Do You Have a Dental Emergency?

DR. RUDI AS-SANIE, D.D.S.

Do You Have a Dental Emergency? We Are Here for You!

With all the strain going on at the hospitals nearby, we are here to help keep patients out of the ER for dental problems or concerns. We are currently seeing patients for emergencies only in order to help you get the care you need in a timely manner as well as alleviate emergency room overcrowding and stop the spread of COVID-19 infections throughout the state.

It is crucial to see a dentist at this time over going to the ER for a dental emergency. We know in the case of any emergency; a person’s first thought or instinct is to go the hospital to be treated. Typically, a hospital will refer a patient back to their dental office in the case of an emergency so they can be seen and treated by a dental professional. A dental office such as ours can see patients in a much timelier manner and get to the root of the problem without delay. This also frees up the beds in an emergency room and puts you at a much lower risk by being seen in a private practice.

During an emergency exam, we will typically evaluate the problem area and take a dental x-ray if necessary. Our digital x-rays capture the entire tooth including the root so we can get a clear picture of what is going on. From there, we can come up with the best plan of action to help get a patient out of pain.

What is Considered a Dental Emergency?

Examples of emergency patients we are able to see but not limited to:

We can assure you we go above and beyond to follow proper infection control to keep not only ourselves but our patients safe during each appointment. We follow OSHA guidelines and use hospital-grade disinfectants to kill bacteria, viruses and bloodborne pathogens. We screen each patient by asking a series of questions including symptoms and sterilize each room and waiting room after every appointment. Our ultimate goal is to help slow the spread of COVID-19 by keeping patients out of hospitals when able, and to treat the patients in our office in a sufficient manner.

Frequency in Your Child’s Diet

DR. RUDI AS-SANIE, D.D.S.

Frequency in Your Child’s Diet

We all know a toddler’s favorite food is not always the best for their teeth. It’s challenging enough to get a child to “eat the rainbow” with a balanced diet of all the food groups. Sometimes you have to bribe with a little bad to get a little good. Good and bad for the body don’t always translate to good and bad for the teeth. It’s also not about how much they consume when it comes to oral health, but how frequently they consume it.

Frequency is Key

If your child gets juice once a day, they should drink all of it at one time and with meals. Each sip of an acidic drink, (basically anything besides water) causes an acid attack in the mouth. This is what the bad bacteria feed off of and what causes a cavity. The mouth takes about 20 minutes to buffer those acids and by then, your kiddo is going for another drink. This means your mouth never has the chance to get to a healthy pH environment making the child at a very high risk all day for cavities. The same goes for snacking. If your child is eating pretzels for an hour+, the carbs break down into sugars leaving the mouth very acidic. Healthier between-meal snacks would be fresh vegetables like carrots, fruits like apples or strawberries, yogurt or cheese. These all have a more balanced pH and won’t leave the mouth so acidic.

Incorporate Water Into Your Child’s Diet

Water, water, water should be your child’s best friend. It truly is a natural “medicine” for kids and helps keep things functioning properly. Tap water contains fluoride, which helps prevent a cavity and a hydrated kid is less likely to get sick. Even flavored waters are a no-no, 0 calorie, and 0 sugars don’t mean they aren’t acidic. In fact, they are very acidic. Sticky foods like fruit snacks and even dried fruit like raisins are even more likely to stick into the teeth. A sugary treat is surely ok but the key is to limit it to meals and if the child is drinking plenty of water, their risk for decay will go down. Another huge factor is the nighttime brushing. Lots of parents report their child has a glass of chocolate milk every night before bed or a cup of milk. Milk contains natural sugars that settle into the grooves of the teeth and along the gumlines. When we sleep, our mouth gets very dry so we don’t have the saliva to help cleanse the teeth. Always help your kiddo brush before bed to be sure they are doing a good job. If you have questions about your child’s oral health, contact Dental Reflections Dublin. Dr. Rudi As-Sanie and her team are always happy to help.

Oral Habits in Children

DR. RUDI AS-SANIE, D.D.S.

Oral Health Habits in Children

Often times, children will develop oral habits that are hard to break. The most common ones we see are a pacifier and thumb. Studies show these habits are about as hard to break as an adult who is trying to quit smoking. It takes a lot of encouragement, patience, and consistency to try to get children to break these habits. Of course, the sooner, the better to take them away, but it is not always that easy.

Thumb Habit

The first problem with a thumb-sucking habit is you can’t take the child’s thumb away. This is one of the hardest to break. We have children/teens up to age 15 that are still trying to break their thumb habits. At this point, intervention with an orthodontist is best. We are talking way before the teen years. We start to see teeth move around age 4-5 if a child is an excessive thumb sucker.

The good news is, if the child can stop, the teeth will move back significantly. More of the permanent damage starts when a child begins to lose their teeth. When their permanent teeth come in, they aren’t as forgiving, and the teeth won’t move back as quickly. This occurs typically around age 6. So, the goal is to encourage them to stop sucking the thumb before they start losing teeth. There are different “contraptions” available to help a child stop. The orthodontist can place a retainer with a built-in appliance that goes in the roof of the mouth and behind the top front teeth where the thumb goes. The child is then unable to place the thumb where they want it or usually keep it. You can also place a glove or sock over the child’s hand when they sleep at night. Another great technique to use for a thumb sucker is to tell the child they can only suck their thumb in the corner, or in a room by themselves with no media, no blanket or toys or anything “fun.” When they are done, they can come back out with everyone else. The goal is that eventually, the child will get sick of taking a break to suck their thumb and stop.

Pacifier Habit

A pacifier can be a bit easier to break, but still very challenging. It’s a security item for a child, and they grow very attached to it. There are tips and tricks you can use to get rid of a child’s pacifier. Take the pacifier to build a bear and have them put it in the bear when they make it, and they can use the new stuffed animal as their new security. Another tip is to poke pinholes in the pacifier, so the child does not get the same sucking action they are used to. You can also tell the child a pacifier fairy is going to come and take all their pacifiers to give them to little babies that need them, and they will leave them a small gift. Nighttime, of course, is typically the hardest time to take it away.

Be sure to encourage your child with whatever it is you are trying to eliminate and praise them as they cut back and let them know how proud you are. Remember, this is not easy for them! As we mentioned above, patience is key and will help with the child’s confidence to quit. For family dentistry in Dublin, Ohio, contact Dental Reflections today!

Children’s Dental Health Month

DR. RUDI AS-SANIE, D.D.S.

Children’s Dental Health Month with Dental Reflections Dublin

February is one of our favorites – Children’s Dental Health Month. It’s the time to really focus on the dental health of children and how to keep their teeth clean and healthy. We know it can be a struggle to try to keep up with your child’s oral healthcare routine, but it truly sets the stage for their entire life. Starting good habits while the child is young will create a routine, the child will understand the importance of. This month, our blogs will center around different topics for a child’s dental health and hopefully offer many tips and tricks to keep your little one(s) teeth clean and cavity-free.

Tips for Brushing

Wording can be everything when you start giving your child options. Never ask them if they are ready to brush their teeth. What kid would ever be ready? Associate brushing with something else. Maybe it’s every night before reading books, or every night after bath time. Let them know at that time every night; now it’s time to brush. If you stay consistent, they know there is no option. Yes, they may put up a fight, but be adamant about it getting done, and they will get tired of fighting night after night. The same goes for mornings. Be sure you are getting that twice a day brush in. Lots of plaque bacteria form on our teeth at night when we sleep, and morning time is extremely important to brush to make sure food is less resistant to sticking to the teeth throughout the day. It is important to start using fluoride toothpaste at first tooth eruption. You only need a rice size amount smeared into the bristles of the toothbrush. Yes, we know your 6-month-old is not going to rinse and spit, and that’s ok. This meniscal amount of fluoride is not going to be toxic when your child swallows it. You can wipe out the remaining toothpaste with a washcloth using your finger after brushing.

Flossing and Mouthwash Use

Flossing is best at night and just once per day. We find it easier to floss with the string floss than the floss picks. You have more control when using the string. The picks tend to snap and may hit the gum, leaving the child more upset. Of course, it is whatever works best for you and your child. If you try flossing your child’s teeth while they are laying down at the end of a couch or standing in front of you facing forward with their head resting back on you, you can get a much better visual and floss easier. It all takes practice. In between, or flossing cavities are the most common among children since they tend to snack a lot and not floss as often as they should. Your child will need help with brushing and flossing until about the age of 8 years old. They can practice well before that, but following up or assisting is very important. Once your child is able to rinse and spit, a fluoride mouthwash is a great idea. This helps get into those small nooks and crannies. The toothbrush bristles even have a hard time reaching. The fluoride settles into these areas and helps strengthen, preventing cavities. Once a day, use for this is sufficient.

If you ever have questions about your child’s teeth, do not hesitate to call Dental Reflections Dublin for advice or to bring them in for us to take a look! That’s what we are here for.

Are My Wisdom Teeth Crowding My Other Teeth?

DR. RUDI AS-SANIE, D.D.S.

Wisdom Teeth Crowding

Many times, we may start to notice our bottom front teeth crowding as those wisdom teeth start to come in. You may start to wonder – could that be what is crowding my teeth and “pushing them forward”? At Dental Reflections Dublin, we see the crowding all the time, and we often hear it from patients even later in life. They will tell us their bottom front teeth were always straight whether they had braces, but once those wisdom teeth started coming in, they started crowding. The average age for wisdom teeth to come in is 17-22 but it can most definitely be earlier or later. That leaves us with the burning question…

Do Wisdom Teeth Crowd Your Other Teeth?

Long story short, the answer is no. I know the timing can correlate together, however, the wisdom teeth do not push all the other teeth forward as they are making their way in. Either they have room to come in or they don’t. A study was done and published in The Scientific World Journal that included patients with impacted (teeth under the gums), erupted (teeth in the mouth), extracted, or congenitally missing wisdom teeth. These studies included cross-sectional and longitudinal, and there was no difference between the two groups. What this means is whether someone ever had wisdom teeth form, they still noticed crowding and that these teeth are not the cause.

What Causes the Crowding?

As we age, our mandible continues to grow. Have you ever noticed an older person with larger ears and nose? This is because they also continue to grow as our jaw does. Have you also noticed how older people have a pointier chin and crowded teeth in the front? I know, I know, no you are thinking ages 17-22 is not old. That is correct. Our jaw goes through growth spurts just like the rest of our body. Ages 17-22 is one of those times. Therefore, more people will notice the teeth beginning to crowd at that age. For some it’s later, everyone is different. Another study was done following patients for 12 years after their braces came off. The study found that after just 10 years of removal of all retention (permanent or removable retainers no longer being used), more than 70% were classified as showing moderate to severe crowding.

How Can This Crowding Be Prevented?

The ultimate way to prevent teeth from crowding is a retainer. This is recommended whether a patient has had braces or not. Permanent retainers are most common for post ortho patients, while removable retainers are great for those who have never had retainers. Crowding is not just a cosmetic concern but also puts a patient at risk for gum disease. Crowding makes it much harder to keep the teeth clean, therefore infecting the gums as well. Orthodontics, or braces, are the only way to correct the crowding and are a great option to consider. If you are concerned about your teeth shifting, contact us today for a consultation on retainers, Invisalign or options for orthodontics.

Dental Anxiety

DR. RUDI AS-SANIE, D.D.S.

Dental Anxiety

Have you avoided the dentist due to anxiety? If so, you are not alone. It’s a real thing, and we know it. Believe it or not, a lot of people that work in the dental field have dental anxiety. That’s one of the reasons some of us chose the dental field to help others feel more comfortable in the dental chair because we know our own struggles. Here at Dental Reflections Dublin, we do everything we can to make you feel comfortable during treatment of any sort.

Open Communication

One of the many things we really pride ourselves on is how communicative we are with our patients. We want them to know exactly what to expect and when to expect it. This means there are no surprises during treatment. After the tooth is numb, the patient should not feel any pain during a procedure. We really take the time to address any concerns or questions a patient may have.

Options for Sedation

We offer options for different levels of sedation. If you tell us upfront you are nervous about dental procedures, the first step we recommend is nitrous oxide. You may also have heard of this as laughing gas. It doesn’t really make you laugh, so don’t worry. It just makes you feel good and happy. You are still awake and aware of what is going on; you just care a whole lot less. Ultimately, it helps you to relax. You can drive yourself to and from your appointment since the nitrous oxide will be completely out of your system when you leave. If you feel like the nitrous won’t be enough, we can prescribe Valium in addition. This will require a driver. It is that extra step to really get you relaxed before you even sit in the dental chair. Trust us, we have heard it all. Even patients driving to the dentist but too scared to come in from the parking lot, so they change their minds and turn around. Valium is taken the night before and the morning of your appointment to really help you settle before you come in. Plus, you’ll have that extra support system of a driver to help you.

Whatever your needs are, we can help. We will find what works for you. We have held patients’ hands, wiped their tears, and been there for them through and through. We ultimately want you to get the dental care you need and deserve and are willing to go that extra mile to help you get there.

Sip All Day, Get Decay

DR. RUDI AS-SANIE, D.D.S.

Sip All Day, Get Decay

You may have already heard of this little saying, but it truly means a lot in dentistry. We preach it and we try to practice it daily. We’re not going to lie, the busier we are, the more we may find ourselves trying to sip on that morning coffee we didn’t get to finish because our day started out full speed. It’s all about planning ahead and setting yourself, well your teeth, up for success. In this article, we discuss the meaning behind, “Sip All Day, Get Decay” saying.

Choices

Each day when we wake up, we have so many choices to make. What outfit are we going to wear? How will we style our hair? What’s for breakfast? What will we drink with breakfast? Keywords: drink WITH breakfast. Drinking acidic or more sugary beverages isn’t as bad when you actually have them with meals. Food we consume actually helps to buffer the acids from the drinks we have. For example, if you are eating scrambled eggs with cheese but drinking coffee, the eggs and cheese will help neutralize the acidity in your mouth to help prevent cavities and tooth decay. Now, if you are having a granola bar and coffee on the way to work, it is going to be best to drink lots of water when you are done and even brush or use a fluoride rinse if possible.

Frequency is Key

It’s not about the amount consumed but more about frequency. For example, you can drink a 16-ounce energy drink in 5 minutes and it is better for your teeth than sipping it over an hour-long period. After each sip of a sugary drink, it takes the mouth 20 minutes to buffer the acids which means if you take a drink every 5-10 minutes for an hour, there is no way for your mouth to catch up on buffering those acids which in turn, highly increases your risk of getting cavities. These are the type of cavities we see in between the teeth (flossing cavities where the sugars settle) or along the sides of the teeth. It is best to drink water between sips of these types of beverages to act as a cleansing agent to the teeth. Sugary, acidic drinks include basically anything except water, white milk and some hot teas which are more neutral. Even diet or flavored waters with zero sugar are very acidic to drink throughout the day. It is best to drink water between meals and limit sugary drinks to mealtimes.

Prevent Tooth Decay

We know everyone is not going to be perfect when it comes to sipping non-water drinks throughout the day. Again, it comes down to how often are you doing it? Every day or once or twice a week for a couple of hours a day vs. all day. At Dental Reflections Dublin, we just want to give our patients the proper tools and knowledge they need to keep the cavity bugs at bay and prevent tooth decay. For more tips on dentistry or to schedule an appointment, contact us today.

National Dental Hygiene Month

DR. RUDI AS-SANIE, D.D.S.

October is National Dental Hygiene Month which means we are talking about all things preventative care. This includes your toothbrush, toothpaste, floss, floss picks, tongue scraper, mouthwash and more. Dental Hygienists pride themselves on oral hygiene instruction so we want to share with you what they share with their patients on a daily basis.

Oral Health Care Routine

Did you know spending just about 5 minutes a day can save you hundreds upon thousands of dollars over the years? That’s right – if you set aside 2 minutes, twice a day to brush and about a minute for some floss and mouthwash – you will be doing yourself a huge favor. This routine ensures the best preventive dental care you can give your teeth and gums, keeping them healthy and preventing the need for fillings, crowns and gum treatments. Did you know more people lose their teeth due to gum disease than cavities? Yes, it’s true, you can lose all of your teeth without ever having a cavity in your life.

Why You Need to Brush and Floss

Most people don’t realize the importance of flossing. It’s actually just as important if not MORE important than brushing. Foods we eat can help remove the plaque from our teeth as we chew and mash our food up. There is no physical way to clean out the plaque, bacteria and food particles that settle UNDER the gumline other than flossing. We aren’t talking about a Waterpik or toothpicks. We are talking about that good ol’ fashioned piece of string you wrap around your fingers and use in the mouth. Here are some tips on proper brushing and flossing techniques.

Brushing 101

You can brush for 10 minutes and miss the gumline. Keeping the teeth clean is all about technique, not the brand of toothbrush or flavor of toothpaste you are using. It is critical to use the proper technique to remove plaque most effectively. It’s like getting the most bang for your buck. Make those 2 minutes count and angle that toothbrush at a 45-degree angle near the gum line. Look in the mirror and see your bristles getting up by your gums where your teeth touch them. This is where the plaque settles. Go in a circular motion while using overlapping strokes. Go over the same areas more than once. Plaque forms on the teeth in layers so one swipe doesn’t do the trick. You need to go over the same areas multiple times to get all the layers.

Flossing

Flossing is a whole other challenge. We get it, it’s a pain. The key is – get a piece from about your fingertips to shoulder when your arm is straight out. Then wrap the floss around your middle fingers, evenly on each side until you have about 6 inches remaining in between the 2 fingers. Now use your thumbs and index fingers to actually slide the floss in between the teeth. You should only have about an inch when you place your thumbs together to insert the floss between the teeth. Once you are in between, angle side to side in a “C” shape motion hugging each side of the teeth to ensure plaque removal. Get down to the base of the gumline. This takes practice, but practice makes perfect!

No matter what other additional aids you are using from a daily mouthwash, tongue scraper, soft picks for in between meals or a Waterpik, you will make your hygienist proud and your teeth will thank you. Remember, just 5 minutes a day, to keep the cavity bugs away. For family dentistry in Dublin, Ohio, contact us today!

Wisdom Teeth: To Keep or Not to Keep???

DR. RUDI AS-SANIE, D.D.S.

Wisdom Teeth: To Keep or Not to Keep?

Everyone always dreads the recommendation of getting their wisdom teeth out. But why? Well let’s face it, no one likes to have surgery or be put under. The only part of that the general public enjoys is watching videos of people coming out of their anesthesia. The real question is: why do some people get to keep their wisdom teeth, and others don’t? What happens if my dentist tells me to get them out and I don’t? Believe it or not, we recommend things for a reason. We are all about PREVENTATIVE dental care which means prevent something wrong before it happens. Here’s the scoop on those “extra teeth” we don’t really need.

What happens if I don’t get them out?

If your dentist is recommending the wisdom teeth come out, you really should get them out. We typically address the wisdom teeth around junior/senior year of high school, or age 17-18. This is when we have a good idea of whether or not a person has room for them or not. We take a panoramic x-ray that circles around your head and shows us all your teeth, including the roots and surrounding bone. This shows us how many wisdom teeth there are and if the roots are developed enough to have them extracted and if the patient does, in fact, have enough room to keep them. Some patients only have one wisdom tooth or none (lucky!!). We have seen some with 8. That’s right, and they grew two sets.

What Age Should You Remove Your Wisdom Teeth

The younger the wisdom teeth come out, the better. The bone is more flexible, and the healing time is faster. Delaying having them out can cause cysts to develop around the teeth, leading to infections and more invasive surgeries. We have seen it: 25-year-old male presents with pain on the lower left. We had recommended the wisdom teeth come out at age 18 due to shortage of space.

A Patient Who Didn’t Get Their Wisdom Teeth Removed

All four teeth were impacted (under the gums). The patient developed a cyst on the lower left wisdom tooth and was referred to the oral surgeon immediately. The bone had to be scraped out under the tooth and sent in for a biopsy. The extra scraping or debriding, along with the biopsy bill, led to the patient having a much longer recovery and more out of pocket costs. Thankfully the cyst was benign, and no further action had to be taken. Thank goodness this was caught early because if left untreated, could have caused a hold in the jaw. The risks of surgery highly outweigh, keeping them, and not being able to predict what the future holds. If they do happen to come in the mouth, we typically see gum problems and cavities develop due to hard to access areas.

Why do some people have a room and get to keep them?

Like we said earlier, every single patient is different. Some people have large mouths, and the gum tissue is healthy around the wisdom teeth, and they can keep them super clean. We also see a lot of cases where a patient had 4 teeth out for braces due to crowding, but later grew and had room for the wisdom teeth to come in and stay. Trust us when we say this: If we truly believe you have room to keep the teeth and keep them healthy and predict they will not cause issues down the road; we will absolutely recommend keeping them. The thing is, the average person, unfortunately, does not have room and needs to get them out.

At Dental Reflections Dublin, we typically refer all of our wisdom teeth extractions to an oral surgeon, who specializes in removing these types of teeth. Wisdom teeth can be unpredictable and come in different sizes and shapes, so we feel most comfortable with our patients in the hands of a surgeon, who extract teeth all day long. Recovery is the same whether having one or four removed at the same time, so we recommend all 4 to keep it to one procedure. An oral surgeon can address any questions or concerns you may have about recovery, sedation options, and the procedure itself.

Be “Teeth Ready” for Back to School

teeth ready for back to school - dental reflections dublin

DR. RUDI AS-SANIE, D.D.S.

Be “Teeth Ready” for Back to School

Back to school is approaching fast and we want to give you the best tips to keep your child’s teeth healthy. First things first – get their checkup visit in before school starts! You want to be sure they don’t have any active decay or cavities in their mouth! According to the CDC, about 1 of 5 (20%) children aged 5 to 11 years have at least one untreated decayed tooth. The issue seen here is studies also show that children with active decay have issues with eating, speaking, playing and learning while at school. This is why preventative dental care is so important.

Check-up Visit

At your child’s checkup visit to the dentist, we can offer services that get them back to school ready. We assess their need for sealants to prevent cavities, apply a fluoride treatment to strengthen the enamel, and give tips on nutrition and brushing and flossing. We emphasize the importance of brushing twice a day for two minutes. We apply a disclosing solution to highlight missed areas while brushing so they know where to focus at home to effectively remove all the plaque. We also give them the tools they need if they are in braces to properly care for their teeth while at school which is a necessity.

Healthy School Lunches

This is a big one. Fill your child’s lunchbox with foods high in fiber, rich in fresh fruits and vegetables and even nuts and cheeses. These are all teeth-friendly and help promote a healthy pH in the mouth to prevent cavities. Avoid juices, sodas, sports drinks, dried fruits, fruit snacks and any other sticky, high sugar foods. Water and milk are best to drink. Pretzels and chips aren’t the best for the teeth, but other healthy choices listed above can offset and help remove the particles from the teeth better. They also dissolve more with saliva alone as compared with sticky, high sugar foods.

Vending Machines

This is another tough one. Vending machines are slowly improving but we aren’t there yet. Vending machine foods are filled with preservatives. Avoid candy bars, chips, sports drinks, energy drinks or soda. Sipping on anything but water throughout the day can significantly increase a child’s risk for decay. We see it all the time. Propel has water with electrolytes that is safe to drink with no added sugars or sweeteners. Other brands are coming out with their own versions as well.

Sports Mouthguard

Finally, it is important to protect your child’s teeth during any physical contact sport. This includes but is not limited to lacrosse, basketball, football, wrestling, and hockey. More and more schools are making this a requirement and make it a must that the guard be colored so the coach can see it in the mouth. A custom sports guard is well worth the money and protection, still allowing your child to talk and play as they normally would during a game vs. walking in our doors with a tooth in their hand. (Yes, we have seen it).

Whatever your dental needs are for your children, we can help! Call us today at Dental Reflections Dublin to schedule your child’s dental appointment and we will be sure they are back to school ready!!