One of the most charming aspects of your baby’s beautiful smile is his brilliantly white teeth. But now that his adult teeth are coming in, the difference in color is very noticeable. Is this something to be concerned about? Happily, probably not.

Both baby teeth and adult teeth have the same basic structure. The inside of the tooth, the pulp, contains blood vessels and nerves. The pulp is covered by a layer of dentin, a hard, yellowish substance composed of living tissue that helps protect the pulp and transmits signals for pain, pressure, and temperature. Enamel is the outer protective covering of the tooth, and its natural color can vary from greyish-white to light yellow.

If primary and permanent teeth are so alike, how can they look so different? As with so many things, the difference lies in the details. In adult teeth, enamel is semi-translucent, so it will allow the color of what is beneath it to show through. And the color of the thick dentin beneath is naturally yellow. Baby teeth have a thinner layer of the yellowish dentin. And while their enamel is also thinner, the enamel in baby teeth is generally whiter and more opaque, so less of the underlying yellow from the dentin is visible.

The result of these small differences is that adult teeth are normally darker than baby teeth to begin with. And when a permanent tooth that is just a bit darker erupts next to a bright white baby tooth, it is going to look even more yellow than it actually is. Once all of the baby teeth in front have been replaced with adult teeth, you will have a much better idea of their real color without unflattering comparisons!

There are times when concerns about tooth color should be looked at by Drs. Darrin and Greg Gremban more closely.

• Unusual discoloration in teeth should be examined. Some discoloration is caused by medical conditions such as hypomineralization, some by environmental factors such as excess fluoride, some by trauma, some by medication. If you notice a discolored section of your child’s tooth, or the tooth has turned a different shade from the teeth around it, give us a call.
• Your child might have naturally whiter or yellower teeth simply as a matter of genetics. If your child is self-conscious about the color of his teeth, we can talk about whitening solutions when he is old enough to use them safely. Home whitening products should never be used on young children.

Give yourself time to adjust to your child’s new, adult smile. You will probably notice no difference at all once all of his permanent teeth come in. And keep those new teeth their brightest with consistent brushing and flossing, and regular checkups and cleanings at our Eagle River office. This is the simplest prescription for a charming, white, and healthy smile at any age.

October 31—Halloween. Fourth Thursday in November—Thanksgiving. And, in between these two favorite autumn holidays, we have November 1—National Brush Day!

Okay, okay. Maybe National Brush Day isn’t quite as well-known as Halloween or Thanksgiving, but we take any opportunity to celebrate your dental health. So, let’s celebrate brushing!

After all, brushing is vital for healthy teeth and gums.

• Brushing is your first line of defense against plaque. Plaque forms all day long. Plaque sticks to your teeth. Plaque is filled with bacteria which produce cavity-causing acids. Brushing regularly means plaque won’t stay on your teeth long enough to cause serious tooth decay.
• Brushing is also important for your gum health. Angling your brush to carefully clean plaque and bacteria away from your gum line helps prevent gum disease.
• Tooth decay is the most common chronic disease among children and young adults. The leading cause of tooth loss in adults is gum disease. Good brushing habits help prevent tooth decay and gum disease—a win/win when it comes to your oral health.

To make the most of the time you spend brushing, let’s take a moment to review some basics on National Brush Day.

Are You Brushing Correctly?

• Big, broad brushstrokes aren’t the answer. Instead, use small up-and-down or circular strokes over each tooth and each tooth surface—outside, inside, and on the flat surfaces of your molars.
• Because plaque forms all day, you need to keep on top of it. Brushing at least twice a day for two minutes each time is a good general rule. Drs. Darrin and Greg Gremban will let you know the best brushing schedule for your individual needs.
• Brushes are meant to clean, not to scrub. You don’t need a heavy hand for cleaner teeth.
• Which also means, there’s almost never a good time to brush with a hard-bristled brush. Hard bristles, along with hard brushing, can actually damage your enamel and gum tissue. Stick to a soft-bristled brush for dental TLC.

Are You Taking Care of Your Brush?

• To clean away bacteria and viruses you might have picked up during the day, wash your hands before brushing and flossing.
• Shake your brush dry when you’re finished and then let it air dry upright with the handle pointing down. Only use a case for travel, and make sure it has air holes for ventilation. (Bacteria thrive in a wet environment.)
• If your toothbrush lives in the bathroom, close the toilet seat before flushing to avoid airborne particles.
• No matter how close you are to your family members or roommates, don’t share your toothbrush. Sharing doesn’t mean caring in this case—it means sharing germs. Your brush should keep a healthy distance from other brushes as well.
• And no matter how fond you are of your brush, be prepared to replace it often! Most brushes last three to four months at best, because bristles start to fray and can’t clean effectively after several months of use.

It’s no coincidence that National Brush Day comes right after Halloween, the most sugar-filled holiday of them all. So, how can we mark the occasion?

Treat yourself to a new toothbrush! Take a moment to review your brushing habits. If you have young children at home, spend two minutes brushing together to make sure they’re brushing effectively–they might even have some tips for you! Brushing your teeth properly is one of the easiest things you can do to protect your oral health. That’s something to celebrate!

According to the American Academy of Periodontology, an estimated three out of four Americans suffer from gum disease. In milder cases, the disease is called gingivitis. More severe cases are called periodontitis. Despite the prevalence of periodontal disease (and it is very common), only three percent of people who suffer from periodontal disease get treatment for it. Gum disease has been linked to other serious diseases, including cancer, diabetes, and heart disease.

Periodontal Disease Is Common Among Americans

The Journal of Dental Research published the findings of a joint study from the Centers for Disease Control (CDC) and the American Academy of Periodontology (AAP). The study compared the full periodontal exam that participants received for this study against partial periodontal exams participants received for an older study.

The results show the rate of periodontal disease today could be as much as 50 percent higher than earlier estimated. Shockingly, this means that about twice as many Americans as previously believed suffer from gum disease – either moderate or severe.

The Link between Chronic Illness and Periodontal Disease

Many people who have chronic medical problems don’t have dental insurance, or the money to spend on dental care. Not surprisingly, this and a lack of understanding about proper oral hygiene leads to situations in which an initially minor problem turns into something far more severe, and probably preventable.

Gum diseases and cavities are caused by infections. When you get a cavity, the infection develops in the tooth itself. You may never feel anything, so unless you get regular, twice-a-year dental exams, you might not know there is a problem.

With gum disease, the infection occurs in the bones and tissues that form the gums and support the teeth. The tissues that surround teeth, and the bones that lie below the gums, are necessary to hold your teeth in. When those aren’t strong enough to support your teeth, you lose them.

Tooth loss has been linked to heart disease, diabetes, and an increased risk for kidney disease. Gum disease and severe infections in the mouth can spread to other parts of the body faster than people realize. A healthy mouth is alkaline. It’s vital for you to maintain an alkaline pH to keep harmful bacteria away.

When people eat, their pH changes, and the environment inside the mouth becomes more acidic. Since the typical American diet is very acidic, harmful bacteria thrive in the mouth. Typical foods include breads, grains, starches, and sweets – the foods people love the most. Since it isn’t always possible for people to brush after every meal, the mouth pH remains acidic, and the acid contributes to faster tooth erosion.

What does all this mean for you? The health of your mouth is more important than you realize. Get those regular dental exams, and make sure that you and your family keep to a regular routine of brushing and flossing. Good oral hygiene can help prevent periodontal disease, and that will lower your risk of tooth loss.

Hand-foot-and-mouth disease, or HFMD, is a type of contagious viral illness that causes a rash in the mouth and on the hands and feet of infants and young children, and, while rare, adults. Characterized by sores in the mouth and a rash on the hands and feet, hand-foot-and-mouth disease is most commonly caused by a coxsackievirus, a bacterium that lives in the human digestive tract. HFMD can spread from person to person, typically via unwashed hands.

What are the symptoms of HFMD?

Symptoms of HFMD usually begin with a fever, sore throat, poor appetite, or general malaise. A couple of days after the fever starts, kids may develop painful sores in the mouth. A skin rash characterized by red spots may also develop, usually on the palms of your child’s hands and soles of their feet. It’s important to note some children may only experience a rash while others may only have mouth sores.

Is HFMD serious? Should we be concerned?

Usually not. Nearly all children infected recover anywhere between seven to ten days without medical treatment. Rarely, however, a child can develop viral meningitis and may need to be hospitalized. Other rare complications of HFMD can include encephalitis (brain inflammation), which can be fatal.

How can my child prevent HFMD?

There is no known vaccine to defend your child against HFMD. However, the risk of your child contracting the disease can be reduced by:

• Making sure your child washes his or her hands often
• Thoroughly cleaning objects and surfaces (these include doorknobs and toys)
• Making sure your child avoids close contact with those who are infected

To learn more about hand-foot-and-mouth disease or to schedule an appointment for your child, please give us a call at our Eagle River office!