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It’s your child’s first filling at our Simsbury, CT 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 Dr. Maryam Azadpur 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 Dr. Maryam Azadpur 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.

The grownups in your life encourage you to brush and floss, eat healthy foods, and visit us in the dental office for exams and cleanings. Why? Because we all want to help you prevent cavities.

So you might be wondering, just what are cavities? How do we get them? What do they do to our teeth? How can we prevent them? Let’s talk!

Our teeth need to be strong to bite and chew. That’s why they are protected by a coating called enamel, which is made up of very hard minerals. Enamel is the strongest part of our bodies—stronger even than our bones. But this doesn’t mean nothing can hurt it! And cavities, also called tooth decay, are one of the most common dangers facing our enamel.

So, what are cavities?

A cavity is a hole in your tooth enamel. If your tooth is not cleaned and repaired when a cavity is small, this hole can grow bigger until tooth decay reaches the inside of your tooth. Enamel doesn’t heal when it’s damaged, so you need to see a dentist to make your tooth healthy again.

How do we get cavities?

Bacteria are tiny little germs. Many kinds of bacteria live in our bodies, and some of them are quite helpful. The bacteria that cause cavities are not. These unhelpful bacteria join with our saliva and very small pieces of the food we’ve chewed to make a sticky film called plaque.

Like other living things, the bacteria in plaque need food. They get that food from the foods we eat, especially sugars and starches. As they eat, they change these sugars and starches into acids, and these acids attack the minerals that keep enamel hard and strong.

Because plaque sticks to our teeth, bacterial acids are able to make weak spots in enamel if the plaque isn’t brushed away. If you see a white spot on your tooth, which could mean that your enamel is losing minerals, and getting weaker.

What do cavities do to our teeth?

Over time, weak spots can grow bigger until there’s a hole in the enamel surface. If the cavity in your enamel is small, you might not notice it at first. But cavities can become wider and deeper, and even break through enamel to reach the inside of your tooth.

The inside of each tooth holds pulp, the part of your tooth that keeps it healthy. If tooth decay spreads to the pulp, it can cause more damage and infection, so it’s important to treat a cavity right away.

Dark spots on your enamel, a toothache, pain when you drink something hot or cold or when you bite down—these can be clues that you have a cavity, and you should visit us for an exam.

How can you prevent cavities?

Even better than treating a cavity is preventing one. Let’s make a list of some helpful do’s and don’ts for cavity prevention:

• Do: Feed yourself foods that are good for you.

Foods like milk and cheese and many dark green vegetables have lots of calcium and vitamin D to help keep your enamel strong.

• Don’t: Feed bacteria foods that are good for them.

Sugar and simple starches like potato chips are the kinds of foods bacteria like best, because they are easy to break down. This means more acids to attack your enamel.

This doesn’t mean you should never enjoy a treat! But eating lots of starchy snacks and drinking sugary sodas means more plaque, and more plaque can mean more cavities. If you’re eating something starchy or sweet, it’s a good idea to brush or rinse afterward.

• Do: Brush at least twice a day, for at least two minutes, with fluoride toothpaste.

This is the best way to get rid of plaque, which builds up every day. And fluoride toothpaste even helps make your enamel stronger.

• Don’t: Forget to floss.

Flossing takes a while to learn to do well, but it’s very important. Flossing helps prevent cavities between the teeth and near the gums.

• Do: Visit our Simsbury, CT office for exams and cleanings.

Not only will we look for cavities, we’ll let you know the best way to brush and floss so you can get your teeth their cleanest. We even have special coatings called sealants that can protect your teeth from plaque.

• Don’t: Feel bad if you get a cavity!

Some people are more likely to get cavities than others, even when they brush just right and eat healthy foods. If you have a cavity, we can remove decay and repair your tooth with a filling.

And one last thing to do: talk to Dr. Maryam Azadpur if you have any questions about the best ways to protect your teeth from cavities. We have lots of suggestions to help you take care of your healthy, beautiful smile!

An article was released to the public stating that dental X-rays contribute to a type of brain cancer. After reading an article like this, your first thought may be to avoid dental X-rays, but you may want to hold off on that quick judgment. As with any treatment we offer at Simsbury Pediatric & Adolescent Dentistry, education is your most valuable tool in deciding what is best for you.

How often dental X-rays are taken is based on risk for infection, physical symptoms, and clinical findings. The American Dental Association (ADA) is a governing body over the dental profession. The ADA states, “ . . . healthy adults receive routine mouth X-rays every two to three years. Dental X-rays are recommended every one to two years for children and every 1.5 to three years for teens. Children often require more X-rays than adults because of their developing teeth and jaws and increased likelihood for cavities.”

A "caries risk category" often determines how often dental X-rays are taken. The most recent documented resource to determine a caries risk is Caries Management by Risk Assessment (CAMBRA). This was adopted by the ADA and is used by dental professionals giving interval recommendations for X-rays.

With knowledge of your risk for dental infection, you will be informed by Dr. Maryam Azadpur of the interval at which dental X-rays should be taken. You can rest assured that the standards published by the ADA have been researched extensively and are there to protect your personal health and safety.

Dental X-rays are most commonly digital, which significantly reduces exposure. There is more radiation exposure from the sun or in an airplane than in a dental X-ray. It is common practice to use a lead apron with a thyroid collar for protection during X-ray exposure.

Having a cavity means having an active, potentially harmful infection. Diagnosing such infection with minimal exposure through digital dental X-rays at our Simsbury, CT office does more good than harm.

You know a lot about taking care of your teeth. You brush carefully twice each day, you floss, you (mostly!) eat healthy foods, and you see Dr. Maryam Azadpur for checkups and cleanings. Good for you! These are some of the very best ways to make sure you don’t get cavities.

But it takes more than taking care of your teeth for good oral health. It also means taking care of your gums, because your teeth and gums are a team.

Clean and healthy gums and teeth work together. Our gums fit snugly around our teeth to help protect them from bacteria and other germs. And clean, plaque-free teeth are important for healthy gums. How? Let’s take a look.

Plaque forms all day long, and sticks to our teeth unless we brush and floss it away. The bacteria in plaque create acids. These acids make our tooth enamel weaker, which can lead to cavities. We don’t want cavities, and so we brush and floss to get rid of plaque.

But that’s not the only reason we clean our teeth well. Plaque is double trouble, because the bacteria in plaque also irritate our gums.

How do our gums react when they’re irritated? They turn darker pink or red, or they get swollen or sore, or they even bleed a bit when you brush. All these signs are symptoms of gingivitis, which is how gum disease begins. (And sometimes people can have gingivitis without any big symptoms at all.)

So, how do you make sure you keep your gums healthy? Just remember to include your gums while you’re doing all the things you already do to take care of your teeth!

• Brush Well

Lots of people, including kids, get gingivitis, because it doesn’t take long for plaque to build up when we don’t brush often enough or carefully enough. Make sure to brush twice each day, and don’t forget to angle your toothbrush to gently brush along the gum line where your teeth and gums meet.

Gentle brushing is all you need for daily tooth cleaning. Rough brushing and hard bristles can hurt even tough tooth enamel, so you know they’re not good for your gums!

• Floss Well

Flossing gets plaque that your toothbrush can miss. After all, it’s hard for bristles to squeeze in between those tight teeth. And flossing is especially important for your gums, because it removes plaque that is hiding near the gum line.

But figuring out the best way to floss teeth can be hard even for adults! Luckily, you have an expert to help you find out just how to use floss and just the right floss to use—your dental hygienist. When you have your teeth cleaned at our Simsbury, CT office, ask about the easiest and best ways to floss for your own special teeth and gums.

• Eat Well

All of the foods which are good for your teeth—milk, cheese, yogurt, fruits, vegetables—are good for your gums, too! And the foods which aren’t so great for your teeth—sticky, sugary foods—aren’t great for your gums, either. Sugar feeds the bacteria in plaque, and plaque irritates gums.

This doesn’t mean no treats ever. It does mean that it’s important to brush well after enjoying desserts, or chips, or candy, or any food that sticks around your teeth and gums after eating. And if you can’t brush, a drink of water helps wash away bits of food which are still hanging around.

• See Your Dentist Regularly

Regular visits to Simsbury Pediatric & Adolescent Dentistry can catch any gum problems before they become more serious. And, if you’ve been missing any spots when you brush and floss, your dentist or hygienist will let you know.

If you notice any signs of gingivitis—puffiness, redness, bleeding, or pain—tell a grownup right away. One of the fantastic things about the way our gums work is the fact that careful brushing and flossing are often all you need to make them healthy again! If you need more help, your dentist is the person who can treat gum problems to keep your smile feeling and looking great.

Work together with Dr. Maryam Azadpur to make sure your teeth and gums are their healthiest. Just like healthy teeth and gums are a great team, you and your dentist make a great team, too!