Orthodontic Two-Phase Treatment

Two-phase orthodontic treatment is a dual step method of aligning a child’s teeth and producing a functional bite. Usually, two-step orthodontic treatments begin between the ages of 7 and 9, when many of the primary teeth remain in a child’s mouth. The braces stay on for a year or two, after which time they are removed and replaced with a retainer. This resting phase lasts about 3 years, after which time children return to the orthodontist for the second phase of treatment. From start to finish, two phase orthodontics can take 5 years or more, but most orthodontists and parents believe the results are often worth the extended treatment time.

Did you know…

the American Association of Orthodontists endorses early childhood orthodontic treatments? The Association recommends an initial screening for every child no later than age 7. Because children this age have achieved approximately 80 percent of their total facial growth, a first phase of treatment during this time period can leverage remaining growth. By the time they reach age 11 or 12 (when the second phase of treatment is initiated), children have achieved more than 90 percent of their lifetime facial growth.

Frequently Asked Questions

Does my child need two-phase orthodontic treatment?

The only way to know if your child needs orthodontic treatment of any kind is by visiting an orthodontist. Children as young as 4 can be screened, although the AAO recommends waiting no longer than age 7. If your child is over age 7 and has not yet been screened, make an appointment for a consultation at your earliest convenience.

What should I expect during a two-phase treatment?

Between the first and second treatment phases, you’ll need to bring your child to the orthodontist periodically to monitor progress and check the condition of your child’s retainer. He or she may also need occasional x-rays to ensure everything is progressing smoothly and as planned. Once your child has lost his or her final primary tooth, you’ll return yet again to get the second set of braces – usually around the age of 12.

Will I need to follow any special care instructions while my child is undergoing two-step orthodontic treatment?

Yes. Orthodontic appliances are designed for durability but can easily break when not cared for. You’ll need to ensure your child is following all directions for brushing around the braces and also exclude hard candies or foods that could damage the appliance components.

Children Orthodontics

The majority of patients undergoing orthodontic care are children and teens. When kids are young, their jaws are constantly growing to accommodate new teeth. It is during this time that the teeth are easily moved, allowing for a shorter treatment time – especially in patients who undergo early treatment. Braces, retainers, and spacers are just some of the orthodontic appliances commonly used in children’s orthodontics. Although not all kids need orthodontic treatment, all kids need exams at an early age. Some signs that a child may eventually require orthodontic treatment include:

  • Jaw is disproportionate to the face
  • Has a habit of frequent thumb-sucking
  • Chronically breathes from the mouth rather than the nose
  • Primary teeth fall out too soon or too late
  • Exhibits malocclusion (overbite/underbite)
  • Visible crowding

Did you know?

that children should have their first orthodontic screening no later than age 7? This orthodontic evaluation is used to identify jaw irregularities and developmental complications that could indicate the need for orthodontic treatment in the future. Early screenings make it possible to get early treatment, with some children beginning progressive orthodontic treatments as early as age 7.

Frequently Asked Questions

Do I need to bring my child to an orthodontist?

If your child is at least 7 years old or is exhibiting any of the symptoms listed above, you should schedule an appointment as soon as possible. Your child’s orthodontist can take steps to correct a bad bite, fill in gaps, and straighten the teeth all before your child reaches the teen years.

What should I expect at my child’s first orthodontist appointment?

Your child’s first orthodontic screening will include a visual examination as well as maxillofacial x-rays. Your child’s orthodontist may also ask you questions about your child’s habits, such as thumb and finger-sucking. Based on the results of this analysis, the orthodontist will discuss options and timeframes for treatment if applicable.

Will I need to follow any special instructions if my child is fitted for a dental appliance?

Yes. If your child is fitted for a fixed orthodontic appliance, such as braces, you will need to follow careful instructions to ensure the device is not damaged or broken. This includes monitoring your child’s diet to ensure it does not include hard foods, candies, popcorn kernels, or anything else that could cause damage. You’ll also need to ensure your child properly brushings and flosses around the appliance to protect the teeth from decay during treatment.

Invisalign®

Invisalign® is an orthodontic appliance system used to inconspicuously treat crooked and crowded teeth in adults and teens. This modern take on braces features a system of clear aligner trays that are worn at all times with the exception of during meals and when brushing or flossing. The trays are custom fitted to the teeth, making them virtually unnoticeable when laughing, talking, and eating with other people. Patients receive a sequence of trays, each of which is slightly different than the one before. The aligners provide a slight resistance to the teeth, forcing them to move into alignment over time. With Invisalign®, adults and teens can achieve the smiles they’ve always wanted without feeling self-conscious about the mode of treatment.

Did you know…

wearing Invisalign® is in no way as restrictive as traditional braces? Many adults opt for this system not only because it is discreet, but also because there is no need to change your diet to avoid foods that could damage braces. This is because the Invisalign® system is free of braces and brackets, instead opting for a removable tray that can be taken out prior to meals. Also, Invisalign® fits well into busy adult schedules, as there is no need to attend frequent visits for wire tightening. Most patients simply change to a new aligner tray every couple of weeks.

Frequently Asked Questions

Am I a candidate for Invisalign®?

If you have crooked or crowded teeth that are embarrassing to you or otherwise preventing you from achieving optimal oral health, Invisalign® could be the solution for you. Visit your Invisalign® dentist for a complete consultation to find out if you could benefit from clear orthodontics.

What should I expect during my Invisalign® treatment?

You will wear your aligners nearly all of the time, with the exception of about two hours per day. Invisalign® treatments are different for everyone, but most patients can achieve their ideal smiles within one to two years. During that time, you can expect to make occasional dental visits to monitor your progress.

Will I need any post-treatment care?

Following your treatment, you will no longer need to wear Invisalign® trays. However, you will need to wear a retainer each day to help protect your new smile. It is also important to continue visiting your dentist for routine check-ups and twice-yearly cleaning.

Adult Orthodontics

Everyone deserves a smile they can be proud of, and many achieve straightened, well-aligned teeth after undergoing orthodontic treatment as a child. But for adults who do not have the privilege of having straight teeth, orthodontics are still an option. In fact, there is no such thing as being too old for orthodontic treatment. More adults than ever are seeking straighter teeth – perhaps due to advancements in modern dentistry that allow for more discreet and less invasive orthodontic treatments. And braces aren’t becoming popular for cosmetic reasons alone. Rather, many adults are realizing the long-term oral health benefits associated with having straighter teeth.

Did you know?

There are many myths surrounding braces and adult orthodontics:

  • MYTH: Adults don’t get braces.
  • FACT: Approximately 20 percent of all orthodontic patients are adults over age 18.
  • MYTH: Braces are too embarrassing as an adult.
  • FACT: Today’s braces can be made from ceramic to blend in with your natural tooth shade. Many adults also opt for removable braces made of clear and discreet aligning trays.
  • MYTH: I don’t want to spend years in braces.
  • FACT: You probably won’t have to. Many adults complete orthodontic treatment in just months.

Frequently Asked Questions

Am I a candidate for adult orthodontics?

You may be a candidate for adult orthodontics if your teeth are crowded, overlapping, crooked, or have gaps between them. To find out more about your treatment options, schedule a consultation with your orthodontist.

What should I expect during adult orthodontic treatment?

During your orthodontic screening, you will undergo an examination and digital imaging to determine the position of your teeth and bite. Your orthodontist will map out a treatment plan designed to give you the straightest teeth possible in the least amount of time. Depending on the type of braces you choose – traditional or removable – you’ll be fitted for your appliance and given instructions on how frequently to return for follow-up appointments.

Will I need to follow any special instructions while I have my braces?

Yes. If you are wearing clear aligners, you’ll need to change out your trays every few days or weeks. You’ll also be instructed to wear your aligners at all times, with the exception of during meals and while brushing your teeth. If you have traditional metal or ceramic braces, you may be given special instructions to avoid biting down on hard or chewy foods, such as popcorn kernels, ice and taffy.

What is an orthodontist?

An orthodontist is a dentist who specializes in the treatment of crooked or misaligned teeth. Contrary to popular belief, this branch of dentistry is not merely about the cosmetic appearance of patient smiles, but also about their oral health. Patients who visit an orthodontist for treatment often find it easier to brush their teeth and floss. This significantly reduces the risk of developing tooth decay or periodontal disease. Some of the conditions orthodontists treat include:

  • Overbite, underbite, openbite and crossbite
  • Gaps and spacing between the teeth
  • Overcrowded teeth

Did you know…

that orthodontists are dentists who have spent an additional 2 or 3 years in specialty training following dental school? Dentists perform a broad range of work, with occasional orthodontic treatments. Orthodontists, on the other hand, only see orthodontic patients. So even if your family dentist offers to straighten your teeth, keep in mind that only an orthodontist has the type of specialized training that ensures functional and aesthetic results.

Frequently Asked Questions

Do I need to visit an orthodontist?

You only need to visit an orthodontist if one or more of your teeth are improperly aligned. Keep in mind that it is never too late to see an orthodontist – whether child or adult.

What should I expect during an orthodontic visit?

Your orthodontist will conduct an exam and use diagnostic imaging technology to determine the health of your tooth structure and whether orthodontic treatment is right for you. Orthodontic treatments usually involve the use of appliances like braces, space maintainers or jaw repositioning devices.

Will I need to follow any special instructions after meeting with an orthodontist?

Depending on the results of your visit, you may be asked to return for additional exams or follow-up visits in the future.

iTero Scanning Technology

iTero enables our doctors to take a 3D digital scan of our patient’s teeth and bite, make adjustments in real time, and transmit the file wirelessly for processing. It allows our dentists to take an optical impression of the tooth instead of filling a tray with gooey impression material that the patient must hold in their mouth until it hardens.  The digital scanning takes just a few minutes.  The benefits of using the iTero are advanced precision and no unpleasant or messy impressions.

Silver Diamine Fluoride (SDF)

There are some instances when we may want to slow down the decay process instead of placing a filling material. Silver Diamine Fluoride (SDF), is a liquid that can help slow down tooth decay and help relieve sensitivity. Decayed teeth often look brown where there is a cavity, but after SDF application, all the brown areas will stain black. Healthy tooth structure will not stain. The black tooth structure can later be replaced with a white filling or crown. Our Pediatric Dentist will discuss this option in detail if your child is a candidate.

Tooth Extractions for Children

Some of the most common reasons a baby tooth needs to be extracted include:

  • Dental infection (abscess) – this is an infection in the jawbone, caused by a large dental cavity that was left untreated. This requires extraction of the tooth that has the cavity, so that the infection is drained and prevents spreading to other parts of the body.
  • “Two Rows of Teeth (Shark Teeth)” – this most commonly occurs in children around the age of 6-7, when the permanent teeth on the bottom erupt behind the baby teeth. Sometimes the baby teeth need to be “helped out” to allow proper alignment of its successors.
  • Crowding/ Orthodontic Reasons – along with your orthodontist, the decision may be made to relieve severe dental crowding by extracting some teeth. This will facilitate in proper alignment of the remaining teeth, and help your child achieve a straight and bright smile.

Most kids do well with primary tooth extractions with the help of Nitrous Oxide (Laughing Gas) and local anesthesia. Many of them take just that day to recover, and are well enough to return to school the following day. Our Pediatric Dentist will discuss with you your child’s specific needs if a tooth extraction is required.

Pulpotomy (“ Nerve Treatment”) & Crowns in Children

Pulpotomy (“Nerve Treatment”)

Left untreated, a cavity can grow into the nerve of a tooth, causing a toothache. When this happens, our Pediatric Dentist may recommend a “nerve treatment” to save the remaining tooth. Our gentle pulpotomies, performed comfortably in our office, remove the decay and infection, and relieve pain. Once the pulpotomy is completed, a dental crown will be placed over the remaining healthy tooth, to protect it from further damage.

 

The Royal Treatment – Dental Crown

When a cavity has grown too large to be treated with a simple filling, we often recommend pre-formed dental crowns for our young patients. White crowns are placed on the front teeth. For the back teeth requiring crowns, the stainless steel crowns are the standard. However, in certain circumstances, white crowns may be offered for the back teeth. This procedure is completed all in one day for the comfort of your little one. Our board-certified Pediatric Dentist will provide a detailed explanation if your child requires a dental crown.

Your Child’s First Visit

Children should have a dental care home – preferably with a pediatric dentist who specializes in the oral health of children and adolescents. Early childhood dental visits help a child acclimate to the dental environment and become comfortable with his or her oral care provider. By attending appointments on a regular basis, children learn to put a value on oral care and establish healthy habits that can last a lifetime. The first dental visit is different for each child depending on the age and overall oral health of the patient.

Did you know…

that despite recommendations by the American Academy of Pediatric Dentistry to see a dentist for the first time by age one, the majority of children in the U.S. do not have a first dental appointment until long after age two? Unfortunately, waiting has its consequences. As children get older, their risk for tooth decay increases – something that is more easily prevented with early oral care.

Frequently Asked Questions

What will happen during my child’s first dental appointment?

The first dental appointment begins with questions about your child’s medical and oral health history. You will also be given an opportunity to discuss any questions you have as a parent or any symptoms your child may have been experiencing. Depending on your child’s age, the dentist may visually examine the teeth and/or gums for signs of decay or other complications.

Older kids may have their teeth cleaned and x-rayed for closer examination. Dentists often use the first dental appointment as an opportunity to speak with parents about brushing, flossing and the importance of fluoride. It is also the time when pediatric dentists speak with parents about teething, and beverages that contain sugar.

How do I choose a dentist for my child?

Parents must be selective in choosing a dentist for their children. Though any dentist is capable of caring for your child’s teeth, a pediatric dentist specializes only in the treatment of children and adolescents. Pediatric dentists know how to relate to children and how to make them feel comfortable in the dental chair. For more information about pediatric dentistry, contact our office.

How often should my child visit the dentist?

Children with healthy mouths and teeth typically need to visit the dentist every six months for routine check-ups and preventative care, such as cleanings and fluoride treatments. However, your child’s dentist may recommend an alternate schedule that better accommodates your child’s needs.

Nursing or “Baby Bottle” Decay

Baby bottle decay occurs as a result of long-term contact between the teeth and liquids that contain sugars. Often, infants and toddlers are allowed to drink from bottles for prolonged periods of time – perhaps while lying down or watching television. The liquids pool around the teeth, which can lead to a build-up of plaque. Over time, this can erode the tooth enamel, resulting in early childhood cavities.

Did you know…

that breastfed infants who nurse for long periods of time can get nursing decay too? In fact, decay may also be found as a result of giving a child pacifiers dipped in a sugary substance such as syrup. The sugars feed bacteria on the surface of the teeth, causing irreversible damage.

Frequently Asked Questions

What are the signs of baby bottle or nursing decay?

Baby bottle decay can affect any of the teeth, but it is most often found on the upper front teeth. A tooth may show visible signs of decay, such as the appearance of black or brown spots on the surface. Babies with infected teeth may also have swollen gums near the tooth.

What types of treatments are available for children with baby bottle decay?

Pediatric dentists determine how to treat early childhood decay based on the extent of a child’s decay. When the decay is found in its earliest stages, it may be addressed with modified feeding habits and improved hygiene. Decay that is further progressed may require a crown or extraction. Fillings are not traditionally used to treat baby bottle decay in small children.

Is there anything I can do to prevent my child from getting nursing or baby bottle decay?

The most effective way of preventing bottle decay is by allowing your child to only drink from a bottle or nurse during meal times. Avoid using a bottle to soothe a child, and never let your child go to bed with a bottle. You can also help prevent decay by limiting consumption of sugary beverages, such as juices and sodas. Finally, maintain a regular brushing routine, cleaning the teeth twice daily.

Care of My Child’s Teeth

Your child’s mouth, jaw, and teeth are ever growing and changing. In fact, a child’s dental needs are often far greater than an adult’s due to the rapid changes that occur between birth and adolescence. Rather than trust just anyone with your child’s dental care, look to a pediatric dentist who understands the unique oral health needs of children and can provide the most specialized care possible.

Did you know…

that pediatric dental care is about more than exams and professional cleanings? In fact, a pediatric dentist is a parent’s greatest partner in protecting a child’s oral health. Dentists can detect developmental problems, make recommendations for orthodontic treatment and even provide custom mouth guards to protect the teeth and jaw from contact sports in childhood and adolescence.

Frequently Asked Questions

Why should I bring my child to a dentist who specializes in pediatrics?

Pediatric dentists have specialized training working with children for approximately 2 to 3 years following dental school. This additional training time provides important skills in child growth and development, as well as child psychology. A pediatric dentist understands how to relate to children and works to provide an atmosphere that is welcoming and less intimidating to young patients.

What will my child’s dental experience be like?

Your child’s pediatric dentist will monitor your child’s oral health with two or more visits per year. During those appointments, the plaque is removed from the teeth and the mouth is examined for signs of decay and gum disease. Emphasis is placed on prevention both at home and in the office. Depending on your child’s risk factors and the results of his or her exam, the dentist may recommend specific treatments, such as fluoride treatments or sealants.

How soon should I bring my child to a pediatric dentist?

The American Academy of Pediatric Dentistry recommends a first dental visit no later than age one. These early visits are mostly educational, but can set the foundation for a lifetime of healthy oral habits. However, it is never too late to visit the dentist for the first time. Whether your child is a few months old or a few years old, there is no better time than now to start thinking about his or her oral health. Call our office today to schedule your child’s appointment.

Importance of Dental X-Rays

Dental x-rays are an important tool in pediatric dentistry. As the teeth and jaw mature, x-rays provide pediatric dentists an enhanced view of a child’s oral health development and the underlying problems that may lead to complications. Depending on the condition of the teeth, jaw and soft tissues of a child’s mouth, a dentist may use x-rays to make a diagnosis and form a plan for treatment.

Did you know…

that x-rays are considered safe and only emit minimal amounts of radiation? In fact, advancements in modern dentistry have made it possible to reduce the amount of radiation children are exposed to while getting dental x-rays. Pediatric dentists take further precautions by protecting the body with a lead apron while obtaining x-rays from young patients.

Frequently Asked Questions

Does my child need a dental x-ray?

Your child may need oral x-rays for preventative purposes. Pediatric dentists often use x-rays to gauge the development of the permanent teeth and their placement. Sometimes x-rays reveal missing or extra teeth or other underlying problems not detectable with a visual exam. Your child’s dentist may also order x-rays to:

  • Monitor healing and recovery following a mouth injury
  • Identify an infection
  • Determine whether a child will need orthodontic treatment

When should my child begin getting dental x-rays, and how often will he or she need them?

Though there are no specific guidelines for getting the first x-ray, most children have had their first dental x-rays by age 5 or 6, when the permanent teeth begin to erupt. However, a dentist may request earlier x-rays if a child is at high risk of tooth decay or shows signs of other potential complications. Dental x-rays may be ordered as frequently as twice per year or as little as once every few years.

What will my child experience while having his or her mouth x-rayed?

The x-ray process is completely painless for children. They will be seated for the duration of the imaging process and will not experience discomfort. The length of time required will depend on the type of x-rays taken. For more information about pediatric dental x-rays at our office, contact us to speak with a helpful team member.

Infant Oral Care

A lifetime of good oral health begins during the first stages of life even before the first teeth emerge. Parents who are well-educated in children’s dental health can more adequately ensure that a child’s oral care needs are met. From an early age, pediatric dentists serve as partners in oral health and prevention, answering questions and providing helpful information about teething and at-home oral care.

Did you know…

that 2 in 5 children have at least one cavity by the time they go to kindergarten? In fact, early childhood decay can appear shortly after the first tooth appears. Once a baby has developed tooth decay, he or she is more likely to develop additional cavities over time.

Frequently Asked Questions

How should I take care of my baby’s teeth and gums at home?

Infants do not have teeth to brush or floss. However, they do have gums that should be cleansed gently with a damp cloth each day. Once the first tooth emerges, an age appropriately- sized toothbrush can be used to carefully brush and prevent the build-up of plaque.

Should I bring my infant to the dentist?

Yes. Early visits to the dentist are highly informational and supportive. Children should visit the dentist for the first time within six months of getting a first tooth and no later than age one. Choose a pediatric dentist who specializes in treating children and adolescents. Keep in mind that the initial dental visits for babies and toddlers are primarily educational, but have significant long-term impact on your child’s oral health.

Is there anything I can do to prevent early childhood tooth decay?

In addition to cleaning your infant’s teeth and gums, you can help prevent tooth decay by ensuring your child is getting plenty of fluoride – whether in your local water source, via fluoridated toothpaste or by way of professional fluoride treatments. In addition, do not allow your child to go to bed with a bottle, as doing so can lead to a condition known as ‘baby bottle decay’.

Pediatric Dentistry

Pediatric dentistry is a dental specialty focused on the prevention, diagnosis, and treatment of oral health problems in children. Pediatric dentists have specific training that qualifies them to provide care for children’s teeth and gums as they change throughout childhood. Pediatric dentists provide comprehensive care, from preventative treatment like cleanings and sealants to treatment for oral disease and injuries. A pediatric dentist will also counsel parents about a child’s nutritional and hygienic habits.

Did you know…

that early childhood cavities are the most common chronic disease in American children? It is far more prevalent than other common childhood illnesses, such as asthma. Furthermore, tooth decay and gum disease that begins early in life are likely to progress over time, potentially leading to a lifetime of oral complications.

Frequently Asked Questions

What ages of children do pediatric dentists treat?

A pediatric dentist will treat patients from birth through adolescence. The American Academy of Pediatric Dentistry recommends that young patients begin visiting a pediatric dentist no later than the first birthday when most children already have a first tooth. Children will continue to visit the dentist periodically throughout childhood to prevent tooth decay and gum disease.

What type of training does a pediatric dentist have?

A pediatric dentist has the same credentials as a family dentist, but with two additional years of training specifically in the oral treatment of babies, children, teens, and kids with special needs. They are trained to understand not only the dental needs of a child but also the psychological and emotional needs as well.

How can I make a pediatric dental appointment?

Our team is happy to assist you through the process of making the first appointment for your child. Simply call our office to speak with one of our helpful team members and schedule your child’s visit. We aim to make your child’s experience as comfortable as possible.

Decay Prevention for Children

A child’s oral health must be protected from birth through adolescence and into adulthood. Unfortunately, many children develop tooth decay early in life – a condition that can progress into serious oral health problems. Keeping a child’s teeth strong and healthy requires preventative measures. At our pediatric dental practice, prevention is the foundation of all we do. After all, it is far easier and more affordable to avoid oral disease than it is to treat it.

Did you know…

that most children do not get the preventive dental care that is recommended for them? According to the Department of Health and Human Services, only half of U.S. children visit a dentist for preventive purposes each year. Of those who do, children under age 5 are least likely to see a dentist compared to older children over age 6. But early childhood prevention is important for establishing a healthy mouth that lasts a lifetime.

Frequently Asked Questions

When should preventative dentistry start for my child?

Prevention begins early. A mother’s diet while pregnant will contribute to a child’s developing primary teeth in the womb. After birth, parents should cleanse a baby’s gums and begin brushing the teeth gently as they emerge. Infants should visit a pediatric dentist for a preventive care exam no later than age one.

Besides brushing, what else can be done to prevent early childhood caries?

Diet plays an important role in a child’s dental health. Sugar feeds the bacteria responsible for tooth decay and gum disease. Limiting foods and beverages containing sugar deters cavities and helps protect the enamel. Avoid giving your child sugary juices, candies and sodas, and never let your child go to bed with a bottle.

What can my child’s pediatric dentist do to prevent decay?

Depending on your child’s age, oral health and risk factors, a pediatric dentist may recommend in-office preventive treatments to help stave off tooth decay. For example, fluoride treatments may help strengthen the teeth – especially in children with low exposure to fluoride in local water sources. Another option is dental sealants, which are placed on newly erupted permanent molars to fill in pits and crevices that are susceptible to decay. As your child grows and becomes more active, his or her dentist may recommend the use of a sports mouth guard when participating in contact sports like soccer or gymnastics.

Thumb-Sucking and Pacifier Use

Children are born with a natural sucking reflex. In fact, babies begin to suck on their fingers while still in the womb. Sucking a thumb or pacifier is relatively harmless during the first few months of life and may actually be emotionally comforting to an infant. However, prolonged sucking that lasts into the preschool years may cause long-term oral complications.

Did you know…

that children who simply ‘rest’ their thumbs in their mouths rather than vigorously sucking on them are less likely to develop complications? It is the aggressive sucking that can cause such harmful damage to the primary teeth. Fortunately, most children stop sucking their thumbs on their own – often due to peer pressure from other kids.

Frequently Asked Questions

What types of complications might my child experience if he or she continues to thumb-suck past age 2 to 4?

Thumb-sucking that persists past the preschool years may damage your child’s palate or affect the alignment of his or her teeth. Alignment issues affecting the primary teeth often correct themselves. Once the permanent teeth emerge, however, thumb-sucking may cause them to protrude forward, requiring major orthodontic intervention.

Is there anything I can do to prevent my child from sucking his or her thumb or pacifier?

Positive reinforcement is the most effective means of encouraging a child to stop taking a pacifier or sucking his or her thumb. Praise your child for successes, and keep your child distracted when he or she would otherwise naturally reach for a thumb or pacifier. Never use pressure or punishment to stop your child from sucking a thumb or pacifier.

When should I talk to my child’s pediatric dentist about thumb-sucking?

Your child should already be seeing a dentist by age one. Keep the dentist aware of any changes in your child’s sucking habits over time. Notify your child’s dentist immediately if you notice any changes to your child’s teeth or the roof of his or her mouth. Older children who do not stop sucking their thumbs naturally by age four may need to be fitted for an oral appliance that prevents thumb-sucking.

Types of Sedation for Children

Sedation helps ensure that pediatric dental visits provide young patients with a comfortable experience and effective results. Often, children are intimidated by dental visits or otherwise unable to sit still during exams and treatments for extended periods of time. Sedation helps minimize anxiety and relax children during dental visits – all under the safe supervision of a pediatric dentist.

Did you know…

that children of nearly any age can be sedated? Even infants and toddlers can be sedated for dental treatment. There are many ways of administering sedation to pediatric patients, some of which include inhalation, swallowing medicine or even receiving sedation medication intravenously or via injection.

Frequently Asked Questions

What types of sedation are available for my child?

There several different types of pediatric sedation available to patients, ranging from mild to strong. Children are most often given nitrous oxide, or laughing gas. This gas is inhaled through a mask during the dental visit, providing an instant calming effect. Laughing gas is safe, and its effects wear off nearly immediately after treatment. Other types of sedation may be necessary for children with greater anxiety levels or special needs. Examples include oral sedation given prior to the dental visit, as well as IV sedation, which usually leaves children with little or no memory of their dental treatment.

Should I consider pediatric sedation for my child’s next dental visit?

Your child may be a candidate for pediatric sedation dentistry if he or she has special needs, is very young, has difficulty sitting still, or has anxiety about visiting the dentist. Your child’s dentist may also recommend sedation if your child will be undergoing a lengthy or extensive dental treatment. For more information about pediatric sedation and whether it is right for your child, contact our office.

How will my child need to prepare for a dental visit involving sedation?

You will be given instructions for preparation prior to your appointment. Your child may not be allowed to eat or drink in the hours leading up to the procedure. If your child experiences anxiety prior to the visit, consider letting him or her bring a ‘comfort’ item, such as a blanket or stuffed animal.

When Will My Baby Get His /Her First Tooth

Children are born with a set of primary teeth that last throughout early childhood. These primary teeth typically begin to emerge during the first year of life between the ages of 4 and 12 months. This begins a process that usually ends with a complete set of primary teeth by age 3. Though it is impossible to know exactly when your baby will get his or her first tooth, there are some signs that the tooth could be preparing to make an appearance. Be on the look-out for a swollen gum, redness and irritability associated with teething pain. Some babies may also drool or chew on their hands or other objects. If your child does not have any teeth by age 1, schedule an appointment with a pediatric dentist.

Did you know…

a baby’s teeth are present long before they break through the gums? In fact, the hard tissues of the primary teeth begin forming in the womb at approximately 18 weeks gestation. From that point forward, it takes about 10 months for complete calcification, at which time the first teeth may begin to emerge.

Frequently Asked Questions

Which tooth is likely to appear first?

The first tooth is usually – not always – one of the two front teeth on the lower jaw. These two teeth are often the first to appear, as well as the first to be lost when the permanent teeth later emerge. In most cases, teeth will erupt in pairs and fall out in pairs.

How can I comfort my child when he or she is teething?

It is normal for a baby to be irritable when teething. Counter-pressure often soothes the gums, so try giving your child a hard teething toy – specifically one that has been frozen. The coldness will help numb the gums, and the pressure will alleviate discomfort.

Should I bring my child to a pediatric dentist when he or she gets the first tooth?

Yes. Children should see a dentist for the first time no later than six months after the first tooth has erupted or age one – whichever occurs first. Though most children do not require dental treatment during the infant and toddler years, early dental appointments are essential for reducing a child’s risk of tooth decay.

Why are Baby Teeth Important

The primary teeth are the teeth that babies are born with and continue to develop in the first few years of life. Though these teeth eventually fall out to make room for permanent teeth, primary teeth serve many important purposes. Not only are they essential to a child’s physical development, but they also contribute to a child’s social and emotional development. Pediatric dentists recommend caring for primary teeth with the same efficiency as permanent teeth.

Did you know…

that a child’s primary teeth begin to form in the first few weeks of gestation? The first primary teeth – the central incisors – are fully calcified and ready to emerge just a few short months after birth. Additional primary teeth will continue to cut through the gums until the average child has 20 teeth by age 3. These primary teeth remain in place until they are gradually lost, usually between ages 6 and 12.

Frequently Asked Questions

What are some of the functions of primary teeth?

‘Baby’ teeth allow a child to:

  • Learn how to chew properly
  • Develop clear speech
  • Build self-esteem that comes from an attractive smile

If my child’s primary teeth fall out or need to be extracted prematurely, will it affect his or her long-term oral health?

Possibly. The primary teeth serve another purpose: they are space-savers. As the jaw grows, permanent teeth develop beneath the surface of the gums. Primary teeth are space holders for these adult teeth, remaining in place until the permanent teeth are ready to emerge. Primary teeth that fall out too soon can cause crowding and alignment issues in the future. If your child’s teeth need to be pulled early – perhaps due to decay or injury – speak with a pediatric dentist about a dental spacer and whether it’s right for your child.

How should I care for my child’s primary teeth?

A lifetime of good oral care begins during the earliest years. While your child is an infant, clean the gums gently each day with a clean, damp cloth. Begin brushing the teeth as they emerge, and schedule the first appointment with a pediatric dentist before your child’s first birthday.

Pulpal Therapy and Crowns for Children

Pulpal therapy is a pediatric dental treatment used to treat and preserve a child’s natural tooth that has been affected by an injury or tooth decay. The pulp is soft tissue located inside the teeth. When a tooth becomes damaged or decayed, the pulp may be exposed to bacteria, causing infection and pain. Rather than extract the tooth entirely, the infected pulp may be removed and replaced with a filler that prevents bacteria from further damaging the tooth.

Did you know…

that pediatric dentists use pulp therapy to treat both primary and permanent teeth? Saving the ‘baby teeth’ is important for the long-term oral health of a child. When a primary tooth is extracted prematurely, the neighboring teeth may become crowded and future permanent teeth may emerge with poor alignment. Pulp therapy helps ensure an infected primary tooth remains intact until it naturally falls out.

Frequently Asked Questions

How do I know if my child needs pulp therapy?

Only your child’s pediatric dentist can diagnose a diseased tooth. However, an infected pulp may cause certain symptoms in a child, such as a chronic or a frequent toothache, swelling and sensitivity to hot and cold temperatures.

Will pulpal therapy change the appearance of a child’s tooth?

Pulpal therapy requires removal of diseased pulp within the tooth. Though pulpal therapy does affect the appearance of the natural teeth, it is not noticeable when capped with a dental crown. Pediatric dentists use dental crowns to cap treated teeth not only for cosmetic purposes but also to help prevent future tooth damage or fracture.

What will my child experience when undergoing pediatric pulp therapy?

A child may be sedated for a pulp therapy procedure. Initially, the treatment site will be numbed to prevent patient discomfort. The diseased pulp is carefully removed, whether in part or in whole. The canals inside the tooth are cleaned and filled with a therapeutic material. Finally, the tooth is capped with a dental crown to protect it and provide a discreet appearance.

Tooth-Colored Fillings for Children

More than half of children over age six have some degree of tooth decay. When cavities are left untreated, they can lead to pain, infection and even tooth loss. Fortunately, pediatric dentists can fill cavities to prevent them from worsening or causing complications. Modern dentistry has made it possible to fill cavities discreetly using tooth-colored fillings, also known as composites. Children with tooth-colored fillings can retain decayed teeth in a way that is both functionally effective and visually appealing.

Did you know…

that tooth decay is the most common chronic disease affecting children in the U.S.? According to the American Academy of Pediatric Dentistry, children as young as 6 months old can experience tooth decay. Tooth-colored fillings can repair damaged teeth, but the most effective form of treatment is prevention. Parents can help their children prevent cavities by limiting exposure to sugary foods and beverages.

Frequently Asked Questions

What will my child experience when getting a tooth-colored filling?

Your child’s teeth and gums will be numbed using a local anesthetic. The dentist will then remove decay from the teeth and clean the treatment site. A composite material will be bonded to the tooth surface and cured. Finally, the filling will be adjusted for comfort. Though most children experience little or no discomfort during this process, it is normal to feel some pressure. If your child has dental anxiety or concerns about the treatment process, speak with your child’s dentist about sedation options.

Does my child need a filling?

Your child may need a dental filling if he or she has cavities. Though some cavities are obvious and cause pain, many are less easily seen and asymptomatic. That is why all children should visit a pediatric dentist twice yearly for a professional dental exam. Regular exams can identify tooth decay in earliest phases, when it is most easily treated.

How long will a composite resin filling last in a child?

Composite fillings are very strong and capable of withstanding normal wear and tear in children. Most tooth-colored fillings will last many years so long as children brush twice daily, floss once per day, adopt healthy dietary habits and visit a pediatric dentist regularly for exams.

Frenectomy

Our dentists offer frenectomy services to treat tongue ties and lip ties in infants. This procedure addresses the restricted frenum, also referred to as the thin piece of tissue that secures other muscles, such as the tongue or the upper lip.

What are the symptoms of a tongue tie?

Tongue ties can affect the growth and development of the teeth and jaw, affecting alignment, tongue movement, and speech. In infants the primary concern is a poor latch for breastfeeding, which can result in other issues including:

Colic
Difficult intake of adequate milk
Early weaning from the breast
Extended nursing duration
Slow weight gain
Gassiness
Falling asleep during a feed
Unable to develop or sustain a good latch
Unable to hold a pacifier

Poor latching can cause problems for mothers too including difficult breastfeeding, mastitis, anxiety, slow post-delivery weight loss, painful conditions of nipples, and low milk supply or early cessation of lactation.

How can I tell if my baby has a tongue tie?

If your baby is struggling to latch and you suspect a physical impediment to success, look into the baby’s mouth and use your finger to feel for tightness in the tissue under his or her tongue or between the front upper lip and gum.

How is the procedure completed?

First, your baby will be swaddled and a topical anesthetic, such as lidocaine, is applied to the area. The dentist then uses a precise laser to release the tightened or tethered tissue. The whole procedure takes less than 10 minutes and in most instances the baby is able to latch immediately when he or she is returned to you. Your baby may experience some slight swelling for a day or so following the treatment. Also, the dentist will provide advice on how to care for the baby’s mouth and if any exercises or post-surgical care is needed to ensure that the frenum does not reattach or tether again.

What are the benefits of a frenectomy?

Laser frenectomies are extraordinarily precise and quick. There is no need for general anesthesia. Your baby will only have minimal discomfort or swelling and the laser treatment sterilizes the treatment area, reducing the chance of infection. In addition to the benefits of the laser procedure, once the release of the tongue tie is complete, your baby will be more able to latch on to the breast and feed more efficiently. This will improve the baby’s health and well-being as well as the mother’s.

If you have questions about this procedure or suspect that your baby might have a tongue tie, contact us to make an appointment with our doctors for assessment and advice.

Dental Videos

Wisdom Teeth Removal

The wisdom teeth are the final four teeth to erupt from the gums – usually sometime between age 17 and 25. Ideally, the teeth emerge without complication. But according to the American Association of Oral and Maxillofacial Surgeons, as many as 9 in 10 Americans have at least one wisdom tooth that is impacted. Even if the teeth all erupt normally, they may cause overcrowding or grow in at an angle that can be problematic in the future. For that reason, many people elect to have their wisdom teeth removed to prevent infection, crowding, and other complications.

Did you know…

that wisdom teeth may need to be removed even if they have not yet caused any problems? Even wisdom teeth that erupt normally may still be vulnerable to decay over time. Because of the location of wisdom teeth at the back of the mouth, many patients find it difficult to clean and floss all surfaces of the teeth each day. Although complications may not appear immediately, wisdom teeth may begin causing problems in middle to late adulthood.

Frequently Asked Questions

Do I need my wisdom teeth removed?

You may need your wisdom teeth removed if you have one or more impacted wisdom teeth or if you are having difficulty adequately cleaning those that have emerged. It is recommended that all young adults be evaluated by an oral and maxillofacial surgeon. A consultation and x-ray can reveal impaction, damage to neighboring teeth, signs of decay, gum disease, or perceived complications with future wisdom tooth eruption.

What should I expect during a wisdom teeth removal?

Your wisdom teeth removal will likely be performed in your oral surgeon’s office. Most removals take only minutes to perform, but you’ll be under anesthesia or sedation to prevent discomfort. Once the teeth are removed, the gums are sutured shut. Keep in mind that you will need a responsible driver to take you home following the extraction, as it will not be safe for you to drive after being heavily sedated.

Will I need to follow any special instructions following my wisdom teeth removal procedure?

Yes. You’ll need to keep the extraction site clean and free of debris for the first couple of weeks after the wisdom teeth removal. You’ll also need to take all medications exactly as prescribed by your surgeon. Avoid sucking through a straw for the first several days after surgery, and notify your surgeon if you experience fever or discomfort that worsens after a few days.

Non-Surgical Gum Treatments

There is a wide range of procedures at the disposal of periodontists for the treatment of periodontal diseases and conditions. When multiple treatment choices are available, the American Academy of Periodontology supports the use of the most minimally invasive and cost-efficient option. Often, this means that patients can undergo non-surgical treatments to restore periodontal health. Examples of non-surgical periodontal treatments include:

  • Scaling and Root Planing – This procedure is used to remove bacteria and built-up tartar from deep within the gum pockets surrounding the teeth. It usually involves supplemental therapy, such as the use of topical antibiotics.
  • Tray Delivery – Used to treat periodontal disease, tray delivery systems are at-home antibiotic treatments used in pre-measured trays.

Did you know…

that periodontal disease is a serious epidemic throughout the U.S.? Although the disease is not contagious, it can be found in half of all adults over the age of 30. According to the Centers for Disease Control, periodontal disease can range from mild (gingivitis) to severe (periodontitis). Approximately 16 percent of Americans have either the mildest or most severe forms of periodontal disease, leaving about 30 percent with a moderately advance case of the disease.

Frequently Asked Questions

Am I a candidate for non-surgical periodontal treatment?

Only your periodontist can tell you if you are a candidate for non-surgical periodontal treatment. However, non-surgical treatments are typically only available to patients with mild to moderate periodontal disease. Schedule a consultation with your periodontist to find out if non-surgical treatment is right for you.

What should I expect during a non-surgical periodontal treatment?

Your experience will vary depending on the type of treatment you receive. If you have especially mild periodontal disease, you may be given a custom-fitted tray delivery system for use at home. However, many patients undergo in-office scaling and root planing. During this procedure, you’ll be given a local anesthetic to prevent discomfort, and a small probe will be used to remove tartar and smooth the tooth’s root to prevent bacteria build-up.

Will I need to follow any special instructions following non-surgical periodontal treatment?

In the days following your scaling and root planing treatment, you may experience heightened tooth sensitivity. Use a sensitivity toothpaste and try to eat only soft foods to prevent pain. If you were prescribed antibiotic, be sure to take it according to your periodontist’s instructions.

Dental Bonding

Dental bonding is a non-invasive procedure that adheres a composite (tooth colored) resin to the surface of your teeth. It helps to create a brighter, more aesthetically pleasing smile without the use of prosthetics like dentures and tooth implants.

This procedure is most commonly used to treat teeth that are cracked, decayed, or discolored. It can also be used to make teeth appear longer and close spacing between teeth.

Did you know?

Dental bonding is one of the most affordable and quick cosmetic procedures that can be done to improve the appearance of your smile. In fact, within one visit you could get a more attractive smile and a boost in self-confidence!

Frequently Asked Questions

Am I a candidate for dental bonding?

Dental bonding is a great option for individuals who want an attractive smile, but do not want to undergo an invasive procedure like dental implants. If you have minor chips, cracks, and fractures in your teeth, discolored teeth, or decay that can be built upon, dental bonding might be a great option for you.

Ultimately, it’s important to consult with the dentist to determine if you’re a candidate.

How do I care for dental bonding?

Teeth that have undergone dental bonding can still be stained from things like coffee and tea. To avoid this, it’s advisable to avoid drinking any of these beverages for at least 48 hours after undergoing the procedure. Additionally, you can extend the life of your bonding by brushing regularly and visiting the dentists every six months.

How long does dental bonding last?

When properly cared for, dental bonding can last up to ten years. You’ll get the most out of it by following a healthy oral hygiene routine, avoiding hard candies and chewing on ice, and staying away from food and drink that could stain your teeth. If you happen to enjoy a cup of coffee or tea, be sure to brush immediately afterward.

ViziLite Oral Cancer Screening

ViziLite is an advanced oral screening tool used to identify abnormal cells along the mucous membranes in the mouth and throat. The test takes approximately 2 minutes to administer, during which time a dentist will administer a special rinse to the mouth that causes the nuclei of abnormal pre-cancerous or cancerous cells appear to glow when subjected to the ViziLite technology. The light is especially useful for detecting oral cancer in its earliest stages before it has had an opportunity to spread to other tissues. The entire process is quick, painless, and has the potential to help save lives.

Did you know…

that ViziLite can greatly reduce the number of false positive and false negative lesions found in dental offices? Clinical studies have shown ViziLite to correctly identify every pre-cancerous and cancerous lesion in patients who were screened. The technology also reduces the number of biopsies ordered by dentists due to normal tissues that appear cancerous to the naked eye, but aren’t.

Frequently Asked Questions

Should I get ViziLite oral cancer screening?

Yes. When you choose to get ViziLite oral cancer screening, you are increasing your chances of early treatment should you be diagnosed with oral cancer. With modern technology making it possible to identify dangerous diseases in their earliest stages, why gamble with your health?

What should I expect during the ViziLite oral cancer screening?

Your screening will begin when your dentist asks you to rinse the inside of your mouth and back of your throat with a special solution. Your dentist will then shine the ViziLite fluorescent light on the surface areas of your inner mouth to search for spots that appear brighter than surrounding healthy tissues.

My results were negative for oral cancer. Do I need to be screened again?

As a precaution, you should be screened for oral cancer at every dental exam or at least once yearly.

My gums around one tooth are swollen – what could it be?

When gums swell around a single tooth in this way, it usually indicates an infection. This is called an abscessed tooth, and it can be very painful. If left untreated, it is possible for the infection to spread, leading to more serious dental problems.

What causes an abscessed tooth?

When a cavity is left untreated, the inner pulp of the tooth can become infected. This infection can spread into the gum tissue around the tooth, which creates an abscess. An abscess can also be caused when gum disease causes the gums to pull away from the teeth. This leaves open pockets where food can get trapped, causing an infection.

What are the symptoms of an abscessed tooth?

When a tooth becomes abscessed, you may experience a number of symptoms in addition to the swollen gums, such as:

  • Pain when you chew;
  • A nasty, somewhat salty taste in your mouth;
  • Swelling in the face or jaw;
  • Fever;
  • The tooth may be sore or very tender to the touch.
  • You may notice a pus-filled pimple on the gums. This is called a draining fistula and may rupture.
  • Throbbing or pulsating pain that is not relieved by over-the-counter pain medications.

How is an abscessed tooth treated?

Your dentist will clear the infection by draining the tooth and the bone and gum structures. You will likely also be prescribed a course of oral antibiotics. Once the infection is cleared up, your dentist will perform a root canal to clean out the tooth pulp and canals, sealing the space with a special material to prevent any further infections. If a root canal is no possible, your dentist may decide to extract the tooth and place a dental implant instead.

A tooth abscess is a serious condition that needs to be treated as soon as possible. If left untreated, the infection can spread to other teeth, and may even infect the bone that supports teeth. Your face can become very swollen and painful, and the infection can even spread into other areas of your neck and head. Though home remedies may provide temporary relief, this is a serious condition that needs to be examined by a doctor as soon as possible.

My tooth keeps hurting, what do I do?

If you are experiencing tooth pain that won’t go away, it is important that you contact one of our dentists right away. When a tooth hurts constantly, particularly if the tooth pain is unbearable, it could be a sign of a serious dental problem. In many cases, this type of pain indicates a tooth has abscessed, which can cause the surrounding bone and gum tissue to become infected as well. If left untreated, you may also experience swelling, and a draining fistula may develop along the gum line. Taking some over-the-counter medications can help with the pain until you can see your dentist.

If your tooth won’t stop hurting, but it is more of a dull ache or pressure, you may suffer from a condition known as bruxism. In many cases, this type of pain will be worse in the morning, or after sleeping. Bruxism is a medical term for tooth grinding, which puts unusual pressure on the teeth and jaw, causing them to ache. This is a serious condition, as over time the teeth can become worn down in an unusual manner, and you may begin to experience problems in your jaw joint as well.

Sinus pressure may also cause pain in the in the face and teeth. However, even if you suspect that it is a sinus infection causing your pain, it is still important to make an appointment with one of our professional dentists. They will carefully evaluate your dental health to ensure the infection is not occurring in your teeth. Again, taking an over-the-counter pain reliever may help with the discomfort until you can make an appointment to see a dentist.

In either case, it is important that you contact one of our dentists right away if you are experiencing any pain in your teeth, gums, or jaw. The sooner you receive treatment, the sooner you can begin to enjoy a pain-free and healthy smile once again.

My Gums Bleed All the Time

It can be easy to dismiss gums that bleed when you brush, particularly if you aren’t experiencing any unusual pain or sensitivity. However, bleeding gums can be an indication of a serious dental health issue. If you notice that your gums are bleeding, when you brush or otherwise, it is important that you contact us as soon as possible for evaluation and treatment.
If your gums are only bleeding when you brush, the problem may be quite simple to fix. You may be using a toothbrush whose bristles are too hard, or brushing too vigorously. Your gums are living tissue that can be quite fragile. Using the improper technique can easily damage them. To prevent this from happening, it is recommended that you brush your teeth twice per day using a soft-bristled toothbrush that has the American Dental Association seal of approval. Do not scrub your teeth back and forth or up and down while brushing. Instead, use soft, circular motions, as if you were massaging them.

My gums bleed all the time, not just when I brush or floss?

If your gums are bleeding after eating, or constantly, it is important that you call our office immediately for an evaluation and consultation as soon as possible. There could be a number of causes for persistent gum bleeding, including gum disease or periodontal disease. Other causes for persistent bleeding include:

  • Hemophilia and other bleeding disorders
  • Vitamin K deficiency
  • Infections
  • Scurvy
  • Leukemia
  • Idiopathic thrombocytopenic purpura

My gums are bleeding but don’t hurt, what could be wrong?

If you notice that your gums are bleeding, but don’t experience any pain from them, you may be in the early states of gingivitis. This occurs when plaque builds up along the gum line or in deep pockets below the gums, causing irritation. This is similar to skin that has become irritated by a splinter that is just below the surface. If left untreated, gingivitis can worsen and lead to periodontal disease, which can be quite painful and may be difficult to treat as well. As soon as you notice any bleeding, irritation, or unusual changes in your gums, it is important that you contact our office for an appointment. We can begin treating the problem before it leads to more extensive dental health issues.

My Tooth Just Broke, and it Hurts

Although teeth are one of the strongest materials produced by the human body, they are not indestructible. It is possible for them to become injured, and even crack or break. If your tooth just broke, it is important that you contact Stonebridge Dental right away for treatment. In the event that you cannot visit our office immediately, there are a few things you can do to protect your tooth from further damage:

  • Rinse your mouth thoroughly with warm water to remove any debris and food particles.
  • If your tooth is bleeding, use a piece of gauze or a damp tea bag to apply gentle pressure to the area until the bleeding stops.
  • Pain can be controlled using an over-the-counter pain reliever or a cold pack.
  • Temporary dental cement (available at most local drugstores) can protect your tooth from infection and further damage until you can see your dentist (though it is not a substitute for proper treatment).

What treatment options are available?

Treatment for your broken tooth will vary, depending on the severity of the break. If you have only a minor crack or chip, our dentist may be able to repair the damage by smoothing the rough edges and polishing the tooth. In the case of a larger crack or more serious break however, you may need a root canal in order to save the tooth. Once the root canal has been completed, your tooth will be capped with a dental crown in order to protect it from further damage.

Unfortunately, there are times when a tooth has broken so severely that it cannot be saved. In this situation, your tooth will need to be extracted in order to protect the health of your remaining teeth, gums, and the underlying bone that supports your teeth. Your tooth will then be replaced using a dental implant in order to keep your remaining teeth in place and to prevent and gum or bone loss from occurring.

If your tooth has broken, it is very important that you contact our office immediately for treatment. We will take any action possible in order to save your tooth and preserve your excellent dental health. Our dentists will be happy to answer any questions you may have about any required treatments, and will work to repair your tooth using the least invasive means possible.

My Night Guard Keeps Falling Out

Your night mouth guard is intended to fit over the teeth while you sleep in order to protect them from damage, usually from teeth grinding (bruxism). If your night guard keeps falling out while you’re sleeping, this indicates that the fit may not be quite right. If you’ve bought your night guard over-the-counter from a drugstore, it may benefit you to come into our office and have a custom night guard made for you. A custom-fitted night guard will be created specifically for your teeth and bite, ensuring that it will stay in place while you sleep no matter how hard you clench your teeth.

Ideal traits for the night mouth guard

Your night mouth guard should stay firmly in place while you are sleeping, and fit both comfortably and snugly. It should allow you to keep your mouth closed and breathe normally, without shifting. In addition to these traits, your night guard should be odorless, tasteless, and should be durable. It should also be easy for you to clean.

Who should wear a night mouth guard?

In most cases, you will be asked to wear a night guard if you suffer from nighttime teeth grinding. This allows your teeth to be protected from the unusual clenching force of your jaw that occurs while you are unaware. It also helps to prevent you from developing TMJ/TMD. In some patients, wearing a nighttime mouth guard over the teeth can help to relieve discomfort from chronic tension headaches, facial/jaw pain, and tooth soreness.

Night guards versus athletic guards

It is important not to settle for a simple athletic guard in place of a night guard, as these are not designed for the same purpose. An athletic guard may shift while you’re sleeping; a night guard will not. In fact, some night guards will encourage you to keep your jaw relaxed while you sleep; these are referred to as anterior deprogrammers or NTI devices. Athletic guards cannot perform this function, and should not be substituted for your night guard.

Caring for your mouth guard

If your night guard keeps falling out it may be time for a new one. Once you have received your new device, there are a number of things you can do to help your night guard last as long as possible:

  • Wear your guard only after you’ve brushed and flossed your teeth
  • Try to avoid chewing on your mouth guard, as this can cause it’s shape to become distorted
  • Wash your night guard with cool water and soap after each use
  • Soak your mouth guard in a mouthwash before you store it for the day
  • Store your mouth guard in a ventilated plastic container specifically designed for this purpose
  • Do not bend your night guard, and never leave it in a hot vehicle or direct sunlight
  • Never try to adjust the fit of your night guard yourself

My Tooth Extraction Won’t Stop Bleeding

How to care for a tooth extraction

After undergoing a tooth extraction, it is important to follow the proper aftercare procedures for at least 24 hours after having your tooth pulled. If your tooth extraction won’t stop bleeding, contact us immediately so we can determine the best action to take to alleviate the issue. While this page contains helpful and common aftercare guidelines to follow after having a tooth extraction, your situation could be a special circumstance. This is why it is crucial to discuss your aftercare plan with Stonebridge Dental so we can provide you with personalized care.

  • Stop a tooth extraction from bleeding
    • Control the Bleeding with a gauze.
      • Place a piece of clean damp gauze on top of the tooth socket.
      • Roll it up or fold it into a square. This will be the part that rests on top of your wound so this is important.
      • Bite firmly on the gauze for 45 – 60 minutes.
      • Ensure the gauze is always positioned well and large enough that it applies pressure directly onto the site of the tooth extraction.
    • One of the main components of tea is tannic acid which aids in the forming of blood clots, thus making tea bags an effective technique to stop bleeding.
      • Follow the same instructions as you would with the gauze noted above.
  • Ensure that a blood clot forms and stays within the tooth socket
    • Blood clots that form within the empty socket are an important factor within the healing process. You should be careful not to do anything to disrupt its formation.
    • There are many steps to take to protect the developing blood clot within the first 24 hours after a tooth extraction.
      • Avoid vigorous rinsing or spitting
      • Stay away from hot liquids
      • Minimize the air pressure differences. Avoid creating pressure within your mouth or sinuses as these may dislodge the actual blood clot from the socket. This means you should avoid smoking or using a straw as these cause suction. Avoid blowing your nose and sneeze with your mouth open. Avoid playing wind instruments for a few days to ease up on the sensitivity.
  • Minimize activities that make it difficult to control bleeding
    • Avoid difficult work or strenuous exercise. You should avoid bending or lifting heavy objects altogether. You should try taking it easy for at least 1-2 days after the tooth extraction.
    • When you are resting or sleeping, try to lie down so that your head is above your heart. This will lower your blood pressure and help control bleeding.
  • Be prepared for swelling
    • When your tooth is extracted, your tissues undergo some trauma and will swell and cause sensitivity. The amount of swelling that occurs could be slight or very large.
  • Avoid smoking
    • Smokers will experience more complications with a tooth extraction including increased bleeding. Avoid smoking for at least 48 hours after having the tooth pulled out.
  • Eating
    • After a tooth extraction, eat only soft or liquid form foods for at least the first 24 hours following the surgery.
    • Do not vigorously chew anything.
    • Avoid hard or crunchy foods that can further traumatize the extraction site and cause further bleeding.
    • Do not consume hot liquids as they will dissolve the blood clot.

If you are experiencing high levels of pain, contact us immediately so we can prescribe you some medications for your tooth extraction.

My Tooth Tastes Bad

If your tooth tastes bad, there are several possible reasons for this.

Infection can result in a bad taste or bad breath

The most common reason your tooth tastes bad unrelated to your diet is infection. Whether it is discharge from an abscess emptying into your mouth, or there is an infection present in the gum or jawbone, you will likely notice a bad taste from that.

In most cases, there is no pain connected with the early stages of infection, so you can have this issue for days, weeks, or even months before you begin to have any pain from it. Unfortunately, all that time, the infection is spreading, and the bacteria can get into your circulatory system, harming other organs such as your heart or your pancreas. This places you at a much higher risk of heart disease, stroke, or diabetes.

The bad tastes that you may experience can truly fluctuate, so it is tricky to label it. However, most patients describe it as bitter, sour, or simply unpleasant. If you notice anything like this coming from your tooth, you need to ask your dentist about potential infections as soon as possible.

Bad, old, or poorly maintained fillings can result in a bad taste or breath

The second thing that could cause a persistent bad taste is bad dental fillings. If your dental fillings are falling apart, it can cause a metallic taste. Over time, old silver mercury fillings can erode where they seal against the tooth. This will let bacteria into the tooth, which can also cause a bad taste in the mouth.

The primary danger of older fillings:
The primary danger with older fillings is the further tooth decay that can form. If the problem is identified early, the filling can essentially be replaced. However, if left untreated more work will likely be needed in order to save the tooth.

Other potential explanations behind a bad taste or bad breath

There are several other things that can cause a bad taste in the mouth, including:

Gases from your stomach: sometimes, gas and stomach acid can come up from your stomach, creating a bad taste.

Bacteria in the mouth can result in a ‘spoiled egg’ gas: this is less bad taste and more bad breath. This issue can generally be managed with prescription mouthwash.

Telescopic Loupes

The dentist performs most of his dental procedures while wearing a pair of funny looking glasses called surgical telescopes. These powerful glasses have magnifiers on them, allowing the dentist to see fine details that would go unnoticed to the naked eye.

Intraoral Camera

We use small cameras about the size of a pen, called intraoral cameras, to help clearly see the condition of your teeth and gums.

With this advanced technology we can zoom in on small diseased areas, cracks, chips and worn metal fillings with extreme precision. The full-color images taken with the intraoral camera are sent to a computer screen so we can clearly see and diagnose dental problems much earlier than with traditional dental technology. Because images are displayed on our screens, patients will also be able to see areas being worked on and are able to gain a better understanding of dental procedures being performed.

Electronic Claims

Our office utilizes electronic claims processing. This means that rather than sending your dental claim through the mail, it is sent electronically to your insurance company with the click of the button. By filing your claim electronically, information is submitted more efficiently and with fewer errors. This benefits our patients because the turn around time on claims is faster and fewer claims are returned or denied. We are happy to submit your dental claims to your insurance company on your behalf.

Digital X-Rays

Digital X-rays are a focused beam of x-ray particles passed through bone which produce an image on special film, showing the structure through which it passed. This provides the familiar black and white images doctors and dentists use to diagnose problems and disease. Without an x-ray of the whole tooth and supporting bone and gum tissues, there would be no way to detect infection or pathology that requires attention.

In our office we use digital radiography. This  allows us to take digital x-rays using up to 90% less radiation than conventional film x-rays. Using this technology, we are able to take a digital x-ray of your mouth by using a small sensor which records the image of your teeth and sends it to a computer. The result is a highly detailed image of your mouth. This  can easily be enhanced to better diagnosis dental concerns and determine the very best treatment for each case.

Paperless Charting

Our office is a completely digital (paperless) dental office. This means all x-rays and charting are made and recorded with the aid of the computer. This technology allows us to maintain your dental records electronically, and cuts down the unnecessary paperwork used with traditional paper charting. Traditional paper charting is difficult to keep standardized from doctor to hygienist to assistant. Even handwriting differences and coding make the charts look different.

The computer eliminates this problem by using consistent charting methods that are accurate and precise, making it easy to read your dental chart and see up-to-date information. Digital charting standardizes the charting process so it is clear, easy to understand, and enables us to provide on the most accurate and precise care to our patients. When needed, this method also allows us to quickly and securely share information with your other health care providers.

Stop Snoring Devices

Snoring is more than just disturbing to your regular sleep patterns; it can also be a sign of a serious problem known as sleep apnea. Sleep apnea is a condition that causes you to stop breathing for a moment while you sleep. Even though you may not be aware of it, this causes you to wake slightly, resulting in poor sleep quality that can affect your performance at work, personal relationships, and overall health. Snoring and sleep apnea devices can help.

Snoring and sleep apnea devices are also known as mandibular advance devices. These devices help to increase the space in your airway while you sleep by pushing your lower jaw forward. Unlike over-the-counter mouthpieces that are one size fits all, the ones we can provide you will be specially made and fitted for your maximum comfort. Why settle for an uncomfortable mouthpiece that isn’t made for you, when we can provide you with one specifically made to fit your teeth and bite?

Stop Snoring Devices Available At Stonebridge Dental

If you find that you are snoring at night (or if your partner or roommate is complaining that you are), or if you suffer from sleep apnea and find that you cannot tolerate the CPAP machine, call Stonebridge Dental today at 972-547-0554 for a consultation. Our friendly and helpful staff can help you choose a snore & sleep apnea device that suits your needs so that you can get back to sleeping peacefully and comfortably. We look forward to helping you get a good night’s sleep so you can wake refreshed and happy once again.

Advanced Oral Cancer Screening-Visalite

Over 30,000 new cases of oral cancer will be detected in the US alone each year. Oral cancer is the only cancer that is on the rise, but the most curable if caught early. The thing about oral cancer is that it may start off so harmless looking; a small bump or lump, a red or white spot in your mouth that you may not have even noticed.

Why is a cancer screening necessary? Cancer screenings help detect pre-cancerous changes in the oral tissues at a stage when they can be more successfully treated. If cancer is not found early, tumors may grow deep into local tissues and spread to lymph glands in the neck. When tumors invade lymph glands, there is less of a chance for an effective treatment. Your hygienist does an oral cancer exam at every professional dental cleaning appointment. The Dr. also checks annually when he examines the soft tissues of your mouth. Early detection is the key!

Because early detection is the key to successful outcomes, this practice has incorporated ViziLite, an FDA-cleared medical technology for oral screening to ensure that you receive the most comprehensive oral cancer screening possible. ViziLite is to oral screening what mammogram, PAP smear and the PSA test are to breast, cervical and prostrate screenings. This screening tool is used in conjunction with the annual oral cancer screening that your hygienist and Dr. perform. ViziLite is a simple, painless and non-invasive instrument that improves the doctor’s ability to visualize, evaluate and monitor suspicious areas at their earliest stages. ViziLite helps the doctor see what he/she can’t see with the unaided eye.

The ViziLite exam is painless, fast and could help save your life. Using a special oral rinse and light source, soft tissue that may have abnormalities will become white. These areas can then be marked with the blue dye made especially for this exam and documented with our intraoral camera.

After a standard visual and physical oral cancer examination, ViziLite gives a dentist the highest level of confidence in providing their patients with the most thorough oral cancer screening available. We offer this enhanced oral cancer examination annually. If you have any questions about ViziLite, please call our office.

Dental Bridge

Losing a tooth is no laughing matter, and can be much more serious than you might think. If the gap where the missing tooth was located is left untreated, the teeth around the area may shift, eventually even coming out of socket. This can be incredibly painful, as well as affect your ability to speak and chew properly. A dental bridge can help. Dental bridges can also be used as a more comfortable replacement for partial dentures.

There are several types of dental bridges available. Your Stonebridge Dental professional will perform a thorough examination and discuss which option is best for you when you come in. The most commonly used type of bridge is known as a fixed bridge. This type of bridge consists of artificial teeth fused to a piece of metal that are held in place by porcelain dental crowns placed over anchoring teeth on either side of the bridge. This bridge will need to be made in a laboratory in order to ensure proper fit, and you will most likely be given a temporary bridge to wear in the meantime. Once the permanent bridge arrives, your dentist will fit it carefully, and verify that it feels comfortable and natural before it is cemented into place.

Get Your Bridge At Stonebridge Dental

If you have lost a tooth or multiple teeth for any reason, call Stonebridge Dental today at 972-547-0554 for a consultation. Leaving these gaps for two long can cause painful changes in the position of your remaining teeth, as well as changes in your overall facial appearance. Our professional staff will be able to advise you on which dental bridge will be right for you, as well as get your bridge made as quickly as possible. Let us help you fill the gap left by those missing teeth so that you can have a smile you are proud of and confident with as soon as possible.

For more information, please visit:

Web MD:
– Frequently Asked Questions about Bridges

Dental Crowns

A dental crown is a tooth-shaped cap that is placed over a tooth that has become broken or is showing signs of serious decay. The crown can hold a severely decayed tooth together in order to prevent breakage, or hold a broken tooth together. They may also be used to support a tooth that has large fillings. They are also used as anchors for dental bridges, or to cover teeth that are discolored or misshapen.

Your dentist will perform a full examination before placing a dental crown in order to determine how much damage has occurred to the tooth. In some cases, a filling may be placed first. In order to create the crown, your tooth or teeth will be numbed, and an impression of the tooth and surrounding teeth will be made. This impression will be sent to a dental laboratory where your customized crown will be made. A temporary crown will be placed in order to prevent any further damage to the tooth.

While the temporary crown is in place, you will need to avoid food such as chewing gum, caramel, and crunchy foods such as apples or hard candy. Try to avoid chewing on the side of the mouth where the temporary crown is in place, if you can, and brush gently. Once your permanent crown has returned from the lab, your dentist will cement it into place with a special permanent adhesive.

If you have any questions or feel like you may be a good candidate for a dental crown, please call Stonebridge Dental today at 972-547-0554 for a consultation. Our trained and professional staff can answer any questions you might have. We can repair your tooth in a timely manner and will have your smile restored to its best in no time at all.

For more information, please visit:

Web MD:
– Why crowns are needed

For more information, please visit:

Web MD:
– Frequently Asked Questions about Bridges

Dental Implant Restoration

A dental implant restoration is considered to be one of the greatest innovations in modern dentistry. Dental implants are ideal for patients who are missing one or more teeth as a result of periodontal disease, injury, or even age. Missing teeth can cause you to feel self-conscious and reluctant to smile. Dental implants can restore your confidence. Dental implants can also be used to help hold dental bridges and even dentures securely in place, giving them a more natural look and feel. This can help improve your ability to both speak and chew properly.

There are two main types of dental implants available today. The most commonly used type is the endosteal implant. This implant consists of a metal post that your dentist or oral surgeon will surgically position into the jaw. Once the surrounding bone has healed, the replacement tooth or teeth will then be attached to the tooth. Subperiosteal implants are reserved for patients who have little bone structure remaining, and will be placed directly on the jaw.

While dental implants are generally more expensive than other type of tooth replacements, there are several advantages that makes them well worth the cost. Dental implants can minimize the receding gums and bone loss that can occur with traditional dentures and bridgework, and implants don’t require the removal of healthy tooth structure from surrounding teeth like bridges do. Dental implants are also incredibly durable. When cared for properly, dental implants can last as long as 10-20 years.

Dental Implants At The Right Price

To find out if you may be a good candidate for dental implants, call Stonebridge Dental today at 972-547-0554 for a consultation. Our knowledgeable and helpful staff can answer any questions you might have, and will be able to determine if dental implants are right for you. We look forward to being able to help you achieve the best and brightest smile possible.

Dental Night Guards

Dental mouth guards / dental night guards can be custom-made by your dentist, and usually consist of a flexible plastic that has been molded to fit the specific shape of your teeth and bite. These guards can help protect your teeth and jaw from a number of different physical activities and sports where your mouth may get hit, including football, basketball, and boxing. These guards may also protect the soft tissues in your mouth, such as your cheek lining, lips, and tongue from damage.

Dental night guards are also commonly recommended for those who engage in nighttime teeth clenching or grinding. No one knows what causes teeth grinding, but it can be very damaging to your teeth. Over time, your teeth may become worn down, and can even chip or break due to the nightly pressure and friction of your teeth rubbing back and forth. Prolonged teeth grinding can even lead to more serious dental issues such as TMJ, changes in jaw and bite structure, and even hearing loss. A dental night guard helps protect your teeth from this damage. Signs of nightly teeth grinding may include jaw soreness that spreads down as far as your neck and shoulder, and up as far as your ears.

If you suspect that you may be grinding your teeth at night, or if you participate in sports or other activities where your mouth may be hit, call Stonebridge Dental today at 972-547-0554 to schedule a consultation. Our staff is well-trained in the symptoms of nightly teeth grinding, and can help you treat and identify any underlying causes. Our dentists will be able to make you a custom dental mouth guard that will help protect your teeth and jaw from damage, and help you keep your smile looking great. After all, it’s better to avoid damage to your teeth than to need a dental restoration later.

Dental Veneers

Dental veneers are material shells placed over the visible area of teeth, and can be used to correct a number of dental issues. In addition to giving you a brighter and whiter smile, dental veneers can be used to repair teeth that have become broken, chipped, or cracked, as well as teeth that are worn down, misshapen, or misaligned.

There are two procedures for placing dental veneers: direct and indirect. In direct placement, a composite resin is placed on your teeth, and is usually referred to as dental bonding. This method has the advantage of being quicker, and it can be used on specific portions of your teeth, rather than covering the whole front tooth surface. If you only have a few teeth you want repaired or covered, the direct method may be your best/preferred option.

In indirect dental veneer placement, you will need two appointments. During the first visit, your teeth will be cleaned and prepared for the veneers. Then a mold of your teeth will be taken and sent off to a dental laboratory where your custom veneers will be made. During your next appointment, your dentist will apply a local anesthetic and remove a small portion of your tooth enamel. A special adhesive cement will then be applied, and the veneers will be placed on your teeth. A special light is used to quickly dry the cement, locking the veneers into place.

Choose Stonebridge Dental For Dental Veneers

Dental veneers provide you with brighter, healthier-looking smile for much less time and effort than dental crowns. Veneers are durable and stain-resistant, making them an excellent choice for anyone who wants to keep their teeth looking bright and healthy for a long period of time. If you have questions about dental veneers, or want to find out if you are a good candidate for the procedure, call Stonebridge Dental today at 972-547-0554 for a consultation. Our trained professional staff can answer any questions you might have, and we look forward to giving you the smile you’ve always wanted.

Oral Hygiene Care

Besides making and keeping bi-annual appointments with your dentist for cleanings, keeping up your good oral hygiene practices is one of the most important things you can do for your dental and overall dental health. Brushing twice daily and flossing once daily can keep your teeth and gums in good condition, protecting you from harmful bacteria growth, tooth decay, gum disease, and gingivitis. The dangerous bacteria in your mouth can also spread to the rest of your body if not kept in check with these important oral hygiene steps. There are a number of other things you can do between your bi-annual visits that also help ensure you can arrive to your next appointment confident that there are no problems.

Follow These Tips For Better Oral Hygiene

  • Eat and drink right – Eating foods laden with sugar can increase the growth of harmful bacteria in your mouth, and beverage such as coffee, tea, wine, and even some fruit juice can cause your teeth to become discolored or stained.
  • Use fluoride toothpaste – even though fluoride is added to the tap water in most cities, and occurs naturally in many of the foods that we eat, many people still don’t get enough of this important mineral. Fluoride helps to rebuild damaged tooth enamel, can help protect your teeth from the effects of tooth decay and is good for oral hygiene.
  • Drink fluoridated water and use a fluoride rinse – as stated above, even with the amount of fluoride in much of the food we eat, most people still don’t get enough. As bottled water becomes more popular, many people are also no longer receiving the benefits of added fluoride in their tap water. If your dentist recommends that you use a fluoride rinse, be sure to follow their instructions to help your oral hygiene.
  • Keep your toothbrush and other items clean.  Always rinse your oral hygiene products with water after using. Try to let items air-dry and don’t keep them in closed containers.
  • Replace your toothbrush every three to four months. Inspect regularly just in case the toothbrush has premature wear. This is an essential part of oral hygiene

If you have any questions about fluoride use or good oral hygiene practices, call Stonebridge Dental today at 972-547-0554 for a consultation. Our friendly and knowledgeable staff will be happy to answer any oral hygiene questions you might have. Our trained professional dentists keep up with all of the latest innovations and trends in good oral hygiene. We look forward to helping you keep your teeth and gums healthy, and your smile at its brightest.

Lumineers

Having a brilliant, white smile is more than just a sign of good health. It can encourage you to smile fully to the world, making you appear to be a more happy and confident person. LUMINEERS® BY CERINATE® are a porcelain dental restoration that can help permanently whiten and brighten your smile. Unlike regular veneers, Lumineers are contact-lens thin, and can be placed on your teeth without any tooth shaping, drilling, or shots. They are an excellent way to brighten your smile before a wedding, class reunion, or any other special event you may be preparing for, where you want your smile to look its best and brightest.

In addition to providing you with a whiter and brighter smile, Lumineers can also correct teeth that are cracked, chipped, misshapen, incorrectly spaced, or crooked. In some cases, they may even eliminate the need for braces. Lumineers can be applied completely painlessly in just two visits. First, your dentist will take an impression of your teeth that will be sent to a dental laboratory where your custom Lumineers will be made to fit your teeth. During your second visit, the Lumineers can be applied to your teeth in under an hour, quickly improving your smile.

Lumineers are a quick, effective, and comfortable alternative to traditional dental veneers. They are both stain-resistant and durable, and can be applied over existing dental work such as crowns and bridges. This can help you avoid more costly and painful procedures to update your dental work, and can quickly give you the brilliantly white smile that you’ve always wanted.

Get Lumineers Now!

If you want to learn more about Lumineers, or if you’d like to find out if you’re a candidate for this restoration, call Stonebridge Dental today at 972-547-0554 for a consultation. Our professional staff is well-trained in the application of Lumineers, and we’ll be able to answer any questions you might have. Don’t wait; let us get you on your way with a brighter, whiter smile today.

Veneers and Laminates

Veneers
Dental veneers – also known as laminates – are used to cosmetically enhance the appearance of one or more teeth. Veneers are very thin, porcelain or resin shells that are customized for a desirable color and shape. They are bonded to the surface of the teeth to reshape broken, misshapen or irregular teeth, as well as provide a solution for discolored teeth that do not respond to traditional whitening treatments. Patients with veneers typically achieve a natural tooth appearance that is well-tolerated by the gums and also resistant to future stains.

Did you know…

that dental veneers are a conservative way of completely making over your smile? In fact, veneers are a go-to cosmetic procedure that has become popular with celebrities who want a brighter and more symmetrical smile. Miley Cyrus, Hilary Duff and Ben Affleck are just some of Hollywood’s elite who have seen a cosmetic dentist for laminates. Fortunately, affordability and accessibility make it easy for anyone to get dental veneers – including patients.

Frequently Asked Questions

Am I a candidate for dental veneers or laminates?

Dental veneers may be right for you if you are looking for an alternative to crowns and caps. Veneers can help you if you have gaps between your teeth or teeth that are broken, chipped, irregularly shaped or misaligned. To find out more about whether dental veneers are right for you, contact a cosmetic dentist to schedule a consultation.

What should I expect when I get my dental veneers?

Before dental veneers can be placed on the teeth, the surface of the teeth must be prepared for bonding. After administering a local anesthetic, your dentist will buff away approximately half a millimeter from the surface of the teeth. You’ll then bite into a mold that will be used to form your veneers in a dental lab. When the veneers are ready, you’ll be asked to return to have them fitted, bonded and adjusted for shape and color.

Will I need to follow any post-treatment care instructions?

There is no special care required for dental veneers, and normal brushing and flossing can be resumed immediately. Because veneers are usually placed over the course of two appointments, it is normal to experience some sensitivity between the first and second visit when the teeth have been reduced in preparation for bonding.

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