Tips from the ADA for a mouth healthy Halloween

Happy Halloween! Here are a few tips from the American Dental Association (ADA) that help scare away cavities while your kids enjoy their Halloween candy.

•  Eat Halloween candy and other sugary foods with meals or shortly after mealtime. Saliva production increases during meals and helps cancel out acids produced by bacteria in your mouth and helps rinse away food particles.
• Avoid hard candy and other sweets that stay in your mouth for a long time. Besides how often you snack, the length of time sugary food is in your mouth plays a role in tooth decay. Unless it is a sugar-free product, candies that stay in the mouth for a long period of time subject teeth to an increased risk for tooth decay. 
• Avoid sticky candies that cling to your teeth. The stickier candies, like taffy and gummy bears, take longer to get washed away by saliva, increasing the risk for tooth decay.
• Drink more water. Drinking optimally fluoridated water can help prevent tooth decay. If you choose bottled water, look for kinds that are fluoridated. 
• Maintain a healthy diet. Your body is like a complex machine. The foods you choose as fuel and how often you "fill up" affect your general health and that of your teeth and gums. 
• Avoid beverages with added sugar such as soda, sports drinks or flavored waters. When teeth come in frequent contact with beverages that contain sugar, the risk of tooth decay is increased.
• Chew gum that has the ADA Seal. Chewing sugarless gum for 20 minutes after meals helps reduce tooth decay, because increased saliva flow helps wash out food and neutralize the acid produced by dental plaque bacteria. 
• Brush your teeth twice a day with an ADA-accepted fluoride toothpaste. Replace your toothbrush every three or four months, or sooner if the bristles are frayed. A worn toothbrush won't do a good job of cleaning your teeth. 
• Clean between teeth daily with floss. Decay-causing bacteria get between teeth where toothbrush bristles can't reach. Flossing helps remove plaque and food particles from between the teeth and under the gum line
• Don’t be afraid of the dentist: With all of the sweet treats consumed around Halloween, now is a great time for parents to schedule a pediatric dental appointment for their children.

Dr. Matt and the whole Southern Indiana Pediatric Dentistry team love to help keep your children cavity free! Call 333-kids (5437) to schedule an appointment.

The Use of Nitrous Oxide in the Dental Office

Dental appointments can be scary at any age, often times they prove to be especially frightening for children. In a picture-perfect world, every child would look forward to their dental appointments, but unfortunately, we do not live in an idealistic world where all children are eager to visit the dentist. In fact, often times children experience anxiety and are fearful or worried before a dental appointment. Dr. Matt understands that your child may not share our team’s enthusiasm for their oral health. The good news is, we now offer nitrous oxide sedation which aids in relieving any anxiety your child may experience. Thus making his/her dental visits less stressful for both you and your child.

Nitrous oxide is a type of dental analgesia used by dentists across the country to alleviate anxiety associated with dental procedures.  Also known as ‘laughing gas,’ nitrous oxide is highly effective for giving children a sense of comfort and/or happiness during their dental experience. Nitrous oxide is a colorless gas that has a sweet scent. It is administered by inhalation through the nose.. With informed consent from a patient’s parent(s), Dr. Matt will administer and manage nitrous oxide throughout your child’s dental procedure, if indicated. While breathing nitrous oxide, the patient responds normally to verbal commands, all vital signs are stable, there is no significant risk of losing protective reflexes, and the patient is able to return to pre-procedure mobility. Pictured below is an example of a nosepiece that would be used to administer nitrous oxide.

 

 

Nitrous oxide sedation isn’t only for anxious children. In fact, nitrous oxide is an excellent option for children whose fear or anxiety would otherwise prevent them from receiving dental care. It is also appropriate for many other reasons, too. For example, a child who has a sensitive gag reflex may feel physically uncomfortable during a necessary dental procedure. In this case, nitrous oxide would likely be indicated to aid in the completion of treatment.  Nitrous oxide sedation would also likely be indicated for children who have emotional or behavioral disorders that make it nearly impossible to remain still in the dental chair throughout their dental visit. Additionally, children with certain health conditions or special needs can also benefit from nitrous oxide sedation.

 

In accordance with the American Academy of Pediatric Dentistry (AAPD) the objectives of nitrous oxide inhalation include:

• reduce or eliminate anxiety;

• reduce untoward movement and reaction to dental treatment;

• enhance communication and patient cooperation;

• raise the pain reaction threshold;

• increase tolerance for longer appointments;

• aid in treatment of the mentally/physically disabled or medically compromised patient;

• reduce gagging;

• potentiate the effect of sedatives

Although some parents are reluctant to request sedatives for their children, Dr. Matt advises that neglecting oral health could have serious consequences later. Without treatment, something as simple as a cavity could cause your child to develop an infection (abscess), thus becoming quite severe and very painful. The AAPD formally recognizes nitrous oxide sedation as a safe means of administering analgesia to children. It relaxes the central nervous system while causing little effect on respiratory patterns. In fact, the AAPD actually recommends nitrous oxide for reducing dental anxiety in pediatric patients. http://www.aapd.org/media/Policies_Guidelines/G_Nitrous.pdf

 

Whether your child has special needs, is afraid of the dentist or is simply too active to sit still through dental treatment, nitrous oxide sedation can act as a helpful tool for pediatric dental patients. Therefore giving Dr. Matt and the Southern Indiana Pediatric Dental team an even bigger opportunity to provide quality dental care, in a fun and inviting atmosphere. Dentistry shouldn’t be frightening! To learn more about nitrous oxide sedation dentistry, other forms of sedation dentistry, or to schedule an appointment with Dr. Matt, contact us at 812-333-KIDS (5437). We welcome new patients of all ages, and look forward to providing an enjoyable, and comfortable dental experience for you and your child.

 

National Children's Dental Health Month

February is National Children’s Dental Health Month, sponsored by the American Dental Association (ADA). Each February, the ADA helps to raise awareness about the importance of oral health by focusing on important information every parent and caregiver should know. This year’s slogan, “Join the Super Smile Team!” helps parents teach their children how to maintain a healthy smile by focusing on ; “2min2x” brush for two minutes, two times a day, floss once each day, and limit sugary snacks between meals. Below is the “Super Smile Story” and poster, as seen on the ADA website. Visit www.ADA.org/ndchm for more fun ideas on how to keep your child’s smile healthy. And as always, feel free to call our office (333-kids) with any questions or concerns you may have regarding your child’s overall oral health.

 

 

 

 

The Super Smile Team!

Meet K-9! He’s a frisky pup who cares as much about good oral health as his buddies Flossy and Buck McGrinn, and Den and Gen Smiley.

One day the whole gang decided to play super heroes. They put on capes, made costumes, struck super hero poses and became The Super Smile Team! Even K-9 got in on the act!

Of course, every super hero needs a mission. The Super Smile Team’s quest? To fight for good oral health by following this simple rule, “2min2x.” That’s code for “brush your teeth two minutes, two times a day.”

Flossy, Buck, Den, and Gen know the importance of good dental habits to keep their super smiles bright. They brush their teeth when they get up in the morning and again before they go to bed at night. They also floss their teeth once each day. Because Den wears braces, he is especially careful about keeping his teeth healthy so he has a sparkly smile when the braces come off.

Being super heroes takes a lot of energy so the McGrinns and Smileys do eat snacks between meals but very few sugary ones. They usually stick to fruit and other healthy foods, and they choose water when they are thirsty instead of soda pop.

Want to be a part of The Super Smile Team? Join in the fun by playing the games and doing the activities to learn how to take good care of your teeth.

And remember the code“2min2x”! For a super smile and healthy mouth, brush your teeth two minutes, two times a day.

(Games and activities can be found on the American Dental Association’s web site at ADA.org/ndchm)

 

 

 

Mouth Guards

Mouth Guards

A mouth guard is a protective device for the mouth that covers the teeth and sometimes the gums. Mouth guards are often used to protect the teeth from injury during sports, and from teeth grinding.

When a child participates in a sporting or recreational activity, injuries can occur. A mouth guard is an important piece of protective equipment. Coaches and team members know that mouth guards help to cushion the blow that would otherwise cause injury to the teeth, lips, face, and sometimes even jaw fractures.

Another reason a child would need to wear a mouth guard is if he or she suffered from what is known as bruxism. Bruxism is the medical term for clinching of the jaw or grinding of the teeth. Most of the time, bruxism occurs while a child is sleeping or when he or she is under stress. Bruxism is common among children, but most will outgrow it. Wearing a mouth guard (night guard) can help to minimize the effects of bruxism.

 

 

There are three different types of mouth guards:

1.)    Stock mouth protectors are preformed and come ready to wear. They are inexpensive and can be found at most drug stores or sporting goods stores. Not much can be done to adjust their fit, and some say they are bulky.

 

Stock mouth protector

 

2.)     Boil and bite mouth protectors can also be bought at most drug stores or sporting goods stores. This type of mouth guard may offer a better fit than stock mouth protectors. The boil and bite mouth protector is made to be placed in hot water to soften, then placed in the mouth to be shaped around the teeth, gums and lips using tongue and finger pressure.

 

Boil and bite mouth protector

 

3.)    Custom fitted mouth protectors are made in a dental laboratory to specifically fit an individual’s mouth.  The first step in this process is for a dental office to take an impression of the individual’s mouth/teeth. Next a model is made, and a mouth guard is molded over the model using special material. Often times, the custom fitted mouth protector provides the most comfort and protection.  

 

Custom fit mouth protector

 

If you have any questions about mouth guards or their uses, please contact our office at 333-kids.

Dental Sealants

Dental Sealants

Dental sealants are placed to prevent tooth decay. A dental sealant is a thin material that is painted on the chewing surfaces of the permanent molars and premolars (back teeth), where decay occurs most often.  The sealant quickly bonds into the pits and fissures (depressions and grooves) of the teeth, forming a protective shield over the enamel of each tooth.

Pits and fissures are often times difficult to keep clean because a toothbrush bristle cannot reach into them. The sealant acting as a protective shield over pits and fissures helps keep the plaque and food out, thus decreasing the chances of decay.

Placing a dental sealant is quick, and there is no discomfort. First, the dentist or assistant conditions the chewing surface to help the sealant adhere to the tooth. Next they apply the sealant to the enamel. As long as the sealant remains intact, it will help protect the tooth from decay. Sealants normally hold up well and can last for years.

Flossing & Fluoride in Children

Flossing & Fluoride in Children

Why Floss?

Flossing removes plaque between teeth in areas where a toothbrush can’t reach.  Flossing once a day is an important part of overall oral hygiene.  As soon as a child’s teeth start to touch, it’s time to start flossing.  Due to the skill required, parents often need to assist or supervise a child’s flossing. 

Flossing technique

Conventional flossing requires a length of approximately 18 inches.  The floss is wound around the middle fingers of both hands.  The index and middle fingers can then be used to guide the floss between teeth.  The floss is curved into a C-shape and slid against the sides of each tooth.

Another flossing option is available using Plackers™.  By offering an easy grasp handle, Plackers can serve as a great way for younger kids to develop flossing habits on their own.  The floss is guided between the teeth’s contacts as with the conventional method.  At cleaning visits we demonstrate the different flossing techniques first hand.  A Plackers pack is also given to kids to use at home.      

Fluoride

Fluoride is a mineral found naturally in water sources.  Fluoride in its topical form can prevent cavities as well as repair the early stages of tooth decay.  Fluoride works by strengthening enamel and making it more resistant to the acid that causes tooth decay.  Fluoride is an ingredient in most toothpastes, some mouth rinses, and in the protective varnish applied at the dental office. 

The next blog will discuss dental sealants and mouth protectors.  Please contact our office with any questions and for your free infant dental kit.  We are located in Bloomington near the College Mall, next to Goodwill. 

-Dr. Matt

Matthew L. Rasche, DDS, MSD

Board Certified Specialist in Pediatric Dentistry

Southern Indiana Pediatric Dentistry

www.SIPediatricDentistry.com

(812) 333-KIDS (5437)

Diets & Toothbrushing for Children

Optimal Diets for Infants

Healthy nutrition for kids starts early.  In accordance with the American Academy of Pediatrics (AAP) guidelines, breastfeeding exclusively for the first 6 months of life has been shown to have many beneficial effects for children.  The AAP recommendation is for continued breastfeeding as complementary foods are introduced for 1 yr or longer as mutually desired by mother and infant.  http://pediatrics.aappublications.org/content/129/3/e827.full#content-block

                     

Optimal Diets for Preschoolers and Beyond

It’s important to help establish good eating habits early for kids.  Eating a variety of foods from the five major food groups is a great way to ensure optimal nutrition:

1) Fruits

2) Vegetables

3) Grains, breads, cereals

4) Milk, cheese, yogurt

5) Meat, poultry, fish and/or alternatives such as beans, peas, and nuts

   

                                

 Toothbrushing for Infants & Children

Oral hygiene starts as early as a child is born.  Even before teeth are present, it is beneficial to wipe a child’s gums with a wet washcloth after every feeding.  As teeth erupt it is best to switch to a soft bristle toothbrush.  Brushing or wiping a child’s teeth before naps and bedtime is especially important.   

Parents will likely need to assist children with brushing and flossing till children are 6+ years old.  One approach is to allow children the opportunity to brush their teeth first.  A parent can then do a thorough follow-up brushing.  Establishing brushing habits early can lead to a lifetime of healthy teeth and gums.

Using an appropriate child-sized toothbrush can improve toothbrushing success.  There are many toothbrush colors and styles available.  As the old dental adage goes, “the best toothbrush is the one that will be used” J

When assisting children with brushing, it may be beneficial to stand behind the child.  Optimal brushing technique removes the tooth film (plaque) from inner, outer, and chewing surfaces of teeth.  Brushing the tongue can also be used to improve a child’s breath.

The next blog will discuss flossing and fluoride.  Please contact our office with any questions and for your free infant dental kit.  We are located in Bloomington near the College Mall, next to Goodwill. 

-Dr. Matt

Matthew L. Rasche  DDS, MSD

Certified, American Board of Pediatric Dentistry

Southern Indiana Pediatric Dentistry

www.SIPediatricDentistry.com

(812) 333-KIDS (5437)

Decay in Primary (Baby) Teeth

Tooth decay can occur as soon as teeth appear in the mouth.  

Frequent and prolonged exposure of a child’s teeth to fruit juices, milk, and formula can contribute to kids getting early cavities.  When a baby is put to sleep with a bottle containing juice or milk the child is much more likely to get early cavities (baby bottle tooth decay). 

Preventing Decay in Primary (Baby) Teeth

Never put a baby to bed with a bottle containing anything other than water. 

Switch from a bottle to a cup by one year of age.   

The ideal situation is to limit the use of a training cup (sippy cup).  The best approach is to switch to a regular cup as soon as possible. 

Finger & Thumb Sucking Habits

Finger and thumb sucking is a normal reflex of infants and young children to bring a sense of security and relaxation.  The frequency, duration, and intensity of sucking will determine the degree of possible dental problems.  The optimal time to stop any sucking habits is by three years of age. 

Helping a Child Stop Sucking

Focus on praising children when they are not sucking fingers or thumbs

Provide comfort to children to eliminate anxiety.  Anxiety may contribute to sucking habits

Reward children who refrain from sucking

Talk with your dentist regarding additional therapies or treatment that may benefit your child 

The next blog will discuss proper diets and cover toothbrushing techniques for children.  Please contact our office with any questions and for your free infant dental kit.  We are located in Bloomington near the College Mall, next to Goodwill. 

-Dr. Matt

Matthew L. Rasche  DDS, MSD

 Certified, American Board of Pediatric Dentistry

Southern Indiana Pediatric Dentistry

 www.SIPediatricDentistry.com

(812) 333-KIDS (5437)

First Dental Visit

Oral Hygiene for an infant.  Oral hygiene for kids starts early.  It’s best to begin the process as soon as a few days after birth.  In the beginning a wet washcloth or moist gauze can be used.  It’s important to wipe a baby’s gums to help remove plaque and residual food.

 Oral hygiene for a young child.  After eruption of a child’s first tooth it is even more important to provide regular cleanings.  As soon as a child’s molar teeth erupt it is time to switch to a soft child sized toothbrush.  It’s important to consult with a dentist regarding when to start using fluoride toothpaste. Flossing is important when teeth start to touch.  Flossing helps prevent cavities from forming between teeth.  By establishing an oral hygiene routine early, kids will be on track to a lifetime of healthy teeth.

First Dental Visit.  When a child’s first tooth erupts, it’s time to take them to the dentist.  Having the first dental visit by the first birthday has been shown to decrease the likelihood of future cavities.  The first dental visit can be thought of as a well child visit at the pediatrician’s office. 

Components of the first dental visit include:

1)      Review of medical & dental histories

2)      Examination to determine if cavities are present & how to prevent future cavities

3)      Dental cleaning

4)      Review and demonstration of correct oral hygiene

5)      Evaluation of fluoride exposure & a diet analysis

6)      Assessment of oral growth and development

7)      Provide information on teething, pacifiers, tooth grinding & thumb sucking

8)      Provide information and guidance regarding future dental care

The next blog will discuss preventing decay for your child and how to help a child get through thumb sucking.  Please contact our office with any questions and for your free infant dental kit.  We are located in Bloomington near the College Mall, next to Goodwill. 

-Dr. Matt

Matthew L. Rasche, DDS, MSD, Southern Indiana Pediatric Dentistry, www.SiPediatricDentistry.com, (812) 333-KIDS

Eruption of Teeth

The eruption of a child’s first teeth.  At birth a child already has their first 20 teeth in their jawbones.  The teeth normally begin to erupt around 6 months of age and all 20 primary teeth are often fully erupted by the age of three.  Primary (Baby) teeth are important for three main reasons:

1)       Chewing and eating to provide proper nutrition for growth     

2)       Provide space for the permanent teeth to erupt in correct positions

3)      Aid in the normal development of jaw bones and muscles

When teething some children may experience sore or tender gums.  Rubbing a washcloth or clean finger over the gums can be soothing for children.  Contrary to popular belief, fever is not associated with erupting teeth.  If a child would develop a high or persistent fever while teething it is important to follow-up with their pediatrician.

The next blog will discuss oral hygiene for your child and what to expect at the first dental visit.  Please contact our office with any questions and for your free infant dental kit.  We are located in Bloomington near the College Mall, next to Goodwill. 

-Dr. Matt

Matthew L. Rasche, DDS, MSD, Southern Indiana Pediatric Dentistry, www.SiPediatricDentistry.com, (812) 333-KIDS

What is a pediatric dentist?  A pediatric dentist has an extra two or three years of specialized training after dental school working with infants, children, teenagers, and patients with special health care needs.  A pediatric dentist is best qualified to assist with guiding children into adulthood with optimal dental health.        

Healthy teeth and gums in mom lead to health teeth and gums in children.

Healthy teeth & gums in mom lead to healthy teeth & gums in children.  Bacteria that cause tooth decay can be transmitted from a mother to her child.  It is important to have mom’s teeth decay free before birth of her child.  During pregnancy there will likely be hormone fluctuations that may contribute to the desire for mom to snack more frequently.  Frequent snacking can contribute to the increased accumulation of dental plaque.  Bacteria in dental plaque produce acid that weakens the enamel of teeth.  Brushing twice a day and flossing once a day needs to receive increased emphasis during pregnancy to reduce the risk of cavities forming. 

Hormone fluctuations and plaque that is not removed can irritate the gums.  A condition called gingivitis may result and is characterized by red, tender gums that bleed easily.  Untreated gingivitis can lead to a more serious condition called periodontitis.  Poor periodontal health can contribute to premature delivery and low birth weight of children.  It is important for mothers to practice outstanding oral hygiene and to see a dentist regularly throughout pregnancy.

The importance of a mother’s nutrition before the baby is born.  An unborn child’s teeth begin to form by the second month of pregnancy and start to harden by the second trimester.  It is crucial for mom to have a balanced diet to promote the proper development of a child’s teeth.  A balanced diet consists of providing adequate amounts of vitamins A, C, D, protein, calcium and phosphorus to aid in the development of health teeth.  Inadequate nutrition of a pregnant mother can result in improperly formed tooth enamel.  Weak enamel may contribute to a child having an increased risk for cavities.  

Growing up Cavity Free

Imagine growing up without ever having a cavity.  It is now possible for children to reach adulthood cavity free with the early guidance of preventative dental care.   The American Academy of Pediatrics (AAP) and the American Academy of Pediatric Dentistry (AAPD) recommend a “Dental Home” for children by one year of age.  Children who have a dental home receive the timely and appropriate care needed to set the foundation for a lifetime of exceptional dental health.

Southern Indiana Pediatric Dentistry - Dr. Matt Rasche

Hi, my name is Dr. Matt Rasche and I'm excited to be practicing pediatric dentistry in Bloomington, IN!  I purchased the former practice of Dr. Keith Roberts in July 2011.

With this first post I'm going to include my bio from our practice website www.SiPediatricDentistry.com to tell you a bit about myself.  Future posts will cover many different aspects of dental care.  Please feel free to call our office anytime you may have specific questions: (812) 333 - KIDS

  Matthew L. Rasche, D.D.S., M.S.D.

Dr. Matt was born in Jasper, IN and has been a Hoosier all his life. While attending Jasper High School he competed in cross-country and track and obtained the rank of Eagle Scout his senior year. He later attended Indiana University – Bloomington and received a Bachelor of Arts Degree with Honors in Biology. Dr. Matt attended Indiana University School of Dentistry where he participated in multiple community outreach programs while maintaining his position on the Dean’s list and serving as Vice-president of his dental school class. His interest in children inspired him to continue his studies at Riley Hospital for Children where he received his Master’s Degree in Pediatric Dentistry. During his pediatric dentistry residency, Dr. Matt traveled to Mexico and Honduras providing dental care to the underprivileged population.

Dr. Matt is an avid runner and has participated in the Chicago and Boston Marathons. He also recently completed the Louisville Ironman Triathlon and is looking forward to the many outdoor activities of Southern Indiana. Dr. Matt and his wife Erin are currently living along the B-line trail in Bloomington. They love doing activities together such as cycling, Frisbee, tennis, and kayaking. Maybe you’ll see them around town on their tandem bicycle!

Memberships

• American Academy of Pediatric Dentistry
• American Dental Association
• Indiana Society of Pediatric Dentistry
• Indiana University Pediatric Dentistry Alumni Association
• Indiana Dental Association
• Bloomington Dental Society
• South Central District Dental Society
• Indiana University Alumni Association