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One question our team at Children's Dental Specialists hear all the time is, “When should I start brushing my baby’s teeth?”

You should begin regular cleanings even before your baby has teeth. After each breast feeding (or bottle-feeding) use a clean, damp washcloth to gently rub your baby’s gum tissue. You may wrap the material around one finger to make it easier to remove any food bits from your baby’s mouth.

When your baby’s first tooth comes in, switch to a baby toothbrush. Look for special baby toothbrushes in your drugstore; they have just a few bristles and are very soft. There are even brushes shaped like finger puppets that fit over the tip of your pointer finger! All you need at this point is water (no toothpaste yet).

After a few more teeth appear, you may start using toothpaste, but you only need a tiny bit, and make sure it doesn’t contain fluoride for the first two years. From the beginning, have your little one practice spitting the toothpaste out after brushing. That way, he or she will already have the good habit of spitting when you switch to fluoride toothpaste, which should never be swallowed.

If you have any questions about caring for your baby’s teeth, or to schedule an appointment at our convenient Richardson or Carrollton office, please contact Children's Dental Specialists.

The words “overbite” and “overjet” certainly sound similar. Both conditions concern your front teeth. Both conditions fall under the same category of bite problems—Class II malocclusions, if you want to be technical. So it’s not surprising that they’re often used interchangeably. But while there are similarities, overbite and overjet are also distinctly different.

• Overbite/Overjet Geometry

In a healthy bite, the front top teeth project slightly beyond, and slightly overlap, the bottom teeth. The key word here is “slightly.” With a Class II malocclusion, the upper front teeth project further beyond the lower teeth than they should.

Of course, teeth and bites are as individual as we are, so there are variations in just how and just how much the overlap occurs. In diagnosing an overbite vs. an overjet, the difference comes down to a matter of vertical vs. horizontal.

An overbite, or deep bite, occurs when the top teeth vertically overlap the bottom teeth more than they should for a healthy bite. Generally, when a person’s top teeth cover more than a quarter of the bottom teeth when biting down, or more than two to three millimeters, that person is said to have an overbite.

An overjet, commonly known as protruding or buck teeth, is the result of a horizontal overlap that is broader than normal. This causes the top teeth to project outward toward the lips more than they do in a typical bite. An overjet is usually diagnosed when the horizontal distance between the top and bottom teeth exceeds two to three millimeters.

• Overbite/Overjet Causes

The causes for both an overbite and an overjet might be dental (caused by tooth alignment), or skeletal (caused by bone development), or a combination of both. These bite problems can run in families. They are also affected by the size and position of the jaws and the shape and position of the teeth.

Early oral habits, such as prolonged and vigorous thumb-sucking or pacifier use, can also contribute to the development of a Class II malocclusion, particularly an overjet. Consistent pressure from thump or pacifier pushes the teeth outward as they erupt, which encourages them to protrude. These oral habits can affect the shape of the palate and jaw, too.

• Overbite/Overjet Treatments

There are many types of treatment available to correct teeth and bite misalignments. Drs. Hutcheson, Train, Abie, Dyer will tailor your treatment to your specific malocclusion for the best orthodontic outcome.

If you have a mild malocclusion, and minor dental issues are the main cause of that malocclusion, either braces or clear aligners can be effective for an overjet or an overbite. Elastics (rubber bands) are often used as part of this treatment.

If the malocclusion is due to bite problems caused by uneven upper and lower jaw development, devices called functional appliances can be used with braces to help guide the growth of the jawbones while young patients’ bones are still forming. These include appliances that work inside the mouth to help the upper and lower jaws grow proportionally, and external appliances such as headgear.

In some cases, where the malocclusion is skeletal in nature as well as dental, surgical treatment might be necessary to reshape the jawbone itself. Orthodontic treatment is usually needed as well both before and after surgery.

• Overbite/Overjet Consequences

Over time, a deep overbite can cause damaged gum tissue, worn enamel, and fractured teeth. When teeth protrude because of an overjet, they can lead to self-consciousness and are more at risk for injury. Both malocclusions share dental and medical consequences, including concerns about facial and jaw appearance, problems speaking or chewing, headaches, and face and jaw pain.

Class II malocclusions aren’t all the same, and orthodontic patients aren’t all the same either. You may have a minor malocclusion or a significant one. You may have an overbite, or an overjet, or a combination of different bite and alignment concerns. Your malocclusion may not bother you at all, or it may cause pain, discomfort, or self-consciousness.

That’s why every overbite or overjet should be evaluated by an orthodontist. When you visit our Richardson or Carrollton orthodontic office, Drs. Hutcheson, Train, Abie, Dyer will be able to diagnose the exact nature of your malocclusion, the reason for it, and your best individualized treatment plan. An overbite and an overjet are different malocclusions, but you and your orthodontist want the same outcome for each: a healthy, attractive, and confident smile!

Many varieties of fillings are available at our Richardson or Carrollton office. Most people are familiar with traditional amalgam fillings: those big silver spots on top of teeth.

Made from a mixture of silver, tin, zinc, copper, and mercury, amalgam fillings have been used to fill cavities for more than 100 years. They offer several advantages, including:

• High durability for large cavities or cavities on molars
• Quick hardening time for areas that are difficult to keep dry during placement
• Reduced placement time for children and special-needs patients who may have a difficult time keeping still during treatment

Although dental amalgam is a safe and commonly used dental material, you might wonder about its mercury content. You should know that when it’s combined with the other metals, mercury forms a safe, stable material.

The American Dental Association, U.S. Centers for Disease Control and Prevention, U. S. Food and Drug Administration, and World Health Organization all agree that based on extensive scientific evidence, dental amalgam is a safe and effective cavity-filling material.

White Fillings

Newer, mercury-free, resin-based composite fillings (white fillings) are also available at our Richardson or Carrollton office. Composite resin fillings are made from plastic mixed with powdered glass to make them stronger.

Resin-based fillings offer several benefits for patients, including:

• They match the color of teeth
• Less tooth structure needs to be removed than with amalgam fillings
• BPA-free materials can be used

Resin-based composite fillings also have some disadvantages, including:

• Higher cost than amalgam fillings
• Inlays may take more than one visit
• Requires more time to place than amalgam fillings

There’s a lot to think about when you have to get a cavity filled. We recommend you do your homework and speak with Drs. Hutcheson, Train, Abie, Dyer before deciding what’s best for you or your family.

At Children's Dental Specialists, we know orthodontic emergencies are neither convenient nor timely. If you are a patient of record, Drs. Hutcheson, Train, Abie, Dyer and our team are more than willing to see you after hours or over the weekend. As a general rule, you should call our Richardson or Carrollton office when you experience severe pain or when you have a painful appliance problem that you can’t take care of yourself. We’ll be able to schedule an appointment to resolve the problem. If you have an orthodontic emergency after regular office hours, please give us a call and follow the emergency prompts to contact one of our doctors.