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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.

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!

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.

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.