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Drs. Don and Mindy and our team at Kanawha City Pediatric Dentistry know that periodontal disease isn't something exclusive to adults. It can affect adolescents as well. Gingivitis, which is a milder form of periodontitis, is a form of periodontal disease, and a warning that more serious problems may arise. Untreated gingivitis can develop into full-blown periodontitis.

The American Academy of Periodontology (AAP) explains that research proves that younger people may develop more severe forms of gingivitis. Gingivitis is linked to periodontal disease. Children and adolescents who have type 1 diabetes or immune deficiencies are more likely to suffer from periodontal disease.

There are three types of periodontal diseases Drs. Don and Mindy and our team see in children and adolescents.

Chronic gingivitis

Parents may suspect that their adolescent has chronic gingivitis if he or she shows or complains of symptoms such as redness, swelling, or bleeding gums. Early treatment may prevent gingivitis from developing into a more severe form of periodontal disease.

Aggressive and/or chronic periodontitis

Once called adult periodontitis, the term chronic replaces “adult” because periodontitis can occur in people in their early teenage years, and progress throughout their teens. Chronic and aggressive periodontitis primarily affects incisors and first molars. One of its distinguishing characteristics is bone loss. Curiously, patients who suffer from this form of the disease have minimal dental plaque on examination.

Generalized aggressive and chronic periodontal disease

This form of periodontal disease has many of the same characteristics of the chronic and aggressive form, but this more severe type of the disease affects the entire mouth. Symptoms include major plaque and calculus accumulation, and inflamed gums.

In both forms of more severe periodontal disease, the overall gum structure may change. The severity of these changes may alter gum strength enough to loosen teeth, or even worse, cause them to fall out.

The success of any treatment is largely contingent on early diagnosis. Drs. Don and Mindy should conduct a thorough periodontal exam as part of an adolescent’s twice-yearly complete dental examinations.

The mouth is full of bacteria. Some of it is necessary for food digestion. Diseases are more likely to develop if bacteria travel to open places in the mouth, such as exposed gum pockets or cavities. Proper dental hygiene is essential for a healthy mouth, and a healthy mouth offers greater protection against painful dental diseases.

Be sure every member of your family has a complete dental exam and cleaning twice a year, and contact Drs. Don and Mindy when you or your young kids or adolescents complain of pain, sensitivity, or other oral problems. Early detection at our Charleston office leads to treatment of oral problems and prevents them from turning into serious periodontal disease and potentially irreversible problems.

At Kanawha City Pediatric Dentistry, we know that as many as one in 88 children today have some form of autism, a complex brain disorder that affects a child's ability to communicate or form relationships, and makes a child appear distant, aloof, or detached from other people or surroundings. Autism varies widely in symptoms and severity, and some people have coexisting conditions such as intellectual disability or even epilepsy.

That is why Drs. Don and Mindy and our team are specially trained to provide dental care to the entire special needs community, including autistic children. We know that a visit to the dentist with an autistic child can be difficult. In addition to the common fears associated with strangers, there are also unfamiliar sounds, sensations, bright lights, and tastes with which your child may not be comfortable. We work with parents to make sure visiting the dentist is not so traumatic for our autistic patients.

Drs. Don and Mindy and our team also know that patients with autism may be more interested in equipment and instruments than in us. We show our patients every piece of equipment we are going to use in a way that they can understand. We also allow a patient to sit in a parent's lap in the open bay if he or she is not feeling at ease. We want your child to enjoy getting to know us and to be comfortable while under our care.

A pleasant, comfortable visit at our Charleston office builds trust and helps put your child at ease for future appointments. Before a visit, we ask parents or guardians to bring their child's favorite toy, comfort item, music, or other coping device their child requires. We have a caring and compassionate team and know how to help autistic children acclimate themselves to a dental environment. We may not get everything done at the first visit, but we are able to schedule several appointments so that your child can get used to our office, the dentist, instruments, and our staff.

Children, especially those afflicted with autism, are not born with a fear of the dentist, but they can fear the unknown. Our team at Kanawha City Pediatric Dentistry genuinely cares for our patients beyond their teeth, and are more than happy to discuss any concerns you may have, as well as answer questions about your child's ongoing dental treatment. Please give us a call to learn more or schedule an appointment with Drs. Don and Mindy.

The grownups in your life help you with your dental care. After all, good dental health makes your life happier. Your teeth and gums feel great. You can eat crunchy foods. Your checkups and cleanings keep your smile healthy and bright.

And you want the same happy life for one of your best friends—your pet! Because February is Pet Dental Health Month, let’s talk about some ways you and your family can keep your dogs and cats healthy and happy, too.

• Feed Your Pet Healthy Food

The adults in your life make sure you eat a healthy diet. This includes serving foods filled with vitamins and minerals which are good for your teeth and gums. Pets also need to eat healthy meals, and there are special foods and treats made for their dental health. Some foods help keep teeth strong, and some tasty treats help clean the teeth.

Your veterinarian can help you find out the healthiest meals and treats for your dog or cat—and tell you which foods aren’t good for them!

• “Chews” the Right Toys

Dogs—and some cats—love chew toys, so we need to make sure those toys are safe for them and for their teeth.

Chewing on bones, sticks, and hard plastic toys can break even the biggest and strongest dog’s tooth. If a toy is harder than your pet’s tooth, it can damage your pet’s tooth. Toys should be tough enough not to break into little pieces when they’re chewed, and big enough not to be swallowed. Your vet is a good person to ask about the best and safest toys for your furry friend. And speaking of your vet . . .

• Take Your Pet to the Vet for the Best Dental Care

We talk about your pet’s veterinarian a lot, because veterinarians are both dentists and doctors for our four-legged friends. And just like you visit your dentist and doctor regularly to make sure you stay healthy, your pet sees the veterinarian for checkups, vaccinations, and dental exams. 

Checking your pet’s teeth regularly is important because, while dogs and cats don’t get cavities the same way we do, they often suffer from gum disease caused by built-up plaque—the same kind of plaque which causes cavities and gum disease in people.

If your pet is showing any of signs of a dental problem—a broken tooth, really bad breath, brown or yellow stains on the teeth, not wanting to eat, pawing at the mouth, or lots of new drooling—it might be time to visit the vet for a dental checkup.

February is Pet Dental Health Month, but your dog or cat is your friend all year long. You and your family can help your pets to have healthier teeth and gums by feeding them the right foods, seeing they have safe toys, and visiting the vet regularly. Your love and care will help your furry friend live a longer, healthier life. That’s happy news for both of you!

Pediatric dentists strive to make your children’s visits welcoming and worry-free, and, we want the same for you! Ask us about any questions you might have. We are happy to explain procedures, equipment, and sedation options so you know just how safe and comfortable your child’s experience can be. And if X-rays are a concern, we can put your mind at ease here as well.

What Exactly Are X-rays?

Sometimes parents feel reluctant about the process of imaging because X-rays are a kind of radiation. But the fact is, radiation is all around us. We are exposed to radiation naturally from our soil and water, sun and air, as well as from modern inventions such as cell phones, Wi-Fi, and air travel.

Why is radiation so common? Because matter throughout the universe constantly gives off energy, and the energy that is emitted is termed radiation. This radiation takes two forms—as particles (which we don’t need to consider!) and as traveling rays. This second type is known as electromagnetic radiation, created by photons traveling in regular waves at the speed of light.

We are exposed to electromagnetic radiation every day, because, whether we can see them or not, these different wavelengths and frequencies create various forms of light. Radio waves, microwaves, infrared, visible, and ultraviolet light, X-rays, and gamma rays are all part of the electromagnetic light spectrum.

Different types of radiation on this spectrum have different wavelengths and different frequencies, and produce different amounts of energy. Longer wavelengths mean lower frequencies and less energy. Because X-rays have shorter wavelengths and higher frequencies than, for example, radio waves and visible light, they have more energy.

How Do Dental X-rays Work?

An X-ray machine produces a very narrow beam of X-ray photons. This beam passes through the body and captures images of our teeth and jaws on special film or digital sensors inside the mouth (intraoral X-rays), or on film or sensors located outside the mouth (extraoral X-rays). These X-ray images are also known as radiographs.

Why are X-rays able to take pictures inside our bodies? Remember that higher energy we talked about earlier? This energy enables X-rays to pass through the softer, less dense parts of our bodies, which are seen as gray background in a radiograph. But some substances in our bodies absorb X-rays, such as the calcium found in our bones and teeth. This is why they show up as sharp white images in radiographs. 

There are different types of common dental X-rays which are used for pediatric exams, including:

• Bitewing X-rays, which are used to check on the health of the back teeth.
• Periapical X-rays, which allow us to look at one or two specific teeth from crown to root.
• Panoramic X-rays, which use a special machine to rotate around the head to create a complete two-dimensional picture of teeth and jaws.

Why Do We Need X-rays?

If all of our dental conditions were visible on the surface, there would be no need for X-rays. But there are many conditions that can only be discovered with the use of imaging—infection, decay, or injuries, for example, can show up as darker areas in the teeth or jaws. Among their many diagnostic uses, X-rays can help us find:

• Cavities between teeth
• Damage to the tooth’s pulp which might require root canal treatment
• Injuries to teeth or roots after trauma
• Abscesses, tumors, or other conditions that might be causing swelling or pain
• Unusual position or development of the teeth before and as they erupt
• Alignment and development of wisdom teeth

X-rays can also serve an important preventative role, by discovering small problems before they become major ones.

How Do Dentists Make Sure Your Child’s X-rays Are as Safe as They Can Be?

First of all, the amount of radiation patients are exposed to with a dental X-ray is very small. In fact, a set of bitewing X-rays exposes us to slightly less than the amount of radiation we are exposed to through our natural surroundings in just one day. Even so, Drs. Don and Mindy and our team are committed to making sure young patients are exposed to as little radiation 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.

The guidelines recommended for X-rays and other imaging have been designed to make sure all patients have the safest experience possible whenever they visit the dentist or the doctor. We 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.

X-rays play an important part in helping us make sure your child’s teeth stay their healthiest. If you have any concerns, contact our Charleston office. When it comes to making sure you’re comfortable with all of our procedures, including any X-rays that might be necessary, we’re happy to give you all the inside information!