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When you have a tooth extracted, your body immediately sets to work to help protect the affected area. The blood that collects at the site of the extraction clots to cover and protect the wound. This is a normal response, and protects the nerves and bone that have been exposed with the removal of your tooth. Normally, the gum tissue will close over the area within a few weeks.

But sometimes the clot becomes dislodged or moved before you have a chance to heal. The result is that the nerves and bone in the extraction site are exposed to air and outside substances. Bacteria can contaminate the wound and lead to pain, infection, and further damage. This condition is known as dry socket.

There are certain activities that should definitely be avoided so you are not at risk for dry socket.

• Straws and suction: The action of using a straw causes suction that can dislodge the clot. You can still enjoy the soothing coolness of a milkshake, but use a spoon.
• Spitting: You might be tempted to rinse and spit immediately to clean your mouth, but spitting can also dislodge the clot. We will let you know how to clean your mouth and teeth for the next few days.
• Smoking: Not only does smoking provide a suction effect that can remove the clot, but smoking and chewing tobacco can slow healing as well.

There are also steps you can take to aid the healing process.

• Caring for your extraction site

Dr. James Robson will give you instructions on caring for your mouth and teeth for the next few days. Gentle care for the extraction site is vital. And treat yourself gently as well. Rest if you need to, and avoid activities that might impact your wound.

• Think about your diet

Stick to soft foods for the first day or so and chew on the side opposite your extraction site. Carbonated and caffeinated beverages should be avoided, as well as food like peanuts or popcorn that lodge in the teeth.

• Watch for symptoms of dry socket

How do you know if you have a dry socket? Monitor your pain and the appearance of the site after the extraction. For the first few days, you might feel some pain in the immediate area. Pain that intensifies after three or four days is usually not a result of the extraction. An unpleasant odor or taste in your mouth could be a sign of dry socket. You might look in the mirror and notice that the clot is no longer there, or appears to have been dislodged. If any of these symptoms occur, call our East Lyme, CT office at once. If you are experiencing dry socket, the extraction site needs to be cleaned and protected from further injury, and we can prescribe antibiotics if needed.

Dry socket is a rare occurrence, but if you have any symptoms that concern you, we want to hear about them. We will work with you to make your extraction go as smoothly as possible. Talk to us about your concerns before any procedure, and we will provide detailed information for the healing process. Keep us in the loop as you recuperate, and we will work together to make your recovery a speedy one.

Dr. James Robson and our team know how overwhelming it can be to pick the right dental products for your children. When you visit the dental aisle at the grocery store, you see too many options to choose from. We want to help you make an informed decision based on your son or daughter’s needs.

First, you should consider your child’s age and where he or she is in terms of development. Most kids are unable to floss properly until around 12 years of age because of the necessary dexterity. If your youngster is under 12 years old, make sure to assist with flossing every night.

Another option is to use flossers for children. This will make the exercise a bit easier for your little one, because flossers have different-sized handles to fit all ages of hands.

When you’re looking for a child’s toothbrush, the head should be a little bigger than the top portion of your son or daughter’s thumb. If a toothbrush is too big, it won’t be able to reach small areas in the mouth properly. Battery-powered toothbrushes are also recommended because they improve overall brushing quality for both adults and children.

If your child is too young to spit, he or she should use toothpaste without fluoride. Small children tend to swallow toothpaste, even when they don’t intend to. Try looking for a toothpaste that has xylitol listed as the first ingredient. This is a natural sweetener that is beneficial to teeth.

You should also try to identify a flavor that appeals to your child. Same as adults, children like to brush more if they enjoy the flavor that lingers in their mouth after brushing.

It’s smart to look at the ingredients in a toothpaste for the benefits your child needs. Some toothpastes contain sodium fluoride, which fights effectively against cavities. If your child has a sweet tooth, or has already had a cavity, we recommend buying a toothpaste with this ingredient.

Stannous fluoride is another popular ingredient that discourages cavities and includes anti-bacterial properties. You should also watch for the ingredient triclosan, which also suppresses bacteria. These ingredients are both recommend for children who have a high risk for cavities.

Anti-sensitivity toothpaste should also be easy to find in the dental aisle of the store. It contains potassium nitrate to help with sore gums and teeth.

If you’re still unsure which dental products your child should be using, contact our East Lyme, CT office. Once we have general information about your child and his or her dental health, we can guide you in the right direction.

When it comes to picking the right toothbrush, toothpaste, floss, and mouthwash for your child, Robson Dentistry is always here to help.

“What is the strongest substance in the body?” If this question comes up on trivia night, be prepared to impress your team when you confidently answer, “Tooth enamel!”

Tooth enamel? The reason for this surprising answer lies in the biology of our teeth. Minerals make up well over 90% of our enamel, a much higher percentage than is found anywhere else in the body, including our bones. But unlike bone tissue, which can heal and regenerate, tooth enamel cannot. Even though it is extremely strong, enamel can be damaged by a process called demineralization.

Demineralization

Demineralization is a result of acids at work in our mouths. Acids actually break down the minerals in our enamel, making the enamel softer. Over time, bacteria attack deeper into the tooth, eventually leading to decay. Acidic foods like sodas, citrus, pickles, and coffee are obvious culprits in providing an acidic environment, but there are other problem foods as well. We all have bacteria in our mouths, which can be helpful or harmful. The bacteria in plaque use the sugars and starches we eat to produce even more acids.

This process is something that takes place very quickly. In fact, even brushing too soon after eating something acidic can damage the demineralized surface of a tooth. Waiting at least 20 to 30 minutes to brush gives our bodies a chance to restore the enamel surface in a process called remineralization.

Remineralization

Our bodies are actually designed to help protect our enamel, and the most important part of this process is saliva production. Saliva cleanses our teeth and reduces levels of acidity. And our saliva constantly washes important minerals over our teeth. Calcium and phosphate ions rebuild and strengthen molecules where demineralization has taken place. This process is called remineralization.

We have other ways to help the remineralization process along. Fluoride toothpastes and fluoridated water speed up the movement of mineral building blocks back to the surface of the tooth. Fluoride also strengthens our teeth so that they resist acids and demineralization better than teeth without fluoride, making them less vulnerable to cavities.

New products are available for home and professional use that are designed to increase remineralization—talk to Dr. James Robson at our East Lyme, CT office if you would like the latest recommendations. In fact, talk to us about tooth-friendly menus, the best toothpastes, brushing techniques, and all the ways to keep your enamel its healthiest. You’ll be answering all those trivia questions with a strong, confident smile!

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 East Lyme, CT 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. Dr. James Robson will work with you and your child to prevent future orthodontic problems and begin her lifetime of beautiful smiles.