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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!

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.

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!

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.