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Although using mouthwash is certainly not the equal of brushing and flossing, it does have benefits for your dental hygiene. If you use mouthwash regularly, you should find out which type is best suited for your needs. Here are some things to think about the next time you’re at the store.

The first item to weigh is why you want to use mouthwash. If the reason involves a high risk for cavities, you should focus on a mouthwash that contains fluoride. Make sure to double-check the label, because some mouthwashes do not necessarily include fluoride.

If you’re looking for a mouthwash to fight gingivitis, select an oral rinse with antibacterial properties. Make sure to read labels and avoid picking one that contains alcohol. Antibacterial mouthwash would also be best for a patient who has periodontal disease.

Another option is prescription mouthwash. These should be discussed with Drs. Lalani, Alvarez, & Shah John and/or your pharmacist in order to avoid negative side effects. Pay close attention to the directions regarding how much to use and for how long. Keep in mind that some brands may lose their effectiveness if you use them on an ongoing basis.

For children, you can find a mouthwash that changes the color of plaque on their teeth. This is a fun way to help them understand how well they are brushing, and what areas they need to focus on. It can even be a tool for adults who have trouble reaching certain areas of their mouth.

While mouthwash is generally considered as a safe means to improve your oral health, you need to keep certain things in mind. Avoid using any mouthwash that has alcohol in it. If you are using a strong one, it can reduce your sense of taste over time. Be wary of a mouthwash that claims it can loosen plaque; this is not accurate and can mislead consumers.

We hope these simple suggestions will help you the next time you’re at the store. Make sure you pick the right mouthwash to keep that healthy smile! Feel free to contact Drs. Lalani, Alvarez, & Shah John at our Frisco with any questions you may have.

In a perfect world, we would all jump out of bed ready to greet the day with a big smile and a toothbrush close at hand to clean our teeth immediately. But if you can’t even find your toothbrush before you’ve had your first cup of coffee, does it really make a difference if you brush and floss after breakfast? Perhaps! Let’s talk biology.

Normal saliva production during the day benefits our teeth and mouths in surprising ways. Saliva washes away food particles to keep our teeth cleaner. It contains cells which combat bacteria and infection. It even provides proteins and minerals to help protect our teeth from decay. But saliva production slows dramatically as we sleep, and the amount of bacteria in our mouths increases. While one of the nasty—and obvious—side effects of bacterial growth is morning breath, there is an invisible effect, which is more harmful. Bacteria in plaque convert sugar and carbohydrates into acids which attack our gums and enamel and can lead to both gingivitis and cavities.

• If You Brush Before Breakfast

Brushing and flossing first thing in the morning removes the plaque that has built up during the night and takes care of many of the bacteria who are ready to enjoy the sugar and carbs in that breakfast with you. If you brush before eating breakfast, rinse your mouth with water after your meal, floss if needed, and you are good to go.

• If You Choose to Brush After Breakfast

But if you decide that doughnut simply can’t wait, you should ideally postpone brushing for 20-30 minutes after your meal. Of course, these are minutes in which bacteria can make use of those new sugars and carbohydrates. So why shouldn’t you brush immediately after eating? Many foods and beverages, especially acidic ones such as grapefruit and orange juice, can weaken the surface of your teeth. If you rinse with water after eating and wait at least 20-30 minutes before brushing, your enamel will be “remineralized” (another benefit of saliva) and ready for cleaning.

No matter if you take a “seize the day” approach and brush first thing in the morning, or a “seize the doughnut” approach and brush soon after eating, the important word here is “brushing.” Drs. Lalani, Alvarez, & Shah John and our Frisco team are happy to make suggestions as to the best morning routine for you. One thing is certain: if you give your teeth and gums two minutes of careful brushing and flossing in the morning, you can’t help but start your day off right!

Dry mouth, also medically known as xerostomia, is the condition of not having enough saliva, or spit, to keep your mouth wet. There are many ways to keep dry mouth at bay, including:

• Brushing your teeth after every meal with a fluoride toothpaste
• Flossing every day after a meal
• Avoiding tobacco, as well as drinks containing alcohol or caffeine
• Avoiding dry foods, as well as foods containing high salt, acid, spice, or sugar levels
• Drinking water frequently or sucking on ice chips
• Using a humidifier at night

Please call our convenient Frisco dental office to learn more about dry mouth, or ask us during your next visit!

Not many people look forward to going to the dentist, especially if you already know that you need dental work done. A small amount of anxiety is one thing, but dental phobia, or odontophobia, is something else entirely. It is an irrational fear of going to the dentist. If you have it, you might be unable to force yourself to go to the dentist, even if you are suffering from bad tooth pain. The effects of dental phobia can be serious, but there are ways to overcome your fear of the dentist to help you achieve and maintain good oral health.

Causes of Dental Phobia

You can develop dental phobia for a variety of reasons, including the following.

• Fear of pain, which you might acquire based on others’ horror stories of their trips to the dentist.
• Fear of needles, such as those used to provide anesthesia.
• A previous bad experience, when something went wrong and pain was intolerable.
• Lack of control from not knowing what is happening or how uncomfortable a procedure might be.

Consequences of Dental Phobia

Avoiding the dentist can have long-term consequences. When caught early, tooth decay is easily stopped with a minor filling. If you let the decay go, you can end up losing your tooth and have chronic pain. A dentist can also check for early signs of gum disease, which, if left untreated, could lead to losing one or more teeth.

Even if you do not have a particular problem, going to a dentist for regular cleanings is a good idea because the hygienist can point out where you need to brush better and remove the plaque from your teeth.

Getting Over Fear of the Dentist

Most patients with dental phobia can get over their condition. These are some approaches that Drs. Lalani, Alvarez, & Shah John and our team recommend:

• Explain each step of the process
• Let you know that you can stop the procedure at any time
• Encourage you to come with a family member or friend
• Help you with deep breathing techniques

Your feedback is very important to us at Discovery Kids Pediatric Dentistry. We always want to make sure that our practice is meeting its full potential, so whether you’ve visited Drs. Lalani, Alvarez, & Shah John once or been a loyal patient throughout the years, we encourage you to share your thoughts about your experience with us!

You can do this easily by giving us a review on our Facebook page or writing down your comments below. If you feel more comfortable, you’re always welcome to give our Frisco office a call, too! We feel fortunate to have you all as patients and look forward to reading all your feedback!

Xylitol is a naturally occurring sweetener found in tree bark, plants, fruits, and vegetables. The human body also produces it in small amounts. It looks and tastes like sugar, so as part of a health regimen, most people require no willpower to use it.

Xylitol is safe (approved by the World Health Organization) because only a small amount is needed for health benefits. With a glycemic index of seven, it is safe for diabetics. It has less than three calories per gram and 40% fewer calories than other carbohydrates. If eaten in extremely large amounts too quickly, it has a laxative effect in humans.

Tooth decay happens when bacteria in your mouth consume the sugars you eat. When you eat food that contains ordinary sugar, it gives energy to the bacteria on your teeth, allowing them to multiply and start making acids that destroy the enamel on the teeth.

Since xylitol is a natural sweetener derived from the fibrous parts of plants, it does not break down like sugar, so it helps maintain a neutral pH level in the mouth. Xylitol also prevents bacteria from sticking to the teeth because they are unable to digest it. That is how it protects the teeth from cavities.

With xylitol, the acid attack is diminished. With less bacteria and acid, your teeth stay healthier. The frequency of xylitol ingestion is important: aim for five grams a day, or one gram every three hours.

Studies of xylitol use as either a sugar substitute or a small dietary addition have demonstrated a dramatic reduction in new cavities. It has also stopped and even reversed some existing cavities. This effect is long lasting and possibly permanent. Low cavity rates persist even years after the trials have been completed.

Xylitol needs to be one of the first ingredients in a product to be effective. It is convenient and easy to use. You can find it in health food stores and specialty grocery stores. Xylitol can be delivered to your teeth in chewing gum, tablets, or even candy and mints.

It also comes in toothpaste, mouth rinse, baby oral wipes, gel and pacifiers, nasal wash, dry mouth spray, a granulated form for cooking, granulated packets to add to drinks, and commercially prepared foods. It can replace sugar on a one-to-one ratio.

Sweet rewards in xylitol are good for the body and the teeth! If you have specific questions please feel free to contact Discovery Kids Pediatric Dentistry. We look forward to seeing you soon!

At Discovery Kids Pediatric Dentistry, we prefer our patients to practice good oral hygiene between office visits. Part of that process includes flossing, which Drs. Lalani, Alvarez, & Shah John will tell you, is the process of cleaning between the teeth to remove food and debris from the areas that are hard to reach with a toothbrush. When food is allowed to remain between the teeth, it provides a breeding ground for bacteria, which can cause periodontal disease.

Should you floss before or after brushing?

You can floss either before or after brushing, according to your own preference. By flossing first, you can brush away dislodged food debris afterward. On the other hand, brushing first allows you to loosen plaque between the teeth, making it easier to floss more effectively.

Whichever you choose, the most important goal is to floss thoroughly. That means using a fresh strand of dental floss each day, and carefully pulling it back and forth between all of the teeth. Do not skip flossing because your teeth look or feel clean.

When to Floss

Unlike brushing, you need only floss between your teeth once per day. Although you may choose to do it in the morning or afternoon, many prefer to floss at night to prevent food and debris from remaining in the crevices of the teeth overnight. This could prevent the build-up of plaque too, which is a cause of tooth decay.

Help with Flossing

If you have questions about your flossing technique or what type of floss is best for your teeth, contact our office. Our staff will be more than happy to assist you in perfecting your home hygiene regimen. In most cases, you can choose between interdental cleaning picks or flexible floss strands to perform your daily flossing routine. If you have permanent oral appliances or restorations, be sure to follow the flossing instructions provided to you, and contact our Frisco office with any questions.

It's a moment many of our patients have experienced. One second you're chewing on a piece of gum, then suddenly you forget to keep chewing and swallow the entire rubbery gob whole! It's at this point you remember your mother warning you as a child that if you swallow gum it will stake a claim and take up residency in your belly for seven years. Drs. Lalani, Alvarez, & Shah John and our team at Discovery Kids Pediatric Dentistry hate to take all the fun out of the mystery, but the truth is that chewing gum, when swallowed, will enter your stomach and move through your digestive system just like any other piece of food. So, if you ever accidentally swallow a piece of gum, there is no need to worry!

That being said, it's important to know that gum does not have any dietary benefits, so while it’s not exactly harmful to swallow, you still want to avoid swallowing it. If you are an avid gum-chewer, we encourage you to chew sugarless gum, especially if you are wearing braces, because gum with sugar can lead to cavities. Sugarless gum still has the same amount of flavor, but has fewer cavity-causing ingredients. In fact, many brands contain an additive called xylitol, a natural sweetener known to fight cavity-causing bacteria. Xylitol is also known to increase salivary flow as it rinses away plaque and acid.

The fact is, when the bacterium in your mouth breaks down sugar, what’s left behind is acid. This acid eats away at the enamel coating of your teeth, causing holes that we call cavities. Cavities can lead to other long-term mouth problems if they are not treated in time, so it is best to try and avoid overexposing your teeth to too many harmful substances!

If you have any questions about chewing gum, please contact our office. Happy (sugar-free) gum chewing!

At our office, Drs. Lalani, Alvarez, & Shah John and our team do all that we can to make sure that your experience with us is the best it can possibly be. However, there’s an important role you play in this as well: leaving us reviews and feedback.

Whether there is something you’d like us to improve upon, or you’d just like to express your thanks for a job well done, your feedback is essential to our practice’s success.

We look forward to hearing from you, and are excited to hear what you thought of your most recent visit at our Frisco office.

Did you know your toothbrush could be covered with almost ten million germs? We know … it’s gross! That’s why you should know how to store your toothbrush properly, and when it’s time to replace it.

If you need to brush up on your toothbrush care knowledge, we’ve got you covered so brushing will always leave you feeling squeaky clean.

Keeping a Clean Toothbrush

Your mouth is home to hundreds of types of microorganisms, so it’s normal for some of them to hang onto your toothbrush after you’ve used it. Rinsing your brush thoroughly with water after each use can get rid of leftover toothpaste and food particles that cling to the bristles. Some dentists suggest soaking your toothbrush in mouthwash every now and then can help reduce the amount of bacteria further.

Store your toothbrush in a cool, open environment away from the toilet or trash bin to avoid airborne germs. Closed containers should be avoided because they provide a warm, wet habitat that bacteria love to grow in.

If you have multiple people sharing one sink, an upright holder with different sections will keep everyone’s brushes separated and avoid cross contamination. In addition, we would hope this is a no-brainer, but please don’t share toothbrushes!

Microwaves and dishwashers are not suitable tools for cleaning a toothbrush, because brushes aren’t built to last through this kind of treatment. If you want a really clean toothbrush, your best option is simply to buy a new one.

Replacing Your Toothbrush

The American Dental Association recommends you replace your toothbrush every three to four months, or sooner depending on individual circumstances. Drs. Lalani, Alvarez, & Shah John and our team agree. If you have braces, tend to brush too strongly, or the bristles become frayed, it’s time for a new brush.

Children will also need replacement brushes more frequently than adults. If you or your child has been sick, you should replace the toothbrush immediately to avoid re-exposing yourself to illness.

Worn-out brushes are not only unsanitary, they don’t do a good job cleaning teeth. Bristles that are worn out and dull won’t scrape away plaque and bacteria as well as a fresh toothbrush can.

Though the idea of ten million germs can be worrisome, if you take a few small precautions, you may ensure your toothbrush stays in good shape. And the cleaner the toothbrush, the cleaner the smile!

Modern dentistry has made the most of today’s technological innovations. And we’ve come a long way from the fraying sticks our ancestors used as toothbrushes.

On the other hand, while it’s a lot better than a fraying stick, the manual toothbrush model you’ve used for years might be ready for an upgrade. Should you take this opportunity to try out some new technology offering all the bells and whistles? Let’s answer that question by asking a few more questions.

Happy with your manual brush?

If you like your manual toothbrush and it’s doing the job, by all means, stick with it. But even your old familiar brush can evolve:

• There are lots of bristle options, but soft bristles are almost always the way to go. Medium and hard bristles can be too abrasive for your enamel.
• Heads come in a variety of sizes, so make sure the head size is comfortable. You want to be able to maneuver to reach every tooth surface, which a too-large brush head just can’t do.
• Try a different handle shape if you’re having trouble maneuvering and keeping a firm grip.
• Change your brush regularly. Brushes are effective for about three months before the bristles start to fray and breakdown. This is a good opportunity to experiment with different brands and styles.

Does your old brush suit your current needs?

Different types of manual toothbrushes are available for effective and comfortable brushing when you need options that a typical brush doesn’t provide:

• Special orthodontic toothbrushes are designed with bristles trimmed to fit around brackets and wires and smaller heads to reach into tight places.
• For those with mobility issues, brushes with larger or easy-grip handles make cleaning more comfortable.
• Brushes with extra-soft bristles are available if you have enamel erosion or sensitive gums.
• Because many women find their gums become especially sensitive during pregnancy, there are brushes designed especially for moms-to-be.

Is it time to go electric?

If you haven’t tried an electric toothbrush before, you might find that getting braces is a great reason to give one a spin.

• Electric toothbrushes can outperform manual models. A dedicated brusher might manage hundreds of brushstrokes for each minute of brushing, while an electric brush can provide thousands. If, despite your regular brushing, you have plaque build-up, an electric brush might be a good alternative to your manual brush.
• Models are available which can alert you when you’re brushing too hard—which is important for your enamel if you’re a heavy-handed brusher.
• If you tend to *think* you’ve brushed for the recommended two minutes, but have *actually* brushed 32 seconds, some electric brushes come with timers!
• There are tapered electric orthodontic brush heads designed just for people with braces.
• Electric brushes have bigger handles and can be easier to grip.

Is your current brush doing the job?

So, should you stick with the familiar toothbrush that’s worked for you all these years, or take this opportunity to try out some new technology that offers all the bells and whistles? The answer is clear: the right brush for you is the one that works!

If your regular checkups show that plaque is under control, you’re doing just fine with the brush in hand. If you or Drs. Lalani, Alvarez, & Shah John notice plaque buildup, it’s time to consider making some changes. Whether it’s a question of tools, techniques, or time spent brushing, your Frisco dental team has the answers you need for state-of-the-art dental hygiene.

Between the huge number of toothpaste brands on the market today, the different flavors, and claims from most to do different things, it isn’t surprising that people feel so confused when it comes to something that should be as simple as buying a tube of toothpaste. This guide will help you identify the common ingredients in toothpaste, and help you understand the important factors to consider before buying toothpaste again.

Toothpaste comes in gel, paste, and powdered forms. When it comes to the type of toothpaste, the choice is more a matter of preference.

Basic Ingredients

• Abrasive Agents – Abrasive agents are the scratchy substances added to toothpastes to help in the removal of food particles, bacteria, and minor stains. Calcium carbonate is one of many abrasive materials, and arguably the most common.
• Flavor – When toothpastes are flavored, they almost always have artificial sweeteners to enhance the flavor of the toothpaste and increase the likelihood that you’ll use it. Flavors run the gamut from traditional mint to cinnamon that may appeal to adults, and bubble gum or lemon lime – flavors to target children.
• Humectants – Humectants are moisturizing agents that keep paste and gel toothpastes from drying out. Glycerol is commonly used as a humectant.
• Thickeners – Thickeners are used to give toothpaste its distinctive consistency, and to make it maintain a uniform consistency and come out of the tube easily.
• Detergents – Sodium lauryl sulfate is the most common detergent used in products that foam up, like toothpaste does in your mouth.

What to Look For in Toothpaste

Fluoride is naturally occurring mineral. It is the most important ingredient to look for in a toothpaste. Although there are people who argue against using fluoride toothpaste, dental professionals like Drs. Lalani, Alvarez, & Shah John emphasize that the fact that the incidence of tooth decay has decreased so significantly in the past 50 years is because of fluoridated toothpaste.

The suggestion that fluoridated water gives you enough fluoride to protect your teeth is wrong. Fluoride toothpaste is the best cavity protection there is. In addition to strengthening tooth enamel and protecting teeth from acid erosion (from acidic foods and drinks,) it remineralizes the surfaces of teeth that are suffering from early acid damage and may prevent developing tooth decay from worsening.

Tartar Control

Tartar is the result of hardened plaque buildup on the teeth. Good oral hygiene and in between twice yearly cleanings from a dental hygienist are the best defense against plaque buildup. Plaque turns to tartar when people neglect their oral hygiene. Over time, tartar can build up on teeth and under the gums, increasing the risk of gum disease.

Your best bet is to use a toothpaste that has a combination of anti-plaque agents. Products containing more than one plaque reducer may be more effective than products that only one. Common ingredients to look for are zinc citrate or pyrophosphates. Triclosan is an antibiotic that is believed to kill bacteria in the mouth, and it can be found in some anti-plaque toothpaste.

Look for toothpaste that bears the seal of the American Dental Association. That seal is an endorsement of the ADA – and it means that many dentists agree that that particular toothpaste does what toothpaste is designed to do. We can also recommend toothpaste to meet your specific oral health concerns at your next visit to our Frisco office.

As more people turn to bottled water and away from the tap, they may be missing out on one important ingredient that most brands of bottled water fail to include: fluoride! Because fluoride helps strengthen teeth, it is an important component of maintaining good oral health. Our friends at the American Dental Association have endorsed both community water fluoridation and the use of fluoride-containing products as a safe means of preventing tooth decay.

In fact, the Centers for Disease Control and Prevention has also warned that “bottled water may not have a sufficient amount of fluoride, which is important for preventing tooth decay and promoting oral health.” If you are avoiding fluoridated tap water in favor of ever-more-popular bottled water, you could be missing out on the levels of fluoride necessary to make a difference in your oral health. One 2012 study in the Journal of Pediatric Dentistry found that more than 65 percent of parents using bottled water did not know what levels of fluoride it contained.

If bottled water happens to be your or your children’s beverage of choice, check the label to make sure your brand contains fluoride. Of course, simply drinking fluoridated water is not a magic ticket to perfect teeth. To keep your pearly whites in tip-top shape, it’s important to brush and floss daily and avoid sugary sweets, in addition to maintaining your fluoride intake.

Questions about fluoride? Give us a call at our convenient Frisco office! We look forward to hearing from you!

A famous mouthwash company chose the marketing slogan, “Better than flossing.” As a consumer, would you believe a high-end commercial that essentially tells you to stop flossing? Just use this brand of mouthwash and the risk of gingivitis, cavities, etc., is gone. What a wonderful idea! Now for the reality: This is simply not true.

The company that made these claims received some negative feedback for making this false claim. Does this mean that all mouthwashes are ineffective? Absolutely not. It takes a little bit of research to know which mouthwashes are most effective and best suited for you. Here are some key points to remember when choosing a mouthwash.

First, think about why you want to use a mouthwash. If you are at high risk for cavities, you would benefit from a fluoride mouthwash. Check the labels to see which ones contain fluoride.

If you have active gingivitis, a mouthwash with some antibacterial properties would be preferable. Read the labels carefully. You do not want a mouthwash containing alcohol. If you have active periodontal disease, an antibacterial mouthwash is appropriate, though you may want to discuss which kind would be best for your individual needs.

Prescription mouthwashes are also an option. You should pay close attention to the directions, such as how much and how long to use them. There is one brand in particular whose effectiveness can steadily diminish if you use it continually. There can also be side effects you should discuss with our office and/or your pharmacist.

Some great mouthwashes for kids change the color of plaque on their teeth to help them see how they are doing with their brushing. This is a great learning tool for the child and the parent! Why not pick up a bottle for yourself next time you’re at the store and evaluate your own performance?

Beware of claims that a mouthwash can loosen plaque. This is not accurate. Beware of any mouthwash that has alcohol. This is worth mentioning twice. Take care of your taste buds. If you are using a strong mouthwash, it can reduce your sense of taste.

These tips should help you choose the right mouthwash for your needs. Please contact Drs. Lalani, Alvarez, & Shah John at our Frisco office with any specific questions!

When you leave on a trip, you probably double-check that evrything’s ready: your clothes are packed, your ticket is handy, and your passport waits patiently on top of your bag or in a special pocket.

The same level of preparedness should apply with regard to caring for your oral health when you’re about to leave home for a while. Whether you’re jumping in the car for a weekend camping trip or flying halfway across the globe for a longer stint, the tips below will help you keep your teeth healthy whil you’re away.

Prepare Ahead of Time

The key to maintaining good oral hygiene during travel is preparation. Schedule a regular dental appointment so your teeth are freshly cleaned and ready before you leave. This can identify potential issues that might cause problems while you’re away.

If you have any items on a dental “to-do” list, such as wisdom tooth removal, replacement of a filling, or orthodontic adjustment, it’s a good idea to get those procedures completed before your trip.

En Route

If you’re stuck on a long flight or trekking far into the woods, you might find yourself where there’s no sink or even a toothbrush at hand. We speak for everyone when we say that nothing is worse than a mouth that feels, shall we say, less than fresh.

A lemon wedge or Granny Smith apple slice can help freshen up your breath when you’re in need of a quick fix. Rinsing your mouth thoroughly with water can help to wash away bacteria that causes cavities and reduce that gritty sensation. If you’ve got toothpaste, put a dot on your finger or a damp washcloth to serve as a makeshift toothbrush.

Nowadays, travel-sized dental products are available at most grocery stores and pharmacies. You can find travel toothbrushes, mini mouthwashes, and pocket-sized floss to slip into your travel bag.

Colgate makes disposable mini-toothbrushes called Wisps that can help you freshen up when you may not have access to a regular toothbrush. Packing a few extra dental supplies may also be a good idea in case one gets damaged or lost.

At Your Destination

Traveling abroad can expose you to unfamiliar conditions. Some countries have compromised water sources that will make you extremely ill if ingested, even from the tiny amount of water with which you wet your toothbrush.

Minimize that risk and keep bottles of water on hand instead for rinsing your mouth and toothbrush. If your toothbrush comes in contact with contaminated water, swapping it out for a new one is the safest option.

Storing your toothbrush properly is necessary to prevent bacteria from growing on it. Place your brush in a Ziploc bag when you’re on the go and allow it to breathe once you get to a temporary destination.

Traveling near or far should be an enjoyable experience. Dental issues shouldn’t be a source of worry on your vacation. As long as you’re prepared and take precautions, your teeth can stay healthy even when they’re out of the country!

Of course, if you have any questions, don’t hesitate to contact our Frisco office.

It may come as a surprise to learn that dogs, like humans, have both baby and adult teeth. Most dogs, unlike humans, have all of their adult teeth by the time they are seven months old, so it’s time to start looking after their dental health when they are still puppies.

While dogs generally don’t develop cavities, periodontal disease is the one of the most common diseases affecting dogs. Periodontal disease starts when the bacteria in your pet’s mouth form plaque. The plaque can harden into tartar, and, if plaque and tartar spread under the gum line, can be responsible for a number of serious problems. Veterinarians warn that tooth loss, tissue damage, bone loss and infection can be the result of periodontal disease. Professional dental treatment is important if your dog is suffering from periodontal disease, and your vet can describe the options available to you. But the time to act is before disease develops. Let’s bone up on some preventative care!

Brushing

There are brushes and toothpastes designed especially for your dog. Train your puppy from an early age to open his mouth to allow you to examine his teeth and gums. (This will also come in handy if you ever need to give him medicine.) Most dogs will accept brushing, and toothpastes come in dog-friendly flavors. Human toothpaste should never be used because it contains cleaners and abrasives that should not be swallowed by your pet. There are also dental wipes available that can be used once and thrown away. Your vet can advise you how to ease your pet into a brushing routine.

Gels and Rinses

Whether you rub an antiseptic gel on your dog’s teeth or squirt an antiseptic rinse into his mouth, these formulas can reduce the build-up of plaque. Not all dogs take to the taste of these solutions, but in general they are safe and effective. Ask your vet for recommendations if you would like to try this method.

Diet

Several dietary products offer anti-plaque ingredients or a kibble shape designed to reduce the formation of plaque. Talk to your vet for the best possible diet and nutrition suggestions for your unique pet.

Chew Toys

Chewing can help reduce plaque build-up if done consistently, and chew toys should be chosen for tooth and digestive safety. Some animal-based products and hard plastic toys are so rigid that they can cause damage to teeth or gums, so be sure to look for safe toys.  Dogs shouldn’t be left alone with toys due to choking or swallowing hazards—if the chew toy becomes small enough to cause choking, or your dog is swallowing large chunks that might not be digestible, time to replace it.

Your veterinarian is the best resource for maintaining your dog’s health and developing a dental routine both you and your pet can live with. When your four-legged friend goes for his next check-up, ask your vet what you can do to keep him and his smile fetching for a long, long time.

At Discovery Kids Pediatric Dentistry, we have been creating beautiful smiles for years. Whether you or your family have visited Drs. Lalani, Alvarez, & Shah John and our team for a single visit or have been loyal patients throughout the years, we would love to hear your thoughts about your experience! In fact, we encourage you to leave a few words for us below or on our Facebook page!

We look forward to reading your feedback!

Sports and energy drinks cause irreversible damage to the teeth of teens and young adults. A recent study published in General Dentistry states that energy and sports drinks contain so much acid that they begin destroying teeth after only five days of consistent use. According to the Academy of General Dentistry, an estimated 30 percent to 50 percent of U.S. teenagers consume energy drinks and as many as 62 percent consume at least one sports drink per day. The high acidity levels in the drinks erode tooth enamel and the result is irreversible damage.

Drs. Lalani, Alvarez, & Shah John and our team at Discovery Kids Pediatric Dentistry encourage our patients to limit their intake of sports drinks. The enamel erosion ultimately makes teeth more susceptible to bacteria and that can lead to hypersensitivity, staining, and tooth decay. If you do consume an energy or sports drink, make sure to wait at least 45 minutes until you brush, as consumption of acidic drinks causes tooth enamel to soften, making teeth more vulnerable to wear from the abrasives found in toothpaste.

Tooth decay is the most common chronic childhood disease, five times more common than asthma. It’s also preventable with proper care. Drs. Lalani, Alvarez, & Shah John and our team can help identify early signs of erosion and offer solutions on how to prevent further damage and more serious problems from occurring.

It's almost game day and you're wondering what to put on the menu for your guests. Most snacks are typically highly processed and unhealthy. Why not mix it up this year and opt for some snacks that promote good oral health? Here are some of Drs. Lalani, Alvarez, & Shah John favorites!

• Apples, carrots, celery, and cucumbers: These foods and other crispy, fibrous, fruits and vegetables are an excellent choice for the big game. Not only are they rich in vitamins and minerals which your body and mouth need, they are also known as detergent foods because of the cleaning effect they have on the teeth and gums. Try apples wedges spread with peanut butter and sprinkled with cinnamon.
• Beans: Beans are filling because they are packed with fiber and that keeps you from opting for sugary or fatty snacks. Along with fruits and vegetables, beans should be one of the stars of your game-day snack lineup. How about some hearty chickpea hummus with cucumber chips?
• Nuts like almonds, walnuts, pistachios, and cashews: Nuts abound in the minerals that help keep your teeth and gums strong like calcium, magnesium, and potassium. Put out a bowl of raw or roasted nuts for your guests as a crunchy, satisfying alternative to chips or crackers. Recent research even shows that the polyunsaturated fatty acids in nuts may help prevent gum disease. But remember not to eat the whole bowl! Nuts are very high in calories and a little goes a long way. Enjoy and handful or two along with your other healthy snacks.
• Dark chocolate: This one may be hard to believe at first, but research shows chocolate can be great for your teeth and help prevent decay! Now don't run off and start stocking your pantry with a bunch of that super sweet stuff, because these benefits come mainly from the tannins, polyphenols, and flavonoids present in the cacao bean. Dark chocolate is the least processed variety of chocolate and the closest to the cacao bean, so make sure you purchase a variety that is listed as 70% cocoa or more for these benefits. Like with nuts, chocolate is easy to overdo — aim to eat two or three squares.

Our grandmothers and grandfathers, our moms and dads—we’ve known them our whole lives. So, why are they so hard to shop for?

If your older family members have all the sweaters, socks, and scents they need, consider a gift that can make life a bit easier and perhaps a lot healthier—an electric toothbrush!

• Easy Efficiency

The most important reason to choose an electric toothbrush is its effectiveness. Several studies have shown that regular use of an electric toothbrush leads to a marked reduction in plaque, that bacteria-filled film which sticks to the teeth and leads to cavities and gingivitis. And it’s really no surprise that an electric brush can out-perform a manual brush.

Using a manual brush is not just a matter of applying toothpaste and scrubbing. Proper technique means short brush strokes at a 45-degree angle for the outer and inner surfaces of the tooth, thoroughly cleaning the uneven chewing surfaces of the molars, and brushing the inside of the front teeth with gentle vertical strokes. Meticulous cleaning of all these surfaces can be difficult, especially for people with dexterity issues.

Electric toothbrushes offer several options, from oscillating/rotating brushes to oscillating/rotating/pulsating models to brushes using sonic vibration technology. What they all have in common is the ability to remove plaque far more effectively than we can on our own, because they provide the equivalent of thousands and even tens of thousands of brushstrokes per minute, as opposed to the hundreds we can achieve by hand.

• Comfortable Control

An electric toothbrush can be not only more efficient, but also more comfortable for older brushers. For those with arthritis, limited mobility, injuries, or other health conditions, the larger handles can be easier to control and much more grip-friendly. And, with the work being done by the brush head, users avoid repetitive hand and wrist motion.

Also, the pressure applied to teeth and gums with an electric brush is designed to clean thoroughly while protecting the mouth. Heavy-handed manual brushing can irritate delicate gum tissue and even damage enamel over time. With an electric brush, users only need to guide it along teeth and gums as it supplies all the power needed. There are even pressure sensors available to warn users that their brushing is too vigorous.

• Apps, Anyone?

If your grandfather likes to keep things old school, a basic model with a convenient two-minute timer and several cleaning modes will offer all the bells and whistles he needs. But if your nana has more Instagram followers than you do, consider a more tech-savvy option.

Several of today’s electric brushes come with features designed to make brushing even more effective. They can let her know if she’s brushing long enough, alert her if she’s brushing too hard, and remind her that it’s time to replace the brush head. Some models link to handy apps that will map out just where she’s brushed, in case there are a few spots that get overlooked. Or choose a model which comes with a travel case that can recharge while she’s busy seeing the world.

Okay, all that being said, we’ll admit it—a toothbrush might not be the most glamorous gift your grandparent unwraps on that special day. But helping a favorite family member brush more effectively and comfortably while improving dental health? That’s a gift that keeps on giving!

When you replace your old toothbrush every three or four months with a new model, you accomplish three things:

• You keep your teeth cleaner (frayed brushes don’t clean as well)
• You protect your gums (you won’t be scrubbing harder to get your teeth clean)
• You add another toothbrush to your growing collection of used brushes

If creative recycling is one of your talents, you might have already discovered how handy repurposed brushes are for cleaning delicate or hard-to-reach spaces around the house. But those old brushes don’t have to spend their entire existence cleaning! Here are some ideas from Drs. Lalani, Alvarez, & Shah John to give a new, artistic life to your old, uninspired toothbrush.

• Splatter Painting

As your bathroom mirror can confirm, toothbrushes are great for splattering. Why not put those bristles to creative use by adding color bursts to canvas, wooden picture frames or boxes, fabric, cards, gift wrap and more? Just dip the tips of the bristles into the paint, point them toward your surface, and brush your finger over the head. For more formal effects, splatter paint over your favorite stencils on paper or fabric. Or work your magic by splattering around a stencil for a dramatic silhouette.

• Children’s Painting

Your child might find it great fun to use an old toothbrush to create new works of art. The easy-to-grip handle and wide bristles are perfect for painting those first masterpieces. Splatter painting is also a wonderful art activity for children—but be prepared for some clean-up!

Texturizing Clay Pieces

Whether you work in potter’s clay, polymer clay, or Play-Doh, an old toothbrush can provide any number of interesting textures to your piece. Press the bristles into the clay for a sophisticated stippled background, or brush long gentle strokes for a striated effect.

• Carpentry

Wood glue creates strong bonds when you are joining edges, mitering corners, or fitting mortise and tenon joints. It also creates a sticky mess when you use your fingers, a wood or plastic spreader, or one of your good paint brushes. For any gluing jobs or joinery, try a toothbrush for greater control and easy application.

• Jewelry Making

If you work with jewelry pieces, you know that sometimes there are nooks and crannies that are almost impossible to clean or polish. Try a gentle brush with an old toothbrush and the recommended polish for your piece—but do keep brushes away from the delicate surface of pearls. And for the boldly creative, why not use your toothbrush itself as jewelry? There are online instructions out there for transforming that old brush into a colorful bangle bracelet.

In turns out that there’s a second career waiting for your toothbrush after all! Make sure to clean your toothbrushes thoroughly before using them in another role. After that, let your creativity run wild—including your creative recycling! It’s just another way you are crafting a more beautiful environment for all of us.

While they may sound refreshing, especially after participating in sports activities or after a jog, recent studies suggest that energy and sports drinks can damage tooth enamel, thus elevating your cavity risk. These drinks are especially popular among our younger patients.

In the study, researchers analyzed the fluoride content and pH levels of 13 sports and nine energy drinks by soaking tooth enamel samples in the aforementioned drinks. The samples were soaked for 15 minutes in each drink, and then were soaked for two hours in artificial saliva four times a day for five days.

As much as sports drinks are harmful to your teeth, researchers found that exposure to energy drinks such as Rockstar, Monster®, and Red Bull® resulted in twice as much enamel loss as exposure to sports drinks such as Powerade®, Gatorade®, and Propel® (3.1 percent to 1.5 percent).

Yes, there are health benefits to consuming orange juice, fruit juices, sports drinks, and flavored waters, which can contain valuable ingredients such as vitamin C and other antioxidants; these drinks can also replenish nutrients lost during a sporting event and lower the chance of heart disease and cancer. But, if not consumed carefully, these beverages can harm your teeth. They are full of sugar, which converts to acid and wears away at your teeth, causing cavities, sensitivity, and eventually tooth loss.

Even one drink a day is potentially harmful, but if you are absolutely unable to give up that sports or energy drink habit, we encourage you to minimize their use and rinse with water afterward or chew a sugar-free piece of gum. Do not brush immediately after drinking them; softened enamel due to acid is easier to damage, even when brushing. Remember, it takes your mouth approximately 30 minutes to bring its pH level back to normal. The best thing to do is to wait an hour, then brush to remove sugar that lingers on your teeth and gums.

There are many sports drinks, energy drinks, and flavored waters out there today. Drs. Lalani, Alvarez, & Shah John and our team recommend you take the time to read the labels. Check for sugar content and citric acid in the ingredients. If you have any questions, or would like suggestions on the best sports drink options, please give us a call at our Frisco office or ask us during your next visit!

If you have been thinking about getting a piercing, or if you already have one or more, there are some health risks our team at Discovery Kids Pediatric Dentistry wants you to know about. It's important to know the risks involved with oral piercing, including infection, chipped teeth, gum damage, nerve damage, loss of taste, or tooth loss that could occur as a result.

Your mouth contains millions of bacteria, and infection is a common complication of oral piercing. Many people who have piercings tend to regularly touch them, paving the way for bacteria to enter piercing sites. Also, food particles that collect around piercing sites can lead to infection.

Besides hindering your ability to talk and eat, oral piercing also leads people to develop a habit of biting or playing with their piercings, which can lead to cracked or fractured teeth. While the fracture can be confined to the enamel of the tooth and require a simple filling, you also run the risk of the fracture going deep into the tooth, which may require a root canal, tooth extraction, and additional dental treatment.

If you still decide to get an oral piercing, you should realize that it will take some time to heal (anywhere between four to six weeks) and it may be very uncomfortable. Also please keep in mind that it will be an added responsibility to your life, as it will require regular upkeep. We want you to make sure that you’re committed to the task of taking care of it for the full healing period and beyond.

We encourage you to clean the piercing with antiseptic mouthwash after eating, and brush the jewelry each time you brush your teeth. If you have any questions, please don't hesitate to give us a call!

Our pets are a valued part of the family, but dogs and cats are not regularly known for their minty-fresh breath. Did you know that bad breath can be a sign of a more serious dental problem for your furry companion?

If you live with a pet or two, you’ll want to brush up on your animal dental knowledge and make sure everyone’s teeth stay healthy.

Proper dental care is essential to a pet’s overall well-being. About 80 percent of dogs and 70 percent of cats suffer from periodontal disease after the age of three.

Not only is this unhealthy for their mouth, it can lead to more serious health problems, including organ damage and heart failure. Toxins from periodontal disease seep into your pet’s bloodstream and have the potential to cause fatal organ damage.

Your veterinarian will check your pet’s teeth at an annual or six-month examination, but here are a few signs of periodontal disease you should watch for at home:

• Yellow/brown tartar
• Foul breath
• Red, inflamed, or bleeding gums
• Excessive drooling
• Pawing at the mouth or rubbing one’s jaw against objects
• Difficulty chewing

Aside from regular checkups at the vet, the best thing you can do for your pet is brush its teeth daily. Bacteria can recolonize onto the surface of teeth within 24 to 36 hours, so it’s essential to remove plaque before it turns into tartar. Ask your vet for a recommended toothbrush and pet toothpaste.

Dental hygiene chews can also help to reduce the effects of gingivitis, but some chews can actually make your pet’s oral health worse. Treats such as cow hooves, pig’s ears, and animal bones can damage teeth and cause other problems if ingested. Your vet can help you choose items that are healthiest for your pet.

Your dog’s favorite toys may also pose a threat to their oral health. Abrasive toys such as the popular green tennis balls can create wear and tear on the surface of pets’ teeth.

As with your own teeth, your dog or cat’s oral health plays a large role in its overall health. Remember to schedule regular checkups and ask your veterinarian for more tips on how to care for your pet’s teeth most effectively.