As a parent, you know how important a happy, relaxed atmosphere is when it comes to making your child feel at home. We would like to make our Chestnut Hill, Massachusetts practice your dental home, where you and your family enjoy the best of dental care in a warm and welcoming environment.

What makes a dental home?

• It’s Welcoming

From your child’s first visit, we strive to make you both feel at ease. Our office is designed to be a happy, entertaining, and relaxing place, and our staff is trained in making little ones feel calm and secure. We want to have a lasting relationship, and we want you and your child to feel welcomed back whenever you return.

• It’s Familiar

We recommend visiting our office for the first time by the time of your child’s first tooth or first birthday. Our early visits are designed to make your child familiar with what a dentist does and how a dentist helps keep children healthy. Regular preventative care will keep those little teeth in great shape, and, if your child has a cavity that needs filling or requires any other dental procedure, we will have a history together and a familiar place to experience an unfamiliar treatment.

• It’s Comfortable

We use state-of-the-art dentistry to make sure your child has the best and most comfortable treatment as a patient, and we also consider the psychological aspect of each visit for your particular child. We are experienced in dealing with children who might feel anxious and working with them to overcome their worries. Part of our job is to make each visit a happy one, so your child is always comfortable visiting us.

• It’s Ongoing

We want to establish a relationship that will last through the years. Continuity of care means that we are able to follow your child’s dental development during those active growing years and the transition from primary to permanent teeth. We provide not only dental health education, treatment, and preventive care, but can track any changes or potential problems before they become major issues. In case of a dental emergency, we will be familiar with your child personally, and with a dental history at hand.

Give Drs. Cartsos and Zavras a call to talk about your child and how we can make the dental experience a positive one from the very beginning. When it comes to establishing a happy and healthy foundation for your child’s dental history, there’s no place like our dental home!

Having your teeth cleaned is part of most dental checkups. It’s a great feeling to know your teeth look clean and bright, but there’s more to feel great about! Cleanings help your teeth stay healthy. Let’s talk about why a cleaning at our Chestnut Hill, Massachusetts pediatric dental office is a bright idea.

• Brushing and Flossing at Home Isn’t Always Enough

Even when you brush and floss every day, sometimes you don’t get rid of all the plaque sticking to your teeth. Plaque, after all, starts forming within hours after you brush, and this can be a problem.

• The Problem with Plaque

Plaque is a sticky film that’s mostly made up of bacteria. These tiny germs use food we eat to make acids, and these acids can make our tooth enamel weaker. Over time, a weak spot in tooth enamel gets bigger and deeper until it becomes—a cavity.

And that’s not all. Plaque near our gums irritates them, and our gum tissue reacts to this irritation. Our gums might turn darker pink, or bleed, or get puffy. We could have bad breath that brushing won’t get rid of. These are signs of gum disease. Clearly, we don’t want plaque sticking around!

• The Trouble with Tartar

Especially because, after only a day or two of letting plaque build up, it starts to turn into tartar. Tartar is hardened plaque, and it can’t be brushed away at home. Tartar can only be removed by an expert at Convivial Dental.

It can build up anywhere we might not be brushing as often and as well as we should—especially behind our teeth and between them. Tartar can build up above and below the gum line, where it causes even more gum irritation.

You want your teeth to have the best protection against cavities and gum disease, and that means making sure that plaque and tartar aren’t making themselves at home on your teeth. And that means a visit to your pediatric dentist’s office for an expert cleaning.

What goes on during a cleaning?

• First, a Look at Your Teeth and Gums

Once you’re settled in the comfortable dental chair, Drs. Cartsos and Zavras will examine your teeth and gums to see if they need any attention before starting the cleaning.

• Scaling

Your hygienist usually begins by carefully scraping away any plaque and tartar with tools called scalers. Scalers can be hand tools or use ultrasonic vibration. Your hygienist will also clean the area around your gums, gently getting rid of any plaque and tartar on your tooth enamel above and below the gum line.

If you’ve been missing any spots in your daily brushing, your hygienist will point out these out so you can brush better.

• Polishing

Sometimes your teeth might be polished to take away stains on the tooth surfaces. This can be done with a special toothpaste applied with a spinning brush or rounded cup. Or your hygienist might use an air polisher, which uses powder, water, and air to clean teeth. Often, scaling on its own will remove any small stains.

• Flossing

Sometimes even adults have a hard time flossing the right way! But it’s a skill you should learn because it’s really important for healthy teeth and gums. Brushes can’t get in the tight spaces between our teeth—but plaque can. Flossing fits in between those tiny spaces to gently scrape away plaque as you move the floss up and down.

Your hygienist will floss between your teeth to remove any plaque, and can show you the right way to floss your teeth and the best kind of floss to use.

• Rinsing

After cleaning your teeth, your hygienist will make sure you rinse well for a shining smile. And that’s it!

Your teeth will look and feel cleaner once any harmful plaque and tartar are gone. You’ll find out if you’ve been missing any areas when you brush. You’ll learn the right way to brush and floss for healthy teeth and gums. And you’ll be helping to prevent cavities and gum disease! No wonder a cleaning at your dentist’s office is always a bright idea.

If you’ve just gotten braces at our Chestnut Hill, Massachusetts office, you’ve probably also learned a whole new vocabulary. Malocclusion, brackets, archwires, ligatures, elastics—you’ve got the definitions down. But now you’re scheduled for an “adjustment.” What exactly does that mean?

Why Do I Need an Adjustment?

After all, you’ve just gotten braces! But the fact is, moving your teeth to their ideal location is a process that involves many steps. The brackets and wires you have today are only a starting point. Wires, and rubber bands if you need them, put gentle pressure on the teeth, gradually moving them into a better position. Every time we see you, we check the progress you’ve made and adjust your braces to move the teeth into even better alignment. It’s a careful process to make sure your teeth and jaws fit together perfectly for straight teeth and a healthy bite.

What Will Happen at an Adjustment?

Because your braces are made specifically for you, there is no one answer for everyone or even every appointment. Usually, your ligatures (the colorful bands around your brackets) will be removed, and often the orthodontic wire that is attached to your brackets will be removed as well. We’ll check to make sure you are brushing and flossing properly around your wires and brackets, and check on the condition of your braces.

Your wire might be adjusted, or bent, or tightened, or replaced all together. In the beginning, the wire will probably be more flexible. Later in your treatment, you might get a thicker, firmer wire to move your teeth more effectively, or we might bend a wire to move specific teeth.

If you need rubber bands to make sure your bite is in alignment, we’ll show you how to attach and take care of those. We’ll also look for other adjustments that might need to be made to your brackets. If you have any concerns about brackets, wires, or any other part of your braces, let Drs. Cartsos and Zavras know! And once we’re done adjusting your braces, this is your chance to change the color of your ligatures for a new look.

Will It Hurt?

You might suffer some discomfort in the hours after an adjustment, so treat yourself gently! Stick to soft foods for a few days, and treat yourself to something cold and soothing like ice cream, yogurt, or a smoothie. Brush gently if your teeth are sensitive. Usually, over-the-counter pain relievers will take care of any soreness. You can even take a pain reliever 30 minutes to an hour before the adjustment if you are expecting some discomfort. We have more great ideas on how to reduce any tenderness you might feel—let us know if we can suggest some.

Within a day or two, you should be back to normal. If you ever suffer serious discomfort, or if the soreness lasts more than a few days, give us a call.

Remember, each adjustment brings you closer to your goal—straight teeth and a healthy bite. And that’s the definition of a beautiful smile!

TMJ is the quick way of referring to your Temporomandibular Joint. Pardon the pun, but that’s quite a mouthful! What is this joint, what does it do, and, if your Drs. Cartsos and Zavras and our team have told you that you have a TMJ disorder, what can we do to help?

The Temporomandibular Joint

Your two temporomandibular joints are amazing works of anatomical design. These are the joints where the temporal bone in the skull meets the mandible bone of the jaw, and allow our mouths to open and close, move back and forth, and slide from side to side. Muscle, bone, and cartilage work together to provide easy movement and to cushion the joint. But sometimes, the joint doesn’t work as smoothly as it should, and this can lead to Temporomandibular Joint Disorder, or TMD.

When Should You Suspect You Have TMD?

You might have TMD if you experience any of these symptoms:

• Painful chewing
• Pain around your TMJ, or in your face or neck
• Earaches
• Changes in your bite
• Jaws that are limited in movement or lock open or shut
• Clicking, popping or grating noises when you open and shut your jaw

There are many conditions linked to TMD. If you grind your teeth at night, have arthritis in the jaw, have suffered an injury or infection in the area, or have problems with your bite, for example, you might be more likely to have TMJ problems. If you suspect you have TMD, or suffer from any of the symptoms listed above for an extended period, give us a call.

Treating TMD

During your visit to our Chestnut Hill, Massachusetts office, we will check your medical history, and examine your head and neck. We can take an X-ray or scan if needed for further examination of the joint. Because there is no real scientific agreement yet about the best way to treat TMJ disorders, a conservative treatment plan is often best. If you do show signs of TMD, we might first suggest relaxation techniques, over-the-counter pain relievers, or the use of ice packs or moist heat compresses. A change to a softer diet can help, and you should stop chewing gum and making any exaggerated jaw movements.

If these self-care practices aren’t effective, we might suggest a nightguard. This appliance is a comfortable and flexible mouthguard custom fitted for you, and will bring relief from teeth grinding when worn at night. If this treatment is not effective, talk to us about other options.

Luckily, most cases of TMD are temporary and don’t become worse over time. But any persistent discomfort is a good reason to visit us. Whether you have TMD, or any other problem causing you pain in the head or jaw, we want to help.