Crowns for Baby Teeth

February is the official National Children's Dental Health Month, as recognized by the ADA. Thousand Oaks Family Dentistry will be rolling out weekly topics relating to pediatric dentistry all month long. Make sure to check back regularly to catch all the great information. 

In some ways, baby teeth aren't that different from their permanent counterparts. When a cavity gets big enough and weakens the overall tooth structure, a crown is often the recommended treatment. However, there are some fundamental differences between the crowns placed on the primary and adult teeth. Read on to catch the full story!

For starters, baby tooth crowns are not made by a dental lab. They usually come from a set of prefabricated stainless steel or polycarbonate crowns that can be adjusted and cut to fit the prepared tooth. For young children, a precise fit between tooth and crown isn't as important as getting something to cover/protect the tooth and minimizing time in the dental chair. In areas where cosmetics may be a concern, "strip" crowns can be used. Here, a clear shell is placed over the tooth and filled with tooth colored filling material. After the material is set, the shell is "stripped" away, leaving behind a natural appearing restoration. 

Many times, a crown on a baby tooth is provided in conjunction with a procedure called a pulpotomy. This is done when a cavity reaches the nerve of a tooth and causes irreversible inflammation. The dentist will remove the inflamed nerve tissue and place a medicated filling before cementing the crown. Many times it is difficult to judge wether a tooth will need a filling, crown and/or pulpotomy before beginning treatment. Don't be surprised if the plan has to change on the fly. 

We typically refer our young patients to pediatric dentists to have crowns placed. The training and expertise of these specialists make the appointments easier and less traumatic for little ones. If you would like to know more about baby tooth crowns, fillings for kids, or any other oral health topics, please give our office a call!

CariFree Rinse and MI Paste

    For the majority of our patients, standard home dental maintenance is sufficient to maintain strong, healthy teeth. Unfortunately, some individuals are always battling tooth decay and cavities, no matter how diligently they floss and brush. Modern dental research has given rise to a number of great products that can help these patients in a safe and predictable manner. At our office, we have two great solutions that can add extra power to your daily routine- Carifree CTx3 Rinse and MI Paste.

    Before we explain how these products work, let’s do a quick review of the anatomy of tooth decay:

      1) Your teeth are made of calcium and phosphate

      2) Acid erodes tooth structure, which releases the calcium and phosphate

      3) Acid can arise from food, bacteria eating food, medication or other body systems

      4) Your saliva can help remineralize tooth structure, but only if the mouth isn’t acidic AND there is enough saliva present (i.e. not dry mouth)

      5) Certain compounds, such as fluoride, can encourage and promote your teeth to take in more calcium and phosphate, above what your saliva does.

With all this in mind, lets take a look at how these wonderful products can help mitigate further degradation of tooth structure!

    Carifree CTx3 Rinse is a “mouthwash” type product that you use once a day before going to bed. While your mouth becomes dried out during the night, CTx3 rinse provides a whole spectrum of benefits to combat potential decay. Firstly, it’s pH neutral formula prevents extreme acidic events. Essentially, your mouth is protected from a low pH environment, which can soften tooth structure and erode enamel. Secondly, it contains a therapeutic dose of xylitol, a natural plant derived sugar. When your mouth bacteria metabolize xylitol, their acid production is limited or stopped. Additionally, xylitol can stimulate saliva flow, which is excellent for combatting almost every facet of decay. Finally, the CTx3 contains fluoride, a carrier ion that helps calcium phosphate integrate and remineralize existing tooth structure.

    MI Paste is a “toothpaste” like cream that is applied to the teeth right before bedtime. This product utilizes a patented form of bio-available calcium phosphate called Recaldent. It is purified from dairy products (but contains almost no lactose) and is identical to the calcium phosphate that makes up your teeth. The idea behind MI Paste is that by saturating the teeth in the building blocks for remineralization, enamel can repair itself faster and more efficiently. On top of preventing tooth decay, this paste is excellent at minimizing whitening sensitivity. By giving tooth enamel extra fortification, the microtubules within teeth are less susceptible to conduct sensitivity.

    Whether you prefer a rinse or paste, CTx3 and MI Paste are great products. Both are made in a number of flavors and are available at our office. Remember, length of exposure is key to both of these product’s success. Do not eat, drink or rinse after applying either; let them sit on your teeth overnight. If you have any questions on these products, how they are used, or who might benefit from them, do not hesitate to contact our office. We want your mouth to be happy and healthy, and have a number of great products to get you there!

CAMBRA and Preventative Dentistry

    At Thousand Oaks Family Dentistry, we tend to ask a lot of questions. Some of them are are expected (“Do you floss regularly?”), while others (“What type of water do you drink?/Do you chew gum?”) might raise some confusion. While our investigations might seem slightly tedious, they are critical to our practice philosophy and how we treat our patients. These questions are part of a revolutionary preventative dentistry strategy known as CAMBRA.

    CAMBRA, or Caries (cavity) Management By Risk Assessment is a series of weighted factors and criteria that allow dentists to quickly and effectively determine tooth decay risk. By going over your dietary habits, home care techniques and medical history, we can obtain an accurate picture of how your tooth decay will progress (or continue to stay static) in the coming years. While this isn’t a “crystal ball” looking into your smile’s future, it is the best marker we have at determining your unique oral health situation.

    This screening technique relies on a simple thought process: if your habits and lifestyle lend themselves to an acidic, dry or bacteria prone mouth environment, then you will be at a greater risk for tooth decay. While this may seem obvious, what CAMBRA does is determine which factors are the most destructive, which ones can be “treated” and which ones are based on habits or lifestyle. Using this information, we can help our patients better manage their tooth decay, ultimately resulting in fewer office visits, fillings and incidences of dental discomfort.

Once we have determined your risk for tooth decay, we can make recommend products that can help you better manage your unique risks. One of these great products is Carifree Ctx3. This mouthwash-like rinse combines pH neutralization (to minimize mouth acidity), fluoride (to rebuild enamel) and xylitol (to naturally inhibit acid-producing bacteria). We love this rinse because it targets three of the decay cornerstones outlined in CAMBRA in an easy and convenient delivery method.

    Here is an example of how CAMBRA works: A 24 year old male comes in with and is diagnosed with a cavity on one of his molars. We go over his medical history and see he is taking medications that cause dry mouth. When discussing his eating habits, we find that he is a frequent snacker and enjoys sticky, processed foods. Finally, we note that he almost exclusively drinks bottled water and sports drinks. Using CAMBRA, we can determine that his tooth decay risk is likely caused by his medication and eating/drinking habits. We then recommend that he considers cutting back on snacking and sticking to 3 meals a day, stops drinking sports drinks (when not necessary) and starts drinking more filtered water, to both counteract the dryness caused by his medication and add fluoride exposure. While we will still need to treat his current tooth decay, we have now given him the knowledge and tools to better manage his oral care in the future.

    At our office, we treat every patient as a unique individual with unique needs. This is why CAMBRA fits so well with how we perform dentistry. It is not a one-size-fits-all approach, but rather a dynamic diagnosing tool that flexes with you. We are proud to operate our office on the CAMBRA model, and are incredibly satisfied with the results our patients have seen!