April 26th, 2023

Sports and energy drinks cause irreversible damage to the teeth of teens and young adults. A recent study published in General Dentistry states that energy and sports drinks contain so much acid that they begin destroying teeth after only five days of consistent use. According to the Academy of General Dentistry, an estimated 30 percent to 50 percent of U.S. teenagers consume energy drinks and as many as 62 percent consume at least one sports drink per day. The high acidity levels in the drinks erode tooth enamel and the result is irreversible damage.
Dr. Maryam Azadpur and our team at Simsbury Pediatric & Adolescent Dentistry encourage our patients to limit their intake of sports drinks. The enamel erosion ultimately makes teeth more susceptible to bacteria and that can lead to hypersensitivity, staining, and tooth decay. If you do consume an energy or sports drink, make sure to wait at least 45 minutes until you brush, as consumption of acidic drinks causes tooth enamel to soften, making teeth more vulnerable to wear from the abrasives found in toothpaste.
Tooth decay is the most common chronic childhood disease, five times more common than asthma. It’s also preventable with proper care. Dr. Maryam Azadpur and our team can help identify early signs of erosion and offer solutions on how to prevent further damage and more serious problems from occurring.
April 26th, 2023

As adults, we often wish our teeth could be as white as they were when we were small children. Baby teeth have thinner and whiter enamel than adult teeth, and those brilliant smiles are a result! But occasionally, you may be surprised to discover some staining or discoloration on those lovely first teeth. You might be tempted to apply a whitening product to your child’s teeth, but, please—read on!
Causes of Staining
- Improper Brushing—Often, a loss of tooth whiteness means that plaque has built up on the tooth surface. Careful brushing is needed to remove bacteria and plaque, and if your child isn’t brushing at least twice a day for two minutes, discoloration can be the result.
- Medications—When given in liquid form, or when added to formula or food, iron supplements can cause dark grey staining on the teeth. Medications taken by a mother while pregnant or breast feeding, such as tetracycline, can also lead to discoloration.
- Injury—If a tooth suffers a serious injury, the tooth can darken because of changes inside the enamel.
- Health conditions—Certain health problems can cause tooth discoloration, or sometimes children are born with weaker enamel that is more likely to stain.
If you have noticed any staining on your child’s primary teeth, call our Simsbury, CT office. Simple stains can often be removed with better brushing techniques, and we can clean other surface stains in the office. Staining caused by an injury or a health condition is something we can discuss in detail with you. We can even use some professional whitening methods if those are indicated.
Why not just buy a home whitening kit for your child? There are several important reasons to leave these products on the shelf while your child is young.
- Whitening kits are designed for adults. They have been tested for adult teeth in adult trials. Check the box for age appropriate use. Most products are not recommended for pre-teen children.
- Remember that thinner enamel we mentioned earlier? Add to that the delicate skin of young children, and it’s sensible to be cautious about using a bleaching agent that can cause mouth and tooth sensitivity even in adults.
- There is no body of evidence available as to the short and long term effects of using these products on children.
If you are concerned about the brightness of your child’s smile, please talk to Dr. Maryam Azadpur. We can recommend better ways to brush at home, clean your child’s teeth in the office, or suggest professional methods of whitening if there are physical or psychological reasons that it would be valuable. But while your child is young, those off-the-shelf whitening products can wait a few more years.
April 25th, 2023

Between the huge number of toothpaste brands on the market today, the different flavors, and claims from most to do different things, it isn’t surprising that people feel so confused when it comes to something that should be as simple as buying a tube of toothpaste. This guide will help you identify the common ingredients in toothpaste, and help you understand the important factors to consider before buying toothpaste again.
Toothpaste comes in gel, paste, and powdered forms. When it comes to the type of toothpaste, the choice is more a matter of preference.
Basic Ingredients
- Abrasive Agents – Abrasive agents are the scratchy substances added to toothpastes to help in the removal of food particles, bacteria, and minor stains. Calcium carbonate is one of many abrasive materials, and arguably the most common.
- Flavor – When toothpastes are flavored, they almost always have artificial sweeteners to enhance the flavor of the toothpaste and increase the likelihood that you’ll use it. Flavors run the gamut from traditional mint to cinnamon that may appeal to adults, and bubble gum or lemon lime – flavors to target children.
- Humectants – Humectants are moisturizing agents that keep paste and gel toothpastes from drying out. Glycerol is commonly used as a humectant.
- Thickeners – Thickeners are used to give toothpaste its distinctive consistency, and to make it maintain a uniform consistency and come out of the tube easily.
- Detergents – Sodium lauryl sulfate is the most common detergent used in products that foam up, like toothpaste does in your mouth.
What to Look For in Toothpaste
Fluoride is naturally occurring mineral. It is the most important ingredient to look for in a toothpaste. Although there are people who argue against using fluoride toothpaste, dental professionals like Dr. Maryam Azadpur emphasize that the fact that the incidence of tooth decay has decreased so significantly in the past 50 years is because of fluoridated toothpaste.
The suggestion that fluoridated water gives you enough fluoride to protect your teeth is wrong. Fluoride toothpaste is the best cavity protection there is. In addition to strengthening tooth enamel and protecting teeth from acid erosion (from acidic foods and drinks,) it remineralizes the surfaces of teeth that are suffering from early acid damage and may prevent developing tooth decay from worsening.
Tartar Control
Tartar is the result of hardened plaque buildup on the teeth. Good oral hygiene and in between twice yearly cleanings from a dental hygienist are the best defense against plaque buildup. Plaque turns to tartar when people neglect their oral hygiene. Over time, tartar can build up on teeth and under the gums, increasing the risk of gum disease.
Your best bet is to use a toothpaste that has a combination of anti-plaque agents. Products containing more than one plaque reducer may be more effective than products that only one. Common ingredients to look for are zinc citrate or pyrophosphates. Triclosan is an antibiotic that is believed to kill bacteria in the mouth, and it can be found in some anti-plaque toothpaste.
Look for toothpaste that bears the seal of the American Dental Association. That seal is an endorsement of the ADA – and it means that many dentists agree that that particular toothpaste does what toothpaste is designed to do. We can also recommend toothpaste to meet your specific oral health concerns at your next visit to our Simsbury, CT office.
April 25th, 2023

A dental sealant is a liquid that is applied to the teeth. The sealant hardens and provides a protective coating that is designed to reduce cavities and create a smoother tooth surface. Dental sealants are clear or white; they do not take away from the appearance of teeth. You can think about this treatment as being similar to varnish that protects a wood floor.
Sealants are not the same as fluoride treatments. The application is similar, but sealants are a semi-permanent protective coating. Dr. Maryam Azadpur and our staff recommend that sealant applications for children begin soon after molars erupt, first molars around the age of six, and second molars around the age of 12.
Simple Application
Having sealants applied is not uncomfortable at all. First, your child's teeth will be cleaned and dried. A gel is applied, which helps the sealant adhere to the tooth, and then is rinsed away. Your child's teeth are dried again and the sealant is applied. A few seconds of exposure to a light source may be used to cure the sealant and make it semi-permanent. Sealants should last for a long time, normally between five and ten years.
Sealant Benefits
The coating on the surface of your child's teeth reduces the amount of acid contact. Normal acids in foods that are consumed can eat away at the surface of teeth. Bacteria also react to plaque formation and create more acid in the mouth. These small pits or weakened areas are prone to caries or cavity formation. Preventing cavities is a much better choice than drilling and filling damaged teeth.
A sealant also helps to smooth the chewing surfaces of your childn't teeth. The smoother surface is not as likely to retain small particles of food and bacteria. Your child's mouth stays cleaner and food is not left behind to form acids. The protective application can also be used on other teeth that have a rough surface, to protect the grooves or pits from decay.
After the sealant is applied, your child still needs to take proper care of his or her teeth. Regular brushing and flossing is required. Dr. Maryam Azadpur may recommend fluoride treatments to strengthen and protect your child's teeth further.
If you have any concerns about sealants, please discuss them with during your child's next appointment at Simsbury Pediatric & Adolescent Dentistry. We want your little one's teeth to stay healthy for life.