June Employee of the Month!

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Our team is having a blast seeing all of our patients this summer!! Everyone is working hard everyday and we like to reward one special employee every month for their awesome team work!! Our June Employee of the Month is...

Jessica!

Our team said, “She is a good team player, helps when needed, is great at both helping with hygiene and during treatment with the doctor!”

Congratulations Jessica! Smiles for Kids Pediatric Dentistry is so lucky to have you!

Canker Sores vs. Cold Sores - what’s the difference?

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Canker sores (or called apthous ulcers) are a shallow lesion that develops inside the mouth on soft tissues, such as the cheeks, below the gums, inside of the lip, under the tongue or on the tongue. They look like a small white or yellow circle with a red border. They can burn or cause discomfort when you eat, drink or even when you brush your teeth. Canker sores do not occur on the outer surface of the lips and are NOT contagious. They are quite common and the exact cause is unknown, but they are not known to be a viral nor a bacterial infection. Possible triggers are:

  • stress,

  • acidic foods,

  • trauma such as biting the cheek, sports injury or brushing too hard,

  • ingredients in mouth products such as sodium lauryl sulfate,

  • diet lacking in vitamin B12, zinc, folate (folic acid) or iron,

  • hormonal shifts during menstruation

Most of the ulcers resolve on their own in 2 weeks. Applying a topical numbing gel can help with discomfort for children that are old enough for it. It is recommended to avoid spicy or acidic foods while the healing is in progress. Use a soft bristled toothbrush when brushing the teeth twice daily. Avoid toothpastes and mouth rinses that contain sodium lauryl sulfate.

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Cold sores (or called fever blisters), however, usually appear outside the mouth on or around the lip. They usually look like a cluster of blisters, and they can eventually burst, causing oozing and crusting. Cold sores result directly from the herpes simplex virus (HSV-1). This virus is dormant until triggered, which is when you might experience a tingling or burning sensation in your mouth and the development of a sore. Several factors can trigger the recurrence of a cold sore:

  • Stress

  • Other viral infections

  • Fatigue

  • Exposure to sun or wind

  • Hormonal changes

  • Fever

Cold sores usually heal on their own but may take up to 2-4 weeks. Because cold sores are caused by HSV-1, they may be treated with an antiviral topical, blister treatment or oral medications if they do not heal on their own. The virus itself cannot be cured. The American Academy of Dermatology strongly encourages the use of sunscreen during an outbreak, as sun exposure can affect the healing of the sore. Unlike canker sores, cold sores ARE contagious and can spread easily, so to prevent spreading the virus, you should not share utensils or any other items that touch the mouth, and avoid kissing.

Dr. Lindhorst and Dr. Theriot are happy to address any questions or concerns. Please don’t hesitate to give us a call at (713)461-1509.

Our Summer Contest Has Begun!

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We have 9 art slots around our Smiles for Kids lobby that need YOUR beautiful artwork! Draw us a picture of your summer vacation, summer plans, favorite vacation location, etc. Use your imagination so we can replace all of our art located around the lobby!

Our summer contest runs from June 1st to August 2nd.

We will VOTE for one picture at the end of summer to be the winner for an amazing prize! We can’t wait to see all the beautiful art created by our patients!

May Employee of the Month!

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Summer is here!! We’re so excited to announce our May Employee of the Month and it’s one of our welcoming front desk ladies...

Sara!

Our team said about her, “Sara is always willing to help and tries to do her best in all situations,” and “Sara is a hard worker and creative!”

Congratulations Sara! We’re so lucky to have you on our team at Smiles for Kids Pediatric Dentistry!

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What to do if your child bites their lip after a dental procedure

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For a dental procedure, we may use local anesthesia in order to numb a tooth (or teeth) in order to keep your child pain-free during treatment. Depending on the type of local anesthesia, the numbness can linger for a few hours while its wearing off. It can be difficult for a child to know, or even feel, if they are biting, scratching or picking at their lip, tongue or inside of their cheek. It’s a feeling they may not have experienced before. A lip bite can cause swelling, bleeding or ulceration and can be confused with an allergic reaction or infection. These usually heal quickly (without antibiotics) but can take up to a week or so. At Smiles for Kids Pediatric Dentistry, we offer OraVerse (a local anesthetic reversing agent) which helps reduce the amount of time the patient is numb significantly.

During the COVID-19 pandemic when everyone, including children, are wearing masks, it can be hard for parents to monitor or know if they are doing it under the mask. Please remind your child not to bite or chew on their lip while it feels numb. If your child does accidentally bite themselves, here’s what you can do:

  • Apply ice packs for first 3 days. Ice packs should be placed for 15 minutes on, 15 minutes off, for 1 hour, 3 times a day.

  • Give your child over-the-counter Tylenol or Motrin (as directed per manufacturer’s label) for pain.

  • Keep the area clean and maintain good oral hygiene.

  • Avoid anything that might irritate the would such as spicy foods, citrus juices or tomato-based foods.

  • Can rinse with salt water two times a day for 3 days.

  • Apply over-the-counter topical numbing ointments (as directed per manufacturer’s label), but be careful about the child again accidentally traumatizing the area with additional numbing.

If the wound does not heal within a week, or the child has significant bleeding that cannot be controlled, call us at 713-461-1509. Dr. Lindhorst or Dr. Theriot will take a look and let you know if your child needs any further intervention.

April Employee of the Month!

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Does anyone else feel like April came and went so fast?! We love to see all the beautiful flowers blooming around the city. We have a new Employee of the Month and it is…

our dental assistant, Brittany!

“Always helping everywhere in the office!”

“Team player - willing to jump in needed”

“Always taking one for the team when needed. Great team leader”

Congratulations Brittany! We are so lucky to have you on our Smiles for Kids team!

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The Child's Airway and Impact on Sleep

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The mouth is the gateway to the entire body. It’s a connection between dentistry and medicine. Routine dental visits are crucial not only for oral health, but also screening for general health concerns because the majority of people visit their dentist at least twice per year which is typically more often than their general physicians. One of the most important things we evaluate is the airway. The airway provides a path for air in and out of the lungs, where it supplies oxygen to the brain and body. We’re meant to breathe through our nose so that it can filter out the dirty air. If not, then inflammation of the airway, respiratory infections, enlarged tonsils or obstructed airway can result. An open airway is important for sleep, rest for the brain, and overall growth and development. For pediatric dentists, a healthy and open airway is crucial for dental treatment with sedation because many of the medications given can cause a temporary depression in the respiratory drive for the patient, with potential severe outcomes in a compromised patient.

 

Sleep apnea (or sleep disordered breathing) is a dysfunction of breathing during sleep. It can be an actual airway obstruction or failure of the brain to send the right signals telling the body to breath.  Sleep apnea is characterized by abnormal patterns of breathing such as repetitive starting and stopping, snoring, abnormally slow or shallowed breathing, or breathing through the mouth rather than the nose. A person can actually stop breathing for at least 10 seconds before “waking up” to catch a breath. The brain and entire body require sufficient oxygen to function. When that is constantly disrupted, it can have detrimental long-term effects such as high blood pressure, stroke, heart disease, diabetes, behavior problems (like ADHD), etc. Other signs that a child is having some sort of sleep apnea includes restless sleep, waking up multiple times during the night, wetting the bed, morning headaches, constant nasal congestion, chronic bad breath, trouble focusing in school or falling asleep in class, etc.

 

Our doctors at Smiles for Kids screen all of our patients for airway concerns at every dental visit. We evaluate the TMJ, head and neck muscles, mouth opening, tongue, teeth, throat, tonsils, and overall oral health. There are many clues in the mouth that can signal potential problems with the airway and sleep disordered breathing such as clenching/grinding, pain in the TMJ, large tonsils or adenoids, bite issues (or “malocclusions”), narrow palate, open mouth posture, cavities, gum disease, dry mouth, etc. Any of these signs will lead us to ask questions about the patient’s quality of sleep and a history of signs or symptoms previously mentioned.

 

There is much to consider before treatment of sleep apnea, and we work closely with our medical community, Ear Nose and Throat doctors (ENT) and Myofunctional Therapists for proper referral and evaluation. Dental treatment may include night guards or appliances such as a palatal expander. Expanding the palate can create more room for the teeth and the tongue, open the nasal passages, allowing for more air exchange and more relaxed muscle posture during sleep. Are you or your child experiencing any of the signs or symptoms of sleep apnea? Ask us more about it at your next dental visit!

All The Facts About the Benefits of Fluoride!

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Fluoride is a naturally-occurring mineral, that helps to prevent cavities by making enamel more resistant to the acid attacks that cause tooth decay.

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How Does Fluoride Protect Teeth?

The “systemic” effect: The fluoride we take in our bodies from food and beverages starts to strengthen enamel of our teeth when they’re forming and before they even break through the gums and erupt into the mouth.

The “topical” effect: After teeth erupt, fluoride helps rebuild (remineralize) weakened tooth enamel and reverses early signs of tooth decay. When you brush your teeth with fluoride toothpaste, or use other fluoride dental products, the fluoride is applied directly to the surface of your teeth. Even the fluoride in food and beverages provides a topical effect because it becomes part of the saliva which bathes the teeth all day long!

How Do I Get Fluoride?

Drink Water with Fluoride: “Fluoride is naturally found in most all water sources, rivers, lakes, wells and even the oceans. For the past 70 years, fluoride has been added to public water supplies to bring fluoride levels up to the amount necessary to help prevent tooth decay.

Community water fluoridation is like drinking milk fortified with Vitamin D or eating bread and cereals enriched with folic acid. Before water fluoridation, children had about three times as many cavities.  Because of the important role it has played in the reduction of tooth decay, the Centers for Disease Control and Prevention has proclaimed community water fluoridation one of ten great public health achievements of the 20th century. Studies prove water fluoridation continues to help prevent tooth decay by at least 25% in children and adults, even with fluoride available from other sources, such as toothpaste.  Today, almost 75% of the U.S. population is served by fluoridated community water systems.”

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Use Toothpaste and Mouthrinse with Fluoride: Look for one with the ADA Seal of Acceptance to make sure it contains fluoride. Brush twice daily (morning and night) with fluoride toothpaste. For children under 3 years, use a “smear” or less than the size of a grain of rice. For children 3-6 years, use a pea-sized amount. Remember to supervise your child’s brushing and make sure the toothpaste is kept in a safe place away from where children can access it alone. For children older than 6 years, they can start to use a fluoride mouthrinse after brushing and then spit it out. At this age they should have developed swallow reflexes.

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Visit Your Dentist for a Professional Application: A dentist can professionally apply fluoride gel, foam or varnish to the teeth every 6 months at regular check-ups if you or your child are at high risk for tooth decay.

For more information and sources for our blog post, please visit https://www.mouthhealthy.org/en/az-topics/f/fluoride