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You have a lot more freedom as a teenager than you did as a young child. You also have a lot more responsibilities, and one of your jobs is to take care of your teeth. Develop and maintain good dental habits now so you can have great dental health for life!

Tooth Decay

As a teenager, you risk tooth decay, or dental cavities, if you are not careful. In fact, 59% of adolescents aged 12 to 19 have at least one cavity, according to the National Institute of Dental and Craniofacial Research. Drs. Sheena Allen, Murat Ayik, and Mark Margolin and our staff recommend keeping your teeth strong and healthy by brushing at least twice a day and flossing every day.

If you suspect that you have tooth decay, do not be embarrassed. Instead, ask your parents to bring you to Dallas Dental Arts to get it looked at. When you do not treat your dental cavities, they can turn into more serious problems. A severely damaged tooth may need to be treated with a root canal or even an extraction.

You can take easy steps to prevent tooth decay when you are at school or hanging out with your friends. Carry a bottle of water around with you so you can take a sip after you eat any kind of food. Choose water or milk instead of soda or sports drinks, and if you chew gum, select a sugar-free flavor.

Other Oral Health Concerns

You can probably think of many reasons why you should not smoke or use tobacco. Your oral health is another one. Tobacco gives you bad breath and stains your teeth yellow. It also increases your risk for gum disease and cancer of the mouth. Smoking even slows the speed of healing after you have dental procedures done.

Here are a few more tips that can keep your mouth attractive and healthy during your teen years.

• Drink plenty of milk.
• Limit candies and sugary snacks.
• Wear a mouthguard if you play a contact sport.
• Visit Dallas Dental Arts twice a year.
• Reduce infections and avoid piercing your tongue and lips.

You only get one set of permanent teeth in your life, so get in the habit of taking care of them now!

A lot of patients go at their teeth like they were sanding an old floor—that is to say, way too hard! Brushing too hard is probably the most common mistake patients make in their oral care routine, and it can be detrimental to the gums and teeth.

What can brushing too hard cause?

• Receding gums
• Bone loss around teeth
• Loss of teeth
• Tooth sensitivity, especially to hot and cold
• Worn down enamel

Brushing too hard wears away at your gums, which can lead to the neck of the teeth being exposed. This part of the tooth isn't covered by hard enamel like the rest of the tooth and hence the soft inner layer, or dentin, is exposed. Dentin is very sensitive to hot and cold and much more susceptible to bacterial decay. Once the gums recede due to improper brushing, it’s usually irreversible.

How to brush your teeth properly

You know you're supposed to brush your teeth twice a day, so why not do it right? First and foremost, you should only ever brush with a soft bristled brush—not medium or hard—unless directed otherwise by Drs. Sheena Allen, Murat Ayik, and Mark Margolin. Unless you have braces or specific oral health issues, brushing twice a day for two minutes is usually plenty.

The main purpose of brushing is to remove plaque from your teeth and gums. Plaque is actually soft and is a buildup of bacteria, saliva, and food debris. You really don't need to brush hard to remove it, just make sure you aim your toothbrush at the gum line (where plaque grows) and brush in small circular motions, never a back-and-forth motion.

It's also wise to hold your toothbrush gently. People tend to brush harder the tighter they hold their toothbrush.

Still have questions about proper tooth brushing technique or gum health? Ask any staff member or Drs. Sheena Allen, Murat Ayik, and Mark Margolin during your next visit to our Dallas,TX office; we'd be happy to help!

We’re parents, so we worry. It comes with the job description! That’s why we make sure our children use toothbrushes with soft bristles and apply just the right amount of fluoride toothpaste. That’s why we make regular appointments with their dentists for preventive care and examinations. And that’s why we want to know all about the X-rays that are used in our children’s dental exams.

First of all, it’s reassuring to know that the amount of radiation we are exposed to from a single dental X-ray is very small. A set of bitewing X-rays, for example, exposes us to an amount of radiation that is approximately the same as the amount of radiation we receive from our natural surroundings in a single day.

Even so, dentists are especially careful when children need X-rays, because their bodies are still growing and their cells are developing more rapidly than adults. And children often have different dental needs than adults, which can require different types of imaging.

In addition to the usual X-rays that are taken to discover cavities, fractures, or other problems, young patients might need X-rays:

• To confirm that their teeth and jaws are developing properly
• To make sure, as permanent teeth come in, that baby teeth aren’t interfering with the arrival and position of adult teeth, and that there’s enough space in the jaw to accommodate them
• To plan orthodontic treatment
• To check the progress and placement of wisdom teeth

So, how do dentists make sure your child’s radiation exposure during X-ray procedures is as minimal as possible?

Radiologists, the physicians who specialize in imaging procedures and diagnoses, recommend that all dentists and doctors follow the safety principal known as ALARA: “As Low As Reasonably Achievable.” This means using the lowest X-ray exposure necessary to achieve precise diagnostic results for all dental and medical patients.

Moreover, radiologists are devoted to raising awareness about the latest advances in imaging safety not only for dental and medical practitioners, but for the public, as well. With children in mind, pediatric radiologists from a number of professional associations have joined together to create the Image Gently Alliance, offering specific guidelines for the specific needs of young patients.

And because we are always concerned about the safety of our patients, dental associations around the world, including the American Academy of Pediatric Dentistry, the American Dental Association, the American Dental Hygienists’ Association, the Canadian Academy of Pediatric Dentistry, and the Canadian Dental Hygienists Association, are Image Gently Alliance members.

The guidelines recommended for X-rays and other imaging for young people have been designed to make sure all children have the safest experience possible whenever they visit the dentist or the doctor. As dental professionals, Drs. Sheena Allen, Murat Ayik, and Mark Margolin and our team ensure that imaging is safe and effective in a number of ways:

• We take X-rays only when they are necessary.
• We provide protective gear, such as apron shields and thyroid collars, whenever needed.
• We make use of modern X-ray equipment, for both traditional X-rays and digital X-rays, which exposes patients to a lower amount of radiation than ever before.
• We set exposure times based on each child’s size and age, using the fastest film or digital image receptors.

We know your child’s health and safety are always on your mind, so you’re proactive about dental care. And your child’s health and safety are always on our minds, too, so we’re proactive when it comes to all of our dental procedures available at our Dallas,TX office.

Please free to talk with Drs. Sheena Allen, Murat Ayik, and Mark Margolin about X-rays and any other imaging we recommend for your child. We want to put your mind at ease, knowing that X-rays will be taken only when necessary, will be geared to your child’s age and weight, and will be used with protective equipment in place. Because ensuring your child’s dental health and safety? That comes with our job description!

Five words no one welcomes: “You need a root canal.” But if you are delaying treatment because you are worried about pain and an uncomfortable day in the dentist’s chair, please think again! Modern root canal procedures are designed to repair your damaged tooth gently and efficiently, and leave you with a restored natural tooth that can last a lifetime.

• Why might you need a root canal?

First, a little tooth biology. Each tooth has a crown (the part we see above the gums) and one or more roots (the part of our tooth below the gum line that is attached to bone in our jaw). The tooth has three basic layers: the hard enamel and cementum that cover the outer crown and root, the softer dentin beneath that layer, and, on the inside, the pulp. Pulp is made of living tissue, and contains the blood vessels and nerves that nourish the tooth and keep it vital.

Even with the protection the enamel and dentin provide, sometimes the pulp can be infected or damaged. If you have suffered an injury to your mouth or jaw, or an infection has developed from an opening in the tooth caused by a deep cavity or crack, you may need a root canal to prevent further infection, pain, and even tooth loss. Call our Dallas,TX office immediately if you feel pain with chewing or pressure, prolonged sensitivity to heat or cold, swollen, and tender gums around a tooth, or tooth discoloration.

• The Root Canal Procedure

If a root canal is necessary, the procedure is very straightforward. After the area around the tooth is numbed, we will make an opening in the crown to allow access to the pulp inside. Very small instruments will be used to clean the inner tooth and removed bacteria and dead or dying tissue. The area will be thoroughly disinfected, and the inside of the tooth shaped and then filled and sealed. A temporary filling or crown might be placed on the tooth to prevent bacteria and food from entering the site if a permanent crown needs to be created. The entire process usually takes from one to three visits.

If we suggest a root canal, it is because this is the best way to save your tooth. Please feel free to talk to us about your particular needs and concerns. Which tooth is affected, how many roots are involved, what type of filling or crown might be best—we will work with you to provide all the information you need and all the options you have available.

Common Concerns

• Are you concerned about pain?

The most painful part of a root canal is often the severe discomfort your tooth causes before treatment. And infections and damaged nerves can affect not only the injured tooth, but the gums, tissue and even bone surrounding it. With our modern dental techniques, a root canal procedure is often no more uncomfortable than a regular filling. The local anesthetic we use will prevent you from feeling any pain during the procedure, and, while the area around your tooth might be a bit sensitive following treatment, the pain caused by the infection or injury should be gone.

• Are you anxious about the procedure?

If dental treatment causes you anxiety, please let us know. There are several sedation options we can pursue to make this procedure less worrisome. Our goal is to make your treatment as gentle and comfortable as possible.

No one welcomes the news that a root canal is necessary, but with today’s procedures, this treatment can be just what you need to relieve your pain and keep your natural tooth where it belongs for many years to come. And that is welcome news, indeed!