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It Starts Before They Are Born

November 9, 2011

Filed under: Uncategorized — Tags: , , , — Dr. J. Peter St. Clair, DMD @ 10:41 am

Research shows that babies are born without any harmful bacteria in their mouths. However, once bacteria colonize in the mouth, children are more prone to cavities in their baby teeth and permanent teeth. How do they get the bacteria? Caregivers.
Most parents don’t know that they can pass harmful bacteria from their mouth to their baby’s mouth. The most critical time is during the child’s first 2 and one-half years of life. Most children are born without a single tooth. Can bacteria passed to children without teeth affect their decay potential for their whole life? According to research the answer is yes.
Here’s a shocker…..If you have a history of poor oral health, including many fillings in your mouth, you are much more likely to transfer these harmful bacteria to children. How? Typically, this takes place through common parental or caregiver behaviors such as sharing utensils or cleaning a baby’s pacifier with your own saliva.
Prevention starts as early as 6 months into a pregnancy. Research shows that expectant mothers who chewed gum containing the sweetener xylitol are much less likely to have decay-causing bacteria in their saliva. So, take-home point number one is, it is essential for expectant parents and caregivers to keep their own mouths healthy. If you reduce the bacterial levels in your own mouth you are not only benefiting yourself but also that of your unborn child. Visiting a dentist regularly, even more often when you are pregnant, improving your homecare, and using products that specifically reduce bacteria, are all essential.
Your baby is born, now what? First, eliminate as many potential ways of transferring saliva to your baby. Do not share utensils or let grandma or grandpa lick a cloth to clean around a baby’s mouth. Wiping your baby’s gums with a clean cloth after meals is also good practice to help reduce bacterial levels.
Once a child starts getting teeth, diet plays a significantly greater role. Minimizing snacks and drinks with fermentable sugars is key. This starts with the bottle. Bottle syndrome, also known as baby bottle tooth decay, occurs when teeth become exposed, at length and frequently, to liquids containing a form of sugar. All liquids that contain sugar can cause bottle syndrome, including breast and cow’s milk (which contain the sugar lactose), formula, fruit juice (which contains the sugar fructose), soda and other sweetened drinks. It is caused by the constant presence of milk, formula, or fruit juice in a child’s mouth during the night, during breastfeeding, during naps, or for extended periods during the day. The liquid pools around the teeth and gums, providing food for the bacteria in plaque. The bacteria produce acid as a byproduct when they consume the sugar. This acid attacks your child’s teeth and causes decay.
When your child feels comfortable with a toothbrush, brush their teeth and gums twice a day with an extra-soft toothbrush. Use a pea-sized amount of toothpaste without fluoride until your child is old enough to spit. If your child doesn’t like toothpaste, it’s fine to brush without it.
Prevention starts before babies are born. It starts with taking care of your own mouth. Visit your dentist regularly.

Google YOUR Dentist

November 7, 2011

Filed under: Uncategorized — Tags: , , , — Dr. J. Peter St. Clair, DMD @ 11:08 am

It amazes me how far technology has come in the course of my lifetime. To think that I made it through my whole educational career without a cell phone and without the use of the internet is mind-boggling. I also never thought that my children would get to the point where I was asking them how to do things.
For many of us, technology consumes us. I spilled coffee on my cell phone this past weekend and spent the better part of a gorgeous day running around trying to replace it. I felt like I couldn’t live without it. Another morning this week my website was down and I could not post some new information on it. I panicked and spent over an hour on the phone with tech support trying to resolve the issue.
Technology is not going anywhere. In fact, it seems like it gets more and more complicated every day. I feel like I can’t keep up. Do we really need to keep up? I guess that depends on the individual.
One of the simplest forms of technology is the use of Google. You can Google anything and have an unlimited source of information instantly at your fingertips. However, just like listening to the news, it is up to the viewer to decide how to use the information. Much of the data we hear on the news or view on our computer is distorted somehow or other.
In my world, Google has replaced the phonebook. I can’t remember the last time I looked in a phonebook. Other than finding someone’s local phone number, the phonebook has very limited information. Today, if I am looking for a service and have not had a personal referral from someone I trust, I “Google it”. Even if I had a personal referral, I do my research on the computer.
Need a dentist? Google it!! As I have said in previous columns, a personal referral is usually the most reliable way to find a dentist, but just because your friend likes the dentist doesn’t necessarily mean you will. Do your own research. Most dentists have a website. You can learn a lot from a website and it is just that much more information to help you make your decision.
One of the more recent additions to the digital world is the use of reviews. Reviews are comments written by individuals on various products and services. Google has its own review system and there are many more out there including Yelp, Trip Advisor, Citysearch and AngiesList. Although reviews can be helpful, they should be used to get a flavor of what other people are saying about a product or service. Every product or service should have good and bad reviews: that is reality.
In the dental world, many dentists, including myself, use a service to collect reviews from patients. In my office, an e-mail is automatically generated and sent after appointments. It gives people the option of writing a review about their appointment or our office. These reviews are then published to the web as well as evaluated by my staff to help improve the service we provide.
No matter what you are looking for, there are people out there in cyberspace who have commented on it. Take them for what they are worth, but I think they are helpful.

Is Dentistry Becoming a Commodity?

November 3, 2011

Filed under: Uncategorized — Tags: , , , — Dr. J. Peter St. Clair, DMD @ 5:46 pm

There was a time when it would have been unusual to see an “advertisement” for a health care professional. In dentistry, dentists used to be able to hang out a shingle and patients would come. Today, it is the opposite. We are bombarded with advertising and it is very rare to see a “from scratch” practice open.
Times change, and that is okay. My concern is that dentistry and the dental profession are moving towards a more commodity-based service and away from a relationship-based, well-respected profession.
It used to be that dentists were among the most respected professionals. Dentists always received high marks for honesty, including high ethical standards, and trust. Today, those numbers are dwindling. In our newer consumer-driven society, the dental professional is seen by more as a provider of goods and services rather than as a health professional attempting to build long-term relationships with patients.
Technology is partly to blame for this. Technology is the step forward in dentistry. Today we have the ability to use better materials that are prettier and faster to deliver. However, these same improvements in dentistry are also being used as marketing tactics for dentists. Advertisements, in print, radio, television and the internet for specific procedures are driving the profession to a more commodity-based service.
Low-cost dentures, same-day crowns, and discounts for specific procedures such as Lumineers or veneers are among those things being advertised. When is the last time you saw an advertisement that touted building a relationship based on mutual respect and trust? It is my opinion that we are headed in the wrong direction.
Dentists are small business people. We need to have a healthy business to continue to provide quality care. However, most of the things that are marketed to us have to do with how to run a business or how to perform more procedures in less time that result in greater profits. Rarely do we receive materials that promote learning how to help us better meet our patient’s needs and build relationships. It is up to us as individual dentists to maintain a proper balance between providing ethical treatment and the “selling” of our services.
Dentists and other health care professionals require an accumulation of a large amount of knowledge, extensive institutional and clinical training, and testing of competency and skills. It is with all of this training that we are then obligated to follow a certain code which in part reads, “The Association (ADA) believes that dentists should possess not only knowledge, skill and technical competence but also those traits of character that foster adherence to ethical principles.” The term “profit” is not mentioned anywhere in the code.
As I stated earlier, dentists are small business owners and need to make a profit for us to survive. However, we need to work harder to maintain a balance between potential financial rewards and professional and ethical care. Only doing what is in the best interest of our patients will move us in the right direction.

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