You’ve been going to Convivial Dental for a while now, so you pretty much know what to expect when you get to our Chestnut Hill, Massachusetts office.

You’ll see Drs. Cartsos and Zavras, your hygienist, and all the other members of your friendly dental team again. You’ll sit in a comfortable chair just your size. And you’ll have a checkup to make sure your teeth are healthy.

But once you’re sitting back in that comfortable chair, you might be wondering just what exactly gets checked during your checkup. The answer is, a lot!

• Checking Your Tooth and Gum Health

It’s important to have regular checkups because finding a small problem right away, like a weak spot in your tooth enamel, means your dentist can prevent it from becoming a bigger problem, like a cavity, later!

So your dentist will carefully examine each tooth for signs of tooth decay, using a little mirror to see behind your front teeth and around those hard-to-see teeth in the back of your mouth. The visible part of your smile doesn’t always tell everything about your dental health, though. At some checkups, you might need X-rays to make sure the insides of your teeth and their roots are healthy.

Oral health means more than just your teeth. That’s why your dentist will examine your gums and the inside of your mouth, too.

• Checking Your Bite

Drs. Cartsos and Zavras will check the way your teeth fit together when you bite, and can take X-ray images to show the size and shape of your jaw bones and the size and position of your permanent teeth before they even come in.

If your teeth and jaws fit don’t together just right, or if it looks like there might not be enough room for all your adult teeth to come in without crowding, your dentist might recommend pre-orthodontic or orthodontic treatment. 

• Cleaning Your Teeth

Plaque can hide in hard-to-reach places between your teeth and around your gums. You might know that plaque can cause cavities if it’s not brushed away, but did you know that plaque can also hurt your gums? That’s why an expert cleaning is usually part of every checkup.

Your hygienist will use special dental tools and carefully remove any plaque you might have missed or any tartar (hardened plaque) that’s built up over time. Then after flossing and rinsing, you’ll have a clean, sparkling, plaque-free smile.

Bonus: Your dental hygienist can teach you how to brush and floss better if you’ve been missing a few spots!

• Can Your Teeth Use Extra Protection?

Once your teeth are cleaned and examined, your dentist might use a fluoride treatment or sealants to give your teeth extra protection against cavities.

Fluoride treatments help make your tooth enamel stronger. If your dentist thinks you need this kind of fluoride protection, your teeth will be coated with a special fluoride gel or varnish or foam. This treatment doesn’t take long and will strengthen your enamel for months afterward.

People’s molars get the most cavities because their uneven surfaces make good places for plaque and bits of food to hide from brushes. A sealant is a thin coating which is brushed on the top of your molars to prevent plaque from hurting your enamel.

• Checking In with You!

Part of your checkup is talking to your dentist about how you can protect and even improve your dental health.

• Find out whether the foods you eat make your tooth enamel stronger—or weaker.
• Discover how brushing and flossing help prevent tooth decay and gum disease, and see if your brushing and flossing skills need any work.
• Learn how to protect your teeth during active sports (hint: wear a mouthguard).
• If you have habits which can hurt your teeth, like nail biting, get advice on how to quit.
• Don’t forget to ask any questions you might have!

Your checkup might be a little different, because your exam is designed just for you, but there’s one thing which all of us can expect. Visit our Chestnut Hill, Massachusetts pediatric dental office for regular checkups, work together with your dental team, and you can expect a healthier, happier smile!

Why all the fuss about fluoride? Your pediatric dentist recommends it, your child’s toothpaste is formulated with it, and most of our drinking water contains it. Just what is it about this mineral that makes dental professionals sing its praises? Read on for three good reasons why fluoride is a healthy choice for healthier teeth.

1. Fluoride Works!

Fluoride is an attractive option for protecting your child’s teeth—and we mean that literally. Fluoride protects the surface of teeth by working on a molecular level to attract minerals that strengthen enamel and help prevent cavities.

Our tooth enamel is mostly made from calcium and phosphate ions. These elements combine to form hydroxyapatite, strong crystals which make up about 95% of our enamel. Hydroxyapatite is so strong, in fact, that tooth enamel is the hardest part of our bodies. What can go wrong?

Acids. Acids created by the bacteria in plaque and the acids in our diet strip away the calcium and phosphate ions in enamel, weakening the surface of the tooth. This process is called demineralization. Over time, weak spots become bigger as acids eat through enamel to the inner tooth, causing decay and cavities.

So, what can fluoride do?

First, fluoride helps remineralize tooth enamel. Fluoride is attracted to the tooth’s surface and bonds with its minerals. It also attracts the calcium and phosphate ions which are found in our saliva to restore any minerals which have been lost. This process helps repair any weak spots which might have begun to form.

But fluoride does more than restore and repair tooth strength—it improves it! Fluoride ions join with calcium and phosphate to form fluorapatite crystals, which are larger and stronger than hydroxyapatite crystals. Even better? These new crystals are more resistant to acids.

2. Fluoride Is Doubly Effective

Fluoride works both externally and internally. We just looked at how fluoride helps keep teeth strong when applied to the outside of the teeth. This is called a topical application. Systemic benefits come the fluoride we consume in our diets.

Fluoride isn’t found in many foods, but it is found naturally in lakes, rivers, and other water sources. When the local water’s fluoride level is low, many communities add fluoride for its proven ability to prevent cavities. Water fluoridation is safe, has been studied for decades, and has been shown to reduce the risk of cavities by 25% or more for both children and adults.

Systemic fluoride is important for baby teeth, as fluoride joins with minerals in adult teeth while they grow and develop. This creates stronger, more cavity-resistant teeth even before they erupt.

When your child’s permanent teeth come in, fluoride is still at work! When your child drinks fluoridated water, they increasing the amount of fluoride in their saliva. Just like fluoride toothpaste, saliva bathes the teeth with fluoride ions, remineralizing and strengthening the tooth surface and helping repair weak spots in enamel.

3. It’s Easy to Get Fluoride Protection

Because so much of our drinking water is fluoridated, most of us really don’t have to think about how to get the recommended amount of fluoride in our diet each day. If your community’s water is low in fluoride, Drs. Cartsos and Zavras can help you. Prescription fluoride rinses, gels, supplements, and other treatments are available at our Chestnut Hill, Massachusetts pediatric dental office to make sure that your child’s teeth are well protected, wherever you may live. We will let you know which products are best for your child and how often to use them.

Fluoride isn’t, of course, the only way to look out for your dental health. Proper brushing and flossing are still essential for removing plaque. And sealants provide long-lasting protection for chewing surfaces. But when it comes to a proven cavity-fighter that’s simple to use, effective, and easily available—is it any wonder we’re big fans of fluoride?

While mouthwash goes a long way in improving your oral care, it is not a substitute for flossing. Mouthwashes and flossing provide different benefits that you should understand.

Mouthwash Benefits

Mouthwash comes in two categories. Some are considered cosmetic. This type of rinse provides temporary relief from bad breath and has a pleasant taste. These do not actually kill any bacteria.

Therapeutic mouthwashes provide the healthier benefits. These may contain different ingredients including fluoride or antimicrobial agents. This type is used to remove plaque buildup and reduce the potential for calculus formation. Therapeutic rinses can also help prevent cavities, bad breath, and gingivitis. In addition, Drs. Cartsos and Zavras can prescribe special rinses to assist patients after periodontal surgery or other procedures.

Flossing Benefits

Flossing is what removes the plaque formation before it can harden and become calculus. While a rinse reduces buildup, only flossing will fully remove plaque, especially between teeth. The bristles on a toothbrush do not get between teeth completely. If plaque is not removed, it hardens into tartar or calculus. When this builds below the gum line, gum disease can start.

Types of Floss

Floss is available in a thin string form or a tape. It can be waxed or unwaxed. If you find flossing difficult, you might want to try a different type of floss. You can buy bulk floss in containers or purchase the disposable type with a plastic handle attached. This style can be easier for many individuals to use. Interdental picks are available for bridgework or other situations where regular floss cannot be used.

If you have questions regarding the best mouthwash or floss, or need tips for easier flossing, please ask our Chestnut Hill, Massachusetts team for advice. We will be glad to give you solutions to help keep your mouth clean and healthy.

Congratulations! Your child is beginning to leave her bottle behind and has started to use her first sippy cup. And the best training cup is one that makes the transition from bottle to cup an efficient, timely, and healthy one.

The Right Training Cup

While a “no spill” cup seems like the perfect choice for toddler and parent alike, those cups are designed much like baby bottles. The same valve in the no-spill top that keeps the liquid from spilling requires your child to suck rather than sip to get a drink. If your child’s cup has a top with a spout, she will learn to sip from it. Two handles and a weighted base make spills less likely.

When to Use a Training Cup

Children can be introduced to a sippy cup before they are one year old, and we suggest phasing out the bottle between the ages of 12 and 24 months. Use a sippy cup as the source for all liquids at that age, and only when your child is thirsty and at mealtime to avoid overdrinking. The transition from sippy cup to regular cup should be a swift one.

Healthy Sipping Habits

The best first option in a sippy cup between meals is water. Milk or juice should be offered at mealtimes, when saliva production increases and helps neutralize the effects of these drinks on young teeth. And don’t let your child go to sleep with anything other than water—falling asleep with a cup filled with milk, juice, or other sugary drinks means these liquids stay in the mouth overnight. Finally, while a sippy cup is convenient and portable, don’t let your young child walk and sip at the same time to avoid injuries.

When your child comes to our Chestnut Hill, Massachusetts office for her first visit, please bring any questions you might have about training cups. We would be glad to share ways to make the move from bottle to cup both successful and safe!