Wednesday, November 13, 2013



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.

Tuesday, June 4, 2013

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
(812) 333-KIDS (5437)

Tuesday, January 22, 2013


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
(812) 333-KIDS (5437)

Monday, December 3, 2012


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
(812) 333-KIDS (5437)

Monday, October 8, 2012

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

Friday, September 7, 2012

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

Wednesday, August 29, 2012


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.