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Is this a trick question? After all, you and your family probably already know quite a lot about cavities:

• It all begins when bacteria-filled plaque sticks to teeth and starts to attack enamel. How?
• Because the bacteria in plaque use the sugars and other foods we eat to produce acids.
• These acids gradually weaken teeth by dissolving minerals that help make up our enamel (a process called demineralization).
• Over time, a hole, or cavity, develops in the tooth surface.
• Left untreated, bacterial decay can spread to the inside of the tooth, creating a more serious cavity.

Drs. Lynn Collins, Patricia Smith, and Daria Ryan might discover an unexpected cavity at a regularly scheduled dental exam at our Newark office, but there are also some symptoms that should have you calling for an appointment. A cavity can cause sensitivity when eating something hot or cold, or it can be painful, or you might even notice visible discoloration or damage to the tooth surface.

So, if your child has any of these symptoms, it’s a cavity, right? It might be—but it might not. Sometimes, because the symptoms are similar, what we suspect is a cavity is really enamel erosion.

The bacteria-created acids weaken enamel. But it’s not just bacteria that subject our teeth to acids. Acidic foods are one of the leading causes of tooth erosion.

And while we expect damage from a lifetime of acidic foods and beverages to catch up with us as we age, the fact is that erosion is becoming a problem even for young children. How is this possible? Let’s look at some food chemistry.

Our normal saliva pH level is around a 7, which is neutral. Any number lower is acidic; any number higher is alkaline. Acidic foods have a low pH (the pH of lemon juice, for example, measures between 2 and 3), and can reduce our normal, neutral pH level. When saliva pH levels drop to 5.5 or lower, tooth enamel starts to demineralize, just as it does when exposed to the acids from oral bacteria.

Regularly snacking on citrus and other acidic fruits, fruit juices, flavored drinks, sour candies, and other acidic foods can cause enamel erosion. Especially erosive are sports drinks, energy drinks, and colas, because they contain some combination of citric acid, phosphoric acid and/or carbonation.

So, when might you suspect enamel erosion? Your child might be sensitive to hot or cold foods, or feel pain, or even have noticeable enamel loss or pitting. Even though these symptoms may not have been caused by plaque and bacteria, acidic erosion from our diets leaves weakened enamel just as vulnerable to cavities and decay.

How to avoid erosion?

• Serve acidic foods sparingly, or as part of a meal. This helps our saliva pH stay in the neutral zone.
• Balance acidic foods with low-acid choices to neutralize acids and restore a normal pH balance. For example, mix those acidic berries with a banana.
• Use a straw! These are not only fun, but this simple solution keeps erosive drinks from bathing young teeth in acids.
• Encourage your child to drink water instead of an acidic beverage, or drink it afterward to rinse acids away. The pH of pure water? A perfect, neutral 7. And by using tap water instead of bottled water, you’ll be providing fluoride, which helps strengthen enamel.
• What about brushing right after eating or drinking something acidic? Ask Drs. Lynn Collins, Patricia Smith, and Daria Ryan if your child should rush for the brush. We may recommend waiting 30 minutes or so after an acidic treat to give the teeth time to remineralize. Otherwise, brushing might cause more wear and tear on enamel.
• Finally, while foods are often the source of acid erosion, medical conditions can cause erosion as well. Talk to us about ways to minimize erosion while addressing these medical needs.

Be proactive. Ask your Drs. Lynn Collins, Patricia Smith, and Daria Ryan about healthy drinks and snacks for healthy teeth. Make sure to keep on top of brushing and flossing, and stick with fluoride toothpastes. And visit our Newark office regularly for exams and cleanings.

There’s really no trick to it—preventing enamel erosion helps keep your child’s teeth structurally strong and cavity-free for a lifetime of beautiful and healthy adult smiles.

You may have heard this term the first time you or a friend got your wisdom teeth. That makes sense, as wisdom teeth are the teeth most often impacted in teenagers and young adults. But other permanent teeth can be impacted as well. What exactly do we mean by “impacted teeth,” and what can we do to treat them?

The term “impacted” means that somehow a tooth has been blocked from erupting properly. A tooth may be completely blocked by another tooth, erupt in the wrong space, or even come in from the wrong direction. Depending on the teeth involved, there are several different options for treatment.

From Baby Teeth to Permanent Teeth

Normally, when children lose a baby tooth, a permanent tooth is right there, ready to take its place. But teeth don’t always behave according to plan. Occasionally, that baby tooth just won’t budge, and the permanent tooth starts to erupt behind it. When this happens, a simple baby tooth extraction will often let the permanent tooth move into its proper position on schedule.

A more complicated situation develops when upper teeth are impacted because there isn’t enough space in the mouth for them. In this case, a device called a palatal expander might be used to gradually widen the upper jaw to allow the permanent teeth to erupt without crowding.

In other rare cases, a tooth (often the canine) fails to erupt and may require oral surgery to uncover it, followed by orthodontic treatment to guide it into position.

Impacted teeth can result from other causes as well, and every impacted tooth should be treated as quickly as possible. Left untreated, the teeth can fail to erupt at all or erupt in the wrong place, crowd other permanent teeth, damage the roots of the teeth near them, and lead to difficulties eating and dental pain.

Wisdom teeth

Wisdom teeth are often a problem because there is simply not enough room in the jaw for them.

Wisdom teeth that are completely impacted (still in the jawbone) can sometimes be left alone if they aren’t causing other problems. But if impacted wisdom teeth develop cysts, affect the teeth around them, or lead to other dental complications, they should be extracted.

Partially erupted teeth, those that have begun to emerge through the gums but don’t erupt fully, can be the source of different gum and tooth problems. Because the gum tissue overlaps the tooth, food particles and bacteria can become trapped, leading to rapid tooth decay and even infection. In this case, extraction is probably the best option.

Be Proactive

The term “impacted” actually comes from the Latin root meaning “pushed against.” But teeth that don’t erupt at the right time, in the right place, can have a different kind of impact on dental health and appearance. And the earlier we can catch these problems, the easier it is to treat them.

Regular exams and X-rays with Drs. Lynn Collins, Patricia Smith, and Daria Ryan at our Newark office will show the progress of the teeth even before they erupt, and if there will be the space for them to fit in the mouth properly. We may recommend a visit to the orthodontist by the age of seven to see if there are any signs of potential orthodontic problems.

Intervention at an early stage can prevent potential problems from becoming major ones. That is why it’s so important to be proactive when teeth are erupting in children and young adults. After all, a healthy, confident smile makes a real impact!

Our patients at Collins Dental & Orthodontics hate the thought of delaying their treatments and often ask us what they can do in between their adjustment visits to help. Today, Drs. Lynn Collins, Patricia Smith, and Daria Ryan and our team thought we would provide some tips on how you can stay on track in regards to your treatment plan time.

The first thing we want you to do is keep your adjustment appointments. Each visit with Drs. Lynn Collins, Patricia Smith, and Daria Ryan is carefully planned to move your teeth a specific way in a certain time frame. It’s important to note that missing an appointment can add weeks or months to your treatment time.

Next, we want you to let Drs. Lynn Collins, Patricia Smith, and Daria Ryan and our team know right away if your experience any problems with your braces or appliances. A missing wire, rubber band, or broken bracket can delay treatment time, so we ask that you please give us a call right away to report any issues rather than waiting until your next visit.

Make sure you wear your rubber bands as prescribed by Drs. Lynn Collins, Patricia Smith, and Daria Ryan. Most, if not all, of our patients will need to wear elastics or rubber bands at some point during their treatment. Not wearing the bands or elastics, or not wearing them enough, can slow down your treatment time. Rubber bands are critical in aligning your bite and are important for the bite-fixing phase of your treatment.

Finally, we want you to maintain good oral hygiene, just as you did before your treatment began. In addition to flossing regularly, we encourage you to brush your teeth several times a day. Not brushing will allow sugar to wear away the cement on the braces, making them less effective in moving your teeth, as well as elevate your risk of developing cavities or tooth decay, which will inevitably delay treatment time.

If you have any questions about any of these tips, or if you have any general questions about your treatment, please give us a call at our convenient Newark office, or ask Drs. Lynn Collins, Patricia Smith, and Daria Ryan during your next adjustment visit!

When you were a child, your mother may have instructed you to drink all your milk to build strong bones. Now that you have children of your own, you may hear yourself parroting those instructions you received years ago. Getting enough dairy is essential for young children whose teeth are growing. A child who consumes the recommended daily serving of dairy will develop healthy, strong teeth for the rest of his or her life.

Structure of the Tooth

To fully grasp the importance of dairy for dental health, it is necessary to understand tooth structure. Your teeth are made of living tissues covered by a hard outer shell. The inner dental pulp is fed by blood vessels and connects to a nerve bed in your gums. Surrounding the pulp is dentine, a calcified tissue that is less brittle than the tooth’s outermost layer, the enamel. The enamel layer is the white part of your teeth, 96% of which consists of minerals such as calcium phosphate.

How does dairy help my child’s teeth?

Milk and other dairy products are excellent sources of calcium. Your child’s body deposits this calcium into her growing bones, including the teeth. Calcium contributes to bone growth and strength, and it forms an important part of the solid enamel that surrounds each tooth’s fragile inner pulp. Milk also contains vitamin D, phosphorus, magnesium, and proteins. Magnesium promotes calcium deposits in your enamel, while phosphorus forms a small barrier against acidic foods that cause cavities. Vitamin D and protein are used by a child’s body to build bone tissue and maintain dental health.

How much dairy does a child need?

According to a study conducted by researchers at the University of Connecticut, the majority of Americans do not receive enough calcium. The U.S. Department of Agriculture recommends that children under the age of eight should receive at least two and a half cups of dairy per day. Children older than eight need three full cups — the same as adult men and women. Supplying your child with nonfat milk to drink and yogurt to eat every day is a great way to increase dairy consumption.

Growing children who do not get enough dairy in their diets risk improper tooth development and other dental health problems. Drinking sugary beverages in place of milk causes cavities and tooth decay. As a parent, it is essential to monitor your child’s dairy consumption to ensure he or she grows healthy teeth to last a lifetime.