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The food you feed your child can have a lasting effect on his or her oral health. In fact, diet plays a major role in whether a child develops cavities and decay, which can lead to many dental visits and potential tooth loss. So what should you feed your child to ensure he or she has a healthy smile for life?

Foods to Avoid

It is normal for your child to take interest in many foods -- especially those filled with sugar and carbohydrates. But as tasty as these foods are, they can cause rapid decay when eaten in excess. That’s not to say your child can never have sugar again. Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. and our staff suggest limiting starchy and sugary foods such as candy and potato chips as much as possible.

Remember that some seemingly healthy foods can present the threat of decay too. Some of the most common culprits are sticky foods like peanut butter, raisins, and granola bars, which can stick to the teeth after eating. If you serve these foods to your child, be sure to have him or her brush immediately after eating to remove any lingering sugary residue.

Beverages

Many beverages marketed toward children contain sugar servings that far exceed the daily recommendations from national health organizations. They suggest no more than three to four teaspoons of added sugar per day for young children.

Make an effort to serve only water to your child any time other than meal times. During meals, allow your child to have milk or juice, but in limited serving sizes. Most importantly, never allow your young child to sleep with a bottle or “sippie cup” full of juice or milk. Doing so can cause rapid tooth decay: a condition known as “baby bottle caries.”

A Healthy and Balance Diet

So long as your child is brushing regularly and eating a healthy, balanced diet full of fruits, vegetables, lean proteins and whole grains, you should have little or no problem with tooth decay. For more questions about how your child’s diet affects his or her oral health, contact our Durham office to schedule a consultation.

Sealants offer many benefits, but the best is their ability to protect your molars. Molars are full of small caverns that can be the perfect breeding ground for tooth decay and plaque buildup.

Use of protective sealants prevents this buildup from happening. Although children often receive sealants for routine preventive care, they aren’t the only ones who can benefit from this treatment. Sealants can also help adults who have deep canyons or grooves in their teeth.

They are commonly placed on the rear molars that tend to suffer the most decay. Because your molars are used substantially as grinding surfaces, food is more likely to be trapped among them.

Sealant solution consists a composite material that contains bonding agents that seal the top of your teeth. The process is quick and painless, which makes it a great solution for both children and adults who have had trouble with cavities and tooth decay. Sealants also last for several years, and repair is a simple process that can be completed by Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr..

The process of putting sealants on teeth starts with the tooth getting cleaned. We clean it with a type of baking soda spray called sodium bicarbonate. Then acid is etched onto the teeth to rough up the surface.

We apply an alcohol-based liquid to dry the area where the sealant is supposed to go. After it completely covers the surface of the treated teeth, the sealant is cured with a light that makes it hard and long-lasting.

Getting sealants can prevent the possible restorative costs that come from cavities. Sealants help to protect your tooth’s enamel from harmful acids and prevent decay, which can be an investment in itself. The whole process is quick, so it should be easy to schedule an appointment at Southpoint Pediatric Dentistry.

Feel free to call our Durham location and we can answer any questions you have about this service.

Your bright smile means you’re happy, and it’s catching! Sharing your smile makes the people around you happy, too! And you can make sure your smile is as bright as it can be by keeping your teeth their cleanest.

Nobody wants food stuck in between their teeth, but cleaning your teeth doesn’t just mean brushing away any leftover bits of food. It also means brushing away the sticky plaque that builds up on your teeth every day. Germs in plaque called bacteria help make cavities, so it’s extra important to brush and floss away all the plaque you can.

When you were younger, a grown-up cleaned your teeth for you. Now that you’re ready to begin brushing and flossing on your own (with some adult help, of course), here are some good habits to start you off right.

Brush the Right Way

• Brush a tooth or two at a time with small brushstrokes and circles. Long back-and-forth brushstrokes miss a lot of plaque. Make sure you brush all the different sides of your teeth, not just the ones which show when you smile. Brush on the inside of your teeth and the tops of your molars (those big teeth in back). Use up-and-down strokes to clean behind your front teeth.
• Tip your toothbrush toward your gums while you brush along the gum line to get the plaque that likes to hide there.
• Don’t scrub your teeth. The tooth enamel that covers and protects our teeth is very strong, but brushing too hard can hurt it. Gentle brushing works!
• And don’t forget to gently brush your tongue for fresh breath.

Take Your Time

• You can’t keep your teeth their cleanest if you don’t spend enough time brushing them! That’s why dentists say it’s best to brush at least twice each day, for two minutes each time you brush.
• It’s hard to guess how long two minutes is, so use a little timer to keep track of the time. If you like music, play a song that lasts two minutes. Or ask a grown-up to time you—and maybe even brush with you!

Use the Right Toothbrush

• You want a brush that is just the right shape and size. A brush which is too big is hard to use—and hard to fit inside your mouth.
• You want a brush with soft bristles. Medium and hard bristles are too hard, and can scrape your enamel and gums. Stay with soft bristles, and your teeth and gums will be healthy and happy.
• Toothbrushes don’t last a very long time because their bristles start to break down after a while. After all, it’s hard work cleaning teeth twice a day every day! So it’s a good idea to change your toothbrush every three or four months, or whenever the bristles start to look a bit scruffy.

Use the Right Toothpaste

• Fluoride toothpaste helps protect your teeth from cavities and makes your enamel even stronger than it already is. There are plenty of fun-flavored fluoride (say that three times fast!) toothpastes to choose from.
• You don’t need too much. Once you’re brushing on your own, a small dab about the size of a pea will do the trick.
• Be sure to spit out the toothpaste after brushing. It’s for cleaning, not swallowing!

Don’t Forget to Floss

• Once you have any teeth that touch each other, you need to floss between them at least once a day. Flossing is the best way to get rid of the plaque that hides between your teeth where your brush just can’t reach.
• Flossing can be a little tricky at first, so you might need some help until you’re able to floss on your own. Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. can teach you the best way to floss, and a grown-up at home can help you until you’re ready to floss by yourself.
• There are lots of different kinds of floss. If you’re having trouble flossing, ask our Durham dental team which kind is best for you.

Every smile is different, and yours is one of a kind. If you have any questions, talk to your pediatric dentist. Dentists don’t just take care of your teeth—they teach you to take care of your teeth, too! Your dentist can show you the very best way to keep your very own smile as bright and healthy as it can be.

You do everything you can to protect your toddler with safeguards large and small. Installing that complicated car seat. Figuring out which sunscreen is best for delicate skin. Spending weeks childproofing your home. But all the work protecting your child is more than worth it because the rewards are so great. And one more everyday precaution that brings great rewards is protecting your toddler from tooth decay.

• Start Early

The time to start your baby’s dental care is even before that first tooth arrives. Carefully wiping the gums with a clean, damp cloth after feeding gets your child used to the idea of brushing and removes bacteria that might irritate the gums as the teeth begin to erupt. As soon as those teeth arrive, gentle brushing with soft bristles will keep bacteria and plaque from causing tooth decay and gingivitis. We can recommend toothpastes formulated especially for toddlers and suggest the best ways to brush.

• Mind The Menu

We know that sugary foods aren’t healthy for your toddler’s teeth. Bacteria in the mouth feeds on sugar, and a sugar-heavy diet results in more of the bacteria and plaque which cause cavities. But sugar is not the only food that is not tooth-friendly. For example, foods like citrus fruits and juices can also be a problem. Acidic foods can actually weaken enamel after eating and leave teeth more vulnerable to cavity-causing bacteria and plaque. We have suggestions for tooth-healthy snacks and the best times to brush after eating if you and your child indulge in a treat.

• Don’t Misuse Bottles & Sippy Cups

Your toddler might still use a bottle at night or a sippy cup throughout the day. Juices and even milk contain sugar that increases the risk of cavities, and if your child goes to sleep with a bottle or cup, these liquids pool in the mouth overnight allowing bacteria to flourish.  If your toddler wants a drink at night or between meals, water is a much better option.

Those tiny teeth are important for so many reasons. They enable children to bite and chew efficiently, to pronounce sounds properly for speech development, and to save space for adult teeth so they erupt in the right place. Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. and our team recommend that your child visit our Durham office after the first tooth comes in, and always by the first birthday. We will make sure your toddler’s teeth are developing as they should be and suggest ways to keep them cavity-free. Your toddler’s healthy, beautiful smile is a reward worth protecting!

Our team at Southpoint Pediatric Dentistry would like to offer some tips regarding the sometimes dreaded task of brushing a toddler’s teeth.

Much of the trick lies in the positioning. Before you begin, make sure you are in a position of control. This protects both you and your child from injury. Consider how well you can see. If you cannot see clearly, the quality of brushing drops significantly. For instance, if your child is standing, you are likely to see only the bottom teeth well.

Our team finds that the best position for brushing and flossing a toddler is when your child is calm. Have your child lie down on his or her back with arms out to make a T. Sit down just above the head and lightly place your legs over your child’s arms. Using a circular motion, brush all sides of the teeth.

It may sound odd, but approaching the routine this way can make brushing time a cinch! After you’re done, give your child the toothbrush and let him or her have a turn. The benefit of doing the brushing and flossing first is that it gives an example, which your child is more likely to repeat when you’re done.

Different methods work best for different families and children. These practices need to be performed with kindness and care. Be gentle and make this time a happy learning time. Don’t forget to bring your child to our Durham office for regular dental checkups and cleanings. Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. can advise you on ways to implement portions of these tips in a way that may work bests for you and your child.

Pediatric dentists do everything they can to save teeth, but sometimes, a tooth is so damaged by accident, injury, infection, or decay that extraction is the only option. Or perhaps your child’s wisdom teeth are starting to come in—and starting to cause problems. Or perhaps there is a baby tooth which has simply overstayed its welcome and is blocking its adult replacement.

While there are several possible reasons an extraction might be necessary, one thing is true for any extraction: you want to make sure that your child is as comfortable as possible and heals as quickly as possible after the procedure.

Aftercare and recovery time isn’t exactly the same for every extraction. Whether your child’s tooth is a baby tooth or a permanent one, whether it’s a single tooth or several, whether it’s erupted or impacted, whether a local anesthetic or sedation is recommended—these factors and more can make a difference in recovery time.

Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. will provide you with clear, specific instructions for helping your child to a speedy recovery after an extraction. We’d also like to offer you some general aftercare ideas to make sure your child is as comfortable as possible while recovering.

• Bleeding

Some bleeding is normal after an extraction. Follow your dentist’s instructions carefully to minimize bleeding at the extraction site. Your child will probably need to keep a gauze pack in place for as long as directed to reduce bleeding and to help a clot form. If bleeding is heavier than expected or goes on longer than expected, call our Durham office.

• Swelling

Swelling is a normal response to extractions. Your dentist might suggest cold compresses to help reduce swelling immediately after the extraction. If you don’t have an ice pack, ask whether a bag of frozen peas or corn can substitute.

With any cold compress, it’s important to protect your child’s skin from injury. Follow your dentist’s suggestions for application and be sure not to exceed the time limits recommended. And don’t apply a compress directly to your child’s face—wrap a towel or cloth around the bag or pack to protect the skin.

• Careful Cleaning

The area around the extraction shouldn’t be disturbed or touched. The blood clot which forms after an extraction protects the area from irritation and infection caused by food particles and bacteria. If a clot is dislodged accidentally, it can lead to a condition called dry socket, which can be very painful.

This means no brushing near the extraction site, and no heavy rinsing or spitting for as long as directed. If your child is younger, you might need to help with brushing over the days following to make sure those sturdy bristles don’t get close to the extraction site before it’s healed.

• Soothing Foods

Have a supply of your child’s favorite comfort foods handy while healing, such as cream soups, mashed potatoes, scrambled eggs, gelatin, yogurt, and smoothies. Hot and cold foods can be irritating, so stick to cool or lukewarm foods for the first few days. Encourage your child to drink lots of liquids, but nothing carbonated. And do wait until any numbness wears off before giving your child chewable foods to avoid biting tongue or cheeks.

Remove spicy favorites from the menu, which can be irritating, as well as chewy, crunchy, or jagged foods like crackers, since tiny, sharp bits of food can make their way inside the site. Remind your child to chew on the side of the mouth opposite from the extraction site. And, since suction is an all-too-easy way to dislodge the clot over the extraction site, no straws!

• Schedule Recovery Time

Make sure your child rests and takes it easy after the procedure. Exercise, lifting, even bending over can dislodge a protective clot, so re-schedule any physically demanding sports and activities until your child is given the dental all clear.

• Medication

If your child has been given a prescription for pain medication or antibiotics, follow the instructions as directed. Your dentist might recommend age-appropriate over the counter pain relievers to have on hand. For severe or continuing pain, call your dentist or oral surgeon right away.

An extraction can be worrying for both patient and parent, so talk to Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. for the best ways to make this experience a positive one for your child before, during, and after treatment.

Pediatric dentists are experts in children’s extractions, while ensuring that the procedure is as stress-free and as comfortable as possible for your child. Follow their instructions for aftercare, and you’ll ensure your child’s recovery is as stress-free and comfortable as possible, too.

If your idea of camping is a quiet walk through the woods before returning to your rustic hotel, your regular brushing habits will be perfect for your trip. But if you are hiking into the mountains with your tent, backpack, and camp food, Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. and our team have some suggestions to adapt your dental routine to the great outdoors.

Water

If you wouldn’t drink it, don’t brush with it! Use bottled water if you have brought it, or make sure the local water is safe by using a testing kit. Boiling, filters and purification tablets are all ways to make sure the water tests clean and safe.

Toothpaste

You aren’t the only one in the woods who finds your toothpaste tasty. Bears, raccoons, and other animals are attracted to the scent of your toothpaste, so keep it safe with the same kind of tightly sealed, odor-proof container that you keep your food in. And if you want to discourage unwanted visitors, don’t spit your toothpaste out at your campground! It’s better to go some distance from your site and bury any paste, and best of all to spit used toothpaste into a container that can be tightly closed and removed from the campsite when you head for home. This practice protects you and the environment as well, since toothpaste can be harmful to small animals and plants.

Toothbrush

While there are disposable and camping toothbrushes available, a regular toothbrush will work as well. Normally, air-drying is the healthiest option for drying your toothbrush, but camping is an exception. Just as animals are attracted to toothpaste, they are also attracted to your toothpaste-scented toothbrush. Keep it in a sealed container that is odor-proof.

Floss

There are websites devoted to the many ingenious ways to use dental floss while camping, but we recommend the original use. Don’t forget to floss regularly, keep it in a sealed container, and do be sure to take used floss out of the area with you.

Even though you are roughing it, stick with your home routine as much as possible. If you are unable to brush as usual, rinse your mouth well with clean water and brush when you can. Have a great trip, and just one more thought—maybe go easy on the s’mores. Let us know all about your trip during your next visit to our Durham office!

First word, first step, first haircut, first… toothbrush? While it may not be considered a typical milestone, choosing the right first toothbrush is an important first step in your child’s future dental health.

The time to start brushing is when your baby’s first tooth appears. Until then, you have probably been using a clean, moist washcloth or gauze to carefully wipe your baby’s gums. Continue that gentle treatment with a toothbrush designed for infants. Look for a toothbrush designed especially for infants and toddlers, with extra-soft bristles and a small head for tiny mouths.

When your toddler is ready to try brushing for the first time, there are many options to make learning the proper technique enjoyable for both of you! Extra-soft bristles and small brush heads again are important for young children, and brushes are available with colorful patterns and designs to charm any child. There are brushes available with handles designed for easy gripping, right-handed and left-handed options, and even electric models.

No matter which brush you choose, Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. and our team recommend:

• Use soft bristles and a brush head sized to fit your child
• Use the proper amount of toothpaste (when your child is old enough to spit out toothpaste instead of swallowing)
• Replace the toothbrush every three months, or earlier if it is frayed
• Always supervise your young child while he or she learns to brush
• Don’t forget to schedule checkups every six months at our Durham office!

You probably won’t be preserving your baby’s first toothbrush in your baby book, but teaching your child the proper way to brush with the right toothbrush can lead to a lifetime of dental health. And that’s a milestone to celebrate!

Learning to suck their thumbs is one of the first physical skills babies acquire. In fact, ultrasound images have revealed babies sucking their thumbs in the womb! Babies have a natural sucking reflex, and this activity is a normal way for your baby to soothe herself.

If your toddler still turns to her thumb for comfort, no need to worry. Most children give up this habit as they grow, and generally stop completely between the ages of two and four. But what of the child who doesn’t? Should you encourage your child to stop? And when?

When Thumb Sucking Becomes a Problem

After your child turns five, and certainly when her permanent teeth start to arrive, aggressive thumb sucking is something to watch for. This type of vigorous sucking, which puts pressure on the teeth and gums, can lead to a number of problems.

• Open Bite

Our bites are considered normal when the upper teeth slightly overlap the lower where they touch in the front of the mouth. But with aggressive thumb sucking, teeth are pushed out of alignment. Sometimes this results in a condition called “open bite,” where the upper and lower teeth don’t make contact at all. An open bite almost always requires orthodontic treatment.

• Jaw Problems

Your child’s palate and jaw are still growing. Aggressive thumb sucking can actually change the shape of the palate and jaw, and even affect facial structure. Again, orthodontic treatment can help, but prevention is always the better option!

• Speech Difficulties

Prolonged thumb sucking has been suggested as a risk factor for speech disorders such as lisping, the inability to pronounce certain letters, or tongue thrusting.

The consequences from aggressive thumb sucking can be prevented with early intervention. What to do if you are worried?

Talk to Us

First, let us reassure you that most children stop thumb sucking on their own, and with no negative dental effects at all. But if your child is still aggressively sucking her thumb once her permanent teeth have started erupting, or if we see changes in her baby teeth, let’s talk about solutions during an appointment at our Durham office. We can offer suggestions to help your child break the habit at home. There are also dental appliances available that can discourage thumb sucking if your child finds it especially hard to stop.

Work with your Child

• Be Positive

Positive reinforcement is always best. Praise her when she remembers not to suck her thumb. Make a chart with stickers to reward every thumb-free day. Pick out a favorite book to read or activity you can share.

• Identify Triggers

Children associate thumb sucking with comfort and security.  If your child turns to her thumb when she’s anxious, try to discover what is bothering her and how to reassure her. If she automatically sucks her thumb when she is bored, find an activity that will engage her. If she’s hungry, offer a healthy snack.

• Talk about It!

Depending on her age, it might help your child to understand why stopping this habit is important. We are happy to explain, in a positive, age-appropriate way, just how breaking the thumb sucking habit will help her teeth and her smile.

Again, most children leave thumb sucking behind naturally and easily. But if what is a comfort for your child has become a concern for you, please give us a call. Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. will work with you and your child to prevent future orthodontic problems and begin her lifetime of beautiful smiles.

Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. and our team hear this question a lot. While many people believe periodontal disease is an adult problem, studies have indicated that periodontal disease, also known as gum disease, as well as other serious infections such as gingivitis and periodontitis, are prevalent among kids and adolescents. First, let’s identify the differences between gingivitis, periodontitis, and periodontal disease.

Gingivitis

Gingivitis is a type of periodontal disease in which only your child’s gums are affected. Characterized by swollen and red gums that bleed easily, gingivitis causes an inflammation of the gums, and is the first stage and mildest form of periodontal disease. The good news is that gingivitis is often reversible. Treatment for gingivitis includes having your child come in for a professional teeth cleaning. It also includes daily brushing, which will help eliminate plaque from the surfaces of your child’s teeth. Your child should also get in the habit of flossing daily to remove plaque and food particles wedged in the crevices between his or her teeth.

Periodontitis

If left untreated, gingivitis can progress to periodontitis, the advanced stage of gum disease that can not only damage your child’s gum tissue, but also destroy the underlying bone which supports the teeth. Eventually, teeth can become loose and may have to be removed. In some cases, the bacteria from the ensuing infection may also be distributed to other areas of the body via the bloodstream.

Periodontal Disease

Periodontal disease is a chronic bacterial infection of the gums, periodontal ligament, and bone that surround and support your child’s teeth. Periodontal disease causes gums to become red, swollen, and tender, and can even cause the gums to recede (pull away) from the teeth. If left untreated, periodontal disease can lead to tooth loss.

Having persistent at-home oral care regimen is a critical step in your child’s fight against periodontal disease. But sometimes brushing and flossing are simply not enough. Having your child’s teeth cleaned twice a year, or as recommended, is crucial.

Early diagnosis of gingivitis, periodontitis, and periodontal disease can give you and your child peace of mind. If you are concerned your child is suffering from gum disease, we recommend that you give us a call at our Durham office. We look forward to working with you and giving your child a smile to last a lifetime!

Why all the fuss about fluoride? Your pediatric dentist recommends it, your child’s toothpaste is formulated with it, and most of our drinking water contains it. Just what is it about this mineral that makes dental professionals sing its praises? Read on for three good reasons why fluoride is a healthy choice for healthier teeth.

1. Fluoride Works!

Fluoride is an attractive option for protecting your child’s teeth—and we mean that literally. Fluoride protects the surface of teeth by working on a molecular level to attract minerals that strengthen enamel and help prevent cavities.

Our tooth enamel is mostly made from calcium and phosphate ions. These elements combine to form hydroxyapatite, strong crystals which make up about 95% of our enamel. Hydroxyapatite is so strong, in fact, that tooth enamel is the hardest part of our bodies. What can go wrong?

Acids. Acids created by the bacteria in plaque and the acids in our diet strip away the calcium and phosphate ions in enamel, weakening the surface of the tooth. This process is called demineralization. Over time, weak spots become bigger as acids eat through enamel to the inner tooth, causing decay and cavities.

So, what can fluoride do?

First, fluoride helps remineralize tooth enamel. Fluoride is attracted to the tooth’s surface and bonds with its minerals. It also attracts the calcium and phosphate ions which are found in our saliva to restore any minerals which have been lost. This process helps repair any weak spots which might have begun to form.

But fluoride does more than restore and repair tooth strength—it improves it! Fluoride ions join with calcium and phosphate to form fluorapatite crystals, which are larger and stronger than hydroxyapatite crystals. Even better? These new crystals are more resistant to acids.

2. Fluoride Is Doubly Effective

Fluoride works both externally and internally. We just looked at how fluoride helps keep teeth strong when applied to the outside of the teeth. This is called a topical application. Systemic benefits come the fluoride we consume in our diets.

Fluoride isn’t found in many foods, but it is found naturally in lakes, rivers, and other water sources. When the local water’s fluoride level is low, many communities add fluoride for its proven ability to prevent cavities. Water fluoridation is safe, has been studied for decades, and has been shown to reduce the risk of cavities by 25% or more for both children and adults.

Systemic fluoride is important for baby teeth, as fluoride joins with minerals in adult teeth while they grow and develop. This creates stronger, more cavity-resistant teeth even before they erupt.

When your child’s permanent teeth come in, fluoride is still at work! When your child drinks fluoridated water, they increasing the amount of fluoride in their saliva. Just like fluoride toothpaste, saliva bathes the teeth with fluoride ions, remineralizing and strengthening the tooth surface and helping repair weak spots in enamel.

3. It’s Easy to Get Fluoride Protection

Because so much of our drinking water is fluoridated, most of us really don’t have to think about how to get the recommended amount of fluoride in our diet each day. If your community’s water is low in fluoride, Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. can help you. Prescription fluoride rinses, gels, supplements, and other treatments are available at our Durham pediatric dental office to make sure that your child’s teeth are well protected, wherever you may live. We will let you know which products are best for your child and how often to use them.

Fluoride isn’t, of course, the only way to look out for your dental health. Proper brushing and flossing are still essential for removing plaque. And sealants provide long-lasting protection for chewing surfaces. But when it comes to a proven cavity-fighter that’s simple to use, effective, and easily available—is it any wonder we’re big fans of fluoride?

Toddlers are notoriously balky about strangers. But their first dental visit should not be cause for fear and tears. Nor should you assume that getting your toddler to Southpoint Pediatric Dentistry is going to involve a full-blown tantrum or Mafia-style bribery. “Honey, don’t worry. We’ll go get ice cream after…” sort of defeats the purpose of making that first dental appointment.

These five tips will make your toddler’s trip to see Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. as fun as a stop at an amusement park.

1. Before you make a dental appointment for your child, take him or her on a ride-along to one of your dental appointments. Let your son or daughter experience the office and get the lay of the land. Toddlers don’t like surprises. But if your little one is already familiar with the big chair that goes up and down, the next time he or she will have no problem taking a seat.

2. About the big dental chair … well, it’s really an amusement park ride. See how it goes up and down? Toddlers love games, and turning the trip to the dentist into a game is among the oldest (and most successful) tricks in the parent playbook.

3. Positive reinforcement is a good thing. That's why Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. and our staff hand out cool toothbrushes or stickers to children after their appointment. A fun-colored toothbrush with a suction bottom is a good incentive to come back for another cleaning.

4. Timing is everything. Don’t take your child to the dentist an hour before the daily nap. Make the appointment with your child’s schedule in mind. This increases the chances of success.

5. A few days before the scheduled appointment, start reading your toddler bedtimes stories about what happens at the dentist. Dora the Explorer’s Show Me Your Smile, written by Christine Ricci, is a popular dental story that your child might relate to.

When you were younger, and you brushed your teeth without any help for the first time, it was a big step. It meant you’d learned the right way to brush to keep your teeth and gums healthy. But why does brushing help keep you healthy? Let’s talk about plaque!

• What Is Plaque?

Plaque rhymes with “attack,” and that’s just what it does to your teeth. If you don’t brush for a few days (which is a bad idea!), plaque is the reason for that fuzziness you feel when you run your tongue over your teeth.

If your teeth feel fuzzy, that means that plaque has been building up for a while. But how does it begin?

Plaque is made up of saliva, bits of food, other liquids, and tiny little organisms called bacteria. While most of the bacteria in our bodies don’t bother us—and some even help us—the bacteria in plaque are not so helpful.

Plaque starts with a type of bacteria that stick to the teeth, loosely at first, and then more strongly. Within hours, they join with saliva, bits of food, and other bacteria and bacterial products to make a very sticky film. This film is plaque.

Why is it so important to brush plaque away every day? As Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. will tell you, plaque can cause cavities and hurt your gums.

• How Does Plaque Cause Cavities?

Bacteria are like us—they need food. The bacteria in plaque especially like the sugars we eat. (That’s why you shouldn’t have too much junk food or candy in your diet.) Bacteria change these sugary building blocks into a kind of acid, and because plaque is sticky, the acids stay on your teeth.

These acids breaks down the enamel, that hard coating which covers teeth. Tiny weak spots can grow and become holes in the enamel. We call these holes cavities, and your dentist can repair them by cleaning away the decay and putting a filling in your tooth to protect it.

But it’s best to prevent cavities from ever starting by brushing and flossing. Even though plaque is sticky, it is easy to brush away when you do it every day.

• How Does Plaque Hurt Your Gums?

The gums surround our teeth and help protect them, but they are also delicate. When plaque builds up, it can irritate your gums.

You might notice that your gums get red, feel sore when you brush, or look puffy. You might have bad breath that doesn’t go away. All these are signs that your gums are reacting to the plaque around them.

The good news is that careful brushing and flossing can usually fix these problems. Talk to Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. about taking good care of your gums.

• Can We Fight Plaque?

Yes! From the time you were small and learned how to brush, you’ve been learning how to fight plaque.

• Brush at least twice a day for two minutes, and be sure to brush all around each tooth and the gums.
• Floss to remove plaque from where it hides between the teeth and near the gums.
• Visit our Durham office for a cleaning, to remove plaque from hard-to-reach places and to learn the best ways to brush and floss.

As soon as you finish brushing, plaque starts to build up again. But no need to worry! Keep brushing, flossing, and visiting us for regular cleanings, and all your careful work will be rewarded will a beautiful, healthy smile.

With children undergoing developmental dental changes and engaging in rough-and-tumble activities, dental emergencies can sometimes arise. If your child knocks out a tooth or experiences any type of oral discomfort, call Southpoint Pediatric Dentistry right away so we can provide you with a quick assessment and pain-free treatment.

Before an emergency occurs, it’s a good idea to stay informed about the problems your child may encounter. Here are a few things you should keep in mind about teething pain, loose baby teeth, and other common dental issues.

Teething Pain

Typically occurring in babies that are between four months and two and a half years old, teething may cause excessive drooling, tender gums, and some irritability. Giving your baby a cold teething ring or gently rubbing her gums with wet gauze or your finger may also make her feel better.

Loose Baby Tooth

It is normal for a child’s first set of teeth to become loose and fall out. On the other hand, if your child’s baby tooth is knocked loose, schedule an appointment with our office so we can assess whether any damage has been done.

Issues with Permanent Teeth

Sometimes a child’s permanent teeth will grow in before the baby teeth have fallen out. Even if this condition isn’t causing any discomfort, you should schedule an appointment with our office so we can determine whether your child’s permanent teeth are growing in correctly.

Bleeding Gums

Bleeding gums can result from a number of factors, including periodontal disease, rough brushing, or an injury to the gum tissue. If your child’s gums are bleeding heavily, call our office right away so we can address the situation. If you have time before your appointment, wash your child’s mouth with salted water and gently put pressure on the affected area.

Regardless of the type of dental issue your child has, you can always consult Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. for further guidance. We make sure our emergency services are available 24 hours a day and seven days a week, so you have ready access to convenient and professional dental care that will have your child feeling better in no time.

Molars are made up of canyons, caves, pits, and seemingly endless caverns that are a breeding ground for decay. The protective solution is a sealant. When done correctly, a sealant from Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. of Southpoint Pediatric Dentistry can be most effective in preventing cavities.

A sealant is made up of composite (a plastic-like) material that contains bonding agents to seal to the edge of the tooth. Sealants placed on the chewing surfaces of back teeth block food from being trapped. The process in which a sealant is placed is quite precise and painless.

First the tooth is cleaned with a sodium bicarbonate (baking soda) spray. Then an acid etch is applied to “roughen up” the surface. No saliva is to touch the tooth. This will re-mineralize the area, then a repeat etching is needed. An alcohol-based liquid then dries out the area and it must remain completely dry. The sealant is placed and guided through all the caverns, pits, fissures, and grooves. It is then cured with a special light, which makes it a hard, plastic-like material.

Sealants can last for several years. It is wise to have them examined on a semi-annual basis. If there is a break in the sealant, a high risk for decay is common. If a sealant is damaged, repair is simple, painless, and quick to complete.

Who can benefit from sealants? Anyone! Children often receive sealants as routine preventive care. Adults with deep canyons with stained grooves on their teeth can also benefit from a sealant. The process is quick, painless, and does not require any anesthesia. It is an effective way to lower dental restorative costs.

An investment in dental sealants can reap great benefits as properly cared for teeth will remain cavity free. Our Durham location is available to answer your questions so give us a call today!

What better way for children to spend their time than cuddled up by the fireplace or out in the yard with a book in hand? Dr. Amy Davidian, Dr. Edward W. Davidian Jr., Dr. Jason Lin and our team encourage you to inspire your child’s mind with a few great books. Sure it may be easy to put off reading when balancing a busy schedule, but reading is vital to kids’ brain development. Plus, reading is always fun!

This week, we thought we’d ask: What are you or your child reading? Do you have any suggestions for must-read books? Out of ideas for great reads? Ask us during your next visit, and Dr. Amy Davidian, Dr. Edward W. Davidian Jr., Dr. Jason Lin and our team would be happy to provide a few suggestions. You may also ask a local librarian here in Durham for some ideas.

Happy reading! Be sure to share your book picks or your all-time favorites with us below or on our Facebook page!

Dr. Amy Davidian, Dr. Edward W. Davidian Jr., Dr. Jason Lin and our team know that cavities know no age boundaries, and that is why we recommend a visit to our Durham office by a child’s first birthday. That also happens to be the opinion of our friends at the American Academy of Pediatrics, as well as the American Dental Association.

Research has shown that more than one in four kids has had at least one cavity by the time they’re four years old. In fact, many children get cavities as early as age two, which is a critical reason why you should pay us a visit sooner rather than later. Your child’s appointment at Southpoint Pediatric Dentistry also covers topics such as the importance of baby teeth, nutrition, development, and any concerns you may have with your child’s dental health. We believe that your child’s first visit with Dr. Amy Davidian, Dr. Edward W. Davidian Jr., and Dr. Jason Lin should be an enjoyable and positive one, and we strive to teach good oral care that will enable your child to have a beautiful smile that lasts a lifetime.

To learn more about baby teeth, or to schedule your child’s next visit with Dr. Amy Davidian, Dr. Edward W. Davidian Jr., and Dr. Jason Lin please give us a call today! We look forward to seeing you!

There are many ways in which your oral health has an impact on your overall general health. There are naturally occurring bacteria in the mouth. Some of those bacteria, including strep and staph, are harmful, while other bacteria are essential for the balance of intestinal flora. The healthier your mouth is, the less likely it is the harmful bacteria will travel to other parts of your body to infect it and make you sick. There is much more to good dental hygiene than brushing and flossing.

Historical Methods of Maintaining Oral Health

Ancient civilizations relied on natural remedies for maintaining oral health. Around 250 AD, the Kemetic Egyptians used myrrh and other herbs as antiseptics for treating infected gums. Two centuries later, the Nubians, who lived in the Nile River valley, drank beer to ease the pain of infected teeth. That probably sounds crazy, but their beer was effective because they used grains that were contaminated with the same bacteria that produce the antibiotic tetracycline.

Today's Biggest Dental Hygiene Challenge

In the past, tooth decay was more of an issue because there was no routine dental care, and problems that are routinely treated today went untreated. Thanks to fluoridated water, and toothpastes containing fluoride, tooth decay is far less problematic than it was a century or more ago. Gum disease has replaced tooth decay as the most serious dental problem facing people today. According to the American Dental Association, a staggering 80 percent of Americans over age 65 suffer from some form of periodontal disease.

Ironically, if that infection attacked any other part of your body, especially in a place where it was clearly visible, you would head to your doctor for treatment immediately. People tend to ignore gum tenderness and bleeding. When the tenderness and bleeding aren't treated, the inflammation can turn into periodontitis. The longer you allow the inflammation to go untreated, the greater the likelihood that it will affect other body parts. Make sure to visit Dr. Amy Davidian, Dr. Edward W. Davidian Jr., and Dr. Jason Lin at Southpoint Pediatric Dentistry regularly to be proactive about dental health!

Researchers are now discovering that untreated inflammation in the mouth acts as a driving force for multiple chronic illnesses, including clogged arteries, heart attacks, arthritis, and even cancer. That inflammation is one of many hypotheses that may explain how chronic infections can trigger systemic diseases, and even intensify existing ones. Bacterial overgrowth in the inflamed gum tissue can enter the bloodstream through the food you eat, and from daily brushing.

Caring for your mouth at home is just as important as visiting our office for exams!

One of the greatest features our team at Southpoint Pediatric Dentistry offers is the ability to see first-hand how we can help our patients. While X-rays help us detect any problems in your mouth and give us valuable information on what is bothering you, they often don’t give Dr. Amy Davidian, Dr. Edward W. Davidian Jr., and Dr. Jason Lin a complete view of everything that is going on inside your mouth. With the use of an intraoral camera, we can see every aspect of your teeth and mouth with incredible detail, uncovering cracked or fractured teeth, excessive wear, carious lesions, cavities, or other issues that may be hidden. When we can discover oral problems early on, your treatment is much less invasive and often saves you money down the road.

An intraoral camera allows Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. to view clear, precise images of your mouth, teeth, and gums and allows us to make an accurate diagnosis.  With clear, defined, enlarged images, Dr. Amy Davidian, Dr. Edward W. Davidian Jr., Dr. Jason Lin and our team see details that standard mirror examinations may miss. It’s much easier to understand what is happening in your mouth if you can see the problem on a computer monitor, and it means faster diagnosis and less chair-time for our patients!

Intraoral cameras are small, about the size of a dental mirror, and emit a light onto the tooth. The tooth will emit a color that lets Dr. Amy Davidian, Dr. Edward W. Davidian Jr., and Dr. Jason Lin determine if the tooth is healthy or diseased. Intraoral cameras also allow us to save your images on our office computer to provide a permanent record of treatments. These treatments can be printed for you, other specialists, and your lab or insurance companies.

For any questions about the intraoral camera, we encourage you to ask Dr. Amy Davidian, Dr. Edward W. Davidian Jr., and Dr. Jason Lin or our team during your or your child’s next visit or by giving us a call at our convenient Durham office.

A study conducted in Washington State in 2004 and another conducted in Madrid, Spain in 2012 both reported findings that support a direct relationship between parents’ dental fear and their child’s fear of the dentist.

The Washington study examined dental fear among 421 children ages 0.8 to 12.8 years old. They were patients at 21 different private pediatric dental practices in western Washington state. The Spanish study observed 183 children between the ages of seven and 12 as well as their parents.

The Washington study used responses from both parents and the Dental Sub-scale of the Child Fear Survey Schedule. The survey consisted of 15 questions, which invited answers based on the child’s level of fear. The scale was one to five: one meant the child wasn’t afraid at all, and five indicated he or she was terrified. The maximum possible points (based on the greatest fear) was 75.

Spanish researchers found a direct connection between parental dental fear levels and those among their kids. The most important new discovery from the Madrid study was that the greater the fear a father had of going to the dentist, the higher the level of fear among the other family members.

Parents, but especially fathers, who feared dental procedures appeared to pass those fears along to every member of the family. Parents can still have some control over fear levels in their children. It is best not to express your own concerns in front of kids; instead, explain why going to the dentist is important.

Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. and our team work hard to make your child’s visit at our Durham office as comfortable as possible. We understand some patients may be more fearful than others, and will do our best to help ease your child’s anxiety.

If your child participates in sports or other physical activities, it’s wise to consider getting a mouthguard. Also known as mouth protectors, mouthguards are a device worn over the teeth to lessen the impact of a blow to the face.

This reduces the chance that your child might lose teeth or sustain other serious oral injuries. We recommend that all patients involved in a contact sport such as wrestling, football, or hockey wear a mouthguard because of the high risk of such injuries.

However, anyone involved in a physically demanding sport or activity should wear a mouthguard as well.

Can you imagine what it would be like to lose a few of your front teeth? The way you talk, eat, and smile would all change.

Injuries that can be sustained when not wearing a mouthguard include:

• Chipped and broken teeth
• Fractured jaws
• Root damage
• Concussions
• Injury to the lips, cheeks, or gums

Types of Mouthguards

There are three different types of mouthguards — typically made of a soft plastic material or laminate. You can decide which works best for your child in terms of budget, fit, and comfort.

• Stock mouthguards are prefabricated to a standard size. They offer adequate protection, but you need to find one that fits your child properly and comfortably. Stock mouthguards are readily available at department stores, sporting goods stores, and online.
• Boil-and-bite mouthguards are placed in boiling water to soften them, then into the mouth so they can conform to the shape of the teeth. Boil-and-bite mouthguards are more expensive, but offer a more customized fit than stock ones. You can find these in department stores, pharmacies, sporting goods stores, and online.
• Custom-made mouthguards are created just for your child by Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr.. These offer the best fit and comfort of all the options, but they are also the most expensive. Ask a member of our Durham team for more information.

The American Dental Association says a good mouthguard should be easy to clean, fit properly, be comfortable, and resist tearing or damage. It shouldn’t restrict speech or breathing.

Still not sure if your child needs a mouthguard or which kind is right for his or her smile? Ask Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. or one of our staff members for more information.

Childhood tooth decay is the most common chronic childhood disease, affecting nearly one in three children between the ages of two and five. In fact, the American Academy of Pediatric Dentistry reports that tooth decay can appear in children as young as six months old. As a parent, it is possible to spare your child from early childhood tooth decay, and potentially prevent a lifetime of oral health problems in one fell swoop.

Birth to age two

Good oral health begins before your child’s teeth ever erupt from the gums. During the first few months of life, you should be wiping your child’s gums with a damp cloth after eating. As soon as teeth appear, Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. and our team at Southpoint Pediatric Dentistry recommend you start brushing them with a toddler toothbrush and water, and call our Durham office to schedule your child’s first visit. Never allow your child to go to bed with a bottle, and try to limit beverages other than water only to meal times. Children who walk around or go to sleep with bottles or sippy cups full of juice or milk are exposed to more sugars and are more likely to develop tooth decay.

Ages two to six

All of your child’s primary teeth should erupt by age three. Brush your toddler’s teeth at least twice daily with a toddler toothpaste and toothbrush. As your child gets older and learns not to swallow toothpaste, you may begin to use oral care products specially designed for preschoolers and elementary-age children. Be sure to maintain regular dental appointments and cleanings as recommended by your child’s dentist, and encourage your son or daughter to begin drinking from a regular cup. This is also the time to teach your child the importance of healthy eating habits, which includes limiting sweets and sugary desserts to mealtime.

By first grade, your child will begin to lose primary teeth. This is the time to start talking with Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. about dental sealants, which can prevent tooth decay from forming on the chewing surfaces of the teeth. Sealants are painless, easy to apply, and undetectable to other people.

Tips

Fluoride is an important ingredient for healthy teeth. Check to make sure the water your child drinks is enriched with fluoride. Also, brush your child’s teeth with fluoridated toothpaste, and talk to our office about whether fluoride treatments could be right for your family. For more information about preventing your child’s tooth decay, or to schedule an appointment with Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr., please give us a call at our convenient Durham office!

Your beautiful baby is finally asleep, bottle clutched in tiny hands, dreaming sweet dreams with a charming milky smile.

Unfortunately, this lovely fantasy might lead to a rude awakening. If your child goes to sleep every night with a bottle, the chance of childhood cavities greatly increases. In fact, there is even a name for it—baby bottle tooth decay.

How Can Bottles Lead to Tooth Decay?

Cavities are created when oral bacteria produce acids that erode enamel, the protective outer coating of the tooth. These bacteria love to feed on sugar. Baby formula and even breast milk contain carbohydrates in the form of sugars. And this is not a bad thing!

Carbohydrates are essential for babies (and adults as well) for growth and development. Lactose, the sugar found in breast milk, is a carb that is easy for your baby to digest and helps good bacteria in the digestive system grow. Formulas with cow’s milk also contain lactose, and even the other kinds of sugars found in formula provide your baby with necessary, easily digestible carbohydrates.

But when your child goes to sleep with a bottle, those healthy sugars aren’t all being digested. Liquid can pool in the mouth bathing those perfect new teeth with sugar all through the night. That’s why we don’t recommend letting your child go to sleep with a bottle of formula.

And if your older child’s bottle is filled with juice or other sugared drinks, the effects are potentially much more harmful. Eventually, sugar left in the mouth all night will lead to the development of cavities, and in severe cases, to infection and even tooth loss. The upper front teeth are most often affected, but other baby teeth can become decayed as well.

How Can You Help Prevent Baby Bottle Decay?

• Start early by gently wiping your baby’s gums and erupting teeth after each bottle or breast feeding with a clean, damp washcloth or gauze pad. (Even though breastfed babies have a reduced risk of early cavities, it’s still a good idea to clean their gums and teeth after feedings.)
• Once those little teeth have come in, use a baby-size toothbrush to gently clean them. Talk to us about toothpaste—when and how much is appropriate for your child.
• Babies generally require breastfeeding or formula at night to get the nutrition they need. It’s best if they finish their feeding before naps or bedtime so you have a chance to clean little mouths. If your toddler carries a bottle or sippy cup through the day, or insists on a bottle at night, talk to us or your pediatrician for ideas on how and when to substitute tooth-healthy options such as water.
• Limit unnecessary or unhealthy sugars. Never put sugar-heavy juices and sodas in your child’s bottle or cup, or sugar or honey on a pacifier.

Your Child’s Baby Teeth Are Important

Your child will start losing those baby teeth around the age of six, but primary teeth provide many irreplaceable benefits before they are, well, replaced. Using the teeth to bite and chew food helps form proper eating habits and develop jaw and facial muscles. Baby teeth help with speech development, and they serve as place holders to make sure the adult teeth erupt in the right spot. Losing baby teeth too early can interfere with all of these goals.

As soon as that first tooth makes its appearance, or by the age of one, bring your baby to our Durham office for a first checkup. Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. and our team will not only make sure everything is going according to schedule, but we will check tiny teeth for enamel erosion and even cavities. Most important, we’ll suggest ways to prevent cavities and tooth decay with proactive dental care. We have many great ideas on making sure your little one’s teeth are healthy from bottle to baby teeth, preparing your child for a lifetime of beautiful, healthy smiles. And that’s a dream come true!

When your child loses a tooth for the first time, you both have a lot to look forward to. Sharing in the “I’m a big kid!” excitement. Tales of the Tooth Fairy or other traditions to mark the occasion. Seeing the start of a beautiful grown-up smile.

But before that baby tooth wiggles all the way out of your child’s mouth, let’s talk about how to handle a loose baby tooth.

• Be mindful of your children’s feelings. Reassure them that this is a normal part of growing up. If they are anxious about losing a tooth, there are children’s books which can help ease their fears in a soothing and entertaining way.
• Crunchy and healthy foods like carrot sticks and apple slices can help the tooth fall out naturally—and nutritiously!
• Encourage careful wiggling. No need for children to yank or pull—time, and a child’s own gentle wiggling with tongue or clean hands, should do the trick. If wiggling the tooth is painful, it might not be ready to come out just yet.
• If a tooth absolutely is ready, but just won’t come out, you can help your child without resorting to a string and a doorknob. Give our Durham office a call for some suggestions for helping that baby tooth on its way to the Tooth Fairy in a timely—and gentle—fashion.

And if a tooth is clearly loose before its time? Should you encourage its exit?

Probably not. Baby teeth are temporary, but they’re important for your child’s development. They help with speech production, eating and chewing, and serve as placeholders so that permanent teeth can erupt in the right spot at the right time.

There are some situations when a loose baby tooth means a visit to the dentist is in order:

• Baby teeth usually fall out over a period of years, generally from ages 6 through 12. Since children’s teeth tend to fall out in the same order they arrived, if a molar is loose before the front teeth start to wiggle, give your dentist a call.
• If your child suffers a fall, or a sports injury, or any kind of accident that leaves a tooth or teeth loose, call your doctor or dentist right away to make sure there are no serious injuries or chance for infection.
• Any time you feel a tooth is loose that shouldn’t be, make an appointment with your child’s dentist.

Finally, we’ve been talking about loose baby teeth, but loose permanent teeth are another matter entirely.

If you child has a loose permanent tooth due to an injury, or a bad bite, or night-time bruxism (tooth-grinding), or for any other reason, it’s important to call for an appointment immediately. Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. will be able to pinpoint the cause of the problem and can offer some solutions. In the meantime,

• Make sure your child eats soft foods, and tries to eat on the opposite side of the loose tooth.
• Keep the area clean with gentle rinsing instead of brushing and flossing.
• Tell your child not to wiggle it! If the bone or ligaments holding the tooth in place have been damaged, playing with the tooth can make it looser.

A loose baby tooth is a step in your child’s journey to a beautiful, healthy adult smile. Reassure, encourage, and help your child through this rite of passage—and don’t hesitate to call on Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. for advice!

Because babies’ teeth don’t appear until around six to eight months of age, it’s a natural misconception that they don’t need dental care. But the steps you take as the parent of an infant can help your baby maintain good oral health and develop healthy dental habits in the future.

It’s easy to take care of a baby’s teeth and gums, especially when oral hygiene for your infant becomes part of the normal daily routine. Learn more about how you can promote good dental health for your baby with these tips and considerations.

Taking Care of Baby’s Oral Hygiene

• Dental Hygiene for Birth to Six Months. Cleaning your infant’s gums is as important as cleaning teeth will be later. Hold your baby in your arms, and with a clean, moistened washcloth wrapped around your index finger, gently massage his or her gums.
• Dental Hygiene for Six to 12 Months. After teeth begin to appear, it’s time to switch to a soft, children’s toothbrush for teeth cleaning. New research has shown that fluoride toothpaste is safe and recommended for use once your baby’s first tooth arrives. Gently brush your baby’s teeth after each feeding, in the morning, and before bedtime, just as you did before teeth appeared.
• Good Bedtime Habits. One of the most important things you can do to protect your infant from tooth decay is to avoid the habit of putting baby to bed with a bottle. Use other soothing bedtime activities, such as rocking and lullabies, to help your baby drift off to sleep.
• A Note about Dental Decay. Many people are unaware that dental decay is transmissible. Avoid placing your baby’s bottle, sippy cup, or pacifier in your own mouth to test the temperature. Likewise, don’t share utensils with your baby.

Partner With Your Dentist

Your baby should receive his or her first dental health checkup by the age of six months. Even though your infant may not have teeth yet, Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. can assess the risk your baby might face for oral diseases that affect hard or soft tissues. Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. can also provide you with instructions for infant oral hygiene, and explain what steps to add as your baby grows and develops.

Southpoint Pediatric Dentistry is your partner for good oral health, and we’re here to make caring for your baby’s dental hygiene and health easier and more enjoyable for you.

It’s gratifying to know your child has good oral hygiene, especially starting from an early age. We know it can be difficult to get your son or daughter to brush those tiny teeth, let alone brush them well enough, every day. Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. and our team are here to give you some tips on how to help your youngster learn excellent oral health habits.

Your child should brush his or her teeth at least twice a day in order to prevent cavities and decay. An grownup may have to assist with flossing or using mouthwash. Always make sure your little one doesn’t swallow toothpaste or mouthwash in the process.

Only buy alcohol-free mouthwash, especially if you have young children in your household. Oral healthcare should be made fun from the start, to create good habits!

Helpful Tips

• Set a good example. Brush your teeth with your children and make it fun! Pick a two-minute song to play while brushing and dance along to it.
• Make it a race to the bathroom to see who can get the toothbrush and floss out first.
• Use a sticker sheet. For every night your children brush well, give them a sticker. After they’ve earned certain number of stickers, they win a reward. Let them pick it!
• Let your child check your brushwork, or try letting your youngster brush your teeth!
• Allow children to play with a toothbrush if they want to. They can brush their favorite stuffed animal’s or doll’s teeth before bed as well.
• Let your child pick his or her own toothbrush or toothpaste from a range of options you provide. Kids might pick one with their favorite cartoon character(s) on it, for example.
• Get a two-minute brushing timer your child can flip over when he or she starts to brush. Your son or daughter can watch the sand fall until it’s empty, which notifies the kid it’s time to stop brushing.
• Buy special children’s mouthwash that is colored to stain the areas of the child’s mouth where he or she needs to re-brush for effectiveness.
• Be gentle when your little one makes a mistake like forgetting to brush, and remind your son or daughter about the importance of good oral health in a fun, loving way.

There are plenty of ways to make brushing your child’s teeth more fun and effective. When Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. and the parents work together, we can help establish good oral health habits in children that will last a lifetime.

Take the trouble to set a great example for your children, and they will follow in your footsteps. If you’re concerned about your child’s oral health, contact our Durham office and schedule an appointment with our team.

“But they are only baby teeth; won’t they just fall out?” Our team at Southpoint Pediatric Dentistry has had these questions asked many times from parents over the years. Primary teeth, or “baby teeth,” will indeed come out eventually, to be replaced by permanent teeth as the child grows and develops. These teeth serve a great purpose as the child continues to develop and require specific care.

Because baby teeth are temporary, some parents are unenthusiastic about fixing cavities in them. This may be due to the cost or having to force a child undergo the process—especially having to receive an injection. But if a cavity is diagnosed early enough, an injection can often be avoided. More important, failure to fill cavities in primary teeth when they are small and manageable can have lasting consequences in cost and health concerns. Serious illnesses in children have been diagnosed which began as a cavity.

Primary teeth act as a guide for permanent teeth. When decay reaches the nerve and blood supply of a tooth, this can cause an abscess. Severe pain and swelling may result. At that point, the only treatment options are either to remove the tooth or to perform a procedure similar to a baby root canal. When a primary tooth is lost prematurely—to decay or a painful abscess—the adjacent teeth will often shift and block the eruption of a permanent tooth. Braces or spacers become necessary to avoid crowding or impaction of the permanent tooth.

There is nothing more heartbreaking for Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. than to have to treat a child experiencing pain and fear. To all the parents of my little patients our team strongly recommend filling a small cavity and not waiting until it becomes a larger problem such as those described above.

Prevention is the key to a healthy mouth for our smallest patients. Parents should allow the child to brush his or her teeth using a pea-sized amount of fluoride toothpaste and then take a turn to ensure the plaque gets removed from all surfaces: cheek side, tongue side, and chewing edges of all the teeth.

You already know that Southpoint Pediatric Dentistry recommends you come in for a checkup and cleaning at least every six months, but do you know what your child’s dental needs are? From the time children are babies and growing in their first teeth, their oral health care needs may be different from adults. It’s important to know what they need, and when, to help them grow strong, healthy teeth.

When to See Our Team at Southpoint Pediatric Dentistry

While dental care (at home) can begin as soon as your baby starts to show signs of that first tooth, most experts do not recommend you see a dentist until your child is at least one year old. The child will likely be too young at this point to have a full dental exam, but we can take a look at your baby’s teeth and give you tips for brushing and flossing properly.

By the time your child has all of his or her baby teeth—usually around 24 to 30 months of age—we can begin scheduling regular checkups and cleanings.

What to Expect on the First Visits

The first visit to our Durham office for a full exam will mostly involve getting to know Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. and staff members, and making your child feel comfortable. Let us know if you would like to sit in the exam room during the appointment, but keep in mind that it may be beneficial to leave your child alone with Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. for a portion of the appointment so we can start building trust with your child.

Our team at Southpoint Pediatric Dentistry will likely do some or all of the following during your child's visit:

• Look for signs of decay or other tooth or gum problems
• Examine your child’s bite, checking for misalignment that could lead to problems in the future
• Clean the teeth, and apply fluoride if your child is old enough
• Talk to you about proper oral health care for your children
• Answer any questions you may have about caring for your child’s teeth, which may include topics like fluoride needs, nutrition and diet, teething, and the frequency of future checkups

In most cases, we will recommend that you bring your child in every six months for regular checkups, the same as your recommended frequency.

Understanding your child’s unique dental needs is important for providing the best possible care when it becomes necessary. We look forward to building a good relationship with your child so coming to the dentist is a fun, rewarding experience and not a frightening one.

Many of our young patients experience anxiety during dental appointments. Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. and our team want to help your child overcome any fear he or she may feel when coming in for regular visits.

If you know your child suffers from anxiety during dental checkups, nitrous oxide sedation, popularly known as “laughing gas,” may be helpful. Nitrous oxide can be used during many types of dental procedures.

It has a sweet odor and taste, and gets mixed with oxygen when supplied through a mask. The effects typically kick in within a few minutes and leave your child feeling calm and relaxed.

Nitrous is helpful because your child will stay conscious and able to move and answer questions the doctor may ask. The drug is also convenient because the effects go away within a few minutes after the mask is removed.

Nitrous oxide is not dangerous when it’s combined with oxygen. It is non-addictive and non-allergenic. When used properly, nitrous oxide reduces anxiety, while allowing continued communication between the patient and dentist during a procedure. It can also help alleviate pain or discomfort during exams.

You should know that nitrous oxide may cause nausea in up to ten percent of patients. This drug is not recommended for people who suffer from certain medical conditions. We recommend discussing this method with Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. if your child's dental anxiety begins to interfere with his or her appointments.

We want all our patients to feel comfortable during their care. Talk with Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. at your child's next appointment to find out if nitrous oxide is an option. If you have questions regarding nitrous oxide, call our Durham location and we’ll be happy to answer them.

One of the most frequent questions that Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. and our team hear is about what kinds of snacks are best for a child’s dental health. Sugary snacks are inevitable sometimes, but it’s vital for you as a parent to monitor how frequently your child is eating the kinds of snacks that may give him or her a cavity or two down the line.

Unsurprisingly, the best snacks are healthy ones, though they may not always be the most appealing to your little ones. The good news is that healthy doesn’t mean you have to compromise on taste. Once your kids give these tasty snacks a go, they might become open to all things healthy!

• Fresh veggies and hummus
• Apple wedges with peanut butter
• Low-fat yogurt with berries
• Cubes of cheese and crackers
• Hard-boiled eggs with a little bit of salt and pepper
• Celery sticks with cream cheese and sunflower seeds
• A homemade milkshake with low-fat milk (or almond milk), the fruit of their choice, chia seeds, and cinnamon
• Lean proteins such as chicken breast, fish, and turkey

These snacks aren’t high in sugar but they contain all the nutrients your children need to have the necessary energy throughout the day.

This is only a sample of all the great, healthy snacks out there for your kids. For more ideas, ask us the next time you visit our Durham office. It’s never too early to create healthy habits; they’re not only good for oral health, but overall health too. That’s a win-win, if you ask us.

Part of the charm of your child’s smile is those delicate, diminutive baby teeth. We enjoy those smiles while we can, because soon enough, primary teeth make way for the adult teeth that will last your child a lifetime. So you might be surprised if Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. and our team recommend a crown for your child’s baby tooth. Is this procedure necessary when the tooth is going to fall out eventually anyway?

Yes, it really is. If a primary tooth is lost before its normal lifespan, several problems can arise.

• Biting and chewing—a full set of baby teeth is best for proper chewing and digestion. And chewing also helps develop face and jaw muscles.
• Speech development—primary teeth help guide speech production and pronunciation.
• Spacing—a baby tooth serves as a place holder for the adult tooth waiting to replace it. If a primary tooth is lost too early, teeth may drift from their correct location and cause overcrowding or misalignment.

When is a Crown Necessary?

The enamel in a baby tooth is thinner than the enamel found in adult teeth, and a cavity can spread quickly throughout a tooth. Within a short period, the tooth’s structure might be too weak for a regular filling. Sometimes the pulp inside the tooth becomes injured or infected and an endodontic treatment is necessary to remove pulp tissue from inside the tooth. The interior will be filled, but the delicate enamel surrounding it will be fragile. Or an accident can leave a tooth fractured or broken, but still vital.

In each of these cases, a crown will protect the tooth from further decay or damage, and will allow the tooth to function normally until an adult tooth is ready to replace it.

What Types of Crowns are Available?

By far the most common choice for a primary tooth is a stainless steel crown. These crowns are prefabricated and can be fitted snugly to your child’s individual tooth. They are easy to place, less expensive than other crown alternatives, and will last until the tooth is ready to fall out in its proper time. If your child suffers from a metal allergy, or a more natural looking crown is necessary, talk to us about other possible options during your appointment at our Durham office.

Sure, preserving a baby tooth that was never designed to be permanent seems contradictory. But saving a tooth that helps your child develop proper eating habits, speech production, and correct adult tooth alignment? Those are benefits that will last a lifetime.

It's a moment many of our patients have experienced. One second you're chewing on a piece of gum, then suddenly you forget to keep chewing and swallow the entire rubbery gob whole! It's at this point you remember your mother warning you as a child that if you swallow gum it will stake a claim and take up residency in your belly for seven years. Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. and our team at Southpoint Pediatric Dentistry hate to take all the fun out of the mystery, but the truth is that chewing gum, when swallowed, will enter your stomach and move through your digestive system just like any other piece of food. So, if you ever accidentally swallow a piece of gum, there is no need to worry!

That being said, it's important to know that gum does not have any dietary benefits, so while it’s not exactly harmful to swallow, you still want to avoid swallowing it. If you are an avid gum-chewer, we encourage you to chew sugarless gum, especially if you are wearing braces, because gum with sugar can lead to cavities. Sugarless gum still has the same amount of flavor, but has fewer cavity-causing ingredients. In fact, many brands contain an additive called xylitol, a natural sweetener known to fight cavity-causing bacteria. Xylitol is also known to increase salivary flow as it rinses away plaque and acid.

The fact is, when the bacterium in your mouth breaks down sugar, what’s left behind is acid. This acid eats away at the enamel coating of your teeth, causing holes that we call cavities. Cavities can lead to other long-term mouth problems if they are not treated in time, so it is best to try and avoid overexposing your teeth to too many harmful substances!

If you have any questions about chewing gum, please contact our office. Happy (sugar-free) gum chewing!

At Southpoint Pediatric Dentistry, we know that brushing your toddler’s teeth can be an intimidating prospect. So we’re providing a few tips in the hope of making the process a lot more easy, effective, and all-around enjoyable for everyone!

Start by getting into a position that gives you control and enables you to see well into your child’s mouth. If you can see clearly, you will be able to maneuver the toothbrush better around your son or daughter’s mouth for a better quality of brushing.

It’s important to choose a time when your toddler is calm. Have your little one sit with his or her favorite stuffed animal, or play a fun movie in the background so your child can focus on something comforting while you’re brushing.

Using a circular motion, brush all sides of their teeth. Be sure to let your toddler have a turn after you’re done, to start getting used to it. This way, he or she is more likely to repeat the brushing and flossing exercise when your youngster is old enough.

Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. and our team agree that brushing and flossing need to be performed with kindness and care. To ensure your child learns good dental hygiene habits early on, be gentle and make this time a happy, learning time.

Your child should also have regular appointments at our Durham office for checkups and cleanings to keep on track!

You’re all set for your happy morning and nighttime ritual. You’ve provided your son with his favorite action hero toothbrush and your daughter with her favorite flavored toothpaste. You’ve gotten them into the healthy habit of two minutes of brushing twice each day. You’ve introduced them to flossing. You have favorite brushing songs! Stickers! Gold stars! And, best of all, you’re teaching great brushing techniques.

Kids need the same basic brushing tools and skills as adults. What makes for the best cleaning?

Find the right brush

No matter how cute—or heroic—the brush, it needs to have soft bristles to protect enamel and delicate gum tissue. The head should be a perfect fit for your child’s mouth. And if the handle is easy to grip and hold, you have a winner.

Find the right toothpaste

The bubblegum flavor might appeal to your child, but it’s the fluoride that helps to prevent cavities. Talk to us about the right time to start using fluoride toothpaste and the right amount for your child’s brush.

Teach your child the angles

If your child is too young to brush alone, start geometry lessons early. Holding the brush at a 45-degree angle toward the gums will clean bacteria and plaque from the tooth surface and the gum line. And don’t forget the chewing surfaces and the insides of the teeth. When your child begins brushing on her own, coach her as she learns the best way to clean all the surfaces of her teeth.

Easy does it

Teeth and gums should be massaged, not scrubbed. Brushing too hard can damage not only tender gum tissue, but even your child’s enamel.

Learn to let go

No matter how comfortable and appealing the brush, after three or four months, it’s time for a change. Frayed bristles don’t clean as effectively, and making up for it by brushing harder isn’t the answer (see above). Also, toothbrushes can build up quite a collection of bacteria over time (see below), so a fresh brush is a must!

Everything in its place

A toothbrush should dry thoroughly between uses without touching other brushes. Placing a brush in a plastic container doesn’t let it dry and encourages bacterial growth. And a toothbrush needs its own space—touching toothbrush heads means sharing toothbrush bacteria. The best way to keep toothbrushes as dry and as germ-free as possible is to store them upright, without touching other brushes, in a clean, well-ventilated area.

Rinse and repeat

Your child should rinse his toothbrush before and after using it, and be sure to rinse his mouth as well. That should get rid of any leftover food particles brushing has removed.

Finally, keep up the good work! As you teach your child proper brushing techniques, and make sure she uses them as she grows, you are preparing her for a lifetime of great checkups with Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. at our Durham office. Give yourself a gold star—you’ve earned it!

Sports are great for children for a variety of reasons. Children can develop their motor skills, learn how to solve conflicts and work together, and develop their work ethics. As a parent, you may recognize the benefits of sports, but also naturally worry about your child’s health and safety. Your job goes beyond providing a water bottle and making sure your child follows the rules of the game.

Although you may not think of your child’s teeth first when you think about sports, accidents can happen that affect your children’s teeth. A stray hockey stick, an errant basketball, or a misguided dive after a volleyball are examples of ways a child could lose a tooth. In fact, studies show that young athletes lose more than three million teeth each year.

Becoming a Better Athlete to Protect Teeth

Becoming a better athlete involves refining skills, learning the rules of the game, and being a good sport. These components are not just about winning. They are also about safety. Young athletes who are better ball-handlers and who are careful to avoid fouls and penalties are less likely to have harmful contact with the ball, teammates, or opponents. Children who are better roller-bladers are less likely to take a face plant into the blacktop, and more likely to save their teeth. Being a good sport and avoiding unnecessary contact is one way to protect teeth.

Proper Protective Equipment for Teeth

If your child is in a sport that poses a high threat to teeth, it is essential for your child to wear a mouthguard. Mouthguards fit your child’s mouth and consist of soft plastic. Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. can custom fit a mouthguard if generic ones are uncomfortable. While children may resist wearing a mouthguard initially, your persistence in insisting that they wear it should be enough to convince them. A helmet or face mask provides additional protection.

While prevention is best, rapid treatment can improve the situation if your child does happen to lose a tooth during sports. Rapid implantation can work in about ten percent of cases. To learn about ways to save a lost tooth, contact our Durham office.

Sealants provide a thin coating over molars that can be a powerful tool to protect your child’s teeth from decay. This simple and painless solution can be applied in a matter of minutes by our team at Southpoint Pediatric Dentistry, forming a protective shield and avoiding costly and painful cavities or other forms of tooth decay later.

The Causes of Tooth Decay

Our mouths are routinely filled with germs and bacteria. Some of these bacteria can be helpful in converting the foods we eat (especially sugars in the food) into acids that our bodies use to break down food. However, when we eat too much sugar, the excess acids can cause cavities and other decay in teeth.

Molars (our chewing teeth) are prime sites for tooth decay because they have rough surfaces with lots of little grooves where small food particles and germs find places to stay for extended periods of time. If you can prevent tooth decay in your child’s teeth now, you may be able to avoid treatments for decaying teeth later in life—costly and painful procedures like crowns and fillings.

Protecting Against Decay

A comprehensive plan for mouth care can protect against tooth decay. This plan should include:

• Drinking water with fluoride in it or using other fluoride supplements
• Eating a healthy diet (avoiding excessive sugar)
• Brushing teeth regularly
• Applying sealants

On their own, each of these activities is good but does not provide enough protection against decay. Fluoride is best for protecting the smooth surfaces of our front teeth, but may not provide enough of a shield for our rough, uneven back teeth. In addition, toothbrush bristles may not get to all the tiny food particles and germs in our mouths. For these reasons, sealants are the recommended preventive measure for molars in the fight against germs.

Who needs sealants, and when?

The best time to get a sealant is when your child’s adult teeth are just growing in. Between the ages of about five and seven, children grow their first permanent molar teeth, and they grow a second set of permanent molars between the ages of 11 and 14. Sealants placed on these teeth as soon as they grow in will be most effective in preventing tooth decay before it occurs.

If your child still has his or her baby teeth, Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. may recommend sealants for teeth that are especially rough or uneven and may be prone to tooth decay. When your child loses his or her baby teeth, we will apply new sealants to the permanent teeth when they grow in. In addition, our team may recommend sealants for adults in special cases; for example, if a previously placed sealant falls out, if you never had sealants put in as a child, or if your teeth are prone to decay and the preventive treatment may help.

Talk to us during your next visit at our Durham office to learn more about how dental sealants can help protect your child’s teeth.

Sleepless nights, crankiness, drooling—how can such tiny teeth cause such a big fuss? But all those uncomfortable days and nights are forgotten when your baby’s first teeth make their appearance. Why? Well, certainly because your child is happier, but also because you know baby teeth, or primary teeth, are important for your child’s growth in so many different ways.

• Chewing and Eating

Your baby might enjoy solid foods at an early age, but real chewing doesn’t happen until all the baby molars appear between the ages of one to three years. This is the time to feed children size-appropriate and texture-appropriate foods so they acquire proper chewing and eating habits for healthy digestion. Chewing also helps develop your child’s jaw and facial muscles.

• Developing Speech

Pronouncing many of the common sounds used in speech often requires tongue and teeth working together. If teeth are missing or there is a bite problem such as an open bite, it might be more difficult to pronounce words properly. This could be only a temporary delay, or it could require speech therapy when your child is older.

• Setting the Stage for Permanent Teeth

Baby teeth not only help with speech and jaw development, but they serve as space holders for permanent teeth. If a primary tooth is lost too early, a permanent tooth might “drift” into the empty space. The adult tooth will not have the room to fit where it should, and crowding or misalignment can occur. This might cause orthodontic problems in the future.

• Learning Healthy Dental Habits

You are your baby’s first dental health care provider! Wiping the gums and erupting teeth with a soft damp cloth after meals, gently brushing baby teeth when your toddler is young, teaching how to brush as your child gets older, helping to establish daily routines for brushing—all these practices will prepare your child for lifelong healthy dental habits.

• Making the Dentist a Regular Part of Your Child’s Life

Your child should visit our Durham office soon after that first tooth comes in, and definitely by the age of 12 months. Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. can help with suggestions for your brushing and flossing routine, make sure your child’s teeth are healthy and clean, and ensure that teething progress is on track. In later visits, we will examine your child’s primary teeth and gums, and treat any problems, such as cavities, before they can become serious.

It turns out that baby teeth really are a big deal. Talk to us about suggestions for caring for your toddler’s teeth and about any questions you may have about teething progress, jaw and facial structure, speech development, or any other concerns at any time. We want to have a happy relationship with your child from the very start for a lifetime of healthy and confident smiles.

A dental sealant is a liquid that is applied to the teeth. The sealant hardens and provides a protective coating that is designed to reduce cavities and create a smoother tooth surface. Dental sealants are clear or white; they do not take away from the appearance of teeth. You can think about this treatment as being similar to varnish that protects a wood floor.

Sealants are not the same as fluoride treatments. The application is similar, but sealants are a semi-permanent protective coating. Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. and our staff recommend that sealant applications for children begin soon after molars erupt, first molars around the age of six, and second molars around the age of 12.

Simple Application

Having sealants applied is not uncomfortable at all. First, your child's teeth will be cleaned and dried. A gel is applied, which helps the sealant adhere to the tooth, and then is rinsed away. Your child's teeth are dried again and the sealant is applied. A few seconds of exposure to a light source may be used to cure the sealant and make it semi-permanent. Sealants should last for a long time, normally between five and ten years.

Sealant Benefits

The coating on the surface of your child's teeth reduces the amount of acid contact. Normal acids in foods that are consumed can eat away at the surface of teeth. Bacteria also react to plaque formation and create more acid in the mouth. These small pits or weakened areas are prone to caries or cavity formation. Preventing cavities is a much better choice than drilling and filling damaged teeth.

A sealant also helps to smooth the chewing surfaces of your childn't teeth. The smoother surface is not as likely to retain small particles of food and bacteria. Your child's mouth stays cleaner and food is not left behind to form acids. The protective application can also be used on other teeth that have a rough surface, to protect the grooves or pits from decay.

After the sealant is applied, your child still needs to take proper care of his or her teeth. Regular brushing and flossing is required. Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. may recommend fluoride treatments to strengthen and protect your child's teeth further.

If you have any concerns about sealants, please discuss them with during your child's next appointment at Southpoint Pediatric Dentistry. We want your little one's teeth to stay healthy for life.

Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. and our team at Southpoint Pediatric Dentistry specialize in pediatric dentistry, and we understand that children can be frightened of things they do not understand. This anxiety is often heightened by an unpleasant dental experience or stories they hear from classmates. We have many methods at our Durham office to make your child’s dental visit pleasant and anxiety-free.

Listening

The first thing Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. and our team do is talk to your child, listen to any concerns he or she may have, and take the time to explain the dental work that will be done. Often children will lose their fears by simply understanding what is happening and why. In addition, you are welcome to be in the room with your child during exams and treatments. When a child is able to see that the parent is relaxed, this is more conducive to the child’s relaxation.

Relaxation

When you arrive at Southpoint Pediatric Dentistry, let your child to play with the toys we provide. This starts the visit in a positive manner. Taking your child’s mind off the exam is useful. While your child is undergoing an examination or procedure, listening to music or watching a video can support a sense of relaxation. When children understand that we care, their anxiety levels are reduced.

Sedation

Nitrous oxide is a sedation technique commonly used to reduce anxiety and alleviate any pain. It is beneficial partly because the effects wear off quickly. Topical pain relievers can also be useful for children with sensitive teeth, and this will eliminate discomfort.

Deeper sedation is useful for complex dental issues, extreme anxiety, or a fear of needles. A liquid or tablet sedative can be given before your child’s appointment. This type of sedation is also helpful for children with a fear of the masks used for nitrous oxide.

We welcome you and your child to discuss any concerns that you have regarding his or her dental appointment. We want your child to be free from anxiety about visiting Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr.. The earlier your child’s fears are addressed, the less likely the fear will carry into adulthood.

You might think babies don’t need to brush their teeth, especially when they don’t have any. But by starting good habits like brushing when your child is young, you can lay the foundation for them to continue those good habits into adulthood.

When do I start?

The best time to start brushing your baby’s teeth is before he or she has any. Develop the habit of wiping your baby’s gums with a wet, soft washcloth or gauze every day. There is no need to use toothpaste, just wrap the gauze or cloth around your finger, moisten it with a little water, and gently rub it over the gums.

This helps your little one get used to brushing while it eliminates bacteria in the mouth that can harm emerging teeth. You don’t need to apply a lot of pressure or even take very long: just a quick, gentle rub over the gums will do it.

What do I use?

When your child’s teeth begin to come in, you will need to switch from a cloth to a baby toothbrush. Find one that has a grip big enough for your hand, but a head that is small enough to maneuver easily in your infant’s mouth.

You don’t need to use any toothpaste until your son or daughter is about a year old. Even then, though, you’ll want to use just a tiny amount: about the size of a grain of rice. When your toddler is about two years old, you can use a pea-sized amount.

By around six years of age, your child will probably rinse and spit without your help. At that point, you may want to introduce a child-friendly fluoride mouthwash.

How do I do it?

Your child probably won’t be able to brush his or her teeth alone until about the age of five or six. This means that you will need to do it. To brush your child’s teeth, gently use the brush over all the teeth and gums, even areas where the teeth have not come in yet.

As your child grows and becomes more independent, you can allow him or her to hold the toothbrush while you guide your child’s progress. Make sure you talk to your child while you are brushing, and explain why you brush: what you are doing and how you are doing it.

In addition to regular visits with Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr., instilling good oral health habits in your child early on will ensure a lifetime of good dental health.

We want our children to have every advantage, including oral health. That’s why you encourage your child to brush twice a day. You keep the sugary treats to a minimum. You schedule dental exams and cleanings at our Durham office.

So, how did your child get a cavity? What to do to prevent more tooth decay?

First, don’t feel guilty. Some people are more prone to cavities, even with diligent brushing and flossing. But to make sure children have all the advantages when it comes to preventing cavities, we have some tips which might improve their dental habits.

• Better Brushing

Even for adults, brushing technique can be haphazard! Brushing’s not as effective without covering all the tooth surfaces (inside, outside, and molar tops), holding the brush at a 45° angle, gently brushing the teeth with small strokes, brushing for at least two minutes, and flossing between the teeth at least once a day.

Until children develop the motor skills to brush by themselves (around age six or seven), you can help by monitoring their brushing and flossing. If you like, you can use these four minutes a day for fun as well as dental care by playing music, awarding stickers, using an app with entertaining timers, or having your child mirror your brushing habits as you brush together.

And do make your child’s life easier with the right tools. Brush heads should be small enough to fit in little mouths comfortably, and bristles should always be soft. Floss, too, should be soft and flexible. Don’t forget to retire your child’s brush after three or four months—bristles start to fray and won’t clean effectively.

• Sealing the Deal

Ask about dental sealants. This treatment provides a protective coating for your child’s molars. Cavities are so common in molars because the tops of these teeth are quite uneven. Food particles and plaque are trapped in grooves where brushes have a hard time reaching.

The sealant process is a simple and safe one. Healthy teeth are cleaned and dried, an etching solution prepares the tooth surface, a thin coat of sealant is applied, and the coating is hardened under a curing light.

Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. might recommend sealants when your child’s first adult molars erupt. Enamel takes a while to develop its full strength, so new molars are especially vulnerable to cavities. Sealants typically last from three to five years, and studies have shown a dramatic reduction in cavities when teeth are treated with sealants.

• Fluoride Helps Prevent Cavities—in Two Ways!

Fluoride helps strengthen enamel in developing teeth. Because many communities have fluoride available in their water systems, your child gets the benefit of this natural mineral.

If you’re providing your child with fluoride toothpaste, you’re helping prevent cavities in the teeth, which have already erupted. The acids from oral bacteria weaken the mineral structure of enamel, which is the first step in forming a cavity. Fluoride helps repair weakened enamel in a process known as “remineralization.”

Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. can let you know the amount of fluoride that is right for your child, including how much or how little fluoride toothpaste to use, a prescription supplement if your water doesn’t contain fluoride, or the application of a fluoride treatment directly to your child’s teeth.

• Avoid Tricky Treats

Some treats are much better than others. We’re not talking taste, though. When it comes to dental health, texture and time are more important.

When your child enjoys a plain chocolate bar, saliva helps wash away sugary food particles. Sticky candies and starches, like caramels and potato chips, are a “stickier” problem. They cling to enamel, providing lots of sugar as fuel for cavity-creating bacteria. Similarly, drinking a soda with lunch (not every day, of course!) provides a short exposure to sugars. Sipping sodas throughout the day is like bathing teeth in sugar for hours at a time.

To eliminate some of the treats bacteria love, choose snacks with an eye to how they affect teeth throughout the day, and teach your child to brush or rinse with water after eating.

• Schedule Regular Dental Exams and Cleanings

Most children should be visiting Southpoint Pediatric Dentistry twice a year, even during the baby teeth years. Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. will monitor your child’s primary teeth and developing teeth and bite. And a professional cleaning removes built up plaque that even the most dedicated brusher might miss.

If you have any concerns about cavities and their prevention, Dr. Amy Davidian, Dr. Sameha Abdulbaki, and Dr. Edward W. Davidian Jr. will have suggestions tailored to your child’s individual needs. Us working together to make sure your child has a healthy, confident smile? That’s a partnership that will provide lifelong advantages!

Setting clear goals helps patients build routines that can lead to lifelong oral health improvements. Goals like brushing twice a day with fluoride toothpaste and flossing daily are simple yet effective in maintaining oral hygiene. By linking these habits to daily activities, such as brushing right after breakfast or flossing before bedtime stories, patients can make these practices routine and part of their everyday lives.

But why is setting a goal so important? Good oral hygiene helps reduce the risk of cavities and gum disease. Healthy gums can also lower inflammation throughout the body. A healthy mouth is a healthy body.

One great success story from the past year involves several of our patients who initially required Cavitron (ultrasonic) cleanings due to heavy plaque buildup, tartar, and gum inflammation. At the start, these patients needed deeper, more frequent cleanings to manage their oral health.

Through consistent dental visits, improved home care routines (brushing twice daily, flossing regularly, and using recommended products), and guidance from our dental team, we saw a significant transformation over time. Their gum health improved, inflammation decreased, and plaque buildup became much more manageable.

As a result, many of these patients have transitioned to routine, traditional cleanings—an important milestone that reflects healthier gums and better overall oral hygiene.

If you have some milestones you want to hit with your oral health this year, our team is here to help! We teach proper brushing and flossing techniques and create a fun, welcoming atmosphere that can help reduce dental anxiety and associate oral care with positive experiences.

But this doesn’t just stop with us, parents can help out at home too! Especially for kids who have trouble brushing their teeth, we encourage parents to turn it into a game, even adding in apps such as Happy Kids Timer, to encourage proper brushing.

And don’t forget to schedule your child’s yearly cleaning, this is where we can help assess if there may be any additional problems or issues. We hope to see you soon!

Our team at Southpoint Pediatric Dentistry hears this question a lot. According to our friends at the American Academy of Pediatric Dentistry (AAPD), pediatric dentistry is “an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral healthcare for infants and children through adolescence, including those with special healthcare needs.”

Pediatric dentists, such as Dr. Amy, Dr. Sameha, and Dr. Edward, are dedicated to the oral health of our young patients from infancy through their teen years. Our team at Southpoint Pediatric Dentistry has the experience and qualifications to care for your child’s teeth, gums, and mouth throughout his or her various stages of childhood.

Pediatric dentists complete at least four years of dental school, including an additional two additional years of residency training in dentistry for infants, children, teens, and children with special needs.

At Southpoint Pediatric Dentistry, we know children are not born with a fear of the dentist, but they can fear the unknown. And that is why Dr. Amy, Dr. Sameha, and Dr. Edward and our team know how to examine and treat children in ways that make them relaxed and comfortable.

To learn more about pediatric dentistry, or to schedule your child's next visit at our Durham office, please give us a call today!