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Your regularly scheduled dental checkups with the doctor are not just meant to make your smile prettier and healthier. Your mouth’s health has an important impact on your overall physical health as well!

While you may brush your teeth twice a day and even floss, we would like to remind you that dental checkups with the doctor every six months aren’t just about addressing problems and reacting, they are about cavity and gum disease prevention.

In addition to a twice yearly thorough teeth cleaning and polishing at Southwest Iowa Dental Associates, these regular visits help us detect and prevent the onset of tooth decay and gum disease. During your visit, we’ll check the health of your mouth, teeth, gums, cheeks, and tongue. We’ll also check old fillings and restorations, as these can wear away over time from constant chewing, grinding, or clenching.

It’s important to know that the majority of dental problems do not become visible or painful until they are highly advanced. And, unfortunately, serious oral issues are painful and expensive to treat.

While the doctor and our team always strive to provide unmatched dental care for you and your family, we are also committed to your overall wellness as well! A deep cleaning twice a year is the best way to prevent any problems that may have gone unseen. If you are overdue for your next cleaning, please give us a call to schedule an appointment at our Shenandoah, Iowa office!

Our team at Southwest Iowa Dental Associates will tell you brushing on a regular basis is critical for a healthy mouth, but you can definitely overdo a good thing. Known as “toothbrush abrasion,” over brushing can lead to sensitive teeth and receding gums, not to mention the wearing down of the protective layers of your tooth enamel. Over brushing can also push back your gums, and in the process, expose the dentin layer under the enamel.

“So, how do I avoid over brushing?”

• Use a soft or extra-soft bristled toothbrush to prevent gum damage and wear on the soft tooth dentin
• Keep in mind which direction bristles face when you brush. They should be perpendicular, not parallel. Place the head of your toothbrush with the tips of the bristles at a 45-degree angle to the gum line and brush away!
• Move the toothbrush with short strokes and a scrubbing motion, several times in each spot – don’t saw back and forth across the teeth with your toothbrush.
• Apply just enough pressure to feel the bristles against the gums. If you are squashing the bristles, you're brushing too hard.
• Replace your toothbrush when you notice frayed and bent bristles.
• Brush for two minutes at a time

If you have any questions about proper brushing techniques, ask us about it at your next appointment or give us a call today!

Imagine that you’re only going to brush your teeth once tomorrow. Don’t worry, we know you would never skimp on your dental hygiene like that, but let’s just pretend for a moment. When would be the best time to brush? When you wake up? During the day? Or perhaps before you go to bed?

Actually, whenever you choose to brush, you’ll receive important overall dental benefits as well as specific benefits tied to the time of day. Let’s explore your daily schedule to see why.

Brushing in the Morning

Brushing when you first jump out of bed produces several positive results.

• Cleaning plaque from your teeth

Plaque is a sticky film made up of oral bacteria, food particles, and saliva. As you sleep, these oral bacteria multiply and produce acids which attack the minerals in your enamel, leaving weak spots which, over time, can become cavities. Brushing removes these bacteria and acids from your enamel before they cause serious harm.

Moreover, plaque hardens if it’s left undisturbed, turning into tartar in a relatively short time. And once plaque becomes tartar, it must be removed by a dental professional. Brushing first thing in the morning removes this plaque buildup and helps prevent tartar from forming.

• Fresh breath

That bacterial growth we mentioned? It’s also responsible for morning breath. If nothing else, brushing when you wake up means greeting a fresh day with fresh breath, and that’s reason enough to pick up your brush in the morning.

Brushing During the Day

Brushing after meals and snacks also has a lot to recommend it.

• “Leftovers” lead to cavities

Foods, especially foods rich in sugar and carbohydrates, are converted by oral bacteria into acids which weaken enamel and lead to cavities. When food particles remain in the mouth after a meal, bacteria have more time and more fuel to manufacture these acids.

• Acidic foods also affect your teeth

If you have eaten something acidic, such as citrus fruits, sodas, or pickled anything, the acids from these foods can temporarily weaken the mineral strength of your enamel. But brushing immediately after eating or drinking acidic foods can damage weakened enamel. Better to rinse well with water and brush after half an hour or so.

Brushing at Night

Growing up, you probably received regular reminders to brush before bedtime—for several really good reasons:

• Saliva production slows while you sleep

During the day, saliva helps to wash away food particles and neutralize acidity in our mouths. It also contains proteins and minerals which help keep tooth enamel strong. But as we sleep, saliva production slows dramatically, and our bodies can’t remove bacteria and acids as effectively.

• Food particles fuel bacterial growth

If you haven’t brushed since morning, you’ve accumulated a whole day’s worth of food particles from meals and snacks. Remember, oral bacteria use the sugars and carbs we eat as fuel to produce the acids which attack our tooth enamel throughout the night.

• Brushing helps prevent both of these problems

Brushing your teeth before bed not only cleans away the accumulated food particles of the day, but also eliminates the plaque and bacteria which would have a much easier time sticking to your teeth without that daytime saliva flow to wash them away.

So, When’s the Best Time to Brush?

In the morning, during the day, at night —there are solid advantages to brushing any time of day. The question isn’t so much when to brush as how often you should brush.

While many dental professionals consider brushing before bedtime as the most important brush of the day, brushing at least two full minutes, at least twice during a 24 hour period, is a necessity for basic dental hygiene. (And don’t forget to floss at least once each day.)

If you wear orthodontic appliances, if you’ve been eating sugary snacks, if you’re showing signs of gingivitis or getting more than your share of cavities, if you want to reduce the chance of plaque and tartar buildup, or if you simply want to make sure you’re doing everything you can to maintain your overall dental health, brushing after meals is also highly recommended.

Talk to the doctor about your brushing habits the next time you visit our Shenandoah, Iowa office. No need to use your imagination to plan your best brushing schedule. We have all the answers you need to help you brush your way to your best—and healthiest—smile!

Happy Oral Cancer Awareness Month! We know oral cancer can be kind of a scary topic, but it’s worth using this opportunity to learn about the disease and spread knowledge so everyone becomes more aware. The more we know, the better we can work to prevent it!

Oral cancer is exactly what it sounds like: cancer that occurs anywhere in the mouth. It could occur on the tongue, the lips, the gums, the tongue, inside the cheek, or in the roof or floor of the mouth. Every  year, more than 8,000 people die from oral cancer. It’s a truly deadly disease.

The reason oral cancer scores a higher death rate than other common cancers such as testicular cancer, Hodgkin’s disease, thyroid cancer, cervical cancer, or even skin cancer, is because it often goes undetected until it's become too advanced and has spread to another part of the body.

So what causes this devastating disease? There is no clear answer, but some potential causes have been identified. By being aware of these, we can be alert and promote prevention of this illness:

• Age: Most patients who develop oral cancer are above the age of 40. If you’re over 40, make sure your doctor checks for signs of oral cancer and that you stay on your dental hygiene regimen.
• Tobacco: Excessive tobacco use, whether in the form of cigarette smoking or tobacco chewing, can be a substantial contributor and cause of oral cancer. So that’s another reason, among many, you should avoid tobacco.
• Alcohol: Excessive alcohol consumption can put you at risk because alcohol converts into a chemical called acetaldehyde, which damages the body’s DNA and blocks cells from repairing the damage. When paired with tobacco, the dehydrating effects of alcohol make it even easier for tobacco to infiltrate mouth tissue.
• Sun exposure: Your lips need SPF, too! Repeated sun exposure increases your risk of contracting cancer on your lips, especially the lower lip.
• Diet: Not getting all the nutrients you need, from vegetables and fruits for instance, can weaken your immune system and make you more vulnerable to the disease.

Obviously, many of these causes relate to lifestyle choices, which we have control over. It's all about balance, being aware, and making small tweaks to our habits if we need to.

If you’re concerned that you may be at risk for oral cancer, give us a call to talk about a screening. And if you’ve been putting off a visit to our Shenandoah, Iowa office, now is an excellent time to schedule one. Regular visits to the dentist can be the first line of defense against oral cancer!

the doctor and our team recommend that you brush your teeth two to three times a day, for at least two minutes each time. But have you ever wondered what’s in toothpaste and how it actually works? The mouth is home to more than 500 types of microorganisms that feed on leftover food that gets stuck on and around your teeth. Toothpaste is the best line of defense against all those pesky microorganisms (especially when you brush two to three times a day). Here’s how it works.

Abrasives

Toothpaste contains mild abrasive additives that combat microorganisms and fight plaque. When you brush, the abrasives in toothpaste dislodge food particles and microorganisms more effectively than if you simply brush your teeth with water. The abrasives also work to remove food stains and polish the surface of the tooth. Some toothpastes include ingredients like triclosan and Xylitol. These chemicals prevent the growth of bacteria that produce plaque. Plaque not only causes cavities, but it can also lead to more dangerous issues like periodontal disease.

Fluoride

Fluoride is key ingredient in toothpaste. As the microorganisms in your mouth feed off the leftover food particles, they leave behind acid and sulfur byproducts that wear away the enamel of the teeth. This is the fancy, technical way of saying that the acid on your teeth causes cavities. As for the sulfur byproduct –well, that’s just a fancy, scientific name for bad breath. Fluoride works to fight the acid and help protect the teeth. By brushing, the fluoride is incorporated into the tooth enamel, which in turn makes the tooth more resistant to acid and plaque.

Flavoring and Sweetening Agents

Not all toothpaste tastes the same, right? The type of flavoring or sweetening agents added to the toothpaste doesn't have anything to do with fighting microorganisms and plaque, but taste is one of the most important selling points in finding a toothpaste brand you like. Flavoring agents mask the taste of some of the other ingredients in toothpaste, and without those agents chances are nobody would be brushing their teeth two to three time a day.

According to the American Association of Pediatric Density, roughly one in five children suffers from canker sores. Canker sores are small sores that appear inside the cheeks, on the lips, on the surface of the gums, and under the tongue.

Even though, canker sores are not contagious, they do tend to run in families. There are several reasons your child may be suffering from canker sores including:

• Children who have Vitamin B12, iron, and folic acid deficiencies tend to get canker sores more often than children who have normal levels of these vitamins and minerals.
• Children who suffer from food allergies are also at a higher risk for developing canker sores. It’s difficult to determine what your child may be allergic to. If you feel strongly that the canker sores are related to an allergy, then a visit to an allergist is highly recommended.
• Biting their lip or cheek can also result in a canker sore.
• Any injury to mouth, where the skin breaks can cause a canker sore.
• Brushing their teeth too hard can also be a problem.
• Your child may be sensitive to an ingredient in their toothpaste. Try switching toothpastes and see if it makes a difference.
• Emotional disturbances and stress are also factors to consider.

If your child has frequent canker sores a visit to our Shenandoah, Iowa office will be beneficial. Canker sores are painful and usually last about 14 days. the doctor may recommend one or a few of the following treatment options:

• Avoid food that is acidic, salty, and spicy.
• A toothbrush with soft bristles may be helpful.
• Avoid mouthwash and toothpaste that contain SLS.
• Do not feed your child foods that they may be allergic to.

Canker Sore Remedies

• Eating yogurt that contains Acidophilus will relieve the pain and help the canker sore heal faster.
• Put one teaspoon of baking soda in an eight-ounce glass of lukewarm water. Have your child gargle and swish it around his or her mouth several times a day. Not only does this remedy relieve the pain, the canker sore could be gone in as little as 24 hours.
• Place a wet tea bag on the sore and hold it there for a few minutes several times a day. This remedy will help with the pain and quickly heal the sore.
• Camphor, Benzocaine, Lidocaine, and Orajel are over-the-counter medications that can help.

If you have questions about your child’s canker sore, contact the doctor to schedule an appointment.

HPV, or human papillomavirus, is the most common sexually transmitted infection in the country. There are over 100 strains of HPV, and, while most of these infections leave our systems on their own with no long-term ill effects, some cancers have been linked to certain “high risk” strains of the virus. One of these strains, HPV16, increases the risk of oral cancer.

HPV-related oral cancer most often appears in the oropharynx. This area of the mouth includes:

• The base, or back, of the tongue
• The soft palate
• The tonsils
• The back and sides of the throat

While HPV-related oral cancers can appear in other parts of the oral cavity, they most typically occur at the back of the throat and tongue and near the folds of the tonsils. Because of this location, oropharyngeal cancer can be difficult to detect. This is one more important reason to maintain a regular schedule of dental exams. Our examination doesn’t focus only on your teeth and gums. We are trained to look for cancerous and pre-cancerous conditions in the mouth, head, and neck to make sure you have the earliest treatment options should they be needed.

If you discover any potential symptoms of oropharyngeal cancer, call us for a check-up. These symptoms can include:

• Trouble moving the tongue
• Trouble swallowing, speaking, or chewing
• Trouble opening the mouth completely
• A red or white patch on the tongue or the lining of the mouth
• A lump in the throat, neck, or tongue
• A persistent sore throat
• Ear pain
• Unexplained weight loss
• Coughing up blood

Not every symptom is caused by cancer, but it is always best to be proactive. HPV-related oral cancer is rare, but it is on the increase. While HPV-positive oral cancers generally have a better prognosis than HPV-negative oral cancers, early diagnosis and treatment are still essential for the best possible outcome.

Finally, if you are a young adult or have an adolescent child, talk to the doctor and to your doctor about the HPV vaccine, which is effective before exposure to the virus occurs. Most HPV vaccines, while not designed specifically to prevent oral cancer, prevent the HPV16 strain from infecting the body—the very same strain that causes the majority of HPV-related oral cancers.  Although no studies have shown definitive proof yet, there is strong feeling in the scientific community that these immunizations might protect against HPV-positive oral cancer as well as cervical, vaginal, and other cancers. It’s a discussion worth having at your next visit to our Shenandoah, Iowa office.

Outside activities? You slather your kids with sunscreen. Biking? You don’t let your child leave the house without a helmet. Youth sports? You provide mouthguards and padding and headgear and all the other tools designed to keep your child safe. Protecting your child is a fundamental part of parenthood, and you take your job seriously.

Protecting your child’s dental health is fundamental, too! Tooth decay is the most common chronic disease in children, and children’s premolars and molars are far more vulnerable to decay than any of their other teeth. You can help protect your child’s molars and premolars with a simple and effective treatment—dental sealants.

• How Do Sealants Work?

The bacteria in plaque use food particles to create acids. These acids erode the minerals in tooth enamel, creating weak spots that become cavities over time. Molars and premolars are especially vulnerable to cavities because of their uneven chewing surfaces. The dips and grooves on top of the teeth—technically known as “pits and fissures”—collect food particles and bacteria, and can be difficult for children to clean completely when brushing. That’s why cavities are so common in newly erupted molars.

Dental sealants protect your child’s molars and premolars by creating a barrier that covers and smooths out the chewing surface of the tooth, preventing bacteria and food particles from getting stuck inside those uneven pits and fissures.

• What Kind of Sealants Are Available?

The two most common dental sealants are composite resin coatings and glass ionomer sealants.

With resin sealants, after each tooth is cleaned and dried, an etching solution will be brushed onto the top surface of the molar. This etching slightly roughens the surface so that the sealant will stick to the tooth more effectively. A thin coat of the sealant is then painted on and hardened under a special curing light.

Glass ionomer sealants use a flexible paste that bonds to the tooth and hardens within minutes. While they generally don’t last as long as resin sealants, they are designed to absorb and release fluoride for extra cavity-fighting protection.

• Do Sealants Work?

They certainly do! According to the Centers for Disease Control, sealants can prevent 80% of the cavities in molars and premolars, which is where 90% of children’s cavities appear. Dental sealants can last from three to five years, or even longer. the doctor will check the condition of any sealants at each dental exam, and let you know if it’s time for a reapplication.

• When’s the Best Time to Get Sealants?

Tooth enamel gets harder as we get older, so children’s newly erupted teeth are more at risk for cavities. First adult molars usually arrive when a child is six to seven years old, and second adult molars come in around the age of 12. The first and second premolars can erupt between the ages of ten to 12. As soon as the first permanent molars begin to erupt, it’s a good time to talk to the doctor about the best time to apply sealants.

And what about baby teeth? Even though baby teeth are meant to be replaced, they shouldn’t be lost to tooth decay before they are ready to fall out. Primary teeth help young children learn to speak and eat properly and hold the place for adult teeth so these permanent teeth come in where they should. Baby teeth have thinner enamel, and so cavities can progress more quickly. the doctor can let you know if sealant protection for your child’s baby molars is indicated.

Applying sealants at our Shenandoah, Iowa office is a safe, simple, cost-effective, and painless process. Dental sealants are one more tool you can use to make protecting your child’s dental health a little easier and a lot more effective. That gets a well-deserved parents’ seal of approval!

At Southwest Iowa Dental Associates, we know that brushing your toddler’s teeth can be an intimidating prospect. So we’re providing a few tips in the hope of making the process a lot more easy, effective, and all-around enjoyable for everyone!

Start by getting into a position that gives you control and enables you to see well into your child’s mouth. If you can see clearly, you will be able to maneuver the toothbrush better around your son or daughter’s mouth for a better quality of brushing.

It’s important to choose a time when your toddler is calm. Have your little one sit with his or her favorite stuffed animal, or play a fun movie in the background so your child can focus on something comforting while you’re brushing.

Using a circular motion, brush all sides of their teeth. Be sure to let your toddler have a turn after you’re done, to start getting used to it. This way, he or she is more likely to repeat the brushing and flossing exercise when your youngster is old enough.

the doctor and our team agree that brushing and flossing need to be performed with kindness and care. To ensure your child learns good dental hygiene habits early on, be gentle and make this time a happy, learning time.

Your child should also have regular appointments at our Shenandoah, Iowa office for checkups and cleanings to keep on track!

It might seem like you’ve gotten a great night’s sleep—but why aren’t you well rested? Worse, why are you waking up with:

• A headache
• Ringing in your ears or an earache
• Pain in your jaw
• Worn or sensitive teeth
• Dry mouth or mouth and cheek injuries
• An unhappy partner who’s been kept awake all night?

If you suffer from any or all of these symptoms, you might be one of the millions of people who have a sleep-related disorder called bruxism, better known as teeth grinding.

There are any number of causes that have been linked to bruxism. Stress and other negative emotions seem to trigger episodes, as can lifestyle habits such as smoking and drinking alcohol or caffeine. Sleep apnea can lead to grinding your teeth, or you could have bite or tooth alignment problems. Certain medications might set off this disorder, and some studies have shown a hereditary tendency in families. Whatever the reason you grind your teeth, there are many important reasons to stop as soon as you can.

As bad as the nagging headaches and earaches that can accompany bruxism can be, long-term damage to your teeth can develop over time. With continuing grinding pressure on the teeth, enamel is worn away prematurely. Teeth can crack or chip. They may loosen or develop sensitivity to heat, cold, and pressure. Gum tissue can recede or become inflamed. Dental restorations can be cracked or broken.

If you—or someone in your house—suspects that you are grinding your teeth at night, give our Shenandoah, Iowa office a call! We can recommend relaxation techniques, diet changes, or tips to help you relax your jaw. the doctor might suggest a nightguard, a custom-fitted appliance worn while you sleep, to reduce the impact of grinding. There are options available. Let’s work together to make every night’s sleep a restful, healthy one.

Did you know the actions leading to the beginnings of Valentine's Day were actually centered on the avoidance of war? A Catholic priest named Valentine defied the orders of the Emperor Claudius II and secretly married young men and their brides after the emperor had declared it illegal because only single, young men could be sent to war. Rather than lose potential soldiers to fight his war, Claudius attempted to hoard them by proclaiming marriage illegal.

Valentine continued to marry young couples anyway and, eventually, was put to death for it in 270 AD. Before his death, he sent a letter to a secret love and signed it “From your Valentine”. Nearly 1,800 years later, people are still signing letters and cards in this manner. This year, carry on the tradition started long ago, while adding your own twist. Here are a few suggestions.

Simple and Creative Valentine's Day Ideas

• Memorialize it with a Photo. Couples often have photos taken around Christmas, but Valentine's Day photos allow you to capitalize on romance. Famous couple Julia Child and her husband, Paul, had their picture taken together every Valentine's Day and included their sense of humor with silly props.
• Return to Your First Date Location. Even if your first date together was at a local hotdog stand, its sentimental value can make it a fun part of your Valentine's Day agenda. Be creative and make a treasure hunt with clues that lead your partner to the original date location, where you can express your love with flowers or a gift.
• “From Your Valentine” Messages. Deliver your message in a creative way to make this Valentine's Day stand out from the others. Bake your partner's favorite treat and write a message on it with a tube of icing, or draw a note on the steamed up mirror so it shows up when your partner takes a shower.

Although Valentine's Day is a day to celebrate love, it doesn't have to be a special day only for couples. If you're single, use this special day to shower yourself with love, because you're worth it! After all, the priest Valentine believed so strongly in the sanctity of love that he was willing to risk his life for it. Whether you're in a relationship or single, young or old, romantic or not, Valentine's Day is for you. Happy Valentine’s Day from the dental office of the doctor.

It’s the littlest month of the year, so what better time to think about the dental health of our littlest family members? February is National Children’s Dental Health Month, and we’re here to suggest some of the best dental habits for healthy childhood smiles.

Babies 

• Even before your baby cuts her first adorable tooth, you can start proactive dental care by gently wiping little gums with a clean, moist gauze pad or soft cloth twice a day. This removes bacteria and food particles and helps prepare your baby for brushing.
• When that first tooth does appear, or by age one if it hasn’t yet erupted, it’s time to schedule a visit to the dentist. At this first visit, your child’s dentist will check jaw and tooth development and can give expert guidance on teething, brushing, how much and which kind of toothpaste to use, and topics like thumb-sucking and pacifier use.
• When baby teeth arrive, use a small soft-bristled toothbrush designed to fit comfortably in tiny mouths.
• Use toothpaste as recommended. Children under the age of three who use paste should use a very small amount, no larger than a grain of rice.
• Prevent “baby bottle tooth decay”—don’t put your baby to bed with a bottle. This allows the sugars in formula or, when your child is 12 months or older, milk, to bathe the teeth throughout the night. And babies and toddlers never need sugary juices or sodas in those bottles!

Toddlers 

• Help your child develop a positive relationship with his dental team. Read books or watch videos to help your child learn what to expect. Practice with him by having him open his mouth while you count his teeth. Plan visits when your child isn’t hungry or tired. Be positive yourself—your child will take his cues from you!
• Schedule regular appointments for exams and cleanings. the doctor will check tooth and jaw development, look for any signs of decay, and evaluate potential problems such as prolonged thumb sucking or pacifier use. 
• By age three, children have most or all of their baby teeth. Use a soft bristled brush to clean your child’s teeth twice each day. As she grows, demonstrate how to brush properly. The dental team at Southwest Iowa Dental Associates will have some great ideas on technique!
• Daily flossing should begin as soon as your child has two teeth which touch. 
• Around age six, your child may be transitioning to solo brushing and flossing—but your oversight is still needed. Make sure all the surfaces of the teeth, including the tops of new molars, are brushed thoroughly. You might provide a timer or a two-minute song or video to make sure your child spends enough time brushing. Flossing can be tricky for young hands, so you’ll need to help with that task for a few years more.

School-Aged Children

• Dentists and orthodontists recommend a first visit to the orthodontist by age seven, or earlier if you notice your child has trouble chewing or biting, if the teeth don’t seem to fit together properly, or if you have any concerns about bite and alignment. When potential problems are discovered right away, early intervention can prevent more serious orthodontic issues from developing later. The team at Southwest Iowa Dental Associates in Shenandoah, Iowa is happy to answer any questions you might have about early interventions!
• Talk to the doctor about sealants. Permanent molars usually erupt between the ages of 6 and 12. Sealants are thin coatings which protect the chewing surfaces of these molars from food particles and cavity-causing bacteria which would otherwise collect inside grooves in the enamel.
• Children who play sports and engage in activities with a chance of physical contact should have a well-fitted mouthguard to protect their teeth. Be ready to replace it as often as recommended by the doctor or if it’s damaged.
• Increases in hormones during puberty can lead to puberty gingivitis, and swollen, red, and bleeding gums can be the result. Proactive dental hygiene will prevent gum disease from developing. Make sure your child brushes two minutes, twice a day, and flosses once per day. If symptoms persist, it’s time to see the dentist.
• If your child is beginning orthodontic treatment, you can help make the journey easier. Keep up with appointments and adjustments, look for toothbrushes and floss designed for braces, and provide braces-friendly foods. If your child wears bands or aligners, you may need to remind her to wear them for the recommended number of hours each day. 
• A nutritious diet is essential for healthy teeth and gums. Give your child solid nutritional building blocks with a diet rich in proteins, vitamins, and minerals. 

Help your child enjoy a future of healthy, confident smiles by working in partnership with your child’s dental team. They are ready every month of the year with advice and expertise to make that healthy dental future a reality!

With children undergoing developmental dental changes and engaging in rough-and-tumble activities, dental emergencies can sometimes arise. If your child knocks out a tooth or experiences any type of oral discomfort, call Southwest Iowa Dental Associates right away so we can provide you with a quick assessment and pain-free treatment.

Before an emergency occurs, it’s a good idea to stay informed about the problems your child may encounter. Here are a few things you should keep in mind about teething pain, loose baby teeth, and other common dental issues.

Teething Pain

Typically occurring in babies that are between four months and two and a half years old, teething may cause excessive drooling, tender gums, and some irritability. Giving your baby a cold teething ring or gently rubbing her gums with wet gauze or your finger may also make her feel better.

Loose Baby Tooth

It is normal for a child’s first set of teeth to become loose and fall out. On the other hand, if your child’s baby tooth is knocked loose, schedule an appointment with our office so we can assess whether any damage has been done.

Issues with Permanent Teeth

Sometimes a child’s permanent teeth will grow in before the baby teeth have fallen out. Even if this condition isn’t causing any discomfort, you should schedule an appointment with our office so we can determine whether your child’s permanent teeth are growing in correctly.

Bleeding Gums

Bleeding gums can result from a number of factors, including periodontal disease, rough brushing, or an injury to the gum tissue. If your child’s gums are bleeding heavily, call our office right away so we can address the situation. If you have time before your appointment, wash your child’s mouth with salted water and gently put pressure on the affected area.

Regardless of the type of dental issue your child has, you can always consult the doctor for further guidance. We make sure our emergency services are available 24 hours a day and seven days a week, so you have ready access to convenient and professional dental care that will have your child feeling better in no time.

the doctor and our team know that as a parent, you want your child to be as healthy as possible. By now, you probably know that your son or daughter’s oral health plays a huge role in overall health.

When there are so many toothpaste ads and different styles of brush to choose from, it can be difficult to know which will serve your child the best. We recommend you break down the decision process to make it simpler.

First, your child’s age and stage of development are vital to consider. Until about the age or 12, your youngster may not be prepared to brush or floss adequately alone, due to dexterity issues. If that’s the case, it can be easier to use a battery-powered toothbrush to improve the quality of brushing.

Next is to select the right size of toothbrush head to fit your child’s mouth. As a general rule, the head of the toothbrush should be a little larger than the upper portion of the child’s thumb.

Flossers are great for children and easy to use. They have handles and a horseshoe shape on one end with floss in between. Your child can choose a color he or she likes as well as the handle size, shape, etc.

Not only are there many brands of toothpaste to choose from, there are also many different ingredients that offer varying benefits. Kids are at high risk for developing cavities so you want to make sure the following ingredients are in your child’s toothpaste if you wish to avoid problems later on.

Sodium fluoride is the standard ingredient for cavity prevention, while stannous fluoride is anti-bacterial and anti-cavity. Anti-sensitivity toothpastes often contain potassium nitrate, and triclosan can be found in one particular brand for anti-bacterial action.

Fluoride should not be ingested, so if your child can’t spit yet, use a toothpaste that contains xylitol. This is a natural sweetener and should be the first ingredient listed on the tube.

Now comes the fun part: choosing a flavor! Your little one may sample different flavors and select the one he or she likes the best. A youngster is more likely to adopt good brushing habits if the flavor is appealing.

Don’t hesitate to speak with the doctor if you need to make an appointment at our Shenandoah, Iowa office, or if you have any questions about toothpastes or toothbrushes.

Did you know that there are certain foods you can eat which help to clean your teeth? We call them "detergent foods." In dentistry we look at the impact of food in three ways: the kind of food, how often it is eaten, and when it is eaten. Detergent foods should be the last piece of food you consume during a meal for best results. Think of them as the closest you can get to brushing your teeth.

A healthy diet is important for oral health as well as overall health, but here are some particular foods that can help clean your teeth and mouth:

• Carrots
• Apples
• Celery sticks
• Popcorn
• Cucumbers
• Pears
• Lettuce
• Cheese

As you can see, detergent foods are usually foods that are firm and crisp. They act like scrubbers on and around your teeth and gums and bring your mouth's pH back to 7.0, which is optimal.

Which foods are the worst for your teeth?

Cookies, cakes, breads, chips, crackers, soft drinks, dried fruit, and candies (what many people’s diets are full of) provide carbohydrates (sugar) to the bacteria in your mouth causing an acidic environment and increasing the chance of cavities and decay. These foods are sticky and don't rinse easily from your mouth. Avoid letting these foods sit on your teeth after eating them.

It also depends on how often you consume these foods throughout the day. For example, if you drink soft drinks, it's best to have it all in one sitting instead of sipping it all throughout the day. Doing so causes the perfect environment in your mouth for bacteria to flourish and your saliva never gets the chance to neutralize its pH.

This is where detergent foods can come into play. When you're about to finish your meal, have an apple, celery stick, or carrot. It will act like a "natural toothbrush." Also, try to make these detergent foods the basis for snacks you have throughout the day.

Always remember, these foods are not a replacement for brushing and flossing. You still need good dental hygiene regardless of what you're eating! For more tips and tricks for ideal oral health, ask the doctor the next time you visit our Shenandoah, Iowa office!

As a parent, you know how important a happy, relaxed atmosphere is when it comes to making your child feel at home. We would like to make our Shenandoah, Iowa practice your dental home, where you and your family enjoy the best of dental care in a warm and welcoming environment.

What makes a dental home?

• It’s Welcoming

From your child’s first visit, we strive to make you both feel at ease. Our office is designed to be a happy, entertaining, and relaxing place, and our staff is trained in making little ones feel calm and secure. We want to have a lasting relationship, and we want you and your child to feel welcomed back whenever you return.

• It’s Familiar

We recommend visiting our office for the first time by the time of your child’s first tooth or first birthday. Our early visits are designed to make your child familiar with what a dentist does and how a dentist helps keep children healthy. Regular preventative care will keep those little teeth in great shape, and, if your child has a cavity that needs filling or requires any other dental procedure, we will have a history together and a familiar place to experience an unfamiliar treatment.

• It’s Comfortable

We use state-of-the-art dentistry to make sure your child has the best and most comfortable treatment as a patient, and we also consider the psychological aspect of each visit for your particular child. We are experienced in dealing with children who might feel anxious and working with them to overcome their worries. Part of our job is to make each visit a happy one, so your child is always comfortable visiting us.

• It’s Ongoing

We want to establish a relationship that will last through the years. Continuity of care means that we are able to follow your child’s dental development during those active growing years and the transition from primary to permanent teeth. We provide not only dental health education, treatment, and preventive care, but can track any changes or potential problems before they become major issues. In case of a dental emergency, we will be familiar with your child personally, and with a dental history at hand.

Give the doctor a call to talk about your child and how we can make the dental experience a positive one from the very beginning. When it comes to establishing a happy and healthy foundation for your child’s dental history, there’s no place like our dental home!

Nearly 40,000 people are diagnosed with oral cancer annually in the United States, with more than 8,000 dying every year from the disease. Oral cancer has a higher death rate than many other common cancers, including cervical cancer, testicular cancer, Hodgkin’s lymphoma, and thyroid or skin cancers. The high death rate results from the fact that most oral cancers go undiagnosed until the disease is well advanced and has spread to another part of the body, most often, the lymph nodes in the neck.

the doctor and our team want you to know that cancers of the mouth and throat, which account for about three percent of all cancers in the United States, are largely preventable. However, we want you to know about certain risk factors that affect the likelihood of developing the disease.

• Use of tobacco products including smoking cigarettes, cigars or a pipe, or chewing tobacco all elevate risk for developing oral cancer. Tobacco use especially, is a serious risk factor because it contains substances called carcinogens, which harm cells in your mouth.
• Consumption of alcohol in excess can also increase your risk. If you drink alcohol regularly, you have an elevated risk of getting oral cancer. Alcohol abuse (more than 21 drinks in one week) is the second largest risk factor for the development of oral cancer, according to the Oral Cancer Foundation.
• Excessive sun exposure. People who spend lots of time outdoors and do not use proper amounts of sunscreen or lip balm have a greater risk for developing lip cancer. Exposure to ultraviolet (UV) radiation from sunlight may also cause melanoma, the most serious type of skin cancer.

If you notice unusual lumps, bumps, or red or white patches in your mouth that don’t go away, sores that won’t seem to heal, persistent soreness, or pain or difficulty swallowing please consult the doctor and our team immediately.

Other factors that may influence your risk for developing oral cancer include:

• Age: Oral cancer is typically a disease that affects older people, usually because of their longer exposure to other risk factors. Most patients diagnosed with oral cancer are over the age of 40.
• Gender: Oral cancer strikes men twice as often as it does women.
• A history with viral infections, such as human papillomavirus (HPV)
• A diet low in fruits and vegetables

During your next visit, the doctor will examine your mouth for signs of oral cancer. If you have been putting off a visit to our Shenandoah, Iowa office for your regular checkup, now is an excellent time to schedule one. Regular visits can be the first line of defense against oral cancer because we can identify early warning signs of the disease. Give us a call today!

It’s a new year! A blank calendar! A traditional time to make a few changes that could change your life for the better. And while we applaud big goals like learning a new language or finally getting those closets reorganized, we’d like to start small with a few simple, proactive dental resolutions suitable for anyone’s list.

1. Floss Every Day

Yes, we know we talk a lot about flossing. That’s because flossing can be a game-changer when it comes to healthy teeth and gums.

Proper flossing removes the plaque from spots your brush often misses—between the teeth and near the gum line. When you floss, you accomplish two goals: you help prevent cavities and you help prevent gum disease. And once each day is all it takes—as long as you take your time and floss properly.

If you’re having trouble flossing properly (a very common problem!), don’t hesitate to talk with the doctor to discover the best techniques and products to make your personal flossing experience as relaxed and effective as possible.

2. Retire Your Brush

Brushes work hard—that’s why they should be replaced after a few months of use. Bristles start to fray over weeks of brushing, which means you aren’t getting the full benefit of your great brushing technique.

Switch out your brush every three to four months, or earlier if you notice any bristle damage, and you’ll enjoy cleaner teeth without changing your normal brushing habits.

3. Protect Your Smile

Take some simple, everyday precautions to protect your teeth and your smile.

• If you haven’t already, be sure to buy a soft-bristled brush when you replace your old one. Soft bristles are strong enough to brush away plaque while protecting your tooth enamel and gum tissue from abrasion.
• Use a mouthguard when you enjoy any sports or activities where you might make contact with an object or person or the ground.
• Ask the doctor about a custom night guard if you grind your teeth. If you have a night guard, don’t forget to wear it.
• Protect and strengthen your tooth enamel with fluoride, a proven cavity-fighter. Fluoride toothpaste? Yes, please! And if your community doesn’t have fluoridated water, talk to the doctor about whether fluoride treatments are a good idea.

4. Pay Attention to Your Body’s Signals

Don’t ignore symptoms which might indicate problems with your oral health.

• Tooth and Jaw Pain

Pain can be caused by many conditions, including a cavity, an abscess, a pulp infection, a cracked tooth, or problems with your bite. Visit our Shenandoah, Iowa office to discover why you’re suffering and to treat any dental problem before it becomes more serious.

• Signs of Gum Disease

Gum disease can cause symptoms like swelling, redness, pain, receding or bleeding gums, and chronic bad breath. Sometimes, more careful attention to brushing and flossing is all you need to reverse early gum disease. But when your symptoms linger, the doctor can help you avoid more serious gum disease with periodontal treatment.

5. Visit Southwest Iowa Dental Associates Regularly

Don’t wait for pain or other worrisome symptoms before you give us a call. Proactive care can catch potential problems early, reducing your risk of more serious conditions.

Start the new year off right. These five small adjustments to your daily routine can have a big impact on your oral health. Be proactive now, and you’ll enjoy a new year filled with healthy smiles.

As a parent, you want the best for your children, and that includes doing their best in school. You can support them by taking an interest in their activities, being enthusiastic about attendance, and helping them with homework. There may also be one more way you can help your children succeed at school. Surprisingly, research suggests that children with better oral health are likely to do better in school.

What the Research Says

One study in North Carolina looked at risk factors for poor school performance among school-aged children. As expected, the study found poor school performance linked to low socioeconomic status, low levels of parental education, and poor overall health. However, it also found a strong link between poor oral health and poor school performance, with children classified as having poor oral health 40 percent more likely struggle in school.

These findings are generalizable to the rest of the country. For example, attendance is an important factor in academic achievement, but dental conditions are responsible for a loss 51 million school hours among schoolchildren each year. Dental pain and infection are linked to poorer performance.

School-Based Programs to Promote Oral Health

In light of the apparent benefits of good oral health for school performance, some schools are taking steps to promote better oral care and health. In Maine, for instance, schools in need can apply for grants through School Oral Health Program (SOHP). The SOHP consists of four components:

1. Oral health education for all children to support healthy behaviors
2. A weekly fluoride mouth rinse to strengthen teeth
3. Dental screenings to identify children who may need dental care
4. Dental sealants, or plastic coatings, on back teeth to guard against decay

The State of Maine also supports an “Annual Sugar Out Day” to raise awareness of the effects of sugar on dental health and to help students choose low-sugar alternatives.

Oral Health Habits to Adopt

You can help your child improve oral health and do better in school by encouraging good oral hygiene. This includes brushing at least twice a day with a fluoride-containing toothpaste, and reminding your child to drink water after eating. Also, regular trips to our Shenandoah, Iowa office can help prevent serious tooth problems.

One of the most common clues that you might have anemia is found in your smile. If you’ve noticed that your gums are suddenly paler than they used to be, it could be a sign that you’re anemic. What does this mean for your general health—and your oral health?

There are several types of anemia, which have can be caused by different medical conditions and which can cause different symptoms. The most common form of anemia, and one of the most easily treated, is iron-deficiency anemia.

Iron is essential to our health. Why? It’s all about the red blood cells. First, some biology.

Every cell in your body needs energy to live and to function. Cells get this energy from the foods we eat, which are broken down into a simple sugar called glucose. Glucose molecules are transported by our blood cells to reach all parts of the body. But that’s only the first step.

Energy is released into the cells when the chemical bonds holding glucose molecules together are broken. And this requires oxygen. Once inside our cells, glucose and oxygen react, breaking the chemical bonds of the glucose molecules, reconfiguring their atoms to create carbon dioxide and water byproducts—and releasing energy into a form your cells can use.

So, how do we move this oxygen from our lungs to our cells to start the process? That would be our red blood cells again. But this process can’t happen without adequate iron. More biology!

Red blood cells contain a protein called hemoglobin, and hemoglobin contains iron. In fact, well over half of the iron in our body is found in our red bloods cells. And here’s the key to iron’s importance: iron attracts oxygen molecules.

Hemoglobin picks up oxygen in our lungs and delivers it throughout the body, where it becomes glucose’s essential partner in fueling our cells. Without enough iron, your body won’t be able to create the red blood cells it needs so that all of your cells, tissues, and organs can get the oxygen they need to function efficiently.

When might you suspect that you’re anemic? Your gums, the lining of the mouth, the inside of your lower eyelids, and your skin can take on a paler hue—the classic sign of anemia. But other symptoms which you might not necessarily associate with anemia are also common, including:

• Fatigue
• Heart palpitations
• Cold hands and feet
• Dizziness
• Irritability
• Difficulty Concentrating
• Pica (the desire to eat non-food items)

And because anemia affects the whole body, your oral health isn’t immune. It’s not just a matter of pale gums. Iron deficiencies can cause:

• Sores and ulcers in the mouth
• Cracks on the sides of the mouth
• Pain, redness, and/or swelling of the tongue
• Loss of papillae (those little bumps on your tongue which hold your taste buds)
• Tooth damage caused by pica
• Dry mouth, which increases your risk for cavities, gum disease, oral infections, and bad breath

Iron-deficiency anemia can have several causes, among them insufficient iron in the diet, medical conditions which cause bleeding (such as ulcers), heavy menstruation, pregnancy, or growth spurts in children and teenagers. Treatment will depend on the cause of your anemia. It might be as simple as a change in diet or an iron supplement, or it might require further treatment options. Do consult with the doctor before taking iron supplements, as too much iron causes iron toxicity, which can be very dangerous.

If the doctor and our team suggest that you might be anemic, or if you notice changes you think might be caused by anemia, see your physician for a simple blood test. Besides iron-deficiency anemia, there are other forms of anemia and other diseases which can mimic these symptoms, so it’s important to get a doctor’s diagnosis. If you have been diagnosed with anemia, let our Shenandoah, Iowa dental team know.

One last “if”: If you do have iron-deficiency anemia, don’t delay treatment. The sooner your red bloods cells are back at their peak, the sooner you—and your gums—will be back in the pink!

Need some gift ideas for family members and friends who seem to have absolutely everything? Who are impossible to shop for? Who tell you not to worry, it’s the thought that counts? Well, we have a few suggestions which will show the people on your gift list that you’ve put a lot of thought into their gifts this holiday season. 

You love to see your friends and family smile, so we’ve come up with some smile-worthy ideas designed for their specific interests. 

Environmental Ally

The world is becoming a more eco-conscious place, and happily this transformation includes products designed for personal care. Put together a spa basket which is good for your friend’s comfort, dental health, and the planet!

A recycled gift box filled with environmentally friendly bath products and organic cotton face cloths becomes even more mindful with the addition of bamboo or recycled plastic toothbrushes, zero-waste fluoride toothpaste tablets, and biodegradable picks and floss. 

Don’t forget to include a colorful, insulated water bottle for sustainable hydration—and washing away food particles when there’s no handy place to brush after eating. Healthy planet/healthy smile.

Talented Techie

If your friend or relative is cutting edge high-tech, maybe it’s time for a dental upgrade. 

Modern electric toothbrushes offer plenty of options for the tech-savvy. They come with different settings for brushing and massaging. They can let brushers know if they’ve brushed long enough, if they’re brushing too hard, or when the brush head needs to be retired. Smart models even link to apps, which can, among other things, map out any missed spots in brushing coverage or suggest more effective brushing angles. 

And for an extra thoughtful touch, include a packet of plaque disclosing tablets. Chew one of these helpful little tablets and they will reveal any plaque that’s still on the teeth.

Adventure Seeker

How about a new backpack or carry-all for outdoor or travel adventures? A travel first aid kit is always a welcome addition for the person on the go.

Go the extra step and help a friend be prepared for anything with an emergency dental kit. You can find these lightweight kits in stores or online, or you can assemble one yourself with a travel-size toothbrush and toothpaste, floss, a travel mirror, cotton rolls, pain relievers, and even temporary fillings. Include a pack of sugar-free gum—it helps with altitude changes and hydration. Ask the doctor or the team at Southwest Iowa Dental Associates for suggestions!

Timeless Trendsetter

Older relatives might love a selection of modern gifts designed with old-fashioned comfort in mind, such as an automatic jar opener and a selection of jams, trekking poles for easier hiking, or wireless earbuds for enjoying music or an audio book.

For a lifetime of healthy smiles, consider adding a water flosser to your gift basket. Gum disease is a leading cause of tooth loss for older Americans. Water flossers are a great way to eliminate stubborn plaque, especially when mobility issues make manual flossing difficult. Adjustable water pressure applies just the right amount of cleaning power, and the flow can be directed to the gumline, between teeth, or anywhere necessary. 

Film Buff

If your bestie likes nothing better than an evening spent in front of the home screen, consider a subscription or gift card for a streaming service tailored to his or her favorites, whether it’s classic films, sci-fi, action, rom-coms, or epic adventures. 

And don’t forget the binge-watch treats! Fill a basket with dental-friendly goodies like fresh fruits, nuts, and dark chocolate. Include a collection of simple sparkling waters or a gift card for vitamin-rich smoothies. Who needs sugary candies and sodas with options like these?

No matter who’s on your shopping list, tailoring your gifts to their interests and their well-being is a great way to share happy, healthy holiday smiles with family and friends in Shenandoah, Iowa.

Although teeth are strong enough to tear through food, they are also fragile. An accident such as a fall may loosen teeth or knock a tooth out entirely. When a child loses a baby tooth in this manner, no permanent damage is usually done. However, adults who loosen permanent teeth may need to visit our Shenandoah, Iowa office.

The Anatomy of a Loose Tooth

The hard external layer of teeth covers a more vulnerable interior. The center of a tooth consists of the pulp, which contains blood vessels and nerves. The entire tooth extends below the surface of the gums into the jaw. Special tissue called cementum and the periodontal ligament hold teeth in place, preventing them from moving.

When a fall or blow to the face loosens a tooth, the tissues anchoring a tooth to the jaw may be damaged. This results in a loosened tooth that wiggles in place. There may be inflammation or bleeding of the gums, which signals dental damage.

Dental Treatments for a Loose Tooth

The range of dental treatments for loose teeth varies by the severity of the problem. If your teeth are just slightly loose following a fall, it may be fine to wait a few days. Teeth often retighten on their own. Simply avoid chewing with that tooth and enjoy softer foods for a few days.

If a tooth is very loose or nearly falling out, call the doctor immediately. Immediate placement of the tooth back into the socket is needed to ensure its survival. In general, a tooth must return to its socket within two hours or it may be lost.

In some cases, the doctor may recommend splinting, in which teeth are joined together to strengthen them and reduce strain on an individual tooth. Tightening or straightening the tooth can restore your ability to chew regularly without stressing the loosened tooth.

Regardless of the extent of the problem, it is essential to keep the tooth clean to prevent decay. Brush carefully with a soft-bristled brush, and use mouthwash regularly to kill bacteria.

Nothing is more welcome at the Thanksgiving table than your happy, healthy smile! Here are some ideas to keep your holiday smile looking and feeling its best.

#1 Good Dental Hygiene Doesn’t Take Holidays Off

Thanksgiving day is bustling with activity, with shared meals and travelling and get-togethers in Shenandoah, Iowa. But it’s still essential to make time for proactive dental care. When foods stick around your teeth after you eat, the bacteria in plaque use those sugars and carbs to create acids which erode teeth and lead to cavities. And since Thanksgiving offers plenty of opportunities during the day to nibble on foods high in sugars and carbs, your teeth might need some extra TLC.

• If you’re home, brush and floss as usual after eating. If you’re travelling, bring a kit with a travel-size toothbrush and toothpaste and some floss to keep your teeth clean and your breath fresh throughout the day. 
• If you’ve been eating acidic foods like cranberry sauce, wine, or sodas, wait about 30-60 minutes to brush. Acids weaken enamel temporarily, and, until the enamel rehardens, brushing can be abrasive.
• Hydrate with water. Water helps wash away food particles from teeth and braces and helps neutralize enamel-damaging acids in foods and drinks by encouraging healthy saliva production.

#2 Be Choosy about Your Food Choices

• Make sure your plate has a healthy portion of protein and vegetables.
• If your dinner just isn’t complete without carbs, try whole grain rolls instead of soft breads and sweet potatoes instead of white potatoes.
• Eat sweets and desserts with meals, when saliva production is high. This helps wash away sugars and neutralize acids.
• If you or your child wears braces, be sure to keep to braces-friendly foods. This means nothing crunchy, chewy, hard, or sticky.
• Make water one of your go-to beverages. If you do drink acidic beverages such as coffee, soda, or energy drinks, don’t sip them throughout the day. This bathes the teeth in acid for long periods.
• Chew sugarless gum if the team at Southwest Iowa Dental Associates recommends it. Sugar-free gum encourages saliva production.

#3 Use the Right Tools When You Cook and Eat

And the right tools are never your teeth! Even when every surface in the kitchen is devoted to food prep and you can’t find the bottle opener or the nutcracker or the scissors anywhere, using your teeth to open bottles or nuts or bags of chips is a recipe for disaster. Avoid fractured and chipped teeth by using the appropriate tool for the job.

#4 See Your Dentist to Prevent Small Problems from Becoming Big Holiday Disruptions

If you’ve been suffering tooth pain or sensitivity, schedule an appointment with the doctor before the holidays to make sure your teeth and gums are their healthiest. Nothing takes the fun out of feasting more quickly than a dental emergency. 

Work with the doctor to ensure that your dental health is at its best for the holidays and every day. With proactive care, a tooth-friendly diet, and regular examinations, you’ll be welcoming friends and family with a beaming, healthy smile all year long.

No, we don’t mean the latest foamy offering from your favorite microbrewery. When you’re thirsty, one of the best options available is literally at your fingertips—tap water, straight from your faucet. It might not be the most adventurous choice, but drinking a tall glass of fresh tap water is refreshing in so many healthy ways.

Physical Health

Water conveniently available at home is much more than a convenience. We need to keep hydrated, because our bodies are made to run on water. To name just a few of its benefits, water provides nutrients to organs and cells, eliminates waste, regulates our temperature, and protects our joints and delicate tissues. the doctor and our Shenandoah, Iowa team will tell you all about the importance of proper hydration when it comes to your mouth, gums, and teeth, but here are a few highlights:

• We need to be hydrated to produce enough saliva. Saliva, which is more than 90% water, helps prevent cavities and protect enamel by both washing away bacteria and balancing acids in the mouth which can cause decay.
• Tooth enamel is so strong because it’s made of calcium and phosphate. These minerals are leached from our enamel by both bacteria-produced acids and dietary acids. Saliva also contains calcium and phosphate, and, with fluoride, restores these minerals in our enamel, leaving teeth stronger and less likely to develop cavities.
• As a bonus, a quick rinse with water when you can’t brush after eating is a great way to remove food particles left behand—especially healthy when you’ve had sugary or acidic foods.

Ecological Health

If you want to reduce waste, one of the easiest ways to do so is to use tap water instead of bottled water.

• Bottled water has a carbon footprint. It takes energy (and additional water) to create plastic and glass bottles, to label them, and to transport them. Water piped into your home from local sources? No bottles, labels, or long road trips necessary.
• Water bottles should be recycled. Unfortunately, many cities don’t offer, or have stopped offering, recycling. Plastic and glass empties end up in landfills, littering our neighborhoods, or in our waters.

Budget Health

Getting your daily hydration from bottles can add up quickly.

• Bottled water can cost hundreds of times as much as tap water. While local water prices vary, the average gallon of tap water costs less than a penny. No matter what kind of sale your local store is offering, bottled water will never be the bargain tap water is.
• When you buy many small bottles instead of a few larger ones, or choose more expensive “designer” water, your costs can mount up even more.
• When you need to bring water with you for work, sports, or other activities, consider filling a reusable bottle with water from home.

Dental Health

Getting the recommended amount of fluoride in your diet is one of the single best things you can do for your dental health. Fortunately, many communities make this easy for us by providing fluoridated drinking water.

• Fluoride works with the calcium and phosphate in your saliva to create stronger enamel, so cavities can’t form as easily when your teeth are exposed to plaque and food particles.
• Fluoride helps strengthen your child’s permanent teeth as they develop, and helps prevent cavities in both baby teeth and permanent teeth as children grow.
• If your community doesn’t offer fluoridated water, ask the doctor for the best way to get the fluoride you need to protect your teeth.

For the good of your body, your planet, your wallet, and last, but most certainly not least, the health of your teeth and gums, consider a glass of water. So many benefits—and you have them all on tap!

A shopping mall is a great place to get lots of errands done in one trip. Department stores, clothing boutiques, specialty shops? So many tempting options all in one place. But teeth whitening? Maybe not.

Dental office whitening provides you with the whitest possible teeth in the safest possible manner. Your teeth will be checked first for any conditions that might make whitening a bad idea, such as tooth decay, weakened enamel, or gum disease. the doctor will make sure your gums and mouth are protected. A gel with a higher concentration of bleaching agents than those available over-the-counter will be applied, and your whitening progress will be monitored. You can also ask about having a custom-fitted tray made for at use at home with professional whitening gel.

What is different about mall bleaching?

• No dental exam will be provided beforehand. If you have dental issues, the whitening process might cause further problems such as tooth sensitivity or gum inflammation.
• The amount of peroxide in the bleaching agents can vary from place to place. You might end up with something equivalent to home whitening strips, or you might be exposed to solutions that should only be available in a dentist’s office.
• Finally, in many areas, mall whitening is actually illegal because it is considered the practice of dentistry without a license. Mall kiosks skirt this problem by having customers insert the trays full of gel themselves—a practice that does not take the place of professional training, licensing, and regulation.

A mall kiosk is a convenient place to select a new phone. Or try an unusual hair care product. Or purchase the latest in fad toys. But when it comes to your dental health, it’s worth a special trip to our Shenandoah, Iowa office if you want the safest, most effective whitening.

It’s peak cold and flu season, a time to be especially conscious about your health. We have some suggestions to help you navigate this contagious time of year, with bonus tips for a healthy smile.

• Wash Up! 

Bacteria and viruses can live for hours and even days on non-porous surfaces like doorknobs, phones, and keyboards. That’s why it’s so important to wash your hands before touching your mouth, nose, and eyes, before brushing and flossing, and before you cook or eat. Washing with plain soap and water will eliminate most germs.

Bonus Tip: Keeping your fingers away from your mouth does more than prevent the transmission of bacteria and viruses. Fingernail biting can damage enamel. Prolonged thumb or finger sucking can affect tooth and jaw alignment. Delicate gum tissue can be injured or infected by broken or dirty fingernails. If you’d like to break harmful oral habits, talk to the doctor for suggestions.

• Stay Hydrated

Hydration supports healthy skin, helps regulate blood pressure and body temperature, and is vital for digestion and other bodily functions. Proper hydration is also important for a healthy immune system and healthy mucous membranes, which will help you fight off colds and flu. Talk to your doctor about your ideal amount of daily hydration, whether from water, other fluids, or water-rich foods.

Bonus Tip: We also need to be hydrated to produce healthy levels of saliva. Saliva washes away food particles and bacteria and helps neutralize enamel-eroding acidity in the mouth.

• Eat Healthy Foods

A healthy diet is crucial for a healthy immune system, with foods such as lean proteins, fruits, vegetables, whole grains, and low-fat dairy products.

Bonus Tip: A balanced diet is good for your oral health, too! We need vitamins A and C for healthy gums and oral tissues, minerals like calcium and phosphorus to keep tooth enamel strong, and dairy products enriched with vitamin D, which enables our bodies to absorb the calcium we get in our diet.

What happens if you become ill despite your precautions? 

• Reduce the Chance of Infecting Others

If you’re ill, you can help stop the spread of germs by limiting contact with other people, covering your mouth and nose when you cough or sneeze, washing your hands frequently, and cleaning the common surfaces in your house which harbor germs. 

Bonus Tip: Sharing isn’t caring when it comes to colds and flu. No matter how close you are to your family members or roommates, your toothbrushes shouldn’t be close at all. Let your brush air-dry in an upright position away from other brushes to avoid contamination. 

• Be Choosy about OTC Medications

If you take sugary cough or cold medications, brush or rinse afterward. Sugar-free cough drops are better for your teeth than sweet lozenges which bathe your enamel in sugar as you let them dissolve. 

Bonus Tip: Don’t bite into cough drops! You risk chipping or cracking a tooth.

• Keep Up with Healthy Habits

Be sure to keep hydrated, especially if you’ve been suffering from vomiting or diarrhea. Get the sleep you need to recover. Eat a well-balanced diet.

Bonus Tip: Stay on top of your dental hygiene and brush and floss as usual, with one caution. Vomiting brings up harsh stomach acids which weaken the mineral bonds keeping tooth enamel strong, so brushing right away can be abrasive. If you throw up, rinse your mouth with water and wait 30 minutes before brushing to allow your enamel to come back to full strength.

• Stay Home When You’re Sick

You’ll get better faster with proper care, which includes getting the rest you need to recover. And you won’t be sharing germs with the people around you.

Bonus Tip: If you have an appointment scheduled with your dentist, reschedule if necessary. Your dental team at Southwest Iowa Dental Associates will be happy to accommodate you to prevent the spread of germs and to make your dental procedure a more comfortable one.

It’s the height of cold and flu season in Shenandoah, Iowa, but you’re not alone! Talk to your doctor about immunizations and other preventative measures. If you do become ill, follow your physician’s recommendations. And if you have any dental concerns, your dental team is prepared with timely advice—at any time of year.

If the scariest part of Halloween in Shenandoah, Iowa is trying to figure out which treats are braces-friendly and which treats are braces-frightful, we have a fiendishly simple suggestion to help keep your brackets and wires safe from harm: ghost any treats which are chewy, crunchy, hard, or sticky!

It’s no mystery how certain candies and treats can cause trouble for your braces. The pulling effect of chewy candies like caramels can pull a bracket right off your tooth. Biting into a hard candy can break a wire. Crunchy treats can get stuck under wires and damage braces. Sticky foods pull on your wires and brackets.

Broken braces are no fun. Loose or detached brackets can be uncomfortable. Bent or broken wires can cause sores and cuts inside your mouth. Damaged braces mean extra trips to the orthodontist for repairs, and can even delay your treatment if the damage is significant or you can’t see your orthodontist right away. 

And chewy, crunchy, hard, and sticky treats have a haunting effect on your dental health as well. These foods stick to brackets and wires and can be difficult to brush or floss away. Cavity-causing bacteria feast on the sugars and food particles left behind, putting you at greater risk for cavities.

So, what specific treats should *vanish* from your candy collection this Halloween? Here are some of the most damaging to braces: 

• Chewy caramels, taffy, fruit chews, gum, and licorice
• Crunchy candied apples, caramel popcorn, peanut brittle, nuts, and popcorn balls 
• Hard and hard-shelled candies, lollipops (especially with gum centers), and jawbreakers
• Sticky gummies, jellybeans, and candy corn

But it’s not all frightful news! There are many spook-tacularly good treats which you can enjoy without putting your braces in jeopardy:

• Peanut butter cups
• Soft chocolate bars (with no nuts or caramel hiding inside!)
• Soft cupcakes
• Pudding cups
• Mint patties
• Ice cream
• Sugar-free gum (if it’s okay with the doctor and your orthodontist)

And here are a few good tricks for keeping your teeth and gums healthy, whether or not you wear braces:

• Brush and floss after treats. 
• Enjoy sweets in moderation. 
• Skip the sour candies. Acidic foods can damage tooth enamel.
• Eat treats with a meal. Eating increases saliva production, which helps neutralize acids and wash away food particles.

Don’t let a damaged bracket or wire spoil your Halloween fun. Talk to the team at Southwest Iowa Dental Associates to learn which candies are a treat for both you and your braces and you’ll stay on the fast track to a boo-tiful, healthy smile!

If a sip of ice water, spoonful of ice cream, or piping hot latte is enough to send shivers up your spine from tooth sensitivity, be assured you are not alone. It’s estimated that as many as one in eight adults suffers from tooth sensitivity.

What causes sensitive teeth?

Some of the causes of tooth sensitivity include brushing too hard, a cracked tooth, receding gums, periodontal disease, tooth bleaching, or other conditions that expose the sensitive roots of your teeth. For example, brushing too aggressively can injure your gums, and lead to exposed roots and tooth sensitivity.

When the enamel on the outside of the tooth or tissue located between the teeth breaks down or wears away, nerves inside the tooth trigger sensitive teeth that are particularly noticeable when you drink or eat anything hot or cold.

How to alleviate tooth sensitivity

Fortunately, there are a number of things you can do, both at home and at the dental office, to reduce the discomfort of sensitive teeth. Brushing with desensitizing toothpaste is one of the ways to reduce tooth sensitivity: it works well for many patients, and is typically the first course of action.

• Brush with toothpaste specifically designed for sensitive teeth.
• Change the way you brush by using a soft toothbrush and not brushing too aggressively.
• Avoid brushing teeth after consuming acidic foods and beverages, like orange juice and pickles.
• Drink water or milk after eating or drinking acidic foods or beverages.
• Sip through a straw when you drink acidic beverages.
• Wear a mouthguard at night to prevent teeth grinding that wears down teeth.
• Ask the doctor about fluoride dental treatments or plastic resin.

For moderate-to-serious cases of tooth sensitivity, more invasive professional dental treatments are available. These include a bonding agent designed to seal/cover the exposed root, obtaining new gum tissue through graft (for receding gums), fillings, crowns, inlays, or bonding. When tooth sensitivity is persistent and results in hypersensitivity, endodontic treatment in the form of root canal may be recommended.

To learn more about tooth sensitivity, or to schedule an appointment with the doctor, please give us a call at our convenient Shenandoah, Iowa office!

What’s in your carry-on bag? You’ve got your passport, ticket, and currency, but what about dental floss? Of course! You’re preparing for the trip of a lifetime, and we want to help make sure everything goes according to plan.

Part of your preparation before a long vacation should be a complete check-up at our Shenandoah, Iowa office well in advance of your trip. If there is dental work to be done, now is the time to do it. No one wants to be stuck over the Atlantic with a toothache, and changes in atmospheric pressure can cause serious problems if you have a severely compromised tooth. Tell us when you are planning on traveling, and we can schedule any procedures that should be finished before you fly.

Now that you have the all clear to travel, what about maintenance once you’re on board for a long flight? Some airlines provide toothpaste and brushes for travelers. If you have questions about the quality of the water in the airplane restroom, use bottled water to brush. There are also single-use mini-brushes available for travelers that come loaded with paste and ready to use without any water at all. Crisp fruits and vegetables can help clean teeth on-flight if brushing isn’t an option, and drinking plenty of water will not only keep you hydrated, but help cleanse your mouth and teeth as well. Be sure to travel with floss, a travel-sized tube of toothpaste, and a brush in a well-ventilated container in case you face airport delays between flights.

Taking your electric toothbrush with you? Usually there is no problem bringing your electric toothbrush in your carry-on, but do check in advance to make sure this is allowed on your flight. Most electric toothbrushes have region-specific battery chargers, so find out in advance if you will need a voltage converter or plug adaptor if you are visiting another country. Check to make sure the head is in good condition before you go and replace it if necessary.

Once you’ve landed, try to keep your dental routine as close to normal as possible while you enjoy your visit. Regular brushing and flossing are still necessary, especially if you take the opportunity to explore the local desserts. We’ve given you some tips to make your flight more comfortable—now that you’ve reached your dream destination, the rest is up to you!

How better to spend the fall months than inside by the fireplace with a warm cup of cider and a book in hand? the doctor and our team at Southwest Iowa Dental Associates encourage you to warm up your mind this fall season with a few great books. Sure it may be easy to put off reading when balancing a hectic schedule, but reading is vital to brain development. Besides, reading is always a blast!

This week, we thought we’d ask what you or your child are reading this fall. Do you have any suggestions for must-read books this year? Out of ideas for great fall reads? Ask us for suggestions, and we would be happy to provide a few. You may also ask a local librarian here in Shenandoah, Iowa for some ideas.

Happy reading! Be sure to share with us your fall picks or your all-time favorites below or on our Facebook page!

We all want to live our healthiest lives. We know that part of keeping ourselves healthy is regular visits to our Shenandoah, Iowa office for checkups and necessary dental work. And that dental work might require an X-ray. Should the amount of radiation in an X-ray concern us?

First, it is helpful to know that the radiation you are exposed to from a dental X-ray is very small. A set of most bitewing X-rays, for example, produces an amount of exposure about equal to the amount of background radiation we get from our normal surroundings in a typical day. We also take care to minimize your exposure even further by using specially designed equipment and protective shielding, and taking only necessary X-rays. If your child is very young, if you are pregnant, or if you have other health concerns, talk to us about the advisability of X-rays and whether they are essential to treatment.

Second, much of our careful general examination will be done visually. the doctor can check for cavities and other problems and assess tooth and gum health. But sometimes, there are conditions which can’t be detected without an X-ray.

• Decay that isn’t visible in an oral exam—if a small cavity develops between teeth, or is hidden underneath a filling, an X-ray will catch it before more damage can take place.
• Infection—An X-ray will reveal infections such as abscesses that can damage both bone and tooth, and gum disease that has harmed bone and connective tissue.
• Orthodontic and periodontal issues—We might need an X-ray to determine the spacing and development of your child’s incoming teeth and maturing jaw structure, to properly create braces for adults or children, or to place an implant within the jawbone.
• If you are a new patient, it is helpful to have complete X-rays taken as a baseline of your current dental health and previous dental work. This baseline allows us to track tooth and jaw development, if necessary, and to evaluate any future changes that might be a concern. (If you have had X-rays taken in another office, we can help you have them transferred so we have a background of your dental history.)

Even though the radiation from a dental X-ray is minimal, be assured that we will never request any unnecessary procedure. When we recommend an X-ray, we do so to make sure there is no decay or infection threatening the health of your gums and teeth, and that we have the essential knowledge we need to treat any dental, periodontal, or orthodontic condition. Because we all want to live our healthiest lives—and part of that healthy life is both active and proactive dental care.

Dental insurance can be a great addition to your health care plan, but the way benefits are calculated can also make it a confusing one. If you have dental insurance, you might be wondering how you can make the most of your benefits. Let’s look at some of the important things to remember about taking advantage of your dental insurance.

• Know Your Benefits

Figuring out what insurance will and won’t pay for, what percentage of a procedure is covered, what the insurance company considers an allowable fee, when you have covered your deductible for the year—these calculations are often bewildering. It’s helpful to call our office and check with your insurance provider to learn the final cost of any treatment, and how much, if any, will be covered by your insurance.

• Use Your Benefits

Don’t lose benefits you have paid for! If you have not used your benefits, the time to do so is before the end of the insurance period (which may or may not be the end of the calendar year). When your dental plan re-starts, you will be paying for these unused benefits all over again. Similarly, if you have used your insurance and covered your deductible for the year, it makes sense to schedule your appointments before a new year brings a new deductible amount you will have to meet.

If you qualify for a certain number of preventive services such as check-ups and cleanings, you should always take advantage of this benefit—not only to find possible dental problems, but to prevent them.

And, if you have set up a Flexible Spending Account (FSA) to cover medical and dental expenses for the year, be sure to use the money in the account or you might lose it at the end of your year’s coverage. Many dental procedures are covered by an FSA—talk to our Shenandoah, Iowa team and your provider for details.

• Possible Tax Deductions

If you are paying for your own dental insurance, you might be able to take advantage of the deduction for medical and dental premiums and expenses on your taxes. If your employer pays for your insurance, if you take the standard deduction, or if you spend less than a certain proportion of your income on health costs, these expenses are most likely not deductible. Be sure to check with your tax preparer or with the IRS for latest information on dental and medical deductions.

Finally, you should never put off urgent dental work because of insurance considerations. At the same time, you should be able to take full advantage of any dental insurance plan you have purchased, because you deserve to get every benefit you have paid for. the doctor and our team are here to help you work with your insurance company in any way we can. Our goal is the same as yours—insuring dental health for you and your family!

When most patients ask the doctor this question, they're thinking strictly about sugar content — cut out the bacteria-feeding sugar that's present in regular soda by opting for a diet soda and it will be better for your teeth. That seems logical, right? Well, there's a bit more to it than that. Let's take a closer look at how any kind of soda can affect your dental health.

Diet Soda – Why it can also lead to tooth decay

The main culprit in these drinks that leads to decay is the acid content. Diet sodas and other sugar-free drinks are usually highly acidic, which weakens the enamel on your teeth and makes them more susceptible to cavities and dental erosion. The level of phosphoric acid, citric acid, and/or tartaric acid is usually high in sugar-free drinks so it's best to avoid them.

Some patients also enjoy drinking orange juice or other citrus juices. These drinks are high in citric acid and have the same effect on the enamel of your teeth.

So what about regular soda?

We know the acidity of diet sodas and sugar-free drinks contributes to tooth decay, so what about regular soda? Like we alluded to earlier, regular soda is high in sugar — a 12 ounce can contains roughly ten teaspoons of sugar — and sugar feeds the decay-causing bacteria in the mouth. This also includes sports drinks and energy drinks, which are highly acidic and loaded with sugar too. So these drinks are a double-whammy of sugar and acidity your teeth and body simply don't need.

The problems caused by both diet and regular soda is exacerbated when you sip on them throughout the day. If you drink it all in one sitting, you won't be washing sugar and/or acids over your teeth all day long and your saliva will have a chance to neutralize the pH in your mouth.

The best beverages to drink and how to drink them

Drinking beverages that are lower in acid is a good step to take to keep your enamel strong. According to a study conducted by Matthew M. Rodgers and J. Anthony von Fraunhofer at the University of Michigan, your best bets are plain water, black tea or coffee, and if you opt for a soda, root beer. These drinks dissolved the least amount of enamel when measured 14 days after consumption of the beverage.

If you still choose to drink soda, diet soda, sugar-free drinks, or juices here are some other tips to lessen tooth decay:

• Drink your soda or acidic beverages through a straw to minimize contact with teeth
• Rinse with water immediately after consumption of the beverage
• Avoid brushing your teeth between 30 minutes to an hour after drinking the beverage as this has been shown to spread the acids before your saliva can bring your mouth back to a neutral pH
• Avoid drinks that have acids listed on the ingredients label

Still have questions about soda, sugar, and acid? Give our Shenandoah, Iowa office a call and we’d be happy to help!

The “Back to School” ads are out already? Halloween candy’s showing up in stores? Just a minute—summer isn’t quite over yet! While the days are still warm, let’s look at a few cool ways to keep your smile bright with some healthy dental options:

• Healthy Drinks

Hot summer days mean it’s time to hydrate. But sodas, fruit drinks, and sports drinks can have a lot of added sugars, which can mean added cavities. They can also be quite acidic, and acids break down tooth enamel. So, what to reach for on a hot day? Water!

Water is a good choice whenever you’re thirsty. Water is essential for healthy bodies and for healthy teeth and gums, too. Water helps wash away food particles that feed the cavity-causing bacteria in plaque. Acids in our foods and drinks break down tooth enamel, and water helps balance out those acids. If you have fluoridated water, fluoride makes enamel stronger and even helps reverse early decay. And it’s easily available and very cost effective!

• Healthy Gear

Make sure that healthy smile you worked so hard for stays looking its best with protective gear:

• A mouthguard will help protect your teeth and mouth from contact with hard surfaces and hard bodies when you’re enjoying biking, baseball, hoops, and other activities.
• If you have a retainer, wear it as directed. Retainers keep your teeth from moving out of position while your jawbones rebuild strong bone tissue around them.
• If you suffer from bruxism, your nightguard protects your teeth and jaws from tooth-grinding damage, so don’t forget to use it nightly.

Your appliances protect you, so return the favor and make sure your appliances stay healthy by cleaning them after use and storing them in their protective cases.

And remember to replace another piece of protective equipment regularly—your toothbrush. If you haven’t replaced your toothbrush for several months, it’s time to go shopping. Toothbrushes wear down over time, and, after three months or so, can’t clean plaque as effectively. Which reminds us . . .

• Healthy Habits

Even as we take advantage of the end of summer with last minute camping, or travel, or action-filled weekends, one thing should stay on schedule—regular brushing and flossing.

You should be brushing twice a day, for two minutes each time. If it’s hard to time yourself, try playing a favorite two-minute song or using a timer or even a brushing app. And don’t forget to floss! Floss gets into spaces where bushes can’t to remove plaque. Floss once a day to keep your teeth their cleanest.

Finally, don’t forget to schedule regular dental appointments at our Shenandoah, Iowa office for a cleaning and exam with the doctor.

Summer’s almost over, but these healthy tips work in fall, winter, and spring, too—for a smile that’s sunny and bright all year long!

One of the most charming aspects of your baby’s beautiful smile is his brilliantly white teeth. But now that his adult teeth are coming in, the difference in color is very noticeable. Is this something to be concerned about? Happily, probably not.

Both baby teeth and adult teeth have the same basic structure. The inside of the tooth, the pulp, contains blood vessels and nerves. The pulp is covered by a layer of dentin, a hard, yellowish substance composed of living tissue that helps protect the pulp and transmits signals for pain, pressure, and temperature. Enamel is the outer protective covering of the tooth, and its natural color can vary from greyish-white to light yellow.

If primary and permanent teeth are so alike, how can they look so different? As with so many things, the difference lies in the details. In adult teeth, enamel is semi-translucent, so it will allow the color of what is beneath it to show through. And the color of the thick dentin beneath is naturally yellow. Baby teeth have a thinner layer of the yellowish dentin. And while their enamel is also thinner, the enamel in baby teeth is generally whiter and more opaque, so less of the underlying yellow from the dentin is visible.

The result of these small differences is that adult teeth are normally darker than baby teeth to begin with. And when a permanent tooth that is just a bit darker erupts next to a bright white baby tooth, it is going to look even more yellow than it actually is. Once all of the baby teeth in front have been replaced with adult teeth, you will have a much better idea of their real color without unflattering comparisons!

There are times when concerns about tooth color should be looked at by the doctor more closely.

• Unusual discoloration in teeth should be examined. Some discoloration is caused by medical conditions such as hypomineralization, some by environmental factors such as excess fluoride, some by trauma, some by medication. If you notice a discolored section of your child’s tooth, or the tooth has turned a different shade from the teeth around it, give us a call.
• Your child might have naturally whiter or yellower teeth simply as a matter of genetics. If your child is self-conscious about the color of his teeth, we can talk about whitening solutions when he is old enough to use them safely. Home whitening products should never be used on young children.

Give yourself time to adjust to your child’s new, adult smile. You will probably notice no difference at all once all of his permanent teeth come in. And keep those new teeth their brightest with consistent brushing and flossing, and regular checkups and cleanings at our Shenandoah, Iowa office. This is the simplest prescription for a charming, white, and healthy smile at any age.

It’s common for children to suck their thumb at a young age. the doctor and our team want you to understand the potential issues that can surface down the road if the habit isn’t broken early on.

It’s normal for infants to explore the function of their mouths by putting objects like their thumbs inside it. You shouldn’t be concerned if your baby regularly sucks his or her thumb. For infants who are still growing their baby teeth, thumb sucking can help with stimulating growth and development of their baby teeth.

Thumb sucking is not a problem among infants because they generally do it to sooth and comfort themselves. Problems can occur of kids continue the habit when their baby teeth begin to fall out, around six years of age.

If you have a young child whose adult teeth are starting to come in, that’s when thumb sucking can start to be a problem. Most children stop thumb sucking between the ages of two and three years. According to the American Dental Association, if thumb sucking continues as adult teeth come in, this can lead to problems involving improper alignment of teeth and growth of the jaw, gums, and roof of the mouth.

It may also affect your child’s speech after that, by causing a lisp or other speech impediments. As a parent, you may need to begin to regulate and intervene if thumb sucking starts to become a bigger problem for your child.

How to Stop Thumb Sucking

• Provide comfort to your child if thumb sucking happens when he or she is anxious.
• Limit thumb sucking initially to bedtime or naptime.
• Employ positive reinforcement for good behavior.
• Talk with your child about the potential problems that come from this habit.
• Distract your son or daughter with activities such as fun games any time you notice it starting.
• Involve your little one in choosing methods for stopping, like positive rewards.
• Have the doctor talk to your child to reinforce concerns about thumb sucking.

Don’t forget that thumb sucking is a common habit that many children indulge in, and it should not be a concern right away. If you’re worried about your child’s thumb-sucking habit, start to address the issue as soon as possible.

The above techniques can help to reduce the amount of time your child sucks a thumb. the doctor and our team are here to help you if you have any questions or concerns about this habit.

Feel free to call our Shenandoah, Iowa office and we will be happy to help you and your child.

Your baby’s first smiles are precious—and you want to make sure those precious smiles are as healthy as they are beautiful. One of the most important ways to protect your child’s dental health is by preventing early childhood caries, or cavities.

You might be thinking, “Tooth decay? Babies?” Yes, babies and toddlers can get cavities, too. Studies suggest that over a quarter of children between the ages of two and five already have some form of tooth decay.

The bacteria that cause tooth decay are passed from person to person. Cavity-causing bacteria use the sugar and starches in our diets to produce acids—acids which attack the tooth’s enamel, breaking down its hard mineral structure until cavities form. Because baby teeth have thinner enamel coatings than adult teeth, they are especially vulnerable to tooth decay.

You can start your child on the path to a lifetime of healthy smiles by being proactive about cavity prevention during your baby’s first 12 months.

• Don’t Share Bacteria

Because cavity-causing oral bacteria are transmitted from person to person, doctors and dentists suggest that you don’t share a spoon with your baby, or put a pacifier in your mouth to clean it. And it’s a good idea to rinse toys used by other children with clean water before giving them to your child.

• Keep Bottles Out of Bed

Babies generally need a feeding before bedtime to ensure that they get all the nutrition their growing bodies need. But when a young child sleeps with a bottle, liquids pool in the mouth, exposing tiny teeth to these liquids throughout the night and preventing the natural flow of saliva from washing food particles away.

Bring your child’s happy day to a close with a lullaby, a bedtime story, a good night kiss, or whatever makes your baby feel comforted and loved—and take the bottle with you when you tiptoe out of the room.

• Avoid Sugary Drinks

How do parents make sure their babies get the nutrition they need without giving cavity-causing bacteria the fuel they need? With a healthy diet. Breast milk and formula have healthy nutrients, carbs, and sugars which are necessary for baby’s growth and development. Sugar water, sweet juices, and sodas—don’t.

Added sugars provide a feast for cavity-causing bacteria, and the more your child is exposed to them throughout the day, the greater the risk of tooth decay. Talk to the doctor for the healthiest drinks for your baby’s bottle or sippy cup.

• Clean Baby’s Teeth and Gums

Dentists recommend cleaning your baby’s gums even before teeth begin to arrive. After washing your hands, using a clean, damp, soft cloth or gauze pad to gently wipe the gum surfaces to remove bacteria and food.

As soon as the first tooth appears, it’s time to start gentle brushing. Use a baby-sized toothbrush to gently clean the erupting teeth once in the morning and once after the last feeding of the day. And as soon as two baby teeth touch, it’s time to talk about flossing.

Not sure about baby-friendly tooth care products, toothpastes, and techniques? Talk to the doctor! Learn about cleaning little gums, baby-size brushes, when to begin using fluoride toothpaste and how much toothpaste to use, when to brush, and when to start flossing.

• Establish a Dental Home for Your Child

The ideal time for your child’s first visit to our Shenandoah, Iowa office is sometime between the appearance of your child’s first tooth and your child’s first birthday. It’s a gentle way to introduce your baby to the dental team who will be caring for those little smiles for many years to come.

During that first visit, your child’s dentist will check tooth and jaw development. There will be a child-friendly examination to look for plaque buildup or any signs of early decay, such as white spots on tooth enamel. You can talk about any concerns you might have and learn the best ways to prevent tooth decay with proactive dental care for healthy teeth and gums.

Why are we so concerned about baby teeth? Decayed teeth can cause pain and self-consciousness. And more, those tiny teeth have big responsibilities. Baby teeth influence your child’s speech development. They promote healthy eating and chewing habits. Baby teeth serve as placeholders to make sure that your child’s adult teeth will be able to erupt just where they should.

Your baby’s first smiles are precious. And when you’re proactive with early dental care, you’re preparing your child for a lifetime of healthy smiles.

Congratulations! You’re getting married! Wow! It’s your twentieth reunion! New job? Great news! No matter the occasion, large or small, you want to celebrate it with your whitest, brightest smile. How can the doctor help? In a number of ways!

Professional Whitening

Because teeth are porous, over time substances in food, beverages, and tobacco products can stain the surface of the teeth. This is called extrinsic staining. If this is your concern, having your teeth whitened professionally is the fastest, most effective, and longest-lasting method of achieving your brightest smile.

We’ll examine your teeth to make sure that there are no pre-existing conditions such as cavities or gum disease that should be treated before whitening. We will use a gel with a higher concentration of whitening ingredients than over-the-counter products, protect your gums, and monitor the entire process. If you want to whiten at home, talk to us during your visit to our Shenandoah, Iowa office about custom mouthpieces and professional whitening gels for precise application and safe, effective results.

Intrinsic Stains

Intrinsic stains are below the surface of the tooth, and harder to remove. These stains might be the result of an injury to the tooth or exposure to a medication like tetracycline while the tooth is forming.

While some whitening systems and professional whiteners can improve intrinsic staining if it is not too severe, normally bonding or veneers are better options. We can use color matching to make sure bonding or veneers are indistinguishable from your natural teeth. And do consider a professional whitening first, so we can match your dental work to your whitest natural smile!

Treating Existing Dental Work

Again, when you are considering porcelain veneers or crowns, composite veneers, or tooth bonding, choose the color that works best for your whitest natural smile, because these materials cannot be whitened like natural teeth. If you have dental work already in place that you would like to brighten, both composite and porcelain dental work can be polished to remove surface stains. If the color is simply not a good match for your natural teeth any more, replacement of your dental work is an option we can discuss.

There are plenty of good reasons to get your teeth whitened—Weddings! Reunions! New jobs!—but the best reason of all is giving you the healthy, confidant smile you’ve always wanted. And that’s something to celebrate!

We all know that brushing your teeth and flossing regularly keeps your smile sparkly and bright, but did you realize that cleaning your teeth can actually help your heart? Recent research suggests that people with periodontal disease also have a higher cardiovascular risk, which means they are more vulnerable to heart attacks or stroke. It’s probably not time to throw away those running shoes in favor of a new toothbrush, but this is an added incentive to maintain good oral hygiene.

Relationship between Periodontal Disease and Cardiovascular Health

In 2003, researchers from the University of Buffalo conducted analyses which suggested that patients with gum disease were also at elevated risk of cardiovascular problems. Furthermore, people with more severe cases of gum disease have even poorer heart health. Although the exact causes of this relationship remain unknown, scientists continue to explore the impact of oral hygiene on broader health.

One hypothesis is that poor oral hygiene leads to inflammation, which negatively affects the heart. Gum disease occurs when bacteria build up in the mouth, and feed off sugars found in food. These bacteria release compounds that contribute to inflammation and red, swollen gums. The same inflammatory compounds may affect the heart, increasing overall cardiovascular risk.

Protect Your Teeth, Protect Your Heart

Taking a few commonsense measures can go a long way to improving your oral health and your cardiovascular risk. Consider the following:

• Brush twice daily, and floss at least once per day. Brushing your teeth at least twice a day cleans away the harmful bacteria that contribute to gum disease. Similarly, flossing your teeth ensures that dangerous bacteria that build up between each tooth get swept away. These simple steps are the easiest ways to reduce your risk of periodontal disease.
• Eat healthy foods. Those sugary snacks that you love so much don’t help your teeth. Whenever possible, stick to a healthy diet of fruits, vegetables, and whole-grain foods. For example, grab an apple or a few celery sticks for a mid-afternoon snack, rather than indulging in that candy bar.
• Drink water. Staying hydrated doesn’t just help your body – it also swishes bad bacteria away from your tooth and gum surface. Drinking plenty of water improves your overall oral health. It’s particularly helpful after eating a sugary or sticky snack, because water can reduce plaque buildup.
• Visit Southwest Iowa Dental Associates. the doctor and our staff will monitor your mouth for signs of periodontal disease and can make specific recommendations to keep your mouth – and your heart – safer.

the doctor and our team know it can be easy to underestimate the significance of baby teeth. At Southwest Iowa Dental Associates, we sometimes meet parents who assume that since their child's baby teeth, also known as primary teeth, eventually fall out and are replaced, they are less important. But did you know baby teeth serve purposes other than biting, chewing, and digesting food properly?

Baby teeth are essential not only for your child’s language development, but they also serve other important functions, like contributing to the normal development of your child’s jaw bones and facial muscles. Baby teeth also reserve space for your child’s future permanent teeth.

So, when do baby teeth fall out?

A baby tooth is intended to remain in your child’s mouth until the permanent tooth underneath it is ready to take its place. Sometimes, either due to a tooth being knocked out accidentally or being removed because of tooth decay, kids lose baby teeth before the permanent teeth are ready to erupt. If a tooth is lost, the teeth on either side of the open space may possibly push into the open space. The result? There may not be enough room for the permanent tooth when it is finally ready to erupt.

If you have any questions about your toddler’s teeth, or if your child is experiencing issues that concern you, please give us a call to set up an appointment at our convenient Shenandoah, Iowa office.

the doctor and our team know how overwhelming it can be to pick the right dental products for your children. When you visit the dental aisle at the grocery store, you see too many options to choose from. We want to help you make an informed decision based on your son or daughter’s needs.

First, you should consider your child’s age and where he or she is in terms of development. Most kids are unable to floss properly until around 12 years of age because of the necessary dexterity. If your youngster is under 12 years old, make sure to assist with flossing every night.

Another option is to use flossers for children. This will make the exercise a bit easier for your little one, because flossers have different-sized handles to fit all ages of hands.

When you’re looking for a child’s toothbrush, the head should be a little bigger than the top portion of your son or daughter’s thumb. If a toothbrush is too big, it won’t be able to reach small areas in the mouth properly. Battery-powered toothbrushes are also recommended because they improve overall brushing quality for both adults and children.

If your child is too young to spit, he or she should use toothpaste without fluoride. Small children tend to swallow toothpaste, even when they don’t intend to. Try looking for a toothpaste that has xylitol listed as the first ingredient. This is a natural sweetener that is beneficial to teeth.

You should also try to identify a flavor that appeals to your child. Same as adults, children like to brush more if they enjoy the flavor that lingers in their mouth after brushing.

It’s smart to look at the ingredients in a toothpaste for the benefits your child needs. Some toothpastes contain sodium fluoride, which fights effectively against cavities. If your child has a sweet tooth, or has already had a cavity, we recommend buying a toothpaste with this ingredient.

Stannous fluoride is another popular ingredient that discourages cavities and includes anti-bacterial properties. You should also watch for the ingredient triclosan, which also suppresses bacteria. These ingredients are both recommend for children who have a high risk for cavities.

Anti-sensitivity toothpaste should also be easy to find in the dental aisle of the store. It contains potassium nitrate to help with sore gums and teeth.

If you’re still unsure which dental products your child should be using, contact our Shenandoah, Iowa office. Once we have general information about your child and his or her dental health, we can guide you in the right direction.

When it comes to picking the right toothbrush, toothpaste, floss, and mouthwash for your child, Southwest Iowa Dental Associates is always here to help.

Dental visits are often negatively associated with discomfort in many people’s minds. But at Southwest Iowa Dental Associates, the doctor and our team have created an atmosphere focused on dispelling those myths. Our team is truly passionate about dentistry, and we are trained to gently accommodate each individual patient’s needs, with every procedure and visit performed with the utmost focus on your comfort.

If you are a patient of record at Southwest Iowa Dental Associates, we are committed to your oral health and are available to you. If you would like to learn more about stress-free dentistry at our Shenandoah, Iowa office, or to schedule an appointment, we encourage you to give us a call!

Summer brings sunshine and warm weather, and many of our patients begin thinking about brightening their smiles this time of year. A whiter smile is one just one visit away at Southwest Iowa Dental Associates!

Teeth whitening is safe, quick, and inexpensive. It can be used to correct many tooth discolorations which may have been caused by staining, aging, or chemical damage to teeth. Using the latest in whitening technology, we can offer a safe method for creating the beautiful smile you've always wanted. Just let us know at any appointment if you would like a brighter smile.

Get your beautiful smile today! Give us a call at our convenient Shenandoah, Iowa office to schedule an appointment!

Halitosis is the fancy, scientific word for “bad breath.” the doctor and our team know there are several reasons why you may have halitosis; let’s look at a few:

• Gum disease (also known as periodontal disease) – There are five main types of gum disease, and each one can range from mild to severe. For example the most common one is gingivitis; it is caused by bacteria in the plaque that has been allowed to build up, usually as a result of poor oral hygiene. A more serious and uncommon type of gum disease is called necrotizing periodontal disease. It is most common in people who have a suppressed immune system.
• Smoking
• Dry Mouth – This can be caused by something as simple as a medication you take.
• Food – Of course, if you eat something that is potent like garlic, it is going to give you bad breath.
• Diseases of the Body – Some diseases such as sinus infections and diabetes, among a few other types of infections, can also cause you to have halitosis.

How to Get Rid of Halitosis

The most obvious answer to how to get rid of halitosis is to practice good oral hygiene, although, depending on the cause of halitosis it may not be that simple. If you have an infection that is causing the halitosis then you may need an antibiotic to clear up the infection and then the bad breath will go away. Here are more tips:

• Brush your teeth after every meal and before bed.
• Floss your teeth. The more plaque you get out of your teeth, the better chance you have of not getting cavities or bad breath.
• Address any medical conditions that are not related to your teeth that can be causing the halitosis.
• Ask the doctor for a prescription mouthwash that kills bacteria.

Halitosis (bad breath) can be an embarrassing condition to live with, but there are plenty of ways to get rid of it permanently. Start by talking to a member of our team at our Shenandoah, Iowa office.

In the eyes of most parents, nothing is cuter than their baby’s smile. Did you know your little one’s smile (that is, his or her oral health) actually plays a huge role in determining the child’s overall well-being? In order to keep your youngster healthy and smiling, you need to know when and how to take care of those tiny teeth.

Baby teeth aren’t just temporaries that will fall out eventually. They help your baby chew and talk, and they reserve space in the jaw for permanent teeth later on. Since they’re so important, the right time to start dental care is only a few days after your infant is born.

Take a soft, wet washcloth or piece of gauze and gently wipe your baby’s gums. The earlier you begin, the more accustomed your child will become to a daily dental hygiene routine.

Babies that are put to bed with a bottle may be at greater risk for developing cavities. Milk, juice, and any other drinks that contain sugar instigate tooth decay while the child sleeps.

If your baby must go to bed with something, a bottle of water is the healthiest option. Remember to wipe your little one’s gums after each feeding, whether it’s formula from a bottle or breast milk.

As soon as your infant’s first tooth comes in, it’s time to start brushing! Twice a day, take a small amount of toothpaste (about the size of a grain of rice) and brush your son or daughter’s teeth gently in circular motions. As soon as your toddler has multiple teeth that touch one another, floss up and down the sides of the teeth to remove any plaque between them or below the gumline.

Babies’ teeth are prone to cavities and gingivitis, so you’ll want to be on the lookout for telltale signs. Check regularly for red, swollen gums, because this may be an indication of developing gum disease. Discoloration, white spots, or small pits in the teeth can signal a forming cavity.

As long as you follow these simple guidelines and schedule regular dental checkups with the doctor at our Shenandoah, Iowa office, you can help to ensure your baby has a healthy mouth. There is nothing more rewarding than seeing your happy baby’s healthy smile.

You might have noticed that the dental aisle of your drugstore is larger than ever, with more options than ever for getting the spaces between your teeth their cleanest. Flosses made with different shapes, materials, and coatings. Wooden dental sticks. Flexible plastic picks. Tiny interproximal brushes. Water flossers. With all these choices, what’s a conscientious person to do?

• Find What Works Best for You!

We’ve come a long way from the one-size-fits-all floss of our grandparents. Today’s plaque-removing tools are designed to make interdental cleaning easier and more efficient for users with a variety of different needs.

• Floss Choices

Flossing properly is a very effective way to get rid of the plaque that builds up between your teeth and along your gum line—not to mention the food particles which your brush may have missed. And now there are options to suit both your needs and your preferences.

Modern flosses come waxed or unwaxed, flat or rounded, made of natural or synthetic material, flavored or unflavored. There are flosses designed for specifically for braces and eco-friendly, biodegradable flosses. If you’re not happy with your regular floss, a different size, material, or texture might make all the difference.

Even with all these choices, though, flosses don’t always suit everyone. Luckily, if you’ve had trouble with floss, you have many other options available for interdental cleaning:

• Floss Picks

These tiny, handled tools hold a piece of dental floss in their curved end. You can direct the floss to the perfect spot, which is especially useful if you’re having trouble reaching your back teeth or have mobility issues. Floss picks can be disposable or refillable, and come in different sizes to accommodate adults and children.

• Dental Picks

Back in the day, toothpicks were the go-to for dislodging food particles. But they weren’t designed for gum health and safety. Today, we have gentler, more efficient options for those of us who like the ease of using a pick and the convenience of being able to clean our teeth at work, at school, or on the go.

Triangular wooden picks are tapered to fit between the teeth and massage the gum line as they scour plaque from tooth enamel. Soft plastic picks are popular because their flexible tips fit easily in between the teeth, while their texture provides gentle scrubbing for your tooth enamel.

• Interproximal Brushes

Big name; tiny brush. These little cone-shaped brushes come in various sizes so they can fit snugly and comfortably between teeth whether widely or narrowly spaced. They’re especially handy for getting around wires if you wear braces.

• Water Flossers

These high-tech tools provide a pulsing stream of water to clean between the teeth. They’re particularly helpful for those with mobility issues and those with traditional or lingual braces. To make sure you’re getting the job done, choose a model with a dental seal of approval, which means it has been tested for safety and effectiveness.                                                                                                                                                                   

With so many options, you can sample different flossing alternatives until you find the one that works best for you.

• Technique Is Key

No matter which product you choose, the key to effective plaque removal is your technique. You need to be thorough. You need to be gentle enough to protect your delicate gums, but not so gentle that you don’t remove any plaque.

Whichever method you choose, carefully follow directions to get optimal cleaning benefits while protecting tooth enamel and gum tissue. And remember, you have an expert ally in your corner—the doctor and your team at Southwest Iowa Dental Associates! If your hygienist is seeing a lot of plaque buildup at your next exam, ask for tips to improve your interdental cleaning technique and suggestions for the best products to accommodate your specific needs.

• Choose It—Then Use It!

Even after deciding on the best tool and technique, your teeth and gums won’t benefit from your research if your floss or pick or brush or water flosser is languishing in the medicine cabinet. While dentists recommend flossing at least once each day, if you have braces or a tendency toward cavities or gum disease, your dentist might recommend flossing more often.

Why is flossing so important? Even with the best brushing technique, it can be hard to reach plaque and food particles caught between the teeth and near the gum line. Removing plaque from between teeth can help prevent cavities, and it’s especially important for gum health.

Plaque and tartar are extremely irritating to gum tissue. This irritation causes inflammation, and you’ll soon start to see the first signs of gingivitis (early gum disease)—swelling, redness, bleeding, bad breath—when flossing is hit or miss. Over time, left untreated, gingivitis can lead to periodontitis, a serious form of gum disease that can cause tooth and bone loss.

When caught early, you can often reverse the irritation, inflammation, and unpleasant symptoms of gingivitis with a week or two of careful brushing and flossing. If your gums are bothering you despite your careful cleaning, it’s time to visit our Shenandoah, Iowa dental office. There are lots of options available for getting your teeth their cleanest—but you have only one smile!

With the warmer and longer days here, we know many of our patients at Southwest Iowa Dental Associates will be much more active in the summer. Though most of our patients are probably already ready to hit the field for some summer fun, we thought we would discuss a few precautions to take when it comes to keeping your teeth safe as you enjoy playing your favorite sports.

Use a Mouthguard

Are your kids participating in contact sports this summer? If the answer is yes, we strongly encourage you to have them fitted for a mouthguard at Southwest Iowa Dental Associates before the season starts. Athletes can avoid serious mouth and jaw injuries by using a mouthguard.

Be Mindful of Sports Drinks

While sports drinks can be refreshing after a game, they unfortunately contain high levels of sugar and citric acid, which are known to erode the teeth and reduce the minerals in the outer tooth enamel. The simplest way to prevent sports drinks from damaging your teeth? Avoid them completely and drink water instead. Water is a great option to keep you hydrated before, during, or after a game.

Floss, Floss, Floss

While we always tell our patients about the importance of flossing, it is especially important on the day of the game. Athletes are likely to consume more sugar; from energy bars and chews to gum, you are not doing your teeth any favors. All that sugar may give you that extra bounce in your step when out on the field, but we want you to remember to floss when you get home, or else contend with an increased risk of cavities down the road.

If you have any questions about keeping your teeth and mouth healthy while participating in summer sports, please give us a call at our Shenandoah, Iowa office! Have fun!

Every moment of your baby’s first year of life is precious, since every day your child grows a little, develops new skills, and discovers new things. Most of it is wonderful, but parents don’t like to see their babies in pain. That’s why teething can be such a hard experience. However, you can take steps to make it easier for you and your baby.

What to Expect

Most babies begin teething around the age of six months, when the lower central incisors start to appear. Shortly after this time, the upper central incisors poke through, followed by the lateral incisors, first molars, canines, and second molars. Unfortunately, you’ll probably know that your baby is teething not because you see these teeth come in, but because your baby will be in discomfort. These are some of the signs to watch for when you’re expecting your baby to begin teething.

• Tender and sore gums
• More drooling than before
• Being crankier than usual
• Chewing on hard objects

What You Can Do

As a parent, you want to do everything you can to make your child more comfortable. These are some approaches that the doctor and our team recommend:

• Take a clean moistened wash cloth or use your own washed finger to rub your baby’s gums and provide relief due to the pressure.
• Provide a firm rubber teething ring for your baby to use, but don't use the type that is filled with liquid.
• Use a bottle. A bottle filled with cold water can be soothing. Don’t give your baby formula, milk, or juice constantly because the sugar can cause tooth decay.
• Medications can help for extreme crankiness. Infant Tylenol is an example, but it’s best to check with your pediatrician before giving your baby medications.

You might also want to take special care to dry the drool. It’s not just to keep yourself and your baby dry. Keeping your baby’s skin dry can help prevent irritation.

When to Visit Us

Once your child’s first tooth comes in, it’s time to start thinking your baby’s first trip to our Shenandoah, Iowa office. The American Dental Association suggests that you bring your child to the dentist within six months of the appearance of the first tooth, or at about one year of age. the doctor can do a quick check for tooth decay, and we’ll make sure you know how to take care of your child’s new teeth.

We’re parents, so we worry. It comes with the job description! That’s why we make sure our children use toothbrushes with soft bristles and apply just the right amount of fluoride toothpaste. That’s why we make regular appointments with their dentists for preventive care and examinations. And that’s why we want to know all about the X-rays that are used in our children’s dental exams.

First of all, it’s reassuring to know that the amount of radiation we are exposed to from a single dental X-ray is very small. A set of bitewing X-rays, for example, exposes us to an amount of radiation that is approximately the same as the amount of radiation we receive from our natural surroundings in a single day.

Even so, dentists are especially careful when children need X-rays, because their bodies are still growing and their cells are developing more rapidly than adults. And children often have different dental needs than adults, which can require different types of imaging.

In addition to the usual X-rays that are taken to discover cavities, fractures, or other problems, young patients might need X-rays:

• To confirm that their teeth and jaws are developing properly
• To make sure, as permanent teeth come in, that baby teeth aren’t interfering with the arrival and position of adult teeth, and that there’s enough space in the jaw to accommodate them
• To plan orthodontic treatment
• To check the progress and placement of wisdom teeth

So, how do dentists make sure your child’s radiation exposure during X-ray procedures is as minimal as possible?

Radiologists, the physicians who specialize in imaging procedures and diagnoses, recommend that all dentists and doctors follow the safety principal known as ALARA: “As Low As Reasonably Achievable.” This means using the lowest X-ray exposure necessary to achieve precise diagnostic results for all dental and medical patients.

Moreover, radiologists are devoted to raising awareness about the latest advances in imaging safety not only for dental and medical practitioners, but for the public, as well. With children in mind, pediatric radiologists from a number of professional associations have joined together to create the Image Gently Alliance, offering specific guidelines for the specific needs of young patients.

And because we are always concerned about the safety of our patients, dental associations around the world, including the American Academy of Pediatric Dentistry, the American Dental Association, the American Dental Hygienists’ Association, the Canadian Academy of Pediatric Dentistry, and the Canadian Dental Hygienists Association, are Image Gently Alliance members.

The guidelines recommended for X-rays and other imaging for young people have been designed to make sure all children have the safest experience possible whenever they visit the dentist or the doctor. As dental professionals, the doctor and our team ensure that imaging is safe and effective in a number of ways:

• We take X-rays only when they are necessary.
• We provide protective gear, such as apron shields and thyroid collars, whenever needed.
• We make use of modern X-ray equipment, for both traditional X-rays and digital X-rays, which exposes patients to a lower amount of radiation than ever before.
• We set exposure times based on each child’s size and age, using the fastest film or digital image receptors.

We know your child’s health and safety are always on your mind, so you’re proactive about dental care. And your child’s health and safety are always on our minds, too, so we’re proactive when it comes to all of our dental procedures available at our Shenandoah, Iowa office.

Please free to talk with the doctor about X-rays and any other imaging we recommend for your child. We want to put your mind at ease, knowing that X-rays will be taken only when necessary, will be geared to your child’s age and weight, and will be used with protective equipment in place. Because ensuring your child’s dental health and safety? That comes with our job description!

While there is no definite evidence that if your prevent gum diseases, like periodontitis, that you may be able to prevent a heart condition or heart disease. The only thing experts, like the doctor, know for sure is that if you take care of your gums it can lessen atherosclerosis, (build-up of artery clogging plaque) that may result in a heart attack or stroke.

Could periodontal disease cause heart attacks?

Regardless of your oral health, if you're at a high risk for heart disease, you need to take action.

• Maintain a healthy weight or lose weight.
• Consume healthy foods and beverages.
• Exercise several days the week. Walking is a powerful and lightweight exercise and will clear your head while helping your body get or stay healthy.
• Control any medical conditions you may have such as high cholesterol, diabetes, or high blood pressure.
• Reduce your stress. Have lunch with a friend, go for a walk in the park, take a bubble bath, mediate, or do whatever you find relaxing.
• Get a social life. Laughing reduces stress and “feel good” hormones. Everyone needs to feel like they are a part of something: join a book club or any activity where you can interact with other people at least once or twice a week
• Be sure to get enough sleep. The recommended amount is eight to nine hours a night. It has been proven that a lack of sleep increases your risk for angina, strokes, and heart attacks.
• Practice good oral hygiene to keep bacteria in check and your mouth healthy.

Contact our Shenandoah, Iowa office if you have questions about your heart and oral health. If you take practice good oral hygiene, both your mouth and your heart will thank you.

Looking back at childhood photos, you may notice picture after picture of yourself with a mouthful of shiny white teeth. When you look in the mirror today, you wonder what happened to that beautiful smile. Many adults struggle with tooth discoloration and find it embarrassing to show off their teeth in a smile. Once you identify the cause of your tooth discoloration, there are treatment options at Southwest Iowa Dental Associates that can restore your teeth and your confidence.

What Causes Tooth Discoloration?

There are a host of factors that may cause your teeth to discolor. Some are directly under your control, and others may not be preventable. Here is a list of common reasons that teeth become discolored.

• Genetics: Much of your dental health is determined by genetic factors beyond your control. Some people naturally have thinner enamel or discolored teeth.
• Medications: Several medications lead to tooth discoloration as a side effect. If you received the common antibiotics doxycycline or tetracycline as a child, your teeth may have discolored as a consequence. Antihistamines, high blood pressure medications, and antipsychotic drugs can also discolor teeth. If you think a medication may be leading to tooth discoloration, talk to the doctor. Never discontinue the use of a medication without consulting your doctor, however.
• Medical Conditions: Genetic conditions such as amelogenesis or dentinogenesis cause improper development of the enamel, and can lead to yellowed, discolored teeth.
• Poor Dental Hygiene: Failing to brush your teeth at least twice a day or regularly floss may lead to tooth decay and discoloration.
• Foods and Tobacco: Consumption of certain foods, including coffee, tea, wine, soda, apples, or potatoes, can cause tooth discoloration. Tobacco use also causes teeth to turn yellow or brown.

Treatments for Tooth Discoloration

There are a variety of treatments available to individuals with discolored teeth. One of the easiest ways to reduce tooth discoloration is through prevention. Avoid drinking red wine, soda, or coffee and stop using tobacco products. If you drink beverages that tend to leave stains, brush your teeth immediately or swish with water to reduce staining.

After determining the cause of tooth discoloration, the doctor can suggest other treatment options. Over-the-counter whitening agents might help, but in-office whitening treatments provided at our Shenandoah, Iowa office would be more effective. When whitening agents do not help, bondings or veneers are among the alternative solutions for tooth discoloration.

If you are worried about your teeth becoming yellow or brown, think carefully about your diet and medication use. Talk to the doctor to identify substances that may be causing the problem. After treatment for tooth discoloration, you will have a beautiful white smile you can be proud to show off.

The merry month of May also happens to be National Fitness and Sports Month, so take advantage of the warmer days to get outside and exercise! Bringing a friend, family member, or coworker with you when you go for a brisk walk during a lunch break can provide an opportunity to socialize as well as health benefits. If you need a little more motivation, here are some good reasons to stay active and fit.

Exercise provides:

• Improved stamina and energy as well as toned muscles and bone strength and density
• Improved circulation and breathing for a healthier heart and lungs
• Reduced risk for Type 2 diabetes and certain forms of cancer
• For older adults, regular exercise may help improve balance and reduce the risk of falls as well as improved cognitive abilities

Children and Teens

Children and teenagers spend long hours at their desks in school, on the computer, watching television, and involved in other sedentary activities that result in obesity and poor health later in life. Getting them engaged in school or community sports teams can help them form good life-long exercise habits. One important note: If they are participating in contact sports, the doctor and our team at Southwest Iowa Dental Associates recommend your kids wear an approved mouthguard to protect those valuable teeth from injury! Ask us for a proper fitting of your safety appliance during your next visit!

A gym membership is nice but not necessary to stay fit; try these easy ways to work some exercise into your daily routine.

At Home

• Take a friend along for company on a walk through your neighborhood.
• Pursue gardening or other yard work, including mowing or raking.
• Take your kids on a bike ride or have them push a baby stroller around the block.

Couch potatoes take note: simply moving from the sofa to the floor for some sit-ups, leg-lifts, or push-ups while you’re watching television can help you get in better shape in no time.

At Work

• Take the stairs instead of the elevator.
• Take exercise breaks for walks around the building or parking lot.
• Walk or ride a bike to work.

So what are you waiting for? Get moving!

For more information on exercise techniques, or to schedule an appointment with the doctor, please give us a call at our convenient Shenandoah, Iowa office!

When it comes to dental hygiene, “going green” is not the first phrase that comes to mind. But if you are brushing properly, you are also replacing your toothbrush every three to four months as the bristles become frayed and wear down. Sure, that’s a tiny amount of plastic from each of us going to our landfills, yet it adds up to millions of brushes a year nationally. If you are concerned about reducing your carbon footprint while reducing your risk of cavities, there are several new toothbrushes designed to make brushing more eco-friendly.

Biodegradable Toothbrushes

Some brushes claim to be completely compostable. These models generally have heads fitted with boar bristles and handles manufactured from sustainable woods or bamboo. Boar bristles aren’t for everyone. Some users complain of the taste of the bristles, and boar bristles might be harsher than the soft bristles we recommend to protect both enamel and gums. There is also some concern about bacteria growth on organic bristles.

Earth-friendly Handles and Bristles

If you prefer the consistency and texture of regular synthetic bristles, you can still opt for a brush with a handle of sustainable wood or bamboo. You can also select PBA-free bristles, bristles made primarily of castor oil, or bristles that use natural ingredients in combination with synthetics.

Reduce, Reuse, Recycle

If these exotic brushes aren’t for you, there are more conventional choices that will save energy and cut down on waste.

• Reduce the amount of electricity you use for your electric toothbrush with a model that requires less charging time.
• Reuse your toothbrush by buying one with a handle made of metal, natural materials or plastic and replace the detachable head every three months.
• Recycled plastics can be found in the handles of some toothbrushes, and many brushes come in recyclable packaging. Every bit helps!

If you decide to use one of these green products, remember that your dental health is still the primary goal. Be sure the bristles of your brush are soft enough to protect your gums and enamel and can reach all the places you need to brush. The handle should be easy to grip and the head should be a comfortable fit for your mouth. It’s always best to choose products with a seal of acceptance from your local dental association, or talk to us about greener alternatives during your next visit to our Shenandoah, Iowa office. Luckily, there are several workable options to protect the health of your family's teeth while still being mindful of the health of our planet.

If you’re happy with your manual toothbrush, read no further. But if you’re looking for more options than “firm,” “medium,” or “soft,” there’s a world of electric toothbrush innovations out there waiting to make your brushing routine not only more efficient, but interactive as well! What does innovative toothbrush technology offer?

A Menu of Brushing Options

Some brushes now offer several different modes to choose from, depending on how you want to use your electric toothbrush. There are options for sensitive teeth, polishing, deep cleaning, massage, or gum care along with the regular cleaning setting. Whether you want whitening action or a gentle massage for teeth and gums, there’s a brush out there for you.

Pressure Sensors

Electric toothbrushes are a great way to avoid brushing too vigorously. Even with soft bristles (which should be your go-to choice), a manual toothbrush can irritate sensitive gum tissue if it is applied with too much pressure. And over time, harsh brushing can lead to enamel damage. An electric toothbrush, on the other hand, provides consistent, gentle brushing with normal use. If you still have a tendency to be a bit heavy-handed, a helpful pressure sensor can provide a warning light or actually reduce the brush’s motor speed to get you back on track.

Smart Toothbrushes

There’s an app for it! Many electric models offer wireless connectivity to an app that monitors your brushing habits. You can track your brushing time, get a reminder when your brush head needs changing, even view a map of the areas you’re cleaning effectively—and the ones you’re missing. Check out individual models to see just what you can learn from your smart brush.

USB Charging

No need to search for outlet space or amass a collection of travel adapters any longer. USB charging cases makes your electric toothbrush convenient and portable.

And more innovations are in the works—fully biodegradable toothbrush heads, toothbrushes powered only by water or kinetic energy, and an app that offers games while you brush. For toothbrush traditionalists, a manual toothbrush will still do a great job. But if you are looking for the latest in toothbrush technology, explore what the newest electric brushes can do for you. Ask the doctor during your next appointment to our Shenandoah, Iowa office. The end goal of toothbrush innovation, after all, is healthy teeth and gums. Make your next selfie something to smile about!

One of the most frequent questions that the doctor and our team hear is about what kinds of snacks are best for a child’s dental health. Sugary snacks are inevitable sometimes, but it’s vital for you as a parent to monitor how frequently your child is eating the kinds of snacks that may give him or her a cavity or two down the line.

Unsurprisingly, the best snacks are healthy ones, though they may not always be the most appealing to your little ones. The good news is that healthy doesn’t mean you have to compromise on taste. Once your kids give these tasty snacks a go, they might become open to all things healthy!

• Fresh veggies and hummus
• Apple wedges with peanut butter
• Low-fat yogurt with berries
• Cubes of cheese and crackers
• Hard-boiled eggs with a little bit of salt and pepper
• Celery sticks with cream cheese and sunflower seeds
• A homemade milkshake with low-fat milk (or almond milk), the fruit of their choice, chia seeds, and cinnamon
• Lean proteins such as chicken breast, fish, and turkey

These snacks aren’t high in sugar but they contain all the nutrients your children need to have the necessary energy throughout the day.

This is only a sample of all the great, healthy snacks out there for your kids. For more ideas, ask us the next time you visit our Shenandoah, Iowa office. It’s never too early to create healthy habits; they’re not only good for oral health, but overall health too. That’s a win-win, if you ask us.

What is oral cancer?

April is Oral Cancer Awareness Month. If you have been putting off a visit to our Shenandoah, Iowa office, now is an excellent time to schedule one. Regular visits to Southwest Iowa Dental Associates can be the first line of defense against oral cancer, by identifying early warning signs of the disease, or helping you with preventive care tips to lower your chances of developing it.

Oral Cancer Rates in America

Nearly 40,000 people in the U.S. will be diagnosed with oral cancer this year, and more than 8,000 die every year from this disease. It is a devastating illness: most people who are diagnosed with it do not live more than five years beyond their diagnosis. Oral cancer has a higher death rate than many other common cancers, including cervical cancer, testicular cancer, Hodgkin’s lymphoma, and thyroid or skin cancers. The high death rate results from the fact that most oral cancers go undiagnosed until the disease is well advanced and has spread to another part of the body—most often, the lymph nodes in the neck.

What causes oral cancer?

While there is no way to predict exactly which individuals will get oral cancer, there are some potential causes you should know about—because in some cases, you can minimize these risk factors.

• Age (most patients diagnosed with oral cancer are over the age of 40)
• Tobacco use, either from cigarettes or smokeless chewing tobacco
• Excessive alcohol consumption (especially in combination with tobacco use)
• Persistent viral infections, such as HPV16
• A diet low in fruits and vegetables

In addition, oral cancer tends to occur at a rate six times greater in men than in women, and more often for African Americans than other ethnic groups. No genetic links have been identified to explain the higher incidence in these populations, so lifestyle choices remain the likeliest cause.

Oral Cancer Treatments

Once a diagnosis has been made, treatment of oral cancer usually involves a multi-disciplinary team that includes surgeons, oncologists, dentists, nutritionists, and rehabilitation and restorative specialists. Our team will decide on the best approach for each patient, depending on the risk factors and how far the cancer has progressed. The strategy will be different in every case. Some of the most common methods include chemotherapy, radiation, and potential surgery.

Finding out you have cancer can be devastating news. If you are concerned that you might be at risk for developing oral cancer, talk to us about screenings and other things you can do to reduce your risk.

If you have a child who loves arts and crafts, try some of these creative projects with a dental twist. One of these activities is sure to give your child something to smile about!

Toothbrush Art

Why throw away that used toothbrush when you can help your young child make art with it? Give it one more cleaning and a second life. The easy-to-grip handle and the wide bristles make a toothbrush easy for young hands to hold and paint with. If you are in an adventurous mood, use the brush to make splatter art. Your child can splatter an entire sheet of paper for an abstract effect, make a sky full of stars with a flick of the brush, or add splatter leaves to a tree scene. Cut out a stencil with a favorite shape (an animal, a flower, a toy), place it on a sheet of paper, splatter around it, remove the cutout, and—instant silhouette!

Paper Crafts

If your child is an origami enthusiast, there are some challenging dental-themed examples available online. These might be too advanced for beginners, but more experienced origami fans can make molars with roots and even molars lined with pink paper to symbolize the interior pulp. Younger paper artists might enjoy making construction paper models of an actual tooth, with white enamel, yellow dentin, and pink pulp layered in their proper order.

Sculpting Fun

For the scientifically minded young artist, clay can be used to make a 3D model of a tooth, with different colored clays representing the different layers of the tooth. Younger children learning about their teeth might enjoy fitting little white clay teeth into a pink clay crescent to show how baby (or adult) teeth fit into the gums. And for non-dental inspiration, old, clean toothbrushes can once again help out if your child likes sculpting art work with modeling clay. Add interesting texture by using the brush bristles on damp clay to create grooves, lines, or indentations.

Welcome the Tooth Fairy

If the Tooth Fairy is a regular visitor, make her welcome with a box decorated with paint or fabric to hold that special baby tooth. Or craft a pouch or a bag with fabrics scraps, and add a fabric tooth so that the Tooth Fairy will know she has come to the right spot. If you use felt and fabric glue, no sewing necessary! If your Tooth Fairy is an under-the-pillow traditionalist, decorate an envelope with a letter to the Tooth Fairy inside.

If some of these projects sound just right for your child, check out online craft sites for even more ideas. And, please be sure to have your children show and tell the next time they visit our Shenandoah, Iowa office. That will put a smile on our faces!

Oral-systemic health is the idea that oral health is a critical and interconnected component to a patient’s overall health and well-being. Studies show that people who have poor oral health are more likely to have other health conditions such as heart disease, diabetes, or a high likelihood of stroke.

Some of the data suggests that oral pathogens may trigger up to 50% of heart attacks, and that the oral bacteria P. gingivalis may cause a 13.6-fold increase in patients’ risk of a heart attack.

Still, the exact relationship between oral and overall health isn't fully known — whether one causes the other or how treating one might affect the other. But it should serve as a warning call to anyone suffering with poor oral health, especially periodontal disease.

More studies need to be conducted to establish the precise link between the two, but whatever it is, one thing is certain: good oral hygiene makes for good oral health. Many dentists and doctors realize the need to work together as a cohesive healthcare team to improve and maintain the health of their communities.

The American Dental Association says oral health is essential to overall health, and not just a luxury. They are setting goals to reduce the amount of tooth decay in low-income communities for both children and adults.

So what is a patient about this information regarding oral-systemic health? Here are some tips to increase and maintain your overall well-being:

• Have an effective oral hygiene routine. Brush twice a day for two minutes each time, floss daily, clean your tongue, and avoid sugary beverages.
• Visit your dentist regularly. Regular cleanings and checkups at your dentist’s office will keep your mouth clean and ensure you’re taking good care of it.
• Eat a healthful diet. A diet rich in fruits, vegetables, whole grains, and natural, unprocessed foods contributes to the overall health of your body.
• Stay hydrated. Drink plenty of pure, clean water throughout the day. A good rule of thumb is to drink eight eight-ounce glasses a day.
• Relax, destress. Stress can play a big role in all forms of disease. Take time during your day to relax, meditate, stretch, and allow your body and mind to rest.

If you have questions about your oral health and how it may be affecting your general health, feel free to ask the doctor during your next visit to our Shenandoah, Iowa office.

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Yes, indeed! While brushing, flossing, and regular visits to Southwest Iowa Dental Associates are all key to maintaining a healthy smile and mouth, the doctor and our team want you to know the state of your oral health has a significant effect on your overall health.

Our mouths are full of bacteria—some good, and some harmful. Some types of bad bacteria can cause cavities, gingivitis and even periodontal (gum) disease. Without proper oral care and hygiene, these harmful types of bacteria are capable of entering your blood stream through inflamed gums, when inhaled through the mouth or through saliva.

Gum disease, in turn, has been linked to a number of health problems, researchers have found. These include:

• Heart disease: Gum disease may increase the risk of heart disease. Gum disease also is believed to worsen existing heart disease.
• Stroke: Gum disease may increase the risk of the type of stroke caused by blocked arteries.
• Diabetes: People with diabetes and periodontal disease may be more likely to have trouble controlling their blood sugar than diabetics with healthy gums.
• Premature birth: Women who suffer from gum disease during pregnancy may be more likely deliver their baby early, and it is likely her infant may be of low birth weight.

the doctor and our team at Southwest Iowa Dental Associates are experts in identifying and treating periodontal disease. Give us a call today at our convenient Shenandoah, Iowa office to schedule an appointment to improve your oral health and your overall health, too!

A length of floss plus your teeth is about as low-tech as it gets. But, as with so many other “simple” skills, it helps to learn just the right technique to avoid common mistakes and to make your flossing as effective as it can possibly be.

• Choose the Right Floss for You

You’re getting ready to go out, and your floss keeps getting stuck, shredding, or snagging. You might try waxed flosses or flosses treated to glide easily through the teeth if this is a difficulty. (But do call us if it happens a lot—it could be a problem with a restoration, or a cavity, or some other condition we should address.) If you have the opposite problem, too wide a space between teeth for effective flossing, there are dental tape flosses that work with wider spacings. Braces? There are even specially designed dental flosses that thread between brackets and wires to access hard-to-reach plaque and food particles. If you’re unsure which product will work best for you, we have recommendations.

• Don’t Be Too Hard on Yourself

Did you know dental floss is a handy kitchen tool? You can use (unflavored) floss to cut cakes into even layers, slice cheese, or divide a log of cookie dough into perfect rounds. Just pull the floss taut and saw away. But let’s not use this technique on delicate gum tissue! Gums can be injured by a vigorous, sawing motion. Instead, gently guide the floss between the teeth to the gums, and, when you reach the gum line, gently ease the floss up and down the tooth surface. But do remember, sometimes the gums are sore and sensitive because of too little flossing, not too much. Proper cleaning will help keep your gums both healthy and pain-free.

• Technique Counts!

We often use floss to remove food particles from between the teeth, which provides instant dental gratification. But you are flossing for the long term as well. Proper flossing removes the plaque that leads to cavities from places your brush just can’t reach. Make sure you floss between each tooth, and don’t forget the back of those teeth on the end. The next time you visit our Shenandoah, Iowa office for a cleaning, let us demonstrate the most effective techniques for gently removing plaque from beneath the gum area and on the tooth’s surface.

• It’s All in the Timing

How much time should you spend flossing? That answer will depend on your individual needs. For some people, thorough and careful flossing once a day will be sufficient. For others, flossing more often might be advisable. We can help you decide how often and how long to floss.

It might take some time and practice to learn to floss effectively, but you will find your technique gets better and your flossing is accomplished more quickly once you have the basics down. If the doctor can offer any suggestions, don’t hesitate to ask!

A lot of changes occur in a woman's body during pregnancy. Hormone fluctuations are responsible for many of those changes, including the need for additional attention to the teeth and gums. Women who are expecting are at an increased risk for oral health complications, including gingivitis and tooth decay, which can lead to irreversible damage. Fortunately, there are steps pregnant women can take to keep their teeth and gums in optimal health from the first trimester to delivery day. Today, the doctor and our team at Southwest Iowa Dental Associates thought we would share them.

At-home dental care

At-home dental care should not vary much from what you did prior to pregnancy. The American Dental Association recommends brushing at a minimum of twice per day using fluoridated toothpaste. Follow up with floss to keep bacteria from accumulating in hard-to-reach spaces.

Dental checkups

It is safe and recommended to continue visiting the doctor for routine dental checkups and cleanings during pregnancy. However, it is very important to inform the doctor about an existing pregnancy. Special steps must be taken to protect pregnant women from certain medications or X-ray radiation that could be harmful to a growing baby. On the other hand, avoiding teeth cleanings during pregnancy can lead to serious consequences, including advanced tooth decay and infection.

Food and cravings

It is no secret that pregnancy can cause a woman to crave specific foods. Sugary treats like candy, cookies, or sodas may satisfy a sweet tooth, but they can also cause serious dental problems when consumed frequently or without brushing afterward. Trade out these treats for naturally sweet fruits when possible, and never forget to brush and floss thoroughly after eating sugar-filled foods.

Signs of complications

It is important to know and recognize the signs of oral health problems during pregnancy; an early diagnosis usually translates to an easier, less-invasive treatment. Symptoms of potential problems include gums that easily bleed or are swollen, reddened, or painful. These are symptoms of gingivitis, which can lead to a receding gum line and tooth loss if left untreated.

Call our Shenandoah, Iowa office if you experience any of these symptoms or pain in a tooth, loss of a tooth, a broken tooth, or bad breath that does not go away with brushing.

Rumor has it that the Queen of England doesn’t allow garlic in the palace. And, even if you have no royal duties in the near future, it might be a good idea to avoid foods like garlic and onion before a big presentation or a first date. But if your diet is filled with mint, fresh apples, and parsley and you still worry about your breath, here are some common causes for bad breath that you might not have considered.

• A Slip of the Tongue

We brush and floss to remove food particles and bacteria. After all, bacteria that linger in the mouth produce acids that damage tooth enamel and cause bad breath. But there is one important brushing target you might be overlooking—your tongue.

Remove food particles and bacteria on the surface of the tongue with a gentle brushing after you have finished cleaning your teeth. With a dab of toothpaste, brush the top of your tongue gently from back to front. There are also tools called tongue scrapers available that are specifically designed to remove food particles and bacteria from the tongue’s surface. However you choose to clean your tongue, remember to move from the back to the front, and always clean gently.

• A Dry Spell

We spend the vast majority of our day not brushing our teeth. What helps keep breath fresh even during the hours between brushings? Saliva! As saliva bathes the teeth throughout the day, it not only washes away food particles and bacteria, but also neutralizes the enamel-damaging acids that are produced by bacteria. Yet another benefit? Saliva is not a friendly environment for the oral bacteria that produce volatile sulfur compounds (VSCs). It is these compounds that cause most of the unpleasant odors we know as bad breath.

If you are drinking the recommended amount of water each day, you are helping your body produce saliva and fight bad breath. Sometimes, a medical condition called dry mouth, or xerostomia, interferes with saliva production. Talk to the doctor about ways to deal with dry mouth. Solutions as simple as drinking more fluids or chewing sugarless gum can help, or we can suggest over-the-counter products or prescription medications if needed.

• A Bad Night’s Sleep

We’re all familiar with the concept of morning breath. As we sleep, our saliva production naturally decreases. It’s like a nightly version of dry mouth. Without normal levels of saliva, bacterial growth takes off, VSC’s are produced in greater quantities, and we wake up wondering what on earth happened to that fresh feeling we had after brushing the night before.

Unfortunately for snorers, nighttime brings more problems. Snoring leads to mouth breathing, and mouth breathing creates an even drier environment where oral bacteria increase more quickly. If you find you are consistently waking up with an especially unpleasant case of morning breath, you could be a chronic snorer without even realizing it. If you discover or suspect you have a snoring problem, talk to the doctor or your GP. Snoring can have serious health consequences, so let’s discuss possible solutions.

One important note to end on: if you have eliminated all the obvious causes of halitosis but still have persistent bad breath, give our Shenandoah, Iowa office a call. Chronic bad breath can be a symptom of serious gum disease, oral infections, illnesses such as diabetes or kidney disease, and other medical conditions that should be treated as soon as possible. If the topic is bad breath, let’s make sure garlic is the only thing you have to worry about.

In our office, we customize treatment for every patient. Amid all of the fillings, crowns, and veneers, we find there are three treatments that are most valuable when offering our patients options: dental implants, bite guards, and teeth whitening.

Dental implants are a great tool for those who have lost teeth from trauma, genetic predetermination, decay, or fracture. Technology and design have allowed these implants to look and function like a natural tooth. They are a great investment when maintaining bone structure and smile presentation.

In our fast-paced lives, people take their stress and tension out on their teeth. Clenching and grinding, or bruxism, is on the rise. This is traumatic to crowns, fillings, and natural teeth. Headaches are a symptom of bruxism and when not treated, jaw joint inflammation and pain are a result. Bite guards are often worn at night when most of the action occurs. Many are not even aware of this habit until presented with evidence of cracked teeth, broken crowns, and pain.

Last, but most definitely not least, is whitening. Tooth whitening is safe and effective. There are different types of tooth whitening: in-office, custom trays, and over-the-counter strips. Each is effective, though at different levels. First, and your best option, is done in the office. The gums are protected and a gel with high potency is applied to the teeth. Some methods have a light shining on teeth and some have timed intervals without the light. Next are custom trays, which require an impression of your bite. Trays are picked up at a later date. At that point, instructions are given and the gel and trays are delivered. A final option is whitening strips, which can be found in many local stores. They are effective, though the whitening process is slower and some areas may not whiten.

Each treatment has risks and rewards that should always be considered prior to any treatment. Implants must be well cared for. Bite guards must be an accurate fit and worn regularly. Comfort is most important. Whitening causes temporary sensitivity and some people’s teeth whiten better than others.

Consider what your needs are, and then customize your wants to fit into the equation. A little stability from implants, protection from a bite guard, and a brilliant smile may be just what the doctor ordered. And if you have any questions, don’t hesitate to call our office, Southwest Iowa Dental Associates.

From a student handing out sweets for her classmates to an older married couple exchanging boxes of candy, Valentine’s Day is the time of year when people like to show affection by gifting sugary treats to their loved ones. Whether you’re on the giving or receiving end of Valentine’s Day candy, you can celebrate the holiday in a healthier way by making dark chocolate your confection of choice.

Contribute to Your Health

According to the Cleveland Clinic, studies have shown that the cocoa beans used to make chocolate contain flavonoids, which can help protect the body against damage from various toxins. Flavonoids may also help lower blood pressure and improve blood flow to the heart and the brain. Dark chocolates typically contain a higher amount of flavonoids than other types, making them a great choice for chocolate lovers. However, you should keep in mind that many companies produce chocolate that is so heavily processed that the flavonoids are largely eliminated. Your best bet is to look for high-quality dark chocolates and cocoa powders that have undergone minimal processing.

Protect Against Cavities

If you think there’s no way candy could ever be beneficial for your teeth, think again. The Texas A&M Health Science Center has reported that the tannins present in cocoa beans may actually help prevent cavities by interfering with bacteria’s harmful interaction with teeth. Just like with flavonoids, tannins have been found to be present more often in dark chocolates, rather than milk chocolates, giving you another great reason to choose the richer, sweet varieties.

Avoid a Sticky Situation

One more benefit of choosing chocolate over other candies is that it is less likely to get stuck in the crevices and spaces between teeth. Gooey sweets like taffy can stay lodged in the mouth for longer periods of time, putting you at a greater risk for developing cavities. When you choose your chocolate, be sure to avoid types that also contain sticky ingredients like caramel or marshmallow, and instead opt for the plain varieties.

Remember that the health benefits you can receive from dark chocolate are largely based on eating the candy in moderation. With that being said, it’s easy to make this delicious and health conscious switch when you’re out shopping for your sweetheart, friends, loved ones, and yourself. Have fun satisfying your sweet tooth this year and Happy Valentine’s Day from all of us at Southwest Iowa Dental Associates!

Experiencing tooth or oral pain is not fun. If you cannot get to Southwest Iowa Dental Associates right away, the pain may even seem to increase. The old saying that a tooth will stop hurting once you get to a dentist is not that far from true. However, there are many tips you can try to relieve your oral pain until you can see the doctor.

Common Pain Relief Options

First, try to determine the source of the pain. This is sometimes not possible, but it may help. If you are experiencing pain between your teeth or along the gum line, try swishing some warm salt water in your mouth. One teaspoon of salt in eight ounces of warm (not hot) water is all you need.

The pain you are experiencing could be a particle of food stuck under your gum. You can also try flossing as long as bleeding is not present. Salt water soothes other mouth irritations to reduce pain.

You can try over-the-counter pain relievers, including oral medications or topical gels. Avoid taking aspirin; it thins your blood, which could end up being a problem for dental work. Wash your hands before applying any topical pain treatments to avoid spreading germs.

Clove Oil

Clove oil works quickly to relieve most oral pain. Place a few drops of clove oil on a damp cotton ball and place the cotton in your mouth near the painful area. Do not use this method overnight, because you don’t want to swallow the cotton.

Whole cloves can also be used, but try to remove any sharp edges first. Place a few pieces in your mouth and allow your saliva to soften the clove. Some sources say that chewing the clove helps, but you shouldn’t do this if you have a fractured tooth.

Other Household Remedies

If you have cough drops that include benzocaine or menthol, you can try sucking on a cough drop for relief. Placing a warm, wet tea bag against a painful oral area can sometimes reduce the pain as well.

Toothpastes designed to relieve pain from sensitive teeth may work. While these pastes do take time to reach full effectiveness, they can be helpful if you have to wait several days.

Remember that these tips are only designed to provide temporary pain relief. You need to schedule an appointment at Southwest Iowa Dental Associates quickly. Call and schedule an emergency appointment with the doctor as soon as possible.

YES! X-rays have been used in dentistry for a long time, and the amount of radiation has significantly decreased with advances in technology. While there is risk in every health diagnostic procedure at Southwest Iowa Dental Associates, the benefits must outweigh the risks. Dental X-rays do indeed fall into this category.

X-rays are exposed to a type of film to produce an image. The amount of X-rays required to produce this image differs with film speeds. Speed E or F is highly recommended, and digital X-rays require up to 50% less than speed E or F film. The digital X-ray software can adjust the exposure to produce a quality image. Digital X-rays are becoming a new standard and are most common.

Lead aprons have been used to reduce the amount of scatter radiation. All X-ray units have a cone to focus the X-ray beam so the exposure is highly localized. Lead aprons continue to be worn as a precaution for pregnant women, and a thyroid collar should also be worn. In most cases, this is sewn into the lead apron.

We get radiation exposure from environmental factors as well as healthcare diagnostic and treatment tools. To place this in perspective, in one year a person is expected to have 360mRem per year from the sun, air etc. By comparison, a single set of bitewing X-rays is 0.3mRem. Radiation can accumulate in our body over a lifetime, and additional exposure should be avoided whenever possible.

Mouthwashes are commonly used as a part of a daily oral care regimen. Not only do they freshen breath, but some are capable of improving dental health too. Using a mouthwash daily can rinse fine debris away and out of reach while brushing. It can also make the teeth and gums more resilient to decay and disease.

Types of Mouthwashes

There are several types of mouthwashes available today that the doctor and our team at Southwest Iowa Dental Associates want you to be aware of. Some do little more than freshen breath and are known as cosmetic mouthwashes. These are ideal for quickly eliminating odors that linger after eating, drinking, or taking medication. Using a cosmetic mouthwash does not offer any health benefits.

Other mouthwashes offer more comprehensive benefits; they can potentially prevent tooth decay and gum disease. Mouthwashes that contain antimicrobial agents work by preventing the buildup of plaque that can lead to gingivitis and decay of the tooth enamel. However, it should be noted that the use of a mouthwash is never a substitute for regular brushing and flossing.

In some cases, prescription mouthwashes are necessary to treat patients with gum disease or who have undergone periodontal surgery. These specialty mouthwashes are designed specifically for the treatment of gum disease and should not be used outside of their intended use. The majority of mouthwashes require no prescription.

Tips for Choosing a Mouthwash

The choice to use a mouthwash and which one to use is between you and your dentist, depending on your individual oral health needs. If you determine that a mouthwash is right for you, look for one that contains fluoride, if possible. Fluoride provides an added layer of protection for your teeth, and helps them become more resistant to decay. As always, if you have any questions or concerns when choosing a mouthwash, please give our team at Southwest Iowa Dental Associates a call for assistance in selecting the rinse that is best for you. Or, we invite to ask us during your next visit to our Shenandoah, Iowa office!

Every year, over 50,000 North Americans are diagnosed with oral or throat cancer, which has a higher death rate than many other common cancers, including cervical cancer, testicular cancer, Hodgkin’s lymphoma, and thyroid or skin cancers. The high death rate results from the fact that most oral cancers go undiagnosed until the disease is well advanced and has spread to another part of the body, most often, the lymph nodes in the neck.

Because oral cancer is typically painless in its early stages and often goes undetected until it spreads, many patients aren’t diagnosed until they are already suffering from chronic pain or loss of function. However, if detected early, the doctor and our team at Southwest Iowa Dental Associates want you to know that early detection of oral cancer improves the survival rate to 80 percent or more.

If you visit our Shenandoah, Iowa office regularly, you have probably received an oral cancer screening and didn’t even realize it. That’s because the exam is quick and painless; the doctor and our team check your neck and mouth for signs of oral cancer such as discolorations, lumps, or any changes to your tissue. Oral cancer is typically found on the tongue, lips, gums, the floor of the mouth, or tissues in back of the tongue.

Factors that may influence your risk for developing oral cancer include:

• Use of tobacco products. Smoking cigarettes, cigars, a pipe, or chewing tobacco all elevate risk for developing oral cancer. Tobacco use especially is a serious risk factor because it contains substances called carcinogens, which are harmful to cells in your mouth.
• Excessive consumption of alcohol. Those who drink alcohol regularly have an elevated risk of getting oral cancer. Alcohol abuse (more than 21 drinks in one week) is the second largest risk factor for the development of oral cancer, according to the Oral Cancer Foundation.
• Excessive sun exposure. Those who spend lots of time outdoors and do not use proper amounts of sunscreen or lip balm have a greater risk for developing lip cancer. Exposure to ultraviolet (UV) radiation from sunlight may also cause melanoma, the most serious type of skin cancer.
• Your age. Oral cancer is typically a disease that affects older people, usually because of their longer exposure to other risk factors. Most patients diagnosed with oral cancer are over the age of 40.
• Your gender. Oral cancer strikes men twice as often as it does women.
• A history with viral infections, such as human papillomavirus (HPV).
• A diet low in fruits and vegetables.

In between your visits to our office, it is critical for you to be aware of the following signs and symptoms, and give us a call if these symptoms don’t go away after two weeks.

• A sore or irritation that doesn’t disappear
• Red or white patches
• Pain, tenderness, or numbness in mouth or lips
• Difficulty chewing, swallowing, speaking, or moving your jaw or tongue
• A change in the way your teeth fit together when you close your mouth

During your next visit, the doctor will examine your mouth for signs of oral cancer. If you have been putting off a visit to our Shenandoah, Iowa office for your regular checkup, now is an excellent time to schedule one. Regular visits can be the first line of defense against oral cancer because we can identify early warning signs of the disease. Give us a call today!

Today, the doctor and our team at Southwest Iowa Dental Associates thought we would talk about mouthguards, what they are, where to get them, and when to use them.

Q: What is a mouthguard?

A: A mouthguard, which is made of soft plastic, is a flexible, removable device that fits in your mouth and is adapted to fit comfortably to the shape of your upper teeth. A mouthguard will protect not only the teeth, but also your jaws, lips, tongue, cheeks, and gums, and should be worn anytime you are participating in full-contact athletic or recreational activities that may result in injury.

Q: How do mouthguards work? Why are mouthguards important?

A: A mouthguard works as a shock absorber to cushion your mouth from the effects of a blow to the face, head, or neck. Mouthguards protect teeth from not only fractures, but also hold the tongue, lips, and cheeks away from the teeth to avoid lacerations. Using a mouthguard as instructed by the doctor can lessen the possibility of concussion and temporomandibular joint (TMJ) dislocation while you are out on the court or field. Increasingly, organized sports are requiring mouthguards to prevent injury to athletes, and research shows most mouth injuries occur when athletes are not wearing mouth protection.

Q: When should I wear a mouthguard?

A: Whenever you are participating in an activity that involves a risk of falling or head contact with other players. This includes football, baseball, basketball, soccer, hockey, and other competitive sports.

Q: How do I choose a mouthguard?

A: the doctor and our team encourage you to choose a mouthguard that you can wear comfortably. There are several options of mouthguards you may choose from. First, preformed or what we call “boil-to-fit” mouthguards are found in sports stores. But your best choice is asking us for one during your next visit as we can fabricate a custom mouthguard for you at our Shenandoah, Iowa office. A custom mouthguard will be more comfortable to wear and more effective in preventing injuries.

If you have any additional questions about mouthguards, please give us a call or ask us during your next visit!

Watching the clock tick down the final seconds until midnight, many of us- Southwest Iowa Dental Associates included- feel nostalgic about the passing year and hopeful about the new one to come. New Year’s Eve is one of the most widely celebrated holidays in the world, with over-the-top celebrations taking place in dozens of countries. The Gregorian calendar, which is widely used in Western nations and around the world, was implemented in 1582. Since that time, December 31st has marked the final day of the year, with midnight heralding the beginning of a brand new year. In the United States, New Year’s Day is a public holiday; government offices, schools, public organizations, and many businesses are closed for the day. Ponder the following fun facts as you think about your plans for the holiday:

• Approximately one billion people watch the New Year’s Eve ball drop in Times Square, New York City. This televised event is one of the most iconic New Year’s celebrations in the world. For many years, watching the ball drop meant tuning in to Dick Clark’s Rockin’ New Year’s Eve, an iconic television special dear to the hearts of many viewers.
• The idea for the New Year’s Eve ball came about because of a citywide ban on fireworks. Before 1907, when fireworks became illegal in New York City, celebrations included an elaborate fireworks show. The large, glittering, illuminated ball was developed as an alternative. Although the first ball was heavy at 700 pounds, the modern New Year’s Eve ball is made of Waterford crystal and tips the scale at six tons!
• The top five New Year’s resolutions are: to lose weight, quit smoking, get a new job, return to school, or increase personal savings. However, approximately 88% of New Year’s resolutions fail. But don’t let that discourage you! Resolutions are most likely to succeed when they are clear, achievable goals. Setting out a concrete plan to achieve your resolution also boosts your chances of success.
• Eating black-eyed peas on New Year’s Day is said to bring good fortune in the new year. Collard greens, cabbage, and ham hocks are also considered lucky foods to enjoy. Just steer clear of the chicken or turkey dinners; eating poultry is a bad omen for the year to come.

Whether you plan to stay in Shenandoah, Iowa, or head out into the crowds to watch the ball drop in Times Square, New Year’s Eve is a time to enjoy friends and family. Send your loved ones well wishes for the New Year, and look for that special someone to share a midnight kiss with for good luck!

You’ve heard people tell you to say “cheese” when you’re having your picture taken, probably more times than you can count. There is another reason you should be saying “cheese” … or “YES” to eating cheese.

Although the doctor and our staff routinely encourage our patients to brush their teeth after eating, the one time you don’t want to do that, at least not immediately, is after eating cheese.

Study Finds Important Benefit From Eating Cheese

CBS News reported on the results of a study that was published in the May/June 2013 issue of General Dentistry, a publication of the Academy of General Dentistry. The study showed that cheese increases dental plaque pH, but in this case, the plaque increase isn’t a bad thing. When you eat cheese, you increase the pH of the plaque on your teeth, and create a protective coating that may lower your risk of getting dental caries -- more commonly known as cavities.

An analysis of the story from the General Dentistry journal, including the details of the study and its participants, was published in Science Daily. The study looked at 68 children between the ages of 12 and 15. A similar study was conducted by British researchers who reported their findings in the British Dental Journal in 1999.

How the Study Worked

For the 2013 study, researchers divided kids into three groups. Participants in group one ate cheddar cheese. Participants in group two drank milk, while participants in group three ate sugar-free yogurt. All participants were told to eat or drink their assigned foods for three minutes, after which they swished water in their mouths.

Researchers tested every participant’s mouth at ten, 20, and 30-minute intervals. They found no changes in the mouths of participants in the milk drinking and sugar-free yogurt eating groups, but every time they tested the pH levels in the mouths of the ones who had eaten cheese, researchers saw the levels quickly increased.

They concluded that cheese has anti-cavity properties. That isn’t the only benefit, however. Another study, in which related findings were reported, appeared in the Journal of Contemporary Dental Practice in the summer of 2000. In that study, researchers found that cheese may give teeth a protective coating that helps lessen enamel erosion caused by acidic foods, particularly from sugar-sweetened soft drinks.

So don’t just say cheese for pictures. If you want to have a happy, healthy and long-lasting smile, go for cheese. It’s good for your bones, too!

“What is the strongest substance in the body?” If this question comes up on trivia night, be prepared to impress your team when you confidently answer, “Tooth enamel!”

Tooth enamel? The reason for this surprising answer lies in the biology of our teeth. Minerals make up well over 90% of our enamel, a much higher percentage than is found anywhere else in the body, including our bones. But unlike bone tissue, which can heal and regenerate, tooth enamel cannot. Even though it is extremely strong, enamel can be damaged by a process called demineralization.

Demineralization

Demineralization is a result of acids at work in our mouths. Acids actually break down the minerals in our enamel, making the enamel softer. Over time, bacteria attack deeper into the tooth, eventually leading to decay. Acidic foods like sodas, citrus, pickles, and coffee are obvious culprits in providing an acidic environment, but there are other problem foods as well. We all have bacteria in our mouths, which can be helpful or harmful. The bacteria in plaque use the sugars and starches we eat to produce even more acids.

This process is something that takes place very quickly. In fact, even brushing too soon after eating something acidic can damage the demineralized surface of a tooth. Waiting at least 20 to 30 minutes to brush gives our bodies a chance to restore the enamel surface in a process called remineralization.

Remineralization

Our bodies are actually designed to help protect our enamel, and the most important part of this process is saliva production. Saliva cleanses our teeth and reduces levels of acidity. And our saliva constantly washes important minerals over our teeth. Calcium and phosphate ions rebuild and strengthen molecules where demineralization has taken place. This process is called remineralization.

We have other ways to help the remineralization process along. Fluoride toothpastes and fluoridated water speed up the movement of mineral building blocks back to the surface of the tooth. Fluoride also strengthens our teeth so that they resist acids and demineralization better than teeth without fluoride, making them less vulnerable to cavities.

New products are available for home and professional use that are designed to increase remineralization—talk to the doctor at our Shenandoah, Iowa office if you would like the latest recommendations. In fact, talk to us about tooth-friendly menus, the best toothpastes, brushing techniques, and all the ways to keep your enamel its healthiest. You’ll be answering all those trivia questions with a strong, confident smile!

Your beaming smile makes a sunny day even brighter—and that sunny day can return the favor! How does the sun affect your dental health? Let’s shine some light on the subject.

You may have heard how important calcium is to your body. Over 99% of the calcium in our bodies is used to form teeth and bones, providing strength and structure to the hardest parts of the body. But that’s not the only task on the calcium to-do list. Calcium is also necessary for:

• muscles to work
• nerves to carry messages
• blood to deliver nutrients and oxygen
• the release of hormones

When we don’t get enough calcium in our diets, our bodies start to draw the calcium they need for these critical functions from our teeth and bones. Over time, a severe calcium deficiency can lead to teeth that are brittle, or more vulnerable to decay, or loose due to weakened bone density in the jaw.

We can get the calcium we need from a balanced diet. Dairy products are our most common source of calcium, and several servings of milk, cheese, or yogurt each day supply most of our needs. If dairy’s not on your menu, though, you can get calcium from other foods like broccoli, kale, collard greens, canned salmon, or sardines. Because calcium is so essential to our health, many foods are fortified with it, including fortified juices, bread, cereals—even tofu!

But there’s a snag here, and it’s a big one. We can’t really benefit from our careful consumption of calcium without the help of vitamin D. If calcium is the doorway to strong teeth and bones, vitamin D is the key that unlocks all of calcium’s benefits.

Without enough vitamin D, our bodies can’t absorb and make use of calcium. However, getting enough of this essential vitamin can be a problem. While we can get most of the vitamins we need from a balanced diet, there aren’t a lot of foods which are naturally rich in vitamin D.

So, how do we get this vital vitamin? The original option comes from nature.

• Sunlight

Vitamin D is called “the sunshine vitamin” because of the unique chemical reaction that creates it. When the ultraviolet B rays of the sun reach special cells in our skin, they convert cholesterol in these cells to a basic form of vitamin D. These vitamin molecules travel through the body, picking up hydrogen and oxygen molecules in the liver and kidneys to become active vitamin D.

Since sunlight exposure is easy, available, and free, it seems like a simple solution to getting the vitamin D we need.

But we’ve understandably moved away from the days of basking in the sun for hours at a time. Over-exposure to UV rays damages the skin, causing premature aging and, worse, a much greater risk of skin cancer. If you enjoy time in the sun, talk to your doctor about safe sun exposure, which can depend on the part of the country you live in, the time of year, and your individual skin type.

And, if you need to avoid sun exposure, there are other opportunities for getting the vitamin D you need.

• Diet

While there aren’t a lot of foods which are naturally rich in vitamin D, there are still a few options on the menu. Oily fish like salmon, tuna, and herring—and old-fashioned cod liver oil—are good sources of the vitamin. But most of us don’t live on a strict fish diet!

Instead, we can get the vitamin D we need from fortified foods. Vitamin D is commonly added to cow’s milk, soy milk, orange juice, and cereals to make sure the calcium in our diet is working effectively to keep our teeth and bones strong. Check out nutritional labels to discover whether your favorite grocery products contain vitamin D.

• Supplements

For hundreds of years, people who lived in climates and cities without a lot of sunshine suffered from the effects of vitamin D deficiency. Diseases like rickets, where the teeth and bones don’t form properly, were common in children. Adults who couldn’t absorb enough calcium suffered from weak teeth and bones.

Today, depending on age, allergies to sun or food products, dietary choices, and health conditions, some people are still at risk for vitamin D deficiency. If you’ve been diagnosed with this deficiency, your doctor might recommend a vitamin D supplement. (It’s important to take any supplement as directed, because taking too much vitamin D can be harmful, too.)

So, which form of vitamin D is best? Fortified foods? Supplements? Or is it that radiant original source—the sun? No need to worry. With any form of vitamin D, you’re getting the key you need to unlock the benefits of the calcium in your diet—benefits which make healthy teeth and bones possible.

If you have any concerns, talk to the doctor at our Shenandoah, Iowa office about whether you’re getting the vitamin D you need. Your sunny smile will thank you!

Oral surgery can be intimidating, especially if you show any signs of an infection afterwards. the doctor and our team want you to be informed about what to watch for after you’ve undergone surgery.

Oral surgery procedures are intended to reduce pain and prevent infection. Sometimes complications occur after your surgery, and if infection ensues, it will require swift medical attention.

People undergo oral surgery for many reasons, such as:

• Impacted or infected teeth
• Tooth loss, jaw problems
• Facial injuries or infections
• Birth defects
• Sleep apnea

Symptoms of Infection

• Pain that won’t go away with medication
• Steadily swelling of gums, jaw, or face
• Redness or oozing of pus from the area
• Fever that doesn't subside
• Difficulty opening the mouth or jaw
• Excessive bleeding for 24 hours
• Difficulty breathing or swallowing (emergency situation)

After the initial surgery, don’t become worried right away if you notice any of these symptoms. It’s normal to show some blood and swelling after surgery, but that should stop fairly soon with the help of gauze and medication.

You will most likely be numb from the procedure and we will advise you to avoid hard foods for the first day. Pain medication will be administered, and you should take it before you begin to notice pain. A cold compress can also help with swelling and initial pain.

You will be advised not to brush your teeth in the region where the surgery occurred. You may use a prescription mouth rinse, or you can gargle with warm salt water to reduce the swelling. If you follow these directions, you can speed the healing process for a quick recovery.

Don’t fret: a post-surgery infection is not a common development. It happens most often to people who have a compromised immune system or diabetes. Let the doctor know beforehand if you have either of these and we may prescribe an antibiotic to help prevent the spread of infection in the areas of your mouth that get worked on.

If you think you may be experiencing complications after a surgery, please don’t hesitate to reach out to our Shenandoah, Iowa office for advice.  

Plaque is a sticky subject! It sticks to the enamel of our teeth above and below the gum line, and it collects around fillings, braces, and other dental work. Plaque is one of the major causes of tooth decay and gum disease, and our teeth are under daily attack by this filmy menace.

What are the facts about plaque, and how can we fight back? Read on for some effective strategies!

What Is Plaque?

Plaque is a sticky film that builds up on our teeth, largely made up of millions of different types of oral bacteria. Plaque is a colorless biofilm at first, but as it collects, it takes on a white or yellow tint. If you haven’t brushed for a few days, that fuzziness you feel on your teeth is plaque build-up. Unless it’s removed, plaque hardens within a matter of days to become tartar.

• Tip: You can remove plaque with careful brushing and flossing, but it takes a dental professional to remove tartar. Be proactive!

Why Does Plaque Cause Cavities?

Bacteria in plaque use our food as their food, especially sugars and carbs. They then transform these nutrients into acids, which attack our tooth enamel, weakening it and leaving it vulnerable to further erosion and eventual decay.

• Tip: Cavities aren’t the only damage caused by accumulated plaque. Plaque also collects along and below the gum line. If tartar forms here, it irritates delicate gum tissue, leading to gingivitis and more serious gum disease. Make sure you don’t forget your gums when you brush and floss.

When Does Plaque Build Up?

The short answer? Plaque is always forming, because oral bacteria are a natural part of our biology. (In fact, there are even oral bacterial which are beneficial.) Plaque starts building up within minutes after eating, and during the night as we sleep.

That’s why we recommend brushing for two minutes at least twice a day, and flossing at least once a day. If you have braces or oral issues that make brushing more often advisable, ask us for suggestions for your best brushing schedule.

• Tip: Just because plaque is unavoidable, that doesn’t mean we need to give the bacteria in plaque any additional encouragement. Every time you have a meal or a snack that’s heavy in carbs and sugars, you are providing more fuel for acid production. Cutting down on foods like sugary desserts and sodas is not only nutrition-healthy, it’s tooth-healthy!

Where Does Plaque Collect?

Plaque builds up all over tooth surfaces, at the gum line, and even below the gum line. It’s especially easy to miss in hard-to-reach places like the irregular surfaces of molars, between the teeth, behind our front teeth, and near the gum line.

• Tip: One of the ways plaque avoids detection is its invisibility. Fortunately, if you’re having trouble brushing away all your plaque, there are plaque-disclosing toothpastes and chewable tablets available in the dental aisle which reveal the plaque hiding between, behind, or around your teeth by tinting it with a can’t-miss color. Just brush the color away, and you’ve brushed the plaque away as well.

How Do We Clean Away Plaque?

Use the Right Tools

Floss at least once a day. There are different materials, sizes, and coatings for floss, so you can find one that’s comfortable for you. Floss reaches those spots in between teeth and around the gum line that brushes miss.

Choose a soft toothbrush (soft bristles are better for your enamel) and change it every three to four months, or as soon as the bristles show wear. Make sure the head is the right size—too big, and it’s not only uncomfortable, but you won’t be able to reach all the surfaces you need to.

• Tip: If you have trouble removing plaque with a manual toothbrush, consider an electric model. Several studies have shown a reduction in plaque with the use of an electric brush.

Use the Right Toothpaste

There are many toothpastes specifically formulated to fight plaque and tartar. And fluoride toothpastes not only fight cavities, they can strengthen your enamel.

• Tip: Studies have shown that toothpastes with baking soda, in particular, are effective in reducing plaque. Ask us for a recommendation the next time you’re in for a cleaning.

Use the Right Technique

What not to do?  A forceful, horizontal sawing motion is awkward, hard on your enamel, and misses plaque and debris between the teeth. Technique is important—not for style points, but for cleaner teeth!

Hold your toothbrush at a 45-degree angle, especially at the gum line, to gently remove plaque from teeth and gums. Use short strokes or a circular motion to clean as much of the surface and between the teeth as possible. Brush the inside of your front teeth with careful vertical strokes—remember, that’s one place where plaque is easy to overlook. The same holds true for the tops of your molars, so thoroughly clean those uneven surfaces.

• Tip: Do you floss before or after you brush? While both methods have benefits, many dentists and periodontists suggest flossing first. But really, if you are flossing daily, no matter what the order, you’re doing it right!

Who Can Help You Fight Plaque?

Even when you do your best at home, plaque can still be a sticky problem. That’s why we advise regular professional cleanings. We can not only remove any plaque that’s been overlooked, we can eliminate the tartar which can cause serious gum disease.  And, of course, we can give you all the information you need to keep your teeth their cleanest.

• Final Tip: It’s important to schedule cleaning appointments at our Shenandoah, Iowa office on a regular basis to help prevent tooth decay and gum disease. Ask us for phone, text, or email reminders when it’s time for your next cleaning.

True, you’re fighting plaque every day, but you have all the tools you need to make sure your teeth and gums stay healthy. You’re winning the battle with plaque every time you eat a nutritious meal, every time you brush and floss, every time you see the doctor for a checkup and a cleaning. With that kind of strategy, plaque doesn’t stand a chance. And your bright smile and healthy teeth and gums? That’s a victory worth celebrating!

That’s a good question! But first, we’re going to do that roundabout thing where we consider other questions before circling back to our original topic. Trust us, we’ll get there!

• Why Get Your Teeth Cleaned Professionally?

Before you consider how often to have your teeth cleaned, you might be wondering why you need to have them cleaned professionally at all. After all, you’re doing all the right things. You brush twice a day for two minutes each time. You floss at least once a day. You even use a soft-bristled brush to protect your enamel. Shouldn’t this be good enough?

Conscientious dental hygiene at home is a very good thing, but, when it comes to plaque and tartar, it might not be good enough. Plaque, especially between the teeth and along the gum line, is easy to miss. In a matter of days, that overlooked plaque hardens and becomes tartar. While you can do a lot to remove food particles and plaque at home, once plaque hardens into tartar, a professional cleaning is necessary to remove it safely.

• Why Worry About Plaque and Tartar You May Have Missed?

Because you want to avoid cavities and gum disease. You know that the bacteria in plaque cause tooth decay, but did you know that plaque and tartar can be a real problem for your gum health as well? Plaque and tartar irritate delicate gum tissue, causing inflammation and gingivitis (mild gum disease). If you have chronic bad breath, if your gums are swollen, red, or painful, if your gums bleed easily when you’re brushing and flossing, you might have gingivitis.

Left untreated, mild gum disease can become periodontitis, a more serious condition. Irritation and inflammation cause gum tissue to pull away from the teeth, forming deep periodontal pockets where bacteria and infection spread. Infection and inflammation response damage the bone and tissue supporting the teeth, and teeth become loose or lost altogether. In fact, periodontal disease is the leading cause of tooth loss in adults.

A professional cleaning at our Shenandoah, Iowa is one of the preventive steps you can take to reduce your risk of gum disease.

• What Happens During a Cleaning?

First, your teeth and gums will be checked carefully to see if there are any problems that we need to address before the procedure begins.

The first step in cleaning usually involves removing plaque and tartar. This may be done with an ultrasonic scaler, a hand scaler, or a combination of both. Plaque and tartar need to be scraped from tooth enamel above and below the gum line to prevent cavities and gum disease, so this is definitely a job for a dental professional. Gum attachment around the teeth will be checked, and shallow pockets will be cleaned. Your dentist will have suggestions if you have deeper periodontal pockets caused by gum disease.

After all the plaque and tartar have been removed, your teeth will be polished with a gentle abrasive to remove surface stains. There are two common methods of polishing: applying a special gritty toothpaste with a small rotating cup, or air polishing, which uses a stream of fine abrasive powder, water, and pressurized air. (If you have your teeth cleaned more than twice a year, your dentist will let you know if polishing is advisable during every visit.)

Next, flossing. A professional flossing will remove any remaining plaque from between the teeth. This is a good time to double check your own flossing technique and ask for any tips which will make your personal flossing more effective.

Finally, after rinsing, a fluoride treatment might be applied to strengthen your enamel, and you’re good to go. The entire process usually takes between 30-60 minutes.

• So, How Often Should You Have Your Teeth Cleaned?

That is a good question, and we did get there! But we don’t have just one answer for you. As with every aspect of your dental care, the doctor will recommend cleaning treatments and procedures with your specific dental needs in mind.

• If your teeth and gums are healthy, and you don’t have periodontal disease or risk factors for periodontal disease (such as smoking, a family history of gum disease, or medical conditions such as diabetes), you might be able to get by with two cleanings each year.
• If you have a history of periodontal disease, or are at higher risk for periodontal disease because of one or more risk factors, the doctor might recommend more than two cleanings each year.

Professional cleanings play an important role in your preventive dental care. Whether it’s done once a year, twice annually, or more often as needed, a cleaning performed by a dental professional takes only a short amount of your time and provides you with long-term benefits—not only a brighter smile, but healthier teeth and gums!

Calcium from dairy products for strong bones and teeth? Check. Vitamin C from fruits and vegetables for gum health? Check. Protein from lean meats, eggs, and fish to create, maintain, and repair tooth and gum tissue? Check, check, and check.

These nutrients are probably the most well-known players in the production of a dental healthy diet, but there are several other important minerals and vitamins we need to balance the cast. the doctor and our team take a look at some of these lesser-known but equally vital actors.

• Phosphorus

Calcium is the mineral we hear about most often for maintaining strong teeth and bones, but it doesn’t act alone. Phosphorus is necessary for our bodies to make full use of calcium. Phosphorus is absorbed best from animal foods like meat, fish, and poultry, but it can also be found in beans, nuts, whole grains, and dairy products.

• Magnesium

Magnesium also works with calcium, and promotes bone density and the strength of our hard enamel. If you are looking to add magnesium to your diet, you have a spectacular variety of options, including salmon, tuna, chickpeas, green leafy vegetables, nuts, avocados, seeds, brown rice—even dark chocolate!

• Vitamin A

This vitamin is essential for the health and healing of our mucous membranes, which include our gums and the soft membranes in our mouths. Vitamin A is found in animal products such as dairy foods, meat, and liver, or formed from beta-carotenes, found in plant foods such as carrots, peppers, pumpkin, squash, and sweet potatoes.

• Vitamin D

Even though we might make sure to get plenty of calcium to keep our teeth and bones healthy, we will never get the most out of a calcium-rich diet without vitamin D. Vitamin D not only helps with bone density, it actually helps our bodies absorb calcium so we can put it to work for us. It has also been shown to promote gum health by reducing the inflammation that can lead to gum disease. Sunlight exposure leads our bodies to produce vitamin D naturally, but it is available in foods as well. Fatty fish, such as salmon, tuna, and herring, are a rich source of the vitamin, as are cod liver oil and egg yolks. The only plant that produces vitamin D is the mushroom, but it is also available in foods fortified with vitamin D, such as cow’s milk, soy milk, orange juice, and even many cereals.

You want your diet to be part of your healthy lifestyle, and more and more we are coming to discover just how important a balanced diet is to our dental health as well. The fascinating fact is that all of the nutrients which support our dental health work together and depend on each other to play their roles effectively. Talk to the doctor at your next checkup at our Shenandoah, Iowa office for some suggestions on finding the dietary balance that works best for you.

Winter Is Coming.

Okay, that sounded a lot more dramatic in a popular fantasy series. But here in the real world, winter is coming as well, so let’s look at some easy steps you can take to keep your teeth and gums healthy during this icy season.

Remember to Hydrate

Dehydration is dangerous for your health in general, and it’s also bad for your dental health. A dry mouth is more vulnerable to gum disease and tooth decay because there’s less saliva to help maintain a healthy oral environment. Saliva helps wash away food particles and bacteria, works to neutralize the cavity-causing acids they produce, and strengthens tooth enamel with its mineral content.

Summer means heat and perspiration—two obvious causes of dehydration. Winter, though, has its own more subtle ways to dry you out.

• Just as you lose moisture through summer perspiration, you lose moisture with a winter workout as well. That foggy cloud you see when you exhale outdoors? That’s water vapor leaving your body.
• Cold weather means it’s time to kick up the heating system a few degrees. But unlike heated summer outdoor air, heated winter indoor air is not as humid, so it’s more drying.
• Some of us just aren’t as thirsty during winter months, and so we don’t hydrate as regularly as we do in the summer. And while summer menus tend to offer foods like salad, fruits, and iced drinks which automatically provide us with a lot of water content, winter menus? Not so much. Keep up with your daily recommended amount of water throughout the year for a healthier body and healthier teeth and gums.

Wear Your Mouthguard

Whether it’s skiing, hockey, snowboarding, or skating, those winter sports can be hard on your teeth. That’s why it’s important to wear your mouthguard when you’re getting the most out of the snow and ice. Mouthguards help prevent injuries to your teeth and provide protection for your jaw and mouth, too.

And a sport doesn’t have to involve snow and ice to be a winter hazard for your teeth. The combination of hard courts, flying elbows, and body contact make basketball a leader in the dental injuries competition. In fact, any sport which involves potential falls or personal contact is a good candidate for a mouthguard.

Mouthguards are available in several forms:

• One-size-fits-all, pre-formed mouthguards can be found in drugstores and sporting goods stores.
• “Boil-and-bite” models are warmed in hot water and then shaped when you bite down. The fit is somewhat more comfortable than a stock guard.
• Custom-made guards from your dentist are precisely molded to your teeth and mouth, letting you speak and breathe more comfortably.

If you haven’t gotten a mouthguard yet, or your old high school guard was retired years ago, talk to the doctor about a custom guard.  While the over-the-counter options are better than going unprotected, a custom mouthguard fits your teeth perfectly—and comfortably!

Get to the Bottom of Winter Sensitivity

That first breath of frosty air might be more alarming than invigorating when tooth pain and sensitivity makes being out in the cold an unpleasant experience. Sensitivity to cold air or warm winter drinks can be an important symptom, caused by a number of dental conditions such as:

• Cracked teeth
• Cavities
• Exposed dentin (the layer of the tooth underneath your enamel)
• Receding gums
• Over-vigorous brushing

If the cold weather is keeping you indoors because of oral sensitivity, give us a call.

Even though this can be a very busy time of year, if you’re due for a checkup and cleaning at our Shenandoah, Iowa office, or if you have any concerns about your teeth and gums, make time for your dental health. We want to make sure you’re ready to enjoy every frosty moment of the season!

There is no substitution for a natural healthy tooth. Dental fillings are intended to replace tooth structure and restore a tooth damaged by decay (a cavity) back to its normal function and shape. Silver (amalgam) and tooth-colored (composite) fillings last a long time, though they can develop decay when the integrity is compromised by open margins, fracture, or recurrent decay. In this blog, we discuss the signs and symptoms that indicate your filling may need to be replaced in order to prevent further complications.

Amalgam fillings are made of an alloy (mixed metals) that expands and contracts. They have no bonding properties, and so to place an amalgam filling, the hole in the tooth may need to be larger. Because of these two factors, fractures frequently occur. There are three types of cracks that are commonly associated. Craze lines are superficial with no treatment needed. Fractures extend along other parts of the tooth and may require a filling replacement or crown. Cracks extend toward the root and can require a root canal and crown or, if too severe, extraction.

A filing needs to be sealed to the tooth. If the seal between the tooth and the filling breaks down, food debris and bacteria can seep down under the filling and cause recurrent decay. If the decay is treated early, replacing the filling is adequate. If not, a crown and even a root canal may be needed. The biggest mistake you can make is waiting to do something about a broken or unsealed filling until it is painful. Doing this will only make the treatment more involved and often times more expensive.

Regular dental exams and X-rays are used to evaluate dental fillings. You will not be able to tell on your own when your fillings start to fail. Just as a car mechanic will change the oil, correct your alignment, or change your tires, a dental checkup will help you identify small concerns to fix as you go in order to avoid a critical emergency.

Pay attention to any bite or temperature sensitivity in teeth that have fillings. This can be an indicator for some of the problems listed above. You know your teeth better than anyone. Your observations are most valuable when evaluating a filling for replacement. If replacement is needed, know you are doing what is best to prevent future dental calamities and make an appointment to see the doctor.

Dental veneers are a popular treatment to improve the appearance of your smile. the doctor and our team want to help you understand whether this dental option is right for you.

Veneers, also known as laminates, are custom-made shells that cover the front of your teeth. They can change the color, size, or length of each individual tooth. The process can require between one and three trips to our Shenandoah, Iowa office to complete.

This treatment is usually done for people who want to change the appearance of their smile: they can get rid of stains, gaps, or chips. Here at Southwest Iowa Dental Associates, we know how getting veneers can dramatically change your smile and help improve your confidence.

Your initial appointment entails preparing the teeth and creating an impression. The impression will help us design each veneer to the exact shape and color you desire. You’ll come back in a week or two to have the veneers placed. Your veneers should last about ten years, as long as you practice proper care and hygiene.

There are plenty of benefits to getting veneers, but you should be aware of the potential downsides of this procedure. This process is irreversible and the veneers cannot usually be fixed. If they chip or crack, they’ll need to be replaced.

It is also possible for veneers to fall off due to excessive pressure from nail biting or chewing on ice. If you grind your teeth a lot, you’re more likely to expose your veneers to damage, which can be costly to repair.

In order to know whether veneers are right for you, schedule an appointment at our Shenandoah, Iowa office for a consultation. We can decide what you’re looking to do with your smile and if this is the best option for you.

The American Dental Association and dentists everywhere, including our own the doctor recommend that you schedule an appointment every six months for a cleaning and checkup. Despite this universal recommendation from the experts, some people believe regular cleanings and checkups are unnecessary unless there is something wrong with your teeth—for example, a cavity or a toothache. In fact, coming in for a six-month checkup and cleaning is one of the most important things you can do for your oral health, as well as your overall health.

Why It’s Important to Visit Regularly

Numerous studies have shown that oral health is closely tied to the overall health of your whole body. In fact, having a healthy mouth can help the rest of your body stay in balance. On the other hand, an unhealthy mouth can cause all kinds of problems for you down the road.

One of the most important things we do at Southwest Iowa Dental Associates when you come in for cleanings is remove plaque that has collected on your teeth and around your gums. If left untreated, plaque build-up can cause inflammation and irritation around your gums, and lead to gum diseases like gingivitis and periodontal disease.

According to the American Academy of Periodontology, periodontal disease has been linked to increased risk for serious health conditions such as heart disease, stroke, diabetes, inflammation, osteoporosis, and pregnancy complications.

Most oral health issues will begin with subtle changes before progressing into more serious conditions. If you visit us for regular checkups, we may be able to identify common indicators that could lead to larger issues down the road. If we only see you at our office every few years, it becomes more difficult to catch these conditions before they grow into bigger and more painful problems.

What happens at a dental checkup?

When you come in for your regular checkup, there are several things our dentists and hygienists may do, including:

• Take X-rays to determine the overall health of your teeth, jaw, bones, and the tissue surrounding your teeth, including a check for early signs of tooth decay, abnormal growths, cavities, and other damage that is not immediately visible
• Perform a thorough cleaning of your mouth and teeth to remove any excess plaque and tartar, then polish and floss your teeth
• Check for signs of gum disease or evidence of tooth decay
• Examine your bite, and look for broken or damaged teeth
• Identify any changes to your gums or teeth since your last visit
• Examine your head and neck for signs of oral health problems

Waiting to visit the doctor until you already have a problem, like a cavity, is like waiting to put gasoline in your car until after you run out and your vehicle is stalled on the side of the road. Once you have a problem, the ripple effect can cause you a lot of pain, take considerably more time, and cost a lot more money to fix than if you had come in for preventive care and cleanings every six months.

References: American Academy of Periodontology (2012). Gum Disease Links to Heart Disease and Stroke. Retrieved from http://www.perio.org/consumer/mbc.heart.htm

Most people think braces are all about their teeth. While it is true orthodontics is meant to move your teeth into proper position, there's more to it than that. To safely move your teeth with braces, you're going to need healthy and stable gums (or periodontium—the tissues that support your teeth).

For this reason it's critical to have your periodontal health evaluated prior to getting braces. This applies particularly to adults, since a 2013 study by the Center For Disease Control found that an estimated 47.2% of adults 30 years of age and older had periodontitis (gum disease). If you do have periodontitis, moving your teeth with braces will only make things worse.

Conversely, there is also risk for periodontal disease if you don't get orthodontic treatment. Malocclusion, as well as crooked and spaced teeth, can all contribute to periodontal disease. In these situations your teeth and gums are more difficult to clean and become breeding grounds for disease causing bacteria. Bad oral hygiene combined with these traits can greatly contribute to the development of periodontitis.

So, periodontics and braces have a tricky relationship. On one hand, you shouldn't get braces if you show signs of developing or have periodontitis, while on the other hand, braces can help prevent the possibility of developing periodontitis by correcting the bite and straightening the teeth.

If you are 30 years of age or older and are considering getting braces, it would be wise to first:

• Let the doctor know about your desire to get braces
• Get an exam to make sure you're in good periodontal health and a good candidate for braces
• If you are a good candidate, keep an eye on your teeth and gums and get regular dental checkups throughout your entire course of treatment.

If you are in any doubt about the status of your teeth and gums, it's always best to get them checked before embarking with braces treatment. For more information or to have your periodontal health assessed for braces treatment, please contact our Shenandoah, Iowa office.

How better to spend the fall months than inside by the fireplace with a warm cup of cider and a book in hand? The doctor and our team at Southwest Iowa Dental Associates encourage you to warm up your mind this fall season with a few great books. Sure it may be easy to put off reading when balancing a hectic schedule, but reading is vital to brain development. Besides, reading is always a blast!

This week, we thought we’d ask what you or your child are reading this fall. Do you have any suggestions for must-read books this year? Out of ideas for great fall reads? Ask us for suggestions, and we would be happy to provide a few. You may also ask a local librarian here in Shenandoah, Iowa for some ideas.

Happy reading! Be sure to share with us your fall picks or your all-time favorites below or on our Facebook page!

What to do to prevent gum disease? If left untreated, gum disease can lead to discomfort, infection, and even tooth loss. Bacteria in our mouths form a film called plaque. Plaque sticks to our teeth and can lead to gum inflammation. This inflammation can cause our gums to pull away from the teeth creating “pockets” which are home to infection and result in tooth and bone loss. Since the early stages of gum disease are often invisible, what is the secret to keeping our gums healthy?

Luckily, there is no secret to it at all! Preventing most gum disease is a simply a matter of following well-known guidelines, at home and in our Shenandoah, Iowa office.

 Healthy Habits at Home

• Regular brushing and flossing

At least two minutes of careful brushing twice a day will help reduce bacteria and plaque. Use floss, picks, and other interdental tools to remove plaque from tight areas between the teeth that your brush might miss.

• If you smoke, now is the time to quit!

Smoking weakens your immune system, making it harder to fight infections and to heal. If you need another reason to quit, improving your oral health is a great one. Talk to us about ways to stop.

• Eating well

We all know sugar is no friend to dental health, and encourages bacterial growth. But eating apples, carrots and other crunchy vegetables can help remove food particles and stimulate the production of saliva, which fights bacteria production. Vitamins and minerals help strengthen bones and build healthy gum tissue. And a balanced diet supports not just your oral health, but the health and well-being of your entire body. Ask us for suggestions for a dental-healthy diet.

Regular Checkups and Cleanings

• We recommend a visit to our Shenandoah, Iowa office every six months for a checkup. The doctor can discover and treat gingivitis (early periodontal disease) and recommend a periodontal exam if there are signs of more severe gum disease. There are some individuals who develop gum disease even with great brushing and flossing habits, so it’s important to have a dentist’s evaluation.
• Having your teeth cleaned every six months will remove plaque that brushing alone can’t handle. If there are signs of more serious gum disease, a periodontal cleaning will remove plaque and tartar from both above and below the gumline.

Brushing, flossing, avoiding smoking, eating well, seeing the doctor regularly—there’s no secret here! Talk to us about what you can do and what we can do to keep your gums healthy for a lifetime of beautiful smiles.

We know how frustrating it can be to discover your child has one or more cavities when you come to visit Southwest Iowa Dental Associates. There are several ways to prevent baby teeth from forming cavities due to decay. Not to worry: If your child does develop a cavity on a baby tooth, the doctor can help take care of the problem.

Let’s look at how cavities on your little one’s teeth can be prevented from developing in the first place. Most often, children suffer decay from eating sugary foods. You may think, “My child doesn’t eat lots of candy!” In truth, fruits and juices have plenty of natural sugars that can break down teeth if they aren’t brushed thoroughly.

A well-balanced diet that includes calcium and phosphorous is necessary to keep your child’s oral health in a good state. If your son or daughter drinks juice, avoid giving it before bedtime and dilute the juice with water. Good options for snacks include vegetables, low-sugar yogurt or dairy products, and plenty of milk for healthy teeth.

Another excellent preventive strategy consists of scheduling regular appointments with the doctor for your child. Between your youngster’s annual cleanings, make sure he or she brushes and flosses every day. It’s worthwhile for your little one to brush thoroughly for at least two minutes to remove any decay or plaque that has accumulated in the mouth, especially before bedtime.

Brushing Techniques

• Move the brush both back and forth, and in circular gentle strokes.
• Brush the outer surfaces, inside surfaces, and chewing surfaces of all teeth.
• Place the toothbrush at a 45-degree angle to the gums.
• Brush the tongue to remove excess bacteria and keep breath fresh.

It’s not always possible to prevent cavities from appearing in your son or daughter’s mouth. If your child does develop a cavity, our staff will notify you during the regular scheduled cleaning.

The cavity will need to be eliminated, even when it appears on a baby tooth. Our staff will remove the decayed part of the tooth and fill in the hole so your child doesn’t have to experience any pain.

You may wonder why a baby tooth has to be fixed if it is eventually going to fall out. Baby teeth hold spaces where your child’s permanent teeth have to grow in. If the former aren’t taken care of, multiple teeth may shift and the permanent ones won’t be able to grow in properly.

If you still have questions or concerns about your child’s baby teeth, or notice signs of a cavity, please don’t hesitate to contact our Shenandoah, Iowa office and schedule an appointment. Remember, preventive steps can be taken to avoid bothersome cavities from forming in your child’s mouth.

Just like natural teeth, the doctor will tell you that dentures have a tendency to get coated with plaque, which is a sticky, transparent film that attracts food and bacteria. When you don’t take care of your dentures adequately and regularly, plaque can build up, harden, and become difficult to remove. More importantly, it can result in dental problems, including gum disease and infection. Proper care for your dentures also helps them maintain their shape, fit the way they are supposed to, and last longer.

Cleaning your dentures

Your dentures should be cleaned with the same diligence as you clean natural teeth.

• Take out dentures and rinse them after eating. To remove food particles, run water over your dentures.
• Clean your teeth after denture removal. Once dentures have been removed, use a soft-bristled toothbrush to brush existing teeth, gums, and tongue.
• Scrub your dentures on a daily basis. At least once per day, gently scrub your dentures with a soft-bristled toothbrush and denture cleanser.
• Soak dentures overnight. In order to keep their shape intact, many dentures must remain moist. Always use a mild denture solution recommended by our office. Never use hot water on your dentures, as they may warp their shape.
• Rinse dentures prior to placing them back in your mouth. This is especially important if you soak your dentures in a denture solution.
• Dentures are fragile and can break when dropped. It’s a good idea to hold them in a soft cloth or towel to keep them from falling and breaking.

Over time, even with diligent daily care, your dentures may form difficult-to-remove tartar. When this happens, our team at Southwest Iowa Dental Associates uses a powerful ultrasonic cleaner to remove stubborn, denture build-up.

Proper care for your dentures can help retain their shape, prevent oral issues, and increase their longevity. Visit the doctor regularly at our convenient Shenandoah, Iowa office to maintain your oral health and keep your dentures in tip-top shape.

The “Back to School” ads are out already? Halloween candy’s showing up in stores? Just a minute—summer isn’t quite over yet! While the days are still warm, let’s look at a few cool ways to keep your smile bright with some healthy dental options:

• Healthy Drinks

Hot summer days mean it’s time to hydrate. But sodas, fruit drinks, and sports drinks can have a lot of added sugars, which can mean added cavities. They can also be quite acidic, and acids break down tooth enamel. So, what to reach for on a hot day? Water!

Water is a good choice whenever you’re thirsty. Water is essential for healthy bodies and for healthy teeth and gums, too. Water helps wash away food particles that feed the cavity-causing bacteria in plaque. Acids in our foods and drinks break down tooth enamel, and water helps balance out those acids. If you have fluoridated water, fluoride makes enamel stronger and even helps reverse early decay. And it’s easily available and very cost effective!

• Healthy Gear

Make sure that healthy smile you worked so hard for stays looking its best with protective gear:

• A mouthguard will help protect your teeth and mouth from contact with hard surfaces and hard bodies when you’re enjoying biking, baseball, hoops, and other activities.
• If you have a retainer, wear it as directed. Retainers keep your teeth from moving out of position while your jawbones rebuild strong bone tissue around them.
• If you suffer from bruxism, your nightguard protects your teeth and jaws from tooth-grinding damage, so don’t forget to use it nightly.

Your appliances protect you, so return the favor and make sure your appliances stay healthy by cleaning them after use and storing them in their protective cases.

And remember to replace another piece of protective equipment regularly—your toothbrush. If you haven’t replaced your toothbrush for several months, it’s time to go shopping. Toothbrushes wear down over time, and, after three months or so, can’t clean plaque as effectively. Which reminds us . . .

• Healthy Habits

Even as we take advantage of the end of summer with last minute camping, or travel, or action-filled weekends, one thing should stay on schedule—regular brushing and flossing.

You should be brushing twice a day, for two minutes each time. If it’s hard to time yourself, try playing a favorite two-minute song or using a timer or even a brushing app. And don’t forget to floss! Floss gets into spaces where bushes can’t to remove plaque. Floss once a day to keep your teeth their cleanest.

Finally, don’t forget to schedule regular dental appointments at our Shenandoah, Iowa office for a cleaning and exam with the doctor.

Summer’s almost over, but these healthy tips work in fall, winter, and spring, too—for a smile that’s sunny and bright all year long!

If you suffer from dental anxiety, we understand that paying a visit to our office can seem like a nearly impossible mission. Regardless of what the root of that anxiety might be, we’re here to tell you that at Southwest Iowa Dental Associates, you have no need to be nervous. Our office is dedicated to making your dental experience as comfortable and stress-free as possible.

One of the best things to do if you experience dental anxiety is call our office in advance to let us know. By notifying us in advance, you give us the opportunity to provide you with the dental care you need in the way you need it.

We can prescribe a relaxation medication for you. During your appointment, we can provide a little bit of laughing gas to put you more at ease, teach you some behavioral techniques for relaxation, and make sure you’re never in the dark about what’s happening.

If dental anxiety makes you feel embarrassed, please be assured that you’re not alone. Studies show that as much as 75% of adults suffer some degree of dental anxiety! It might be helpful to remember that your doctor’s goal is the same as yours: We are here to keep your oral health in check so you can be your healthiest self. We certainly don’t want to make you uncomfortable in the process.

If you have any questions about other ways in which we can accommodate you during your visits, please don’t hesitate to contact our Shenandoah, Iowa office!

the doctor and our staff rely on digital X-rays to help us diagnose oral conditions and process images at incredibly high speeds. You can also view digital X-rays in real time while we examine your mouth with an intraoral camera and upload the images to a software program. A chairside computer monitor lets you see these images as we refine areas of concern to ensure an accurate diagnosis.

But are dental X-rays safe?

Yes! They emit 80 percent less radiation than exposure-type X-rays and provide detailed images to improve diagnosis and treatment. We can now detect dental problems in their earliest stages without subjecting you to unnecessary radiation. The amount of radiation released by digital X-rays is “negligible,” which means the amount is so small, that it can be safely disregarded.

Safe enough for children and pregnant women, digital X-rays detect microscopic pitting in tooth enamel and other abnormalities in the oral tissues that might have remained undetected with traditional X-rays. When the doctor and our staff discover dental caries in their earliest stages, we can initiate treatment measures that will effectively prevent cavity development, tooth decay, and potential tooth loss.

Patient appointment lengths are shortened with digital X-rays as well, because images are immediately viewable and do not require the exposure time associated with old-style X-rays.

How Digital X-Rays Differ from Traditional X-Rays

Instead of using cardboard-contained film, we insert a small sensing device about the size of a pen in your mouth and engage the digital X-ray machine by manually manipulating control buttons. Within seconds, images appear on the monitor that can later be stored in your file or sent to another doctor for further examination.

The increased resolution afforded by digital X-rays means that patients are able to understand the seriousness of their dental issues better, and are more inclined to follow through with procedures recommended by the doctor.

Safer, Better and Faster

For detection of cancerous tumors in their early states, digital X-ray technology offers vast improvements over film X-rays because of its cutting-edge image processing capability. Early detection of oral cancer and dental caries is the best way to prevent any type of oral health problem from exceeding the treatable stage.

Nobody likes bad breath, and although it can sometimes be difficult to tell if you have it, it is always better to practice good oral health than risk having a smelly mouth. There are many ways to reduce or eliminate bad breath, some are definitely more effective and longer lasting than others. Check out ways to do so below.

Floss Regularly

As difficult as it can be to remember to floss regularly, when it comes to bad breath, flossing is one of the easiest and most cost effective ways to freshen your mouth. See, flossing reduces the plaque and bacteria found in areas of your mouth that a toothbrush simply can't reach, and in turn, it rids your mouth of the smell associated with that bacteria. While flossing may not eliminate bad breath on its own, if you do it along with other health oral hygiene habits like brushing, then you may just develop a fresher smelling mouth.

Use Mouthwash

Using some sort of mouthwash can really freshen up your breath, especially if you find it still smells after brushing and flossing. There is a wide variety of mouthwash products on the market, however, you can also create your own by simply using baking soda mixed with water.

Always Brush after You Sleep

Whether after taking a nap, or having a full night of sleep, you will want to brush your teeth in order to reduce bad breath. The truth is, bacteria accumulates in your mouth while you are sleeping (even during a short nap) and that is ultimately the source of bad breath. So next time you wake from a good slumber, give your mouth some brushing and you will find it makes a big difference in the freshness of your breath.

There are many ways to freshen your breath beyond just using gum or mints, the above mentioned are just a few for you to try. Test them out and you will likely find your bad breath problem is solved, or at least considerably reduced. Of course, you can always ask the doctor at your next visit to our Shenandoah, Iowa office.

Time to brush! So, you make sure you gently brush the plaque off the outside surfaces of your teeth. You want to present a gleaming smile to the world, after all. And you make sure to brush the inside surfaces as well, because who wants to feel a fuzzy patch of plaque every time their tongue hits their teeth? And, naturally, you remember to clean the tops of your molars, because those crevices make them more cavity-prone than any other surface.

Done? Not quite!

You might be surprised to learn that no matter how well you’ve brushed all the visible surfaces of your teeth, you’ve left quite a bit of enamel untouched—the adjoining, or touching, surfaces of the teeth which sit next to each other.

You’ve probably noticed that your bristles can’t . . . quite . . . reach all the enamel between your teeth (especially between your molars!) when you’re brushing. This means that food particles and plaque have an easier time sticking around. And when the bacteria in plaque are left undisturbed, especially with a banquet of food particles available, they produce acids which gradually eat away at the enamel covering our teeth, creating a cavity.

Here’s where we work in some specific dental vocabulary. “Interproximal” means between the adjoining, or touching, surfaces of the teeth. And an interproximal cavity is a cavity which develops on one of those side surfaces of your teeth.

• Discovering Interproximal Cavities

Clearly, a cavity between the teeth won’t be as obvious as other cavities. How will you know if a dental appointment is in order?

There are typical symptoms which can show up when you have a cavity. Chewing might be painful. You might feel pain or sensitivity when you eat or drink something which is hot, or cold, or sweet. But pain and/or sensitivity aren’t always present, especially when a cavity is just beginning to develop.

Regular exams are important so you can catch small cavities before they become more serious. That’s why, at your regular dental exams, the doctor will always check for any signs of decay on every surface of each tooth, including those places which aren’t easily visible. And that’s why X-rays can be an important tool for locating these tricky cavities.

• Treating Interproximal Cavities

If the doctor and our team finds a cavity between your teeth, there are different treatment options available depending on the size of the cavity:

• A typical cavity will require a filling. The decay will be removed, and then the area will be cleaned and filled. You’ll probably choose a filling material which can be matched to your enamel color if the restoration will be noticeable.
• If decay has spread to the pulp chamber inside the tooth, a root canal is often the best treatment option, with a crown applied afterward to protect the tooth.
• A tooth so decayed or infected that it cannot be saved might require extraction.

Dealing with any weakness in a tooth as quickly as possible is always better than waiting until a more complicated treatment option is needed. Of course, the best treatment is prevention, and, luckily for us, it’s not a complicated process at all.

• Preventing Interproximal Cavities

In fact, it’s about as basic as it can be—brush and floss effectively. We recommend brushing for two minutes at least twice a day and flossing once each day. While most of us are good about keeping up with brushing, sometimes that daily flossing is more a goal than a reality.

But it’s flossing which really does the trick when it comes to interproximal cleaning. If you floss correctly, food particles and plaque are removed from between the teeth and around the gumline—places where bristles just can’t reach. The next time you get your teeth cleaned at our Shenandoah, Iowa office, ask for tips on how to perfect your technique. And, if you have difficulty flossing, ask about alternatives such as water flossers and interproximal brushes.

Preventing cavities on the exterior surfaces of your teeth is probably pretty much automatic by now, but don’t forget the potential for stealth decay! If the doctor and our team find signs of erosion on the sides of your teeth, or if your hygienist lets you know that you’ve got a lot of interproximal plaque buildup, work with us to make sure “interproximal cavity” doesn’t become a working part of your dental vocabulary.

“The purpose of all war is peace.” - Saint Augustine

Fire truck sirens, baton twirlers, marching bands covering patriotic tunes, colorful floats, costumes, and millions of red, white, and blue American flags being waved in the air on a beautiful day in late May, that is what Memorial Day is all about. It is a federal holiday celebrated with town parades, remembrance, and a sense of unity and community togetherness.

Our team at Southwest Iowa Dental Associates wants to take this time to wish you and your family a happy Memorial Day, as well as pause for a moment to reflect on what this holiday means and how it has changed over time. No, this is not a history lesson, but just a couple of thoughts and observances for you to take with you on your way to the next barbecue.

On the last Monday in May, America observes Memorial Day as a time to remember and celebrate the men and women who have lost their lives while serving our country in the Armed Forces. The holiday originated after the Civil War; at that time it was known as Decoration Day. While holidays like Thanksgiving, Christmas, and Easter remain the same from year to year, Memorial Day has changed over time, and in the 21st century we observe a far different holiday than what Americans did after the Civil War, or even the World Wars.

While many people place flags at cemeteries and visit national memorials in order to honor those who have passed away serving the country, Memorial Day is also a time for family barbecues, pool parties, trips to the beach, blockbuster movies, long weekend getaways, and fireworks. In America, Memorial Day has come to represent the unofficial start of the summer – a long, sunny, warm weekend devoted to family togetherness, outdoor events, and community.

It is time to load up the potato salad and the apple pie and head over to the neighbor’s house for their annual barbecue. And yes, contrary to popular belief, we do eat sweets, especially homemade apple pie! Everything in moderation, of course.

So whether you’re in the Shenandoah, Iowa area or beyond, Happy Memorial Day to you and yours from the doctor!

We’re used to seeing athletes wearing mouthguards at practice or play, because dental trauma is one of the most common (and predictable) sports injuries. But it’s not just athletes who are at risk, and there are some events in our daily lives that we just can’t predict. Car accidents, falls, workplace injuries, even innocent playground structures can take their toll on our smiles.

A major chip or a crack in your tooth is upsetting enough, and should be seen by the doctor as soon as possible. It’s even more unnerving when a tooth is knocked out completely. The technical term for a tooth which has been knocked out is an avulsed tooth, and it is a true dental emergency.

If you should suffer a partially or completely dislodged tooth, there is a possibility that your tooth can be reimplanted—if the damage isn’t too severe and if you get to our office immediately.

How can a lost tooth be saved? This is possible because of the complex biological engineering that anchors our teeth within the jaw. The root of a tooth is surrounded by the periodontal ligament. This connective tissue attaches the tooth to the alveolar bone of the jaw. When a tooth is knocked out, this ligament splits apart, leaving some tissue on the tooth root and some within the tooth’s socket.

To successfully reimplant a tooth, the connective tissue cells around the root of the tooth need to be vital, so that they can begin to reattach to the connective tissue left in the socket. Over time, this reattachment is complete, and the tooth becomes firmly anchored to the bone again.

It’s important to protect your tooth before you see the doctor to make sure there will be enough healthy tissue for reattachment. First of all,

• Don’t panic! If you or a friend or family member lose a tooth, call your dentist or your emergency health care provider as soon as possible. You will get specific instructions for your specific situation.

If you are unable to reach a healthcare provider immediately, there are some general rules for taking care of an avulsed tooth:

• Find the lost tooth. Don’t touch the root—use the crown, or top part of the tooth, to pick it up. You are trying to preserve and protect the connective tissue on the root surface.

• If the tooth is dirty, gently rinse it in milk, saliva, or water. Don’t wipe it off, though. You could damage those connective tissue cells mentioned above.

• Place the tooth back in the socket, if possible. Gently hold it in place with your fingers or bite down (again, gently). You can also place the tooth in your mouth next to your cheek.

• If returning the tooth to the socket is not an option, or if you are worried about a child possibly swallowing the tooth, keep the tooth moist. Whole milk or solutions sold just for the purpose of preserving an avulsed tooth are better choices than water, which damage the tissue cells on the root. And never wrap the tooth tightly—this can also damage the connective tissue.

Above all,

• Don’t delay! The faster a tooth is reimplanted in its socket, the greater chance you have of keeping it. Really, every minute counts. Reimplantations are more successful if they take place within 30 minutes. After an hour out of the mouth, your tooth’s chances of successful reintegration are lower—but still worth pursuing!

What will the doctor do?

• Evaluate the avulsed tooth.

There are variables which can affect whether or not a lost tooth is a good candidate for reimplantation. Trying to replace a baby tooth, for example, could interfere with the formation of the adult tooth. An adult tooth that is broken will probably require a different type of treatment.

• Prevent infection.

You might be given antibiotics and a referral to your medical doctor for a tetanus booster if needed.

• Clean the site.

The socket will be gently irrigated to clean the area and to remove any clots that may have formed which can interfere with the tooth’s placement.

• Recommend or perform a root canal.

Nerves and blood vessels within the tooth’s pulp generally don’t recover after a serious traumatic injury, so a root canal procedure could be necessary to preserve the health of your tooth. This procedure might be done immediately, or might be recommended for a later date.

• Stabilize your tooth.

The tooth must be stabilized after being reimplanted, so the doctor will use a splint to anchor the tooth to the teeth next to it. The splint can be flexible or rigid, depending on the condition of the alveolar bone. Splinting generally takes from two to eight weeks, and you will be given detailed instructions for taking care of the area while you heal.

Losing a tooth is an alarming experience. But with prompt action, and a trip to our Shenandoah, Iowa office, it might be possible to make that loss only a temporary one.

If your teeth don't line up like they used to any more, you may be suffering from temporomandibular joint disorder, often called TMD. This is a term that can actually be applied to any condition that occurs because the temporomandibular joint (TMJ) is inflamed.

The temporomandibular joint is essentially the hinge that holds your lower jaw to your skull, and when it is inflamed or damaged in any way, it can be extremely painful. You have two temporomandibular joint, one on each side of your jaw, and it is typical to experience TMD in both sides at the same time.

Shifting of the Teeth

The reason that your teeth may not line up as they once did is that the ball and socket joints are often out of alignment and, as mentioned above, often very inflamed as a result. In order to correct the problem, the doctor may prescribe dental orthotics such as a lower jaw splint.

Sometimes, the wisdom teeth can play a role in the shifting of the teeth as well. If shifting wisdom teeth is combined with TMD, it may be necessary to have your wisdom teeth removed. Dental splints may follow if your teeth don't shift back to their proper positions on their own.

TMD is certainly a difficult thing to deal with, so if you experience your teeth shifting, scheduling an appointment at our Shenandoah, Iowa office is the smartest course. We want to help you get your smile back, so give us a call anytime.

Have you been thinking about getting an oral piercing lately? It could seem enticing because they look trendy or cool, but it’s worth know the health risks associated with oral piercing. Even if you already have one, you may learn a few things you didn’t know.

The human mouth contains millions of bacteria. Even without piercings, it’s not uncommon for people to develop an infection every once in a while. By adding an oral piercing, you increase your likelihood of getting an infection.

Many people who have piercings tend to develop the habit of touching them regularly, which is the like opening a door and yelling, “Welcome home, infections!” And because these piercings are in your mouth, particles of all the food that comes through can accumulate and eventually cause a pretty serious health situation.

It’s hard to ignore the presence of an oral piercing, so biting or playing with the site is fairly common. Doing so can lead to teeth fractures, however. While a fracture might be on the enamel of a tooth and require a simple filling, it can also go deeper, which could entail a root canal or even tooth extraction.

Other risks include hindering your ability to talk and eat, nerve damage, gum damage, and even loss of taste.

If you’re still determined to get an oral piercing, at least be aware of the time it will take to heal. It can take anywhere from four to six weeks, and can cause great discomfort during that time. Be willing to give it that time in order to lower your chances of infection.

Make sure you understand that getting an oral piercing will involve adding further responsibility to your daily dental health duties. It’s essential that you commit to regular upkeep on your end, and not just while it’s healing.

Just like that, it’s almost summertime. As the spring season ends, perhaps these lighter, brighter days are inspiring you to do a bit of last-minute spring cleaning. Or perhaps they’re not. No judgment here!

What we can recommend wholeheartedly is finishing the season with a clean, sparkling smile. And we have some bright ideas for you!

Refresh Your Cleaning Technique

Tooth brushing can become so automatic that we don’t think about the basics anymore. And suddenly, we’ve finished brushing in half the time we used to, and, hey, how long has that floss been sitting on the counter, anyway? We suggest some mindful cleaning for a healthier smile.

• Spend two minutes brushing, at least twice each day.
• Make sure you reach all the surfaces of your teeth, inside, outside, and on top of your molars.
• Use short, gentle brush strokes, covering a tooth or two at a time.
• Angle your brush to clean along the gum line. Plaque around the gums leads to irritation and inflammation, and is a common cause of gum disease.
• Use vertical strokes to clean the inside of your front teeth.
• Floss at least once each day.

Good Cleaning Requires Good Tools

Since we’re tidying up, let’s talk about some helpful cleaning tools. Is your toothbrush looking a bit—long in the tooth?  

After three to four months of brushing, your toothbrush bristles start to break down. Frayed and matted bristles can’t clean as effectively as a toothbrush in top shape. Each change of season is a good time to remind yourself to change brushes.

And, while you’re shopping, remember:

• Soft bristles are almost always all any brusher needs. Even medium bristles can be abrasive to tooth enamel. And brush gently—scrubbing is also abrasive.
• If you use an electric toothbrush, those toothbrush heads need to be replaced, too! In fact, because these brushes often have shorter bristles, heads might need to be replaced every two to three months.
• Use fluoride toothpaste to clean and protect your teeth.
• Don’t forget the floss!

If you’re not a fan of your current floss, take another look at the dental aisle in your local store. There are lots of new flossing options out there just waiting to be sampled. If manual flossing is difficult, consider a water flosser. the doctor can help you find just the right floss for your one-of-a-kind smile.

And speaking of your dental team . . .

Some Cleaning Jobs Require Professional Help

Dentists typically recommend a professional cleaning at our Shenandoah, Iowa office twice a year to make sure you’re free from built up plaque and tartar. How does your dental team go about getting your teeth cleaner than you can get them at home? With special training and special tools.

• Plaque and tartar need to be removed from tooth enamel above and below the gum line to prevent cavities and gum disease, and tartar can only be removed by a dental professional. Your hygienist might use an ultrasonic scaler, a hand scaler, or both to gently scrape away sticky plaque and hard tartar.
• Teeth are polished with a gentle abrasive to remove surface stains. This can be done with a special toothpaste applied with a small rotating cup, or with an air polisher, which removes stains with a stream of fine abrasive powder, water, and pressurized air.
• An expert flossing will remove any remaining plaque from between the teeth.

Bonus: Your hygienist can point out spots you’ve been missing to help make your home brushing and flossing more effective.

Clean and Bright

Increasing daylight can brighten your mood—and so can a whiter smile! Over time, smiles get dimmer without our even noticing, thanks to tooth-staining foods and drinks, medications, smoking, or thinning enamel as we age. If you’re feeling self-conscious because your smile isn’t its sparkling best, consider a whitening treatment.

• Whitening Toothpastes

Whitening toothpastes use chemicals and mild abrasives to remove surface stains caused by foods, beverages, and smoking. If you’d like to give a whitening toothpaste a try, ask the doctor for suggestions.

• Whitening Strips and Gel Trays

Whitening gels can be applied at home with strips or tray kits. These peroxide-based gels are stronger than the formulas used in toothpaste, but can be irritating. Talk to the doctor to learn how to achieve the best and safest outcome with these products.

• Office Treatment

Whitening treatments at our Shenandoah, Iowa office are generally faster, more effective, and last longer because this process uses a more powerful whitening agent. That’s why it should only be applied by a dental professional, who will examine and prepare your teeth, protect the surrounding gum tissue, and monitor your treatment throughout.

Spring’s coming to an end, but taking care of your dental health is always in season! A clean smile isn’t just a more confident smile, it’s a healthier one. Talk to your dentist for more tips to create your best and brightest smile at any time of year.

Oh, wait—did you think we meant Designated Hitter? Oh, no, we’re not getting into that debate! What we want to talk about is the best Dental Habits you can practice when you’re on and off the field.

• When It Comes to Safety, Touch All the Bases

Basic baseball vocabulary lets you know it’s a tough sport. Brushback. High heat. Slide. Line drive. Hit-by-pitch. Not surprising, when it’s a game where weighty bats meet balls thrown at incredible speeds. Or where players slide into bases and stop line drives. So protect yourself. Wear a batting helmet. Use protective gear. And get yourself a mouthguard!

You can choose a one-size-fits-all stock guard, or a “boil-and-bite” model which fits a bit more closely to your teeth and mouth. But your best protection comes with a custom mouthguard. Custom guards are more comfortable, more durable, and make it easier to speak and breathe. If you or your young player wear braces, mouthguards are especially important to protect both teeth and orthodontics.

• Ball Park Snack Power Hitters

Sure, you’re not trying to match Babe Ruth’s hot dog-eating habits (a dozen dogs between two games of a doubleheader!), but we can set the bar higher than that. While it’s easy to rely on energy drinks, soft drinks, power bars, and other sugary and acidic treats to get you through nine innings, those sugars and acids put you at risk for cavities and enamel erosion.

Fresh fruits with peanut butter, vegetable sticks with hummus, cheese and whole grain crackers, yogurt, or lean meat with whole grain wraps—these and many other snacks can provide you with protein, healthy carbs, and natural sugars for an energy boost during a long game or practice. If you choose an energy bar for refueling, look for one without all the added sugars.

Hydrating is always important whenever you’re working out. And, while you can look for power drinks and energy drinks which are low in sugars and acids, a refillable water bottle is an easy, inexpensive, and effective form of hydration. Bonus: water helps wash away food particles and bacteria and helps neutralize acids in the mouth by maintaining saliva production.

• Biggest No-No?

A “no-no” is a no-hitter to baseball fans. But for your oral health, the most important no-no of all refers to tobacco.

Chewing tobacco is one of those old-time baseball cliches which we’re not nostalgic about. Chewing tobacco greatly increases the risk of neck, head, and mouth cancers, particularly oral squamous cell cancers. Don’t start the chewing tobacco habit—or any other tobacco habit, for that matter. If you do use tobacco, ask the doctor for tips on quitting. Keep up with regular dental exams at our Shenandoah, Iowa office for early detection of any potential warning signs of oral cancer.

When it comes to your dental safety, don’t get caught looking. For your best performance on and off field, avoid errors like playing without a mouthguard, exposing your teeth to acids and extra sugars, and using dangerous tobacco products of any kind. Play ball!

We often have patients who ask, “Can drinking alcohol affect my oral health?” There are, in fact, a few reasons why that martini may not be good for your pearly whites.

In addition to creating an overly acidic environment in your mouth, alcohol severely dehydrates oral tissues because of its desiccant and diuretic properties. Because alcohol saps oral tissues of their moisture so readily, saliva glands can't keep enough saliva in the mouth to prevent dry mouth. In addition, saliva contains antibacterial properties that inhibits growth of anaerobic bacteria, a destructive type of oral bacterial responsible for tooth decay, gingivitis, chronic bad breath, and periodontitis.

What are anaerobic bacteria?

When there is a lack of saliva flow in the mouth and the mouth cannot naturally cleanse itself of oral debris (food particles, dead skin cell, mucous), conditions develop that promote activity of anaerobic bacteria, or bacteria that thrive in dry, airless places. These anaerobes also flourish when an unending supply of proteins (food debris) are available to consume, creating rapidly multiplying layers of plaque that stick to teeth and demineralizes tooth enamel unless removed by brushing and professional dental cleanings.

Oral Cancer and Alcohol

Acetaldehyde is a chemical compound leftover after the liver has metabolized alcohol. Capable of causing genetic mutations, acetaldehyde is also a known carcinogen that contributes to the ill feelings of hangovers. Although most metabolism of alcohol is done in the liver, evidence shows that metabolism also occurs outside the liver and that enzymes in the mouth could encourage accumulation of acetaldehyde in oral tissues.

When combined with poor oral health, smoking, and other detrimental lifestyle factors, alcohol may be considered a primary contributory factor in the development of oral cancer.

Even if you don't drink or drink only occasionally, remaining aware of symptoms that may indicate oral cancer will improve your chances of recovering successfully when you start treatment in the early stages of oral cancer. Signs include red or while speckled patches in the mouth, unexplained bleeding, lumps/swellings, chronic ear or throat pain, and areas of numbness in the mouth or on the face.

If you have any questions about alcohol and its connection to oral health, don’t hesitate to ask the doctor at your next visit to our Shenandoah, Iowa office.

Molars are difficult to reach when brushing your teeth because they’re full of crevices, caves, and pits that can provide the perfect environment for decay. Sealants are the perfect fix for this.

Sealants are a plastic-like protective solution that bond to the edge of the tooth. The treatment protects you against cavities and could save you from complicated dental issues in the future.

The process for placing sealants is painless and quick. First, the doctor will clean the tooth with a baking soda spray. An acid etch is applied in order to “roughen up” the surface of the tooth and re-mineralize the area. The area is dried with an alcohol-based liquid and the sealant is placed on the grooves of the tooth. A special light then hardens the liquid into a plastic-like material.

Although sealants can last several years, they need to be examined semi-annually to check for breakage. Any cracks or breaks in your sealant can put your tooth at high risk for decay, and repair of sealants is a quick and painless task.

Children often receive sealants, but people of all ages can benefit from them. Adults who have especially deep canyons on their teeth are good candidates for sealants.

An investment in dental sealants can prevent tooth decay and complicated dental problems later on. It’s a no brainer! Call our Shenandoah, Iowa office today to speak with us about getting sealants on your teeth.

If you are like many people, you might think of your oral health as separate from your overall health. After all, most dental coverage plans are distinct from health care coverage. However, your oral health goes far beyond being able to chew nutritious and enjoyable foods. Oral health problems may be an indicator of a variety of other health problems.

Links between Oral Health and Overall Health

In the late 1980s, researchers noticed a trend among patients who had recently suffered from heart attacks. As the Journal of the American Dental Association reported, they observed that these patients were more likely to have dental caries or cavities, periodontitis or inflammation around the tooth, and other forms of gum disease. Later studies found similar results, and dentists and doctors now recognize poor oral health as a risk factor for a variety of heart conditions, such as heart attacks, atherosclerosis, and coronary heart disease.

There are even more links between oral health problems and overall health problems. Some individuals do not find out that they have Type 2 diabetes until a dentist sees that they have periodontitis. If you have diabetes, worsening periodontitis can indicate that your diabetes is not under control.

Poor oral health is also associated with rheumatoid arthritis. Furthermore, poor oral health puts you at higher risk for respiratory infections, such as pneumonia, because harmful pathogens can enter your body through your mouth.

Take Care of Your Teeth

Keeping your teeth healthy remains important, especially as you grow older. Older adults are more prone to dental caries and other oral health problems, as well as to chronic diseases. While taking care of your oral health might not prevent a specific disease, a healthy mouth is a significant factor in your overall health.

You can take care of your teeth by continuing to brush twice a day and floss every day. Avoid consuming too many sugary and starchy foods, and drink water after each meal or snack to rinse your teeth. See the doctor for regular checkups, and contact Southwest Iowa Dental Associates if you have any concerns about your teeth or gums.

A vital step in your oral health routine is flossing. We hope our patients at Southwest Iowa Dental Associates maintain good oral hygiene, including daily flossing between each visit to our Shenandoah, Iowa office. A toothbrush is not always enough to get to the hard-to-reach areas of your mouth. When food remains between your teeth, bacteria starts to grow and will break down your enamel. This is where flossing comes in!

Should you floss before or after brushing?

Whatever your personal preference, you may floss before or after you brush your teeth. When you floss first, you can brush away any leftover dislodged food debris from your teeth. On the other hand, when you brush first, you will loosen the plaque between your teeth, which makes flossing more effective.

The essential aspect is that you floss thoroughly by using a fresh strand of floss and make sure to get between every tooth. Even if your teeth look and feel clean, don’t skip flossing or plaque will begin to build up on your teeth.

When is the best time to floss?

Although you should brush your teeth at least twice a day, the doctor and our team recommend flossing your teeth thoroughly once a day. Many people prefer to floss before bed, so that plaque doesn’t sit between their teeth all night.

What kind of floss should I use?

You may 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.

Do you need help flossing?

If you’re having trouble flossing or have questions about which floss is best for your teeth, contact our Shenandoah, Iowa office and we can provide you with support. Be sure to keep up with your daily flossing routine, and we will see you at your next appointment!

The idea for Earth Day was the brainchild of Gaylord Nelson, a senator from Wisconsin. He envisioned an Earth Day that would be a kind of environmental teach-in. The first Earth Day celebration took place on April 22, 1970, and a surprising 20 million people participated on that day. Ultimately, it became the largest organized celebration in US history.

Earth Day Over the Years

Over the years, the recognition of the day, and the number of people celebrating it all over the world, turned Earth Day into an international celebration. Because it is celebrated throughout the world, it is not only the largest international environmental observation, but it is also more widely celebrated than any other environmental event in the world. Today, Earth Day is celebrated in 175 countries where over 500 million people participate in celebrations.

The Earth Day Movement

The Earth Day movement is credited with developing the idea that people should “think green”. It encouraged congress to enact laws, including one that resulted in the creation of the Environmental Protection Agency. It also inspired the passage of the Endangered Species Act.

The Five R's and Their Importance

• Reduce – Reduce by avoiding unnecessary purchases. Reduce your use of materials that wind up in landfills. Reduce the use of chemicals around your house. Reduce your use of disposable bags, plates, cups, eating utensils, and batteries.
• Reuse – Instead of using plastic bags for your groceries or purchases, bring your own reusable bags. When you go to buy coffee at Starbucks, take a travel mug so you don't have to get your coffee in a disposable paper cup. Instead of storing food in disposable refrigerator containers, buy containers that can be washed and reused. Don't use regular batteries. Whenever possible, opt for rechargeable batteries that you can reuse.
• Recycle – Most cities offer a recycling program to collect used bottles, cans, and newspapers. Recycling includes collecting recyclable materials that would otherwise be considered waste, sorting and processing recyclables into raw materials such as fibers and manufacturing raw materials into new products.
• Re-buy – Make an effort to purchase things that are made through recycling. When purchasing furniture, look for items that are made from reclaimed wood. When buying paper for kids school work, computer printer paper, holiday cards, or anything else, make a point of purchasing recycled paper products. Instead of buying clothing at full retail price, shop for second hand clothing. You will save a lot of money by doing so!
• Rethink – Rethink the way you do things so that you do them in an eco-conscious way at all times. Instead of driving to work alone, consider taking the bus or going in a carpool. Walk or ride your bike when you're only going a short distance. Plan your shopping trips and errand runs so that you can do everything on one day, and do it in a way where you can save time and gas.

Other ways to "think green" include growing your own food, composting yard waste and food scraps, or by participating in local recycling programs. Join a group like Freecycle so you can share your unneeded and unwanted possessions with people who can use them. Likewise, you'll be able to get things you need or want for free.

Earth Day teaches people that the planet belongs to everyone, so everyone is equally responsible for protecting it. Although Earth Day is an environmental celebration, our team at Southwest Iowa Dental Associates wants to remind you that you don't have to wait until then to make changes that will allow you and your family to live a greener life.

Happy Earth Day from the team at Southwest Iowa Dental Associates.

Our team at Southwest Iowa Dental Associates recently learned that in the decade between 2000 and 2010, the amount of adults who regularly visited their dentist declined, according to research released by the American Dental Association's Health Policy Resources Center (HPRC). In fact, the HPRC found that the percentage of adults who had regular checkups every six months declined from 41 percent in 2003 to 37 percent in 2010. The largest decline in dental care occurred in the 35- to 49-year-old age group. That’s down from 43 percent in 2003 to just 38 percent in 2010.

There is some good news, however. While adult visits may have decreased, children's visits were on the rise, particularly among low-income families. More low-income children are visiting the dentist now than they were ten years ago. And the HPRC notes that between 2000 and 2010, dental visits among low-income children increased in 47 states.

Have you ever wondered why the American Dental Association and the doctor recommend that you come in for a dental checkup and cleaning every six months? While daily oral hygiene habits are essential to good oral health, professional dental cleanings at Southwest Iowa Dental Associates ensure your and your child’s teeth are treated to a deeper level of cleaning. In addition to a thorough cleaning and teeth polishing, regular visits at our Shenandoah, Iowa office help us detect and prevent the onset of tooth decay and periodontal (gum) disease. During your visit, we’ll check the health of your mouth, teeth, gums, cheeks, and tongue for symptoms of any oral disease. We will also check old fillings and restorations, as these can wear away over time from constant chewing, clenching, or grinding at night.

If you are predisposed to oral diseases due to age, pregnancy, tobacco use, or medical conditions such as diabetes or dry mouth, the doctor may recommend you visit our office more often than every six months.

If you are overdue for your next checkup and cleaning, please give us a call to schedule an appointment!

Two studies – one conducted in Washington State, and whose findings were published in the Journal of Pediatric Dentistry in 2004, and another conducted in Madrid, Spain, and whose findings were reported in 2012 in Science Daily, reinforce earlier findings that show a direct relationship between parental dental fear and that of their children.

The Washington study looked at dental fear among 421 children whose ages ranged from 0.8 to 12.8 years. The children were all patients at 21 different private pediatric dental practices in Western Washington State. The Spanish study looked at 183 children between the ages of seven and 12, and their parents in Madrid.

The Washington study used the Dental Sub-scale of the Child Fear Survey Schedule. The survey responses came from either parents, or other parties charged with taking care of the children. The people responsible for each child filled out the survey, which consisted of 15 questions to which answers were given based on the child’s level of fear. The scale used was one to five, with one meaning the child wasn’t afraid at all, and five indicating the child was terrified. The maximum possible points (based on the greatest fear) was 75.

Spanish researchers found that like past studies, there is a direct connection between parental dental fear levels and those of their kids. The most important new discovery from the study conducted in Madrid, was that the more anxiety and fear a father has of going to the dentist, the higher the fear levels among the other family members.

Parents, but especially fathers, who suffer from fear of going to the dentist and fear of dental procedures in general pass those fears on to every member of the family. While parents may not feel like they have control over those fears, the best way to help your child understand the importance of going to the dentist is by not expressing your fears in front of them – or around the rest of the family.

the doctor and our team understand that some patients are more fearful than others when it comes to visitingour Shenandoah, Iowa office. We work hard to make our practice as comfortable for our patients, both children and adults.

Poor April. While other months celebrate romance, or giving thanks, or costumes and candy, April has—April Fool’s Day and a tax deadline. We might be forgiven for thinking these two dates seem more like warnings than celebrations.

So here’s a new topic for the April calendar: National Facial Protection Month! Take the opportunity this month to review your safety practices while you’re enjoying your favorite activities.

• Mouthguards

If you have a mouthguard for sports or athletic activities, wear it! In any activity or sport where humans come into contact with solid objects (including other humans) tooth injury is possible. A mouthguard will help protect you from dental injuries caused by falls, physical contact, or other accidents that might happen in your active life. And it’s not just your teeth—mouthguards protect your lips, tongue, and jaw as well.

You can buy mouthguards in stock sizes or shape-to-fit options, or you can have a guard custom made especially for you at our Shenandoah, Iowa office. Custom mouthguards fit perfectly and are designed to make breathing and speaking easy and comfortable. And if you wear braces or have fixed dental work such as a bridge, a custom mouthguard can protect your smile and your appliances. Talk to the doctor about mouthguards for some great advice on how to protect your teeth and mouth.

As long as we’re discussing facial protection, let’s look at some other ways to keep safe as you keep active.

• Helmets

If there’s a helmet available for your sport, use it! Helmets are especially important for protecting athletes from brain injury and concussion, and they help protect the face and jaw as well.

• Face Guards

If you’ve experienced a puck speeding toward you, or a defensive tackle hurtling your way, or a fast ball coming in at 90 miles an hour, you know the importance of wearing a face guard. These guards can help protect your eyes, face, teeth, and jaws. Many sports now recommend using face guards—it’s worth checking to see if your sport is one of them.

• Eye Protection

And let’s not forget eye protection. Whether it’s safety glasses or a visor, protecting your eyes and the bones around them is extremely important. You can even get sports goggles or protective sports glasses with prescription lenses to keep you safe and seeing clearly.

We have the training and experience to help treat and restore injured teeth. But we will be the first to tell you, the very best treatment is prevention!

So here are a few suggestions for your calendar this month:

• If you haven’t gotten a mouthguard yet, now’s the time. Tooth and mouth injuries occur in sports beyond hockey and football. If you play basketball, ski, skateboard, ride a bike—in fact, almost any sport where you can fall or make contact with a person or object—a mouthguard is a must.
• If you need to replace an ill-fitting or damaged helmet and face guard, do it before your next game. And do replace a bike helmet if you’ve been in a crash—most likely it won’t be as protective, even if damage isn’t visible.
• Talk to your eye doctor about protective eyewear if off-the-rack products don’t work for you.
• If you are a parent or caregiver, make sure your child athlete has the proper facial protection—and uses it.
• If you are a coach, make sure your athletes have the right protective gear—and wear it.
• It’s also a great time to commit to using your protective gear every single time you’re active.

But, wait—these reminders are helpful and important, but weren’t we promised something to celebrate this April? Good catch! The great news is, using facial protection for sports and athletic activities gives you rewards you can celebrate all year: fewer injuries, fewer visits to the emergency room, and a beautiful, healthy, intact smile. Suit up!

Winter and its snowball fights are behind us, true, but there might be another kind of snowball heading your way—the snowball effect you risk when small dental concerns are ignored and left to grow into much more serious dental problems.

Here are three early symptoms that might seem minor, but shouldn’t be overlooked:

Sensitivity

Ouch! A sip of something hot, a spoonful of something cold, and you find yourself wincing because your teeth are so sensitive. If this sensitivity continues, call the doctor. Tooth sensitivity can be a sign of:

• Bad Brushing Technique

Heavy handed brushing and hard-bristled brushes can be so abrasive that they cause enamel erosion and gum recession, making teeth more vulnerable to tooth decay. Your dentist and hygienist can recommend proper brushing techniques for clean and healthy teeth and gums.

• Receding Gums

Without treatment, receding gums can pull further away from the teeth, creating pockets filled with bacteria. Serious infections can develop in these pockets, leading to loose teeth, bone loss, and, eventually, tooth loss.

• Cavities

When a cavity has gotten large enough that it’s reached below the enamel into the more sensitive dentin, you can experience unpleasant twinges when eating or drinking hot, cold, or sweet foods, or even when air hits your teeth. It’s essential to treat any cavity before it grows large enough to reach the tooth’s pulp.

Persistent Bad Breath

Sure, it could have been that garlic anchovy pizza, but if you’ve eliminated odor-causing foods from your diet, if you brush and floss regularly and still have bad breath, it could be a sign of:

• Gum Disease

The bacteria that cause gum infections have a distinct, unpleasant odor. If thorough brushing and flossing isn’t helping, it’s important to visit our Shenandoah, Iowa office to prevent more serious gum disease from developing.

• Oral Infections

Bad breath can be caused by infections in the tooth, gums, or other oral tissues. If you experience persistent bad breath, a foul smell or taste in your mouth, or see any other signs of infection, see the doctor promptly for a diagnosis. Left untreated, oral infections can damage teeth, tissue, and bone and spread to other areas of the body.

• Medical Conditions

Bad breath can also be a symptom of medical conditions such as diabetes, sinus infections, and liver disease. If your dentist rules out dental issues as the cause of halitosis, it’s important to see your doctor for a checkup.

Intermittent Pain

When dental pain comes and goes, you might be tempted to postpone a checkup. But recurring pain can be a symptom of serious dental conditions, including:

• Infection and Abscess

If you feel pain when you bite down, or throbbing pain around a tooth, it could be the sign of pulp inflammation or infection. Pulp injuries should always be treated immediately to avoid an abscess, a pocket of pus caused by bacterial infection. An abscess isn’t just painful, it’s dangerous, because it can cause bone loss around the tooth and spread infection throughout the body if not treated promptly.

• Tooth Injury

Tooth trauma is a reason for an emergency call to your dentist. A cracked or broken tooth won’t get better on its own and should be treated at once to prevent infection and further damage.

• Bruxism  

It’s no wonder you wake up with tooth and jaw pain when you grind your teeth—your jaws are producing hundreds of pounds of pressure on your teeth all night long. Over time, constant grinding will damage enamel and can chip and even crack teeth. Check out options like custom nightguards for healthier teeth and a better night’s sleep.

• Malocclusion

Malocclusion is the medical term for a bad bite, a condition that is the result of your teeth and/or jaws not fitting together properly. As well as tooth and jaw pain and damaged teeth, misalignments cause many other difficulties in your daily life. Talk to your dentist about how orthodontic treatment can improve the health and appearance of your smile.

Don’t ignore “little” dental problems like these. For any persistent symptoms, Southwest Iowa Dental Associates is just a phone call away, to help you prevent those little problems from snowballing into major dental worries.

We want our children to have every advantage, including oral health. That’s why you encourage your child to brush twice a day. You keep the sugary treats to a minimum. You schedule dental exams and cleanings at our Shenandoah, Iowa office.

So, how did your child get a cavity? What to do to prevent more tooth decay?

First, don’t feel guilty. Some people are more prone to cavities, even with diligent brushing and flossing. But to make sure children have all the advantages when it comes to preventing cavities, we have some tips which might improve their dental habits.

• Better Brushing

Even for adults, brushing technique can be haphazard! Brushing’s not as effective without covering all the tooth surfaces (inside, outside, and molar tops), holding the brush at a 45° angle, gently brushing the teeth with small strokes, brushing for at least two minutes, and flossing between the teeth at least once a day.

Until children develop the motor skills to brush by themselves (around age six or seven), you can help by monitoring their brushing and flossing. If you like, you can use these four minutes a day for fun as well as dental care by playing music, awarding stickers, using an app with entertaining timers, or having your child mirror your brushing habits as you brush together.

And do make your child’s life easier with the right tools. Brush heads should be small enough to fit in little mouths comfortably, and bristles should always be soft. Floss, too, should be soft and flexible. Don’t forget to retire your child’s brush after three or four months—bristles start to fray and won’t clean effectively.

• Sealing the Deal

Ask about dental sealants. This treatment provides a protective coating for your child’s molars. Cavities are so common in molars because the tops of these teeth are quite uneven. Food particles and plaque are trapped in grooves where brushes have a hard time reaching.

The sealant process is a simple and safe one. Healthy teeth are cleaned and dried, an etching solution prepares the tooth surface, a thin coat of sealant is applied, and the coating is hardened under a curing light.

the doctor might recommend sealants when your child’s first adult molars erupt. Enamel takes a while to develop its full strength, so new molars are especially vulnerable to cavities. Sealants typically last from three to five years, and studies have shown a dramatic reduction in cavities when teeth are treated with sealants.

• Fluoride Helps Prevent Cavities—in Two Ways!

Fluoride helps strengthen enamel in developing teeth. Because many communities have fluoride available in their water systems, your child gets the benefit of this natural mineral.

If you’re providing your child with fluoride toothpaste, you’re helping prevent cavities in the teeth, which have already erupted. The acids from oral bacteria weaken the mineral structure of enamel, which is the first step in forming a cavity. Fluoride helps repair weakened enamel in a process known as “remineralization.”

the doctor can let you know the amount of fluoride that is right for your child, including how much or how little fluoride toothpaste to use, a prescription supplement if your water doesn’t contain fluoride, or the application of a fluoride treatment directly to your child’s teeth.

• Avoid Tricky Treats

Some treats are much better than others. We’re not talking taste, though. When it comes to dental health, texture and time are more important.

When your child enjoys a plain chocolate bar, saliva helps wash away sugary food particles. Sticky candies and starches, like caramels and potato chips, are a “stickier” problem. They cling to enamel, providing lots of sugar as fuel for cavity-creating bacteria. Similarly, drinking a soda with lunch (not every day, of course!) provides a short exposure to sugars. Sipping sodas throughout the day is like bathing teeth in sugar for hours at a time.

To eliminate some of the treats bacteria love, choose snacks with an eye to how they affect teeth throughout the day, and teach your child to brush or rinse with water after eating.

• Schedule Regular Dental Exams and Cleanings

Most children should be visiting Southwest Iowa Dental Associates twice a year, even during the baby teeth years. the doctor will monitor your child’s primary teeth and developing teeth and bite. And a professional cleaning removes built up plaque that even the most dedicated brusher might miss.

If you have any concerns about cavities and their prevention, the doctor will have suggestions tailored to your child’s individual needs. Us working together to make sure your child has a healthy, confident smile? That’s a partnership that will provide lifelong advantages!

Despite the extraordinary claims made for charcoal toothpaste, most dentists think that the accuracy of these claims is a very gray area. So, what is the theory behind using activated charcoal in your toothpaste?

Charcoal is in its natural form is a very porous substance. When mixed with oxidizing gases or chemicals at very high heat, the inner structure of charcoal becomes even more porous. This enables the “activated” charcoal to absorb chemicals. And activated charcoal, in fact, IS used as a treatment for certain poisons. Fans of charcoal toothpaste maintain that this same porosity enables the toothpaste to collect toxins, bacteria, and debris from the surface of your teeth, leading to a healthier mouth, fresher breath, and a whiter smile.

Sounds great! Should I buy some?

Maybe not quite yet.

• Claims that charcoal toothpastes whiten teeth more than other over the counter whiteners are difficult to prove. But even using the best charcoal product, you are getting a superficial cleaning. Because charcoal toothpaste removes stains only from the surface of the enamel, it is no match for a professional whitening.
• It’s abrasive. Harsh pastes and brushing could potentially cause thinner enamel. Thinning enamel reveals more of the darker dentin underneath, which can actually make your smile appear yellow. Abrasive pastes can be irritating for those with sensitive or compromised gum tissue. Any toothpaste you choose should never be so abrasive as to cause damage to teeth or gums.
• If you use only charcoal toothpaste, you might not get the amount of fluoride needed to protect your teeth. And no toothpaste can take the place of regular brushing, flossing, and checkups at our Shenandoah, Iowa office.
• If you’ve seen the photos posted of charcoal enthusiasts with sooty smiles and teeth, you know brushing with charcoal toothpaste can be a messy process. You might need to take extra care to clean your mouth, teeth, and tongue after using. And your sink.

If you are still intrigued by the idea of charcoal toothpaste, the doctor and our team are happy to discuss it with you. And if teeth whitening is your concern, we have some proven methods to achieve your best results—even if they don’t provide an opportunity for dramatic charcoal selfies!

Of all the dental hygiene techniques you can use at home to promote clean teeth and good oral health, flossing is likely to be the one that troubles most people. It can be viewed as confusing and time-consuming, but when you learn how to floss your teeth correctly, you’ll find it’s easy to do on a daily basis.

Proper flossing techniques are vital to the health of your teeth and gums. These tips will help you with the correct flossing procedures. Likewise, the doctor and our team can also help you learn how to floss effectively and efficiently.

Steps to Flossing Your Teeth Properly

1. Choosing Dental Floss. You can find dental floss in various flavors, as well as waxed or unwaxed. If the floss you use seems to get stuck between your teeth, switch to waxed to make it easier.
2. Flossing “Helpers.” Beginner flossers who have trouble coordinating the floss and the movements of their hands can use a floss holder to help them get in and around teeth.
3. Preparing the Floss. Cut an 18-inch piece of floss to use for flossing a few teeth. This allows you to make progress before you must stop and cut another piece of floss.
4. How to Hold It. Wind the ends around your middle fingers. Hold the floss taut, pinching each side with your thumbs and index fingers. Leave a couple inches free in the middle.
5. The Process of Flossing. Use your index fingers to guide the floss toward your gum line. Bring it down between the teeth with a zigzag motion. Hold the floss in a C-shape around the tooth, and move it up and down along the side.
6. Where to Floss. Use a clean portion of the floss to clean around and in between each tooth. Don’t forget about the molars in the back of your mouth, too!

Flossing: A Vital Part of Oral Care

Periodontal disease begins at the gum line; this is where flossing comes in. Regular flossing helps you remove plaque from the gum line and between your teeth to avoid gum disease. In conjunction with daily brushing and twice-a-year visits to Southwest Iowa Dental Associates, floss each day to maintain good oral hygiene and overall health. Gum disease can have an impact on your general health, but it doesn't have to. This easy-to-prevent condition can be avoided with regular visits to our Shenandoah, Iowa office and daily flossing. Allow our team to partner with you in maintaining a bright, shiny smile and good oral health.

You are probably aware that guzzling soda and drinking those sugary Starbucks Frappuccinos aren’t particularly good for your dental health. But how much thought do you give to the effects of your diet on your teeth? Practicing healthy eating habits isn’t just helpful for your waistline, it also ensures that your teeth stay strong and cavity-free.

How diet affects dental health

Our team at Southwest Iowa Dental Associates will tell you that your mouth is a complicated place on a microbiological level. Harmful bacteria form dental plaques which convert the sugars in food to acids that wear away at tooth enamel. Meanwhile, saliva washes away some of the detrimental acids, while minerals work to rebuild where teeth are damaged. The foods you eat are important for managing this balancing act between harmful bacteria and helpful rebuilding agents.

Rethinking your diet to prevent cavities

Carefully considering your dietary choices is a smart way to become mindful of the foods you eat and how they affect oral health.

Foods to eat

• Calcium- and phosphorus-rich foods. We’ve all heard that milk builds strong bones, and your teeth are included in that. Milk, cheese, nuts, and chicken are strong sources of calcium and phosphorus. These minerals are used to repair damage to the teeth’s enamel.
• Crunchy fruits and vegetables. Biting into an apple stimulates saliva flow, which washes harmful acids from the surface of your teeth. Turn to other crunchy fruits and vegetables, including carrots, celery, pears, and lettuce, to increase saliva production.
• Sugar substitutes. If you have a sweet tooth but want to decrease tooth decay, sugar substitutes such as Stevia or Equal provide a sugary kick without harming your teeth.

Foods to avoid

• Sugary snacks. Cookies, cakes, candies, and other sugary treats provide a feast for the acid-producing bacteria in your mouth. Furthermore, these foods often get stuck in the ridges of your teeth, and provide a breeding ground for new bacteria.
• Acidic fruits and vegetables. Foods high in acidity, such as tomatoes, citrus fruits, berries, peaches, and lemons, wear away the enamel of your teeth. Because these foods can be part of a healthy diet, remember to brush after eating them or swish with a mouth rinse to protect your teeth.

Eating well is an essential part of keeping your teeth healthy. Consult the doctor about your diet for tips on food habits that keep your teeth strong and cavity-free. For more information about the link between your diet and your oral health, or to schedule an appointment with the doctor, please give us a call at our convenient Shenandoah, Iowa office!

On March 17, everyone has a little Irish in them. St. Patrick’s Day is a joyous celebration of Irish heritage. The holiday originated as a commemoration of Saint Patrick, who brought Christianity to Ireland. The saint arrived in Ireland in 432 and earned the reputation of a champion of Irish Christianity. March 17th, the day of St. Patrick’s death, has been commemorated by the Irish for over 1,000 years. St. Patrick’s Day is still observed as a religious feast day by several Christian denominations, but it is better known in the public imagination as a rich celebration of Irish culture.

St. Patrick’s Day has been an official public holiday in Ireland since 1903. Each year, the Irish celebrate with a several-day festival that includes theater performances, music, fireworks, and festive parades. The celebration is also a public holiday in Northern Ireland, Montserrat, and Newfoundland and Labrador. In other parts of the world with heavy Irish populations, it is an unofficial celebration of Irish heritage. Parts of Great Britain, Canada, Argentina, South Korea, Switzerland, New Zealand, the United States, and Australia commemorate the holiday each year. Typical celebrations in these countries include drinking green beer, wearing green, eating traditional Irish foods, parades, and shamrock decorations.

Many people, Irish and non-Irish alike, take part in the “wearing of the green” on St. Patrick’s Day. In fact, the color originally associated with Saint Patrick was blue. His use of shamrocks to explain the Holy Trinity to the Irish made the green clover emblematic of the holiday, leading to the traditional green attire worn by thousands on St. Patrick’s Day. Other little-known facts about St. Patrick’s Day include the following:

• Each year, the United States and Ireland face off in a rugby competition called the “St. Patrick’s Day Test.”
• Montreal celebrates the holiday with an annual parade, which has been held each year since 1824. The Montreal city flag even features a shamrock in its corner, as a nod to its Irish heritage.
• The Guinness World Records named St. Patrick’s Day the “Friendliest Day of the Year.”
• Along with Valentine’s Day, St. Patrick’s Day is one of the most widely celebrated saint’s day in the world.

No matter your cultural heritage, St. Patrick’s Day is a great time to let loose and celebrate your inner Irish-ness! Don your greenest attire and exclaim “Erin go Bragh!” (Ireland forever!) to everyone you meet. From the doctor - have a great St. Paddy’s day!

Millions of people, around Shenandoah, Iowa and beyond, wear green on St. Patrick’s Day so they can show their spirit for the holiday and avoid getting pinched. While it may be easy for you to throw on a green shirt, sport a St. Patrick’s Day button, or wear a pair of emerald-hued shoes, if you’re an avid St. Patty’s Day enthusiast you may want to try something different this year. the doctor thought of a few ideas that will help you take your holiday spirit to the next level:

Visit Chicago’s Green River

If you happen to be near the Windy City during St. Patrick’s Day or you’re thinking of planning a trip, don’t miss out on going downtown to watch the large-scale celebration that kicks off when the city dyes the river bright green. According to the Chicago Sun-Times, Chicago has been celebrating the holiday with this tradition for more than 50 years, with tens of thousands of people gathering annually to witness the mysterious dying process and the stunning result.

Don Green Face Paint

Just like an avid sports fan on game day, you can use green face paints to showcase your enthusiasm for this holiday. Avoid breakouts or allergic reactions by only using paints that are specifically meant to be applied to the skin. A little bit of face paint can cover a large area, so feel free to get creative and decorate the whole family on St. Patrick’s Day.

Eat Green All Day

Not a fan of green eggs and ham? With the increasing popularity of green smoothies, there’s no better time to get in on this health craze. To create a green smoothie without the aid of food coloring, you can simply blend a generous amount of a leafy green vegetable, such as spinach or kale, with the ingredients that you would typically use to make a smoothie, like fruit, ice, milk, or juice. Keep the trend going throughout the day by using those same vegetables to create a green soup, egg salad, or a batch of bright green pastries. As an added bonus, you’ll get a healthy dose of vitamins without changing the taste of most of these foods.

If your old holiday routine has gotten stale, leave your green T-shirt in the drawer and try one or all of these tips. Don’t be surprised if you have so much fun that you decide to start a new, annual St. Patrick’s Day tradition! Have a happy St. Paddy’s day from Southwest Iowa Dental Associates!

the doctor and our team at Southwest Iowa Dental Associates frequently get questions about cavity causes and prevention. You brush twice a day and floss regularly. You rinse with mouthwash, just like the dentist recommended. In fact, you can’t remember the last time you had a cavity, but you think it was when you were a little kid. In all seriousness, you thought only kids got cavities.

The Signs and Symptoms of a Cavity

It’s believed that roughly 90% of North Americans will get at least one cavity in their lifetime. Those other ten percent, it seems, can eat as much pie, cake, and sugary cereals and sweets as they want. That’s not really true; just a stab at dental humor, and it was as bad as the pain your cavity is probably giving you.

When a cavity is in its initial stages, you will often be symptom-free and experience no discomfort at all. It’s not until the tooth decay has reached a certain level that you will begin to notice the signs and symptoms. While a toothache and sensitivity to hot and cold foods and liquids are surefire signs that you have a cavity, there are lesser-known symptoms as well. If you’re experiencing any of these warning signs, you may want to consider making an appointment with our office as soon as possible:

• Persistent bad breath or a bad taste in the mouth
• When you bite down, there is a sticky, tarry feeling
• Puss or discharge around a tooth
• A visible discoloring, usually black or brown
• Small pits or holes in the tooth

Routine dental care is important. While good oral hygiene, a healthy diet, and regular cleanings will deter the formation of cavities, they do not constitute a foolproof practice. A cavity can occur at any time, no matter what your age. Bacteria causes tooth decay, and no amount of brushing, flossing, and rinsing will eradicate all the bacteria from your mouth. If you think you may have a cavity, please contact our office immediately.

At Southwest Iowa Dental Associates, we know the most common oral health diseases are tooth decay and periodontal disease (or gum disease), and both are among the easiest to prevent. One of the most common ways we recommend to boost your oral health is by improving your diet, because you (and your mouth) truly are what you eat. A healthy diet can lead to a healthy mouth and body, while an unhealthy diet can lead to the exact opposite.

The Role Nutrition Plays

While diet is not the only factor that leads to periodontal disease, studies suggest the disease may be more severe among patients whose diets lack essential nutrients. Poor diets will generally lead to a weaker immune system, leaving your body susceptible to all kinds of ailments, including periodontal disease.

A Well-Balanced Approach

There is no “magic” diet that we can recommend to improve your oral health, but the most important thing is to seek a well-balanced approach in your eating. While fad diets that emphasize one food group over another may help you lose weight in the short-term, they probably will not provide all the nutrients your body needs in the long run.

Meals should include a balance of lean meats or other healthy protein sources, colorful fruits and vegetables, whole grains, low-fat dairy, and healthy fats. Foods containing substantial amounts of sugar and salt should be consumed in moderation.

Soda and Sugar: A Dangerous Duo

Millions of gallons of soda are consumed every day in America, but sipping a cold soft drink can be very harmful to your teeth. Many of these beverages wear down the enamel that protects the teeth, which weakens and even destroys them over time. The American Beverage Association estimates that soft drinks account for almost 30 percent of all drink consumption in the U.S., averaging an annual total of about 50 gallons per person (up from only 20 gallons in the 1970s). For healthy teeth and a healthy body overall, try to limit your soda intake.

Sugar is another ubiquitous treat in our daily lives. When we eat sugar, naturally occurring bacteria in our mouths convert it to acids that attack tooth enamel. Consuming too much sugar can swiftly lead to tooth decay, cavities, and gum diseases like gingivitis. Most people do not even realize how much sugar they consume each day. It’s important to limit your daily sugar intake by reading the labels of all the food you eat, and sticking with natural food sources that are low in sugar, especially ones that minimize added sugar, such as fruits and vegetables.

If you have questions about your diet and how it may be affecting your oral health, talk to the doctor about it. See you soon!

You’re constantly playing defense. Your child spends two minutes in the morning and two minutes at night carefully brushing and flossing with a fluoride toothpaste. You make sure sugary and acidic foods are not a major part of your diets. Your child visits our Shenandoah, Iowa office for regular exams and cleanings. Really, how can a cavity get past all that?

But even with the best defensive practices, you don’t have a level playing field—literally. The tops of our molars and premolars don’t have the smooth, easy-to-clean surfaces that our other teeth have. If you look at the chewing surfaces, you will notice deep grooves which toothbrush bristles have a much harder time reaching.  

Plaque and food particles can become trapped in these grooves (known as pits and fissures), providing perfect conditions for a cavity to develop. That is why cavities are so common in newly erupted molars. Dental sealants protect these teeth from cavities by providing a barrier which smooths out the surface of the tooth and prevents food and bacteria from reaching the molar’s crevices.

Most sealants are invisible plastic resin coatings which we apply in our Shenandoah, Iowa office. Usually the procedure is so quick and easy that no dental anesthetic is required. Each tooth will be examined first. If we find any signs of early decay, we will gently treat that area before beginning.

When the tooth is ready, it will be cleaned and dried. An etching solution will be brushed on to the dry surface to roughen the area a bit so that the sealant will hold to the tooth more effectively. A thin coat of the sealant is then painted on and hardened under a curing light. And that’s it!

Once teeth are sealed, they should be cleaned and flossed just as carefully as before. Regular exams and cleanings are still very important, and we can monitor the condition of the sealant and the sealed teeth. Properly applied, sealants can last from three to five years, or even longer.

Who should consider sealants? Sealants are typically recommended when the permanent molars first erupt. Children’s enamel takes a while to become its strongest, and so these just-erupted teeth are more at risk for cavities. Sometimes the doctor will recommend sealants for primary (baby) teeth if needed. But even adults can benefit—talk to us if you are interested and we will let you know if sealants might be right for you.

Sealants are a simple, safe, and minimally invasive way to prevent cavities. Studies of sealed molars and premolars show a dramatic reduction in cavities compared to untreated teeth. Sealants are one of the most effective ways to defend your teeth or your children’s teeth from tooth decay. And as we’ve all heard—defense wins championships!

It’s done a wonderful job for you, but after three or four months, the time has come to retire your toothbrush. Bristles that once easily removed food particles and plaque have become frayed and just aren’t as effective. But now that you’re regularly changing out your toothbrush, what to do with those retired brushes besides add to the local landfill? Check out some recommendations from the doctor for some second career options for that old toothbrush.

Make Your Jewelry Shine

A gentle brush with your favorite jewelry cleaner and your old brush will remove dirt from small spaces and filigree that a cloth just can’t reach. Do check that brushing is safe for your jewelry—pearls, for example, are not a good candidate.

Keep Your Woodwork Dust-free

Keep the details on your wood trim dust free with an old toothbrush. Baseboards are some of the hardest places to keep clean—even vacuums have difficulty getting dust and dirt out of trim. But an old toothbrush is perfect for cleaning the top, the grooves, and the inside corners of your baseboards. You can also remove dust from around door trim and inside window tracks.

Polish Sinks and Faucets

Use a repurposed toothbrush to remove build-up where the base of your faucet meets the sink, or around levers and handles. And don’t forget the metal ring around the drain!

Clean Kitchen Gadgets

Those miniature blades in your coffee maker or blender, the tiny holes in your cheese grater, the micro-openings in your microplane—small cleaning jobs need small tools! Try an old brush the next time you have a mini-cleaning problem.

De-grease Appliances

And while we’re in the kitchen, don’t forget your appliances. A toothbrush can clean grease around dials, handles, and knobs where a sponge can’t reach.

Refresh Your Grout

There are special brushes made just for scrubbing grout, but give your old brush a try first. Use your regular cleaning solution or paste for fresh, clean grout lines on your tile floors and counters. 

Keep Your Technology Sleek

Your keyboard has a busy life and it shows! Keep the spaces between your keys dust and crumb free with a clean, dry toothbrush. The next time you’re detailing your car’s interior, try a toothbrush for cleaning around buttons and dials on your dash. And don’t forget your remote controls, or any other place where keys, knobs, and buttons collect dust.

There’s still a lot of life left in that toothbrush! If you choose to reuse, do be sure to thoroughly clean your toothbrush before it transitions to another housekeeping detail. It’s worth the effort—your old brush will prove useful in any number of new ways, and your home—and the environment—will thank you!

The secret to keeping your teeth for life involves more than one secret. The first is that there is no secret; and in fact, there really is no difficulty involved. Follow this simple four-step process – brush, floss, rinse, and visit our Shenandoah, Iowa office regularly – and you will have healthy teeth for life!

Brush

You should brush your teeth twice a day, preferably once in the morning and once at night. Three times a day will not hurt. Use a soft-bristled toothbrush and light pressure; you do not want to scrub away your gums or tooth enamel.

Brush for a minimum of two minutes, and carefully clean all tooth surfaces. Three minutes is better. Use quality toothpaste; the doctor and our staff can recommend the best type for your needs. Keep your toothbrush clean and replace it about every three months.

Floss

Make flossing part of your daily routine, at least once a day. Flossing is important for more than just removing food particles between your teeth. The process also helps to remove bacteria that you cannot see. Bacterial build-up turns into plaque, or calculus: a cement-like substance that cannot be removed by brushing alone.

Use floss gently; you do not want to cut your gums. There are many different types of flosses and flossing tools. the doctor and our staff will be happy to help you find the style that works best for you.

Rinse

Mouthwash does more than freshen your breath. Rinses help kill the bacteria that lead to plaque formation and gum disease. This extra step can go a long way toward having healthy teeth for life.

Keep your appointments

You should have a professional cleaning at Southwest Iowa Dental Associates twice a year. Some patients benefit from more frequent cleanings. Your hygienist will remove any plaque build-up to prevent gingivitis, which left untreated becomes full-blown gum disease. Periodontitis leads to tooth loss.

You also need to see the doctor twice a year for a teeth and mouth exam. We can find problems such as cavities, and treat them before the situation becomes critical. Ask our Shenandoah, Iowa team any questions you have; together we can make your teeth last for life.

Now that you are working hard to improve your dental health and appearance with your braces, it might seem like a logical time to whiten your teeth as well. But should you go ahead with home kits or a professional whitening? The answer might be yes, but not quite yet!

Toothpaste

The easiest way to whiten teeth is regular use of a whitening toothpaste. But these do not make a major difference in tooth color and may also contain abrasives which can damage ceramic brackets and make them more likely to stain. And, whether you have metal or ceramic braces, the brackets used are bonded to your teeth. Any part of your tooth covered by a bracket will not be affected by the whitening paste. Ask our office if you are thinking of using one of these products. We will be happy to recommend the best toothpastes to use while your braces are in place.

Whitening Strips and Trays

Whiteners can be applied at home with strips or tray kits. Strips are coated with a whitening gel and then pressed around your teeth. Tray kits provide a mouthguard-like appliance, which is filled with whitening gel. But neither strips nor tray solutions will whiten any area covered by brackets. When your braces come off, there might be noticeable differences in color on each tooth. Strips are difficult to apply with braces, and trays need to be custom-designed to fit your braces and make sure they don’t disturb your orthodontic work. One size most definitely does not fit all! Finally, these whitening agents can cause tooth and gum sensitivity, especially around the time of adjustments. Many manufacturers do not recommend using their products while you have braces. Please talk to us if you are thinking of using them.

Professional Whitening

A dental professional can whiten your teeth in office for the best possible results. The most effective treatments for your unique teeth are combined with protective care of your gums and mouth. Whether this treatment is appropriate while you have braces is something we are happy to discuss.

The best way to keep your teeth bright is to keep up your regular dental routine! Brushing and flossing are more important than ever now, because plaque builds up around brackets. Avoid foods that stain teeth and rinse or brush after every meal and snack. the doctor will show you the best way to take care of your teeth while your braces are on—and that includes the best way to keep them white and bright. Talk to us about the perfect time to whiten your beautiful smile during your next visit to our Shenandoah, Iowa office. And if you have to wait a few extra days for the smile you’ve been working toward, truly, the wait will be worth it!

Valentine’s Day is best known as a celebration of love in all its forms. Pink hearts, red roses, and cute greeting cards adorn every surface you see. What many people don’t realize is that the modern Valentine’s Day celebration arose from a religious holiday.

St. Valentine’s Day was originally celebrated as a religious feast day in honor of early Christian martyrs. Three martyrs named Valentine were honored: a priest in Rome, the persecuted bishop of Interamna (a town in central Italy), and a saint martyred in Africa. This saint’s day was celebrated throughout Christendom, although it was removed from the Roman Catholic Calendar of Saints in 1969.

The origin of Valentine’s Day as a holiday for lovers began with Geoffrey Chaucer in his 1382 poem “Parlement of Foules.” Chaucer wrote, “For this was on Saint Valentine’s Day, when every bird cometh there to choose his mate,” and the modern romantic holiday was born. William Shakespeare and other writers mentioned Valentine’s Day as a day of love.

Valentine’s Day as we know it came about in the early 19th century. In Victorian England, printers began manufacturing small numbers of cards with romantic verses, lace, ribbons, and other frills. Anonymous Valentine’s Day card were a popular way for young lovers to exchange romantic sentiments in an otherwise prudish time. As the 19th century progressed, printers began mass manufacturing Valentine’s Day cards. People in the United States give an estimated 190 million valentines every year, and up to one billion if you count children exchanging cards at school! With the rise of the Internet, Valentine’s Day e-cards have become a popular mode of communication, with millions of e-cards sent each year.

The other items associated with Valentine’s Day include chocolate and flowers. The tradition of giving chocolates has been around for decades, and Richard Cadbury created the first box of Valentine’s Day chocolates nearly 150 years ago. Today, purchases of chocolate total over $1 billion in the United States alone, with 35 million heart-shaped boxes sold each year. Loved ones also exchange flowers, with red roses being associated with Aphrodite, the Greek goddess of love. On Valentine’s Day itself, florists sell nearly 200 million stems of roses.

Although many people dismiss Valentine’s Day as a commercialized “Hallmark holiday,” it is beloved to couples and romantics across the United States and other countries. The team at Southwest Iowa Dental Associates wants to remind all patients that no matter what your celebratory plans, February 14th can be a wonderful day to celebrate the loved ones in your life. Happy Valentine’s Day!

When we think of Valentine’s Day, we think of cards, flowers, and chocolates. We think of girlfriends celebrating being single together and couples celebrating their relationship. We think of all things pink and red taking over every pharmacy and grocery store imaginable. But what the doctor and our team would like to think of is when and how this joyous, love-filled day began.

Several martyrs’ stories are associated with the origins of Valentine’s Day. One of the most widely known suggests that Valentine was a Roman priest who went against the law at a time when marriage had been banned for young men. He continued to perform marriage ceremonies for young lovers in secret and when he was discovered, he was sentenced to death.

Another tale claims that Valentine was killed for helping Christians escape from Roman prisons. Yet another says that Valentine himself sent the first valentine when he fell in love with a girl and sent her a letter and signed it, “From your Valentine.”

Other claims suggest that it all began when Geoffrey Chaucer, an Englishman often referred to as the father of English literature, wrote a poem that was the first to connect St. Valentine to romance. From there, it evolved into a day when lovers would express their feelings for each other. Cue the flowers, sweets, and cards!

Regardless of where the holiday came from, these stories all have one thing in common: They celebrate the love we are capable of as human beings. And though that’s largely in a romantic spirit these days, it doesn’t have to be. You could celebrate love for a sister, a friend, a parent, even a pet.

We hope all our patients know how much we love them! Wishing you all a very happy Valentine’s Day from the team at Southwest Iowa Dental Associates!

Great question! Yes, in fact, tooth decay is preventable! Decay, which is caused by sugars left in your child’s mouth, can turn into an acid, which in turn can break down his or her teeth. Children are at high risk for tooth decay for a simple reason: many children and adolescents tend to be lax in their oral hygiene habits.

So, how can your child prevent tooth decay?

• Start early. After the age of two, brush your child’s teeth with fluoride toothpaste twice a day. And, if possible, clean between the teeth with dental floss at least once a day, preferably before they go to bed.
• Don’t allow your little ones to eat after cleaning teeth at bedtime, as salivary flow decreases while they sleep and their teeth become vulnerable to cavities.
• Do not allow your little ones to nibble food or sip drinks continuously, and keep in mind that a low-sugar diet also helps keep tooth decay at bay. Allow time between meals for saliva to neutralize acids and repair the teeth.
• Drinking water frequently throughout the day can also reduce the possibility of new cavities forming.
• Dental sealants can also protect your children’s teeth from cavities. Sealants, which are applied to the chewing surfaces of molars, act as a shield between the tooth and harmful bacteria.

Finally, make sure your child visits Southwest Iowa Dental Associates approximately every six months for a checkup and routine cleaning! Please give us a call at our Shenandoah, Iowa office.

Molars are made up of canyons, caves, pits, and seemingly endless caverns that are a breeding ground for decay. The protective solution is a sealant. When done correctly, a sealant from the doctor of Southwest Iowa Dental Associates can be most effective in preventing cavities.

A sealant is made up of composite (a plastic-like) material that contains bonding agents to seal to the edge of the tooth. Sealants placed on the chewing surfaces of back teeth block food from being trapped. The process in which a sealant is placed is quite precise and painless.

First the tooth is cleaned with a sodium bicarbonate (baking soda) spray. Then an acid etch is applied to “roughen up” the surface. No saliva is to touch the tooth. This will re-mineralize the area, then a repeat etching is needed. An alcohol-based liquid then dries out the area and it must remain completely dry. The sealant is placed and guided through all the caverns, pits, fissures, and grooves. It is then cured with a special light, which makes it a hard, plastic-like material.

Sealants can last for several years. It is wise to have them examined on a semi-annual basis. If there is a break in the sealant, a high risk for decay is common. If a sealant is damaged, repair is simple, painless, and quick to complete.

Who can benefit from sealants? Anyone! Children often receive sealants as routine preventive care. Adults with deep canyons with stained grooves on their teeth can also benefit from a sealant. The process is quick, painless, and does not require any anesthesia. It is an effective way to lower dental restorative costs.

An investment in dental sealants can reap great benefits as properly cared for teeth will remain cavity free. Our Shenandoah, Iowa location is available to answer your questions so give us a call today!

There are certainly situations when going to an emergency room is the best response for your problem. A severe injury to your mouth, jaw, or face would qualify.

However, when it comes to long-term solutions for other dental problems, an emergency room visit may fall short. If you suffer from a major toothache, cavity, a broken tooth, crown, or veneer, it’s better to go straight to the dentist for treatment.

the doctor can provide you with a treatment plan that will be long lasting. When you visit an ER for a common dental problem, more likely you’ll only be given temporary relief for a serious and ongoing problem.

In many cases, the emergency room will give you pain medication to mask the symptoms until you can schedule an appointment at our Shenandoah, Iowa office. That results in a lot of wasted time, as well as two separate medical bills. The ER may give you a temporary crown or filling, but you will still need a follow-up appointment for a permanent restoration.

We recommend you find the nearest emergency dental clinic, or even try a home remedy to relieve the pain until you can schedule an emergency appointment at Southwest Iowa Dental Associates. A warm salt-water rinse or cold compress can be used to sooth tooth and gum pain in the meantime.

If you experience a dental emergency and are unsure about what to do, feel free to contact our Shenandoah, Iowa office at any time. We will fit you into our schedule right away and figure out the best course of treatment for your problem.

With advancements in prosthetic dentistry, patients are now able to wear dentures that are comfortable, natural looking, and long lasting. There are different options to choose from that will meet your individual needs, whether you have a few teeth missing or have lost all of your teeth. the doctor will be able to help you decide which denture option is best for you.

Partial Dentures

Patients who receive partial dentures have some of their original teeth still in place and therefore only need a partial to replace the missing teeth and keep their existing teeth from moving. It also makes sense that patients need them to be able to eat comfortably. All dentures are made from porcelain or plastic and are made with comfort in mind.

Complete Dentures

If you have suffered from complete tooth loss, you would typically receive complete dentures. Immediately after you have your teeth extracted you will leave the dentist office with a set of temporary dentures. These will be worn for a few months while your mouth heals. After this initial wait time, your conventional or permanent dentures will be ready to be fitted.

Implant-Supported Dentures

Implant-supported dentures involve a more invasive procedure, but are also permanent. A select number of implants are placed into the jaw. The denture is then attached to the implant posts. You will be able to chew normally and maintain normal dental hygiene, like brushing and flossing.

the doctor will be able to advise on which kind of denture would be the best based on your individual needs. Contact our Shenandoah, Iowa office to schedule an appointment!

Your darling three-month old is crying and fussy—can she be teething already? Or, your happy baby boy has just celebrated his first birthday—with only one tooth in that beautiful, gummy smile. Is this normal? Probably! While baby teeth do typically erupt (come in) in the same order for all babies, and around the same time, there is still a lot of flexibility in the time it takes for a full, healthy smile to develop.

Baby teeth actually form before your baby is born, and those 20 teeth are there under the gums waiting to come out and shine. And even though there are no firm and fast dates for each of these primary teeth to erupt, it’s helpful to have a general overview of typical teething patterns so you know what to look forward to.

Incisors

These little teeth create a charming baby smile, and, if your finger has been in the wrong place at the wrong time, a very sharp one as well! That is because these tiny incisors are made to bite into foods. You might notice this when you introduce solid foods, even if the majority of your child’s “chewing” is done with her back gums. These teeth are the earliest to arrive.

• Six to ten months old: The lower central incisors (bottom front teeth) are often the first to come in.
• Eight to 12 months old: The upper incisors (8-12 months) are the next to show.
• Nine to 13 months old: The upper lateral incisors on each side of the front teeth arrive.
• Ten to 16 months old: The lower lateral incisors appear.

First Molars

Because these are larger teeth, babies often experience another bout of teething pain at this time. The large flat surface of each molar helps your child to chew and grind food, so he can handle a wider variety of foods and develop his chewing skills.

• 13 to 19 months old: You can generally expect to see the upper first molars arrive.
• 14 to 18 months old: The lower first molars appear.

Canines (Cuspids)

Fitting between the first molars and the incisors, the strong, pointed shape of the canine teeth allows your child to grip food and break it apart more easily.

• 16 to 22 months old: The upper two canines make their way into the space between the incisors and the first molars.
• 17 to 23 months old: The two lower canines appear.

Second Molars

By the age of three, most children have a full set of baby teeth.

• 23 to 31 months old: The second pair of bottom molars start erupting—you are in the home stretch!
• 25 to 33 months old: The upper second molars come in—completing that beautiful set of 20 teeth!

Baby teeth are extremely important, as the doctor will tell you when you visit our Shenandoah, Iowa office. They help your child eat and chew, develop face and jaw muscles, assist proper speech formation, and provide space for the adult teeth to come in properly. Now that your child’s smile is complete, keep providing him with the same care and attention you have been giving those little teeth since the arrival of the very first incisor.

It seems that so much of new parenthood is scheduling—when to feed her, when to put her to bed, how many hours between naps. But we soon find out that every baby is not on the same schedule, and the same is true for the arrival of their teeth. We should see your baby when that first tooth comes in, or by his or her first birthday. And if you ever have concerns at any time about your child’s teething schedule or teething delays, always feel free to give us a call.

If you suffer from dental anxiety, a visit to Southwest Iowa Dental Associates might seem like a daunting prospect. Perhaps you had a bad experience in the past, but whatever the reason, please know that at our Shenandoah, Iowa office, there is nothing to be afraid of. We understand you may be anxious about receiving dental treatments, and we’re here to help you have a comfortable, pain-free experience that will put your fears to rest.

You’re not alone!

A 1984 study that appeared in the Journal of the American Dental Association reported that up to 75% of all adults in the United States have some degree of dental anxiety. This includes five to ten percent whose dental anxiety is so severe that they try to avoid a dentist’s office at all costs.

Treatment

If you experience dental anxiety, it is important to let our office know in advance, so we can provide you with the dental care you need with an added touch of TLC. We can assist by explaining behavioral techniques for relaxation, by administering nitrous oxide (laughing gas), or by prescribing a relaxing medication prior to your dental procedure.

An emergency usually evokes panic, and for good reason. Emergencies don’t discriminate when it comes to time or place. They’ll happen during your vacation, at home, while you’re shopping for groceries, at the movies … whenever they can.

We’ve identified the five most common reasons for emergency visits to our office, so if you ever find yourself in one of these situations, don’t hesitate to reach out and schedule an appointment with us!

1. Getting a piece of food stuck where it doesn’t belong. This might sound trivial, and even comical, but a piece of food stuck and left unattended can cause inflammation, pain, and a serious infection.
2. Losing a filling. If this happens to you, it’s crucial that you receive care immediately. The purpose of a filling is to shut off a space where bacteria can enter. If that barrier is breached, your tooth becomes more vulnerable to decay.
3. A chipped tooth. Even if the chip is small, it’s essential to get it repaired before it grows bigger. Unless chips are affecting a nerve, they are usually easy to repair with a crown, bonding, or veneers.
4. A broken tooth. This can result from a small, hidden chip in the tooth. It’s clearly something to address quickly, because the pain will be much more severe than what you’ll feel with just a chip.
5. Losing the entire tooth. This is the worst of the list. When you lose a tooth, you should not delay in seeking emergency care. Usually, you have a window of one to two hours during which the original tooth can be salvaged and successfully reattached.

Though any of these scenarios can be nerve-wracking, the doctor and our team are here to assist you with any and all dental emergencies. Don’t wait; give our Shenandoah, Iowa office a call!

Have you ever watched to see if your child is breathing through his or her mouth? Breathing through the mouth instead of the nose may lead to trouble for youngsters. Kids who typically breathe through their mouth—most often children who suffer from allergies—experience problems getting enough oxygen into their blood, a condition that affects their weight, size, sleep, and even their performance in the classroom and daily life.

Mouth breathing as a child can also lead to sleep apnea, behavior and learning problems, delayed speech, dental and facial abnormalities, and even breathing problems as your child grows. There are a multitude of reasons for an individual to mouth breathe, such as enlarged tonsils, adenoids, and deviated nasal septum, but the cause is usually allergies.

As bad as the condition sounds, we want you to know mouth breathing is a treatable condition. Doing so, though, requires early diagnosis and treatment. Since our team at Southwest Iowa Dental Associates sees our patients every six months, we may be in a position to identify the symptoms of mouth breathing.

If you suspect your child is a chronic mouth breather, please give us a call at our convenient Shenandoah, Iowa office to schedule an appointment with the doctor.

It is not uncommon to be concerned about your safety when you have dental X-rays performed. Putting on a heavy lead vest may make you apprehensive. The benefits of dental X-rays far outweigh the risks when safety procedures are followed and the number of X-rays is limited to the required number.

About Dental X-rays

Intraoral X-rays are the most common, and include bitewing X-rays. These allow the doctor and our team at Southwest Iowa Dental Associates to detect caries (cavities) and check the health of your bone and root structure. Extraoral X-rays provide the information we need to monitor your jaw and temporomandibular joint (TMJ), as well as look for impacted teeth and tooth development.

X-ray Safety

A set of four bitewing X-rays exposes you to about 0.005 mSv (millisievert) of radiation, which is equal to the amount of radiation you receive in an average day from natural sources. A panoramic X-ray exposes you to about twice the amount of a bitewing. In both cases the risk is negligible and worth the diagnostic benefits.

Guidelines from the American Dental Association are offered for individuals who are not at high risk for cavities. Children in this group should have X-rays every one or two years. Teenagers should have X-rays every one-and-a-half to three years. Adults can go two to three years between X-rays. If you are at higher risk, yearly X-rays are not harmful and can save your teeth.

No matter what type of X-ray you are having, it is extremely important to tell the doctor or one of our technicians if you are pregnant or may be pregnant. If you are concerned about the number of X-rays you are having done, or about any radiation you are exposed to, please give us a call at our convenient Shenandoah, Iowa office and talk to us about your concerns.

Mouthwash is important for more than just keeping your breath fresh and smelling great. Combined with other forms of dental hygiene, it can help prevent plaque, cavities, gingivitis, and other gum diseases. But it may be difficult for you to choose the right mouthwash off the shelf. the doctor and our team at Southwest Iowa Dental Associates wanted to share a few things to look for when choosing a mouthwash.

Fluoride mouthwashes

Fluoride has been the subject of many debates in the oral health community. If you live in the United States, the tap water already contains small amounts of fluoride to promote dental health. You may not need to use a fluoride mouthwash if this is the case. However, if you are cavity-prone, fluoride creates a protective film over the teeth that protects against these buildups. It also helps strengthen the enamel over the teeth, maintain good dental hygiene, and keep your teeth strong for the rest of your life.

Alcohol mouthwashes

Alcohol in mouthwash works as an antiseptic: it clears the mouth of germs and some viral infections. However, if you have issues relating to dry mouth, alcohol can exacerbate the problem. If this is the case, consider using an alcohol-free mouthwash. This will free your mouth from the drying effects of the alcohol base. Also, if you have children, you will want to get an alcohol-free children’s mouthwash, because kids are prone to swallowing the substance, and this can lead to toxic side effects. Even if you are an adult using the mouthwash, if it contains alcohol, you should avoid swallowing it.

Antibacterial mouthwashes

Antibacterial mouthwashes have chemicals to help fight gum disease and other infections. Most mouthwash products contain at least trace amounts of these antibacterials; however, some mouthwashes are made specifically to fight bacterial infections. Remember that mouthwash is prevention, not a cure, so if you are presently suffering from a bacterial infection, you should visit our Shenandoah, Iowa office right away. the doctor may be able to recommend a more powerful antibacterial mouthwash that can help you reduce your pain and other symptoms.