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!