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It’s your child’s first filling at our Chicago office, and perhaps you’re both a little nervous. Your child doesn’t know what to expect, and you want to make sure this is a positive experience. We have some suggestions that might help both of you!

• Partner with Your Child’s Dentist

Because a pediatric dentist is a specialist in treating children and their dental needs, your dentist will have some suggestions for making that first filling a comfortable and comforting experience.

And because you’re the expert when it comes to your child’s needs, you can let Drs. Joanne Oppenheim, Marilia Montero, and Mary J. Hayes know about anything that might cause your child difficulty or anxiety beforehand.

• Age-Appropriate Explanations Are Best!

It’s a good idea not to make any explanations too complicated. “Your dentist will help your tooth get strong and healthy again” might be all a young child needs to hear. And talking about drills or needles can be scary, especially when kids have no experience with dental tools and procedures.

A pediatric dentist can help you describe cavities and the filling procedure in an age-appropriate, non-scary way—and can recommend helpful story books for reading ahead of time!

• Discuss Sedation Beforehand

If you think your child would benefit from light sedation options such as nitrous oxide or oral medication, talk to Drs. Joanne Oppenheim, Marilia Montero, and Mary J. Hayes about sedation procedures.

Your dentist will also have child-appropriate ways to talk about local anesthetics if they’re needed to numb the area around the tooth.

• Tool Talk

Most adults are familiar with dental tools, but this will be a new experience with new sensations and sounds for your child. A pediatric dentist can describe what each tool is and what it does so kids are comfortable when an instrument is used.

Sometimes a tool can be noisy or vibrate. Some tools squirt water and some (loudly) suck water and debris away. If noises are a problem for your child, let your dentist know in advance, and ask about music or headphones to help minimize sounds.

• Filling Material Concerns?

For molars, which bear the weight of chewing pressure, a silver-colored amalgam might be recommended. For a filling in the front of the mouth, a tooth-colored composite could be used to blend in. Fillings can also be made with gold or ceramic materials. A severely decayed tooth might require a crown, which is often made of stainless steel when used for a baby tooth.

If you have questions or concerns about the type or appearance of filling material, ask! Your dentist will be happy to explain which material is best suited to restore the appearance and function of your child’s tooth.

• Getting Ready for the Appointment

Choose an appointment day with a light schedule and let your child dress comfortably. Ask if your child can bring a favorite toy or a stuffed animal friend for comfort.

Your mood will influence your child, so make the day of the appointment as stress-free as possible for the both of you! That’s why it’s a good idea not to talk about any dental fears you might have, or any discomfort your child might experience. Your child will pick up on your feelings, so projecting a calm and positive attitude will help.

• Aftercare

Your dentist team will give you instructions for your child’s quickest, most comfortable recovery. These instructions include how to treat the extraction site, which foods are best, and over the counter pain medication.

It’s best not to plan strenuous activities immediately after a filling.

• Partner with Your Child’s Dentist

Yes, we know we already talked about this, but it can’t be stressed enough. When your child has his or her first filling, in a way it’s your first filling, too! Your pediatric dentist is there to help you navigate this procedure and to help make sure that the experience is a positive one for both of you.

It’s that time of year again—Halloween! Carving pumpkins. Creating costumes. And, of course, collecting candy.

But some of the candies in that collection aren’t much of a treat for your teeth. When you’re deciding on the perfect pieces to choose from the candy cauldron, here are some tricks from Pediatric Dental Health Associates, Ltd to identify the ones that can be more frightful than delightful for your tooth enamel:   

• Is it Chewy or Sticky?

Any sticky or chewy candy—caramels, taffy, licorice, gummy anything—is candy that also sticks to your teeth. And it really sticks in between your teeth, where it’s harder to brush away.

The problem? Bacteria in plaque love sugar, and sticky candies provide them with hours of sugary feasting. Bacteria use this sugar to make acids, and acids cause weak spots in tooth enamel. These weak spots will get bigger over time as the bacteria keep on attacking your enamel, and that’s how you can end up with a cavity. Less sugar that spends less time on your teeth = fewer cavities!

• Is it Sour?

Sour candies get that intense, lip-puckering taste because they’re so acidic. What’s wrong with acids? Just like the acids made by bacteria, acids in food attack our tooth enamel, too.

Sour candies are hard on your teeth all by themselves. When you eat a candy that’s both sour (acidic) and gummy (sticky), all coated in sugar, that’s triple trouble!

• Is it Hard or Crunchy?

Some kids like hard candies like lollipops and fruity drops because they last a long time. But that’s the problem. All that time a hard candy rolls around in your mouth is time spent bathing your teeth with sugar.

Thinking of shortening your sugar exposure by chewing hard candies? Also a bad idea! Crunching into a piece of hard candy can chip or crack a tooth and even damage fillings.

Luckily, there are healthier trick-or-treating choices if you know what to look for. 

• Soft Candies and Chocolates

A chocolate bar, a peanut butter cup, mint patties, and other soft candies won’t stick around on your teeth the same way chewy or hard candies do. No sour acids, either. And because dark chocolate has less sugar than lighter chocolates, it’s an even healthier choice.

• Sugar-Free Gum

This treat is not only sugarless, but chewing it helps us make more saliva. Saliva washes away sugary food particles and helps lower the amount of acids in the mouth. You can get the same results with sugar-free lollipops or hard candies—just don’t crunch down on them.

No need to skip the trick-or-treating this year. Occasional sugary or acidic treats can be balanced out with daily brushing and flossing, a healthy diet, and regular visits to our Chicago office for exams and cleanings. When you do enjoy a treat that’s sugary or acidic, there are tricks to help you keep your smile healthy and cavity-free.

• Eat a treat or two with your meals instead of snacking through the day. You won’t be exposing your teeth to sugar for hours at a time, which means bacteria and acids won’t be haunting your enamel all day long.
• Drink water. If you eat your candy with an acidic soda or juice, you’re getting sugar + sugar + acids. That’s a scary recipe when it comes to healthy teeth! Water helps wash away sugar and acids—and, if you have fluoridated water in your community, you’ll be getting a bit of fluoride to strengthen your enamel, too.
• Halloween is no time to ghost your toothbrush and floss. Be extra careful to brush and clean between your teeth after eating sweets.

Any questions? Talk to Drs. Joanne Oppenheim, Marilia Montero, and Mary J. Hayes to learn the best ways to keep your smile looking boo-tiful all year long!

If your child participates in sports or other physical activities, it’s wise to consider getting a mouthguard. Also known as mouth protectors, mouthguards are a device worn over the teeth to lessen the impact of a blow to the face.

This reduces the chance that your child might lose teeth or sustain other serious oral injuries. We recommend that all patients involved in a contact sport such as wrestling, football, or hockey wear a mouthguard because of the high risk of such injuries.

However, anyone involved in a physically demanding sport or activity should wear a mouthguard as well.

Can you imagine what it would be like to lose a few of your front teeth? The way you talk, eat, and smile would all change.

Injuries that can be sustained when not wearing a mouthguard include:

• Chipped and broken teeth
• Fractured jaws
• Root damage
• Concussions
• Injury to the lips, cheeks, or gums

Types of Mouthguards

There are three different types of mouthguards — typically made of a soft plastic material or laminate. You can decide which works best for your child in terms of budget, fit, and comfort.

• Stock mouthguards are prefabricated to a standard size. They offer adequate protection, but you need to find one that fits your child properly and comfortably. Stock mouthguards are readily available at department stores, sporting goods stores, and online.
• Boil-and-bite mouthguards are placed in boiling water to soften them, then into the mouth so they can conform to the shape of the teeth. Boil-and-bite mouthguards are more expensive, but offer a more customized fit than stock ones. You can find these in department stores, pharmacies, sporting goods stores, and online.
• Custom-made mouthguards are created just for your child by Drs. Joanne Oppenheim, Marilia Montero, and Mary J. Hayes. These offer the best fit and comfort of all the options, but they are also the most expensive. Ask a member of our Chicago team for more information.

The American Dental Association says a good mouthguard should be easy to clean, fit properly, be comfortable, and resist tearing or damage. It shouldn’t restrict speech or breathing.

Still not sure if your child needs a mouthguard or which kind is right for his or her smile? Ask Drs. Joanne Oppenheim, Marilia Montero, and Mary J. Hayes or one of our staff members for more information.

What is the strongest part of our bodies? Do you think it might be our bones, which help us move and protect our brains, hearts and other organs? Or could it be those tough fingernails and toenails that guard our fingertips and toes? Nope! You might be surprised to learn that the hardest thing in our bodies is the enamel which covers our teeth!

Our bones grow with us and can even knit back together in case we have a broken arm or leg. Our toenails grow more slowly, and our fingernails grow more quickly, so regularly trimming is required for both. But our enamel doesn’t grow or repair itself when it is damaged, so it needs to last us a lifetime. How can such a strong part of our bodies be damaged? And can we do anything to protect our teeth? Luckily, we can!

Prevent Chips and Cracks

You might be the fastest on your bike, or the highest scorer on your basketball team, or able to do the most amazing tricks on your skateboard. But even the strongest teeth can’t win against a paved road, or an elbow under the basket, or a cement skate park. If you’re physically active, talk to us about a mouthguard. This removable appliance fits closely around the teeth and can protect your teeth and jaw in case of accident. And protect your enamel even when you’re not being adventurous! Don’t bite down on ice cubes or hard candy, and save your pens and pencils for writing, not chewing.

Guard Your Teeth from Tooth Grinding

If you grind your teeth, you’re not alone! Many other young people do, too—mostly in their sleep. In fact, it might be a parent or sibling who lets you know you are grinding at night. But constant pressure on your enamel can lead to cracked enamel, sensitivity, and even worn down teeth. How can you protect them? Once again, a mouth guard can be a great solution. We can custom fit one to allow you to sleep comfortably while protecting your teeth.

Eat Healthy Foods & Brush Regularly

We all have bacteria in our mouths. Some are helpful, and some are not. The bacteria in plaque can change food products like sugar and starches into acids. These acids actually break down our enamel, which can lead to tooth sensitivity and decay. Making sugars and carbs a small part of your regular diet, and eating meals rich in proteins, vitamins, and minerals, will help stop acids from attacking your enamel. And careful brushing and flossing twice a day with a fluoride toothpaste can help keep those minerals in enamel from breaking down and even help restore them.

Your enamel is the strongest part of your body, and you can help it stay that way. Protect your teeth from accidents, let our Chicago team know if you or a parent suspect you are grinding your teeth, eat healthy foods, and keep up your regular brushing. And remember, we are here to help keep your family’s teeth and mouth their healthiest for your strongest, most beautiful smile.