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Posts for: January, 2015


While the prevention and treatment of tooth decay has improved dramatically over the last half century, it continues to be a major health issue, especially for children. One in four children 5 and younger will develop some form of the disease.

Although tooth decay in children stems from the same causes as in adults — the presence of decay-causing bacteria in plaque, unprotected teeth and the right mix of carbohydrates like sugar left in the mouth — the means by which it occurs may be different. We even define tooth decay differently in children as Early Childhood Caries (ECC), “caries” the dental profession’s term for tooth decay.

ECC highlights a number of cause factors specific to young children, such as: continuous use of a bottle or “sippy cup” filled with juice or other sweetened beverages; at-will breast-feeding throughout the night; use of a sweetened pacifier; or regular use of sugar-based oral medicine to treat chronic illness.

If you noticed sugar as a common denominator in these factors, you’re right. As a primary food source for bacteria, refined sugar is a major trigger for the disease especially if it constantly resides in the mouth from constant snacking or sipping. In fact, it’s the primary driver for a particular pattern of decay known as Baby Bottle Tooth Decay (BBTD). This pattern is specifically linked to sleep-time bottles filled with juice, milk, formula or other sweetened beverages, given to an infant or toddler to help soothe them through the night or during naps.

All these factors cause a cycle of decay. To interrupt that cycle, there are some things you as a parent should do: perform daily hygiene with your child to reduce decay-causing bacteria; reduce the amount and frequency of carbohydrates in the diet, particularly sugar; and protect the teeth by having us apply fluoride or sealants directly to the teeth.

Early tooth decay could affect your child's oral health for years to come. With a little care and vigilance, you improve your chances of avoiding that encounter.

If you would like more information on preventing tooth decay in children, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Dentistry & Oral Health for Children.”

By Dr. Richard Linden
January 28, 2015
Category: Uncategorized
Tags: Untagged

Find out everything you need to know before, during and after Invisalign treatment.

If you’ve been considering a straighter smile for 2015, there has never been a better time to do it. Your Naples, FL dentist is here to help. While the idea of braces doesn’t always sound appealing, the amazing results are always worth it. If you think Invisalign might be a great option for you, here is what you can expect throughout your entire treatment process.

Before Invisalign

You will go in to see your Naples, FL dentist for an initial consultation. During this visit we will make impressions of your teeth toInvisalign send to a lab to then fabricate your own clear aligners. Everyone’s aligners are uniquely designed based on the treatment plan we have created for you. We will also tell you how long we expect your treatment to last and provide you with any care instructions to follow during your treatment.

During Invisalign

You will wear each clear plastic aligner about 20 to 22 hours out of the day, only removing them for meals or when brushing and flossing. Be sure to always rinse out your aligners before putting them back in to prevent stains and clouding.

Aligners are worn for about two weeks at a time, after which you will put on the next aligner in the series to gradually progress your treatment. Each aligner will slowly shift teeth back to the desired position.

During your Invisalign treatment in Naples, FL, you will also see your dentist about every six weeks to ensure that everything is progressing on time and as it should.

After Invisalign

Most dentists will recommend that you wear a retainer after your treatment to stop teeth from shifting back to their original position. However, every case is different so your Naples, FL dentist will be able to tell you best whether a retainer after treatment will be necessary. Invisalign also offers its own retainer better known as Vivera® to keep your newly straightened teeth in place.

If you think Invisalign would be a great option for you, then call your dentist in Naples, FL to schedule an orthodontic consultation. If you decide Invisalign is right for you we know you will be happy with the results.

By Linden Dental
January 14, 2015
Category: Oral Health

While she was pregnant with her son Camden Jack Cutler, 25-year-old Kristin Cavallari noticed an odd occurrence in her bathroom sink: “Every time I floss, my sink looks like I murdered somebody!” the actress and reality-TV personality exclaimed. Should we be concerned that something wicked is going on with the star of Laguna Beach and The Hills?

Before you call in the authorities, ask a periodontist: He or she will tell you that there's actually no mystery here. What Cavallari noticed is, in fact, a fairly common symptom of “pregnancy gingivitis,” a condition that affects many expectant moms in the second to eighth month of pregnancy. But why does it occur at this time?

First — just the facts: You may already know that gingivitis is the medical name for an early stage of gum disease. Its symptoms may include bad breath, bleeding gums, and soreness, redness, or tenderness of the gum tissue. Fundamentally, gum disease is caused by the buildup of harmful bacteria, or plaque, on the teeth at the gum line — but it's important to remember that, while hundreds of types of bacteria live in the mouth, only a few are harmful. A change in the environment inside the mouth — like inadequate oral hygiene, to use one example — can cause the harmful types to flourish.

But in this case, the culprit isn't necessarily poor hygiene — instead, blame it on the natural hormonal changes that take place in expectant moms. As levels of some female hormones (estrogen and/or progesterone) rise during pregnancy, changes occur in the blood vessels in the gums, which cause them to be more susceptible to the effects of bacterial toxins. The bacteria produce toxic chemicals, which in turn bring on the symptoms of gingivitis — including painful and inflamed gums that may bleed heavily when flossed.

Is pregnancy gingivits a cause for concern? Perhaps — but the condition is generally quite treatable. If you've noticed symptoms like Kristen's, the first thing you should do it consult our office. We can advise you on a variety of treatments designed to relieve the inflammation in your gums and prevent the harmful bacteria from proliferating. Of course, your oral health (and your overall health) are prime concerns during pregnancy — so don't hesitate to seek medical help if it's needed!

How did things work out with Kristen? She maintained an effective oral hygiene routine, delivered a healthy baby — and recently appeared on the cover of Dear Doctor magazine, as the winner of the “Best Celebrity Smile” contest for 2012. And looking at her smile, it's no mystery why she won.

If you would like more information about pregnancy gingivitis, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “Expectant Mothers” and “Kristen Cavallari.”