Randy G. Raetz, DDS, PLLC

Sore gums when teeth appear are part of the normal teething process. The discomfort is eased for some children by use of a teething biscuit, a piece of toast or a frozen teething ring. Your pharmacy should also have medications that can be rubbed on the gums to reduce the discomfort.

For infants, a wet washcloth or a “tender touch” is an ideal way to clean teeth. Smearing a small amount of fluoridated toothpaste on the cloth can be helpful. A toothbrush with soft bristles and a small head can be used as they get older. Brushing at least once a day, at bedtime, will remove plaque bacteria that can lead to decay and poor dental hygiene.

At about 6 months, the two lower front teeth (central incisors) will begin to appear, followed shortly by the two upper central incisors. The remainder of the baby teeth appear during the next 18 to 24 months but not necessarily in an orderly sequence from front to back. At 2 to 3 years, all of these 20 primary teeth should be present.

“First visit by first birthday” is the general rule. To prevent dental problems, your child should see a dentist when the first tooth appears, usually between 6 and 12 months of age, certainly no later than his/her first birthday.

Many factors work to destroy the naturally white smile you were born with. Tobacco, certain foods, and certain drinks actually stain teeth. These substances continually work on our teeth causing our white smile to gradually fade. Hot coffee and tea are especially hazardous to your smile because they change the temperature of teeth. This temperature change - hot and cold cycling - causes the teeth to expand and contract allowing stains to penetrate the teeth. Cutting down on coffee and tea can go a long way to creating a great smile. Foods that are slightly acidic are also dangerous to your white smile. These foods open up the pores of the tooth enamel allowing stains to move more easily into the tooth. Your dentist can help you with more tips on keeping a white smile.

Commercial whitening toothpastes vary greatly in their ability to whiten teeth. They work by removing surface stains from the teeth with the use of mild abrasives. However, unlike professional whitening, some whitening toothpastes do not alter the intrinsic color of the teeth. Toothpastes that are effective in removing stains can also destroy tooth enamel in the process. These toothpastes use harsh abrasives. With repeated use, harsh abrasives begin to damage tooth enamel and can contribute to increased tooth sensitivity. If you would like to try a whitening toothpaste, consult with your dentist first.

Sensitivity toothpaste, which contains strontium chloride or potassium nitrate are very effective in treating sensitive teeth. After a few weeks of use, you may notice a decrease in sensitivity. Highly acidic foods such as oranges, grapefruits and lemons, as well as tea and soda can increase tooth sensitivity, and work against sensitivity toothpaste. If you do not get relief by brushing gently and using desensitizing toothpaste, see your dentist. There are special compounds that can be applied in-office to the roots of your tooth to reduce - if not eliminate - the sensitivity. High-fluoride containing home care products can also be recommended to help reduce tooth sensitivity. Ask the friendly staff at Mountain Dental for more information on sensitive teeth.

Always spend two to three minutes brushing your teeth. It takes that long to get rid of the bacteria that destroy tooth enamel. Do not brush too hard. It takes very little pressure to remove bacteria and plaque. Floss at least once a day. Flossing is the only way to get bacteria from between your teeth. Watch the sugar you eat. There is sugar in candy, fruits, crackers and chips. These are the foods that the bacteria in your mouth like best. Be mindful of foods like raisins and peanut butter that stick to your teeth. They can provide a constant supply for the bacteria eating into your teeth. Try to minimize the times during the day when sweet items are eaten and brush your teeth afterwards. If you cannot brush after a meal, rinse your mouth with water - which can help to remove food from your teeth. Chewing sugarless gum after a meal can also help. Chewing deskulates the flow of your saliva which acts as a natural plaque-fighting substance. And do not forget your regular dental visits!

Flossing reduces the number of bacteria in your mouth. There are millions of these microscopic creatures feeding on food particles left on your teeth. These bacteria live in plaque which can be removed by flossing. Brushing your teeth gets rid of some of the bacteria in your mouth. Flossing gets rid of the bacteria the toothbrush can't get to. That's the bacteria hiding in the tiny spaces between your teeth. If you do not floss, you allow plaque to remain between your teeth. Eventually it hardens into tartar. Plaque can be removed by brushing. Only the dentist can remove tartar. Ask your dentist to show you the proper way to floss. You will both notice the difference at the next cleaning appointment.

Many people do not see a dentist on a regular basis. They only go when they have a problem. This is known as "crisis treatment" versus "preventive treatment." While these patients may feel they are saving money, it often ends up costing much more in dollars and time. This is because many dental problems do not have symptoms until they reach the advanced stages of the disease process. An example is tooth decay. It is typical to hear, "Nothing hurts... I don't have any problems." Tooth decay often does not hurt until it gets close to the nerve of the tooth. It is not uncommon to see a patient with a huge cavity who has never felt a thing. The dentist can usually detect a cavity 3-4 years before it develops any symptoms. This early detection can help you prevent root canal treatment.

I dont think he does

Arlene, The cost would depend on whether or not you would need x-rays.