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It’s a busy time of year. Book lists! Supplies! New clothes! (How did they outgrow those shoes already?) And while you’re preparing your family’s list of back-to-school necessities, here are a few essential reminders to help your child begin the school year with a healthy smile.

• Review

It never hurts to review the basics before the start of the school year, and that holds true for dental care as well! Make sure your child is brushing two minutes twice a day, and using floss or another interdental tool to clean between the teeth. If his toothbrush has been in use since the end of the last school year, it’s probably time to replace it. Bristles are at their best for about three months—after that, they become frayed and worn, and can’t remove plaque as effectively.

• School Supplies for Braces Wearers

If your child is going to school with braces for the first time, send her off with the tools she needs. A travel-sized toothbrush and tube of toothpaste are perfect for a quick brushing after lunch, while dental floss and a threader or dental picks will take care of any after-lunch particles lurking in brackets and wires. Orthodontic wax is a great product to have on hand if a wire or bracket is causing irritation. If your child uses clear aligners or a retainer, make sure a protective case is always close by, ready to use every time the appliance is removed. And it’s a good idea to include the number of your dentist and orthodontist in her contacts in case of emergency.

• Exams

If your school requires a dental exam before the start of classes, be sure to make your appointment at our Richardson or Carrollton office now! Regular checkups with Drs. Hutcheson, Train, Goodall, Lewis are vital for preventing small problems from becoming bigger ones, and a professional cleaning will remove the plaque even careful brushing can miss.

A positive, confident start can set the tone for the academic year, so your homework might include monitoring summer reading, providing required supplies, and making sure your child is well-rested and ready to go. You can also help your child to a positive, confident start by monitoring brushing habits, providing the necessary tools for appliance-wearers, and making sure your child is up-to-date with dental exams and cleanings. Because entering the classroom with a beaming, healthy smile—that’s an A+ way to begin the school year!

Perhaps you’ve heard from parents or older relatives what braces used to be like years ago—obvious, uncomfortable, hard to clean, and with inevitable tooth extractions to start off the whole lengthy process.

Today, brackets are much smaller and wires are more pliable. You can even choose ceramic brackets or clear aligners for an almost invisible effect. New tools make cleaning your braces easier than ever. And new braces technology means that treatment is often shorter. But what about extractions? Are they still inevitable?

For orthodontists like Drs. Hutcheson, Train, Goodall, Lewis, the objective is saving teeth. And modern practices and technology have made this goal more attainable than ever before. There are several ways that modern treatment procedures can help avoid extractions.

• Early Intervention

We recommend that children visit our Richardson or Carrollton office for an orthodontic evaluation by age seven. Because a child’s jaw is still forming at this age, early intervention can lead to orthodontic treatment that expands the jaw in order to make room for permanent teeth, or starts correcting bite problems before they become more serious.

• High-Tech Planning

Today’s technology allows us to map out the progression of your treatment before we begin. Scanners, X-rays, and computer programs help us to design a treatment plan which will accurately predict how best to move your teeth and correct your bite, taking into account the size and development of your teeth and jaw.

• Surgical Options

By the time you reach your late teen years, the jaw bones have stopped growing and it’s no longer possible to expand them without surgery. Oral surgery can treat serious jaw problems that impact your teeth and bite, usually as part of a combined treatment plan designed by your orthodontist and your oral surgeon.

Because we always work to keep teeth intact—using these methods and others—you can be sure that, if we recommend extraction, it is absolutely necessary. What could make an extraction necessary?

• Severe overcrowding. Sometimes, there’s just not enough room in the jaw for all of your teeth.
• A tooth or teeth that prevent us from correcting a problem with your bite.
• Wisdom teeth. Usually, orthodontic work takes place before a patient’s wisdom teeth start to erupt. If yours do make an appearance before or during treatment, we can adapt our treatment plan accordingly.
• An extra tooth. It’s rare, but an extra, or supernumerary, tooth sometimes develops, and your jaw is not designed to accommodate extras!

It’s important that you talk to Drs. Hutcheson, Train, Goodall, Lewis about every step of your treatment, including extractions. We want you to understand the treatment plan which will give you your best outcome. If we recommend extraction, it is because this decision is the best way to achieve a healthy bite and alignment, creating your beautiful smile—and protecting it—for a lifetime.

Congratulations! Your child is beginning to leave her bottle behind and has started to use her first sippy cup. And the best training cup is one that makes the transition from bottle to cup an efficient, timely, and healthy one.

The Right Training Cup

While a “no spill” cup seems like the perfect choice for toddler and parent alike, those cups are designed much like baby bottles. The same valve in the no-spill top that keeps the liquid from spilling requires your child to suck rather than sip to get a drink. If your child’s cup has a top with a spout, she will learn to sip from it. Two handles and a weighted base make spills less likely.

When to Use a Training Cup

Children can be introduced to a sippy cup before they are one year old, and we suggest phasing out the bottle between the ages of 12 and 24 months. Use a sippy cup as the source for all liquids at that age, and only when your child is thirsty and at mealtime to avoid overdrinking. The transition from sippy cup to regular cup should be a swift one.

Healthy Sipping Habits

The best first option in a sippy cup between meals is water. Milk or juice should be offered at mealtimes, when saliva production increases and helps neutralize the effects of these drinks on young teeth. And don’t let your child go to sleep with anything other than water—falling asleep with a cup filled with milk, juice, or other sugary drinks means these liquids stay in the mouth overnight. Finally, while a sippy cup is convenient and portable, don’t let your young child walk and sip at the same time to avoid injuries.

When your child comes to our Richardson or Carrollton office for her first visit, please bring any questions you might have about training cups. We would be glad to share ways to make the move from bottle to cup both successful and safe!

“But they are only baby teeth; won’t they just fall out?” Our team at Children's Dental Specialists has had these questions asked many times from parents over the years. Primary teeth, or “baby teeth,” will indeed come out eventually, to be replaced by permanent teeth as the child grows and develops. These teeth serve a great purpose as the child continues to develop and require specific care.

Because baby teeth are temporary, some parents are unenthusiastic about fixing cavities in them. This may be due to the cost or having to force a child undergo the process—especially having to receive an injection. But if a cavity is diagnosed early enough, an injection can often be avoided. More important, failure to fill cavities in primary teeth when they are small and manageable can have lasting consequences in cost and health concerns. Serious illnesses in children have been diagnosed which began as a cavity.

Primary teeth act as a guide for permanent teeth. When decay reaches the nerve and blood supply of a tooth, this can cause an abscess. Severe pain and swelling may result. At that point, the only treatment options are either to remove the tooth or to perform a procedure similar to a baby root canal. When a primary tooth is lost prematurely—to decay or a painful abscess—the adjacent teeth will often shift and block the eruption of a permanent tooth. Braces or spacers become necessary to avoid crowding or impaction of the permanent tooth.

There is nothing more heartbreaking for Drs. Hutcheson, Train, Goodall, Lewis than to have to treat a child experiencing pain and fear. To all the parents of my little patients our team strongly recommend filling a small cavity and not waiting until it becomes a larger problem such as those described above.

Prevention is the key to a healthy mouth for our smallest patients. Parents should allow the child to brush his or her teeth using a pea-sized amount of fluoride toothpaste and then take a turn to ensure the plaque gets removed from all surfaces: cheek side, tongue side, and chewing edges of all the teeth.