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If you’ve been hiding your smile because you have crooked teeth or gaps between your teeth, it’s time to consider orthodontic treatment with Drs. Hutcheson, Train, Goodall, Lewis. Preparing for treatment is an important part of getting the smile you want.

Basic exams

The first step of preparation is the examination. An oral exam and X-rays taken at our office are necessary to identify potential problems and ensure the right steps are taken to prepare for orthodontic treatment at Children's Dental Specialists.

Drs. Hutcheson, Train, Goodall, Lewis will first examine your teeth and take X-rays to determine if it is necessary to extract any teeth or additional work is necessary before braces are possible. You will be prepared for the next step of treatment after your exam is complete and potential problems are identified.

Model for bite

The next step in preparing for orthodontic is taking a plaster model of the mouth. With the model, Drs. Hutcheson, Train, Goodall, Lewis will be able to determine how the jaw is aligned so that appropriate adjustments can be made to the mouth and jaw with braces.

Depending on the situation, the model may be used to help evaluate your jaw and make decisions about appropriate treatment for your specific needs. Drs. Hutcheson, Train, Goodall, Lewis can create a model of your mouth with the bite indentation that is taken during preparation.

Extracting teeth

If it is determined that a tooth extraction is necessary, then the final step of preparing for orthodontic treatment is the removal of teeth. Only Drs. Hutcheson, Train, Goodall, Lewis can determine if it is necessary to remove any teeth before moving forward with the procedure to put on braces.

When your teeth are crooked, have a gap, or otherwise make you unhappy, orthodontic treatment at Children's Dental Specialists may be an appropriate solution. Although it may take time to prepare for the actual procedure, making the decision to seek treatment can provide the opportunity to show the world a beautiful smile.

For more information about orthodontic treatment and its benefits, or to schedule a consultation with Drs. Hutcheson, Train, Goodall, Lewis, please give us a call at our convenient Richardson or Carrollton office!

Dental sealants are an excellent way to protect children’s teeth from tooth decay by coating them with a thin plastic material. Their teeth look and feel like normal, but they are protected from plaque build-up and decay early on. Drs. Hutcheson, Train, Goodall, Lewis and our staff recommend sealants as a preventive measure for children before any decay appears on their teeth.

Who should get dental sealants?

Dental sealants are intended for young children as soon as their first teeth come in. Decay is most common in the molars, so taking your child to Children's Dental Specialists for sealants right when you see the molars grow in gives your child the best chance to fight tooth decay.

A child’s first set of permanent molars grow in between ages five and seven, while the second permanent molars come in between 11 and 14 years of age. Some teens and adults who don’t have tooth decay may get sealants as well, but it is less common.

How long do dental sealants last?

Once the sealant has been placed on the teeth, it lasts up to ten years. Expect to have Drs. Hutcheson, Train, Goodall, Lewis check the sealant at every visit to our Richardson or Carrollton office, which should be twice a year. We will look at the sealant and determine if it needs to be replaced.

What is the process of getting sealants?

Applying sealants is a simple, pain-free procedure that is done quickly at Children's Dental Specialists. There is absolutely no effect on the tooth structure from sealants.

For starters, the teeth are cleaned carefully, then dried with an absorbent material. A mild acid solution is applied to them to roughen them slightly. This is done so the sealant can bond properly to the teeth. Then the teeth are rinsed and dried, and the sealant material is painted on and dried with a special light.

Molars are susceptible to decay early on, which is why sealants are an important treatment to get for your children’s first set of teeth.

Many people think dental fluorosis is a disease, but it’s not; it’s a condition that affects the appearance of your tooth’s enamel, not the function or health of the teeth. These changes may vary from tiny, white, barely noticeable spots to very noticeable staining, discoloration, and brown markings. The spots and stains left by fluorosis are permanent and may darken over time.

Dental fluorosis occurs in children who are excessively exposed to fluoride between 20 and 30 months of age. Only children ages eight years and younger can develop dental fluorosis. Why? That is the period when permanent teeth are still developing under the gums. For kids, fluorosis can cause significant embarrassment and anxiety about the appearance of their teeth. No matter how much they might brush and floss, the fluorosis stains do not go away.

Many well-known sources of fluoride may contribute to overexposure, including:

• Fluoridated mouth rinse, which young children may swallow
• Bottled water which is not tested for fluoride content
• Inappropriate use of fluoride supplements
• Exposure to water that is naturally or unnaturally fluoridated to levels well above the recommended levels

One way to reduce the risk for enamel fluorosis is to teach your children not to swallow topical fluoride products, such as toothpaste that contains fluoride. In fact, kids should use no more than a pea-sized amount of fluoride toothpaste when brushing, and children under the age of two shouldn’t use fluoride toothpaste at all.

Dental fluorosis can be treated with tooth bleaching, microabrasion, and conservative composite restorations or porcelain veneers. Please give us a call at our office to learn more or to schedule an appointment with Drs. Hutcheson, Train, Goodall, Lewis.

A study conducted in Washington State in 2004 and another conducted in Madrid, Spain in 2012 both reported findings that support a direct relationship between parents’ dental fear and their child’s fear of the dentist.

The Washington study examined dental fear among 421 children ages 0.8 to 12.8 years old. They were patients at 21 different private pediatric dental practices in western Washington state. The Spanish study observed 183 children between the ages of seven and 12 as well as their parents.

The Washington study used responses from both parents and the Dental Sub-scale of the Child Fear Survey Schedule. The survey consisted of 15 questions, which invited answers based on the child’s level of fear. The scale was one to five: one meant the child wasn’t afraid at all, and five indicated he or she was terrified. The maximum possible points (based on the greatest fear) was 75.

Spanish researchers found a direct connection between parental dental fear levels and those among their kids. The most important new discovery from the Madrid study was that the greater the fear a father had of going to the dentist, the higher the level of fear among the other family members.

Parents, but especially fathers, who feared dental procedures appeared to pass those fears along to every member of the family. Parents can still have some control over fear levels in their children. It is best not to express your own concerns in front of kids; instead, explain why going to the dentist is important.

Drs. Hutcheson, Train, Goodall, Lewis and our team work hard to make your child’s visit at our Richardson or Carrollton office as comfortable as possible. We understand some patients may be more fearful than others, and will do our best to help ease your child’s anxiety.