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Brushing: Before or after breakfast?

January 3rd, 2024

In a perfect world, we would all jump out of bed ready to greet the day with a big smile and a toothbrush close at hand to clean our teeth immediately. But if you can’t even find your toothbrush before you’ve had your first cup of coffee, does it really make a difference if you brush and floss after breakfast? Perhaps! Let’s talk biology.

Normal saliva production during the day benefits our teeth and mouths in surprising ways. Saliva washes away food particles to keep our teeth cleaner. It contains cells which combat bacteria and infection. It even provides proteins and minerals to help protect our teeth from decay. But saliva production slows dramatically as we sleep, and the amount of bacteria in our mouths increases. While one of the nasty—and obvious—side effects of bacterial growth is morning breath, there is an invisible effect, which is more harmful. Bacteria in plaque convert sugar and carbohydrates into acids which attack our gums and enamel and can lead to both gingivitis and cavities.

  • If You Brush Before Breakfast

Brushing and flossing first thing in the morning removes the plaque that has built up during the night and takes care of many of the bacteria who are ready to enjoy the sugar and carbs in that breakfast with you. If you brush before eating breakfast, rinse your mouth with water after your meal, floss if needed, and you are good to go.

  • If You Choose to Brush After Breakfast

But if you decide that doughnut simply can’t wait, you should ideally postpone brushing for 20-30 minutes after your meal. Of course, these are minutes in which bacteria can make use of those new sugars and carbohydrates. So why shouldn’t you brush immediately after eating? Many foods and beverages, especially acidic ones such as grapefruit and orange juice, can weaken the surface of your teeth. If you rinse with water after eating and wait at least 20-30 minutes before brushing, your enamel will be “remineralized” (another benefit of saliva) and ready for cleaning.

No matter if you take a “seize the day” approach and brush first thing in the morning, or a “seize the doughnut” approach and brush soon after eating, the important word here is “brushing.” Dr. Wendy Tang and Dr. Amy Bellamy and our Surrey, BC team are happy to make suggestions as to the best morning routine for you. One thing is certain: if you give your teeth and gums two minutes of careful brushing and flossing in the morning, you can’t help but start your day off right!

Anxiety, Phobia, and Fear of the Dentist

December 28th, 2023

Not many people look forward to going to the dentist, especially if you already know that you need dental work done. A small amount of anxiety is one thing, but dental phobia, or odontophobia, is something else entirely. It is an irrational fear of going to the dentist. If you have it, you might be unable to force yourself to go to the dentist, even if you are suffering from bad tooth pain. The effects of dental phobia can be serious, but there are ways to overcome your fear of the dentist to help you achieve and maintain good oral health.

Causes of Dental Phobia

You can develop dental phobia for a variety of reasons, including the following.

  • Fear of pain, which you might acquire based on others’ horror stories of their trips to the dentist.
  • Fear of needles, such as those used to provide anesthesia.
  • A previous bad experience, when something went wrong and pain was intolerable.
  • Lack of control from not knowing what is happening or how uncomfortable a procedure might be.

Consequences of Dental Phobia

Avoiding the dentist can have long-term consequences. When caught early, tooth decay is easily stopped with a minor filling. If you let the decay go, you can end up losing your tooth and have chronic pain. A dentist can also check for early signs of gum disease, which, if left untreated, could lead to losing one or more teeth.

Even if you do not have a particular problem, going to a dentist for regular cleanings is a good idea because the hygienist can point out where you need to brush better and remove the plaque from your teeth.

Getting Over Fear of the Dentist

Most patients with dental phobia can get over their condition. These are some approaches that Dr. Wendy Tang and Dr. Amy Bellamy and our team recommend:

  • Explain each step of the process
  • Let you know that you can stop the procedure at any time
  • Encourage you to come with a family member or friend
  • Help you with deep breathing techniques

How Does Your Dentist Fill a Cavity?

December 20th, 2023

The grownups in your life want you to have healthy teeth. That’s why they remind you to brush and floss, make you tooth-friendly meals, and take you to see the dentist regularly, at an office designed just for you. You’ve been visiting Just 4 Kids Pediatric Dentistry for a while now, so you know all about checkups and cleanings.

At every dental exam, Dr. Wendy Tang and Dr. Amy Bellamy will look at your teeth very carefully, checking not just the outside of your teeth, but around and behind your teeth as well. (That’s what those little mirrors are for.) You might have X-ray pictures taken to show the inside of your teeth. In all these ways, we make sure your teeth are healthy, inside and out.

You expect all these things at a dental checkup because you’re used to them. When you hear that you have a cavity, you might be worried. After all, if you’ve never had a cavity before, you don’t know what to expect. And sometimes not knowing is a little scary. So let’s talk about what a cavity is, and how your dentist can help make your tooth healthy again if you need a filling.

  • What’s a Cavity?

Teeth are covered with a very hard white coating called enamel. Enamel is the strongest part of our bodies, even stronger than our bones. But when we eat too many sugary foods, or don’t brush the way we should or as much as we should, or even just because of the way some people’s bodies work, our enamel can be hurt by cavities.

A cavity is a hole in your tooth enamel. These holes are made by the bacteria in plaque, which turn sugars into acids. This is why it’s important to brush carefully to get rid of plaque, and to watch how much sugar we eat. It’s not just people who like sugar—bacteria do, too!

The acids bacteria create attack our enamel and make it weaker. If the enamel gets too weak, a hole will start to form. This is what we call a cavity.

  • How Do You Know You Have a Cavity?

Maybe you came to our Surrey, BC office because you have a toothache, or it hurts when you eat something hot or cold. Those are often clues that you have a cavity.

But small, early cavities don’t always bother us. That’s why regular checkups are so important, and why Dr. Wendy Tang and Dr. Amy Bellamy will look carefully at each tooth to make sure that it’s healthy.

  • Getting Ready

Dr. Wendy Tang and Dr. Amy Bellamy might give you some medicine to make sure you don’t feel uncomfortable while your tooth is being repaired. The area around your tooth will get numb, which means you won’t feel anything while we work.

  • Removing Decay

There are different ways to remove decay from your tooth. Some can be noisy, and some are quiet.  If noise bothers you, let your dentist know—there are ways to cover up annoying sounds.

After the decay has been removed, it’s time to clean your tooth. This makes sure that no germs or bacteria are still around when your tooth is filled.

But after all the decay is gone, you’ll still have a little hole in your tooth. That’s why the next step is . . .

  • Filling Your Tooth

Since a hole in your tooth enamel makes it weaker, this hole needs to be filled up to make your tooth strong again—that’s why it’s called a “filling.”

There are different kinds of fillings, and your dentist will tell you which one is best for your tooth. A molar, one of the big teeth in the back of your mouth, needs a strong filling for all the work it does chewing food. Your dentist might use a metal filling to help your molar do its job. If you have a cavity in one of your front teeth, you might get a tooth-colored filling. This filling is made to match the color of your enamel, so no one can see the filling when you smile.

  • After Your Filling

All done! In just a little while, the area around your tooth won’t be numb anymore, and we will let you know when you can eat and drink regular foods again.

If you do your best to keep your teeth healthy, you can look forward to cavity-free checkups in the future. But when you need a filling, or if you have a tooth which needs another kind of treatment, we are here to help you make sure your happy smile is a healthy smile!

Caring for Your Dog’s Teeth

December 13th, 2023

It may come as a surprise to learn that dogs, like humans, have both baby and adult teeth. Most dogs, unlike humans, have all of their adult teeth by the time they are seven months old, so it’s time to start looking after their dental health when they are still puppies.

While dogs generally don’t develop cavities, periodontal disease is the one of the most common diseases affecting dogs. Periodontal disease starts when the bacteria in your pet’s mouth form plaque. The plaque can harden into tartar, and, if plaque and tartar spread under the gum line, can be responsible for a number of serious problems. Veterinarians warn that tooth loss, tissue damage, bone loss and infection can be the result of periodontal disease. Professional dental treatment is important if your dog is suffering from periodontal disease, and your vet can describe the options available to you. But the time to act is before disease develops. Let’s bone up on some preventative care!

Brushing

There are brushes and toothpastes designed especially for your dog. Train your puppy from an early age to open his mouth to allow you to examine his teeth and gums. (This will also come in handy if you ever need to give him medicine.) Most dogs will accept brushing, and toothpastes come in dog-friendly flavors. Human toothpaste should never be used because it contains cleaners and abrasives that should not be swallowed by your pet. There are also dental wipes available that can be used once and thrown away. Your vet can advise you how to ease your pet into a brushing routine.

Gels and Rinses

Whether you rub an antiseptic gel on your dog’s teeth or squirt an antiseptic rinse into his mouth, these formulas can reduce the build-up of plaque. Not all dogs take to the taste of these solutions, but in general they are safe and effective. Ask your vet for recommendations if you would like to try this method.

Diet

Several dietary products offer anti-plaque ingredients or a kibble shape designed to reduce the formation of plaque. Talk to your vet for the best possible diet and nutrition suggestions for your unique pet.

Chew Toys

Chewing can help reduce plaque build-up if done consistently, and chew toys should be chosen for tooth and digestive safety. Some animal-based products and hard plastic toys are so rigid that they can cause damage to teeth or gums, so be sure to look for safe toys.  Dogs shouldn’t be left alone with toys due to choking or swallowing hazards—if the chew toy becomes small enough to cause choking, or your dog is swallowing large chunks that might not be digestible, time to replace it.

Your veterinarian is the best resource for maintaining your dog’s health and developing a dental routine both you and your pet can live with. When your four-legged friend goes for his next check-up, ask your vet what you can do to keep him and his smile fetching for a long, long time.

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