San Diego CA

June 21^st is National Selfie Day!

Selfie History

Self-portraits are really nothing new, but the level of importance they have found in our current culture certainly is!  Though the first ‘selfie’ is credited to Robert Cornelius almost two hundred years ago, and Buzz Aldrin took a selfie in space during the Gemini 12 mission in 1966, what we would now consider the ‘selfie’, (and the term itself), wasn’t really introduced until 2002.  The mainstream adoption of smartphones and social media catapulted the selfie into our lexicon, and it was added to the Oxford Dictionary in 2013, becoming the Word of the Year for 2014, the same year we saw the first National Selfie Day!

Selfies and Dental Aesthetics

The rise in the popularity of social media platforms and selfies brought with it an increase in the importance of dental aesthetics.  Our obsession with the perfect “Selfie Smile” may be relatively new, but society’s standards for dental aesthetics have evolved over time.  Orthodontists have been studying cultural perceptions of oral aesthetics for decades, and though there are some notable changes over time, (for example the ideal length of the central incisors (the two front teeth) in comparison to the lateral incisors (between the front and canine teeth), or the ideal width of the smile), the perception that bigger, whiter, brighter smiles are more attractive has been the standard for at least a century, and if our selfie trends are any indication, that won’t likely change any time soon.

The Selfie Smile Makeover

Cosmetic dental procedures have become mainstream in America and across the globe.  According to the American Academy of Cosmetic Dentistry, common aesthetic procedures range from as simple as teeth whitening and orthodontics to complex surgeries like implants and periodontal plastic surgery.  Advances in dental materials and techniques make obtaining a smile to match your favorite celebrity more possible than ever before, and our constant access to beautiful people’s selfies makes us want this more than ever before, and this is especially true for teens and young adults.

Pediatric Dentistry and Prevention

Here at All Smiles Pediatric Dentistry, we know that in our current social media/selfie culture, a child's or teen's smile can profoundly effect their self esteem and development of their social skills.  We help our young patients build and maintain their beautiful, natural, selfie smiles, to help them avoid the need for invasive corrective procedures later in life.  Learning and using proper brushing and flossing techniques and placing fluoride to strengthen enamel helps to prevent oral health problems.  Maintaining a regular six month dental exam and professional cleaning schedule will catch issues when they first arise, and using the right techniques when there is dental decay, (placing timely and appropriate restorations (fillings) before too much tooth structure is damaged) are important tools that will keep your children’s smiles in selfie-ready shape throughout childhood!

We love a good selfie as much as anyone else, and we LOVE helping our patients feel good about themselves when they put their Selfie Smiles out there for the world to see!

All Smiles Pediatric Dentistry

At All Smiles Pediatric Dentistry we have taken steps to keep your children as safe as possible while in our office. Our initial protocol was set based on the guidance from the CDC, CalOSHA, and local government recommendations.  As guidelines change, so will the practice to ensure you and your child have a safe appointment.

Get to Know Us

At All Smiles Pediatric Dentistry, we incorporate proven techniques to share with you and your child at each dental checkup visit. Dr. Allen Job and his team are committed to providing the latest in oral health care prevention. Check out our monthly blog posts! Our practice is centrally located in San Diego, CA.

Get acquainted with us by watching our practice video and find out what we do.

Scheduling an appointment for your child is easy! Start here to schedule an appointment. All of our forms are online. Fill them out securely from your smartphone or tablet and hit send. On appointment day, your child will be seen at their scheduled time. For example, if you have a 9:00 AM appointment, your child will be seen at 9:00 AM.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention. For more than a decade, served as assistant professor for the Department of Pediatric Dentistry at Loma Linda University School of Dentistry (LLUSD). He is currently an instructor at LLUSD.

The COVID-19 pandemic is approaching its two-year anniversary.

The pandemic, with its shutdowns, quarantines, and overall societal changes, has impacted every facet of our lives.  As we reflect back on these last two years, we find some surprising unintentional health effects.  Even as we’ve focused our efforts entirely on protecting the health of our communities, certain aspects of health for some of us have been negatively impacted by our efforts.  Children’s oral health is one of those and identifying the reasons why will help us to repair the problems.

How Have Two Years of Pandemic Worsened Kids’ Pre-Existing Dental Health?

In March of 2020, when our country (along with the rest of the world) was figuring out how to navigate COVID-19, ‘elective’ procedures and surgeries were cancelled, sometimes for months at a time, in almost every state.  This meant dental practices were either closed entirely, or available only for serious emergencies.  Given that dental decay is one of, if not the, most common chronic illnesses of children in America, this created a crisis in children’s oral health.  Untreated dental cavities lead to more serious infections, at least requiring more extensive dental treatment, but sometimes resulting in serious bodily infections.

Children who already had significant decay and planned restorative treatments when the shutdowns began, frequently ended up in hospital emergency departments to treat their increasing symptoms (pain, inability to eat or sleep, etc.), or more seriously, the spreading infections caused by untreated cavities.  For these patients, what could have been in-office treatment often ended up requiring hospital-based general anesthesia for dental surgery, adding considerable expense and increased risk.  Children with moderate dental problems at the onset of the pandemic faired only slightly better, often requiring more invasive in-office procedures to restore worsened dental health.

Even if your child went into March of 2020 with healthy teeth and mouth, the pandemic may have impacted his or her oral health, too.  The months-long closure of most dental offices created a re-opening environment full of scheduling bottlenecks, due both to the backlog of delayed appointments and to the need for longer visits to accommodate patients’ additional treatment needs and new infection control protocols.  This meant those 6-month preventive visits you never miss were very delayed or very hard to get scheduled.

When it Comes to Pandemic Effects, Think Outside-the-Mouth

The pre-pandemic state of our kids’ mouths isn’t the only factor affecting children’s oral health two years later.  Things that have become our ‘new normal’ have had surprising impacts on pediatric dental health as well. For example, stay-at-home orders and online schooling allowed for more frequent snacking and drinking than would be typical in a child’s ‘normal’ day.  It’s well understood that eating and drinking sugary or high carbohydrate items leads to tooth decay, but grazing and frequent snacking on even lower-sugar foods and drinks has also been shown to increase your risk of cavities.  When we eat, the environment in our mouths becomes more acidic within seconds, but it takes much longer for our saliva to get our mouths back to a neutral pH.  This means that frequent snacking or drinking beverages other than water can overwhelm your body’s ability to protect tooth enamel from the acidic environment, leading to increased tooth decay.  Read more from our previous blog, Foods that Cause Decay.

Additionally, the toll of the pandemic and the sweeping changes it brought have had mental and emotional health effects on adults and children alike.  For many children, especially those under 7 years old, expressing their pandemic-related anxiety and fear is difficult, and can often be illustrated unexpectedly.  This can include what happens with the return to the Pediatric Dentist.  Even children who never exhibited dental anxiety or fear before may be nervous about any medical facilities, (including dental offices), and extensive protective equipment worn by the providers. This can make dental visits more difficult for both patients and parents.

Bouncing Back from the Pandemic Toll on Oral Health

The good news is that our pediatric dental community has been able to overcome the challenges we’ve faced over the last two years and have learned so much more about how to bring our patients’ oral health back to the pre-pandemic baseline.  Maintaining oral health and eating schedules at home, returning to routine preventive dental care, preparing kids for the emotional toll of returning to our offices, and treating any diagnosed dental issues as quickly as possible will position us all for success.

It’s been a long two years, but we’ve learned a lot about the importance of oral health for our communities, and our providers and patients are better for it!

All Smiles Pediatric Dentistry

At All Smiles Pediatric Dentistry we have taken steps to keep your children as safe as possible while in our office. Our initial protocol was set based on the guidance from the CDC, CalOSHA, and local government recommendations.  As guidelines change, so will the practice to ensure you and your child have a safe appointment.

Get to Know Us

At All Smiles Pediatric Dentistry, we incorporate proven techniques to share with you and your child at each dental checkup visit. Dr. Allen Job and his team are committed to providing the latest in oral health care prevention. Check out our monthly blog posts! Our practice is centrally located in San Diego, CA.

Get acquainted with us by watching our practice video and find out what we do.

Scheduling an appointment for your child is easy! Start here to schedule an appointment. All of our forms are online. Fill them out securely from your smartphone or tablet and hit send. On appointment day, your child will be seen at their scheduled time. For example, if you have a 9:00 AM appointment, your child will be seen at 9:00 AM.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention. For more than a decade, served as assistant professor for the Department of Pediatric Dentistry at Loma Linda University School of Dentistry (LLUSD). He is currently an instructor at LLUSD.

Here is an amazing fact: by the time your child reaches kindergarten class, more than 5 out of his or her 20 classmates will have dental cavities! Imagine that for a moment. Your child has just started the first phase of his or her educational journey and now more than a quarter of his or her classmates have a dental cavity.  It's 28 percent to be exact, per the National Institute of Craniofacial Research.

Maybe you, as a parent, remember having dental cavities, as a child.  And you might be thinking, "What's the big deal. Don't those teeth fall out anyway?" The answer comes later in this blog.

The CDC reports that dental cavities is the most prevalent chronic disease that our children are facing.  This is more common that getting diagnosed with asthma or allergies!

What's the big deal. Don't those Baby Teeth Fall Out Anyway?

First, as a parent, I do not want to expose my child to any forms of disease, especially something that can be avoided by following a few simple steps at home.

Second, think about the time you had to have a filling at the dentist as a child. Though there are now modern advances to decrease pain and discomfort, there is still an experience that may not be all too pleasant.

Thirdly, a child who is in pain from a cavity will not be able to focus properly at school or at home.  Sleep at home can also be disturbed, not only by your child, but in everyone at home.

Finally, there is cost associated with treating dental cavities.  There is direct costs from the procedure.  Also indirect costs need to be factored in such as, loss of income from taking your child to have a filling done, travel time, and time away from school.

There are physical and psychological factors that are associated with treating dental decay.

Instead of treating a problem after it has already occurred why not prevent the problem in the first place!

According to the American College of Obstetricians and Gynecologists, 89 percent of children age one year had an office based physician visit, while only 1.5 percent had a dental office visit.

Recommendations for Oral Health Care for your Infant.

Here are some recommendations that will give your child the best possible outcome of having optimal oral health care.  Establish a dental home by age 1 for your child.  This means having your child seen by the dentist by your child's 1st birthday.  During the initial exam several areas will be discussed.  This includes:

1. Oral exam of your child's mouth.

This will include an age appropriate demonstration of gum and teeth cleaning with fluoride treatment.

2. Assessment of your child's risk for dental decay.

This will include a road map to fend off any potential risks for getting cavities and recommendations for diet, flouride use, and the frequency for checkup appointments.

3. Cavities management.

If your child does have a cavity, then your dentist can give you ways to treat the cavity at an early stage.  Most general dentists do not want to see infants, so make sure to seek out a pediatric dentist.

4. Injury prevention.

Learn how to decrease the risk to dental injury at home and also learn what to do if there is a dental injury, should that occur.

5. Teething.

Find out the signs and symptoms of teething and ways to treat it in easy steps at home.

6. Lip and tongue tie assessment.

If you child has had difficulty with breastfeeding or bottle feeding, then you would want to see your pediatric dentist as soon as you notice this issue.  You can find more information about this here.

7. Non nutritive oral habits.

If your child loves to use her pacifier, sucks her finger, grinds her teeth, or has an abnormal tongue thrust, then all of these areas can be addressed by your pediatric dentist.

Instead of worrying about cavities, give your child the best chance of having a great start by seeing a dentist by age one!  Your child will have many milestones in their future.  Having a cavity shouldn't be one of them!

All Smiles Pediatric Dentistry

At All Smiles Pediatric Dentistry, we incorporate proven techniques to share with you and your child at each dental checkup visit. Dr. Allen Job and his team are committed to providing the latest in oral health care prevention. Check out our monthly blog posts! Our practice is centrally located in San Diego, CA.

COVID-19 Precautions

Find out how we are protecting our patients and our staff with our improved safety protocol.

Get to Know Us

Get acquainted with us by watching our practice video and find out what we do.

Scheduling an appointment for your child is easy! Start here to schedule an appointment. All of our forms are online. Fill them out securely from your smartphone or tablet and hit send. On appointment day, your child will be seen at their scheduled time. For example, if you have a 9:00 AM appointment, your child will be seen at 9:00 AM.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention. For more than a decade, served as assistant professor for the Department of Pediatric Dentistry at Loma Linda University School of Dentistry (LLUSD). He is currently an instructor at LLUSD.

[caption id="attachment_1084" align="alignleft" width="640"] Baby and mom[/caption]

Parenthood is a season of routines that constantly change.

Parents, did you just get used to the newborn stage? Now it’s over.

Parents, did you just get through one set of teething teeth? Rest up; the next cranky, sleepless teething stage is coming soon.

And just when you have your bedtime routine set for your 6-month-old, now you have to add a dental routine to the mix?

Let’s break it down…

The American Dental Association recommends you begin a brushing routine as soon as a baby’s first tooth (or set of teeth) has erupted.

There are two reasons to begin a dental routine this early:

Get baby used to brushing.

The earlier you start, the more your baby gets used to the whole brushing (and flossing) routine. Making it a familiar part of their day means less protesting as they get older and more independent (trust us on this).  You can find out more information here.

Prevent tooth decay.

Once those cute little teeth have arrived, they can begin to decay as they interact with bacteria naturally present in baby’s mouth. And even though they will fall out eventually, it’s very important to care well for baby teeth.

What should baby’s dental routine include?

Gently brush any teeth present with a baby tooth brush and a grain-size amount of fluoride toothpaste.

A useful technique for getting the right amount of toothpaste is gently dipping the tip of the brush in the toothpaste tube.

Make sure that baby has her own designated tube of toothpaste; it’s best not to contaminate baby’s mouth with anyone else’s mouth bacteria as this can hasten tooth decay.

After brushing teeth, rinse the toothbrush in water before gently brushing baby’s gums. This helps baby get used to the brushing sensation and also helps ease the pain as more teeth begin poking through.

For babies, brushing just once before bedtime should be sufficient; for toddlers, start brushing twice a day – in the morning after breakfast and at bedtime.

As baby gets older, they can begin taking more responsibility handling the tooth brush themselves, though they will still need help from mom or dad to brush well enough. If at any point they need encouragement, we’ve got some useful ideas to make their dental routine a pleasant experience.

As soon as you’ve got two teeth next to each other, you can introduce flossing. Disposable flossers are a great tool for little hands before they are dexterous enough for regular flossing.

Just as hand-washing can become an automatic procedure following use of the potty, introducing baby’s dental routine early on will make the whole thing second-nature.

The more familiar your child becomes with a good dental routine, the more likely they’ll continue with these healthy habits for life. That’s the hope, at least!

COVID-19 Precautions

Find out how we are protecting our patients and our staff with our improved safety protocol.

All Smiles Pediatric Dentistry

Get acquainted with us by watching our practice video and find out what we do.

Scheduling an appointment for your child is easy! Start here to schedule an appointment. All of our forms are online. Fill them out securely from your smartphone or tablet and hit send. On appointment day, your child will be seen at their scheduled time. For example, if you have a 9:00 AM appointment, your child will be seen at 9:00 AM.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention. For more than a decade, served as assistant professor for the Department of Pediatric Dentistry at Loma Linda University School of Dentistry (LLUSD). He is currently an instructor at LLUSD.

Trips to the dental office can be difficult for anyone.  And, children with special needs may require a greater level of care.

The good news is that a lot can be done to mitigate the chance of an unpleasant experience – all it takes is a little bit of planning and coaching to get there.

With that in mind, we put together a collection of useful approaches that will help you and your child navigate your first, or next, dental visit.

Visit Early

After the arrival of your child’s first tooth, you should already be on the docket for a visit to the dentist. Since autism spectrum disorders don’t commonly manifest until around the age of three, it is very important that you establish a dental home for your child with a dentist by age one.  This way if signs of autism spectrum are noted your child would already have an established relationship with a caring dental professional.

Avoiding the dentist until later in a child’s development, particularly until after problems arise (like cavities) can be problematic. Initiating the process of familiarization with the dentist at an early age reduces dental anxiety among all children, so go early.

Read Up!

You’re likely already familiar with the  Autism Speaks  website, and the wealth of supportive material regarding autism and your child.

You may not have noticed, though, their superb Dental Toolkit which features free iTunes downloadable books for kids, videos, and even materials you can share with your dentist about working with your child.

The standout item on the site, though, is a  highly visual 34-page booklet  created in partnership with the National Museum of Dentistry that covers everything from how to teach good oral hygiene to how to prepare for your routine dental visits.

Learn from the Doctor's Perspective

Your dentist may have more experience with special needs children than you realize. The best way to go about preparing for your visit is to speak with the doctor directly and ask what to expect.

The  Dental Professionals’ Tool Kit  will help you see inside that instruction and arm you with meaningful advice that isn’t always covered in offerings to parents. Anyone can download the material, dentist or not, so have a look-see!

Find a Doctor who Specializes

Finally, should you feel more comfortable doing so, seek out a dentist who   specializes  in dealing with children with autism.

Pediatric dentists pursue additional training that helps them cater to autistic patients. Such training is structured around reducing stress and making children feel comfortable both inside the dental office and at home.

Visiting the dentist doesn’t have to be a traumatic experience for you or your child. Hopefully the above information provides some direction for further exploration.

All Smiles Pediatric Dentistry

At All Smiles Pediatric Dentistry we specialize in treating children with special needs.  Dr. Allen Job and his team are specially trained to see your child and provide resources for parents.

First, all of our forms are found online, where you can complete them from the comfort of your home.  So there is no waiting when you arrive.  Second, the colors on the walls and the amenities that we offer were thoughtfully chosen to give your child a warm and comfortable ambiance.  Third, we offer private patient rooms for patient care.  Fourth, we have an amazing staff members who will guide you if you have any questions about the process of scheduling an appointment to providing individual patient care.

Our practice is centrally located in San Diego, CA.

COVID-19 Precautions

Find out how we are protecting our patients and our staff with our improved safety protocol.

Get acquainted with us by watching our practice video and find out what we do.

Scheduling an appointment for your child is easy! Start here to schedule an appointment. All of our forms are online. Fill them out securely from your smartphone or tablet and hit send. On appointment day, your child will be seen at their scheduled time. For example, if you have a 9:00 AM appointment, your child will be seen at 9:00 AM.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention. For more than a decade, served as assistant professor for the Department of Pediatric Dentistry at Loma Linda University School of Dentistry (LLUSD). He is currently an instructor at LLUSD.

Dear Patient:

We hope this letter finds you and your family in good health. Our community has been through a lot over the last few months, and all of us are looking forward to resuming our normal habits and routines. While many things have changed, one thing has remained the same: our commitment to your safety.

Infection control has always been a top priority for our practice and you may have seen this during your visits to our office. Our infection control processes are made so that when you receive care, it’s both safe and comfortable. We want to tell you about the infection control procedures we follow in our practice to keep patients and staff safe.

Our office follows infection control recommendations made by the American Dental Association (ADA), the U.S. Centers for Disease Control and Prevention (CDC) and the Occupational Safety and Health Administration (OSHA). We follow the activities of these agencies so that we are up-to-date on any new rulings or guidance that may be issued. We do this to make sure that our infection control procedures are current and adhere to each agencies’ recommendations.  Our employees will be following strict guidelines that include donning additional personal protective equipment (PPE), getting daily temperature readings, and being asked the screening questions each day.

We will be scheduling all appointments starting Monday May 18, 2020.  You may see some changes when it is time for your next appointment. We made these changes to help protect our patients and staff. For example:

• We are limiting the number of people accompanying your child to one parent per child. If you have multiple children they are welcome to come with up to 2 parents. Please do not bring other family members or friends to the office at this time.
• Our office will communicate with you beforehand to ask some screening questions. See the bottom of the page for the screening questions. If you or your child is experiencing any symptoms, please call our office to reschedule with at least a 24-hour notice. You’ll be asked those same questions again when you are in the office.
• A temperature reading will be taking for every person entering the office.
• We have hand sanitizer that we will ask you to use when you enter the office. You will also find some in the reception area and other places in the office for you to use as needed.
• You may see that our waiting room will no longer offer magazines, children’s toys and so forth, since those items are difficult to clean and disinfect.
• Appointments will be managed to allow for social distancing between patients. That might mean that you’re offered fewer options for scheduling your appointment.
• We will do our best to allow greater time between patients to reduce waiting times for you, as well as to reduce the number of patients in the reception area at any one time.

We look forward to seeing you again and are happy to answer any questions you may have about the steps we take to keep you, and every patient, safe in our practice. To make an appointment, please call our office at 858-737-9000 or visit our website.

Thank you for being our patient. We value your trust and loyalty and look forward to welcoming back our patients, neighbors and friends.

Sincerely,

Dr. Allen Job & Team

Screening Questions for Parent/Guardian and Patient:

Have You (parent/guardian) or They (patient):

1. Had a Fever, Cough, or Shortness of Breath in last 14-21 days?
2. Had flu-like illness like gastrointestinal upset, headache, or fatigue?
3. Had a recent loss of taste or smell?
4. Been in contact with anyone who have tested positive for COVID19?
5. Traveled to regions affected by COVID19 in the past 14 days?

According to a recent study published in the European Journal of Preventive Cardiology, toothbrushing multiple times a day can lower one's risk of heart disease.

Let's Dig Deeper

This study involved one hundred sixty thousand participants between the ages of 40-79 years, who were tracked over a ten year span.  These individuals had no history of atrial fibrillation or heart failure at the the beginning of the study.

The study results were independent of factors such as age, gender, socioeconomic status, exercise frequency, alcohol consumption, and other behaviors that could damage the heart.

At the ten year followup evaluation, they there 4,911 participants who had developed atrial fibrillation and 7,971 developed heart failure.

Back to Basics

Anatomy of the Heart:

The heart has 4 chambers.  The two upper chambers are called the atria.  The two lower chambers are called ventricles.  Oxygen-poor blood returns from the body and flows first into the right atrium then into the right ventricle.  From here the blood gets oxygen from lungs. Now oxygen rich blood flows into the left atrium and then into the left ventricle.  Now the blood is pumped out of the heart to the rest of the body. The atria and ventricles contract or "pump" blood in a coordinated way.  Click here to see an animation by the American Heart Association.

What is Atrial fibrillation?

According to the American Heart Association, atrial fibrillation is noted by a quivering heart beat or irregular heart beat.  This can lead to blood clots, stroke or heart failure.  Click here to see an animation of Atrial fibrillation.

What is Heart Failure?

According to the American Heart Association, heart failure occurs when the heart is not pumping as effectively as it could be.  The heart cannot keep up with its workload.  Therefore, the body is not getting enough oxygen that it needs. This condition is a chronic continuous degradation of heart muscle that leads to worsening performance of the heart without medical intervention.  Therefore, one common term that is associated with the ineffective heart, is congestive heart failure. Click here to seen an animation of heart failure.

Toothbrushing Benefits

According to this study, toothbrushing at least three times a day reduces one's risk of atrial fibrillation and heart failure. Researchers from this study believe that the mechanical action of the toothbrush against teeth help lower bacterial levels that are below the gum level before they enter the bloodstream.

Put this Concept into Practice

Brush your teeth after mealtimes.  Parents, do this for your own health and then model this habit to your children.  Children often will follow a parent's lead.  Children who are too young to brush their own teeth should be assisted by a parent or guardian. Often I hear from parents that say that their child doesn't like to have their teeth brushed or won't tolerate it.  When I ask the parent how often they brush their teeth, it is often less than two times a day.  Please note that you are the parent. It is your responsibility to take care of your child.  A child will protest all day long to avoid anything he or she doesn't like.  Toothbrushing is one battle that you have to win, parents.  For a toothbrushing refresher, head to our page on preventive care.

Toothbrushing is an effective way to not only help your teeth, but it can also reduce your risk for some heart diseases like atrial fibrillation and heart failure. Start today!

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention. For more than a decade, served as assistant professor for the Department of Pediatric Dentistry at Loma Linda University School of Dentistry (LLUSD). He is currently an instructor at LLUSD.

[caption id="attachment_715" align="alignleft" width="612"] Are Dental X-Rays Safe?[/caption]

“Are Dental X-Rays Safe?” and Other Questions about Dental X-Rays

Some of the most common questions we get at All Smiles Pediatric Dentistry have to do with dental x-rays: Are they safe? Why do I or my kids need them? And how often should I get them?

These are great questions (and we love how much you prioritize your health). The answers can get complex quickly, so we’ll do our best to cover the basics here.

Are Dental X-Rays Safe?

Let’s start with the most important issue—safety.

Both the Food & Drug Administration (FDA) and the American Dental Association (ADA) test dental x-rays to make sure they’re safe for patients of all ages. These governing bodies revise their guidelines when any advances in science and technology provide new methods to reduce
exposure.

Thanks to faster film speeds, digital X-rays, and protective aprons and thyroid collars, the X-ray of today is far superior to those of even just a decade ago.

This applies to children, too. Today’s X-rays are so safe, in fact, that the amount of radiation a child is exposed to in an X-ray of the back molars is roughly equivalent to the amount of radiation they are exposed to in the environment on a daily basis.

Why Do You Need X-Rays?

X-rays, also called radiographs, help your dentist spot conditions, like cavities, tooth misalignment, and abscesses, that they can’t see through a visual examination. X-rays are especially important for children because they are generally more susceptible to tooth decay than adults.

The benefits of X-rays, which include diagnosing decay, pathology, or any abnormalities, far outweigh the risks of exposure to this minimal dose of radiation.

How Often Should I Get Them?

Your X-ray schedule depends on a number of risk factors, including your medical and dental history.

Generally, patients without a history of cavities or dental disease are recommended to undergo one set of X-rays every 12 months.

The best way to reduce the number of X-rays you need is to follow good oral hygiene at home.

What type of dental x-rays do you offer?

Here, at All Smiles Pediatric Dentistry, we use digital xrays that emit the lowest radiation levels. Our hand-held x-ray unit looks like something Buzz Lightyear would use. It's called the Nomad.  Children don't feel intimidated by it since it looks less cumbersome and intrusive. We also use a digital panoramic x-ray machine to evaluate for growth & development and also for timing when to see the orthodontist or oral surgeon for those wisdom teeth.

Wondering When You’re Due for X-Rays?

Contact us.  If your child hasn't seen the a pediatric dentist, then give contact us and we will help your child establish a dental home for future dental visits.

All Smiles Pediatric Dentistry

At All Smiles Pediatric Dentistry, we incorporate proven techniques to share with you and your child at each dental checkup visit. Dr. Allen Job and his team are committed to providing the latest in oral health care prevention. For more information about digital x-rays check out our website section. Still want more information? Check out our monthly blog posts! Our practice is centrally located in San Diego, CA.

Get acquainted with us by watching our practice video and find out what we do.

Scheduling an appointment for your child is easy! Start here to schedule an appointment. All of our forms are online. Fill them out securely from your smartphone or tablet and hit send. On appointment day, your child will be seen at their scheduled time. For example, if you have a 9:00 AM appointment, your child will be seen at 9:00 AM.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention. For more than a decade, served as assistant professor for the Department of Pediatric Dentistry at Loma Linda University School of Dentistry (LLUSD).  He is currently an instructor at LLUSD.

[caption id="attachment_711" align="alignnone" width="596"] What is Plaque?[/caption]

Most people have heard of the word “plaque,” and know it’s not something you want on your teeth. Yet, they don’t know what exactly plaque is or how it contributes to dental decay.

Plaque is a sticky, colorless film of bacteria that lives on the surface of your teeth and along the gumline. It accumulates from normal daily activities such as eating and drinking, especially if you’ve been consuming a lot of sugars and starches.

Ever had that fuzzy feeling on your teeth that goes away after you give them a good brush?
Yep, that’s plaque. Plaque is what contributes to dental decay, as bacteria like to consume the sugars in your mouth and excrete acids that wear away at your tooth enamel.

So, what's the big deal about plaque?

When you don’t regularly brush and floss away plaque, it forms tartar. Tartar forms 24 hours after plaque is left on the teeth.  Soft plaque turns into hard tartar.  Tartar is the calcified substance on your teeth that now only a professional cleaning can remove.

How do I prevent tartar buildup?

The best way to prevent tartar buildup is to brush your teeth at least twice a day and floss.   I would recommend brushing after every meal. Yes, that means 3 times a day. If you decide to snack, then remember to brush also after snacking.

Why does tartar matter?

Remember that plaque excretes acids on your teeth.  These acids breakdown the enamel surface of the tooth which can lead to a dental cavity which may need a filling.

What are some ways of removing plaque from my teeth?

Check out our section on Preventive Care. Here you will find how to properly brush and floss your teeth. If you have an infant, then head over to our Infant Care section.

All Smiles Pediatric Dentistry

At All Smiles Pediatric Dentistry, we incorporate proven techniques to share with you and your child at each dental checkup visit. Dr. Allen Job and his team are committed to providing the latest in oral health care prevention. For more information about improving your child's oral health check out our preventive dentistry page. Still want more information? Check out our monthly blog posts! Our practice is centrally located in San Diego, CA.

Get acquainted with us by watching our practice video and find out what we do.

Scheduling an appointment for your child is easy! Start here to schedule an appointment. All of our forms are online. Fill them out securely from your smartphone or tablet and hit send. On appointment day, your child will be seen at their scheduled time. For example, if you have a 9:00 AM appointment, your child will be seen at 9:00 AM.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention. For more than a decade, served as assistant professor for the Department of Pediatric Dentistry at Loma Linda University School of Dentistry (LLUSD). He is currently an instructor at LLUSD.

[caption id="attachment_703" align="alignleft" width="640"] Bad Dental Habits To Break[/caption]

Nobody’s perfect. We all pick up bad habits along the way. Even our oral health isn’t immune. Try as you may, odds are you're child may have picked up a habit or two in the name of convenience.

That’s totally okay! We get it. And that’s why we’re here: to ensure your child's oral health is in fantastic shape.

Here are a few less-than-stellar dental habits that we often see, with some tips on how to break them.

Thumbsucking

If your child is putting his or her thumb or any finger in his or her mouth  this can led to several problems.  First, there in increased bacterial transfer from the fingers to the oral cavity, which can lead to illness.  Second, thumbsucking may shift your child's teeth and also reshape the palate.  This can lead to misalignment of teeth and even airway issues.

Need more advice? Check out our page for more info about thumbsucking.

Inconsistent Dental Checkups

If your child hasn't seen  the dentist every six months, or if it’s been a while since we’ve seen your smile, schedule an appointment today!

You can call us at 858-737-9000 or go through our scheduling portal to make an appointment. Staying on top of your child's health today can save yourself a lot of time and money down the road.

Not Flossing

Again, you probably figured this would be on here. And you know what, it’s for good reason. Flossing helps prevent decay and gum recession. It’s extremely important!  This maybe even more important than brushing.

So how can you help your child remember to floss more? Put a post-it note on your child's mirror as a reminder. Invest in a flossing stick — some people find it much easier than the traditional method.  Make it stick: Floss at the same time each day to build up a routine.

You can also start small, setting a goal of once per week. After that settles in you may find yourself craving a good floss after brushing.  This will help your child gain the skill as it becomes part of his or her nighttime routine.  Parents, check out our flossing techniques if you need a refresher.

Brushing Too Vigorously

One of the top causes of worn enamel is brushing too hard. If your child complains that his or her arm is sore after brushing, pull back on the reins. Along with the enamel, over time this friction will also wear away your child's gum tissue.

Remember to keep the toothbrush at a 45-degree angle toward the base of the gums, and move the brush in a gentle, circular motion.

Not Brushing Long Enough

If your child is taking less than 2 minutes to brush his or her teeth then he or she is not getting their teeth brushes adequately.  Sometimes it may see like a race to see who finishes brushing the fastest.  One way to help them brush for the full 2 minutes is to use a timer. You can use an old fashion sand timer or put a 2 minute alarm on a stop watch or smartphone.  You can even search for 2 minute songs on Youtube for them to listen while brushing.

Using an Old Toothbrush

When was the last time you changed your child's toothbrush? It’s not something you often think of, right? The problem with using an old toothbrush its frayed bristles can end up damaging your child's teeth rather than cleaning them properly.

You should change your child's toothbrush every three to four months. A good mnemonic device is to change your toothbrush on the first day of every new season. That way you’ll never have an old brush!

Letting the Water Run

This one is self-explanatory, and it’s an easy fix. After you wet your tooth brush turn off the tap. That initial wetting is all the water you’ll need. Turning off the water is good for your bill and great for the planet.

All Smiles Pediatric Dentistry

At All Smiles Pediatric Dentistry, we incorporate proven techniques to share with you and your child at each dental checkup visit. Dr. Allen Job and his team are committed to providing the latest in oral health care prevention. For more information about improving your child's oral health check out our preventive dentistry page. Still want more information? Check out our monthly blog posts! Our practice is centrally located in San Diego, CA.

Get acquainted with us by watching our practice video and find out what we do.

Scheduling an appointment for your child is easy! Start here to schedule an appointment. All of our forms are online. Fill them out securely from your smartphone or tablet and hit send. On appointment day, your child will be seen at their scheduled time. For example, if you have a 9:00 AM appointment, your child will be seen at 9:00 AM.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention. For more than a decade, served as assistant professor for the Department of Pediatric Dentistry at Loma Linda University School of Dentistry (LLUSD).  He is currently an instructor at LLUSD.

[caption id="attachment_694" align="alignleft" width="589"] How to Know if You have a Cavity[/caption]

According to the National Institutes of Health, the most prevalent health condition after the common cold is tooth decay.

It’s more than likely that if you haven’t already had a cavity, you will develop at least one in your lifetime.  Dental decay in primary (baby teeth) teeth is more common than on permanent teeth.

Signs and Symptoms

So, how do you know if you have a cavity? Well, depending on the severity of your tooth decay, you may experience a variety of symptoms. Here are some of the accompanying symptoms that go along with tooth decay.

• Nothing (in the early stages)
• A toothache or spontaneous tooth pain
• Tooth sensitivity
• Pain (slight or severe) when eating something sweet, hot, or cold
• Staining (brown, black, or white) on the surface of your tooth
• Visible holes in your tooth. Those holes are cavities
• Pain when biting down

The best time to catch a cavity is in the early stages, when there are few, if any, symptoms.

Treatment Options

We will let you know the best course of treatment for your particular situation. The recommendation could be as easy as using a fluoride prescription paste at night time to keep those cavities from growing, if they are diagnosed in the early stages.

Or, if you are symptomatic, we may have to formulate a more in-depth treatment plan.  Check out our treatment options page and find out how we can keep your child safe and comfortable during his/her treatment.

As always, brush twice a day with a fluoride toothpaste, floss at least once a day, and try to minimize the amount of sugar in your diet.

These steps will help you be proactive in preventing cavities.

Even better, your teeth will thank you for it!

All Smiles Pediatric Dentistry

At All Smiles Pediatric Dentistry, we incorporate proven techniques to share with you and your child at each dental checkup visit. Dr. Allen Job and his team are committed to providing the latest in oral health care prevention. For more information about improving your child's oral health check out our preventive dentistry page. Still want more information? Check out our monthly blog posts! Our practice is centrally located in San Diego, CA.

Get acquainted with us by watching our practice video and find out what we do.

Scheduling an appointment for your child is easy! Start here to schedule an appointment. All of our forms are online. Fill them out securely from your smartphone or tablet and hit send. On appointment day, your child will be seen at their scheduled time. For example, if you have a 9:00 AM appointment, your child will be seen at 9:00 AM.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention. He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

[caption id="attachment_687" align="alignleft" width="640"] How Apples are Good for Your Teeth[/caption]

People have been asserting that “an apple a day keeps the doctor away” since the 19th century. While it may not necessarily be true that those who eat apples never have to see a doctor, apples certainly have great health benefits for our bodies! It’s widely thought that chewing a crisp, fresh apple can help brush away plaque on our teeth. We’re not too sure on this one, as some studies show a higher plaque content on teeth after eating an apple. Did you know they can even be good for our teeth? Let’s take a look at what the research says …

What are Polyphenols?

At the same time, there is evidence to suggest some polyphenols in apples can lower the ability of cavity-causing bacteria to adhere to teeth. Polyphenols contain micronutrients that are beneficial to the body.  These molecules are related to antioxidants, which fight against cell damage and promote healthier life.  Further, some studies have shown that the antioxidants in apples can help prevent periodontal disease.

Apples even contain a (very) small amount of fluoride. This is worth noting, as fluoride is so important in helping prevent cavities.

Saliva Production Booster

Lastly, the act of chewing an apple stimulates saliva production. Saliva helps wash away food debris and bacteria. Remember, though, apples contain sugar and acid so it’s best not to go overboard with them. You can even swish with water after eating one to wash away some of the sugar left behind.

As the science continues to look into how apples affect our teeth, one thing we know is true: regular dental visits, along with daily tooth brushing and flossing, is your best defense against tooth decay!

All Smiles Pediatric Dentistry

At All Smiles Pediatric Dentistry, we incorporate proven techniques to share with you and your child at each dental checkup visit. Dr. Allen Job and his team are committed to providing the latest in oral health care prevention. For more information about improving your child's oral health check out our preventive dentistry page. Still want more information? Check out our monthly blog posts! Our practice is centrally located in San Diego, CA.

Get acquainted with us by watching our practice video and find out what we do.

Scheduling an appointment for your child is easy! Start here to schedule an appointment. All of our forms are online. Fill them out securely from your smartphone or tablet and hit send. On appointment day, your child will be seen at their scheduled time. For example, if you have a 9:00 AM appointment, your child will be seen at 9:00 AM.

Did you know that if you don't have a toothbrush handy, eating an apple at the end of meal will serve as a toothbrushing "agent."  Use this technique if you are in a pinch and have an apple in your lunch.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention. He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

[caption id="attachment_672" align="alignleft" width="640"] How Stress Affects Oral Health[/caption]

Let's face it parents, the month of December is usually packed with travel, family, and vacations! This can be a stressful time of the year. So this month we are going to focus on how to deal with stress.

Most of people know a thing or two about stress. Whether you’re dealing with chronic stress, or a brief stressful life circumstance, we all encounter it from time to
time. Most people associate stress with major health issues, such as heart attacks or ulcers, but do you know how stress can affect your oral health?

Stress may negatively affect your oral health in indirect ways.

For starters, stress can cause folks to reach for coping strategies that aren’t so good for
your teeth (or the rest of your body).

Junk food, sweets, sugary drinks, sodas, and chewing gum are just a few examples. When these substances interact with your teeth, they can do a lot of damage in the way of gum disease and tooth decay.

Secondly, when we are stressed, we tend to stop making positive health behaviors a
priority. Let’s say you’re traveling to a far off destination; your brushing and
flossing routine will not be forefront on your mind.

Even a minor bout of stress from a tough day can have us reaching for our cozy bed
and some relieve instead of taking the time to brush first.

And of course, keeping up with routine dental visits may fall completely off our
priority list while under stress. This can prevent us from finding the early signs of
decay and can cause more pain and stress later on.

How does stress affect our mouths directly?

Well, lots of people grind their teeth as a physical way to deal with stress, this is evident in children's teeth, too. You may be doing it without even realizing it! Ask a partner or someone who knows you well to tell you if you have this habit.

What does tooth grinding sound like?

It has been said that it sounds like nails on a chalkboard or someone chewing on rocks! Either one sounds extremely bad.

What can help relieve tooth grinding?

A nightguard MAY be a good option to relieve tooth grinding and thereby decrease some stress. Nightguards are custom made so that they do not flop in your mouth, while sleeping. They are made to cover either the upper arch or the lower arch of teeth. In either case, talk to your pediatric dentist, if your child or teenager has excessive tooth grinding.

Also, when we are stressed we have higher levels of stress hormones, such as cortisol
and adrenaline, that put our body in a “flight or fight” state. This causes our blood
pressure and blood sugar to increase, and our digestive and immune function to
decrease. When our immune system isn’t functioning as it should, this can make
periodontal disease more likely. It can also slow down the healing of other oral issues
or injuries we may have.

What can you do about it?

The best thing you can do to prevent the stress of oral health issues is to maintain
good dental hygiene and visit us regularly for routine visits. We want what’s best for
you — and that includes a healthy mouth for a lifetime!

All Smiles Pediatric Dentistry

At All Smiles Pediatric Dentistry, we incorporate proven techniques to share with you and your child at each dental checkup visit. Dr. Allen Job and his team are committed to providing the latest in oral health care prevention. For more information about improving your child's oral health check out our preventive dentistry page. Still want more information? Check out our monthly blog posts! Our practice is centrally located in San Diego, CA.

Get acquainted with us by watching our practice video and find out what we do.

Scheduling an appointment for your child is easy! Start here to schedule an appointment. All of our forms are online. Fill them out securely from your smartphone or tablet and hit send. On appointment day, your child will be seen at their scheduled time. For example, if you have a 9:00 AM appointment, your child will be seen at 9:00 AM.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention. He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

[caption id="attachment_664" align="alignleft" width="600"] Should I Brush Before I Floss?[/caption]

This is an age-old question. Should you floss before you brush or after? If you asked any one of our team members, you just might get a different answer on this one!

Before you report them for not knowing their stuff, each response can be right! As long as you’re doing a thorough job when you floss! Let me explain.

The Case for Flossing Before Brushing

Theoretically, flossing first dislodges the gunk between your teeth, letting the fluoride in your toothpaste reach those crevices better.

Also, behavioral scientists say since most people don’t like to floss, it’s better to get the least-pleasant half of your dental routine out of the way first – you’ll be less likely to skip it.

Once you have a minty, fresh mouth from brushing, you might be less inclined to feel the need to floss afterward.

The Case for Flossing After Brushing

Some say flossing last is better because it clears your mouth from extra food and debris that could otherwise be carried by the floss into the very spaces you’re trying to clean out.

Plus, it might be more pleasant to put those flossing hands into a clean mouth versus an unbrushed one.

Bottom Line

Floss when it works for you. But make it a habit! Choose the same time every day, floss once a day, and floss thoroughly.

And don’t forget to use the right flossing method: for each new set of teeth, use a new section of floss, and hug each side of the tooth by dragging the floss upward in the shape of a “C.”  Need a refresher? Check out our flossing illustration to help you keep those pearly white teeth clean.

Want us to show you how? Just ask!

The American Academy of Pediatric Dentistry also has a handy infographic to maintaining healthy teeth for your children.

Last Note

Just remember, if you want your children to have healthy oral habits, such as flossing, you will have to start doing it yourself. Daily.  Research has shown that children mirror their parents.  Why not get them to start a habit that will be beneficial and one that they can use to save their teeth for the rest of their life!

All Smiles Pediatric Dentistry

At All Smiles Pediatric Dentistry, we incorporate proven techniques to share with you and your child at each dental checkup visit. Dr. Allen Job and his team are committed to providing the latest in oral health care prevention. For more information about brushing and flossing check out our preventive care page. Still want more information? Check out our blog posts on prevention! Our practice is centrally located in San Diego, CA.

Get acquainted with us by watching our practice video and find out what we do.

Scheduling an appointment for your child is easy! Start here to schedule an appointment. All of our forms are online. Fill them out securely from your smartphone or tablet and hit send. On appointment day, your child will be seen at their scheduled time. For example, if you have a 9:00 AM appointment, your child will be seen at 9:00 AM.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention. He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

[caption id="attachment_629" align="alignleft" width="640"] Electric vs Manual Toothbrushes[/caption]

This is one of our most frequently asked questions!

Our answer? It’s not the brush that matters, it’s who’s doing the brushing.

Let’s break that down. The goal of tooth brushing is to remove plaque from your teeth on a consistent (daily!) basis, so that we prevent the buildup of tartar which leads to tooth decay.

Manual Toothbrush

A manual toothbrush is a great and inexpensive tool that helps us do just that. Make sure to brush at least for two minutes per day, twice a day. Gently brush ALL surfaces and make sure to reach those back molars.

If you need some help with visualizing the proper techniques, here are some helpful recommendations.

Electric Toothbrush

For some people, it can be difficult to brush properly with a manual toothbrush. Those with some form of motor disability or arthritis may benefit from using an electric toothbrush. An electric brush can also be helpful for kids or anyone with braces.

The same tooth brushing rules apply – two times per day, two minutes at a time. One advantage of an electric toothbrush is that some have a built-in timer. If you’re one of those quick brushers who has a hard time making it to two minutes, consider using a timed electric brush.

Round vs Rectangular

When picking an electric toothbrush, pick one that has a round brush head instead of a rectangular head.  A rounded brush head can more easily maneuver around teeth, especially those hard to get molars.

What about Battery operated toothbrushes?

You've all seen those cute battery operated electric toothbrushes with that are decked out in action figure brands or stylish colors.  Note, only some allow for battery replacement when they start to run low.  Moreover, very few allow the brush head to be changed.

An electric toothbrush would be recommended for long term use.  Just replace the brush head every 6 months.

Cost of Electric Toothbrushes

Some are deterred by the cost of electric toothbrushes.  They can range from $30 to over $130.  A solid $30 electric toothbrush can last over a decade with proper care use.

Take home message: When choosing an electric toothbrush, choose function over all the bells and whistles.

At your next dental visit, ask us whether we think you would do better with a manual or electric brush! And, as always, don’t forget to floss!

Bonus: How do astronauts brush their teeth?

Here's a bonus video from astronaut Chad Hadfield, who is commander of the International Space Station.  He explains who he brushes his teeth while in space! Find out what type of toothbrush he uses in outer space!

At All Smiles Pediatric Dentistry, we incorporate proven techniques to share with you and your child at each dental checkup visit. Dr. Allen Job and his team are committed to providing the latest in oral health care prevention. For more information about brushing and flossing check out our preventive care page. Still want more information? Check out our blog posts on prevention! Our practice is centrally located in San Diego, CA.

Scheduling an appointment for your child is easy! Start here to schedule an appointment. All of our forms are online. Fill them out securely from your smartphone or tablet and hit send. On appointment day, your child will be seen at their scheduled time. For example, if you have a 9:00 AM appointment, your child will be seen at 9:00 AM.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention. He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

[caption id="attachment_611" align="alignleft" width="640"] Obey Your Thirst: Effects of Soda on Your Teeth and Body[/caption]

Have you ever seen those videos where someone puts a baby tooth in a glass of soda and watches it decay? Well, the effect of soda in an actual mouth is a bit different. You have your saliva to help wash away the sugar, you eat other things throughout the day, and brush at least twice a day to remove debris or plaque. Nevertheless, soda is not something we recommend you consume more often than a once-in-awhile treat. Here’s why:

Sugar

Soda has an extremely high sugar content. The bacteria that cause tooth decay feed off of sugar and excrete acid, which is what causes tooth decay. The more sugar our teeth have to interact with, the more prone to decay they will be.  The beverage industry refutes the science, however if you search online for "Mountain Dew Mouth," you will see the ill effects of soda drinking that is ravishing Appalachia. In this community, the scale of economics has led to a catastrophic public health crisis of oral health.  Since the cost of soda is less than the cost of milk, many families give their children and infants soda to drink.

Acid

Think diet soda is a better alternative? Even though it contains zero sugar, it can still contain acids such as phosphoric acid or citric acid. Acid eats away at a tooth’s enamel and leaves it prone to decay.  Soda may also rob you of your calcium deposits on your teeth and body (see below Bone Density Disease).

Colors

Caramel color, Yellow 5, etc. Any type of artificial coloring can cause tooth-staining.
If you prefer your teeth sparkling white, it’s best to stay away from soda.

Effects of Soda on Your Body

Drinking carbonated drinks, like sodas, can adversely affect your health.  Sodas add additional "empty" calories that have no nutritional benefit to you while simply adding to your total caloric intake.  What does this mean? Soda drinking can lead to weight gain.

Childhood Obesity

Childhood obesity has tripled since the 1970s, according to the Centers for Disease Control.¹ This means 1 in 5 school age children or young adult are considered obese.

Dehydration

There is nothing quite like a soda on a hot summer day, right? Well, that's what the cola companies try to portray on their television ads. However, consuming high quantities of sodas can actually make you feel worse on a hot day.  Sodas often contain caffeine.  Caffeine is a natural diuretic, which removes water from your system.  The more you drink sodas or caffeinated drinks, the more water leaves your system.

Diabetes

Since sodas are packed with sugars, your body gets a sugar rush.  Initially, your body will self regulate to take care of the excess sugars.  However, over time, the body loses its innate ability to regulate the flood of sugars and may lead to diabetes.² This most often leads to Type 2 Diabetes, where the body does not use insulin well to control the blood sugar levels.

Bone Density Disease

Drinking sodas may lead to decreasing your body's calcium levels.³ A Cleveland Clinic report stated that osteoporosis, especially in women, maybe due in part to drinking sodas.

Recommendations

Instead of soda, we recommend spicing up your daily beverages with other alternatives. How about plain water infused with fresh fruit? If you MUST (on a rare occasions) drink soda, make sure to use a straw and always rinse with water after 3o minutes. And, as always, keep up with regular brushing and flossing to protect those precious teeth!

For more information about Nutrition and Oral Health, here are some helpful recommendations.

References

1. https://www.cdc.gov/healthyschools/obesity/facts.htm

2. https://www.cdc.gov/diabetes/basics/diabetes.html

3. https://health.clevelandclinic.org/sodas-tea-coffee-can-make-bones-brittle/

At All Smiles Pediatric Dentistry, we incorporate proven techniques to share with you and your child at each dental checkup visit. Dr. Allen Job and his team are committed to providing the latest in oral health care prevention. For more information about brushing and flossing check out our preventive care page. Still want more information? Check out our blog posts on prevention! Our practice is centrally located in San Diego, CA.

Scheduling an appointment for your child is easy! Start here to schedule an appointment. All of our forms are online. Fill them out securely from your smartphone or tablet and hit send. On appointment day, your child will be seen at their scheduled time. For example, if you have a 9:00 AM appointment, your child will be seen at 9:00 AM.

So as as one cola company ad slogan puts it, "Obey your thirst!"  Reach for the water, instead of the soda!

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention. He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

[caption id="attachment_593" align="alignleft" width="640"] What to Do if You Crack a Tooth[/caption]

Ouch!
Chomp on something your tooth didn’t like? Or get hit in the mouth with a hockey puck?

If you think you may have a cracked tooth, or if you’re holding a piece of your tooth in your hand, follow these steps!

Steps to Follow:

1. Contact us a call to schedule an appointment. Let us know about your emergency and we will make our best effort to see you right away.

2. If there are tooth fragments that have fallen out, preserve them in a clean container with a moist solution (cold mik, water, saliva), and bring them in to your appointment.

3. Apply a cold pack to your jaw to lessen any pain and swelling.

4. If your mouth is bleeding, bite down on a gauze pad until the bleeding stops.

Cracked tooth?

It is possible to have a cracked tooth and not know it.

If you have any pain when biting down, or when eating something hot or cold, it’s best to get it checked out.

In order to prevent further damage to the tooth or an infection, it’s very important to correct a cracked tooth immediately.

Be sure to check out our website, for more information on taking care of dental emergencies.

At All Smiles Pediatric Dentistry, we incorporate proven techniques to share with you and your child at each dental checkup visit. Dr. Allen Job and his team are committed to providing the latest in oral health care prevention. For more information about brushing and flossing check out our preventive care page. Still want more information? Check out our blog posts on prevention! Our practice is centrally located in San Diego, CA.

Scheduling an appointment for your child is easy! Start here to schedule an appointment. All of our forms are online. Fill them out securely from your smartphone or tablet and hit send. On appointment day, your child will be seen at their scheduled time. For example, if you have a 9:00 AM appointment, your child will be seen at 9:00 AM.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention. He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

[caption id="attachment_568" align="alignleft" width="640"] How Being Vegan Affects Your Teeth[/caption]

There is no doubt that a plant-based diet is optimal for health. Omnivores and vegans alike
benefit from the nutrients present in plants.

But how does what we eat relate to our dental health?

Is a vegan diet better or worse for dental health?

Well, it depends. There are some concerns for oral health when one consumes a vegan diet. Here are the main ones:

Vitamin B12 deficiency

A vitamin B12 deficiency can lead to gum disease and tooth loss. Vegans should supplement with adequate B12, as plants do not provide this important nutrient.

Lack of remineralizing foods

Remineralization occurs when essential minerals that support hardened, healthy enamel are resupplied to the tooth after loss caused by acid erosion. The best remineralizing foods include cheese, meat, and milk, but nuts and leafy greens can also help.

Lack of important amino acids

One example is the amino acid arginine, which is found in meat, poultry, fish, and dairy.
Arginine helps prevent cavities and gum disease by breaking down dental plaque. While  arginine is found in higher quantities in meat, vegan sources of arginine include pumpkin seeds, peanuts, soybeans, lentils, and chickpeas.

Calcium concerns

Your body needs enough calcium to support healthy teeth and gums. Vegans need to supplement their diet with plenty of plant sources that contain calcium (almonds, leafy greens, beans, etc.) as well as fortified vegan milks (almond, soy, rice, etc.).

Frequent snacking

Continual snacking provides an environment for bacteria to thrive and attack your tooth’s  enamel. Vegans may be more prone to frequent snacking in an effort to meet their body’s need for energy. You may find eating meals with a higher fat content helps you stay full for longer periods of time.

More sugars/starches in the diet

It can be easy as a vegan to eat a diet based on sweet/starchy foods like fruits and grains  (cereal, bread, pasta, crackers, rice, etc.). But the bacteria in your mouth that cause tooth decay thrive on sugar. Make sure to round out your diet with non-sugary foods, such as tofu, nuts, seeds, and plenty of vegetables.

If you’re a vegan, you already know you have to be mindful of certain key nutrients that you may need to focus on or supplement in your diet. Keep this list in mind to ensure your dental health is also in tip-top shape!

At All Smiles Pediatric Dentistry, we incorporate proven techniques to share with you and your child at each dental checkup visit. Dr. Allen Job and his team are committed to providing the latest in oral health care prevention. For more information about brushing and flossing check out our preventive care page. Still want more information? Check out our blog posts on prevention! Our practice is centrally located in San Diego, CA.

Scheduling an appointment for your child is easy! Start here to schedule an appointment. All of our forms are online. Fill them out securely from your smartphone or tablet and hit send. On appointment day, your child will be seen at their scheduled time. For example, if you have a 9:00 AM appointment, your child will be seen at 9:00 AM.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention. He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

We love our patients, so we’d be more than happy to see you every day! Alas, we realize that’s not really possible, so here are some more realistic guidelines for making appointments.

In general, it all depends on your oral health status and your health history.

For most patients, the optimal frequency to visit the dentist is twice a year. In six months, enough tartar and plaque can build up to require a dental check-up and cleaning, especially if your dental hygiene isn’t as rigorous as it should be.

For others with gum disease, a genetic predisposition for plaque build-up or cavities, in braces, or have a weakened immune system, you’ll need to visit more frequently for optimal care.

Depending on where you fall in those categories, we will prescribe the necessary frequency to keep your optimal health.

It’s important to keep your routine visits with us so that:

• We can check for problems that you might not see or feel. Want more information? Check out our Teeth for Life section on our website.
• We can find early signs of decay (decay doesn’t become visible or cause pain until it reaches more advanced stages).  An ounce of prevention goes a long way.  See our previous blog, Understanding the 5 Stages of Tooth Decay.
• We can treat most oral health problems found affecting children (generally, the earlier a problem is found, the more manageable it is).  If your child requires treatment outside the scope of Dr. Job's expertise, we will refer your child to another outstanding specialist.
• Routine visits become routine when your child feels comfortable in the dental setting.  Having a dental home for your child is important for them to feel safe and comfortable. Read about why so many patients continue to come to our practice at All Smiles Pediatric Dentistry.  Check out our section on, What Sets Us Apart. 

There you have it! Those are the brass tacks for how often you should schedule an appointment.

But don’t let this keep you from stopping in and saying hi whenever you’re in the neighborhood!

Scheduling an appointment for your child is easy.

Start here to schedule an appointment. All of our forms are online.  Fill them out securely from your smartphone or tablet and hit send.  On appointment day, your child will be seen at their scheduled time.  For example, if you have a 9:00 AM appointment, your child will be seen at 9:00 AM.

Dr. Allen Job and his team would love seeing your smile!

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention.  He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

Imagine it’s winter (here in sunny San Diego, CA) … you’re standing at the door, ready to brave the cold. You’re layered-up with three shirts and a sweatshirt, your heavy winter coat, and two layers of socks underneath your waterproof winter boots. Then you’ve got those awesome jeans with the flannel on the inside, your comfy hat, scarf, and gloves. You’re set! But wait. As you step toward the door, you suddenly realize you have an itch … and it’s deep down … buried beneath all those layers. And, try as you may, every attempt to reach that bugger-of-an-itch fails. Defeated, you realize the only relief you’re ever gonna’ get is to remove each one of those layers. Where are we going with this?!

The Tongue

We’re going inside your mouth, of course, to your tongue – this is a dental article, after all! Because whether you know it or not, like you in the wintertime, your tongue is also “all covered up” – buried beneath layers of bacteria, fungi, and food residue that can inhibit your ability to taste, let alone cause your tongue to appear various shades of yellow, white, or green! Remove the bacteria, though, and your food will once again directly interact with those taste buds, and return to its natural hue. So how does one do that? With a tongue scraper, of course!

WHAT is a tongue scraper?

A tongue scraper is a U-shaped device designed to “scrape” the top layer of scum from your tongue. They have been in use since ancient times, and have been made of everything from wood to whalebone. Nowadays, they are made of more hygienic material, and come in a variety of shapes, sizes, designs and colors.

WHY use a tongue scraper?

The residue on your tongue includes things like the cavity-inducing Streptococcus mutans bacterium, fungi, rotting food (that’s not good), and what’s referred to as “volatile sulfur compounds.” In other words, sulfur – that “rotting egg smell.” Talk about ew! So, as you can see, there are several reasons why you’d want to get rid of this gunk in your mouth.

Let’s tackle them one by one:

• Reduce bad breath: ‘nuff said! We've all had morning breath, if we are honest enough to admit it.  Let the tongue scraper help you get rid of it.
• Reduce your risk of periodontal disease and cavities: Bad bacteria contribute to plaque and tartar on teeth, making them more susceptible to cavities. Bacteria build-up can also lead to inflammation of gum tissue (gingivitis). If left untreated, gingivitis can lead to periodontal disease, which means a more expensive dental visit (plus other unwanted consequences!). Speaking of avoiding an expensive dental visit, when was the last time you came in to see us?  Come see us now if it’s been awhile, by contacting us for an appointment.
• Make room for good bacteria: see our article here on probiotics for your mouth.
• Prevent heart disease? While the debate is still up in the air, some studies suggest there could be a correlation between gum disease and heart disease.

HOW does one use a tongue scraper?

In general, make sure to rinse your tongue scraper before and after use. Apply the tongue scraper to the back of your tongue and drag it forward. Then, rinse and repeat. Make sure to get the sides of your tongue as well, not just the center!

Make sure not to press too hard or you can cause yourself to bleed. And, if you’re wondering if you should scrape your tongue while recovering from a dental procedure, that’s a good question … ask Dr. Allen Job for the best advice particular to your situation.

Still not sure how this thing really works? The next time you’re in ask one of our registered dental assistants for a quick tutorial!

WHERE do I buy one?

Tongue scrapers are relatively inexpensive, and can also be found at
any local drugstore. It doesn’t matter the material, color, or brand – just find the one you like and get scraping!

At All Smiles Pediatric Dentistry, we incorporate proven techniques to share with you and your child at each dental checkup visit.  Dr. Allen Job and his team are committed to providing the latest in oral health care prevention.  For more information about brushing and flossing check out our preventive care page.  Still want more information? Check out our blog posts on prevention!  Our practice is centrally located in San Diego, CA.

Scheduling an appointment for your child is easy!  Start here to schedule an appointment. All of our forms are online.  Fill them out securely from your smartphone or tablet and hit send.  On appointment day, your child will be seen at their scheduled time.  For example, if you have a 9:00 AM appointment, your child will be seen at 9:00 AM.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention.  He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

What is a tongue tie?

A tongue tie or ankyloglossia occurs when there is an abnormal band of thick tissue, also known as the frenum, which is located below the tongue.

How does a tongue tie affect feeding of newborn babies?

A tongue tie prevents the tongue from having the full range of motion.  This is considered a developmental problem since it arises before a baby is born.  Tongue tie restricts how a newborn nurses, often causing improper latch with the mother’s nipple.

What other problems can arise from having a tongue tie?

Having a tongue tie can create speech difficulties, malocclusion, and gum recession.¹

Is having a tongue tie pretty common?

Tongue tie occurs between 4% - 10.7% of the population.²

Are there different types of tongue tie?

Anterior Tongue Tie

Yes, there are two primary forms of tongue ties complete and partial.³  When the frenum has limited tongue movement it is considered a partial ankyloglossia.  This is known as an anterior tongue tie. Often, one can see an anterior tongue tie since it appears as a thin band of tissue under the tongue.

Posterior Tongue Tie

However, if  the tongue appears to be fused to the floor of the mouth it is then considered to be a total ankyloglossia.  This is known as a posterior tongue tie. Posterior tongue ties are much harder to visualize.  The tongue has to be elevated from the floor of the mouth in order to diagnose a posterior tongue tie.

What is a lip tie?

An upper lip tie is present when the upper lip is lifted and the band of connective tissue (frenum) is tight, causing the gums to blanch (turn white).  There are four classifications for lip tie, ranging from mild (Class 1) to severe (Class 4).

What are the 4 classifications of Lip Tie?

Class I: Mucosal

Class 2: Gingival

Class 3: Papillary

Class 4:  Papilla Penetrating

Upper Lip, Lower Lip, and Tongue Ties. Can someone have more than 1 lip tie?

A lip tie can occur on either, the upper lip, the lower lip, or both.  Often a lip tie accompanies a tongue tie.

How does a lip tie affect a baby?

Lip ties can be associated with breastfeeding difficulties in infants.⁴   They can be associated with facial cervical caries (tooth decay at the gumline), due to interference with proper oral hygiene.⁵  Moreover, they can also be associated with the gum recession. ⁶

How are tongue and lip ties treated?

Physicians, such as an ENT (Ear Nose Throat Specialist), usually will treat tongue and lip ties with a scalpel or surgical scissors.  They may also require treatment to be completed with some form of sedation, ranging from local anesthetic to general anesthesia.  Sutures or stitches may also need to be placed.

Today, pediatric dentists and some physicians trained in treating tongue tie and lip ties can perform this procedure in an outpatient setting, using a laser.  With using a laser, there is less pain, less bleeding, and no need for sutures.  This translates to faster healing and in most cases quicker resolution to the problem.  This form of treatment usually requires using just a topical anesthetic and occasionally, a local anesthetic.

How long does the procedure take?

The procedure usually takes less than 10 minutes from start to finish.  Mothers are able to nurse right after procedure with their infant.

What happens after the procedure?

In order to get optimal results and to ensure proper healing, it is essential that parents complete the post treatment therapy exercises with their infant and also follow-up with a daily oral hygiene routine.  Moreover, a series of follow-up care appointments will be setup to monitor the healing process.

What about older children or adults?

Older children and adults can also benefit from lip tie and tongue tie correction.  The benefits include: improved oral hygiene, decreasing orthodontic severity especially from lip tie treatment, and improved speech.

If your child is showing signs of tongue tie or lip tie, contact Dr. Allen Job at All Smiles Pediatric Dentistry, to for a comprehensive evaluation to see if your child will be a good candidate for laser treatment.

References

1. Segal L, Stephenson R, Dawes M, Feldman P. Prevalence, diagnosis, and treatment of ankyloglossia. Can Fam Physician 2007;53(6):1027-33
2. Boutsi EZ, Tatakis DN. Maxillary labial frenum attachment in children. Int J Paediatr Dent 2011;21(4):284-8.
3. McDonald RE, Avery DR, Weddell JA. Gingivitis and periodontal disease. In: Dean JA, Avery DR, McDonald RE, eds. McDonald and Avery’s Dentistry for the Child and Adolescent. 9th ed. Maryland Heights, Mo: Mosby Elsevier; 2011:389-91.
4. Coryllos E, Genna CW, Salloum A. Congenital tongue-tie and its impact on breastfeeding. Breastfeeding: Best for baby and mother. Am Acad Pedia (newsletter) 2004; Summer:1-7.
5. Kotlow L. The influence of the maxillary frenum on the development and pattern of dental caries on anterior teeth in breastfeeding infants: Prevention, diagnosis, and treatment. J Hum Lact 2010;26(3):304-8.
6. Minsk L. The frenectomy as an adjunct to periodontal Compend Contin Educ Dent 2002;23(5): 424-6, 428.

*This blog is part of the Baby Steps Series. Look for future blogs in this series.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention.  He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

Mouth open or mouth closed?

Before breakfast or after breakfast?

Flat or at an angle?

Manual toothbrush or electric toothbrush?

We brush our teeth every day (hopefully!), but who knew it was this complicated. Just grab a brush a get to work, right?

Not so fast, my friend! There are actually some best practices to be mindful of when brushing those pearly whites. The trick is cutting through the fat and finding out exactly what works.

We live in a world of alternate facts, truthiness, and lists of “7 Ways to Keep Your Teeth Clean Without Picking Up a Toothbrush.” What’s even correct these days?!

Fear not, because we’ve got you covered with this handy FAQ (frequently asked questions)
guide. We’ll keep it simple with some easy dos and don’ts of brushing. Let’s get to it!

Proper Brushing Habits:

1. Don’t: Keep your brush flat.

• Do: Use a 45-degree angle when brushing.

2. Don’t: Use looooooooong strokes. No need to cover your whole mouth in one stroke!

• Do: Use short, circular strokes.

3. Don’t: Brush with the force of a giant. This isn’t a strongman contest!

• Do: Gently cover all areas. A gentle touch helps prevent wear and tear on your enamel.

4. Don’t: Go one and done.

• Do: Brush at least twice a day, especially after eating or drinking something acidic (like citrus fruits or soda). If you have something acidic to eat or drink, remember to wait 30 minutes before you brush your teeth.

5. Don’t: Be sentimental and use the same toothbrush for life.

• Do: Change your toothbrush every 3-4 months. A trick to remember: switch out on the first day of each season.

6. Don’t: Be average – the average person brushes their teeth for 45 seconds.

• Do: Brush for a full 2 minutes. A helpful trick: say the alphabet while brushing a certain section, move to the next section after you hit Z.

7. Don’t: Keep your toothbrush in a closed container.

• Do: All your toothbrush to air dry.

8. Don’t: Store your toothbrush on the sink counter where bathroom particles can get on it.

• Do: Store your toothbrush in the medicine cabinet.

9. Don’t: Wield a tough-bristled brush.

• Do: Use a soft-bristled toothbrush, which is much better for your tooth enamel
  And there we have it! Some easy practices to keep that perfect smile.

10. Don't: Brush your teeth before meals or snacks.

• Do: Brushing your teeth AFTER meals and snacks will remove more food debris and plaque off your teeth than brushing them before.

Remember: Brushing is only 4 minutes out of the day, so why not make it the best 4 minutes of the day!

At All Smiles Pediatric Dentistry, we incorporate proven brushing techniques to share with you and your child at each dental checkup visit.  Dr. Allen Job and his team are committed to providing the latest in oral health care prevention.  For more information about brushing and flossing check out our preventive care page.  Still want more information? Check out our blog posts on prevention!  Our practice is centrally located in San Diego, CA.

Scheduling an appointment for your child is easy!  Start here. All of our forms are online.  Fill them out securely from your smartphone or tablet and hit send.  On appointment day, your child will be seen at their scheduled time.  For example, if you have a 9:00 AM appointment, your child will be seen at 9:00 AM.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention.  He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

What is the Caries Risk Assessment Tool?

The Caries Risk Assessment Tool is a research-based tool used to identify the risk factors that cause dental decay. It is also used to provide recommendations to reduce the risk of future cavities.  It has been well documented that dental decay affects children throughout their childhood and into their early adulthood.  The National Health and Nutrition Examination Survey showed that there has been a significant increase in dental decay in primary (baby) teeth.  This study further revealed that in U.S. children ages 2-5, one in four had dental decay.  Moreover, one half of children ages 12-15 had dental decay.

Why is this needed?

Instead of just filling cavities, this new method helps identify the cavity-forming risk factors and then provides guidelines to prevent future dental cavities.  The old method of just treating dental decay did not address the root factors that cause dental decay.  Several years ago, leading dental experts, ranging from educators, clinicians, and policy makers, converged to create the Caries Risk Assessment tool. Using the Caries Risk Assessment is a new paradigm shift that helps health care providers and educators provide specific recommendations to decrease the risk of getting dental caries.

What are the categories?

There are 3 risk categories:  High, Moderate, and Low

For each category there are recommendations based on the child’s age.

Some common recommendations include: nutrition changes, use of fluoride supplements, sealants, and more frequent cleaning and checkups.

Still need more information?

For additional information you may contact these organizations:

• http://www.ada.org/~/media/ADA/Science%20and%20Research/Files/topic_caries_over6.ashx
• www.ada.org/en/member-center/oral-health-topics/caries-risk-assessment-and-management

I've got it, what should I expect at my child's next dental visit?

At your child's next dental checkup visit, you will be asked a few questions that will help determine your child's risk for dental decay.  These responses will be used along with the information Dr. Allen Job gather's during your child's examination to determine your child's risk for dental decay.  Dr. Job and his team will be review that information with you at the end of the appointment.

How often will the Caries Risk Assessment be performed?

The Caries Risk Assessment will be performed each time at you're child's checkup appointment.  This is an ongoing process.   Our goal at All Smiles Pediatric Dentistry is to prevent dental decay from starting in your child.  This involves providing you with easy ways to prevent dental decay. Our secondary goal is to convert Moderate and High Risk patients into Low Risk patients.

Contact our office, All Smiles Pediatric Dentistry to schedule an appointment with Dr. Allen Job.  Dr. Job and his team will be able to provide you with more information for your child at his or her visit.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention.  He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

If your child is actively participating in sports in sunny San Diego, whether it is softball, basketball, football, then he or she is at greater risk for dental injuries.  A dental sports injury can occur in the form of a chipped or cracked tooth, broken jaw, cuts to the inside of the mouth, lips, and/or tongue.

Here are some dental facts:

• Did you know that 3 out of 4 children will have experienced some type of injury to their teeth by the age of 15?
• Girls are more likely to have a dental injury due to sports.
• The cost of treating sports-related dental injuries can cost thousands of dollars! (Factor in the time and cost of treatment, numerous follow up visits, and time lost from work and school.)

Custom Mouthguard

A custom athletic mouthguard is an easy way to protect your child’s teeth during sports.  It will cushion the impact from a fall or an errand blow to the mouth.  Every year there are 200,000 dental injuries that are prevented by using a mouthguard.  Using a well fitting mouthguard can lessen the impact from concussions and jaw fractures.  Moreover, a well fitting mouthguard can reduce soft tissue injuries to the cheeks, tongue, and lips.

Dr. Allen Job says, “custom athletic mouthguards are made to fit your child’s mouth comfortably.”  They optimally protect the teeth, gums and jaw.  They flex, yet won’t tear.  They won’t limit speech or breathing.  More importantly, more since they fit perfectly they are more likely to be used regularly than an ill-fitting one.”

Ready-made mouthguards may be cheaper, but don’t fit as well thereby making it harder to speak or breathe.  Consequently, they are worn less.  Also, they also do not provide the same comfort and protection as a custom athletic mouthguard.

Check out more recommendations regarding  on what to do in case of dental injury.

Contact All Smiles Pediatric Dentistry and find out how we can incorporate your child’s team colors into his or her custom athletic mouthguard.

Save your smile with a mouthguard!

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention.  He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

6 to 24 months

When you’re a new parent, life is a whirlwind, and the dental care of your newborn may not be top of mind when you look in their mouths and see no teeth! Here are some things to keep in mind:

Ask us about:

2 to 12 years old

Here’s a quick list of what to consider during this time frame:

The Teen Years

So, speak with us about:

If your little one's teeth have begun to fall out, and their permanent replacements appear to be lagging far behind, you may wish to consider a space maintainer to minimize future orthodontic work. Believe it or not, the absence of your child's teeth might seem cute now, but those tiny little gaps can cause deep gouges in your pocketbook as you watch them fill up with teeth that don't belong there. Space maintainers are simple to use, kids get along fine with them, and they have become the standard for protecting the cosmetic and functional aspects of your growing child's mouth.

Why Your Child Might Need a Space Maintainer

When a child's tooth is lost early due to trauma, tooth decay, or nature's insistence that it drop out before its permanent replacement is due, a space maintainer can be used to hold back the natural inclination of teeth to move forward. Without preventing this movement, teeth that should be in the rear of our mouths end up along the sides, and take up precious real estate destined for another tenant. The result is overcrowding, and in some cases impacted teeth. In the end, it's always easier to save the space now, then create it later.

How They Work

Space maintainers are very similar in purpose and design to an adult "bridge," but instead of placing artificial teeth over the gap, the space is kept open to accommodate its future resident.  At All Smiles Pediatric Dentistry, we make most space maintainers out of metal, and custom-mold them to the shape of your child's mouth. In most cases, the maintainer is made up of a metal band attached to a rectangular-shaped wire that butts up against the tooth across the gap. This acts to temporarily preserve the space where the baby tooth once was, so its replacement can erupt without obstruction.

Does My Child Need One?

It's important to note that dental space maintainers are not required for all childhood tooth loss, and that we’re not going to suggest you create a decade worth of space maintainers as each tooth falls out of your child's mouth. Our bodies are quite effective at saving space for the loss of our front teeth as well as our incisors - it's the teeth along the sides of our mouths that tend to cause the majority of complications. Of course, each mouth is different, so be sure to discuss with us the best course of action for you and your child. If your child has recently lost a tooth, or several teeth, and it’ll be awhile before they’re scheduled to see  Dr. Allen Job, give us a call to see if you should come in a little earlier.  You can reach us by clicking  here.

Using a space maintainer is an affordable and effective way to ensure your child's teeth come in where they are supposed to, and when they're ready. It can have a positive effect on your wallet, reduce the amount of time your child needs to wear braces, and control the cosmetic appearance of your child's teeth and mouth.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention.  He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

Many parents worry that their children’s teeth are not falling out on time. A lot of concerned parents want to know: When will my child lose his or her first baby tooth? At what age should the last tooth fall out? Is there a specific order in which the teeth are lost?

Dr. Allen Job and our team explain that a child's 20 baby teeth (primary teeth) typically come in by age three and begin to loosen and fall out on their own to make room for permanent teeth, which usually appear by the time your child is six. It is important to know that timing may vary, and girls typically lose their baby teeth earlier than boys. The last baby teeth will likely fall out by the time your child is 13.

So, which teeth do children lose first? Baby teeth tend to fall out in the order in which they came, which means the lower center incisors are usually the first to go when your child is between six and seven years old. The next teeth your child will lose are his or her top center pair, also called the upper central incisors.

It’s important to note that if a child loses a baby tooth early as a result of decay or an unforeseen accident, his or her permanent tooth may erupt early and potentially come in crooked due to limited space. If your child suffers an injury or has tooth decay, we encourage you to give us a call to set up an appointment with Dr. Allen Job.

While we know some children couldn’t be more excited to lose their baby teeth, we know others are anxious about this childhood milestone. When your child starts to lose teeth, our team at All Smiles Pediatric Dentistry encourages you to stress the importance of proper dental care on a daily basis.

Remember to:

• Remind your child to brush his or her teeth at least twice a day. Supervise and offer assistance as needed.
• Help your child floss his or her teeth at bedtime.
• Limit eating and drinking between meals and at bedtime, especially sugary treats and drinks, such as candy and soda.
• Schedule regular dental visits for your child every six months.
• Ask about the use of fluoride treatments and dental sealants to help prevent tooth decay.

To learn more about baby teeth, or to schedule your child's next visit with Dr. Allen Job at our San Diego, CA office, please give us a call today!

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention.  He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

Dr. Allen Job 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 Dr. Allen Job 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 Dr. Allen Job.

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.  Contact our office to setup your child's next dental visit.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention.  He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

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 Dr. Allen Job - have a great St. Paddy’s day!

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention.  He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

Sucking is a common instinct for babies and the use of a pacifier or their thumb offers a sense of safety and security, as well a way to relax.

According to the American Academy of Pediatric Dentistry, the majority of children will stop using a pacifier and stop sucking their thumb on their own between the ages of two and four years of age. Prolonged thumb sucking or use of a pacifier can have dental consequences and needs be taken care of sooner, rather than later.

Many dentists favor pacifier use over thumb sucking because it makes it easier for parents to control and even limit the use of a pacifier. If thumb sucking lingers, the same strategies used to break the baby from using the pacifier can be used for thumb sucking.

Precautions

• Try to find "orthodontically correct" pacifiers, as they may reduce the risk of dental problems.
• Never dip a pacifier in sugar or honey to calm the baby.
• Give your baby a bottle of water at bedtime, never juice.

Dental Complications

Long term pacifier use can lead to an assortment of dental complications including:

• The bottom teeth leaning inward
• The top teeth slanting outward
• Misalignment of the baby’s jaw

The risk of any or all of these things happening is greatly increased if thumb sucking and pacifier use is sustained after the baby’s teeth start to come in.

Breaking the Thumb Sucking and Pacifier Habit

Most toddlers and children will stop sucking their thumb or using a pacifier between the ages of two and four on their own. However, if intervention is necessary here are a few tips to help your child break the habit:

• Slowly decreasing the use of a pacifier can be effective for many children. This method does not work very well with thumb sucking.
• Thumb sucking can be more difficult to break. Dr. Allen Job may recommend using an over the counter cream that you put on the child’s thumb; it doesn’t taste good and usually does the trick.
• Rewards can also help with the process.
• If these simple commonly used strategies do not work, there are oral devices that will prevent a child from sucking their thumb or a pacifier.

Talk to Dr. Allen Job and our team, as we have many tricks up our sleeves that will be effective in breaking your child’s thumb sucking or pacifier use.  Contact All Smiles Pediatric Dentistry today to schedule your child's dental visit.

*This blog is part of the Baby Steps Series. Look for future blogs in this series.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention.  He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

Dr. Allen Job and our team know it can be easy to underestimate the significance of baby teeth. At All Smiles Pediatric Dentistry, 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 San Diego, CA office.

*This blog is part of the Baby Steps Series. Look for future blogs in this series.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention.  He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

Parents, and even older children, can become concerned about tooth development. Wondering when teeth should erupt, and being concerned when the teeth do not appear on schedule, is common. First, you need to remember that each individual is different. Guidelines are just guidelines, but Dr. Allen Job and our team at All Smiles Pediatric Dentistry thought we would pass on this information to help you.

Primary teeth

Children normally have 20 primary or baby teeth. The first two to appear are usually the lower central incisors between six to ten months of age. These fall out between five and seven years of age.

• Two upper central incisors – eight to 12 months
• Two upper lateral incisors – nine to 13 months
• Two upper cuspids or canines – 16 to 22 months
• Two upper first molars – 13 to 19 months
• Two upper second molars – 25 to 33 months
• Two lower lateral incisors – ten to 16 months
• Two lower cuspids or canines – 17 to 23 months
• Two lower first molars – 14 to 18 months
• Two lower second molars – 13 to 31 months

As you can see, all the primary teeth normally have erupted before three years of age, but the timeline can vary by four to six months. Except for the lower central incisors and second molars, upper teeth tend to appear before lower teeth.

Permanent or adult teeth

Adults normally have 32 permanent teeth. However, four of these are wisdom teeth or third molars, which are often removed.

• Two upper central incisors – seven to eight years
• Two upper lateral incisors – eight to nine years
• Two upper cuspids or canines – 11 to 12 years
• Two upper first premolars or bicuspids – ten to 11 years
• Two upper second premolars or bicuspids – ten to 12 years
• Two upper first molars – six to seven years
• Two upper second molars – 12 to 13 years
• Two upper third molars or wisdom teeth – 17 to 21 years
• Two lower central incisors – six to seven years
• Two lower lateral incisors – seven to eight years
• Two lower cuspids or canines – nine to ten years
• Two lower first premolars or bicuspids – ten to 12 years
• Two lower second premolars or bicuspids – 11 to 12 years
• Two lower first molars – six to seven years
• Two lower second molars – 11 to 13 years
• Two lower third molars or wisdom teeth – 17 to 21 years

Please discuss any of your dental concerns during your visit with Dr. Allen Job. If there is a problem with tooth development, the earlier we address it, the better the outcome. We specialize in pediatric dentistry and look forward to helping you and your child with all your dental needs. To learn more about tooth eruption, or to schedule an appointment with Dr. Allen Job, please give us a call at our convenient San Diego, CA office!

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention.  He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

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 pediatric dentist office of Dr. Allen Job.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention.  He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

You have a lot more freedom as a teenager than you did as a young child. You also have a lot more responsibilities, and one of your jobs is to take care of your teeth. Develop and maintain good dental habits now so you can have great dental health for life!

Tooth Decay

As a teenager, you risk tooth decay, or dental cavities, if you are not careful. In fact, 59% of adolescents aged 12 to 19 have at least one cavity, according to the National Institute of Dental and Craniofacial Research. Dr. Allen Job and our staff recommend keeping your teeth strong and healthy by brushing at least twice a day and flossing every day.

If you suspect that you have tooth decay, do not be embarrassed. Instead, ask your parents to bring you to All Smiles Pediatric Dentistry to get it addressed. When you do not treat your dental cavities, they can turn into more serious problems. A severely damaged tooth may need to be treated with a root canal or even an extraction.

You can take easy steps to prevent tooth decay when you are at school or hanging out with your friends. Carry a bottle of water around with you so you can take a sip after you eat any kind of food. Choose water or milk instead of soda or sports drinks, and if you chew gum, select a sugar-free flavor.

Other Oral Health Concerns

You can probably think of many reasons why you should not smoke or use tobacco. Your oral health is another one. Tobacco gives you bad breath and stains your teeth yellow. It also increases your risk for gum disease and cancer of the mouth. Smoking even slows the speed of healing after you have dental procedures done.

Here are a few more tips that can keep your mouth attractive and healthy during your teen years.

• Drink plenty of milk.
• Limit candies and sugary snacks.
• Wear a mouthguard if you play a contact sport.
• Visit pediatric dentist twice a year.
• Reduce infections and avoid piercing your tongue and lips.

You only get one set of permanent teeth in your life, so get in the habit of taking care of them now!

Contact us to schedule an appointment with Dr. Allen Job.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention.  He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

Because babies’ teeth don’t appear until around six to eight months of age, it’s a natural misconception that they don’t need dental care. But the steps you take as the parent of an infant can help your baby maintain good oral health and develop healthy dental habits in the future.

It’s easy to take care of a baby’s teeth and gums, especially when oral hygiene for your infant becomes part of the normal daily routine. Learn more about how you can promote good dental health for your baby with these tips and considerations.

Taking Care of Baby’s Oral Hygiene

• Dental Hygiene for Birth to Six Months. Cleaning your infant’s gums is as important as cleaning teeth will be later. Hold your baby in your arms, and with a clean, moistened washcloth wrapped around your index finger, gently massage his or her gums.
• Dental Hygiene for Six to 12 Months. After teeth begin to appear, it’s time to switch to a soft, children’s toothbrush for teeth cleaning. New research has shown that fluoride toothpaste is safe and recommended for use once your baby’s first tooth arrives. Gently brush your baby’s teeth after each feeding, in the morning, and before bedtime, just as you did before teeth appeared.
• Good Bedtime Habits. One of the most important things you can do to protect your infant from tooth decay is to avoid the habit of putting baby to bed with a bottle. Use other soothing bedtime activities, such as rocking and lullabies, to help your baby drift off to sleep.
• A Note about Dental Decay. Many people are unaware that dental decay is transmissible. Avoid placing your baby’s bottle, sippy cup, or pacifier in your own mouth to test the temperature. Likewise, don’t share utensils with your baby.

Partner With Your Dentist

Your baby should receive his or her first dental health checkup by the age of six months. Even though your infant may not have teeth yet, Dr. Allen Job can assess the risk your baby might face for oral diseases that affect hard or soft tissues. Dr. Allen Job can also provide you with instructions for infant oral hygiene, and explain what steps to add as your baby grows and develops.

All Smiles Pediatric Dentistry is your partner for good oral health, and we’re here to make caring for your baby’s dental hygiene and health easier and more enjoyable for you. Contact our office for your child's next dental appointment. We are centrally located in San Diego, CA.

*This blog is part of the Baby Steps Series. Look for future blogs in this series.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention.  He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

[caption id="" align="aligncenter" width="500"] Baby toothbrushing teeth[/caption]

As a parent, it is your job to instill good dental habits in your kids, and this starts even earlier than you might realize. The American Academy of Pediatric Dentistry responds to the “when to start” question with a succinct “The sooner the better!”

From the time your baby is born, you should make sure that your child’s gums are regularly cleaned using water and a toothbrush made for infants. Once the first tooth erupts, you should visit the pediatric dentist for the first time.

Once your child’s teeth start to appear, you can begin brushing two times per day, using fluoride toothpaste. Choose a toothbrush made specifically for your child’s age group, and one with has soft bristles.

Only a small smear of toothpaste is needed if your child is under two years old. Once the child celebrates his or her second birthday, you can use a pea-sized amount of fluoridated toothpaste. Continue this practice until your child is five.

Of course, it is important that you monitor your child’s tooth brushing closely to help educate about proper techniques. Some young children might try to eat or swallow toothpaste, and this needs to be strongly discouraged. Be sure to teach proper rinsing and spitting behavior to round out your child’s early childhood tooth-care regimen.

For young kids, tooth brushing can be made into a fun event, and you can find a multitude of special toothbrushes that appeal to kids. There are even uniquely flavored and colored toothpastes that might encourage your child to get into the brushing game!

Dr. Allen Job and our staff often recommend that if your child is a year old, but has yet to get the first tooth, you should bring your son or daughter to our San Diego, CA office for his or her initial dental care appointment.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention.  He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

[caption id="attachment_58" align="alignleft" width="500"] Welcome to our blog[/caption]

Thank you for taking the time to visit our blog. Please check back often for weekly updates on fun and exciting events happening at our office, important and interesting information about the pediatric dental industry, and the latest news about our practice.

Feel free to leave a comment or question for our doctor and staff - we hope this will be a valuable resource for our patients, their families, and friends!