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Many parents have concerns about their children’s teeth not falling out on time. Dr. Kelly Peterson and our team are here to answer any questions parents may have about when children lose their teeth.

Children have 20 primary teeth that come in around age three. By about age six, these teeth will loosen and begin to fall out on their own to make room for the permanent ones. It is common for girls to lose their baby teeth earlier than boys. Most children lose their final baby tooth by age 13.

Baby teeth normally fall out in the order in which they came in. The lower center incisors are usually the first to fall, around age six or seven, followed by the upper central incisors.

If a child loses a tooth to decay or an accident, the permanent tooth may come in too early and take a crooked position due to teeth crowding. If your child loses a tooth to decay or accident, call Dr. Kelly Peterson to make an appointment.

Some kids can’t wait for their baby teeth to fall out, while others dread the thought of losing a tooth. When your child begins to lose teeth, you should emphasize the importance of proper dental care on a daily basis to promote a healthy mouth.

Remember to:

• Remind your child to brush his or her teeth at least twice a day and offer assistance if needed
• Help your child floss at bedtime
• Limit eating and drinking between meals and at bedtime, especially sugary treats and drinks
• Schedule regular dental visits for your child every six months.
• Ask about the use of fluoride treatments and dental sealants to help prevent tooth decay.

Call Northwest Smile Design to learn more about caring for baby teeth or to schedule an appointment at our Marysville, WA office!

One of the most common clues that you might have anemia is found in your smile. If you’ve noticed that your gums are suddenly paler than they used to be, it could be a sign that you’re anemic. What does this mean for your general health—and your oral health?

There are several types of anemia, which have can be caused by different medical conditions and which can cause different symptoms. The most common form of anemia, and one of the most easily treated, is iron-deficiency anemia.

Iron is essential to our health. Why? It’s all about the red blood cells. First, some biology.

Every cell in your body needs energy to live and to function. Cells get this energy from the foods we eat, which are broken down into a simple sugar called glucose. Glucose molecules are transported by our blood cells to reach all parts of the body. But that’s only the first step.

Energy is released into the cells when the chemical bonds holding glucose molecules together are broken. And this requires oxygen. Once inside our cells, glucose and oxygen react, breaking the chemical bonds of the glucose molecules, reconfiguring their atoms to create carbon dioxide and water byproducts—and releasing energy into a form your cells can use.

So, how do we move this oxygen from our lungs to our cells to start the process? That would be our red blood cells again. But this process can’t happen without adequate iron. More biology!

Red blood cells contain a protein called hemoglobin, and hemoglobin contains iron. In fact, well over half of the iron in our body is found in our red bloods cells. And here’s the key to iron’s importance: iron attracts oxygen molecules.

Hemoglobin picks up oxygen in our lungs and delivers it throughout the body, where it becomes glucose’s essential partner in fueling our cells. Without enough iron, your body won’t be able to create the red blood cells it needs so that all of your cells, tissues, and organs can get the oxygen they need to function efficiently.

When might you suspect that you’re anemic? Your gums, the lining of the mouth, the inside of your lower eyelids, and your skin can take on a paler hue—the classic sign of anemia. But other symptoms which you might not necessarily associate with anemia are also common, including:

• Fatigue
• Heart palpitations
• Cold hands and feet
• Dizziness
• Irritability
• Difficulty Concentrating
• Pica (the desire to eat non-food items)

And because anemia affects the whole body, your oral health isn’t immune. It’s not just a matter of pale gums. Iron deficiencies can cause:

• Sores and ulcers in the mouth
• Cracks on the sides of the mouth
• Pain, redness, and/or swelling of the tongue
• Loss of papillae (those little bumps on your tongue which hold your taste buds)
• Tooth damage caused by pica
• Dry mouth, which increases your risk for cavities, gum disease, oral infections, and bad breath

Iron-deficiency anemia can have several causes, among them insufficient iron in the diet, medical conditions which cause bleeding (such as ulcers), heavy menstruation, pregnancy, or growth spurts in children and teenagers. Treatment will depend on the cause of your anemia. It might be as simple as a change in diet or an iron supplement, or it might require further treatment options. Do consult with Dr. Kelly Peterson before taking iron supplements, as too much iron causes iron toxicity, which can be very dangerous.

If Dr. Kelly Peterson and our team suggest that you might be anemic, or if you notice changes you think might be caused by anemia, see your physician for a simple blood test. Besides iron-deficiency anemia, there are other forms of anemia and other diseases which can mimic these symptoms, so it’s important to get a doctor’s diagnosis. If you have been diagnosed with anemia, let our Marysville, WA dental team know.

One last “if”: If you do have iron-deficiency anemia, don’t delay treatment. The sooner your red bloods cells are back at their peak, the sooner you—and your gums—will be back in the pink!

Flossing is one of the most important parts of your oral care routine. Many patients know they need to do it but find it difficult to fit into their busy lives. Well, here's the good news: flossing once a day is enough if you're doing a good job!

Some patients like to brush before they floss and others like to floss before they brush. Some like to floss in the morning when they have more energy, others like to floss at night so they can go to bed with a clean mouth. Don't get hung up on any of this, the important thing is that you floss and floss effectively no matter when you do it.

Effective flossing contributes to oral health in these ways:

• It reduces the chance of cavities between teeth, since cavities can only form on teeth covered with dental plaque and you're scraping that plaque away when you floss.
• Along with brushing, it reduces the amount of time the plaque is left on your teeth, allowing them to be in a state of healing and remineralization for longer.
• It removes plaque that accumulates at or below the gum line, aiding in the prevention of gum disease.

As you can see, flossing offers many benefits for such a simple and inexpensive technique. So if you're still wondering how much to floss, don't worry about it. Don't mistake the frequency of your flossing with the effectiveness of it. Choose a dental floss that you like and one time during the day when you can floss thoroughly and just do it! If you need more tips on how to floss correctly, ask Dr. Kelly Peterson or any member of our Marysville, WA team—we'd be glad to help you pick up this healthy habit!

We’re used to seeing athletes wearing mouthguards at practice or play, because dental trauma is one of the most common (and predictable) sports injuries. But it’s not just athletes who are at risk, and there are some events in our daily lives that we just can’t predict. Car accidents, falls, workplace injuries, even innocent playground structures can take their toll on our smiles.

A major chip or a crack in your tooth is upsetting enough, and should be seen by Dr. Kelly Peterson as soon as possible. It’s even more unnerving when a tooth is knocked out completely. The technical term for a tooth which has been knocked out is an avulsed tooth, and it is a true dental emergency.

If you should suffer a partially or completely dislodged tooth, there is a possibility that your tooth can be reimplanted—if the damage isn’t too severe and if you get to our office immediately.

How can a lost tooth be saved? This is possible because of the complex biological engineering that anchors our teeth within the jaw. The root of a tooth is surrounded by the periodontal ligament. This connective tissue attaches the tooth to the alveolar bone of the jaw. When a tooth is knocked out, this ligament splits apart, leaving some tissue on the tooth root and some within the tooth’s socket.

To successfully reimplant a tooth, the connective tissue cells around the root of the tooth need to be vital, so that they can begin to reattach to the connective tissue left in the socket. Over time, this reattachment is complete, and the tooth becomes firmly anchored to the bone again.

It’s important to protect your tooth before you see Dr. Kelly Peterson to make sure there will be enough healthy tissue for reattachment. First of all,

• Don’t panic! If you or a friend or family member lose a tooth, call your dentist or your emergency health care provider as soon as possible. You will get specific instructions for your specific situation.

If you are unable to reach a healthcare provider immediately, there are some general rules for taking care of an avulsed tooth:

• Find the lost tooth. Don’t touch the root—use the crown, or top part of the tooth, to pick it up. You are trying to preserve and protect the connective tissue on the root surface.

• If the tooth is dirty, gently rinse it in milk, saliva, or water. Don’t wipe it off, though. You could damage those connective tissue cells mentioned above.

• Place the tooth back in the socket, if possible. Gently hold it in place with your fingers or bite down (again, gently). You can also place the tooth in your mouth next to your cheek.

• If returning the tooth to the socket is not an option, or if you are worried about a child possibly swallowing the tooth, keep the tooth moist. Whole milk or solutions sold just for the purpose of preserving an avulsed tooth are better choices than water, which damage the tissue cells on the root. And never wrap the tooth tightly—this can also damage the connective tissue.

Above all,

• Don’t delay! The faster a tooth is reimplanted in its socket, the greater chance you have of keeping it. Really, every minute counts. Reimplantations are more successful if they take place within 30 minutes. After an hour out of the mouth, your tooth’s chances of successful reintegration are lower—but still worth pursuing!

What will Dr. Kelly Peterson do?

• Evaluate the avulsed tooth.

There are variables which can affect whether or not a lost tooth is a good candidate for reimplantation. Trying to replace a baby tooth, for example, could interfere with the formation of the adult tooth. An adult tooth that is broken will probably require a different type of treatment.

• Prevent infection.

You might be given antibiotics and a referral to your medical doctor for a tetanus booster if needed.

• Clean the site.

The socket will be gently irrigated to clean the area and to remove any clots that may have formed which can interfere with the tooth’s placement.

• Recommend or perform a root canal.

Nerves and blood vessels within the tooth’s pulp generally don’t recover after a serious traumatic injury, so a root canal procedure could be necessary to preserve the health of your tooth. This procedure might be done immediately, or might be recommended for a later date.

• Stabilize your tooth.

The tooth must be stabilized after being reimplanted, so Dr. Kelly Peterson will use a splint to anchor the tooth to the teeth next to it. The splint can be flexible or rigid, depending on the condition of the alveolar bone. Splinting generally takes from two to eight weeks, and you will be given detailed instructions for taking care of the area while you heal.

Losing a tooth is an alarming experience. But with prompt action, and a trip to our Marysville, WA office, it might be possible to make that loss only a temporary one.