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Most patients, especially those in suburban areas near cities, have two choices for the types of dental practices they can go to. There are classic privately-owned practices, which are small businesses where the supervising dentist is also the owner. There are also corporate dental offices (also called DSOs) which are owned and run by corporations, and the dentists that practice within them are employees of the corporation.

Clinically speaking, the quality of care at a corporate dental center versus  privately-owned dental practices will be roughly the same. Both types of dental practices are staffed by dentists and hygienists who were held to the same standards in order to earn their DDS/DMD degrees or RDH certifications. That being said, some dentists working in corporate dental practices have complained that they’ve felt pressured by their corporate employers to offer expensive care that the patient might not need, instead of basing treatment decisions on their patients’ individual health, insurance and financial situation (source).

While we hesitate to make generalizations for all such practices, the ethics of care at a corporate dental practice may be clouded by the pursuit of profits. After all, the owner of the practice is a distant corporation, not a dentist who lives down the street, shops at the same grocery store as you and whose children go to the same school as yours!

At dentist-owned dental practices, treatment decisions are between you and your dentist, with no outside influence. Your dentist knows you personally and has the chance to get to know your goals for your health and your appearance, and can take your financial situation into account when helping you weigh your choices. Dentist-owned offices can help you maximize your insurance in a way that’s best for your health and your wallet, as opposed to what’s best for a corporation’s bottom line.

Just because a dental practice has more than one location in your area doesn’t mean it’s corporately owned. Just like your favorite mom and pop sandwich place might have locations on both ends of town, so too can a local dentist have multiple dental practices. One of our aspirations as dental professionals is to provide accessible, compassionate dental care to as much of the local community as we can, and having multiple locations is a way to do that.

While corporate offices have traditionally had the buying power to acquire all the latest equipment, as technology has advanced, the most leading-edge equipment is also increasingly available to privately-owned practices. With all other aspects of your care being equal, would you rather have your smile cared for by local people that you know and trust, or a corporation?

If you’re looking to find the right dentist & establish a “dental home” for your family, you may wonder what the difference is between a pediatric dentist (a.k.a. a kids’ dentist) & a general dentist.

The first thing to know is that all dentists are qualified to treat children. There is no difference between the DDS, DMD or BDS degrees that both types of dentists hold. All dental school training includes understanding the developmental stages of mouth development, from the first tooth in infancy all the way through the arrival of wisdom teeth in late adolescence or early adulthood.

Children’s dentistry, known formally as pediatric dentistry, is a dental specialty recognized by the dental regulatory organizations in various countries. A dentist can call themselves a pediatric dentist if they have completed additional training that is specific to children.

A general dentist can provide the same checkups & cleanings for children that they would get at a pediatric dentist. They can also provide guidance & education to both children & their parents regarding good oral hygiene habits & diet & nutritional recommendations. This education helps to prevent pediatric dental caries, which is the clinical term for cavities & tooth decay in children’s teeth, & hopefully leads to a lifetime of healthy teeth & gums.

Even if a general dentist’s practice includes both adults & children, you’ll often find that dentists try to make all ages feel welcome. This may include a kids’ corner or even a whole playroom, a toy basket, fun picture books or even video games. All of these kid-friendly touches make children feel welcome & at ease at the dentist, & probably helps parents feel more at ease too. For adults, many practices provide beverages such as coffee, tea or water & a selection of magazines to read while they wait.

Many pediatric dentists pursue the specialty simply because they enjoy working with children in particular & have the personality & patience for the job. However, many general dentists enjoy seeing patients of all ages, including adults, kids, teens & seniors. It is very rewarding to see a patient grow from their first tooth all the way to adulthood & then start treating that patient’s children!

Many families choose to have both the adults & children in their families visit the same dentist as a matter of convenience. This gives the family dentist the advantage of knowing the oral health history of each member of the family, & may even allow parents & kids to get check-ups at the same time. If you are a first time parent & it’s almost time for your child’s first check-up (6 months after the first tooth or by age 1, by the way), talk to the dentist about getting an appointment for your child.

One of the best ways to make sure your child has a healthy smile for life is by establishing a dental home. That means creating a trusting relationship between your child & your family dentist & making sure visits to the dentist are fun & educational. As a parent or guardian, you can play a large part in making sure your child is happy & comfortable at the dentist. Here are a few ways how:

Take Your Child to Your Dental Appointments

If you are a new parent or the parent of a small child, talk to us about bringing your child along on your own teeth cleaning appointment. You can hold your child on your lap while we clean your teeth. We are a family dentist & welcome the opportunity to introduce your child to the world of dental care. Together, you, the dental hygienist & dentist will explain to your child what’s going on, so that the process of going to the dentist becomes familiar to the child before he or she starts going to his or her own dental appointments. Many children become anxious when presented with situations that are unfamiliar. Seeing you get your teeth cleaned will introduce the concept to the child so they are less likely to be afraid or upset when it’s their turn to see the dentist.

Read a Picture Book

Another great way to introduce children to the idea of visiting the family dentist is to read them a picture book about the topic. There are many great children’s books about visiting the dentist, so you can choose one that you think will appeal to your child. You and your child can re-read the book whenever they have a dental appointment coming up to remind them why going to the dentist is important & that it isn’t scary.

Here are a few great children’s books about the dentist:

children's book about going to the dentist  Just Going to the Dentist (Little Critter) by Mercer Mayer

kids book about visiting the dentist  ABC Dentist: Healthy Teeth from A to Z by Harriet Ziefert

children's book about visiting the dentist  Curious George Visits the Dentist by H. A. Rey

Cartoons & Children’s Shows

Many children’s programs have episodes that focus on trips to the family dentist. They usually address possible fears children might have within a story that the child can relate to. A good place to search for episodes of kids’ shows that feature a trip to the dentist is YouTube, or similar video-streaming services. You can also keep an eye out for dentist-themed episodes on TV make sure you & your child watch them together.

Here are a few episodes of children’s shows featuring the dentist that are currently available to watch online:

Dudley Visits the Dentist

Dentist Video from Sesame Street

As a family dentist, we are alway happy to do whatever it takes to make sure your little one feels comfortable & welcome at our practice. If you have any concerns or questions about your child’s visits to the dentist, please don’t hesitate to ask us.

Brushing your teeth is very important for your oral & overall health, but to kids, it’s just a chore. But it doesn’t have to be! Here are some tips for teaching your kids how to brush their teeth effectively & solidify good dental care habits for a lifetime of healthy teeth.

Step 1. Demonstrate.

To encourage your kids to brush their teeth properly, model good behavior! Brush your teeth at the same time as your child & let them watch you so they can see how it should be done. Explain what you’re doing as you’re doing it & brush in small circles on all surfaces of every tooth. Make sure you show how to angle the toothbrush at 45 degrees to brush the gum line effectively.

Step 2. Guide.

Kids usually don’t have good enough motor control to brush their own teeth well until they are 6 or 7, so until then, you can brush their teeth for them.

Show them how to squeeze a pea-sized amount of toothpaste onto the toothbrush (the ADA recommends using a rice grain-sized amount until your child is three years old) & have your child face the mirror so they can see & you can explain what you are doing. Go slow & show them proper brushing technique.

Once they are old enough to brush their teeth on their own, continue to brush your teeth at the same time as your child to encourage good dental care. If you’re nervous that they aren’t being thorough, trade off for a while. Your child can brush their own teeth in the morning, & then in the evening you can reinforce proper brushing technique by doing it for them.

Step 3. Encourage Them to Be Thorough.

Make sure your child is thorough & continues to brush for the entire two minutes. You can use songs or a timer to countdown, & tell them to make lots of bubbles with the toothpaste.

When the two minutes is up, instruct them to spit the toothpaste into the sink & never swallow it. Then, they should rinse their mouth & the toothbrush. To show them how thorough they need to be, you can use plaque dye tablets after brushing to show them the spots they missed.

Step 4. Floss!

Flossing is a very important part of the dental care routine that you should encourage your child to follow from an early age. To make it more fun & easy, you can use floss picks, because they often come in styles with characters.

As with brushing their teeth, teach your child the proper flossing technique. Wind 18 inches of floss around your middle fingers & pinch the floss between your thumb & index fingers. Gently insert the floss between two teeth using a back & forth motion. Curve the floss around each tooth in a C shape & move it up & down each tooth. You can demonstrate it, guide your child, & eventually let them try it themselves.

Tips & Tricks

40% of kids have cavities by the time they enter kindergarten, so it’s important to encourage good brushing habits early. Even though baby teeth will fall out eventually, it’s important to keep them clean & healthy anyway because they are guides & space holders for permanent teeth.

Here are some tips & tricks for making brushing fun!

  • Practice on a model. You can use dolls, an upside-down egg carton, or an old toothbrush & paint & paper.
  • Let your child choose their toothbrush & toothpaste! Get them involved in their health. You can also try an electric toothbrush, because those are fun for kids.
  • Tell them a story about the sugar bugs that make holes in our teeth if we don’t brush them away.
  • The circular movement of the toothbrush is kind of like the wheels on a train! Encourage them to move the train across their teeth.
  • Tell them to pretend the brush is a superhero who is rescuing each tooth from plaque monsters.

There have been unanswered calls, deleted voicemails,  ignored texts, & friendly reminders that never make it out of the envelope…we both know it’s been a while since you visited the dentist. If all our efforts to reconnect with you haven’t convinced you, maybe the following 5 reasons to see the dentist will get you to take care of your teeth properly again!

Oral Pain

If you are experiencing a toothache or pain in your gums or another part of your mouth, you should see us as soon as possible. We know this sounds obvious, but a surprising number of people put off going to the dentist when they’re in pain, either because they think it might get better on it’s own, or they’re afraid of what the treatment will cost. We can tell you from experience putting off getting treatment for a toothache will make it more expensive, not less! Plus, we don’t want any of our patients to be in pain for any length of time. The sooner you see us the sooner we can make the pain go away. If you’re experiencing oral pain, especially if accompanied by swelling or redness, please call right away.

Sensitive Teeth

While tooth sensitivity can be a result of relatively harmless things such as over-brushing or sensitivity to chemicals in tooth whitening toothpaste, it can also be a sign of a serious oral health problem. Tooth sensitivity to heat or cold can be a sign of a cracked tooth, a filling that’s gone bad, a cavity, tooth erosion, or even gum disease. If you’ve suddenly developed tooth sensitivity, please come in to see us. Not only will we be able to diagnose potential problems, we can offer treatments or advice that may reduce or eliminate the sensitivity.

Bleeding Gums

Bleeding gums can be a sign of serious oral health problems, particularly gingivitis & gum disease (periodontal disease), which can lead to lots of pain, expense, & tooth extraction. Still, we know that many people see a bit of blood when they brush or floss their teeth & don’t think much of it. But consider this: you wash your hands all the time as a way to prevent disease. If your hands started bleeding every time you washed them, wouldn’t you contact your doctor? Same goes for your mouth: if it bleeds when you brush or floss, call us right away!

Health Changes

It’s easy to forget that your oral health affects your overall health & that the opposite is also true. If you have been recently diagnosed with diabetes, you should let us know, as this condition puts you at higher risk for gum disease & poor oral hygiene has also been shown to exacerbate diabetes symptoms. Patients who are starting treatment for cancer should also contact us, as many cancer treatments can have serious side effects on your oral health. If you’ve recently been put on a medication that causes dry mouth, you may be more prone to tooth decay or other problems, so please let us know which medications you’re on & which side effects you’re experiencing. Women who who have become pregnant should also tell us right away, as pregnancy can create changes in your oral health, particularly your gums. These are just a few examples. If you’ve experienced a serious change in your health, please let us know so we can keep an eye on its effect on your smile.

It’s Been a While

Your teeth don’t hurt, your gums don’t bleed, you brush & floss regularly, you don’t have that much plaque or tartar build up, your teeth are not too yellow, you think your breath smells fine, so why should you visit the dentist? The truth is, many potential dental problems start with no noticeable symptoms at all. Visiting us regularly for a teeth cleaning & dental exam is the best way to detect unseen problems. For example, we do periodic x-rays of your teeth during your visit because it helps us spot cavities that may be starting between your teeth or under fillings that would otherwise not be visible to the naked eye & aren’t yet causing your pay. When you visit us we can detect signs of a problem that you may not know to look for, such as signs of tooth grinding or even oral cancer. Plus, why would you want to miss out on that wonderful smooth & fresh smile that you can only get after a cleaning at the dentist?

Our team has been caring for our community for a while now & we’ve noticed many patients come to us with the same questions over & over again. Always feel free to ask us questions when you have them! In the meantime, check out the FAQ & answers below to learn more about your oral health.

  1. What causes tooth sensitivity & should I be worried about it?Patients often notice tooth sensitivity as pain when eating hot or cold foods or beverages. Tooth sensitivity is caused when the tooth’s surface has been worn away (leaving underlying dentin layer bare) or when gums have receded, exposing the sensitive root of the tooth. This exposed dentin allows heat, cold or pressure to reach your tooth’s nerve directly, resulting in pain. Tooth sensitivity can be a precursor to other dental problems, because exposed dentin is more vulnerable to decay & receding gums is a sign of possible gum disease. If you have sensitive teeth, please tell us right away so we can make recommendations on how to deal with it.
  1. How often do I need to visit the dentist?You should visit us every six months for a teeth cleaning. Your regular teeth cleaning appointments are not just an opportunity to get your teeth much cleaner than you can just by brushing & flossing at home, they’re also an opportunity for us to examine your mouth for potential problems. We generally take x-rays of your mouth at least once a year at your cleaning appointment, if not more often, so we can detect hard-to-see cavities & other issues. However, we should note that if we have diagnosed you with gum disease (periodontitis) or the beginnings of it (gingivitis), the doctor may ask that you come in more frequently so we can treat your condition & keep it from getting worse.
  1. What is better, a manual toothbrush or an electric toothbrush?With the proper technique, both manual & electric toothbrushes perform about the same. However, if your manual brushing techniques are less than optimal, an electric toothbrush may help you be a bit more thorough. Many electric toothbrushes have a built in timer that can help you make sure you brush for the recommended two minutes. If you are interested in an electric toothbrush, we’d be happy to talk with you about the options that would be best for you.
  1. What is gum disease?Gum disease, known clinically as periodontal disease or periodontitis, is when bacteria surrounds your teeth & invades your gums. The disease generally starts with little or no symptoms, so unless you visit the dentist regularly you may not even know you have it. Early stages of gum disease, often called gingivitis, can start with red, swollen gums that bleed easily & have started to recede from the teeth (your teeth might start to look longer than they used to), persistent bad breath, & gum sensitivity to acidic foods. Later stages of gum disease include abscesses, tooth pain, bone loss in the jaw & tooth loss. Gingivitis is treatable in it’s early stages, but if it becomes gum disease, it cannot be cured, only managed. Your best option is to prevent gum disease by practicing good oral hygiene habits, visiting us frequently for professional cleanings & checkups, & telling us right away if you have any of the symptoms listed above.
  1. My teeth don’t hurt & they look just fine. Why do I need to see the dentist?There are many dental problems that have no detectable symptoms, at least not at first. It’s possible to have cavities & tooth decay, gingivitis, gum disease, tooth grinding, an infected tooth or oral cancer & not have any obvious symptoms. Even if you aren’t experiencing pain, sensitivity, swelling or bleeding & can’t see anything wrong with your teeth in the mirror, there may still be a problem. That’s why we use all the latest technologies & techniques at our office, so we can detect potential problems even when you haven’t told us that something is bothering you. Visiting us every six months for a teeth cleaning & a brief dental exam is important to detecting potential problems before they become both costly & painful! We’re not trying to scare you or shake you down, we just want to keep you smiling!

Test your knowledge of dentistry & your dental health! Take the quiz & see the answer key at the bottom to see how well you did.

  1. When should you floss?
    • a. Before you brush your teeth.
    • b. After you brush your teeth.
    • c. Before or after—as long as you floss at least once a day!
  2. Which beverages are acidic & can cause tooth decay?
    • a. Wine
    • b. Water with lemon
    • c. Diet soda
    • d. Coffee
    • e. All of the above
  3. When should children first see the dentist?
    • a. Within 6 months of their first tooth coming in.
    • b. Once they have at least two teeth.
    • c. Once all of their teeth have come in.
    • d. Once they’re old enough to talk to the dentist.
  4. What does fluoride do?
    • a. It helps keep plaque from sticking to teeth.
    • b. It helps rebuild dental enamel & reverse early tooth decay.
    • c. It kills bacteria in your mouth that can cause tooth decay.
    • d. All of the above.
  5. In addition to poor dental hygiene, which of these are risk factors for gum disease?
    • a. Genetic susceptibility.
    • b. Diabetes.
    • c. Smoking.
    • d. Medications that cause dry mouth.
    • e. All of the above.
  6. True or False: A hard bristle toothbrush is better at cleaning teeth than a soft bristle toothbrush.
    • a. True.
    • b. False.

Answers: 1:c, 2:e, 3:a, 4:d; 5:e, 6:b-False.

Wearing a mouth guard during sports activities is one of the best ways to avoid injuries to your child’s teeth & emergency dental care. Mouth guards, which are made from a plastic or rubber material & fit over the top arch of teeth, not only protect your teeth, but also protect lips & cheeks from being damaged by teeth during an impact.

What many children & their parents fail to realize is that mouth guards should be worn even when participating in low contact sports. While we’re used to seeing football, basketball, lacrosse & hockey players wearing mouth guards, they should also be worn by soccer players, skateboarders, skiers & snowboarders, gymnasts & ice skaters. If you can imagine any kind of impact to the face in the sport your child participates in, it’s worth it to protect their teeth with a sports guard.

The best option for a sports guard is to have it custom made by your kid’s dentist. Custom fit mouth guards fitted by a dentist have been shown in studies to offer the best possible protection for teeth. In addition to being more effective, dentist-made mouth guards are more comfortable & are less likely to impede breathing because they are designed to fit your child’s mouth specifically. The more comfortable the mouth guard is, the more likely your child will actually wear it! And of course, the less likely they’ll need emergency dental care.

There are also over-the-counter options for mouth guards, including ready-made & boil-and-bite guards. However, to ensure that these are effective at preventing injury, you should only buy those that have the American Dental Association (ADA) seal of acceptance. Mouthguards that don’t have this seal may not meet the dental profession’s standards for protecting teeth & lips.

We should also note that only mouth guards custom made by a dentist have been proven to protect against concussions/traumatic brain injury from an impact [source]. Over-the-counter options do not provide nearly as much protection from concussions.

Sports mouth guards should be replaced every season. Replacements are necessary because mouth guards can wear out over time but also because children’s teeth are still moving & developing, which can affect whether the mouth guard fits properly over time.

Be sure that your child has their sports guard well before their sports season or training starts so they can get used to how it feels. Make an appointment with your kids dentist to talk about getting a sports guard as soon as possible!

Like any relationship in life, having good communication with your dentist is the key to success. The five tips listed below are intended to help you improve your oral health by communicating better with your dentist & /or dental hygienist.

  1. If your dental hygienist or dentist says something you don’t quite understand, don’t just nod or pretend you do understand, ask for clarification! Sometimes we have trouble translating from the clinical language our dental colleagues understand to words that patients understand. So if you hear us saying unfamiliar words, ask us what they mean, even if you’re afraid it’s something super basic that most people already know. There are no stupid questions. The more you understand about your oral health, the better it will be!
  2. Tell us the real reason you’re hesitating to commit to recommended treatment. It’s a lot better for us to know what you’re thinking than trying to guess. If your concern is the cost of treatment, tell us & we might be able to offer your payment options or treatment alternatives that you weren’t aware of. If you’re hesitating because you have a fear of dental procedures, let us know so we can offer distractions like headphones or movies, or even sedation to ease your nerves. If you don’t understand the purpose or process of the treatment, please ask us for clarification & we’ll find a better way to explain it.
  3. Don’t say yes to an appointment you already know you probably can’t keep just because you want to be polite or feel pressured. If you know that Tuesdays at 4pm are a bad time for you, don’t let us schedule your appointment then. Be honest about when you can get time off or when you get out of work, & we’ll be happy to accommodate you. Finding the right place for you in our schedule is much better for your oral health than if you have to cancel or skip your appointment in the future!
  4. Don’t lie about how often you brush or floss. For one thing, you dental hygienist will be able to tell by looking at your mouth how well you’re taking care of your teeth. What’s more, signs or symptoms we may detect in your mouth may mean something completely different depending on what you tell us. In order to care for you properly, we should have the most accurate information you can give us!
  5. Don’t be dishonest about your lifestyle & dietary choices that are bad for the health of your teeth. If you’re a smoker, please try to quit! The affects on your mouth go way beyond yellow/brown teeth. No one will be a more enthusiastic cheerleader for your effort to quit than your dentist & dental hygienist! Consuming excessive amounts of sugary drinks, sugar-free soda pop & energy drinks, sports drinks or highly acidic drinks like citrus juices can put you at high risk for tooth decay or rot your teeth directly by breaking down your tooth enamel. If we have a realistic understanding of your habits we can help guide you to change them for the better.

As dental professionals, our favorite thing is a happy & healthy smile. We see your dental health as a team effort & if you follow the tips above, you’re sure to be a team player!

Many primary & secondary schools across the United States (& in some other countries) require students to have a dental exam from a pediatric dentist or family dentist before they finish certain grade levels.

Most schools will not prevent a child from attending class if they don’t get the required exam, or if a dentist determines their oral health makes them unfit to attend school. However, other penalties may be placed on the child or parents in these situations. For example, if proof of the required dental exam isn’t provided, schools may withhold the child’s report card, which could make it hard for the student to move on the the next grade or matriculate.

The exams required by most schools are mainly focused on finding tooth decay-related problems, or “any other condition that interferes with a student’s ability to chew, speak or focus on school activities.”[source] This type of exam is already part of your child’s regular checkup at the dentist, so if your child already visits the dentist regularly, you will probably not have to make a new appointment for the school required dental exam. School-required exams usually do not involve x-rays (radiographs).

Children’s oral health can have a big impact on their early lives, their later health, & even on their academic success. A report on the implementation of the Illinois law that requires dental exams for schoolchildren stated:

An estimated 51 million school hours per year are lost because of dental-related illness. Poor oral health has been related to decreased school performance, poor social relationships, and less success later in life. Children experiencing pain are distracted and unable to concentrate on schoolwork. Children should enter school free from dental problems. [source]

Some states also collect data (confidentially & anonymously) from the results of these exams. Putting all this data from different schools & grades together gives them a good idea of how well the teeth of children in the community are being cared for.

The state of Illinois requires a dental exam for Kindergarten, 2nd Grade & 6th Grade students. Other states with similar requirements include New York, Kentucky, West Virginia, & Oregon. State-enforced requirements usually apply to all schools, including public, private & parochial (religious) schools. Some local governments (such as county or city) & even some school districts may require dental exams for students even if it isn’t mandated by state law.

If you don’t know whether your child’s school requires a dental health screening, the best way to find out would be to contact the school directly & ask. Children who do not yet have a regular dentist that they go to can often get recommendations from their school of a local pediatric dentist or family dentist who can help.

If your child’s school does require a dental screening, make sure you mention this at your child’s next dental exam so the dentist knows to fill out & provide you with the appropriate form certifying your child has been examined.

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