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Wednesday, March 12, 2014

Welcome to Your Dental Home

The American Academy of Pediatrics has developed a concept it calls the “medical home.” The idea is to create one place to deliver and coordinate care for infants, children and adolescents. Similarly, the American Academy of Pediatric Dentistry (AAPD) supports the establishment of a “dental home,” a place where all aspects of oral health that result from the interaction of the patient, parents, non-dental professionals (such as pediatricians) and dental professionals can be coordinated.


Dental problems can begin early in your child’s life. One of the most common diseases among infants is early childhood caries (tooth decay that can lead to cavities), an infectious disease caused by bacteria. As soon as the first tooth erupts, your child is at risk for early childhood caries.

A dental home should be established when your child’s first tooth erupts or when he or she reaches the age of one year, whichever comes first. Frequently, your child’s pediatrician will tell you when it is the right time.
An early visit to a pediatric dentist, before any dental problems have developed, has several benefits:
  • The child’s first dental experience will be a positive one.
  • Parents will receive important information about how to keep their child’s teeth and mouth healthy.
  • The dentist can evaluate the child’s oral health and check for any dental anomalies.
Once your child’s dental home is established, regularly scheduled checkups let us spot any issues, such as the first signs of early childhood caries, before they can develop into serious problems. You can be sure that your child will receive all the appropriate preventive and prophylactic measures.


Studies have shown that children who have a dental home are more likely to receive preventive and routine oral health care. That means both fewer oral health problems and lower overall cost of treatment—and a better smile for both parent and child.

Tuesday, January 28, 2014

2013 Giving Trees Winners Announcement


The results of our 2nd Annual Giving Tree Contest have been tabulated!  Here are our winners:




Ellingsen Paxton Johnson Orthodontics earned $25 for Spokane Valley Partners with their submission.




Tied for 3rd

McDonald Elementary for Baskets for Babies



Dr. Woodard for Second Harvest Food Bank



Spokane Oral and Maxillofacial Surgery for Hearts in Motion

Each of these trees earned their charity $50.



2nd Place

Dr. DaBell's Giving tree earned $100 for the Vanessa Behan Crisis Nursery



1st Place

Peach Orthodontics earned $200 for Children's Village Charity.


Thank you to all participating offices!


Tuesday, January 7, 2014

Dr. Jared's Reaction to Pre-Schooler's Death After Dental Treatment



The KiDDS Dental team was horrified to hear of the death of a three-year-old girl due to complications from dental treatment in the state of Hawaii. Dr. Evans felt compelled to make this statement:

I’ve been following very closely the case of Finley Boyle. Like so many other parents and dental professionals, I’ve listened to news reports and scoured the internet for information about the case. While I only know what has been reported by the media, I am appalled at some of the facts that have come to light. I’m also concerned with the reaction by the public to this tragic event.

First and foremost, I am concerned with the training of the dentist in question. A quick search at www.aapd.org confirms that she is not a certified pediatric dentist. Pediatric dentists, like myself, have devoted two additional years of residency beyond dental school to be a specialist.  The additional training includes experience in a children's hospital, mentoring by experienced pediatric dentists, and additional examinations. Nonetheless, this dentist could have followed the American Academy of Pediatric Dentistry’s guidelines for conscious sedation. Had she, Finley Boyle would likely still be alive.

The community is outraged about this shocking death. I echo many of the comments shared through social media: “My heart goes out to this family,” and “This is horrible.” Unfortunately, there are many other remarks that are circulating. Let me address some of them:

  • “Why does a three year old need all that work? Must be a greedy dentist. I’ve never heard of a root canal on a baby tooth.” 
    Unfortunately, dental decay is the most common chronic disease of childhood in the United States.  Over half of our children have undergone dental treatment by the time they reach the second grade.  Decay rates are on the rise nationally and this is an epidemic that is preventable.  Good hygiene and good nutrition are critical.  
         
  • “It’s just a baby tooth. Her teeth would have come out on their own in just a few years. The dentist should have just pulled it out.”
    Primary teeth are important and they serve important roles.  Primary molars don't normally come out until the ages of 10-12 (on average).  Primary teeth guide the erupting permanent teeth into the right place.  Without them and without the right interventions, orthodontic problems are worsened.  Appearance, speech, nutrition, health and well-being can all be affected. None of us want a child to suffer if it can be helped.  


Please do not let this tragedy, caused by an inadequately trained dentist with unsafe treatment protocols, scare you and your family from seeking dental care. Avoiding the dentist is even more dangerous. Just a few years ago a child in the United States died from an abscessed tooth. He didn’t have access to a dentist. When a tooth has dental caries (or also called a cavity), it has an infection.  No physician would neglect an infection in the body; the mouth is no different.  The mouth is the nutritional gateway for the whole body. Without a healthy mouth, a body is not healthy either. When a tooth is abscessed, the problem isn’t only the pain. The infection can drain through the various layers and muscles of the head and neck, which can lead to a blocked airway, sepsis and shock.    


So, how do parents move forward after this horrific event?  First, be sure your child sees a pediatric dentist at the first sign of a tooth or by the age of one.  This is a very critical time to be educated about oral health and to start a prevention program.  All 20 primary teeth are generally erupted by the age of three. If you have taken your child to see the pediatric dentist every six months from age one through three, then you have set the stage for him to have a lifetime of pleasant dental visits. If a doctor's treatment recommendations are confusing or overwhelming, get all your questions answered before the treatment starts. If that requires getting a second opinion, do it to ensure you know everything that is going to happen. Discuss all the pros and cons. Get all the information to make the right decision for your child.

Monday, October 28, 2013

Why send candy to troops?



The planning for our 6th Annual Great Candy Buy Back underwritten by Banner Bank is well underway.  As a reminder, here are the details:

Friday, Nov 1st
4pm - 8pm
Children will get a dollar for each pound of candy they bring in.   We'll also be handing out goody bags with Firefly toothbrushes and other fun stuff!
Parents will be able to enter to win prizes.
Candy will be shipped to troops overseas through Operation Gratitude

Dr. Jared got a question via e-mail once about our buy back that he'd like us to share with everyone:

I have a really good question. Why do you want the troops overseas to eat the candy the kids get at Halloween? Adults get cavities too and are prone to obesity and hyperactivity if they eat too much candy. This doesn't make any sense to me.

Here is our response:

You do, indeed, ask a very good question.  I want to reassure you that we do care about the oral health of not only the children in our area, but the adults who are courageously serving the US in hostile countries. 

We have chosen Operation Gratitude as the organization that we go through to recognize our appreciation for our country's soldiers. The care packages that Operation Gratitude assembles fit into a 12" x 12" x 5" box. This box could probably hold 3-5 lbs of candy.  The packages, however, are not made entirely of candy.  The care packages include other things such as DVDs, stuffed animals, stacks of greeting cards, socks, scarves, CDs, and more.  I would estimate that none of the packages contain more than 2 lbs of candy.  Some of the kids that bring in candy bring in less than 2 lbs.  Most, however, bring in plenty more.  In most cases, we're distributing the candy from one child to multiple service members. 

Although there is no way to track what the one service member does with the one package they receive, I am told that the items in these care packages are often shared with the other members of their team.  There are also reports of troops using the candy to befriend the children in the areas in which they serve, making their territory just a bit less hostile.  So, of the up to 2 lbs of candy that is delivered to one member of the military, it is likely that it is not all eaten by that one individual.  

Another way that we mitigate the effects of the candy on the recipient is by sending toothbrushes and toothpaste to Operation Gratitude.  In the last few years, we've shipped almost 300 toothbrushes and tubes of  toothpaste to be included in the holiday care packages.

The price of the candy and shipping charges are well worth it to us.  Check out these videos that show how amazing this cause is:



In conclusion,  Dr. Evans believes that candy should be enjoyed by children who have trick-or-treated to earn it, but it is not healthy for anybody to enjoy it in excess.  His suggestion:  Eat a little, save a little to enjoy for the few days following Halloween and then get rid of the rest before having candy daily becomes a habit that is hard to change.  Why not turn that excess candy into a good deed for another?  We're happy to buy that candy from children to give it to others who will be uplifted by the gesture and who should enjoy it, as well. 

If you have any other questions, please feel free to contact us again!

What do you think?  Should we reconsider our efforts to buy back candy and send to troops?  Please share your thoughts in the comment section below.

Thursday, October 10, 2013

Healthy Mouth, Healthy Body




Over the past 10 years, researchers have uncovered links between oral health and systemic diseases. Many of these connections begin in childhood but become apparent only in adults. Others directly affect children.

Appearing to be the common thread between mouth and body health, inflammation is the result of bacterial infections. For instance, infection of the gums, called periodontitis, can develop in both children and adults. When the gums become infected, chemical signals attract cells of the immune system to the infected site. As the immune system fights the infection, the gums become swollen, painful and bleed easily. The pain and soreness, just like pain from a cavity, can cause children to lose sleep, become distracted at school, eat poorly and develop low self-esteem—all conditions that interfere with school performance. If left untreated, periodontitis also can damage the jawbone, resulting in loose or lost teeth.

Untreated inflammation in the mouth is also thought to stimulate inflammation in the blood vessels. This increases blood pressure and the risk of heart disease and heart attack later in life. The reason for this connection remains under investigation.

Researchers have also found a strong correlation between periodontal disease and type 2 diabetes. Diabetes is a disease in which the body’s ability to convert sugar to energy is impaired. The level of sugar in the blood rises, leading to a myriad of serious health problems. Although diabetes is most often an adult problem, the rate of type 2 diabetes in children has increased substantially, in tandem with the increased rate of childhood obesity.

Researchers are not sure just how periodontitis relates to diabetes. The direction of the causation has not been determined. People with diabetes may be more likely to develop gum infections and vice versa. Preventing and treating periodontal disease is one small way to help people control their diabetes.


Good dental habits, such as eating healthy foods, avoiding excess sugar, brushing and flossing daily, having regular dental visits, and treating tooth decay and gum disease early, help keep the mouth—and the body—healthy.

Image credit: <a href='http://www.123rf.com/photo_15403515_little-boy-biting-the-carrot-isolated-on-white.html'>sbworld8 / 123RF Stock Photo</a>

Friday, September 13, 2013

Better Oral Health = Better Sleep



Sleep may be the most important part of a child’s day. For the body to rest and the brain to recharge, a typical child aged five to twelve should get 10 to 11 hours of sleep each night. Without restorative sleep, a child may be cranky, clumsy and less attentive than usual the next day. If the pattern persists, his or her growth and resistance to immunity can be affected, too.

Oral conditions can affect sleep more severely than you might imagine. One, obstructive sleep apnea, is caused by enlarged adenoids or tonsils (which can be surgically removed if necessary); allergies (treatable with nasal steroids or other medications); and/or obesity (for which weight management is recommended). Symptoms include gasping during sleep and snoring marked by occasional pauses. Without treatment, obstructive sleep apnea can lead to developmental and learning delays, behavior issues, daytime fatigue or hyperactivity.

Sleep bruxism affects 20% to 30% of children at one time or another, although most children outgrow it. Bruxism involves teeth-grinding or jaw-clenching. Often, a child is not aware of grinding his or her teeth; the child only knows that he or she awakes with jaw or head pain and possibly a feeling of fatigue. Evidence of bruxism includes chipped tooth enamel and unusually worn surfaces.

One common cause of bruxism is the misalignment of the upper and lower teeth, which can be treated appropriately with orthodontia. Another cause, though, is emotional stress, which needs to be addressed in order to be alleviated. In any case, a night guard—a custom-molded plastic device that fits in the mouth—may help prevent permanent damage.

Finally, the pain of untreated tooth decay can seriously affect a child’s sleep. According to the California Society of Pediatric Dentistry, “Failure to identify and prevent dental disease has consequential and costly long-term adverse effects….Untreated dental disease compromises the child’s ability to eat well, sleep well, and function well at home and at school.”


If you notice that your child’s sleeping habits are unusual, let us know so we can examine his or her oral health. This no time for a parent to snooze on the job!

Image credit: <a href='http://www.123rf.com/photo_15600175_cute-7-years-old-boy-sleeping-on-white-pillow-in-summer-cafe.html'>dubova / 123RF Stock Photo</a>

Thursday, August 8, 2013

Chewing Gum Can Help Your Teeth!



Your parents may have told you that chewing gum would rot your teeth, but recent research has shown that chewing certain types of gum can actually reduce cavities. And if you are an expectant mother or the mother of a newborn, chewing gum may reduce your child’s cavities.

Streptococci bacteria (that’s the same family of bacteria that causes strep throat) feed on sugars to create acids. Those acids attack tooth enamel—and that leads to tooth decay. While saliva neutralizes the bacteria, too much sugar creates an avalanche that overwhelms saliva’s effect. Chewing gum increases saliva production—that’s good. But the sugar in chewing gum creates more acid than what increased saliva can wash away—that’s bad. And that’s why your parents told you that chewing gum causes cavities.

How do bacteria get into infants’ mouths? Primarily from their mothers. In fact, transmission of streptococci from mother to child begins even before birth. Now, researchers have discovered a way to counteract the streptococci problem, and it involves chewing gum.

Xylitol is a naturally occurring sugar (much of it comes from corn cobs). Unlike regular table sugar, however, xylitol does not promote the growth of acid on the teeth. Streptococci can’t process xylitol. In fact, xylitol helps prevent acid from sticking to teeth. This means that the increased saliva generated from chewing xylitol-sweetened gum washes away most of the streptococci from the mouth—up to 90%, according to scientific studies.

Fewer streptococci in mom’s mouth means less tooth decay in baby’s mouth. Researchers had expectant mothers chew xylitol-sweetened gum during the last three months of their pregnancies. Then the researchers tested the children until age two for the presence of bacteria in their mouths. The children of mothers who chewed xylitol-sweetened gum while pregnant were less likely to have oral streptococci at every test period.
Better yet, chewing xylitol gum may actually strengthen teeth. The combination of more saliva and less acid leads to a process called remineralization that restores tooth enamel and can actually reverse the lesions that lead to cavities.

So your parents were only partially right. Chewing gum sweetened with sugar can, indeed, rot your children’s teeth. But xylitol-sweetened gum can help maintain and strengthen your children’s teeth—even before they’re born.


Image credit: <a href='http://www.123rf.com/photo_17606094_young-girl-making-a-bubble-from-a-chewing-gum.html'>xavigm / 123RF Stock Photo</a>