Dr. Allen Job

Dental Advice for Parents of Children with Autism Spectrum Disorders

October 8th, 2020

Trips to the dental office can be difficult for anyone. And, children with special needs may require a greater level of care.

The good news is that a lot can be done to mitigate the chance of an unpleasant experience – all it takes is a little bit of planning and coaching to get there.

With that in mind, we put together a collection of useful approaches that will help you and your child navigate your first, or next, dental visit.

Visit Early

After the arrival of your child’s first tooth, you should already be on the docket for a visit to the dentist. Since autism spectrum disorders don’t commonly manifest until around the age of three, it is very important that you establish a dental home for your child with a dentist by age one.  This way if signs of autism spectrum are noted your child would already have an established relationship with a caring dental professional.

Avoiding the dentist until later in a child’s development, particularly until after problems arise (like cavities) can be problematic. Initiating the process of familiarization with the dentist at an early age reduces dental anxiety among all children, so go early.

Read Up!

You’re likely already familiar with the Autism Speaks website, and the wealth of supportive material regarding autism and your child.

You may not have noticed, though, their superb Dental Toolkit which features free iTunes downloadable books for kids, videos, and even materials you can share with your dentist about working with your child.

The standout item on the site, though, is a highly visual 34-page booklet created in partnership with the National Museum of Dentistry that covers everything from how to teach good oral hygiene to how to prepare for your routine dental visits.

Learn from the Doctor's Perspective

Your dentist may have more experience with special needs children than you realize. The best way to go about preparing for your visit is to speak with the doctor directly and ask what to expect.

The Dental Professionals’ Tool Kit will help you see inside that instruction and arm you with meaningful advice that isn’t always covered in offerings to parents. Anyone can download the material, dentist or not, so have a look-see!

Find a Doctor who Specializes

Finally, should you feel more comfortable doing so, seek out a dentist who specializes in dealing with children with autism.

Pediatric dentists pursue additional training that helps them cater to autistic patients. Such training is structured around reducing stress and making children feel comfortable both inside the dental office and at home.

Visiting the dentist doesn’t have to be a traumatic experience for you or your child. Hopefully the above information provides some direction for further exploration.

All Smiles Pediatric Dentistry

At All Smiles Pediatric Dentistry we specialize in treating children with special needsDr. Allen Job and his team are specially trained to see your child and provide resources for parents.

First, all of our forms are found online, where you can complete them from the comfort of your home.  So there is no waiting when you arrive.  Second, the colors on the walls and the amenities that we offer were thoughtfully chosen to give your child a warm and comfortable ambiance.  Third, we offer private patient rooms for patient care.  Fourth, we have an amazing staff members who will guide you if you have any questions about the process of scheduling an appointment to providing individual patient care.

Our practice is centrally located in San Diego, CA.

COVID-19 Precautions

Find out how we are protecting our patients and our staff with our improved safety protocol.

Get acquainted with us by watching our practice video and find out what we do.

Scheduling an appointment for your child is easy! Start here to schedule an appointment. All of our forms are online. Fill them out securely from your smartphone or tablet and hit send. On appointment day, your child will be seen at their scheduled time. For example, if you have a 9:00 AM appointment, your child will be seen at 9:00 AM.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention. For more than a decade, served as assistant professor for the Department of Pediatric Dentistry at Loma Linda University School of Dentistry (LLUSD). He is currently an instructor at LLUSD.

 

 

Are Dried Fruits Bad for My Child’s Teeth?

July 22nd, 2020

[caption id="attachment_1064" align="alignleft" width="640"] Are Dried Fruits Bad for my Child's Teeth[/caption]

Dried fruits are a convenient snack for busy families. Unless you’re drying the fruit yourself (go you!), you don’t have to wash or slice anything; just hand those kiddos a box of raisins and be out the door. Plus – you can feel good about adding to your kiddo’s servings of fruits for the day.

But…what about all that sticky, sugary goodness? Isn’t that a no-no when it comes to dental health? The quick answer is: it’s complicated.

What is Dried Fruit?

Dried fruit is simply fruit that has had its water removed to some extent, leaving a shriveled, smaller version of its original form. Compared to fresh fruit, it's more shelf-stable.

Some forms of dried fruit have sugar added to improve taste or texture. And some dried fruit is encrusted with sugar crystals or chocolate. What we recommend offering to your kiddos is the plain stuff – no sugar added.

How Might Dried Fruits Affect Teeth?

Dried fruits contain sugar, and have a sticky texture. Anything that’s sweet and sticks to your teeth for a long time has the potential to contribute to tooth decay. The longer that sugar sits on teeth, the happier your mouth bacteria are as they chomp away and produce the acid that can attack your enamel.

When we eat dried fruits, it’s easy to go overboard on the sugar. Typically when we eat dried fruits, we eat a lot more than the equivalent amount of fresh fruit. A handful of dried apricots looks a lot like the same quantity in our eyes as a single fresh one.

But don’t cross dried fruit off your shopping list just yet…

There are Benefits, Though

Dried fruits are still fruit, after all. That means they contain fiber, antioxidants, and other beneficial nutrients that are part of a healthy diet. Research tells us that some of these nutrients, such as polyphenols, actually help prevent the accumulation of plaque on teeth.

Other research theorizes that individual traits (such as the composition of bacteria in our mouths) have more to do with how a raisin will affect our teeth than the amount of sugar it contains.

You’d be surprised to learn how many other factors there are in relation to dried fruit’s effect on teeth. All in all, it appears there is insufficient evidence to conclude that dried fruit is, in fact, bad for our teeth.

So…hooray! Because there is some evidence to point toward dried fruit being beneficial for oral health in some ways, as well as containing important nutrients for our bodies, we say it’s a great option for hungry little tummies!

Again, you’re better off sticking with dried fruits that don’t have added sugars (though of course some yummy chocolate-covered fruits can be an occasional treat!). And offer some water to help wash anything sticky off teeth and down the hatch.

And, as always, maintain regular dental health visits with your child’s dentist to make sure their teeth are in good shape!

All Smiles Pediatric Dentistry

At All Smiles Pediatric Dentistry, we incorporate proven techniques to share with you and your child at each dental checkup visit. Dr. Allen Job and his team are committed to providing the latest in oral health care prevention. Check out our monthly blog posts! Our practice is centrally located in San Diego, CA.

COVID-19 Precautions

Find out how we are protecting our patients and our staff with our improved safety protocol.

Get acquainted with us by watching our practice video and find out what we do.

Scheduling an appointment for your child is easy! Start here to schedule an appointment. All of our forms are online. Fill them out securely from your smartphone or tablet and hit send. On appointment day, your child will be seen at their scheduled time. For example, if you have a 9:00 AM appointment, your child will be seen at 9:00 AM.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention. For more than a decade, served as assistant professor for the Department of Pediatric Dentistry at Loma Linda University School of Dentistry (LLUSD). He is currently an instructor at LLUSD.

COVID19 Response from All Smiles Pediatric Dentistry

May 8th, 2020

Dear Patient:

We hope this letter finds you and your family in good health. Our community has been through a lot over the last few months, and all of us are looking forward to resuming our normal habits and routines. While many things have changed, one thing has remained the same: our commitment to your safety.

Infection control has always been a top priority for our practice and you may have seen this during your visits to our office. Our infection control processes are made so that when you receive care, it’s both safe and comfortable. We want to tell you about the infection control procedures we follow in our practice to keep patients and staff safe.

Our office follows infection control recommendations made by the American Dental Association (ADA), the U.S. Centers for Disease Control and Prevention (CDC) and the Occupational Safety and Health Administration (OSHA). We follow the activities of these agencies so that we are up-to-date on any new rulings or guidance that may be issued. We do this to make sure that our infection control procedures are current and adhere to each agencies’ recommendations.  Our employees will be following strict guidelines that include donning additional personal protective equipment (PPE), getting daily temperature readings, and being asked the screening questions each day.

We will be scheduling all appointments starting Monday May 18, 2020.  You may see some changes when it is time for your next appointment. We made these changes to help protect our patients and staff. For example:

  • We are limiting the number of people accompanying your child to one parent per child. If you have multiple children they are welcome to come with up to 2 parents. Please do not bring other family members or friends to the office at this time.
  • Our office will communicate with you beforehand to ask some screening questions. See the bottom of the page for the screening questions. If you or your child is experiencing any symptoms, please call our office to reschedule with at least a 24-hour notice. You’ll be asked those same questions again when you are in the office.
  • A temperature reading will be taking for every person entering the office.
  • We have hand sanitizer that we will ask you to use when you enter the office. You will also find some in the reception area and other places in the office for you to use as needed.
  • You may see that our waiting room will no longer offer magazines, children’s toys and so forth, since those items are difficult to clean and disinfect.
  • Appointments will be managed to allow for social distancing between patients. That might mean that you’re offered fewer options for scheduling your appointment.
  • We will do our best to allow greater time between patients to reduce waiting times for you, as well as to reduce the number of patients in the reception area at any one time.

We look forward to seeing you again and are happy to answer any questions you may have about the steps we take to keep you, and every patient, safe in our practice. To make an appointment, please call our office at 858-737-9000 or visit our website.

Thank you for being our patient. We value your trust and loyalty and look forward to welcoming back our patients, neighbors and friends.

Sincerely,

Dr. Allen Job & Team

 

Screening Questions for Parent/Guardian and Patient:

Have You (parent/guardian) or They (patient):

 

  1. Had a Fever, Cough, or Shortness of Breath in last 14-21 days?
  2. Had flu-like illness like gastrointestinal upset, headache, or fatigue?
  3. Had a recent loss of taste or smell?
  4. Been in contact with anyone who have tested positive for COVID19?
  5. Traveled to regions affected by COVID19 in the past 14 days?

 

Save your Heart by Brushing your Teeth

March 12th, 2020

According to a recent study published in the European Journal of Preventive Cardiology, toothbrushing multiple times a day can lower one's risk of heart disease.

Let's Dig Deeper

This study involved one hundred sixty thousand participants between the ages of 40-79 years, who were tracked over a ten year span.  These individuals had no history of atrial fibrillation or heart failure at the the beginning of the study.

The study results were independent of factors such as age, gender, socioeconomic status, exercise frequency, alcohol consumption, and other behaviors that could damage the heart.

At the ten year followup evaluation, they there 4,911 participants who had developed atrial fibrillation and 7,971 developed heart failure.

Back to Basics

Anatomy of the Heart:

The heart has 4 chambers.  The two upper chambers are called the atria.  The two lower chambers are called ventricles.  Oxygen-poor blood returns from the body and flows first into the right atrium then into the right ventricle.  From here the blood gets oxygen from lungs. Now oxygen rich blood flows into the left atrium and then into the left ventricle.  Now the blood is pumped out of the heart to the rest of the body. The atria and ventricles contract or "pump" blood in a coordinated way.  Click here to see an animation by the American Heart Association.

What is Atrial fibrillation?

According to the American Heart Association, atrial fibrillation is noted by a quivering heart beat or irregular heart beat.  This can lead to blood clots, stroke or heart failure.  Click here to see an animation of Atrial fibrillation.

What is Heart Failure?

According to the American Heart Association, heart failure occurs when the heart is not pumping as effectively as it could be.  The heart cannot keep up with its workload.  Therefore, the body is not getting enough oxygen that it needs. This condition is a chronic continuous degradation of heart muscle that leads to worsening performance of the heart without medical intervention.  Therefore, one common term that is associated with the ineffective heart, is congestive heart failure. Click here to seen an animation of heart failure.

Toothbrushing Benefits

According to this study, toothbrushing at least three times a day reduces one's risk of atrial fibrillation and heart failure. Researchers from this study believe that the mechanical action of the toothbrush against teeth help lower bacterial levels that are below the gum level before they enter the bloodstream.

Put this Concept into Practice

Brush your teeth after mealtimes.  Parents, do this for your own health and then model this habit to your children.  Children often will follow a parent's lead.  Children who are too young to brush their own teeth should be assisted by a parent or guardian. Often I hear from parents that say that their child doesn't like to have their teeth brushed or won't tolerate it.  When I ask the parent how often they brush their teeth, it is often less than two times a day.  Please note that you are the parent. It is your responsibility to take care of your child.  A child will protest all day long to avoid anything he or she doesn't like.  Toothbrushing is one battle that you have to win, parents.  For a toothbrushing refresher, head to our page on preventive care.

Toothbrushing is an effective way to not only help your teeth, but it can also reduce your risk for some heart diseases like atrial fibrillation and heart failure. Start today!

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention. For more than a decade, served as assistant professor for the Department of Pediatric Dentistry at Loma Linda University School of Dentistry (LLUSD). He is currently an instructor at LLUSD.

 

 

 

 

 

Band Instruments and Your Teeth: Are They Related?

February 10th, 2020

Learning a musical instrument enhances cognition, trains focus, and helps channel adolescent energy. There’s also the added benefit of a built-in social network of kids working to bring alive once again the musical works of the masters.

Despite all that good stuff, though, some instruments might pose a hazard to the integrity of your child’s teeth, mouth, and jaw – and even their overall health. For most parents, this isn’t top of mind when considering or fostering the learning of a musical instrument.

Let’s take a look at what should be on your radar.

Bacteria

We’re all pretty good at annihilating the bacteria that crop up around our children at home, but how good are you at cleaning their spit-collecting musical machine?

Brass and wind instruments harbor a bounty of nasty molds, yeast and bacteria that can cause asthma and a host of other illnesses. Those yucky spit monsters can indeed make your child ill.

Be sure instruments are cleaned regularly, and cleaned well. Doing so can help your child stay healthy, while also ensuring the instrument will perform at its best.

Here’s a very comprehensive grouping of instructions to help you clean both wind and brass instruments. Print ‘em out and hang ‘em on the fridge!

Lip and Tooth Trauma

Playing a wind or brass instrument requires the player to forcefully hold their instrument against or within the lips to produce a sound. This pressure can present problems for delicate lip tissue and growing teeth.

Soft acrylic guards can be purchased to offset some of this pressure, and are commonly used for children wearing braces. Ask us for suggestions.

Additionally, children prone to  cold sores  can suffer more frequent outbreaks due to playing an instrument. You’ll see this cause and effect play out by noticing where your child tends to get sores.

Woodwind players tend to have outbreaks on the lower lip, and brass instrument players on the upper lip. Woodwind players also experience outbreaks at a rate  twice that of non-musicians.

Head and Neck Trauma

A stringed instrument might seem like the most benign choice when picking an instrument for your child. After all, there’s no contact with the lips or teeth, and there’s no bacteria to worry about.

That is until you realize the position one must get in to play these instruments.

Holding a violin or viola all day might not be the best thing in the world for one’s face, neck and chin. Good playing posture, and reduced playing time is the best preventative medicine if your kids play these two instruments.

It’s also worth noting that because of this awkward playing position, violas, and violins can contribute to, and even exacerbate, cross-bites and overbites.

Consult with your music teacher for the best advice specific to your child. Which brings us to …

Choosing the Right Instrument

Before your child even picks up an instrument, consult with a music teacher familiar with how a player relates to that instrument. A well-informed, passionate band director will know which instruments fit which children best based on their size and weight, teeth structure, finger and hand strength, etc.

Here is a wonderfully thorough starter on  choosing the right instrument for your child  to help get you started.

All Smiles Pediatric Dentistry

At All Smiles Pediatric Dentistry, we incorporate proven techniques to share with you and your child at each dental checkup visit. Dr. Allen Job and his team are committed to providing the latest in oral health care prevention. Check out our monthly blog posts! Our practice is centrally located in San Diego, CA.

Get acquainted with us by watching our practice video and find out what we do.

Scheduling an appointment for your child is easy! Start here to schedule an appointment. All of our forms are online. Fill them out securely from your smartphone or tablet and hit send. On appointment day, your child will be seen at their scheduled time. For example, if you have a 9:00 AM appointment, your child will be seen at 9:00 AM.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention. For more than a decade, served as assistant professor for the Department of Pediatric Dentistry at Loma Linda University School of Dentistry (LLUSD). He is currently an instructor at LLUSD.

How to Quickly Treat Cold Sores

January 15th, 2020

[caption id="attachment_992" align="alignleft" width="620"] How to Quickly Treat Cold Sores[/caption]

How To Quickly Treat Cold Sores

Got a Cold Sore? Here’s How to Treat It Quickly.

Ugh. A cold sore appears a couple days before a party where you’ll be photographed as much as the Royal Couple. That smile that we’ve been working on together just went from hero to zero, right?

Not necessarily. Finding which cold sore treatment works best for you can help speed along its healing. And that’s why we’re here.

Maybe It Isn’t a Cold Sore, Right?
Let’s clear the air about what a cold sore is and isn’t.

Cold sores are contagious blisters that usually appear on your lips or around your mouth. Caused by a virus, cold sores usually start with a tingling sensation, evolve into numerous tiny, painful blisters, and later crust over.

Canker sores, on the other hand, aren’t contagious, but they still sting. Unlike cold sores, they usually appear as white oval lesions inside your mouth, especially near or on your gums.

Remedies for Cold Sores

The key to treating a cold sore is acting fast. As soon as the first symptom appears, consider these steps to move the healing process along quickly:

• Apply Ice to the Cold Sore

At the first sign, grab an ice cube, wrap it in a paper towel, place it where you feel the cold sore coming on, and let it melt. Back-to-back applications can reduce the pain.

• Switch to a Cold-Sore-Fighting Diet

You can boost your immune system’s fight against this viral nuisance with the right foods. Fill your plate with cruciferous vegetables, like broccoli, kale, and cauliflower, and avoid foods with arginine, a cold-sore-triggering amino acid found in nuts, chocolate, and oats.

• Dial Down the Stress

One of the most common causes of cold sores is, surprise, surprise, stress. Minimizing stress these days can get so complicated that it causes more stress, right? But try giving yourself some time for the restorative, restful activities that drop your heart rate and raise your smile.

• Reach for Aloe Vera or Even an Over-The-Counter Cream

Both natural and medicinal creams have shown promise as cold sore remedies. Some studies suggest that aloe vera can help the fever blister heal, and over-the-counter creams, like docosanol, also tout their ability to knock the sore out of cold sores. Prefer the medicinal route? Check with your  pharmacist before using it.

• Use Sunscreen

If you are planning to go outdoors, use a lip balm that is SPF 30 or greater to over the affected lip areas.

• Relieve Pain with Acetaminophen or Ibuprofen

Some cold sores can get really painful. For those intense ones, acetaminophen or iburprofen may provide well-needed relief. Just be sure that your pharmacist recommends that type of over-the-counter medication.

• Laser Therapy

In a rush and don't have a week for the cold sore to heal?  Why not ask Dr. Job if laser treatment is a good option for you. Dr. Job utilizes laser therapy to jump start the healing process for cold sores.  The treatment is completed in a short appointment.

There you have it. You’re on the fast track to treating that cold sore quickly and living your best life at the party. Don’t forget to smile!

Note, cold sores left untreated may affect other parts of the body and create serious illness.

All Smiles Pediatric Dentistry

At All Smiles Pediatric Dentistry, we incorporate proven techniques to share with you and your child at each dental checkup visit. Dr. Allen Job and his team are committed to providing the latest in oral health care prevention. Check out our monthly blog posts! Our practice is centrally located in San Diego, CA.

Get acquainted with us by watching our practice video and find out what we do.

Scheduling an appointment for your child is easy! Start here to schedule an appointment. All of our forms are online. Fill them out securely from your smartphone or tablet and hit send. On appointment day, your child will be seen at their scheduled time. For example, if you have a 9:00 AM appointment, your child will be seen at 9:00 AM.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention. For more than a decade, served as assistant professor for the Department of Pediatric Dentistry at Loma Linda University School of Dentistry (LLUSD). He is currently an instructor at LLUSD.

If You're An Athlete You Should Do These 4 Things to Protect Your Teeth

December 3rd, 2019

[caption id="attachment_143" align="aligncenter" width="500"] If you're an athlete you should do these 4 things to protect your teeth[/caption]

 All Athletes Do This

Being an athlete, whether  playing in little league or a varsity sport, can be challenging.  Not only does this take additional dedication and time, but you also burn a lot of calories.  Athletes need additional nutrients to replenish those lost during times of activity.

So what do ALL athletes do?

Athletes get hungry and thirsty. They grab snacks that are easy to pack for the ball field.  These snacks are usually in the form of quick replenishers.  These included energy bars, gels, and sports drinks.  These forms of sugar contribute to high levels of tooth decay and acid erosion

Athletes also exhibit some form of mouth breathing during activity times.  Why do athletes mouth breathe?  Mouth breathing allows more oxygen into the lungs. This is a good thing, right?  No. This form of airway exchange dries the mouth out, leading to inflammation of gums.

The Study

According to recent study by the British Dental Journal, athletes have a high rate of oral disease. In this study researchers surveyed 352 Olympic and professional athletes across 11 sports.  They measured the athletes level of tooth decay, gum disease, and acid erosion.  In addition they asked the athletes what steps they took to keep their mouth, teeth, and gums healthy.

Here is what they found out:

Good News

  • 94% Athletes brushed their teeth twice daily, compared to 75% of the general population.
  • 44% Athletes flossed regularly, compared to 21% of the general population.
  • >50% Athletes have good oral health related habits: brushing twice daily, regular dental checkups, not smoking, and have a healthy diet.

Bad News

  • 50% Athletes had untreated decay.
  • >50% athletes had early signs of gum inflammation.
  • Almost 1 out of 3 athletes reported their oral health negatively impacted their training and performance.
  • Elevated risk of oral disease from dry mouth in "elite" athletes.

Four Recommendations for Your Teeth

Though the study did not make any recommendations.  I have chosen some easy guidelines for athletes to follow.

1. Develop good oral habits. This includes brushing at least twice a day and flossing at least once a day. I would recommend brushing keeping a travel toothbrush, toothpaste, and floss with your gear. Brush your teeth after your practice or competition. If you need a refresher, checkout our preventive care page.

2. Drink equal amounts of water as sport drinks. Drinking water will help wash away the residual sugars left on your teeth by sports drinks.

3. Eat healthier snacks.  Eat nuts such as almonds and walnuts.  Also eating cheese can be a good source of protein and calcium. Eating slices of apples provide a two fold benefit. First, apples can also give you the sugars and energy you need without the sugar spike.  Second, eating apples cleanse your teeth naturally. Find more information about nutrition on our nutrition and oral health page.

4. Regular dental checkups.  As athletes, keeping in optimal health is important so that you aren't distracted by any bodily ailments from keeping you in top performance. Visit your dentist at least twice a year.  Dental checkups will help detect and treat decay. Moreover, it will help detect early signs of gingivitis will help you stay optimally fit.  Also your dentist can discuss mouth protection devices such as mouth guards to help prevent accidental trauma while participating in sports activities.

All Smiles Pediatric Dentistry

At All Smiles Pediatric Dentistry, we incorporate proven techniques to share with you and your child at each dental checkup visit. Dr. Allen Job and his team are committed to providing the latest in oral health care prevention. For more information about digital x-rays check out our website section. Still want more information? Check out our monthly blog posts! Our practice is centrally located in San Diego, CA.

Get acquainted with us by watching our practice video and find out what we do.

Scheduling an appointment for your child is easy! Start here to schedule an appointment. All of our forms are online. Fill them out securely from your smartphone or tablet and hit send. On appointment day, your child will be seen at their scheduled time. For example, if you have a 9:00 AM appointment, your child will be seen at 9:00 AM.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention. For more than a decade, served as assistant professor for the Department of Pediatric Dentistry at Loma Linda University School of Dentistry (LLUSD).  He is currently an instructor at LLUSD.

5 Reasons Why Your Gums Might Be Bleeding

October 15th, 2019

[caption id="attachment_817" align="alignleft" width="640"]5 reasons why your gums might be bleeding 5 Reasons Why Your Gums Might Be Bleeding[/caption]

 

Seeing some red in the sink after brushing or flossing may raise an eyebrow or two. It may seem like your gums are bleeding for no reason. But before you venture down the rabbit hole of what-ifs, consider these common causes of gum bleeding.

Common Causes of Bleeding Gums

New Teeth Erupting

With children, as new teeth erupt, gums can become more sensitive.  This can lead to mild bleeding or spotting as those new teeth come in. One recommendation would be to use a damp washcloth to clean those gums during this eruption phase of your child's teething process.

Vigorous Toothbrushing

The extra oomph you’ve put into your brushing since your most recent visit may be the first place to look. Instead of brushing with the vigor you’d use while scrubbing a stack of plates after Thanksgiving, aim for gentle and patient: place the bristles along your gums at a 45-degree angle, and gently brush two to three teeth at a time.

Inadequate or Forceful Flossing

Changing your flossing routine can also cause your gums to bleed. If you’ve returned to regular flossing after a little hiatus or if you’re flossing more forcefully than usual, bleeding is common. Remember to floss daily and with ease.

Medication

Some over-the-counter medications, including aspirin, as well as prescription drugs, like blood thinners, may lead to gum bleeding. Be sure to let us know which medications you’re taking, and keep us in the loop if you and your healthcare provider change your medications. Herbal medications and supplements may also lead to gum bleeding, so check with your physician before taking these supplements for yourself or giving them to your child.

Vitamin Deficiency

A deficiency in vitamins is a common factor in gum bleeding. Vitamin A helps form your teeth and protects your mouth’s membranes; Foods that boost Vitamin A include: green leafy vegetables like spinach, kale, and collard greens.  Orange colored fruits and vegetables are a good source of vitamin A such as oranges, apricots, cantaloupes, pumpkins, and carrots.

Vitamin C helps maintain the health of your teeth and gums.  A rich source of Vitamin C include citrus fruits, potatoes (yes, potatoes), and green leafy vegetables.

Vitamin K ensures your blood clots. Foods rich in vitamin K include green leafy vegetables, parsley, brocoli, and brussel sprouts.

If you’ve upped your hygiene game but still spot blood after brushing, try adding more vitamin-rich foods to your diet.

Gingivitis and Periodontitis

Gum bleeding, as well as swelling and tenderness, is a common symptom of gingivitis and periodontitis. Often due to poor oral hygiene, both gingivitis and the more-serious periodontitis do require treatment.

When It’s Time for a Visit

If you make changes to your oral health routine but the bleeding doesn’t improve within 10 days, it’s best to come in for a visit.

All Smiles Pediatric Dentistry

At All Smiles Pediatric Dentistry, we incorporate proven techniques to share with you and your child at each dental checkup visit. Dr. Allen Job and his team are committed to providing the latest in oral health care prevention. For more information about digital x-rays check out our website section. Still want more information? Check out our monthly blog posts! Our practice is centrally located in San Diego, CA.

Get acquainted with us by watching our practice video and find out what we do.

Scheduling an appointment for your child is easy! Start here to schedule an appointment. All of our forms are online. Fill them out securely from your smartphone or tablet and hit send. On appointment day, your child will be seen at their scheduled time. For example, if you have a 9:00 AM appointment, your child will be seen at 9:00 AM.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention. For more than a decade, served as assistant professor for the Department of Pediatric Dentistry at Loma Linda University School of Dentistry (LLUSD).  He is currently an instructor at LLUSD.

Flossing Review

September 12th, 2019

[caption id="attachment_761" align="alignleft" width="600"]flossing review Flossing Tips[/caption]

 

 

 

 

Flossing 101

Of all the things you can do to maintain a healthy mouth, flossing has got to be the least expensive! But many patients don’t take the time to floss. And if you do, you might not be doing it correctly!

Welcome to Flossing 101…

Why should you floss?

Your toothbrush isn’t enough to brush away the plaque that can build up between teeth and at the gumline. A complete dental routine includes both brushing and flossing.

How often should you floss?

Once a day is ideal. Believe it or not, flossing more often (or with more rigor) can damage your gums. The only exception to once-a-day flossing is if you need to remove pieces of stringy or sticky foods that get stuck after eating. Don’t leave those in there too long.

Should you floss before or after brushing?

Either one is fine! We recommend flossing first, so that all the food debris that is found between your teeth can be pushed away from those tight spaces. While the floss helps to remove most of this material, some of if will adhere to your teeth.  Now, brushing your teeth will help to remove that material off.

How should you floss?

Pull out about 12 inches of floss (any brand is fine).

Wind the floss tightly around your index or middle fingers on both hands so that the floss between your hands is taut.

Slide the floss between each set of teeth that touch, as well as where your last molar meets your gums.

Slide the floss up and down the teeth, following the natural curve of each tooth in a “C” shape.

Imagine the floss giving each tooth a little hug! Floss between teeth and where your teeth meet your gums.

Use a new clean section of floss for each set of teeth.

Click here, for more information on flossing from the American Dental Association.  Also, checkout our webpage for our infographic on flossing techniques.

Can’t floss?

If your child is too young to floss or if you feel you are unable to do for your child, then try using a floss pick instead.  Remember, instilling the habit of flossing daily for your child will help him or her have a skill that will last them a lifetime.

All Smiles Pediatric Dentistry

At All Smiles Pediatric Dentistry, we incorporate proven techniques to share with you and your child at each dental checkup visit. Dr. Allen Job and his team are committed to providing the latest in oral health care prevention. For more information about digital x-rays check out our website section. Still want more information? Check out our monthly blog posts! Our practice is centrally located in San Diego, CA.

Get acquainted with us by watching our practice video and find out what we do.

Scheduling an appointment for your child is easy! Start here to schedule an appointment. All of our forms are online. Fill them out securely from your smartphone or tablet and hit send. On appointment day, your child will be seen at their scheduled time. For example, if you have a 9:00 AM appointment, your child will be seen at 9:00 AM.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention. For more than a decade, served as assistant professor for the Department of Pediatric Dentistry at Loma Linda University School of Dentistry (LLUSD).  He is currently an instructor at LLUSD.

Are Dental X-Rays Safe?

July 17th, 2019

[caption id="attachment_715" align="alignleft" width="612"]are dental xrays safe Are Dental X-Rays Safe?[/caption]

“Are Dental X-Rays Safe?” and Other Questions about Dental X-Rays

Some of the most common questions we get at All Smiles Pediatric Dentistry have to do with dental x-rays: Are they safe? Why do I or my kids need them? And how often should I get them?

These are great questions (and we love how much you prioritize your health). The answers can get complex quickly, so we’ll do our best to cover the basics here.

Are Dental X-Rays Safe?

Let’s start with the most important issue—safety.

Both the Food & Drug Administration (FDA) and the American Dental Association (ADA) test dental x-rays to make sure they’re safe for patients of all ages. These governing bodies revise their guidelines when any advances in science and technology provide new methods to reduce
exposure.

Thanks to faster film speeds, digital X-rays, and protective aprons and thyroid collars, the X-ray of today is far superior to those of even just a decade ago.

This applies to children, too. Today’s X-rays are so safe, in fact, that the amount of radiation a child is exposed to in an X-ray of the back molars is roughly equivalent to the amount of radiation they are exposed to in the environment on a daily basis.

Why Do You Need X-Rays?

X-rays, also called radiographs, help your dentist spot conditions, like cavities, tooth misalignment, and abscesses, that they can’t see through a visual examination. X-rays are especially important for children because they are generally more susceptible to tooth decay than adults.

The benefits of X-rays, which include diagnosing decay, pathology, or any abnormalities, far outweigh the risks of exposure to this minimal dose of radiation.

How Often Should I Get Them?

Your X-ray schedule depends on a number of risk factors, including your medical and dental history.

Generally, patients without a history of cavities or dental disease are recommended to undergo one set of X-rays every 12 months.

The best way to reduce the number of X-rays you need is to follow good oral hygiene at home.

What type of dental x-rays do you offer?

Here, at All Smiles Pediatric Dentistry, we use digital xrays that emit the lowest radiation levels. Our hand-held x-ray unit looks like something Buzz Lightyear would use. It's called the Nomad.  Children don't feel intimidated by it since it looks less cumbersome and intrusive. We also use a digital panoramic x-ray machine to evaluate for growth & development and also for timing when to see the orthodontist or oral surgeon for those wisdom teeth.

Wondering When You’re Due for X-Rays?

Contact us.  If your child hasn't seen the a pediatric dentist, then give contact us and we will help your child establish a dental home for future dental visits.

All Smiles Pediatric Dentistry

At All Smiles Pediatric Dentistry, we incorporate proven techniques to share with you and your child at each dental checkup visit. Dr. Allen Job and his team are committed to providing the latest in oral health care prevention. For more information about digital x-rays check out our website section. Still want more information? Check out our monthly blog posts! Our practice is centrally located in San Diego, CA.

Get acquainted with us by watching our practice video and find out what we do.

Scheduling an appointment for your child is easy! Start here to schedule an appointment. All of our forms are online. Fill them out securely from your smartphone or tablet and hit send. On appointment day, your child will be seen at their scheduled time. For example, if you have a 9:00 AM appointment, your child will be seen at 9:00 AM.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention. For more than a decade, served as assistant professor for the Department of Pediatric Dentistry at Loma Linda University School of Dentistry (LLUSD).  He is currently an instructor at LLUSD.

What is Plaque?

June 11th, 2019

[caption id="attachment_711" align="alignnone" width="596"]dental plaque What is Plaque?[/caption]

 

Most people have heard of the word “plaque,” and know it’s not something you want on your teeth. Yet, they don’t know what exactly plaque is or how it contributes to dental decay.

Plaque is a sticky, colorless film of bacteria that lives on the surface of your teeth and along the gumline. It accumulates from normal daily activities such as eating and drinking, especially if you’ve been consuming a lot of sugars and starches.

Ever had that fuzzy feeling on your teeth that goes away after you give them a good brush?
Yep, that’s plaque. Plaque is what contributes to dental decay, as bacteria like to consume the sugars in your mouth and excrete acids that wear away at your tooth enamel.

So, what's the big deal about plaque?

When you don’t regularly brush and floss away plaque, it forms tartar. Tartar forms 24 hours after plaque is left on the teeth.  Soft plaque turns into hard tartar.  Tartar is the calcified substance on your teeth that now only a professional cleaning can remove.

How do I prevent tartar buildup?

The best way to prevent tartar buildup is to brush your teeth at least twice a day and floss.   I would recommend brushing after every meal. Yes, that means 3 times a day. If you decide to snack, then remember to brush also after snacking.

Why does tartar matter?

Remember that plaque excretes acids on your teeth.  These acids breakdown the enamel surface of the tooth which can lead to a dental cavity which may need a filling.

What are some ways of removing plaque from my teeth?

Check out our section on Preventive Care. Here you will find how to properly brush and floss your teeth. If you have an infant, then head over to our Infant Care section.

All Smiles Pediatric Dentistry

At All Smiles Pediatric Dentistry, we incorporate proven techniques to share with you and your child at each dental checkup visit. Dr. Allen Job and his team are committed to providing the latest in oral health care prevention. For more information about improving your child's oral health check out our preventive dentistry page. Still want more information? Check out our monthly blog posts! Our practice is centrally located in San Diego, CA.

Get acquainted with us by watching our practice video and find out what we do.

Scheduling an appointment for your child is easy! Start here to schedule an appointment. All of our forms are online. Fill them out securely from your smartphone or tablet and hit send. On appointment day, your child will be seen at their scheduled time. For example, if you have a 9:00 AM appointment, your child will be seen at 9:00 AM.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention. For more than a decade, served as assistant professor for the Department of Pediatric Dentistry at Loma Linda University School of Dentistry (LLUSD). He is currently an instructor at LLUSD.

 

Breaking Bad: Dental Habits To Break as a Child

May 2nd, 2019

[caption id="attachment_703" align="alignleft" width="640"]Bad Dental Habits To Break Bad Dental Habits To Break[/caption]

 

Nobody’s perfect. We all pick up bad habits along the way. Even our oral health isn’t immune. Try as you may, odds are you're child may have picked up a habit or two in the name of convenience.

That’s totally okay! We get it. And that’s why we’re here: to ensure your child's oral health is in fantastic shape.

Here are a few less-than-stellar dental habits that we often see, with some tips on how to break them.

Thumbsucking

If your child is putting his or her thumb or any finger in his or her mouth  this can led to several problems.  First, there in increased bacterial transfer from the fingers to the oral cavity, which can lead to illness.  Second, thumbsucking may shift your child's teeth and also reshape the palate.  This can lead to misalignment of teeth and even airway issues.

Need more advice? Check out our page for more info about thumbsucking.

Inconsistent Dental Checkups

If your child hasn't seen  the dentist every six months, or if it’s been a while since we’ve seen your smile, schedule an appointment today!

You can call us at 858-737-9000 or go through our scheduling portal to make an appointment. Staying on top of your child's health today can save yourself a lot of time and money down the road.

Not Flossing

Again, you probably figured this would be on here. And you know what, it’s for good reason. Flossing helps prevent decay and gum recession. It’s extremely important!  This maybe even more important than brushing.

So how can you help your child remember to floss more? Put a post-it note on your child's mirror as a reminder. Invest in a flossing stick — some people find it much easier than the traditional method.  Make it stick: Floss at the same time each day to build up a routine.

You can also start small, setting a goal of once per week. After that settles in you may find yourself craving a good floss after brushing.  This will help your child gain the skill as it becomes part of his or her nighttime routine.  Parents, check out our flossing techniques if you need a refresher.

Brushing Too Vigorously

One of the top causes of worn enamel is brushing too hard. If your child complains that his or her arm is sore after brushing, pull back on the reins. Along with the enamel, over time this friction will also wear away your child's gum tissue.

Remember to keep the toothbrush at a 45-degree angle toward the base of the gums, and move the brush in a gentle, circular motion.

Not Brushing Long Enough

If your child is taking less than 2 minutes to brush his or her teeth then he or she is not getting their teeth brushes adequately.  Sometimes it may see like a race to see who finishes brushing the fastest.  One way to help them brush for the full 2 minutes is to use a timer. You can use an old fashion sand timer or put a 2 minute alarm on a stop watch or smartphone.  You can even search for 2 minute songs on Youtube for them to listen while brushing.

Using an Old Toothbrush

When was the last time you changed your child's toothbrush? It’s not something you often think of, right? The problem with using an old toothbrush its frayed bristles can end up damaging your child's teeth rather than cleaning them properly.

You should change your child's toothbrush every three to four months. A good mnemonic device is to change your toothbrush on the first day of every new season. That way you’ll never have an old brush!

Letting the Water Run

This one is self-explanatory, and it’s an easy fix. After you wet your tooth brush turn off the tap. That initial wetting is all the water you’ll need. Turning off the water is good for your bill and great for the planet.

All Smiles Pediatric Dentistry

At All Smiles Pediatric Dentistry, we incorporate proven techniques to share with you and your child at each dental checkup visit. Dr. Allen Job and his team are committed to providing the latest in oral health care prevention. For more information about improving your child's oral health check out our preventive dentistry page. Still want more information? Check out our monthly blog posts! Our practice is centrally located in San Diego, CA.

Get acquainted with us by watching our practice video and find out what we do.

Scheduling an appointment for your child is easy! Start here to schedule an appointment. All of our forms are online. Fill them out securely from your smartphone or tablet and hit send. On appointment day, your child will be seen at their scheduled time. For example, if you have a 9:00 AM appointment, your child will be seen at 9:00 AM.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention. For more than a decade, served as assistant professor for the Department of Pediatric Dentistry at Loma Linda University School of Dentistry (LLUSD).  He is currently an instructor at LLUSD.

I Should Brush Before I Floss

April 2nd, 2019

[caption id="attachment_699" align="alignleft" width="604"]should I brush before I floss I Should Brush Before I Floss[/caption]

The age-old question – should you floss before you brush or after? If you asked any one of our team members, you just might get a different answer on this one!

Before you report them for not knowing their stuff, each response can be right! As long as you’re doing a thorough job, we don’t care when you floss!

The Case for Flossing Before Brushing

Theoretically, flossing first dislodges the gunk between your teeth, letting the fluoride in your toothpaste reach those crevices better.

Also, behavioral scientists say since most people don’t like to floss, it’s better to get the least-pleasant half of your dental routine out of the way first – you’ll be less likely to skip it. Once you have a minty, fresh mouth from brushing, you might be less inclined to feel the need to floss
afterward.

The Case for Flossing After Brushing

Some say flossing last is better because it clears your mouth from extra food and debris that could otherwise be carried by the floss into the very spaces you’re trying to clean out.

Plus, it might be more pleasant to put those flossing hands into a clean mouth versus an unbrushed one.

Bottom Line

Floss when it works for you. But make it a habit! Choose the same time every day, floss once a day, and floss thoroughly.

And don’t forget to use the right flossing method: for each new set of teeth, use a new section of floss, and hug each side of the tooth by dragging the floss upward in the shape of a “C.”

Want us to show you how? Just ask!

All Smiles Pediatric Dentistry

At All Smiles Pediatric Dentistry, we incorporate proven techniques to share with you and your child at each dental checkup visit. Dr. Allen Job and his team are committed to providing the latest in oral health care prevention. For more information about improving your child's oral health check out our preventive dentistry page. Still want more information? Check out our monthly blog posts! Our practice is centrally located in San Diego, CA.

Get acquainted with us by watching our practice video and find out what we do.

Scheduling an appointment for your child is easy! Start here to schedule an appointment. All of our forms are online. Fill them out securely from your smartphone or tablet and hit send. On appointment day, your child will be seen at their scheduled time. For example, if you have a 9:00 AM appointment, your child will be seen at 9:00 AM.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention. He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

 

How to Know if You Have a Dental Cavity

March 12th, 2019

[caption id="attachment_694" align="alignleft" width="589"]How to know if you have a dental cavity How to Know if You have a Cavity[/caption]

According to the National Institutes of Health, the most prevalent health condition after the common cold is tooth decay.

It’s more than likely that if you haven’t already had a cavity, you will develop at least one in your lifetime.  Dental decay in primary (baby teeth) teeth is more common than on permanent teeth.

Signs and Symptoms

So, how do you know if you have a cavity? Well, depending on the severity of your tooth decay, you may experience a variety of symptoms. Here are some of the accompanying symptoms that go along with tooth decay.

  • Nothing (in the early stages)
  • A toothache or spontaneous tooth pain
  • Tooth sensitivity
  • Pain (slight or severe) when eating something sweet, hot, or cold
  • Staining (brown, black, or white) on the surface of your tooth
  • Visible holes in your tooth. Those holes are cavities
  • Pain when biting down

The best time to catch a cavity is in the early stages, when there are few, if any, symptoms.

Treatment Options

We will let you know the best course of treatment for your particular situation. The recommendation could be as easy as using a fluoride prescription paste at night time to keep those cavities from growing, if they are diagnosed in the early stages.

Or, if you are symptomatic, we may have to formulate a more in-depth treatment plan.  Check out our treatment options page and find out how we can keep your child safe and comfortable during his/her treatment.

As always, brush twice a day with a fluoride toothpaste, floss at least once a day, and try to minimize the amount of sugar in your diet.

These steps will help you be proactive in preventing cavities.

Even better, your teeth will thank you for it!

All Smiles Pediatric Dentistry

At All Smiles Pediatric Dentistry, we incorporate proven techniques to share with you and your child at each dental checkup visit. Dr. Allen Job and his team are committed to providing the latest in oral health care prevention. For more information about improving your child's oral health check out our preventive dentistry page. Still want more information? Check out our monthly blog posts! Our practice is centrally located in San Diego, CA.

Get acquainted with us by watching our practice video and find out what we do.

Scheduling an appointment for your child is easy! Start here to schedule an appointment. All of our forms are online. Fill them out securely from your smartphone or tablet and hit send. On appointment day, your child will be seen at their scheduled time. For example, if you have a 9:00 AM appointment, your child will be seen at 9:00 AM.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention. He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

How Stress Affects Oral Health

December 4th, 2018

[caption id="attachment_672" align="alignleft" width="640"]How Stress Affects Oral Health How Stress Affects Oral Health[/caption]

 

 

 

 

 

 

 

Let's face it parents, the month of December is usually packed with travel, family, and vacations! This can be a stressful time of the year. So this month we are going to focus on how to deal with stress.

Most of people know a thing or two about stress. Whether you’re dealing with chronic stress, or a brief stressful life circumstance, we all encounter it from time to
time. Most people associate stress with major health issues, such as heart attacks or ulcers, but do you know how stress can affect your oral health?

Stress may negatively affect your oral health in indirect ways.

For starters, stress can cause folks to reach for coping strategies that aren’t so good for
your teeth (or the rest of your body).

Junk food, sweets, sugary drinks, sodas, and chewing gum are just a few examples. When these substances interact with your teeth, they can do a lot of damage in the way of gum disease and tooth decay.

Secondly, when we are stressed, we tend to stop making positive health behaviors a
priority. Let’s say you’re traveling to a far off destination; your brushing and
flossing routine will not be forefront on your mind.

Even a minor bout of stress from a tough day can have us reaching for our cozy bed
and some relieve instead of taking the time to brush first.

And of course, keeping up with routine dental visits may fall completely off our
priority list while under stress. This can prevent us from finding the early signs of
decay and can cause more pain and stress later on.

How does stress affect our mouths directly?

Well, lots of people grind their teeth as a physical way to deal with stress, this is evident in children's teeth, too. You may be doing it without even realizing it! Ask a partner or someone who knows you well to tell you if you have this habit.

What does tooth grinding sound like?

It has been said that it sounds like nails on a chalkboard or someone chewing on rocks! Either one sounds extremely bad.

What can help relieve tooth grinding?

A nightguard MAY be a good option to relieve tooth grinding and thereby decrease some stress. Nightguards are custom made so that they do not flop in your mouth, while sleeping. They are made to cover either the upper arch or the lower arch of teeth. In either case, talk to your pediatric dentist, if your child or teenager has excessive tooth grinding.

Also, when we are stressed we have higher levels of stress hormones, such as cortisol
and adrenaline, that put our body in a “flight or fight” state. This causes our blood
pressure and blood sugar to increase, and our digestive and immune function to
decrease. When our immune system isn’t functioning as it should, this can make
periodontal disease more likely. It can also slow down the healing of other oral issues
or injuries we may have.

What can you do about it?

The best thing you can do to prevent the stress of oral health issues is to maintain
good dental hygiene and visit us regularly for routine visits. We want what’s best for
you — and that includes a healthy mouth for a lifetime!

All Smiles Pediatric Dentistry

At All Smiles Pediatric Dentistry, we incorporate proven techniques to share with you and your child at each dental checkup visit. Dr. Allen Job and his team are committed to providing the latest in oral health care prevention. For more information about improving your child's oral health check out our preventive dentistry page. Still want more information? Check out our monthly blog posts! Our practice is centrally located in San Diego, CA.

Get acquainted with us by watching our practice video and find out what we do.

Scheduling an appointment for your child is easy! Start here to schedule an appointment. All of our forms are online. Fill them out securely from your smartphone or tablet and hit send. On appointment day, your child will be seen at their scheduled time. For example, if you have a 9:00 AM appointment, your child will be seen at 9:00 AM.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention. He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

Should I Brush Before Flossing?

November 7th, 2018

[caption id="attachment_664" align="alignleft" width="600"]Should I Brush Before I Floss Should I Brush Before I Floss?[/caption]

 

 

 

 

 

 

 

This is an age-old question. Should you floss before you brush or after? If you asked any one of our team members, you just might get a different answer on this one!

Before you report them for not knowing their stuff, each response can be right! As long as you’re doing a thorough job when you floss! Let me explain.

The Case for Flossing Before Brushing

Theoretically, flossing first dislodges the gunk between your teeth, letting the fluoride in your toothpaste reach those crevices better.

Also, behavioral scientists say since most people don’t like to floss, it’s better to get the least-pleasant half of your dental routine out of the way first – you’ll be less likely to skip it.

Once you have a minty, fresh mouth from brushing, you might be less inclined to feel the need to floss afterward.

The Case for Flossing After Brushing

Some say flossing last is better because it clears your mouth from extra food and debris that could otherwise be carried by the floss into the very spaces you’re trying to clean out.

Plus, it might be more pleasant to put those flossing hands into a clean mouth versus an unbrushed one.

Bottom Line

Floss when it works for you. But make it a habit! Choose the same time every day, floss once a day, and floss thoroughly.

And don’t forget to use the right flossing method: for each new set of teeth, use a new section of floss, and hug each side of the tooth by dragging the floss upward in the shape of a “C.”  Need a refresher? Check out our flossing illustration to help you keep those pearly white teeth clean.

Want us to show you how? Just ask!

The American Academy of Pediatric Dentistry also has a handy infographic to maintaining healthy teeth for your children.

Last Note

Just remember, if you want your children to have healthy oral habits, such as flossing, you will have to start doing it yourself. Daily.  Research has shown that children mirror their parents.  Why not get them to start a habit that will be beneficial and one that they can use to save their teeth for the rest of their life!

All Smiles Pediatric Dentistry

At All Smiles Pediatric Dentistry, we incorporate proven techniques to share with you and your child at each dental checkup visit. Dr. Allen Job and his team are committed to providing the latest in oral health care prevention. For more information about brushing and flossing check out our preventive care page. Still want more information? Check out our blog posts on prevention! Our practice is centrally located in San Diego, CA.

Get acquainted with us by watching our practice video and find out what we do.

Scheduling an appointment for your child is easy! Start here to schedule an appointment. All of our forms are online. Fill them out securely from your smartphone or tablet and hit send. On appointment day, your child will be seen at their scheduled time. For example, if you have a 9:00 AM appointment, your child will be seen at 9:00 AM.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention. He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

 

 

Electrical or Manual Toothbrush: Which is Better?

September 13th, 2018

[caption id="attachment_629" align="alignleft" width="640"]Electric vs Manual Toothbrushes Electric vs Manual Toothbrushes[/caption]

This is one of our most frequently asked questions!

Our answer? It’s not the brush that matters, it’s who’s doing the brushing.

Let’s break that down. The goal of tooth brushing is to remove plaque from your teeth on a consistent (daily!) basis, so that we prevent the buildup of tartar which leads to tooth decay.

Manual Toothbrush

A manual toothbrush is a great and inexpensive tool that helps us do just that. Make sure to brush at least for two minutes per day, twice a day. Gently brush ALL surfaces and make sure to reach those back molars.

If you need some help with visualizing the proper techniques, here are some helpful recommendations.

Electric Toothbrush

For some people, it can be difficult to brush properly with a manual toothbrush. Those with some form of motor disability or arthritis may benefit from using an electric toothbrush. An electric brush can also be helpful for kids or anyone with braces.

The same tooth brushing rules apply – two times per day, two minutes at a time. One advantage of an electric toothbrush is that some have a built-in timer. If you’re one of those quick brushers who has a hard time making it to two minutes, consider using a timed electric brush.

Round vs Rectangular

When picking an electric toothbrush, pick one that has a round brush head instead of a rectangular head.  A rounded brush head can more easily maneuver around teeth, especially those hard to get molars.

What about Battery operated toothbrushes?

You've all seen those cute battery operated electric toothbrushes with that are decked out in action figure brands or stylish colors.  Note, only some allow for battery replacement when they start to run low.  Moreover, very few allow the brush head to be changed.

An electric toothbrush would be recommended for long term use.  Just replace the brush head every 6 months.

Cost of Electric Toothbrushes

Some are deterred by the cost of electric toothbrushes.  They can range from $30 to over $130.  A solid $30 electric toothbrush can last over a decade with proper care use.

Take home message: When choosing an electric toothbrush, choose function over all the bells and whistles.

At your next dental visit, ask us whether we think you would do better with a manual or electric brush! And, as always, don’t forget to floss!

Bonus: How do astronauts brush their teeth?

Here's a bonus video from astronaut Chad Hadfield, who is commander of the International Space Station.  He explains who he brushes his teeth while in space! Find out what type of toothbrush he uses in outer space!

At All Smiles Pediatric Dentistry, we incorporate proven techniques to share with you and your child at each dental checkup visit. Dr. Allen Job and his team are committed to providing the latest in oral health care prevention. For more information about brushing and flossing check out our preventive care page. Still want more information? Check out our blog posts on prevention! Our practice is centrally located in San Diego, CA.

Scheduling an appointment for your child is easy! Start here to schedule an appointment. All of our forms are online. Fill them out securely from your smartphone or tablet and hit send. On appointment day, your child will be seen at their scheduled time. For example, if you have a 9:00 AM appointment, your child will be seen at 9:00 AM.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention. He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

 

Obey Your Thirst: Effects of Soda on Your Teeth and Your Body

August 2nd, 2018

[caption id="attachment_611" align="alignleft" width="640"]Obey Your Thirst: Effects of Soda on Your Teeth and Body Obey Your Thirst: Effects of Soda on Your Teeth and Body[/caption]

 

 

 

 

 

 

 

 

Have you ever seen those videos where someone puts a baby tooth in a glass of soda and watches it decay? Well, the effect of soda in an actual mouth is a bit different. You have your saliva to help wash away the sugar, you eat other things throughout the day, and brush at least twice a day to remove debris or plaque. Nevertheless, soda is not something we recommend you consume more often than a once-in-awhile treat. Here’s why:

Sugar

Soda has an extremely high sugar content. The bacteria that cause tooth decay feed off of sugar and excrete acid, which is what causes tooth decay. The more sugar our teeth have to interact with, the more prone to decay they will be.  The beverage industry refutes the science, however if you search online for "Mountain Dew Mouth," you will see the ill effects of soda drinking that is ravishing Appalachia. In this community, the scale of economics has led to a catastrophic public health crisis of oral health.  Since the cost of soda is less than the cost of milk, many families give their children and infants soda to drink.

Acid

Think diet soda is a better alternative? Even though it contains zero sugar, it can still contain acids such as phosphoric acid or citric acid. Acid eats away at a tooth’s enamel and leaves it prone to decay.  Soda may also rob you of your calcium deposits on your teeth and body (see below Bone Density Disease).

Colors

Caramel color, Yellow 5, etc. Any type of artificial coloring can cause tooth-staining.
If you prefer your teeth sparkling white, it’s best to stay away from soda.

Effects of Soda on Your Body

Drinking carbonated drinks, like sodas, can adversely affect your health.  Sodas add additional "empty" calories that have no nutritional benefit to you while simply adding to your total caloric intake.  What does this mean? Soda drinking can lead to weight gain.

Childhood Obesity

Childhood obesity has tripled since the 1970s, according to the Centers for Disease Control.¹ This means 1 in 5 school age children or young adult are considered obese.

Dehydration

There is nothing quite like a soda on a hot summer day, right? Well, that's what the cola companies try to portray on their television ads. However, consuming high quantities of sodas can actually make you feel worse on a hot day.  Sodas often contain caffeine.  Caffeine is a natural diuretic, which removes water from your system.  The more you drink sodas or caffeinated drinks, the more water leaves your system.

Diabetes

Since sodas are packed with sugars, your body gets a sugar rush.  Initially, your body will self regulate to take care of the excess sugars.  However, over time, the body loses its innate ability to regulate the flood of sugars and may lead to diabetes.² This most often leads to Type 2 Diabetes, where the body does not use insulin well to control the blood sugar levels.

Bone Density Disease

Drinking sodas may lead to decreasing your body's calcium levels.³ A Cleveland Clinic report stated that osteoporosis, especially in women, maybe due in part to drinking sodas.

Recommendations

Instead of soda, we recommend spicing up your daily beverages with other alternatives. How about plain water infused with fresh fruit? If you MUST (on a rare occasions) drink soda, make sure to use a straw and always rinse with water after 3o minutes. And, as always, keep up with regular brushing and flossing to protect those precious teeth!

For more information about Nutrition and Oral Health, here are some helpful recommendations.

References

1. https://www.cdc.gov/healthyschools/obesity/facts.htm

2. https://www.cdc.gov/diabetes/basics/diabetes.html

3. https://health.clevelandclinic.org/sodas-tea-coffee-can-make-bones-brittle/

At All Smiles Pediatric Dentistry, we incorporate proven techniques to share with you and your child at each dental checkup visit. Dr. Allen Job and his team are committed to providing the latest in oral health care prevention. For more information about brushing and flossing check out our preventive care page. Still want more information? Check out our blog posts on prevention! Our practice is centrally located in San Diego, CA.

Scheduling an appointment for your child is easy! Start here to schedule an appointment. All of our forms are online. Fill them out securely from your smartphone or tablet and hit send. On appointment day, your child will be seen at their scheduled time. For example, if you have a 9:00 AM appointment, your child will be seen at 9:00 AM.

So as as one cola company ad slogan puts it, "Obey your thirst!"  Reach for the water, instead of the soda!

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention. He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

Baby Steps Series: Choosing the Right Toothpaste

June 13th, 2018

[caption id="attachment_602" align="alignleft" width="640"]Baby Steps Series: Choosing the Right Toothpaste Baby Steps Series: Choosing the Right Toothpaste[/caption]

 

 

 

 

 

 

Question: Doctor, what toothpaste do you recommend for my children?

Answer: Any fluoride toothpaste that will help you maintain a good oral health routine!

Question: What's the big deal about fluoride? What does it do?

Answer: Fluoride helps by reducing the risk of dental decay (or dental cavities) in several ways.

First, it helps to remineralizes (or harden) the enamel.  Every time you eat your teeth get bathed in an acidic environment.  This acid is important to breakdown food, but it can also breakdown the enamel on your teeth.  This is the reason why you should not constantly snack throughout the day...the acid will eventually breakdown the enamel.  If the enamel has a break, it causes a pit to form, which is now considered a cavity.  Using a fluoride toothpaste after meals and snacks will reduce the acid attack but remineralizing the enamel.

Second, fluoride can strengthen weakened enamel in surface cavities.  Proper use can prevent a surface cavity from growing, therefore possibly eliminating the need for a dental filling.

Finally, fluoride has antibacterial properties. It helps to prevent acid production from plaque producing bacteria.

Question: I have a toddler, is a fluoride toothpaste safe for him? If it is, when should I start using it to brush his teeth?

Answer: The American Academy of Pediatrics recommends using a fluoride toothpaste as soon as first teeth erupt. This means starting to brush with a fluoride toothpaste from an early age. Normally teeth start to erupt around 6 months of age.

Question: How much toothpaste should I use for my toddler? I'm afraid he will swallow it and get a tummy ache.

Answer: Great question. For children who are not able to spit out on their own, the American Academy of Pediatric Dentistry recommends using a "dry rice grain" amount of flouridated toothpaste.  This amount will give your child the proper benefits of flouride without causing them to have a tummy ache, if they swallow any of the paste.

Question: How do I pick the right fluoride toothpaste for my child?

Answer: We know you have a million and one choices facing you in the toothpaste aisle, and it can be hard to figure out what’s best for you. Most people, however, can use any toothpaste that has the ADA (American Dental Association) seal of approval. This seal means that the toothpaste contains fluoride, has the right amount of abrasiveness (not too little and not too much), and has been shown to be both safe and effective for intended use. If you have any sensitivity to dyes, preservatives, or certain ingredients, opt for a toothpaste that is free of those, such as Tom's of Maine. Just make sure it has fluoride.

Question: What is the proper way to brush my child's teeth?

Answer: Here is a quick graphic that will illustrate the basic technique of toothbrushing. Note, most children cannot master toothbrushing on their own so continue to supervise their toothbrushing and then go in for a quick spot check after they are done. For more information, visit our preventive care page.

We can’t say it enough: fluoride is your best form of cavity prevention!

At All Smiles Pediatric Dentistry, we incorporate proven techniques to share with you and your child at each dental checkup visit. Dr. Allen Job and his team are committed to providing the latest in oral health care prevention. For more information about brushing and flossing check out our preventive care page. Still want more information? Check out our blog posts on prevention! Our practice is centrally located in San Diego, CA.

Scheduling an appointment for your child is easy! Start here to schedule an appointment. All of our forms are online. Fill them out securely from your smartphone or tablet and hit send. On appointment day, your child will be seen at their scheduled time. For example, if you have a 9:00 AM appointment, your child will be seen at 9:00 AM.

*This blog is part of the Baby Steps Series. Look for future blogs in this series.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention. He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

 

What to Do When You Crack a Tooth

May 15th, 2018

[caption id="attachment_593" align="alignleft" width="640"]What to Do if You Crack a Tooth What to Do if You Crack a Tooth[/caption]

Ouch!
Chomp on something your tooth didn’t like? Or get hit in the mouth with a hockey puck?

If you think you may have a cracked tooth, or if you’re holding a piece of your tooth in your hand, follow these steps!

Steps to Follow:

1. Contact us a call to schedule an appointment. Let us know about your emergency and we will make our best effort to see you right away.

2. If there are tooth fragments that have fallen out, preserve them in a clean container with a moist solution (cold mik, water, saliva), and bring them in to your appointment.

3. Apply a cold pack to your jaw to lessen any pain and swelling.

4. If your mouth is bleeding, bite down on a gauze pad until the bleeding stops.

Cracked tooth?

It is possible to have a cracked tooth and not know it.

If you have any pain when biting down, or when eating something hot or cold, it’s best to get it checked out.

In order to prevent further damage to the tooth or an infection, it’s very important to correct a cracked tooth immediately.

Be sure to check out our website, for more information on taking care of dental emergencies.

At All Smiles Pediatric Dentistry, we incorporate proven techniques to share with you and your child at each dental checkup visit. Dr. Allen Job and his team are committed to providing the latest in oral health care prevention. For more information about brushing and flossing check out our preventive care page. Still want more information? Check out our blog posts on prevention! Our practice is centrally located in San Diego, CA.

Scheduling an appointment for your child is easy! Start here to schedule an appointment. All of our forms are online. Fill them out securely from your smartphone or tablet and hit send. On appointment day, your child will be seen at their scheduled time. For example, if you have a 9:00 AM appointment, your child will be seen at 9:00 AM.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention. He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

 

Foods That Cause Tooth Decay

April 19th, 2018

[caption id="attachment_581" align="alignleft" width="640"]Foods that Cause Tooth Decay Foods that Cause Tooth Decay[/caption]

 

 

Acid Attack!

When it comes to tooth decay, it’s important to know the main culprit – acid!

Acid is what eats a way at our enamel and causes cavities. Acid can enter our mouths in one of two ways: either directly through what we eat (citrus fruits, for example), or as a byproduct when oral bacteria consume the sugars that we eat.

The Litmus Test

Ultimately, a simple way to identify foods that cause tooth decay is to ask whether it’s acidic or sweet/starchy.

Acids vs. Carbs

Acidic foods include things like citrus fruits, tomatoes, vinegar, kombucha and sour candy.

Sweet/starchy foods include things like candy, soda or sugar-sweetened beverages, fruit, bread, cereal, pasta and crackers.

Note, sweets and starchy foods are lumped into one category since they both are composed of simple sugars in their most basic building blocks.  So if you think eating potato chips are healthier than eating M&Ms, they are not. You are eating sugar in both cases.

Does it matter how many times a day I snack on these foods or drinks?

The longer these things interact with your teeth, the greater the chance for tooth decay to
occur.  Also, the frequency is just as important to note.  If you frequently snack on acidic foods or drinks and/or sweet or starchy foods and drinks, then you are MORE at risk to develop dental caries (cavities)!

For example, sipping on soda throughout the day, or chewing a gooey caramel treat, increases the amount of sugar that coat your teeth. Bacteria love to feast on this sugar, creating an acidic environment and putting your teeth at risk for decay.

Six ways to protect your teeth against tooth decay:

1.  Reduce your consumption of sweets and refined starches.

This isn't difficult, however you have to make a choice requiring will power.

2. Enjoy acidic foods in moderation or as part of a meal.

Decrease snacking.  If must snack between meals, try carrot sticks or celery sticks.

 3. Decrease or eliminate your consumption of soda or sugar-sweetened beverages.

Make a mental note, drinking sodas or sweetened drinks are just empty calories that do not provide any nutritional value.

4. Swish with water after meals and snacks.

Trying doing it for 30 seconds each time.

5. Maintain good oral hygiene to brush away plaque buildup.

Floss at least once a day and brush twice a day.

6. And, as always, make sure to visit us regularly so we can remove tartar buildup and assess for early signs of decay.

At All Smiles Pediatric Dentistry, we incorporate proven techniques to share with you and your child at each dental checkup visit. Dr. Allen Job and his team are committed to providing the latest in oral health care prevention. For more information about brushing and flossing check out our preventive care page. Still want more information? Check out our blog posts on prevention! Our practice is centrally located in San Diego, CA.

Scheduling an appointment for your child is easy! Start here to schedule an appointment. All of our forms are online. Fill them out securely from your smartphone or tablet and hit send. On appointment day, your child will be seen at their scheduled time. For example, if you have a 9:00 AM appointment, your child will be seen at 9:00 AM.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention. He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

 

How Being Vegan Affects Your Teeth

March 1st, 2018

[caption id="attachment_568" align="alignleft" width="640"]How Being Vegan Affects Your Teeth How Being Vegan Affects Your Teeth[/caption]

 

 

 

 

 

 

There is no doubt that a plant-based diet is optimal for health. Omnivores and vegans alike
benefit from the nutrients present in plants.

But how does what we eat relate to our dental health?

Is a vegan diet better or worse for dental health?

Well, it depends. There are some concerns for oral health when one consumes a vegan diet. Here are the main ones:

Vitamin B12 deficiency

A vitamin B12 deficiency can lead to gum disease and tooth loss. Vegans should supplement with adequate B12, as plants do not provide this important nutrient.

Lack of remineralizing foods

Remineralization occurs when essential minerals that support hardened, healthy enamel are resupplied to the tooth after loss caused by acid erosion. The best remineralizing foods include cheese, meat, and milk, but nuts and leafy greens can also help.

Lack of important amino acids

One example is the amino acid arginine, which is found in meat, poultry, fish, and dairy.
Arginine helps prevent cavities and gum disease by breaking down dental plaque. While  arginine is found in higher quantities in meat, vegan sources of arginine include pumpkin seeds, peanuts, soybeans, lentils, and chickpeas.

Calcium concerns

Your body needs enough calcium to support healthy teeth and gums. Vegans need to supplement their diet with plenty of plant sources that contain calcium (almonds, leafy greens, beans, etc.) as well as fortified vegan milks (almond, soy, rice, etc.).

Frequent snacking

Continual snacking provides an environment for bacteria to thrive and attack your tooth’s  enamel. Vegans may be more prone to frequent snacking in an effort to meet their body’s need for energy. You may find eating meals with a higher fat content helps you stay full for longer periods of time.

More sugars/starches in the diet

It can be easy as a vegan to eat a diet based on sweet/starchy foods like fruits and grains  (cereal, bread, pasta, crackers, rice, etc.). But the bacteria in your mouth that cause tooth decay thrive on sugar. Make sure to round out your diet with non-sugary foods, such as tofu, nuts, seeds, and plenty of vegetables.

If you’re a vegan, you already know you have to be mindful of certain key nutrients that you may need to focus on or supplement in your diet. Keep this list in mind to ensure your dental health is also in tip-top shape!

At All Smiles Pediatric Dentistry, we incorporate proven techniques to share with you and your child at each dental checkup visit. Dr. Allen Job and his team are committed to providing the latest in oral health care prevention. For more information about brushing and flossing check out our preventive care page. Still want more information? Check out our blog posts on prevention! Our practice is centrally located in San Diego, CA.

Scheduling an appointment for your child is easy! Start here to schedule an appointment. All of our forms are online. Fill them out securely from your smartphone or tablet and hit send. On appointment day, your child will be seen at their scheduled time. For example, if you have a 9:00 AM appointment, your child will be seen at 9:00 AM.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention. He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

 

Five Reasons for Healthy Teeth

February 16th, 2018

5 Reasons for Healthy Teeth

[caption id="attachment_548" align="aligncenter" width="410"]5 Reasons for Healthy Teeth 5 Reasons for Healthy Teeth[/caption]

1.  Love.

Love your teeth? Get into the routine of making them a priority, so they will last a lifetime.  Honor your body. By taking care of your body using preventive measures, you will not only enjoy good health, but feel great. You deserve it!

2. Your Priority Reflects On Your Own Inner Values.

At a minimum, brush your teeth two times a day and floss once a day. That's just 6 minutes out of your day! Want to find about more techniques? Check out our website's preventive care page.

3. Your Heart Will Thank You.

Oral health is linked to heart health. How? Plaque and bacteria from your gumline can find its way into your bloodstream and heart. Gum disease can lead to bone loss causing teeth to feel loose.  Learn more about how to keep your gums healthy by reading gum disease on our website.

4. Be Motivated.

Did you know only 12% of the general population floss their teeth on a daily basis? You can do it! Then you too can be part of this healthy group.

5. Pass Along the Information.

Become an oral health ambassador.  If you have children or other loved ones in your household, then share with them the painless way to healthy teeth.

There are more ways to have healthy teeth.  Continue to checkout our blog posts for more information.  Our website also great info on oral hygiene and diet recommendations.

At All Smiles Pediatric Dentistry, we incorporate proven techniques to share with you and your child at each dental checkup visit. Dr. Allen Job and his team are committed to providing the latest in oral health care prevention. For more information about brushing and flossing check out our preventive care page. Still want more information? Check out our blog posts on prevention! Our practice is centrally located in San Diego, CA.

Scheduling an appointment for your child is easy! Start here to schedule an appointment. All of our forms are online. Fill them out securely from your smartphone or tablet and hit send. On appointment day, your child will be seen at their scheduled time. For example, if you have a 9:00 AM appointment, your child will be seen at 9:00 AM.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention. He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

 

How Often Should You See the Dentist

January 2nd, 2018

We love our patients, so we’d be more than happy to see you every day! Alas, we realize that’s not really possible, so here are some more realistic guidelines for making appointments.

In general, it all depends on your oral health status and your health history.

For most patients, the optimal frequency to visit the dentist is twice a year. In six months, enough tartar and plaque can build up to require a dental check-up and cleaning, especially if your dental hygiene isn’t as rigorous as it should be.

For others with gum disease, a genetic predisposition for plaque build-up or cavities, in braces, or have a weakened immune system, you’ll need to visit more frequently for optimal care.

Depending on where you fall in those categories, we will prescribe the necessary frequency to keep your optimal health.

It’s important to keep your routine visits with us so that:

  • We can check for problems that you might not see or feel. Want more information? Check out our Teeth for Life section on our website.
  • We can find early signs of decay (decay doesn’t become visible or cause pain until it reaches more advanced stages).  An ounce of prevention goes a long way.  See our previous blog, Understanding the 5 Stages of Tooth Decay.
  • We can treat most oral health problems found affecting children (generally, the earlier a problem is found, the more manageable it is).  If your child requires treatment outside the scope of Dr. Job's expertise, we will refer your child to another outstanding specialist.
  • Routine visits become routine when your child feels comfortable in the dental setting.  Having a dental home for your child is important for them to feel safe and comfortable. Read about why so many patients continue to come to our practice at All Smiles Pediatric Dentistry.  Check out our section on, What Sets Us Apart. 

There you have it! Those are the brass tacks for how often you should schedule an appointment.

But don’t let this keep you from stopping in and saying hi whenever you’re in the neighborhood!

Scheduling an appointment for your child is easy.

Start here to schedule an appointment. All of our forms are online.  Fill them out securely from your smartphone or tablet and hit send.  On appointment day, your child will be seen at their scheduled time.  For example, if you have a 9:00 AM appointment, your child will be seen at 9:00 AM.

Dr. Allen Job and his team would love seeing your smile!

 

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention.  He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

 

The Why, When, How and Where of Tongue Scraping

December 6th, 2017

The Why, When, How and Where of Tongue Scraping

Imagine it’s winter (here in sunny San Diego, CA) … you’re standing at the door, ready to brave the cold. You’re layered-up with three shirts and a sweatshirt, your heavy winter coat, and two layers of socks underneath your waterproof winter boots. Then you’ve got those awesome jeans with the flannel on the inside, your comfy hat, scarf, and gloves. You’re set! But wait. As you step toward the door, you suddenly realize you have an itch … and it’s deep down … buried beneath all those layers. And, try as you may, every attempt to reach that bugger-of-an-itch fails. Defeated, you realize the only relief you’re ever gonna’ get is to remove each one of those layers. Where are we going with this?!

The Tongue

We’re going inside your mouth, of course, to your tongue – this is a dental article, after all! Because whether you know it or not, like you in the wintertime, your tongue is also “all covered up” – buried beneath layers of bacteria, fungi, and food residue that can inhibit your ability to taste, let alone cause your tongue to appear various shades of yellow, white, or green! Remove the bacteria, though, and your food will once again directly interact with those taste buds, and return to its natural hue. So how does one do that? With a tongue scraper, of course!

WHAT is a tongue scraper?

A tongue scraper is a U-shaped device designed to “scrape” the top layer of scum from your tongue. They have been in use since ancient times, and have been made of everything from wood to whalebone. Nowadays, they are made of more hygienic material, and come in a variety of shapes, sizes, designs and colors.

WHY use a tongue scraper?

The residue on your tongue includes things like the cavity-inducing Streptococcus mutans bacterium, fungi, rotting food (that’s not good), and what’s referred to as “volatile sulfur compounds.” In other words, sulfur – that “rotting egg smell.” Talk about ew! So, as you can see, there are several reasons why you’d want to get rid of this gunk in your mouth.

Let’s tackle them one by one:

  • Reduce bad breath: ‘nuff said! We've all had morning breath, if we are honest enough to admit it.  Let the tongue scraper help you get rid of it.
  • Reduce your risk of periodontal disease and cavities: Bad bacteria contribute to plaque and tartar on teeth, making them more susceptible to cavities. Bacteria build-up can also lead to inflammation of gum tissue (gingivitis). If left untreated, gingivitis can lead to periodontal disease, which means a more expensive dental visit (plus other unwanted consequences!). Speaking of avoiding an expensive dental visit, when was the last time you came in to see us?  Come see us now if it’s been awhile, by contacting us for an appointment.
  • Make room for good bacteria: see our article here on probiotics for your mouth.
  • Prevent heart disease? While the debate is still up in the air, some studies suggest there could be a correlation between gum disease and heart disease.

HOW does one use a tongue scraper?

In general, make sure to rinse your tongue scraper before and after use. Apply the tongue scraper to the back of your tongue and drag it forward. Then, rinse and repeat. Make sure to get the sides of your tongue as well, not just the center!

Make sure not to press too hard or you can cause yourself to bleed. And, if you’re wondering if you should scrape your tongue while recovering from a dental procedure, that’s a good question … ask Dr. Allen Job for the best advice particular to your situation.

Still not sure how this thing really works? The next time you’re in ask one of our registered dental assistants for a quick tutorial!

WHERE do I buy one?

Tongue scrapers are relatively inexpensive, and can also be found at
any local drugstore. It doesn’t matter the material, color, or brand – just find the one you like and get scraping!

At All Smiles Pediatric Dentistry, we incorporate proven techniques to share with you and your child at each dental checkup visit.  Dr. Allen Job and his team are committed to providing the latest in oral health care prevention.  For more information about brushing and flossing check out our preventive care page.  Still want more information? Check out our blog posts on prevention!  Our practice is centrally located in San Diego, CA.

Scheduling an appointment for your child is easy!  Start here to schedule an appointment. All of our forms are online.  Fill them out securely from your smartphone or tablet and hit send.  On appointment day, your child will be seen at their scheduled time.  For example, if you have a 9:00 AM appointment, your child will be seen at 9:00 AM.

 

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention.  He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

Baby Steps Series: Tongue Tie and Lip Tie Laser Treatment

November 1st, 2017

Baby Steps Series: Tongue Tie and Lip Tie Laser TreatmentWhat is a tongue tie?

A tongue tie or ankyloglossia occurs when there is an abnormal band of thick tissue, also known as the frenum, which is located below the tongue.

How does a tongue tie affect feeding of newborn babies?

A tongue tie prevents the tongue from having the full range of motion.  This is considered a developmental problem since it arises before a baby is born.  Tongue tie restricts how a newborn nurses, often causing improper latch with the mother’s nipple.

What other problems can arise from having a tongue tie?

Having a tongue tie can create speech difficulties, malocclusion, and gum recession.1

Is having a tongue tie pretty common?

Tongue tie occurs between 4% - 10.7% of the population.2

Are there different types of tongue tie?

Anterior Tongue Tie

Yes, there are two primary forms of tongue ties complete and partial.3  When the frenum has limited tongue movement it is considered a partial ankyloglossia.  This is known as an anterior tongue tie. Often, one can see an anterior tongue tie since it appears as a thin band of tissue under the tongue.

Posterior Tongue Tie

However, if  the tongue appears to be fused to the floor of the mouth it is then considered to be a total ankyloglossia.  This is known as a posterior tongue tie. Posterior tongue ties are much harder to visualize.  The tongue has to be elevated from the floor of the mouth in order to diagnose a posterior tongue tie.

What is a lip tie?

An upper lip tie is present when the upper lip is lifted and the band of connective tissue (frenum) is tight, causing the gums to blanch (turn white).  There are four classifications for lip tie, ranging from mild (Class 1) to severe (Class 4).

What are the 4 classifications of Lip Tie?

Class I: Mucosal

Class 2: Gingival

Class 3: Papillary

Class 4:  Papilla Penetrating

Upper Lip, Lower Lip, and Tongue Ties. Can someone have more than 1 lip tie?

A lip tie can occur on either, the upper lip, the lower lip, or both.  Often a lip tie accompanies a tongue tie.

How does a lip tie affect a baby?

Lip ties can be associated with breastfeeding difficulties in infants.4   They can be associated with facial cervical caries (tooth decay at the gumline), due to interference with proper oral hygiene.5  Moreover, they can also be associated with the gum recession. 6

How are tongue and lip ties treated?

Physicians, such as an ENT (Ear Nose Throat Specialist), usually will treat tongue and lip ties with a scalpel or surgical scissors.  They may also require treatment to be completed with some form of sedation, ranging from local anesthetic to general anesthesia.  Sutures or stitches may also need to be placed.

Today, pediatric dentists and some physicians trained in treating tongue tie and lip ties can perform this procedure in an outpatient setting, using a laser.  With using a laser, there is less pain, less bleeding, and no need for sutures.  This translates to faster healing and in most cases quicker resolution to the problem.  This form of treatment usually requires using just a topical anesthetic and occasionally, a local anesthetic.

How long does the procedure take?

The procedure usually takes less than 10 minutes from start to finish.  Mothers are able to nurse right after procedure with their infant.

What happens after the procedure?

In order to get optimal results and to ensure proper healing, it is essential that parents complete the post treatment therapy exercises with their infant and also follow-up with a daily oral hygiene routine.  Moreover, a series of follow-up care appointments will be setup to monitor the healing process.

What about older children or adults?

Older children and adults can also benefit from lip tie and tongue tie correction.  The benefits include: improved oral hygiene, decreasing orthodontic severity especially from lip tie treatment, and improved speech.

 

If your child is showing signs of tongue tie or lip tie, contact Dr. Allen Job at All Smiles Pediatric Dentistry, to for a comprehensive evaluation to see if your child will be a good candidate for laser treatment.

References

  1. Segal L, Stephenson R, Dawes M, Feldman P. Prevalence, diagnosis, and treatment of ankyloglossia. Can Fam Physician 2007;53(6):1027-33
  2. Boutsi EZ, Tatakis DN. Maxillary labial frenum attachment in children. Int J Paediatr Dent 2011;21(4):284-8.
  3. McDonald RE, Avery DR, Weddell JA. Gingivitis and periodontal disease. In: Dean JA, Avery DR, McDonald RE, eds. McDonald and Avery’s Dentistry for the Child and Adolescent. 9th ed. Maryland Heights, Mo: Mosby Elsevier; 2011:389-91.
  4. Coryllos E, Genna CW, Salloum A. Congenital tongue-tie and its impact on breastfeeding. Breastfeeding: Best for baby and mother. Am Acad Pedia (newsletter) 2004; Summer:1-7.
  5. Kotlow L. The influence of the maxillary frenum on the development and pattern of dental caries on anterior teeth in breastfeeding infants: Prevention, diagnosis, and treatment. J Hum Lact 2010;26(3):304-8.
  6. Minsk L. The frenectomy as an adjunct to periodontal Compend Contin Educ Dent 2002;23(5): 424-6, 428.

*This blog is part of the Baby Steps Series. Look for future blogs in this series.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention.  He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

Proper Brushing FAQs

October 9th, 2017

Proper Brushing FAQsMouth open or mouth closed?

Before breakfast or after breakfast?

Flat or at an angle?

Manual toothbrush or electric toothbrush?

We brush our teeth every day (hopefully!), but who knew it was this complicated. Just grab a brush a get to work, right?

Not so fast, my friend! There are actually some best practices to be mindful of when brushing those pearly whites. The trick is cutting through the fat and finding out exactly what works.

We live in a world of alternate facts, truthiness, and lists of “7 Ways to Keep Your Teeth Clean Without Picking Up a Toothbrush.” What’s even correct these days?!

Fear not, because we’ve got you covered with this handy FAQ (frequently asked questions)
guide. We’ll keep it simple with some easy dos and don’ts of brushing. Let’s get to it!

Proper Brushing Habits:

1. Don’t: Keep your brush flat.

  • Do: Use a 45-degree angle when brushing.

2. Don’t: Use looooooooong strokes. No need to cover your whole mouth in one stroke!

  • Do: Use short, circular strokes.

3. Don’t: Brush with the force of a giant. This isn’t a strongman contest!

  • Do: Gently cover all areas. A gentle touch helps prevent wear and tear on your enamel.

4. Don’t: Go one and done.

  • Do: Brush at least twice a day, especially after eating or drinking something acidic (like citrus fruits or soda). If you have something acidic to eat or drink, remember to wait 30 minutes before you brush your teeth.

5. Don’t: Be sentimental and use the same toothbrush for life.

  • Do: Change your toothbrush every 3-4 months. A trick to remember: switch out on the first day of each season.

6. Don’t: Be average – the average person brushes their teeth for 45 seconds.

  • Do: Brush for a full 2 minutes. A helpful trick: say the alphabet while brushing a certain section, move to the next section after you hit Z.

7. Don’t: Keep your toothbrush in a closed container.

  • Do: All your toothbrush to air dry.

8. Don’t: Store your toothbrush on the sink counter where bathroom particles can get on it.

  • Do: Store your toothbrush in the medicine cabinet.

9. Don’t: Wield a tough-bristled brush.

  • Do: Use a soft-bristled toothbrush, which is much better for your tooth enamel
    And there we have it! Some easy practices to keep that perfect smile.

10. Don't: Brush your teeth before meals or snacks.

  • Do: Brushing your teeth AFTER meals and snacks will remove more food debris and plaque off your teeth than brushing them before.

Remember: Brushing is only 4 minutes out of the day, so why not make it the best 4 minutes of the day!

At All Smiles Pediatric Dentistry, we incorporate proven brushing techniques to share with you and your child at each dental checkup visit.  Dr. Allen Job and his team are committed to providing the latest in oral health care prevention.  For more information about brushing and flossing check out our preventive care page.  Still want more information? Check out our blog posts on prevention!  Our practice is centrally located in San Diego, CA.

Scheduling an appointment for your child is easy!  Start here. All of our forms are online.  Fill them out securely from your smartphone or tablet and hit send.  On appointment day, your child will be seen at their scheduled time.  For example, if you have a 9:00 AM appointment, your child will be seen at 9:00 AM.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention.  He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

Caries Risk Assessment - What's the big deal?

May 4th, 2017

Caries Risk Assessment - What's the big deal?What is the Caries Risk Assessment Tool?

The Caries Risk Assessment Tool is a research-based tool used to identify the risk factors that cause dental decay. It is also used to provide recommendations to reduce the risk of future cavities.  It has been well documented that dental decay affects children throughout their childhood and into their early adulthood.  The National Health and Nutrition Examination Survey showed that there has been a significant increase in dental decay in primary (baby) teeth.  This study further revealed that in U.S. children ages 2-5, one in four had dental decay.  Moreover, one half of children ages 12-15 had dental decay.

Why is this needed?

Instead of just filling cavities, this new method helps identify the cavity-forming risk factors and then provides guidelines to prevent future dental cavities.  The old method of just treating dental decay did not address the root factors that cause dental decay.  Several years ago, leading dental experts, ranging from educators, clinicians, and policy makers, converged to create the Caries Risk Assessment tool. Using the Caries Risk Assessment is a new paradigm shift that helps health care providers and educators provide specific recommendations to decrease the risk of getting dental caries.

What are the categories?

There are 3 risk categories:  High, Moderate, and Low

For each category there are recommendations based on the child’s age.

Some common recommendations include: nutrition changes, use of fluoride supplements, sealants, and more frequent cleaning and checkups.

Still need more information?

For additional information you may contact these organizations:

I've got it, what should I expect at my child's next dental visit?

At your child's next dental checkup visit, you will be asked a few questions that will help determine your child's risk for dental decay.  These responses will be used along with the information Dr. Allen Job gather's during your child's examination to determine your child's risk for dental decay.  Dr. Job and his team will be review that information with you at the end of the appointment.

How often will the Caries Risk Assessment be performed?

The Caries Risk Assessment will be performed each time at you're child's checkup appointment.  This is an ongoing process.   Our goal at All Smiles Pediatric Dentistry is to prevent dental decay from starting in your child.  This involves providing you with easy ways to prevent dental decay. Our secondary goal is to convert Moderate and High Risk patients into Low Risk patients.

Contact our office, All Smiles Pediatric Dentistry to schedule an appointment with Dr. Allen Job.  Dr. Job and his team will be able to provide you with more information for your child at his or her visit.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention.  He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

Baby Steps Series: 3 Recommendations for Baby Dental Care

April 27th, 2017

[caption id="attachment_217" align="alignleft" width="500"]Baby Steps Series: 3 Recommendations for Baby Dental Care Baby and mother[/caption]

 

 

 

 

 

 

 

 

 

With the arrival of your adorable baby, there are lots of new tasks that are new for you as a parent. Feeding or nursing time with your baby is important. Here are some recommendations of taking care of their oral health.

1. Use a Washcloth

Yes, using a clean wet washcloth after feeding times will keep your baby's gums healthy. Make this a habit for you to do with your baby.  Doing this will also stimulate your baby's gums, which will help promote good bloodflow. Here's an additional benefit, massaging the gums with a clean wet washcloth may aid when your baby starts teething!

2. Avoid Juices in the Bottle

Juices generally do not provide much nutritional value for your baby.  These drinks are filled with sugar and have empty calories.  Milk and water are good fluids for your baby to consume.  Want more information about diet?  Here are some additional recommendations from the National Maternal & Child Oral Health Resource Center.

3. First Dental Visit by First Birthday

Schedule your baby's first visit by their first birthday.  Why? As your baby's new teeth start coming in, your baby's diet and eating habits will change. Seeing a pediatric dentist by the first birthday will help you get more ways of keeping those teeth cavity free and pain free.

Dr. Allen Job and his team at All Smiles Pediatric Dentistry look forward to meeting you and your baby.

Check out more information, about how to take care of your baby's teeth.

*This blog is part of the Baby Steps Series. Look for future blogs in this series.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention.  He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

April is National Facial Protection Month

April 24th, 2017

 

April is National Facial Protection MonthIf your child is actively participating in sports in sunny San Diego, whether it is softball, basketball, football, then he or she is at greater risk for dental injuries.  A dental sports injury can occur in the form of a chipped or cracked tooth, broken jaw, cuts to the inside of the mouth, lips, and/or tongue.

Here are some dental facts:

  • Did you know that 3 out of 4 children will have experienced some type of injury to their teeth by the age of 15?
  • Girls are more likely to have a dental injury due to sports.
  • The cost of treating sports-related dental injuries can cost thousands of dollars! (Factor in the time and cost of treatment, numerous follow up visits, and time lost from work and school.)

Custom Mouthguard

A custom athletic mouthguard is an easy way to protect your child’s teeth during sports.  It will cushion the impact from a fall or an errand blow to the mouth.  Every year there are 200,000 dental injuries that are prevented by using a mouthguard.  Using a well fitting mouthguard can lessen the impact from concussions and jaw fractures.  Moreover, a well fitting mouthguard can reduce soft tissue injuries to the cheeks, tongue, and lips.

Dr. Allen Job says, “custom athletic mouthguards are made to fit your child’s mouth comfortably.”  They optimally protect the teeth, gums and jaw.  They flex, yet won’t tear.  They won’t limit speech or breathing.  More importantly, more since they fit perfectly they are more likely to be used regularly than an ill-fitting one.”

Ready-made mouthguards may be cheaper, but don’t fit as well thereby making it harder to speak or breathe.  Consequently, they are worn less.  Also, they also do not provide the same comfort and protection as a custom athletic mouthguard.

Check out more recommendations regarding  on what to do in case of dental injury.

Contact All Smiles Pediatric Dentistry and find out how we can incorporate your child’s team colors into his or her custom athletic mouthguard.

Save your smile with a mouthguard!

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention.  He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

The Perfect Road Map For Your Child’s Oral Health

August 8th, 2016

The Perfect Road Map For Your Child’s Oral Health
On July 3rd, 1806, two years into their journey to chart the uncharted west of America, pioneer explorers Meriwether Lewis and William Clark reached a challenge of epic proportion – the Rocky Mountains. What next, they wondered? Without a map, they were forced to do what explorers do – explore, and hope for the best. So, that got us thinking. Wouldn’t it be nice to have a handy map you could use to chart your own dental health? With that in mind, and in honor of our “Dog Days of Summer” explorers, we at All Smiles Pediatric Dentistry wanted to share with you a few mile markers you can use to stay on top of your child’s health today, next year, and for years to come!

6 to 24 months

When you’re a new parent, life is a whirlwind, and the dental care of your newborn may not be top of mind when you look in their mouths and see no teeth! Here are some things to keep in mind:

Schedule a visit: As soon as that first tooth comes in, you’ll want to contact us to schedule a visit and set up a periodic exam schedule. Also, be aware the ADA recommends fluoridated toothpaste now for all children under the age of three. Don’t wait!

Ask us about:

  • Home hygiene basics: Things like, tips and tricks on brushing and other care. There’s nothing better than having our hygienists give brushing tutorials – they’re experts!
  • Preventative dentistry: The possible need for fluoride supplements
  • Dietary strategies: Achieving a balanced diet early in life for good oral health later
  • Feeding practice awareness: Bottle, breastfeeding, and no-spill training cups
  • Infant feeding issues: tongue-tied, latch issues
  • Non-nutritive oral habits: Thumb sucking, pacifiers
  • Injury-proofing your home: Avoiding types of furniture that is more prone to causing dental injury

2 to 12 years old

Ah, the little ones are growing up. Teeth are coming in at all sorts of crazy angles, and you’re going crazy from the rise in obligations.

Here’s a quick list of what to consider during this time frame:

  • Preventative dentistry: Pit and fissure sealants can do wonders for keeping your child’s dental bills down, and their teeth in their head until they’re ready to fall out naturally. Ask us about them. They’re affordable AND useful. And, super-fast, you’ll be in and out in no time.
  • Orthodontic Consultation: Visiting an orthodontist for an early consultation is best done around your child’s seventh birthday. With today’s technology, early intervention can reduce the cost and duration of braces when your child gets older.

The Teen Years

The years “everything” happens! As children start to come into their own, new habits and desires begin to unfold as well. You’ll have to address every imaginable concern during these years, from piercings, to calls for whitening, braces, and the need to refer yourself away from your pediatric dentist and to a general dentist for continuing oral care.

So, speak with us about:

  • Cosmetic Dentistry: What solutions are advisable now, and what things should be avoided.
  • Teen social pressures: Smoking, alcohol, intraoral/perioral piercings and the like. Believe it or not, we can help a lot with this. Does your teen have a favorite All Smiles Pediatric Dentistry hygienist? We might be able to arrange for that person to help when your teen comes in so they can address these concerns with an intermediary they trust. Contact us here at All Smiles Pediatric Dentistry to see how we can help!
  • Orthodontics: Options for minimizing appearance and health problems later in life.
  • Home hygiene tips: Brushing, flossing, choosing the right mouthwash.
  • Craniofacial injury prevention: With your children’s possible participation in sports, you’ll want to get them a mouthguard. Hands down it’ll be one of your best investments in a healthy mouth. Checkout more information about mouthguards.
Staying on top of your child’s oral health isn’t as hard as you think, and if you keep this schedule handy, you’ll be ahead of most of your neighbor's kids when it comes to a healthy mouth and body. Come to think of it … why not share it with them as well?  They’ll thank you for the help.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention.  He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

Saving Space for Permanent Teeth with a Space Maintainer

April 5th, 2016

Saving Space for Permanent Teeth with a Space Maintainer

If your little one's teeth have begun to fall out, and their permanent replacements appear to be lagging far behind, you may wish to consider a space maintainer to minimize future orthodontic work. Believe it or not, the absence of your child's teeth might seem cute now, but those tiny little gaps can cause deep gouges in your pocketbook as you watch them fill up with teeth that don't belong there. Space maintainers are simple to use, kids get along fine with them, and they have become the standard for protecting the cosmetic and functional aspects of your growing child's mouth.

Why Your Child Might Need a Space Maintainer

When a child's tooth is lost early due to trauma, tooth decay, or nature's insistence that it drop out before its permanent replacement is due, a space maintainer can be used to hold back the natural inclination of teeth to move forward. Without preventing this movement, teeth that should be in the rear of our mouths end up along the sides, and take up precious real estate destined for another tenant. The result is overcrowding, and in some cases impacted teeth. In the end, it's always easier to save the space now, then create it later.

How They Work

Space maintainers are very similar in purpose and design to an adult "bridge," but instead of placing artificial teeth over the gap, the space is kept open to accommodate its future resident.  At All Smiles Pediatric Dentistry, we make most space maintainers out of metal, and custom-mold them to the shape of your child's mouth. In most cases, the maintainer is made up of a metal band attached to a rectangular-shaped wire that butts up against the tooth across the gap. This acts to temporarily preserve the space where the baby tooth once was, so its replacement can erupt without obstruction.

Does My Child Need One?

It's important to note that dental space maintainers are not required for all childhood tooth loss, and that we’re not going to suggest you create a decade worth of space maintainers as each tooth falls out of your child's mouth. Our bodies are quite effective at saving space for the loss of our front teeth as well as our incisors - it's the teeth along the sides of our mouths that tend to cause the majority of complications. Of course, each mouth is different, so be sure to discuss with us the best course of action for you and your child. If your child has recently lost a tooth, or several teeth, and it’ll be awhile before they’re scheduled to see  Dr. Allen Job, give us a call to see if you should come in a little earlier.  You can reach us by clicking  here.

Using a space maintainer is an affordable and effective way to ensure your child's teeth come in where they are supposed to, and when they're ready. It can have a positive effect on your wallet, reduce the amount of time your child needs to wear braces, and control the cosmetic appearance of your child's teeth and mouth.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention.  He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

 

When do children usually lose their baby teeth?

March 30th, 2016

When do children usually lose their baby teeth?

Many parents worry that their children’s teeth are not falling out on time. A lot of concerned parents want to know: When will my child lose his or her first baby tooth? At what age should the last tooth fall out? Is there a specific order in which the teeth are lost?

Dr. Allen Job and our team explain that a child's 20 baby teeth (primary teeth) typically come in by age three and begin to loosen and fall out on their own to make room for permanent teeth, which usually appear by the time your child is six. It is important to know that timing may vary, and girls typically lose their baby teeth earlier than boys. The last baby teeth will likely fall out by the time your child is 13.

So, which teeth do children lose first? Baby teeth tend to fall out in the order in which they came, which means the lower center incisors are usually the first to go when your child is between six and seven years old. The next teeth your child will lose are his or her top center pair, also called the upper central incisors.

It’s important to note that if a child loses a baby tooth early as a result of decay or an unforeseen accident, his or her permanent tooth may erupt early and potentially come in crooked due to limited space. If your child suffers an injury or has tooth decay, we encourage you to give us a call to set up an appointment with Dr. Allen Job.

While we know some children couldn’t be more excited to lose their baby teeth, we know others are anxious about this childhood milestone. When your child starts to lose teeth, our team at All Smiles Pediatric Dentistry encourages you to stress the importance of proper dental care on a daily basis.

Remember to:

  • Remind your child to brush his or her teeth at least twice a day. Supervise and offer assistance as needed.
  • Help your child floss his or her teeth at bedtime.
  • Limit eating and drinking between meals and at bedtime, especially sugary treats and drinks, such as candy and soda.
  • 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.

To learn more about baby teeth, or to schedule your child's next visit with Dr. Allen Job at our San Diego, CA office, please give us a call today!

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention.  He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

How safe are dental X-rays?

March 23rd, 2016

How safe are dental X-rays?

Dr. Allen Job and our staff rely on digital X-rays to help us diagnose oral conditions and process images at incredibly high speeds. You can also view digital X-rays in real time while we examine your mouth with an intraoral camera and upload the images to a software program. A chairside computer monitor lets you see these images as we refine areas of concern to ensure an accurate diagnosis.

But are dental X-rays safe?

Yes! They emit 80 percent less radiation than exposure-type X-rays and provide detailed images to improve diagnosis and treatment. We can now detect dental problems in their earliest stages without subjecting you to unnecessary radiation. The amount of radiation released by digital X-rays is “negligible,” which means the amount is so small, that it can be safely disregarded.

Safe enough for children and pregnant women, digital X-rays detect microscopic pitting in tooth enamel and other abnormalities in the oral tissues that might have remained undetected with traditional X-rays. When Dr. Allen Job and our staff discover dental caries in their earliest stages, we can initiate treatment measures that will effectively prevent cavity development, tooth decay, and potential tooth loss.

Patient appointment lengths are shortened with digital X-rays as well, because images are immediately viewable and do not require the exposure time associated with old-style X-rays.

How Digital X-Rays Differ from Traditional X-Rays

Instead of using cardboard-contained film, we insert a small sensing device about the size of a pen in your mouth and engage the digital X-ray machine by manually manipulating control buttons. Within seconds, images appear on the monitor that can later be stored in your file or sent to another doctor for further examination.

The increased resolution afforded by digital X-rays means that patients are able to understand the seriousness of their dental issues better, and are more inclined to follow through with procedures recommended by Dr. Allen Job.

Safer, Better and Faster

For detection of cancerous tumors in their early states, digital X-ray technology offers vast improvements over film X-rays because of its cutting-edge image processing capability. Early detection of oral cancer and dental caries is the best way to prevent any type of oral health problem from exceeding the treatable stage.  Contact our office to setup your child's next dental visit.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention.  He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

St. Patrick’s Day

March 16th, 2016

St. Patrick’s Day

On March 17, everyone has a little Irish in them. St. Patrick’s Day is a joyous celebration of Irish heritage. The holiday originated as a commemoration of Saint Patrick, who brought Christianity to Ireland. The saint arrived in Ireland in 432 and earned the reputation of a champion of Irish Christianity. March 17th, the day of St. Patrick’s death, has been commemorated by the Irish for over 1,000 years. St. Patrick’s Day is still observed as a religious feast day by several Christian denominations, but it is better known in the public imagination as a rich celebration of Irish culture.

St. Patrick’s Day has been an official public holiday in Ireland since 1903. Each year, the Irish celebrate with a several-day festival that includes theater performances, music, fireworks, and festive parades. The celebration is also a public holiday in Northern Ireland, Montserrat, and Newfoundland and Labrador. In other parts of the world with heavy Irish populations, it is an unofficial celebration of Irish heritage. Parts of Great Britain, Canada, Argentina, South Korea, Switzerland, New Zealand, the United States, and Australia commemorate the holiday each year. Typical celebrations in these countries include drinking green beer, wearing green, eating traditional Irish foods, parades, and shamrock decorations.

Many people, Irish and non-Irish alike, take part in the “wearing of the green” on St. Patrick’s Day. In fact, the color originally associated with Saint Patrick was blue. His use of shamrocks to explain the Holy Trinity to the Irish made the green clover emblematic of the holiday, leading to the traditional green attire worn by thousands on St. Patrick’s Day. Other little-known facts about St. Patrick’s Day include the following:

  • Each year, the United States and Ireland face off in a rugby competition called the “St. Patrick’s Day Test.”
  • Montreal celebrates the holiday with an annual parade, which has been held each year since 1824. The Montreal city flag even features a shamrock in its corner, as a nod to its Irish heritage.
  • The Guinness World Records named St. Patrick’s Day the “Friendliest Day of the Year.”
  • Along with Valentine’s Day, St. Patrick’s Day is one of the most widely celebrated saint’s day in the world.

No matter your cultural heritage, St. Patrick’s Day is a great time to let loose and celebrate your inner Irish-ness! Don your greenest attire and exclaim “Erin go Bragh!” (Ireland forever!) to everyone you meet. From Dr. Allen Job - have a great St. Paddy’s day!

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention.  He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

Baby Steps Series: Thumb Sucking, Pacifiers, and Your Baby’s Teeth

March 9th, 2016

Baby Steps Series: Thumb Sucking, Pacifiers, and Your Baby’s Teeth

Sucking is a common instinct for babies and the use of a pacifier or their thumb offers a sense of safety and security, as well a way to relax.

According to the American Academy of Pediatric Dentistry, the majority of children will stop using a pacifier and stop sucking their thumb on their own between the ages of two and four years of age. Prolonged thumb sucking or use of a pacifier can have dental consequences and needs be taken care of sooner, rather than later.

Many dentists favor pacifier use over thumb sucking because it makes it easier for parents to control and even limit the use of a pacifier. If thumb sucking lingers, the same strategies used to break the baby from using the pacifier can be used for thumb sucking.

Precautions

  • Try to find "orthodontically correct" pacifiers, as they may reduce the risk of dental problems.
  • Never dip a pacifier in sugar or honey to calm the baby.
  • Give your baby a bottle of water at bedtime, never juice.

Dental Complications

Long term pacifier use can lead to an assortment of dental complications including:

  • The bottom teeth leaning inward
  • The top teeth slanting outward
  • Misalignment of the baby’s jaw

The risk of any or all of these things happening is greatly increased if thumb sucking and pacifier use is sustained after the baby’s teeth start to come in.

Breaking the Thumb Sucking and Pacifier Habit

Most toddlers and children will stop sucking their thumb or using a pacifier between the ages of two and four on their own. However, if intervention is necessary here are a few tips to help your child break the habit:

  • Slowly decreasing the use of a pacifier can be effective for many children. This method does not work very well with thumb sucking.
  • Thumb sucking can be more difficult to break. Dr. Allen Job may recommend using an over the counter cream that you put on the child’s thumb; it doesn’t taste good and usually does the trick.
  • Rewards can also help with the process.
  • If these simple commonly used strategies do not work, there are oral devices that will prevent a child from sucking their thumb or a pacifier.

Talk to Dr. Allen Job and our team, as we have many tricks up our sleeves that will be effective in breaking your child’s thumb sucking or pacifier use.  Contact All Smiles Pediatric Dentistry today to schedule your child's dental visit.

*This blog is part of the Baby Steps Series. Look for future blogs in this series.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention.  He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

Baby Steps Series: The Importance of Baby Teeth

March 8th, 2016

Baby Steps Series: The Importance of Baby Teeth

Dr. Allen Job and our team know it can be easy to underestimate the significance of baby teeth. At All Smiles Pediatric Dentistry, we sometimes meet parents who assume that since their child's baby teeth, also known as primary teeth, eventually fall out and are replaced, they are less important. But did you know baby teeth serve purposes other than biting, chewing, and digesting food properly?

Baby teeth are essential not only for your child’s language development, but they also serve other important functions, like contributing to the normal development of your child’s jaw bones and facial muscles. Baby teeth also reserve space for your child’s future permanent teeth.

So, when do baby teeth fall out?

A baby tooth is intended to remain in your child’s mouth until the permanent tooth underneath it is ready to take its place. Sometimes, either due to a tooth being knocked out accidentally or being removed because of tooth decay, kids lose baby teeth before the permanent teeth are ready to erupt. If a tooth is lost, the teeth on either side of the open space may possibly push into the open space. The result? There may not be enough room for the permanent tooth when it is finally ready to erupt.

If you have any questions about your toddler’s teeth, or if your child is experiencing issues that concern you, please give us a call to set up an appointment at our convenient San Diego, CA office.

*This blog is part of the Baby Steps Series. Look for future blogs in this series.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention.  He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

Tooth Eruption Timeline

February 17th, 2016

Tooth Eruption Timeline

Parents, and even older children, can become concerned about tooth development. Wondering when teeth should erupt, and being concerned when the teeth do not appear on schedule, is common. First, you need to remember that each individual is different. Guidelines are just guidelines, but Dr. Allen Job and our team at All Smiles Pediatric Dentistry thought we would pass on this information to help you.

Primary teeth

Children normally have 20 primary or baby teeth. The first two to appear are usually the lower central incisors between six to ten months of age. These fall out between five and seven years of age.

  • Two upper central incisors – eight to 12 months
  • Two upper lateral incisors – nine to 13 months
  • Two upper cuspids or canines – 16 to 22 months
  • Two upper first molars – 13 to 19 months
  • Two upper second molars – 25 to 33 months
  • Two lower lateral incisors – ten to 16 months
  • Two lower cuspids or canines – 17 to 23 months
  • Two lower first molars – 14 to 18 months
  • Two lower second molars – 13 to 31 months

As you can see, all the primary teeth normally have erupted before three years of age, but the timeline can vary by four to six months. Except for the lower central incisors and second molars, upper teeth tend to appear before lower teeth.

Permanent or adult teeth

Adults normally have 32 permanent teeth. However, four of these are wisdom teeth or third molars, which are often removed.

  • Two upper central incisors – seven to eight years
  • Two upper lateral incisors – eight to nine years
  • Two upper cuspids or canines – 11 to 12 years
  • Two upper first premolars or bicuspids – ten to 11 years
  • Two upper second premolars or bicuspids – ten to 12 years
  • Two upper first molars – six to seven years
  • Two upper second molars – 12 to 13 years
  • Two upper third molars or wisdom teeth – 17 to 21 years
  • Two lower central incisors – six to seven years
  • Two lower lateral incisors – seven to eight years
  • Two lower cuspids or canines – nine to ten years
  • Two lower first premolars or bicuspids – ten to 12 years
  • Two lower second premolars or bicuspids – 11 to 12 years
  • Two lower first molars – six to seven years
  • Two lower second molars – 11 to 13 years
  • Two lower third molars or wisdom teeth – 17 to 21 years

Please discuss any of your dental concerns during your visit with Dr. Allen Job. If there is a problem with tooth development, the earlier we address it, the better the outcome. We specialize in pediatric dentistry and look forward to helping you and your child with all your dental needs. To learn more about tooth eruption, or to schedule an appointment with Dr. Allen Job, please give us a call at our convenient San Diego, CA office!

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention.  He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

The Transformation of Valentine’s Day

February 10th, 2016

The Transformation of Valentine’s Day

Did you know the actions leading to the beginnings of Valentine's Day were actually centered on the avoidance of war? A Catholic priest named Valentine defied the orders of the Emperor Claudius II and secretly married young men and their brides after the emperor had declared it illegal because only single, young men could be sent to war. Rather than lose potential soldiers to fight his war, Claudius attempted to hoard them by proclaiming marriage illegal.

Valentine continued to marry young couples anyway and, eventually, was put to death for it in 270 AD. Before his death, he sent a letter to a secret love and signed it “From your Valentine”. Nearly 1,800 years later, people are still signing letters and cards in this manner. This year, carry on the tradition started long ago, while adding your own twist. Here are a few suggestions.

Simple and Creative Valentine's Day Ideas

  • Memorialize it with a Photo. Couples often have photos taken around Christmas, but Valentine's Day photos allow you to capitalize on romance. Famous couple Julia Child and her husband, Paul, had their picture taken together every Valentine's Day and included their sense of humor with silly props.
  • Return to Your First Date Location. Even if your first date together was at a local hotdog stand, its sentimental value can make it a fun part of your Valentine's Day agenda. Be creative and make a treasure hunt with clues that lead your partner to the original date location, where you can express your love with flowers or a gift.
  • “From Your Valentine” Messages. Deliver your message in a creative way to make this Valentine's Day stand out from the others. Bake your partner's favorite treat and write a message on it with a tube of icing, or draw a note on the steamed up mirror so it shows up when your partner takes a shower.

Although Valentine's Day is a day to celebrate love, it doesn't have to be a special day only for couples. If you're single, use this special day to shower yourself with love, because you're worth it! After all, the priest Valentine believed so strongly in the sanctity of love that he was willing to risk his life for it. Whether you're in a relationship or single, young or old, romantic or not, Valentine's Day is for you. Happy Valentine’s Day from the pediatric dentist office of Dr. Allen Job.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention.  He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

Oral Health Concerns for Teens

February 3rd, 2016

Oral Health Concerns for Teens

You have a lot more freedom as a teenager than you did as a young child. You also have a lot more responsibilities, and one of your jobs is to take care of your teeth. Develop and maintain good dental habits now so you can have great dental health for life!

Tooth Decay

As a teenager, you risk tooth decay, or dental cavities, if you are not careful. In fact, 59% of adolescents aged 12 to 19 have at least one cavity, according to the National Institute of Dental and Craniofacial Research. Dr. Allen Job and our staff recommend keeping your teeth strong and healthy by brushing at least twice a day and flossing every day.

If you suspect that you have tooth decay, do not be embarrassed. Instead, ask your parents to bring you to All Smiles Pediatric Dentistry to get it addressed. When you do not treat your dental cavities, they can turn into more serious problems. A severely damaged tooth may need to be treated with a root canal or even an extraction.

You can take easy steps to prevent tooth decay when you are at school or hanging out with your friends. Carry a bottle of water around with you so you can take a sip after you eat any kind of food. Choose water or milk instead of soda or sports drinks, and if you chew gum, select a sugar-free flavor.

Other Oral Health Concerns

You can probably think of many reasons why you should not smoke or use tobacco. Your oral health is another one. Tobacco gives you bad breath and stains your teeth yellow. It also increases your risk for gum disease and cancer of the mouth. Smoking even slows the speed of healing after you have dental procedures done.

Here are a few more tips that can keep your mouth attractive and healthy during your teen years.

  • Drink plenty of milk.
  • Limit candies and sugary snacks.
  • Wear a mouthguard if you play a contact sport.
  • Visit pediatric dentist twice a year.
  • Reduce infections and avoid piercing your tongue and lips.

You only get one set of permanent teeth in your life, so get in the habit of taking care of them now!

Contact us to schedule an appointment with Dr. Allen Job.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention.  He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

Baby Steps Series: Oral Health Concerns for Infants

January 27th, 2016

Baby Steps Series: Oral Health Concerns for Infants

Because babies’ teeth don’t appear until around six to eight months of age, it’s a natural misconception that they don’t need dental care. But the steps you take as the parent of an infant can help your baby maintain good oral health and develop healthy dental habits in the future.

It’s easy to take care of a baby’s teeth and gums, especially when oral hygiene for your infant becomes part of the normal daily routine. Learn more about how you can promote good dental health for your baby with these tips and considerations.

Taking Care of Baby’s Oral Hygiene

  • Dental Hygiene for Birth to Six Months. Cleaning your infant’s gums is as important as cleaning teeth will be later. Hold your baby in your arms, and with a clean, moistened washcloth wrapped around your index finger, gently massage his or her gums.
  • Dental Hygiene for Six to 12 Months. After teeth begin to appear, it’s time to switch to a soft, children’s toothbrush for teeth cleaning. New research has shown that fluoride toothpaste is safe and recommended for use once your baby’s first tooth arrives. Gently brush your baby’s teeth after each feeding, in the morning, and before bedtime, just as you did before teeth appeared.
  • Good Bedtime Habits. One of the most important things you can do to protect your infant from tooth decay is to avoid the habit of putting baby to bed with a bottle. Use other soothing bedtime activities, such as rocking and lullabies, to help your baby drift off to sleep.
  • A Note about Dental Decay. Many people are unaware that dental decay is transmissible. Avoid placing your baby’s bottle, sippy cup, or pacifier in your own mouth to test the temperature. Likewise, don’t share utensils with your baby.

Partner With Your Dentist

Your baby should receive his or her first dental health checkup by the age of six months. Even though your infant may not have teeth yet, Dr. Allen Job can assess the risk your baby might face for oral diseases that affect hard or soft tissues. Dr. Allen Job can also provide you with instructions for infant oral hygiene, and explain what steps to add as your baby grows and develops.

All Smiles Pediatric Dentistry is your partner for good oral health, and we’re here to make caring for your baby’s dental hygiene and health easier and more enjoyable for you. Contact our office for your child's next dental appointment. We are centrally located in San Diego, CA.

*This blog is part of the Baby Steps Series. Look for future blogs in this series.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention.  He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

How can parents help prevent tooth decay?

January 20th, 2016

How can parents help prevent tooth decay?

Children are born with a set of primary teeth – 20 to be exact – that help them learn to chew and speak, and develop enough space in the jaw for the permanent teeth that will appear several years later. Kids are especially susceptible to decay, which can cause pain and tooth loss – a problem that could interfere with oral development. As a parent, it is important that you take proactive steps to keep your child’s teeth as healthy as possible.

Bottles and “Sippie Cups”

One of the biggest culprits of childhood tooth decay is poor diet. This begins as early as a few months old, when children are often allowed to go to bed with bottles and “sippie cups” of milk or juice. The sugars in these beverages – even natural sugars – can steadily decay the teeth.

Dr. Allen Job and our staff suggest serving children milk and juice only at meal times, and limiting juice intake to just a few ounces per day. If your child becomes thirsty between meals or likes to go to bed with a bottle, serve water during these times.

Hygiene

As a parent, you can establish healthy dental habits long before your child’s first tooth erupts. Start by gently wiping your baby’s gums with a clean wash cloth during the first months of life. By age one, graduate to an appropriately sized toothbrush with fluoridated toothpaste, and brush at least twice a day.

Dental Visits

Dental visits should start young and continue on a regular basis throughout your child's life. Dr. Allen Job and our staff recommend parents bring their children to All Smiles Pediatric Dentistry for the first time no later than the child’s first birthday. Initial visits concentrate on parental education, while later visits may include thorough cleanings and fluoride treatments as your child grows.

For more information about keeping your child’s teeth cavity-free, contact our San Diego, CA office to schedule a dental consultation and checkup.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention.  He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

When should my child start using toothpaste and how much should I use?

January 13th, 2016

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As a parent, it is your job to instill good dental habits in your kids, and this starts even earlier than you might realize. The American Academy of Pediatric Dentistry responds to the “when to start” question with a succinct “The sooner the better!”

From the time your baby is born, you should make sure that your child’s gums are regularly cleaned using water and a toothbrush made for infants. Once the first tooth erupts, you should visit the pediatric dentist for the first time.

Once your child’s teeth start to appear, you can begin brushing two times per day, using fluoride toothpaste. Choose a toothbrush made specifically for your child’s age group, and one with has soft bristles.

Only a small smear of toothpaste is needed if your child is under two years old. Once the child celebrates his or her second birthday, you can use a pea-sized amount of fluoridated toothpaste. Continue this practice until your child is five.

Of course, it is important that you monitor your child’s tooth brushing closely to help educate about proper techniques. Some young children might try to eat or swallow toothpaste, and this needs to be strongly discouraged. Be sure to teach proper rinsing and spitting behavior to round out your child’s early childhood tooth-care regimen.

For young kids, tooth brushing can be made into a fun event, and you can find a multitude of special toothbrushes that appeal to kids. There are even uniquely flavored and colored toothpastes that might encourage your child to get into the brushing game!

Dr. Allen Job and our staff often recommend that if your child is a year old, but has yet to get the first tooth, you should bring your son or daughter to our San Diego, CA office for his or her initial dental care appointment.

Dr. Allen Job, DDS, MS, MPH, MS is a board certified pediatric dentist who practices in San Diego, California, where he specializes in prevention.  He is also an assistant professor at Loma Linda University Department of Pediatric Dentistry.

Welcome to Our Blog

March 3rd, 2014

[caption id="attachment_58" align="alignleft" width="500"]Welcome to our blog Welcome to our blog[/caption]

 

 

 

 

 

 

 

 

Thank you for taking the time to visit our blog. Please check back often for weekly updates on fun and exciting events happening at our office, important and interesting information about the pediatric dental industry, and the latest news about our practice.

Feel free to leave a comment or question for our doctor and staff - we hope this will be a valuable resource for our patients, their families, and friends!