8/8/2005
Harrisburg, PA - It's never too early to begin preventive care that can
protect your child's oral health. To ensure that your child enjoys healthy
smiles throughout childhood and beyond, the Pennsylvania Dental
Association (PDA) encourages parents to become familiar with proper oral
hygiene techniques and implement them as early as possible.
Baby teeth will begin to appear typically around six months of age.
Some babies may have sore or tender gums when teeth begin to erupt. Gently
rubbing your child's gum with a clean finger, a small, cool spoon or a wet
gauze pad can be soothing. Your PDA member dentist or a pediatrician may
recommend a clean pacifier, teething ring or a special "numbing" salve for
the gums.
After the teeth begin to erupt, parents should brush them with a very
soft-bristled toothbrush and a little bit of water to prevent tooth decay.
Toothpaste is not recommended until a child reaches two years of age. At
that time, supervise brushing to ensure that your child does not swallow
the toothpaste.
From the time these first teeth erupt a child is susceptible to tooth
decay. This condition is often called early childhood caries (cavities) or
baby bottle tooth decay. It is caused by prolonged exposure of infant's
teeth to liquids that contain sugar, such as milk (including breast milk),
formula, fruit juice and other sweetened drinks. Remember, it is not just
what children drink, but how often and for how long their teeth are
exposed to decay- producing acids. It is important to only put water in
your child's naptime or bedtime bottle so harmful sugary liquids will not
harm the teeth during sleep. It also helps to wipe your baby's gums and
teeth with a clean gauze pad or washcloth after each feeding.
Children should be encouraged to drink from a cup rather than a bottle
as they approach their first birthday. The American Dental Association
recommends parents take their children to the dentist by the child's first
birthday. The dentist will demonstrate how to properly care for your
child's teeth, evaluate any adverse habits and identify your child's
fluoride needs.
Bonded Sealer ...
For you guys dentinal bonding is a novelty and
something to argue about and shout across rooms at each other about.
Endodontics will stand on the ZOE sealer standard as long as we live
probably...just as restorative dentistry stands on the gold
standard. The problem is that gold is no longer utilized to any
degree in restorative dentistry. Adhesive dentistry is utilized by
the vast majority of restorative dentists in everything from endo to
surgery. We are gluing joints into the human body with adhesives
when nails/mechanical retention is more stable.
Realizing that my opinion means zero/zilch to the
BU guys who live for a good research battle and shouting match, I practice
with a certain amount of faith in certain practitioners in my
profession. That includes the ones mentioned above. Dr.
Pashley and Tay both have my utmost respect. Still, I'll reiterate,
where are the independent studies and who pays for them?
Take Kanca, Bertollotti, Pashley, Leinfelder,
Tay, Nash, Finnigan, et al and put them in a room and let them beat each
other to death with research proving their own points. The result
would be that no filling material is perfect but theirs is the best.
IS ZOE the gold standard of endo forever or do you think that there will
be improvements. We've been using ZOE now for at least sixty years
and Terry wants to wait at least another ten. That's longer than
I've been alive. Few things other than gold or amalgam have survived
that dang long.
I don't stand totally on anecdotal
practice. I have to trust someone. I actually trust Tay and
Pashley. They just aren't clinical practitioners. I have to
base my trust on the guys like Barnett and Watson who are clinical and
scientific.I can't base my practice on the "wait ten years and see" theory
that so many aspire to.
Tay and Pashley don't do direct bonded
restorations every day that they go to work as I do. I'm not naive
enough to think that every restoration I bond gives me a 100% bond over
the total surface area but I do know that I am getting bonding because I
watch the cusps crack when I over bulk the material and it
contracts. I have to cut off bonded veneers. I can bond to
dentin. I know little about the C Factor because as far as a
porcelain veneer in general practice it is just the C Factor with no
practical basis.
Whether Epiphany bonds to dentin absolutely is
not the deciding factor in endodontic success. You know that.
Whether Epiphany degrades may be. People I respect say it does not
degrade. People in science say they don't know yet. Hell,
people in science say it doesn't degrade. If I get 1/3 of my canal
with a bonded seal with no more shrinkage than GP and ZOE then I'm much
more satisfied with the bonded sealer. Ben can explain the C factor
to you. I just try to learn to do better endo. -
Guy
Guy W. Moorman, Jr. DDS -
ROOTS