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Our team at SmileKidz knows that every parent loves to hear his or her child say, "no cavities!" when leaving our office. Let's talk about why primary (baby) teeth get cavities, what you can do to help prevent them, and what Dr. Varble, Dr. Applebaum, Dr. Dill and Dr. Wong can do if your child gets a cavity. It's a team effort!

Prevention is Key

A well-balanced diet high in protein, vitamins, and minerals (especially calcium and phosphorous) is an important part of cavity prevention. The American Academy of Pediatric Dentistry (AAPD) states that children should eat healthy snacks like cheese, vegetables, and yogurt, and drink milk. Limit hard candy and carbonated beverages, which have acid and can cause tooth decay. Also, do not put children to bed with a bottle of milk, formula, or juice because sugary fluids pool around the teeth and gums, which promotes decay.

In addition to limiting sweets and scheduling regular visits at our Creve Coeur, MO and St. Charles, MO office, make sure your child flosses once a day and brushes his or her teeth twice a day with a pea-sized amount of fluoride toothpaste. A good rule of thumb is if children can tie their shoelace, then they should be able to brush their teeth without help. The American Dental Association (ADA) recommends the following basic brushing techniques:

• Place the toothbrush at a 45-degree angle to the gums.
• Move the brush back and forth gently in short strokes
• Brush the outer surfaces, inside surfaces and chewing surfaces of all teeth.
• To clean the inside surface of the front teeth, tilt the brush vertically and make several up-and-down strokes.
• Brush your tongue to remove bacteria and keep your breath fresh.

These tips will greatly increase cavity prevention; however, if your child gets a cavity, it will not heal on its own and must be fixed. Dr. Varble, Dr. Applebaum, Dr. Dill and Dr. Wong will remove the decayed part of the tooth and fill the hole where the decay was. You may wonder why it's important to fill baby teeth if they're going to fall out eventually. Baby teeth hold space for permanent teeth to grow in. If one is lost, teeth may shift and prevent a permanent tooth from growing in. In addition, a decayed tooth can become abscessed and cause pain. No fun!

Let’s work together to help your child develop good oral health habits that last a lifetime. Please contact our office if you have any questions about your child's diet or cavity prevention.

At SmileKidz we love learning trivia and interesting facts about Thanksgiving! This year, Dr. Varble, Dr. Applebaum, Dr. Dill and Dr. Wong wanted to share some trivia that might help you feel a bit smarter at the holiday dinner table and help create some great conversation with friends and family.

The Turkey

There is no historical evidence that turkey was eaten at the first Thanksgiving dinner. It was a three-day party shared by the Wamponoag Indians and the pilgrims in 1621. Historians say they likely ate venison and seafood.

According to National Geographic, the dinner at the Plymouth colony was in October and included about 50 English colonists and 90 American Indian men. The first Thanksgiving dinner could have included corn, geese, and pumpkin.

Today, turkey is the meat of choice. According to the National Turkey Association, about 690 million pounds of turkey are consumed during Thanksgiving, or about 46 million turkeys.

The Side Dishes

The green bean casserole became popular about 50 years ago. Created by the Campbell Soup Company, it remains a popular side dish. According to Campbell’s, it was developed when the company was creating an annual holiday cookbook. The company now sells about $20 million worth of cream of mushroom soup each year, which is a major part of the recipe.

While there were likely plenty of cranberries for the pilgrims and Indians to enjoy, sugar was a luxury. What we know today as cranberry sauce was not around in those early Thanksgiving days. About 750 million pounds of cranberries are produced each year in the US, with about 30 percent consumed on Thanksgiving.

The Parade

Since Thanksgiving did not become a national holiday until Lincoln declared it in 1863, the annual parades were not yearly events until much later. The biggest parade that continues to draw crowds is the Macy's Thanksgiving Day Parade. Beginning in 1924 with about 400 employees, they marched from Convent Avenue to 145th Street in New York City. Famous for the huge hot-air balloons today, it was actually live animals borrowed from the Central Park Zoo that were the stars of the show then.

However you choose to spend your Thanksgiving holiday, we wish you a safe, happy and healthy holiday with those you love.

As a parent, it is your job to instill good dental habits in your kids, and this starts even earlier than you might realize. The American Academy of Pediatric Dentistry responds to the “when to start” question with a succinct “The sooner the better!”

From the time your baby is born, you should make sure that your child’s gums are regularly cleaned using water and a toothbrush made for infants. Once the first tooth erupts, you should visit the pediatric dentist for the first time. Dr. Varble, Dr. Applebaum, Dr. Dill and Dr. Wong and our staff often recommend that if your child is a year old, but has yet to get the first tooth, you should bring your son or daughter to our Creve Coeur, MO and St. Charles, MO office for his or her initial dental care appointment.

Once your child’s teeth start to appear, you can begin brushing two times per day, using fluoride toothpaste. Choose a toothbrush made specifically for your child’s age group, and one with has soft bristles.

Only a small smear of toothpaste is needed if your child is under two years old. Once the child celebrates his or her second birthday, you can use a pea-sized amount of fluoridated toothpaste. Continue this practice until your child is five.

Of course, it is important that you monitor your child’s tooth brushing closely to help educate about proper techniques. Some young children might try to eat or swallow toothpaste, and this needs to be strongly discouraged. Be sure to teach proper rinsing and spitting behavior to round out your child’s early childhood tooth-care regimen.

For young kids, tooth brushing can be made into a fun event, and you can find a multitude of special toothbrushes that appeal to kids. There are even uniquely flavored and colored toothpastes that might encourage your child to get into the brushing game!

Providing dental care for patients with special needs can be a challenge at times, both for the dentist and the family of the individual. Fortunately, Dr. Varble, Dr. Applebaum, Dr. Dill and Dr. Wong and our team at SmileKidz have the experience needed to provide optimal care for your special-needs child. Here are just a few of the ways our office works to help those who need a little extra care.

Assistance with at-home dental health care

We understand that sometimes at-home dental care can be extremely difficult for those with special needs. Individuals with physical difficulties, which may prevent them from holding the toothbrush, and those with developmental issues, who may have difficulty understanding the importance of dental hygiene, need extra attention with regard to home hygiene care. Our team at SmileKidz can provide support and education to ensure your child will achieve and maintain a healthy smile. For example, devising improvised toothbrushes to help patients get a properly grip, creating a specialized meal plan, and establishing a more frequent office visitation schedule to monitor overall dental health are all areas where our office is happy to help.

Coordinating office care

Dr. Varble, Dr. Applebaum, Dr. Dill and Dr. Wong and our team understand that sometimes special-needs patients feel anxiety when it comes to receiving dental care. In many cases, reliably seeing the same dental health professionals can help to promote a relationship and soothe the patient. We encourage special-needs patients to make appointments at the optimal time of day for them to help everything go smoothly as well. We also encourage preparing your child in advance of the appointment so he or she is not surprised in the office. In certain situations, Dr. Varble, Dr. Applebaum, Dr. Dill and Dr. Wong may also recommend sedation dentistry. Occasionally, special-needs patients are too overwhelmed by the thought of dental care and exams are best performed with the support of light sedation.

Accommodating physical needs

We also understand that special needs patients sometimes need physical accommodations. Two of the more common examples we face are patients in wheelchairs who need access to the office. We are fully compliant with all accessibility regulations to make sure our patients receive the care they need. Other patients need physical props for their mouth to help keep it open if they are physically unable to do so.

Dental care for patients with special needs requires knowledge and experience of limitations and how to address them. In our Creve Coeur, MO and St. Charles, MO office, you will find an accommodating staff ready to help, so your child can receive optimal dental care.