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You’ve always taken care of your child’s smile. You make sure thorough brushing and flossing take place twice a day. You serve foods high in vitamins and minerals and low in sugar. You make and keep regular dental appointments at our Bloomington, IN office. But even with the best dental routines, sometimes conditions can occur that will require additional professional care.

One of these conditions can affect your child’s enamel while the tooth is still forming. When baby teeth or adult teeth appear, you might notice white, creamy yellow, or brown spots in otherwise healthy-looking enamel. These spots are softer and rougher than normal hard, smooth enamel. Because of their texture and color, such teeth are often referred to as “chalky teeth,” but this condition is actually known as enamel hypomineralization.

What is hypomineralization?

Enamel is the strongest substance in our bodies—stronger even than bones. Enamel is largely composed of minerals. If something disrupts the process of enamel development in baby or adult teeth, the result can be abnormally low mineral content in the enamel. This leaves teeth weaker and more likely to suffer decay and damage.

Premature birth, low birth weight, and other pre-natal factors have been suggested as risk factors for hypomineralization in primary teeth enamel. Permanent teeth can be vulnerable to this condition as well. Adult teeth are forming in young children well before they make an appearance. It’s been suggested that certain early childhood factors, such as recurring high fevers, some diseases, even specific antibiotics, can interrupt the formation of the enamel and lead to hypomineralization of adult teeth.

What are the results of enamel hypomineralization?

Children with this condition are much more likely to experience rapid tooth decay because of their weaker, more porous enamel, especially in the molars. Further, they tend not to respond as well to the numbing effects of local dental anesthetics, while their teeth tend to be more sensitive to pain. Cases can be mild, moderate, or severe. In severe cases, teeth might require crowns or possibly extractions, but even mild discoloration and other cosmetic problems can lead to self-consciousness in your child.

How can we help?

Catching this condition early is very important. If your child has had any medical conditions that might affect tooth development, let Drs. Matthew Pierce and Owais Sultan know even before that first tooth comes in. If you notice anything unusual about a new baby or adult tooth, give us a call. For primary or permanent teeth, the sooner we can begin treatment, the better the long-term outlook.

We might suggest fluoride applications or desensitizing treatments. We can apply sealants to reduce the risk of cavities, and use bonding to restore discolored or weak patches in the tooth. Both of these methods have greater success if the enamel near the affected area is in good condition, so early treatment is vital. If teeth require more protection, crowns are often the best choice. We will design a treatment program to suit your child’s individual needs now and for the future.

How can you help?

Dental hygiene is important for every child, but especially for a child with weak and porous enamel. Because children with hypomineralized enamel develop cavities more quickly that those with strong enamel, it is very important to watch your child’s diet and keep to a regular, careful, and thorough routine of brushing and flossing at home. Be attentive to any sensitivity problems, and be sure to follow any suggestions we might have for strengthening enamel.

Remember, early diagnosis and treatment is always best! If at any time you notice chalky patches, or have any other concerns about the appearance of your child’s teeth, if they seem to be causing your child pain or are unusually sensitive, call Drs. Matthew Pierce and Owais Sultan immediately. We want to work with you to treat any current problems and to prevent new ones.

Today, Drs. Matthew Pierce and Owais Sultan and our team at Watkins Family Dental Care thought we would talk about mouthguards, what they are, where to get them, and when to use them.

Q: What is a mouthguard?

A: A mouthguard, which is made of soft plastic, is a flexible, removable device that fits in your mouth and is adapted to fit comfortably to the shape of your upper teeth. A mouthguard will protect not only the teeth, but also your jaws, lips, tongue, cheeks, and gums, and should be worn anytime you are participating in full-contact athletic or recreational activities that may result in injury.

Q: How do mouthguards work? Why are mouthguards important?

A: A mouthguard works as a shock absorber to cushion your mouth from the effects of a blow to the face, head, or neck. Mouthguards protect teeth from not only fractures, but also hold the tongue, lips, and cheeks away from the teeth to avoid lacerations. Using a mouthguard as instructed by Drs. Matthew Pierce and Owais Sultan can lessen the possibility of concussion and temporomandibular joint (TMJ) dislocation while you are out on the court or field. Increasingly, organized sports are requiring mouthguards to prevent injury to athletes, and research shows most mouth injuries occur when athletes are not wearing mouth protection.

Q: When should I wear a mouthguard?

A: Whenever you are participating in an activity that involves a risk of falling or head contact with other players. This includes football, baseball, basketball, soccer, hockey, and other competitive sports.

Q: How do I choose a mouthguard?

A: Drs. Matthew Pierce and Owais Sultan and our team encourage you to choose a mouthguard that you can wear comfortably. There are several options of mouthguards you may choose from. First, preformed or what we call “boil-to-fit” mouthguards are found in sports stores. But your best choice is asking us for one during your next visit as we can fabricate a custom mouthguard for you at our Bloomington, IN office. A custom mouthguard will be more comfortable to wear and more effective in preventing injuries.

If you have any additional questions about mouthguards, please give us a call or ask us during your next visit!

You can improve your oral health with CEREC, the most technically advanced tooth restoration method available today. Broken, worn, decayed, misshapen, or otherwise damaged teeth do not function well and are difficult to clean. This means imperfect teeth do more than ruin your smile; even one bad tooth can negatively affect your oral health.

If you are like millions of people with broken, slightly crooked, or misshapen teeth, you have a hard time cleaning in all the nooks and crannies around these teeth. This leaves these areas vulnerable to buildup of bacteria and plaque that can lead to painful gum infections and tooth decay.

Dentists often perform dental restorations, using synthetic materials to create crowns and fillings that restore the tooth’s shape and size, strength, and improve its appearance. Dental restoration reduces those hard-to-clean nooks and crannies, making it easier for you to maintain good oral hygiene. Dental crowns can even protect a tooth from further decay, halting oral disease in its tracks.

CEREC® to Improve Your Oral Health

CEREC is one of the most revolutionary ideas in dental restorations that improve oral health. CEREC is an acronym, short for CEramic REConstruction. The system uses a special camera, computer, and an in-office milling machine to create restorative pieces in just one office visit.

To use the CEREC system, Drs. Matthew Pierce and Owais Sultan and our team use the camera to take a 3D picture of your teeth and mouth. The camera then sends the images to the computer, where we use the information to create your new dental crown or other restoration. The milling machine then creates the actual restoration used to restore your imperfect tooth or teeth.

Because CEREC restorations are computer generated, they fit better than traditional crowns and restorations. This superior fit leaves fewer gaps for bacteria to hide, reducing your risk for gum disease and tooth decay. Drs. Matthew Pierce and Owais Sultan can perform CEREC in just one office visit, so you never leave your teeth vulnerable to bacteria while you wait for days or weeks for your conventional crown to come back from the lab.

Make an appointment at our Bloomington, IN office today to learn how you can improve your oral health with CEREC.

If you’ve ever wondered why restorative dentistry takes so long or requires so many appointments, you’ll be pleased to learn about CEREC, or Chairside Economical Restoration of Esthetic Ceramics, also known as CEramic REstoration. This high-tech approach can get you finished with your treatment in a single dental visit at our Bloomington, IN office. This is what you should know about the CEREC treatment process.

You get digital impressions with CEREC.

CEREC is a type of computer-aided design and computer-aided manufacturing (CAD/CAM) dentistry. Drs. Matthew Pierce and Owais Sultan and our team will prepare your tooth and then take a digital image using specialized equipment and software. Next, the onlay, crown, or other restorative device is manufactured on-site. Since the process is digitalized, it’s comfortable and accurate.

Treatment only takes a single visit.

Nobody likes going to the dentist multiple times for a single problem. Among the most inconvenient parts about getting a crown is needing two appointments. During the first visit, you not only need to have a mold taken, which is uncomfortable enough in itself. You also need to have a temporary crown put on the tooth and hope that it lasts, without much discomfort, until your second visit.

With CEREC, the digital impression is used to quickly produce your final crown on-site. That means we can apply your crown and you’ll be ready to go. You don’t need to return for a second appointment in a few weeks.

CEREC materials are made of porcelain or ceramics.

Some crowns, bridges, and fillings are made of metal. While lead-free metals can be safe, silver and gold-colored objects in your mouth aren’t attractive. CEREC crowns and bridges are made of ceramic, and fillings are porcelain. They are closer to the natural color of your teeth. In addition, porcelain fillings can be more durable than composite ones.

CEREC lets you avoid multiple trips to the dentist, and it can also give better results. Ask Drs. Matthew Pierce and Owais Sultan about CEREC to find out whether it is an option for you.