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One of the things Dr. DeCasperis and our team at Dr. Steven DeCasperis, DMD monitor during your dental appointments is the growth of your wisdom teeth, or third molars. Third molars generally begin to erupt between the ages of 17 and 25. Wisdom teeth may require removal for many reasons, including pain, infection, or growth issues. While not all patients need their wisdom tooth removed, problems can develop if removal is not performed.

Overcrowding

Many patients have smaller mouths and jaws, which do not allow room for the third molars to grow in properly. If these teeth do erupt, overcrowding can occur. Your teeth will begin to shift or overlap each other. Wisdom teeth that erupt after orthodontic care is completed can cause the teeth to shift and negate the work performed.

Impacted Wisdom Teeth

When wisdom teeth are impacted, they are trapped below your gum line. Impacted wisdom teeth can be very painful and may be prone to abscess and infection. The impaction can lead to decay and resorption of healthy teeth.

On occasion, if wisdom teeth are not monitored properly, their growth can shift parallel to the jaw line. They can also shift backward and eventually interfere with the opening and closing of your jaw.

Greater Potential for Decay

Even when wisdom teeth grow in properly, the location can make the teeth harder to care for. This in turn can lead to the growth of more bacteria, and create health issues later in life.

If you do not have your wisdom teeth removed, they will require continued monitoring. Wisdom teeth are just as subject to decay and other problems as the rest of your teeth. Those that appear above the gum surface can often be extracted at a dental office in a fashion similar to any other tooth extraction. Impacted teeth are normally handled by an oral surgeon.

Pain in the back of the jaw and swelling may indicated wisdom teeth that are beginning to rupture or are impacted. A simple set of X-rays will determine the extent and direction of growth. Please do not hesitate to discuss your concerns during your next visit our Lebanon, NJ office. We will be happy to explain wisdom teeth, and potential removal, as it applies to your specific case.

If you have been bringing your baby in for regular checkups since that first tooth arrived, you might expect that he or she is already familiar with Dr. DeCasperis and our staff. Often, though, months pass between visits, which is a very long time for a child. How can you make your preschooler’s return visit a happy one? We have some suggestions!

Before Your Visit

• Prepare your child for her visit. Simple explanations are best for a young child. You might tell your daughter that a dentist is a doctor who helps keep her teeth strong and healthy. Let her know a bit about what will happen. Being told, “You will sit in a special chair,” or, “Can you open wide so we can count your teeth?” will give her some idea of what it’s like to visit our office.
• There are many entertaining books for young children about visiting the dentist. Reading some of these to her for a few days before the appointment will let her know what to expect.
• Use playtime to prepare. You might count your daughter’s teeth or let her “play dentist” and brush the teeth of her favorite doll or stuffed animal.

When You Arrive

• Your attitude can be contagious! If you treat a visit to the dentist like any other outing, chances are your child will too. Your calm presence is exactly what your child needs.
• You might want to come a bit early to let your son explore the office. Bring a favorite toy or book to keep him entertained if you need to. A favorite stuffed toy can be a comfort in an unfamiliar place.
• If you are with your child during his checkup, follow our lead. Don’t be concerned if your child seems uncooperative at first or even throws a tantrum—we are used to working with children, and have techniques to make his experience as relaxed and as positive as we possibly can.

We Are Here to Help

We are your partners in your child’s dental care. Call our Lebanon, NJ office anytime for suggestions about making your child’s visit a comfortable, comforting experience. Our goal is to start your child confidently on the road to a lifetime of empowering dental visits and lasting dental health.

Sugars are the simplest carbohydrates, and are found naturally in fruits, vegetables, grains, and dairy products. Our bodies require these simple carbs for energy. (Even better, we don’t just get energy from fruits, vegetables, grains, and dairy—we also get healthy amounts of vitamins, minerals, antioxidants, fiber, and even some protein!)

Problems arise when we get too much of this good thing. Once our bodies have all the sugar they need for immediate energy, they store extra sugars in liver, muscle, and fat cells. Over time, excess dietary sugars can affect weight and blood sugar levels, with potentially damaging results.

And, of course, sugar has an immediate effect on our oral health. The oral bacteria in plaque also need sugars for energy, which they use to make acids. An acidic environment in the mouth dissolves the minerals, which keep our tooth enamel strong. And these weak spots are vulnerable to decay. A steady diet of sugar-filled foods means that your enamel is constantly under acid attack.

So it’s really no wonder we hear a lot about avoiding “added sugars” in our diets, for both our general health and for our dental health in particular. But the concept of “added sugar” can be a bit misleading. If you’re not putting five spoons of sugar on your breakfast cereal, or pouring half a jar of honey in your tea, or using a recipe that calls for a cup of corn syrup, you might think you’re avoiding added sugars altogether. And that’s just not the case.

When dieticians talk about added sugars in our foods, they mean additional refined sugars (like white and brown sugars and corn syrup) that are used in preparing or processing foods.

Unlike unprocessed foods, which have been minimally treated to keep them as natural as possible, processed foods have been baked, or frozen, or mixed with other foods, or somehow changed from their natural state. This is where “added sugars” come in. Both home cooks and commercial processors use sugar to improve flavor, provide sweetness, and extend shelf life when preparing food.

What are some of the worst offenders? Store bought or homemade desserts like cakes and ice cream are prime candidates. Sodas? Most definitely. But it’s not just the obvious culprits. Added sugars are found in many foods we usually think of as healthy, including:

• Smoothies
• Fruit Drinks
• Energy Drinks
• Granola Bar
• Power Bars
• Breakfast Cereal
• Flavored Yogurt

While eating unprocessed foods is one way to make sure you get no added sugars, you can also eliminate many grams of sugar from your daily diet by trying out low-sugar recipes and choosing processed foods with little or no added sugar.

How to avoid unexpected added sugars? Fortunately, new labelling on food packages lets us know not only how much sugar is in any product, but how much added sugar has found its way into our grocery cart. Take a moment to check out labels, and avoid sugary surprises.

Your body can get all the natural sugar and carbs it needs for energy from a healthy, well-balanced diet. Lowering your added sugar intake won’t deprive your body of necessary nutrients, but it will deprive oral bacteria of their most convenient food source and reduce the amount of acids, which threaten your enamel. In fact, subtracting extra sugars is one of the easiest and most effective ways to add to your dental health!

If you have any questions about reducing your sugar intake, be sure to ask Dr. DeCasperis the next time you visit our Lebanon, NJ office.

Somewhere in a bathroom drawer or medicine cabinet, we all have one—that little plastic dental floss dispenser. And whether you use your floss every day (yay!), or have completely forgotten it was in there (not so good), just how much do you know about that sturdy string? Let’s find out!

• Flossing has been around for hundreds of years.

FACT: It’s been just over two hundred years since Dr. Levi Spear Parmly, a dentist in New Orleans, suggested his patients use waxed silk thread to clean between their teeth. This is considered the first “official” invention of dental floss, although using some form of tool to get rid of food particles between the teeth has been around since prehistoric times.

• Brushing well is the same as flossing.

FICTION: It’s really not. While brushing does a great job of cleaning food particles, plaque, and bacteria from your enamel, there are some places those bristles can’t… quite… reach. Floss was designed to clean plaque and food from between the teeth and close to the gum line where your brush doesn’t fit.

• There’s more than one way to clean between your teeth.

FACT: Indeed there is! Not only are there many varieties of dental floss (waxed, flavored, round, flat, thick, thin, in a dispenser, attached to miniature floss wands), but you have alternatives if using any kind of floss is difficult for you. Water-flossers direct a pulsing stream of water between and around the teeth and gum line to remove food particles and plaque. Another useful alternative is the interproximal brush, a tiny little cone-shaped brush designed to remove food and plaque from those hard-to-reach spots.

• Flossing helps prevent gum disease.

FACT: Scientific studies haven’t provided definitive answers. But Dr. DeCasperis and our team strongly recommend daily flossing as one of the most important things you can do to prevent gum disease. Gingivitis, or mild gum disease, is caused by irritated, inflamed gum tissue. Gum tissue becomes irritated and inflamed as a response to the bacteria, plaque, and tartar, which stick to your teeth. Anything you can do to help remove these irritants will reduce your risk of gum disease.

• Flossing helps prevent cavities.

FACT: We strongly recommend daily flossing to remove the food particles and plaque, which lead to cavities. Brushing removes cavity-causing plaque from the outer surfaces of your teeth. But there’s a lot of enamel between your teeth as well. Flossing removes plaque from these hidden spots, helping to prevent interproximal (“between the teeth”) cavities from forming.

• Bleeding when you floss is normal.

FICTION: Bleeding isn’t a typical reaction to flossing. Bleeding gums could be an early sign of gum disease caused by plaque and tartar buildup. On the other hand, if you floss too hard, or go too deeply below the gum line, you can make delicate gum tissue bleed. Ask Dr. DeCasperis for tips on perfect flossing technique.

• You need to floss after every meal.

FICTION: Dental professionals generally recommend brushing twice a day and flossing at least once each day. But this suggestion comes with some exceptions. If you have braces, your orthodontist might recommend flossing after eating. And certainly, for removing pesky food particles, flossing or interdental picks are a sensible choice after any meal.

• Your dentist will never know that you haven’t been flossing.

FICTION: Nope. Sure, you can miss flossing a few times and catch up before your appointment at our Lebanon, NJ office. But built-up plaque between the teeth, red, swollen, or bleeding gums, and gingivitis and interproximal cavities let both you and Dr. DeCasperis know that you’ve been neglecting good dental habits.

• It’s never too late to start flossing!

FACT: Flossing is a simple, quick, and inexpensive way to maintain tooth and gum health. If you haven’t had much luck flossing in the past, ask Dr. DeCasperis for flossing tools and techniques that will work for your specific needs. Start now, and see what a difference it will make at your next checkup!

If you had all these flossing facts at your fingertips, congratulations! But if you didn’t, no need to worry, because the real test of your knowledge is in its application. Flossing properly at least once each day will give you something far more rewarding than blog-quiz kudos—you’ll see that regular flossing rewarded with healthier teeth and gums!