items that contain xylitol the next time you’re at the store! This is an easy way to maintain great oral health. If you have specific questions about xylitol, ask Drs. Rottschalk, Acker, and Froidcoeur during your next appointment at our Fairview Heights, IL office.

Forget Something? It’s on the Tip of Your Tongue!

March 20th, 2024

Let’s see…

Toothbrush? Check.

Fluoride toothpaste? Check.

Floss? Check.

Two minutes of thorough brushing? Check.

Careful cleaning around your brackets and wires? Check.

Wait… there’s something else… it’s right on the tip of your…

Ah! Your tongue! Whenever you brush, morning, evening, or any time in between, if you want the freshest breath and cleanest teeth, don’t forget your tongue.

Why your tongue? Because the tongue is one of the most common sources of bad breath. Let’s examine just why this occurs.

The tongue is made up of a group of muscles that help us speak and chew and swallow. But there’s more to this remarkable organ than mere muscle. The surface of the tongue is covered with mucous membrane, like the smooth tissue which lines our mouths. But the tongue isn’t completely smooth—it’s textured with thousands of tiny bumps called papillae.

These little elevated surfaces have several shapes and functions. Some make the tongue’s surface a bit rough, which helps move food through your mouth. Some are temperature sensitive, letting you know that your slice of pizza is much too hot. And some are covered with thousands of the taste buds, which make eating that pizza so enjoyable.

All of these papillae with their various functions combine to create a textured surface, filled with miniscule nooks and crannies. And if there’s a nook or a cranny where bacteria can collect, no matter how miniscule, it’s a good bet that they will, and the surface of the tongue is no exception. But bacteria aren’t alone—the tongue’s surface can also hide food particles and dead cells.

How does this unappealing accumulation affect you? These elements work together to cause bad breath, especially the bacteria that break down food particles and cell debris to produce volatile sulfur compounds—compounds which create a particularly unpleasant odor. Including your tongue in your brushing routine helps remove one of the main causes of bad breath.

And that’s not the only benefit! Cleaning the tongue helps eliminate the white coating caused by bacterial film, and might even improve the sense of taste. Most important, studies show that regular cleaning noticeably lowers the levels of decay-causing plaque throughout the mouth.

So, how to get rid of that unwanted, unpleasant, and unhealthy debris?

  • When you’re done brushing your teeth, use your toothbrush to brush your tongue.

Clean your tongue by brushing gently front to back and then side to side. Rinse your mouth when you’re through. Simple as that! And just like a soft-bristled toothbrush helps protect tooth enamel and gum tissue, we also recommend soft bristles when you brush your tongue. Firm bristles can be too hard on tongue tissue.

  • Use a tongue scraper.

Some people find tongue scrapers more effective than brushing. Available in different shapes and materials, these tools are used to gently scrape the surface of the tongue clean of bacteria and debris. Always apply this tool from back to front, and rinse the scraper clean after every stroke. Wash and dry it when you’re through.

  • Add a mouthwash or rinse.

As part of your oral hygiene routine, antibacterial mouthwashes and rinses can assist in preventing bad breath. Ask Drs. Rottschalk, Acker, and Froidcoeur for a recommendation.

  • Don’t brush or scrape too vigorously.

Your tongue is a sturdy, hard-working organ, but tongue tissue is still delicate enough to be injured with over-vigorous cleaning.

Taking a few extra seconds to clean your tongue helps eliminate the bacteria and food particles which contribute to bad breath and plaque formation. Make this practice part of your daily brushing routine—it’s a healthy habit well worth remembering!

Canker Sores and Stress

March 13th, 2024

Canker sores are painful lesions that form in the soft tissues of the mouth, usually along the inner lips, under the tongue, and along the cheek walls. They are usually small and round, and take on a white or yellow hue. Though most are generally harmless and tend to heal on their own within a week or two of appearing, canker sores can be very irritating.

Only about one in five people develop canker sores. Of those who do, many develop them recurrently as a result of external factors. Though canker sores have been connected to allergies and hormonal changes, many people who are prone to developing canker sores find that their outbreaks are stress-related.

A combination of emotional stress and fatigue can be a perfect storm for the development of mouth sores. Some people say they are not under stress when canker sores form, but the sores appear several days after a stressful event or situation instead. Managing stress, reducing anxiety, and getting plenty of sleep may help prevent canker sores from forming and ensure that existing ones heal more quickly.

What to do if you develop canker sores

Do not be alarmed if you develop a canker sore. They are not contagious and are not harmful to your health. Over-the-counter oral numbing products can be used to manage pain, as can ice chips. Canker sores may heal faster if you apply milk of magnesia to them daily and avoid spicy foods that could irritate them.

You should contact your doctor if you find that your canker sores are unusually large or persist without healing for several weeks. Our team at Dr. John Rottschalk Dental Group also recommends seeking out professional treatment if you experience extreme pain or a fever develops in association with a canker sore outbreak.

For more information about canker sores, or to schedule an appointment with Drs. Rottschalk, Acker, and Froidcoeur, please give us a call at our convenient Fairview Heights, IL office!

The Most Common Causes of Gum Disease

February 29th, 2024

Unless you're aware of the signs and symptoms of gum disease and how it's caused, it's possible that you may have unknowingly developed it. Often painless, gum disease -- or periodontal disease -- becomes progressively more serious when left untreated. As you learn more about the common causes of gum disease, you'll be better-equipped to maintain the best oral health possible.

Gingivitis & Periodontitis: Common Causes of Gum Disease

  • Bacteria & Plaque. Bacteria in the mouth creates a sticky film over the teeth. Good hygiene practices help remove the bacteria and the plaque they cause. When plaque is not removed, it develops into a rock-like substance called tartar. This can only be removed by a dental professional.
  • Smoking & Tobacco. If you're a smoker or use tobacco, you face a higher risk of developing gum disease. Additionally, tobacco use can lead to stained teeth, bad breath, and an increased risk of oral cancers.
  • Certain Medications. Some medications that are taken for other health conditions can increase a person's risk of developing gum disease. If you take steroids, anti-epilepsy drugs, certain cancer therapy medications, or oral contraceptives, speak to Drs. Rottschalk, Acker, and Froidcoeur about how to maintain healthy gums.
  • Medical Conditions. Certain medical conditions can impact the health of your gums. For instance, diabetics face an increased risk of gum disease due to the inflammatory chemicals present in their bodies. Always talk to our team about other health conditions to ensure we take that into account when treating you.

Take a Proactive Stance

Good oral hygiene practices and regular visits to our Fairview Heights, IL office can help you eliminate or reduce the risks of developing gum disease. A thorough cleaning with your toothbrush and dental floss should take about three to five minutes. Brush your teeth a minimum of twice per day and floss at least once each day. Keep these tips in mind and you’ll be ready to prevent gum disease.

Satisfying a Sweet Tooth

February 21st, 2024

Time for some sweet talk! Many studies have been done to figure out why we enjoy sugar so much. Is it brain chemistry? Is it blood sugar getting a bit low? Is it our bodies craving a quick burst of energy?

It’s probably all of the above and more besides. After all, our biochemistry makes use of sugars on a cellular level. The carbohydrates in our diet break down into sugars, and these sugars are the body’s preferred source of energy.

Problems arise when we get too much of a good thing. There’s a difference between the carbs we need to fuel our bodies and the sugars we add to foods for flavor. Too many added sugars in the diet are linked to a number of medical conditions, including obesity, diabetes, heart disease, even prematurely aging skin.

And, of course, a sugar-heavy diet has a direct effect on your oral health.

There’s no way to sugar coat it. Plaque is mainly composed of bacteria, which feed on sugars. As they digest sugar, they produce acids. These acids attack our enamel, dissolving the calcium and phosphorus minerals which keep it strong. Weakened enamel leaves teeth vulnerable to decay, and decay creates cavities.

It’s natural to want a sweet treat every now and then, but without some attention, it’s easy to go overboard with added sugars and empty calories. If you’re searching for a middle way, balancing your love for sweet things with your love for cavity-free checkups, read on!

Be Choosy

  • Check and compare labels for added sugars. You’ll be surprised how many foods have a high sugar content, even such health-oriented foods as flavored yogurts, sports drinks, fruit drinks, and protein bars.
  • Consider the (sugar) source. White and brown table sugars and syrups break down easily as we’re eating them, adding empty calories which provide little nutrition, and increasing acidic conditions in the mouth.

Fruits, on the other hand, provide vitamins, minerals, antioxidants, and fiber along with their natural sugars. Switch out cookies, cakes, and pastries and their processed sugars for fruit when you crave something sweet.

  • Chocolate lovers, don’t despair! It’s true, unless you’re eating 100% cocoa, you are probably getting added sugar in your candy bar. But dark chocolate is rich in antioxidants, iron, zinc, magnesium, and other essential minerals, too. When you indulge in chocolate, give dark chocolate a try.
  • Not all candies are created equal! Soft candy bars and candies are healthier for your teeth than sticky or chewy confections, which tend to remain on your enamel for quite some time. Choose a treat that won’t stick with you.

Watch Your Timing

  • If you must snack during the day, it’s better to choose foods without a high sugar content. Bacteria use sugars to produce acids right away. Saliva can neutralize acids in the mouth, but it takes at least 20 minutes for the process to start.

More meals mean more sugar, more acid production, and more time for these acids to cause their damage. That’s why we also suggest you . . .

  • Eat your favorite dessert with a meal instead of waiting until later. You’ll be able to enjoy it even more knowing you’re limiting your exposure to harmful acids.
  • Taking your time is not a good idea when it comes to sweets. We don’t mean you should gobble your food. We do mean that taking sips of sugary beverages throughout the day, or sucking on slowly dissolving candies, gives you a lot more exposure to sugar over a longer period of time.

Small Changes Can Make a Big Difference

  • Drink water after enjoying something sweet to help wash away and dilute sugar.
  • Straws protect your teeth from a sugar-bath if you are drinking sodas, sweetened energy drinks, or other sugary beverages.
  • Sugar-free gum provides a burst of sweet flavor without added sugar. And even better? Chewing gum increases saliva, washing away food particles and acids and bathing teeth in enamel-strengthening minerals.

It’s natural to appreciate a sweet treat every now and then. If you’re not ready for a completely treat-free life, talk to Drs. Rottschalk, Acker, and Froidcoeur at our Fairview Heights, IL office about the best ways to have your cake and eat it—or even better, to recommend healthy substitutes to satisfy your sweet tooth.

Using Sippy Cups Successfully

February 15th, 2024

Congratulations! Your child is beginning to leave her bottle behind and has started to use her first sippy cup. And the best training cup is one that makes the transition from bottle to cup an efficient, timely, and healthy one.

The Right Training Cup

While a “no spill” cup seems like the perfect choice for toddler and parent alike, those cups are designed much like baby bottles. The same valve in the no-spill top that keeps the liquid from spilling requires your child to suck rather than sip to get a drink. If your child’s cup has a top with a spout, she will learn to sip from it. Two handles and a weighted base make spills less likely.

When to Use a Training Cup

Children can be introduced to a sippy cup before they are one year old, and we suggest phasing out the bottle between the ages of 12 and 24 months. Use a sippy cup as the source for all liquids at that age, and only when your child is thirsty and at mealtime to avoid overdrinking. The transition from sippy cup to regular cup should be a swift one.

Healthy Sipping Habits

The best first option in a sippy cup between meals is water. Milk or juice should be offered at mealtimes, when saliva production increases and helps neutralize the effects of these drinks on young teeth. And don’t let your child go to sleep with anything other than water—falling asleep with a cup filled with milk, juice, or other sugary drinks means these liquids stay in the mouth overnight. Finally, while a sippy cup is convenient and portable, don’t let your young child walk and sip at the same time to avoid injuries.

When your child comes to our Fairview Heights, IL office for her first visit, please bring any questions you might have about training cups. We would be glad to share ways to make the move from bottle to cup both successful and safe!

Thirsty? We Have Some Ideas on Tap

February 7th, 2024

No, we don’t mean the latest foamy offering from your favorite microbrewery. When you’re thirsty, one of the best options available is literally at your fingertips—tap water, straight from your faucet. It might not be the most adventurous choice, but drinking a tall glass of fresh tap water is refreshing in so many healthy ways.

Physical Health

Water conveniently available at home is much more than a convenience. We need to keep hydrated, because our bodies are made to run on water. To name just a few of its benefits, water provides nutrients to organs and cells, eliminates waste, regulates our temperature, and protects our joints and delicate tissues. Drs. Rottschalk, Acker, and Froidcoeur and our Fairview Heights, IL team will tell you all about the importance of proper hydration when it comes to your mouth, gums, and teeth, but here are a few highlights:

  • We need to be hydrated to produce enough saliva. Saliva, which is more than 90% water, helps prevent cavities and protect enamel by both washing away bacteria and balancing acids in the mouth which can cause decay.
  • Tooth enamel is so strong because it’s made of calcium and phosphate. These minerals are leached from our enamel by both bacteria-produced acids and dietary acids. Saliva also contains calcium and phosphate, and, with fluoride, restores these minerals in our enamel, leaving teeth stronger and less likely to develop cavities.
  • As a bonus, a quick rinse with water when you can’t brush after eating is a great way to remove food particles left behand—especially healthy when you’ve had sugary or acidic foods.

Ecological Health

If you want to reduce waste, one of the easiest ways to do so is to use tap water instead of bottled water.

  • Bottled water has a carbon footprint. It takes energy (and additional water) to create plastic and glass bottles, to label them, and to transport them. Water piped into your home from local sources? No bottles, labels, or long road trips necessary.
  • Water bottles should be recycled. Unfortunately, many cities don’t offer, or have stopped offering, recycling. Plastic and glass empties end up in landfills, littering our neighborhoods, or in our waters.

Budget Health

Getting your daily hydration from bottles can add up quickly.

  • Bottled water can cost hundreds of times as much as tap water. While local water prices vary, the average gallon of tap water costs less than a penny. No matter what kind of sale your local store is offering, bottled water will never be the bargain tap water is.
  • When you buy many small bottles instead of a few larger ones, or choose more expensive “designer” water, your costs can mount up even more.
  • When you need to bring water with you for work, sports, or other activities, consider filling a reusable bottle with water from home.

Dental Health

Getting the recommended amount of fluoride in your diet is one of the single best things you can do for your dental health. Fortunately, many communities make this easy for us by providing fluoridated drinking water.

  • Fluoride works with the calcium and phosphate in your saliva to create stronger enamel, so cavities can’t form as easily when your teeth are exposed to plaque and food particles.
  • Fluoride helps strengthen your child’s permanent teeth as they develop, and helps prevent cavities in both baby teeth and permanent teeth as children grow.
  • If your community doesn’t offer fluoridated water, ask Drs. Rottschalk, Acker, and Froidcoeur for the best way to get the fluoride you need to protect your teeth.

For the good of your body, your planet, your wallet, and last, but most certainly not least, the health of your teeth and gums, consider a glass of water. So many benefits—and you have them all on tap!

Airplane Oral Health Tips

January 31st, 2024

What’s in your carry-on bag? You’ve got your passport, ticket, and currency, but what about dental floss? Of course! You’re preparing for the trip of a lifetime, and we want to help make sure everything goes according to plan.

Part of your preparation before a long vacation should be a complete check-up at our Fairview Heights, IL office well in advance of your trip. If there is dental work to be done, now is the time to do it. No one wants to be stuck over the Atlantic with a toothache, and changes in atmospheric pressure can cause serious problems if you have a severely compromised tooth. Tell us when you are planning on traveling, and we can schedule any procedures that should be finished before you fly.

Now that you have the all clear to travel, what about maintenance once you’re on board for a long flight? Some airlines provide toothpaste and brushes for travelers. If you have questions about the quality of the water in the airplane restroom, use bottled water to brush. There are also single-use mini-brushes available for travelers that come loaded with paste and ready to use without any water at all. Crisp fruits and vegetables can help clean teeth on-flight if brushing isn’t an option, and drinking plenty of water will not only keep you hydrated, but help cleanse your mouth and teeth as well. Be sure to travel with floss, a travel-sized tube of toothpaste, and a brush in a well-ventilated container in case you face airport delays between flights.

Taking your electric toothbrush with you? Usually there is no problem bringing your electric toothbrush in your carry-on, but do check in advance to make sure this is allowed on your flight. Most electric toothbrushes have region-specific battery chargers, so find out in advance if you will need a voltage converter or plug adaptor if you are visiting another country. Check to make sure the head is in good condition before you go and replace it if necessary.

Once you’ve landed, try to keep your dental routine as close to normal as possible while you enjoy your visit. Regular brushing and flossing are still necessary, especially if you take the opportunity to explore the local desserts. We’ve given you some tips to make your flight more comfortable—now that you’ve reached your dream destination, the rest is up to you!

Courting Disaster

January 24th, 2024

When we think of sports and dental damage, we naturally think of hockey and football. But when it comes to the actual number of dental injuries suffered each year, vying for top seed is the game of basketball.

How is this possible? After all, football and hockey are categorized as “collision sports”! But along with the helmets, shin guards, and padding, these teams often require mouthguards—and this makes all the difference. Studies have shown that an increase in the number of players wearing mouthguards means a decrease in the number of oral traumas.

And while basketball isn’t considered a collision sport, it is a contact sport. Basketball is a combination of running, jumping, hard surfaces, and solid bodies. And elbows. We can’t forget elbows. So a broken or even a knocked out tooth isn’t, unfortunately, all that unusual when bodies in motion meet hard surfaces—or other players. But there are other dental dangers as well. Besides tooth injuries, oral injuries can involve:

  • The ligaments and bone structures holding teeth in place
  • Bones in the upper and lower jaw
  • Delicate gum, tongue, and mouth tissue.

You need a solid defensive strategy to reduce the severity of oral injuries or to prevent them from happening altogether. The best play in your playbook? Wearing a mouthguard!

Choosing the right guard is key. There are three common options, and you can choose the model which works best for you:

  • Stock guards, which are ready-made guards in pre-formed shapes and sizes. You can buy them over the counter in drug stores and sporting goods stores. Because these guards aren’t shaped to fit your teeth and mouth specifically, they can be less protective (and harder to speak around).
  • “Boil-and-bite” guards can also be purchased, and can provide a closer fit. After warming the guard in hot water as directed, you place it in your mouth and bite down firmly to mold it to your teeth.
  • Drs. Rottschalk, Acker, and Froidcoeur can make you a mouthguard which is designed and crafted specifically for your use. Because this guard is custom-fitted, it provides better protection for your teeth and mouth. Patients often find custom guards much more comfortable and more durable as well.

Mouthguards are most effective when you wear them on the court and care for them off the court. This means avoiding a few flagrant fouls.

  • Dirty play

All those moist nooks and crannies inside your mouthguard are a perfect environment for bacteria, mold, and plaque buildup. You should clean your mouthguard carefully every time you wear it, and let it air dry before popping it back in the case. Ask Drs. Rottschalk, Acker, and Froidcoeur for advice on getting your guard and its case their cleanest.

  • Failure to sub out in a timely fashion

Mouthguards don’t work if they’re damaged. If you notice any warping, breakage, or jagged or sharp edges, contact our Fairview Heights, IL office for a replacement. If a guard doesn’t fit you properly, it doesn’t protect you, and sharp edges can irritate or injure delicate mouth tissue.

  • Unnecessary roughness

Your mouthguard protects you, so don’t forget to protect it! Keep your guard in its case when you’re not wearing it to save it from dirt, damage, and disappearance.

If you know your basketball, you know your guard game can make all the difference. Even though a mouthguard might not be mandatory on your team, that doesn’t mean it’s not essential. Remember that basketball is a contact sport, and protect yourself with a mouthguard whenever you play.

Three Reasons We're Fans of Fluoride

January 17th, 2024

Why all the fuss about fluoride? Your dentist recommends it, your toothpaste is formulated with it, most of our drinking water contains it. Just what is it about this mineral that makes dental professionals sing its praises? Read on for three good reasons why fluoride is a healthy choice for healthier teeth.

  1. Fluoride Works!

Fluoride is an attractive option for protecting your teeth—and we mean that literally. Fluoride protects the surface of your teeth by working on a molecular level to attract minerals which strengthen enamel and help prevent cavities.

Our tooth enamel is mostly made from calcium and phosphate ions. These elements combine to form hydroxyapatite, strong crystals which make up about 95% of our enamel. Hydroxyapatite is so strong, in fact, that tooth enamel is the hardest part of our bodies. What can go wrong?

Acids. Acids created by the bacteria in plaque and the acids in our diet strip away the calcium and phosphate ions in enamel, weakening the surface of the tooth. This process is called demineralization. Over time, weak spots become bigger as acids eat through enamel to the inner tooth, causing decay and cavities.

So, what can fluoride do?

First, fluoride helps remineralize tooth enamel. Fluoride is attracted to the tooth’s surface and bonds with its minerals. It also attracts the calcium and phosphate ions which are found in our saliva to restore any minerals which have been lost. This process helps repair any weak spots that might have begun to form.

But fluoride does more than restore and repair tooth strength—it improves it! Fluoride ions join with calcium and phosphate to form fluorapatite crystals, which are larger and stronger than hydroxyapatite crystals.

Want more? Fluoride may interfere with bacterial plaque’s ability to produce acids. Since plaque and its acids are a major cause of gum disease, brushing with a fluoride toothpaste is a great way to help prevent plaque buildup around and below the gum line—buildup that leads to irritated, inflamed, and infected gum tissue.

  1. Fluoride Is Doubly Effective

Fluoride works both externally and internally. We just looked at how fluoride helps keep teeth strong when applied to the outside of the teeth. This is called a topical application. Systemic benefits come the fluoride we consume in our diets.

Fluoride isn’t found in many foods, but it is found naturally in lakes, rivers, and other water sources. When the local water’s fluoride level is low, many communities add fluoride for its proven ability to prevent cavities. Water fluoridation is safe, has been studied for decades, and has been shown to reduce the risk of cavities by 25% or more for both children and adults.

Systemic fluoride is especially important for your child’s dental health. This is because fluoride incorporates with minerals in the adult teeth while they are growing and developing, creating stronger, more cavity-resistant teeth even before they erupt. Most adult teeth have finished forming around age eight, so, if your community doesn’t have fluoridated water, it’s a good idea to discuss other options with your child’s dentist.

And we grown-ups benefit, too! When you drink fluoridated water, you’re increasing the amount of fluoride in your saliva. Just like fluoride toothpaste, saliva bathes your teeth with fluoride ions, strengthening the tooth surface, and helping to neutralize the acids which damage teeth and gums.

  1. It’s Easy to Get Fluoride Protection

Most toothpastes are formulated with fluoride, so you’re getting the enamel-strengthening benefits of this mineral whenever you brush—at least twice each day. Since children can’t really grasp the “rinsing” and “spitting” steps of the brushing routine just yet, talk to Drs. Rottschalk, Acker, and Froidcoeur about how to introduce tiny amounts of fluoride toothpaste to your child’s dental routine. Baby steps!

Because so much of our drinking water is fluoridated, most of us really don’t have to think about how to get the recommended amount of fluoride each day. If your community’s water is low in fluoride, we can help you here as well. Prescription fluoride rinses, gels, supplements, and other treatments are available to make sure that your teeth are well-protected, wherever you may live. We will let you know which products are best for you and how often to use them during your next visit to our Fairview Heights, IL dental office.

Fluoride isn’t, of course, the only way to look out for your dental health. Proper brushing and flossing are still essential for removing plaque. Check into sealants for both kids and adults for long-lasting protection for chewing surfaces. But when it comes to a proven cavity-fighter and plaque-reducer that is simple to use, effective, and easily available—is it any wonder we’re big fans of fluoride?

Common Causes of Gum Disease

January 10th, 2024

Your gums are responsible for a large part of your overall oral health. So keeping them healthy and knowing how to detect gum disease is extremely important.

Since it’s often painless, gum disease may go unnoticed and can progress when left untreated. Understanding the causes of gum disease will give you the ability to keep your oral health in great shape:

  • Bacteria and Plaque. Good hygiene helps remove bacteria and plaque from teeth. When plaque is not removed, it turns into a rock-like substance called tartar, which can only be removed by a dentist.
  • Smoking and Tobacco. Smokers and tobacco users put themselves at a higher risk of developing gum disease. Tobacco use can also stain your teeth, give you bad breath, and increase the risk of oral cancer. It’s best to avoid using tobacco altogether.
  • Certain Medications. Ironically, certain medications for other health conditions can increase your risk of developing gum disease. Talk with Drs. Rottschalk, Acker, and Froidcoeur if you have concerns about a medication you are taking. Steroids, anti-epilepsy drugs, certain cancer therapy medications, and oral contraceptives can be among the culprits.
  • Medical Conditions. Certain medical conditions can also affect your gum health. Diabetics can have an increased risk of gum disease due to the inflammatory chemicals in their bodies. Talk to our team about your health condition so we can take that into account when treating you.

Luckily, there are actions you can take to prevent gum disease. You should make regular visits to our Fairview Heights, IL office for regular cleanings. It’s also worthwhile to maintain good hygiene habits at home, such as flossing and brushing at least two times every day.

Good oral hygiene practice and visits to our Fairview Heights, IL office can help you eliminate or reduce the risks of developing gum disease!

Is a Lost Tooth a Lost Cause?

January 3rd, 2024

We’re used to seeing athletes wearing mouthguards at practice or play, because dental trauma is one of the most common (and predictable) sports injuries. But it’s not just athletes who are at risk, and there are some events in our daily lives that we just can’t predict. Car accidents, falls, workplace injuries, even innocent playground structures can take their toll on our smiles.

A major chip or a crack in your tooth is upsetting enough, and should be seen by Drs. Rottschalk, Acker, and Froidcoeur as soon as possible. It’s even more unnerving when a tooth is knocked out completely. The technical term for a tooth which has been knocked out is an avulsed tooth, and it is a true dental emergency.

If you should suffer a partially or completely dislodged tooth, there is a possibility that your tooth can be reimplanted—if the damage isn’t too severe and if you get to our office immediately.

How can a lost tooth be saved? This is possible because of the complex biological engineering that anchors our teeth within the jaw. The root of a tooth is surrounded by the periodontal ligament. This connective tissue attaches the tooth to the alveolar bone of the jaw. When a tooth is knocked out, this ligament splits apart, leaving some tissue on the tooth root and some within the tooth’s socket.

To successfully reimplant a tooth, the connective tissue cells around the root of the tooth need to be vital, so that they can begin to reattach to the connective tissue left in the socket. Over time, this reattachment is complete, and the tooth becomes firmly anchored to the bone again.

It’s important to protect your tooth before you see Drs. Rottschalk, Acker, and Froidcoeur to make sure there will be enough healthy tissue for reattachment. First of all,

  • Don’t panic! If you or a friend or family member lose a tooth, call your dentist or your emergency health care provider as soon as possible. You will get specific instructions for your specific situation.

If you are unable to reach a healthcare provider immediately, there are some general rules for taking care of an avulsed tooth:

  • Find the lost tooth. Don’t touch the root—use the crown, or top part of the tooth, to pick it up. You are trying to preserve and protect the connective tissue on the root surface.

 

  • If the tooth is dirty, gently rinse it in milk, saliva, or water. Don’t wipe it off, though. You could damage those connective tissue cells mentioned above.

 

  • Place the tooth back in the socket, if possible. Gently hold it in place with your fingers or bite down (again, gently). You can also place the tooth in your mouth next to your cheek.

 

  • If returning the tooth to the socket is not an option, or if you are worried about a child possibly swallowing the tooth, keep the tooth moist. Whole milk or solutions sold just for the purpose of preserving an avulsed tooth are better choices than water, which damage the tissue cells on the root. And never wrap the tooth tightly—this can also damage the connective tissue.

Above all,

  • Don’t delay! The faster a tooth is reimplanted in its socket, the greater chance you have of keeping it. Really, every minute counts. Reimplantations are more successful if they take place within 30 minutes. After an hour out of the mouth, your tooth’s chances of successful reintegration are lower—but still worth pursuing!

What will Drs. Rottschalk, Acker, and Froidcoeur do?

  • Evaluate the avulsed tooth.

There are variables which can affect whether or not a lost tooth is a good candidate for reimplantation. Trying to replace a baby tooth, for example, could interfere with the formation of the adult tooth. An adult tooth that is broken will probably require a different type of treatment.

  • Prevent infection.

You might be given antibiotics and a referral to your medical doctor for a tetanus booster if needed.

  • Clean the site.

The socket will be gently irrigated to clean the area and to remove any clots that may have formed which can interfere with the tooth’s placement.

  • Recommend or perform a root canal.

Nerves and blood vessels within the tooth’s pulp generally don’t recover after a serious traumatic injury, so a root canal procedure could be necessary to preserve the health of your tooth. This procedure might be done immediately, or might be recommended for a later date.

  • Stabilize your tooth.

The tooth must be stabilized after being reimplanted, so Drs. Rottschalk, Acker, and Froidcoeur will use a splint to anchor the tooth to the teeth next to it. The splint can be flexible or rigid, depending on the condition of the alveolar bone. Splinting generally takes from two to eight weeks, and you will be given detailed instructions for taking care of the area while you heal.

Losing a tooth is an alarming experience. But with prompt action, and a trip to our Fairview Heights, IL office, it might be possible to make that loss only a temporary one.

Why Are We Recommending a Periodontal Consultation?

December 28th, 2023

The best way to protect yourself from gum disease is to be proactive: practice good oral hygiene at home and schedule regular checkups and cleanings in our Fairview Heights, IL office.

How do you know if your dental routine is doing the job? There are specific symptoms you might notice when you brush and floss, and less obvious signs of gum disease we look for during your dental exams.

The early stage of gum disease is known as gingivitis. It’s generally caused by poor dental hygiene, although certain diseases, age, hormones, and a number of other factors can also put you at risk. It’s time to talk to Drs. Rottschalk, Acker, and Froidcoeur about your gum health if you notice any of these symptoms:

  • Bright red or purple gums
  • Swollen gums
  • Pain or tenderness
  • Bleeding when brushing or flossing
  • Persistent bad breath
  • Receding gums

And sometimes, there are no obvious symptoms at all. That’s why regular checkups are so important. If you have gingivitis, careful attention to your oral hygiene, professional cleaning, prescription mouthwash, or other treatments as needed can reverse the effects of gingivitis and restore your gums to their normal, healthy state.

Why be so proactive? Because, left untreated, gingivitis leads to more serious gum disease, called periodontitis. The bacteria in plaque and tartar cause inflammation, and inflammation leads the gum tissue to pull away from the teeth, forming pockets which become deeper over time. Here, where brushing can’t reach, bacteria continue to multiply, leading to further inflammation, infection, and the eventual breakdown of gum and bone tissues.

The results of untreated periodontitis can be very serious, including:

  • Significant gum recession, leaving roots more vulnerable to decay
  • Periodontal abscesses
  • Loose teeth, or teeth that shift from their proper positions
  • Bone loss in the area surrounding the teeth
  • Tooth loss

If we see signs of advanced periodontitis, we may refer you to a periodontist.

Periodontists specialize in the diagnosis, prevention, and treatment of gum disease. After dental school, a periodontal degree requires three years of additional advanced education. Periodontists have the training and skill to perform surgical and non-surgical procedures to treat gum disease, as well as to perform cosmetic procedures and place dental implants.

Periodontists are trained to diagnose and treat periodontitis with a number of procedures which they will recommend based on your specific needs. Among the treatments they provide to restore your gum health:

  • Topical, time-release, or oral medication
  • Scaling and root planing, non-surgical deep cleaning procedures which remove plaque and tartar above and below the gumline, and smooth tooth roots to remove bacteria and help the gum tissue reattach to the teeth
  • Flap surgery to treat persistent gum infection, reduce pocket depth, and re-secure the gums snugly around the teeth
  • Bone grafts, gum grafts, and other regenerative procedures which help restore and repair tissue damaged by gum disease

If we recommend a periodontal consultation, be proactive. The best way to protect yourself from the significant consequences of untreated gum disease is to see a specialist in this field. Your periodontist has the knowledge and experience to stop gum disease from progressing, treat damaged bone and gum tissue, and restore your healthy smile.

What is an Impacted Tooth?

December 20th, 2023

You may have heard this term the first time you or a friend got your wisdom teeth. That makes sense, as wisdom teeth are the teeth most often impacted in teenagers and young adults. But other permanent teeth can be impacted as well. What exactly do we mean by “impacted teeth,” and what can we do to treat them?

The term “impacted” means that somehow a tooth has been blocked from erupting properly. A tooth may be completely blocked by another tooth, erupt in the wrong space, or even come in from the wrong direction. Depending on the teeth involved, there are several different options for treatment.

From Baby Teeth to Permanent Teeth

Normally, when children lose a baby tooth, a permanent tooth is right there, ready to take its place. But teeth don’t always behave according to plan. Occasionally, that baby tooth just won’t budge, and the permanent tooth starts to erupt behind it. When this happens, a simple baby tooth extraction will often let the permanent tooth move into its proper position on schedule.

A more complicated situation develops when upper teeth are impacted because there isn’t enough space in the mouth for them. In this case, a device called a palatal expander might be used to gradually widen the upper jaw to allow the permanent teeth to erupt without crowding.

In other rare cases, a tooth (often the canine) fails to erupt and may require oral surgery to uncover it, followed by orthodontic treatment to guide it into position.

Impacted teeth can result from other causes as well, and every impacted tooth should be treated as quickly as possible. Left untreated, the teeth can fail to erupt at all or erupt in the wrong place, crowd other permanent teeth, damage the roots of the teeth near them, and lead to difficulties eating and dental pain.

Wisdom teeth

Wisdom teeth are often a problem because there is simply not enough room in the jaw for them.

Wisdom teeth that are completely impacted (still in the jawbone) can sometimes be left alone if they aren’t causing other problems. But if impacted wisdom teeth develop cysts, affect the teeth around them, or lead to other dental complications, they should be extracted.

Partially erupted teeth, those that have begun to emerge through the gums but don’t erupt fully, can be the source of different gum and tooth problems. Because the gum tissue overlaps the tooth, food particles and bacteria can become trapped, leading to rapid tooth decay and even infection. In this case, extraction is probably the best option.

Be Proactive

The term “impacted” actually comes from the Latin root meaning “pushed against.” But teeth that don’t erupt at the right time, in the right place, can have a different kind of impact on dental health and appearance. And the earlier we can catch these problems, the easier it is to treat them.

Regular exams and X-rays with Drs. Rottschalk, Acker, and Froidcoeur at our Fairview Heights, IL office will show the progress of the teeth even before they erupt, and if there will be the space for them to fit in the mouth properly. We may recommend a visit to the orthodontist by the age of seven to see if there are any signs of potential orthodontic problems.

Intervention at an early stage can prevent potential problems from becoming major ones. That is why it’s so important to be proactive when teeth are erupting in children and young adults. After all, a healthy, confident smile makes a real impact!

Plaque Attack? Let’s Fight Back!

December 14th, 2023

Plaque is a sticky subject! It sticks to the enamel of our teeth above and below the gum line, and it collects around fillings, braces, and other dental work. Plaque is one of the major causes of tooth decay and gum disease, and our teeth are under daily attack by this filmy menace.

What are the facts about plaque, and how can we fight back? Read on for some effective strategies!

What Is Plaque?

Plaque is a sticky film that builds up on our teeth, largely made up of millions of different types of oral bacteria. Plaque is a colorless biofilm at first, but as it collects, it takes on a white or yellow tint. If you haven’t brushed for a few days, that fuzziness you feel on your teeth is plaque build-up. Unless it’s removed, plaque hardens within a matter of days to become tartar.

  • Tip: You can remove plaque with careful brushing and flossing, but it takes a dental professional to remove tartar. Be proactive!

Why Does Plaque Cause Cavities?

Bacteria in plaque use our food as their food, especially sugars and carbs. They then transform these nutrients into acids, which attack our tooth enamel, weakening it and leaving it vulnerable to further erosion and eventual decay.

  • Tip: Cavities aren’t the only damage caused by accumulated plaque. Plaque also collects along and below the gum line. If tartar forms here, it irritates delicate gum tissue, leading to gingivitis and more serious gum disease. Make sure you don’t forget your gums when you brush and floss.

When Does Plaque Build Up?

The short answer? Plaque is always forming, because oral bacteria are a natural part of our biology. (In fact, there are even oral bacterial which are beneficial.) Plaque starts building up within minutes after eating, and during the night as we sleep.

That’s why we recommend brushing for two minutes at least twice a day, and flossing at least once a day. If you have braces or oral issues that make brushing more often advisable, ask us for suggestions for your best brushing schedule.

  • Tip: Just because plaque is unavoidable, that doesn’t mean we need to give the bacteria in plaque any additional encouragement. Every time you have a meal or a snack that’s heavy in carbs and sugars, you are providing more fuel for acid production. Cutting down on foods like sugary desserts and sodas is not only nutrition-healthy, it’s tooth-healthy!

Where Does Plaque Collect?

Plaque builds up all over tooth surfaces, at the gum line, and even below the gum line. It’s especially easy to miss in hard-to-reach places like the irregular surfaces of molars, between the teeth, behind our front teeth, and near the gum line.

  • Tip: One of the ways plaque avoids detection is its invisibility. Fortunately, if you’re having trouble brushing away all your plaque, there are plaque-disclosing toothpastes and chewable tablets available in the dental aisle which reveal the plaque hiding between, behind, or around your teeth by tinting it with a can’t-miss color. Just brush the color away, and you’ve brushed the plaque away as well.

How Do We Clean Away Plaque?

Use the Right Tools

Floss at least once a day. There are different materials, sizes, and coatings for floss, so you can find one that’s comfortable for you. Floss reaches those spots in between teeth and around the gum line that brushes miss.

Choose a soft toothbrush (soft bristles are better for your enamel) and change it every three to four months, or as soon as the bristles show wear. Make sure the head is the right size—too big, and it’s not only uncomfortable, but you won’t be able to reach all the surfaces you need to.

  • Tip: If you have trouble removing plaque with a manual toothbrush, consider an electric model. Several studies have shown a reduction in plaque with the use of an electric brush.

Use the Right Toothpaste

There are many toothpastes specifically formulated to fight plaque and tartar. And fluoride toothpastes not only fight cavities, they can strengthen your enamel.

  • Tip: Studies have shown that toothpastes with baking soda, in particular, are effective in reducing plaque. Ask us for a recommendation the next time you’re in for a cleaning.

Use the Right Technique

What not to do?  A forceful, horizontal sawing motion is awkward, hard on your enamel, and misses plaque and debris between the teeth. Technique is important—not for style points, but for cleaner teeth!

Hold your toothbrush at a 45-degree angle, especially at the gum line, to gently remove plaque from teeth and gums. Use short strokes or a circular motion to clean as much of the surface and between the teeth as possible. Brush the inside of your front teeth with careful vertical strokes—remember, that’s one place where plaque is easy to overlook. The same holds true for the tops of your molars, so thoroughly clean those uneven surfaces.

  • Tip: Do you floss before or after you brush? While both methods have benefits, many dentists and periodontists suggest flossing first. But really, if you are flossing daily, no matter what the order, you’re doing it right!

Who Can Help You Fight Plaque?

Even when you do your best at home, plaque can still be a sticky problem. That’s why we advise regular professional cleanings. We can not only remove any plaque that’s been overlooked, we can eliminate the tartar which can cause serious gum disease.  And, of course, we can give you all the information you need to keep your teeth their cleanest.

  • Final Tip: It’s important to schedule cleaning appointments at our Fairview Heights, IL office on a regular basis to help prevent tooth decay and gum disease. Ask us for phone, text, or email reminders when it’s time for your next cleaning.

True, you’re fighting plaque every day, but you have all the tools you need to make sure your teeth and gums stay healthy. You’re winning the battle with plaque every time you eat a nutritious meal, every time you brush and floss, every time you see Drs. Rottschalk, Acker, and Froidcoeur for a checkup and a cleaning. With that kind of strategy, plaque doesn’t stand a chance. And your bright smile and healthy teeth and gums? That’s a victory worth celebrating!

Ancient Grains for Modern Diets

December 7th, 2023

One of the latest foods in dietary news is also one of the oldest—ancient grains. What makes these old-timers so appealing to modern tastes? Let’s run down the menu!

Why Are Some Grains Called “Ancient”?

Unlike grains such as modern wheat, which have been crossbred for hundreds of years to bring out certain qualities, ancient grains are generally considered to be grains which have been cultivated in the same way and in the same form for centuries.

Not All Grains Are the Same

Grains are harvested from the seeds, or kernels, which grow on top of cereal grasses. But because they have many of the same uses, and many of the same nutrients, ancient grains also include pseudocereals, which are seeds and fruits from non-grasses. These seeds can be ground just like grains or used whole. This is an important distinction for many diet-mindful people because grains derived from pseudocereals are gluten-free.

The Health Benefits of Ancient Grains

Ancient grains are whole grains. This means that the seeds of ancient grains have their bran, germ, and endosperm intact—which means that all their nutrients, proteins, and fiber also remain intact. Refined grains like white flour and white rice have removed many of these good-for-your-body elements by removing the bran and germ, leaving only the endosperm behind.

The Dental Benefits of Ancient Grains

Of course, any food that offers better nutrition is better for your teeth and gums. But there’s an added bonus in the more complex structure of intact grains—they take more time to digest.

With foods made with refined grains, digestion starts taking place quickly—in fact, saliva starts the digestive process right in our mouths while we eat. And as these carbs break down into sugars, they provide a feast for the oral bacteria which convert that sugar into acids.

These acids, in turn, attack tooth enamel, leaving weaker spots which can grow into cavities, and irritate delicate gum tissue. What’s more, refined carbs tend to be extra sticky, lingering in the mouth, between the teeth, and on the enamel instead of being washed away by saliva.

So, Have Any Suggestions for My Shopping List?

We do! Because all ancient grains are loaded with protein and fiber, they are all going to be a rich source of these healthy essentials. And they can offer additional minerals, vitamins, and antioxidants to your diet. If you’re inspired to add a bit of history and geography to your plate, here are some ancient grains to consider:

  • Amaranth

Cultivated by the Aztecs, this gluten-free pseudocereal seed is high in manganese, magnesium, copper, phosphorus (which helps keep your enamel strong), and also provides vitamins B1 (thiamin), B6, and B9 (folic acid).

  • Barley

Grown for thousands of years in Asia and Europe, barley is one of the first cultivated grains. In its whole grain form, barley offers us selenium, manganese, copper, vitamins B1 and B3 (niacin), and antioxidants. Whole barley has a very tough outer shell and takes quite a bit of cooking, so lightly pearled barley can be substituted with only a small loss of bran.

  • Buckwheat

Originating in Asia, buckwheat quickly spread to Europe and eventually made its way to early American fields. Another pseudocereal, buckwheat seed is often ground for flour, and is a good source of copper, manganese, magnesium, phosphorus, vitamins B2 (riboflavin), and B3. Not to mention, gluten-free!

  • Bulgur

Often used in Middle Eastern and Mediterranean cooking, bulgur is a cracked wheat cereal grain. Bulgur adds, among other nutrients, manganese, magnesium, copper, iron, and vitamins B3 and B6 to your diet.

  • Farro

“Farro” comes from an Italian word which can refer to three different varieties of wheat, with different cooking times, textures, and flavors. These grains were first cultivated in the Middle East and the Mediterranean region thousands of years ago, and are still popular today thanks to their nutty flavor and chewy texture. Try farro for a tasty serving of magnesium, zinc, vitamin B3, and antioxidants.

  • Freekeh

Common in Middle Eastern, North African, and Mediterranean cuisine, freekeh is another form of cracked wheat. It’s harvested when the plants are young, so it has extra protein and fiber, as well as being a good source of iron.

  • Quinoa

Another pseudocereal, quinoa originated in South America. It’s gluten-free, and filled with minerals such as manganese, magnesium, phosphorus, and vitamin B9. It’s also a complete protein, which means it contains all nine of the amino acids our bodies can’t produce on their own.

  • Spelt

One of the largest wheat crops in Europe, and grown around the world, spelt’s nutty taste is an added bonus to its stores of manganese, copper, phosphorus, and vitamin B3.

  • Teff

The smallest of the ancient grains, teff is an African variety of millet, a pseudocereal full of nutrients such as manganese, copper, iron, and calcium (another mineral which is vital to dental health), as well as vitamins B1 and B6. Try brown teff for its naturally sweet flavor.

This is just a taste of the ancient grains available to you, with many others from around the world waiting to be harvested for your table. But you needn’t choose ancient grains to receive all the nutritional benefits of whole grains.

Brown rice, whole wheat products, corn, oats—all these common ingredients are easily available forms of whole grains. Check the grain aisle in your local market for some new ways to brighten your recipes, to increase your dietary protein and fiber, to add minerals and vitamins, and to provide some healthy alternatives to refined grains. Your body—and your teeth—might thank you!

Top Five Best Foods for Oral Health

November 29th, 2023

Some foods are just terrible for your teeth — think cookies and candy bars — but there are certain foods that are beneficial to your oral health. Below, Drs. Rottschalk, Acker, and Froidcoeur and our team have covered five of the top foods to keep your teeth and gums healthy!

1. Crispy, low-acid fruits and vegetables: Fruits like apples and vegetables such as carrots and celery act like “natural toothbrushes,” helping to clear plaque from your teeth and freshen your breath.

2. Kiwis: These little green superstars are packed with vitamin C which is essential for gum health. The collagen in your gums is strengthened when you consume foods that are high in vitamin C, like kiwis, thus helping to prevent periodontal problems.

3. Raw onions: Onions have long been studied for their antimicrobial, antibacterial, and antioxidant properties. Proliferation of bacteria is what leads to tooth decay and cavities. By including raw onions in your diet, you'll be doing your part to wipe out those little microbes before they can multiply!

4. Shiitake Mushrooms: A specific compound in shiitake mushrooms, lentinan, has been shown to have antibacterial properties that target the microbes that cause cavities while leaving other beneficial bacteria alone. It may also help prevent gingivitis, or inflammation of the gums.

5. Green Tea: Often lauded for its high antioxidant content and many health benefits, it turns out green tea also benefits your oral health! A Japanese study found men who drank green tea on a regular basis had a lower occurrence of periodontal disease compared to men who drank green tea infrequently. It's believed this is due to the catechins in green tea, a type of flavonoid that may help protect you from free radical damage, but more research needs to be done. Either way, drink up for your overall health, as well as your teeth!

If you have any questions about your oral health, or are looking for even more oral health tips, contact our Fairview Heights, IL office!

Healthy Gums and Older Adults

November 22nd, 2023

One of the most important parts of staying healthy as we grow older is being open to learning new ways of staying healthy! While worrying about braces or wisdom teeth might be a thing of the past, there are new dental concerns that come with mature years. Taking care of our gums is one way to maintain not only our dental health, but to look out for our overall health as well.

  • Periodontal disease is preventable for older adults

While gum disease is all-too-common among older adults, it isn’t really a result of the aging process itself. If you have been keeping a regular schedule of brushing and flossing (two minutes twice a day), and have been making routine visits to our office for exams and cleaning, you probably have avoided gum disease. But if you have been neglecting your dental care, gingivitis and periodontitis are conditions that only become more serious over time.

The first symptoms of gingivitis include puffy, swollen gums that may bleed easily. Persistent bad breath and changes in the bite or the fit of dentures are also indications of gum disease. As gum disease progresses it leads to periodontitis. The gum tissue pulls away from the teeth, leaving deep pockets of tissue where plaque can collect and infections can develop. Infection, left untreated, can lead to loose teeth and even bone and tooth loss.

The good news? It is never too late to treat gum disease. Most gingivitis is reversible, and modern periodontal treatment makes use of deep cleaning, antibiotics, and even gum surgery to restore gum health. Don’t let past neglect lead to future tooth loss. We are happy to see you any time to treat your gums and teeth and to let you know ways to protect them for a happy, healthy future.

What new concerns do we face as we age?

  • Our gums recede.

This natural recession can lead to the exposure of the root areas of the teeth, which are more vulnerable to cavities. It’s very important to keep up with brushing, flossing, and regular check-ups to catch potential small problems before they become big ones.

  • Old fillings and dental work can break down.

Call our Fairview Heights, IL office any time you notice a problem with a filling, and keep up with exams, where we can pinpoint fillings that need replacement and detect cavities that can develop near the edges of old work.

  • Medications can cause side effects that affect our gums.

Some medications cause the growth of puffy gum tissue. Some can cause dry mouth, which can lead to gum disease. Always let us know about any health conditions you have or medications you may be taking. We can suggest a number of options to reduce or eliminate effects on your mouth and gums.

  • Gum health and our overall health—what’s the connection?

While no one has discovered an absolute relationship between gum disease and other health problems, there is growing evidence that higher rates of diabetes complications, heart disease, and stroke are linked to higher levels of gum disease. Make your medical and dental health a priority.

  • Smoking risks increase with age.

Studies have shown smokers have not only a greater risk of gum disease, but more severe gum disease as well. Your risk of developing oral cancer also increases with every year you smoke. It is never too late to quit! Talk to us about suggestions for breaking the habit once and for all, and be sure to keep up with regular checkups for early detection and treatment of any oral diseases caused by smoking.

Please let us know any changes that have taken place in your dental habits, medical condition, or medications. Talk to us about any periodontal concerns you may have, or the latest dental procedures we offer for gum care and treatment. We can let you know about products that can make brushing and flossing easier as you age.

It’s never too late or too early to think about taking care of yourself. We are happy to offer suggestions for maintaining or restoring your dental health that will serve you well in any chapter of your life.

A Prescription for Oral Health

November 15th, 2023

You and your dentist are essential partners in making sure you have the best dental care. You do your part by eating a tooth-healthy diet, brushing and flossing as recommended, and seeing Drs. Rottschalk, Acker, and Froidcoeur regularly for checkups and cleanings.

And one more essential step you can take for your dental health? Let Drs. Rottschalk, Acker, and Froidcoeur know which prescriptions and over the counter medications you’re taking.

Medications Have Oral/Dental Side Effects

We’ve all grown used to hearing “Possible side effects include . . .” at the end of every pharmaceutical commercial. That’s because those unintended side effects can affect our health in any number of unexpected ways—and this includes oral health.

For example, a common side effect of many medications is xerostomia, or “dry mouth.” Because saliva helps keep our teeth and gums healthy by washing away food particles and oral bacteria and by reducing acidity in the mouth, a reduction in saliva production means a greater risk of cavities, gum disease, oral infections, denture discomfort, and bad breath.

Knowing a patient is taking one of the hundreds of medications which cause xerostomia allows Drs. Rottschalk, Acker, and Froidcoeur to both monitor the condition and suggest the most effective treatment options to control unpleasant symptoms.

Medications can cause not only dry mouth, but excessive gum tissue growth, oral sores, tooth discoloration, and changes in taste, among other side effects, so knowing which medications you’re taking can provide essential information for the diagnosis and treatment of these conditions.

Medications Interact

Medication might be needed for your dental treatment. Because certain drugs, supplements, and even some vitamins and foods can affect the way our bodies metabolize, absorb, and respond to other medications, we need to know which medicines you’re taking to arrive at your best treatment options.

  • There are different classes of antibiotics used to treat oral infections. Knowing your medical history enables Drs. Rottschalk, Acker, and Froidcoeur to choose an antibiotic option which won’t interact with your other medications.
  • Local anesthetics such as lidocaine, which numb the area to be treated, can also interact with certain medications. Drs. Rottschalk, Acker, and Froidcoeur can prescribe an alternative local anesthetic or adjust the dosage as needed.
  • If you will be using sedation during your procedure, you have several options, including nitrous oxide gas, oral sedation, or IV sedation. Be sure we know about all of your medications beforehand because of possible interactions. Changes can be made to the type of sedation and/or the dosage as needed.

Medications Impact Treatment

It’s important for Drs. Rottschalk, Acker, and Froidcoeur to know if any of your medications will affect standard treatments.

Anticoagulants, for example, are a necessary medication for preventing blood clots from forming, and are often prescribed for certain heart conditions, after joint replacement surgery, or for anyone at risk for developing blood clots. Because these medications prevent the blood from clotting, it’s important to let us know if you are taking such drugs before any kind of oral surgery.

If needed, Drs. Rottschalk, Acker, and Froidcoeur can work with you and your doctor to create a treatment plan which will be safe, effective, and designed to work with any of your medications. You should never discontinue taking your prescribed medications before dental work without medical approval, as this can be dangerous.

We need the most up to date information about your health to provide you with the best care possible. Knowing which medications you take and why you take them can help us:

  • Diagnose and treat any side effects from non-dental medications which have affected your oral health,
  • Prevent drug interactions from occurring, and
  • Tailor your treatment to your specific medical needs.

Your prescriptions, over the counter medications, and even herbal supplements and vitamins are essential information. It’s a good idea to make a list before your next appointment at our Fairview Heights, IL office so you have specific medications and their dosages at hand. It’s one small—but vital—step you can take to work with Drs. Rottschalk, Acker, and Froidcoeur for your best dental health!

Common Emergency Care Visits: Toothaches and Abscesses

November 15th, 2023

You never know when a dental problem may arise. Unfortunately, they don’t necessarily occur during office hours. Drs. Rottschalk, Acker, and Froidcoeur can provide you with the proper information and treatment options to prevent the problem from becoming worse.

Abscess

An abscess is a bacterial infection, and will normally cause pain and swelling around the affected tooth and gum area. Though antibiotics are not always necessary, you should be seen by Drs. Rottschalk, Acker, and Froidcoeur as soon as possible. If left untreated, the infection may grow and cause more serious issues.

Toothache

Toothaches can have many causes. Sometimes it’s as simple as food lodged between your tooth and gums. Rinse your mouth with warm water and try flossing the area to dislodge the particle. If your gums begin to bleed, stop flossing.

Fractures or cavities can also cause toothaches as well as sensitivity to heat or cold. Please schedule an appointment to ensure a minor problem doesn’t develop into a serious one. You may require acetaminophen or another pain reliever before your visit.

If you can’t be treated right away, keep these tips in mind:

  • If you have fractured a tooth, rinse the area with warm water to keep the surfaces clean. Apply a cold compress to the outside of your facial area to reduce swelling.
  • A tooth that has been knocked out should be kept moist, in a clean container, until you can receive treatment.
  • Do not apply aspirin directly to a damaged tooth or gum area, because this can cause tissue irritation.
  • If you suspect your jaw has been broken, go to an emergency room immediately.
  • If you have bitten or damaged your lips or tongue, rinse your mouth well with warm water. If bleeding continues, seek other medical attention right away.

If you experience an emergency, please contact our Fairview Heights, IL office and provide us with as much information as possible. This way, we can offer recommendations that will assist you until you’re able to arrive for an appointment.

Remember: procrastinating about getting treatment can turn a minor problem into a major one!

Why Do Molars Seem to Get More Cavities?

November 8th, 2023

Probably because, for many kids, molars do get more cavities. So let’s answer two better questions: Why do molars get more cavities? And, how can we help prevent them?

It’s the Pits. (And Fissures.)

The reason molars are so useful—and more likely to develop cavities—is because of their shape. Unlike our front teeth, which are used to bite through foods, molars are used to grind and chew. That’s why they are so much larger, with a flat surface on top. Well, not exactly flat.

When you look at a molar, you’ll notice that the top isn’t really smooth at all. It’s covered with little indentations known as pits and longer grooves called fissures. These irregular features both trap food particles and make it more difficult for bristles to clean them away. Cavities in molar surfaces are so common that they even have a specific name: “pit and fissure cavities.”

But molar biology does not mean tooth decay is inevitable! There are steps you can take to protect your children’s molars as they grow, while you’re providing them with dental strategies that will keep their adult molars healthy and cavity-free.

Preventing Pit and Fissure Cavities

  • Don’t Just Brush—Brush Effectively

The first step in preventing any kind of cavity is brushing properly. Your child should be brushing at least two minutes, at least twice each day. And while the time we spend brushing is important, technique is also key.

When you’re showing your child how to brush, be sure that the tops of molars, upper and lower, get brushed thoroughly, with special emphasis on cleaning pits and fissures. Make sure the toothbrush is small enough to fit your child’s mouth comfortably and reach all the tooth surfaces. Replace worn-down brushes or electric toothbrush heads after three to four months when they no longer clean as effectively.

Your child will probably need adult supervision from toddler years through the early years of grade school to learn how to brush properly. This is time well spent, as your child learns cavity-preventing brushing techniques which will last a lifetime.

  • Eat a Tooth-Healthy Diet

Plaque bacteria use the sugars in our food to make acids. These acids break down the mineral strength of tooth enamel and eventually lead to cavities. And because pits and fissures are great hiding places for bacteria and food particles (especially sticky ones), molars are even more at risk for cavities. Limiting sugary, sticky foods like sweet treats and simple carbs helps reduce that risk.

Acidic foods like flavored juices, sour candies, sodas, and power drinks also weaken enamel and can leave teeth more vulnerable to decay. Help your child avoid cavities by limiting acidic foods and drinks, making them part of a balanced meal, and/or rinsing with water after eating.

  • Use Fluoride Toothpaste

Fluoride toothpaste not only reduces the risk of cavities, it also helps strengthen enamel that has been weakened by bacterial and dietary acids. Win-win!

  • Ask About Sealants

Sealants are invisible, safe coatings which protect molars by preventing food and bacteria from getting trapped in their uneven surfaces. The top of the molar is first treated with an etching solution to allow the sealant to bond tightly to the tooth, a thin coat of sealant is painted on, and then it’s hardened under a curing light. That’s all there is to it.

Sealants are often recommended when children’s permanent molars first erupt, when they are especially at risk for cavities. Sealants can last from three to five years (or even longer), and studies have shown a dramatic reduction in cavities for patients who use sealants compared to patients with untreated teeth. Depending on your child’s individual needs, Drs. Rottschalk, Acker, and Froidcoeur might recommend a sealant for baby molars as well.

  • Regular Exams and Cleanings

It might be hard for you to tell if your child’s molars have been affected by sticky plaque, or sugary foods, or acidic drinks, or inadequate brushing, or any other potential cavity-causers. It’s not a difficult job for Drs. Rottschalk, Acker, and Froidcoeur, though! Through regular checkups and cleanings at our Fairview Heights, IL office, we will discover any conditions that might lead to cavities, and, if necessary, treat small cavities before they lead to more serious decay.

Statistically, childhood molars have a greater chance of developing cavities than incisors and canines. Help your child beat the odds by understanding why these teeth are at risk and by working with your dental team to give your child years of healthy teeth now and a future filled with beautiful smiles!

Natural Ways to Soothe a Toothache

November 8th, 2023

Toothaches can come in many different forms, but no matter which, they’re always uncomfortable. Drs. Rottschalk, Acker, and Froidcoeur and our team want you to know there are simple ways to cure this common problem.

Toothaches can be caused by infections, gum diseases, teeth grinding, trauma, or having an abnormal bite. Several symptoms may become noticeable when you start to experience a toothache. You might develop a fever, have trouble swallowing, notice an unpleasant discharge, and most often feel lasting pain when you bite down.

If you begin to notice any of these symptoms, try to manage the pain with the simple remedies below. If the pain continues, contact our Fairview Heights, IL office and schedule an appointment, because a bigger issue might be involved.

  1. First, try rinsing your mouth out with warm salt water. This helps to disinfect your mouth and may soothe the region where the toothache is occurring. Hydrogen peroxide can also help if you swish it around in your mouth.
  2. Applying a cold compress or ice pack to your jaw in area that hurts can help with swelling.
  3. Make sure to floss your entire mouth thoroughly. The problem could be caused by food debris stuck between your teeth.
  4. Certain essential oils possess pain-relieving qualities, including clove, nutmeg, eucalyptus, or peppermint oil. Use a cotton swab and dilute one of these oils, then apply it to the problem tooth and/or gum area. Repeat the process as needed. This can also be done with apple cider vinegar.
  5. Similar to essential oils, peppermint tea can soothe and slightly numb the area. Swish it around in your mouth once it has cooled off for temporary relief.
  6. You may also soothe a toothache by eating Greek yogurt. You might be surprised to know that yogurt contains healthy bacteria that can help fight against pain.
  7. Crushed garlic can be rubbed on the aching area to help relieve pain. Garlic contains allicin, which slows bacterial activity. The application may burn at first but it has been known to help treat inflammation.

When it comes to preventing toothaches, you can take various measures. Always make sure you brush and floss every day, though. If you schedule regular oral examinations by Drs. Rottschalk, Acker, and Froidcoeur, you will decrease infections that may cause toothache from spreading.

If you’ve tried the methods listed above and your toothache hasn’t gone away, call our Fairview Heights, IL office and we can schedule an appointment to figure out the cause of the problem and provide a solution.

Wrong Time/Wrong Place?

November 1st, 2023

In a perfectly predictable world, your child’s teeth would come in—and fall out—right on schedule, right in place. But life isn’t perfectly predictable, and teeth can erupt—or fail to erupt—in their own time and in unexpected places. Let’s look at a few of the ways your child’s teething development can differ from “typical” schedules.

  • Leaving So Soon?

Sometimes a baby tooth is lost early because of injury or decay. And baby teeth are important for more than creating an adorable smile. These little teeth help your child with eating, speech, and jaw development. And they serve another purpose as well—they are essential place holders for your child’s adult teeth.

When a baby tooth is lost too early, the neighboring teeth can drift into the open space. Adult teeth waiting to arrive will tend to erupt in any space left available, whether it’s the right space or not. This can lead to bite problems and misaligned and/or crooked teeth. Depending on your child’s age, and which and how many teeth are affected, your dentist might recommend a space maintainer.

Fixed space maintainers are attached to the lost tooth’s neighboring teeth to keep them in place. Removeable space maintainers resemble retainers, and are usually recommended for older children. Both fixed and removable appliances serve to keep the baby teeth spaced apart just as they should be, preventing neighboring teeth from shifting to fill the empty spot, and making sure there’s enough room for the adult tooth to arrive right on schedule and right where it belongs.

  • Hangers-On

Losing baby teeth too early isn’t the only punctuality problem that can arise with little teeth—sometimes baby teeth don’t seem to realize when they’ve worn out their welcome.

The roots of baby teeth are much smaller than those of adult teeth. When a permanent tooth starts to erupt, it pushes against the root of the baby tooth above it. This pressure breaks down the root of the primary tooth, leaving the tooth loose and just waiting to fall out.

Sometimes primary roots don’t dissolve, though, which means the permanent teeth will erupt beside those lingering baby teeth. The result is a double row of teeth. Because all these teeth in one small jaw can cause crowding and misalignment, it’s a good idea to schedule a visit with Drs. Rottschalk, Acker, and Froidcoeur when you see two sets of teeth where only one is welcome! This is especially true for older children, when the molars start erupting.

  • No-Shows

When a tooth fails to erupt at all, it’s called an embedded tooth. When a tooth is blocked from erupting, it’s called an impacted tooth. Factors like the jaw size, tooth size, genetics, trauma, and medical conditions can affect eruption.

There’s no perfect eruption schedule for every child. Even typical eruption charts provide a range of several months to several years during which baby teeth arrive, baby teeth are lost, and adult teeth appear.  But any time you have any concerns about your child’s tooth development, talk to Drs. Rottschalk, Acker, and Froidcoeur to see whether the situation will correct itself in time or whether treatment is recommended.

If the unpredictable occurs in your child’s teething schedule, working proactively with our Fairview Heights, IL  dental team is the best way to create a lifetime of predictably happy, healthy smiles.

Dental Filling Options

November 1st, 2023

You’ve made an appointment at our Fairview Heights, IL office to treat your cavity, the decayed area has been removed, and the site has been cleaned and prepared for a filling. Now it’s decision time. What kind of filling should you choose? Well, that depends. There are durability, aesthetic, and price considerations involved in any of your choices, so let’s look at some options before you decide.

Gold

This is a classic choice for a reason. Gold is very durable and can last longer than fillings made from other materials. Because they are crafted from precious metal, gold fillings are more expensive than other alternatives. They are also most often indirect fillings—that is, they are not immediately placed in a tooth, but are formed based on a mold of your tooth taken on your first visit and set in position on a second visit. A gold filling is also noticeable, which can be a matter of concern or a style statement!

Metal Amalgam

An amalgam is a mixture, and an amalgam filling is usually composed of several metallic elements, including silver, tin, copper, and mercury. This filling is also very durable and is one of the most cost-effective choices. Its silver color does not blend into the tooth, so visibility is a factor. Amalgam fillings are considered a safe option, but, if you wonder about potential metal allergies or the amount and kind of mercury involved, we will be happy to discuss your concerns. One possible drawback to amalgam fillings is that sometimes more tooth structure needs to be removed to accommodate them, so this is also a subject we can discuss.

Composite Resins

These fillings are often selected because they are both durable and almost invisible when the color is matched to your tooth. Made of acrylic resin and powdered glass, a composite filling is what is called a “direct filling”—one that can be completed and bonded to the tooth in one visit. These are often more expensive than amalgam fillings, but might be preferable for cosmetic reasons, especially when a front tooth is involved. They also need less tooth structure removed to accommodate them and can be better bonded to small excavations than some other options. They can be prone to staining over time.

Ceramic

Ceramic fillings have the virtue of being virtually undetectable. They can be color-matched to your teeth for a seamless look, and are more stain-resistant than composite fillings. They are also a more expensive option, and, like gold fillings, can involve a two-phase process with a filling molded to fit the excavation site placed in your tooth on a second visit.

Drs. Rottschalk, Acker, and Froidcoeur and our team are happy to discuss all of your options before it is time to treat your cavity, since there are a number of factors which might impact your decision. A molar will require a more durable filling than a front tooth, while being less visible when you smile or speak. Insurance plans might pay for only a portion of a filling’s cost if it is more expensive than an amalgam, or will pay for a composite filling only if it is in a visible location. We can help you decide which filling best fits all your needs, providing you with the healthy and beautiful smile you deserve!

The ABCs of Vitamin C

October 25th, 2023

A as in Ascorbic Acid

Ascorbic acid is just another name for vitamin C, which is one of the so-called “essential nutrients.” These are nutrients that are necessary for our bodies to function properly, and which must be supplied through our diets. Why is ascorbic acid essential?

First and foremost, because we have to have vitamin C for the formation of collagen.

We’ve probably all seen the ads promoting collagen as a fountain of youth for our skin. Whether or not a cream can turn back time is a matter for debate, but there’s no question as to the vital role collagen performs in our own bodies. That’s because collagen is the substance that provides both structure and support to our tissues, forming the basis of the connective tissue that holds us together. (The Greek root “kolla” means glue!) Organs, blood vessels, muscles, bones, skin, even the dentin in our teeth all rely on collagen to function.  

And if that weren’t enough for one vitamin, vitamin C also helps the body repair tissue, absorb iron, form teeth and bones, produce neuro-transmitters, and acts as an antioxidant. Whew! So, how often should we be eating foods rich in vitamin C? Maybe more often that you would think.

B as in Biology

The human body is an amazing thing! We can store many of the essential nutrients we need to keep ourselves healthy in our livers and fat tissue, even if fresh food sources aren’t immediately available. Unfortunately, Vitamin C is one of those vitamins that we can’t store in the body. This means that unless we get the vitamin C we need in our diet on a regular basis, we’ll experience vitamin C deficiency. How serious is that?

The importance of vitamin C to our health can’t be overstated. Vitamin C deficiency over a period of months actually causes a serious disease called scurvy. Without vitamin C, collagen formation breaks down. And when collagen breaks down, it leads to the breakdown of all those parts of the body that rely on collagen. In the short term, scurvy causes gum pain, fatigue, weakness, and body aches. Over longer periods, scurvy can lead to bruising, skin hemorrhages, anemia, tooth loss, severe gum disease, organ failure, and even death.

Luckily for us, scurvy is largely a disease of the past, thanks to the easy availability of fresh fruits and vegetables which provide us with vitamin C. So, which items should we add to the shopping list?

C as in Citrus—and So Much More!

When we think vitamin C, we instantly picture citrus fruits. Oranges, lemons, limes, grapefruit, and all their cousins are a wonderful source of vitamin C. Looking for a little more variety? You’re in luck! Fruit fans can load up on strawberries, kiwi fruit, mangos, and papayas. Love your veggies? Red peppers, kale, cauliflower, Brussels sprouts, and broccoli contain more vitamin C per serving than a medium orange. You can also take vitamin C supplements, but be sure to follow the recommended dosage. You can have too much of a good thing.

While we’re here, let’s add one last letter to the list:

  • D as in Dental Health

So, why are we talking about vitamin C on a dental blog? Because vitamin C is essential to our dental health. Healthy gum tissue, strong connective tissues that hold our gums to our teeth and our teeth in our jaws, faster healing, antioxidants—all have been linked to a diet rich in vitamin C.

Careful brushing and flossing, regular checkups and cleanings at our Fairview Heights, IL office, a balanced diet—these are all ways you can be proactive when it comes to your dental health. Talk to Drs. Rottschalk, Acker, and Froidcoeur about the best vitamins and minerals for healthy teeth and gums. Vitamin C is a great beginning, but there’s still an alphabet from vitamin A to Zinc left to go!

 

Seven Foods that will Give You a Smashing Smile

October 25th, 2023

As the saying goes, you are what you eat. But did you know that what you eat also affects your smile? Chow down on these seven tasty treats, recommended by Drs. Rottschalk, Acker, and Froidcoeur and our staff, for a healthier mouth and a smashing smile!

Sesame Seeds

These tiny seeds that you find in some Chinese and Thai dishes (as well as on top of your hamburger bun) are packed with bone-building calcium. They help to preserve and protect the bone that supports your teeth and gums. As a bonus, they also help to build up your tooth enamel while sloughing away plaque.

Kiwi

This funny little fruit has the highest amount of Vitamin C of any fruit, including oranges! What does this mean for your chompers? Well, you need Vitamin C to keep your gum tissue healthy and strong. Without it, they are more susceptible to periodontal disease.

Sweet Potatoes

These are not just for Thanksgiving and Christmas dinner! You should add sweet potatoes to your regular diet. These tasty spuds are rich in Vitamin A, which your body uses to form tooth enamel and heal gum tissue.

Onions

You know those strong vapors from onions that make you cry? Well, they come from the sulfur compounds in the vegetable, which gives them a superpower-packed antibacterial punch. Get ready, though: Onions are most effective for your smile when you eat them raw!

Cheese

If you love cheese, you will love this news! Munching on some cheese helps prevent gum disease and cavities. The reason is that cheese is very high in calcium and phosphate, which help to balance the pH levels in your mouth. This in turn helps to preserve your tooth enamel and kill harmful bacteria.

Green Tea

Sipping on some green tea can not only help prevent cavities and gum disease, it can also kill the bacteria that cause bad breath. Score! Green tea has catechins, which actually kill the bacteria that cause plaque. So drink up! Your smile depends on it!

Celery

Have some fun with that crunchy stuff because, guess what? It is great for your smile! When you chew celery you produce saliva. Your saliva neutralizes cavity-causing bacteria. As a little added bonus, while you are chewing, it is giving your gums a little massage and cleaning between your teeth.

So grab some of these healthy snacks and give your mouth something to smile about!

Five Things You Should Never Do With Your Toothbrush

October 18th, 2023

When’s the last time you gave your toothbrush any serious thought? Sure, you use it every day (and ideally twice), and you know that with a dollop of toothpaste it waxes up your pearly whites nicely, not to mention preventing bacteria, plaque, and inflammation.

But what are the things you should never do with your toothbrush? Here’s a brush-up on five toothbrush no-nos, from Dr. John Rottschalk Dental Group.

1. If you have your toothbrush too close to the toilet, you’re brushing your teeth with what’s in your toilet. In other words, keep your toothbrush stored as far from the toilet as possible.

2. The average toothbrush harbors ten million microbes. Many families keep their toothbrushes jammed together in a cup holder on the bathroom sink, but this can lead to cross-contamination. Family members’ toothbrushes should be kept an inch apart. Don’t worry; they won’t take it personally.

3. Don’t delay replacing your toothbrush. It’s best to purchase a new one every three to four months, but by all means get one sooner if the bristles are broken down because of your frequent and vigorous brushing. If you have a cold or the flu, replace your toothbrush after you recover.

4. Store your toothbrush out of the reach of toddlers. The last thing you want is for your toothbrush to be chewed like a pacifier, dipped in toilet water, or used to probe the dusty heating ducts.

5. Sharing is caring, right? Your parents probably taught you the importance of sharing back when you were, well, dipping their improperly stored toothbrushes in toilet water. But here’s the thing: As important as sharing is, there are some things you just don’t share, and your toothbrush is one of them.

Fewer Adults are Visiting the Dentist

October 18th, 2023

Our team at Dr. John Rottschalk Dental Group recently learned that in the decade between 2000 and 2010, the amount of adults who regularly visited their dentist declined, according to research released by the American Dental Association's Health Policy Resources Center (HPRC). In fact, the HPRC found that the percentage of adults who had regular checkups every six months declined from 41 percent in 2003 to 37 percent in 2010. The largest decline in dental care occurred in the 35- to 49-year-old age group. That’s down from 43 percent in 2003 to just 38 percent in 2010.

There is some good news, however. While adult visits may have decreased, children's visits were on the rise, particularly among low-income families. More low-income children are visiting the dentist now than they were ten years ago. And the HPRC notes that between 2000 and 2010, dental visits among low-income children increased in 47 states.

Have you ever wondered why the American Dental Association and Drs. Rottschalk, Acker, and Froidcoeur recommend that you come in for a dental checkup and cleaning every six months? While daily oral hygiene habits are essential to good oral health, professional dental cleanings at Dr. John Rottschalk Dental Group ensure your and your child’s teeth are treated to a deeper level of cleaning. In addition to a thorough cleaning and teeth polishing, regular visits at our Fairview Heights, IL office help us detect and prevent the onset of tooth decay and periodontal (gum) disease. During your visit, we’ll check the health of your mouth, teeth, gums, cheeks, and tongue for symptoms of any oral disease. We will also check old fillings and restorations, as these can wear away over time from constant chewing, clenching, or grinding at night.

If you are predisposed to oral diseases due to age, pregnancy, tobacco use, or medical conditions such as diabetes or dry mouth, Drs. Rottschalk, Acker, and Froidcoeur may recommend you visit our office more often than every six months.

If you are overdue for your next checkup and cleaning, please give us a call to schedule an appointment!

Make your child’s next visit to our office great!

October 11th, 2023

If you have been bringing your baby in for regular checkups since that first tooth arrived, you might expect that he or she is already familiar with Drs. Rottschalk, Acker, and Froidcoeur and our staff. Often, though, months pass between visits, which is a very long time for a child. How can you make your preschooler’s return visit a happy one? We have some suggestions!

Before Your Visit

  • Prepare your child for her visit. Simple explanations are best for a young child. You might tell your daughter that a dentist is a doctor who helps keep her teeth strong and healthy. Let her know a bit about what will happen. Being told, “You will sit in a special chair,” or, “Can you open wide so we can count your teeth?” will give her some idea of what it’s like to visit our office.
  • There are many entertaining books for young children about visiting the dentist. Reading some of these to her for a few days before the appointment will let her know what to expect.
  • Use playtime to prepare. You might count your daughter’s teeth or let her “play dentist” and brush the teeth of her favorite doll or stuffed animal.

When You Arrive

  • Your attitude can be contagious! If you treat a visit to the dentist like any other outing, chances are your child will too. Your calm presence is exactly what your child needs.
  • You might want to come a bit early to let your son explore the office. Bring a favorite toy or book to keep him entertained if you need to. A favorite stuffed toy can be a comfort in an unfamiliar place.
  • If you are with your child during his checkup, follow our lead. Don’t be concerned if your child seems uncooperative at first or even throws a tantrum—we are used to working with children, and have techniques to make his experience as relaxed and as positive as we possibly can.

We Are Here to Help

We are your partners in your child’s dental care. Call our Fairview Heights, IL office anytime for suggestions about making your child’s visit a comfortable, comforting experience. Our goal is to start your child confidently on the road to a lifetime of empowering dental visits and lasting dental health.

Dental X-Rays: Are They Safe?

October 11th, 2023

X-rays have been a function of dental healthcare for a long time. That in and of itself should be good news, because it means we've had plenty of time to improve them. While there is always some risk in exposure to radiation, dental X-ray exposure has decreased significantly due to all the advances in technology. So there’s risk, but X-rays are quite safe.

Think of X-rays as you would about a car. Automobiles these days have all kinds of technology to make them as safe as possible. There's still a chance that you’ll suffer an accident. Would you stop using a car because of that risk? When it comes to dental X-rays, Drs. Rottschalk, Acker, and Froidcoeur and our team believe the positives clearly outweigh the negatives.

X-rays can be done digitally or with film. For film, X-rays require different exposures at different speeds to produce the image. Digital X-rays have software that automatically adjusts the exposure and produces the X-ray in a digital file. Since they substantially reduce your exposure to radiation, digital X-rays are the current standard in dental offices.

In addition to digital X-rays, lead aprons are an essential piece of X-ray safety. They help protect internal organs from X-rays by acting as a shield. They usually come with a thyroid collar as well, since that is one of the most vulnerable areas to X-rays in the body. Lead aprons can absorb up to 95% of any scatter rays that result from an X-ray. Not bad, right?

Although dental X-rays involve some radiation exposure (not all of it can be eliminated), so does everyday life. Getting too much sun, for example, can be dangerous. The truth is, we accumulate radiation in our bodies over a lifetime, so it’s worthwhile to be aware and avoid as much unnecessary exposure as possible. When it comes to your dental health, though, getting an X-ray — especially when your doctor says you need it — offers more benefits than risks.

Ask us about the type of dental X-rays we use during your next visit to our Fairview Heights, IL office!

Caring for Your Night Guard

October 4th, 2023

You might have experienced painful morning headaches. Or have a partner or housemate who begged you to please keep those grinding noises down at night. Or perhaps you were unhappily surprised to find that your teeth had mysteriously become worn, loose, or cracked.

So you made an appointment at our Fairview Heights, IL office. And you learned that you needed a night guard designed to protect your teeth from the damage done by night time bruxism—that grinding and clenching which is hard on enamel, bad for teeth, and painful for jaws. Good work!

Your night guard prevents your teeth from making contact, saving teeth and enamel from injury. It distributes the pressure placed on your teeth, muscles, and bones when your jaws clench through the night. Bonus: it can reduce nocturnal noises caused by grinding.

Guards are available over-the-counter in general sizes, or a custom night guard can be created for you by Drs. Rottschalk, Acker, and Froidcoeur. Custom guards are uniquely fitted to your teeth and jaw, and last longer than over-the-counter models. Whichever kind of appliance you choose, daily care is a must for a long and healthy partnership.

To make sure you get the best and longest use from your night guard, there are some easy steps to keep it in top shape when it’s off-duty.

  • Keep It Clean

Plaque and bacteria can build up on your night guard just as they can on your tooth enamel. Rinse your guard in the morning and brush it gently. Ask Drs. Rottschalk, Acker, and Froidcoeur about using toothpaste, because toothpastes, especially abrasive toothpastes, can scratch your appliance. And don’t forget to clean your case!

Every week, or as directed, your night guard will benefit from a more serious cleaning. Follow the instructions for your appliance, whether it’s using cleaning tablets, a soaking solution, or another recommended cleanser. Your dentist can suggest how, how long, and how often to treat your night guard to a deep cleaning, because using the wrong products or cleaning methods can damage it.

  • Keep It Dry

Putting a damp night guard into a closed case, even a ventilated one, provides an ideal setting for bacteria growth. Before you put your guard away, give it time to air-dry on a clean surface.

  • Keep It Safe

Once your guard is clean and dry, make sure it keeps its shape and stays intact by keeping it in its clean, dry case when you’re not using it. Night guards and their cases are no fans of sun, extreme heat, very hot water, or (gulp!) dishwashers. A misshapen, melted, or broken night guard should not be used. If your night guard is damaged, it’s time to call us.

Spending just a moment or two each day caring for your night guard will result in a long-lasting appliance and many hours of healthy and comfortable sleep. Your night guard is protecting you. Be sure to return the favor for a long and healthy dental partnership.

Quit Smoking to Save Your Smile

October 4th, 2023

You have probably counted a hundred reasons to stop smoking. It’s unhealthy. It’s expensive. It annoys the people around you. You have to schedule your day around the next cigarette. But here’s reason number 101: Did you know that one of the many side effects of smoking is the damage it does to your smile?

Your Appearance

One of the most obvious results of smoking is the constant yellowing and discoloration of your teeth. Tobacco stains can take longer to remove with home brushing and whitening. And, while a professional cleaning and whitening will make a world of difference, all that good work is undone once you start smoking again.

More important, no smile looks its best with periodontal disease and tooth loss. Smoking has been linked to the presence of more harmful oral bacteria and higher occurrences of cavities and gingivitis (early gum disease). Periodontitis, or severe gum disease, is much more common among smokers. Tooth loss is also much more likely.

Healing after Dental Surgery

Smoking slows the healing process. It has been linked to a weaker immune system, so it’s harder to fight off an infection or to heal from one.  And because of the harmful effect of smoking on bone tissue, there is a higher failure rate for dental implants among smokers. Bone density can be so compromised that an implant is not even an option.

Healing after Extractions

If you have a tooth extracted, the formation of a blood clot at the site of the removal is essential to avoid a condition called dry socket. Dry socket can lead to pain, serious infection, and other complications. Luckily, this clot is resilient and pretty hard to dislodge—unless you apply suction such as sipping through a straw or drawing smoke from a cigarette.

Oral Cancer

Research has shown that smoking is the single most serious risk factor for oral cancer. The good news is that this risk is cut dramatically if you quit!

Let Drs. Rottschalk, Acker, and Froidcoeur help you maintain your smile. We can offer many more reasons to give up the smoking habit, and we are happy to offer suggestions for quitting during your next visit to our Fairview Heights, IL office. We want to protect your smile and your health as well. It doesn’t really matter which number on the list finally leads you to quit—every number on that list is your lucky number!

What to Do for Your Loose Tooth

September 27th, 2023

One of the first exciting childhood experiences we outgrow is the excitement of discovering a loose tooth. Sadly, there’s no adult Tooth Fairy waiting to exchange a gift for a lost tooth, and, even worse, there’s no backup tooth all set to replace it.

If one of your permanent teeth is feeling a little less than permanent, don’t ignore the problem! Here are four things to do right away when you discover a loose tooth:

Eat Soft Foods

While you’ll probably automatically take caramels off the menu and ditch your chewing gum, crunchy foods such as nuts, chips, even apples can be a problem for a compromised tooth. Stick with soft foods and try to eat on the opposite side of your loose tooth.

Keep the Area Clean

The typical bacteria and food particles in your mouth won’t thoughtfully leave the area around your wiggly tooth untouched. But your normal brushing and flossing might be a little too much for a loose tooth. Gently rinsing with warm water should do the trick until you can see us.

Leave It Alone

Sometimes the hardest thing to do is to do nothing. But when it comes to a loose tooth, please choose this course of (in)action. You might recall having a loose tooth as a child, and how you’d automatically wiggle it with your tongue or your fingers. But you’ll also remember what happened at the end of all that wiggling—your baby tooth fell out.

Teeth are held in place by ligaments attached to the alveolar bone in the jaw. When those ligaments or bone are damaged because of injury or infection, your tooth feels loose. Wiggling your tooth back and forth can cause further detachment and expose you to more bacteria. So even though it might be tempting, leave your tooth alone until you can see us.

Call Your Dentist Immediately

The most important tip of all! Call Drs. Rottschalk, Acker, and Froidcoeur at once if you notice a loose tooth. It’s important to discover not only the best treatment, but the reason for your loose tooth as well. A loose tooth can be caused by several different conditions, and none of them should be ignored.

  • A blow to your mouth

If your tooth, ligaments, or bone have suffered trauma, your dentist might be able to stabilize your loose tooth with a splint so that ligament and tissue can heal.

  • Gum disease

Periodontitis (severe gum disease) is a chronic condition. Pockets form between your gums and teeth that become home to bacteria and infection. Over time, periodontitis can destroy gum, ligament, and bone tissue. Left untreated, it leads to loose teeth and even tooth loss. Gum disease is reversable when caught early enough, and even in later stages can respond well to a variety of treatments.

  • Pregnancy

Hormonal changes during pregnancy can cause the ligaments and bones around your teeth to loosen, and loose teeth are the result. While this situation is usually temporary, taking care of your teeth and gums is essential during pregnancy, and Drs. Rottschalk, Acker, and Froidcoeur will have many important recommendations for your dental health.

  • Teeth Grinding (Bruxism)

Your jaw and teeth can exert hundreds of pounds of pressure. When you spend your sleep hours grinding them, that force is applied to your teeth and the ligaments holding them. Small wonder that bruxism can lead to loose teeth. Your dentist will have ideas to help you stop teeth grinding, from behavioral changes to custom night guards.

Osteoporosis, bite problems, oral cancer, and other conditions can also cause loose teeth. Any condition that causes loose teeth should always be evaluated immediately to prevent more serious medical or dental problems.

Sometimes a loose tooth can’t be saved, and a professional extraction is the best solution. But if there’s a chance to save your tooth, treating the tooth carefully and visiting our Fairview Heights, IL office at once improve your odds considerably. Because there’s no adult Tooth Fairy, and really, no coins under a pillow will ever be as valuable as a beautiful, healthy smile.

What Are Chalky Teeth?

September 27th, 2023

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 Fairview Heights, IL 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 Drs. Rottschalk, Acker, and Froidcoeur 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 Drs. Rottschalk, Acker, and Froidcoeur immediately. We want to work with you to treat any current problems and to prevent new ones.

Teeth Whitening and Your Smile

September 20th, 2023

The best type of whitening for your smile depends on what you are hoping to accomplish.

Whitening Toothpastes

This is certainly the easiest method of whitening, but will brushing alone produce your whitest smile? Probably not. Whitening toothpastes use chemicals and abrasives to remove some surface stains caused by foods, beverages and smoking. They can also be used to maintain the appearance of your teeth after a professional whitening. However, toothpaste alone cannot change the natural color of your teeth or penetrate the surface of the tooth to remove deeper stains. A whitening toothpaste usually takes several weeks to produce results. Be sure to choose a product with a seal of approval from a reputable dental association and carefully follow the instructions for use.

Whitening Strips and Gel Trays

Whitening gels can be applied at home with strips or tray kits. These peroxide-based gels are stronger than the formulas used in toothpaste.

Strips come coated with the whitening gel and work when pressed to your teeth for a specified amount of time. One difficulty here is making sure each tooth is completely covered by the strip so that even whitening takes place. Tray and gel whitening systems provide a mouthguard-like appliance that is filled with whitening gel and applied to your teeth, again for a specific period of time. Because one size does not fit all, stock trays can be ill fitting and lead to problems with gums and soft tissue. You can talk to our team about a custom-fitted appliance and whether gel whitening is your best option.

Some users find gel products cause tooth and gum sensitivity and even enamel damage. These over-the-counter gel products will not work on caps, veneers, crowns, or bridges, and there might be underlying conditions in your natural teeth that will make the use of these products ineffective. Please talk to us at your next visit to our Fairview Heights, IL office if you are interested in whitening at home, so we can advise you on how to achieve the best and safest outcome.

Office Treatment

Professional whitening makes use of a gel with a higher concentration of peroxide and should only be provided by Drs. Rottschalk, Acker, and Froidcoeur or a member of our team at our Fairview Heights, IL office. This process is generally faster, more effective and longer lasting. We take care first to examine your teeth for pre-existing conditions such as cavities and gum disease that could cause problems. We protect your gums when the gel is applied in office and monitor the procedure. We can assess the progress of the whitening and suggest further treatment if needed. Custom mouthpieces can also be an option if you would like to use a whitening gel at home. A personally molded tray will fit your teeth perfectly and allow a more precise application of the peroxide gel.

Some teeth are not good candidates for normal whitening procedures at home or in office. If you have dark stains caused by trauma, drugs such as tetracycline, discoloration due to root canals, or darker dental bonding, crowns, or other prosthetics, please talk to us about other possible solutions. We want to help you achieve your brightest possible smile.

Best Ways to Prevent Bad Breath

September 20th, 2023

Nobody likes bad breath, and although it can sometimes be difficult to tell if you have it, it is always better to practice good oral health than risk having a smelly mouth. There are many ways to reduce or eliminate bad breath, some are definitely more effective and longer lasting than others. Check out ways to do so below.

Floss Regularly

As difficult as it can be to remember to floss regularly, when it comes to bad breath, flossing is one of the easiest and most cost effective ways to freshen your mouth. See, flossing reduces the plaque and bacteria found in areas of your mouth that a toothbrush simply can't reach, and in turn, it rids your mouth of the smell associated with that bacteria. While flossing may not eliminate bad breath on its own, if you do it along with other health oral hygiene habits like brushing, then you may just develop a fresher smelling mouth.

Use Mouthwash

Using some sort of mouthwash can really freshen up your breath, especially if you find it still smells after brushing and flossing. There is a wide variety of mouthwash products on the market, however, you can also create your own by simply using baking soda mixed with water.

Always Brush after You Sleep

Whether after taking a nap, or having a full night of sleep, you will want to brush your teeth in order to reduce bad breath. The truth is, bacteria accumulates in your mouth while you are sleeping (even during a short nap) and that is ultimately the source of bad breath. So next time you wake from a good slumber, give your mouth some brushing and you will find it makes a big difference in the freshness of your breath.

There are many ways to freshen your breath beyond just using gum or mints, the above mentioned are just a few for you to try. Test them out and you will likely find your bad breath problem is solved, or at least considerably reduced. Of course, you can always ask Drs. Rottschalk, Acker, and Froidcoeur at your next visit to our Fairview Heights, IL office.

Teeth, Bones—What’s the Difference?

September 13th, 2023

They’re often mentioned together, and that’s understandable. After all, they’re the strongest parts of the body, they’re made of many of the same elements, they both require a diet rich in vitamins and minerals to stay healthy, a pirate flag wouldn’t be the same without them–so, what makes teeth and bones different? Glad you asked!

It’s Elementary

Teeth and bones are so strong because of their mineral composition. They have the highest concentration of calcium and phosphorus in the body, and these minerals combine to create sturdy structures which support our bodies, protect our organs, and help break down and digest our food. And they work well together—healthy teeth maintain jawbone density, and healthy jaws hold our teeth firmly in place.

But there are important differences in the anatomy of teeth and bones as well. Bones contain living cells, blood vessels, and nerves. They grow larger as we grow. As we age, old bone tissue breaks down and is constantly replaced with new bone tissue. This process enables our bones to stay strong throughout our lives. And bones heal.

When you break a bone, your body begins working right away to protect and heal the damaged area. Blood cells help with clotting around the break. After a few days, collagen proteins work to replace the clotted cells and form a soft callus. Within weeks, calcium phosphate deposits strengthen the collagen framework. Over time, the bone hardens and reshapes.

And while tooth enamel is the hardest substance in our bodies—harder even than bone—it is not indestructible. Our enamel is basically composed of minerals rather than living tissue, so it can’t regenerate. The enamel covering our teeth doesn’t replace cells as they age, and it can’t create new tooth cells if a tooth is injured through damage or decay. This means that a cracked or broken tooth can’t knit itself together, and enamel lost to decay won’t grow back.

Drs. Rottschalk, Acker, and Froidcoeur can restore your smile with fillings, or crowns, or even implants if necessary, but preventing injury to your teeth is always best.

Protecting Teeth and Bones

You can make sure your teeth and bones are their safest and strongest by being proactive.

External bone injuries can be avoided with the use of proper safety equipment. Helmets, padding, work boots—if your work or play recommends protective gear, use it! Fortunately, there’s also protective gear for teeth.

  • Helmets

Helmets not only protect against brain injury and concussion, they are often designed to protect the face, mouth, and jaw as well.

  • Mouthguards

Mouthguards protect the teeth, lips, tongue, and jaw from damages caused by physical contact and falls. They’re available over-the-counter, or ask Drs. Rottschalk, Acker, and Froidcoeur to fabricate a custom guard for the most comfortable and secure fit. A custom guard is an excellent option for people with braces, bridgework, or other dental appliances.

  • Night Guards

Grinding and clenching the teeth at night can lead to loose and cracked teeth, headaches, jaw pain, and other unhappy consequences. Protect your teeth from the damage caused by bruxism (tooth grinding) by wearing a night guard.

Finally, one big difference between tooth and bone design: bones are safely hidden away inside the body, while our teeth are exposed to harmful plaque, bacteria, sugars, and acidic foods every day. Give your teeth the preventive care they deserve with twice-daily brushing, flossing, and regular visits to our Fairview Heights, IL office. After all, your beautiful, healthy smile was never designed to be hidden!

How to get Brighter Teeth for Life

September 13th, 2023

Have you ever wondered why some people have dull and yellow teeth, while others have bright, white smiles? It’s not luck.

Everyone’s teeth naturally dull over time because of aging and the contact our teeth experience with staining foods, such as chocolate and coffee. However, teeth-whitening treatments can give you the whiter smile you’ve been after.

Get Regular Treatments

Unfortunately, the effects of teeth-whitening or bleaching treatments are only temporary, but regular treatments at Dr. John Rottschalk Dental Group can help keep your teeth white for much longer.

The effects of in-office bleaching can last for several months to a year, so you may prefer to repeat your use of at-home bleaching kits every few months to maintain your white teeth. Whitening toothpastes do not contain bleach and are safe to use every day.

Have Realistic Expectations

Not everyone’s teeth can be turned bright white. Some just don’t respond to whitening treatments. If your teeth are a light yellowish color, they may readily respond to teeth-whitening procedures, but bleach will not likely work on grayish teeth. Brownish teeth tend to fall somewhere in between.

Practice Good Oral Hygiene

For the best whitening results, it’s necessary to keep your teeth in good health. Visible fillings, implants, or bridges that are metallic stand out against the white color you’ll want to achieve.

Maintaining good oral hygiene will help you avoid tooth decay and keep your smile bright. In addition to brushing your teeth twice a day, these actions can help promote a healthy mouth:

  • Floss every day
  • Visit our Fairview Heights, IL office every six months for professional cleanings
  • Rinse your mouth with water after each meal and snack
  • Limit sugary and starchy foods and beverages that can stain teeth, especially between meals

Let's Talk About Your Roots!

September 6th, 2023

You’ve learned a lot from your dentist and your family about how to take care of your teeth. You brush and floss, you wear a mouthguard when you’re active, and you have regular checkups and cleanings at our Fairview Heights, IL office.

And everything you’re doing is wonderful! The smile you see each day in the mirror reflects your hard work.

But what about the part of your smile you can’t see? Let’s take a look beneath the surface, and talk about your roots.

While our teeth look solid from the outside, there’s really a lot going on inside each tooth.

  • The outside of every tooth is covered with a hard protective surface.

Enamel is the hardest material in our bodies, and covers the crown. This is the part of the tooth we can see above our gums.

Our roots are hidden below our gums, and are covered with cementum instead of enamel. Cementum is hard, but it’s not nearly as strong as enamel.

  • Just below a tooth’s enamel and cementum layers, we have dentin.

Dentin is a hard tissue, only a little softer than enamel. Most of our tooth is made of dentin. It surrounds and helps protect the center of the tooth and supports the enamel and cementum on the outside.

  • Inside the center of each tooth, there’s an area called the pulp chamber.

The pulp holds tiny blood vessels and nerves. The blood vessels give the pulp nutrients, and the nerves are the reason that our teeth can feel sensitivity or pain.

Inside the roots, we also find pulp in the root canals. These canals are very small tunnels that run from the pulp chamber down through the root, ending in a tiny hole in the tip of the root. Blood vessels and nerves running through the canals connect the pulp tissue to our bodies’ blood and nervous systems.

Around your roots, there’s a lot going on, too. Smaller teeth like the incisors, our front teeth, usually have only one root. Bigger teeth, like molars, usually have two or three roots. And while you’re busy biting and chewing, what’s holding these roots in place?

  • In your jaws, you have a spot where each tooth fits called a socket. But your tooth roots don’t just sit in the socket. That wouldn’t be very secure!
  • Instead, you have a periodontal ligament surrounding the roots of each tooth. Think of the ligament as groups of tissue fibers that can attach to both the cementum on your root and the bone in your jaw. This double attachment holds your teeth firmly in place. The ligament also helps cushion your teeth from the heavy pressures of chewing.
  • To make things even safer for your roots, your gums help cover them and protect them from bacteria and decay.

As you can see, your body is working hard to protect your roots. What’s the best thing you can do to keep your roots healthy? Do everything you’re already doing!

  • Keep up with your brushing and flossing, and your visits to our office. These good habits protect the teeth and gums you can see, and also the roots that you can’t see.
  • Avoid oral habits that put lots of pressure on your teeth and roots. Biting down on pencils, or ice, or nut shells, or anything not meant for regular eating means you’re risking a cracked tooth.
  • Be safe! Wear your mouthguard when you’re active.
  • Don’t wait to tell your adult if your tooth hurts. Remember, those nerves inside your teeth and roots are there to warn you if your tooth is damaged. Drs. Rottschalk, Acker, and Froidcoeur will be able to find out what’s wrong and have you feeling better in no time.

Even though you can’t see them, your roots are one important reason you have your beautiful smile. Taking good care of your teeth now is a way to make sure you have beautiful, healthy smiles for a lifetime!

Adults Can Get Cavities, Too

September 6th, 2023

There are some things we just don’t miss about being a kid. Getting grounded? A thing of the past. Curfew? Not happening. Confiscating our cell phones? As if. Cavities? While we’d like to think those are also a part of childhood we can happily leave behind, unfortunately, the potential for cavities is one thing we never outgrow.

If you are keeping up a healthy dental routine, you know that two minutes careful brushing and flossing twice a day, a sensible diet, and regular checkups and cleanings are the best way to keep cavities from ever developing. But adults face other challenges that children might not. What else should we look out for?

  • Over-Enthusiastic Brushing

Brushing too vigorously, or using a brush with hard or even medium bristles, can actually damage our teeth over the years. Enamel, as hard as it is, can erode, leading to the potential for decay, and gums can be pushed away from the lower part of our teeth, which are not covered by enamel. Talk to us about the gentle way to clean bacteria and plaque from your teeth while protecting your enamel and gums.

  • Receding Gums

Whether due to gum disease, improper brushing, genetic factors, or other causes, we often see gum recession as we age. This is not just an aesthetic problem—gum recession leaves the root area of our tooth exposed to plaque and bacteria. Because this part of our tooth is not protected by enamel, there is a greater risk for decay in this newly exposed area. Also, pockets between the teeth and gums can be home to infections which lead to more serious problems. We will examine the condition of your gums at every checkup, and are happy to suggest the best solutions for keeping your gums their healthiest.

  • Our Fillings Age, Too

Over time, fillings can become loose or damaged, allowing the bacteria that cause cavities to enter spaces within the tooth you cannot brush or floss. This is a problem we can catch at a regular checkup, but if you notice a damaged filling, lose a filling, feel sensitivity around a filled tooth, or have any other concerns, call us. Prompt replacement will stop decay before it leads to a more serious problem.

  • Life Is Unpredictable

A busy schedule can lead to unhealthy diet choices. Not just sugars, but acidic foods (like sodas, coffee, and wine) and carbs (which break down into sugars) can leave teeth more vulnerable to decay. Physical changes (working out, new medications and medical conditions) can lead to dry mouth, which creates a bacteria-friendly environment that can lead to tooth decay. Stress can have consequences such as weakened immune systems, tooth grinding, and unhealthy eating habits, all of which can lead to a higher risk of cavities.

Call our Fairview Heights, IL office if you have any dental concerns. And talk to Drs. Rottschalk, Acker, and Froidcoeur about the changes in your life that might leave you more vulnerable to cavities or impact your overall dental health. We have suggestions and solutions for this phase of your life to protect and preserve that wonderful smile you had as a child. And that’s a great result at any age!

Socket Preservation

August 30th, 2023

Dental implants are a marvel! They look just like your natural teeth, and, even better, they function just like your natural teeth. So, when you’re planning on a dental implant after an extraction, you want to make sure that your implant has the best chance of success—and we do, too. That’s why we might recommend a socket preservation procedure, where socket grafting takes place immediately after your extraction.

What is a socket graft, and what does it “preserve”? Let’s take a closer look.

Socket Preservation—A Logical Choice After Extraction

You’ve decided on a dental implant for some excellent reasons.

  • A missing tooth can change the appearance of your smile.
  • Your remaining teeth might shift to fill the empty space, causing alignment and bite problems.
  • A lost tooth affects the amount, shape, and health of the bone surrounding your teeth.

No one wants to lose a tooth, but sometimes, due to injury or decay, an extraction is the only choice for your oral health. After your tooth is extracted, if the socket bone holding the tooth is perfectly healthy and the extraction is a simple one, we might be able to place an implant post in the socket right away.

But often, bone needs time to heal before placing an implant post, and you risk losing the bone size and density you need to make a future implant possible. How can you lose bone? That’s an unfortunate consequence of losing teeth. Teeth are important not just because they let us eat comfortably—they also help maintain bone health.

Without the stimulation of biting and chewing, the bone beneath the teeth begins a process called resorption. As older cells are absorbed back into the body, new bone cells aren’t produced as quickly to replace them. The alveolar bone, the thick ridge of the jaw which holds our sockets, shrinks in size. As the bone gets smaller, gum tissue shrinks around it, causing a sunken spot where your tooth used to be.

For a dental implant to anchor successfully in the jawbone, you need healthy bone that is high enough, wide enough, and dense enough to hold the implant post securely as it fuses with the bone.

A socket graft at the time of extraction provides two important benefits: grafting material fills the empty socket immediately, preserving the bone and gum area around it, and the graft material acts as scaffolding for new bone growth, creating a firm, dense foundation for your implant.

Grafting materials are gradually and safely absorbed as your new, healthy bone tissue replaces them. The result, after several months of healing, is an alveolar ridge with normal height and width and with the density needed to anchor an implant successfully.

The Grafting Procedure

Grafting material comes in different forms, including allografts (made from donor bone), synthetic grafts (made from synthetic materials which function like bone tissue), and autografts (bone taken from your own body). Growth factors may also be included in the grafting material to encourage new cell growth. Drs. Rottschalk, Acker, and Froidcoeur will recommend the type of graft which will work best for you.

A socket preservation procedure will frequently involve the following steps:

  • Local anesthesia to numb the area before your extraction. You might choose sedation options as well, which we’re happy to discuss with you in advance.
  • Careful cleaning of the site after the tooth is extracted.
  • Filling the empty socket with bone grafting material.
  • Placing a barrier or membrane over the graft to protect it as it heals.
  • Suturing the surrounding gum tissue.

Aftercare Treatment

Aftercare treatment for a socket graft is a lot like the treatment for a tooth extraction. You’ll need to be careful around the graft area for several days as it heals, and we’ll give you specific instructions for your recovery. Normally, these may include:

  • Don’t disturb or touch the area. Even pulling on lips or mouth to look at the site can put stress on your sutures.
  • Immediately after the procedure, we can give you suggestions for reducing swelling and managing any pain you might be feeling.
  • We’ll let you know when and how to rinse your mouth clean and when you can return to brushing. And no spitting!
  • Eat carefully. We might recommend a liquid diet for a few days before transitioning to bland and cool soft foods. We’ll let you know the best diet for the period after your surgery. Don’t use a straw for your liquid diet, because suction can interfere with the wound.
  • Treat yourself carefully for a few days by avoiding strenuous activities, including workouts.
  • Don’t smoke. Smoking interferes with the healing process, and the suction involved does your graft no favors either.
  • Visit our Fairview Heights, IL office for follow up appointments as recommended. We’ll monitor your healing, and give you a timeline for your future implant.

Preserving your socket now instead of repairing it later has many advantages. Immediate placement of a graft protects bone size and density, eliminates the need for a potential bone grafting procedure in the future, and makes it possible for you to enjoy the natural look and feel of a dental implant as soon as possible. If you have an extraction scheduled, let’s discuss why socket preservation might be your best path to an efficient, timely, and successful dental implant.

Root Canal Procedure

August 30th, 2023

Five words no one welcomes: “You need a root canal.” But if you are delaying treatment because you are worried about pain and an uncomfortable day in the dentist’s chair, please think again! Modern root canal procedures are designed to repair your damaged tooth gently and efficiently, and leave you with a restored natural tooth that can last a lifetime.

  • Why might you need a root canal?

First, a little tooth biology. Each tooth has a crown (the part we see above the gums) and one or more roots (the part of our tooth below the gum line that is attached to bone in our jaw). The tooth has three basic layers: the hard enamel and cementum that cover the outer crown and root, the softer dentin beneath that layer, and, on the inside, the pulp. Pulp is made of living tissue, and contains the blood vessels and nerves that nourish the tooth and keep it vital.

Even with the protection the enamel and dentin provide, sometimes the pulp can be infected or damaged. If you have suffered an injury to your mouth or jaw, or an infection has developed from an opening in the tooth caused by a deep cavity or crack, you may need a root canal to prevent further infection, pain, and even tooth loss. Call our Fairview Heights, IL office immediately if you feel pain with chewing or pressure, prolonged sensitivity to heat or cold, swollen, and tender gums around a tooth, or tooth discoloration.

  • The Root Canal Procedure

If a root canal is necessary, the procedure is very straightforward. After the area around the tooth is numbed, we will make an opening in the crown to allow access to the pulp inside. Very small instruments will be used to clean the inner tooth and removed bacteria and dead or dying tissue. The area will be thoroughly disinfected, and the inside of the tooth shaped and then filled and sealed. A temporary filling or crown might be placed on the tooth to prevent bacteria and food from entering the site if a permanent crown needs to be created. The entire process usually takes from one to three visits.

If we suggest a root canal, it is because this is the best way to save your tooth. Please feel free to talk to us about your particular needs and concerns. Which tooth is affected, how many roots are involved, what type of filling or crown might be best—we will work with you to provide all the information you need and all the options you have available.

Common Concerns

  • Are you concerned about pain?

The most painful part of a root canal is often the severe discomfort your tooth causes before treatment. And infections and damaged nerves can affect not only the injured tooth, but the gums, tissue and even bone surrounding it. With our modern dental techniques, a root canal procedure is often no more uncomfortable than a regular filling. The local anesthetic we use will prevent you from feeling any pain during the procedure, and, while the area around your tooth might be a bit sensitive following treatment, the pain caused by the infection or injury should be gone.

  • Are you anxious about the procedure?

If dental treatment causes you anxiety, please let us know. There are several sedation options we can pursue to make this procedure less worrisome. Our goal is to make your treatment as gentle and comfortable as possible.

No one welcomes the news that a root canal is necessary, but with today’s procedures, this treatment can be just what you need to relieve your pain and keep your natural tooth where it belongs for many years to come. And that is welcome news, indeed!

Let’s Talk About Fluoride

August 24th, 2023

So much of parenting is a balancing act. Making sure your child has enough play time and enough nap time. Crafting meals that are both healthy and appealing. Making sure every dental product you use is both effective and safe.

While Drs. Rottschalk, Acker, and Froidcoeur and our team can’t recommend the perfect bedtime story, or tell you why your child just won’t go for that delicious steamed broccoli, we are more than happy to discuss the very best ways to promote healthy, strong teeth. Should fluoride toothpaste be part of your child’s dental routine? For many good reasons, the answer is yes.

Why Fluoride is Important

Our enamel is the strongest substance in our bodies, with the highest concentration of minerals, but it is not indestructible. The bacteria that live in our mouths create acids which attack our enamel. Weakened enamel leads to cavities. Fluoride is a mineral that makes the enamel surface more resistant to these acids, and can actually help our enamel repair itself in a process called “remineralization.” Fluoride helps prevent cavities and makes teeth stronger, and those are benefits that will last your child a lifetime.

Can There Be Too Much of a Good Thing?

Fluorosis is a condition that can sometimes develop when a child has been exposed to too much fluoride while the adult teeth are developing below the gum line. (Around the age of eight, children’s teeth have finished forming and are not at risk.) Fluorosis is not a disease, and doesn’t harm teeth, but can lead to faint streaks in the enamel. While this streaking is usually white and subtle, it can sometimes be darker and more noticeable. Teeth discolored by fluorosis can be treated cosmetically, but prevention is always the best option.

Finding the Perfect Balance

Talk to us about using fluoride toothpaste when your baby’s first teeth start arriving. If a very young child is at risk for tooth decay, we might recommend early use of fluoride toothpaste. And for these small children, younger than the age of three, a small smear of paste (about the size of a grain of rice) is sufficient if needed. Swallowing fluoride products increases the risk of fluorosis, so make sure to use a very small amount of paste.

Because young children can’t understand the concept of rinsing and spitting, you always want to make sure the amount of toothpaste you use is age-appropriate even as they get older.  From ages three to six, a pea-sized dab of toothpaste is enough. Children should not use fluoride rinses or supplements unless recommended, and should be monitored to make sure they spit out fluoride toothpaste or rinses after brushing.

Most drinking water already has natural levels of fluoride, which normally aren’t a problem. If you are concerned about high fluoride levels in your local water, talk to us. If your water has higher levels of fluoride than normal, you can minimize consumption when your baby is young by breastfeeding, using non-fluoridated water for mixing with formula powder or concentrate, or buying prepared formula. If your child is a toddler, don’t add fluoride rinses or supplements unless they are recommended by a dental or medical professional.

Talk to us during your visit to our Fairview Heights, IL office about protecting your child’s teeth. We are happy to help you find just the right amount of fluoride to keep young smiles stronger and more resistant to tooth decay. Healthy teeth in a beautiful smile—that’s a perfect balance!

Are there foods that whiten teeth?

August 24th, 2023

Coffee. Blueberries. Red wine. Tomato sauce. They might please our palate, but they are notorious for staining our teeth. Luckily, nature has balanced the scales for us! Here are just some of the foods that could actually help whiten your smile.

Apples

The crunchy texture of an apple makes it perfect for scrubbing your teeth as you chew. The more you chew, the more saliva you produce. And saliva helps lower the amount of the bacteria in our mouths that cause decay, while washing away food particles that can stain our teeth.

Broccoli

Raw broccoli florets look—and act—like tiny toothbrushes. Broccoli also contains high levels of iron which help protect our enamel from stains and erosion.

Carrots and Celery

More crunchy vegetables that scrub teeth. These are high in fiber, which acts as a gentle abrasive, and water, which stimulates healthy saliva production.

Nuts and Seeds

These are nutritious snacks that both act as abrasives and increase saliva production.

Pineapple

Pineapple is that rare fruit that produces bromelain, enzymes that help in digestion. These enzymes are also believed to help remove staining.

Strawberries

Malic acid considered by many to be a natural whitener which helps break down stains, and strawberries are a great source for this organic compound. But don’t overdo, because too much acid is hard on your enamel.

Of course, the real benefit of eating a balanced diet containing fresh fruits, vegetables, nuts, and seeds is nutritional, and any whitening that takes place is an added bonus. And eating healthy foods won’t take the place of brushing to keep your teeth clean and bright, especially if you are relying on sugary fruits for their whitening effect. If you want help whitening your smile, and diet and brushing alone aren’t the answer, give our Fairview Heights, IL office a call and we’ll be happy to suggest other options. Until then, bon appétit!

What to Do If You Lose a Filling

August 16th, 2023

It really doesn’t happen very often. But sometimes you bite into something that is much harder than you anticipated. Sometimes you grind your teeth without realizing the pressure you’re putting on them. Sometimes you have a cavity that has stealthily developed beneath an earlier filling. And the result is—sometimes you lose a filling.

What to do when this happens? If you’re at a loss for ideas, we have some suggestions.

  • Don’t panic

Usually, a cracked, broken, or lost filling is not an emergency situation. That being said, it’s still important to . . .

  • Call us immediately

Drs. Rottschalk, Acker, and Froidcoeur will be able to give you the best advice as to how to take care of your tooth until you can make an appointment. And if your dental problem might be a dental emergency, we can make sure you are seen as soon as possible.

  • Take care of your tooth

Keep your tooth and the area around it clean. Brush gently to keep food particles away from the newly exposed tooth surface. You can (carefully) rinse around the area with a bit of water or salt water as recommended.

Your lost filling might not inconvenience you at all. But if you feel sensitivity when the tooth is exposed to air, or when you eat hot or cold foods, or if you feel pain when you bite down, let us know. We can recommend some over the counter medications and pain relievers that can help.

If you’re experiencing severe pain, call us at once.

  • Diet

This might not be the time for sticky caramels, frozen treats, or extra-hot beverages. Make yourself comfortable by avoiding chewing with your compromised tooth, and postponing foods that could trigger sensitivity.

  • Make a dental appointment as soon as you can

Don’t put off treatment, even if the filling was a small one, and even if the tooth is causing you no discomfort.

There might be further damage or decay that should be treated. A tooth that required a large filling is often more fragile than an intact tooth, and might need to be fitted with a crown in order to protect it. A missing filling might reveal deep decay which has exposed the pulp of the tooth to infection or damage, and a root canal might be necessary. A seriously damaged tooth might require extraction. Delaying treatment could result in a more complex restoration.

See us as soon as you discover a problem with your filling, and we will make sure not only that your tooth is treated appropriately, but that the reason for the lost filling is discovered. While no filling lasts forever, if the cause of your lost filling is tooth grinding or decay, it’s important to be proactive to prevent further problems.

Losing a filling? It really doesn’t happen very often. But that’s not a lot of comfort if you do happen to lose or break a filling. If you’re at a loss for what to do next, contact our Fairview Heights, IL office. You’ll find yourself smiling again in no time!

Women’s Medications and Dry Mouth

August 16th, 2023

Women using medication to treat a variety of medical conditions are often unaware of the potential side effects. One common side effect of medications such as blood pressure medication, birth control pills, antidepressants, and cancer treatments is dry mouth. The technical term for dry mouth is xerostomia.

Xerostomia can lead to undesirable effects in the oral cavity including periodontal disease and a high rate of decay. Many women who have not had a cavity in years will return for their routine exam and suddenly be plagued with a multitude of cavities around crowns and at the gum line, or have active periodontal disease. The only thing that the patient may have changed in the past six months is starting a new medication.

Saliva washes away bacteria and cleans the oral cavity, and when saliva flow is diminished harmful bacteria can flourish in the mouth leading to decay and gum disease. Many medications can reduce the flow of saliva without the patient realizing the side effect. Birth control pills can also lead to a higher risk of inflammation and bleeding gums. Patients undergoing cancer treatments, especially radiation to the head and neck region, are at a greatly heightened risk of oral complications due to the possibility of damage to the saliva glands.

There are many over the counter saliva substitutes and products to temporarily increase saliva production and help manage xerostomia. One great option for a woman with severe dry mouth or high decay rate is home fluoride treatments. These work in a number of ways, including custom fluoride trays that are worn for a short period of time daily at home, a prescription strength fluoride toothpaste, or an over the counter fluoride rinse. If you have more questions on fluoride treatments, make sure to ask Drs. Rottschalk, Acker, and Froidcoeur at your next visit to our office.

The benefits of many of the medications on the market outweigh the risks associated with xerostomia, however, with regular exams you can manage the risk and prevent many oral consequences of medications.

Teeth Grinding

August 9th, 2023

It might seem like you’ve gotten a great night’s sleep—but why aren’t you well rested? Worse, why are you waking up with:

  • A headache
  • Ringing in your ears or an earache
  • Pain in your jaw
  • Worn or sensitive teeth
  • Dry mouth or mouth and cheek injuries
  • An unhappy partner who’s been kept awake all night?

If you suffer from any or all of these symptoms, you might be one of the millions of people who have a sleep-related disorder called bruxism, better known as teeth grinding.

There are any number of causes that have been linked to bruxism. Stress and other negative emotions seem to trigger episodes, as can lifestyle habits such as smoking and drinking alcohol or caffeine. Sleep apnea can lead to grinding your teeth, or you could have bite or tooth alignment problems. Certain medications might set off this disorder, and some studies have shown a hereditary tendency in families. Whatever the reason you grind your teeth, there are many important reasons to stop as soon as you can.

As bad as the nagging headaches and earaches that can accompany bruxism can be, long-term damage to your teeth can develop over time. With continuing grinding pressure on the teeth, enamel is worn away prematurely. Teeth can crack or chip. They may loosen or develop sensitivity to heat, cold, and pressure. Gum tissue can recede or become inflamed. Dental restorations can be cracked or broken.

If you—or someone in your house—suspects that you are grinding your teeth at night, give our Fairview Heights, IL office a call! We can recommend relaxation techniques, diet changes, or tips to help you relax your jaw. Drs. Rottschalk, Acker, and Froidcoeur might suggest a nightguard, a custom-fitted appliance worn while you sleep, to reduce the impact of grinding. There are options available. Let’s work together to make every night’s sleep a restful, healthy one.

Caring for Your Cat’s Dental Health

August 9th, 2023

While you make sure your family is getting the best care possible, with regular dental checkups and cleanings at our Fairview Heights, IL office, there is one family member that might be hiding under the bed when it’s time for tooth care. Periodontal disease is the most common clinical condition affecting adult cats—and it is completely preventable!

Periodontal disease starts when the bacteria in your pet’s mouth form plaque. The plaque can harden into tartar, and, if plaque and tartar spread under the gum line, can be responsible for a number of serious problems. Tooth loss, tissue damage, bone loss, and infection can be the result of periodontal disease. Professional dental treatment is important if your cat is suffering from periodontal disease, and your vet can describe the options available to you.

But, like with humans, prevention is the best way to assure these problems never develop, and there are several methods for avoiding plaque and tartar build-up.

Brushing: Yes, there are toothbrushes and toothpastes specifically designed for your cat! If a toothbrush is not working for you or your pet, there are cat-sized finger brushes available as well. Daily brushing is most effective, but try for at least several times each week. The process of introducing brushing should be a slow and gentle one, and seafood and poultry flavored pastes make the process more palatable. (Human toothpaste is not good for your cat due to its abrasiveness, and swallowing the foam might pose a danger to your pet.)

Anti-plaque rinses and gels: If despite your gentle persistence your cat simply will not cooperate with brushing, there are other options! Rinses and gels containing Chlorhexidine are effective and do not usually pose a problem for pets—although they might not take to the flavor. Rinses can be squirted inside each cheek or gels can be applied to the teeth with a toothbrush or finger brush. Talk to your vet to find the safest and most effective products.

Diet: Whether they use a particular shape and texture to simulate brushing or an anti-tartar ingredient, several pet foods claim to reduce the accumulation of plaque and tartar. Your vet is the best resource for nutritional suggestions to make sure your cat’s dental and physical diet is as healthy as it can be.

Whether you try brushing, rinses, gels or a tooth-friendly diet, patience and a gentle touch are the best way to introduce dental hygiene. Talk to your vet at your cat’s next checkup, and find out what you can do to keep your feline friend healthy and happy. An ounce of prevention might be worth a pound of purr!

Pick the right electric toothbrush!

August 2nd, 2023

The electronic toothbrush has undergone several technological advances since the 1960s. Everything from design and bristle motions to rotation, oscillation, and sonic vibration has led to dramatic changes in this necessary tool over time.

Rotation oscillation happens when the head of the toothbrush rotates from one direction to the other. The benefit of powered toothbrushes is that they can produce 50,000 strokes per minute, compared to 300 strokes with a manual toothbrush.

When you’re thinking about brush head size, smaller brush heads are best for hard-to-reach areas and small mouths. Brush heads should be replaced every three to six months as needed. A good way to save money is to designate a brush head for each family member which can be taken on and off a shared base motor.

Having a base motor or rechargeable toothbrush can deliver enough power on a full charge for a week of brushing, which makes it convenient for travel or when life gets busy. Some toothbrushes include audible signals that let you know when to switch the area of your mouth you’re brushing or when a full two minutes has gone by.

Do you have sensitive teeth? Studies have indicated that people tend to apply more pressure on their teeth when they use a manual toothbrush. This makes an electric toothbrush a preferable option if you’re having issues with sensitive teeth or gums.

There are even electric models with pressure sensors that will stop the brush from spinning when you press too hard against your teeth!

Everyone can benefit from having an electric toothbrush. A large handle size can be taken into consideration if a member of the household is young, or has a physical disability or arthritis. They’re even recommended for children in order to maintain good oral hygiene from a young age.

Biofilm is a term used for plaque or debris that builds up in your mouth. If not properly addressed, this can cause serious bacterial infections to your gums and teeth. If you want to remove biofilm in the most efficient way, an automatic toothbrush is the way to go.

When you're ready to make your decision, make sure to consult with Drs. Rottschalk, Acker, and Froidcoeur at our Fairview Heights, IL office to decide which electric toothbrush is right for you!

Timing Matters!

August 2nd, 2023

Many patients at Dr. John Rottschalk Dental Group are under the impression that harder brushing leads to cleaner teeth, but that is not true. Gentle brushing is just as effective, and less likely to cause damage. Other good brushing habits include brushing your teeth at least twice a day, replacing your toothbrush after a few months, and brushing for at least two minutes each time. It can be tough to keep track of the time when you are aiming for two minutes, but these tips can help.

Set a Timer

Setting a timer is a sure-fire way to hit your two-minute goal on the dot. Leave a kitchen timer in your bathroom so that it is easy to set each time you start brushing your teeth. Hit each surface of all of your top and bottom teeth, and keep brushing until the timer rings. Many electric toothbrushes have a built-in timer that you can use instead of a kitchen timer.

Entertain Yourself for Two Minutes

Time flies when you are having fun, and you can stay entertained as you brush your teeth for two minutes. These are some ideas.

  • Time your favorite song and sing it in your head as you brush your teeth.
  • Find a two-minute video on the Internet that you want to watch, and start it when you begin to brush your teeth.
  • Do squats in the bathroom as you brush. Go down for three slow counts, and up for three slow counts. By the time you get to 20 squats, your two minutes will be over.

Let Your Children Use Technology

Toothsavers is an app designed to inspire children to brush. The app was developed and released by the Ad Council and the Partnership for Healthy Mouths, Healthy Lives. It includes:

  • A game to fight an evil sorceress who causes cavities
  • A two-player version that lets children interact with friends and parents
  • Real-life reminders to brush twice a day
  • A built-in timer that helps kids brush for two minutes

Bright Ideas for Your Smile

July 26th, 2023

Keeping your smile its brightest can be a challenge! The foods you eat, healthy habits, unhealthy habits, and time itself can affect the color of your enamel. Luckily, there are some everyday actions you can take to minimize staining and discoloration.

  • Limit “Food Coloring”

Some of our favorite foods and beverages cause some of the most noticeable staining. Even though enamel is the strongest substance in our bodies, it’s still porous. This means that enamel can absorb elements from our foods, including tannins and natural food colors, which darken teeth over time.

That’s why a daily cup of coffee or tea, or a glass of red wine with dinner, or frequent helpings of dark berries, can lead to a less than brilliant smile in a matter of months. What’s more, acidic foods like citrus fruits, pickled foods, and sodas erode the enamel surface, which makes it easier for food stains to penetrate.

When you eat those smile-dimming foods, it’s a good idea to rinse with water right away. (When tasty treats are acidic, it’s best to wait to brush for about half an hour to avoid enamel damage.)  And here’s a simple work-around—use a straw when you enjoy discoloring drinks.

You can also reduce staining by adding food allies to your diet. Besides bringing you the nutritional benefits of a healthy, well-balanced diet, crunchy foods such as apples, carrots, and celery can have a mild scrubbing effect on the tooth surface, and dairy foods strengthen enamel and might help prevent staining when added to coffee or tea.

If you’re mindful of your eating habits, you’ll help your smile stay its brightest. And speaking of habits . . .

  • Keep Up with Healthy Habits

Plaque is a sticky biofilm which contains oral bacteria, food particles, saliva, and fluids. This film starts forming within hours after brushing, and a buildup of plaque leaves teeth looking yellowish. If plaque is left undisturbed, it hardens into tartar within days. And the yellow and brown colors of tartar aren’t a flattering look for any of us.

Regular brushing and flossing is the best way to keep your teeth plaque-free. For a brighter smile, a whitening toothpaste can help remove superficial surface stains. But what a whitening toothpaste can’t do is to remove deep staining or tartar.

A professional cleaning every time you have a checkup at our Fairview Heights, IL office is the best way to keep your teeth their cleanest, especially because tartar must be removed by a dental professional. And please feel free to ask for brushing and flossing tips to help maintain your sparkling smile.

  • Give Up Unhealthy Habits

Cigarettes, cigars, and other forms of tobacco are terrible for your health and terrible for your smile. While cosmetic concerns are the least of our worries when it comes to tobacco, it’s well known that smoking and chewing tobacco cause unattractive yellow and brown staining.

Quitting tobacco in any form benefits not just your appearance, but your oral health—and your overall health. When you’re ready, talk to Drs. Rottschalk, Acker, and Froidcoeur about some of the methods you can use to give up the habit permanently.

  • Beat the Clock

Over the years, erosion and wear cause the enamel layer on the outside of the tooth to thin or crack. This allows the dentin underneath to show through. Because dentin is darker than enamel to begin with, and gets darker over time, teeth can take on a yellow or grey hue as we age.

Keep your smile looking its best through the years with regular checkups and cleanings. Avoid excessive erosion and abrasion by being mindful of the acidic foods in your diet, using a soft-bristled brush for cleaning your teeth, and getting treatment for harmful conditions like bruxism (tooth grinding). If you notice any changes in your smile, it’s a good idea to talk to Drs. Rottschalk, Acker, and Froidcoeur.

While preventing staining naturally with diet and healthy habits is great, sometimes nature needs a nudge. If you have an important event coming up, or if you would simply like to feel more confident about your smile, talk to us about professional whitening. A professional treatment uses a stronger whitening formula, and often works more quickly, is more effective at removing yellowing and stains, and lasts longer than home treatments.

Finally, while you can do a lot to keep your teeth their brightest by preventing and treating external staining, other types of discoloration can also affect your teeth. For staining caused by medication, root canal work, or trauma, ask us about all the options available to you.

Yes, keeping your teeth their brightest can be a challenge, but doing your part—and working with your dental team at Dr. John Rottschalk Dental Group—will make sure you greet the world with a sparkling, confident smile.

Make Brushing With Your Child Fun!

July 26th, 2023

It’s no secret that kids and adults have different priorities: your duty is to raise a happy, healthy child, but your little one’s only priority may be to have fun. When it comes to brushing teeth, it can be hard to combine a healthy habit with having fun. You might fear it can’t be done, but with a little creativity, brushing time can be a great experience for both of you!

Make It a Party

Brushing time doesn’t have to be a chore when you throw a little party! Get Mom and Dad together so the whole family can brush their teeth at the same time.

Let your child choose a song to dance to while you all brush for the required two minutes. Your son or daughter may grow to love this silly routine, especially when the parents are clearly dedicated to brushing their own teeth as well.

Big Kid Decisions

Kids love the responsibility of making “big kid” decisions. Keep a variety of toothbrushes, colors of floss, and toothpaste flavors on hand so they can choose something “new” each time they brush, just like when they visit our Fairview Heights, IL office.

Not only can this help them grow more comfortable with the idea of seeing the dentist, but they’ll love having the responsibility of picking what would be fun at brush time.

Practice Makes Perfect

It’s true that the only way to get better at something is to practice, practice, and practice. Have your child practice brushing on his or her favorite stuffed animal, and use that opportunity to teach your youngster how to hold the brush and use circular cleaning motions. Showing how you brush your own teeth can also be worthwhile.

There’s An App For That

Did you know there are lots of fun apps that encourage good brushing habits among children? Brands like Oral-B and Aquafresh have free apps you can download on your phone.

The child gets to select a character, scenery, and a song he or she would love to accompany the task of brushing. If you have a daughter, she might like to use the Tooth Fairy Timer, which allows her to pick her very own fairy as her brushing buddy.

The important things to remember when you seek to establish good brushing habits is to keep it fun and stay consistent with your routine. It may take some getting used to, but after a while your child will become familiar with brushing and might even look forward to the new dental routine.

Anemia and Your Oral Health

July 19th, 2023

One of the most common clues that you might have anemia is found in your smile. If you’ve noticed that your gums are suddenly paler than they used to be, it could be a sign that you’re anemic. What does this mean for your general health—and your oral health?

There are several types of anemia, which have can be caused by different medical conditions and which can cause different symptoms. The most common form of anemia, and one of the most easily treated, is iron-deficiency anemia.

Iron is essential to our health. Why? It’s all about the red blood cells. First, some biology.

Every cell in your body needs energy to live and to function. Cells get this energy from the foods we eat, which are broken down into a simple sugar called glucose. Glucose molecules are transported by our blood cells to reach all parts of the body. But that’s only the first step.

Energy is released into the cells when the chemical bonds holding glucose molecules together are broken. And this requires oxygen. Once inside our cells, glucose and oxygen react, breaking the chemical bonds of the glucose molecules, reconfiguring their atoms to create carbon dioxide and water byproducts—and releasing energy into a form your cells can use.

So, how do we move this oxygen from our lungs to our cells to start the process? That would be our red blood cells again. But this process can’t happen without adequate iron. More biology!

Red blood cells contain a protein called hemoglobin, and hemoglobin contains iron. In fact, well over half of the iron in our body is found in our red bloods cells. And here’s the key to iron’s importance: iron attracts oxygen molecules.

Hemoglobin picks up oxygen in our lungs and delivers it throughout the body, where it becomes glucose’s essential partner in fueling our cells. Without enough iron, your body won’t be able to create the red blood cells it needs so that all of your cells, tissues, and organs can get the oxygen they need to function efficiently.

When might you suspect that you’re anemic? Your gums, the lining of the mouth, the inside of your lower eyelids, and your skin can take on a paler hue—the classic sign of anemia. But other symptoms which you might not necessarily associate with anemia are also common, including:

  • Fatigue
  • Heart palpitations
  • Cold hands and feet
  • Dizziness
  • Irritability
  • Difficulty Concentrating
  • Pica (the desire to eat non-food items)

And because anemia affects the whole body, your oral health isn’t immune. It’s not just a matter of pale gums. Iron deficiencies can cause:

  • Sores and ulcers in the mouth
  • Cracks on the sides of the mouth
  • Pain, redness, and/or swelling of the tongue
  • Loss of papillae (those little bumps on your tongue which hold your taste buds)
  • Tooth damage caused by pica
  • Dry mouth, which increases your risk for cavities, gum disease, oral infections, and bad breath

Iron-deficiency anemia can have several causes, among them insufficient iron in the diet, medical conditions which cause bleeding (such as ulcers), heavy menstruation, pregnancy, or growth spurts in children and teenagers. Treatment will depend on the cause of your anemia. It might be as simple as a change in diet or an iron supplement, or it might require further treatment options. Do consult with Drs. Rottschalk, Acker, and Froidcoeur before taking iron supplements, as too much iron causes iron toxicity, which can be very dangerous.

If Drs. Rottschalk, Acker, and Froidcoeur and our team suggest that you might be anemic, or if you notice changes you think might be caused by anemia, see your physician for a simple blood test. Besides iron-deficiency anemia, there are other forms of anemia and other diseases which can mimic these symptoms, so it’s important to get a doctor’s diagnosis. If you have been diagnosed with anemia, let our Fairview Heights, IL dental team know.

One last “if”: If you do have iron-deficiency anemia, don’t delay treatment. The sooner your red bloods cells are back at their peak, the sooner you—and your gums—will be back in the pink!

Morning Sickness and Your Oral Health

July 19th, 2023

Whether it’s your first child or you’re an experienced mom, pregnancy is an exciting time—which you’ll be able to enjoy much more once the days of morning sickness are over.

Morning sickness affects most pregnant women, and can present in any number of ways. It might take the form of mild nausea, or cause frequent vomiting. It often occurs in the morning hours, but can take place at any time of day. It’s usually over with by the second trimester, or it can last weeks longer. Because of this wide variety of symptoms, morning sickness is more accurately referred to as NVP, the nausea and vomiting of pregnancy.

Your doctor can recommend safe and effective ways to deal with NVP, especially when symptoms are more severe. We have some recommendations to minimize the effect of morning sickness on your dental health.

Wait, dental health? That’s right. Besides its more obvious unpleasant consequences, NVP can cause problems for your teeth and gums. We have a few suggestions for getting you through the weeks of morning sickness with easy and effective strategies to protect your oral health.

Prevent Acid Damage

Vomiting and heartburn with reflux expose the teeth to stomach acids. Tooth enamel is the strongest substance in the body, but it’s not safe from acid attacks.

Normally, the pH balance in our mouths is neutral, around a 7 on a scale of 0 to 14. When acidic conditions lower the oral pH to 5.5 or below, the minerals in enamel begin to dissolve, leading to sensitivity and, eventually, cavities. The pH of our stomach acid ranges from 1.5 to 2.5. This is great for digesting food, but not great at all for enamel and sensitive gum tissue.

Whenever we vomit, the immediate (and understandable!) impulse is to reach for our toothbrushes. But this is an impulse we should resist. Because acids weaken tooth enamel, scouring the teeth with a toothbrush right away can cause more erosive damage. Instead,

  • Wait half an hour or more before brushing to give your enamel time to recover its strength.
  • In the meantime, rinse with water and perhaps a bit of toothpaste or diluted, doctor-approved mouthwash.

Keep Hydrated

Another consequence of frequent vomiting is dehydration. It’s always important to keep our bodies properly hydrated, and this is particularly true during pregnancy.

Hydration is also essential for oral health. Saliva helps wash away the bacteria and food particles which cause cavities and irritate the gums—especially important now, since pregnancy hormones can leave you more vulnerable to gingivitis and other forms of gum disease.

  • Drink water as recommended by your doctor. It’s healthy, it hydrates, and it helps prevent cavities and gum disease. Win/win/win.
  • Whichever fluids are your favorites, drinking them in measured amounts through the day will be more effective and more appetizing than drinking large amounts once or twice a day to catch up.
  • You have a busy life, so make things easy on yourself. If you need to hydrate more, keep track of your hydration goals with an app or a phone notification. There are even “smart bottles” to track your intake. Or go old school, and fill a bottle marked with timed measurements to remind you to hydrate through your day.

When The Very Idea of Brushing Is Nauseating . . .

When just the thought of brushing is unappetizing, we have suggestions which might help.

  • Postpone brushing until later in the day when you feel better. Rinse with water first thing in the morning instead.
  • Trade in your regular toothbrush for one with a smaller brush head. This can help prevent the gag reflex.
  • Brush slowly, using small strokes.
  • If brushing the back teeth is particularly triggering, try deep breathing or sitting down to brush.

We want to help you enjoy a healthy pregnancy. Let us know when you first learn you’re pregnant. We have some valuable tips for the coming months, including suggestions for reducing the dental effects of NVP. Fortunately, morning sickness is temporary, and we’re here with ideas to help your beautiful smile last a lifetime!

Tooth Sensitivity

July 12th, 2023

Most of us know that unpleasant feeling. You’re happily enjoying an icy milkshake with lunch or having a piping hot cappuccino break, and suddenly an innocent binge turns to cringe—your tooth sensitivity has crossed another item off the menu. If heat, cold, even the act of brushing cause you tooth discomfort, we have solutions for you. Let’s look at some of the common reasons for tooth sensitivity and how to prevent it.

  • Bad Brushing Habits

There can be too much of a good thing! Aggressive brushing, especially with firm toothbrushes, can damage enamel. When the dentin underneath is exposed, heat and cold can reach the sensitive inner tooth and trigger discomfort.

Go easy on yourself: Switch to a soft bristled or electric toothbrush and brush thoroughly but gently. It’s often suggested that we massage rather than scrub. We can also recommend toothpastes that can help reduce sensitivity.

  • Gum Disease

As gum disease progresses, the gums start to pull away from the teeth and expose their roots. Even though the roots are protected by cementum, a covering a lot like enamel, they are more sensitive to heat and cold. And if you are an aggressive brusher, the cementum is more easily damaged than enamel, leaving the sensitive roots even less protected.

Prevention is the answer: Brushing and flossing help prevent gum disease, as do your regular exams and cleanings. If you are suffering from more advanced gum disease (periodontitis), Drs. Rottschalk, Acker, and Froidcoeur can suggest advanced treatment to protect your roots, such as deep cleanings and gum grafts. Don’t let periodontitis go untreated, as it can lead to infection and even tooth loss.

  • Your Diet

If your enamel is already compromised, sugary foods and acidic foods can cause tooth discomfort.

Be patient: Until your sensitivity problem is under control, avoiding these types of foods will help. On the other hand, sugary and acidic foods aren’t the ideal dental diet, so cutting back is not a bad idea.

  • Your Dental Products

Mouthwash, whitening toothpastes and home whitening products contain substances such as alcohol or bleaching agents that can cause sensitivity in some users.

Make some changes to your shopping list: Choose products without alcohol or whiteners. Talk to us about gentler alternatives for mouthwashes and whitening.

  • Tooth Injuries

If you have a cavity, a broken filling, a cracked tooth, or some other injury to the tooth, sensitivity can be a warning sign.

Take care of yourself: Call our Fairview Heights, IL office immediately if you have prolonged sensitivity or any other painful symptom. Repairing and restoring your damaged tooth should eliminate this discomfort. And, while it is often common to experience some degree of sensitivity after dental work, if this doesn’t clear up within a short time, let us know.

  • Teeth Grinding

Because grinding also wears away enamel, tooth grinders often suffer from sensitive teeth.

Protect yourself: We can fit you for a custom nightguard that will eliminate the nightly stress on your enamel. It can also help the tooth and jaw pain caused by grinding.

Talk to us about any sensitivity you have been experiencing, especially if it has been going on for a while or is causing you real discomfort. We will explore the possible reasons for your tooth sensitivity and help you find solutions. After all, you should feel free to enjoy any item on the menu, in the very best of dental health.

Teeth Grinding Can Damage Your Teeth

July 12th, 2023

Grinding of the teeth, also known as bruxism, is a serious condition from which nearly ten percent of Americans suffer. It’s a mechanical reflex that often happens during slumber. Unfortunately, most people don’t recall grinding their teeth when they awaken.

This makes it difficult to catch the condition before serious damage occurs. Some people notice soreness in their jaw, shoulder and neck pain, or even headaches. Others aren’t so lucky and don’t feel any pain until a professional notices they have developed cracked teeth, receding gums, and jaw problems.

Drs. Rottschalk, Acker, and Froidcoeur and our team hope to prevent teeth grinding before serious health concerns arise. Let’s go over the reasons for grinding as well as preventive tips to help you feel better fast.

Why do you grind your teeth?

The most common reasons for teeth grinding include:

  • Stress
  • Anxiety
  • Aggression
  • Poor muscle control
  • Acid reflux
  • Sleep apnea
  • Complications from certain disorders

It’s worthwhile to understand the reason you’re grinding your teeth, but it’s even more vital to treat the issue quickly. You can take measures to alleviate the pain you may be experiencing, such as applying a warm wash cloth to your jaw, taking muscle relaxants, massaging the jaw muscles, visiting a chiropractor, or doing physical therapy.

Prevention

To protect your oral health and jaw bones, try these preventive measures:

  • Reduce the amount of stress in your life
  • Drink plenty of water every day
  • Avoid chewing gum or chewy foods
  • Get plenty of sleep each night
  • Reduce or stop alcohol and caffeine consumption
  • Get a custom mouthguard from Dr. John Rottschalk Dental Group

Drs. Rottschalk, Acker, and Froidcoeur and our team want to make sure you’re properly treating your teeth grinding issues. Feel free to call our Fairview Heights, IL office if you think you may be suffering from this condition, or have questions regarding a treatment plan.

Teeth grinding can lead to far more serious health issues, and should be ended before it becomes a major concern.

Intraoral Cameras

July 5th, 2023

It seems today’s technology has made every moment a camera-ready opportunity. (Just check your friends and their latest selfies.) What you may not expect is the opportunity to see a close-up of your teeth and gums in vivid detail the next time you’re in our office. But with intraoral cameras, Drs. Rottschalk, Acker, and Froidcoeur can use the most up-to-date tools to provide your most accurate diagnosis—and let you see for yourself exactly what we’re seeing.

Intraoral cameras were developed in the 1980s. This camera makes use of a sleek wand-style design to fit easily into your mouth. Using a camera lens and its own lighting, the camera is able to show hard-to-reach places in the mouth much more clearly and easily than can be seen using dental mirrors alone. Images are projected onto a monitor or screen, where both dentist and patient can get a detailed view, and images can be enlarged, if needed, to provide better definition.

What can an intraoral camera reveal? While X-rays are invaluable for discovering treatable conditions such as cavities, infections and bone diseases, there are some conditions that are not easily apparent using X-rays alone. Small cracks in a tooth, developing cavities near crowns or older fillings, fractures, early gum disease, even areas where plaque has been missed during brushing are visible in clear detail using the intraoral camera.

How does this improve your dental care?

  • We always want to use the least invasive procedure we can, and keep as much of your healthy tooth as possible. Finding small problems early prevents them from becoming large problems later.
  • If you are consistently failing to brush certain teeth, or if some areas of your gums show signs of neglect, we can show you directly what places you’ve been missing so you can adjust your brushing and flossing habits.
  • We can take photos if needed for your files so we have a detailed visual record of your dental status at any point in time.
  • Finally, you will be able to see for yourself the reasons we might suggest certain treatments, and be better informed about your own dental health.

We’re happy to offer the intraoral camera at our Fairview Heights, IL office as one of the tools we use to provide you with the most precise and thorough care possible. Ready for your close-up?

How Sedation Dentistry Can Help You Overcome Dental Anxiety

July 5th, 2023

Sometimes people feel a tiny bit nervous when they sit in the dental chair. And sometimes it’s more than a tiny bit. If your anxiety over visiting the office leads you to skip regular checkups and cleanings, or, worse, if you would rather suffer tooth or gum pain than give us a call—give our Fairview Heights, IL office a call! Sedation dentistry might be just the procedure you need to make dental anxiety a thing of the past.

Drs. Rottschalk, Acker, and Froidcoeur and our team are trained to administer sedation and to monitor your responses throughout. And we want you to have all the information you need to decide on any dental treatment, including sedation. We will tell you of any risks, and describe the procedure in detail. If you have any health conditions or take any medications that might interfere with sedation, we can discuss your options with you and your doctor to make sure you are a good candidate. We will explain any preparations you should take, and let you know if there is a window of recovery time needed in our office while the sedation wears off.

Don’t let yourself suffer dental pain because you suffer from dental anxiety! Please call us to discuss sedation. We are trained to administer the treatment you choose gently and safely. Above all, we want to help you keep your smile the heathiest it can be, and that only happens when you have regular dental care. Let us work with you to make that care as comfortable and stress-free as possible.

Can Your Dentist Tell If You’re Left-Handed?

June 28th, 2023

Sherlock Holmes, that most famous of fictional detectives, observed clues, analyzed them, and used his powers of deduction to arrive at the solution to his cases.

Drs. Rottschalk, Acker, and Froidcoeur and our team are skilled in deduction as well! By examining your teeth and gums during your regular checkup, important clues can be discovered about your dental health—and perhaps your overall health as well. What might be deduced when you come in for an exam?

  • You Haven’t Been Flossing

Even with some last-minute catchup flossing, it’s not hard to tell if you’ve been regularly skipping the flossing portion of your daily dental care. Plaque that your toothbrush just can’t reach on its own will be noticeable between your teeth and around the gum line. Your gums might be inflamed, swollen or bleeding—early signs of the gum disease plaque causes when it’s not removed with careful flossing.

These symptoms could arise because you’re neglecting to floss at least once a day, or it could be that your flossing skills could simply use some fine-tuning. A refresher in flossing technique takes no time at all. Or, you might discuss whether a water flosser would be a good investment for healthier teeth and gums if, for any reason, you have difficulty flossing effectively.

  • You Haven’t Been Sleeping Well

Even if your roommate or partner hasn’t told you that your teeth and jaws have been grinding away while you were not-so-soundly asleep, your dentist might be able to. Shorter, flattened teeth are a common symptom of bruxism, or tooth grinding. Your exam might reveal cracked enamel or broken cusps caused by the force you’re placing on them at night. This condition can also lead to larger jaw muscles and jaw pain.

Since these symptoms are also caused by sleep apnea, it’s a very good idea to find out what’s causing this dental stress. Treatments are available to make your sleep safer for your teeth and jaws—and more restful and healthier for you!

  • You Should Talk to Your Doctor

Conditions that seem to have nothing to do with your oral health can cause dental symptoms, alerting your dentist to a medical condition which you might not be aware of. Pale gums or a swollen tongue could be symptoms of anemia. Erosion on the inside of the teeth can be caused by GERD, or gastroesophageal reflux disease. Vitamin and mineral deficiencies can lead to ulcers, loose teeth, and gum disease.

 If Drs. Rottschalk, Acker, and Froidcoeur and our team suggest that you make an appointment with your doctor to find the medical cause of your dental symptoms, it’s essential to follow up.

  • Are You Left-Handed?

So, getting back to our original question, can your dentist deduce that you’re left-handed?

Probably not! It’s been suggested that left-handed people brush their teeth more firmly on the left side, and right-handed people brush harder on the right. And it’s also been suggested that left-handers don’t brush the left side of the mouth as thoroughly, while right-handers neglect their dominant side.

But Drs. Rottschalk, Acker, and Froidcoeur can still tell you some important facts about your hand-brush coordination just by observing the state of your enamel. If you’re brushing too firmly, your tooth surfaces could show erosion and wear. A soft-bristled brush and a lighter hand will get your teeth just as clean without the abrasion.

If you’re having trouble reaching areas because of dexterity issues, Drs. Rottschalk, Acker, and Froidcoeur can point out the areas where plaque buildup reveals the spots you need to concentrate on. An electric toothbrush might be just the answer to making all the surfaces of your teeth equally accessible.

A dentist is an expert in observing, analyzing, and solving dental problems. When you keep to a regular schedule of exams and cleanings at our Fairview Heights, IL dental office, you’ll benefit from that expertise to discover oral health issues before they become more serious. That’s an easy and elegant solution to maintaining your dental health. In fact, it’s elementary!

Dental-Healthy Snacks for Your School-Aged Child

June 28th, 2023

Kids are constantly active and constantly growing. No wonder they’re constantly hungry! When it’s time for a snack, here are some tips to make between meal treats timely, tasty, and tooth-friendly.

Keep snacks to a minimum

Every time we eat, we’re also providing food for the bacteria in our mouths. Bacteria use sugars to produce acids. These acids weaken our enamel and can lead to cavities. Luckily, we have a natural way of protecting our teeth. Saliva washes away food particles and bacteria, and even provides substances that strengthen our teeth in the hours between meals.

When we eat throughout the day, there is no chance for this recovery period to take place. Small children aren’t usually able to get through the day without a few snack periods, which is perfectly normal. Just try to make sure that snacking doesn’t become all-day grazing!

Avoid foods that contain sugar and carbohydrates at snack time

We know that sugar leads to an increased chance of cavities because bacteria convert this sugar into acids that damage our enamel. But carbohydrates should also be in the no-snack zone. Why? Because carbohydrates break down into sugar very quickly. So while you wouldn’t offer your child a daily mid-afternoon snack of sodas and chocolate bars, those muffins, doughnuts, chips, and bagels should be on the “special treat” list as well.

Dental-healthy snacks

Luckily, we are left with many healthy and convenient choices when your child needs a nibble.

  • Crunchy, crisp fresh fruits and vegetables provide vitamins as well as a gentle scrubbing action to help clean teeth. They are also rich in water, which helps us produce the saliva that naturally washes away food particles and bacteria.
  • Low-fat yogurts and cheeses provide essential calcium for strong teeth and the vitamin D that helps us absorb calcium.
  • Whole grain breads, cereals, and crackers are healthier than products made only with white flour because they retain valuable vitamins and minerals that have been removed from refined grains.
  • Lean meats, peas, legumes, and eggs provide protein that helps build connective tissue and maintain tooth structure.
  • Water helps stimulate saliva production and provides cavity-fighting fluoride. Win/win!

You are constantly looking for ways to make your children’s lives better. Mix and match any of these foods for a snack that’s not only good for their teeth, but rich in the proteins, vitamins, and minerals needed to keep them active and growing throughout their school years. If you have questions about your child’s dietary needs, feel free to ask Drs. Rottschalk, Acker, and Froidcoeur at our Fairview Heights, IL office.

Electric or Manual Toothbrush: Why It Does (and Doesn't) Matter

June 22nd, 2023

You live in the golden age of toothbrushes. Until a few decades people used twigs or brushes made from animal hair to clean their teeth: not very soft and none too effective.

Now, you have a choice of manual brushes with soft, medium, or hard bristles. Or you might choose to go with an electric toothbrush instead.

Have you ever wondered whether manual or electric brushes provide better cleaning? Actually, they both do the job. The key is to brush and floss every day, regardless of the kind of brush you prefer.

At our Fairview Heights, IL office, we like to say the best brush is the one you'll use. So if you prefer manual, go for it. If you prefer electric, turn it on.

Both types have their advantages but both types will get the job done as far as removing plaque.

Electric Toothbrushes

  • Provide power rotation that helps loosen plaque
  • Are great for people with limited dexterity due to arthritis or other problems
  • Are popular with kids who think the electric brushes are more fun to use
  • Can come with variable speeds to help reduce pressure on sensitive teeth and gums

Manual Toothbrushes

  • Can help brushers feel they have more control over the brushing process
  • Allow brushers to respond to twinges and reduce the pressure applied to sensitive teeth and gums
  • Are more convenient for packing when traveling
  • Manual brushes are cheaper and easier to replace than the electric versions.

In many ways, the golden age is just beginning. There are already phone apps available to remind you to brush and floss. New apps can play two minutes worth of music while you brush, help you compare the brightness of your smile or help explain dental procedures. Maybe someday we’ll even have programs that examine your teeth after brushing and identify spots you might have missed.

Anatomy of a Smile Makeover

June 22nd, 2023

A smile makeover is usually a combination of one or more cosmetic dental procedures. To achieve your desired result, Drs. Rottschalk, Acker, and Froidcoeur may perform or suggest a variety of options. The entire process is designed specifically for your unique cosmetic needs, and Drs. Rottschalk, Acker, and Froidcoeur will make sure all your concerns regarding your smile are addressed.

Here are some of the most common procedures in cosmetic dentistry and how they work:

  • Tooth whitening – Whiter teeth are achieved through a bleaching process typically using hydrogen peroxide or carbamide peroxide. Yellower teeth usually respond well to this procedure, while brown-colored teeth stained by fluorosis or taking tetracycline do not respond as well to whitening. Tooth whitening is not for everyone; if you have sensitive teeth, gum disease, or poor enamel, Drs. Rottschalk, Acker, and Froidcoeur may recommend against tooth-whitening services.
  • Orthodontics – Braces are one of the tried-and-true ways of achieving a healthier smile. Braces are typically worn between 12 and 24 months to reposition the teeth in a straighter and safer alignment. Since your bite is also corrected during this process, it helps ensure you won't have any trouble down the line. There are several different types of braces available these days including: traditional metal braces, clear ceramic braces, lingual braces, and clear aligners.
  • Veneers – Veneers are thin, tooth-colored material (porcelain or resin) designed to be placed on the front surface of teeth to improve their overall appearance. They can be used in cases where the color, shape, size, or length is not as desired. Veneers are usually used in cases where teeth are discolored, chipped, worn down, misaligned, irregular, or have gaps.
  • Implants/bridges – Dental implants and bridges are used to replace missing or broken teeth. Nowadays, both implants and bridges are commonly performed procedures. Implants integrate directly with the jawbone, while bridges are placed over the adjacent teeth to the missing tooth. Implant technology has advanced a great deal in recent years and highly biocompatible ceramic materials are becoming more commonplace.

Getting your perfect smile will take time and patience, but the end result will be well worth it! Please schedule an appointment at our Fairview Heights, IL office about the cosmetic dental services we offer, and achieve the smile you've always wanted!

Make Tooth Brushing Fun

June 15th, 2023

The best brushing routine for parent and child is two minutes of gentle brushing in the morning and two in the evening. But if the longest four minutes of your day are spent helping your child brush and floss, here are some suggestions for making that time fly.

Options!

Children’s brushes come in a wonderful variety of colors, patterns, and shapes. Allow your child to choose a favorite the next time you go shopping for dental supplies. Just make sure to choose a soft bristle brush with a head designed for small mouths. And since toothbrushes generally wear out after three months, your child will have plenty of opportunities to pick and choose! You might also explore the many flavors of children’s toothpaste to find the one that your child finds most appealing, and let your young brusher squeeze out a dab on that new brush.

Reward Daily Brushing

You don’t have to go to great lengths to make your son or daughter feel rewarded for a job well done. Allowing children to pick out a story for you to read or posting colorful stickers on a calendar sheet will encourage them to get into the habit of brushing.

Two-Minute Countdown

Time seems to go faster when we’re having fun. Your child might enjoy listening to songs or stories for the two minutes of brushing time. You can make your own playlist, invent a story starring your child, or make use of one of the dental apps that offer children’s music, videos, and stories in perfect two-minute segments.

Do It Together

Spend these two minutes twice a day with your child. You will be doing all the brushing at first, of course, but as your children get older, brush your teeth along with them. You can model proper brushing techniques for cleaning teeth, gums and tongue, and even let your child have a chance to brush your teeth for a change.

Don’t Forget Checkups!

Scheduling checkups and professional cleanings at our Fairview Heights, IL office is vital to maintaining your child’s oral health. And, if your son or daughter is keeping up with good hygiene at home, these visits should be a breeze!

The habits your child develops now will be the foundation for a lifetime of oral health. Make these four minutes a day count. And if you can create ways to make them fun, those four minutes will fly by for both of you!

Celebrate Your Dad's Smile

June 15th, 2023

Father’s Day is coming up, and, just in case your dad has enough ties, we have some gifting suggestions for you. Here’s a selection of gifts large and small tailored to your dad’s interests and his dental health.

  • The Outdoor Dad

If your dad is happiest out camping, or his most relaxed at the lake fishing, or gets rid of stress with a 20-mile hike, help your dad stay happy, relaxed, and stress-free with an emergency dental kit for any unexpected problems which might crop up during his adventures.

You can find these lightweight kits in sporting stores and online. Supplies like cotton rolls, dental floss, oral pain relievers, a dental mirror, and even temporary fillings are included, because, as your dad no doubt told you, it’s always best to be prepared!

  • The High-Tech Dad

For the dad who’s first with the latest in smart phones and tablets, a new smart toothbrush might tick all the boxes.

Modern electric toothbrushes have plenty of options for the tech-savvy. They come with different settings for brushing and massaging. They can let your dad know if he’s brushed long enough (two minutes, please!), if he’s brushing too hard, or when the brush head needs to be retired. Smart models even link to apps, which can, among other things, map out any missed spots in his brushing coverage or suggest more effective brushing angles.

  • The Dad on the Go

With his active life, any gift which makes your dad’s busy schedule run more smoothly is a good thing—such as a portable kit filled with dental necessities.

A travel toothbrush, a small tube of his favorite toothpaste, a compact mirror, dental picks, dental floss, and a mini-bottle of mouthwash are great basics for a confident smile any time of day. Put everything in a sturdy lightweight travel bag. And don’t forget to include a pack of sugarless gum! Sugarless gum helps increase saliva flow (for better hydration) and decrease oral acidity (to help prevent enamel erosion).

  • The Dad with Gourmet Taste

If your dad has foodie tastes, a thoughtfully curated gift basket is a great idea for pleasing his palate and supporting his dental health.

Include items like cheeses, which are full of calcium and phosphorus for strong teeth. Fresh fruits provide vitamins for healthy teeth and gums. Nuts offer plenty of tooth-healthy minerals and vitamins, as well as packing a protein punch. For your dad’s sweet tooth, dark chocolate (at least 70% cacao) is a great source of antioxidants, iron, zinc, magnesium and other valuable minerals. It’s lower in sugar content, and some studies suggest that dark chocolate has cavity-fighting properties and supports gum health.

  • The Athletic Dad

He can deke the goalie, throw a perfect spiral, and hit those threes from downtown. Or, at the very least, he gives his favorite sport his best shot! If your dad has some of his happiest moments, win or lose, on the ice, the gridiron, the court, or any other sporty venue, consider a custom mouth guard to protect his winning smile.

Custom guards are more comfortable than store-bought options because they are molded to fit the user’s teeth and mouth precisely. This is especially helpful for those with dental work like braces or bridges. And, because the fit is custom, breathing and talking are easier.

  • The Picture-Perfect Dad

Your dad’s smiles light up family photos! And if he’s ever expressed an interest in lightening and brightening that beautiful smile, a professional whitening treatment might be a perfect gift.

Professional whitening at our Fairview Heights, IL office is the most effective way to brighten teeth, with results which are generally faster and more long lasting than over-the-counter treatments. And it’s done with your dad’s dental health in mind, with a checkup to make sure his teeth are in perfect shape before whitening, and with protective measures in place for sensitive mouth and gum tissue.

Of course your dad will appreciate another tie, or any other traditional gift, because you give it to him. But just in case you’re looking for something a little different to celebrate Father’s Day, choose a dental-healthy gift designed with your dad in mind—so you can celebrate his smile for years to come!

Are My Child’s Baby Teeth on Schedule?

May 31st, 2023

Your darling three-month old is crying and fussy—can she be teething already? Or, your happy baby boy has just celebrated his first birthday—with only one tooth in that beautiful, gummy smile. Is this normal? Probably! While baby teeth do typically erupt (come in) in the same order for all babies, and around the same time, there is still a lot of flexibility in the time it takes for a full, healthy smile to develop.

Baby teeth actually form before your baby is born, and those 20 teeth are there under the gums waiting to come out and shine. And even though there are no firm and fast dates for each of these primary teeth to erupt, it’s helpful to have a general overview of typical teething patterns so you know what to look forward to.

Incisors

These little teeth create a charming baby smile, and, if your finger has been in the wrong place at the wrong time, a very sharp one as well! That is because these tiny incisors are made to bite into foods. You might notice this when you introduce solid foods, even if the majority of your child’s “chewing” is done with her back gums. These teeth are the earliest to arrive.

  • Six to ten months old: The lower central incisors (bottom front teeth) are often the first to come in.
  • Eight to 12 months old: The upper incisors (8-12 months) are the next to show.
  • Nine to 13 months old: The upper lateral incisors on each side of the front teeth arrive.
  • Ten to 16 months old: The lower lateral incisors appear.

First Molars

Because these are larger teeth, babies often experience another bout of teething pain at this time. The large flat surface of each molar helps your child to chew and grind food, so he can handle a wider variety of foods and develop his chewing skills.

  • 13 to 19 months old: You can generally expect to see the upper first molars arrive.
  • 14 to 18 months old: The lower first molars appear.

Canines (Cuspids)

Fitting between the first molars and the incisors, the strong, pointed shape of the canine teeth allows your child to grip food and break it apart more easily.

  • 16 to 22 months old: The upper two canines make their way into the space between the incisors and the first molars.
  • 17 to 23 months old: The two lower canines appear.

Second Molars

By the age of three, most children have a full set of baby teeth.

  • 23 to 31 months old: The second pair of bottom molars start erupting—you are in the home stretch!
  • 25 to 33 months old: The upper second molars come in—completing that beautiful set of 20 teeth!

Baby teeth are extremely important, as Drs. Rottschalk, Acker, and Froidcoeur will tell you when you visit our Fairview Heights, IL office. They help your child eat and chew, develop face and jaw muscles, assist proper speech formation, and provide space for the adult teeth to come in properly. Now that your child’s smile is complete, keep providing him with the same care and attention you have been giving those little teeth since the arrival of the very first incisor.

It seems that so much of new parenthood is scheduling—when to feed her, when to put her to bed, how many hours between naps. But we soon find out that every baby is not on the same schedule, and the same is true for the arrival of their teeth. We should see your baby when that first tooth comes in, or by his or her first birthday. And if you ever have concerns at any time about your child’s teething schedule or teething delays, always feel free to give us a call.

What exactly is periodontal disease?

May 31st, 2023

Periodontal disease is an infection of the tissues that surround and support your teeth. Our team at Dr. John Rottschalk Dental Group wants you to know that this common ailment can be fixed with little worry if treated properly.

Periodontal disease is usually identified through dental X-rays, probe depths, and visual exams. If left untreated, it can lead to tooth sensitivity, premature tooth loss, or discomfort and pain in your mouth. Some common symptoms to watch for include bleeding or swollen gums, bad breath, teeth movement, or jaw displacement.

Factors that may increase your risk of developing periodontal disease may include poor oral hygiene, smoking/chewing tobacco, genetics, stress, inadequate nutrition, pregnancy, diabetes, and some medications. Some of these causes are avoidable, but others are not.

If you have diabetes, you may be more prone to periodontal disease due to the greater difficulty in controlling blood glucose levels. Studies have shown that once periodontal disease is treated, glucose levels become more responsive to control as well. If your risk for periodontal disease is heightened by one of these factors, make sure to watch for the signs and keep up with your daily oral hygiene routine.

How can you treat this common disease that affects almost half of the population? Depending on the severity, treatment can include a medicated mouth rinse, antibiotic treatment, laser therapy, or scaling and root planing. It’s useful to recall that this condition can vary from mild to severe, which is why you should make an appointment at our Fairview Heights, IL office if you notice any of the above symptoms.

 

Flossing Fact or Flossing Fiction?

May 24th, 2023

Somewhere in a bathroom drawer or medicine cabinet, we all have one—that little plastic dental floss dispenser. And whether you use your floss every day (yay!), or have completely forgotten it was in there (not so good), just how much do you know about that sturdy string? Let’s find out!

  • Flossing has been around for hundreds of years.

FACT: It’s been just over two hundred years since Dr. Levi Spear Parmly, a dentist in New Orleans, suggested his patients use waxed silk thread to clean between their teeth. This is considered the first “official” invention of dental floss, although using some form of tool to get rid of food particles between the teeth has been around since prehistoric times.

  • Brushing well is the same as flossing.

FICTION: It’s really not. While brushing does a great job of cleaning food particles, plaque, and bacteria from your enamel, there are some places those bristles can’t… quite… reach. Floss was designed to clean plaque and food from between the teeth and close to the gum line where your brush doesn’t fit.

  • There’s more than one way to clean between your teeth.

FACT: Indeed there is! Not only are there many varieties of dental floss (waxed, flavored, round, flat, thick, thin, in a dispenser, attached to miniature floss wands), but you have alternatives if using any kind of floss is difficult for you. Water-flossers direct a pulsing stream of water between and around the teeth and gum line to remove food particles and plaque. Another useful alternative is the interproximal brush, a tiny little cone-shaped brush designed to remove food and plaque from those hard-to-reach spots.

  • Flossing helps prevent gum disease.

FACT: Scientific studies haven’t provided definitive answers. But Drs. Rottschalk, Acker, and Froidcoeur and our team strongly recommend daily flossing as one of the most important things you can do to prevent gum disease. Gingivitis, or mild gum disease, is caused by irritated, inflamed gum tissue. Gum tissue becomes irritated and inflamed as a response to the bacteria, plaque, and tartar, which stick to your teeth. Anything you can do to help remove these irritants will reduce your risk of gum disease.

  • Flossing helps prevent cavities.

FACT: We strongly recommend daily flossing to remove the food particles and plaque, which lead to cavities. Brushing removes cavity-causing plaque from the outer surfaces of your teeth. But there’s a lot of enamel between your teeth as well. Flossing removes plaque from these hidden spots, helping to prevent interproximal (“between the teeth”) cavities from forming.

  • Bleeding when you floss is normal.

FICTION: Bleeding isn’t a typical reaction to flossing. Bleeding gums could be an early sign of gum disease caused by plaque and tartar buildup. On the other hand, if you floss too hard, or go too deeply below the gum line, you can make delicate gum tissue bleed. Ask Drs. Rottschalk, Acker, and Froidcoeur for tips on perfect flossing technique.

  • You need to floss after every meal.

FICTION: Dental professionals generally recommend brushing twice a day and flossing at least once each day. But this suggestion comes with some exceptions. If you have braces, your orthodontist might recommend flossing after eating. And certainly, for removing pesky food particles, flossing or interdental picks are a sensible choice after any meal.

  • Your dentist will never know that you haven’t been flossing.

FICTION: Nope. Sure, you can miss flossing a few times and catch up before your appointment at our Fairview Heights, IL office. But built-up plaque between the teeth, red, swollen, or bleeding gums, and gingivitis and interproximal cavities let both you and Drs. Rottschalk, Acker, and Froidcoeur know that you’ve been neglecting good dental habits.

  • It’s never too late to start flossing!

FACT: Flossing is a simple, quick, and inexpensive way to maintain tooth and gum health. If you haven’t had much luck flossing in the past, ask Drs. Rottschalk, Acker, and Froidcoeur for flossing tools and techniques that will work for your specific needs. Start now, and see what a difference it will make at your next checkup!

If you had all these flossing facts at your fingertips, congratulations! But if you didn’t, no need to worry, because the real test of your knowledge is in its application. Flossing properly at least once each day will give you something far more rewarding than blog-quiz kudos—you’ll see that regular flossing rewarded with healthier teeth and gums!

Three Must-Have Dental Treatments

May 17th, 2023

There are numerous options for dental treatments out there, so how do you choose which are right for you? Our experts at Dr. John Rottschalk Dental Group have handpicked the three must-have procedures that we believe can benefit nearly every patient.

  1. Periodontal Exam: This should happen at least once a year and is quick and painless. Drs. Rottschalk, Acker, and Froidcoeur or your hygienist will carefully probe around each tooth and take measurements that indicate the health of the bone and its supporting tissue. This appointment is worthwhile because of the known fact that gum disease can increase the risk of potentially fatal conditions such as heart disease and stroke. Silent killers like diabetes can show signs in the mouth before the person becomes aware of other symptoms. Did you know adults lose more teeth to periodontal disease than to cavities? A simple screening once a year could save your smile and boost your overall health!
  2. Dental Sealant: For both adults and children, 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, so replacing them is useful because it can help prevent tooth decay later on. Dental insurance will likely not cover sealants for adults, but the cost of a sealant for prevention versus the cost of a filling is much lower, and definitely worth it.
  3. In-office Whitening: Most people develop tooth stains. in-office whitening at our Fairview Heights, IL office is the perfect way to correct discoloration. It’s safe and produces dramatic results in a short amount of time. In two hours, you could take years off your age. Who wouldn’t want that?

 

Flossing Fixes

May 17th, 2023

A length of floss plus your teeth is about as low-tech as it gets. But, as with so many other “simple” skills, it helps to learn just the right technique to avoid common mistakes and to make your flossing as effective as it can possibly be.

  • Choose the Right Floss for You

You’re getting ready to go out, and your floss keeps getting stuck, shredding, or snagging. You might try waxed flosses or flosses treated to glide easily through the teeth if this is a difficulty. (But do call us if it happens a lot—it could be a problem with a restoration, or a cavity, or some other condition we should address.) If you have the opposite problem, too wide a space between teeth for effective flossing, there are dental tape flosses that work with wider spacings. Braces? There are even specially designed dental flosses that thread between brackets and wires to access hard-to-reach plaque and food particles. If you’re unsure which product will work best for you, we have recommendations.

  • Don’t Be Too Hard on Yourself

Did you know dental floss is a handy kitchen tool? You can use (unflavored) floss to cut cakes into even layers, slice cheese, or divide a log of cookie dough into perfect rounds. Just pull the floss taut and saw away. But let’s not use this technique on delicate gum tissue! Gums can be injured by a vigorous, sawing motion. Instead, gently guide the floss between the teeth to the gums, and, when you reach the gum line, gently ease the floss up and down the tooth surface. But do remember, sometimes the gums are sore and sensitive because of too little flossing, not too much. Proper cleaning will help keep your gums both healthy and pain-free.

  • Technique Counts!

We often use floss to remove food particles from between the teeth, which provides instant dental gratification. But you are flossing for the long term as well. Proper flossing removes the plaque that leads to cavities from places your brush just can’t reach. Make sure you floss between each tooth, and don’t forget the back of those teeth on the end. The next time you visit our Fairview Heights, IL office for a cleaning, let us demonstrate the most effective techniques for gently removing plaque from beneath the gum area and on the tooth’s surface.

  • It’s All in the Timing

How much time should you spend flossing? That answer will depend on your individual needs. For some people, thorough and careful flossing once a day will be sufficient. For others, flossing more often might be advisable. We can help you decide how often and how long to floss.

It might take some time and practice to learn to floss effectively, but you will find your technique gets better and your flossing is accomplished more quickly once you have the basics down. If Drs. Rottschalk, Acker, and Froidcoeur can offer any suggestions, don’t hesitate to ask!

Can sealants benefit you?

May 10th, 2023

Molars are difficult to reach when brushing your teeth because they’re full of crevices, caves, and pits that can provide the perfect environment for decay. Sealants are the perfect fix for this.

Sealants are a plastic-like protective solution that bond to the edge of the tooth. The treatment protects you against cavities and could save you from complicated dental issues in the future.

The process for placing sealants is painless and quick. First, Drs. Rottschalk, Acker, and Froidcoeur will clean the tooth with a baking soda spray. An acid etch is applied in order to “roughen up” the surface of the tooth and re-mineralize the area. The area is dried with an alcohol-based liquid and the sealant is placed on the grooves of the tooth. A special light then hardens the liquid into a plastic-like material.

Although sealants can last several years, they need to be examined semi-annually to check for breakage. Any cracks or breaks in your sealant can put your tooth at high risk for decay, and repair of sealants is a quick and painless task.

Children often receive sealants, but people of all ages can benefit from them. Adults who have especially deep canyons on their teeth are good candidates for sealants.

An investment in dental sealants can prevent tooth decay and complicated dental problems later on. It’s a no brainer! Call our Fairview Heights, IL office today to speak with us about getting sealants on your teeth.

Celebrate Your Mom’s Smile with These Mother’s Day Gifts

May 10th, 2023

Mother’s Day is around the corner, and if you’re looking for some different gifting ideas for one of the most important people in your life, we have some suggestions for you. Here are a variety of gifts large and small tailored to your mom’s interests and chosen to support her dental health. After all, that’s what we’re here for!

  • The Techie Mom

If your mother hasn’t tried the latest in brushing technology, a new electric toothbrush might be the gift to warm her techie heart.

Modern electric toothbrushes have plenty of options for the tech-savvy. They come with different settings for brushing and massaging. They can let your mom know if she’s brushing long enough, or if she’s brushing too hard, or when the brush head needs to be replaced. Some models link to apps which show a map of just where she’s brushed, in case some spots tend to get overlooked and underbrushed.

  • The Adventurous Mom

A week in the woods doesn’t faze her. Backpacking? Relaxing. Day hikes? No problem. So help your mom stay unfazed, unstressed, and problem-free with an emergency dental kit for peace of mind during those adventurous outings.

Lightweight kits are available in sporting stores and online. Supplies like cotton rolls, dental floss, oral pain relievers, a dental mirror, and even temporary fillings are included, because, as your mom no doubt told you, it’s always best to be prepared!

  • The Gourmet Mom

For the mom who appreciates foods which both taste good and do good, consider a gourmet gift which can satisfy her palate and contribute to her health. While normally we wouldn’t recommend sugary chocolates as having any kind of health benefit, dark chocolates are the delicious exception to the rule.

Dark chocolate (at least 70% cacao) is a great source of antioxidants, iron, zinc, magnesium and other important minerals. It’s lower in sugar content, and some studies suggest that dark chocolate has cavity-fighting properties and supports gum health. For a personal touch, deliver homemade treats like dark chocolate-covered frozen bananas (low in acidity and filled with nutrients) or dark chocolate-dipped strawberries (a good source of vitamin C, which is great for her gums).

  • The Athletic Mom

She can outski you, outrun you, and hit those threes with ease. If your mom finds her bliss on the slopes, the soccer pitch, the basketball court, or any other sporty venue, consider a custom mouthguard to protect that winning smile.

Custom guards are more comfortable than store-bought options because they are molded to fit the user’s teeth and mouth precisely. This is especially helpful for those with dental work like braces or bridges. And, because the fit is custom, your mom will enjoy easier breathing and talking while exercising.

  • The Mom on the Go

With her active life, any gift which makes your mom’s busy schedule run more smoothly is a good thing—such as a portable kit filled with dental necessities.

A travel toothbrush, a small tube of her favorite toothpaste, a compact mirror, dental picks, dental floss, and a mini-bottle of mouthwash are great basics for a confident smile any time of day. Put everything in a stylish lightweight travel bag. And don’t forget to include a pack of sugarless gum! Sugarless gum helps increase saliva flow (for better hydration) and decrease oral acidity (to help prevent enamel erosion).

  • The Media-Ready Mom

With those perfect selfie angles, your mom’s smiles light up social media! If she’s ever expressed an interest in lightening and brightening that beautiful smile, a professional whitening treatment might be the very gift for her.

Professional whitening at our Fairview Heights, IL office is the most effective way to brighten teeth, with results which are generally faster and more long lasting than over-the-counter treatments. And it’s done with your mom’s dental health in mind, with a checkup to make sure her teeth are in perfect shape before whitening, and with protective measures in place for sensitive mouth and gum tissue.

We hope this list is a helpful starting point for choosing a smile-healthy gift tailored to your mom’s interests. But we can’t close without adding one last gift perfect for every mother. Including a heartfelt letter or card telling her how much she means to you will put a smile on your mom’s face long after Mother’s Day has come and gone!

Symptoms That Could Mean You Need a Root Canal

May 3rd, 2023

Every tooth packs a lot of layers in a very small area. The outer, visible part of our tooth, the crown, is covered in protective enamel, and the lower root area is protected by a similar substance called cementum. Inside these very hard layers is dentin, a hard but more porous tissue which surrounds the pulp. In this central pulp chamber, we have the blood vessels which nourish the tooth and the nerves which send our bodies signals from the tooth. And if one of those signals is persistent tooth pain, you may need a procedure called a root canal.

There are a number of reasons that a tooth may cause you pain, including:

  • Fracture—a cracked or broken tooth can allow bacteria to enter the pulp chamber and cause inflammation and infection
  • Cavity—an untreated cavity can leave an opening where bacteria can reach the pulp of the tooth, and again lead to infection
  • Gum Disease—bacteria can attack from the root area of the tooth if gum disease has become serious
  • Injury—an accident or injury to a tooth can damage the nerve or the blood supply which nourishes the pulp
  • Abscess—if infection is left untreated, an abscess may form under the root

While a damaged tooth may sometimes be symptom-free, usually there are signs that the pulp has been injured or infected. What symptoms should lead you to give Drs. Rottschalk, Acker, and Froidcoeur a call?

  • Persistent pain in the tooth
  • Long-lasting sensitivity to heat or cold
  • Gum tissue adjacent to the tooth that is sore, red or swollen
  • A cracked, broke, darkened or discolored tooth
  • A bump on your gums that persists or keeps recurring—this might indicate an abscess

A root canal is performed by a trained dentist or endodontist. After an anesthetic is used to numb the area, the damaged tissue, including pulp, blood vessels and nerves, is removed from the pulp chamber and each root. The inside of the tooth is then cleaned and shaped, and filled and sealed with a temporary filling. The tooth is filled again permanently, usually on a second visit, and might require a crown in order to protect it from further damage.

The most painful part of a root canal is far more often the time spent suffering before the procedure than the procedure itself. Delaying action when a root canal is necessary can lead to infection, abscess, and even tooth loss. If you experience any of the symptoms mentioned above, please give our Fairview Heights, IL office a call!

 

The Best DH in Baseball

May 3rd, 2023

Oh, wait—did you think we meant Designated Hitter? Oh, no, we’re not getting into that debate! What we want to talk about is the best Dental Habits you can practice when you’re on and off the field.

  • When It Comes to Safety, Touch All the Bases

Basic baseball vocabulary lets you know it’s a tough sport. Brushback. High heat. Slide. Line drive. Hit-by-pitch. Not surprising, when it’s a game where weighty bats meet balls thrown at incredible speeds. Or where players slide into bases and stop line drives. So protect yourself. Wear a batting helmet. Use protective gear. And get yourself a mouthguard!

You can choose a one-size-fits-all stock guard, or a “boil-and-bite” model which fits a bit more closely to your teeth and mouth. But your best protection comes with a custom mouthguard. Custom guards are more comfortable, more durable, and make it easier to speak and breathe. If you or your young player wear braces, mouthguards are especially important to protect both teeth and orthodontics.

  • Ball Park Snack Power Hitters

Sure, you’re not trying to match Babe Ruth’s hot dog-eating habits (a dozen dogs between two games of a doubleheader!), but we can set the bar higher than that. While it’s easy to rely on energy drinks, soft drinks, power bars, and other sugary and acidic treats to get you through nine innings, those sugars and acids put you at risk for cavities and enamel erosion.

Fresh fruits with peanut butter, vegetable sticks with hummus, cheese and whole grain crackers, yogurt, or lean meat with whole grain wraps—these and many other snacks can provide you with protein, healthy carbs, and natural sugars for an energy boost during a long game or practice. If you choose an energy bar for refueling, look for one without all the added sugars.

Hydrating is always important whenever you’re working out. And, while you can look for power drinks and energy drinks which are low in sugars and acids, a refillable water bottle is an easy, inexpensive, and effective form of hydration. Bonus: water helps wash away food particles and bacteria and helps neutralize acids in the mouth by maintaining saliva production.

  • Biggest No-No?

A “no-no” is a no-hitter to baseball fans. But for your oral health, the most important no-no of all refers to tobacco.

Chewing tobacco is one of those old-time baseball cliches which we’re not nostalgic about. Chewing tobacco greatly increases the risk of neck, head, and mouth cancers, particularly oral squamous cell cancers. Don’t start the chewing tobacco habit—or any other tobacco habit, for that matter. If you do use tobacco, ask Drs. Rottschalk, Acker, and Froidcoeur for tips on quitting. Keep up with regular dental exams at our Fairview Heights, IL office for early detection of any potential warning signs of oral cancer.

When it comes to your dental safety, don’t get caught looking. For your best performance on and off field, avoid errors like playing without a mouthguard, exposing your teeth to acids and extra sugars, and using dangerous tobacco products of any kind. Play ball!

Troubles with Cementum? Prevent ‘Em!

April 26th, 2023

Our teeth are a lot more complicated than they look. Beneath that shiny white surface is an entire system of different cell tissues working together to keep each tooth vital and healthy.

  • Enamel, the protective exterior of the crown (the visible part of the tooth), is the strongest substance in the body and the first line of defense against damage to our teeth.
  • Dentin, the hard tissue under the enamel and cementum, has microscopic tubules that connect to the pulp.
  • Pulp, the tissue at the center of the tooth, contains the nerves, blood vessels, and connective tissue that keep the tooth alive.
  • Cementum, composed of connective tissue which forms the protective exterior of the root, also attaches to fibers in the periodontal ligaments which hold the teeth securely in the jaw.

Because cementum is below the gum line, it’s generally safe from the cavity-causing conditions that our enamel is exposed to every day. But there are still potential hazards that we should be aware of.

  • Cementum Erosion

With a name like “cementum,” it’s logical to assume that this is the hardest tissue in the body. Actually, however, that distinction goes to our enamel. And if even our enamel can be damaged by bacteria and plaque, cementum doesn’t stand a chance!

How does cementum come in contact with cavity-causing bacteria? Gums often recede as a natural part of the aging process, leaving part of the root exposed. Gum disease, failure to brush and floss regularly, and heavy-handed brushing can lead to early gum recession. The newly exposed cementum is now exposed to the same conditions, which cause cavities in our enamel. But a root cavity can be trickier to treat and, because the cementum is not as strong as enamel, can progress more quickly. And if a cavity reaches the pulp, a root canal could be necessary.

But the erosion of cementum doesn’t have to result in a cavity to cause discomfort. When cementum is removed, the dentin beneath is exposed. Dentin, you’ll recall, contains tiny tubes that connect to the pulp of the tooth. The result? Conditions such as heat, cold, even an intake of air can cause tooth sensitivity as they stimulate the nerves in the pulp. If your hot coffee or ice cream cone is suddenly causing you pain, let us know. There are treatments, which can reduce tooth sensitivity.

  • Gum Disease (Periodontitis)

In more severe cases of gum disease, the gums pull away from the teeth leaving pockets, which harbor plaque and bacteria. Left untreated, these pockets can become home to infections, which attack and destroy bone structure and connective tissue. Caught early, a treatment called tooth scaling and planing can help. In this type of deep cleaning, your dentist or endodontist will remove plaque and tartar and then smooth the root surface to make it harder for bacteria and plaque to stick. If the gums have receded too far, a gum graft might be necessary to protect the exposed roots.

  • Trauma

The same traumas that can damage teeth above the gum line can result in injuries below it. Chewing on hard objects (ice, hard candies, wooden pencils), bruxism (tooth grinding), and sports injuries or accidents can cause cracks in the cementum. If your root is split or fractured, it might be possible to save your tooth, but sometimes extraction is the best option.

So how do you protect your cementum, hidden as it is under your gum line? The same way you protect the more visible parts of your teeth!

  • Keep to a healthy daily routine of brushing and flossing. This will help prevent gum disease and keep gum recession at bay. Using a soft brush and brushing firmly but gently will remove plaque while protecting both enamel and cementum. If you notice tooth sensitivity, give us a call!
  • Come in to our Fairview Heights, IL office for regular dental exams. The best treatment for gum disease is prevention. When you come in for regular checkups, we are able to discover early signs of gum disease before it becomes a serious problem. If you are suffering from more advanced periodontitis, there are treatments available.
  • Safety first when it comes to your smile. If you chew on hard objects, talk to Drs. Rottschalk, Acker, and Froidcoeur about how to break the habit. If you grind your teeth, see us for solutions. If you play sports, let us know—often a mouthguard can help protect your teeth from injuries that could otherwise lead to more complex procedures or even tooth loss.

Maintaining your healthy dental habits is a lot like cementum—the foundation of a beautiful smile. Nothing complicated about that!

The Importance of Baby Teeth

April 26th, 2023

Drs. Rottschalk, Acker, and Froidcoeur and our team know it can be easy to underestimate the significance of baby teeth. At Dr. John Rottschalk Dental Group, we sometimes meet parents who assume that since their child's baby teeth, also known as primary teeth, eventually fall out and are replaced, they are less important. But did you know baby teeth serve purposes other than biting, chewing, and digesting food properly?

Baby teeth are essential not only for your child’s language development, but they also serve other important functions, like contributing to the normal development of your child’s jaw bones and facial muscles. Baby teeth also reserve space for your child’s future permanent teeth.

So, when do baby teeth fall out?

A baby tooth is intended to remain in your child’s mouth until the permanent tooth underneath it is ready to take its place. Sometimes, either due to a tooth being knocked out accidentally or being removed because of tooth decay, kids lose baby teeth before the permanent teeth are ready to erupt. If a tooth is lost, the teeth on either side of the open space may possibly push into the open space. The result? There may not be enough room for the permanent tooth when it is finally ready to erupt.

If you have any questions about your toddler’s teeth, or if your child is experiencing issues that concern you, please give us a call to set up an appointment at our convenient Fairview Heights, IL office.

Don’t Let Craze Lines Faze You

April 25th, 2023

You’re getting ready for a night out, or you’re checking to make sure you removed every bit of spinach after eating, or you’re practicing your best selfie smile . . . and suddenly, you see something alarming in the mirror—tiny cracks in your tooth enamel! Is this a dental emergency?

Almost always, the answer will be no.  Cracks like this are most likely “craze lines,” and craze lines are not serious cracks in your teeth. These diminutive flaws are shallow vertical cracks in the enamel which don’t go all the way through the tooth and don’t affect the tooth’s structural integrity. Like the crazing on a piece of glazed pottery, these tiny cracks are superficial, and the only reason for concern is cosmetic.

  • Cause for Crazing?

Time and normal wear on our enamel are the most common culprits. Years of biting and chewing are stressful.

But you can help prevent additional craze lines by avoiding bad habits which can put external stress on your teeth: nail biting, knocking on teeth with oral jewelry, crunching down on ice cubes, using your teeth to open bottle caps—in fact, using teeth for anything other than chewing food.

Grinding your teeth is also hard on your enamel. If you suffer with bruxism (the medical term for tooth grinding), ask Drs. Rottschalk, Acker, and Froidcoeur about a mouthguard or night guard. Eliminating the extra stress of unconscious grinding and clenching reduces the chances of craze lines. Even better, getting treated for bruxism can reduce the risk of serious pain and damage to your teeth and jaws.

  • Staining Can Make Craze Lines More Visible

Craze lines are often invisible unless the light is just right. However, you can make craze lines more noticeable if you drink coffee, tea, red wine, or dark sodas regularly. And if you need another reason to give up tobacco products, smoking, chewing, or any other use of tobacco can also darken craze lines.

Stains in craze lines don’t usually respond to brushing. You might be able to lighten stains with home or professional whitening. Ask Drs. Rottschalk, Acker, and Froidcoeur for the options which are best for your staining.

  • Repairing Craze Lines

Don’t let tiny flaws keep you from smiling! If you are unhappy with the appearance of your enamel, talk to us about possible treatments, including bonding and porcelain veneers.

  • When It’s More Than a Craze Line

While a craze line is generally nothing to be concerned about, a deep line, or a line which is getting bigger, might suggest a crack in the tooth. Cracks need to be assessed and treated to avoid damage not only to the exterior of the tooth, but to the pulp of the interior as well.

How can you tell the difference? Craze lines are not painful; a cracked tooth might be. Sensitivity to hot and cold foods, painful chewing, gums swollen around a tooth, pain when you bite down, a crack that is getting larger—any of these symptoms could be a sign that you have a cracked tooth. These are reasons to visit our Fairview Heights, IL dental office ASAP.

Craze lines might be medically harmless, but if they impact your confidence, that’s a problem. Our team can help you change habits that are causing craze lines, remove staining, or repair cosmetic damage. If you’re not crazy about those craze lines, ask us for solutions that will bring back your confidant smile.

What exactly is tinnitus?

April 25th, 2023

It’s estimated that about one in every five people is affected by tinnitus, which is a ringing or noise in the ears. But tinnitus isn’t a condition in itself; it’s actually the symptom of an underlying condition. Some of these underlying conditions could be hearing loss, injury to the ear, or some sort of circulatory disorder.

Another common cause if tinnitus is a dental injury or dental issue, whether it involves the jaw or the temporomandibular joint, better known as the TMJ. “Somatic tinnitus” is the term given to the version that is attributable to injuries to the head or neck area. Symptoms of somatic tinnitus may include noticeable fluctuations in sound volume, intermittency, headaches, memory loss or increased forgetfulness, and an increased likelihood of being depressed or sad.

Drs. Rottschalk, Acker, and Froidcoeur will tell you tinnitus usually isn’t serious and is more common in older populations. For that reason, many people won’t even seek an answer to what’s causing it. But people can also experience more severe cases of tinnitus that can affect a person’s ability to complete everyday activities, which has a larger impact on their lives. For people facing these more severe cases of tinnitus, treatment may be necessary to increase their quality of life. It’s also worth noting that tinnitus seems to worsen with age, so while symptoms might not be a problem one year, they may be more significant and distracting the next.

If you have tinnitus that is caused by the misalignment of the TMJ or an injury to the mouth, that’s a condition that can be corrected by Drs. Rottschalk, Acker, and Froidcoeur and our team at Dr. John Rottschalk Dental Group. We will work to relieve your symptoms by realigning the jaw or adjusting your bite with routine dental care. Sometimes we won’t even have to go this far, because an oral infection or gum infection may be causing your problem. We might also recommend other life changes, such as dietary adjustments and medication.

If you're experiencing tinnitus-like symptoms and have ruled out various other reasons for it, contact our Fairview Heights, IL office today. Drs. Rottschalk, Acker, and Froidcoeur and our team will carefully analyze your situation and put you on a treatment course so that you can kick the symptoms for good.

Sleep Apnea: How we can help

April 25th, 2023

At Dr. John Rottschalk Dental Group, we understand that getting high-quality sleep is vital to maintaining your overall health. Insufficient sleep can lead to an inability to concentrate, motor vehicle accidents, and difficulty performing at work. Since approximately 18 million Americans suffer from sleep apnea, this poses a significant public health problem. If you think you may have sleep apnea, talk to Drs. Rottschalk, Acker, and Froidcoeur and our team about devices that can help you get a good night’s rest.

What is sleep apnea?

Sleep apnea is a relatively common disorder in which breathing stops or becomes very shallow during the night. These bouts of paused breathing may last a few seconds or as long as several minutes. When 30 or more breathing interruptions occur per hour, sleep apnea leads to dramatic reductions in sleep quality. In many cases, this condition is caused by your airway becoming blocked or collapsed during sleep.

Anyone can get sleep apnea, but there are certain factors that increase your risk. Having small airways, being overweight, being male, or having a family history of sleep apnea increases the likelihood that you will develop the disorder. If you think you have sleep apnea, visit highly encourage you to visit our Fairview Heights, IL office for a thorough physical exam, comprehensive medical history, and a sleep study.

Treatment Options

Several treatment avenues are available for people with sleep apnea. One popular option is to wear an oral appliance. For example, a mandibular advancement device (MAD) looks like a sports mouthguard and slightly repositions your jaw, to keep your airway unobstructed. Another option is a tongue-retraining device (TRD), which holds your tongue in place to ensure that your airway stays open during the night.

For individuals with mild-to-moderate sleep apnea, dental devices are a smart option. Many patients enjoy improved sleep, reductions in snoring, and less fatigue during daytime hours. If you’re curious about getting an oral appliance to help with your sleep apnea, please consult our team at Dr. John Rottschalk Dental Group. After a consultation and examination, we can fit the type of device that works best for your condition.

Fluoride Treatment: Do You Need One?

April 24th, 2023

Over the past decade, most people have been ingesting less and less fluoride. This is not such a great trend, since fluoride has a history of successfully reducing tooth decay and promoting good dental health. Most of us drink bottled water now, so many children and adults are not getting the optimum amount of fluoride they need. Of course, dental needs vary, depending on such factors as age, tooth sensitivity, medical conditions, and risk for cavities, but there are several ways to make sure you get the proper amount of fluoride.

Fluoride can be applied in the form of foam, varnish, or mouthwash. For children, topical fluoride can be useful in the early stages of development to ensure the future strength of enamel. For people who have a dry mouth as the result of medication to treat anxiety, diabetes, high blood pressure, depression, or high cholesterol, a daily fluoride rinse is recommended, as well as a varnish treatment. 

If you’ve received or are receiving any form of cancer treatment, that could be affecting your dental health. If such is the case, fluoride varnish treatments are recommended prior to, during, and after chemotherapy. Getting an oral infection during cancer treatment can be especially harmful, so it’s worthwhile to do as much as you can to prevent that.

If you suspect you might be in need of a fluoride treatment or have any questions about the treatments Dr. John Rottschalk Dental Group offers, please feel free to give our Fairview Heights, IL office a call!

I drink a lot of coffee. Could it be hurting my smile?

April 5th, 2023

At Dr. John Rottschalk Dental Group, we know most of our patients enjoy a cup of coffee or two throughout the day. But what many of you don’t know is that coffee can be especially tough on your teeth because tannic acid (the substance that makes the dark color) etches into the pits and grooves of tooth enamel, staining your pearly whites and being generally detrimental to your smile.

Coffee is one of the most popular beverages in the world, with more than 50 percent of people drinking a cup daily. Other foods and drinks such as wine, chocolate-flavored beverages, and soft drinks can all cause tooth enamel discolorations. A hot cup of Joe, however, goes one step farther: extreme temperature changes in your mouth can cause teeth to expand and contract. This allows stains to penetrate deep into the micro-cracks of your tooth enamel.

Additionally, caffeine is considered a diuretic, which means it causes the body to lose fluids. So when you enjoy coffee or any kind of caffeinated beverage, it slows the production of saliva and causes dry mouth, which can potentially lead to bad breath and even tooth decay.

If you just can't make it through the day without a cup of java, we encourage you to consider these tips to help make sure your teeth stay in tip-top shape:

    • Drink a glass of water with your coffee or rinse with a glass of water after every cup. Not only does it help neutralize and rinse away the acid left behind from the coffee, but it also helps replenish fluids drawn out of your body by caffeine.
    • Chew gum after you drink coffee. Chewing gum will help keep your saliva production up and prevent dry mouth.
    • Enjoy your beverage with a straw so that tannins don’t make contact with your front upper and lower teeth.
    • Switch to decaf. Each cup of regular coffee you drink has an average of 110 milligrams of caffeine. Decaf has the same great taste with only two to 12 milligrams of caffeine.

Drs. Rottschalk, Acker, and Froidcoeur and our team also invite you to visit our convenient Fairview Heights, IL office for whitening options. We can help bleach your teeth with proven and professional products. To learn more about whitening options available at Dr. John Rottschalk Dental Group, please give us a call!

Do Spring Allergies Mean (B)Looming Dental Problems?

April 5th, 2023

April showers bring May flowers, and May flowers bring . . . allergies. If you’re one of the millions of people who suffer from seasonal allergies, you might be suffering some dental side effects as well.

When you have pollen allergies, pollen triggers your body’s immune system to release histamines. Histamines are part of the body’s defense system. They cause the tissues in the nose and sinuses to become inflamed and swollen as they increase blood supply to these areas. They also cause your body to produce more mucus.

Normally, mucus from the sinus cavities drains into the nasal cavity and then down the back of the throat, where it mixes with saliva and is swallowed. We never even notice it. Until it’s allergy season. Unfortunately, our defense mechanisms can have some offensively unpleasant consequences.

  • Headache & Facial Pain

Our sinus cavities are small hollow spaces in the bones of the head which are filled with air and, like our nasal cavities, are lined with mucous membranes. It’s these membranes, not surprisingly, which produce mucus. And though we might turn up our noses at this slippery topic, mucus is actually quite helpful for trapping and filtering out unwanted hitchhikers like bacteria, viruses, dust, pollens, and other pollutants in the air we breathe before they reach our lungs.

When histamines are released, normal mucus production increases to filter out those tiny pollen invaders. At the same time, tissue around the nose and sinuses swells up, which can trap mucus inside the sinus cavities. This, in turn, causes increased pressure within the sinuses, and this pressure brings on allergy-related headaches and facial pain.  

  • Nasal Congestion & Postnasal Drip

With the occasional runny nose or sneeze, you can blow your nose once or twice and that’s that. During allergy season, greatly increased mucus production might see you spending all day within reaching distance of your box of tissues. But when the tissue in your nose is swollen as well, you now find yourself with nasal congestion.

A stuffy nose means excess mucus has to exit somewhere else, which means this extra, often thicker, mucus all drains into the back of your throat. This is postnasal drip, and it can make you miserable in several different ways. Hoarseness. Coughing during the day. Worse coughing at night. Sore throat. Nausea. Difficulty swallowing.

All these allergy symptoms are uncomfortable enough! But, to add to our discomfort, allergies can lead to uncomfortable oral symptoms as well.

  • Tooth Pain

A common result of allergies is tooth pain. How does this happen? It’s because of the way our bodies are designed. The maxillary sinus cavities are directly above the roots of our upper molars.

When sinus cavities are congested and sinus pressure builds up, it also puts pressure on these roots. The result is tooth pain, usually affecting several upper molars at once.

  • Dry Mouth

One of the natural responses to a stuffy nose is mouth-breathing—we can’t go without air, after all! But exposing the inside of the mouth to all that air dries out delicate gum and mouth tissues. It also reduces normal saliva flow. This can cause xerostomia, more commonly known as dry mouth.

Because saliva neutralizes acidity in the mouth and washes away bacteria and other germs, lower saliva production means greater risk of cavities, infections, and bad breath. Dry mouth can also cause gum irritation and gingivitis, because less saliva means more harmful bacteria build-up between the gums and the teeth.

  • Antihistamines & Your Oral Health

If histamines are the problem, are antihistamines the obvious solution? This is a good question for Drs. Rottschalk, Acker, and Froidcoeur or your physician. Antihistamines can be very drying—so you might find you’re experiencing dry mouth even when all those other pesky allergy symptoms have disappeared. And, if you already suffer from xerostomia, it’s especially important to get your doctor’s advice before buying over the counter antihistamines.

In allergy season, just like any other time of the year, be sure to hydrate and keep up with brushing and flossing for fresh breath and healthy teeth and gums. Talk to Drs. Rottschalk, Acker, and Froidcoeur if you have persistent tooth pain, dry mouth, or irritated gums—it’s always best to rule out other causes like infection or decay.

But, if your problems are caused by allergies, you don’t have to wait until the next snowfall to get relief. Talk to your doctor or allergist for ways to reduce or eliminate your symptoms before allergy problems start blooming into dental problems. You’ll breathe easier!

What to Do When Your Child Has a Loose Tooth

March 29th, 2023

When your child loses a tooth for the first time, you both have a lot to look forward to. Sharing in the “I’m a big kid!” excitement. Tales of the Tooth Fairy or other traditions to mark the occasion. Seeing the start of a beautiful grown-up smile.

But before that baby tooth wiggles all the way out of your child’s mouth, let’s talk about how to handle a loose baby tooth.

  • Be mindful of your children’s feelings. Reassure them that this is a normal part of growing up. If they are anxious about losing a tooth, there are children’s books which can help ease their fears in a soothing and entertaining way.
  • Crunchy and healthy foods like carrot sticks and apple slices can help the tooth fall out naturally—and nutritiously!
  • Encourage careful wiggling. No need for children to yank or pull—time, and a child’s own gentle wiggling with tongue or clean hands, should do the trick. If wiggling the tooth is painful, it might not be ready to come out just yet.
  • If a tooth absolutely is ready, but just won’t come out, you can help your child without resorting to a string and a doorknob. Give our Fairview Heights, IL office a call for some suggestions for helping that baby tooth on its way to the Tooth Fairy in a timely—and gentle—fashion.

And if a tooth is clearly loose before its time? Should you encourage its exit?

Probably not. Baby teeth are temporary, but they’re important for your child’s development. They help with speech production, eating and chewing, and serve as placeholders so that permanent teeth can erupt in the right spot at the right time.

There are some situations when a loose baby tooth means a visit to the dentist is in order:

  • Baby teeth usually fall out over a period of years, generally from ages 6 through 12. Since children’s teeth tend to fall out in the same order they arrived, if a molar is loose before the front teeth start to wiggle, give your dentist a call.
  • If your child suffers a fall, or a sports injury, or any kind of accident that leaves a tooth or teeth loose, call your doctor or dentist right away to make sure there are no serious injuries or chance for infection.
  • Any time you feel a tooth is loose that shouldn’t be, make an appointment with your child’s dentist.

Finally, we’ve been talking about loose baby teeth, but loose permanent teeth are another matter entirely.

If you child has a loose permanent tooth due to an injury, or a bad bite, or night-time bruxism (tooth-grinding), or for any other reason, it’s important to call for an appointment immediately. Drs. Rottschalk, Acker, and Froidcoeur will be able to pinpoint the cause of the problem and can offer some solutions. In the meantime,

  • Make sure your child eats soft foods, and tries to eat on the opposite side of the loose tooth.
  • Keep the area clean with gentle rinsing instead of brushing and flossing.
  • Tell your child not to wiggle it! If the bone or ligaments holding the tooth in place have been damaged, playing with the tooth can make it looser.

A loose baby tooth is a step in your child’s journey to a beautiful, healthy adult smile. Reassure, encourage, and help your child through this rite of passage—and don’t hesitate to call on Drs. Rottschalk, Acker, and Froidcoeur for advice!

Gum Disease in Children

March 29th, 2023

When it comes to gum disease and your child, it’s a good news/bad news situation. The very good news is that children rarely suffer from advanced gum disease, or periodontitis. The not-so-good news? Early gum disease, called gingivitis, is unfortunately an all-too-common childhood problem.

  • What does gingivitis look like in children?

Childhood gingivitis has the same causes and symptoms as the adult version. Healthy gums are firm and pink. When bacteria and plaque accumulate on the teeth, your child’s gums become irritated and inflamed. Call our Fairview Heights, IL office right away if you notice any of these symptoms of gingivitis: bleeding gums, puffiness, redness, gum tissue receding from the teeth, or bad breath even after brushing.       

  • How to Prevent Gingivitis

The most common cause of gingivitis is poor dental care. Creating a regular dental routine is the best way to prevent gingivitis from ever developing! Brushing and flossing with your child for two minutes twice a day from the very beginning helps make healthy cleaning a lifelong habit. Care should be taken to gently brush teeth at the gum line to make sure plaque doesn’t get a chance to build up there and cause gum irritation. And when your child comes in for regular cleanings, Drs. Rottschalk, Acker, and Froidcoeur can be sure that any plaque that might remain on the teeth is removed.

Two additional notes: as your child approaches adolescence, hormone fluctuations can make gums more sensitive and easily irritated. This is a time to really emphasize careful and gentle brushing and flossing. Also, some medical conditions may make children more pre-disposed to gum problems, so be sure to make us aware of your child’s medical history.

  • Uncommon Gum Diseases

While gingivitis is very preventable with proper dental hygiene, there are some rare gum conditions that can occur around the time of puberty that are quite different from gingivitis. Aggressive Periodontitis can cause severe bone loss around the first molars and incisors, even without any kind of plaque build-up, and Generalized Aggressive Periodontitis leads to inflammation of the gums, heavy plaque, and, eventually, loose teeth. Again, these conditions are rare, but if you have a family history of these diseases, let us know. Checkups and cleanings are a great way to catch any potential gum problems, so be sure to bring your child in for regular visits.

Almost all childhood gingivitis is preventable. With careful brushing and flossing at home, and visiting us regularly for checkups and cleanings, your child can enjoy healthy gums and teeth now and learn habits that will keep those gums and teeth healthy for a lifetime. And that is a good news/great news situation!

Losing a Baby Tooth

March 22nd, 2023

It seems like yesterday. There you were, comforting your baby through sleepless nights, soothing her with a dentist-approved teether, celebrating as that first tiny tooth poked through her gums. And now here she is running to show you that same tooth, wiggly, loose, and almost ready for the Tooth Fairy. Now what?

Be Prepared

Children normally lose that first tooth somewhere around the age of six, but a year or two earlier or later is not uncommon. If you ever took a business class, you might have heard of the inventory method called “First In, First Out.” Baby teeth operate much the same way! The two bottom front teeth, followed by the two upper front teeth, will probably be the first teeth your child loses. Once you notice some wiggling, let your child know what is going on and reassure her that it is a normal part of growing up.

What to Expect with that First Loose Tooth

Normally, baby teeth become loose when the pressure from the permanent tooth below gradually breaks down the roots of the primary tooth. If your child has a loose tooth, encourage him to wiggle, not pull. Typically, gentle wiggling is all that is needed to free a tooth that has lost most of its root and is ready to be replaced. Avoid pulling or forcing the tooth, because that can cause injury to the root area if the baby tooth isn’t ready to come out. Call our Fairview Heights, IL office if you have any questions about loose teeth. Drs. Rottschalk, Acker, and Froidcoeur and our team also have suggestions if the baby teeth don’t become loose on schedule, or if they stubbornly remain in place even after the adult teeth have started to show up. One important note—if your child ever loses a tooth through accident or injury, call us at once. We might need to provide a spacer to give your child’s permanent teeth the proper time and space to come in.

Celebrate this Milestone with Your Child

The arrival of the Tooth Fairy is a familiar way to mark the occasion, and she can leave your child a note, a small gift, even a brand new toothbrush. Or explore other options!

If your child is fascinated by stories and traditions, learn about El Ratón Pérez (Perez the Mouse), a familiar tooth-collector in many Spanish speaking countries, or his French cousin, La Petite Souris (the Little Mouse). In other parts of Europe, Asia and Africa, children throw teeth on the roof, drop them in a glass of water, or hide them in a slipper. This is a great opportunity for you and your child to explore the world!

If your child likes science, look into books that explain the biology of baby and adult teeth in an age-appropriate way. You could print a chart of the primary teeth and take notes on each lost tooth as it makes way for the permanent tooth below. Or track her progress with photos showing the baby tooth, the gap left by the tooth, and the adult tooth as it comes in.

Losing that first tooth is an important moment for your child—and for you. Be prepared to celebrate another milestone together, and always feel free to talk to Drs. Rottschalk, Acker, and Froidcoeur if you have any questions about this new stage in your child’s life.

Why Are My Child’s Baby Teeth So White?

March 22nd, 2023

One of the most charming aspects of your baby’s beautiful smile is his brilliantly white teeth. But now that his adult teeth are coming in, the difference in color is very noticeable. Is this something to be concerned about? Happily, probably not.

Both baby teeth and adult teeth have the same basic structure. The inside of the tooth, the pulp, contains blood vessels and nerves. The pulp is covered by a layer of dentin, a hard, yellowish substance composed of living tissue that helps protect the pulp and transmits signals for pain, pressure, and temperature. Enamel is the outer protective covering of the tooth, and its natural color can vary from greyish-white to light yellow.

If primary and permanent teeth are so alike, how can they look so different? As with so many things, the difference lies in the details. In adult teeth, enamel is semi-translucent, so it will allow the color of what is beneath it to show through. And the color of the thick dentin beneath is naturally yellow. Baby teeth have a thinner layer of the yellowish dentin. And while their enamel is also thinner, the enamel in baby teeth is generally whiter and more opaque, so less of the underlying yellow from the dentin is visible.

The result of these small differences is that adult teeth are normally darker than baby teeth to begin with. And when a permanent tooth that is just a bit darker erupts next to a bright white baby tooth, it is going to look even more yellow than it actually is. Once all of the baby teeth in front have been replaced with adult teeth, you will have a much better idea of their real color without unflattering comparisons!

There are times when concerns about tooth color should be looked at by Drs. Rottschalk, Acker, and Froidcoeur more closely.

  • Unusual discoloration in teeth should be examined. Some discoloration is caused by medical conditions such as hypomineralization, some by environmental factors such as excess fluoride, some by trauma, some by medication. If you notice a discolored section of your child’s tooth, or the tooth has turned a different shade from the teeth around it, give us a call.
  • Your child might have naturally whiter or yellower teeth simply as a matter of genetics. If your child is self-conscious about the color of his teeth, we can talk about whitening solutions when he is old enough to use them safely. Home whitening products should never be used on young children.

Give yourself time to adjust to your child’s new, adult smile. You will probably notice no difference at all once all of his permanent teeth come in. And keep those new teeth their brightest with consistent brushing and flossing, and regular checkups and cleanings at our Fairview Heights, IL office. This is the simplest prescription for a charming, white, and healthy smile at any age.

Is Charcoal Teeth Whitening Safe?

March 15th, 2023

Health and beauty trends surface on the web every day, and it can be difficult to tell which ones are worth your time, or even safe, for that matter. Perhaps one of the biggest dental trends recently on Facebook, YouTube, and Instagram has been teeth whitening through brushing with activated charcoal.

Unfortunately, charcoal whitening isn’t everything the Internet makes it out to be. Activated charcoal isn’t what you use to grill at a summer barbecue; it’s an oxidized substance made from peat, coal, wood, coconut shell or petroleum heated with a gas.

Toxins and surface stains can cling to charcoal due to its adhesive qualities, which is why some people declare it’s perfect for removing discoloration on teeth. Although it may show quick results initially, charcoal is nothing more than a temporary solution.

The abrasive texture may roughen up enamel, which will make it easier for future stains to stick to the surface of your teeth. They may show stains shortly after you use charcoal on them, and may become even more discolored than before.

It’s crucial to emphasize the results of damaged tooth enamel because it cannot replenish itself, which means any damage is permanent. People with receding gums or sensitive teeth especially should steer clear of charcoal because it can make brushing too harsh and worsen sensitivity.

Long-time use can deplete enamel, which over time exposes dentin: the soft, yellowish layer in the tooth. This puts you at a higher risk for cavities, tooth discoloration, and complicated dental problems such as periodontal disease in the future.

The American Dental Association does not approve of charcoal as a safe means for whitening teeth. If you do choose to use it, do so with caution.

Charcoal should be used once every other week at the most, even if your teeth feel fine. The only proven ways to whiten teeth safely are with ADA-approved whitening products or in-office bleaching treatments overseen by a dental professional.

Before you begin any whitening treatment at home, consult with Drs. Rottschalk, Acker, and Froidcoeur to make sure your teeth won’t be harmed in the process. If you are already experiencing sensitivity, stop charcoal use immediately and make an appointment with our office right away.

If you have questions about whitening or want to schedule an in-office whitening treatment, feel free to give our Fairview Heights, IL office a call today!

Proper Flossing Techniques

March 15th, 2023

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, Drs. Rottschalk, Acker, and Froidcoeur 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 Dr. John Rottschalk Dental Group, 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 Fairview Heights, IL office and daily flossing. Allow our team to partner with you in maintaining a bright, shiny smile and good oral health.

Recovering from Oral Surgery

March 8th, 2023

If you need oral surgery, Drs. Rottschalk, Acker, and Froidcoeur and our team will use our expertise and training to ensure that you have the best possible surgical outcome. And we want to make sure you have the best possible outcome for your recovery as well. Here are a few of the most common aftercare suggestions for making your healing as comfortable and rapid as possible.

  • Reduce Swelling

Ice packs or cold compresses can reduce swelling. We’ll instruct you how to use them if needed, and when to call our Fairview Heights, IL office if swelling persists.

  • Reduce Bleeding

Some amount of bleeding is normal after many types of oral surgery. We might give you gauze pads to apply to the area, with instructions on how much pressure to apply and how long to apply it. We will also let you know what to do if the bleeding continues longer than expected.

  • Reduce Pain or Discomfort

If you have some pain after surgery, over-the-counter pain relievers such as ibuprofen might be all that you need. We can recommend those which are best for you. If you need a prescription for pain medication, be sure to take it as directed and always let us know in advance if you have any allergies or other reactions to medications.

  • Recovery-friendly Diet

Take it easy for the first few days after oral surgery. Liquids and soft foods are best for several days following surgery. We will let you know what type of diet is indicated and how long you should follow it depending on your particular procedure. We might, for example, recommend that you avoid alcohol and tobacco, spicy, crunchy, and chewy foods, and hot foods or beverages for several days or several weeks.

  • Take Antibiotics If Needed

If you have been prescribed an antibiotic, be sure to take it as directed. If you have any allergies to antibiotics, let us know in advance.

  • Protect the Wound

Do NOT use straws, smoke, or suck on foods. Avoid spitting.  Part of the healing process can involve the formation of a clot over the surgical site which protects the wound. If the clot is dislodged by suction or spitting, it can prolong your recovery time, or even lead to a potentially serious condition called “dry socket.”

  • Maintain Oral Hygiene

Depending on your surgery, we might recommend that you avoid rinsing your mouth for 24 hours, use salt water rinses when appropriate, and keep away from the surgical site when brushing. It’s important to keep your mouth clean, carefully and gently.

  • Take it Easy!

Rest the day of your surgery and keep your activities light in the days following.

These are general guidelines for recovery. If you have oral surgery scheduled, we will supply you with instructions for your specific procedure, and can tailor your aftercare to fit any individual needs. Our goal is to make sure that both your surgery and your recovery are as comfortable as possible.

Understanding Dental Insurance Terminology

March 8th, 2023

If you have a hard time understanding your dental insurance plan, particularly the treatments and services it covers, you’re not alone. That’s why Drs. Rottschalk, Acker, and Froidcoeur and our team have put together a cheat sheet to help you through them.

It’s common for patients to get lost in the morass of the terms and phrases that surface when you’re dealing with a dental insurance plan. Knowing the commonly used terms can help speed up the process and enable you to get the most out of your coverage.

Common Terms

Annual Maximum: The most your policy will pay per year for care at Dr. John Rottschalk Dental Group. It is often divided into cost per individual or per family.

Co-payment: Typically, a small amount the patient has to pay at the time of service before receiving care, and before the insurance pays for any portion of it.

Covered Services: A list of all the treatments, services, and procedures the insurance policy will cover fully under your contract.

Deductible: An amount you must pay out of pocket each year before the insurance company will contribute for any treatments or procedures. The amount can vary according to your plan.

Diagnostic Services: A category of treatments or procedures that most insurance plans will cover before the deductible, which may mean services that occur during preventive appointments with Drs. Rottschalk, Acker, and Froidcoeur, including X-rays or general screenings.

Exclusions: Dental services not covered under a dental benefit program.

In-Network: An insurance company will usually cover a larger portion of the cost of the care if you see an in-network provider for treatment.

Out-of-Network: If you visit someone who is not a part of your provider’s network, the insurance company may pay for a portion of the care, but you will be responsible for a significantly larger share out of your pocket.

Lifetime Maximum: The most that an insurance plan will pay toward care for an individual or family over the entire life of the patient(s).

Limitations: A list of all the procedures the insurance policy does not cover. Coverage may limit the timing or frequency of a specific treatment or procedure, or exclude some treatments altogether.

Member/Insured/Covered Person/Beneficiary/Enrollee:  A person who is eligible to receive benefits under an insurance plan.

Premium: The regular fee charged by third-party insurers and used to fund the dental plan.

Provider: Drs. Rottschalk, Acker, and Froidcoeur or other oral-health specialist who provides treatment.

Waiting Period: A specified amount of time that the patient must be enrolled with an insurance plan before it will pay for certain treatments.

It’s essential to understand the various insurance options available to you. Knowing what your insurance covers can save you major costs in the future.

Drs. Rottschalk, Acker, and Froidcoeur and our dental staff hope this list of terms will help you understand your dental insurance plan better. Be sure to review your plan and ask any questions you may have about your policy the next time you visit our Fairview Heights, IL office.

What exactly is biofilm?

March 1st, 2023

Biofilm is a protective home for bacteria that’s composed of microorganisms. Biofilm can be found in wet places such as ponds, sewers, and bathroom drains, and it also grows on metals and minerals.

But biofilm can also be found in your mouth, in either healthy or diseased form. Both are composed of the same compounds, but when they combine with certain amino acids or chemicals, diseased biofilm will begin to destroy your enamel. You might notice this as a slimy yellow buildup of dental plaque on the surface of your teeth.

Biofilm takes form when free-swimming bacterial cells land on a surface and attach in a cluster. The cells begin to multiply and form a micro-colony that promotes diverse bacterial species to grow. To prevent biofilm from settling in your mouth to begin with, make sure to keep up your daily oral routine.

Any mouth appliances you use should also be scrubbed or soaked in cleaner as often as possible. You should pick a toothpaste that has antibacterial ingredients, rinse with mouthwash, and floss daily.

There are many ways to treat diseased biofilm. One is to kill the microorganisms through the use of chlorhexidine, triclosan, and mineral agents that reduce the degree of plaque formed in your mouth.

Another way is to make sure to go to your regular cleanings every six months with Drs. Rottschalk, Acker, and Froidcoeur. During your cleaning, we remove excess biofilm that’s accumulated on your teeth over the past six months.

Don’t forget that it’s also essential to keep a healthy amount of biofilm in your mouth, though. This type of biofilm protects your body from disease and is replicated every twenty minutes. If you have a healthy amount of good biofilm, the chances of your mouth producing harmful bacteria decreases.

Ask about biofilm during your next appointment at our Fairview Heights, IL office if you’ve noticed any irregular yellow-colored buildup on your teeth. Drs. Rottschalk, Acker, and Froidcoeur will make sure your mouth has a healthy balance of biofilm.

The best way to create a healthy environment in your mouth is to stay on track with your oral health regimen. Prevention is the best method when it comes to your dental hygiene and fighting diseased biofilm.

 

Be Prepared!

March 1st, 2023

When you’re busy at work or school, when you’re on vacation, when you’re on the road to adventure—preparation helps everything go smoothly. Especially when the unexpected happens! So, how can you be prepared for any dental situations which might arise? By creating these useful—and portable—travel kits.

Everyday Basics Kit

Drs. Rottschalk, Acker, and Froidcoeur and our team recommend brushing twice a day and flossing at least once each day for clean and healthy teeth. But after a long day at work with no time to head home before your date, or a garlic-heavy lunch, or a morning filled with coffee and pastries to help you meet a deadline, you might feel like there’s no time like the present to give your smile a bit of a boost.

Be prepared with a small travel bag filled with these easy-to-carry basics to get you through your busy day with clean teeth, fresh breath, and a confident smile:

  • Toothbrush and case—and do make sure your case is ventilated so your brush can air dry. Bacteria love a closed, damp environment!
  • Toothpaste
  • Mini-bottle of mouthwash
  • Small mirror—to check for any lunch leftovers
  • Dental floss—to remove any lunch leftovers
  • Dental picks
  • Sugarless gum—to freshen your breath and encourage saliva production, which helps clean away bacteria and food particles

Flight Gear

Getting set to travel by air again after this long lay-over? Your basic kit will do the job with just a few minor additions and alterations.

  • A travel version of your manual or electric toothbrush and travel case
  • Plug adapter or voltage converter as needed for your electric brush if you’re visiting another country
  • Quart size, resealable plastic bag to hold your carry-on supplies. Toothpaste and mouthwash are included in the list of items which need to fit carry-on guidelines.
  • Travel-size toothpaste—3.4 oz (100 ml) or smaller tube size. (And an almost-empty regular size tube doesn’t count!)
  • Travel-size mouthwash—also in a 3.4 oz (100 ml) or smaller container
  • Our Fairview Heights, IL office’s phone number. In case of emergency, Drs. Rottschalk, Acker, and Froidcoeur can give you advice on how to handle any problem which might arise when you’re far from home.

Looking for Adventure?

If you’re camping in the forest, leaving for the lake, going for a road trip, or heading out on any travel adventure, you’ll be bringing the dental care basics, of course. We’d also like to recommend some items to take along in the event of a dental emergency while you’re away from home:

  • Dental mirror
  • Cotton rolls
  • Over-the-counter pain relief—including a tube of oral pain relief gel
  • Ice pack
  • Dental wax—to cover the sharp edges of a broken tooth
  • Temporary fillings—to protect your sensitive tooth if a filling or crown is lost
  • Tooth preservation kit—to protect a dislodged tooth in case it can be reimplanted. (This means seeing a dentist very quickly, usually within 30 minutes of the accident.)

And, if you’ll be mountain biking, water skiing, or enjoying any activity where there’s potential for impact, don’t forget to pack your mouthguard!

Preparation is key to eliminating a lot of stress in our daily lives, and who couldn’t use a bit of stress-relief these days? Make room in your bag, locker, desk, luggage, or backpack for some portable, lightweight dental necessities. Be prepared to share your confident, healthy smile no matter what life has in store!

Could a Night Guard Be the Answer to Your Dreams?

February 22nd, 2023

Have you been having trouble getting a good night’s rest?

Sometimes the reason for a poor night’s sleep is obvious. A midnight horror movie. A bedtime espresso. That anchovy and pineapple pizza you had for dinner. Not much we can do about these problems.

Sometimes, though, the cause of your sleep difficulties is dental in origin, and that is something Drs. Rottschalk, Acker, and Froidcoeur can help with.

Teeth grinding, or bruxism, is a very common dental problem. When people with this condition sleep, their jaws clench and their teeth grind against each other throughout the night. When to suspect you might suffer from bruxism?

  • You wake with a sore jaw, or you hear pops or clicks when you move your jaw
  • You suffer from frequent headaches or facial pain
  • Your teeth are chipped, cracked, flattened, worn down, or sensitive
  • You wake up tired, because grinding affects the quality of your sleep
  • Partners, siblings, or roommates complain about nocturnal grinding noises affecting the quality of their

Pain and fatigue are unpleasant enough, but there are additional serious consequences for those who suffer from bruxism. Our jaws are extremely powerful, and clenching and grinding can put hundreds of pounds on pressure on teeth and jaws over hours of sleep. These forces can lead to:

  • Damaged teeth. Cracked, chipped, and worn down teeth can mean veneers, crowns, and root canals. Seriously compromised or broken teeth might need to be extracted.
  • Damaged dental work. Bruxism can lead to fractured veneers and damaged fillings and crowns. If the damage is too serious for repair, replacement might be necessary.
  • Damaged jaw joints. Severe cases of bruxism can lead to injury to the temporomandibular joint, or TMJ, the complex hinge that allows our jaws to move up and down, back and forth, and side to side.

While these problems can be treated with restorations, or root canals, or implants, or surgical procedures, prevention is clearly a much better option for a healthy smile. And one of the simplest and most effective treatments for preventing the damage caused by bruxism is a night guard.

Night guards fit over the affected teeth to prevent them from touching directly, saving tooth and enamel from injury and wear. Not only do night guards prevent contact, they spread the biting forces of the jaw over the surface of the guard to greatly reduce their impact. And because they also stop the jaw muscles from clenching tightly, there’s no excess stress placed on the temporomandibular joint.

While over-the-counter products are available, it’s best to see Drs. Rottschalk, Acker, and Froidcoeur for the most effective night guard. A custom night guard is designed to fit your individual teeth and mouth perfectly. Impressions or 3D scans are taken in our Fairview Heights, IL office, and a guard is fabricated with the precise shape, strength, and thickness you need to protect your teeth. And, as a bonus, custom night guards offer the most comfortable fit for the most comfortable night’s sleep.

Scary movies, late night caffeinating, creative food combinations—not much we can do about those! But if you’re suffering lost sleep and painful mornings because of tooth grinding, give us a call. A night guard just might be the key to sweet dreams.

Make Brushing Teeth Fun!

February 22nd, 2023

It’s understandable that kids would rather be playing outside or watching their favorite movie instead of doing a “boring” task like brushing their teeth. But there are ways to make brushing fun for your son or daughter, and encourage healthy oral hygiene habits early on! Drs. Rottschalk, Acker, and Froidcoeur and our team have a few tricks that may help.

Game time

What child doesn’t love a good game? Try to turn brushing time into a game, whether by playing hide-and-seek or singing your child’s favorite song while he or she brushes for two minutes.

Kids also love rewards, so awarding them stickers after a good brushing can encourage them to do a good job every time. You might even tell your child that five stickers will earn a special treat or fun activity at the end of the week.

Fun accessories

Lots of toothbrush options can add something exciting to your child’s daily brushing routine. Toothbrushes that light up tend to be a popular choice with young kids. The same goes for toothbrushes shaped like your child’s favorite animal or cartoon character.

Teaching your kids about how long they should brush each time can also be fun. Let them have the special responsibility of setting a timer for two minutes before they start to brush.

The Great Toothpaste Experiment

Lots of kids can be picky eaters and that can the case with toothpaste flavors. Set aside a time to sample several different flavors, the way they’ve probably tried various flavors at the ice cream shop! Just make sure to be very clear that they shouldn’t swallow the toothpaste.

With your help, your child can easily develop healthy brushing habits over time. If you can find ways to make it fun, it can be an enjoyable experience for both of you!

Call Drs. Rottschalk, Acker, and Froidcoeur at our Fairview Heights, IL office for more fun tips or to make an appointment today!

Beneficial Beverage or Damaging Drink?

February 15th, 2023

Talking about a healthy diet usually means talking about food. After all, our teeth and gums need protein, vitamins, and minerals to stay strong and free from cavities and gum disease. But let’s not forget the part liquids play in our diets! What we drink can actually have a dramatic effect on our dental health.

Beneficial Beverages for Our Teeth and Gums

  • Water, water, water!

Water is always a healthy option. Besides being a nutrient in its own right, water washes away food particles as we eat, dilutes the acids in our mouth that can lead to cavities, and often provides the fluoride, which reduces our risk of tooth decay. Also, water helps with the production of saliva, which cleanses our mouth and helps neutralize the acids which cause cavities, gum disease, and bad breath.

  • Milk

Milk provides the calcium and vitamin D that are essential for bone and tooth health. If you are worried about the fat content in milk, low-fat options will still deliver the nutrients your body needs.

  • Vegetable juices

These juices provide important vitamins and minerals without the sugar levels of fruit juices. If that 100%-leafy-green smoothie is a bit bitter, add a small amount of fruit to the mix, but remember to avoid too many acidic, sugary additions.

Drinks that are Less than Ideal

  • Sugary beverages

Regular soft drinks, fruit juices, energy drinks, and sweetened tea and coffee provide bacteria with the sugar they use to produce acids. These acids, over time, weaken our enamel and lead to cavities.

  • Acidic drinks

Any acidic beverages, such as soft drinks, sports drinks, or citrus juices, provide their own acids that can erode tooth enamel.

  • Drinks that stain our teeth

Red wine, coffee, black tea, fruit juices, colas—even sports drinks!—can leave our enamel stained and discolored.

Should we give up all these problem drinks completely? Can’t we start our day with orange juice and a cup of coffee, or down an energy drink after a workout? The important takeaway here is to recognize which drinks can damage teeth and gums, and to minimize any harm they might cause. If you are going to drink something sugary or acidic, don’t sip it. Sipping lets the sugars and acids linger in the mouth. Drink with a meal. Chewing increases saliva production, which helps wash away harmful sugars and acids. Try using a straw for drinks that stain teeth. And it’s always best to rinse with water immediately after drinking anything sugary, acidic, or staining.

Best of all, try to include as many nourishing beverages as possible in your diet. Keep your mouth healthy with a steady routine of brushing and flossing for at least two minutes twice a day. Don’t forget to schedule regular checkups and cleanings at our Fairview Heights, IL office so Drs. Rottschalk, Acker, and Froidcoeur can monitor your teeth and gums and remove plaque and stains if they develop. And if you have any questions about the healthiest beverages out there, let’s have a glass of water and discuss.

Tooth-Colored Fillings

February 15th, 2023

Once upon a time, silver fillings ruled in dental offices everywhere. For a long time, they were the only option dentists used to close off the spaces on teeth where bacteria could easily enter.

Most patients did not regard a pearly white and silver smile as something to be super excited about. Luckily, we have a range of more aesthetically pleasing options today. The most common material used for fillings now is composite, also known as tooth-colored fillings.

Composite fillings are made to match the shade of your teeth, so they offer a seamless addition to your smile. They even let light travel through them the same way that natural enamel does. Composite fillings are great because they erase imperfections and can even reshape your teeth by minimizing excessive spacing. If you have a gap between your two front teeth, for example, a composite filling is an easy, non-invasive, and most important, cost-effective way to give you the instant fix you desire.

Overall, tooth-colored fillings make an easy choice all around. Easily placed, readily repaired, and well disguised. In a world where a perfect smile seems to have become standard for everybody, why not get composite fillings for yourself?

You can smile with the confidence of knowing that nobody will spot a shiny silver thing in your mouth. Visit our Fairview Heights, IL office to get a consult or give us a call! We’re always happy to answer your questions.

Should You Be Concerned about Your Child’s Bad Breath?

February 8th, 2023

The short answer to this question? Yes. Because your child’s breath is a reflection of his or her oral health, you should talk to Drs. Rottschalk, Acker, and Froidcoeur if you notice any unpleasant changes. While better dental hygiene is usually the answer for young children, bad breath can also be a symptom of more serious problems.

Oral Hygiene

Most often, bad breath is simply a sign that your child needs a little help developing proper brushing and flossing habits.

  • Show your child how to use a soft-bristled brush that fits in the mouth comfortably, be sure to brush all the surfaces of each tooth, and don’t forget to angle toward the gum line. And brush long enough. Once all the baby teeth have arrived, two minutes of brushing is usually recommended for children.
  • It’s not too early to floss! Adults need to handle the flossing duties for children until they can manage on their own, so it’s a perfect time to teach technique. And, just like toothbrushes, floss should be flexible and soft.
  • Don’t forget the tongue. Our tongues harbor the bacteria that cause bad breath, so finish off your child’s routine with a gentle brush of the tongue.

Better oral habits mean not only fresh breath, but give those baby teeth the best chance of staying healthy until they are naturally replaced by adult teeth. After all, baby teeth not only help your child learn to eat and speak properly, but they act as necessary placeholders so the permanent teeth are able to erupt in exactly the right spot.

Talk to a member of our Fairview Heights, IL office team at your child’s next appointment if you are concerned about oral hygiene–they have many great suggestions for making brushing and flossing more efficient, comfortable, and even fun for your child.

Make Your Smile Dazzling For Your Wedding!

February 8th, 2023

Planning a wedding can be a highly stressful time. Drs. Rottschalk, Acker, and Froidcoeur and our team want to support you in this process by helping you achieve a beautiful, bright smile. Wedding days entail a lot of photographs that will last a lifetime. We know how crucial it can be that you have a smile that makes you feel confident throughout this memorable day.

Whether you’re the bride or groom, a member of the wedding party, or just a guest, a teeth-whitening treatment from Drs. Rottschalk, Acker, and Froidcoeur can give you extra confidence. Even when you’ve made the proper effort to keep up your oral health routine, staining still can appear on your teeth from foods and beverages over time. You can do several things to make sure your smile is in top shape before a wedding.

Our in-office whitening treatment is a good option if you’re looking for an investment that can last. If you’ve tried whitening kits on your own, you may have noticed they have to be used frequently to maintain the bright smile you desire.

Professional whitening treatments done by Dr. John Rottschalk Dental Group are quite comfortable and have long-lasting effects. You can also use whitening toothpaste and mouthwash to keep your teeth bright between in-office whitening treatments.

Our staff can also provide helpful advice on how to avoid staining between your whitening treatment and the big day. If you’re concerned that you may have to hold back your smile on your wedding day or some other pending event, contact our Fairview Heights, IL office and ask about our whitening treatment options.

My child has canker sores! How can I help?

February 1st, 2023

According to the American Association of Pediatric Density, roughly one in five children suffers from canker sores. Canker sores are small sores that appear inside the cheeks, on the lips, on the surface of the gums, and under the tongue.

Even though, canker sores are not contagious, they do tend to run in families. There are several reasons your child may be suffering from canker sores including:

  • Children who have Vitamin B12, iron, and folic acid deficiencies tend to get canker sores more often than children who have normal levels of these vitamins and minerals.
  • Children who suffer from food allergies are also at a higher risk for developing canker sores. It’s difficult to determine what your child may be allergic to. If you feel strongly that the canker sores are related to an allergy, then a visit to an allergist is highly recommended.
  • Biting their lip or cheek can also result in a canker sore.
  • Any injury to mouth, where the skin breaks can cause a canker sore.
  • Brushing their teeth too hard can also be a problem.
  • Your child may be sensitive to an ingredient in their toothpaste. Try switching toothpastes and see if it makes a difference.
  • Emotional disturbances and stress are also factors to consider.

If your child has frequent canker sores a visit to our Fairview Heights, IL office will be beneficial. Canker sores are painful and usually last about 14 days. Drs. Rottschalk, Acker, and Froidcoeur may recommend one or a few of the following treatment options:

  • Avoid food that is acidic, salty, and spicy.
  • A toothbrush with soft bristles may be helpful.
  • Avoid mouthwash and toothpaste that contain SLS.
  • Do not feed your child foods that they may be allergic to.

Canker Sore Remedies

  • Eating yogurt that contains Acidophilus will relieve the pain and help the canker sore heal faster.
  • Put one teaspoon of baking soda in an eight-ounce glass of lukewarm water. Have your child gargle and swish it around his or her mouth several times a day. Not only does this remedy relieve the pain, the canker sore could be gone in as little as 24 hours.
  • Place a wet tea bag on the sore and hold it there for a few minutes several times a day. This remedy will help with the pain and quickly heal the sore.
  • Camphor, Benzocaine, Lidocaine, and Orajel are over-the-counter medications that can help.

If you have questions about your child’s canker sore, contact Drs. Rottschalk, Acker, and Froidcoeur to schedule an appointment.

Dental Sealants for Baby Teeth?

January 25th, 2023

Perhaps you’ve heard your friends talking about dental sealants, and how well they prevent cavities. And as soon as your child’s permanent molars come in, you absolutely plan to make an appointment at our Fairview Heights, IL office for this treatment. But should you also be concerned with your child’s baby teeth? Could they benefit from sealants too?

Even though those beautiful baby teeth are going to be replaced with permanent teeth, they should still be protected. Primary teeth help with speech development, enable your child to develop proper chewing and eating habits, and serve as place holders so that permanent teeth can erupt in the correct place. That’s why you’ve been so careful to help your child brush and floss twice daily, and make regular visits to our office for exams and cleanings.

But some teeth are just harder to keep clean with regular brushing than others. Primary molars, just like permanent ones, have depressions and grooves on the chewing surfaces. These grooves collect bacteria and food particles that are hard for bristles to reach, providing a perfect opportunity for cavities to develop in those little molars.

Cavities are not the only problem which can affect primary teeth. Because baby teeth have thinner layers of protective enamel, a cavity can actually reach the pulp (the center of the tooth) more quickly, leading to pain and potential infection.

While baby teeth can be treated, with fillings, restorations, and even stainless steel crowns, preventing tooth decay is always our first, best choice. And dental sealants are recommended by the American Academy of Pediatric Dentistry and the American Dental Association as one of the most effective ways to prevent cavities in both baby teeth and adult teeth.

Dental sealants are safe and effective.  Sealants are thin coatings (usually a plastic resin or other dental material) that cover a molar’s grooves and depressions, making it impossible for bacteria and food particles to collect there. Applying them is a simple, pain-free process.

Each tooth will be examined first. If we find any signs of decay starting, we will gently treat that area before applying the sealant. After the tooth is cleaned and dried, an etching solution will be brushed on to the surface area being sealed. This etching roughens the surface 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.

That’s all there is to it! Sealants typically last from three to five years, and some last even longer. Keep up your regular careful brushing and flossing, and we will monitor the condition of the sealants at each exam.

Talk to Drs. Rottschalk, Acker, and Froidcoeur about dental sealants. We’ll let you know if your child can benefit from the procedure even before those baby teeth give way to permanent ones. It’s never too early to prevent tooth decay!

Periodontics and Pregnancy

January 25th, 2023

Periodontal health — which refers to the condition of the structures that support your teeth — is an important part of your oral and overall health. However, periodontal health becomes even more important when you're pregnant. Bad oral health can have detrimental effects on the health of your unborn child and can lead to low-birth weight babies and giving birth to a pre-term baby, according to reports by the American Academy of Periodontology (AAP), the European Federation of Periodontology (EFP), and several research studies.

Periodontal disease (gum disease) is a set of chronic, bacteria-induced, inflammatory diseases that attack the gum tissue and in more severe cases, the bones supporting the teeth. Early signs of periodontal disease usually include tenderness, swelling, and redness. Symptoms can also include bleeding gums when flossing or brushing, receding gums, loose teeth, and bad breath. These signs shouldn't be ignored, especially if you're pregnant.

Prevention is the best tool you have to fight periodontal disease. Here are some steps you can take to keep your gums in tiptop shape:

  • Brush your teeth properly twice a day – angle your toothbrush at the gum line to help disrupt the bacterial growth that eventually leads to periodontal disease, and make sure you don't brush too hard.
  • Floss daily and clean behind the back molars on the top and bottom of your mouth.
  • Use antiseptic mouthwash to rid your mouth of the bacteria that can cause gum disease.
  • Get regular checkups at our Fairview Heights, IL office to ensure you have no signs of periodontal disease and that your oral hygiene habits are effective.

Drs. Rottschalk, Acker, and Froidcoeur and our team urge women to care for their periodontal health during pregnancy to avoid complications. If you have any questions regarding periodontal health and how it affects you and your baby's overall health, please contact our Fairview Heights, IL office for more information.

Is periodontal disease genetic?

January 18th, 2023

One of the most enjoyable parts of looking at family pictures is finding resemblances. You have your father’s brown eyes and your grandmother’s curly hair. You’ve got your aunt’s basketball height and your cousin’s freckles. But some similarities might not be so appealing—could one of those be a family tendency toward gum disease?

Studies have shown that periodontal disease appears to have some kind of genetic component, especially for serious diseases and those that appear early in the patient’s life. Aggressive periodontitis, for example, a relatively uncommon disease which causes rapid bone loss around certain teeth, is often more common among members of the same family. Other studies suggest there might be a genetic link between our immune response and the development of chronic periodontitis. So far, however, the link between genetics and gum disease is still under investigation.

We do know that environmental factors are an important trigger for gum disease. Failure to brush and floss, smoking, diet, stress, medical conditions such as diabetes—all can influence the health of our gums. The best way to overcome these factors is your own proactive approach! Thorough brushing and flossing, regular checkups and cleanings, proper nutrition, and avoiding smoking are all time-tested ways to keep your gums and teeth healthy. If you have a medical condition, proper treatment and medication will also help protect your oral health.

During your examination with Drs. Rottschalk, Acker, and Froidcoeur at our Fairview Heights, IL office, please tell us about any family history of periodontal disease, your own gum care routine, and any habits or conditions which might influence your health. We can tailor treatment and offer suggestions for prevention based on a thorough knowledge of your medical history. We have many options available today for preventing and treating gum disease. Let’s make sure all your family albums are filled with beaming smiles—that’s the most appealing resemblance of all!

What's the connection between gum disease and diabetes?

January 18th, 2023

People who have diabetes are usually familiar with many of the other health risks they face, including damage to the nerves, eyes, heart, and kidneys. But did you know that if you have diabetes you also have a much greater chance of developing gum disease? It's true, and like other diseases related to diabetes, the risk potential severity of gum disease is directly related to how well blood sugar is controlled.

The Causes

In diabetics, there are two primary mechanisms that increase the risk of developing gum disease, also called periodontal disease:

  • Bacterial growth: Bacteria love sugar including the glucose found in blood and bodily fluids. Elevated levels of sugar in saliva can provide a very hospitable environment for bacterial growth. The risk may be elevated if your gums bleed.
  • Circulatory changes: In diabetes, the blood vessels become thick, making it more difficult for blood to carry oxygen to the gums and to carry away harmful waste products. This decrease in circulation can weaken the mouth's natural resistance to decay. If you smoke, circulation can become even more compromised, significantly increasing your risk of periodontal disease.

Preventing Gum Disease

If you're diabetic, the number-one key to preventing gum disease is to make sure you do all you can to keep your blood sugar under control. In fact, studies show diabetics who have excellent control of their blood sugar levels have no more risk for gum disease than those who don't have diabetes. Here are some other tips to keep your gums healthy:

  • Floss your teeth gently, curving the floss so it can gently reach just below your gum line to remove plaque and food particles. Rinse your mouth when you're done flossing.
  • Use a soft-bristle brush to brush teeth twice daily, using small circular motions. Avoid pressing too hard on tooth surfaces.
  • Brush your tongue gently to remove germs that can hide there.
  • Use an anti-bacterial mouthwash to kill germs that are hard to reach.
  • Keep track of how well your blood sugar is controlled and let Drs. Rottschalk, Acker, and Froidcoeur know at each visit.
  • Be aware that having diabetes may mean it takes you longer to heal after undergoing oral surgery.

Most importantly, be sure to visit our Fairview Heights, IL office for regular checkups and tell Drs. Rottschalk, Acker, and Froidcoeur about your diabetes so you can be sure to get the care you need. Follow these steps, and you can enjoy healthy teeth and gums for years to come.

Do you suffer from sleep apnea?

January 11th, 2023

At Dr. John Rottschalk Dental Group, we know our patients love a good amount of rest each night in order to be energized for the day and week ahead. After all, without enough sleep, exhaustion during the day is the most immediate consequence.

Sleep apnea is a sleep disorder that could be an indicator of serious health problems. The most common symptom is loud snoring, but the condition is characterized by breathing that repeatedly starts and stops throughout the night, leaving you feeling tired in the morning. Other serious effects from sleep apnea could be potentially dangerous to your health if left unaddressed, a great reason to visit Drs. Rottschalk, Acker, and Froidcoeur.

Besides losing precious hours of sleep, sleep apnea also elevates the risk of heart attack and stroke, and may cause other conditions such as depression, irritability, high blood pressure, memory loss, and sexual dysfunction.

Anyone can develop sleep apnea, but it is more common among middle aged adults who are overweight. Drs. Rottschalk, Acker, and Froidcoeur can help you determine the cause and suggest possible treatment.

A common treatment for sleep apnea is an oral device that is designed to help keep the airway open. By bringing the jaw forward, the device opens the airway and discourages snoring. Drs. Rottschalk, Acker, and Froidcoeur and our team are experienced in sleep apnea appliances, and can prescribe a fitted device, as well as monitor its success each time you visit.

A continuous positive airway pressure mask, also known as a CPAP, is among the other treatment options you may opt for. A mask is fitted over the mouth and forces oxygen through the throat while you sleep, and the pressure holds the soft tissue and throat muscles open.

If you think you may be suffering from sleep apnea, visit our Fairview Heights, IL office. Our team at Dr. John Rottschalk Dental Group can help you return to getting a better night’s sleep.

Post-Procedure Care

January 4th, 2023

As with any surgery, post-procedure care is of utmost importance after getting periodontal surgery. Bleeding, pain, swelling, and other sensations are common and should be expected to a degree. This can manifest as small amounts of blood in your saliva, pain after anesthesia wears off, and swelling around the lips and cheeks. However, these symptoms should start improving after a several days.

Below you'll find recommendations from Drs. Rottschalk, Acker, and Froidcoeur on what you should do to make your post-procedure experience as quick and painless as possible:

Don't smoke - After your surgery you should definitely not smoke. Smoking will inhibit your body's ability to heal the surgical site.

Don't drink alcohol - If you are taking prescription or over-the-counter pain relievers, don't drink alcohol. And it is a good idea in general to avoid alcohol after surgery, since excess alcohol consumption suppresses immune system function and slows the healing process.

Take pain medication as prescribed or an alternative - Pain is to be expected for at least the first week after your procedure. If you choose to take the prescription medication that is prescribed to you, do so as directed. However some patients have found over-the-counter pain medication works for them. You may also consider natural herbs instead of pharmacological solutions. Try turmeric, arnica, or white willow bark (which is what aspirin is derived from, so the same warnings for aspirin apply to white willow bark.)

Eating with your surgical site in mind - It is best to chew on the other side of your mouth for the first several days so as not to irritate the surgical site. Avoid overly cold or hot foods as well. Softer foods like mashed potatoes, oatmeal, and fruit will be more comfortable to chew.

Avoid brushing the surgical site - You can start brushing and flossing your teeth the day after the procedure but avoid the surgical site.

Don't rinse for the first 24 hours - After the first day has passed you can rinse with a mild mouthwash to keep your mouth, dressing, and surgical site clean.

We're here to answer any questions you have after your procedure and will help you as best we can. Pay special attention to any excessive bleeding or discomfort. Contact our Fairview Heights, IL office immediately if you have tried addressing the issue on your own but are still having trouble.

Are you a candidate for dental implants?

January 4th, 2023

When you are missing teeth, it is critical to replace them. Without all your teeth, chewing and eating can be challenging, as well as uncomfortable. Missing teeth can also destabilize your bite. Dental implants are a great option for replacing teeth that are missing or are badly diseased. A dental implant at Dr. John Rottschalk Dental Group offers relief, support, and stability to your bite, and often, implants are the most natural and effective option available.

Drs. Rottschalk, Acker, and Froidcoeur and our team have helped many patients using implant dentistry at our Fairview Heights, IL office restore their smiles to look more natural. Each implant is created to fit in perfectly with the look of the rest of your teeth.

Besides making your smile appear more natural, dental implants have other benefits. They include:

  • Restoring your ability to properly chew food
  • Preventing your teeth from shifting and moving
  • Stabilizing your bite, helping you avoid pain or discomfort

If you are missing a tooth or multiple teeth and feel like you are a candidate for dental implants, Drs. Rottschalk, Acker, and Froidcoeur and our team at Dr. John Rottschalk Dental Group encourage you to give us a call to schedule an appointment. See you soon!

Healthy Diet, Healthier Gums?

December 28th, 2022

Since gum disease is one of the most common adult diseases, it’s no wonder Drs. Rottschalk, Acker, and Froidcoeur and our team stress the importance of prevention. Effective brushing and flossing, regular dental appointments for exams and cleanings, and a prompt visit to our Fairview Heights, IL dental office if you notice symptoms of gingivitis (early gum disease) are all important steps to prevent more serious periodontal disease from developing.

One more step you can add to keep your gums their healthiest? Add some gum-healthy foods to your shopping cart! To see how your diet can help prevent gum disease, let’s look at what can cause gum disease.

When plaque builds up between teeth and gums, the bacteria found in plaque cause our gum tissue to become inflamed, swollen, and painful. Left untreated, the gums pull away from the teeth, leaving pockets where bacteria collect and can cause infection.

Prolonged inflammation can lead to the destruction of gum tissue and the connective tissues which anchor our teeth to the alveolar bone in the jaw. Bone loss and even tooth loss can result from untreated gum disease.

Fortunately for us, there are foods that fight inflammation, help with healing, and strengthen and support gum tissue before problems develop. Let’s take a look at some of the valuable gum-healthy nutrients you can add to your diet with some tasty additions to your shopping list:

  • Vitamin A

This vitamin is essential for the health and healing of mucous membranes, including both our gums and the soft membranes in our mouths. Vitamin A is found in animal products such as dairy foods, meat, and liver, or formed in the body from beta-carotenes, found in plant foods such as carrots, peppers, pumpkin, squash, and sweet potatoes.

  • Vitamin C

Vitamin C is one of the so-called “essential nutrients.” These are nutrients that are necessary for our bodies to function properly, and which can only be supplied in our diets. Vitamin C is needed to help our bodies produce collagen, the substance that provides support and structure to our tissues. It also helps us repair tissue, and is a powerful antioxidant. One of the obvious signs that your diet doesn’t contain enough vitamin C is inflamed and bleeding gums.

When we think vitamin C, we instantly picture citrus fruits. Oranges, lemons, limes, grapefruit, and all their cousins are a wonderful source of vitamin C. Looking for a little more variety? You’re in luck! Fruit fans can load up on strawberries, kiwi fruit, mangos, and papayas. Love your veggies? Red peppers, kale, cauliflower, Brussels sprouts, and broccoli contain more vitamin C per serving than a medium orange.

  • Vitamin D

Vitamin D, of course, is essential for dental health because it helps us absorb the calcium that keep teeth (and bones) strong. And there’s more! It helps the body fight infection and reduce inflammation, and studies have suggested a link between vitamin D and better gum health.

Sunlight exposure leads our bodies to produce vitamin D naturally, but it is available in foods as well. Fatty fish, such as salmon, tuna, and herring, are a rich source of the vitamin, as are cod liver oil and egg yolks. It’s also available in foods fortified with vitamin D, such as cow’s milk, soy milk, orange juice, and even many cereals. And while you’re getting the benefit of vitamin D from dairy, you’re also enjoying the proteins they contain, one of which helps neutralize acids in the mouth that can irritate gums. Bonus!

  • Iron

Iron deficiency can lead to a common form of anemia, where your body isn’t creating enough red blood cells to deliver the oxygen your tissues need. (In fact, one of the most noticeable symptoms of anemia is pale gums.) This condition can cause a number of problems, including an immune system that doesn’t work as well as it should. A strong immune system helps us fight infection, including gum disease and other oral infections.

A diet rich in iron can help prevent anemia. We absorb the most iron from foods such as meat, eggs, and fish, but iron is also present in beans, lentils, leafy greens, whole grains, nuts, and prunes if you’re looking for flavorful vegetarian options.

  • Omega-3s

Research has shown a possible relationship between getting the recommended dietary amounts of omega-3s and a lower occurrence of periodontitis. In other studies, omega-3s have shown promise in reducing the periodontal inflammation that can lead to severe gum disease.

Our bodies can’t produce omega-3 fatty acids on their own, but fatty fish such as salmon, tuna, herring, and sardines, a variety of high-fat seeds and nuts, and plant oils contain several different types of omega-3 fatty acids. Some foods are fortified with omega-3s, or your doctor might recommend fish oil (and algae oil for vegetarians) as a supplement.

Speaking of supplements, why not just add vitamin, mineral, and other nutritional supplements to our daily diet? Believe it or not, there can actually be too much of a good thing. Body chemistry requires balance, so talk to your doctor about whether or not supplements are necessary in your particular diet, and just what kinds and how much to take.

Whew! That’s a lot to think about for one shopping cart, but that’s just a small portion of the many foods—and the many vitamins and minerals—you can add to your menu to support oral health in a tasty, effective, and positive way.

After all, when we think about the “do’s and don’ts” of a dental-healthy diet, it’s all too often a collection of “don’ts.” Don’t eat a lot of sugar. Avoid acidic foods and beverages. Cut down on refined carbs. And all of those suggestions are important, because the early stages of gingivitis are often easy to miss.

But let’s not forget the things we can actually do to be proactive with our gum health. Besides good dental hygiene and regular checkups at our Fairview Heights, IL office, eating a well-balanced diet helps keep your gums their healthiest—and while we can do a lot to treat gum disease, the very best treatment of all is prevention!  

Road Trip!

December 28th, 2022

The bags are packed, the trunk is loaded, the route is programmed into your GPS, the playlist is set, and your destination awaits! Sometimes there’s just nothing more appealing than a road trip. So, to make your trip even more enjoyable, here are some dental tips to help keep you feeling clean and fresh over the long haul.

  • Fuel Up

If you’re bringing some road snacks, be sure to include a few that will help clean teeth and freshen breath. Packing a supply of bottled water helps you stay hydrated, washes away food particles, and eliminates the bad breath caused by dehydration. Carrots and apples are not only nutritious and tasty, they apply a bit of gentle scrubbing action to your enamel as you chew. Traditional travel favorites like granola bars, beef jerky, and chips tend to stick to the teeth and provide cavity-causing bacteria a leisurely feast, so enjoy them in moderation. (If you’re driving, save the snacks for a rest stop—not only is eating while driving prohibited in some areas, it’s a distraction you don’t need on the highway.)

  • Roadside Diners

The occasional sticky, sweet, or chewy indulgence is fine at home, but when you have hours in the car ahead of you, you might want to turn down the pecan pie, the giant pretzels, and the roadside sea salt caramels. Again, cavity-causing bacteria love sugars and simple carbs, and food that finds its way into tooth crevices finds its way onto their menu. And, it goes without saying, passing up garlic, onions, and spicy foods will help your mouth feel fresher longer—and make your travel companions happier.

  • Car Wash

Bring a travel-sized toothbrush and tube of toothpaste with you for a quick cleaning when you stop for a break. A ventilated case will keep your brush dry (bacteria like damp conditions) and away from questionable surfaces. Disposable mini-travel brushes are available that come with a bead of cleaner pre-loaded and ready to use—you don’t even need water for a cleaner mouth and fresher breath. Food particles do not make good travel buddies so don’t forget dental picks or floss. And if you can’t brush right away, try a rinse with water or chew a piece of sugarless gum. Sugar free gum can help stimulate saliva production, which is a good way to wash away food particles and neutralize acids in the mouth.

  • Roadside Repair

Even with the best preparation, accidents can happen. That’s why you have a spare tire and a lug wrench in your trunk. It pays to be prepared for a dental emergency on the road as well. There are dental travel kits available in stores and online, or create one for yourself. Along with your first aid kit, pack dental picks, antimicrobial wipes, sterile gauze, a mirror, and any other supplies you think might come in handy. If you wear braces or a retainer, be sure to include dental wax in case of an uncooperative wire, and a case to protect and keep track of your retainer. And it’s a good idea to keep our Fairview Heights, IL office’s number on hand in case of emergency.

It’s a big country, and cruising the streets and highways is a wonderful way to explore it! But if you’re having any dental problems, be sure to see your dentist before taking off—after all your preparation, you don’t need a dental emergency to ruin your trip. Then, pack your bags, load your trunk, set your GPS, pick a playlist with something for everyone, and get ready to enjoy happy travels and healthy smiles!

Keeping Our Teeth Healthy as We Age

December 21st, 2022

Decades ago, it was just expected that getting older meant losing teeth. But today’s dental practices and treatments help us defy expectations. How can we keep our teeth healthy as we age? Here are some great habits to continue or begin at any time of life:

  • Brush and Floss Regularly

Brushing and flossing two minutes carefully twice a day is a habit we should never break. If using a manual toothbrush has become difficult, an electric model might be just what you need. We also have many suggestions if you have mobility or other issues, so please talk to Drs. Rottschalk, Acker, and Froidcoeur about making regular dental hygiene as comfortable and effective as possible.

  • Keep Up with Exams and Cleanings

As we age, gum recession is common. This recession leaves the root areas of our teeth more exposed, and more vulnerable to cavities. Also, old fillings can break or loosen, and cavities can develop around their edges. Keeping a regular schedule of exams and cleanings at our Fairview Heights, IL office helps us discover any problems before they become serious.

  • Let Us Know about Changes in Your Health and Medications

If you are taking certain medications, you are at risk for developing a condition called dry mouth, where saliva production greatly decreases. Since saliva washes away the food particles that fuel bacteria growth, reduces acidic elements in the mouth that weaken enamel, and helps fight diseases, dry mouth sets the stage for increased chances of cavities and gum disease. If you are experiencing this condition, we have suggestions for hydration, dental rinses, and sugarless gums that can help.

  • Prevent Gum Disease

Regular brushing, professional cleanings, and routine check-ups are the best way to keep your gums healthy. Since untreated gum disease is one of the leading causes of tooth loss in older adults, call us if you have any symptoms such as puffy, red, or swollen gums, bleeding, or persistent bad breath. We can treat periodontitis at any stage, but prevention is always best.

  • Don’t Smoke

Studies show a link between smoking and the health of our teeth and gums, as well as a much greater risk of oral cancer. It is never too late to stop smoking! We have suggestions on ways to quit—please let us provide them.

Feel free to talk to us about any concerns you might have. With proper dental care, your teeth can last a lifetime. And that’s a great expectation!

Does Your Filling Need Replacing?

December 21st, 2022

No matter how wonderfully something works for us, there comes a day when a replacement might be necessary. This holds true whether it’s the latest and greatest smart phone, or your perfectly prescribed eyeglasses, or your discreet and comfortable dental filling.

Wait, dental filling?

It’s true! While most dental fillings will last for many trouble-free years, there might come a time when a replacement is in order. Here are some signs to look for:

  • Obvious Damage

Your teeth are under a lot of stress. The forces of biting and chewing place hundreds of pounds of pressure on teeth and jaws. And if you grind your teeth, your teeth are really getting a workout. What’s true for your teeth is true for your fillings. Over time, fillings can break down after years of this constant pressure.

If you notice a filling has become loose, or is cracked, or is pulling way from the edges of the tooth, give your dentist a call! A timely replacement can prevent decay from forming under the filling. Which leads us to . . .

  • Pain in a Filled Tooth

When a filling is damaged, it no longer protects the dentin and pulp inside the tooth as effectively.

Why? Because your toothbrush can’t reach beneath your filling—but cavity-causing bacteria can. This means that cavities can develop underneath a filling that’s loose or damaged. Hidden decay will eventually progress into the pulp area of the tooth, which could lead to infection, root canal treatment, or even extraction.

If you’re suffering from pain or sensitivity in or around a tooth, it’s important to see your dentist right away to rule out hidden decay or other serious conditions.

  • Cosmetic Concerns

Composite resin fillings are often used on front teeth because they can be carefully color-matched to our enamel for an almost invisible restoration. Over time, though, you might discover your composite filling has become quite a bit more visible.

Just like our enamel, composite fillings can become stained over time from foods like coffee and red wine, and from smoking. Does a discolored filling need replacement? If the filling is damaged, or if decay is present, yes. If the problem is surface cosmetic staining, Drs. Rottschalk, Acker, and Froidcoeur might be able to restore the original color of your filling with polishing. If you’re concerned about the color of your filling, talk to us about all of your options.

  • Your Dentist Recommends Replacement

Part of each dental examination includes checking the condition of your restorations. If we notice a loose or damaged filling, or find decay beneath a filling, it’s time for a replacement.

You have more options that ever before when it comes to dental fillings. Gold fillings and silver amalgam fillings last from ten to 15 years or even longer, and are capable of withstanding chewing pressure and filling larger cavities. Composite fillings, although they might not last quite as long, are almost unnoticeable and perfect for visible teeth. Your dentist will recommend the filling which is best suited for your needs.

If you wait to replace a cracked or compromised filling, you’re taking a chance with the health of your tooth. Dental fillings provide years of durable, comfortable wear—but if it’s time for a replacement, don’t hesitate to call our Fairview Heights, IL dental office for an appointment.

Do We Outgrow Tooth Decay?

December 14th, 2022

Short answer: No. But, since an answer that short is hardly worth the time it took you to click on the link, allow us to explain further!

We tend to think of tooth decay as something we leave behind with childhood. And, while it’s true that youthful cavities are unfortunately common, older adults face unique challenges of their own which put them at risk for cavities.

Root Cavities

Gum tissue often recedes with age. And our roots, which were once completely covered and protected by gum tissue, become partially exposed to plaque, acidic foods, and the abrasive effects of heavy-handed brushing.

This is a problem. Instead of enamel, a substance called cementum covers and protects our roots. But cementum isn’t as strong as enamel, and so our roots are much more vulnerable to the cavity-causing bacteria in plaque, erosion from dietary acids, and damage caused by abrasive brushing. Root cavities also progress faster than crown cavities, which can mean a root canal procedure in your future, or, even worse, an extraction if a cavity isn’t treated promptly.

What can you do to avoid root cavities?

  • Do what you do to avoid any cavity—brush at least twice a day for two minutes, use floss to clean between the teeth and along the gumline, and use a fluoride toothpaste.
  • Fluoride treatments can be applied to the exposed root area for added protection. Ask your dentist about this option.
  • Take care of your gum health. See Drs. Rottschalk, Acker, and Froidcoeur regularly, and, if you have serious gum disease, a visit to your periodontist might be in order.
  • Always use a soft toothbrush. Even a brush with medium bristles can be too firm for teeth and gums.

Failing Fillings

As we age, our dental restorations age as well. Over time, fillings can become loose, erode, or crack, which can lead to cavities under or around these damaged restorations. Bacteria can reach beneath a loose filling—your toothbrush can’t.

What can you do to prevent cavities in these hidden spots?

  • Keep up with your dental checkups. Part of each dental exam is checking the condition of your dental restorations.
  • Visit Dr. John Rottschalk Dental Group if you notice any sign of tooth decay, including tooth pain, sensitivity, or discoloration.
  • If you discover a loose, cracked, or lost filling, even without any discomfort, call Drs. Rottschalk, Acker, and Froidcoeur right away. A timely replacement filling can prevent hidden decay from seriously damaging a tooth.

Dry Mouth

Dry mouth, or xerostomia, occurs when our bodies don’t produce their normal amount of saliva. Saliva, of course, is vital for healthy and comfortable eating—it helps us swallow, digest, and taste our food. And it also has dental benefits! Saliva helps neutralize the acidic foods we eat, washes away food particles and bacteria, and contains minerals like calcium and phosphorus which remineralize tooth enamel.

Many medical conditions (including diabetes and high blood pressure), medical treatments (such as chemotherapy and radiation), and medications (both prescribed and over the counter) can reduce normal saliva production.

What can you do to restore saliva production?

  • Drink fluids as recommended, especially water.
  • Chew gum. Sugarless gum encourages saliva. Sucking on sugar-free candies works as well.
  • Brush regularly with fluoride toothpaste, and ask about fluoride rinses.
  • Talk to Drs. Rottschalk, Acker, and Froidcoeur. There are medications available that can help.

Keeping up with our dental health is important at any age. Brushing and flossing, fluoride toothpaste, regular dental exams and cleanings at our Fairview Heights, IL dental office—the basics of dental health don’t change over time, even if our dental challenges are a bit different as we get older. After all, do you ever outgrow an attractive, healthy smile? This answer is short and sweet: never.

How Do We Clean Your Child’s Teeth?

December 14th, 2022

Baby teeth are very important to your child’s present and future dental health, so we want to help you keep your child free from cavities and gum disease even before those permanent teeth erupt. That’s why we recommend professional cleanings at our Fairview Heights, IL office—to keep plaque and tartar from damaging little teeth and gums.

But a dental cleaning might be a bit stressful for young children, especially when they’re not used to the steps, the sounds, and the sensations of the cleaning process.

So, just as we strive to make every examination and visit a positive experience for your child, we do our best to make their cleanings a happy, stress-free time. How do we do this? With your help!

  • Preparation

A happy experience begins even before your child arrives in the office. If you are relaxed and positive before an appointment, you’ll help your child feel relaxed and positive, too.

Explaining what goes on during a cleaning even before your visit will help your child feel more comfortable when unfamiliar tools like dental mirrors, scalers, and polishing brushes are used. You can talk about your own experience, read a book together, watch a video, or find online resources to help your child understand what will happen during your visit, and why cleanings are so important for happy, healthy teeth.

Sometimes children benefit from a form of mild, conscious sedation (such as nitrous oxide) when they have special health needs or dental anxiety. If you feel this is an option we should discuss, please talk to us in advance and we’ll answer any of your questions.

  • Pre-Cleaning Examination

After being made welcome in the office and settled comfortably in the dental chair, we’ll examine your child’s teeth and gums for any signs of plaque and tartar.  A small, handled mirror is used to check out hard-to-see places behind the teeth and in the back of the mouth. Gum health is also important, and your child’s gums will be examined for any signs of gingivitis, or mild gum disease.

Plaque and tartar cause cavities and gum disease, even for young children. Finding any trouble spots will let us know where to concentrate on cleaning, and where you can help your child to brush more effectively.

  • Removing Plaque and Tartar

No matter how well a child (or an adult!) brushes and flosses, plaque can build up in some hard-to-reach spots, especially between the teeth and along the gumline. And if plaque isn’t removed within a few days, it starts hardening into tartar—and tartar can’t be brushed away.

That’s why removing tartar is a job for a dental professional. Using a special tool called a scaler, we gently scrape built-up plaque and tartar off tooth enamel (especially where it tends to accumulate behind and between teeth) and near the gumline. Sometimes an ultrasonic scaler can be used to dislodge tartar with sound waves.

Scalers can make a scraping noise and cause some pressure, and ultrasonic scalers use a stream of water as they clean. We’re happy to explain, in an age-appropriate way, why tools make these noises and how they work to clean little teeth.

  • Polishing & Flossing

After the plaque and tartar are removed, your child’s teeth will be polished with a power brush and a special gritty toothpaste. This is usually a bit noisy as well. A careful flossing and a final rinse will wash away any leftover particles or paste.

Once the teeth are cleaned, you may choose to have a fluoride treatment or a dental sealant applied to your child’s teeth.

  • After a Cleaning

Your praise and encouragement are always welcome! Giving children praise for helping keep those little teeth clean, shiny, and healthy makes them partners in the process.

How do we clean your child’s teeth? Gently. Thoroughly. Expertly. We want to make sure each cleaning is just one of the many positive dental experiences your child will have in our office. Help us make your child’s cleaning appointment stress-free with positive preparation and reinforcement, and together we’ll start your child on the path to a lifetime of shining smiles and proactive dental care!

Oral Health Concerns Specific to Pregnant Women

December 7th, 2022

A lot of changes occur in a woman's body during pregnancy. Hormone fluctuations are responsible for many of those changes, including the need for additional attention to the teeth and gums. Women who are expecting are at an increased risk for oral health complications, including gingivitis and tooth decay, which can lead to irreversible damage. Fortunately, there are steps pregnant women can take to keep their teeth and gums in optimal health from the first trimester to delivery day. Today, Drs. Rottschalk, Acker, and Froidcoeur and our team at Dr. John Rottschalk Dental Group thought we would share them.

At-home dental care

At-home dental care should not vary much from what you did prior to pregnancy. The American Dental Association recommends brushing at a minimum of twice per day using fluoridated toothpaste. Follow up with floss to keep bacteria from accumulating in hard-to-reach spaces.

Dental checkups

It is safe and recommended to continue visiting Drs. Rottschalk, Acker, and Froidcoeur for routine dental checkups and cleanings during pregnancy. However, it is very important to inform Drs. Rottschalk, Acker, and Froidcoeur about an existing pregnancy. Special steps must be taken to protect pregnant women from certain medications or X-ray radiation that could be harmful to a growing baby. On the other hand, avoiding teeth cleanings during pregnancy can lead to serious consequences, including advanced tooth decay and infection.

Food and cravings

It is no secret that pregnancy can cause a woman to crave specific foods. Sugary treats like candy, cookies, or sodas may satisfy a sweet tooth, but they can also cause serious dental problems when consumed frequently or without brushing afterward. Trade out these treats for naturally sweet fruits when possible, and never forget to brush and floss thoroughly after eating sugar-filled foods.

Signs of complications

It is important to know and recognize the signs of oral health problems during pregnancy; an early diagnosis usually translates to an easier, less-invasive treatment. Symptoms of potential problems include gums that easily bleed or are swollen, reddened, or painful. These are symptoms of gingivitis, which can lead to a receding gum line and tooth loss if left untreated.

Call our Fairview Heights, IL office if you experience any of these symptoms or pain in a tooth, loss of a tooth, a broken tooth, or bad breath that does not go away with brushing.

Happy Gums, Happy Heart!

December 7th, 2022

Medical doctors and dental health professionals, like Drs. Rottschalk, Acker, and Froidcoeur, have debated over the connection (or lack thereof) between gum disease and heart disease. While there still is no unanimous consensus on whether there is a link – or the extent to any link there may be – several studies offer some interesting insight into possible correlations that may prove that there are some common factors that point to a likely correlation between the two.

Could there be a link between gum disease and heart disease?

Dr. Simone Ricketts reported on the findings of an Australian study of 80 patients in Profile Magazine. That study showed that 70% of the patients who participated in the study and needed heart transplants also had gum disease. She noted that other studies show a similar pattern, indicating that patients who needed heart transplants or other cardiac surgery procedures, were more likely to have dental problems.

Not Just Heart Disease Linked to Gum Disease

It isn’t just heart disease that experts are linking to periodontal disease, however. More and more evidence is showing that many chronic inflammatory diseases such as diabetes can be linked to periodontal disease. Poor oral hygiene resulting in gum disease was evident in blood tests that showed positive markers for inflammation.

Experts looked at a combination of over 120 medical studies focusing on a link between dental health and heart health. The findings of that research were published in the Journal of Periodontology and the American Journal of Cardiology. While there was no agreement on a definitive link, the research showed some promising results, and offer information that may be helpful to both dental health professionals and their patients.

On its own, gum disease increases the risk of developing coronary artery disease. Data from the National Health and Nutrition Examination Survey (NHANES) showed that gum disease increases the risk factor for blood vessel and artery diseases when those arteries supply blood to the brain.

This is especially important for strokes because they are a common cause of inadequate blood flow to the brain. Data from another study of 50,000+ people found a higher risk of stroke among people with gum disease and tooth loss.

The study did, however, show two very important connections between gum and heart disease:

  • Both the gums of people with gum disease and the blood vessels of people who had atherosclerosis tested positive for similar types of bacteria.
  • Both patients with atherosclerosis and those with gum disease showed the presence of inflammation in their bodies.

Patients need to understand the importance of taking care of their mouths and doing whatever is necessary to ensure or support heart health – even if there is no guarantee that doing so will prevent either disease.

Suffer from Dental Anxiety? Not a Problem.

November 30th, 2022

If you suffer from dental anxiety, we understand that paying a visit to our office can seem like a nearly impossible mission. Regardless of what the root of that anxiety might be, we’re here to tell you that at Dr. John Rottschalk Dental Group, you have no need to be nervous. Our office is dedicated to making your dental experience as comfortable and stress-free as possible.

One of the best things to do if you experience dental anxiety is call our office in advance to let us know. By notifying us in advance, you give us the opportunity to provide you with the dental care you need in the way you need it.

We can prescribe a relaxation medication for you. During your appointment, we can provide a little bit of laughing gas to put you more at ease, teach you some behavioral techniques for relaxation, and make sure you’re never in the dark about what’s happening.

If dental anxiety makes you feel embarrassed, please be assured that you’re not alone. Studies show that as much as 75% of adults suffer some degree of dental anxiety! It might be helpful to remember that your doctor’s goal is the same as yours: We are here to keep your oral health in check so you can be your healthiest self. We certainly don’t want to make you uncomfortable in the process.

If you have any questions about other ways in which we can accommodate you during your visits, please don’t hesitate to contact our Fairview Heights, IL office!

Need Another Reason to Stop Biting Your Nails?

November 30th, 2022

Painful nails and cuticles, ruined manicures, reluctance to shake hands—there are so many good reasons to overcome the nail biting habit. But did you know that biting your nails is also bad for your dental health? Let’s look at a few more reasons to give our nails a break.

  • Bacteria Bonanza

It’s a vicious—and unhealthy—circle. Nail biting leads to injuries to the nails, cuticles, and skin surrounding the nails. These broken, jagged nails can now cause injury to delicate gum tissue. And to make things worse, fingernails harbor a lot of germs and bacteria, leading to the risk of illness and oral infections.  At the same time, bacteria from our mouths can get into the area around the injured nail, potentially leading to painful infections in the fingers.

  • Bruxism

Studies have indicated that nail biters have a greater risk of bruxism. Bruxism, better known as tooth grinding, can lead to a number of serious problems over time. Grinding and even clenching teeth on a regular basis can cause chronic headaches, worn enamel, fractured teeth, broken dental restorations, receding and inflamed gums, and loose teeth.

  • Breakage & Bad Bites

Your nails suffer obvious breakage, clearly, but your teeth are also at risk. The constant pressure of nail biting can lead to cracking, chipping, and erosion in the front teeth. Further, the pressure put on your teeth can even move them out of alignment, leading to bite problems. As you can imagine, nail biting has an even greater impact if you are wearing braces, because those teeth are already under pressure.

Why do we bite? Nail biting, or onychophagia, is a habit often started in childhood. Some people quit on their own as they reach adulthood, but for others, it can be a lifelong and painful habit. The explanations for nail biting are many: some researchers regard the habit as a form of compulsive behavior, others believe it to be a grooming impulse gone haywire, still others think it’s a way that we respond to anxiety or other stresses.

Whatever the cause, if you want to break the habit, you have options. There are over the counter polishes that use an unpleasant taste to deter biting. Learning to recognize triggers such as stress or boredom can help you choose a different response, such as snapping a rubber band around your wrist or gripping a stress ball. Drs. Rottschalk, Acker, and Froidcoeur can recommend some techniques for modifying this behavior. And finally, we can offer you suggestions for quitting, or even customize a mouthguard at our Fairview Heights, IL office to discourage nail biting and prevent the problems that come with bruxism.

It’s never too late to quit. If nail biting has become more than a cosmetic problem, let’s work on a solution. Healthy, attractive nails are a great goal to work toward, but nothing beats a beautiful, healthy smile!

Three Signs You May Have Gingivitis

November 23rd, 2022

Gingivitis, or inflammation of the gums, is an early stage of gum disease. If you have gingivitis, it’s important to visit Drs. Rottschalk, Acker, and Froidcoeur to get proper treatment, since home care isn’t enough to get rid of the plaque that leads to tartar and eventually to gum disease. Monitor yourself to see if you have these signs of gingivitis, and get help as soon as you can to prevent the progression to periodontitis. Your vigilance could save your teeth.

1. You have one or more risk factors.

Having risk factors for gingivitis doesn’t mean that you have or will get the disease, but it does mean that you should be especially watchful. You’re more likely to get gum disease if you have the following risk factors:

  • You are a smoker.
  • You are a female going through puberty, pregnancy, or menopause.
  • You have diabetes.
  • You have a compromised immune system, as is the case if you have HIV/AIDS.
  • You have a family history of gum disease.

2. You have inflammation in your gums.

Gingivitis is inflammation of the gums, and that is a tell-tale sign of the condition. Gingivitis or periodontitis can involve a bacterial infection, and inflammation is your body’s response to an injury or infection. The four standard signs of inflammation are pain, redness, swelling, and a higher temperature than normal.

If you have inflammation around your teeth, your gum disease may have progressed to the more serious condition of periodontitis. Drs. Rottschalk, Acker, and Froidcoeur can evaluate your case using a scope, or small ruler. The ruler is used to measure the pockets around your teeth, with a depth of one to three millimeters being normal.

3. Your teeth seem to be moving around.

Loose teeth are a classic sign of periodontitis. You may also have them if you have gingivitis. They can occur when your gum line recedes, or as the result of having soft bone in your jaw.

You might also notice other signs of your teeth moving around. For example, they may seem to be oddly spaced, or they could be separating from each other. You might also notice that your partial dentures don’t fit properly anymore, even if they’re not that old.

Gingivitis is a very treatable condition, but you need the help of Drs. Rottschalk, Acker, and Froidcoeur to keep it in check. Contact our Fairview Heights, IL office to schedule an exam today!

Nutrition Tips for Healthy Kids’ Smiles

November 23rd, 2022

The grown-ups in your life want you to have a healthy, happy smile. That’s why they help you brush and floss, and make sure you come see Drs. Rottschalk, Acker, and Froidcoeur for checkups and cleanings. Did you ever wonder if there are other ways you can help build a beautiful smile? There are! And one of them is eating food that makes our teeth and gums strong and healthy.

Friendly Foods

  • Enamel and Bone Builders

Calcium is a very important element that helps us grow strong bones and enamel, the hard covering on the outside of our teeth. Bacteria in our mouths can create acids that weaken enamel and lead to cavities, so we want to keep our enamel as strong as possible. Dairy products like milk, cheese, and yogurt are great sources of calcium, but you might be surprised to know dark green vegetables like kale, spinach and broccoli help build strong teeth as well, and strong teeth are less likely to get cavities!

  • Good for Our Gums

Many foods have important vitamins that help keep our gums and mouths healthy. Vitamin C helps protect our gums and make them stronger. When we think of Vitamin C, we usually think of citrus fruits like oranges and lemons, but there are many other fruits and vegetables that give us this important vitamin, including mangos, potatoes, and strawberries. Vitamin A also helps keep our gums healthy. We can increase our Vitamin A by adding fish, leafy green vegetables, or orange colored foods to our diet.

  • Natural Toothbrushes

Crunchy foods like apples, carrots, and celery can help keep our teeth clean. They act like gentle brushes to remove food and bacteria left on our teeth after eating. Chewing also increases saliva, which helps wash away food particles and bacteria. And, of course, drinking or rinsing with water after a snack helps clean our teeth when we can’t brush.

What Foods Aren’t Good for Our Teeth?

  • Bacteria Builders

Plaque is a film of bacteria that sticks to our teeth. These bacteria make acids that soften our enamel and cause cavities. And what do these bacteria use for food? Sugar is one of their favorites! We can’t stop eating everything with sugar, of course, and we all deserve a treat every now and then. But to keep our teeth their healthiest, it really helps to cut down on sugary foods and drinks, and to brush or rinse with water when we do enjoy dessert.

  • Acid Attacks

Bacteria can make acids that weaken our enamel, but we can also eat foods that damage our enamel and might lead to cavities. Drinks like sodas, citrus juices and even some sports drinks are acidic enough to make our enamel softer. Drinking with a straw or rinsing your mouth with water helps, but it’s a good idea to limit foods and drinks that make our enamel weaker over time.

  • Sticky Stuff

Any food that stays on or between your teeth gives bacteria more time to grow and produce the acids that cause cavities. We can guess that hard candy and caramel would be a bad idea, but even healthy foods such as dried fruit and trail mix can be a problem when they stick to your teeth. If you eat something sticky, be sure to rinse with water or brush and floss as soon as you can.

You already know that brushing and flossing are the best way to keep your teeth clean, and that visiting us for checkups and office cleanings helps your teeth and gums stay strong and healthy. Eating well is just one more thing you can do to help. The next time you visit our Fairview Heights, IL office, talk to us about what you and your family can add to the menu for a lifetime of beautiful smiles!

Double Duty

November 16th, 2022

If you play a contact sport, you know about mouthguards. You know about the cushioning protection they provide for your teeth. And not just your teeth—mouthguards also help protect your lips, tongue, and jaw, helping you avoid or minimize many of the injuries caused by collisions.

But you don’t have to be part of the defensive line or face off on center ice to wear a mouthguard. It pays to be proactive with your oral health in any activity where impact is a possibility. Whether you play a team sport, practice gymnastics, ride a bike, ski, skateboard, or participate in other athletic pastimes, there’s almost always the risk of impact—with a ball, with the mat, with the sidewalk, with another person.

So, how do mouthguards protect your teeth and mouth? It’s a combination of materials and design. Mouthguards are made of a strong, cushioning material such as plastic or silicone, which helps absorb and distribute the force of impact, usually in the form of a horseshoe-shaped piece that fits over your upper teeth. The specific design can be tailored to the sport or activity you’ll be using it for.

And now that you’re wearing braces? Working toward an attractive, healthy smile doesn’t mean you can’t be active or find a mouthguard that will work for you. In fact, when you wear braces, mouthguards do double duty—they protect your mouth and teeth, and they protect your braces, too!

Even minor impacts can damage wires and brackets, and damaged braces means more time at the orthodontist and lost treatment time. More important, your guard not only helps protect your brackets and wires from impact injury, it protects your delicate mouth tissue from trauma caused by impact with your brackets and wires.

Because you probably have braces on both upper and lower teeth, the usual mouthguard design might not work for you. To make sure you’re completely protected, you may need a guard that covers both upper and lower arches.

There are over-the-counter mouth guards designed for braces, and even for covering both your upper and lower teeth. These might be one-size-fits-all or fit-it-yourself guards, or models which should be used only after a fitting at our Fairview Heights, IL dental. While some of these guards are better than others, the best option for your teeth—and your braces—might be a custom mouthguard.

What are the benefits of a custom guard for orthodontic patients? They:

  • Provide a perfect fit around teeth and braces
  • Protect better because they fit better
  • Are designed for easy breathing and speaking
  • Are less bulky
  • Are more durable
  • Fit more comfortably
  • Can accommodate orthodontic adjustments
  • Can be tailored to your specific sport or activity.

Custom mouthguards are more expensive, because they are individually crafted for your teeth and braces, but in terms of effectiveness, they are the best guards out there—because they are individually crafted for your teeth and braces. If cost is an issue, Drs. Rottschalk, Acker, and Froidcoeur can let you know whether an over-the-counter option might work for you.

An active life should mean proactive dental care. Wearing a mouthguard when you’re wearing braces protects both your body and your orthodontics. Whichever guard option you choose, it’s a good idea to check out the fit with Drs. Rottschalk, Acker, and Froidcoeur to make sure you’re getting all the protection you need for both when your mouthguard is doing double duty.

Best Tips to Make Your Teeth Look Whiter

November 9th, 2022

Your teeth were once naturally white and bright. Wouldn't it be great to keep them that way all of your life? Unfortunately, everyday living can dim our smiles. Food, coffee, some juices, and soft drinks can stain your teeth. Poor brushing and flossing can also leave tooth stains. Injuries to teeth or gums can cause some yellowing as well, and in some cases, medicines can discolor teeth.

So, you may need some extra help to maintain or restore your teeth's natural beauty. Here are some of the best ways to whiten your teeth:

1. Reduce additional staining by drinking with a straw or cutting back on coffee and soft drinks.

2. Brush and floss every day.

3. Try a whitening toothpaste or mouthwash.

4. Visit our office for teeth cleaning and an exam every six months.

We can also help you whiten your teeth with in-office professional teeth whitening at our Fairview Heights, IL office. These whitening products are much more effective than whiteners you can buy at the store and are completely safe. Since they're stronger, application by a member of our team is essential to achieve the best results.

Some teeth can resist bleaching. If that's the case, we can try several techniques:

  • Deep bleaching that applies whitening agents over several visits.
  • Veneers and bonds that cover existing stains with a whiter, brighter surface.
  • Laser whitening that uses light to clean stubborn stains off teeth.

Take Care!

You may come across “bleaching stations” in shopping malls or at fairs. Avoid using these as the so-called whitening techniques can irritate your teeth and gums, leaving them highly sensitive to pain. Note too, that the operators of these whitening stands will make customers apply the bleach themselves, to avoid charges of practicing without a license. That should serve as a red flag and a caution to seek trained professionals, like Drs. Rottschalk, Acker, and Froidcoeur, instead.

Getting Ready for Winter

November 2nd, 2022

Winter Is Coming.

Okay, that sounded a lot more dramatic in a popular fantasy series. But here in the real world, winter is coming as well, so let’s look at some easy steps you can take to keep your teeth and gums healthy during this icy season.

Remember to Hydrate

Dehydration is dangerous for your health in general, and it’s also bad for your dental health. A dry mouth is more vulnerable to gum disease and tooth decay because there’s less saliva to help maintain a healthy oral environment. Saliva helps wash away food particles and bacteria, works to neutralize the cavity-causing acids they produce, and strengthens tooth enamel with its mineral content.

Summer means heat and perspiration—two obvious causes of dehydration. Winter, though, has its own more subtle ways to dry you out.

  • Just as you lose moisture through summer perspiration, you lose moisture with a winter workout as well. That foggy cloud you see when you exhale outdoors? That’s water vapor leaving your body.
  • Cold weather means it’s time to kick up the heating system a few degrees. But unlike heated summer outdoor air, heated winter indoor air is not as humid, so it’s more drying.
  • Some of us just aren’t as thirsty during winter months, and so we don’t hydrate as regularly as we do in the summer. And while summer menus tend to offer foods like salad, fruits, and iced drinks which automatically provide us with a lot of water content, winter menus? Not so much. Keep up with your daily recommended amount of water throughout the year for a healthier body and healthier teeth and gums.

Wear Your Mouthguard

Whether it’s skiing, hockey, snowboarding, or skating, those winter sports can be hard on your teeth. That’s why it’s important to wear your mouthguard when you’re getting the most out of the snow and ice. Mouthguards help prevent injuries to your teeth and provide protection for your jaw and mouth, too.

And a sport doesn’t have to involve snow and ice to be a winter hazard for your teeth. The combination of hard courts, flying elbows, and body contact make basketball a leader in the dental injuries competition. In fact, any sport which involves potential falls or personal contact is a good candidate for a mouthguard.

Mouthguards are available in several forms:

  • One-size-fits-all, pre-formed mouthguards can be found in drugstores and sporting goods stores.
  • “Boil-and-bite” models are warmed in hot water and then shaped when you bite down. The fit is somewhat more comfortable than a stock guard.
  • Custom-made guards from your dentist are precisely molded to your teeth and mouth, letting you speak and breathe more comfortably.

If you haven’t gotten a mouthguard yet, or your old high school guard was retired years ago, talk to Drs. Rottschalk, Acker, and Froidcoeur about a custom guard.  While the over-the-counter options are better than going unprotected, a custom mouthguard fits your teeth perfectly—and comfortably!

Get to the Bottom of Winter Sensitivity

That first breath of frosty air might be more alarming than invigorating when tooth pain and sensitivity makes being out in the cold an unpleasant experience. Sensitivity to cold air or warm winter drinks can be an important symptom, caused by a number of dental conditions such as:

  • Cracked teeth
  • Cavities
  • Exposed dentin (the layer of the tooth underneath your enamel)
  • Receding gums
  • Over-vigorous brushing

If the cold weather is keeping you indoors because of oral sensitivity, give us a call.

Even though this can be a very busy time of year, if you’re due for a checkup and cleaning at our Fairview Heights, IL office, or if you have any concerns about your teeth and gums, make time for your dental health. We want to make sure you’re ready to enjoy every frosty moment of the season!

DIY Teeth Whitening

October 26th, 2022

We all want our best and brightest smiles, and today there are many options we can explore at home to make those beautiful smiles a reality. Whether it’s healthy habits, a healthy diet, whitening toothpaste, or do-it-yourself home products, we have golden opportunities to achieve whiter teeth.

  • Healthy Habits

Proper brushing is the first step in keeping your teeth stain-free. You should devote at least two minutes twice a day to brushing, being careful to cover the areas between and at the base of teeth, where plaque you miss can form visible tartar. Ask us about the most effective brushing techniques. And please, don’t smoke. Smoking is one of the worst offenders when it comes to discoloring teeth. If you are a smoker, quitting at any point in your life will make a big difference in the whiteness of your smile—and your lasting health!

  • Healthy Eating

We all know red wine, coffee, and tea cause some of our worst enamel stains. Acidic drinks such as sodas and citrus beverages can cause even more problems by eroding tooth enamel, exposing the yellowish dentin underneath. Moderation and rinsing with water can help prevent damage. But we have some dietary allies as well! Crunchy foods like apples, carrots, and celery provide a mild scrubbing effect. Dairy products such as milk, cheese, and yogurt strengthen enamel. Fruits such as strawberries and pineapples, studies suggest, contain enzymes that are natural stain removers. While no one food takes the place of brushing or cleaning, a healthy diet and a healthy body enhance any smile.

  • Brushing with a Whitening Toothpaste

Toothpastes are available which can remove some surface stains, and which can keep teeth their whitest after a professional whitening. They won’t penetrate the enamel surface or change the natural color of your teeth. If these toothpastes are going to work on discolored tooth surfaces, you will usually see results within a few weeks.

  • Over-the-counter (OTC) Whitening Kits

These products provide a peroxide-based gel that can be applied in a tray or with strips. If you choose a tray application, make sure trays fit properly so sensitive mouth and gum tissue is not irritated. If you decide on strips, always make sure all of the tooth surface is covered to avoid uneven whitening. These kits have more powerful whiteners than toothpastes, and so you might see better results, but tooth and gum sensitivity can be a problem.

While all these whitening methods can be helpful, there are some circumstances when a professional whitening is best. Professional gel whiteners are more powerful, and can help eliminate darker stains that OTC products can’t remove. We can make sure sensitive gum and mouth tissue is protected from bleaching agents. And, if you are on a deadline, we can provide a much faster result. Some conditions, such as deep stains caused by trauma or medication, or darker-colored caps, veneers, and crowns, require more than whitening, and we are happy to present options for those situations.

If you have any questions or concerns about whitening your teeth, please give our Fairview Heights, IL office a call. Whether it’s advice on how to brush or how to quit smoking, discussing the effects of foods and drinks on our teeth, suggesting OTC whitening products, or providing a professional whitening, Drs. Rottschalk, Acker, and Froidcoeur and our team are happy to help you achieve your best and brightest smile!

Clean Toothbrush/Healthy Toothbrush

October 19th, 2022

We’ve all learned a lot about staying healthy lately. As a parent, you give good advice about avoiding germs in public places, cleaning things that get touched a lot like phones and keyboards, and learning the best way to wash hands. These small daily habits can have a big effect on your child’s health.

And since you’re already taking care of your little one by making sure they brush at least twice a day, we have some good advice for small habits which can make their toothbrush even cleaner and brushing even healthier.

Brushing Habits

Don’t let germs hitch a ride on your child’s toothbrush before they even begin brushing! Make sure their hands are clean before they start, and rinse off the toothbrush before they put it in their mouth.

After brushing, be sure your child rinses their brush carefully to get rid of leftover toothpaste and bits of food. Also, clean the toothbrush holder regularly to get rid of germs and bacteria.

And while we’re talking about germs, how about . . .

  • Flushing Habits

Most toothbrushes live in the bathroom, where we also find—the toilet. Every time we flush, invisible bacteria and particles fly through the air. And while that might not make you sick, it’s still pretty gross. Closing the lid before you flush helps keep your family’s toothbrushes—and bathroom—cleaner.

  • Airing? Yes!

Keeping a toothbrush in a dark, wet environment is the perfect way to help bacteria grow. Instead of putting a wet toothbrush in a case, let it air dry standing heads up after use. Give it a shake first for a head start on drying out.

  • Sharing? No

We’re not talking about sharing a brush, which you would never do. We’re talking about sharing space. If your child’s brush touches other brushes in a toothbrush holder, it’s probably sharing germs. Toothbrushes shouldn’t be too close to other toothbrushes, no matter how close you are to the other brush’s owner!

Finally, no matter how well your child takes care of their toothbrush, there comes a time when you should let it go. After three or four months, bristles become frayed and worn out. This means the brush won’t remove plaque as well as it used to. And to be on the safe side, it’s a good idea to replace a brush if your child has been sick.

Keeping your child’s teeth and mouth healthy is one very important way to keep their whole body heathy and happy. Talk to Drs. Rottschalk, Acker, and Froidcoeur at our Fairview Heights, IL office to learn more about simple habits for healthy teeth!

Does flossing hurt your gums?

October 12th, 2022

Ideally, it should never hurt when you floss your teeth. But if you haven’t flossed in a long while or don’t do it regularly, you may experience sore or bleeding gums. You should floss every day to avoid pain and maintain the best oral hygiene. In the meantime, there are a few things you can do to make flossing a little more pleasant.

Be Gentle

If your gums are sensitive, take your time and be gentle while flossing. Rough flossing can lead to more irritation and soreness. Also, daily flossing should help your gums become acclimated to the practice, and as a result, irritation should decrease over time.

Use an Alternative Method

If you still feel discomfort after being gentle, an alternative method of flossing may work better for you. A water floss machine or Waterpik can dislodge food particles and plaque without irritating your gums. Also, some brands of floss have a soft coating that make them less harsh and harmful to your gums.

Many people tend to forget or skip flossing, but it is one of the most important steps your dental hygiene routine and shouldn’t be neglected. If you are consistent about flossing, your gums should become used to it and won’t be so irritated in time.

For more flossing tips, schedule an appointment at our Fairview Heights, IL office and ask Drs. Rottschalk, Acker, and Froidcoeur or a member of our team!

When Is a “Cavity” Not a Cavity?

October 5th, 2022

Is this a trick question? After all, you probably already know quite a lot about cavities:

  • It all begins when bacteria-filled plaque sticks to teeth and starts to attack enamel. How?
  • Because the bacteria in plaque use the sugars and other foods we eat to produce acids.
  • These acids gradually weaken teeth by dissolving minerals which help make up our enamel (a process called demineralization).
  • Over time, a hole, or cavity, develops in the tooth surface.
  • Left untreated, bacterial decay can spread to the inside of the tooth, creating a more serious cavity.

Some cavities aren’t discovered until you visit our Fairview Heights, IL office, but sometimes there are clear signs that there’s a problem.

  • You have tooth pain or sensitivity.
  • Your tooth changes color in spots where the enamel has decayed.
  • You might even notice enamel loss when a cavity is large enough.

So, if you have any of these symptoms, it’s a cavity, right? It might be—but it might not. Sometimes, because the symptoms are similar, what we suspect is a cavity is really enamel erosion.

The bacteria-created acids weaken enamel. But it’s not just bacteria that subject our teeth to acids—we do it ourselves with our choice of food and drink. Acidic foods are one of the leading causes of tooth erosion.

Our normal saliva pH level is around a 7, which is neutral. Any number lower is acidic; any number higher is alkaline. Acidic foods have a low pH (the pH of lemon juice, for example, measures between 2 and 3), and can reduce our normal, neutral pH level. When saliva pH levels drop to 5.5 or lower, tooth enamel starts to demineralize, just as it does when exposed to the acids from oral bacteria.

Regularly snacking on citrus and other acidic fruits, wine, fruit juices, flavored teas, sour candies, and other acidic foods can cause enamel erosion. Especially erosive are sports drinks, energy drinks, and colas, because they contain some combination of citric acid, phosphoric acid and/or carbonation.

The symptoms of tooth erosion and damaged enamel can be very similar to those caused by cavities:

  • You suffer tooth pain or sensitivity
  • Your teeth appear discolored, as the enamel thins to reveal the yellowish dentin underneath
  • You notice missing enamel—your teeth become rounded or have little pits known as cupping

You call Drs. Rottschalk, Acker, and Froidcoeur right away if you suspect a cavity. Be just as proactive if you suspect erosion. Even though your symptoms may not have been caused by plaque and bacteria, acidic erosion from your diet leaves weakened enamel just as vulnerable to cavities and decay.

How to avoid erosion?

  • Enjoy acidic foods sparingly, or as part of a meal. This helps your saliva pH stay in the neutral zone.
  • Balance acidic foods with low-acid choices to help neutralize acids and restore a normal pH balance. (A good reason to pair wine or fruits with cheese.)
  • Use a straw! This simple solution keeps erosive drinks from bathing your teeth in acids.
  • Drink water instead of an acidic beverage, or drink it afterward to rinse your mouth. The pH of pure water? A perfect, neutral 7.
  • And what about brushing right after eating or drinking something acidic? Ask Drs. Rottschalk, Acker, and Froidcoeur if you should rush for your brush. We may recommend waiting 30 minutes or so after an acidic treat to give teeth time to remineralize after acids weaken them. Otherwise, brushing might cause more wear and tear on your enamel.
  • Finally, while foods are often the source of acid erosion, medical conditions can cause erosion as well. Talk to us about ways to minimize erosion while addressing your medical needs.

There’s no trick to it—watching your diet, brushing and flossing as recommended, using a fluoride toothpaste, and visiting Dr. John Rottschalk Dental Group for regular checkups will help prevent tooth erosion. We can restore eroded enamel with bonding, veneers, or crowns if the erosion is serious. Better still is to catch erosion before symptoms appear to keep your teeth their strongest for a lifetime of healthy, beautiful smiles.

Dry Mouth and How to Treat It

September 28th, 2022

In fancy medical terms, dry mouth is known as xerostomia. It’s really just what it sounds like: a condition in which you don’t have enough saliva to keep your mouth moist. Dry mouth can be the result of certain medications you’re taking, aging, tobacco use, nerve damage, or chemotherapy.

Depending on whether you’re aware of the cause of your dry mouth, here are some simple ways to keep it at bay:

  • Avoid drinks that contain alcohol or caffeine
  • Avoid tobacco use, or lower your consumption of tobacco
  • Floss after every meal
  • Brush your teeth after every meal using a fluoride toothpaste
  • Avoid foods that have a high level of salt
  • Stay hydrated and drink water frequently
  • Consider using a humidifier at night

If you have any questions about dry mouth and how it is affecting you, give our Fairview Heights, IL office a call or make sure to ask Drs. Rottschalk, Acker, and Froidcoeur during your next visit!

Cleaning Your Teeth—Time for a Refresher Course!

September 21st, 2022

Let’s face it, by now, brushing our teeth is something we pretty much do on auto-pilot. A quick brush after breakfast, a minute or so at night, floss when we think of it. Done. But take a few minutes to review these cleaning tips, and see if a few small adjustments to your routine could make all the difference at your next checkup at our Fairview Heights, IL office.

  • Tools

Some of us prefer brushing with a manual brush. Some like the electric brush for ease and comfort. Whichever form of brush you choose, be sure that it fits comfortably in your mouth, reaches everywhere it needs to, and has a handle that is easy to grip. There are many bristle options available, so if you are an energetic brusher, or if you have sensitive gums, try a soft bristled brush for gentler brushing.

If you haven’t been exploring the floss aisle lately, there are now many varieties available to suit your particular needs. Besides the traditional floss, there are coated flosses for easy gliding between teeth that fit closely together, dental tape-style flosses to fit teeth with wider spacing, and even flosses designed just for braces that thread between the wires and brackets. Talk to Drs. Rottschalk, Acker, and Froidcoeur at your next cleaning for product suggestions if you think there’s an easier, more comfortable option out there for you.

  • Technique

With proper technique, any toothbrush and floss you choose will do a fine job of removing plaque.

Brushing? There’s a tried and true method for success. Place the toothbrush at a 45° angle at the gum line. Be sure to brush the outside, inside, and chewing surface of each tooth thoroughly. Remember the expression, “Massage, don’t scrub.” Over-vigorous brushing can actually irritate gum tissue and damage enamel. An electric toothbrush should provide a continuous brushing motion without needing any pressure from the brusher. This might be the model for you if you have a too-vigorous approach to brushing, or sensitive teeth and gums. If you like your manual brush, again, give a soft-bristled brush a try!

As for flossing? That harmless-looking little string can cause gum damage if used too forcefully. You can accomplish the placement and cleaning power you need by easing the floss down to the gumline and flossing with gentle pressure against the tooth surface. If you have any questions about technique, remember—we are always happy to let you know the best cleaning methods for your specific needs.

  • Timing

Of course, the best tools and the best technique in the world won’t be effective unless you put the right amount of time into brushing and flossing.

The standard rule is two minutes of brushing in the morning and two minutes at night. If you wear braces or have other special circumstances, we might recommend brushing after every meal. And if you brush after breakfast, give your teeth half an hour or so to remineralize. This natural process uses the calcium and phosphate ions in your saliva to strengthen tooth enamel after it’s been exposed to any acidic foods in your breakfast.

Thorough flossing can be accomplished in a few minutes, and might be needed only once a day. But again, depending on your individual needs, we might have other recommendations. Let’s review what works for you at your next visit—we can tailor suggestions for a brushing routine to your unique needs.

It’s a great idea to review your brushing habits periodically to make sure you are getting the most out of those minutes you spend cleaning your teeth. There won’t be a test at the end of this review, and you won’t get a gratifying grade or a gold star. What you will get is much more important—better checkups, fewer cavities, and healthy teeth and gums. Happy cleaning!

Five Clues That It’s Time to Replace Your Toothbrush

September 14th, 2022

Your dashboard lights up when you need an oil change. Your smoke detector beeps when you need to switch out the batteries. But when it’s time to replace your toothbrush, you’re on your own. Luckily, there are several not-too-subtle clues that you should be shopping for a new model.

  • Fraying

Is your toothbrush looking a bit scruffy? Do those once orderly bristles look like they have the toothbrush equivalent of bed head? Have some bristles vanished altogether? Time to retire that toothbrush. Once the bristles are frayed, you just can’t reach plaque as effectively, especially where it likes to hide between the teeth.

Are you prematurely fraying? You could be brushing too hard. Overbrushing can damage delicate gum tissue and cause wear and tear to tooth enamel. If you find your brush fraying after only a few weeks of use, you might be using too much force. Remember, plaque is a sticky film, but it’s a soft sticky film. Ask us for advice on just how hard you need—or don’t need—to brush.

  • Odor

This one really goes without saying—no one wants an aromatic toothbrush! How to make sure your toothbrush is fresh and clean?

Always rinse carefully after you brush. This will get rid of any toothpaste, bits of food, or other particles left on your brush.

Let your toothbrush air dry. It might seem more hygienic to keep your brush covered in a bathroom setting, but a closed, moist container is a perfect breeding ground for germs. Don’t let them make a home in your bristles!

  • Illness

A cold or a bacterial infection (like strep throat) is no fun. But now that you’re feeling better, it might be time to throw out your toothbrush. The chances of re-infection are very low, unless your immune system is compromised, but this is a perfect opportunity to replace your brush with a fresh, germ-free model.

And if you share your toothbrush, or if you store it right next to a loved one’s or family member’s (which you really shouldn’t do, for this very reason), germs get shared, too. Quarantine your brush while you’re ill, and replace it once you’re out and about.

  • Discomfort

Bigger isn’t necessarily better. A brush with a head that’s too big won’t allow you to get into those small spaces in your mouth where plaque likes to collect.

And harder doesn’t mean more effective. A brush with hard bristles can cause damage to your gums and enamel. We almost always recommend soft-bristled brushes for this very reason.

There are so many styles of brush out there, you’re bound to find the perfect fit with a little trial and error. Or ask Drs. Rottschalk, Acker, and Froidcoeur for suggestions the next time you’re at our Fairview Heights, IL office for a cleaning!

  • The “Best By” Date Has Passed

Because of its durable construction, your toothbrush can last a long, long time. But no matter how comfortable and effective your toothbrush is right now, it was never meant to go through life with you. Bristles break down over a period of months, and just don’t clean as effectively. Your brush should be changed every three months, and this includes changing the head on your electric toothbrush.

Unfortunately, you don’t have a flashing light or annoying beep to remind you when it’s time to change brushes, so you’ll have to devise your own reminders. Reminder apps, calendar notes, the first day of a new season—use whatever works best for you. 

Don’t ignore the clues your toothbrush is leaving you. Replacing your brush whenever it’s necessary helps guarantee that the time you spend cleaning your teeth and gums will lead to confident, healthy smiles. Case closed!

Back to School? Remember Your Dental Homework!

September 7th, 2022

It’s a busy time of year. Book lists! Supplies! New clothes! (How did they outgrow those shoes already?) And while you’re preparing your family’s list of back-to-school necessities, here are a few essential reminders to help your child begin the school year with a healthy smile.

  • Review

It never hurts to review the basics before the start of the school year, and that holds true for dental care as well! Make sure your child is brushing two minutes twice a day, and using floss or another interdental tool to clean between the teeth. If his toothbrush has been in use since the end of the last school year, it’s probably time to replace it. Bristles are at their best for about three months—after that, they become frayed and worn, and can’t remove plaque as effectively.

  • School Supplies for Braces Wearers

If your child is going to school with braces for the first time, send her off with the tools she needs. A travel-sized toothbrush and tube of toothpaste are perfect for a quick brushing after lunch, while dental floss and a threader or dental picks will take care of any after-lunch particles lurking in brackets and wires. Orthodontic wax is a great product to have on hand if a wire or bracket is causing irritation. If your child uses clear aligners or a retainer, make sure a protective case is always close by, ready to use every time the appliance is removed. And it’s a good idea to include the number of your dentist and orthodontist in her contacts in case of emergency.

  • Exams

If your school requires a dental exam before the start of classes, be sure to make your appointment at our Fairview Heights, IL office now! Regular checkups with Drs. Rottschalk, Acker, and Froidcoeur are vital for preventing small problems from becoming bigger ones, and a professional cleaning will remove the plaque even careful brushing can miss.

A positive, confident start can set the tone for the academic year, so your homework might include monitoring summer reading, providing required supplies, and making sure your child is well-rested and ready to go. You can also help your child to a positive, confident start by monitoring brushing habits, providing the necessary tools for appliance-wearers, and making sure your child is up-to-date with dental exams and cleanings. Because entering the classroom with a beaming, healthy smile—that’s an A+ way to begin the school year!

Dental Veneers

August 31st, 2022

Are you looking to improve the appearance of your front teeth? Dental veneers are widely used to improve the appearance of front teeth and are a much more conservative option than a full dental crown. Veneers can be used to improve the appearance of staining, large gaps, large fillings, chipped teeth, or overall shape. Veneers are a thin covering over the front and biting end of the tooth used to restore the beauty of a smile. Over the years we have helped many patients who opted for veneers and now have the confidence to smile again.

Dental veneers are made in a lab from long-lasting porcelain materials. The shade can be chosen to a desirable color to whiten the appearance of your smile. Dental veneers are usually placed on the anterior, or front teeth, where the chewing forces are not as hard as the back teeth. The process of placing veneers is relatively easy requiring only two dental appointments. In some cases, only one appointment is needed. It depends on the fabrication process.

The first appointment is to “prep” the teeth and take an impression to be sent to a lab to fabricate the veneers. Veneers are fairly conservative in the preparation as it requires a small amount of space to be created on the face (front), bottom, and sides of each tooth to allow space for the veneer to be placed and look natural. You will leave the office with temporary veneers for the next week or two while the permanent veneers are being made.

The second appointment is to place the veneers and make minor adjustments if needed. What a difference it makes in the appearance of the teeth! If you’re interested in learning more, give Drs. Rottschalk, Acker, and Froidcoeur a call today!

How Does Your Dentist Fill a Cavity?

August 24th, 2022

The grownups in your life want you to have healthy teeth. That’s why they remind you to brush and floss, make you tooth-friendly meals, and take you to see the dentist regularly, at an office designed just for you. You’ve been visiting Dr. John Rottschalk Dental Group for a while now, so you know all about checkups and cleanings.

At every dental exam, Drs. Rottschalk, Acker, and Froidcoeur will look at your teeth very carefully, checking not just the outside of your teeth, but around and behind your teeth as well. (That’s what those little mirrors are for.) You might have X-ray pictures taken to show the inside of your teeth. In all these ways, we make sure your teeth are healthy, inside and out.

You expect all these things at a dental checkup because you’re used to them. When you hear that you have a cavity, you might be worried. After all, if you’ve never had a cavity before, you don’t know what to expect. And sometimes not knowing is a little scary. So let’s talk about what a cavity is, and how your dentist can help make your tooth healthy again if you need a filling.

  • What’s a Cavity?

Teeth are covered with a very hard white coating called enamel. Enamel is the strongest part of our bodies, even stronger than our bones. But when we eat too many sugary foods, or don’t brush the way we should or as much as we should, or even just because of the way some people’s bodies work, our enamel can be hurt by cavities.

A cavity is a hole in your tooth enamel. These holes are made by the bacteria in plaque, which turn sugars into acids. This is why it’s important to brush carefully to get rid of plaque, and to watch how much sugar we eat. It’s not just people who like sugar—bacteria do, too!

The acids bacteria create attack our enamel and make it weaker. If the enamel gets too weak, a hole will start to form. This is what we call a cavity.

  • How Do You Know You Have a Cavity?

Maybe you came to our Fairview Heights, IL office because you have a toothache, or it hurts when you eat something hot or cold. Those are often clues that you have a cavity.

But small, early cavities don’t always bother us. That’s why regular checkups are so important, and why Drs. Rottschalk, Acker, and Froidcoeur will look carefully at each tooth to make sure that it’s healthy.

  • Getting Ready

Drs. Rottschalk, Acker, and Froidcoeur might give you some medicine to make sure you don’t feel uncomfortable while your tooth is being repaired. The area around your tooth will get numb, which means you won’t feel anything while we work.

  • Removing Decay

There are different ways to remove decay from your tooth. Some can be noisy, and some are quiet.  If noise bothers you, let your dentist know—there are ways to cover up annoying sounds.

After the decay has been removed, it’s time to clean your tooth. This makes sure that no germs or bacteria are still around when your tooth is filled.

But after all the decay is gone, you’ll still have a little hole in your tooth. That’s why the next step is . . .

  • Filling Your Tooth

Since a hole in your tooth enamel makes it weaker, this hole needs to be filled up to make your tooth strong again—that’s why it’s called a “filling.”

There are different kinds of fillings, and your dentist will tell you which one is best for your tooth. A molar, one of the big teeth in the back of your mouth, needs a strong filling for all the work it does chewing food. Your dentist might use a metal filling to help your molar do its job. If you have a cavity in one of your front teeth, you might get a tooth-colored filling. This filling is made to match the color of your enamel, so no one can see the filling when you smile.

  • After Your Filling

All done! In just a little while, the area around your tooth won’t be numb anymore, and we will let you know when you can eat and drink regular foods again.

If you do your best to keep your teeth healthy, you can look forward to cavity-free checkups in the future. But when you need a filling, or if you have a tooth which needs another kind of treatment, we are here to help you make sure your happy smile is a healthy smile!

Treating Gum Disease with Antibiotics

August 17th, 2022

Why does gum disease develop? Our mouths are home to bacteria, which form a film called plaque. Plaque sticks to the surfaces of our teeth, at the gumline, and can even grow below the gumline. And this bacterial growth leads to inflammation and gum disease.

When the disease progresses, the gums gradually pull away from the teeth leaving pockets which can be home to infection. Toxins can attack the bone structures and connective tissue, which support our teeth. Left untreated, periodontal disease can lead to serious infection and even tooth loss.

Because we are dealing with bacteria, it makes sense that antibiotics are one way to combat gum disease. Depending on the condition of your gums, we might suggest one of the following treatments:

  • Mouthwashes—there are mouthwashes available with a prescription that are stronger than over-the-counter antibiotic formulas, and can be used after brushing and flossing.
  • Topical Ointments—These ointments or gels are applied directly to the gums, most often used for mild forms of the disease.
  • Time-release Treatments—If there is severe inflammation in a pocket, we might place a biodegradable powder, chip, or gel containing antibiotics directly in the affected area. These minute methods release antibiotics over a period of time as they dissolve.
  • Pills and Capsules—For more serious periodontal disease, you could be prescribed an oral antibiotic. Take in pill or capsule form as recommended, and always finish the entire prescription.

Talk to Drs. Rottschalk, Acker, and Froidcoeur at our Fairview Heights, IL office before beginning a course of antibiotics. It’s important to know if you have any allergies to medications, what to look for if you might have an allergy you didn’t know about, if you are pregnant or breast-feeding, or if you have any health concerns that would prohibit antibiotic use. Talk to us about possible side effects and how to use the medication most successfully. With proper treatment, we can treat gum disease as quickly and effectively as possible, and provide advice on maintaining a periodontal routine that will keep your gums and teeth healthy for years to come.

Can children be at risk for periodontal disease?

August 10th, 2022

You want to check all the boxes when you consider your child’s dental health. You make sure your child brushes twice daily to avoid cavities. You’ve made a plan for an orthodontic checkup just in case braces are needed. You insist on a mouthguard for dental protection during sports. One thing you might not have considered? Protecting your child from gum disease.

We often think about gum disease, or periodontitis, as an adult problem. In fact, children and teens can suffer from gingivitis and other gum disease as well. There are several possible reasons your child might develop gum disease:

  • Poor dental hygiene

Two minutes of brushing twice a day is the recommended amount of time to remove the bacteria and plaque that cause gingivitis (early gum disease). Flossing is also essential for removing bacteria and plaque from hard-to-reach areas around the teeth.

  • Puberty

The hormones that cause puberty can also lead to gums that become irritated more easily when exposed to plaque. This is a time to be especially proactive with dental health.

  • Medical conditions

Medical conditions such as diabetes can bring an increased risk of gum disease. Be sure to give us a complete picture of your child’s health, and we will let you know if there are potential complications for your child’s gums and teeth and how we can respond to and prevent them.

  • Periodontal diseases

More serious periodontal diseases, while relatively uncommon, can affect children and teens as well as adults. Aggressive periodontitis, for example, results in connective and bone tissue loss around the affected teeth, leading to loose teeth and even tooth loss. Let Drs. Rottschalk, Acker, and Froidcoeur know if you have a family history of gum disease, as that might be a factor in your child’s dental health, and tell us if you have noticed any symptoms of gum disease.

How can we help our children prevent gum disease? Here are some symptoms you should never ignore:

  • Bleeding gums
  • Redness or puffiness in the gums
  • Gums that are pulling away, or receding, from the teeth
  • Bad breath even after brushing

The best treatment for childhood gum disease is prevention. Careful brushing and flossing and regular visits to our Fairview Heights, IL office for a professional cleaning will stop gingivitis from developing and from becoming a more serious form of gum disease. We will take care to look for any signs of gum problems, and have suggestions for you if your child is at greater risk for periodontitis. Together, we can encourage gentle and proactive gum care, and check off one more goal accomplished on your child’s path to lifelong dental health!

Hot Day? Three Drinks to Leave Home When You’re Packing the Cooler

August 3rd, 2022

Whew! It’s a hot one! And whenever the temperature soars, you need to stay hydrated, especially when you’re outside or exercising. But all cold drinks aren’t equal when it comes to healthy hydration. Which beverages shouldn’t have a prime spot in your cooler when you’re wearing braces or aligners?

  • Soft Drinks

You’re probably not surprised to find soft drinks at the top of the list. After all, sugar is a) a big part of what makes soda so popular, and b) not a healthy choice for your teeth.

Sugar is a favorite food source for the oral bacteria that make up plaque. These bacteria convert sugar into acids, and these acids attack the surface of your tooth enamel. Over time, the minerals which keep enamel strong begin to erode, and weakened, eroded enamel is a lot more susceptible to cavities.

So, what about sugar-free drinks? Does this make soft drinks a better choice? Unfortunately, you can take the sugar out of many sodas, but you can’t take the acids out. Most soft drinks are very acidic, even without sugar, and will cause enamel erosion just like the acids created by bacteria will.

  • Fruit Drinks

Fruit juice provides us with vitamins, which is great, but it’s also full of natural sugars and acids. And blended fruit drinks and fruit punches often contain added sugars and added citric acids. Best to choose 100% fruit content and check the labels before you buy. (And you can always get refreshing fruit flavor by adding a slice of fruit to a glass of water.)

  • Sports Drinks

You might be surprised to see these on the list—after all, they promise healthy hydration while you’re working out. And hydration is healthy—but sugars and acids aren’t. Even when the label tells you there’s no added sugar, that same label will often reveal high amounts of citric acid. In fact, some sports drinks are more acidic than sodas.

We’ll make an exception, though, for thirsty people who participate in sports or activities that require a lot of physical exercise and produce a lot of sweat. When we sweat, we lose electrolytes, those ionized minerals which help regulate many vital bodily functions. Talk to Drs. Rottschalk, Acker, and Froidcoeur about which sports drinks are best for you if you need to replenish your electrolytes when working out.

So, what’s your best hydration choice on a hot day? Water! It not only hydrates you, it cleans your teeth, it helps you produce saliva, and it often contains tooth-strengthening fluoride. But if you only have sports drinks in the cooler, or if you just want to enjoy a soft drink or a bottle of juice from time to time, no need to go thirsty. We have some ways to make sure your teeth are safer, even with this tricky trio:

  • Rinse with water after you drink a sugary or acidic drink. And remember to brush when you get home.
  • Be choosy. Check labels for added sugars and acids.
  • Don’t sip your drinks all day long. Saliva actually helps neutralize acids in the mouth, but sipping acidic beverages throughout the day doesn’t give saliva a chance to work.
  • Use a straw to avoid washing your enamel in sugars and acids.

You need to keep hydrated when it’s hot. When you’re packing your cooler, choose drinks that are healthy for your entire body, including your teeth and gums. Ask our Fairview Heights, IL team for the best choices in cold drinks to make sure you’re getting the hydration you need—without the sugar and acids you don’t!

What is gum disease?

July 27th, 2022

Gum disease, also called periodontal disease, is an infection of the gum tissues, and is something seen all too often by Drs. Rottschalk, Acker, and Froidcoeur. Extending from inflammation of the gums (gingivitis) to more serious infections and complications (periodontitis), there is a wide range of gum disease severity.

Not only does gum disease affect the health of your mouth and teeth, but according to the National Institute of Dental and Craniofacial Research, it can affect your general health as well. This is because an infection in the mouth as a result of gum disease can travel to other parts of your body through the bloodstream. Gum disease is also a risk factor for heart disease, and can play a role in blood sugar levels.

Causes and Risk Factors

Gum disease is essentially caused by the build-up of bacteria in your mouth. If you brush and floss every day, this bacteria is washed away, but if not, it turns into plaque. If left unchecked, this plaque buildup can lead to gum disease.

Some of the common risk factors for gum disease include not taking good care of your teeth, failing to have one’s teeth cleaned every six months, experiencing hormonal changes, smoking cigarettes, developing diabetes, being genetically exposed to gum disease, or taking certain types of medications.

Gingivitis versus Periodontitis

There are two main types of gum disease: gingivitis and periodontitis. Both are bad for you, but gingivitis is less severe. It is typically the first stage, and involves inflammation of the gums from plaque and tartar on the teeth. If your gums are swollen and bleed, this is a sign of gingivitis.

Periodontitis, a more severe case of gum disease, occurs when your gums pull away from the teeth and pockets form. These pockets are a concern because they can harbor infection.

Treatments for Gum Disease

Treatments for gum disease depend on the cause and severity. Deep cleaning to remove the plaque underneath the gum line – called root scaling and planing – is one of the most common treatments for gum disease. Antibiotics placed under the gums to rid you of an infection or reduce the inflammation may also be advised. In some cases, surgical procedures, including flap surgery and bone and tissue grafts, are needed.

If you have bleeding or swollen gums, pockets between your gums and teeth, pain, or other issues, you might have gum disease. Visit Dr. John Rottschalk Dental Group for an exam and learn the best course of action.

Thumb Sucking

July 20th, 2022

Learning to suck their thumbs is one of the first physical skills babies acquire. In fact, ultrasound images have revealed babies sucking their thumbs in the womb! Babies have a natural sucking reflex, and this activity is a normal way for your baby to soothe herself.

If your toddler still turns to her thumb for comfort, no need to worry. Most children give up this habit as they grow, and generally stop completely between the ages of two and four. But what of the child who doesn’t? Should you encourage your child to stop? And when?

When Thumb Sucking Becomes a Problem

After your child turns five, and certainly when her permanent teeth start to arrive, aggressive thumb sucking is something to watch for. This type of vigorous sucking, which puts pressure on the teeth and gums, can lead to a number of problems.

  • Open Bite

Our bites are considered normal when the upper teeth slightly overlap the lower where they touch in the front of the mouth. But with aggressive thumb sucking, teeth are pushed out of alignment. Sometimes this results in a condition called “open bite,” where the upper and lower teeth don’t make contact at all. An open bite almost always requires orthodontic treatment.

  • Jaw Problems

Your child’s palate and jaw are still growing. Aggressive thumb sucking can actually change the shape of the palate and jaw, and even affect facial structure. Again, orthodontic treatment can help, but prevention is always the better option!

  • Speech Difficulties

Prolonged thumb sucking has been suggested as a risk factor for speech disorders such as lisping, the inability to pronounce certain letters, or tongue thrusting.

The consequences from aggressive thumb sucking can be prevented with early intervention. What to do if you are worried?

Talk to Us

First, let us reassure you that most children stop thumb sucking on their own, and with no negative dental effects at all. But if your child is still aggressively sucking her thumb once her permanent teeth have started erupting, or if we see changes in her baby teeth, let’s talk about solutions during an appointment at our Fairview Heights, IL office. We can offer suggestions to help your child break the habit at home. There are also dental appliances available that can discourage thumb sucking if your child finds it especially hard to stop.

Work with your Child

  • Be Positive

Positive reinforcement is always best. Praise her when she remembers not to suck her thumb. Make a chart with stickers to reward every thumb-free day. Pick out a favorite book to read or activity you can share.

  • Identify Triggers

Children associate thumb sucking with comfort and security.  If your child turns to her thumb when she’s anxious, try to discover what is bothering her and how to reassure her. If she automatically sucks her thumb when she is bored, find an activity that will engage her. If she’s hungry, offer a healthy snack.

  • Talk about It!

Depending on her age, it might help your child to understand why stopping this habit is important. We are happy to explain, in a positive, age-appropriate way, just how breaking the thumb sucking habit will help her teeth and her smile.

Again, most children leave thumb sucking behind naturally and easily. But if what is a comfort for your child has become a concern for you, please give us a call. Drs. Rottschalk, Acker, and Froidcoeur will work with you and your child to prevent future orthodontic problems and begin her lifetime of beautiful smiles.

 

Dental Fear in Children: Brought on by parents?

July 13th, 2022

A study conducted in Washington State in 2004 and another conducted in Madrid, Spain in 2012 both reported findings that support a direct relationship between parents’ dental fear and their child’s fear of the dentist.

The Washington study examined dental fear among 421 children ages 0.8 to 12.8 years old. They were patients at 21 different private pediatric dental practices in western Washington state. The Spanish study observed 183 children between the ages of seven and 12 as well as their parents.

The Washington study used responses from both parents and the Dental Sub-scale of the Child Fear Survey Schedule. The survey consisted of 15 questions, which invited answers based on the child’s level of fear. The scale was one to five: one meant the child wasn’t afraid at all, and five indicated he or she was terrified. The maximum possible points (based on the greatest fear) was 75.

Spanish researchers found a direct connection between parental dental fear levels and those among their kids. The most important new discovery from the Madrid study was that the greater the fear a father had of going to the dentist, the higher the level of fear among the other family members.

Parents, but especially fathers, who feared dental procedures appeared to pass those fears along to every member of the family. Parents can still have some control over fear levels in their children. It is best not to express your own concerns in front of kids; instead, explain why going to the dentist is important.

Drs. Rottschalk, Acker, and Froidcoeur and our team work hard to make your child’s visit at our Fairview Heights, IL office as comfortable as possible. We understand some patients may be more fearful than others, and will do our best to help ease your child’s anxiety.

Summer Sports and Mouthguards

July 6th, 2022

School’s out and you’ve emptied your gym locker until next fall. But while you’re stowing away the football gear, the basketball warm-ups, the field hockey sticks, and all the other equipment you’ve collected over the school year (that’s where that other shoe went!), be sure to keep one item handy: your mouthguard.

Team and contact sports like football, basketball, and wrestling aren’t the only potential dental dangers. In fact, almost any sport or activity can be made safer when you use your mouthguard.  While you’re keeping active and fit in the summer months, remember to look out for your smile.

  • Sports on wheels

Biking, skate boarding, rollerblading—it only takes one fall to make you realize that roads, sidewalks, and concrete are not ideal landing pads. If you do take a spill, using a mouthguard, along with your helmet, will help protect your teeth and jaw.

  • Court sports

Handball and tennis are not what we consider contact sports, but an unexpected bounce from a ball, or a completely unexpected backhand from your partner, can lead to dental injuries. Ace your workout and wear a mouthguard.

  • Water sports

A fall in the water can lead to a collision with your surfboard or water skis, and water polo often seems to be a game of stamina, accuracy and elbows. Wear your mouthguard on land and sea, and help reduce your chance of dental injury.

  • Team sports

Anyone who has played summer league baseball, softball or soccer knows that occasional contact with other players is pretty much a given. Cushioning your head, mouth, and teeth with a mouthguard will not only protect you, but keep you in the game—and your teammates will appreciate that!

If you already use a mouthguard, keep up the good work! If you don’t, talk to Drs. Rottschalk, Acker, and Froidcoeur about the importance of protecting your smile with a mouthguard. There are ready-made options available at drug stores and sporting goods shops. These will provide protection to your mouth and teeth, but can sometimes be bulky and uncomfortable and should never be used with braces. If you would like a mouth protector that provides the best fit and comfort, or if you wear braces, we can customize a mouthguard in our Fairview Heights, IL office that will be a perfect fit for your teeth and bite.

Whatever activity you choose, play it smart! Don’t gear up without your mouthguard, and you’ll greet next year’s classes energized, fit, and sporting a beautiful smile!

Summer Sports and Mouthguards

July 6th, 2022

School’s out and you’ve emptied your gym locker until next fall. But while you’re stowing away the football gear, the basketball warm-ups, the field hockey sticks, and all the other equipment you’ve collected over the school year (that’s where that other shoe went!), be sure to keep one item handy: your mouthguard.

Team and contact sports like football, basketball, and wrestling aren’t the only potential dental dangers. In fact, almost any sport or activity can be made safer when you use your mouthguard.  While you’re keeping active and fit in the summer months, remember to look out for your smile.

  • Sports on wheels

Biking, skate boarding, rollerblading—it only takes one fall to make you realize that roads, sidewalks, and concrete are not ideal landing pads. If you do take a spill, using a mouthguard, along with your helmet, will help protect your teeth and jaw.

  • Court sports

Handball and tennis are not what we consider contact sports, but an unexpected bounce from a ball, or a completely unexpected backhand from your partner, can lead to dental injuries. Ace your workout and wear a mouthguard.

  • Water sports

A fall in the water can lead to a collision with your surfboard or water skis, and water polo often seems to be a game of stamina, accuracy and elbows. Wear your mouthguard on land and sea, and help reduce your chance of dental injury.

  • Team sports

Anyone who has played summer league baseball, softball or soccer knows that occasional contact with other players is pretty much a given. Cushioning your head, mouth, and teeth with a mouthguard will not only protect you, but keep you in the game—and your teammates will appreciate that!

If you already use a mouthguard, keep up the good work! If you don’t, talk to Drs. Rottschalk, Acker, and Froidcoeur about the importance of protecting your smile with a mouthguard. There are ready-made options available at drug stores and sporting goods shops. These will provide protection to your mouth and teeth, but can sometimes be bulky and uncomfortable and should never be used with braces. If you would like a mouth protector that provides the best fit and comfort, or if you wear braces, we can customize a mouthguard in our Fairview Heights, IL office that will be a perfect fit for your teeth and bite.

Whatever activity you choose, play it smart! Don’t gear up without your mouthguard, and you’ll greet next year’s classes energized, fit, and sporting a beautiful smile!

Summer Sports and Mouthguards

July 6th, 2022

School’s out and you’ve emptied your gym locker until next fall. But while you’re stowing away the football gear, the basketball warm-ups, the field hockey sticks, and all the other equipment you’ve collected over the school year (that’s where that other shoe went!), be sure to keep one item handy: your mouthguard.

Team and contact sports like football, basketball, and wrestling aren’t the only potential dental dangers. In fact, almost any sport or activity can be made safer when you use your mouthguard.  While you’re keeping active and fit in the summer months, remember to look out for your smile.

  • Sports on wheels

Biking, skate boarding, rollerblading—it only takes one fall to make you realize that roads, sidewalks, and concrete are not ideal landing pads. If you do take a spill, using a mouthguard, along with your helmet, will help protect your teeth and jaw.

  • Court sports

Handball and tennis are not what we consider contact sports, but an unexpected bounce from a ball, or a completely unexpected backhand from your partner, can lead to dental injuries. Ace your workout and wear a mouthguard.

  • Water sports

A fall in the water can lead to a collision with your surfboard or water skis, and water polo often seems to be a game of stamina, accuracy and elbows. Wear your mouthguard on land and sea, and help reduce your chance of dental injury.

  • Team sports

Anyone who has played summer league baseball, softball or soccer knows that occasional contact with other players is pretty much a given. Cushioning your head, mouth, and teeth with a mouthguard will not only protect you, but keep you in the game—and your teammates will appreciate that!

If you already use a mouthguard, keep up the good work! If you don’t, talk to Drs. Rottschalk, Acker, and Froidcoeur about the importance of protecting your smile with a mouthguard. There are ready-made options available at drug stores and sporting goods shops. These will provide protection to your mouth and teeth, but can sometimes be bulky and uncomfortable and should never be used with braces. If you would like a mouth protector that provides the best fit and comfort, or if you wear braces, we can customize a mouthguard in our Fairview Heights, IL office that will be a perfect fit for your teeth and bite.

Whatever activity you choose, play it smart! Don’t gear up without your mouthguard, and you’ll greet next year’s classes energized, fit, and sporting a beautiful smile!

Is Coffee Damaging Your Smile?

June 29th, 2022

Coffee is one of the most popular drinks in the world. Many people have a cup, or two, or even three a day. It’s common to drink it in the morning to wake up and get ready for the day, as an afternoon pick-me-up, or just to catch up with a coworker or friend.

These days there are many different kinds of coffee flavors to enjoy, so it’s almost impossible for a person not to like it. But as delicious as coffee is, it’s worthwhile to be aware of the effects it has on our dental health.

Coffee contains a lot of tannic acid, which is what causes its dark color. Tannic acid ingrains itself into the grooves of tooth enamel, and that leads to serious stains. In addition to containing tannic acid, the fact that coffee is generally served very hot makes your teeth expand and contract, which allows the stains to penetrate even farther into the enamel.

Drs. Rottschalk, Acker, and Froidcoeur and our team know it’s not easy to kick the caffeine habit. If you find yourself needing a cup of joe every day, here are some helpful tips to consider:

  • Switch to decaf coffee.
  • Make it a habit to drink a glass of water with your coffee to rinse away the acid.
  • Try enjoying your coffee with a straw so the tannic acid makes less contact with your front and lower teeth.
  • Pop in a piece of gum after your coffee to help prevent a dry mouth.

If you’re feeling ambitious, you might find that setting a limit on the number of cups of coffee you have per week or even per day can be helpful. You are always welcome to contact our Fairview Heights, IL office to discuss potential whitening options as well. We’re here to help!

When to Begin Dental Care for Your Baby

June 22nd, 2022

Children’s oral health differs from the needs of adults in many ways. It’s vital for you to understand what your child needs to keep his or her teeth healthy. Drs. Rottschalk, Acker, and Froidcoeur and our team are here to answer your questions to set you and your little one up for success.

In-home dental care should start as soon as your baby show signs of developing that first tooth. At around age one or two, bring your son or daughter to our Fairview Heights, IL office. Drs. Rottschalk, Acker, and Froidcoeur will examine your child’s tooth development and gum health.

The initial appointment will focus on getting your youngster familiar with our office and comfortable with our staff. We will go over several general matters during that first visit:

  • Inspect for signs of decay or other tooth or gum problems
  • Check for gum disease or cavities
  • Examine your child’s bite and possible misalignment
  • Clean the teeth, and apply fluoride if your child is old enough
  • Talk with parents about proper oral health
  • Give you tips for brushing and flossing your little one’s teeth
  • Answer any questions you may have about caring for your son or daughter’s teeth

Once your child is old enough for the first dental visit, you should schedule regular cleanings every six months. Call our Fairview Heights, IL location if you have any conflicts or questions.

Water Features

June 1st, 2022

Heading for the beach! Hiking to the lake! Keeping cool with a tall, frosty glass of ice water in a foreign bistro, or taking a refreshing gulp from the fountain in the park! Hot weather has arrived, and water is something we’re more conscious of now than most other times of the year. Even so, water as a dental feature? Glad you asked!

  • Recreation

Whether you want to bask in the heat or escape it, heading out for a day in or on the water works. And while you’re protecting your skin with sunscreen, think about protecting your teeth and mouth as well. With one small slip, any physical water sport—water skiing, water polo, surfing—can result in damage to your teeth or jaw. Bring—and use—the mouthguard you wear for sports like basketball or biking, and make sure you have a summer of smiles ahead of you.

  • Refreshment

Summer has a beverage menu all its own. Iced coffee and iced tea, a cooler full of sodas, fresh lemonade, fruity cocktails—so many refreshing ways to beat the heat! And we would never suggest that you turn down every frosty summer temptation. But do be mindful that dark beverages like tea, coffee, and sodas can stain teeth, sugary and acidic ones are damaging to your enamel, and alcoholic drinks can be dehydrating. Water, on the other hand, is always a healthy choice. It’s helpful for keeping your mouth and teeth clean, it often contains the fluoride that helps fight cavities, it’s hydrating—and, it has no calories! Be sure to make water a significant part of your summer beverage menu, and your body will thank you for it.

  • Rinse & Restore

Water’s importance to our bodies can’t be overstated! From major organs to individual cells, we need water. And one major benefit of proper hydration is healthy saliva production. Why is that important? Saliva plays a vital role in preventing cavities. It washes away the food particles that oral bacteria feed on, reducing their ability to produce the acids that lead to enamel erosion and cavities. Saliva even helps neutralize acids already in the mouth. Finally, saliva contains important calcium, phosphate and fluoride ions which actually help restore enamel strength after it has been exposed to oral acidity.

Summer goes by all too quickly. Protect your teeth during these warm, active months with a mouthguard. And whether you spend your free time outdoors, or visiting people and places, or keeping cool at home, be mindful of dental-friendly beverage options and always stay hydrated. You’ll be ready to greet fall with a beautiful smile and healthy teeth. “Water Features”? Perhaps a better title would be “Water Power”!

Just What Is Plaque?

May 25th, 2022

From the time you were small, you’ve been warned about the dangers of plaque. Why? Because:

  • It’s an unappealing film that sticks to your teeth
  • It causes cavities
  • It causes gum disease

And really, do we need to know much more than this to motivate us to brush? But if you’re in a curious mood, you might be wondering just how this soft, fuzzy film accomplishes all that damage. Let’s take a closer look at the sticky problem of plaque.

How does plaque form?

We live with hundreds of species of oral bacteria, most of which are harmless, and some of which are actually beneficial. But when our oral ecosystem gets out of balance, problems can occur. For example, without regular and thorough brushing and flossing, we start to build up plaque.

Plaque starts forming within hours of your last brushing. And even though plaque fits the very definition of “seems to appear overnight,” this biofilm is actually a complex microbial community with several different stages of development.

  • It starts with saliva.

Saliva is vital to our oral health, because it keeps us hydrated, washes away food particles, neutralizes acids in the mouth, and provides minerals which keep our enamel strong. Saliva also contains proteins, which help form a healthy, protective film on the tooth surface. This film is called a pellicle.

  • Bacteria attach to the pellicle.

There are species of oral bacteria that are able to attach themselves to the pellicle film within hours of its formation. As they become more firmly attached, they begin to grow and divide to form colonies, and are known as the early colonizers of the plaque biofilm.

  • A complex biofilm forms.

If you’ve skipped brushing for a few days (please don’t!), you’ll notice a fuzzy, sometimes discolored film on your enamel—that’s a thriving plaque community, and it only takes a matter of days to go from invisible to unpleasant.

If you’re not removing plaque regularly, it can harden further and become tartar. And once you have tartar buildup, you’ll need the care of a dental professional to remove it.

  • What happens if we ignore plaque and tartar?

We get cavities and gum disease.

How does plaque cause cavities?

  • The bacteria in plaque, like all organisms, need nutrients.

Our normal oral environment and the food in our everyday diets provide the nutrients plaque needs. And, as we mentioned above, certain types of oral bacteria convert these nutrients into acids. Foods such as carbohydrates, starches, and sugars are most easily converted into acids, which is why we recommend that you enjoy them in moderation.

  • The biofilm promotes acid production.

Within the plaque film, anaerobic bacteria (bacteria which don’t use oxygen) convert sugars and starches into acids. As the plaque film becomes denser, it blocks acid-neutralizing saliva and oxygen from reaching these bacteria close to the tooth’s surface, creating an ideal environment for the bacteria to produce their acid waste products.

  • Acids attack enamel.

The sticky nature of plaque keeps these acids in contact with tooth enamel, where, over time, acids dissolve minerals in enamel, weakening the mineral structure of the tooth.

How does plaque cause gum disease?

  • Bacteria cause inflammation and gingivitis.

The bacteria in plaque irritate the delicate tissue of the gums, which causes an inflammation response which can leave your gums swollen, red, bleeding, or tender. This early form of gum disease is gingivitis. Fortunately, good dental care and careful brushing and flossing can usually prevent and even eliminate gingivitis.

  • Plaque and tartar can lead to periodontitis.

When plaque and tartar build up around and below the gumline, the gums pull away from the teeth, leaving pockets where bacteria collect, leading to infection as well as inflammation. Infections and constant inflammation not only harm gum tissue, they can destroy the bone supporting the teeth. This serious gum condition is periodontitis, and should be treated immediately to avoid further infection and even tooth loss.

How do we fight plaque?

From the time you were small, you’ve learned how to fight plaque:

  • Brush at least twice a day for two minutes, and be sure to brush all of your tooth surfaces and around the gumline.
  • Floss to remove plaque from between the teeth and near the gumline.
  • Visit our Fairview Heights, IL office for a thorough professional cleaning.

Be proactive. If you have any questions, talk to Drs. Rottschalk, Acker, and Froidcoeur about the best way to keep plaque at bay. We can show you the most effective ways to brush and floss, recommend anti-plaque toothpastes and rinses, even suggest plaque-revealing tablets if you’re missing some trouble spots.

We’ve only brushed up on some plaque basics, because there is a lot more to discover about this complex biofilm. Happily, even with all there is to learn about plaque’s growth and development, it’s reassuring to know that getting rid of it is quite simple—with just a soft-bristled brush, some dental floss, and a few minutes of your time each day, you’re on the way to a healthy, happy, plaque-free smile.

The Effects of Biting Your Nails

May 18th, 2022

Also known as onchophagia, the habit of nail biting is one of the so-called “nervous habits” that can be triggered by stress, excitement, or boredom. Approximately half of all kids between the ages of ten and 18 have been nail biters at one time or another. Experts say that about 30 percent of children and 15 percent of adults are nail biters, however most people stop chewing their nails by the time they turn 30.

Here are four dental and general reasons to stop biting your nails:

1. It’s unsanitary: Your nails harbor bacteria and germs, and are almost twice as dirty as fingers. What’s more, swallowing dirty nails can lead to stomach problems.

2. It wears down your teeth: Gnawing your nails can put added stress on your pearly whites, which can lead to crooked teeth.

3. It can delay your orthodontic treatment: For those of our patients wearing braces, nail biting puts additional pressure on teeth and weakens roots.

4. It can cost you, literally: It has been estimated that up to $4,000 in extra dental bills can build up over a lifetime.

Drs. Rottschalk, Acker, and Froidcoeur and our team recommend the following to kick your nail biting habit:

  • Keep your nails trimmed short; you’ll have less of a nail to bite.
  • Coat your nails with a bitter-tasting nail polish.
  • Ask us about obtaining a mouthguard, which can help prevent nail biting.
  • Put a rubber band around your wrist and snap it whenever you get the urge to gnaw on your nails.
  • Think about when and why you chew your nails. Whether you are nervous or just bored, understanding the triggers can help you find a solution and stop the habit.
  • If you can’t stop, behavioral therapy may be an effective option to stop nail biting. Ask Drs. Rottschalk, Acker, and Froidcoeur and our team for a recommendation.

What do I do if I fall and loosen my teeth?

May 11th, 2022

Although teeth are strong enough to tear through food, they are also fragile. An accident such as a fall may loosen teeth or knock a tooth out entirely. When a child loses a baby tooth in this manner, no permanent damage is usually done. However, adults who loosen permanent teeth may need to visit our Fairview Heights, IL office.

The Anatomy of a Loose Tooth

The hard external layer of teeth covers a more vulnerable interior. The center of a tooth consists of the pulp, which contains blood vessels and nerves. The entire tooth extends below the surface of the gums into the jaw. Special tissue called cementum and the periodontal ligament hold teeth in place, preventing them from moving.

When a fall or blow to the face loosens a tooth, the tissues anchoring a tooth to the jaw may be damaged. This results in a loosened tooth that wiggles in place. There may be inflammation or bleeding of the gums, which signals dental damage.

Dental Treatments for a Loose Tooth

The range of dental treatments for loose teeth varies by the severity of the problem. If your teeth are just slightly loose following a fall, it may be fine to wait a few days. Teeth often retighten on their own. Simply avoid chewing with that tooth and enjoy softer foods for a few days.

If a tooth is very loose or nearly falling out, call Drs. Rottschalk, Acker, and Froidcoeur immediately. Immediate placement of the tooth back into the socket is needed to ensure its survival. In general, a tooth must return to its socket within two hours or it may be lost.

In some cases, Drs. Rottschalk, Acker, and Froidcoeur may recommend splinting, in which teeth are joined together to strengthen them and reduce strain on an individual tooth. Tightening or straightening the tooth can restore your ability to chew regularly without stressing the loosened tooth.

Regardless of the extent of the problem, it is essential to keep the tooth clean to prevent decay. Brush carefully with a soft-bristled brush, and use mouthwash regularly to kill bacteria.

Mall Whitening: Why You Shouldn’t

May 4th, 2022

A shopping mall is a great place to get lots of errands done in one trip. Department stores, clothing boutiques, specialty shops? So many tempting options all in one place. But teeth whitening? Maybe not.

Dental office whitening provides you with the whitest possible teeth in the safest possible manner. Your teeth will be checked first for any conditions that might make whitening a bad idea, such as tooth decay, weakened enamel, or gum disease. Drs. Rottschalk, Acker, and Froidcoeur will make sure your gums and mouth are protected. A gel with a higher concentration of bleaching agents than those available over-the-counter will be applied, and your whitening progress will be monitored. You can also ask about having a custom-fitted tray made for at use at home with professional whitening gel.

What is different about mall bleaching?

  • No dental exam will be provided beforehand. If you have dental issues, the whitening process might cause further problems such as tooth sensitivity or gum inflammation.
  • The amount of peroxide in the bleaching agents can vary from place to place. You might end up with something equivalent to home whitening strips, or you might be exposed to solutions that should only be available in a dentist’s office.
  • Finally, in many areas, mall whitening is actually illegal because it is considered the practice of dentistry without a license. Mall kiosks skirt this problem by having customers insert the trays full of gel themselves—a practice that does not take the place of professional training, licensing, and regulation.

A mall kiosk is a convenient place to select a new phone. Or try an unusual hair care product. Or purchase the latest in fad toys. But when it comes to your dental health, it’s worth a special trip to our Fairview Heights, IL office if you want the safest, most effective whitening.

What NOT to Eat after Wisdom Teeth Extraction

April 27th, 2022

Now that you’re having your wisdom teeth removed at our Fairview Heights, IL office, you’re probably looking forward to spending a few days on the couch with a cool dish of ice cream in hand. Good! Give yourself time to heal, and choose foods that will be soothing and safe for your mouth as you recover. We’ll provide you with detailed instructions on how to take care of yourself immediately after your surgery, and that includes suggesting the best menu options.

But while you’re making your post-wisdom teeth shopping list, there are several kinds of foods and beverages that should be crossed right off. If it’s small, spicy, sticky, or steamy, put it back on the shelf. Spirits? Not this round. Drinks with straws? Absolutely not. Items like these can undermine your healing and recovery.

  • Small and Crunchy

Any small particles, such as seeds or grains, or items like cookies, crackers, nuts, and popcorn which turn into small particles, can wind up lodged in the surgical site where your tooth was removed. These particles can also interfere with the blood clot that forms to protect the socket as it heals. If the clot is dislodged, there is a chance that a painful condition called “dry socket” can develop.

  • Spicy

Spicy and acidic foods can irritate delicate gum tissue. It’s best to wait until your gums are back to normal before uncapping the hot sauce.

  • Sticky

Sticky, crunchy, and chewy foods can be hard on the extraction site, so stick to a soft diet until you have healed. Now is the time to try all the pudding flavors!

  • Steamy

Piping hot foods and drinks can interfere with the protective clot—ask us about the best time to resume your morning coffee.

  • Spirits

Mixing pain medication and alcohol can be dangerous. Talk to Drs. Rottschalk, Acker, and Froidcoeur about possible interactions. And some studies have suggested that alcohol use slows healing, so even without pain medication, it could be a good idea to wait until you are healed to toast your beautiful smile.

  • Straws

And last, but by no means least, leave the straws in their little paper wrappers! Any kind of suction brings a real risk of dislodging the protective blood clot that has formed at the surgical site. Milkshakes are delicious, but eat them with a spoon. (And please, no cigarettes!)

Follow our suggestions for a soothing, safe diet, and you will be enjoying your regular menu favorites in no time. So rest, relax, eat sensibly, and enjoy that second bowl of ice cream. Doctor’s orders!

Taking Charge of Your Dental Health

April 20th, 2022

Now that you’re a teenager, you have a lot more responsibility and independence. Choosing high school classes and electives. Getting a driver’s license. Landing your first job. And those new responsibilities extend to your dental health as well.

  • Mouthguards

If you have a mouthguard for sports or athletic activities, wear it! Whether you have an over-the-counter device or a custom fabricated guard, it won’t do you any good hiding in your locker. A mouthguard cuts down on tooth and facial injuries caused by falls, physical contact, or other accidents that might happen in your active life. And if you wear braces, ask about a mouthguard designed to fit around them. These custom devices protect your braces and your mouth.

  • Gum Health

Part of adolescence is adapting to all the changes your body is going through. But an increased chance of gingivitis, perhaps caused by hormonal changes, is not something you want to adapt to. You might suspect you have gingivitis, or early gum disease, if your gums are swollen, red, bleeding, or easily irritated. Let us know about your concerns. With proper dental care (brushing, flossing, cutting down on sugars and carbs), your gums will be healthy again in no time.

  • Wisdom Teeth

Your teen years might be the time that your wisdom teeth make their appearance. We could discover them at one of your visits, or you may suddenly notice new teeth emerging behind your molars. If there’s room for your wisdom teeth and they are erupting (coming in) without problems, you might be good to go. But if there’s no room, or if you have pain or infection, or if they are causing damage to the teeth next to them, extraction might be necessary. Talk to us about all your options.

  • Tobacco

You’re making decisions now that will affect the rest of your life. Don’t start using tobacco products, or if you’ve started, stop before it becomes even more addicting. Quitting tobacco is one of the best decisions you will make for your health—and this includes your dental health. Studies have shown that smokers and other tobacco users suffer much higher rates of oral cancer, serious gum disease, and early tooth loss. Set yourself up for decades of better health!

Finally, remember that sticking with your dental routine—two minutes of brushing morning and night and thorough flossing each day—will keep your gums and teeth healthy throughout your teen years. And, if you have any questions about your dental health in general, or a specific dental concern, give our Fairview Heights, IL office a call! We’re here to work with you for a lifetime of beautiful smiles.

Antibiotic Prophylaxis or Premedication

April 13th, 2022

In years past, it was often recommended that dental patients who had a history of heart problems or other conditions, such as joint implants, be given antibiotics before any dental work. This pre-treatment is called prophylaxis, based on the Greek words for “protecting beforehand.” Why would Drs. Rottschalk, Acker, and Froidcoeur suggest this protection? It has to do with possible effects of oral bacteria on the rest of the body.

Our bodies are home to bacteria which are common in our mouths, but which can be dangerous elsewhere. If these oral bacteria get into the bloodstream, they can collect around the heart valve, the heart lining, or blood vessels. A rare, but often extremely serious, infection called infective endocarditis can result.

It is no longer recommended that every patient with a heart condition take antibiotics before dental procedures. Doctors worry about adverse effects from antibiotics or, more generally, that an overuse of antibiotics in the general population will lead to more strains of antibiotic-resistant bacteria.

There are some patients, however, who are at a higher risk of developing infective endocarditis, and who should always use preventative antibiotics. Generally, premedication is advised if you have one of these risk factors:

  • A history of infective endocarditis
  • Certain congenital heart conditions (heart conditions present since birth)
  • An artificial heart valve
  • A heart transplant

Your cardiologist will know if prophylaxis is advisable, and if you are taking any drugs which could interact with antibiotics. Always talk to your doctor about any dental procedures you are planning, particularly if they are invasive procedures such as gum surgery or extractions.

If you believe you would benefit from antibiotics before dental treatment at our Fairview Heights, IL office, the most important first step is to talk with your doctors. We are trained to know which pre-existing health conditions call for prophylaxis, which dental procedures require them, which antibiotics to use, and when to take them. Tell us about any health conditions you have, especially cardiac or vascular issues, and any medication allergies. Working with you and your doctor to protect your health is our first priority, and having a complete picture of your medical health will let us know if antibiotic prophylaxis is right for you.

Diabetes and Dental Care

April 6th, 2022

Diabetes is a disease that affects the health of the entire body, including, of course, your mouth, gums, and teeth. We are trained to look for issues that might arise in our patients with diabetes, and are eager to help you maintain your dental health. What do we consider in order to give you the best treatment?

Your Teeth

Dry mouth can be a problem for diabetic patients, whether caused by blood sugar levels or medication, and this condition can lead to tooth decay. When we produce saliva, it not only helps wash away sugar in our mouths, it also helps remove the acids sugars produce which attack our enamel and lead to cavities.

Your Gums

People with diabetes are at higher risk for gum disease. With diabetes, the body is more susceptible to infection and finds it harder to fight bacteria. Early gum disease, called gingivitis, is inflammation caused by the body’s reaction to bacteria. Periodontitis, serious gum disease, leads to infections that can cause bone and tooth loss.

Other Oral Concerns

Dry mouth can lead to mouth ulcers, oral thrush, sores, and infections. And oral infections of any kind can be slower to heal when you have diabetes. We will give careful attention to any concerns you might have for your oral health, and will work with you to prevent any future problems.

Preventive dental care is important for all our patients, and we have special suggestions for you to help maintain your dental health and reduce the possibility of dental complications. Diabetes can lead to oral problems, and oral infections can in turn cause problems with controlling blood sugar, so a healthy mouth can lead to better health in general.

  • Home Care

If dry mouth is a problem, talk to us about possible causes and treatments. Hydrate throughout the day, and avoid foods or beverages that lead to dehydration. Talk to us about the best products for use at home to prevent dry mouth.

Brush and floss after meals to reduce the presence of harmful bacteria and prevent the plaque buildup that leads to gum disease.

Above all, monitor your blood sugar carefully to ensure your body is at its best when combatting infection or when healing.

  • Professional Dental Care

Be sure to visit our Fairview Heights, IL office at least twice a year for a full examination and a professional cleaning. We can reduce the plaque that leads to gingivitis and more serious periodontal infection. We can monitor your oral health and recommend solutions for problems such as dry mouth. We will make your appointments based on what is best for your schedule. If any type of oral surgery is needed, we will schedule it with an understanding of the importance of healthy blood sugar levels for healing and recovery.

It’s important to make Drs. Rottschalk, Acker, and Froidcoeur part of your health support system. If you have diabetes, let us know. We will work with you to monitor the well-being of your teeth and gums and to suggest ways to promote your overall oral health. Let’s work together for healthy, happy smiles!

Building Blocks for a Healthy Grown-Up Smile

March 30th, 2022

Even before a baby is born, those tiny baby teeth are already forming. Expectant mothers can help ensure that their children’s baby teeth will be strong and healthy by getting the recommended amounts of proteins, vitamins, and minerals in their prenatal diets.

But a mother can’t “eat for two” to make sure her child’s adult teeth are healthy—children’s permanent teeth begin real growth and development only after birth. What can we do to encourage strong permanent teeth as our children grow and develop? Here are four important building blocks parents can use to lay a healthy foundation for their children’s grown-up smiles.

Serve a Tooth-Healthy Diet

The same vitamins and minerals that help create baby teeth are essential for creating healthy adult teeth. Tooth enamel, the hardest substance in the body, is almost completely made up of calcium phosphate minerals.  A diet which provides the recommended amounts of calcium and phosphorus helps your child’s body grow strong enamel. And don’t forget vitamin D, which our bodies need to absorb calcium and phosphorus.

A tooth-healthy diet should include several servings of foods which provide calcium, such as dairy products (milk, yogurt, cheese), dark leafy vegetables, and fortified juices, cereals and tofu. Phosphorus can be found in proteins like meat, fish, and poultry, as well as beans, nuts, dairy, and whole grains. Egg yolks and fatty fish are natural sources of vitamin D, and it’s easily available in fortified foods such as cow’s milk, soy milk, cereals, and orange juice.

Use the Right Amount of Fluoride

Fluoride is called “Nature’s cavity fighter” for a reason. Fluoride reduces the risk of cavities and helps strengthen tooth enamel. Drs. Rottschalk, Acker, and Froidcoeur can offer invaluable advice on when to start and how to use fluoride toothpaste to protect your child’s baby teeth and developing adult teeth.

Can there be too much of this good thing? While fluoride is a safe and effective way to protect teeth in normal, recommended amounts, too much fluoride can lead to fluorosis. This condition can cause cosmetic changes in the enamel of permanent teeth, from almost invisible lighter spots to darker spots and streaking.

How to make sure your child gets the right amount of fluoride?

For children under the age of three, use a dab of toothpaste no larger than a grain of rice. Ask Drs. Rottschalk, Acker, and Froidcoeur if fluoride toothpaste is recommended.

Young children can’t always understand the idea of spitting and rinsing after brushing, so children between the ages of three and six should use only a pea-sized dab of fluoride toothpaste, and need you there to make sure they spit and rinse afterward.

Ask us about local water fluoride levels if you have any concerns about using tap water for drinking or for mixing formula, keep fluoride toothpastes and other products out of the reach of children, monitor your children while they brush, and always check with us before giving your child a fluoride rinse or supplement.

Help Your Child Retire Harmful Thumb Sucking and Pacifier Habits

Your child might self-comfort with the help of a pacifier or thumb sucking, which can be a valuable soothing habit. But it’s important to talk to Drs. Rottschalk, Acker, and Froidcoeur to see just how long this soothing habit should last. Around the age of four, aggressive thumb or pacifier sucking can lead to problems for permanent teeth.

Vigorous sucking can cause protruding upper front teeth. Aggressive sucking can lead to changes in the shape of your child’s palate and jaw. Open bite malocclusions, where the upper and lower teeth are unable to meet, and overbites, where the upper teeth overlap the lower teeth more than they should, can also be the result of lengthy and forceful thumb sucking.

Take Care of Baby Teeth

Baby teeth are important! They bite and chew food, and they work with the tongue to help your child learn to pronounce words properly. And there’s one more important reason to make sure primary teeth stay healthy: they serve as the place holders which guide permanent teeth into their proper spots.

When a baby tooth is lost too early, due to decay or injury, the teeth on either side can drift into the empty space, preventing a permanent tooth from erupting where it needs to. Any misalignment or crowding which results may require orthodontic treatment in the future.

Call our Fairview Heights, IL office if your child unexpectedly loses a baby tooth. There may be no cause for concern, or, if there’s a potential problem, an appliance called a “space maintainer,” which keeps the baby teeth from shifting out of place, can be fabricated especially for your child.

Your child’s adult teeth are being formed now. Work with us to make sure the building blocks of present and future dental health are in place. You’re giving your child the foundation for a lifetime of beautiful, grown-up smiles!

What are the benefits of visiting a dentist regularly?

March 23rd, 2022

Your regularly scheduled dental checkups with Drs. Rottschalk, Acker, and Froidcoeur are not just meant to make your smile prettier and healthier. Your mouth’s health has an important impact on your overall physical health as well!

While you may brush your teeth twice a day and even floss, we would like to remind you that dental checkups with Drs. Rottschalk, Acker, and Froidcoeur every six months aren’t just about addressing problems and reacting, they are about cavity and gum disease prevention.

In addition to a twice yearly thorough teeth cleaning and polishing at Dr. John Rottschalk Dental Group, these regular visits help us detect and prevent the onset of tooth decay and gum disease. During your visit, we’ll check the health of your mouth, teeth, gums, cheeks, and tongue. We’ll also check old fillings and restorations, as these can wear away over time from constant chewing, grinding, or clenching.

It’s important to know that the majority of dental problems do not become visible or painful until they are highly advanced. And, unfortunately, serious oral issues are painful and expensive to treat.

While Drs. Rottschalk, Acker, and Froidcoeur and our team always strive to provide unmatched dental care for you and your family, we are also committed to your overall wellness as well! A deep cleaning twice a year is the best way to prevent any problems that may have gone unseen. If you are overdue for your next cleaning, please give us a call to schedule an appointment at our Fairview Heights, IL office!

Which whitening is right for you?

March 16th, 2022

Many of our patients at Dr. John Rottschalk Dental Group have been asking us about brightening their teeth lately, and today we thought we would discuss the options available to you to put the sparkle back in your smile!

Over-the-counter products – You’ve probably seen over-the-counter whiteners such as whitening strips on store shelves. While whitening strips may work for some, they do have certain restrictions. For example, they are not nearly as effective when crowns or fillings are involved. Teeth that are stained gray instead of brown or yellow typically don’t respond as well to these types of whiteners. Whitening strips typically save you money but take longer to work and also require discipline on your part to keep them in place for the right amount of time each day.

Whitening at our office – This type of whitening can be done right at Dr. John Rottschalk Dental Group. A whitening agent is applied directly to teeth and a special light helps accelerate the whitening process. This may be accomplished in one session or take several appointments. You should expect to spend anywhere from 30 to 60 minutes at each session. If you have a mix of natural teeth and fillings or crowns, Drs. Rottschalk, Acker, and Froidcoeur may recommend bonding or veneers on your natural teeth instead of regular bleaching. Teeth whitening at our office can be used to correct many tooth discolorations which may have been caused by staining, aging, or chemical damage to teeth. Using the latest in whitening technology, we can offer a safe method for creating the beautiful smile you've always wanted.

At-home whitening – If you choose this option, Drs. Rottschalk, Acker, and Froidcoeur will take a mold of your teeth and create a custom-fit whitening tray. Gel whitening solution is poured in the mouthguard-like tray, and the tray is worn for a pre-determined amount of time, generally from a couple of hours a day to every day during the night, until you’re back in our office for an evaluation.

Give us a call at our convenient Fairview Heights, IL office to schedule an appointment! Whiter teeth are one just one visit away at Dr. John Rottschalk Dental Group!

Is a Loose Tooth a Lost Tooth? Not Necessarily!

March 9th, 2022

When we were small, a loose tooth wasn’t a reason to be worried. On the contrary! It was a time to celebrate: A permanent tooth on the way. A sign that you were growing up. Perhaps even a lucrative visit from the Tooth Fairy. Losing a baby tooth had quite a few benefits.

Now that we’re grown, no such benefits are in store for us, because a lost adult tooth is gone for good. That’s why any time you notice a loose tooth you need to call Drs. Rottschalk, Acker, and Froidcoeur immediately. With prompt dental care, that tooth might be saved.

But first, a word about how our teeth stay firmly rooted in the jaw.

  • The visible part (crown) of a tooth is protected by a layer of enamel. The root below is covered with a protective layer called cementum.
  • There is a socket for each tooth in the alveolar bone of the jaw, where each root is firmly attached within the socket by the periodontal ligament which surrounds it.
  • This ligament is made up of connective tissue, which attaches both to the cementum covering the root and to the alveolar bone. It not only holds the tooth in place, it cushions the tooth from the daily pressure of biting and chewing.
  • The gums surround the teeth and bone, protecting them from bacteria.

If the tooth, bone, ligament, or gums suffer damage, the result can be a loose tooth.

Treating a Loose Tooth

The treatment you receive will depend on the reason your tooth is loose. There are many situations which can lead to a loose tooth or teeth, and many treatment options available to you. Some of the common causes and potential treatments include:

  • Accident or Trauma

If you have suffered a tooth or jaw injury as a result of an accident or trauma, it’s very important to see your dentist or doctor immediately. You should be carefully examined to determine whether there is damage to other teeth or the jaw. Serious tooth or jaw bone injury might require treatment by an oral surgeon.

In some cases of damage to the periodontal ligament or tooth, even if your tooth is loose or extruded (partially out of its socket), it can be stabilized in place so that the ligament and tissue around it has time to heal.

We’ll make sure the root, nerves, and blood vessels are still intact, position the tooth back in its socket, and then anchor it to the adjacent teeth with a flexible splint for several weeks. In the case of an alveolar or a root fracture, a rigid splint may be used.

Splinting gives the periodontal ligament and bone surrounding it time to heal while keeping your injured tooth from further displacement.

  • Bite problems & Bruxism

Your teeth are designed to withstand a lot of pressure—in fact, in some ways, pressure is essential for healthy teeth and bone. The normal pressure of chewing and biting stimulates bone tissue in the jaw. When a tooth is lost, that stimulation is gone and the result is gradual bone loss in the area underneath the lost tooth.

But sometimes, the pressure exerted by a malocclusion (bad bite) or bruxism (tooth grinding) is too forceful. The connective tissue which holds the teeth in place is damaged by these forces, and loose teeth can be the result.

If you have a serious malocclusion, an orthodontist can provide the relief you need with braces or aligners. If your bite problem is caused by a tooth or teeth which are a bit too high, the enamel can be carefully contoured and reshaped. In some cases, splints, either temporary or permanent, can also be used to stabilize several adjacent teeth so that any biting or chewing force is spread over the section as a whole.

If you grind your teeth, a night guard can be custom fitted to provide relief from the pressures and impact of tooth clenching and grinding. This special kind of mouth guard is known as an occlusal splint.

  • Osteoporosis

Osteoporosis causes a loss of bone density throughout the body. Studies suggest that this disease can affect bone in the jaw, leading to weaker bone and looser teeth. Your physician will provide your best medical alternatives, and be sure to let us now if you are taking medication for osteoporosis before we plan your dental treatment.

  • Periodontal Disease

Gum disease is one of the major causes of loose—and lost—teeth. Early gum disease, called gingivitis, should be treated promptly to avoid a more serious condition called periodontitis. Periodontitis can cause the gums to pull away from the teeth, creating pockets for bacterial growth and infection. Left untreated, this infection results in connective tissue and bone loss.

If you have serious gum disease, we might suggest a visit to a periodontist, a specialist trained in the treatment of the gums, periodontal ligaments, and bone surrounding the teeth. Deep cleaning procedures such as scaling and root planing, topical and oral antibiotics, and oral surgeries such as flap surgery or bone and tissue grafting can help reverse the effects of periodontitis. Bone loss cannot be reversed, but a graft can replace lost bone and allow healthy tissue to regenerate.

  • Pregnancy

Hormonal changes can cause the ligaments and bone around your teeth to loosen, which can lead to loose teeth. While this might be an alarming development, it’s generally a temporary condition. Talk to us about how to take care of your teeth and gums during your pregnancy.

Hormonal changes can also make your gums more vulnerable to irritation and infection. In fact, swollen and tender gums are often one of the first signs of pregnancy. That’s another reason it’s very important to keep up with dental hygiene during pregnancy. If your gums are red, swollen, bleeding, or tender, give us a call. A periodontist can be especially helpful if gum problems persist.

What to do if you have a loose tooth

  • Call us immediately. Timely professional care can mean the difference between saving your tooth and losing it.
  • Avoid wiggling the tooth. This could loosen it further.
  • Protect your loose tooth. Eat soft foods, and try not to chew near the affected area. And while a liquid diet might sound like a good idea, no straws, please. Straws require suction, which can further dislodge your tooth.
  • Keep the area clean, gently.

What to do if a tooth can’t be saved

Baby teeth become loose and fall out because the permanent teeth coming in erode the smaller roots holding them in place. That’s why it’s so easy for parents to help their child’s wiggly baby tooth find its way from mouth to Tooth Fairy.

Adult roots, however, involve alveolar bone, ligaments, blood vessels, and nerves, so an extraction really needs to be done by a professional. We will also examine you carefully to discover the reason for the tooth loss, and to prevent further damage with additional treatment as needed.

Finally, if you do lose a permanent tooth, there is still much that can be done to restore your smile. Modern implants are almost indistinguishable from natural teeth, and, what’s more, they function just like natural teeth to stimulate the bone beneath them.

If you have any worries about your teeth, contact our Fairview Heights, IL office. A loose tooth is never a cause for celebration, but, with proper dental care, a loose tooth doesn’t always lead to a lost tooth. Restoring a firm bite and a heathy, confident smile? That’s a reason to celebrate!

What to Look for when Choosing a Mouthwash

March 2nd, 2022

Mouthwash is important for more than just keeping your breath fresh and smelling great. Combined with other forms of dental hygiene, it can help prevent plaque, cavities, gingivitis, and other gum diseases. But it may be difficult for you to choose the right mouthwash off the shelf. Drs. Rottschalk, Acker, and Froidcoeur and our team at Dr. John Rottschalk Dental Group wanted to share a few things to look for when choosing a mouthwash.

Fluoride mouthwashes

Fluoride has been the subject of many debates in the oral health community. If you live in the United States, the tap water already contains small amounts of fluoride to promote dental health. You may not need to use a fluoride mouthwash if this is the case. However, if you are cavity-prone, fluoride creates a protective film over the teeth that protects against these buildups. It also helps strengthen the enamel over the teeth, maintain good dental hygiene, and keep your teeth strong for the rest of your life.

Alcohol mouthwashes

Alcohol in mouthwash works as an antiseptic: it clears the mouth of germs and some viral infections. However, if you have issues relating to dry mouth, alcohol can exacerbate the problem. If this is the case, consider using an alcohol-free mouthwash. This will free your mouth from the drying effects of the alcohol base. Also, if you have children, you will want to get an alcohol-free children’s mouthwash, because kids are prone to swallowing the substance, and this can lead to toxic side effects. Even if you are an adult using the mouthwash, if it contains alcohol, you should avoid swallowing it.

Antibacterial mouthwashes

Antibacterial mouthwashes have chemicals to help fight gum disease and other infections. Most mouthwash products contain at least trace amounts of these antibacterials; however, some mouthwashes are made specifically to fight bacterial infections. Remember that mouthwash is prevention, not a cure, so if you are presently suffering from a bacterial infection, you should visit our Fairview Heights, IL office right away. Drs. Rottschalk, Acker, and Froidcoeur may be able to recommend a more powerful antibacterial mouthwash that can help you reduce your pain and other symptoms.

Non-Nutritive Sucking Behavior

February 23rd, 2022

“Non-nutritive sucking behavior”? That’s a mouthful—literally! This term describes behaviors such as thumb sucking and pacifier use, which are generally healthy, self-soothing activities for infants and toddlers. But, if followed too long, this comforting habit can have uncomfortable consequences for your child’s dental health.

When children are nursed or bottle-fed, placing a nipple in the mouth helps trigger the sucking reflex, enabling the flow of milk or formula. This is called nutritive sucking, because nourishment is the goal. The sucking reflex is so essential that it develops even before birth. And while the purpose of this reflex is nourishment, it provides other benefits as well.

For small children, sucking can be a comfort mechanism to help them cope with stressful situations and calm themselves. That’s why you often see your child sucking on a pacifier, toy, thumb, or fingers when feeling overwhelmed or tired. Non-nutritive sucking behavior, or NNSB, refers to these habits: sucking without nutritional benefit.

Such habits are extremely common in young children. Most children stop sucking their thumbs or pacifiers between the ages of two and four, and often even earlier. But if your child hasn’t, it’s a good idea to talk to Drs. Rottschalk, Acker, and Froidcoeur about easing your child away from this familiar habit before the permanent teeth start to arrive.

Why? Because when sucking behavior lasts too long, it can have orthodontic consequences. Just as the gentle pressure of braces or aligners can help shift teeth and jaws into the proper alignment, the pressure from sucking thumb and pacifier can push growing teeth and jaws out of alignment.

  • Studies have shown a clear link between NNSB and malocclusions, or bite problems. These include overjets (protruding upper teeth), open bites (where the upper and lower teeth don’t make contact when biting down), and crossbites (where one or more upper fit teeth inside lower teeth).
  • As young bones are still growing, prolonged, vigorous sucking can affect the shape and size of a child’s palate and jaw.
  • When the teeth are pushed out of alignment, difficulties with pronunciation, such as lisps, can develop.

Sucking habits can be difficult to give up. If your child is still self-comforting with the help of thumb or pacifier past age three, and certainly if you’ve noticed any changes in teeth or speech, there are several gentle, positive steps you can take to protect your child’s dental health.

  • Talk to Drs. Rottschalk, Acker, and Froidcoeur about strategies for weaning your child from pacifier and thumb, as well as possible comforting substitutes. Your healthcare team can offer suggestions for making this transition as easy as possible for your child—and for you!
  • Discuss recommendations you’ve found in books or online which might be a good match for your child’s personality. Whatever you decide on, whether it’s a gradual phasing out, small rewards, a goals chart, or any other method, use positive reinforcement and plenty of encouragement.
  • Set easy goals at the beginning, such as going thumb-free while playing a game, or enjoying a favorite video, or any stress-free activity, to give your child a feeling of accomplishment to build on.
  • Be proactive with orthodontic health. One good idea is to schedule an orthodontic visit when your child is around the age of seven—or earlier if you notice problems with tooth alignment, speech, or bite.

Thumb sucking and pacifier use can be important, instinctive sources of comfort for very young children. And, of course, NNSB is not the only cause of childhood malocclusions. Many bite problems are genetically based and/or affected by the size and shape of your child’s teeth and jaws.

But eliminating the preventable oral health problems caused by prolonged non-nutritive sucking behaviors—that’s an opportunity we can’t afford to pass up. After all, wanting to ensure healthy, confident smiles for our children is instinctive parental behavior!

Just What Is a Cavity, Anyway?

February 16th, 2022

The grownups in your life encourage you to brush and floss, eat healthy foods, and visit us in the dental office for exams and cleanings. Why? Because we all want to help you prevent cavities.

So you might be wondering, just what are cavities? How do we get them? What do they do to our teeth? How can we prevent them? Let’s talk!

Our teeth need to be strong to bite and chew. That’s why they are protected by a coating called enamel, which is made up of very hard minerals. Enamel is the strongest part of our bodies—stronger even than our bones. But this doesn’t mean nothing can hurt it! And cavities, also called tooth decay, are one of the most common dangers facing our enamel.

So, what are cavities?

A cavity is a hole in your tooth enamel. If your tooth is not cleaned and repaired when a cavity is small, this hole can grow bigger until tooth decay reaches the inside of your tooth. Enamel doesn’t heal when it’s damaged, so you need to see a dentist to make your tooth healthy again.

How do we get cavities?

Bacteria are tiny little germs. Many kinds of bacteria live in our bodies, and some of them are quite helpful. The bacteria that cause cavities are not. These unhelpful bacteria join with our saliva and very small pieces of the food we’ve chewed to make a sticky film called plaque.

Like other living things, the bacteria in plaque need food. They get that food from the foods we eat, especially sugars and starches. As they eat, they change these sugars and starches into acids, and these acids attack the minerals that keep enamel hard and strong.

Because plaque sticks to our teeth, bacterial acids are able to make weak spots in enamel if the plaque isn’t brushed away. If you see a white spot on your tooth, which could mean that your enamel is losing minerals, and getting weaker.

What do cavities do to our teeth?

Over time, weak spots can grow bigger until there’s a hole in the enamel surface. If the cavity in your enamel is small, you might not notice it at first. But cavities can become wider and deeper, and even break through enamel to reach the inside of your tooth.

The inside of each tooth holds pulp, the part of your tooth that keeps it healthy. If tooth decay spreads to the pulp, it can cause more damage and infection, so it’s important to treat a cavity right away.

Dark spots on your enamel, a toothache, pain when you drink something hot or cold or when you bite down—these can be clues that you have a cavity, and you should visit us for an exam.

How can you prevent cavities?

Even better than treating a cavity is preventing one. Let’s make a list of some helpful do’s and don’ts for cavity prevention:

  • Do: Feed yourself foods that are good for you.

Foods like milk and cheese and many dark green vegetables have lots of calcium and vitamin D to help keep your enamel strong.

  • Don’t: Feed bacteria foods that are good for them.

Sugar and simple starches like potato chips are the kinds of foods bacteria like best, because they are easy to break down. This means more acids to attack your enamel.

This doesn’t mean you should never enjoy a treat! But eating lots of starchy snacks and drinking sugary sodas means more plaque, and more plaque can mean more cavities. If you’re eating something starchy or sweet, it’s a good idea to brush or rinse afterward.

  • Do: Brush at least twice a day, for at least two minutes, with fluoride toothpaste.

This is the best way to get rid of plaque, which builds up every day. And fluoride toothpaste even helps make your enamel stronger.

  • Don’t: Forget to floss.

Flossing takes a while to learn to do well, but it’s very important. Flossing helps prevent cavities between the teeth and near the gums.

  • Do: Visit our Fairview Heights, IL office for exams and cleanings.

Not only will we look for cavities, we’ll let you know the best way to brush and floss so you can get your teeth their cleanest. We even have special coatings called sealants that can protect your teeth from plaque.

  • Don’t: Feel bad if you get a cavity!

Some people are more likely to get cavities than others, even when they brush just right and eat healthy foods. If you have a cavity, we can remove decay and repair your tooth with a filling.

And one last thing to do: talk to Drs. Rottschalk, Acker, and Froidcoeur if you have any questions about the best ways to protect your teeth from cavities. We have lots of suggestions to help you take care of your healthy, beautiful smile!

What’s in Your Backpack?

February 9th, 2022

Hiking is a great way to appreciate the beauty of nature, to get away from the stresses of daily life, and, of course, to challenge yourself physically. While you’re packing away your sunscreen and your first aid kit, do your body another favor—take a minute to include some lightweight, dental-friendly items.

  • Snacks

When you’re exerting yourself, snacks that provide quick energy on the go are a must. Granola, trail mix, energy bars, candy, dried fruit—these are the foods we think of as trail food, and we generally get that quick energy boost from the sugars and starches they contain. As it happens, Drs. Rottschalk, Acker, and Froidcoeur and our team strongly recommend you pick snack options other than sugary and starchy foods. Why? Because many sugars and starches provide oral bacteria the food they need to produce acids. These acids weaken enamel and damage our teeth. And these common trail foods often have the added “bonus” of sticking to the teeth, leaving acids even more opportunity to attack. Don’t give up the energy boost you need for a safe hike, but do yourself and your teeth a favor and look for the healthiest granola, energy bars, and gorp out there.

Other suggestions for trail treats that are also a treat for teeth? If you need a chocolate pick-me-up, try dark chocolate. Dark chocolate has more caffeine that milk chocolate and less sugar. (It has other health benefits as well that you might want to look up after your hike.) If you like nuts and seeds, take softer nuts, or sliced nuts—a good source of energy and not likely to provide as much stress on your teeth when you’re in the field. (Shell them beforehand—don’t ever use your teeth as a nutcracker!) Similarly, if you take seeds, leave the shells at home. If you like crackers, try whole grains. Looking for protein? How about a tuna pouch instead of chewy beef jerky?

  • Hydrate

Water is always the go-to beverage. Pre-hydrate even before setting out, and have plenty on hand for your trek. Many hiking sources suggest two cups of fluids per hour of activity. (And in hot or humid weather or at high altitudes, you could need even more.) There are actually hiking water calculators online, which can give you a good estimate on how much you’ll need for your trip, taking into account your age, weight, level of activity, and other factors. Because water can get heavy, plan a lengthy hike around the availability of fountains or other clean water sources if necessary.

What if you feel the need for more than water? If you are getting a good workout, you’re probably losing electrolytes. Generally, sports drinks aren’t on the dental menu. They tend to be loaded with sugar and carbs—good for energy, bad for teeth. Sports drinks can be as acidic and hard on your enamel as sodas. But if you need those electrolytes on a long hike, don’t feel guilty. There are many options—choose the healthiest one for you and your workout level.

  • Be prepared!

While you are probably already packing a mini-first aid kit for long hikes, think about a lightweight dental emergency kit as well. These are readily available online and in outdoors stores, and usually contain supplies like cotton balls, dental floss, oral pain relievers, even temporary fillings, in a lightweight bag.

And once your hike is done? Rehydrate, and don’t forget to treat your teeth to a good brushing and flossing when you get home.

Got all that? Great! Now, go take a hike!

Clean Toothbrush/Healthy Toothbrush

February 2nd, 2022

We’ve all learned a lot about keeping healthy lately. Thorough hand washing, disinfecting cell phones and keyboards, wiping down shopping carts and door handles—all these low-maintenance cleaning habits can have a high impact on our health.

So, in that spirit, let’s talk about low maintenance cleaning routines for something you put in your mouth at least twice a day—your toothbrush.

Brushing Habits

Don’t let germs hitch a ride on your toothbrush before you even begin! Make sure your hands are clean before brushing, and rinse off your toothbrush before you put it in your mouth.

After brushing, be sure to rinse your brush carefully to get rid of leftover toothpaste, food particles, and other debris. And don’t forget to clean your toothbrush holder regularly. Talk to Drs. Rottschalk, Acker, and Froidcoeur or your hygienist when you visit our Fairview Heights, IL office for suggestions for deep cleaning brushes to eliminate bacteria if that’s a concern.

And while we’re talking about germs, how about…

  • Flushing Habits

Most toothbrushes share their living space with another bathroom essential—the toilet. Every time we flush, microscopic particles are propelled through the air. And while no definitive relationship has been shown between flushing and disease transmission, closing the toilet lid before flushing is an easy way to reduce unpleasant particle transmission—and reduce the possible risk of toothbrush contamination.

  • Airing? Yes!

Keeping a toothbrush in a dark, moist environment is the perfect setting for bacterial growth. Instead, let your toothbrush air dry after use in an upright position. Give it a shake first for a head start on the drying process.

  • Sharing? No

We’re not talking about sharing a brush, which you would never do. We’re talking about sharing toothbrush holders. If your brush touches other brushes, you’re probably sharing germs as well as space, which can be especially problematic if someone in the house has immune concerns. Toothbrushes shouldn’t be too close to other toothbrushes, no matter how close you are to the other brush’s owner!

Finally, no matter how well you take care of your toothbrush, there comes a time when you must part with even the cleanest and best-maintained of brushes. After three or four months, bristles become frayed. This means you’re not getting the most effective plaque-removal from your brush. And to be on the safe side, consider retiring your toothbrush if you’ve been ill.

Dental self-care is a vital part of keeping yourself healthy, and a clean toothbrush is a simple way to support your oral health. High impact/low maintenance—win/win.

There’s an App for That!

January 19th, 2022

We live in a tech-savvy world, and dental professionals take advantage of it! Digital imaging, convenient record storage and sharing, even more comfortable denture design—these are just some of the ways dentists can use modern technology to make our time in the office more efficient and more effective.

And since modern software developers have given us a program for just about everything, it’s no surprise that you can find apps to help make your home dental care more convenient and perhaps even more effective, too. What can an app do for you?

  • Brushing and Flossing? Apply Yourself!

A big part of making your smile look its best is the care you take at home. This means keeping up with daily brushing and flossing, and using proper technique. Two minutes brushing, twice each day, and flossing at least once a day are the basic recommendations for preventing cavities and gum disease.

And to help you make sure you get a solid two minutes of brushing twice a day? Try an app that plays two minutes of your favorite music with a perfectly timed brushing playlist. Apps can also send you brushing and flossing reminders, let you know when it’s time to change your toothbrush (every three months, please!), and give you tips on better brushing and flossing techniques.

And for the kids in the house? There are apps just for children that use music and games to help teach them how—and how long—to brush, for an enjoyable and even educational brushing experience.

  • Keep Track of Your Appointments

Your dentist is your partner in preventative care. Regular examinations and professional cleanings at our Fairview Heights, IL office not only make sure problems are caught before they become serious, they can help prevent problems from developing in the first place.

There are many apps out there that are designed to help you keep your dental care on track with appointment reminders. This sounds pretty basic, but when you have work, school, volunteering, sports, and activities filling your days, it doesn’t hurt to get a timely reminder that Drs. Rottschalk, Acker, and Froidcoeur should be seeing you for a checkup and a cleaning in the near future.

  • Mapping Out Your Dental Care

Have an electric toothbrush? There just might be an app available designed to work especially with your model. These handy apps can let you know if you’re brushing long enough. They can alert you if you’re brushing too hard, which is not good for your enamel. Some apps can provide a map that lets you know just where you’ve brushed, in case you tend to neglect a few spots.

If you or a family member are thinking about orthodontic treatment, you’re in luck!

Not sure just how you’ll look in braces? Get a preview with an app that uses one of your selfies to model different types and styles of braces, brackets, bands, and aligners. Metal brackets? Ceramic? Elastic bands in your choice of colors? No bands at all? Hardly visible aligners? Find the look that works for you.

There are apps which can keep track of the hours you wear your aligners, or alert you to put on or replace your elastic bands if you wear traditional braces. Some apps even let you track your progress with selfies or “countdown” features.

  • When Problems Happen

There are apps which can help you with basic dental questions. Apps can let you know that symptoms like a discolored tooth mean you should give your dentist a call, or provide instructions for taking care of simple problems, such as applying wax to an irritating bracket. Always remember, though, an app is not a dentist, and can’t diagnose or suggest treatment. If you have a problem or concern, call us immediately.

  • Dentist Approved

If you’ve checked out the dental apps available for your operating system, you know that there are a lot of options out there. To help you find the best app for you and your family, talk to Drs. Rottschalk, Acker, and Froidcoeur.

We might know just the app for your specific dental needs, whether you’re looking to brush up on brushing techniques, organize your time more efficiently, manage your dental care, or simply make your family’s dental activities a little more fun. It’s a tech-savvy world—take advantage of it!

The Best Snacks for a Healthy Smile

January 12th, 2022

One of the most frequent questions that Drs. Rottschalk, Acker, and Froidcoeur and our team hear is about what kinds of snacks are best for a child’s dental health. Sugary snacks are inevitable sometimes, but it’s vital for you as a parent to monitor how frequently your child is eating the kinds of snacks that may give him or her a cavity or two down the line.

Unsurprisingly, the best snacks are healthy ones, though they may not always be the most appealing to your little ones. The good news is that healthy doesn’t mean you have to compromise on taste. Once your kids give these tasty snacks a go, they might become open to all things healthy!

  • Fresh veggies and hummus
  • Apple wedges with peanut butter
  • Low-fat yogurt with berries
  • Cubes of cheese and crackers
  • Hard-boiled eggs with a little bit of salt and pepper
  • Celery sticks with cream cheese and sunflower seeds
  • A homemade milkshake with low-fat milk (or almond milk), the fruit of their choice, chia seeds, and cinnamon
  • Lean proteins such as chicken breast, fish, and turkey

These snacks aren’t high in sugar but they contain all the nutrients your children need to have the necessary energy throughout the day.

This is only a sample of all the great, healthy snacks out there for your kids. For more ideas, ask us the next time you visit our Fairview Heights, IL office. It’s never too early to create healthy habits; they’re not only good for oral health, but overall health too. That’s a win-win, if you ask us.

Make this the Year You Stop Smoking

January 5th, 2022

It’s a new year, and it couldn’t come fast enough for many of us! Let’s do our part to make this a better year in every way—and you can start by making this the year you quit smoking once and for all.

You know that smoking is very damaging to your body. Smokers are more likely to suffer from lung disease, heart attacks, and strokes. You’re at greater risk for cancer, high blood pressure, blood clots, and blood vessel disorders. With far-reaching consequences like this, it’s no surprise that your oral health suffers when you smoke as well.

How does smoking affect your teeth and mouth?

  • Appearance

While this is possibly the least harmful side effect of smoking, it’s a very visible one. Tar and nicotine start staining teeth right away. After months and years of smoking, your teeth can take on an unappealing dark yellow, orange, or brown color. Tobacco staining might require professional whitening treatments because it penetrates the enamel over time.

  • Plaque and Tartar

Bacterial plaque and tartar cause cavities and gum disease, and smokers suffer from plaque and tartar buildup more than non-smokers do. Tartar, hardened plaque that can only be removed by a dental professional, is especially hard on delicate gum tissue.

  • Bad Breath

The chemicals in cigarettes linger on the surfaces of your mouth causing an unpleasant odor, but that’s not the only source of smoker’s breath. Smoking also dries out the mouth, and, without the normal flow of saliva to wash away food particles and bacteria, bad breath results. Another common cause of bad breath? Gum disease, which is also found more frequently among smokers.

  • Gum Disease

Smoking has been linked to greater numbers of harmful oral bacteria in the mouth and a greater risk of gingivitis (early gum disease). Periodontitis, or severe gum disease, is much more common among smokers, and can lead to bone and tooth loss. Unsurprisingly, tooth loss is also more common among smokers.  

  • Implant Failure

Tooth implants look and function like our original teeth, and are one of the best solutions for tooth loss. While implant failure isn’t common, it does occur significantly more often among smokers. Studies suggest that there are multiple factors at work, which may include a smoker’s bone quality and density, gum tissue affected by constricted blood vessels, and compromised healing.

  • Healing Ability

Smoking has been linked to weakened immune systems, so it’s harder to fight off an infection and to heal after an injury. Because smoking affects the immune system’s response to inflammation and infection, smokers suffering from gum disease don’t respond as well to treatment. Smokers experience a higher rate of root infections, and smoking also slows the healing process after oral surgeries or trauma.

  • Dry Socket

Smoking following a tooth extraction can cause a painful condition called “dry socket.” After extraction, a clot forms to protect the tooth socket. Just as this clot can be dislodged by sucking through a straw or spitting, it can also be dislodged by the force of inhaling and exhaling while smoking.

  • Oral Cancer

Research has shown again and again that smoking is the single most serious risk factor for oral cancer. Studies have also shown that you reduce your risk of oral cancer significantly when you quit smoking.

Quitting smoking is a major accomplishment that will improve your life on every level. It’s always a good idea to talk to Drs. Rottschalk, Acker, and Froidcoeur for strategies to help you achieve your wellness goals for the new year. Make this the year you stop smoking, and the year your health improves in countless ways because you did.

Resolving to Eat Better in the New Year

December 29th, 2021

It’s a new year, and a resolution found on many lists is learning to be more mindful about healthy food choices. You might have set some of these goals yourself. Gaining, losing, or maintaining your current weight. More fruits and veggies. Better proteins. Less sugar. Fewer carbs. You want to make this new year your healthiest year yet.

And while you’re making your new and improved shopping list, don’t forget your oral health! Because while brushing and flossing are extremely important, your diet can also have very real benefits for your teeth and gums.

Stronger Teeth and Jaws

We often talk about teeth and bones together, and that’s natural. Calcium and phosphorus, as well as other minerals, make them the strongest parts of our bodies. When teeth lose mineral strength, they are more vulnerable to cavities, and bone loss in the jaw can cause loose or even lost teeth.

Making sure you get the recommended daily amount of the minerals and vitamins you need will help sustain and repair both teeth and bones. A diet rich in calcium, phosphorus, and vitamin D helps build strong bones and promotes bone density. While your teeth can’t create new enamel, minerals that are eroded by acids from plaque and acidic foods can be restored, or remineralized, with the calcium and phosphates in saliva.

  • Calcium

Strong teeth and bones need calcium. More than 99% of the calcium in our bodies is located in our teeth and bones. How to make sure we get enough?

Dairy products are the traditional answer. Several servings of milk, cheese, or yogurt each day supply most of our needs. If you can’t eat dairy, though, calcium is also found in other foods, such as salmon, sardines, many dark leafy vegetables, and fortified juices, tofu, and cereals.

  • Phosphorus

Calcium gets most of the attention when it comes to creating strong teeth and bones, but it’s not a solo act. We need phosphorus to make full use of the calcium in our diets.

Proteins like meat, fish, and poultry are good sources of phosphorus, as are beans, nuts, whole grains and dairy.

  • Vitamin D

Vitamin D is a diet essential because it enables us to absorb the calcium and phosphorus that keep teeth and bones strong.

Most dairy and many other foods are fortified with vitamin D, such as cow’s milk, soymilk, orange juice, and cereals. Egg yolks and fatty fish, such as salmon, tuna, and herring, are also a rich natural source of the vitamin.

Healthy Gums

Gum disease is more than just a nuisance. Left untreated, gingivitis (early gum disease) can become periodontitis (serious gum disease). Periodontitis can cause infection, loose teeth, and tooth and bone loss.

Brushing and flossing promote gum health and help prevent gum disease, but your diet plays an important role, too.  

  • Vitamin A

Vitamin A is essential for the health and healing of mucous membranes, including gum tissue and the soft membranes in the mouth.

You can get this vitamin directly from animal products such as dairy foods and meats, or it can be formed in the body from beta-carotenes. Think orange when you hit the produce aisle, because foods such as carrots, peppers, pumpkin, squash, and sweet potatoes are a rich source of beta-carotenes.

  • Vitamin C

Vitamin C is one of the so-called “essential nutrients.” These are the nutrients that are necessary for our bodies to function properly, and which can only be supplied in our diets. Vitamin C is vital for healthy gums and soft tissue—in fact, one sign that your diet is deficient in vitamin C is inflamed and bleeding gums.

Citrus fruits, those oranges, lemons, limes, grapefruit, and all their cousins, are a wonderful source of vitamin C, but you have many other flavorful options. Fruits such as kiwis, mangos, papayas, and strawberries are rich in vitamin C. Step over to the vegetable aisle to load up on red peppers, kale, cauliflower, Brussels sprouts, and broccoli—all of which contain more vitamin C per serving than a medium orange!

Fewer Cavities

Plaque thrives on a diet of sugar. Oral bacteria in plaque use the sugars in our food to produce acids. These acids erode enamel and eventually lead to cavities. Limiting your sugar consumption and choosing complex carbohydrates over simple carbs are two ways to reduce your risk of cavities.

  • Sugars

The usual suspects—candies, desserts, pastries, sodas—are sugar-filled items you’re familiar with. What might surprise you is the amount of sugar in sports drinks, fruit juices, flavored yogurts, breakfast cereals, and other standard grocery purchases. Checking labels for sugar content is a great way to cut down on unexpected sweeteners.

  • Carbs

The refined starches in white bread, white rice, potato chips, and other simpler carbohydrates quickly break down into sugars. This is the kind of nutrition only plaque appreciates.

Instead, fill your cart with complex carbohydrates, which contain important vitamins, minerals, and fiber. Found in foods like whole-grain breads and cereals, legumes, and many vegetables, complex carbs break down slowly for longer-lasting energy.

Of course, these suggestions don’t cover everything on your healthy dental shopping list. We could add magnesium for bone density, vitamin B to prevent oral irritation and inflammation, vitamin K for bone strength, and more. To find out the best options for your healthiest smile, talk to Drs. Rottschalk, Acker, and Froidcoeur or a member of our Fairview Heights, IL team about ideas for improving your daily diet.

Because besides leading to stronger teeth, healthier gums, and fewer cavities, a careful and conscious approach to your food choices has another wonderful benefit—a healthy dental diet is healthy for the rest of your body as well. Just something to be mindful of as we greet the new year!

Whitening Before Veneers—A Bright Idea?

December 22nd, 2021

It’s time. You’ve decided. You’re going to get veneers. Whether it’s to repair a cracked or chipped tooth, to cover discoloration brought on by a root canal or medical condition, to fill in gaps between teeth, or for any other cosmetic reason, veneers can give you back your natural, confident smile.

And now you have just one more decision to make: should you whiten your teeth beforehand?

Many dental professionals find that, for most of us, the best results occur with professional whitening before veneer placement. Why?

  • Your veneers will be carefully matched to the teeth surrounding them.

You don’t want your veneers to look anything but natural, and so Drs. Rottschalk, Acker, and Froidcoeur will make sure that their color is indistinguishable from your other teeth. But there is one important difference between tooth enamel and veneers:

  • Teeth are porous.

As hard as it is, enamel is still porous. And the fact that teeth are porous means that teeth can discolor over time. Coffee, tea, red wine, sodas, darkly hued fruits, and fruit juices—teeth readily absorb pigments from foods. And smoking?  Not only one of the worst habits for your health, it’s one of the major causes of tooth discoloration. This is the downside of having porous enamel.

The upside? The fact that enamel is porous also means that you can brighten your smile with a whitening procedure.

  • Veneers aren’t as porous.

Veneers are generally made of porcelain or a composite resin, with some key differences between them.

Porcelain has a translucent quality that looks like natural enamel, and it is very durable. Porcelain veneers are recommended when teeth have significant chips or gaps. They are also especially stain-resistant.

Composite veneers aren’t as expensive, and usually don’t need as much tooth structure removed to bond them to the tooth. They might not last as long as porcelain, and they aren’t quite as resistant to staining.

When you visit our Fairview Heights, IL office, we can discuss the pros and cons to find the perfect veneers for your needs. Just remember,

  • Once created, veneers can’t change color.

Veneer color should be considered permanent. If your porcelain veneers seem to have dimmed a bit, often a gentle professional polishing will bring them back to their original shine. Composite veneers, as well, can respond to polishing and cleaning. This is the upside of permanent veneer color.

The downside? Veneers can’t be whitened to match your newly whitened tooth enamel. If you decide to whiten your teeth at a later date, your veneers might appear darker than your surrounding teeth. If you want to change veneer color, you will need to replace your veneers. So . . .

Now that you’ve decided to transform your smile with veneers, take a little extra time to talk to your dentist. Find out if whitening makes sense for you for a perfect, uniform match between your other teeth and your veneers.  And then be ready to enjoy your matchless smile!

Keeping Your Teeth Strong and Healthy

December 15th, 2021

What is the strongest part of our bodies? Do you think it might be our bones, which help us move and protect our brains, hearts and other organs? Or could it be those tough fingernails and toenails that guard our fingertips and toes? Nope! You might be surprised to learn that the hardest thing in our bodies is the enamel which covers our teeth!

Our bones grow with us and can even knit back together in case we have a broken arm or leg. Our toenails grow more slowly, and our fingernails grow more quickly, so regularly trimming is required for both. But our enamel doesn’t grow or repair itself when it is damaged, so it needs to last us a lifetime. How can such a strong part of our bodies be damaged? And can we do anything to protect our teeth? Luckily, we can!

Prevent Chips and Cracks

You might be the fastest on your bike, or the highest scorer on your basketball team, or able to do the most amazing tricks on your skateboard. But even the strongest teeth can’t win against a paved road, or an elbow under the basket, or a cement skate park. If you’re physically active, talk to us about a mouthguard. This removable appliance fits closely around the teeth and can protect your teeth and jaw in case of accident. And protect your enamel even when you’re not being adventurous! Don’t bite down on ice cubes or hard candy, and save your pens and pencils for writing, not chewing.

Guard Your Teeth from Tooth Grinding

If you grind your teeth, you’re not alone! Many other young people do, too—mostly in their sleep. In fact, it might be a parent or sibling who lets you know you are grinding at night. But constant pressure on your enamel can lead to cracked enamel, sensitivity, and even worn down teeth. How can you protect them? Once again, a mouth guard can be a great solution. We can custom fit one to allow you to sleep comfortably while protecting your teeth.

Eat Healthy Foods & Brush Regularly

We all have bacteria in our mouths. Some are helpful, and some are not. The bacteria in plaque can change food products like sugar and starches into acids. These acids actually break down our enamel, which can lead to tooth sensitivity and decay. Making sugars and carbs a small part of your regular diet, and eating meals rich in proteins, vitamins, and minerals, will help stop acids from attacking your enamel. And careful brushing and flossing twice a day with a fluoride toothpaste can help keep those minerals in enamel from breaking down and even help restore them.

Your enamel is the strongest part of your body, and you can help it stay that way. Protect your teeth from accidents, let our Fairview Heights, IL team know if you or a parent suspect you are grinding your teeth, eat healthy foods, and keep up your regular brushing. And remember, we are here to help keep your family’s teeth and mouth their healthiest for your strongest, most beautiful smile.

How effective is whitening toothpaste?

December 8th, 2021

The American Dental Association encourages you to brush your teeth twice a day with fluoride toothpaste to prevent dental problems such as tooth decay, bad breath, sensitive teeth, and gingivitis.

Beyond these health effects, frequent brushing of your teeth with a high-quality toothpaste can keep your teeth white. If you desire a whiter smile without in-office bleaching at our Fairview Heights, IL office, use of a whitening toothpaste is a great option for you.

Why Consider Whitening Toothpaste

Whiter teeth are more attractive and can help you feel confident in your smile. Having a whiter smile and greater self-assurance can send the message that you take care of yourself and are confident in your abilities.

How Whitening Toothpaste Works

Although every toothpaste has whitening properties because they all help to remove food particles from your teeth, the American Dental Association says whitening toothpaste must contain certain chemicals that help remove stains.

Unlike bleaching products, which contain carbamide peroxide or hydrogen peroxide, whitening toothpaste only cleans the enamel rather than changing the color of your teeth. To obtain the benefits of whitening toothpaste, you need to use it regularly.

The Effectiveness of Whitening Toothpaste Varies

Due to individual variations in the color of your teeth, certain people are more likely than others to achieve the desired results with whitening. Teeth that are tinted grayish are unlikely to respond well to bleaching, while brown teeth may sometimes respond, and yellowish teeth are most likely to become pearly white in response to bleaching.

If Drs. Rottschalk, Acker, and Froidcoeur and our staff believe that bleaching is not a viable option for you, proper oral hygiene and the use of a whitening toothpaste are your best bets for keeping your teeth as white as possible. In addition, avoid using tobacco products, and rinse your mouth after drinking coffee.

Are dental X-rays safe?

December 1st, 2021

YES! X-rays have been used in dentistry for a long time, and the amount of radiation has significantly decreased with advances in technology. While there is risk in every health diagnostic procedure at Dr. John Rottschalk Dental Group, the benefits must outweigh the risks. Dental X-rays do indeed fall into this category.

X-rays are exposed to a type of film to produce an image. The amount of X-rays required to produce this image differs with film speeds. Speed E or F is highly recommended, and digital X-rays require up to 50% less than speed E or F film. The digital X-ray software can adjust the exposure to produce a quality image. Digital X-rays are becoming a new standard and are most common.

Lead aprons have been used to reduce the amount of scatter radiation. All X-ray units have a cone to focus the X-ray beam so the exposure is highly localized. Lead aprons continue to be worn as a precaution for pregnant women, and a thyroid collar should also be worn. In most cases, this is sewn into the lead apron.

We get radiation exposure from environmental factors as well as healthcare diagnostic and treatment tools. To place this in perspective, in one year a person is expected to have 360mRem per year from the sun, air etc. By comparison, a single set of bitewing X-rays is 0.3mRem. Radiation can accumulate in our body over a lifetime, and additional exposure should be avoided whenever possible.

Can Superfoods Create a Super Smile?

November 24th, 2021

It’s a rare week that we don’t hear something about superfoods—those foods which will transform our diets and radically improve our health. Remember kale? All the kale? (But, more on kale later!)

So, what exactly are “superfoods”? Unfortunately, we don’t have an exact answer for you, because, while the term “superfood” sounds impressive, it really doesn’t have an exact scientific meaning. Any food which is nutritionally dense with antioxidants, vitamins, minerals, healthy fats and/or other nutrients is often called a superfood.

Can these so-called “superfoods” help improve our dental health? The short answer: Yes! Let’s look at the benefits of some current popular superfoods, and just why they’re so good for our teeth and gums.

  • Berries

Blueberries, strawberries, raspberries, and cranberries are not only delicious, but a rich source of antioxidants, minerals, and vitamins, including vitamin C. What does this mean for your dental health? Vitamin C is essential for healthy gums. In fact, one of the symptoms of vitamin C deficiency is swollen and bleeding gums.

  • Salmon

“Good fat” seems like a dietary contradiction, but salmon is here to prove it’s possible. Omega-3 fatty acids have been linked to numerous health benefits, including fighting inflammation. Research has shown a possible relationship between getting the recommended amounts of omega-3s and a reduced risk of gum disease.

  • Ancient Grains

Ancient grains are grains (and certain grasses and seeds) which have been cultivated the same way over the centuries. And even though these grains have been around for hundreds of years, many cooks are just starting to incorporate foods like quinoa, millet, farro, and freekeh into their recipes. Ancient grains are considered especially healthy because they are whole grains, with their nutrients, bran, and fiber intact. Processing grains removes many of these good-for-your-body elements.

And how does this processing affect our teeth? Whole grain carbs take time to break down and convert into the sugars which fuel our bodies. Processed grains used in foods like soft white breads and white rice start to break down quickly right in the mouth. They also tend to stick to the teeth, providing a rich supply of sugar to feed the oral bacteria which cause cavities. But you don’t need ancient grains to reap the benefits of whole grains—consider substituting whole wheat, brown rice, or whole grain corn for some of the processed grains in your diet.

  • Yogurt

Most yogurt, unlike other dairy products, contains probiotics, which help supply our bodies with healthy bacteria. Most yogurt, like other fortified dairy products, is also rich in vitamin D. Vitamin D is essential for tooth health because it allows our bodies to absorb the calcium which keeps bones and teeth strong.

  • Kale

We couldn’t leave without a word about kale! Kale is everywhere on the menu, from salads to pasta to soups, added to the blender for fruit smoothies, or salted and roasted for a potato chip substitute. And kale deserves its good reputation. Kale is rich in antioxidants, vitamins, and minerals, such as the beta-carotene which our bodies convert into vitamin A. Among its other benefits, vitamin A is crucial for the health and healing of mucous membranes, which include our gums and the soft membranes of the mouth.

And if you just can’t warm up to kale? More good news: dark green vegetables such as leafy greens and spinach also provide many of the same beta-carotenes. And so do colorful orange options like sweet potatoes, carrots, peppers, pumpkins, and squash.

Can these so-called “superfoods” help improve and maintain our dental health? The short answer: Yes! The longer answer: Yes—and so will any foods which are rich in the vitamins, minerals, antioxidants, and fatty acids which support and protect our teeth and gums. Just remember, a nutritious, balanced diet is more important than any one ingredient. Want more information? Ask Drs. Rottschalk, Acker, and Froidcoeur when you visit our Fairview Heights, IL office for dietary tips to help you maintain a heathy body—and a super smile!

Heart Disease and Oral Health

November 17th, 2021

Is there a link between oral health and heart health? This is a question that has been receiving a lot of attention in recent studies. While as yet there is no definitive study that proves oral health has an effect on overall heart health, there is also no definitive proof that oral health doesn’t affect heart health. So, what do we know, and, just as important, what should we do?

What do we know? One clear connection exists between gum disease and endocarditis, a rare, but potentially very serious, infection. When we neglect our gums, they bleed more easily. When gum disease advances, the gums pull away from the teeth. This creates pockets which can harbor more bacteria and plaque, leading to infection and even tooth and bone loss. And this bleeding and infection can be serious not only as a matter of dental health, but for your heart as well.

Endocarditis is an infection of the inner lining of the heart and the heart valves. When bacteria from other parts of the body, including your mouth, make their way into the blood stream, they can attach themselves to damaged areas of the heart. The resulting infection can become very serious, very quickly. If you have damaged heart valves or artificial valves, have an artificial heart, or have any type of heart defect, it is especially important to prevent gum disease from developing. Regular dental care will help prevent bleeding gums and infections, and reduce the danger of oral bacteria entering the bloodstream. Always let us know if you have any issues with heart health, and we will tailor our treatment for all of your procedures accordingly.

What else might link oral health and heart disease? Because an increased risk of heart disease has been found in patients with moderate or severe gum disease, there has been much speculation as to a possible cause-and-effect connection. For example, the plaque inside arteries which leads to heart attacks has been found to contain certain strains of periodontal bacteria. Other studies have searched for a causal relationship between inflammation resulting from gum disease and inflammation leading to heart disease.  The body’s immune response to periodontitis and its potential consequences for heart health have also been examined. So far, there has been no clear evidence that treating gum disease prevents the occurrence or recurrence of heart disease.

So what should we do? This is the easy part. Keeping your gums and teeth healthy will increase your quality of life in immeasurable ways. And it’s not difficult! Regular brushing, flossing, and dental exams and cleanings at our Fairview Heights, IL office are the key to lasting oral health. If this also keeps your heart healthy, that’s the best possible side effect.

How a High-Tech Office Helps Your Dental Treatment

November 10th, 2021

A dental office on the cutting edge of technology offers numerous benefits to its patients. Whether you are in need of a simple cleaning or extensive restorative work, these technologies will help you stay more comfortable and give you better results than the outdated tools used in many offices. Here are some of the technologies that you can expect to see in our modern dental office:

  • Digital radiography – Digital X-rays and imaging expose patients to far less radiation than traditional X-rays. Not only that, but these digital images provide a more detailed and easier-to-view snapshot of what is going on in and around your teeth. They make it easier for patients to see what's going on since we can show them right on the computer monitor. It's also better for the environment because there’s no need for the toxic chemicals used to develop traditional X-ray films.
  • Panoramic X-rays – This digital X-ray gives Drs. Rottschalk, Acker, and Froidcoeur a more in-depth understanding of the entire structure of your mouth and head than a regular X-ray. The panoramic X-ray machine rotates around your head and takes a 3D image of it, giving us a very complete picture that allows for more effective and timely treatment planning.
  • Bioceramic implants, prosthetic devices, and sealants – Advances in implants and prosthetic devices over the past several decades has led to the creation of bioceramic (nontoxic) materials ideal for crowns, veneers, and implants. These materials allow for more visually appealing dental work since there are no metals used with these high-tech ceramics.
  • Paperless bills and records – We all know the inconvenience of paper bills and receipts; they can create clutter and get lost. Our office has done away with this trouble by going paperless. This means you'll receive all your pertinent paperwork in your email inbox and records will be kept digitally at the office. No more wall full of patient records!

This is just an overview of the many advances that we’ve made to our Fairview Heights, IL office to make it cleaner, quieter, more comfortable, and more efficient, helping you spend less time in the chair and more time smiling!

There’s an App for That!

October 27th, 2021

Kids today are more tech-savvy than ever before. Even young children use computers, tablets and smart phones to make learning about their world more accessible and more enjoyable. And with the enormous variety of apps geared to childhood education, it comes as no surprise that you can download an app to encourage your children to learn about—and celebrate—their dental health.

What kinds of apps are available for your child?

Happy Brushing!

Children’s apps can offer helpful advice for learning effective brushing and flossing habits that will last a lifetime. Some of the apps for young brushers include:

  • Age appropriate instructions for proper brushing technique
  • Two minutes of carefully chosen songs or stories to keep them brushing the recommended amount of time in an entertaining way
  • Reminders to replace those little toothbrushes—every three months, please!
  • Educational games and stories to teach effective dental habits and tooth-healthy food choices.

The best apps not only provide lots of important information for keeping young teeth and gums their healthiest, but make learning fun with rewards such as badges, stars, games, or simply plenty of positive encouragement.

Time for the Tooth Fairy to Appear?

Losing a tooth is an important event for many young children. If you’re a fan of the Tooth Fairy, there are apps that can provide some reassuring fun while your child waits for that first loose tooth to finally come out. Tooth Fairy apps offer a wide variety of activities, including:

  • Tooth Fairy voicemails to report a loose or lost tooth
  • Tooth Fairy diaries to record lost teeth—and save photos of the adorable smiles that result
  • A video of an animated Tooth Fairy fluttering around your child’s pillow on the big night
  • A Tooth Fairy alert for forgetful Tooth Fairy assistants.

Apply the Latest in Brushing Technology

If you’ve decided that an electric toothbrush is the best brush for your child, many of the products available today come with their own apps. What can these apps do?

  • Let children know if they’ve brushed long enough
  • Alert them when they’re brushing too hard, which is not good for young gums and enamel
  • Some apps even provide a map of the mouth and teeth that lets children know just where they’ve brushed, in case they tend to neglect a few spots regularly.

Keep Those Appointments

Drs. Rottschalk, Acker, and Froidcoeur and our team are here to help keep your child’s teeth healthy. Regular examinations and professional cleanings at our Fairview Heights, IL office not only make sure problems are caught before they become serious, they can help prevent problems from developing in the first place.

There are many apps out there that are designed to help you keep your child’s dental care on track with appointment reminders. This sounds pretty basic, but when kids have school, sports, lessons, and activities filling their days, it doesn’t hurt to get a timely reminder that Drs. Rottschalk, Acker, and Froidcoeur should be seeing someone in your family for an appointment or checkup and a cleaning in the near future.

Dentist Approved

When looking for a dental app for children, there are lots of options. The best apps provide age-appropriate educational tips for keeping young smiles healthy, and present them in a way that engages your child’s imagination and provides positive reinforcement.

If you think an app might make dental care not only more efficient, but more enjoyable for your child, talk to Drs. Rottschalk, Acker, and Froidcoeur! We might have some suggestions that will be just right for your family.

Should I fix my chipped tooth?

October 20th, 2021

It was a small fall! A miniscule piece of popcorn! A minor foul on the basketball court! But now there’s a chip in your otherwise perfect smile. Is a chipped tooth worth calling Drs. Rottschalk, Acker, and Froidcoeur?

Any time your tooth is injured is time to call our Fairview Heights, IL office. Even a small chip can affect your tooth structure and should be evaluated. We will also want to check your tooth and gums to make sure there is no underlying injury that could be more serious, and to treat your tooth as soon as possible so that no further damage occurs.

A very small chip might need nothing more than smoothing and polishing to remove sharp edges. A small chip in your enamel can be repaired with dental bonding, where a composite like those used to fill cavities will be shaped to cover and fill the chip. This composite will be matched to your tooth color for a seamless repair. A porcelain veneer is also an option for you. These procedures will restore the look of your tooth and protect it as well, because even a small chip can lead to tooth sensitivity or further damage in the future.

A larger chip, such as a fractured cusp, might require a crown. But a large chip might also mean that the inside of the tooth has been compromised. If the dentin or pulp are affected, pain, infection, and even tooth loss could result. A root canal might be necessary to preserve the tooth, so prompt treatment is necessary.

Regardless of the size of the chip, call our Fairview Heights, IL office as soon as possible. We can give you tips for pain management, if needed, until you see us. If you can save the chip, bring it with you when you visit in case there is the possibility of bonding it to the injured tooth.  But even without that missing piece, there are ways to restore the look of your original tooth. Remember, repairing a chipped tooth is not just cosmetic. We want to keep your smile healthy, as well as beautiful!

Digital X-rays

October 13th, 2021

X-rays are a vital diagnostic tool for any dental professional. X-rays help your endodontist perform a root canal, your orthodontist check the position of a tooth’s root, your oral surgeon discover a fracture. X-rays reveal what we can’t see with the naked eye—and that’s why they are an especially important tool for Drs. Rottschalk, Acker, and Froidcoeur as well.

Why Are X-rays Necessary?

There’s a lot going on below the surface. An X-ray can reveal such conditions as cavities between teeth or underneath fillings, abscesses and other infections in the bone, impacted wisdom teeth, and cysts and tumors. They can also show the size, shape, and density of the bone beneath the teeth, which is essential information for dental implant procedures or dentures.

How Do X-rays Work?

Traditional X-rays, or radiographs, make use of film just like traditional cameras. When you have an intraoral X-ray, for example, the film is sealed in a moisture- and light-proof packet, and placed inside the mouth to capture images of specific teeth and the bone around them.

The X-ray machine is aligned precisely with the film and an exposure is taken. The image at this point is latent, and won’t show on the film, because, just like photo film, traditional radiographs need to be chemically processed before they produce a visible image.

Digital technology, on the other hand, uses an electronic sensor instead of film. For an intraoral digital X-ray, a small sensor is positioned in the mouth just like a film. When the X-ray is taken, a digital image capture device produces an image which is formed by a matrix of pixels instead of a photo-like film exposure. This format allows the image to be sent directly to a computer for immediate display without requiring processing.

Even though these methods seem very similar, digital X-rays offer some significant advantages over traditional films. Let’s look at how they compare, more or less.

  • More Diagnostic Advantages

A traditional X-ray is a fixed image. It cannot be modified or enhanced. Here the digital X-ray offers a clear advantage in diagnosis.

Just as you can enlarge certain types of images on your computer without blurring or losing detail, a digital X-ray uses computer software to magnify images while keeping their details sharp. They can also be enhanced through brightness and contrast applications to make details stand out even more. Both of these benefits are extremely helpful for diagnosis, especially when looking for small cavities, problems in the roots and surrounding bone, or developing wisdom teeth.

There is even digital subtraction radiography software available that can be used to compare recent images to older ones, removing (“subtracting”) all the similarities in the two images to display only the changes in the two—even small changes—that have taken place over time.

  • Less Exposure to Radiation

Dental X-rays expose patients to very low levels of radiation, and modern technology means traditional X-rays expose patients to less radiation than ever before. Even so, digital X-rays have significant advantages. Radiation exposure can be reduced by an additional 10%, 20%, or more with a digital radiograph.

  • More Convenient for Sharing and Transmitting

If you need to share your X-rays with another dental specialist or physician, digital technology allows you to simply have them e-mailed to another office or multiple offices. You no longer need to worry about preserving physical copies, either.

  • Less Waste

Unlike traditional X-rays, digital X-rays don’t need to be processed, so you save time in the office. And while the processing time is not significant (usually several minutes), if you need to repeat some X-rays for a clearer picture, or require different images for several teeth, this time can add up.

Digital X-rays are also more eco-friendly.  The fact that they don’t need to be developed means that the chemicals used to process traditional films are no longer necessary—which also means that there is no need to dispose of chemical waste products afterward.

Our goal is to provide you with the safest, most efficient, and most effective dental treatment possible, and digital X-rays help us do that. If you have any questions about digital X-ray technology, contact our Fairview Heights, IL office. We’re happy to explain the science—and the benefits—of high-tech radiography.

Fall’s in the Air? Think Fall Dental Care

October 6th, 2021

Whether you already miss the sun’s bright rays, or can’t wait for some cool, crisp weather and colorful leaves, summer is making way for fall. And the change of seasons might mean it’s time for some adjustments to your dental care routine.

Fall’s in the Air, and You Can Feel It

You might enjoy the brisk weather and the cool autumn breezes, but you’d enjoy fall much more without the tooth sensitivity that cold weather can bring. Sensitivity can be the sign of a cracked tooth, gum disease, or even something as simple as too-energetic brushing. If you’re experiencing sensitivity outdoors or with hot and cold foods, don’t give up your nature walks and hot cider! Give Drs. Rottschalk, Acker, and Froidcoeur a call, and we’ll get to the root of your problem.

Fall Sports

The baseball mitts, surfboards, and water skis have been retired for the year, but that won’t stop you from enjoying exercise and team sports. And while you’re keeping your body healthy, remember to keep your teeth and jaws healthy as well. A mouth guard is an essential piece of equipment for any autumn contact sport like football or soccer, and is also a good idea for biking, skateboarding, and other physical activities where a fall or a collision is a possibility.

Fall Feasts

‘Tis the season for sugary Halloween treats, bountiful Thanksgiving desserts, and those over-the-top holiday lattes. By all means, celebrate the season. And celebrate your dental health (and your overall health) as well by enjoying these treats in moderation.

Why not take this opportunity to explore some of autumn’s more nutritious seasonal offerings? Brussels sprouts, sweet potatoes, carrots, pumpkins, and apples are part of a fall harvest of fruits and vegetables rich in vitamin A, vitamin C, potassium, calcium, and other nutrients that help keep our teeth and gums their healthiest. (And if the pumpkins and apples make their way into pies, no one will complain.)

Fall Semester

Many schools require a dental exam before the start of the academic year. If you haven’t made an appointment for your child, now’s the time to do it! And don’t forget a professional cleaning to remove plaque and tartar. Nothing starts a school year off better than entering the classroom with a bright, healthy smile.

And don’t forget to call our Fairview Heights, IL office for your own regular checkup if it’s that time of year. Spring, summer, winter, fall—it’s always the right season for taking care of your dental health!

What Are Dental Sealants?

September 29th, 2021

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 Fairview Heights, IL 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 Fairview Heights, IL 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 Drs. Rottschalk, Acker, and Froidcoeur 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!

Aging and Dental Health

September 22nd, 2021

What’s life like for the average 60-year-old today? It’s complicated! We travel. Or we work out. Or we relax with friends. We pursue favorite hobbies or we develop new ones. We work, or start businesses, or volunteer for schools, museums, and charities. We practice the art of writing letters or we text our grandchildren. Whatever else we do, we do our best to stay healthy so we can live our lives to the fullest.

Part of living our lives to the fullest means caring for ourselves. And caring for ourselves means learning how to look out for the potential dental problems that might come with age, and how to keep ourselves in the best of dental health.

  • Gum Disease

Gum disease, or periodontitis, is not uncommon in older patients. Certain medical conditions, such as diabetes, can leave you more vulnerable to gum disease. Because gum disease is often symptom free, it can remain unnoticed until the disease has progressed. Good oral hygiene and regular visits to the dentist are the best means of prevention—we are trained to discover gum disease in its earliest stages, and can treat it before the disease causes serious damage to gums, teeth and bone. But if you have delayed seeing a dentist, the good news is that there are many methods of treating gum disease available, including antibiotics, professional plaque removal, and periodontal surgery.

  • Tooth Decay

As we age, our gums can recede from the teeth. The new root area that is exposed is more vulnerable to decay because it is not shielded by the hard enamel which protects the upper part, or crown, of the tooth. Maintaining your brushing and flossing routine is the best way to keep cavities from developing. If gum recession is severe, there are surgical methods we can discuss to restore gum health.

  • Time

Cosmetically, teeth can yellow with age as the dentin beneath the enamel darkens and the enamel covering it thins. Years of coffee, wine, smoking and other stain-makers take their toll. If you are self-conscious about the appearance of your smile, talk to us about suggestions for whitening and brightening.

Medically, over time our teeth are subject to damage. Enamel and tooth surfaces can wear away, leaving our teeth more at risk for breaks or fractures that can lead to infection, which can result in the need for root canal work. Simple chewing puts an amazing amount of pressure on the teeth—and if you grind your teeth, there is even more stress placed on them. See us regularly for ways to maintain strong teeth, to repair damage if necessary, and to keep your gums and bones healthy if you are a denture wearer.

  • Dry Mouth

Dry mouth can be a problem for older patients, often caused by medical conditions or medications. When we produce saliva, it helps remove sugar and the acids sugars produce which attack our enamel. Without normal saliva production, we are more vulnerable to cavities. Dry mouth can also lead to mouth ulcers, oral thrush, sores and infections. If you have been suffering from this condition, talk to us. Drs. Rottschalk, Acker, and Froidcoeur and our team have suggestions that will help.

  • Oral Cancer

Oral cancer is something we look for during every check-up. And, if you ever notice any change that causes you concern, call us immediately. Early treatment of oral cancer and other oral diseases leads to the best possible outcome.

  • Keep Up With Your Dental Care

The best way to keep our teeth and mouths healthy as we age is with prevention. Regular daily brushing and flossing and office visits twice a year for an examination and a professional cleaning are habits that should last a lifetime. Make sure to tell us about any medical conditions you may have and any medications you are taking, to avoid interactions and relieve unpleasant side effects.

What’s life like for the average older person today? There is no average older person! As we age, we are free to explore our interests in any number of creative and individual ways. But there is one goal we have in common: we all want to keep our smiles healthy and attractive. Call our Fairview Heights, IL office for preventative and restorative care. We want to help you work toward an ageless smile!

How Sleep Apnea Can Affect Your Waking Life

September 15th, 2021

We all know that sleep apnea causes many a difficult night. Noisy snoring, gasping for breath, and waking up dozens of times a sleep cycle are the unhappy consequences of Obstructive Sleep Apnea (OSA). What you may not realize is that sleep apnea can make your days just as challenging.

Obstructive sleep apnea is caused by an obstructed airway. The throat muscles may relax as you sleep and make it impossible to inhale fully with each breath. Or you may have a physical condition such as a deviated septum, enlarged tonsils or excess throat tissue that blocks the free passage of air into your lungs. As a result, you stop breathing for a short time and often choke or gasp for breath. Your body responds by waking every time you need to start breathing properly again, and this can happen dozens of times each hour you are asleep. The result is that, while you may think you have slept through the night, you have never gotten the deep sleep your body needs to restore itself.

How can sleep deprivation affect our daytime hours? You might find yourself suffering from any of these problems:

  • Constant drowsiness
  • Falling asleep at work or while driving
  • Headaches every morning
  • Sore throats
  • Dry mouth (which can lead to gum and dental problems)
  • Memory and attention problems
  • Moodiness or depression
  • Decreased libido

As if these reasons weren’t cause enough to find a solution to your sleeping disorder, the longer term results of sleep apnea can be devastating. High blood pressure, heart disease, stroke, dangerous responses to medication or general anesthesia, a higher risk of accidents, and many other serious consequences have been linked to sleep apnea.

Sleep apnea doesn’t just ruin your night. If you suffer from any of the daytime problems listed above, please give our Fairview Heights, IL office and your doctor a call. If obstructive sleep apnea is the cause, Drs. Rottschalk, Acker, and Froidcoeur can work with you to find a solution that will improve your quality of life 24 hours a day.

How do I make my child’s diet safe for his or her teeth?

September 8th, 2021

The food you feed your child can have a lasting effect on his or her oral health. In fact, diet plays a major role in whether a child develops cavities and decay, which can lead to many dental visits and potential tooth loss. So what should you feed your child to ensure he or she has a healthy smile for life?

Foods to Avoid

It is normal for your child to take interest in many foods -- especially those filled with sugar and carbohydrates. But as tasty as these foods are, they can cause rapid decay when eaten in excess. That’s not to say your child can never have sugar again. Drs. Rottschalk, Acker, and Froidcoeur and our staff suggest limiting starchy and sugary foods such as candy and potato chips as much as possible.

Remember that some seemingly healthy foods can present the threat of decay too. Some of the most common culprits are sticky foods like peanut butter, raisins, and granola bars, which can stick to the teeth after eating. If you serve these foods to your child, be sure to have him or her brush immediately after eating to remove any lingering sugary residue.

Beverages

Many beverages marketed toward children contain sugar servings that far exceed the daily recommendations from national health organizations. They suggest no more than three to four teaspoons of added sugar per day for young children.

Make an effort to serve only water to your child any time other than meal times. During meals, allow your child to have milk or juice, but in limited serving sizes. Most importantly, never allow your young child to sleep with a bottle or “sippie cup” full of juice or milk. Doing so can cause rapid tooth decay: a condition known as “baby bottle caries.”

A Healthy and Balance Diet

So long as your child is brushing regularly and eating a healthy, balanced diet full of fruits, vegetables, lean proteins and whole grains, you should have little or no problem with tooth decay. For more questions about how your child’s diet affects his or her oral health, contact our Fairview Heights, IL office to schedule a consultation.

Football Season? Practice Dental Defense

September 1st, 2021

It’s finally football season, and whether you’re on the field, at the game, or watching at home with friends, it’s time to work on some defensive dental strategies.

Taking the Field

If you’re playing team football, you already know just how important your mouthguard is. So important, it’s actually part of every uniform. But if your gridiron is the local park or your backyard, you need protection, too! Amateur sports cause a significant percentage of dental injuries every year, and that’s a statistic you don’t want any part of. A store-bought or custom-fitted mouthguard from our Fairview Heights, IL office will help protect your teeth and jaw in case of a fall or collision. If you have a player in braces, a mouthguard is especially important.

In the Stands

Cheering your team on with stadium food in hand is a time-honored game tradition. But some of those options are offensive players. How to hold the line? Cut back on foods that are loaded with sugars and simple carbs, as these are the preferred diet of cavity-causing bacteria. And if the food sticks to your teeth, that gives these bacteria extra time on the clock to produce enamel-damaging acids. Unfortunately, a lot of stadium food falls into these categories. Giant pretzels, soft drinks, chips, caramel corn—sticky, sugary, sticky, sugary, and sticky. But you don’t need to deprive yourself completely. Enjoy in moderation, and hydrate with water to increase saliva (which has many tooth-strengthening qualities) and to wash away food particles.

Home Field Advantage

For most of us, the best seats in the house are right in our living rooms—and our kitchens. Buffalo wings! Chips and salsa! Brats and sauerkraut! However tasty, these snack favorites have something else in common—acidity. Just as the acids produced by bacteria affect our enamel, so do the acids in our foods. Add sugars and simple carbs like sodas, chips, and fries to the party, and you have an enamel blitz attack. There are plenty of dental-healthy snack options available, such as vegetables with hummus dip, or cheese and whole wheat crackers, to add some variety to your menu. If you do eat acidic foods, don’t brush immediately after, since acids weaken tooth enamel, and brushing then can cause enamel erosion. Instead, rinse with water and brush after thirty minutes. You might miss part of the half-time show, but it will be well worth it.

Give some of these tips a try for a winning football season. On the field, at the snack counter, in your TV room, you can enjoy the game a little more by knowing that, when it comes to your dental health, you’re providing complete zone coverage.

Are you nervous about seeing the dentist? You’re not alone!

August 25th, 2021

With advances in modern dentistry, a trip to Dr. John Rottschalk Dental Group these days is pretty routine. But visiting Drs. Rottschalk, Acker, and Froidcoeur and our team still makes some patients anxious—so much so that they don’t go as often as they should and end up with costly complications down the road, such as tooth decay or gum disease.

When it comes to dental care, prevention is the best medicine. And that begins with regular checkups and dental cleanings at our convenient Fairview Heights, IL office. Today, we thought we would offer five tips for taking the pain out of a visit to see Drs. Rottschalk, Acker, and Froidcoeur:

1. Ask yourself: What are you most afraid of? Is it the sound of the drill? Do you have needle phobia? Have you been traumatized by previous dental visits? Write down your fears, one by one and talk about them during your visit.

2. Don’t wait. The more frequently your visit our office, the less work will need to be done at any given visit. Simply having your teeth cleaned professionally by Drs. Rottschalk, Acker, and Froidcoeur twice a year prevents many, if not most, problems down the road.

3. Bring a distraction such as music to your appointment. Just plug in those earphones, close your eyes, and get lost in the music. Listening to tunes can also be a pain killer.

4. Unwind. Inhaling slowly and counting to five helps. Try holding your breath for ten seconds, then exhale slowly to the count of eight, and repeat as needed.

5. Ask us. Before any given procedure, we encourage you to ask Drs. Rottschalk, Acker, and Froidcoeur or one of our assistants why we’re using the tools we’re using. Ask us what we’re doing, what the tool is used for, and how it benefits you. Also, please ask about anti-anxiety medications we may prescribe to help you relax during your appointment.

If you suffer from dental anxiety, a visit to Dr. John Rottschalk Dental Group might seem like a daunting prospect. Perhaps you had a bad experience in the past, but whatever the reason, please know that at our Fairview Heights, IL office, there is nothing to be afraid of.

Remember, you’re not alone. We understand that going to the dentist isn’t easy for everyone. In fact, the Journal of the American Dental Association estimates that as many as 12 percent of adults suffer from dental anxiety so bad that they avoid the dentist altogether. Many more suffer from varying degrees of dental anxiety, which often results in poor oral health.

If you suffer from dental anxiety, your fears don’t have to keep you from seeing Drs. Rottschalk, Acker, and Froidcoeur. Our patients at Dr. John Rottschalk Dental Group are our most important asset, and we strive to create a comfortable experience, no matter how long it has been since your last visit at our Fairview Heights, IL office. We hope to see you soon!

Xerostomia: Big Word, Common Problem

August 18th, 2021

Xerostomia might sound like a serious and rare condition, but it’s more common than you think. If you’ve been feeling like your mouth is constantly dry, you may already be having your first encounter with it.

Xerostomia refers to when you have a dry mouth due to absent or reduced saliva flow. Now you might assume this is not a big deal, but a lack of saliva can threaten your dental health or worse, because it can be a sign of a bigger overall problem.

Some of the more common symptoms to watch for are a sore throat, difficulty swallowing, a burning sensation on the tongue, and of course, a significant lack of saliva. Because xerostomia entails a reduction in saliva, you have less of a buffer between your teeth and the food you eat, which makes you more vulnerable to cavities and tooth decay. It also means that food is more likely to get stuck in your mouth.

So what causes xerostomia? There can be many different culprits. One of the most common causes involves medication. If you’re taking antidepressants, muscle relaxers, anti-diarrhea medicine, anti-anxiety medicine, or antihistamines, this could be the reason for your xerostomia.

Dry mouth may also be a warning sign for other health issues. These can include lupus, diabetes, thyroid disease, arthritis, or hypertension. Patients that receive any kind of chemotherapy might also experience xerostomia as a side effect of their treatment.

If you’re experiencing symptoms of dry mouth, there are several things you can do:

  • This may seem obvious, but you should drink generous amounts of water. If you’re taking any of the medications known to cause xerostomia, a glass of water before and after administering the medication could be helpful.
  • Avoid heavily caffeinated drinks, since they will dehydrate you further.
  • Opt for a mouthwash that contains little to no alcohol.
  • Consume excessively sugary or acidic foods in moderation, if at all.
  • Try adding a humidifier to your room while you sleep, to add moisture to the air you’ll be breathing.

As always, stay on top of your brushing and flossing routines, and if you feel you might be suffering from xerostomia, please let Drs. Rottschalk, Acker, and Froidcoeur know during your next visit to our Fairview Heights, IL office. We’re happy to recommend products we’ve found to be successful in treating xerostomia.

Fluorosis: What is it?

August 11th, 2021

Many people think dental fluorosis is a disease, but it’s not; it’s a condition that affects the appearance of your tooth’s enamel, not the function or health of the teeth. These changes may vary from tiny, white, barely noticeable spots to very noticeable staining, discoloration, and brown markings. The spots and stains left by fluorosis are permanent and may darken over time.

Dental fluorosis occurs in children who are excessively exposed to fluoride between 20 and 30 months of age. Only children ages eight years and younger can develop dental fluorosis. Why? That is the period when permanent teeth are still developing under the gums. For kids, fluorosis can cause significant embarrassment and anxiety about the appearance of their teeth. No matter how much they might brush and floss, the fluorosis stains do not go away.

Many well-known sources of fluoride may contribute to overexposure, including:

  • Fluoridated mouth rinse, which young children may swallow
  • Bottled water which is not tested for fluoride content
  • Inappropriate use of fluoride supplements
  • Exposure to water that is naturally or unnaturally fluoridated to levels well above the recommended levels

One way to reduce the risk for enamel fluorosis is to teach your children not to swallow topical fluoride products, such as toothpaste that contains fluoride. In fact, kids should use no more than a pea-sized amount of fluoride toothpaste when brushing, and children under the age of two shouldn’t use fluoride toothpaste at all.

Dental fluorosis can be treated with tooth bleaching, microabrasion, and conservative composite restorations or porcelain veneers. Please give us a call at our office to learn more or to schedule an appointment with Drs. Rottschalk, Acker, and Froidcoeur.

How do I clean my baby’s teeth?

August 4th, 2021

Creating good dental hygiene habits early in your child’s life is essential to the health of his or her teeth, even when your infant doesn’t have any. By starting now, you can set the foundation for your son or daughter’s oral health later on in life.

When do I start?

The best time to begin brushing your baby’s teeth is before that first tooth ever comes in. Wipe your little one’s gums gently with a soft washcloth soaked in warm water every day. Not only will this help to get rid of bacteria in the mouth, but it will also familiarize your child with a daily brushing routine.

What do I use?

When your child’s teeth begin to emerge, it’s time to switch to a baby toothbrush. Select one with a big grip for your hand and a small head that’s easy to maneuver in your baby’s mouth.

Your little one won’t need toothpaste until he or she is about a year old; and even then, only a small amount is necessary. Apply an amount the size of a grain of rice and move to a pea-sized amount when your infant is about two years old.

By around six years, your child will probably rinse and spit without your help. At this time, you may introduce a child-friendly fluoride mouthwash.

How do I do it?

Until about age five or six, it’s likely your child will still need your help with brushing teeth. Gently scrub over all the teeth and gums, even where teeth have yet to come in. It may be helpful to explain what you are doing and how you are doing it, so your toddler can learn to brush her or his teeth alone.

Paired with regular visits with Drs. Rottschalk, Acker, and Froidcoeur at our Fairview Heights, IL office, proper hygiene habits instilled in your child early on will set up a good foundation for a healthy mouth in the future.

Your Snoring Might Be More Serious Than You Think

July 28th, 2021

Sleep apnea is a disorder in which breathing stops and starts repeatedly throughout the night. It’s most common among middle-aged adults, and the most prevalent symptom is loud snoring.

Sleep apnea occurs when the muscles in the back of your throat relax to the point where they inhibit your natural breathing. It can cause your breathing to stop for anywhere from ten to twenty seconds. In the worst cases, it can even stop your breathing for up to a few minutes.

In addition, people who suffer from sleep apnea wake up feeling tired and unrested. The condition may even lead to depression, high blood pressure, irritability, and memory loss. It puts you at a greater risk for heart attack and lowers oxygen levels in your brain.

All of this sounds scary, but the good news is that sleep apnea can be treated! One of the most common ways Drs. Rottschalk, Acker, and Froidcoeur can treat sleep apnea is by creating an oral device for you to wear while you sleep.

The device brings your jaw forward, which keeps the airway open and lowers the incidence of snoring. Another method is to use a continuous positive airway mask, often referred to as a CPAP. The mask fits over the mouth and forces oxygen through the throat while you sleep.

If you’re unsure about whether you may suffer from sleep apnea, visit our Fairview Heights, IL office and let Drs. Rottschalk, Acker, and Froidcoeur know. We can determine the appropriate treatment if any is needed. Don’t risk losing another night’s sleep over something we can easily treat!

When Is a “Cavity” Not a Cavity?

July 21st, 2021

Is this a trick question? After all, you and your family probably already know quite a lot about cavities:

  • It all begins when bacteria-filled plaque sticks to teeth and starts to attack enamel. How?
  • Because the bacteria in plaque use the sugars and other foods we eat to produce acids.
  • These acids gradually weaken teeth by dissolving minerals that help make up our enamel (a process called demineralization).
  • Over time, a hole, or cavity, develops in the tooth surface.
  • Left untreated, bacterial decay can spread to the inside of the tooth, creating a more serious cavity.

Drs. Rottschalk, Acker, and Froidcoeur might discover an unexpected cavity at a regularly scheduled dental exam at our Fairview Heights, IL office, but there are also some symptoms that should have you calling for an appointment. A cavity can cause sensitivity when eating something hot or cold, or it can be painful, or you might even notice visible discoloration or damage to the tooth surface.

So, if your child has any of these symptoms, it’s a cavity, right? It might be—but it might not. Sometimes, because the symptoms are similar, what we suspect is a cavity is really enamel erosion.

The bacteria-created acids weaken enamel. But it’s not just bacteria that subject our teeth to acids. Acidic foods are one of the leading causes of tooth erosion.

And while we expect damage from a lifetime of acidic foods and beverages to catch up with us as we age, the fact is that erosion is becoming a problem even for young children. How is this possible? Let’s look at some food chemistry.

Our normal saliva pH level is around a 7, which is neutral. Any number lower is acidic; any number higher is alkaline. Acidic foods have a low pH (the pH of lemon juice, for example, measures between 2 and 3), and can reduce our normal, neutral pH level. When saliva pH levels drop to 5.5 or lower, tooth enamel starts to demineralize, just as it does when exposed to the acids from oral bacteria.

Regularly snacking on citrus and other acidic fruits, fruit juices, flavored drinks, sour candies, and other acidic foods can cause enamel erosion. Especially erosive are sports drinks, energy drinks, and colas, because they contain some combination of citric acid, phosphoric acid and/or carbonation.

So, when might you suspect enamel erosion? Your child might be sensitive to hot or cold foods, or feel pain, or even have noticeable enamel loss or pitting. Even though these symptoms may not have been caused by plaque and bacteria, acidic erosion from our diets leaves weakened enamel just as vulnerable to cavities and decay.

How to avoid erosion?

  • Serve acidic foods sparingly, or as part of a meal. This helps our saliva pH stay in the neutral zone.
  • Balance acidic foods with low-acid choices to neutralize acids and restore a normal pH balance. For example, mix those acidic berries with a banana.
  • Use a straw! These are not only fun, but this simple solution keeps erosive drinks from bathing young teeth in acids.
  • Encourage your child to drink water instead of an acidic beverage, or drink it afterward to rinse acids away. The pH of pure water? A perfect, neutral 7. And by using tap water instead of bottled water, you’ll be providing fluoride, which helps strengthen enamel.
  • What about brushing right after eating or drinking something acidic? Ask Drs. Rottschalk, Acker, and Froidcoeur if your child should rush for the brush. We may recommend waiting 30 minutes or so after an acidic treat to give the teeth time to remineralize. Otherwise, brushing might cause more wear and tear on enamel.
  • Finally, while foods are often the source of acid erosion, medical conditions can cause erosion as well. Talk to us about ways to minimize erosion while addressing these medical needs.

Be proactive. Ask your Drs. Rottschalk, Acker, and Froidcoeur about healthy drinks and snacks for healthy teeth. Make sure to keep on top of brushing and flossing, and stick with fluoride toothpastes. And visit our Fairview Heights, IL office regularly for exams and cleanings.

There’s really no trick to it—preventing enamel erosion helps keep your child’s teeth structurally strong and cavity-free for a lifetime of beautiful and healthy adult smiles.

Dental Emergencies while Traveling

July 14th, 2021

You’ve planned your dream vacation. Your reservations are made. You’re packed and ready. You’ve even scheduled a dental checkup at our Fairview Heights, IL office to make sure you catch any potential problems, have finished any major work, and have an up-to-date chart.

But things don’t always go according to even the best of plans. So, what to do if you find you have a dental emergency while traveling? Drs. Rottschalk, Acker, and Froidcoeur and our team have some recommendations for problems that might arise.

  • Toothache—Rinse your mouth with warm water and use dental floss to remove any food particles. Never put aspirin directly on a tooth or gum tissue. If the pain persists, call a dentist.
  • Cracked or broken tooth—Immediately rinse with warm water to clean the area and apply cold compresses to the face to minimize swelling. Get in touch with a dentist.
  • If you lose a tooth—Keep the tooth moist at all times. Put the tooth back in the socket without touching the root if possible. If that is not an option, place the tooth between the cheek and gums or in milk. See a dentist as soon as possible.

Know where to get help if you need it! If you are traveling in the United States, the American Dental Association offers Find-a-Dentist, a website that can locate a member dentist closest to you. If you are traveling to another country, there are steps you can take to prepare for an emergency.

  • If you are out of the country and need to locate a dentist, your local embassy or consulate, your hotel concierge, or friends abroad can be a useful resource.
  • Before you go, check your insurance to see if you are covered while traveling.
  • If you have travel insurance, find out if it covers dental treatment and can provide information on qualified local dentists and translation help, if necessary.
  • Good dental care is available in many areas internationally, but it is important to know what standards are present in the countries you plan to visit. The Organization for Safety and Asepsis Procedures offers a checklist for safe treatment in their “Traveler’s Guide to Safe Dental Care.”

If you have any questions, Drs. Rottschalk, Acker, and Froidcoeur and our team are happy to do all we can to answer them. While it’s unlikely that problems will arise, we are always available if you need to contact our Fairview Heights, IL office. Bon voyage, and we look forward to hearing about your trip!

Summer Dental Health? Get into the Swim of It!

July 7th, 2021

On a sizzling hot day, there’s not much that makes us happier than heading to the water for a quick swim, some gentle laps, or even a rousing game of water polo. And this being a sizzling hot dental blog, we are happy to offer some tips on how to make your summer swim good for your dental health as well as your mental health!

  • Mouthguards

You might use your mouthguard all the time—for biking, or basketball, or skiing. But in the pool? Absolutely! Anyone who has played water polo knows what a physical workout it is. Elbows! Hard tosses! Collisions! And it’s not just pool sports. Water-skiing on the lake, surfing in the ocean—anywhere humans and solid objects are involved, tooth and jaw injuries are possible. Don’t spend valuable summer hours tending to a cracked or broken tooth as a result of sports accidents.

And, unlikely though it seems, even hanging by the pool can be hazardous to your smile. Hard concrete edges wait to greet surfacing divers. Slippery cement and tiles surrounding the pool are the downfall of many a swimmer running to jump back into the water. Be aware of possible dental dangers, and use a mouthguard as a great proactive way to avoid them.

  • Swimming Pools & Chlorine

Ah, the smell of chlorine! We all want to know that swimming pools are as clean as they can be, and one method of keeping them that way is with the addition of antimicrobials to the water. But too much exposure to chemicals can cause enamel erosion, or even a condition called “swimmer’s calculus.” Swimmer’s calculus is recognized by a hard, brownish, tartar deposit that appears on the front teeth of swimmers who spent a lot of hours in the pool. It’s a cosmetic problem, but one that’s difficult to get rid of without a professional cleaning. If you’re a competitive swimmer, or simply someone who spends many hours a week in treated water, give us a call if you notice hard-to-remove discoloration or tooth sensitivity.

  • Retainers

Different people have different opinions on whether or not your retainer should be exposed to the chlorine in pool water. (Or the salt in saltwater or the bacteria in lake water.) Ask us for ours! But you’re best off leaving it in your bag or locker, anyway, because retainers can be easily lost in the water. They might be able to survive a swimming pool, but a lake or ocean rescue is very unlikely. Just remember to put your retainer in a case, in a safe spot, and replace it when you’re out of the water for the day.

Enjoy your time on the water, and don’t forget to schedule an exam with Drs. Rottschalk, Acker, and Froidcoeur and a professional cleaning if you haven’t been in the office for a while. If you do have a dental problem or an accident, give our Fairview Heights, IL office a call immediately. We want to make sure you dive in to summer fun with a healthy, beautiful smile!

Alleviate Tooth Sensitivity

July 1st, 2021

There’s nothing like the simple seasonal pleasures. What’s more enjoyable than a cup of hot apple cider on a blustery winter day, or a tall glass of ice water in the middle of a summer heatwave? Until, that is, tooth sensitivity makes that hot or cold treat no treat at all. If untimely tooth sensitivity is causing you problems, there are solutions we can offer!

Improving Brushing Technique

Careful brushing is a wonderful habit to get into, but sometimes there can be too much of a good thing. Over-energetic brushing can actually damage our enamel. And underneath that enamel is dentin, a more porous substance which allows heat and cold to reach the more sensitive inner tooth.

But, please, don’t give up on brushing! Switching to a soft-bristled or electric toothbrush and a toothpaste designed for sensitive teeth can make a world of difference. Drs. Rottschalk, Acker, and Froidcoeur can recommend the most effective and safest way to brush, as well as suggest toothpastes designed to fight tooth sensitivity. Until you recover, now is the time to avoid acidic and sugary foods and drinks (which can also bother sensitive teeth) and home tooth-whitening products as well.

Preventing Gum Disease

When gum disease progresses, the gums can begin to pull away from the teeth. This recession exposes part of the root area, which is much more sensitive to heat and cold.  Regular checkups and cleanings can keep gum disease from developing. Gum disease that is already present can be treated, and we can discuss whether more intensive care, such as a gum graft, is advisable to protect the root area.

Treating Injuries to the Tooth

If you have a cavity, a fracture, or another injury to the tooth or nerve, sensitivity is a good sign that you should call us right away. And, sensitivity is a symptom that can disappear when we restore the compromised tooth, whether it requires a new or replacement filling, a crown, or a root canal. If your teeth are more sensitive as a result of tooth grinding or other orthodontic problems, we can identify those issues as well.

No matter the reason for your tooth sensitivity, we want to work with you to find out the cause of the problem and to find a solution for it. Call our Fairview Heights, IL office if you notice any unpleasant or painful reactions to temperature, foods or even wind and air. Whether it’s advice on correcting your brushing style or treating tooth and gum conditions, we are here to help you.

Protect Your Enamel from Dental Erosion

June 23rd, 2021

We know that the foods we eat and drink can have a definite impact on our smiles. Staining is an unhappy side effect of many of our menu favorites. That’s why we sip red wine through a straw, rinse with water after a slice of blueberry pie, and cut back on the coffee and tea after a single cup (or two—we’re not perfect!). And sugar is the fuel for cavity-causing bacteria, so we try to substitute water for soda, or replace the hot fudge sundae with grilled fruit. And we always brush carefully after indulging.

So far, so good. But while we’re saving our brilliant smiles from stains and decay, let’s not forget one other source of diet-related damage—acids. Acidic foods and beverages can actually erode the surface of our enamel, leaving our teeth more vulnerable to sensitivity and discoloration.

What Is Dental Erosion?

Enamel is the strongest substance in our bodies—stronger than bone—but it is not indestructible. And acids are one of the major causes of enamel damage. (In fact, it’s the acids produced by bacteria that lead to cavities.) Luckily, our bodies are designed to protect our enamel. Saliva helps clean the teeth by washing away food particles and it neutralizes acidity as well. But a diet that’s too heavy in acidic foods can undo all this good work and upset the healthy pH balance in our mouths.

Why is this a problem? Because acidic environments actually cause the minerals in our enamel to break down, a process known as “demineralization.” This weakening of the enamel leaves teeth more sensitive to heat and cold. It can even lead to discolored teeth, as thinner enamel allows the brownish-yellow dentin underneath the enamel surface to become visible.

Are You Aware of Acids?

We can immediately guess at some of the most acidic foods. Citrus fruits and juices, tomatoes in their many culinary forms, anything pickled in vinegar, coffee, tea, wine—these foods are certainly acidic, but also a regular part of many a healthy diet. You don’t need to avoid these foods altogether, but it’s best to enjoy them as part of a meal or enjoy them sparingly. And balance out some of these high-acidity foods at mealtime with low-acidity choices like bananas, bread, and dairy products.

Other sources of damaging acids might surprise you. Studies have linked sodas, energy drinks, and sports drinks to higher levels of tooth erosion. The combination of citric acid, phosphoric acid and/or carbonation raises acidity levels in the mouth. And because we tend to sip them all day long, it’s like a continuing acid bath for our enamel. Water is always a healthy alternative for hydration, but if you do indulge in a soda or sports drink, rinse with water after drinking. And don’t swish—just swallow.

Won’t Brushing Help?

Yes, but watch your timing. Because the acids in foods weaken enamel, brushing right after a big glass of orange juice or a soda can actually be even more abrasive for tooth surfaces. We recommend waiting anywhere from 20-60 minutes to brush. This gives your saliva the chance to not only wash away acids, but to “remineralize” your teeth, bathing them in the phosphate and calcium ions that strengthen enamel.

If you notice any of the symptoms of dental erosion, including pain, sensitivity when you eat or drink something hot, cold or sweet, or yellow discoloration, talk to Drs. Rottschalk, Acker, and Froidcoeur during your visit to our Fairview Heights, IL office about what you can do to help protect and strengthen your teeth. Unfortunately, our bodies can’t produce new enamel. By avoiding foods that stain, by reducing sugars that lead to decay, and by limiting the acidic foods that erode our enamel, we give ourselves the best opportunity for a lifetime of beautiful, healthy smiles.

What is a root canal?

June 16th, 2021

A root canal entails the removal of the nerve supply from a tooth. If you know the purpose of a root canal, the process may seem a little less intimidating.

Drs. Rottschalk, Acker, and Froidcoeur will explain the steps in person before your scheduled root canal. Here are some reasons why you may need one and how it will be done when you visit our Fairview Heights, IL office for your appointment.

Let’s look at the parts of a tooth. Teeth are made up of layers. The outside is the enamel you see, which is composed of minerals. The middle layer is called dentin. It is less dense and made of calcified tissues.

The center of the tooth, also known as the pulp, holds the nerves and blood vessels. When a tooth has decayed or been infected all the way down to the pulp, a root canal is used to remove and replace the root with a filling.

A cavity, sudden trauma, severe cracks, or other events that may cause nerve damage can start an infection of the root of your tooth. You may notice an infection if you experience abnormal pain, swelling, sensitivity, or change in tooth appearance.

Don’t hesitate to contact our Fairview Heights, IL office to schedule an examination if you notice these symptoms. We may need to take X-rays of the problem tooth to find out if a root canal is necessary.

Once an appointment is scheduled for a root canal and we’re ready to begin the procedure, you’ll be given anesthesia to keep you comfortable. The problem tooth will be isolated and sterilized. We work to remove all the infected area after that.

The treatment will include getting rid of nerve tissue and blood vessels, then filling in the spot where the nerve used to be. A crown is placed over the area to secure enamel from breaking down in the future and prevent the potential loss of the tooth. The root canal can block the possibility of having your tooth extracted due to decay or infection.

If you have further questions about root canals or notice any new issues in your mouth, please don’t hesitate to call our office and speak with a member of our staff. We’d be happy to answer your questions and schedule an appointment for you to come and get your problem tooth checked out.

Don’t forget: You can avoid having to undergo a root canal if we catch the problem early on!

Implants: Why it's important to replace missing teeth

June 9th, 2021

The average adult has 32 teeth, a combination of molars, canines, and incisors. By middle age, however, most adults are missing at least one tooth due to an injury, decay, or gum disease. Though many people choose to forgo tooth replacement, Drs. Rottschalk, Acker, and Froidcoeur and our team at Dr. John Rottschalk Dental Group will tell you that every tooth is important. Each plays a vital role in the structure of the mouth and in relationship to the remaining teeth. Leaving the space where a tooth once stood can have serious consequences. There are many reasons why severely decayed or missing teeth should be replaced as quickly as possible.

  • Speech: A missing tooth can negatively affect the way you speak, depending on its location.
  • Bite changes: The loss of one or more teeth can cause the redistribution of bite pressure onto other teeth. Over time, this can cause the teeth to shift and move into the space the tooth once held.
  • Gum disease: Shifting teeth can make it easier for plaque to accumulate in hard-to-reach places. This can increase the risk of gum disease, which can lead to additional tooth loss.
  • Bone loss: The teeth are place-holders in the jaw. When one falls out and is not replaced, the bone that once surrounded it begins to deteriorate and wear down.
  • Aesthetics: A missing tooth leaves a visible gap between the teeth and can be a source of embarrassment and insecurity.

Advancements in modern dentistry have made it easy to replace missing teeth using natural-looking and functioning prosthetics. Dental implants are permanent solutions for replacing missing teeth with the use of special rods that are anchored in the jaw bone. These implants serve as artificial tooth roots that fuse with the jaw over time. When cared for properly, most dental implants can be fitted to last a lifetime.

To learn more about dental implants, or to schedule an appointment with Drs. Rottschalk, Acker, and Froidcoeur, please give us a call at our convenient Fairview Heights, IL office!

Dental Tips for Your Summer Vacation

June 2nd, 2021

Summer’s here, and it’s time to enjoy a well-deserved break! But even though school’s out, please take a few minutes to learn some tips from Drs. Rottschalk, Acker, and Froidcoeur to keep your teeth and mouth healthy for a summer of great smiles.

Hydration

When you are active in warm weather, you need to keep hydrated. So choose your drinks wisely. Sodas and sports drinks can contain a lot of sugar, which encourages cavity-causing bacteria to grow. Water is always a healthy, sugar-free choice. If your tap water contains fluoride, you can even fight cavities while staying hydrated. One other benefit of hydration? It helps with saliva production, and saliva is a natural way to wash away food particles and bacteria while providing substances that help keep teeth strong.

Mouthguards

Biking, skateboarding, baseball, soccer—all great outdoor sports, but one fall or accidental contact can cause serious damage to teeth. If you have a mouthguard for school sports, don’t forget to wear it for summer activities as well. And, if you don’t have a mouthguard, now is a good time to think about getting one. You can use a ready-made guard, or we can custom-fit one especially for you. Talk to us about your favorite sports, and we’ll suggest ways to protect your teeth while you enjoy all the physical activities warm weather brings.

Vacation Plans

If you and your family are going to be traveling this summer, let us know! If you need any procedures at our Fairview Heights, IL office, we can plan them around your time away. It’s best to get any necessary work done before you travel, and we will be happy to work with your family’s schedule. When you are away, be sure to carry our number with you in case a dental problem comes up, and it’s always a good idea to travel with a dental emergency kit.

Sticking To Your Dental Routine

Unfortunately, the bacteria that lead to increased plaque and cavities never take a vacation. Keep up with your regular schedule of two minutes of careful brushing at least twice a day, and make sure to floss. Come see us if it’s time for an exam or a cleaning, or if you have any dental problems or concerns.

However you spend your summer, we hope it is filled with happy—and healthy—smiles!

Be Good to Your Gums

May 26th, 2021

You brush and floss thoroughly twice a day. You have regular checkups. Everything seems fine on the periodontal radar. Sometimes, however, even healthy gums can become sensitive and irritated. Is it something you did? Maybe! Here are some common causes of gum irritation and sensitivity that you might not be aware of.

  • Brushing Bravado

One of the most important tools for gum health is one we use at least twice a day—the simple toothbrush. Two minutes at night and two in the morning reduce the bacteria and plaque that lead to serious gum disease, known as periodontitis. And while preventing tooth decay and gum disease are the primary goals of brushing, let’s also protect delicate gum tissue from injuries and irritation caused by too-forceful brushing.

Try using a brush with soft bristles and brushing with short strokes and gentle pressure, especially if you know you have a tendency to be a bit heavy-handed. Massaging rather than scrubbing will clean teeth and gums just fine.

  • Fierce Flossing

Just because we can use dental floss to slice cakes or cookie dough logs doesn’t mean we should apply the same pressure to our gums! While a firm sawing motion seems like the obvious way to clean between teeth and gums, you can actually cause irritation and bleeding that way.

Insert the floss between your teeth carefully, bring it to the gumline, and move the floss with gentle pressure up and down and around the tooth surface. This technique will make sure that you remove food particles and plaque from beneath the gumline without causing your gums any trauma. Ask us about the best flossing techniques—we know them all.

  • Appliance Aches

You know how helpful your braces/retainers/mouth guards/dentures are. You just wish that your helpful appliance was a little less irritating to sensitive gum tissue.

This is a problem that often disappears as you get used to your new appliance. But if pain or irritation persists or gets worse, give us a call. We want to make sure your appliance fits properly, and make any necessary adjustments to ensure your comfort.

  • Peroxide Problems

Most home whitening kits use peroxide-based gels or treated strips to remove surface stains from the teeth. Those same bleaching agents that make enamel whiter can also cause gum sensitivity and irritation. If you use whitening strips or gel trays, be careful to keep the peroxide solution away from gum tissue. But because these systems are one-size-fits-all, that is often easier said than done.

If you have sensitive gums, one solution is a professional office whitening. We’ll check on your gum (and tooth) health first, and monitor and protect your gums throughout the procedure. If you still want to whiten at home, we can create custom trays for you that will provide more complete exposure to the whitening solution for your teeth, and less exposure for your gums, than over-the-counter products.

  • Still Smoking?

Studies have shown a strong link between gum health and smoking and other forms of tobacco use. Smokers are much more likely to suffer from gum disease than non-smokers, and those who have smoked for a long time, or who smoke heavily, have an even higher risk of developing periodontal disease. Some studies suggest that smokers don’t respond as well to treatment as non-smokers.  Unfortunately, it appears that smoking and tobacco use help mask the obvious symptoms of gum disease (redness and bleeding), which could lead smokers to delay getting treatment. If you smoke, talk to us about ways to quit.

We talk a lot about periodontal health because it is so important. Periodontitis can lead to infection, loss of bone around the tooth, and even eventual tooth loss. If you are suffering from any of the signs of gum disease—swelling, redness, bleeding, pain—give our Fairview Heights, IL office a call. Whether it’s as simple as making a few lifestyle changes, or a problem requiring professional dental treatment, being proactive with your dental care is more than good for your gums—it’s good for your health!

When to Replace Fillings

May 19th, 2021

A dental filling replaces and restores the health of a tooth that has been damaged. Often, the need for a filling results from a cavity due to a large amount of decay in a tooth.

Teeth may also require repairs after cracking from chewing on hard objects, trauma to the mouth, grinding or clenching of your teeth, uneven chewing pressure, or exposure to extreme hot and cold temperatures.

Over time, a filling may have to be replaced after normal wear and tear has occurred. There are signs and symptoms to watch out for if your tooth may need a replacement filling, or a new filling. Dr. John Rottschalk Dental Group performs various types of filling treatments, depending on the damage to the tooth.

Common signs and symptoms to watch out for if you have a cracked tooth can include sharp pain when you bite down, pain that comes and goes, discomfort when eating or drinking, or a constant feeling that something is stuck in your teeth. The crack may not be visible to the eye, which makes it hard to tell whether a tooth is actually cracked.

Pain may come and go quickly when you bite down because you’re expanding the crack with the combined pressure of your teeth. If you notice this happening, contact Drs. Rottschalk, Acker, and Froidcoeur right away so we can get X-rays of your mouth and quickly fix the problem.

If you’ve had a filling in your mouth in the past, you could be due for a replacement. The seal between the tooth and the filling may break down over time, after which bacteria can build up underneath the filling and cause more decay.

It’s vital to catch this early so a filing can fix the problem. If you wait too long, a crown or a root canal may be the only option. You may not notice that a long-time filing is cracked or worn down, because it can take a long time to feel any discomfort. This is one of the reasons we recommend a dental checkup every six months.

If you need a tooth filling or a replacement filling, different filling choices vary in price. Gold fillings and porcelain fillings are more expensive options that last longer -- typically around 20 years. Porcelain fillings match the color of the rest of your teeth, however, which makes them less visible.

Another option is amalgam, or silver fillings, that less expensive but may be more noticeable in visible areas of your mouth. Composite, or plastic fillings, are another affordable option that can be matched to the color of your teeth. Composites are more likely to wear out over time and not last as long: usually around three to ten years.

If you think a past filling might be due for replacement, schedule an appointment at our Fairview Heights, IL office. Make sure to stay on top of your routine dental appointments in order to prevent decay from breaking down problem teeth.

If we catch the problem early, we can save you both money and time. Fillings can be a great way to resolve any existing teeth issues, and prevent extensive dental care practices from becoming necessary in the future.

 

Amalgam Fillings vs. White Fillings

May 12th, 2021

Many varieties of fillings are available at our Fairview Heights, IL office. Most people are familiar with traditional amalgam fillings: those big silver spots on top of teeth.

Made from a mixture of silver, tin, zinc, copper, and mercury, amalgam fillings have been used to fill cavities for more than 100 years. They offer several advantages, including:

  • High durability for large cavities or cavities on molars
  • Quick hardening time for areas that are difficult to keep dry during placement
  • Reduced placement time for children and special-needs patients who may have a difficult time keeping still during treatment

Although dental amalgam is a safe and commonly used dental material, you might wonder about its mercury content. You should know that when it’s combined with the other metals, mercury forms a safe, stable material.

The American Dental Association, U.S. Centers for Disease Control and Prevention, U. S. Food and Drug Administration, and World Health Organization all agree that based on extensive scientific evidence, dental amalgam is a safe and effective cavity-filling material.

White Fillings

Newer, mercury-free, resin-based composite fillings (white fillings) are also available at our Fairview Heights, IL office. Composite resin fillings are made from plastic mixed with powdered glass to make them stronger.

Resin-based fillings offer several benefits for patients, including:

  • They match the color of teeth
  • Less tooth structure needs to be removed than with amalgam fillings
  • BPA-free materials can be used

Resin-based composite fillings also have some disadvantages, including:

  • Higher cost than amalgam fillings
  • Inlays may take more than one visit
  • Requires more time to place than amalgam fillings

There’s a lot to think about when you have to get a cavity filled. We recommend you do your homework and speak with Drs. Rottschalk, Acker, and Froidcoeur before deciding what’s best for you or your family.

Dental Veneers

May 5th, 2021

If you want to fix staining, large gaps, fillings, chipped teeth, or the overall shape of your teeth, this may be the perfect option for you. Many of our patients opted for veneers and have never been more confident in their smile!

Dental veneers are made from long-lasting porcelain materials which cover the front and biting ends of each tooth. At your appointment, you can choose the shade of veneers to brighten up your smile. They are usually placed on the anterior, or front teeth, where the chewing forces are not as hard as in the back. Placing the veneers is easy, and the best part is: It requires only two appointments!

During the first appointment, we’ll take an impressions of your teeth. Then we send them to the lab to make your veneers. Veneers are fairly conservative in preparation because they require a small amount of space to be created on the front, bottom, and sides of each tooth for a natural appearance. You will leave the office with temporary veneers in place for a week or two while the permanent veneers are being made.

Your veneers will be placed during the second appointment, and you won’t believe the difference in your smile! If you’re interested in learning more, give Drs. Rottschalk, Acker, and Froidcoeur a call at our Fairview Heights, IL office today!

The Consequences of Sports and Energy Drinks

April 28th, 2021

They’re refreshing and tasty. They’re easy to find and pretty cheap. They help us get through a long day or a long workout. They’re everywhere.

We know it’s hard to say no to an energy or sports drink. That’s why Drs. Rottschalk, Acker, and Froidcoeur and our team want to make sure you know the effects that energy and sports drinks can have on your smile and overall oral health. You might just think twice next time you crave one.

There’s a common misconception that sports and energy drinks are somehow healthier than soda beverages. None is particularly good for you, but because sports and energy drinks have higher acidity levels, they put you on a fast track to enamel erosion, which can lead to cavities over time. However, studies show that energy drinks may be the worst of the bunch.

In a study published in General Dentistry, the energy drinks that showed the highest acidity levels were 5-hour Energy, Monster, Rockstar, and Red Bull Sugar free. These drinks almost doubled in acidity when compared to sports drinks. The sports drinks that came in second as far as acidity levels go were Powerade, Gatorade, and Propel.

You may be thinking, “What's the big deal; lots of other drinks damage your teeth, too,” and you’re right. Even all-natural beverages like orange juice and other fruit juices, which are advertised as full of vitamins, contain acid that damages tooth enamel. The point here is that moderation is key.

We certainly encourage you to choose a glass of orange juice over an energy drink, but if you feel like you just can’t give up your sports and energy drink habit, then please consider the following tips:

  • Limit yourself to a certain number of said beverages a week and stick to it.
  • Rinse with water after consuming an energy or sports drink.
  • Brush your teeth after an hour of downing the drink, so your mouth has time to return to its normal pH level.

If you have any questions, don’t hesitate to give us a call at our Fairview Heights, IL office. Shoot us a message on Facebook, or let us know on your next visit!

Creating a Dental Home

April 21st, 2021

As a parent, you know how important a happy, relaxed atmosphere is when it comes to making your child feel at home. We would like to make our Fairview Heights, IL practice your dental home, where you and your family enjoy the best of dental care in a warm and welcoming environment.

What makes a dental home?

  • It’s Welcoming

From your child’s first visit, we strive to make you both feel at ease. Our office is designed to be a happy, entertaining, and relaxing place, and our staff is trained in making little ones feel calm and secure. We want to have a lasting relationship, and we want you and your child to feel welcomed back whenever you return.

  • It’s Familiar

We recommend visiting our office for the first time by the time of your child’s first tooth or first birthday. Our early visits are designed to make your child familiar with what a dentist does and how a dentist helps keep children healthy. Regular preventative care will keep those little teeth in great shape, and, if your child has a cavity that needs filling or requires any other dental procedure, we will have a history together and a familiar place to experience an unfamiliar treatment.

  • It’s Comfortable

We use state-of-the-art dentistry to make sure your child has the best and most comfortable treatment as a patient, and we also consider the psychological aspect of each visit for your particular child. We are experienced in dealing with children who might feel anxious and working with them to overcome their worries. Part of our job is to make each visit a happy one, so your child is always comfortable visiting us.

  • It’s Ongoing

We want to establish a relationship that will last through the years. Continuity of care means that we are able to follow your child’s dental development during those active growing years and the transition from primary to permanent teeth. We provide not only dental health education, treatment, and preventive care, but can track any changes or potential problems before they become major issues. In case of a dental emergency, we will be familiar with your child personally, and with a dental history at hand.

Give Drs. Rottschalk, Acker, and Froidcoeur a call to talk about your child and how we can make the dental experience a positive one from the very beginning. When it comes to establishing a happy and healthy foundation for your child’s dental history, there’s no place like our dental home!

Baby Teeth and Cavities

April 14th, 2021

We know how frustrating it can be to discover your child has one or more cavities when you come to visit Dr. John Rottschalk Dental Group. There are several ways to prevent baby teeth from forming cavities due to decay. Not to worry: If your child does develop a cavity on a baby tooth, Drs. Rottschalk, Acker, and Froidcoeur can help take care of the problem.

Let’s look at how cavities on your little one’s teeth can be prevented from developing in the first place. Most often, children suffer decay from eating sugary foods. You may think, “My child doesn’t eat lots of candy!” In truth, fruits and juices have plenty of natural sugars that can break down teeth if they aren’t brushed thoroughly.

A well-balanced diet that includes calcium and phosphorous is necessary to keep your child’s oral health in a good state. If your son or daughter drinks juice, avoid giving it before bedtime and dilute the juice with water. Good options for snacks include vegetables, low-sugar yogurt or dairy products, and plenty of milk for healthy teeth.

Another excellent preventive strategy consists of scheduling regular appointments with Drs. Rottschalk, Acker, and Froidcoeur for your child. Between your youngster’s annual cleanings, make sure he or she brushes and flosses every day. It’s worthwhile for your little one to brush thoroughly for at least two minutes to remove any decay or plaque that has accumulated in the mouth, especially before bedtime.

Brushing Techniques

  • Move the brush both back and forth, and in circular gentle strokes.
  • Brush the outer surfaces, inside surfaces, and chewing surfaces of all teeth.
  • Place the toothbrush at a 45-degree angle to the gums.
  • Brush the tongue to remove excess bacteria and keep breath fresh.

It’s not always possible to prevent cavities from appearing in your son or daughter’s mouth. If your child does develop a cavity, our staff will notify you during the regular scheduled cleaning.

The cavity will need to be eliminated, even when it appears on a baby tooth. Our staff will remove the decayed part of the tooth and fill in the hole so your child doesn’t have to experience any pain.

You may wonder why a baby tooth has to be fixed if it is eventually going to fall out. Baby teeth hold spaces where your child’s permanent teeth have to grow in. If the former aren’t taken care of, multiple teeth may shift and the permanent ones won’t be able to grow in properly.

If you still have questions or concerns about your child’s baby teeth, or notice signs of a cavity, please don’t hesitate to contact our Fairview Heights, IL office and schedule an appointment. Remember, preventive steps can be taken to avoid bothersome cavities from forming in your child’s mouth.

This April, Let’s Celebrate National Facial Protection Month!

April 7th, 2021

Poor April. While other months celebrate romance, or giving thanks, or costumes and candy, April has—April Fool’s Day and a tax deadline. We might be forgiven for thinking these two dates seem more like warnings than celebrations.

So here’s a new topic for the April calendar: National Facial Protection Month! Take the opportunity this month to review your safety practices while you’re enjoying your favorite activities.

  • Mouthguards

If you have a mouthguard for sports or athletic activities, wear it! In any activity or sport where humans come into contact with solid objects (including other humans) tooth injury is possible. A mouthguard will help protect you from dental injuries caused by falls, physical contact, or other accidents that might happen in your active life. And it’s not just your teeth—mouthguards protect your lips, tongue, and jaw as well.

You can buy mouthguards in stock sizes or shape-to-fit options, or you can have a guard custom made especially for you at our Fairview Heights, IL office. Custom mouthguards fit perfectly and are designed to make breathing and speaking easy and comfortable. And if you wear braces or have fixed dental work such as a bridge, a custom mouthguard can protect your smile and your appliances. Talk to Drs. Rottschalk, Acker, and Froidcoeur about mouthguards for some great advice on how to protect your teeth and mouth.

As long as we’re discussing facial protection, let’s look at some other ways to keep safe as you keep active.

  • Helmets

If there’s a helmet available for your sport, use it! Helmets are especially important for protecting athletes from brain injury and concussion, and they help protect the face and jaw as well.

  • Face Guards

If you’ve experienced a puck speeding toward you, or a defensive tackle hurtling your way, or a fast ball coming in at 90 miles an hour, you know the importance of wearing a face guard. These guards can help protect your eyes, face, teeth, and jaws. Many sports now recommend using face guards—it’s worth checking to see if your sport is one of them.

  • Eye Protection

And let’s not forget eye protection. Whether it’s safety glasses or a visor, protecting your eyes and the bones around them is extremely important. You can even get sports goggles or protective sports glasses with prescription lenses to keep you safe and seeing clearly.

We have the training and experience to help treat and restore injured teeth. But we will be the first to tell you, the very best treatment is prevention!

So here are a few suggestions for your calendar this month:

  • If you haven’t gotten a mouthguard yet, now’s the time. Tooth and mouth injuries occur in sports beyond hockey and football. If you play basketball, ski, skateboard, ride a bike—in fact, almost any sport where you can fall or make contact with a person or object—a mouthguard is a must.
  • If you need to replace an ill-fitting or damaged helmet and face guard, do it before your next game. And do replace a bike helmet if you’ve been in a crash—most likely it won’t be as protective, even if damage isn’t visible.
  • Talk to your eye doctor about protective eyewear if off-the-rack products don’t work for you.
  • If you are a parent or caregiver, make sure your child athlete has the proper facial protection—and uses it.
  • If you are a coach, make sure your athletes have the right protective gear—and wear it.
  • It’s also a great time to commit to using your protective gear every single time you’re active.

But, wait—these reminders are helpful and important, but weren’t we promised something to celebrate this April? Good catch! The great news is, using facial protection for sports and athletic activities gives you rewards you can celebrate all year: fewer injuries, fewer visits to the emergency room, and a beautiful, healthy, intact smile. Suit up!

Smile! It’s Time for Arts & Crafts!

March 31st, 2021

If you have a child who loves arts and crafts, try some of these creative projects with a dental twist. One of these activities is sure to give your child something to smile about!

Toothbrush Art

Why throw away that used toothbrush when you can help your young child make art with it? Give it one more cleaning and a second life. The easy-to-grip handle and the wide bristles make a toothbrush easy for young hands to hold and paint with. If you are in an adventurous mood, use the brush to make splatter art. Your child can splatter an entire sheet of paper for an abstract effect, make a sky full of stars with a flick of the brush, or add splatter leaves to a tree scene. Cut out a stencil with a favorite shape (an animal, a flower, a toy), place it on a sheet of paper, splatter around it, remove the cutout, and—instant silhouette!

Paper Crafts

If your child is an origami enthusiast, there are some challenging dental-themed examples available online. These might be too advanced for beginners, but more experienced origami fans can make molars with roots and even molars lined with pink paper to symbolize the interior pulp. Younger paper artists might enjoy making construction paper models of an actual tooth, with white enamel, yellow dentin, and pink pulp layered in their proper order.

Sculpting Fun

For the scientifically minded young artist, clay can be used to make a 3D model of a tooth, with different colored clays representing the different layers of the tooth. Younger children learning about their teeth might enjoy fitting little white clay teeth into a pink clay crescent to show how baby (or adult) teeth fit into the gums. And for non-dental inspiration, old, clean toothbrushes can once again help out if your child likes sculpting art work with modeling clay. Add interesting texture by using the brush bristles on damp clay to create grooves, lines, or indentations.

Welcome the Tooth Fairy

If the Tooth Fairy is a regular visitor, make her welcome with a box decorated with paint or fabric to hold that special baby tooth. Or craft a pouch or a bag with fabrics scraps, and add a fabric tooth so that the Tooth Fairy will know she has come to the right spot. If you use felt and fabric glue, no sewing necessary! If your Tooth Fairy is an under-the-pillow traditionalist, decorate an envelope with a letter to the Tooth Fairy inside.

If some of these projects sound just right for your child, check out online craft sites for even more ideas. And, please be sure to have your children show and tell the next time they visit our Fairview Heights, IL office. That will put a smile on our faces!

Just What Is Plaque?

March 24th, 2021

When you were younger, and you brushed your teeth without any help for the first time, it was a big step. It meant you’d learned the right way to brush to keep your teeth and gums healthy. But why does brushing help keep you healthy? Let’s talk about plaque!

  • What Is Plaque?

Plaque rhymes with “attack,” and that’s just what it does to your teeth. If you don’t brush for a few days (which is a bad idea!), plaque is the reason for that fuzziness you feel when you run your tongue over your teeth.

If your teeth feel fuzzy, that means that plaque has been building up for a while. But how does it begin?

Plaque is made up of saliva, bits of food, other liquids, and tiny little organisms called bacteria. While most of the bacteria in our bodies don’t bother us—and some even help us—the bacteria in plaque are not so helpful.

Plaque starts with a type of bacteria that stick to the teeth, loosely at first, and then more strongly. Within hours, they join with saliva, bits of food, and other bacteria and bacterial products to make a very sticky film. This film is plaque.

Why is it so important to brush plaque away every day? As Drs. Rottschalk, Acker, and Froidcoeur will tell you, plaque can cause cavities and hurt your gums.

  • How Does Plaque Cause Cavities?

Bacteria are like us—they need food. The bacteria in plaque especially like the sugars we eat. (That’s why you shouldn’t have too much junk food or candy in your diet.) Bacteria change these sugary building blocks into a kind of acid, and because plaque is sticky, the acids stay on your teeth.

These acids breaks down the enamel, that hard coating which covers teeth. Tiny weak spots can grow and become holes in the enamel. We call these holes cavities, and your dentist can repair them by cleaning away the decay and putting a filling in your tooth to protect it.

But it’s best to prevent cavities from ever starting by brushing and flossing. Even though plaque is sticky, it is easy to brush away when you do it every day.

  • How Does Plaque Hurt Your Gums?

The gums surround our teeth and help protect them, but they are also delicate. When plaque builds up, it can irritate your gums.

You might notice that your gums get red, feel sore when you brush, or look puffy. You might have bad breath that doesn’t go away. All these are signs that your gums are reacting to the plaque around them.

The good news is that careful brushing and flossing can usually fix these problems. Talk to Drs. Rottschalk, Acker, and Froidcoeur about taking good care of your gums.

  • Can We Fight Plaque?

Yes! From the time you were small and learned how to brush, you’ve been learning how to fight plaque.

  • Brush at least twice a day for two minutes, and be sure to brush all around each tooth and the gums.
  • Floss to remove plaque from where it hides between the teeth and near the gums.
  • Visit our Fairview Heights, IL office for a cleaning, to remove plaque from hard-to-reach places and to learn the best ways to brush and floss.

As soon as you finish brushing, plaque starts to build up again. But no need to worry! Keep brushing, flossing, and visiting us for regular cleanings, and all your careful work will be rewarded will a beautiful, healthy smile.

Going Green for St. Patrick’s Day?

March 17th, 2021

Happily for all of us who like to celebrate with friends and family, there’s no need to be Irish to enjoy St. Patrick’s Day. Every March 17th, many of us take the opportunity to display a bit of Gaelic spirit.

  • Green Clothing (it’s tradition!)
  • Green Hat (for a jaunty look)
  • Green Shamrock (always the perfect accessory)
  • Green Hair (for the adventurous among us)
  • Green Grins?

Here’s where we draw the line. Emerald Isle? Delightful! Emerald smile? Not so beguiling.

That traditional St. Patrick’s party fare—green-frosted sweet treats and green-colored pastries and green-foamed beers—is full of green-tinted food dyes, which can leave us with teeth in subtle shamrock shades. Luckily, most of us will have only a very temporary tinge to remind us of our dietary shenanigans, and there are simple ways to rid yourself of the green sheen:

  • Indulge sparingly in colorful cuisine, and drink water afterwards to rinse away green-dyed foods and beverages.
  • Use a straw for green drinks.
  • Brush your teeth. (Not only will you brush away the green, but you’ll brush away the sugars from sweet green desserts and the acids from sour green brews.)
  • Try a whitening toothpaste.

One special note: if you’ve just whitened your smile, best to eliminate strong food dyes from your diet for a few days. Teeth are more sensitive to staining after whitening, because the whitening process temporarily makes them more porous. Give yourself a few days, and your enamel will be back to (stain)fighting strength.

So, celebrate on the 17th and feel secure that on the 18th, your smile won’t be “wearing the green” any longer. But if you find that you’re not happy with the appearance of your smile anytime during the year, if you have more permanent staining caused by natural darkening over time, or workdays fueled by black coffee, or a diet filled with tomato sauce, dark berries, red wine, and other tasty (but discoloring) food, you’re still in luck.

Ask Drs. Rottschalk, Acker, and Froidcoeur about professional whitening procedures at our Fairview Heights, IL office for a brighter, more confident smile. And with a bright, confident smile, every day’s a reason to celebrate!

Mouthguard Protection

March 10th, 2021

Let’s talk about mouthguards and night guards—two crucial appliances that protect your child’s teeth and jaw.

We could talk about how important a mouthguard is when your family leads an active life. Mouthguards protect teeth, delicate mouth tissue, and jaws from accidents and impacts. 

Or if someone in the house grinds his or her teeth at night, waking up every morning with tooth or jaw pain, we can talk about how a night guard can be a quality-of-life-saver.

But we’re not going to talk about any of these important topics today. Instead of looking at how a guard protects your child, today we’re going to look at how you can help children protect their mouthguards.

If you want their guards to last longer, work better, and stay (and smell!) cleaner, some basic tips make all the difference. Here are some important rules to share with your child.

  • Keep your guard clean.

This can’t be stressed enough. Without a good cleaning routine, your guard can become discolored, develop an unpleasant odor, and even cause illness. Not very appealing, right? Happily, keeping mouthguards and night guards clean isn’t difficult.

When you wear your guard, whether during daytime activities or through the night, the same plaque that is present in your mouth makes itself at home your guard. And when your night guard or mouthguard is in its case, that dark, moist environment makes it a perfect breeding ground for all kinds of bacteria, viruses, and fungi.

As soon as you take your mouthguard out, rinse it off. Brush with a soft toothbrush to remove all the plaque, saliva, or food debris that might be lingering in your appliance. (If you are on the playing field, in the park, or at some other inconvenient location, rinse it and brush as soon as you can.) Toothpaste can help get your guard its cleanest, but can be too abrasive for some appliances.

Once you’ve cleaned it, let your guard air dry in a clean spot for about 30 minutes. Air drying helps prevent bacterial growth. After your guard has dried, return it to its case.

Once a week, you might need to give your guard a good soak in a mouthwash or other dental cleaning solution.

Since cleaning instructions can be different depending on which type of guard you have, be sure to follow our instructions if you have a custom guard, or follow the manufacturer’s cleaning instructions if you have a store guard.

  • Keep it safe.

When your guard isn’t in your mouth, it should be in its case. Floating loose on the bathroom counter or tumbling around in your gym bag puts your guard at risk for breakage and bacteria.

And don’t forget to clean your case thoroughly every few days and air dry it as well. Bacteria, viruses, fungi, mold, and other unwelcome guests can collect in your case, too.

  • Keep it only as long as it’s in good condition.

You can purchase mouthguards from sporting or drug stores, or Drs. Rottschalk, Acker, and Froidcoeur can make a mouthguard or night guard designed to fit your teeth perfectly. These appliances are made to be strong and durable, but they’re not indestructible. Over time they can wear down or become damaged, especially if you treat them carelessly.

Bacteria can lurk in dents and cracks, and you can cut your mouth on rough, sharp, or broken edges. But if your guard isn’t fitting properly, don’t resort to self-help! Trying to repair, reshape, or trim your appliance yourself is not a good idea, because it might affect its fit and protective ability.

Any sign that your guard isn’t fitting properly or shows signs of wear and tear could mean it’s time for a replacement. You can replace a store model, or ask our Fairview Heights, IL team about repairing or replacing your custom guard. A mouthguard that doesn’t fit, doesn’t keep you safe.

Take care of your guard, and it will take care of you. The reward for the small amount of time and effort you put into caring for your mouthguard or night guard is a smile that will last you for a lifetime. That’s a benefit we can talk about all day!

Hypersensitive Teeth

March 3rd, 2021

It is common to experience dentine hypersensitivity, with symptoms ranging from moderate to severe. Why does it happen and how do you know if this sensitivity is something to be concerned about? The first step is to determine the cause.

The most common cause of the sensitivity is exposure of the dentin. Dentin is the layer immediately surrounding the nerve of the tooth. It is alive and usually covered by the gum tissue. When gum recession is present hypersensitivity is common. Other contributors to temporary tooth hypersensitivity include teeth whitening and dental procedures such as fillings, periodontal treatment, and braces placement or adjustment. These are temporary and should be of no concern.

Permanent hypersensitivity, however, may require treatment. To understand the cause of sustained hypersensitivity, let us explain the structure of dentin and why it serves as a ‘hot spot’.

The dentin contains a large numbers of pores or tubes that run from the outside of the tooth to the nerve in the center. When dentin tubes are exposed, there is a direct connection between the mouth and dental pulp, which houses the nerve and blood supply of the tooth. External stimuli, such as mechanical pressure (tooth grinding or clenching - bruising the ligaments holding the teeth in place), temperature changes, as well as chemical stimuli (sweet–sour) are transmitted to the pain-sensitive dental pulp and activate nerve endings. A short and sharp pain is the result. These external stimuli cause fluid movement in the open tube that is transmitted as pain sensations. Something needs to be placed into the dentin tube to plug it and stop this fluid movement.

The first step in doing something about dental hypersensitivity is to determine the cause; our professional team at Dr. John Rottschalk Dental Group can help you with this. Whether the sensitivity is due to exposed dentin or an underlying cause such as abscess or decay, corrective measures are needed. Contact us sooner rather than later so Drs. Rottschalk, Acker, and Froidcoeur can reduce the sensitivity, and provide you with some relief!

Is Your Broken Tooth An Emergency?

February 24th, 2021

When you chip a tooth badly, it can be a very nerve-wracking situation. Drs. Rottschalk, Acker, and Froidcoeur and our team want to provide you with some information that can help if you ever suffer a chipped or broken tooth. The most common ways people break their teeth are by biting down on something hard, getting hit in the mouth, falling down, or developing cavities that weaken the tooth and allow it to be broken easily. There are a few things you can do if you find yourself in this situation, however.

First, we recommend that you investigate whether the tooth is partially chipped or completely broken. Unless you are experiencing a lot of pain or bleeding, this should not be treated as an emergency. You may call our office and we will try to schedule an appointment with you as soon as possible. Once we have evaluated the tooth during your appointment, we can start to treat it. For minor chips or cracks, we may simply smooth out the area or fill in the space so the crack doesn’t spread.

If your teeth show severe damage such as a serious break, split tooth, split root, or a decay-induced break, Drs. Rottschalk, Acker, and Froidcoeur may need to take more time to fix the problem. If you need emergency dental care because a tooth has fallen out, call our practice immediately to schedule an appointment for that day. If you’re waiting for an emergency appointment, you can rinse your mouth with warm salt water and apply slight pressure to the area to stop the bleeding. We recommend using an ice pack to reduce swelling, but do not take any aspirin because that may increase the bleeding.

If your tooth has completely fallen out of the socket, hold it by the crown and rinse it under running water. Do not let the tooth become dry; instead, place it in salt water or milk until you get to our office. Drs. Rottschalk, Acker, and Froidcoeur will determine whether the broken tooth can be salvaged or will need to be completely replaced.

We know how upsetting it can be to chip or break a tooth, which is why we want to guide you through this process. Most chipped teeth are usually just cosmetic problems, fortunately, but we know that dental emergencies can come up rather suddenly. Be sure to schedule an appointment at our Fairview Heights, IL office as soon as an emergency situation occurs.

Does Your Child Need Endodontic Treatment?

February 17th, 2021

Baby teeth come with a built-in expiration date. That charming first smile is meant to make way for a healthy, beautiful adult smile. Unfortunately, before they are ready to make way for permanent teeth, primary teeth can be affected by decay, trauma, or infection—problems which can lead to damage to the pulp within the tooth. If your dentist tells you that your child’s tooth needs specialized endodontic treatment, is treatment really that much better for your child than losing a baby tooth prematurely?

Quite often, the answer is yes!

Baby teeth do much more than serve as temporary stand-ins for adult teeth. They are essential for:

  • Biting and chewing—a full set of baby teeth helps your child develop proper chewing, which leads to healthy digestion. And chewing also helps build face and jaw muscles.
  • Speech development—primary teeth help guide speech production and pronunciation.
  • Spacing—a baby tooth serves as a place holder for the adult tooth waiting to arrive. If a primary tooth is lost too early, the remaining baby teeth may drift from their proper location. This, in turn, can cause overcrowding or misalignment of the permanent teeth when they do erupt.

Baby teeth, like adult teeth, contain living pulp tissue. The pulp chamber inside the crown (the visible part of the tooth) and the root canals (inside each root) hold nerves, blood vessels, and connective tissue. When the pulp is damaged by trauma or infected, a baby tooth can still be saved with endodontic treatment. Endodontic treatment in baby teeth can take two forms.

  • “Vital” pulp is pulp that can be saved. Vital pulp therapy uses procedures to deal with damaged pulp inside the crown, or visible part, of the tooth. Pulp therapy can be used on teeth when only the top of the pulp has been affected by decay, limited exposure, infection, or trauma, but the root pulp remains healthy. Specific treatment will depend on the nature of the pulp injury, and a crown will usually be placed over the tooth after treatment to protect it.
  • With non-vital pulp, your dentist will probably recommend a traditional root canal procedure. All of the pulp tissue will be removed from inside the crown and the roots, and the pulp chamber and root canals will then be cleaned, disinfected, shaped, and filled. Finally, because the treated tooth will be more fragile, a crown will be used to protect the tooth from further damage.

There can be good reasons for extracting a seriously damaged baby tooth, and there are situations where preserving the tooth is the best and healthiest option for your child. Discuss your options with Drs. Rottschalk, Acker, and Froidcoeur when you visit our Fairview Heights, IL office for the safest, most effective way to treat your child’s compromised tooth.

Why Professional Cleanings are Important

February 10th, 2021

Regular dental cleanings and checkups at our Fairview Heights, IL office are an excellent way to ensure everything is A-OK in your mouth. There’s a reason the American Dental Association recommends a professional cleaning every six months!

Here’s what you can usually expect during your visit with Drs. Rottschalk, Acker, and Froidcoeur:

  • Head and neck examination: The dentist or dental hygienist will look for anything out of the ordinary. He or she will check your lymph nodes and lower jaw joints (also known as TMJs).
  • Dental examination: The dentist or hygienist will check for any signs of gum disease, tooth decay, loose or broken teeth, or damaged fillings. We’ll also check your bite, the contact between your upper and lower teeth, and the condition of any dental appliances you’re wearing. Sometimes we’ll also take a set of X-rays.
  • Dental cleaning: Plaque and tartar will be removed and the dentist or hygienist will polish your teeth. Your teeth and gums will be flossed, and we’ll also make recommendations about proper brushing and flossing technique if we think you need them.

When you visit our Fairview Heights, IL office regularly, we’ll be able to compare the status of your teeth and gums from one appointment to another. That ensures we will be able to tell where you’re doing great in taking care of your teeth, and if needed, where you’re doing not so well.

If you’re in need of serious help, we might recommend more frequent visits. But remember, the most important factor in your oral health is how you take care of your teeth and gums at home between appointments.

We strive to help our patients achieve and maintain radiant, healthy smiles! If you'd like to know more about exams and cleanings at our Fairview Heights, IL office, or what you need to do at home to maintain an effective oral health routine, please let us know.

Can a Night Guard Mean Sweet Dreams for Your Child?

February 3rd, 2021

Sometimes the reason for a poor night’s sleep is obvious. Maybe your child watched a scary movie. Or loaded up on sugar before bed. Or can’t get to sleep after a night of computer screens or video games. Not much we can do about these problems.

Sometimes, though, the cause of your child’s sleep difficulties is dental in origin, and that is something Drs. Rottschalk, Acker, and Froidcoeur can help with.

Teeth grinding, or bruxism, is a very common childhood dental problem. While children with this condition sleep, their jaws clench and their teeth grind against each other throughout the night. When to suspect children might suffer from bruxism? When they experience:

  • Frequent headaches or facial pain
  • Waking with a sore jaw, or popping or clicking jaw sounds through the day
  • Teeth which are chipped, cracked, flattened, worn down, or sensitive
  • Waking up tired, because grinding affects the quality of sleep
  • Siblings who complain about nocturnal grinding noises, which affect the quality of their

Pain and fatigue are unpleasant enough, but there are additional serious consequences for those who suffer from bruxism. Our jaws are extremely powerful, and clenching and grinding can put hundreds of pounds on pressure on teeth and jaws over a few hours of sleep.

These forces can lead to damaged teeth and dental work, and problems with the temporomandibular joint, or TMJ, the complex hinge that allows our jaws to move up and down, back and forth, and side to side.

Clearly, prevention is clearly a much better option for a healthy smile. And one of the simplest and most effective treatments for preventing the damage caused by bruxism is a night guard.

Night guards fit over the affected teeth to prevent them from touching directly, saving tooth and enamel from injury and wear. Not only do night guards prevent contact, they spread the biting forces of the jaw over the surface of the guard to greatly reduce their impact. And because they also stop the jaw muscles from clenching tightly, there’s no excess stress placed on the temporomandibular joint.

For all these reasons, a night guard is pretty much a slam dunk for adults who grind their teeth. But for children, it’s not necessarily an automatic decision. Why?

  • If tooth grinding is mild and appears to be limited to baby teeth, children often outgrow the condition. Your dentist can let you know if you need to do more than monitor the situation.
  • Sometimes it seems like your child’s smile changes from day to day. Between losing baby teeth and erupting adult teeth, this beautiful smile is a work in progress. A fitted night guard might not be a perfect fit while your child’s teeth are still coming in and shifting position.
  • Finally, jaw and facial pain can also be caused by problems with your child’s bite or misaligned teeth, and that might mean that an orthodontic consultation is in order.

But if you suspect your child is suffering the effects of night time grinding and clenching, give our Fairview Heights, IL office a call. A thorough examination will provide you with the best diagnosis and solutions for helping your child retain a healthy smile and regain a healthy night’s sleep.

And if a night guard is recommended, a dental professional is the best person to see for the most effective night guard.

While over-the-counter products are available, a custom night guard is designed to fit your child’s individual teeth and mouth perfectly. Impressions or 3D scans are taken in the office, and a guard is fabricated with the precise shape, strength, and thickness needed to protect young teeth. And, as a bonus, custom night guards offer the most comfortable fit for the most comfortable night’s sleep.

Scary movies, a late night sugar rush, mesmerizing video screens—not much we can do about those! But if your child is suffering lost sleep and painful mornings because of tooth grinding, give us a call. A night guard just might be the key to sweet dreams.

Start Your Day Off with a (Healthy) Smile!

January 27th, 2021

If there’s one meal that can claim the title of “Sweetest Meal of the Day,” it’s almost certainly breakfast. Sugary cereals, syrup-covered waffles, oatmeal with honey, cinnamon toast (which is literally sugar poured on toast)—it’s hard to imagine another menu even coming close. But you’re trying to keep your diet as healthy as possible. What to do?

First, no need to deprive yourself of the occasional pastry or stack of pancakes. The real problem with breakfast isn’t so much sugar as it is added sugar.

  • Just a Spoonful of Sugar? What’s So Bad About That?

Nothing! Many healthy foods have natural sugars. Milk contains lactose sugar, and it also contains calcium and is enriched with vitamin D—both of which are essential for strong bones and teeth. Fruits get their sweetness from a sugar called fructose, and deliciously provide vitamins, minerals, antioxidants, and fiber to our diets.

Even processed sugar is surprisingly low in calories. In fact, a teaspoon of white sugar has only about 15 calories. But this teaspoon is also rich in nutrients for cavity-causing bacteria. The oral bacteria in plaque use sugars and carbohydrates from food particles as a fuel source to produce acids. These acids erode enamel and lead to cavities.

Choosing breakfast foods without additional sugars, then, is an easy way to reduce the number of empty calories in your diet while safeguarding the health of your teeth. We have a few suggestions.

  • Be Selective with Cereals

If the word “sugar” or “honey” or appears on the box, that’s a hint that your favorite cereal is heavy on the sugar. But there’s a more scientific way to tell just how much sugar is in that spoonful.

While the colorful packaging and playful mascots are eye-catching, check the black-and-white panel with nutritional facts found on every box. If one serving equals 27 grams, and the sugar in that serving equals 15 grams, you know you have a problem. And cereals marketed to children are especially “rich” in added sugar.

But luckily, you don’t need to give up your morning bowl. Many cold cereals are available that offer whole grains, protein, and fiber without a lot of added sugar. Spend some time in the cereal aisle comparing, or, to make life easier, there are many online sites which recommend the best (and worst) cereals in terms of sugar content.

  • Use Your Judgment with Juices

Fruits are packed with important nutrients. Not only do they provide essential vitamins and minerals, they’re a great source of water and fiber. If you drink 100% fruit juice, you are getting the benefit of most of the vitamins and minerals found in fruit. (You’re also getting less of the fruit’s natural fiber, and more of the fruit’s natural sugar, so consider fresh fruit as an option occasionally.)

But when fruit juice comes with “cocktail,” or “punch,” or “ade” attached to the end of it, there’s often something else attached—added sugar. For natural fruit flavor and the least amount of sugar, stay with 100% unsweetened fruit juice.

  • Search Out “Surprise” Sugars

Remember the childhood excitement of searching through your cereal box for the prize inside? Fun! What’s not so much fun? The surprises you might find when you search through the labels on your favorite breakfast items—because added sugars make their stealthy way into many of our morning favorites.

When you compare plain, Greek, and low-fat yogurts, for example, the low-fat options are often higher in added sugar. A container of low-fat yogurt can provide 19 grams of sugar—that’s a tablespoon and a half!

And while you’re at it, be sure to compare the sugar content in granola bars. Some are full of nuts and grains, and some are full of added sugar.

Going out for a breakfast smoothie? Those can contain 70 grams of sugar and more. Making your own at home might be a little more time-consuming, but if you use fresh fruit as your sweetener, you can make sure that what you’re not consuming is added sugar. If you’re on the go, check out all-fruit options at your favorite smoothie shop.

Drs. Rottschalk, Acker, and Froidcoeur and our team aren’t asking you to eliminate sugar from your breakfast diet altogether. (Everyone loves a doughnut now and again.) But substituting some alternatives for your regular menu choices can reduce the amount of added sugars by tablespoons every meal. That’s another great reason to greet the morning with a smile!

Treatment Options for TMD

January 20th, 2021

Temporomandibular dysfunction (TMD) refers to a diverse range of disorders that relate to muscular function in the jaw and face — the temporomandibular joint (TMJ). That could mean difficulty opening your mouth, pain in the jaw or face, or any sort of problem with the jaw joint.

TMD can be difficult to diagnose because of the varied causes. Whatever the case, an accurate diagnosis from Drs. Rottschalk, Acker, and Froidcoeur helps make treatment as successful as possible.

Most often, jaw problems will resolve themselves within several weeks or months. Surgeries like arthrocentesis, arthroscopy, and open-joint surgery should be a last resort. More conservative and reversible treatments should come first and are in fact the most critical step in the treatment of TMD.

Less invasive treatments like acupuncture and splints can be helpful, but that will depend on your particular case. It’s worth your while to speak with Drs. Rottschalk, Acker, and Froidcoeur at our Fairview Heights, IL office to learn about solutions that could work for you.

A combination of treatments will most often produce the greatest relief for TMJ patients. It’s a good idea to avoid activities that overuse the jaws, such as chewing gum or clenching your jaws.

You can be proactive in finding relief for TMD by trying the following remedies at home:

  • Eat soft food: When you eat soft and/or blended food, your jaw gets an opportunity to rest. Avoid chewy and crunchy food, and food that requires you to open your mouth wide, like apples or corn on the cob.
  • Apply moist heat: A hot water bottle wrapped in a moist towel can help reduce symptoms.
  • Apply ice: Applying an ice pack wrapped in a cloth or towel for no longer than 15 minutes may also reduce pain and promote healing.
  • Do jaw exercises: A physical therapist can help identify the exercises that will work for you. Jaw exercises have been shown to be an effective treatment method that can be performed at home.
  • Relaxation: Actively try to relax the muscles of the face and lips, and let your teeth come apart. Many find meditation, yoga, and slow, deep breathing to be helpful for reducing stress and tension.
  • Avoid wide yawns: Keep your fist under your jaw when you feel a yawn coming on, to keep your jaw from opening too widely.

When should I floss during the day?

January 13th, 2021

A vital step in your oral health routine is flossing. We hope our patients at Dr. John Rottschalk Dental Group maintain good oral hygiene, including daily flossing between each visit to our Fairview Heights, IL office. A toothbrush is not always enough to get to the hard-to-reach areas of your mouth. When food remains between your teeth, bacteria starts to grow and will break down your enamel. This is where flossing comes in!

Should you floss before or after brushing?

Whatever your personal preference, you may floss before or after you brush your teeth. When you floss first, you can brush away any leftover dislodged food debris from your teeth. On the other hand, when you brush first, you will loosen the plaque between your teeth, which makes flossing more effective.

The essential aspect is that you floss thoroughly by using a fresh strand of floss and make sure to get between every tooth. Even if your teeth look and feel clean, don’t skip flossing or plaque will begin to build up on your teeth.

When is the best time to floss?

Although you should brush your teeth at least twice a day, Drs. Rottschalk, Acker, and Froidcoeur and our team recommend flossing your teeth thoroughly once a day. Many people prefer to floss before bed, so that plaque doesn’t sit between their teeth all night.

What kind of floss should I use?

You may choose between interdental cleaning picks or flexible floss strands to perform your daily flossing routine. If you have permanent oral appliances or restorations, be sure to follow the flossing instructions provided to you.

Do you need help flossing?

If you’re having trouble flossing or have questions about which floss is best for your teeth, contact our Fairview Heights, IL office and we can provide you with support. Be sure to keep up with your daily flossing routine, and we will see you at your next appointment!

Going Green for the New Year

January 6th, 2021

Does your list of New Year’s resolutions for the coming months include reducing your ecological footprint? If so, let’s ring in the year with some basic—and some innovative—dental ideas to help you meet your goal.

  • Conserve Water

This is probably the easiest –and most cost effective!—item on our list. If you leave the water running while you brush, you are watching gallons of water go down the drain every day. Luckily, toothbrushes rely on wrist power rather than water power. Wet your brush before you begin, and use water only as needed to rinse. You’ll save hundreds of gallons of water every year.

And while we’re near your sink, if you like to rinse after brushing and flossing with disposable plastic cups, consider using compostable paper products or a regular drinking glass that you can clean after using.

  • Biodegradable/sustainable /recyclable toothbrushes

Some brushes promise to be completely compostable, with handles manufactured from sustainable woods or bamboo, and heads fitted with biodegradable boar bristles. Investigate before you buy, because boar bristles aren’t for everyone. Some users complain about the taste, and boar bristles are harsher than the soft bristles we recommend to protect your enamel and gums. Organic bristles are also more prone to bacteria growth.

If you prefer the consistency and texture of regular synthetic bristles, or wish to avid animal products, you can still opt for a brush with a handle of sustainable wood or bamboo. These brushes also offer PBA-free bristles, bristles made largely from castor oil, or bristles that use natural ingredients in combination with synthetics.

And don’t forget recycling as a possibility to cut down on your plastic use. Toothbrushes are available with handles made from recycled plastic. And once you’re finished with them, these brushes can be recycled again.

  • Biodegradable dental floss

This is another innovative take on dental supplies, and one that offers lots of new options. Regular dental floss is usually made from waxed nylon. Biodegradable floss, on the other hand, can be made of silk or plant materials, and coated with beeswax or plant-based wax. Some of these biodegradable flosses even come in refillable or compostable packaging.

  • Organic toothpaste

If you’re incorporating organic foods into your diet, you know that organic options are more easily available than ever before. And now there are more organic toothpastes available, as well. Natural toothpastes can be found which are vegan, fair-trade sourced, and preservative- and artificial ingredient-free.

Before you buy, though, do discuss your choices with Drs. Rottschalk, Acker, and Froidcoeur. Why? Because many natural toothpastes are formulated without fluoride, a mineral shown to prevent cavities in study after study. Which leads us to . . .

  • See Your Dentist Regularly for Checkups and Cleanings

Along with your daily dental hygiene routine, don’t forget to make regular appointments for examinations and professional cleanings at our Fairview Heights, IL office. Drs. Rottschalk, Acker, and Froidcoeur can help you discover the best ideas for products and practices which are good for you and good for the planet, for a lifetime of natural, sustainable smiles.

Healthy Resolutions for Healthy Teeth

December 30th, 2020

Every January 1st, you have your resolutions ready. No more nail biting. Lose ten pounds. Stop smoking. None of us are happy about those annoying bad habits we’ve picked up over the years. But if nothing else has helped you keep your resolutions, maybe seeing how they can improve your oral health will give you some extra willpower.

  • No More Nail Biting

You can easily see how nail biting affects your fingernails, but its effects are more than cosmetic. The pressure this habit puts on tooth enamel can lead to cracks, chips, and enamel erosion. Nail biters have a greater risk of bruxism, or teeth grinding. (More on that below.) And the transfer of germs from fingers to mouth and mouth to fingers is a vicious circle that can lead to illnesses and infections in both fingers and mouth.

  • Cut Down on Junk Food

Sugars and carbs help pack on the pounds, no doubt. Did you know that they can also help create cavities? Sugar is a favorite food for oral bacteria, which allows them to produce acids which attack and weaken tooth enamel. And carbs? They convert easily to simple sugars. Choose nutritious snacks and beverages, and you will keep those teeth healthy. You might even lose a few pounds!

  • Lower the Volume

If your partner complains about sleepless nights thanks to your nocturnal teeth grinding, or your friends ask you to quit chewing on that cup of ice while they’re trying to watch a movie with you, listen to them! (If you can hear them over the grinding and chewing.) Bruxism can fracture teeth, cause headaches and jaw problems, and might even lead to loose teeth. Chewing hard foods can have the very same effects. Too much pressure from any source can damage your teeth. Grinding, chewing ice, crunching down on hard candies—any habit that’s loud enough to annoy others could be a warning to be more careful of your teeth.

  • Don’t Put That in Your Mouth!

Helping you eat and chew nutritious foods—of course. Smiling—absolutely. Ripping off a piece of duct tape, tearing open a potato chip bag, holding your dog’s leash while you look for your keys, opening a tight bottle cap—no, no, no, and really no. Fractures and chips are common injuries when you use your teeth as tools. Your teeth have a crucial job to do, but that job description never includes “scissors” or “nutcracker” or “bottle opener.” Take that extra minute and find the tool you need!

  • Drink in Moderation

Along with all the other consequences of over-indulging, too much alcohol in your diet can be bad for your oral health. Alcohol, especially paired with sugary drinks, helps create that acidic environment that leads to weakened enamel. More than that, it’s dehydrating. Without sufficient hydration, we don’t have the optimal saliva production we need to fight cavities. After all, saliva helps wash away food particles and bacteria, neutralizes acids, and strengthens enamel through remineralization. Ring in the New Year—moderately!

  • It’s Time to Quit

Cigarettes, pipes, cigars, chewing tobacco—there is no tobacco product that is healthy for your body or your teeth! We’re all familiar with the discoloration tobacco can cause, but it also has serious oral health consequences. Oral cancer, gum disease, early tooth loss—all these conditions have been linked to tobacco use. Today there are more methods than ever before to help you quit. Make this your year!

You don’t have to wait for the New Year to start working on healthier habits. If you’d like to tackle teeth grinding, banish nail biting, stop smoking, or work on any other habits that can damage your health and your teeth, talk to Drs. Rottschalk, Acker, and Froidcoeur at your next visit to our Fairview Heights, IL office. And, don’t forget—resolving to see us twice a year for a checkup and a cleaning is a resolution that’s extremely easy to keep!

Take Your Pick!

December 16th, 2020

Before electric toothbrushes, before dental floss, before fluoride rinses, in fact, before recorded history, people who cared about their dental health had one primary tool—the toothpick. Ancient bronze toothpicks, bejeweled Renaissance picks, and the more humble modern wooden picks have been instrumental in promoting dental hygiene for centuries.

And, while that clean, simple design is still a good one, modern technology has found a way to build an even better toothpick. Today’s interdental picks not only dislodge food particles effectively, but now gum stimulation, cleaner orthodontic appliances, and fresher breath are available literally at our fingertips. Most important, these picks are just as effective as floss for removing plaque.

  • Wood? Still Good!

Today’s softer wooden picks come in several shapes designed to fit comfortably and snugly between the teeth. Using a gentle in-and-out motion, you can clean between your teeth as you remove plaque from the tooth surface. But that’s not the only benefit! As you move the wide end of the pick up and down between teeth and gums, you are actually stimulating your gum tissue as well.  They even come with mint flavoring to refresh your mouth as you clean. And, of course, wood and bamboo picks are biodegradable.

  • Plastic? Fantastic!

If you’d like something a little more yielding than wooden dental picks, you have options. Soft dental picks are available that use rubber “bristles” on a plastic stem to gently ease their way between teeth. The heads are available in different diameters to accommodate tight or wide spacing between the teeth. Straight or curved stems provide the accessibility you need. If you have latex allergies, be sure to choose a rubber product that is latex-free.

  • Interproximal Brushes? Here’s What the Buzz Is

You might have missed these miniature brushes in the dental care aisle, but they are worth looking for. Interproximal brushes have small cone-shaped heads with nylon bristles for cleaning food particles and plaque from between the teeth. They are good for more than one use, and some are available with angled or bendable handles for hard-to-reach spots. They come in different diameters, from wide to extremely fine, to suit the spacing of your teeth. Interdental brushes are especially useful for braces wearers, who can use these clever tools to clean tight, tricky areas under wires and around brackets.

Even though bronze, bejeweled, or golden toothpicks aren’t available in the dental aisle of the local drugstore, increased efficiency and function are well worth the trade-off. If for any reason you have trouble flossing, or if you like the idea of massaging your gums as you clean your teeth, or if you wear braces, or if you want a burst of mint flavor—for any number of reasons today’s dental picks are worth a try. Talk to Drs. Rottschalk, Acker, and Froidcoeur at your next visit to our Fairview Heights, IL office, and we’ll be happy to give you some recommendations. 

Dental X-rays: The Inside Story

December 9th, 2020

Pediatric dentists strive to make your children’s visits welcoming and worry-free, and, we want the same for you! Ask us about any questions you might have. We are happy to explain procedures, equipment, and sedation options so you know just how safe and comfortable your child’s experience can be. And if X-rays are a concern, we can put your mind at ease here as well.

What Exactly Are X-rays?

Sometimes parents feel reluctant about the process of imaging because X-rays are a kind of radiation. But the fact is, radiation is all around us. We are exposed to radiation naturally from our soil and water, sun and air, as well as from modern inventions such as cell phones, Wi-Fi, and air travel.

Why is radiation so common? Because matter throughout the universe constantly gives off energy, and the energy that is emitted is termed radiation. This radiation takes two forms—as particles (which we don’t need to consider!) and as traveling rays. This second type is known as electromagnetic radiation, created by photons traveling in regular waves at the speed of light.

We are exposed to electromagnetic radiation every day, because, whether we can see them or not, these different wavelengths and frequencies create various forms of light. Radio waves, microwaves, infrared, visible, and ultraviolet light, X-rays, and gamma rays are all part of the electromagnetic light spectrum.

Different types of radiation on this spectrum have different wavelengths and different frequencies, and produce different amounts of energy. Longer wavelengths mean lower frequencies and less energy. Because X-rays have shorter wavelengths and higher frequencies than, for example, radio waves and visible light, they have more energy.

How Do Dental X-rays Work?

An X-ray machine produces a very narrow beam of X-ray photons. This beam passes through the body and captures images of our teeth and jaws on special film or digital sensors inside the mouth (intraoral X-rays), or on film or sensors located outside the mouth (extraoral X-rays). These X-ray images are also known as radiographs.

Why are X-rays able to take pictures inside our bodies? Remember that higher energy we talked about earlier? This energy enables X-rays to pass through the softer, less dense parts of our bodies, which are seen as gray background in a radiograph. But some substances in our bodies absorb X-rays, such as the calcium found in our bones and teeth. This is why they show up as sharp white images in radiographs. 

There are different types of common dental X-rays which are used for pediatric exams, including:

  • Bitewing X-rays, which are used to check on the health of the back teeth.
  • Periapical X-rays, which allow us to look at one or two specific teeth from crown to root.
  • Panoramic X-rays, which use a special machine to rotate around the head to create a complete two-dimensional picture of teeth and jaws.

Why Do We Need X-rays?

If all of our dental conditions were visible on the surface, there would be no need for X-rays. But there are many conditions that can only be discovered with the use of imaging—infection, decay, or injuries, for example, can show up as darker areas in the teeth or jaws. Among their many diagnostic uses, X-rays can help us find:

  • Cavities between teeth
  • Damage to the tooth’s pulp which might require root canal treatment
  • Injuries to teeth or roots after trauma
  • Abscesses, tumors, or other conditions that might be causing swelling or pain
  • Unusual position or development of the teeth before and as they erupt
  • Alignment and development of wisdom teeth

X-rays can also serve an important preventative role, by discovering small problems before they become major ones.

How Do Dentists Make Sure Your Child’s X-rays Are as Safe as They Can Be?

First of all, the amount of radiation patients are exposed to with a dental X-ray is very small. In fact, a set of bitewing X-rays exposes us to slightly less than the amount of radiation we are exposed to through our natural surroundings in just one day. Even so, Drs. Rottschalk, Acker, and Froidcoeur and our team are committed to making sure young patients are exposed to as little radiation as possible.

Radiologists, the physicians who specialize in imaging procedures and diagnoses, recommend that all dentists and doctors follow the safety principal known as ALARA: “As Low As Reasonably Achievable.” This means using the lowest X-ray exposure necessary to achieve precise diagnostic results for all dental and medical patients.

The guidelines recommended for X-rays and other imaging have been designed to make sure all patients have the safest experience possible whenever they visit the dentist or the doctor. We ensure that imaging is safe and effective in a number of ways:

  • We take X-rays only when they are necessary.
  • We provide protective gear, such as apron shields and thyroid collars, whenever needed.
  • We make use of modern X-ray equipment, for both traditional X-rays and digital X-rays, which exposes patients to a lower amount of radiation than ever before.
  • We set exposure times based on each child’s size and age.

X-rays play an important part in helping us make sure your child’s teeth stay their healthiest. If you have any concerns, contact our Fairview Heights, IL office. When it comes to making sure you’re comfortable with all of our procedures, including any X-rays that might be necessary, we’re happy to give you all the inside information!

‘Tis the Season—for Healthy Dental Choices!

December 2nd, 2020

It might be the most wonderful time of the year, but if you’re dashing through the snow to an emergency dental appointment, you’re not feeling very jolly. And post-holiday, no one wants to start off their New Year’s Resolutions with “Get Cavities Filled.” How to survive the sweetest of seasons with enamel and fillings intact?

Candies and sweets would normally be on the naughty list, but we’re not Scrooges! Indulging in a treat or two is part of the holiday fun, and we have some advice for how to enjoy them guilt-free. But first, some treats are definitely more naughty than nice. Which are the ones that are better as decorations than desserts?

  • Candy Canes

If you’ve ever suffered a chipped or cracked tooth after an innocently biting down on a much-harder-than-expected piece of candy, you know that caution is in order. That’s why we tend to take our time with candy canes, letting them dissolve slowly in the mouth. Of course, the drawback to this strategy is that now we’re slowly bathing our teeth in sugar, encouraging the growth of plaque and cavity-causing bacteria.

Candy canes, peppermints, and other hard candies are potentially bad for your teeth when you crunch away, and definitely bad for your teeth if you let them dissolve slowly.

  • Gumdrops

Glistening, colorful gumdrops. Roofing your gingerbread house, trimming a gumdrop tree, or simply sitting in a bowl, they are one of the sweetest ways to decorate for the holidays. And when we say “sweet,” we mean that literally. Most gumdrops are basically made of corn syrup and sugar—and then rolled in more sugar.

But their sugar content isn’t the only problem. This is sugar in an extra-gummy form that sticks between our teeth and around our gums.

  • Toffees, Caramels, Taffy

They might come in lovely ribboned boxes, but these extremely sticky foods are not a gift to your teeth.

Not only do chewy candies stick to enamel, they stick to fillings, crowns (especially temporary crowns), and orthodontic wires and brackets. No one wants an unexpected trip to the dentist or orthodontist because dental work has been damaged or dislodged!

  • Gingerbread Houses

Nothing says the holidays like a gingerbread house—chewy, sticky gingerbread covered with hard sugar icing, gumdrops, and peppermints. Great for your décor; not so great for your dental health. Eat one gingerbread man if you’re in a spicy mood and leave your architectural masterpiece intact.

  • Fruitcake

If you need an excuse to turn down fruitcake, here’s a perfect one: most fruitcake is not great for your teeth. Candied fruit is, well, candied, and dried fruit is sugary, sticky, and chewy. There are delicious exceptions, of course, but even a delicious fruitcake is very high in sugar.

Well, this list wasn’t very jolly. So as a little holiday gift for you, here are some suggestions to help you enjoy your desserts in the healthiest way possible.

  • Be choosy.

Just like you search for the perfect presents for your family and friends, take the time to choose the perfect holiday treats for yourself. If you are worried about cavities, or have a temporary crown, or wear braces, or have cracked a tooth before, or are just generally concerned with your oral health, stay away from sticky, hard, and excessively sugary desserts.

What can you accept from your holiday hosts with a grateful (and relieved) smile? The occasional soft chocolate should be nothing to stress about—and if you make it dark chocolate, you’ll actually get nutritional bonuses like magnesium and antioxidants. Cakes, cupcakes, cookies, pies—yes, they are made with lots of sugar, but it is the holidays after all. Just be sure to follow our next suggestions to make that slice of cheesecake guilt-free.

  • Eat sweets with a meal.

Saliva does more than keep our mouths from getting dry. It also helps prevent cavities by washing away food particles and neutralizing the acids from food and bacteria, which damage enamel.

Eat dessert with a meal, and you benefit from increased mealtime saliva production. When you snack throughout the day, this acid-neutralizing ability is greatly reduced.

  • Rinse after eating.

Rinsing your mouth with water after a meal or a snack, especially a sugary one, also helps wash away the sticky sugars and carbs, which oral bacteria convert into acids.

  • Brush immediately. (Maybe.)

It’s always a good idea to brush right after eating—well, almost always. If you’ve been eating acidic foods like citrus or colas, the acids in the food can weaken your enamel just enough to cause some potential enamel damage if you scour your teeth immediately after eating. We often recommend waiting about 30 minutes to brush to give your enamel a chance to recover.

But every mouth is different. If you wear braces, or tend to get food stuck in your teeth or dental work, or have any other concerns, ask Drs. Rottschalk, Acker, and Froidcoeur for the best times and methods for holiday brushing.

You don’t want to ho-ho-hope that we can fit you in at our Fairview Heights, IL office to treat a cavity or a cracked tooth. Make your holiday dessert list and check it twice, and make sure you’re brushing and flossing more often if you’re indulging in seasonal treats—give yourself these two gifts, and you’ll be ringing in the New Year with a beautiful, healthy smile. Sweet!

Solutions for Dry Mouth (Xerostomia)

November 25th, 2020

Dry mouth, or xerostomia, is a common side effect of many medications. It can also be a side effect of cancer treatments, or the result of certain auto-immune diseases. Drs. Rottschalk, Acker, and Froidcoeur and our team at Dr. John Rottschalk Dental Group will tell you that for most people, discontinuing their medication isn’t an option. The solution is two-fold: find ways to increase saliva production and eliminate specific things that are likely to increase dryness in the mouth.

Lack of saliva creates a situation in the mouth that allows harmful organisms such as yeast and bacteria to thrive. It may also make it difficult to swallow food, create a burning feeling in your mouth, or cause bad breath, among other problems.

Medications that are known to cause dry mouth include:

  • Anti-depressant drugs
  • Anti-anxiety medications
  • Drugs for lowering blood pressure
  • Allergy and cold medications — antihistamines and decongestants
  • Chemotherapy drugs
  • Medications to alleviate pain
  • Drugs used in the treatment of Parkinson’s disease

Saliva helps people digest their food. It also functions as a natural mouth cleanser. Xerostomia increases the risk you will develop gum disease or suffer from tooth decay.

Solutions for dry mouth

  • Carry water wherever you go, and make a point of taking regular sips.
  • Avoid oral rinses that contain alcohol or peroxide.
  • Chew sugarless gum or suck on sugarless hard candies that contain xylitol.
  • Limit your consumption of caffeine, carbonated beverages (including seltzer and sparkling waters), and alcoholic beverages.
  • Brush your teeth at least twice a day, and use dental floss or other inter-dental products to remove food particles that get stuck between your teeth.
  • Look for oral rinses and other oral hygiene products that bear the American Dental Association (ADA) Seal of Approval.
  • Brush your teeth and use oral rinses that contain xylitol. Certain gels and oral sprays are equally helpful. Biotene is one over-the-counter brand that makes products designed to treat dry mouth.
  • Make sure you get your teeth checked and cleaned twice a year. Drs. Rottschalk, Acker, and Froidcoeur will be able to examine your mouth for problems and treat them before they turn into something more serious.

You may not be able to solve your dry mouth problem altogether, but you’ll be able to deal with it by following these recommendations. You’ll be able to increase saliva production while reducing your risk of more serious dental problems. To learn more about preventing dry mouth, or to schedule an appointment with Drs. Rottschalk, Acker, and Froidcoeur, please give us a call at our convenient Fairview Heights, IL office!

Eco-Friendly Toothbrushes

November 11th, 2020

When it comes to dental hygiene, “going green” is not the first phrase that comes to mind. But if you are brushing properly, you are also replacing your toothbrush every three to four months as the bristles become frayed and wear down. Sure, that’s a tiny amount of plastic from each of us going to our landfills, yet it adds up to millions of brushes a year nationally. If you are concerned about reducing your carbon footprint while reducing your risk of cavities, there are several new toothbrushes designed to make brushing more eco-friendly.

Biodegradable Toothbrushes

Some brushes claim to be completely compostable. These models generally have heads fitted with boar bristles and handles manufactured from sustainable woods or bamboo. Boar bristles aren’t for everyone. Some users complain of the taste of the bristles, and boar bristles might be harsher than the soft bristles we recommend to protect both enamel and gums. There is also some concern about bacteria growth on organic bristles.

Earth-friendly Handles and Bristles

If you prefer the consistency and texture of regular synthetic bristles, you can still opt for a brush with a handle of sustainable wood or bamboo. You can also select PBA-free bristles, bristles made primarily of castor oil, or bristles that use natural ingredients in combination with synthetics.

Reduce, Reuse, Recycle

If these exotic brushes aren’t for you, there are more conventional choices that will save energy and cut down on waste.

  • Reduce the amount of electricity you use for your electric toothbrush with a model that requires less charging time.
  • Reuse your toothbrush by buying one with a handle made of metal, natural materials or plastic and replace the detachable head every three months.
  • Recycled plastics can be found in the handles of some toothbrushes, and many brushes come in recyclable packaging. Every bit helps!

If you decide to use one of these green products, remember that your dental health is still the primary goal. Be sure the bristles of your brush are soft enough to protect your gums and enamel and can reach all the places you need to brush. The handle should be easy to grip and the head should be a comfortable fit for your mouth. It’s always best to choose products with a seal of acceptance from your local dental association, or talk to us about greener alternatives during your next visit to our Fairview Heights, IL office. Luckily, there are several workable options to protect the health of your family's teeth while still being mindful of the health of our planet.

The Hazards of Smokeless Tobacco

November 4th, 2020

Many smokers believe that chewing tobacco is a safer alternative to smoking cigarettes. This simply isn't the case! In fact, smokeless tobacco can cause serious health concerns.

Smokeless tobacco comes in many forms and goes by many names: dip, snuff, snus, or simply chewing tobacco. Use of these products usually involves sucking or chewing on shredded or loose tobacco leaves, sometimes flavored, for a prolonged period. There are even products that emulate a dissolvable candy-like consistency which are made of compressed tobacco powder.

What are risks and smokeless tobacco?

Whichever form a tobacco product takes, the dangers of using or consuming them is very real. According to a 2007 study by the World Health Organization's International Agency for Research on Cancer, there are upwards of 28 cancer-causing chemicals in smokeless tobacco that are known to cause cancer. And these products are habit-forming just like any other tobacco product that contains nicotine. Using them will increase your risk for many serious diseases including but not limited to: cancer (especially oral and esophageal), gum and heart disease, cavities, and pre-cancerous mouth lesions.

At the end of the day, long-term use of smokeless tobacco can cause serious health issues. These products really take a toll on both your oral and overall health. They put a strain on your immune system and make it less capable of warding off infection and disease.

Drs. Rottschalk, Acker, and Froidcoeur and our team strongly advise you to stop using smokeless tobacco—or any kind of tobacco product—and not to pick up the habit if you aren't. There is no safe level of tobacco use, smokeless or otherwise.

Need to quit smoking or using smokeless tobacco products?

You can and should always talk to your doctor, healthcare practitioner, or Drs. Rottschalk, Acker, and Froidcoeur for help quitting. But there are many other resources available today for those who'd like to quit. The National Cancer Institute offers information, support (local and online), and tools to help smokers and smokeless tobacco users quit. They offer live online chat with cessation counselors Monday through Friday and even have a smartphone application available to help people who are serious about quitting.

You can take a look at their website at smokefree.gov or call them toll-free at 1–877–44U–QUIT (1-877-448-7848). There is also help available from your state's quit line at 1-800-QUIT-NOW (1-800-784-8669).

Make the best choice for your health and well-being; avoid the bad habit of tobacco products. If you have any questions about how tobacco related products affect your oral health and hygiene, please don't hesitate to ask one of our Fairview Heights, IL staff members.

When do children usually lose their baby teeth?

October 28th, 2020

Many parents have concerns about their children’s teeth not falling out on time. Drs. Rottschalk, Acker, and Froidcoeur and our team are here to answer any questions parents may have about when children lose their teeth.

Children have 20 primary teeth that come in around age three. By about age six, these teeth will loosen and begin to fall out on their own to make room for the permanent ones. It is common for girls to lose their baby teeth earlier than boys. Most children lose their final baby tooth by age 13.

Baby teeth normally fall out in the order in which they came in. The lower center incisors are usually the first to fall, around age six or seven, followed by the upper central incisors.

If a child loses a tooth to decay or an accident, the permanent tooth may come in too early and take a crooked position due to teeth crowding. If your child loses a tooth to decay or accident, call Drs. Rottschalk, Acker, and Froidcoeur to make an appointment.

Some kids can’t wait for their baby teeth to fall out, while others dread the thought of losing a tooth. When your child begins to lose teeth, you should emphasize the importance of proper dental care on a daily basis to promote a healthy mouth.

Remember to:

  • Remind your child to brush his or her teeth at least twice a day and offer assistance if needed
  • Help your child floss at bedtime
  • Limit eating and drinking between meals and at bedtime, especially sugary treats and drinks
  • Schedule regular dental visits for your child every six months.
  • Ask about the use of fluoride treatments and dental sealants to help prevent tooth decay.

Call Dr. John Rottschalk Dental Group to learn more about caring for baby teeth or to schedule an appointment at our Fairview Heights, IL office!

Scheduling Dental Procedures When You’re Pregnant

October 21st, 2020

Pregnancy leads to so many changes in your body, so it’s no surprise that your teeth and gums are affected as well! Dental care is very important during these months, so let’s look at some of the concerns you might have about treatments and procedures.

  • Regular Exams and Cleaning

Yes and yes! Let us know you are pregnant when you make your appointment. Preventive care is especially important during pregnancy for keeping your gums healthy.

  • Periodontal Care

Swollen and tender gums are often one of the first signs of pregnancy. Hormonal changes can make your gums more vulnerable to irritation and infection. Early gum disease, called gingivitis, should be treated promptly to avoid a more serious condition called periodontitis. This form of gum disease can actually cause the gums to pull away from the teeth, leading to pockets where infection can develop. Talk to us about scheduling extra cleanings, if needed, to avoid the plaque build-up that leads to gum disease.

  • Regular Dental Work

If you need a cavity filled or a crown placed, talk to us about scheduling. It is important to keep your teeth healthy to avoid infection or more serious dental problems. If you do need restorative work, procedures are usually best treated during the second trimester, where morning sickness is less of a problem and reclining comfortably in the dental chair is easier than it would be in your third trimester.

  • Emergency Work

If there is a dental emergency, call us immediately. You shouldn’t put off emergency work, as the complications of pain and infection can be harmful to you and your baby.

  • Elective Treatments

If you are thinking about whitening your teeth or having other cosmetic dental work done, waiting until after your baby is born is usually recommended.

  • X-rays

Most studies suggest that dental X-rays, because they are so limited in focus, are probably safe during pregnancy. But since there is no definitive answer at this time, it’s recommended to wait until after your baby is born for elective X-rays. In case of a dental emergency, however, an X-ray might be a necessity. If you are worried, talk to us about the shielding we use during X-rays, as well as scientific agreement about the safety of dental X-rays.

Let Drs. Rottschalk, Acker, and Froidcoeur know about your pregnancy, and we will work with you to schedule exams or treatments at our Fairview Heights, IL office so that your dental experience is both comfortable and safe. If you have any concerns, call us immediately. We know your pregnancy brings many significant changes to your life, but our concern for your health and well-being—that’s unchanging!

Find Out how Your Diet can Cause Cavities

October 14th, 2020

Sometimes food that’s good for your body isn’t necessarily the best for your teeth. Drs. Rottschalk, Acker, and Froidcoeur and our team want you to know which healthy foods can harm your teeth and gums, and what steps you can take to continue enjoying these foods, even when you’re dieting.

When you begin to substitute empty calories with whole f