dR. Leanet Ascunce Pediatric

Wisdom From Wisdom Teeth, Anyone?

Wisdom teeth, or third molars, are the last teeth to come in during young adulthood. It is easiest to remove wisdom teeth when the patient is a young adult (late teens to early twenties) because the roots are not fully developed. Wisdom teeth are removed to correct a problem or prevent a problem in the future. The way in which the teeth are growing in determines whether or not a person needs to have them removed, but not all people need to have their teeth removed. It is possible to never have to remove wisdom teeth or to only have to remove one. Wisdom teeth removal can be done by your general dentist or an oral surgeon in office as an outpatient procedure.

Reasons to Remove:

Wisdom teeth may partially break through the gum causing the gum to grow over the teeth, which allows for food and germs to get trapped.
Wisdom teeth may grow in at an awkward angle, which needs surgery to remove so that the tooth does not interfere with the kar or other teeth.
Prevents crowding of the back teeth
Impacted tooth in the jaw

Extraction Process

During the removal process, your dentist/surgeon will use a local anesthetic to numb the area around where the tooth will be extracted. When dealing with multiple tooth extractions you will be placed under general anesthesia, causing your whole body to be asleep during the procedure. In most cases the removal of the teeth goes very smoothly: the dentist opens up the gum tissue around the tooth and pulls the tooth out. Sometimes the tooth is harder to extract and the dentist must break the tooth into pieces to extract it piece by piece. After the tooth is removed, the dentist will stitch up the gum with dissolvable stitches.

Recovery

The recovery process generally only lasts a few days, which includes taking the pain medicine prescribed, rinsing mouth out, and using the gauze to absorb all the excess blood. In order to minimize the pain, try using an ice pack on the outside of your cheek/cheeks. Apply the ice pack for 15-20 minutes at a time for the first 24 hours, after the first day use a warm wrung-out towel for the next few days. Contact your dentist or surgeon if the pain begins to get worse around the fourth day, which may be a sign of complications.

Oral Cancer Awareness Month

Happy National Oral Cancer Awareness Month from your friends at Pediatric Dentistry of Florida! We enjoy looking out for anyone of all ages and hope to raise awareness, along with having friends and family being conscious of this topic as well.

Oral Cancer

Oral Cancer includes any and all cancers of the mouth such as the tongue, the cheeks, and lips as well as the throat, sinuses, and other parts within the head and throat. The cancer, which often appears as a growth within the mouth, is caused by a mutation and growth in cells that can often then spread into other parts of the body.

By the Numbers

  • Approximately 45,750 people will be newly diagnosed in 2015
  • Of the 45,750 people diagnosed only about half will survive the next 5 years
  • 1 person dies from oral cancer every hour of every day
  • 115 people are newly diagnosed each day
  • IF DETECTED EARLY, a person’s survival rate increases to 80-90%

Who is at Risk?

Oral Cancer is twice as common in men as in women. In addition, those who chew or smoke tobacco, drink alcohol excessively, or are exposed to sunlight for long periods of time are more likely to develop Oral Cancer. While the average age for diagnosis is 62, this cancer can affect all ages. In addition, scientists have recently connected poor diet habits such as those without consistent fruit and vegetable intake to be at higher risk for developing this cancer. While it is certainly important to consider these risks, it’s also important to note that one in four of those diagnosed with Oral Cancer did not fall into any of the above risk factors.

The Power of Prevention

“Historically the death rate associated with this cancer is particularly high not because it is hard to discover or diagnose, but due to the cancer being routinely discovered late in its development.” – Oral Cancer Foundation

A Closer Look On Baby Teeth Care

There they are one day: your baby’s teeth! Now what?

As your baby begins to develop teeth, you may notice changes to more than just his or her mouth. Your baby may become more irritable or restless. In addition, you will need to begin caring for his/her teeth to keep them healthy. Prepare for your baby’s teeth by knowing what to expect, how you can help, and how to take care those baby pearly whites.

What can I expect?

Baby teeth usually begin appearing between 4-7 months, although all children are different. The first teeth to come in are usually the bottom front teeth. Sometimes teething may hurt and cause the baby to be fussy and drool more than usual.

Teething does not cause a fever. A fever usually indicates another issue. If your baby has a fever you should see a doctor to determine the issue.

What can I do to help?

You can help alleviate teething pain by:

Giving a cold teething ring or wash cloth to suck on.
Rubbing your baby’s gums with a clean finger.
Asking your doctor about infant’s acetaminophen. (Do not give your infant aspirin. Aspirin can cause serious illness in infants.)
Asking your doctor about using teething gels.

How can I take care of my baby’s teeth?

You can start cleaning your baby’s teeth as soon as the first tooth appears. You should use a damp wash cloth to wipe away plaque twice a day until the child is one year old. If left unchecked, plaque can damage babies’ teeth as they come in.

After one year of age, you should begin using a soft baby brush and a small dab of toothpaste that does not have fluoride in it. The non-fluoride toothpaste should be safe for your infant to swallow. Choose a brush that has soft bristles, a small head, and a large handle. Be on the lookout for signs of tooth decay such as brown or white spots on the tooth. Take your baby to the dentist after his/her first birthday.

If you give your child a bottle or sippy cup be sure not to leave it with your baby in the crib. Falling asleep with milk or juice in the mouth can cause decay. You can start using a sippy cup at 6 months old and should stop using a bottle at 1 year of age. Avoid sugary juices and flavored milks as these can lead to decay.

If your baby shows signs of tooth decay schedule an appointment with us as soon as possible!

Nighttime Oral Health Care

Keeping your mouth clean isn’t just a day job. It’s just as important to practice nighttime oral care as it is to keep your teeth clean during the day. The (somewhat gross) fact is, when you are sleeping, you are not swallowing your saliva. Eight hours of doing this increases the level of bacteria in your mouth, which can lead to bad breath and plaque buildup. Bad oral hygiene can turn into tooth decay or gum disease, so make sure you follow our steps to keeping your mouth clean at night.

Every night before you go to sleep: brush, floss, and rinse with mouthwash. This is the best routine you can get into to prevent future problems with your mouth. So let’s break it down.

Brushing

We recommend that you brush after dinner and before you go to sleep. Doing so will clean your mouth of any plaque buildup and will give bacteria less to feed on. Using an FDA and ADA approved toothpaste with proper brushing techniques will reduce your chances of tooth decay and gum disease.

The ADA suggests the following brushing technique:

Brush at at 45-degree angle to your gums.
Gently brush back and forth on all outer, inner, and chewing surfaces of your teeth.
Use short strokes as wide as your tooth.
Turn your toothbrush vertical to clean the inside of your front teeth.
Brush your tongue to rid of any leftover bacteria and prevent bad breath.

Flossing

While skipping the floss at night may feel like a shortcut, you’re not doing yourself a favor. Flossing helps clean your mouth in the spots your toothbrush physically cannot reach. If you don’t remove that plaque, bacteria will feed on it while you are sleeping. Also, plaque buildup can turn into tartar, which can only be removed by a dentist or dental hygienist.

The ADA suggest the following flossing technique:

Use an 18-inch piece of floss.
Wind the floss around the middle fingers of each hand.
Tightly hold the floss and insert between your teeth using your thumb and forefinger.
Curve the floss in a C-shape around the side of your tooth.
Gently run the floss up and down against the side of your tooth.
Floss in between every tooth in your mouth, and don’t forget about your back teeth.

Therapeutic Mouthwash

Therapeutic mouthwashes are different from your generic cosmetic mouthwash and do much more than just freshen your breath. They contain certain ingredients that help fight cavities, strengthen the enamel on your teeth, and prevent gum diseases like gingivitis.

Dr. Ascune Joins Pediatric Dentistry of Ft. Myers

Image

OLYMPUS DIGITAL CAMERA

Dr. Leanet Ascunce, DMD has joined Pediatric Dentistry of Ft. Myers, Dr. Tim M. Verwest, DMD.  Dr. Ascunce obtained her specialty certificate in pediatric dentistry from Boston University Henry M. Goldman School of Dental Medicine.

Dr. Ascunce is a graduate of the University Of Florida College Of Dentistry and completed her general practice residency program at the Malcolm Randall VA Medical Center in Gainesville, FL. She holds a Bachelor of Science in Biology from Florida International University.

Her professional affiliations include The American Academy of Pediatric Dentistry, the American and Florida Dental Associations.

Pediatric Dentistry of Ft Myers, Dr. Tim Verwest, DMD, is located in Ft. Myers and Port Charlotte. Dr. Verwest continues to provide pediatric dental care to children for the last 25 years. Areas of service include comprehensive dental exams, cleanings, composite fillings, dental hygiene education, extractions, fluoride treatments, sealants, sedation dentistry, space maintainers, x-rays and tooth nerve treatment. For more information, visit www.DrVerwest.com or (239) 482-2722.