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You know a lot about taking care of your teeth. You brush carefully twice each day, you floss, you (mostly!) eat healthy foods, and you see Drs. Hutcheson, Train, Goodall, Lewis for checkups and cleanings. Good for you! These are some of the very best ways to make sure you don’t get cavities.

But it takes more than taking care of your teeth for good oral health. It also means taking care of your gums, because your teeth and gums are a team.

Clean and healthy gums and teeth work together. Our gums fit snugly around our teeth to help protect them from bacteria and other germs. And clean, plaque-free teeth are important for healthy gums. How? Let’s take a look.

Plaque forms all day long, and sticks to our teeth unless we brush and floss it away. The bacteria in plaque create acids. These acids make our tooth enamel weaker, which can lead to cavities. We don’t want cavities, and so we brush and floss to get rid of plaque.

But that’s not the only reason we clean our teeth well. Plaque is double trouble, because the bacteria in plaque also irritate our gums.

How do our gums react when they’re irritated? They turn darker pink or red, or they get swollen or sore, or they even bleed a bit when you brush. All these signs are symptoms of gingivitis, which is how gum disease begins. (And sometimes people can have gingivitis without any big symptoms at all.)

So, how do you make sure you keep your gums healthy? Just remember to include your gums while you’re doing all the things you already do to take care of your teeth!

• Brush Well

Lots of people, including kids, get gingivitis, because it doesn’t take long for plaque to build up when we don’t brush often enough or carefully enough. Make sure to brush twice each day, and don’t forget to angle your toothbrush to gently brush along the gum line where your teeth and gums meet.

Gentle brushing is all you need for daily tooth cleaning. Rough brushing and hard bristles can hurt even tough tooth enamel, so you know they’re not good for your gums!

• Floss Well

Flossing gets plaque that your toothbrush can miss. After all, it’s hard for bristles to squeeze in between those tight teeth. And flossing is especially important for your gums, because it removes plaque that is hiding near the gum line.

But figuring out the best way to floss teeth can be hard even for adults! Luckily, you have an expert to help you find out just how to use floss and just the right floss to use—your dental hygienist. When you have your teeth cleaned at our Richardson or Carrollton office, ask about the easiest and best ways to floss for your own special teeth and gums.

• Eat Well

All of the foods which are good for your teeth—milk, cheese, yogurt, fruits, vegetables—are good for your gums, too! And the foods which aren’t so great for your teeth—sticky, sugary foods—aren’t great for your gums, either. Sugar feeds the bacteria in plaque, and plaque irritates gums.

This doesn’t mean no treats ever. It does mean that it’s important to brush well after enjoying desserts, or chips, or candy, or any food that sticks around your teeth and gums after eating. And if you can’t brush, a drink of water helps wash away bits of food which are still hanging around.

• See Your Dentist Regularly

Regular visits to Children's Dental Specialists can catch any gum problems before they become more serious. And, if you’ve been missing any spots when you brush and floss, your dentist or hygienist will let you know.

If you notice any signs of gingivitis—puffiness, redness, bleeding, or pain—tell a grownup right away. One of the fantastic things about the way our gums work is the fact that careful brushing and flossing are often all you need to make them healthy again! If you need more help, your dentist is the person who can treat gum problems to keep your smile feeling and looking great.

Work together with Drs. Hutcheson, Train, Goodall, Lewis to make sure your teeth and gums are their healthiest. Just like healthy teeth and gums are a great team, you and your dentist make a great team, too!

Two-phase orthodontic treatment involves two separate and distinct periods that your child receives orthodontic treatment. It allows your son or daughter to begin early treatment of bite and jaw problems, in order to reduce the dental issues he or she experiences later on.

Two-phase orthodontic treatment with Drs. Hutcheson, Train, Goodall, Lewis can improve how well the second phase of the treatment works and helps to make room for permanent teeth. Overall, two-phase treatment helps to position the teeth and the jaw for an attractive profile. Our team at Children's Dental Specialists recommends that you bring your child to our Richardson or Carrollton office at the age of seven or eight, so that Drs. Hutcheson, Train, Goodall, Lewis can determine if early (Phase-One) treatment is necessary.

Phase-One

Phase-One orthodontic treatment is known as early treatment. It begins shortly after your child’s first orthodontic examination, usually around age eight or nine. The main goal of Phase-One orthodontic treatment is to help make room for permanent teeth, which reduces crooked teeth as a result of overcrowding. It treats the jaw and bite growth, and issues like crossbite or underbite. This can reduce the need for your child to undergo extractions.

Phase-Two

Phase-Two orthodontic treatment is when braces are placed on the upper and/or lower teeth. The purpose is not just to correct spaces or misaligned teeth, but also to correct overbite or underbite concerns. Phase-Two usually begins around age 11 or 12, and the braces are worn for an average of two to three years, depending on your child’s unique needs. Some children have fewer issues and wear braces for little more than a year, while others need them for up to four years.

Signs your child needs two-phase orthodontic treatment

If your child exhibits the following signs, he or she may be a good candidate for two-phase orthodontic treatment:

• Losing baby teeth early, before five years of age
• Problems with biting or chewing
• Sucking the thumb after age five
• Evidence of a crossbite, where the teeth don’t come together when opening or closing of the mouth
• Teeth are crowded at age seven or eight
• Protruding teeth on the top or bottom

Not all children need to have early treatment, but if your child shows any of these signs, you should bring him or her to us for an evaluation at Children's Dental Specialists.

Did you know that more than four million children throughout the US and Canada have braces? At Children's Dental Specialists, Drs. Hutcheson, Train, Goodall, Lewis and our staff know that kids can be picky and meticulous eaters. If cooking for children without braces is difficult, preparing meals for children with braces is especially daunting.

“Comfort food takes on a whole new meaning when cooking for children with braces,” says Pamela Waterman, author of The Braces Cookbook: Recipes You and Your Orthodontist Will Love. “Whether you have new brackets, elastics, headgear, or more, there are great foods you can eat; it just takes some thought.”

These five braces-friendly dinner recipes will be sure to keep your kids smiling!

1. Macaroni and cheese is the ultimate comfort food. Pasta is soft, so it’s easy for children with braces to eat. The warm, gooey cheese melts in the mouth and doesn’t get stuck in the braces like hard or sticky foods. Chances are good that even the pickiest eater has a soft spot for this homespun classic.
2. The key to braces-friendly cooking is to replace hard, crunchy foods with softer substitutes. In other words, burritos are a better option than tacos, and lasagna is a better choice than pizza. At the same time, if you have the culinary skills to whip up a pizza with a soft crust, you’re going to win the Best Mom (or Dad) of the Year award.
3. Your child may not like fruits and vegetables. In fact, he or she may even try to convince you that with new braces, fruits and vegetables are off limits. Nice try, kids. While your child is wearing braces, prepare meals with cooked vegetables instead of raw vegetables. A vegetable stir-fry is a healthy and soft dinner choice for kids with braces.
4. Whether it’s beef or chicken, meat is a good source of protein. However, meat, even when it’s carefully taken off the bone (kids with braces should never eat meat from a bone), can easily get caught in braces. Sloppy Joes are a good alternative. The beef is softened by the addition of the sauce and less likely to get strung in the wires and brackets of the braces. Serve the Sloppy Joes with a side of mashed potatoes.
5. Ask any child and he or she will tell you that the best part of dinner is dessert. While hard candy, licorice, taffy, caramel, popcorn, and all other chewy candies should be avoided, ice cream and cake are braces-friendly treats that keep kids smiling.

Need more braces-friendly food ideas? Feel free to ask any member of our team.

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 Drs. Hutcheson, Train, Goodall, Lewis 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 Drs. Hutcheson, Train, Goodall, Lewis 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 Richardson or Carrollton 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.