As we welcome the New Year, its a perfect time to set some positive resolutions that can have a lasting impact on your child's health. One of the most important resolutions you can make is to prioritize your child's dental health. Good oral hygiene habits established early can lead to a lifetime of healthy smiles. Here are some practical tips to help you and your child set and achieve dental resolutions for 2026.

Brush Twice a Day

The foundation of good oral hygiene is regular brushing. Encourage your child by brushing his or her teeth twice a day, once in the morning after breakfast and once before bedtime. Use a soft bristled toothbrush and fluoride toothpaste. For children under age six, use a dry rice grain amount of fluoride toothpaste. For children over age six, use a pea sized amount of fluoride toothpaste. Aim to brush for 2 minutes, covering all tooth surfaces. For little ones, you may be done after 30 seconds, if you are brushing your child's teeth. You can use a timer or play a song to make this a fun activity.

Floss like a Boss

Flossing is essential to maintain healthy teeth and gums. It helps remove food particles and plaque from between the teeth and the gumline, areas that a toothbrush cannot reach. Teach your child to floss daily, after teeth start to touch one another. Using a child friendly flossers are a great way to introduce your child to flossing. Supervise your child's flossing until he or she can do it properly on their own.

Reduce Sugary Snacks and Drinks

Sugary snacks and drinks can contribute to tooth decay. While it is okay to enjoy sweet snacks occasionally, it is important to limit their consumption. Encourage your child to choose healthier snacks like fruits, vegetables, cheese, and yogurt. These foods not only support overall health but also help keep teeth strong and clean. When it comes to drinks, water and milk are the best choices. If your child does have sugary treats, make sure they brush their teeth afterwards.

Schedule Regular Dental Checkups

Regular dental visits are crucial for maintaining good oral health. Schedule a checkup with your child's dentist every six months. These visits allow the dentist to monitor your child's dental development, catch any potential issues, early, and provide professional cleaning and fluoride treatments. Make the dental visit a positive one by explaining what to expect and by rewarding your child afterwards.

Use Fluoride Toothpaste

Fluoride is a naturally occurring mineral that helps strengthen tooth enamel and prevent cavities. Using a fluoride toothpaste ensures that your child receives the benefit to developing healthy strong teeth.

Lead by Example

Children often imitate their parents' behaviors. By maintaining good oral hygiene habits yourself, you are setting the tone as a positive example for your child. A family that brushes and flossing together, keeps all of their teeth healthier!

Make Dental Care Fun

Turn dental care into a fun and engaging activity. Allow your child to choose their toothbrush. Their are many kid friendly options available, featuring their favorite characters and fun colors. For older children, consider getting them an electric toothbrush with a round brushing head.

Educate About the Importance of Oral Health

Teach your child why it is important to take care of his or her teeth. Explain how good oral hygiene promotes good overall health by using age appropriate books or videos. There are several good resources that can be found by the American Academy of Pediatric Dentistry.

Setting dental resolutions for your child at the start of the year is a proactive way to ensure that he or she develops healthy oral habits that will last a lifetime. By focusing on brushing, flossing and making right choices in their diet, you can help your child achieve and maintain a healthy smile. Here's to a year of Happy Healthy Smiles!

Get to Know Us

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 by downloading our app 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.

Super Parents, Super Teeth

Parents and caregivers, how do you get prepare to get super teeth for children? It's not magic. It is through careful planning and creating healthy habits that will guide your child to obtain the best oral health for the rest of their lives.

Moms (and dads) it starts with eating right during pregnancy

Dietary Recommendations include:

• Fruit - whole, frozen, or canned without added sugar
• Vegetables - fresh, low sodium, green
• Whole Grains - ideal
• Protein - lean meats, include plant proteins
• Dairy (for Calcium) - unsweetened, fat-free, non-dairy (soy, almond)
• Drink lots of water, take prenatal vitamin, limit caffeine, take a folic acid supplement

S.M.I.L.E.

S-Supportive Care. When you have a supportive spouse, your child will glean from that benefit. This makes doing difficult things like going to the dentist for your child's first visit, not difficult.

The Fear Factor. This is real. Many children and even adults have a fear of going to the dentist. There are many factors that contribute to it. New Environment. The dental office is a new space for your child. There are new sights and sounds for the senses to process. This can be overwhelming. Parents can also create undue stress from their own childhood experiences going to the dentist. Other sources such as the internet, friends and family can all fuel negative feelings. This all can add to the anxiety level of your child.

M - Monitoring Growth. Understanding your child's oral growth will help empower you to be a super parent. At your child's dental visit, dental timelines will be discussed. This includes discussing when teeth will first erupt and also when they will be replaced by permanent ones. Moreover, checking the jaw for proper alignment and growth will be discussed along with teeth spacing or lack or crowding. Lip and tongue ties will be assessed. Any injury to the oral cavity, teeth, tongue, lips, etc. will also be reviewed as well. Finally, the teeth will be checked for dental decay or cavities.

I - Instruction and Intervention. Basic brushing techniques will be reviewed. The use of rice grain size amount of toothpaste will be recommended for any children who have still have not mastered the ability to spit. A pea size amount of toothpaste will be recommended for all other ages. Supervised brushing and flossing will also be recommended for all children until they can tie his or her shoelaces. This will be a good sign that he or she has the manual ability to brush properly. The use of dental sealants is a great way to decrease your child's risk of developing dental decay.

L- Lifestyle Guidance. Diet places a vital role in keeping your child's teeth healthy. A surprising rise of fruit pouches consumption has also been linked to increased risk of dental decay due to the fact that they have added sugars. Parents, limit your child's exposure to sugary snacks and sugary drinks, like sodas. Parents, use a sand timer or even an app, to help your child brush for the allotted 2 minutes.

E- Early Intervention. The American Academy of Pediatrics recommends your child have their first dental visit by age one. Home care recommendations include an easy to remember 3-2-1 guide.

3 - Brush your teeth three times a day after meals.

2- Brush for two minutes each time.

1- Floss your teeth once day (if your teeth are in contact with one another).

If you have enjoyed this content. Continue to read our blogs and visit our website for more healthy information.

The Holiday Season is a time for joy, celebration, and delicious sweets and treats. With all the festive goodies around, it’s important to prioritize your child’s dental health. It is so easy to over indulge in sweet treats. However, excessive sugar consumption can lead to cavities and other dental issues. Here are a few simple tips, you can help your child enjoy the holidays while keeping their teeth healthy.

1. Limit Sugary Treats

Holiday treats are often loaded with sugar, which can contribute to tooth decay if consumed in excess. Limit your child’s intake of sugary treats like cookies, candy canes, and holiday cakes. Encourage moderation and allow your child to enjoy a few treats in small portions. Set specific times for indulging in sweets, such as after meals, when saliva production is higher and can help rinse away sugar.

2. Choose Healthier Alternatives

Offer healthier alternatives to traditional holiday sweets. Fresh fruits, nuts, and cheese are great options that provide essential nutrients without the excess sugar. Consider making holiday-themed snacks with healthier ingredients, such as fruit kebabs, yogurt parfaits, or whole-grain crackers with cheese. These options are not only nutritious but also tooth-friendly. Need a bit more inspiration in finding healthy snacks? Here is a great resource from HealthyChildren.org.

3. Maintain a Consistent Brushing and Flossing Routine

Holiday schedules can be busy, but it’s important to maintain a consistent brushing and flossing routine. Encourage your child to brush his or her teeth twice a day with fluoride toothpaste and floss daily. Make brushing and flossing a part of their morning and bedtime routine to ensure they maintain good oral hygiene throughout the holidays. Need a refresher on the proper techniques to brush and floss? Check out our Preventative section from the All Smiles Pediatric Dentistry website.

4. Rinse with Water

After enjoying holiday treats, have your child drink warm water or rinse their mouth with water. This helps wash away sugar and food particles, reducing the risk of cavities. Drinking water also promotes saliva production, which is essential for neutralizing acids and protecting teeth.

5. Be Mindful of Sticky and Hard Candies

Sticky candies like caramels, gummies, and toffee can cling to teeth and are difficult to clean off, increasing the risk of cavities. Hard candies that are sucked on for long periods can also expose teeth to sugar for extended periods. Encourage your child to avoid these types of candies or consume them in moderation. If they do indulge, make sure they brush their teeth afterward.

6. Offer Crunchy Fruits and Vegetables

Crunchy fruits and vegetables like apples, carrots, and celery are excellent choices for maintaining oral health. These foods help clean teeth naturally by increasing saliva production and scrubbing away plaque. Include these options in your holiday meals and snacks to promote healthy teeth and gums. The skins of apples and pears are also high in fiber which will help your child's maintain regular bowel movements. So eat apples and pears with its skin. Avoid peeling them before eating them.

7. Educate About Oral Health

Use the holiday season as an opportunity to educate your child about the importance of oral health. Explain how sugar can lead to cavities and the importance of brushing and flossing to keep their teeth healthy. Use age-appropriate books, videos, and educational materials to help them understand the connection between sugar and dental health. Making dental care a fun and positive experience can encourage good habits. Incorporating education about making healthy food choices will benefit you and your child for a lifetime. Here is another resource from EatRight.org that will help spark your imagination.

8. Schedule a Post-Holiday Dental Check-up

Consider scheduling a dental check-up for your child after the holiday season. A professional cleaning and examination can help remove any plaque buildup and catch any early signs of cavities. The dentist can also provide tips for maintaining good oral health during the holidays and beyond.

9. Lead by Example

Children learn by observing their parents. Show your child that you prioritize your dental health by brushing and flossing regularly, especially after enjoying holiday meals and treats. Let them see you taking care of your teeth and explain what you’re doing and why. Your actions can inspire them to follow your example and develop their own good dental habits.

Take Home Message

The holiday season is a time for celebration and indulgence, but it’s important to keep your child’s dental health in mind amidst all the festivities. By limiting sugary treats, choosing healthier alternatives, maintaining a consistent brushing and flossing routine, rinsing with water, being mindful of sticky and hard candies, offering crunchy fruits and vegetables, educating about oral health, scheduling a post-holiday dental check-up, and leading by example, you can help protect your child’s teeth. These tips will ensure that the holidays are not only enjoyable but also healthy for your child’s smile. Here’s to a happy and tooth-friendly holiday season!

Get to Know Us

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 by downloading our app 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.

Introduction

Tooth pain in children can be a distressing experience for both the child and their parents. Understanding the causes, symptoms, and effective management of this issue is crucial for maintaining a child's oral health and overall well-being. In this blog post, we will explore insights from the Journal of the American Dental Association to shed light on tooth pain in children and provide valuable information for parents and caregivers.

Common Causes of Tooth Pain in Children

The Journal of the American Dental Association has extensively documented various causes of tooth pain in children. The most common culprits include:

1. Dental Cavities: Tooth decay, or dental cavities, is a leading cause of tooth pain in children. The bacteria in the mouth feed on sugars and produce acids that erode tooth enamel, leading to cavities.
2. Tooth Sensitivity: Some children may experience tooth sensitivity to hot or cold temperatures. This can be caused by thin enamel, receding gums, or exposed tooth roots.
3. Teething: Teething is a natural process during which a child's primary teeth emerge. This can cause discomfort and mild pain as the teeth break through the gums.
4. Trauma or Injury: Accidents or injuries to the mouth can result in cracked or fractured teeth, leading to severe tooth pain in children.
5. Gum Infections: Gingivitis and other gum infections can cause pain and discomfort in children's mouths.

Signs and Symptoms

Identifying tooth pain in children can be challenging, as children may not always communicate their discomfort effectively. Look out for the following signs and symptoms, as reported in the Journal of the American Dental Association:

1. Complaints of Pain: If your child complains about pain or discomfort in their mouth, take it seriously and investigate the cause.
2. Avoiding Certain Foods: Children with tooth pain may avoid eating hot, cold, or sweet foods and may struggle to chew properly.
3. Changes in Eating Habits: Sudden changes in eating habits, such as eating less or favoring one side of the mouth while chewing, can indicate tooth pain.
4. Swelling or Redness: Swelling or redness around the affected tooth or gums may be a sign of infection or injury.
5. Irritability: Tooth pain can make children irritable and fussy. They may have trouble sleeping or concentrating.

Managing Tooth Pain in Children

The Journal of the American Dental Association provides guidelines on managing tooth pain in children effectively:

1. Consult a Pediatric Dentist: If your child experiences persistent tooth pain, consult a pediatric dentist. They are specially trained to address dental issues in children.
2. Maintain Good Oral Hygiene: Teach your child the importance of brushing and flossing regularly to prevent tooth decay and gum infections.
3. Use Over-the-Counter Pain Relievers: Non-prescription pain relievers, such as ibuprofen or acetaminophen, can help alleviate tooth pain, but always follow the recommended dosages.
4. Cold Compress: Applying a cold compress to the outside of the cheek can reduce inflammation and provide temporary relief from tooth pain.
5. Teething Remedies: For teething pain, teething rings or topical teething gels can offer comfort to your child.
6. Dental Procedures: If tooth pain is due to cavities, your child may need dental fillings or other treatments, as recommended by the dentist.

Preventing Tooth Pain in Children

Prevention is always the best approach when it comes to dental health. The Journal of the American Dental Association emphasizes the following preventive measures:

1. Regular Dental Check-Ups: Schedule regular dental check-ups for your child to catch and address dental issues early.
2. Healthy Diet: Limit sugary snacks and drinks in your child's diet to reduce the risk of cavities.
3. Proper Oral Care: Teach your child how to brush and floss correctly and supervise their oral hygiene routine.

Take Home Message

Tooth pain in children is a common issue, but with the right knowledge and proactive measures, parents and caregivers can help their children maintain a healthy and pain-free smile. Regular dental check-ups, good oral hygiene, and early intervention are essential for preventing and managing tooth pain in children. Be attentive to your child's oral health, and consult a pediatric dentist for expert guidance if necessary, as recommended by the Journal of the American Dental Association.

Get to Know Us

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 by downloading our app 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.

In recent years, vaping has gained significant popularity among teenagers, with many considering it a trendy alternative to traditional cigarettes. However, beneath the allure of flavored vapor lies a sinister truth: vaping poses severe health risks, especially for adolescents. This blog aims to shed light on the harmful effects of vaping in teens, outlining the dangers and implications associated with this seemingly innocent habit.

Nicotine Addiction: A Gateway to Substance Abuse

One of the most alarming aspects of vaping is its high nicotine content. Many e-cigarettes and vaping devices contain nicotine, an addictive substance that hooks users and increases the risk of further substance abuse. Teens who experiment with vaping are at an increased risk of transitioning to traditional cigarettes and other harmful substances, perpetuating a dangerous cycle of addiction.

Adverse Impact on Brain Development

Teenagers' brains are still in a critical stage of development, making them particularly vulnerable to the harmful effects of vaping. The nicotine and chemicals present in e-cigarettes can disrupt brain development, impair cognitive functions, and negatively affect memory and concentration. Studies have shown that vaping can interfere with the growth and functioning of brain cells, potentially leading to long-term consequences for learning and emotional well-being.

Respiratory Issues and Lung Damage

Vaping exposes young individuals to a variety of harmful chemicals and toxins. The inhalation of aerosolized substances can irritate the lungs, causing respiratory issues such as coughing, wheezing, and shortness of breath. Furthermore, the inhalation of toxic chemicals, including formaldehyde and acrolein, can lead to lung inflammation and damage, putting teens at risk of developing chronic lung diseases like bronchitis and asthma.

Cardiovascular Risks

Contrary to popular belief, vaping is not a harmless activity for the cardiovascular system. Studies have linked e-cigarette use to an increased risk of heart problems, including heart attacks and coronary artery disease. The chemicals found in vaping liquids can cause damage to blood vessels, leading to reduced blood flow and potentially fatal cardiovascular events.

Chemical Exposure and Toxicity

The liquids used in e-cigarettes are far from harmless. Besides nicotine, they contain various chemicals, such as diacetyl, formaldehyde, and acrolein, which are known to be toxic and carcinogenic. Prolonged exposure to these substances can have detrimental effects on overall health, increasing the risk of respiratory disorders, cancers, and other serious illnesses.

Influencing Social Behavior

Vaping's popularity among teens extends beyond the allure of nicotine. The act of vaping has become a social phenomenon, often encouraging peer pressure and promoting a misguided sense of acceptance and belonging. This social influence can lead to a higher prevalence of vaping among teenagers, further exacerbating the associated health risks.

Take Home Message

While vaping may seem like a fashionable trend among teenagers, it is crucial to recognize and address the harmful effects it can have on their health. The addictive nature of nicotine, combined with the numerous toxic chemicals present in vaping liquids, poses significant risks to developing bodies and minds. By understanding these dangers and raising awareness, we can work towards protecting the well-being of our teens and creating a healthier future. It is imperative to educate both teenagers and parents about the risks associated with vaping, promoting open conversations and providing support systems to help combat this growing epidemic.

Get to Know Us

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 by downloading our app 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.

June 21^st is National Selfie Day!

Selfie History

Self-portraits are really nothing new, but the level of importance they have found in our current culture certainly is!  Though the first ‘selfie’ is credited to Robert Cornelius almost two hundred years ago, and Buzz Aldrin took a selfie in space during the Gemini 12 mission in 1966, what we would now consider the ‘selfie’, (and the term itself), wasn’t really introduced until 2002.  The mainstream adoption of smartphones and social media catapulted the selfie into our lexicon, and it was added to the Oxford Dictionary in 2013, becoming the Word of the Year for 2014, the same year we saw the first National Selfie Day!

Selfies and Dental Aesthetics

The rise in the popularity of social media platforms and selfies brought with it an increase in the importance of dental aesthetics.  Our obsession with the perfect “Selfie Smile” may be relatively new, but society’s standards for dental aesthetics have evolved over time.  Orthodontists have been studying cultural perceptions of oral aesthetics for decades, and though there are some notable changes over time, (for example the ideal length of the central incisors (the two front teeth) in comparison to the lateral incisors (between the front and canine teeth), or the ideal width of the smile), the perception that bigger, whiter, brighter smiles are more attractive has been the standard for at least a century, and if our selfie trends are any indication, that won’t likely change any time soon.

The Selfie Smile Makeover

Cosmetic dental procedures have become mainstream in America and across the globe.  According to the American Academy of Cosmetic Dentistry, common aesthetic procedures range from as simple as teeth whitening and orthodontics to complex surgeries like implants and periodontal plastic surgery.  Advances in dental materials and techniques make obtaining a smile to match your favorite celebrity more possible than ever before, and our constant access to beautiful people’s selfies makes us want this more than ever before, and this is especially true for teens and young adults.

Pediatric Dentistry and Prevention

Here at All Smiles Pediatric Dentistry, we know that in our current social media/selfie culture, a child's or teen's smile can profoundly effect their self esteem and development of their social skills.  We help our young patients build and maintain their beautiful, natural, selfie smiles, to help them avoid the need for invasive corrective procedures later in life.  Learning and using proper brushing and flossing techniques and placing fluoride to strengthen enamel helps to prevent oral health problems.  Maintaining a regular six month dental exam and professional cleaning schedule will catch issues when they first arise, and using the right techniques when there is dental decay, (placing timely and appropriate restorations (fillings) before too much tooth structure is damaged) are important tools that will keep your children’s smiles in selfie-ready shape throughout childhood!

We love a good selfie as much as anyone else, and we LOVE helping our patients feel good about themselves when they put their Selfie Smiles out there for the world to see!

All Smiles Pediatric Dentistry

At All Smiles Pediatric Dentistry we have taken steps to keep your children as safe as possible while in our office. Our initial protocol was set based on the guidance from the CDC, CalOSHA, and local government recommendations.  As guidelines change, so will the practice to ensure you and your child have a safe appointment.

Get to Know Us

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.

The COVID-19 pandemic is approaching its two-year anniversary.

The pandemic, with its shutdowns, quarantines, and overall societal changes, has impacted every facet of our lives.  As we reflect back on these last two years, we find some surprising unintentional health effects.  Even as we’ve focused our efforts entirely on protecting the health of our communities, certain aspects of health for some of us have been negatively impacted by our efforts.  Children’s oral health is one of those and identifying the reasons why will help us to repair the problems.

How Have Two Years of Pandemic Worsened Kids’ Pre-Existing Dental Health?

In March of 2020, when our country (along with the rest of the world) was figuring out how to navigate COVID-19, ‘elective’ procedures and surgeries were cancelled, sometimes for months at a time, in almost every state.  This meant dental practices were either closed entirely, or available only for serious emergencies.  Given that dental decay is one of, if not the, most common chronic illnesses of children in America, this created a crisis in children’s oral health.  Untreated dental cavities lead to more serious infections, at least requiring more extensive dental treatment, but sometimes resulting in serious bodily infections.

Children who already had significant decay and planned restorative treatments when the shutdowns began, frequently ended up in hospital emergency departments to treat their increasing symptoms (pain, inability to eat or sleep, etc.), or more seriously, the spreading infections caused by untreated cavities.  For these patients, what could have been in-office treatment often ended up requiring hospital-based general anesthesia for dental surgery, adding considerable expense and increased risk.  Children with moderate dental problems at the onset of the pandemic faired only slightly better, often requiring more invasive in-office procedures to restore worsened dental health.

Even if your child went into March of 2020 with healthy teeth and mouth, the pandemic may have impacted his or her oral health, too.  The months-long closure of most dental offices created a re-opening environment full of scheduling bottlenecks, due both to the backlog of delayed appointments and to the need for longer visits to accommodate patients’ additional treatment needs and new infection control protocols.  This meant those 6-month preventive visits you never miss were very delayed or very hard to get scheduled.

When it Comes to Pandemic Effects, Think Outside-the-Mouth

The pre-pandemic state of our kids’ mouths isn’t the only factor affecting children’s oral health two years later.  Things that have become our ‘new normal’ have had surprising impacts on pediatric dental health as well. For example, stay-at-home orders and online schooling allowed for more frequent snacking and drinking than would be typical in a child’s ‘normal’ day.  It’s well understood that eating and drinking sugary or high carbohydrate items leads to tooth decay, but grazing and frequent snacking on even lower-sugar foods and drinks has also been shown to increase your risk of cavities.  When we eat, the environment in our mouths becomes more acidic within seconds, but it takes much longer for our saliva to get our mouths back to a neutral pH.  This means that frequent snacking or drinking beverages other than water can overwhelm your body’s ability to protect tooth enamel from the acidic environment, leading to increased tooth decay.  Read more from our previous blog, Foods that Cause Decay.

Additionally, the toll of the pandemic and the sweeping changes it brought have had mental and emotional health effects on adults and children alike.  For many children, especially those under 7 years old, expressing their pandemic-related anxiety and fear is difficult, and can often be illustrated unexpectedly.  This can include what happens with the return to the Pediatric Dentist.  Even children who never exhibited dental anxiety or fear before may be nervous about any medical facilities, (including dental offices), and extensive protective equipment worn by the providers. This can make dental visits more difficult for both patients and parents.

Bouncing Back from the Pandemic Toll on Oral Health

The good news is that our pediatric dental community has been able to overcome the challenges we’ve faced over the last two years and have learned so much more about how to bring our patients’ oral health back to the pre-pandemic baseline.  Maintaining oral health and eating schedules at home, returning to routine preventive dental care, preparing kids for the emotional toll of returning to our offices, and treating any diagnosed dental issues as quickly as possible will position us all for success.

It’s been a long two years, but we’ve learned a lot about the importance of oral health for our communities, and our providers and patients are better for it!

All Smiles Pediatric Dentistry

At All Smiles Pediatric Dentistry we have taken steps to keep your children as safe as possible while in our office. Our initial protocol was set based on the guidance from the CDC, CalOSHA, and local government recommendations.  As guidelines change, so will the practice to ensure you and your child have a safe appointment.

Get to Know Us

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.

Here is an amazing fact: by the time your child reaches kindergarten class, more than 5 out of his or her 20 classmates will have dental cavities! Imagine that for a moment. Your child has just started the first phase of his or her educational journey and now more than a quarter of his or her classmates have a dental cavity.  It's 28 percent to be exact, per the National Institute of Craniofacial Research.

Maybe you, as a parent, remember having dental cavities, as a child.  And you might be thinking, "What's the big deal. Don't those teeth fall out anyway?" The answer comes later in this blog.

The CDC reports that dental cavities is the most prevalent chronic disease that our children are facing.  This is more common that getting diagnosed with asthma or allergies!

What's the big deal. Don't those Baby Teeth Fall Out Anyway?

First, as a parent, I do not want to expose my child to any forms of disease, especially something that can be avoided by following a few simple steps at home.

Second, think about the time you had to have a filling at the dentist as a child. Though there are now modern advances to decrease pain and discomfort, there is still an experience that may not be all too pleasant.

Thirdly, a child who is in pain from a cavity will not be able to focus properly at school or at home.  Sleep at home can also be disturbed, not only by your child, but in everyone at home.

Finally, there is cost associated with treating dental cavities.  There is direct costs from the procedure.  Also indirect costs need to be factored in such as, loss of income from taking your child to have a filling done, travel time, and time away from school.

There are physical and psychological factors that are associated with treating dental decay.

Instead of treating a problem after it has already occurred why not prevent the problem in the first place!

According to the American College of Obstetricians and Gynecologists, 89 percent of children age one year had an office based physician visit, while only 1.5 percent had a dental office visit.

Recommendations for Oral Health Care for your Infant.

Here are some recommendations that will give your child the best possible outcome of having optimal oral health care.  Establish a dental home by age 1 for your child.  This means having your child seen by the dentist by your child's 1st birthday.  During the initial exam several areas will be discussed.  This includes:

1. Oral exam of your child's mouth.

This will include an age appropriate demonstration of gum and teeth cleaning with fluoride treatment.

2. Assessment of your child's risk for dental decay.

This will include a road map to fend off any potential risks for getting cavities and recommendations for diet, flouride use, and the frequency for checkup appointments.

3. Cavities management.

If your child does have a cavity, then your dentist can give you ways to treat the cavity at an early stage.  Most general dentists do not want to see infants, so make sure to seek out a pediatric dentist.

4. Injury prevention.

Learn how to decrease the risk to dental injury at home and also learn what to do if there is a dental injury, should that occur.

5. Teething.

Find out the signs and symptoms of teething and ways to treat it in easy steps at home.

6. Lip and tongue tie assessment.

If you child has had difficulty with breastfeeding or bottle feeding, then you would want to see your pediatric dentist as soon as you notice this issue.  You can find more information about this here.

7. Non nutritive oral habits.

If your child loves to use her pacifier, sucks her finger, grinds her teeth, or has an abnormal tongue thrust, then all of these areas can be addressed by your pediatric dentist.

Instead of worrying about cavities, give your child the best chance of having a great start by seeing a dentist by age one!  Your child will have many milestones in their future.  Having a cavity shouldn't be one of them!

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 to Know Us

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.

A recent report cited in the California Dental Association Journal - November 2020 issue  has linked consumption of sugar sweetened drinks (SSD) to increased dental caries,  obesity, and Type 2 diabetes in the pediatric population.   A sugar sweetened drinks (SSD) is defined as any beverage containing sugar added to it. This includes sodas, fruit drinks, sports drinks, flavored water, and other beverages such as teas and coffees. This is an important topic to discuss since there is a direct the link between oral health and overall health.

From 2011 to 2014, 63% of youth (ages 2-19) consumed at least one SSD daily. This constitutes 7.3% of their daily caloric intake.  Moreover, almost 20% of all sugar consumption in youth come from SSDs.   Consumption increased with age, low income, and race minority groups.

Increased Dental Caries

In another study, consumption of SSDs such as Coca Cola, Sprite, and Minute Maid Orange Juice increased enamel roughness.  This led to increased attachment to plaque and bacteria to the surface of the tooth.  Acid release occurs when plaque attaches to the enamel surface, thereby weakening the enamel.  This leads to a cavitation.

Obesity

Healthcare providers are aware of the connections between oral health and overall health.  From an early age children pick up eating habits that stay with them for a lifetime.  Starting with healthy food options and sticking to sound oral hygiene habits will help make the paradigm shift to prevention.  As more children make food choices that included SSD consumption, there is a shift to unhealthy food sources that can lead to obesity. Consumption of SSDs only provide empty calories.  These empty calories coupled with the lack of physical activity can lead to obesity in children.

Most dental providers shy away from discussing obesity, especially childhood obesity since they feel they may offend the parent or the child.  However, most parents, when asked if they could be open to having a discussion on this topic responded favorably to having an oral health provider discuss this area of health.

Type 2 Diabetes

Just like in childhood obesity, consumption of SSDs can affect the body's ability to regulate glucose and insulin.  This is a balanced regulation.  Flooding the body with sugars, such as from the daily consumption of SSDs, can decrease the body's ability to use insulin to decrease blood sugar levels. This can lead to Type 2 diabetes in children.

Goals

Oral health care providers have started using a screening tool to help start the conversation with parents and patients.  One of these screening tools is a caries assessment test which evaluates factors that may increase a child's risk for dental decay.  Moreover, this screening tool can be expanded to address some these other areas of health, such as obesity and Type 2 diabetes.

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 to Know Us

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.

[caption id="attachment_1084" align="alignleft" width="640"] Baby and mom[/caption]

Parenthood is a season of routines that constantly change.

Parents, did you just get used to the newborn stage? Now it’s over.

Parents, did you just get through one set of teething teeth? Rest up; the next cranky, sleepless teething stage is coming soon.

And just when you have your bedtime routine set for your 6-month-old, now you have to add a dental routine to the mix?

Let’s break it down…

The American Dental Association recommends you begin a brushing routine as soon as a baby’s first tooth (or set of teeth) has erupted.

There are two reasons to begin a dental routine this early:

Get baby used to brushing.

The earlier you start, the more your baby gets used to the whole brushing (and flossing) routine. Making it a familiar part of their day means less protesting as they get older and more independent (trust us on this).  You can find out more information here.

Prevent tooth decay.

Once those cute little teeth have arrived, they can begin to decay as they interact with bacteria naturally present in baby’s mouth. And even though they will fall out eventually, it’s very important to care well for baby teeth.

What should baby’s dental routine include?

Gently brush any teeth present with a baby tooth brush and a grain-size amount of fluoride toothpaste.

A useful technique for getting the right amount of toothpaste is gently dipping the tip of the brush in the toothpaste tube.

Make sure that baby has her own designated tube of toothpaste; it’s best not to contaminate baby’s mouth with anyone else’s mouth bacteria as this can hasten tooth decay.

After brushing teeth, rinse the toothbrush in water before gently brushing baby’s gums. This helps baby get used to the brushing sensation and also helps ease the pain as more teeth begin poking through.

For babies, brushing just once before bedtime should be sufficient; for toddlers, start brushing twice a day – in the morning after breakfast and at bedtime.

As baby gets older, they can begin taking more responsibility handling the tooth brush themselves, though they will still need help from mom or dad to brush well enough. If at any point they need encouragement, we’ve got some useful ideas to make their dental routine a pleasant experience.

As soon as you’ve got two teeth next to each other, you can introduce flossing. Disposable flossers are a great tool for little hands before they are dexterous enough for regular flossing.

Just as hand-washing can become an automatic procedure following use of the potty, introducing baby’s dental routine early on will make the whole thing second-nature.

The more familiar your child becomes with a good dental routine, the more likely they’ll continue with these healthy habits for life. That’s the hope, at least!

COVID-19 Precautions

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

All Smiles Pediatric Dentistry

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.

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 needs.  Dr. 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.

[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.

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?

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.

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.

[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.

[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.

[caption id="attachment_817" align="alignleft" width="640"] 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.

[caption id="attachment_761" align="alignleft" width="600"] 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.

[caption id="attachment_715" align="alignleft" width="612"] 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.

[caption id="attachment_711" align="alignnone" width="596"] 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.

[caption id="attachment_703" align="alignleft" width="640"] 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.

[caption id="attachment_699" align="alignleft" width="604"] 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.

[caption id="attachment_694" align="alignleft" width="589"] 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.

[caption id="attachment_687" align="alignleft" width="640"] How Apples are Good for Your Teeth[/caption]

People have been asserting that “an apple a day keeps the doctor away” since the 19th century. While it may not necessarily be true that those who eat apples never have to see a doctor, apples certainly have great health benefits for our bodies! It’s widely thought that chewing a crisp, fresh apple can help brush away plaque on our teeth. We’re not too sure on this one, as some studies show a higher plaque content on teeth after eating an apple. Did you know they can even be good for our teeth? Let’s take a look at what the research says …

What are Polyphenols?

At the same time, there is evidence to suggest some polyphenols in apples can lower the ability of cavity-causing bacteria to adhere to teeth. Polyphenols contain micronutrients that are beneficial to the body.  These molecules are related to antioxidants, which fight against cell damage and promote healthier life.  Further, some studies have shown that the antioxidants in apples can help prevent periodontal disease.

Apples even contain a (very) small amount of fluoride. This is worth noting, as fluoride is so important in helping prevent cavities.

Saliva Production Booster

Lastly, the act of chewing an apple stimulates saliva production. Saliva helps wash away food debris and bacteria. Remember, though, apples contain sugar and acid so it’s best not to go overboard with them. You can even swish with water after eating one to wash away some of the sugar left behind.

As the science continues to look into how apples affect our teeth, one thing we know is true: regular dental visits, along with daily tooth brushing and flossing, is your best defense against tooth decay!

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.

Did you know that if you don't have a toothbrush handy, eating an apple at the end of meal will serve as a toothbrushing "agent."  Use this technique if you are in a pinch and have an apple in your lunch.

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.

[caption id="attachment_672" align="alignleft" width="640"] 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.

[caption id="attachment_664" align="alignleft" width="600"] 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.

[caption id="attachment_629" align="alignleft" width="640"] 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.

[caption id="attachment_611" align="alignleft" width="640"] 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.

[caption id="attachment_602" align="alignleft" width="640"] 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.

[caption id="attachment_593" align="alignleft" width="640"] 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.

[caption id="attachment_581" align="alignleft" width="640"] 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.

[caption id="attachment_568" align="alignleft" width="640"] 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.

5 Reasons for Healthy Teeth

[caption id="attachment_548" align="aligncenter" width="410"] 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.

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.

Did you know there are five distinct stages of tooth decay? And, that in the first stage of decay, you can actually take steps to reverse the progression of the disease?

Indeed, it’s true. In the first stage of decay, whether you’re a child or an adult, the application of fluoride via fluoride treatments, your toothpaste and even the local water supply can stop a cavity from penetrating through the enamel and reaching its second stage.

Even the saliva in your mouth and the foods you eat help to re-mineralize a tooth in jeopardy. But that’s just the first stage!

What about the rest? Understanding how a cavity progresses can assist you in preventing each successive stage from occurring in your children. There’s always a lot going on in that little mouth!

Stage One: White Spots

In stage one, the tooth begins to show signs of strain from the attack of sugars and acids, and white spots will begin to materialize just below the surface of the enamel. These white spots are representative of the demineralization of the tooth and can be easy to miss because they’re likely to occur on your child’s molars. A dental exam, of course, is designed to catch such cavities! Can you see why regular visits to the dentist are recommended? As mentioned previously, at this stage, the cavity can be repaired without the need to excavate the tooth. During his examination, Dr. Allen Job checks for these early signs of cavities; which often appear as white spots.

Stage Two: Enamel Decay

Stage two marks the beginning of the end for the surface enamel that is being attacked. Initially, the tooth erodes from the underside outward, so the outer enamel will still be intact for the first half of this second stage. Once the cavity breaks through the surface of the enamel, there is no turning back, and your child will need to have the cavity corrected with a filling. Dr. Job says, "Stage 2 enamel decay can be prevented by treating Stage 1 White spots with a preventive home fluoride regimen."

Stage Three: Dentin Decay

If a cavity in your child’s mouth were to progress beyond stage two without you knowing, you’d tend become aware of it when it started to hit stage three because it would probably start to cause some pain. At this level, the cavity begins to eat away at the second level of tooth material that lies beneath the enamel: the dentin. A filling can still be used to stop the onslaught of bacteria assaulting the tooth in order to prevent the cavity from reaching the tooth’s most critical component: the pulp.

Stage Four: Involvement of The Pulp

Once the cavity reaches the pulp, pain ensues. So if you’ve unfortunately missed all the signs to this point, a screaming child or moaning teenager will certainly let you know there is a big problem. Stage four is serious.  A root canal treatment, called a pulpomy, at this stage may save for a complete extraction.

Stage Five: Abscess Formation

In the fifth and final stage of a cavity, the infection has reached the tip of the root and exited the tip of the tooth’s structure. This in turn infects the surrounding tissues and possibly the bone structure. Swelling would be commonplace and pain severe. In children (as well as adults) an abscess can be fatal if not dealt with immediately. An extraction would be the order of the day should decay reach this stage. Often, completing a round of prescription antibiotics will need to be completed prior to the treatment.

If your child is at this stage or any of the stages, contact us to schedule an appointment.

As you can see, cavities don’t happen overnight. In the early stages, regular visits can stall and reverse the progression of these dastardly little devils, so it really does pay to visit the dentist at pre-selected intervals. You can keep your children far from stage five their whole lives, and if a little bit of prodding to get them to the dentist accomplishes that, you can rest easy despite the griping.

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.

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.

What 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.

Mouth 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.

You might’ve guessed that smiling can make you happier … but did you know it also helps you live longer?

It’s true!

Smiling also helps with attraction and happiness in more ways than you may have imagined.  More than a century ago, philosopher Charles Darwin and scientist William James suggested we might be able to adjust our mood simply by assuming the facial expressions representative of our goal. The first step to happiness is to start smiling!

Ever since Darwin and James proposed their theories, scientists have researched and discovered some interesting side effects to smiling along the way.

Smiling makes you more attractive

Research suggests we’re more attracted to people who smile than those who do not. While scientists aren’t exactly in agreement as to why this may be, there’s a perception that a smiling person makes others around them relaxed and happy. Basically, your smile is contagious … and therefore welcoming.

Smiles boost the immune system

It’s all about the neuropeptides, they say. Smiling (and also laughing) release these neuropeptides which help reduce stress. The result is less taxation on your immune system so you can remain healthy to combat any illness or stress that may come your way.

Smiling enhances your mood

Smile-science has a bit of a “chicken or the egg dilemma.” Does a smile make you happy, or do you smile because you’re happy? We can assume the latter is true, but what about the former? Recall those neuropeptides we mentioned earlier?

According to Psychology Today, when we smile, “feel good neurotransmitters dopamine, endorphins and serotonin are all released.” Your body relaxes, while your heart rate and blood pressure lower. This flood of feeling then places us in a better mood. Not bad for just crinkling up the corners of the mouth!

Smiling makes you live longer

If the above three reasons aren’t enough for you, it seems, that, yes … smiling more can help you live a longer life. And the proof appears to be in the research.

In 2010, a team of researchers aimed with an odd source material (The Sporting News Baseball Register), examined historical photographs of baseball players – tracking smile and life statistics throughout their lifetimes.

From 1952 onward, these intrepid scientists crunched the numbers (and smiles), and discovered that, yes indeed, smiling did help these chaps live longer, healthier lives. They also remained married longer. Pretty neat, huh? You can check out a bit of the story on this fascinating study at Pacific Standard Magazine.

So, to wrap things up … we’ll leave you with this nugget of wisdom from cinema’s happiest of happy characters, Buddy, played by Will Ferrell in the feel-good Christmas film, Elf.

“I just like to smile! Smiling’s my favorite."

Go forth and 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.

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:

• http://www.ada.org/~/media/ADA/Science%20and%20Research/Files/topic_caries_over6.ashx
• www.ada.org/en/member-center/oral-health-topics/caries-risk-assessment-and-management

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.

[caption id="attachment_217" align="alignleft" width="500"] 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.

If 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.

1. What are they?

A dental sealant is a protective coating that is placed over the grooves of a tooth to prevent dental cavities.  Sealants help protect the chewing surface of teeth.  Sealants are generally placed on molars, but sometimes can be placed on hard to reach crevices on other teeth.

2. How are the done?

Once the tooth is cleaned and dried, the sealant material is placed onto the grooves of the tooth.  A curing light is then used to harden the liquid sealant into a hard, waterproof, cavity fighting shield.

3. Do I need to get my teeth numbed for sealants to be placed?

No. The process of placing a sealant is quick and painless.  No local anesthesia is needed.

4. How do I maintain them?

Brush and floss just like you would any other teeth. Also to prevent sealants from chipping avoid ice or hard candy.

5. How do I find out more about sealants?

Check out our website for more info about sealants.  Then, contact All Smiles Pediatric Dentistry and inquire about sealants for your child.

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.

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:

Ask us about:

2 to 12 years old

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

The Teen Years

So, speak with us about:

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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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.

One question our team at All Smiles Pediatric Dentistry hear all the time is, “When should I start brushing my baby’s teeth?”

You should begin regular cleanings even before your baby has teeth. After each breast feeding (or bottle-feeding) use a clean, damp washcloth to gently rub your baby’s gum tissue. You may wrap the material around one finger to make it easier to remove any food bits from your baby’s mouth.

When your baby’s first tooth comes in, switch to a baby toothbrush. Look for special baby toothbrushes in your drugstore; they have just a few bristles and are very soft. There are even brushes shaped like finger puppets that fit over the tip of your pointer finger! All you need at this point is water (no toothpaste yet).

After a few more teeth appear, you may start using toothpaste, but you only need a tiny bit, and make sure it doesn’t contain fluoride for the first two years. From the beginning, have your little one practice spitting the toothpaste out after brushing. That way, he or she will already have the good habit of spitting when you switch to fluoride toothpaste, which should never be swallowed.

If you have any questions about caring for your baby’s teeth, then schedule an appointment at our convenient San Diego, CA office. Please contact All Smiles Pediatric Dentistry.

*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.

New Year’s Day marks the beginning of the calendar year in most parts of the world. The holiday is celebrated on January 1st of each year. Customs and celebrations vary by country, religion, and even individual desires. Whether celebrated quietly or with gusto, the day brings the start of new opportunities for those that observe it.

United States and Canada

In both the US and Canada, celebrations begin on New Year’s Eve. At midnight on January 1st the New Year is welcomed with bells, horns, whistles, and other noisemakers. Fireworks are often part of the celebrations. In New York City, Times Square comes alive with revelers. In Toronto, there are large celebrations which may feature concerts, late-night partying, sporting events, and fireworks, with free public transit service during peak party times. Many individuals in North America greet the year by making resolutions for improvements in their lives.

China

In China, many people celebrate two forms of a new year. They may observe January 1st, but the traditional Chinese New Year is based on a lunar calendar. Parades with paper lanterns and dragons made from silk are a significant part of the festivities. Legends say that the dragon spends most of its time in hibernation so fireworks are used to keep the dragon awake.

Jewish Celebration

Jewish New Year’s observances begin with Rosh Hashanah, the first day of the New Year, and end with Yom Kippur, the Day of Atonement. This ten-day celebration is held in September or October, based on the Hebrew calendar. The New Year is not marked as much with loud celebrations as with personal insight to mend wrongs and resolve to better oneself.

Other countries and cultures also have different dates for New Year’s Day observances:

• Vietnam observes the New Year in February
• In Iran, the day is celebrated on March 21st
• Islamic cultures often observe the tenth day of the month of Muharram
• Russian Orthodox observers use the Julian calendar and celebrate on January 14th
• Buddhist celebrations are held from April 13th through 15th

If you observe New Year’s Day by making healthy resolutions, include dental care in your plans with Dr. Allen Job. The health of your teeth and gums contributes to your overall health. Caring for your mouth now can prevent many dental problems later in life. All Smiles Pediatric Dentistry wishes you a healthy, prosperous, and happy New Year!

Depending on how long the thumb sucking or constant pacifier use continues, and how aggressively the child sucks a thumb or the pacifier, it can indeed be an oral health issue. Generally speaking, most children outgrow these behaviors or are able to be weaned off them successfully sometime between ages two and four. When children wean off the behaviors in this age range, long-term damage is unlikely.

Why Kids Suck Their Thumb or Pacifier

Both of these habits are actually a form of self soothing that your child likely uses when he or she is very upset, or feeling stressed, confused, frustrated, or unable to properly express the emotions. If your son or daughters is a regular thumb sucker, or the child wants to use the pacifier almost constantly, it is best to try to taper off these habits at a young age.

If your child continues to suck a thumb or request a pacifier consistently after leaving toddler-hood, this could be a source of concern, and it should be addressed with Dr. Allen Job and our staff. We will be able to evaluate your child's mouth to look for any signs of damage such as palate changes or teeth shifting.

Say Goodbye to Old Habits

In the event that your child is quite reluctant to give up a pacifier or thumb-sucking habit, there are a few things you can do to discourage these behaviors.

• When you notice that your child is not using a pacifier or sucking a thumb, offer effusive praise. This type of positive reinforcement can be much more effective than scolding the child.
• Consider instituting a reward system for giving up the habit. If the child goes a certain amount of time without this behavior, award him or her for being such a “big kid.”
• Employ the help of older siblings or relatives that your child admires. When a child’s role model says that he or she stopped sucking thumbs at a certain age, your child is likely to try to emulate that.

Come say hello twice a year. The American Dental Association says two times is the charm. Multiple visits a year lets us keep an eye out for any developing issues. It’s important to remember that this goes for the whole family. Children over one year old should be seeing Dr. Allen Job!

Stay fresh. At All Smiles Pediatric Dentistry, we have a virtually unlimited stock of toothbrushes and floss, which means you have no excuse to be using a sad, ineffective toothbrush. As soon as bristles begin to fray, pick up a new one or stop by our San Diego, CA office and we’ll replace yours. On average, you should be opening a new one every two to three months.

For goodness sake, floss! Flossing is an efficient way to keep your whole mouth healthy. It not only protects your teeth by removing aggregated plaque, it keeps your gums happy, too.

And brush. Practicing regular healthy habits is essential to keeping your mouth—and us—happy! When it comes to brushing that means two minutes, two times a day. If your kids need some encouragement, try making a calendar or playing a song like this.

Tell a friend. One way you can help us is by spreading the love. Tell your friends about what a good thing we’ve got going here. The more the merrier. And the healthier.

When you were a child, your mother may have instructed you to drink all your milk to build strong bones. Now that you have children of your own, you may hear yourself parroting those instructions you received years ago. Getting enough dairy is essential for young children whose teeth are growing. A child who consumes the recommended daily serving of dairy will develop healthy, strong teeth for the rest of his or her life.

Structure of the Tooth

To fully grasp the importance of dairy for dental health, it is necessary to understand tooth structure. Your teeth are made of living tissues covered by a hard outer shell. The inner dental pulp is fed by blood vessels and connects to a nerve bed in your gums. Surrounding the pulp is dentine, a calcified tissue that is less brittle than the tooth’s outermost layer, the enamel. The enamel layer is the white part of your teeth, 96% of which consists of minerals such as calcium phosphate.

How does dairy help my child’s teeth?

Milk and other dairy products are excellent sources of calcium. Your child’s body deposits this calcium into her growing bones, including the teeth. Calcium contributes to bone growth and strength, and it forms an important part of the solid enamel that surrounds each tooth’s fragile inner pulp. Milk also contains vitamin D, phosphorus, magnesium, and proteins. Magnesium promotes calcium deposits in your enamel, while phosphorus forms a small barrier against acidic foods that cause cavities. Vitamin D and protein are used by a child’s body to build bone tissue and maintain dental health.

How much dairy does a child need?

According to a study conducted by researchers at the University of Connecticut, the majority of Americans do not receive enough calcium. The U.S. Department of Agriculture recommends that children under the age of eight should receive at least two and a half cups of dairy per day. Children older than eight need three full cups — the same as adult men and women. Supplying your child with nonfat milk to drink and yogurt to eat every day is a great way to increase dairy consumption.

Growing children who do not get enough dairy in their diets risk improper tooth development and other dental health problems. Drinking sugary beverages in place of milk causes cavities and tooth decay. As a parent, it is essential to monitor your child’s dairy consumption to ensure he or she grows healthy teeth to last a lifetime.

What about non-dairy milk?

Non-dairy milk, like almond milk and soy milk, are the preferred sources since they do not have any animal byproducts associated with them.

To find out more dietary recommendations, schedule your child's dental appointment at All Smiles Pediatric Dentistry 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.

According to the American Academy of Pediatric Dentistry, your child should visit a dentist, like Dr. Allen Job, when his or her first tooth pops through the gum, or by time they are one year old.

Children do not always want to brush their teeth. In fact, the average child has three cavities by the time they reach their third birthday. However, if you make brushing fun for them, they will look forward to it, and develop a lifelong habit of good oral hygiene.

How to Make Brushing Fun

• Let them pick out their own toothbrush, like one with their favorite cartoon character.
• Allow your child to choose their own special toothpaste, as long as it adheres to AAPD guidelines for safety.
• Brush to a fun song that is two to three minutes long. When the music stops they are done brushing.
• Brush your teeth with them. Make it a family affair!
• Toddlers may be afraid of having their teeth brushed or brushing them by themselves. Allow them watch as you brush your teeth; this will help them to see that brushing their own teeth will not hurt them.
• Reward systems are great incentives for children, just don’t overdo it. You’re trying to instill good brushing habits, not simply reward them for something they need to do.
• Try an app on your phone; you’ll be surprised how many there are and how much fun your child will have using them.
• It’s important to make sure every tooth gets brushed, so as you child brushes their teeth, count them. Then when they are finished ask them how many teeth they have. You can switch it up a little by giving each tooth a silly name or make up a short rhyme about each tooth as your child brushes.
• Use educational tools, such as the movie “The Adventures of Timmy the Tooth.”
• Read books to your child about brushing their teeth and good oral hygiene.

All you need is a little imagination to help your child learn to love brushing their teeth!

At All Smiles Pediatric Dentistry we love learning trivia and interesting facts about Thanksgiving! This year, Dr. Allen Job wanted to share some trivia that might help you feel a bit smarter at the holiday dinner table and help create some great conversation with friends and family.

The Turkey

There is no historical evidence that turkey was eaten at the first Thanksgiving dinner. It was a three-day party shared by the Wamponoag Indians and the pilgrims in 1621. Historians say they likely ate venison and seafood.

According to National Geographic, the dinner at the Plymouth colony was in October and included about 50 English colonists and 90 American Indian men. The first Thanksgiving dinner could have included corn, geese, and pumpkin.

Today, turkey is the meat of choice. According to the National Turkey Association, about 690 million pounds of turkey are consumed during Thanksgiving, or about 46 million turkeys.

The Side Dishes

The green bean casserole became popular about 50 years ago. Created by the Campbell Soup Company, it remains a popular side dish. According to Campbell’s, it was developed when the company was creating an annual holiday cookbook. The company now sells about $20 million worth of cream of mushroom soup each year, which is a major part of the recipe.

While there were likely plenty of cranberries for the pilgrims and Indians to enjoy, sugar was a luxury. What we know today as cranberry sauce was not around in those early Thanksgiving days. About 750 million pounds of cranberries are produced each year in the US, with about 30 percent consumed on Thanksgiving.

The Parade

Since Thanksgiving did not become a national holiday until Lincoln declared it in 1863, the annual parades were not yearly events until much later. The biggest parade that continues to draw crowds is the Macy's Thanksgiving Day Parade. Beginning in 1924 with about 400 employees, they marched from Convent Avenue to 145th Street in New York City. Famous for the huge hot-air balloons today, it was actually live animals borrowed from the Central Park Zoo that were the stars of the show then.

However you choose to spend your Thanksgiving holiday, we wish you a safe, happy and healthy holiday with those you love.

Halitosis is the scientific name for bad breath. It is one of the most common oral concerns, and it affects a large percentage of the population, including children. Having bad breath can be embarrassing and a nuisance. When considering what to do about halitosis, the team at All Smiles Pediatric Dentistry highlights that you need to focus on the cause, rather than just masking the problem.

Children commonly have bad breath because of an upper respiratory infection. This includes a common cold, postnasal drip, or allergies. When this is the case, treatment may be complicated if one or more of these issues is chronic.

Another cause of halitosis in children is a condition with their teeth or gums. Just as in adults, gum disease has a distinctive malodor. The quality of brushing and flossing in children directly influences the presence of gum disease. If there is a large untreated cavity, there will be a strong smell causing bad breath. Both of these issues need professional attention, including a visit to the dentist.

Tonsillitis can also cause halitosis in children. It happens because of a constricted airway, resulting in mouth breathing. Mouth breathing is a concern because of how much it dries the tissue in the mouth. This makes any bacterial infection in the mouth worse and causes an increased potency within the bacteria in the mouth.

Treatment of halitosis is as varied as the causes listed above. Beware of ingredients in products that mask bad breath. Sucking on a mint on a regular basis will cause more harm than good because of potential decay. Chew sugarless gum and mints.

If you have any other questions, feel free to call us at All Smiles Pediatric Dentistry or ask Dr. Allen Job during your next appointment!

Water picks, sometimes called “oral irrigators,” make an excellent addition to your regular home care regimen of brushing and flossing. Especially helpful to those who suffer from periodontal disease and those patients of ours undergoing orthodontic treatment with full-bracketed braces, water picks use powerful tiny bursts of water to dislodge food scraps, bacteria, and other debris nestled in the crevices of your mouth. Children undergoing orthodontic treatment may find using a water pick is beneficial if their toothbrush bristles tend to get caught on their wires or brackets.

When you use a water pick, you’re not only dislodging any particles or debris and bacteria you might have missed when brushing, you are also gently massaging the gums, which helps promote blood flow in the gums and keeps them healthy. While water picks are an excellent addition to your daily fight against gingivitis and other periodontal diseases, they are incapable of fully removing plaque, which is why Dr. Allen Job and our team at All Smiles Pediatric Dentistry want to remind you to keep brushing and flossing every day.

If you have sensitive teeth or gums and find it uncomfortable to floss daily, water picks are a good alternative to reduce discomfort while effectively cleaning between teeth. Diabetics sometimes prefer water picks to flossing because they don't cause bleeding of the gums, which can be a problem with floss. If you have a permanent bridge, crowns, or other dental restoration, you may find that a water pick helps you keep the area around the restorations clean.

So how do you choose the right water pick?

Water picks are available for home or portable use. The home versions tend to be larger and use standard electrical outlets, while portable models use batteries. Aside from the size difference, they work in the same manner, both using pulsating water streams. A more crucial difference between water picks is the ability to adjust the pressure. Most home models will let you choose from several pressure settings, depending on how sensitive your teeth and gums are. Most portable models have only one pressure setting. If you want to use mouthwash or a dental rinse in your water pick, check the label first; some models suggest using water only.

Please give us a call at our San Diego, CA office if you have any questions about water picks, or ask Dr. Allen Job during your next visit!

Children are born with a natural sucking reflex. In fact, sonogram images from the womb often reveal an unborn baby practicing by sucking on his or her fingers or thumb. Not only does sucking aid in your baby’s ability to acquire food and nutrients, but it is also a security and possible analgesic outside of meal times.

Though it is both normal and beneficial for parents to soothe their children with pacifiers during infancy, long-term use could interfere with oral health and development. Most children will stop using a pacifier on their own. However, the American Academy of Pediatric Dentistry recommends halting pacifier use after age three. Prolonged thumb sucking or pacifier use after this time can cause the upper front teeth to begin to lean outward. It can also cause new teeth to erupt crookedly, and it can negatively affect jaw alignment.

If your child is not showing signs of self-weaning by age two, you may begin the process by limiting pacifier usage to specific times, such as nap time or when getting vaccinations. Offer an alternative security item, such as a blanket, and be sure to praise your child when he or she chooses the blanket over the pacifier.

Tips

• Never under any circumstances should you dip your baby’s pacifier in something sweet. Though it is a tempting way of encouraging your child to take a pacifier when crying, it can also lead to early childhood tooth decay.
• If your child has not discontinued pacifier use by age three, talk with Dr. Allen Job about behavioral modifications or appliances that can help your child wean.
• Never use negative reinforcement to discourage pacifier use. Punishment for pacifier use is not effective for changing your child’s habits.

If you have any questions or concerns about your child’s pacifier usage or which types of pacifiers are best for your child’s oral health, please give our team at All Smiles Pediatric Dentistry a call at our convenient San Diego, CA office!

All Hallows' Eve, more commonly known as Halloween, is a yearly event celebrated on October 31, and one that is anticipated by the young and young at heart all over the world. Some scholars claim that Halloween originated from Celtic festivals that honored the dead or that celebrated the harvest, while others doubt that there's any connection at all to Samhain (a Gaelic harvest festival.) Regardless of its origin, our team at the pediatric dentist office of Dr. Allen Job hopes that Halloween is fun and enjoyed by all of our awesome patients!

Trick or treat?

In North America, Halloween is predominantly celebrated by children who dress up in costumes, which range from scary to cute, who then go around the neighborhood knocking on doors asking "trick or treat", and they are given candy in return. Trick-or-treating is a time honored tradition, and though many parents groan at the pounds and pounds of candy collected by youngsters and fear for the health of their teeth, there are a few things you can do to help their teeth stay in great shape until the candy is gone:

• Limit the amount of candy they can consume each day
• Have them brush their teeth after eating candy
• Avoid hard, chewy candies as they can stick in hard to brush places
• Keep candy out of sight to reduce temptation
• Don't buy candy too far in advance to limit pre-Halloween consumption
• Help or encourage your children to floss

Halloween Fun

Halloween isn't just about gorging on candy; there are other events associated with this festive day including carving jack-o'-lanterns, painting pumpkins, decorating sugar cookies, bobbing for apples, going to haunted houses, or just curling up on the couch with a bowl full of popcorn and watching some classic, scary movies.

Halloween Around the World

Some countries, like Australia, frown upon Halloween, claiming it is an American event and not based in Australian culture, while others like Italy have embraced the fun and celebrate much as Canadians and Americans do. Mexicans have been celebrating this fun day since around 1960, and it marks the beginning of the Day of the Dead festival. Some countries in Europe have come late to the party, but since the 1990s, countries like Sweden, Norway, and Germany have started celebrating Halloween as well, and finding children in costumes or having ghosts hanging in windows has become commonplace.

Halloween is about fun; stepping outside our normal lives and donning a costume or gathering with friends to knock on doors and ask for candy is as much a part of our culture as hot dogs and barbecue on Labor Day. Have a safe and happy Halloween from the team at All Smiles Pediatric Dentistry!

Many people think dental fluorosis is a disease, but it’s not; it’s a condition that affects the appearance of your tooth’s enamel, not the function or health of the teeth. These changes may vary from tiny, white, barely noticeable spots to very noticeable staining, discoloration, and brown markings. The spots and stains left by fluorosis are permanent and may darken over time.

Dental fluorosis occurs in children who are excessively exposed to fluoride between 20 and 30 months of age. Only children ages eight years and younger can develop dental fluorosis. Why? That is the period when permanent teeth are still developing under the gums. For kids, fluorosis can cause significant embarrassment and anxiety about the appearance of their teeth. No matter how much they might brush and floss, the fluorosis stains do not go away.

Many well-known sources of fluoride may contribute to overexposure, including:

• Fluoridated mouth rinse, which young children may swallow
• Bottled water which is not tested for fluoride content
• Inappropriate use of fluoride supplements
• Exposure to water that is naturally or unnaturally fluoridated to levels well above the recommended levels

One way to reduce the risk for enamel fluorosis is to teach your children not to swallow topical fluoride products, such as toothpaste that contains fluoride. In fact, kids should use no more than a pea-sized amount of fluoride toothpaste when brushing, and children under the age of two shouldn’t use fluoride toothpaste at all.

Dental fluorosis can be treated with tooth bleaching, microabrasion, and conservative composite restorations or porcelain veneers. Please give us a call at our office to learn more or to schedule an appointment with Dr. Allen Job.

Toothaches in children can be tricky ordeals that cause distress for both the child and the parent. You may feel helpless and frustrated because you cannot pinpoint the location of the pain. It is so hard to see your little one experience discomfort and feel like there is nothing you can do about it. But there are ways you can help. Try these tips the next time your child has a toothache.

Zero in on the Painful Area

The first thing you need to do is find out where the pain is coming from. If your child is old enough, ask him or her to point to the painful area. In younger children, look for swelling and redness on the gums and cheek, dental caries (discolorations on the tooth), or broken teeth. Try to get as close to the location of the pain as possible so you can determine an effective course of action to relieve it.

Try to Find the Cause

Not all toothaches are actually toothaches. A child can bite his or her tongue or cheek, have sore gums, or develop ulcers in the mouth. Teeth that are coming in can also be quite painful. If a tooth is discolored, broken, loose, or has spots that are either darker or lighter than the rest of the tooth, those could be causes of pain.

Five-Step Approach to Dental Pain Relief

1. Floss. Help your child floss to remove any food particles that may be wedged between the teeth and could be causing pain.
2. Rinse with warm salt water. Use a warm salt-water solution and have your child rinse well by swishing or holding the salt water over the painful area.
3. Use a cold compress. This can relieve pain and swelling. If there is no swelling, you can try it anyway to subdue the pain. Try it on for about 15 minutes, then off for 20.
4. Give the child ibuprofen or acetaminophen. Use the appropriate dosage for your child’s age and administer it regularly as directed.
5. See Dr. Allen Job. If you determine that the tooth or gum is damaged, or if the pain simply cannot be relieved, call our San Diego, CA office.

If your child is experiencing throbbing pain, fatigue, or fever, you should call your pediatrician as soon as possible. If your child is experiencing mouth pain accompanied by trouble breathing or swallowing, it can indicate a more serious situation and you should take your son or daughter to the emergency room.

Most mouth pain in children can be remedied with the simple steps here. The important thing is that you remain calm, no matter what. You child is taking cues from you and if you panic, he or she will panic.

Dr. Allen Job, as well as our team at All Smiles Pediatric Dentistry, would like to give those patients with flex spend, health savings, or insurance benefits a friendly end of the year reminder that it’s high time to schedule your dental visits so you optimize your benefit.

Now is the time to reserve your appointment with us. Space is limited and we tend to get busy around the holidays, so don’t wait to give us a call at our convenient San Diego, CA office!

Scientists have discovered tooth decay in specimens that are more than 15,000 years old. The ancients once thought that cavities were caused by something called “tooth worms” … Eew! They didn’t exist, of course, but how else could humans explain the holes that cavities make in teeth?

The appearance of cavities on a widespread basis is often traced to the rise of farming. The new diet filled with grains and carbs made our mouths a haven for cavity-causing bacteria. As we added more sugar to our diets, our teeth got worse.

The “tooth worm” idea didn’t completely disappear until the 1700s when scientists finally began to understand the process of dental caries. Once that part of the puzzle was solved, they began focusing on filling existing cavities and preventing new ones.

Dental Fillings Come of Age

Many different materials, including beeswax, cork, aluminum, tin, and even asbestos, have been used to fill the holes caused by dental decay. Sometime in the mid-1800s, however, dentists began to use metal fillings such as gold, platinum, silver and lead amalgams.

The amalgam we use today is mixed from liquid mercury, silver, tin, copper, zinc, and other metals, but some patients still like the look of a gold filling. Newer options include composite-resin fillings, which are made from a tooth-colored mixture of plastic resin and finely ground glass-like or quartz particles that form a durable and discreet filling. Porcelain or ceramic fillings are natural in color, but more resistant to staining.

Dr. Allen Job can help decide which filling is best for you, based on cost as well as your dental and lifestyle needs. You may not have “tooth worms,” but if you have cavities, contact our San Diego, CA office so we can take the proper action to protect the health of your mouth.

Dr. Allen Job and our team know that cavities know no age boundaries, and that is why we recommend a visit to our San Diego, CA office by a child’s first birthday. That also happens to be the opinion of our friends at the American Academy of Pediatrics, as well as the American Dental Association.

Research has shown that more than one in four kids has had at least one cavity by the time they’re four years old. In fact, many children get cavities as early as age two, which is a critical reason why you should pay us a visit sooner rather than later. Your child’s appointment at All Smiles Pediatric Dentistry also covers topics such as the importance of baby teeth, nutrition, development, and any concerns you may have with your child’s dental health. We believe that your child’s first visit with Dr. Allen Job should be an enjoyable and positive one, and we strive to teach good oral care that will enable your child to have a beautiful smile that lasts a lifetime.

To learn more about baby teeth, or to schedule your child’s next visit with Dr. Allen Job, please give us a call today! We look forward to seeing you!

Dental sealants are an excellent way to protect children’s teeth from tooth decay by coating them with a thin plastic material. Their teeth look and feel like normal, but they are protected from plaque build-up and decay early on. Dr. Allen Job and our staff recommend sealants as a preventive measure for children before any decay appears on their teeth.

Who should get dental sealants?

Dental sealants are intended for young children as soon as their first teeth come in. Decay is most common in the molars, so taking your child to All Smiles Pediatric Dentistry for sealants right when you see the molars grow in gives your child the best chance to fight tooth decay.

A child’s first set of permanent molars grow in between ages five and seven, while the second permanent molars come in between 11 and 14 years of age. Some teens and adults who don’t have tooth decay may get sealants as well, but it is less common.

How long do dental sealants last?

Once the sealant has been placed on the teeth, it lasts up to ten years. Expect to have Dr. Allen Job check the sealant at every visit to our San Diego, CA office, which should be twice a year. We will look at the sealant and determine if it needs to be replaced.

What is the process of getting sealants?

Applying sealants is a simple, pain-free procedure that is done quickly at All Smiles Pediatric Dentistry. There is absolutely no effect on the tooth structure from sealants.

For starters, the teeth are cleaned carefully, then dried with an absorbent material. A mild acid solution is applied to them to roughen them slightly. This is done so the sealant can bond properly to the teeth. Then the teeth are rinsed and dried, and the sealant material is painted on and dried with a special light.

Molars are susceptible to decay early on, which is why sealants are an important treatment to get for your children’s first set of teeth.

[caption id="" align="aligncenter" width="500"] Easing the Teething Blues[/caption]

Every moment of your baby’s first year of life is precious, since every day your child grows a little, develops new skills, and discovers new things. Most of it is wonderful, but parents don’t like to see their babies in pain. That’s why teething can be such a hard experience. However, you can take steps to make it easier for you and your baby.

What to Expect

Most babies begin teething around the age of six months, when the lower central incisors start to appear. Shortly after this time, the upper central incisors poke through, followed by the lateral incisors, first molars, canines, and second molars. Unfortunately, you’ll probably know that your baby is teething not because you see these teeth come in, but because your baby will be in discomfort. These are some of the signs to watch for when you’re expecting your baby to begin teething.

• Tender and sore gums
• More drooling than before
• Being crankier than usual
• Chewing on hard objects

What You Can Do

As a parent, you want to do everything you can to make your child more comfortable. These are some approaches that Dr. Allen Job and our team recommend:

• Take a clean moistened wash cloth or use your own washed finger to rub your baby’s gums and provide relief due to the pressure.
• Provide a firm rubber teething ring for your baby to use, but don't use the type that is filled with liquid.
• Use a bottle. A bottle filled with cold water can be soothing. Don’t give your baby formula, milk, or juice constantly because the sugar can cause tooth decay.
• Medications can help for extreme crankiness. Infant Tylenol is an example, but it’s best to check with your pediatrician before giving your baby medications.

You might also want to take special care to dry the drool. It’s not just to keep yourself and your baby dry. Keeping your baby’s skin dry can help prevent irritation.

When to Visit Us

Once your child’s first tooth comes in, it’s time to start thinking your baby’s first trip to our San Diego, CA office. The American Dental Association suggests that you bring your child to the dentist within six months of the appearance of the first tooth, or at about one year of age. Dr. Allen Job can do a quick check for tooth decay, and we’ll make sure you know how to take care of your child’s new teeth.

[caption id="" align="aligncenter" width="320"] Labor Day: Our favorite holiday to rest![/caption]

Labor Day, celebrated on the first Monday each September here in the United States, is a holiday devoted to the American working community. The purpose of the holiday is honoring the country's workers and their contributions to the strength of our country as a whole.

How Labor Day Started

There is actually some debate as to the origins of Labor Day. It is uncertain whether Peter McGuire, a cofounder for the American Federation of Labor, or Matthew Maguire, who was the secretary of Central Labor Union of New York, had the great idea. However, the Central Labor Union's plans were what launched the first Labor Day in America.

The First Labor Day

The very first Labor Day was celebrated on September 5th, 1882. The Central Labor Union then held annual celebrations on September 5th for what they called a working man's holiday. By the year 1885, the Labor Day celebration had spread to many different industrial areas, and after that it began spreading to all industries in the United States.

Labor Day Today

Labor Day today is a huge United States holiday during which we honor the country's workers with a day of rest and relaxation or a day of picnics and parades. This holiday is truly one to honor the many people who work hard to contribute to the economic well-being of our great country!

Our team at All Smiles Pediatric Dentistry hopes all of our patients celebrate Labor Day, and every holiday, safely and happily. Whether you stay in the San Diego, CA area, or travel out of town, have fun, and don't forget to brush!

[caption id="" align="alignnone" width="207"] Can children be at risk for developing periodontal disease?[/caption]

Dr. Allen Job and our team hear this question a lot. While many people believe periodontal disease is an adult problem, studies have indicated that periodontal disease, also known as gum disease, as well as other serious infections such as gingivitis and periodontitis, are prevalent among kids and adolescents. First, let’s identify the differences between gingivitis, periodontitis, and periodontal disease.

Gingivitis

Gingivitis is a type of periodontal disease in which only your child’s gums are affected. Characterized by swollen and red gums that bleed easily, gingivitis causes an inflammation of the gums, and is the first stage and mildest form of periodontal disease. The good news is that gingivitis is often reversible. Treatment for gingivitis includes having your child come in for a professional teeth cleaning. It also includes daily brushing, which will help eliminate plaque from the surfaces of your child’s teeth. Your child should also get in the habit of flossing daily to remove plaque and food particles wedged in the crevices between his or her teeth.

Periodontitis

If left untreated, gingivitis can progress to periodontitis, the advanced stage of gum disease that can not only damage your child’s gum tissue, but also destroy the underlying bone which supports the teeth. Eventually, teeth can become loose and may have to be removed. In some cases, the bacteria from the ensuing infection may also be distributed to other areas of the body via the bloodstream.

Periodontal Disease

Periodontal disease is a chronic bacterial infection of the gums, periodontal ligament, and bone that surround and support your child’s teeth. Periodontal disease causes gums to become red, swollen, and tender, and can even cause the gums to recede (pull away) from the teeth. If left untreated, periodontal disease can lead to tooth loss.

Having persistent at-home oral care regimen is a critical step in your child’s fight against periodontal disease. But sometimes brushing and flossing are simply not enough. Having your child’s teeth cleaned twice a year, or as recommended, is crucial.

Early diagnosis of gingivitis, periodontitis, and periodontal disease can give you and your child peace of mind. If you are concerned your child is suffering from gum disease, we recommend that you give us a call at our San Diego, CA office. We look forward to working with you and giving your child a smile to last a lifetime!

[caption id="" align="alignnone" width="207"] Healthy Diet for Adolescents[/caption]

Adolescence is a critical period for oral hygiene. By the teenage years, kids will have lost all their baby teeth and replaced them with permanent teeth. Furthermore, many oral hygiene habits solidified in adolescence carry through to adulthood. Teaching adolescents to follow a healthy diet not only benefits their physical fitness but helps them maintain strong teeth and healthy gums.

Fruits and vegetables

Parents know that eating broccoli is important, but were you aware that it can keep teeth and gums healthy, too? Dr. Allen Job and our team at All Smiles Pediatric Dentistry will tell you that eating plenty of crunchy fruits and vegetables, such as broccoli, carrots, celery, apples, and pears, increases your saliva production. Saliva works to brush away bad bacteria that produce dangerous acids that wear away tooth enamel.

It’s also important to avoid acidic foods, which can exacerbate cavities and other dental problems. Although oranges, tomatoes, grapefruit, lemons, and berries are healthy, they can also wear away the enamel of your teeth. To be safe, it’s important to brush after each meal or swish with mouthwash to remove excess acid from your mouth.

Sugar-free foods

Many candies and treats are chock-full of sugar, making them dangerous for your child’s dental health. If you have a sweet tooth, fear not: you don’t have to give up the sweet stuff entirely. Whenever possible, opt for sugar-free substitutes rather than regular sugar. For example, chewing sugar-free gum or drinking sugar-free beverages is better for teeth. These sugar substitute molecules don’t wear away enamel, which makes them safer for dental health.

Watch the beverages

Most adolescents have been told that soda will rot your teeth, but you may not realize that other beverages can be just as sugary. Many fruit juices, even those that boast 100% fruit, contain dozens of grams of sugar per serving. Similarly, popular energy drinks pack a sugary punch. When possible, drink water or milk. If your child is craving a hot beverage, turn to tea over hot chocolate or a sugary latte.

Dairy products

Teeth are like any other bones; they rely on calcium and other minerals to stay strong. To help build strong teeth, have your child drink milk or eat other dairy products to get his or her daily calcium. Yogurt, cottage cheese, and cheese are good options as well. If your child can’t tolerate dairy, consider calcium-fortified soy milk or orange juice to provide that daily dose of vitamins and minerals.

For more information on this topic, or to schedule an appointment with Dr. Allen Job, please give us a call at our convenient San Diego, CA office!

[caption id="" align="aligncenter" width="500"] How do I make my child’s diet safe for his or her teeth?[/caption]

The food you feed your child can have a lasting effect on his or her oral health. In fact, diet plays a major role in whether a child develops cavities and decay, which can lead to many dental visits and potential tooth loss. So what should you feed your child to ensure he or she has a healthy smile for life?

Foods to Avoid

It is normal for your child to take interest in many foods -- especially those filled with sugar and carbohydrates. But as tasty as these foods are, they can cause rapid decay when eaten in excess. That’s not to say your child can never have sugar again. Dr. Allen Job and our staff suggest limiting starchy and sugary foods such as candy and potato chips as much as possible.

Remember that some seemingly healthy foods can present the threat of decay too. Some of the most common culprits are sticky foods like peanut butter, raisins, and granola bars, which can stick to the teeth after eating. If you serve these foods to your child, be sure to have him or her brush immediately after eating to remove any lingering sugary residue.

Beverages

Many beverages marketed toward children contain sugar servings that far exceed the daily recommendations from national health organizations. They suggest no more than three to four teaspoons of added sugar per day for young children.

Make an effort to serve only water to your child any time other than meal times. During meals, allow your child to have milk or juice, but in limited serving sizes. Most importantly, never allow your young child to sleep with a bottle or “sippie cup” full of juice or milk. Doing so can cause rapid tooth decay: a condition known as “baby bottle caries.”

A Healthy and Balance Diet

So long as your child is brushing regularly and eating a healthy, balanced diet full of fruits, vegetables, lean proteins and whole grains, you should have little or no problem with tooth decay. For more questions about how your child’s diet affects his or her oral health, contact our San Diego, CA office to schedule a consultation.

[caption id="" align="aligncenter" width="500"] Dental Fear in Children: Brought on by parents?[/caption]

Two studies – one conducted in Washington State, and whose findings were published in the Journal of Pediatric Dentistry in 2004, and another conducted in Madrid, Spain, and whose findings were reported in 2012 in Science Daily, reinforce earlier findings that show a direct relationship between parental dental fear and that of their children.

The Washington study looked at dental fear among 421 children whose ages ranged from 0.8 to 12.8 years. The children were all patients at 21 different private pediatric dental practices in Western Washington State. The Spanish study looked at 183 children between the ages of seven and 12, and their parents in Madrid.

The Washington study used the Dental Sub-scale of the Child Fear Survey Schedule. The survey responses came from either parents, or other parties charged with taking care of the children. The people responsible for each child filled out the survey, which consisted of 15 questions to which answers were given based on the child’s level of fear. The scale used was one to five, with one meaning the child wasn’t afraid at all, and five indicating the child was terrified. The maximum possible points (based on the greatest fear) was 75.

Spanish researchers found that like past studies, there is a direct connection between parental dental fear levels and those of their kids. The most important new discovery from the study conducted in Madrid, was that the more anxiety and fear a father has of going to the dentist, the higher the fear levels among the other family members.

Parents, but especially fathers, who suffer from fear of going to the dentist and fear of dental procedures in general pass those fears on to every member of the family. While parents may not feel like they have control over those fears, the best way to help your child understand the importance of going to the dentist is by not expressing your fears in front of them – or around the rest of the family.

Dr. Allen Job and our team understand that some patients are more fearful than others when it comes to visitingour San Diego, CA office. We work hard to make our practice as comfortable for our patients, both children and adults.

[caption id="" align="aligncenter" width="480"] What’s an intraoral camera?[/caption]

One of the greatest features our team at All Smiles Pediatric Dentistry offers is the ability to see first-hand how we can help our patients. While X-rays help us detect any problems in your mouth and give us valuable information on what is bothering you, they often don’t give Dr. Allen Job a complete view of everything that is going on inside your mouth. With the use of an intraoral camera, we can see every aspect of your teeth and mouth with incredible detail, uncovering cracked or fractured teeth, excessive wear, carious lesions, cavities, or other issues that may be hidden. When we can discover oral problems early on, your treatment is much less invasive and often saves you money down the road.

An intraoral camera allows Dr. Allen Job to view clear, precise images of your mouth, teeth, and gums and allows us to make an accurate diagnosis.  With clear, defined, enlarged images, Dr. Allen Job and our team see details that standard mirror examinations may miss. It’s much easier to understand what is happening in your mouth if you can see the problem on a computer monitor, and it means faster diagnosis and less chair-time for our patients!

Intraoral cameras are small, about the size of a dental mirror, and emit a light onto the tooth. The tooth will emit a color that lets Dr. Allen Job determine if the tooth is healthy or diseased. Intraoral cameras also allow us to save your images on our office computer to provide a permanent record of treatments. These treatments can be printed for you, other specialists, and your lab or insurance companies.

For any questions about the intraoral camera, we encourage you to ask Dr. Allen Job or our team during your or your child’s next visit or by giving us a call at our convenient San Diego, CA office.

[caption id="" align="aligncenter" width="500"] Sealants: What are they and how do they help?[/caption]

Molars are made up of canyons, caves, pits, and seemingly endless caverns that are a breeding ground for decay. The protective solution is a sealant. When done correctly, a sealant from Dr. Allen Job of All Smiles Pediatric Dentistry can be most effective in preventing cavities.

A sealant is made up of composite (a plastic-like) material that contains bonding agents to seal to the edge of the tooth. Sealants placed on the chewing surfaces of back teeth block food from being trapped. The process in which a sealant is placed is quite precise and painless.

First the tooth is cleaned with a sodium bicarbonate (baking soda) spray. Then an acid etch is applied to “roughen up” the surface. No saliva is to touch the tooth. This will re-mineralize the area, then a repeat etching is needed. An alcohol-based liquid then dries out the area and it must remain completely dry. The sealant is placed and guided through all the caverns, pits, fissures, and grooves. It is then cured with a special light, which makes it a hard, plastic-like material.

Sealants can last for several years. It is wise to have them examined on a semi-annual basis. If there is a break in the sealant, a high risk for decay is common. If a sealant is damaged, repair is simple, painless, and quick to complete.

Who can benefit from sealants? Anyone! Children often receive sealants as routine preventive care. Adults with deep canyons with stained grooves on their teeth can also benefit from a sealant. The process is quick, painless, and does not require any anesthesia. It is an effective way to lower dental restorative costs.

An investment in dental sealants can reap great benefits as properly cared for teeth will remain cavity free. Our San Diego, CA location is available to answer your questions so give us a call today!

[caption id="attachment_89" align="alignleft" width="300"] Start Your Child’s School Year with a Smile![/caption]

Did you know that the state of California has made it a requirement to have every child get an oral health assessment completed by a dentist before enrolling in the first year of public school*? To make this as easy as possible on you and your family, Dr. Allen Job and the All Smiles Pediatric Dentistry team will complete your child’s oral health assessment form during the checkup appointment! No need to come back to our San Diego, CA office to pick up the form on another day!

During the checkup appointment, your child will be introduced to healthy techniques and choices to prevent dental decay (cavities). This includes brushing techniques and dietary recommendations. If this is your child’s first dental visit, it will allow him or her to get comfortable with having a checkup and teeth cleaning done on a regular basis. Starting your child early with a dental checkup gives him or her a fighting chance to prevent dental decay.

The deadline for San Diego, CA was May 31, 2015 for new enrollment into public school for the 2015-2016 school year. This deadline has passed; however, numerous children still need to get this form completed. A child cannot enrolled in his/her first year of public school without this form. We recommend calling our San Diego, CA dental office to schedule a new-patient appointment for your child as soon as possible.

*This oral assessment form is a requirement by California law (Education Code Section 49452.8) which states that a child must have a dental checkup by May 31 of his/her first year in public school. If your child is attending a Head Start program or private school, please check with your child’s school to see if they require an oral health assessment.

[caption id="" align="alignnone" width="213"] Can my child really avoid tooth decay?[/caption]

Great question! Yes, in fact, tooth decay is preventable! Decay, which is caused by sugars left in your child’s mouth, can turn into an acid, which in turn can break down his or her teeth. Children are at high risk for tooth decay for a simple reason: many children and adolescents tend to be lax in their oral hygiene habits.

So, how can your child prevent tooth decay?

• Start early. After the age of two, brush your child’s teeth with fluoride toothpaste twice a day. And, if possible, clean between the teeth with dental floss at least once a day, preferably before they go to bed.
• Don’t allow your little ones to eat after cleaning teeth at bedtime, as salivary flow decreases while they sleep and their teeth become vulnerable to cavities.
• Do not allow your little ones to nibble food or sip drinks continuously, and keep in mind that a low-sugar diet also helps keep tooth decay at bay. Allow time between meals for saliva to neutralize acids and repair the teeth.
• Drinking water frequently throughout the day can also reduce the possibility of new cavities forming.
• Dental sealants can also protect your children’s teeth from cavities. Sealants, which are applied to the chewing surfaces of molars, act as a shield between the tooth and harmful bacteria.

Finally, make sure your child visits All Smiles Pediatric Dentistry approximately every six months for a checkup and routine cleaning! Please give us a call at our San Diego, CA office.

[caption id="" align="aligncenter" width="500"] How can I protect my child's teeth during sports?[/caption]

Sports are great for children for a variety of reasons. Children can develop their motor skills, learn how to solve conflicts and work together, and develop their work ethics. As a parent, you may recognize the benefits of sports, but also naturally worry about your child’s health and safety. Your job goes beyond providing a water bottle and making sure your child follows the rules of the game.

Although you may not think of your child’s teeth first when you think about sports, accidents can happen that affect your children’s teeth. A stray hockey stick, an errant basketball, or a misguided dive after a volleyball are examples of ways a child could lose a tooth. In fact, studies show that young athletes lose more than three million teeth each year.

Becoming a Better Athlete to Protect Teeth

Becoming a better athlete involves refining skills, learning the rules of the game, and being a good sport. These components are not just about winning. They are also about safety. Young athletes who are better ball-handlers and who are careful to avoid fouls and penalties are less likely to have harmful contact with the ball, teammates, or opponents. Children who are better roller-bladers are less likely to take a face plant into the blacktop, and more likely to save their teeth. Being a good sport and avoiding unnecessary contact is one way to protect teeth.

Proper Protective Equipment for Teeth

If your child is in a sport that poses a high threat to teeth, it is essential for your child to wear a mouthguard. Mouthguards fit your child’s mouth and consist of soft plastic. Dr. Allen Job can custom fit a mouthguard if generic ones are uncomfortable. While children may resist wearing a mouthguard initially, your persistence in insisting that they wear it should be enough to convince them. A helmet or face mask provides additional protection.

While prevention is best, rapid treatment can improve the situation if your child does happen to lose a tooth during sports. Rapid implantation can work in about ten percent of cases. To learn about ways to save a lost tooth, contact our San Diego, CA office.

[caption id="" align="aligncenter" width="320"] Fun Facts for the Fourth[/caption]

The Fourth of July is a great time to get together with friends and family members for BBQ, games, fireworks, and other celebrations in honor of our country’s independence. While your fellow revelers eat hot dogs and wave flags, you can impress them by sharing these fascinating facts and historical tidbits about some of our country’s traditions and symbols from the team at All Smiles Pediatric Dentistry.

The Statue of Liberty

With a torch in one hand and a tablet in the other, the Statue of Liberty is one of the most iconic and recognizable symbols of our country. However, as recognizable as certain parts of the statue are, not many people know that broken shackles, which represent oppression and tyranny, are lying at Lady Liberty’s feet. According to the Statue of Liberty-Ellis Island Foundation, the copper-plated lady weighs in at a whopping 450,000 tons and has been holding her torch up for more than 125 years, which must make for some impressive arm muscles.

Nathan’s Hot Dog Eating Contest

Since 1916, people have been flocking to Coney Island on the Fourth of July to witness what some people call the “superbowl of competitive eating.” Nathan’s Hot Dog Eating contest challenges competitors to devour as many hot dogs as they can in just ten minutes, with the current record holder swallowing a whopping 68 hot dogs! If you’d like to witness this bizarre and frenzied eating competition but you won’t be anywhere near Coney Island on the fourth, don’t worry. ESPN has been broadcasting this popular event for several years, so you can watch from the comfort of your couch while you eat a reasonably portioned meal.

The History Behind Fireworks

Viewing the nighttime fireworks display is exciting way to finish off the fourth. Many people know that these brilliant displays probably originated with the Chinese. However, many historians also believe that fireworks were stumbled upon when the Chinese roasted bamboo sticks over fires and watched them explode. After many years of roasting the sticks, a group of alchemists created an early form of gunpowder, which they stuffed into the bamboo sticks to create an even more powerful explosion, paving the way for the today’s modern fireworks.

Whether you’re planning on visiting the Statue of Liberty, watching fireworks in San Diego, CA, or even participating in a hot dog eating contest, Dr. Allen Job and our team hope you have a safe and fun-filled holiday. Happy Fourth of July!

The History and Mythology of the Tooth FairyWhile the last baby teeth generally aren’t lost until age ten or 11, most children stop believing in the tooth fairy by the time they're seven or eight. Of course, children are more than happy to play along with the game when there’s money at stake! While it is impossible to know what the tooth fairy does with all those teeth (are they labeled and stored like museum pieces in a giant fairytale castle?), it is possible to trace the history and myth of the tooth fairy to several cultures and traditions. Dr. Allen Job and our team learned about some interesting myths about the tooth fairy!

The Middle Ages

Legend has it that Europeans in the Middle Ages believed a witch could curse someone by using their teeth, so it was important to dispose of baby teeth correctly. Teeth were swallowed, buried, or burned. Sometimes baby teeth were even left for rodents to eat. Despite being pests, rodents were valued for their strong teeth; it was generally believed a tooth fed to a rodent would lead to the development of a healthy and strong adult tooth.

Eighteenth Century France

The tooth fairy myth began to show more characteristics of a conventional fairytale in 18^th century France. La Bonne Petite Souris, a bedtime story, tells the strange tale of a fairy that changes into a mouse to help a good queen defeat an evil king. The mouse secretly hides under the evil king’s pillow and defeats him by knocking out his teeth.

Scandinavian Lore

So, why does the tooth fairy leave money under the pillow? The idea of exchanging a tooth for coins originated in Scandinavia. Vikings paid children for a lost tooth. Teeth were worn on necklaces as good luck charms in battle. While the idea of exchanging a tooth for coins quickly spread throughout the rest of Europe, a fierce, horn-helmeted Viking is far cry from the image of a fairy collecting teeth.

While the tooth fairy as children know her today didn’t make an appearance until the 1900s, tooth myths and rites of passage have existed in numerous cultures since the dawn of time.

[caption id="" align="aligncenter" width="500"] Treatment and Diagnosis for Your Child’s Teeth Grinding[/caption]

The habit of grinding teeth can be both painful and harmful for your children. If you discover that they are frequently grinding their teeth—a condition called bruxism—here is some helpful information on the problem, and how you can find help to put a halt to it.

How to Know if Your Child is Grinding

Sometimes, identifying a child that grinds teeth is as simple as checking in while he or she is asleep. At other times, you may not be able to readily identify the grinding problem. A few of the most common symptoms associated with bruxism include:

• Frequent teeth grinding or clenching of the jaw (in some cases it may be more subtle; in others it may be loud enough that you can hear it)
• Teeth that are worn down
• Complaints of sensitive teeth
• Pain or tightness in the jaw muscles, or an earache or other jaw pain
• Frequent unexplained headaches

In most cases, if your children are grinding their teeth, they will do it at night. If the teeth grinding is a result of excessive amounts of stress, it may also happen during the daytime. Some of the most common reasons children grind their teeth involve:

• Improper alignment of top and bottom teeth
• As a response to pain, especially for tooth, jaw, or gum pain
• Excessive stress, tension, or anger

Treatment Options for Bruxism

In many cases, children will grow out of the teeth grinding as their permanent teeth develop, replacing poorly aligned or painful baby teeth. If your child grinds his or her teeth more frequently, or you begin to notice significant damage, it may be more serious and need to be addressed by Dr. Allen Job before it causes more permanent pain or problems.

In some cases, our team at All Smiles Pediatric Dentistry may recommend that your child wears a protective mouthguard to prevent grinding, or work with a therapist or other specialist to develop awareness of the grinding. If the grinding is caused by stress or anxiety, it may be helpful for you to sit down and talk to your child each day about how she is feeling, and why, to help her work through the stress.

Teeth grinding can be a painful, problematic condition for some children. However, a combination of parental vigilance and frequent visits for regular checkups at our San Diego, CA office can help. If you are concerned that your child may be grinding his or her teeth, and it could cause permanent damage before the child grows out of it, come talk to us about strategies for dealing with bruxism, and ways for you to help your child.

[caption id="" align="alignnone" width="213"] What is hyperdontia?[/caption]

When a child is born, he or she will have 20 primary teeth and 32 permanent teeth. But sometimes kids are born with additional teeth, and our team at All Smiles Pediatric Dentistry calls this oral condition "hyperdontia." Primary teeth are the first set of teeth that erupt in your child's mouth, typically by the time they are 36 months old, and are shed by the time your child reaches the age of 12. Permanent teeth then take the place of the primary teeth and are usually fully-erupted by the time your son or daughter reaches 21 years of age. Anyone who develops more than 20 primary teeth or more than 32 permanent teeth has hyperdontia, and the additional teeth are referred to as supernumerary teeth.

While the cause of hyperdontia is not entirely clear, it is believed that there may be a genetic factor. Oral professionals have found that patients with extra teeth often have syndromes like cleidocranial dysplasia, Ehler-Danlos syndrome, Gardner syndrome, or cleft lip and palate. The prevalence of hyperdontia affects between one and four percent of the population in the United States, and the majority of cases are limited to a single tooth.

So, what is the best way to deal with hyperdontia? It really depends on the case. The treatment plan your doctor suggests varies according to the potential problem posed by the supernumerary teeth, as well as their type. Orthodontic treatment may certainly may help, but extraction can also be a good option. We recommend that children receive an oral evaluation or checkup no later than the age of seven. In addition to hygiene evaluation, this helps ensure your child does not experience hyperdontia problems.

If you suspect you or your child may be suffering from hyperdontia, please give us a call to schedule an appointment at our convenient San Diego, CA office to be evaluated.

[caption id="" align="aligncenter" width="346"] Tips to Help You Beat the Heat This Summer[/caption]

The dog days of summer are upon us, and with the temperatures soaring, our team at All Smiles Pediatric Dentistry wants you to be extra careful about sun safety when you’re out and about. Check out this incredibly helpful article on the Ten Summer Safety Tips for Kids, courtesy of Discovery.

Dr. Allen Job and our team also encourage you to always have a bottle of water handy when heading out into the sun.

We hope you’re having a great summer! Let us know what you're up to below or on our Facebook page!

[caption id="" align="aligncenter" width="500"] They're just baby teeth, right?[/caption]

“But they are only baby teeth; won’t they just fall out?” Our team at All Smiles Pediatric Dentistry has had these questions asked many times from parents over the years. Primary teeth, or “baby teeth,” will indeed come out eventually, to be replaced by permanent teeth as the child grows and develops. These teeth serve a great purpose as the child continues to develop and require specific care.

Because baby teeth are temporary, some parents are unenthusiastic about fixing cavities in them. This may be due to the cost or having to force a child undergo the process—especially having to receive an injection. But if a cavity is diagnosed early enough, an injection can often be avoided. More important, failure to fill cavities in primary teeth when they are small and manageable can have lasting consequences in cost and health concerns. Serious illnesses in children have been diagnosed which began as a cavity.

Primary teeth act as a guide for permanent teeth. When decay reaches the nerve and blood supply of a tooth, this can cause an abscess. Severe pain and swelling may result. At that point, the only treatment options are either to remove the tooth or to perform a procedure similar to a baby root canal. When a primary tooth is lost prematurely—to decay or a painful abscess—the adjacent teeth will often shift and block the eruption of a permanent tooth. Braces or spacers become necessary to avoid crowding or impaction of the permanent tooth.

There is nothing more heartbreaking for Dr. Allen Job than to have to treat a child experiencing pain and fear. To all the parents of my little patients our team strongly recommend filling a small cavity and not waiting until it becomes a larger problem such as those described above.

Prevention is the key to a healthy mouth for our smallest patients. Parents should allow the child to brush his or her teeth using a pea-sized amount of fluoride toothpaste and then take a turn to ensure the plaque gets removed from all surfaces: cheek side, tongue side, and chewing edges of all the teeth.

[caption id="" align="aligncenter" width="500"] Memorial Day and Getting Ready for Summer[/caption]

Memorial Day didn't become an official holiday until 1971, but Americans started gathering annually in the spring to remember those who lost their lives in war during the 1860s, right after the Civil War. Celebrated on the last Monday in May, people still decorate the grave sites of war veterans and hold memorial services, but Memorial Day has also evolved into a day that signifies the beginning of summer.

During the summer months, many people take road trips to visit family members. Some head off to the airport to enjoy a long-awaited vacation far away, while others look forward to spending time with friends and family at home. However you spend Memorial Day and the subsequent summer months, there are a few things you can take care of to ensure your summertime is enjoyable.

Checklist for an Enjoyable Summer

• Have the AC Checked. During the hottest days of summer, many families find themselves sweating it out due to a broken air conditioning system. Be proactive so you can avoid waiting for hours or days because the HVAC repair person is booked solid. Have your air conditioning system checked before or around Memorial Day each year.
• Ensure Security While You're Away. When you leave for vacation, the last thing you should have to worry about is the security of your home. Install a home security system, if possible, and put a timer on your lights so they go on and off at normal hours. You can also alert your local police department that you'll be gone, and ask them to drive by your house once in a while to make sure everything is okay.
• Visit Dr. Allen Job Before Vacation. Many people put off exams until after summer vacation. Avoid the crowds and make sure your physical and oral health are in top shape prior to vacation time so there are no unpleasant surprises.

Our team at All Smiles Pediatric Dentistry wants you to look forward to Memorial Day and the days of summer by preparing to spend the time safely and comfortably. As you plan ahead, take care of your health and secure your home, you can place your focus on creating memories with family members and friends while enjoying your favorite Memorial Day traditions.

[caption id="" align="aligncenter" width="500"] Is there a connection between oral health and school performance?[/caption]

As a parent, you want the best for your children, and that includes doing their best in school. You can support them by taking an interest in their activities, being enthusiastic about attendance, and helping them with homework. There may also be one more way you can help your children succeed at school. Surprisingly, research suggests that children with better oral health are likely to do better in school.

What the Research Says

One study in North Carolina looked at risk factors for poor school performance among school-aged children. As expected, the study found poor school performance linked to low socioeconomic status, low levels of parental education, and poor overall health. However, it also found a strong link between poor oral health and poor school performance, with children classified as having poor oral health 40 percent more likely struggle in school.

These findings are generalizable to the rest of the country. For example, attendance is an important factor in academic achievement, but dental conditions are responsible for a loss 51 million school hours among schoolchildren each year. Dental pain and infection are linked to poorer performance.

School-Based Programs to Promote Oral Health

In light of the apparent benefits of good oral health for school performance, some schools are taking steps to promote better oral care and health. In Maine, for instance, schools in need can apply for grants through School Oral Health Program (SOHP). The SOHP consists of four components:

1. Oral health education for all children to support healthy behaviors
2. A weekly fluoride mouth rinse to strengthen teeth
3. Dental screenings to identify children who may need dental care
4. Dental sealants, or plastic coatings, on back teeth to guard against decay

The State of Maine also supports an “Annual Sugar Out Day” to raise awareness of the effects of sugar on dental health and to help students choose low-sugar alternatives.

Oral Health Habits to Adopt

You can help your child improve oral health and do better in school by encouraging good oral hygiene. This includes brushing at least twice a day with a fluoride-containing toothpaste, and reminding your child to drink water after eating. Also, regular trips to our San Diego, CA office can help prevent serious tooth problems.

[caption id="" align="alignnone" width="207"] Wishing all our moms a happy Mother’s Day![/caption]

"Motherhood: All love begins and ends there." - Robert Browning

We would like to take this moment to thank all the great moms out there for being so great during their child’s visits to All Smiles Pediatric Dentistry. Whether it’s driving their kids to regularly scheduled appointments or for “being there” while their child is treatment, the moms who come to our office are all stellar individuals, so Dr. Allen Job and our entire staff would like you to know that we appreciate you all!

Happy Mother’s Day and enjoy your special day!

[caption id="" align="aligncenter" width="500"] How often does my child need to see the dentist?[/caption]

According to the American Academy of Pediatric Dentistry, checkups at All Smiles Pediatric Dentistry are recommended for all children two times a year. Children should be evaluated for cavities and other emerging dental issues every six months, because these problems can lead to more serious dental problems and health issues if left untreated.

While it is always good to follow the official guideline mentioned above, it is also important to understand that each child is unique and his or her dental needs are equally unique. If your child shows signs of dental or orthodontic problems, Dr. Allen Job might recommend more frequent visits.

One way to help your son or daughter maintain good oral health between pediatric dental visits is to monitor brushing and oral care habits, especially if the child is still very young. Children who are two to five years of age will usually still require at least some degree of monitoring during their dental care routine.

The Checkup Visit

During your child’s regular dental care checkups, Dr. Allen Job will evaluate the current state of oral health and will be able to recognize any issues. The twice-yearly checkup visits are typically the time at which problems like cavities, irregular growth patterns of the teeth, and oral decay are discovered. Thus, making these appointments for your child, and following through with them, is extremely important.

Learning and Maintaining Good Oral Health

Dr. Allen Job and our San Diego, CA staff are your partners in terms of your child’s health care. Even when your child is an infant and a toddler, good brushing and other oral care habits can be taught. We will help you to educate your child about how to care for teeth in the most effective way, and you can carry those lessons home and help your child to follow them for the ultimate in oral health.

[caption id="" align="alignnone" width="213"] Make Every Day Earth Day[/caption]

Earth Day began in 1970 as an event to raise awareness of our environment. What began as a single day in April is now recognized around the world to bring attention and education to global environmental issues. Conserving our natural resources, reducing water and air pollution, and developing green technologies are all ways in which we can improve the environment around us.

Reduce, Recycle, and Reuse

One of the easiest ways to participate in Earth Day is by simply reducing the amount of refuse that ends up in landfills. Many communities have recycling programs for paper, plastic, and metal refuse. By keeping recyclable items out of landfills, we reduce the need for new disposal space and the amount of energy needed for burning refuse. Recycling products also helps conserve the resources that are used in making new products.

You can save money by reducing your consumption of many everyday products. Single disposable water bottles can be recycled but they are costly. By using filtered faucet water, you can conserve your financial resources. Disposable paper towels can also be wasteful. Consider reusable cleaning rags for the majority of your chores.

Reusing items saves both the environment and your finances. A large number of products can be re-purposed to create a new item. Old furniture can be remade into a new piece. Old clothing can be used for craft items. If you are not able to find ways to reuse your old items, donate them to a charity. Remember to continue your positive environmental steps on a daily basis.

Other things you can do to improve the environment

Everyone, young or old, can find ways to participate in improving the environment. Some ideas include:

• Planting trees
• Picking up litter
• Reducing energy consumption
• Walking, bicycling, or carpooling to work or school
• Disposing of hazardous waste properly
• Using rain barrels to conserve water for plants

Earth Day is designed to appreciate and celebrate the health of the earth. Keeping the earth healthy is important, but keeping your mouth healthy is important, too. Healthy teeth and gums contribute to your overall health and well-being, so remember to call our team at All Smiles Pediatric Dentistry to schedule an appointment. Have a happy and healthy Earth Day, from Dr. Allen Job!

[caption id="" align="alignnone" width="251"] The Thumb-Sucking Habit[/caption]

At All Smiles Pediatric Dentistry, we are often asked “should I be concerned with my child’s thumb sucking?” So, our team thought we’d share what our thoughts are on your child sucking his or her thumb.

Infants Who Suck Their Thumbs

As infants begin experimenting with the basic functions of their mouths, from sucking on a bottle to beginning to speak, it is natural for them to suck their thumbs. Parents with young babies who regularly suck their thumbs probably don’t need to feel overly concerned, so long as fingers are kept clean and the habit is kept in check. For most children, the exploratory stage of thumb sucking ends after just a few short years. Problems with thumb sucking occur when infants grow into young children but the habit has not been resolved.

Dangers of Thumb Sucking

One of the main differences between an infant and a child sucking his thumb is the formation of the mouth and teeth. An infant’s mouth is barely beginning to grow and develop, so sucking a thumb might actually help to stimulate the process. For a child with a mouth full of teeth, however, a thumb-sucking habit might cause some serious problems. As a parent, it can be very important to watch your child carefully to make sure the sucking habit is regulated.

As a child grows and develops, baby teeth begin to fall out. A child sucking his or her thumb during the baby teeth stage may not run any great risks. Our team at All Smiles Pediatric Dentistry often sees that once a child has developed his or her permanent teeth, the problems with thumb sucking can become more serious. KidsHealth.org states that children who suck their thumbs beyond the age of four or five might increase their risk of developing an overbite, infections, and other dental problems.

What You Can Do To Help

Parents who want to prevent possible problems for their child would be wise to begin preventive care early on. While you don’t need to be overly concerned about an infant sucking a thumb, it might be a good idea to help your toddler break the habit before permanent teeth begin to show.

• Try to use positive rewards for good behavior instead of negativity or threatening behavior.
• Talk openly with your child about the potential dangers of a thumb-sucking habit.
• Help your child find other productive things to do with the hands as a means of distraction. Playing a game of blocks, for example, might be a great diversion.
• Support and encourage your child while he or she is trying to break the habit.

As children develop, they have many things to learn and to think about. By understanding a few simple facts about thumb sucking, you can help your child develop in a healthy and positive way. If you have any other questions, feel to contact us at our San Diego, CA office, or ask Dr. Allen Job during your next appointment!

[caption id="" align="aligncenter" width="500"] St. Patrick's Day: Celtic pride, green shamrocks, and lucky charms![/caption]

“St. Patrick's Day is an enchanted time -- a day to begin transforming winter's dreams into summer's magic.” Adrienne Cook

Lucky green shamrocks, leprechauns, and pots of gold – it must be St. Patrick’s Day! If you’re not Irish, how do you go about celebrating St. Patrick’s Day? It’s easy: You just put on one of those tall leprechauns hats, dress in green from head to toe, and wear one of those carefree pins that say “Kiss Me, I’m Irish”. On St. Patrick’s Day, everyone is Irish, and that is the universal beauty of the holiday. Celtic pride does not discriminate.

Wondering what our team at All Smiles Pediatric Dentistry is doing to celebrate March 17th? Well, we’ve thought about doing everything from handing out lucky gold coins (you know, the fake ones that are made of chocolate) to shamrock stickers. Maybe we’ll even give away green toothbrushes and floss! You’ll never know unless you come in to see Dr. Allen Job !

All kidding aside, St. Patrick’s Day is an important cultural and religious holiday. There are lavish parades and church services across Ireland on March 17th. Over time, however, the holiday has developed into a day to observe Irish culture in general. In places like England and the United States, where there is a large Irish Diaspora, the holiday has greater significance than other countries. From the streets of Boston to St. Patrick’s Cathedral in New York, it is a day of celebration, and many Americans of Irish descent will cook up a traditional meal of corned beef and cabbage.

So, to all of you with Irish ancestry, and to all of you who have decided to be Irish for the day, our office wishes you a Happy St. Patrick’s Day. Good luck looking for a pot of leprechaun gold, which is said to exist at the end of the rainbow. However, keep away from those sugary Lucky Charms; sweet cereals might taste good, but your kids’ teeth might not be feeling too lucky if they eat it for breakfast every day. Have a great St. Paddy’s Day!

[caption id="" align="aligncenter" width="480"] March is National Nutrition Month![/caption]

While you don’t have to wait to start eating right, March is the month the Academy of Nutrition and Dietetics asks everyone to pay special attention to what goes into our bodies. The Academy has designated the month of March for focusing the public’s awareness on what they eat.

What Not to Eat

The academy points out that the foods you eat have a direct effect on the health of your teeth and specifically on tooth decay. Bacteria rely on carbohydrates to thrive. That is why Dr. Allen Job and our team at All Smiles Pediatric Dentistry tell our patients to cut back on both candy and sweets. They consist of simple sugars that feed the bacteria in your mouth and enhance tooth decay.

It’s the hidden sugars that will cost you, though. Get in the habit of reading labels on food and looking for products with added sugar. This includes ingredients that end with the suffix “ose.” When it comes to nutrition, these foods offer little value beyond satisfying that sweet tooth.

What You Should Eat

Turn to foods that not only taste good but are good for your teeth too. Dairy products, for example, provide the body with nutritional items that support tooth enamel. Foods high in protein feature phosphorus, a nutrient critical to oral health.

You can’t really go wrong by adding color to your diet, either. Fruits and vegetables make for a colorful plate and a healthy meal. Use some caution with acidic fruits like oranges or even tomatoes, because the acid can erode tooth enamel. It is better to include these foods in a meal instead of eating them by themselves.

Remember, good nutrition is something you should worry about all year long, not just when celebrating National Nutrition Month. March just serves as a fun reminder that eating right is a proactive step in managing your dental health.

We encourage you to give us a call at our San Diego, CA office to learn more!

[caption id="" align="aligncenter" width="500"] Why Baby Teeth Matter[/caption]

The primary teeth are the initial teeth that erupt from a child’s gums in the first few years of childhood. There are a total of 20 primary teeth, most of which will have appeared no later than age three. Because they are only temporary, some parents believe they are less important than the permanent teeth that will emerge around age five or six. However, primary teeth hold a special significance and are important for a child’s long-term oral health.

Function and importance of baby teeth

Baby teeth have several basic functions. Decay can interfere with these functions, and potentially lead to life-long complications. For example, severe tooth decay that causes tooth loss during childhood, perhaps due to sleeping with a bottle at night, can obstruct a child’s speech development. It can also hinder his or her ability to sufficiently chew food.

The primary teeth also serve as place-holders for the permanent teeth. When a primary tooth falls out or must be removed before its time, surrounding teeth may shift into the space the tooth once held. This can cause orthodontic complications once the permanent teeth begin to erupt, which can lead to serious tooth alignment problems and call for extensive orthodontic treatment.

Caring for baby teeth

Dr. Allen Job and our team at All Smiles Pediatric Dentistry will tell you it is never too early to begin caring for your child’s teeth. Baby teeth require the same care and attention that permanent teeth do. The American Dental Association recommends that children see a dentist as soon as the teeth begin to erupt from the gums. Early childhood dental visits usually include examinations, cleanings, fluoride treatments, and hygiene education for parents. It is also important to adopt an oral care routine at home that includes daily brushing, flossing, and dietary modifications that support a lifetime of good oral health.

To learn more about baby teeh, or to schedule an appointment with Dr. Allen Job for your little one, please give us a call at our convenient San Diego, CA office!

[caption id="" align="alignnone" width="304"] Beat the Brushing Battle[/caption]

Dr. Allen Job and our team know it can be a challenge to get our children to brush, brush well, and brush often. Here are some tips that can help you keep those beautiful little teeth healthy.

Make it Fun, Make it a Habit!

We should all brush twice a day. The most important time to brush is at night before bed. When we sleep, our saliva production decreases, and this creates an environment for oral bacteria to cause greater destruction to our teeth and gums. Brushing should last at least two minutes, followed by flossing and mouthwash if you choose.

Here are some ideas to make this nightly ritual more entertaining.

• Set a good example. Brush your teeth with your children and make it fun! Pick a song to play while brushing.
• Make it a race to the bathroom to see who can get their toothbrush and floss ready. But don’t make it a race to finish; make sure brushing lasts at least two minutes.
• Try using a sticker sheet. For every night your children brush well, give them a sticker. (Be sure to check their work.) After a certain number of stickers, they earn a reward. Let them pick the reward! As the child improves at brushing every night without reminders, you can wean her or him from the reward.
• SPECIAL TIP: Let your child check your brush work!

As parents, we should help our children make health and wellness something to take pride in. Be gentle with your children when they make mistakes, whether forgetting to brush or maybe developing a cavity. Tell them even our team at All Smiles Pediatric Dentistry gets cavities. Thankfully, there is always room for improvement. Happy brushing!

[caption id="" align="alignnone" width="284"] Valentine's Day History[/caption]

Valentine’s Day is best known as a celebration of love in all its forms. Pink hearts, red roses, and cute greeting cards adorn every surface you see. What many people don’t realize is that the modern Valentine’s Day celebration arose from a religious holiday.

St. Valentine’s Day was originally celebrated as a religious feast day in honor of early Christian martyrs. Three martyrs named Valentine were honored: a priest in Rome, the persecuted bishop of Interamna (a town in central Italy), and a saint martyred in Africa. This saint’s day was celebrated throughout Christendom, although it was removed from the Roman Catholic Calendar of Saints in 1969.

The origin of Valentine’s Day as a holiday for lovers began with Geoffrey Chaucer in his 1382 poem “Parlement of Foules.” Chaucer wrote, “For this was on Saint Valentine’s Day, when every bird cometh there to choose his mate,” and the modern romantic holiday was born. William Shakespeare and other writers mentioned Valentine’s Day as a day of love.

Valentine’s Day as we know it came about in the early 19th century. In Victorian England, printers began manufacturing small numbers of cards with romantic verses, lace, ribbons, and other frills. Anonymous Valentine’s Day card were a popular way for young lovers to exchange romantic sentiments in an otherwise prudish time. As the 19th century progressed, printers began mass manufacturing Valentine’s Day cards. People in the United States give an estimated 190 million valentines every year, and up to one billion if you count children exchanging cards at school! With the rise of the Internet, Valentine’s Day e-cards have become a popular mode of communication, with millions of e-cards sent each year.

The other items associated with Valentine’s Day include chocolate and flowers. The tradition of giving chocolates has been around for decades, and Richard Cadbury created the first box of Valentine’s Day chocolates nearly 150 years ago. Today, purchases of chocolate total over $1 billion in the United States alone, with 35 million heart-shaped boxes sold each year. Loved ones also exchange flowers, with red roses being associated with Aphrodite, the Greek goddess of love. On Valentine’s Day itself, florists sell nearly 200 million stems of roses.

Although many people dismiss Valentine’s Day as a commercialized “Hallmark holiday,” it is beloved to couples and romantics across the United States and other countries. The team at All Smiles Pediatric Dentistry wants to remind all patients that no matter what your celebratory plans, February 14th can be a wonderful day to celebrate the loved ones in your life. Happy Valentine’s Day!

[caption id="" align="aligncenter" width="500"] The Importance of Oral Health Care for your Child[/caption]

February is National Children’s Dental Health Month, so it’s a great time for our team at All Smiles Pediatric Dentistry to talk about the importance of getting proper oral health care for your children. Oral health has been closely tied to the overall health of our entire body, so making sure that our children have the best oral health care can not only ensure that they have great smiles, but they are protected from the negative effects of poor oral health as well.

Special Care for Children’s Teeth

Oral health care should begin with the very first tooth that grows in your baby’s mouth. Even though these teeth will fall out within a few years, baby teeth hold a space for your child’s permanent ones, and it’s important that your child has a healthy mouth when those permanent teeth arrive. Without proper care, even baby teeth can decay and cause a host of problems, including:

• Painful teeth and gums
• Difficulty chewing, eating, and sleeping
• Gum disease and inflammation
• Embarrassment when talking and smiling

Develop Good Oral Health Habits Early

As a parent, you can teach your child the right way to care for teeth and make sure he or she visits Dr. Allen Job regularly for cleanings and checkups. According to the U.S. Department of Health and Human Services, almost 50 percent of children under 12 have some form of tooth decay, and it is one of the most common childhood diseases. Alarmingly, a report by the National Institutes of Health, Oral Health in America, found that almost six out of ten children have cavities or other tooth decay (also called “caries”).

There are many things you can do to help your child maintain a healthy mouth with strong teeth and gums.

• Brush your children’s teeth twice a day when they are babies, then teach them to do it on their own when they get older.
• Be sure your child gets enough fluoride—you can find out whether it is already in your drinking water, and provide supplements if it is not. If you are unsure how to get more fluoride, give our office a call to discuss. In addition, make sure your child is brushing with fluoride toothpaste.
• Feed your child a healthy diet, high in fruits and vegetables and low in added sugars. We especially recommend you avoid sugary drinks.
• Bring your child to our San Diego, CA office for regular dental checkups and cleanings. Coming in every six months is recommended.

Helping children develop healthy habits to care for teeth while they are young is important. These habits can set the stage for good oral health care throughout their entire life. They can avoid many of the problems that result from poor oral health, including gum disease, cavities, and tooth decay. Start encouraging those habits now during National Children’s Dental Health Month, and help your children reap the benefits through the rest of their lives.

[caption id="" align="aligncenter" width="207"] Pediatric Dentistry Q&A[/caption]

Today, Dr. Allen Job and our team at All Smiles Pediatric Dentistry thought we would answer some of the most frequent questions about pediatric dentistry and oral health we hear from parents.

What constitutes a “healthy, balanced diet” for my child?

A healthy, balanced diet contains all the nutrients your child needs to grow, including one serving each of fruits and vegetables, breads and cereals, milk and dairy products, and meat, fish and eggs per day. Make sure your child limits snacking in between meals and limits how frequently they consume food or beverages that contain sugar, which is known to cause tooth decay. Besides pastries, cookies, and candy, sugars are usually found in processed foods such as crackers, cereals, and soda, as well as in condiments like ketchup.

Should my kid give up all foods that contain sugar?

Absolutely not, we simply recommend choosing and serving sugars sparingly. A food with sugar is safer for teeth if it is eaten with a meal, not as a snack. When your child chews during his or her meal, the saliva produced helps neutralize the acids that are found in sugary and starchy foods. Foods that are not easily washed away from your child’s teeth by saliva, water, or milk have more cavity-causing potential.

What causes cavities?

Many types of bacteria live in our mouths—some good, some bad. When these bacteria come into contact with sugary foods left behind on your child’s teeth after eating, acids are produced. These acids then attack the enamel, and eventually eat through the enamel and create holes in the teeth, which Dr. Allen Job and our team call cavities, or caries.

How can I help my child avoid cavities?

This is a great question that we hear a lot. Make sure that your child brushes his teeth twice a day with fluoride toothpaste. Flossing daily is also important, as flossing can reach spots between the teeth that brushing simply can’t. And finally, we encourage you to schedule regular appointments with Dr. Allen Job at our San Diego, CA office so that we can check the state of your child’s teeth and gums, as well as provide a professional cleaning to protect him or her from cavities and gum disease.

What is the best way to clean my baby’s teeth?

We recommend you clean your baby’s gums after feedings with a damp, soft washcloth. This is even before your baby’s first tooth appears. As soon as his or her first tooth does appear, you may begin using a toothbrush with soft bristles and a small head. You can most likely find a toothbrush designed for infants at your local drugstore or ask us for one during your next visit.

What should I do if my child has a toothache?

First, we recommend rinsing the irritated area with warm salt water and placing a cold compress on his or her face if it is swollen. If you have any at home, give your child acetaminophen for any pain, rather than placing aspirin on the affected teeth or gums. Finally, give us a call as soon as possible to schedule an appointment with Dr. Allen Job.

We hope that helps! Please give us a call if you have any questions or ask us next time you visit our office for your child’s appointment with Dr. Allen Job! If you have any other questions, or would like to schedule an appointment, we would love to hear from you.

[caption id="" align="alignnone" width="238"] How to Brush a Two-Year-Old’s Teeth Effectively[/caption]

Our team at All Smiles Pediatric Dentistry would like to offer some tips regarding the sometimes dreaded task of brushing a toddler’s teeth.

Much of the trick lies in the positioning. Before you begin, make sure you are in a position of control. This protects both you and your child from injury. Consider how well you can see. If you cannot see clearly, the quality of brushing drops significantly. For instance, if your child is standing, you are likely to see only the bottom teeth well.

Our team finds that the best position for brushing and flossing a toddler is when your child is calm. Have your child lie down on his or her back with arms out to make a T. Sit down just above the head and lightly place your legs over your child’s arms. Using a circular motion, brush all sides of the teeth.

It may sound odd, but approaching the routine this way can make brushing time a cinch! After you’re done, give your child the toothbrush and let him or her have a turn. The benefit of doing the brushing and flossing first is that it gives an example, which your child is more likely to repeat when you’re done.

Different methods work best for different families and children. These practices need to be performed with kindness and care. Be gentle and make this time a happy learning time. Don’t forget to bring your child to our San Diego, CA office for regular dental checkups and cleanings. Dr. Allen Job can advise you on ways to implement portions of these tips in a way that may work bests for you and your child.

[caption id="" align="aligncenter" width="207"] Snacks for Healthy Teeth[/caption]

Concerned parents often ask Dr. Allen Job about which kinds of snacks are best for a child's teeth. While most know that candy isn't always the best choice, many parents are confused about which kinds of after-school snacks can actually be beneficial for teeth. Left to their own devices, children might pick the sugary snack that comes in colorful packaging. There are, however, choices that are much better for your child's teeth.

Go Natural

The foods that are best for your children's teeth are also the best for their overall health. Choosing whole foods, such as fruits and vegetables, is always the best option for snacks. Try sticks of celery and let your kids dip it into all-natural peanut butter, or a juicy and crunchy apple cut into wedges.

Lean Proteins

Lean protein, such as chicken breast, fish, turkey, and lean cuts of pork also make good snacking options. For the best overall health, avoid giving your child a lot of lunch meats, because such products are often higher in sodium. However, these proteins are also low in sugar, which is always a preferable choice when it comes to teeth.

Avoid Packaged Foods

Sugars are unhealthy partly because they stick more readily to the surface of the teeth. Even foods that appear to be healthy, such as many brands of granola bars, can in fact be loaded with hidden sugars. Sugar can also be found in higher concentrations in dried fruit, honey, and syrups. The rule is that if a foodstuff has been altered in any way from its original state then there are perhaps better choices.

Beverages

Drinks are another murky area. Parents often presume that fruit juices are an acceptable beverage when in reality many of them are loaded with excessive sugar as well. The best beverages for your child's teeth are water and low-fat milk. Milk has the added benefit of containing calcium, which is highly beneficial for the bone structure that supports the teeth.

An apple a day might keep the doctor away, but it is also a great snack to keep teeth healthy. The next time your children are looking for an after-school snack, guide them toward healthier, low-sugar options that are beneficial to their overall health and their teeth.

[caption id="" align="aligncenter" width="500"] What is baby bottle tooth decay?[/caption]

Great question! Baby bottle tooth decay is the development of cavities caused by the frequent and long-term exposure of a child's teeth to liquids containing sugars. These liquids include milk, formula, fruit juice, sodas and other sweetened drinks. The bacteria in the mouth thrive on this sugar and produce acids that attack the infant's teeth and gums. After numerous attacks, tooth decay can begin.

The first rule is to make sure your child does not fall asleep with a bottle containing milk, formula, juice or other sweetened liquids. Giving an infant a sugary drink before bedtime is harmful because the flow of saliva decreases during sleep, allowing the sugary liquids to linger on the child's teeth for an extended period of time. If left untreated, pain and infection can result.

So, how can you prevent baby bottle tooth decay? Be sure to clean and massage the baby's gums once a day to help establish healthy teeth and to aid in teething. When brushing your child's teeth, use a soft toothbrush, as well non-fluoride toothpaste. Once your little one is able to spit, around the age of two, you should begin using fluoride toothpaste. From the beginning, have your little one practice spitting the toothpaste out after brushing. That way, he or she will already have the good habit of spitting when you switch to fluoride toothpaste, which should never be swallowed.

Also, be aware that children should visit All Smiles Pediatric Dentistry when they are between six and 12 months old. Please give us a call if your child hasn't visited our San Diego, CA office in the last six months!

[caption id="" align="aligncenter" width="500"] New Year's Eve[/caption]

Watching the clock tick down the final seconds until midnight, many of us- All Smiles Pediatric Dentistry included- feel nostalgic about the passing year and hopeful about the new one to come. New Year’s Eve is one of the most widely celebrated holidays in the world, with over-the-top celebrations taking place in dozens of countries. The Gregorian calendar, which is widely used in Western nations and around the world, was implemented in 1582. Since that time, December 31st has marked the final day of the year, with midnight heralding the beginning of a brand new year. In the United States, New Year’s Day is a public holiday; government offices, schools, public organizations, and many businesses are closed for the day. Ponder the following fun facts as you think about your plans for the holiday:

• Approximately one billion people watch the New Year’s Eve ball drop in Times Square, New York City. This televised event is one of the most iconic New Year’s celebrations in the world. For many years, watching the ball drop meant tuning in to Dick Clark’s Rockin’ New Year’s Eve, an iconic television special dear to the hearts of many viewers.
• The idea for the New Year’s Eve ball came about because of a citywide ban on fireworks. Before 1907, when fireworks became illegal in New York City, celebrations included an elaborate fireworks show. The large, glittering, illuminated ball was developed as an alternative. Although the first ball was heavy at 700 pounds, the modern New Year’s Eve ball is made of Waterford crystal and tips the scale at six tons!
• The top five New Year’s resolutions are: to lose weight, quit smoking, get a new job, return to school, or increase personal savings. However, approximately 88% of New Year’s resolutions fail. But don’t let that discourage you! Resolutions are most likely to succeed when they are clear, achievable goals. Setting out a concrete plan to achieve your resolution also boosts your chances of success.
• Eating black-eyed peas on New Year’s Day is said to bring good fortune in the new year. Collard greens, cabbage, and ham hocks are also considered lucky foods to enjoy. Just steer clear of the chicken or turkey dinners; eating poultry is a bad omen for the year to come.

Whether you plan to stay in San Diego, CA, or head out into the crowds to watch the ball drop in Times Square, New Year’s Eve is a time to enjoy friends and family. Send your loved ones well wishes for the New Year, and look for that special someone to share a midnight kiss with for good luck!

[caption id="" align="aligncenter" width="500"] Why should I have my child’s wisdom teeth removed?[/caption]

The wisdom teeth are the last of the permanent molars to emerge from the gums. This can occur as early as age 17 or as late as 21. Though some teens and young adults experience a completely normal tooth eruption with ideally aligned molars that pose no health threat, this is not the case for everyone.

According to the American Association of Oral and Maxillofacial Surgeons (AAOMS), wisdom teeth must meet specific criteria to avoid a required extraction. These guidelines include:

• Completely erupted and non-impacted
• Completely functional
• Painless
• Free of decay
• Disease-free
• Capable of being properly cleaned

If one or more of your child’s wisdom teeth do not meet these conditions, we recommend scheduling an appointment with Dr. Allen Job; an extraction may be necessary.

Impacted wisdom teeth

One of the most common reasons for extracting a wisdom tooth is due to impaction. An impacted wisdom tooth is one that has not erupted and will not fully erupt from the gums. Usually this occurs because there is not enough room for the tooth to emerge. Impaction can be painful and can also lead to infection if left untreated. According to the AAOMS, roughly 90 percent of the teen and adult population has at least one impacted tooth. Extracting an impacted wisdom tooth early can help prevent future complications, such as periodontal disease, infections, and damage to neighboring teeth.

Extracting fully erupted wisdom teeth

Even if your child’s wisdom teeth are fully erupted, Dr. Allen Job and our team at All Smiles Pediatric Dentistry may recommend removing them as a preventive measure. Fully-erupted third molars often interfere with a healthy bite. This can lead to problems with tooth and jaw alignment and may also contribute to the development of headaches. Your child’s wisdom teeth may also be more prone to tooth decay and gum disease, because their location in the back of the mouth makes them more difficult to reach for brushing and flossing.

To learn more about wisdom teeth, or to schedule an appointment with Dr. Allen Job, please give us a call at our convenient San Diego, CA office!

[caption id="" align="alignnone" width="207"] Periodontal Disease in Adolescents[/caption]

Dr. Allen Job and our team at All Smiles Pediatric Dentistry know that periodontal disease isn't something exclusive to adults. It can affect adolescents as well. Gingivitis, which is a milder form of periodontitis, is a form of periodontal disease, and a warning that more serious problems may arise. Untreated gingivitis can develop into full-blown periodontitis.

The American Academy of Periodontology (AAP) explains that research proves that younger people may develop more severe forms of gingivitis. Gingivitis is linked to periodontal disease. Children and adolescents who have type 1 diabetes or immune deficiencies are more likely to suffer from periodontal disease.

There are three types of periodontal diseases Dr. Allen Job and our team see in children and adolescents.

Chronic gingivitis

Parents may suspect that their adolescent has chronic gingivitis if he or she shows or complains of symptoms such as redness, swelling, or bleeding gums. Early treatment may prevent gingivitis from developing into a more severe form of periodontal disease.

Aggressive and/or chronic periodontitis

Once called adult periodontitis, the term chronic replaces “adult” because periodontitis can occur in people in their early teenage years, and progress throughout their teens. Chronic and aggressive periodontitis primarily affects incisors and first molars. One of its distinguishing characteristics is bone loss. Curiously, patients who suffer from this form of the disease have minimal dental plaque on examination.

Generalized aggressive and chronic periodontal disease

This form of periodontal disease has many of the same characteristics of the chronic and aggressive form, but this more severe type of the disease affects the entire mouth. Symptoms include major plaque and calculus accumulation, and inflamed gums.

In both forms of more severe periodontal disease, the overall gum structure may change. The severity of these changes may alter gum strength enough to loosen teeth, or even worse, cause them to fall out.

The success of any treatment is largely contingent on early diagnosis. Dr. Allen Job should conduct a thorough periodontal exam as part of an adolescent’s twice-yearly complete dental examinations.

The mouth is full of bacteria. Some of it is necessary for food digestion. Diseases are more likely to develop if bacteria travel to open places in the mouth, such as exposed gum pockets or cavities. Proper dental hygiene is essential for a healthy mouth, and a healthy mouth offers greater protection against painful dental diseases.

Be sure every member of your family has a complete dental exam and cleaning twice a year, and contact Dr. Allen Job when you or your young kids or adolescents complain of pain, sensitivity, or other oral problems. Early detection at our San Diego, CA office leads to treatment of oral problems and prevents them from turning into serious periodontal disease and potentially irreversible problems.

[caption id="" align="aligncenter" width="322"] My child is getting blood blisters; is this normal?[/caption]

Thanks for the question. The “blisters” you are referring to are actually a normal part of losing baby teeth. Sometimes when teeth start to come through, children experience some bleeding under the skin, which typically causes small blisters or bruises on your child’s gums. The blisters, bluish in color, will disappear once the tooth comes through, and the tooth itself will still come through as it should.

Even though they can look a little frightening at first, there is no treatment required to treat blisters, nor are these blisters preventable. In fact, our bodies do a great job of cleaning up the loose ends of baby tooth loss and permanent tooth emergence, and not too long after, it’s as if no blisters ever happened. It’s important to note, however, that these blisters should not be pricked or cut as doing so may cause an infection in your child’s mouth.

If you are worried about blisters or bruises in your child’s mouth, please give us a call at our convenient San Diego, CA office to schedule an appointment with Dr. Allen Job. We especially encourage you to give us a call if your child has had one of these blisters for more than a month and the tooth has yet to come through.

[caption id="" align="aligncenter" width="320"] What kind of toothbrush and toothpaste should my child use?[/caption]

Imagine that you sit down for some evening television, and during the course of the evening, you see five commercials regarding dental products. They all claim to be the best. Then remember your last visit to the dental aisle at a local grocery store. The choices are overwhelming and there seems to be no sure answer as to which would be the best choice for your child.

All Smiles Pediatric Dentistry recommends that parents break down the decision process. First, consider your child’s age and stage of development. Up until age ten to 12, your child cannot adequately brush or floss independently. It is not a maturity issue, but rather dexterity. Automatic toothbrushes are highly appropriate for all ages. Brushing quality improves when using a battery-powered toothbrush. Use it together with your child, and always play an active role in your child’s oral home care.

As a general rule, the brush head of the toothbrush should be a little larger than the child’s upper portion of the thumb. This will help ensure it will fit in all the places it needs to.

Flossers are great for children. These will have a horseshoe shape on one end with floss in-between. A particular brand name does not matter. Some have a higher quality and this should be evident when you use them. You can make a choice for individual preference with color, handle size, or shape, etc.

There are many brands of toothpaste and there are also differences in the ingredients. Some contain sodium fluoride, the standard ingredient in cavity prevention. Others have stannous fluoride, which is anti-bacterial and anti-cavity. Potassium nitrate is commonly found in anti-sensitivity, and triclosan is found in one particular brand for anti-bacterial properties. It is most common for children to be at a high risk for cavities. Therefore, our team at All Smiles Pediatric Dentistry recommends toothpaste with fluoride once your child is old enough to spit.

Before a child can spit, use toothpaste without fluoride. This is an ideal time to use toothpaste with xylitol. Xylitol should be listed as the first ingredient; this way you’ll get the almost medicinal property of this natural sweetener. After you have found the right type of toothpaste, consider its flavor. The best kind of toothpaste is one that will be used, so choose a flavor that your child will love!

If you have any other questions, our would like specific brand recommendation feel free to call us at All Smiles Pediatric Dentistry or ask Dr. Allen Job during your next appointment!

[caption id="" align="aligncenter" width="500"] Thanksgiving[/caption]

At All Smiles Pediatric Dentistry, we love to celebrate the holidays with vigor! Dr. Allen Job would love to share some unique ways of celebrating Thanksgiving from beyond the San Diego, CA area to the national level!

When Americans sit down to dinner on the last Thursday of November, the day that Abraham Lincoln designated as the day on which Thanksgiving would be celebrated, they do so thinking that the first Thanksgiving feast was held at Plymouth in 1621. According to National Geographic, the Spanish explorer Francisco Vásquez Coronado and his men celebrated a feast of Thanksgiving in Texas in 1541, giving Texas the distinction of being the first place where Thanksgiving was celebrated.

Different Types of Celebrations

Native Americans had rituals around which they celebrated in hopes of ensuring a bountiful harvest. The Cherokees had a Green Corn Dance that they did for this very purpose. The Pilgrims (not to be confused with the Puritans,) rejected any type of public religious display. They held a three-day long non-religious Thanksgiving feast. Although they said grace, the focus of their celebration was on feasting, drinking alcohol (they did have beer,) and playing games.

The Pilgrims at the Plymouth Plantation celebrated a different day of Thanksgiving in 1623. Plagued by a crop-destroying drought, the settlers prayed for relief. They even fasted. A few days later, they got the rain they so desperately needed. Soon thereafter, they received another blessing when Captain Miles Standish came with staples they couldn't otherwise get. He also told them that a Dutch supply ship was en route. In gratitude for the abundance of good fortune, the Plymouth settlers celebrated a day of prayer and Thanksgiving on June 30, 1623.

The Story of Squanto

No discussion of Thanksgiving is complete without a discussion of Squanto, or Tisquantum, as he was known among his people, the Patuxet Indians. It is believed that he was born sometime around 1580. As he returned to his village after a long journey, he and several other Native Americans were kidnapped by Jamestown colonist, Thomas Hunt. Hunt put them on a ship heading to Spain where they were to be sold into slavery.

As fate would have it, some local friars rescued him and many of the other kidnapped natives. Squanto was educated by the friars. Eventually, after asking for freedom so he could return to North America, he ended up in London where he spent time working as a ship builder. By 1619, he was finally able to get passage on a ship headed to New England with other Pilgrims.

Upon arriving at Plymouth Rock, he learned that his entire tribe was wiped out by diseases that accompanied earlier settlers from Europe. In gratitude for passage on their ship, he helped them set up a settlement on the very land where his people once lived. They called the settlement Plymouth. Since they knew nothing about how to survive, let alone how to find food, Squanto taught them everything, from how to plant corn and other crops, how to fertilize them, how and where to get fish and eels and much more.

After a devastating winter during which many settlers died, thanks to Squanto's teaching, they had an abundant harvest. After that harvest, they honored him with a feast. It is this feast of 1621 which was celebrated between the Pilgrims and Wampanoag Indians that is widely considered the first Thanksgiving celebration.

About the Meal of the Plymouth Settlers

Surviving journals of Edward Winslow that are housed at Plymouth Plantation indicate that the first Thanksgiving feast was nothing like what Americans eat today. The meal consisted of venison, various types of wild fowl (including wild turkey,) and Indian corn. There were no cranberries, stuffing, pumpkin pie, potatoes, or any of the other “traditional” foods that appear on modern menus.

Today, Thanksgiving is celebrated on the fourth Thursday of November, the day that Abraham Lincoln designated as the holiday. It is still a day of feasting, and for some, a day of prayer and thanksgiving. For others, it is a celebration of gathering, especially for families. Still others may celebrate in entirely different ways, including watching college football bowl games, or by playing family games.

If you ever wonder why you're so tired after the Thanksgiving meal, it's because turkey contains an amino acid, tryptophan, and it sets off chemicals whose chain reaction combine to make people sleepy.

[caption id="" align="aligncenter" width="320"] Is your child a mouth breather?[/caption]

Have you ever watched to see if your child is breathing through his or her mouth? Breathing through the mouth instead of the nose may lead to trouble for youngsters. Kids who typically breathe through their mouth—most often children who suffer from allergies—experience problems getting enough oxygen into their blood, a condition that affects their weight, size, sleep, and even their performance in the classroom and daily life.

Mouth breathing as a child can also lead to sleep apnea, behavior and learning problems, delayed speech, dental and facial abnormalities, and even breathing problems as your child grows. There are a multitude of reasons for an individual to mouth breathe, such as enlarged tonsils, adenoids, and deviated nasal septum, but the cause is usually allergies.

As bad as the condition sounds, we want you to know mouth breathing is a treatable condition. Doing so, though, requires early diagnosis and treatment. Since our team at All Smiles Pediatric Dentistry sees our patients every six months, we may be in a position to identify the symptoms of mouth breathing.

If you suspect your child is a chronic mouth breather, please give us a call at our convenient San Diego, CA office to schedule an appointment with Dr. Allen Job.

[caption id="attachment_83" align="aligncenter" width="200"] Staff Spotlight: Meet Joy[/caption]

All Smiles Pediatric Dentistry is excited to introduce Joy Cezar as the newest member of our team. Joy is a registered dental assistant with expanded functions, which means she’ll be one of the people helping Dr. Job with your child’s care. While she’s new to our office, she brings with her 21 years of experience in dentistry. Her favorite things about her job are creating a positive dental experience for children and getting to work with the fabulous team here at All Smiles Pediatric Dentistry. We love working with her, too!
When she’s not in the office, Joy spends her time working out, doing group runs, reading, and hiking. She also enjoys exploring Balboa Park, Downtown, and Coronado, and cheering for the Lakers!
At your next visit to our San Diego, CA office, make sure to say hello to Joy!

[caption id="" align="aligncenter" width="500"] Five Tips to Help Kids Overcome Their Fears of the Dentist[/caption]

Is your child nervous about visiting Dr. Allen Job and our team at All Smiles Pediatric Dentistry? Today, we put together some tips to help ensure your little one relaxes before his or her next dental checkup!

1. Start early. The earlier your child visits our San Diego, CA office, the better. This will provide your child with a familiarity and ensure that he or she is comfortable with our team, office, and surroundings, whether it’s for a preventive visit or an emergency. The American Academy of Pediatric Dentistry recommends that your child first visit the dentist at age one or when the first tooth is visible.
2. Choose your words wisely. When preparing for a visit, go easy on the details. Over-explaining and adding more information about treatment such as a filling will lead to more questions as well as add unnecessary alarm. Remember to keep a positive attitude!
3. Bring a distraction to your child’s appointment. Bringing along music is a great idea. Just plug in those earphones, have your child close his or her eyes, and get lost in the tunes. Listening to music can also be a pain killer.
4. Consider a “pretend visit.” Before your child’s appointment, try role playing with him or her—you be the doctor and your child is the patient. All you'll need is a toothbrush. The key is getting your child familiar with the routine so that he or she is more relaxed once it’s time for the real visit with Dr. Allen Job.
5. Stress the importance of good oral health. Instill in your child that visiting the dentist is a necessity, not a choice, and that visiting the dentist will lead to a lifetime of smiles.

We hope this helps! For more on dental anxieties, ask us during your next visit to All Smiles Pediatric Dentistry! Or, ask us on Facebook!

[caption id="" align="aligncenter" width="500"] Good Dental Hygiene Impacts Overall General Health[/caption]

There are many ways in which your oral health has an impact on your overall general health. There are naturally occurring bacteria in the mouth. Some of those bacteria, including strep and staph, are harmful, while other bacteria are essential for the balance of intestinal flora. The healthier your mouth is, the less likely it is the harmful bacteria will travel to other parts of your body to infect it and make you sick. There is much more to good dental hygiene than brushing and flossing.

Historical Methods of Maintaining Oral Health

Ancient civilizations relied on natural remedies for maintaining oral health. Around 250 AD, the Kemetic Egyptians used myrrh and other herbs as antiseptics for treating infected gums. Two centuries later, the Nubians, who lived in the Nile River valley, drank beer to ease the pain of infected teeth. That probably sounds crazy, but their beer was effective because they used grains that were contaminated with the same bacteria that produce the antibiotic tetracycline.

Today's Biggest Dental Hygiene Challenge

In the past, tooth decay was more of an issue because there was no routine dental care, and problems that are routinely treated today went untreated. Thanks to fluoridated water, and toothpastes containing fluoride, tooth decay is far less problematic than it was a century or more ago. Gum disease has replaced tooth decay as the most serious dental problem facing people today. According to the American Dental Association, a staggering 80 percent of Americans over age 65 suffer from some form of periodontal disease.

Ironically, if that infection attacked any other part of your body, especially in a place where it was clearly visible, you would head to your doctor for treatment immediately. People tend to ignore gum tenderness and bleeding. When the tenderness and bleeding aren't treated, the inflammation can turn into periodontitis. The longer you allow the inflammation to go untreated, the greater the likelihood that it will affect other body parts. Make sure to visit Dr. Allen Job at All Smiles Pediatric Dentistry regularly to be proactive about dental health!

Researchers are now discovering that untreated inflammation in the mouth acts as a driving force for multiple chronic illnesses, including clogged arteries, heart attacks, arthritis, and even cancer. That inflammation is one of many hypotheses that may explain how chronic infections can trigger systemic diseases, and even intensify existing ones. Bacterial overgrowth in the inflamed gum tissue can enter the bloodstream through the food you eat, and from daily brushing.

Caring for your mouth at home is just as important as visiting our office for exams!

[caption id="" align="aligncenter" width="500"] The Intriguing History of Halloween[/caption]

Halloween is fast approaching, and Dr. Allen Job wanted to be sure to wish our patients a happy day, no matter how you might celebrate this holiday. The Halloween that is familiar to most people today bears little resemblance to the original Halloween; back in the "old days" it wasn't even called Halloween!

Festival of the Dead

Halloween started out as a Celtic festival of the dead that honored departed loved ones and signified a change in the cycle of the seasons. The Celtic people viewed Halloween, then called "Samhain," as a very special day – almost like our New Years day in fact, as their new calendar year began on November 1st. Samhain was the last day of autumn, so it was the time to harvest the last of the season's crops, store food away for winter, and situate livestock comfortably for the upcoming cold weather. The Celts believed that during this day, the last day of winter, the veil between this world and the spirit world is the thinnest, and that the living could communicate with departed loved ones most effectively on Samhain due to this.

Modern Halloween

Halloween as we know it today started because Christian missionaries were working to convert the Celtic people to Christianity. The Celts believed in religious concepts that were not supported by the Christian church, and these practices, which stemmed from Druidism, were perceived by the Christian church as being "devil worship" and dangerous.

When Pope Gregory the First instructed his missionaries to work at converting the Pagan people, he told them to try to incorporate some of the Pagan practices into Christian practices in a limited way. This meant that November 1st became "All Saints Day," which allowed Pagan people to still celebrate a beloved holiday without violating Christian beliefs.

Today, Halloween has evolved into a day devoted purely to fun, candy, and kids. What a change from its origins! We encourage all of our patients to have fun during the holiday, but be safe with the treats. Consider giving apples or fruit roll-ups to the kids instead of candy that is potentially damaging to the teeth and gums.

Remind kids to limit their candy and brush after eating it! Sweets can cause major tooth decay and aggrivate gum disease, so to avoid extra visits to our San Diego, CA office, make your Halloween a safe one!

[caption id="" align="aligncenter" width="500"] How to Care for a Teething Baby[/caption]

After hours of juggling a wailing baby, you’re probably desperate to address teething pain. If your baby is irritable, drooling, and chewing on hard objects, he or she is likely teething. Although some discomfort while your baby is teething is inevitable, learning a few basic approaches can ease painful gums and soothe your frazzled nerves.

• Offer your finger. Simply chewing on your nice, plump finger may be enough to ease your little one’s pain. Make sure you clean your finger before placing it in your baby’s mouth.
• Use a teething ring. A firm rubber teething ring allows your child to gnaw, and alleviates pain. If your baby seems to like sucking on a bottle, replace the milk or formula with water during teething periods. This reduces sugar intake and decreases the risk of tooth decay.
• Cool it down. Stick a clean, moist washcloth in the freezer (place it on a tray for cleanliness) and offer that to your baby. The cooler temperature of the chilled cloth eases the pain of teeth erupting through the gums. Soaking the washcloth in non-caffeinated tea, such as chamomile, may reduce inflammation associated with teething.
• Grab some hard foods. Certain foods allow your kiddo to gnaw, and can ease teething pain. For example, frozen bananas, large chunks of chilled carrots, an apple, or frozen bagels make good teething pain relievers. If you’re offering your child solid food, watch carefully to ensure that your infant doesn’t bite off a piece and choke.
• Try a natural remedy. Years of grandmotherly wisdom suggest that home remedies might help with teething. Try rubbing clove oil, peeled ginger root, or vanilla extract onto your child’s gums. Although there isn’t scientific evidence to prove these remedies are effective, they may help your little one through the painful teething process. Just remember to test the method out on your own gums first to ensure any tingling or numbing is bearable for your child.
• Use medications. If your baby seems to be especially uncomfortable, over-the-counter medications may be appropriate. Giving an age-appropriate dose of acetaminophen (Tylenol) or ibuprofen (Advil) may reduce discomfort. Make sure you check with your child’s pediatrician or our office first to ensure the medication is safe.

If nothing seems to be helping your child’s teething pain, you can always schedule an appointment with Dr. Allen Job. Our team at All Smiles Pediatric Dentistry understands the unique health needs of your little one, and are more than happy to help ensure he or she grows up with a beautiful smile.

For more information about teething, or to schedule an appointment with Dr. Allen Job, please give us a call at our convenient San Diego, CA office today!

[caption id="" align="aligncenter" width="480"] My child has autism. What should we expect at your office?[/caption]

At All Smiles Pediatric Dentistry, we know that as many as one in 88 children today have some form of autism, a complex brain disorder that affects a child's ability to communicate or form relationships, and makes a child appear distant, aloof, or detached from other people or surroundings. Autism varies widely in symptoms and severity, and some people have coexisting conditions such as intellectual disability or even epilepsy.

That is why Dr. Allen Job and our team are specially trained to provide dental care to the entire special needs community, including autistic children. We know that a visit to the dentist with an autistic child can be difficult. In addition to the common fears associated with strangers, there are also unfamiliar sounds, sensations, bright lights, and tastes with which your child may not be comfortable. We work with parents to make sure visiting the dentist is not so traumatic for our autistic patients.

Dr. Allen Job and our team also know that patients with autism may be more interested in equipment and instruments than in us. We show our patients every piece of equipment we are going to use in a way that they can understand. We also allow a patient to sit in a parent's lap in the open bay if he or she is not feeling at ease. We want your child to enjoy getting to know us and to be comfortable while under our care.

A pleasant, comfortable visit at our San Diego, CA office builds trust and helps put your child at ease for future appointments. Before a visit, we ask parents or guardians to bring their child's favorite toy, comfort item, music, or other coping device their child requires. We have a caring and compassionate team and know how to help autistic children acclimate themselves to a dental environment. We may not get everything done at the first visit, but we are able to schedule several appointments so that your child can get used to our office, the dentist, instruments, and our staff.

Children, especially those afflicted with autism, are not born with a fear of the dentist, but they can fear the unknown. Our team at All Smiles Pediatric Dentistry genuinely cares for our patients beyond their teeth, and are more than happy to discuss any concerns you may have, as well as answer questions about your child's ongoing dental treatment. Please give us a call to learn more or schedule an appointment with Dr. Allen Job.

[caption id="" align="alignnone" width="213"] How do I handle my child’s dental emergency?[/caption]

With children undergoing developmental dental changes and engaging in rough-and-tumble activities, dental emergencies can sometimes arise. If your child knocks out a tooth or experiences any type of oral discomfort, call All Smiles Pediatric Dentistry right away so we can provide you with a quick assessment and pain-free treatment.

Before an emergency occurs, it’s a good idea to stay informed about the problems your child may encounter. Here are a few things you should keep in mind about teething pain, loose baby teeth, and other common dental issues.

Teething Pain

Typically occurring in babies that are between four months and two and a half years old, teething may cause excessive drooling, tender gums, and some irritability. Giving your baby a cold teething ring or gently rubbing her gums with wet gauze or your finger may also make her feel better.

Loose Baby Tooth

It is normal for a child’s first set of teeth to become loose and fall out. On the other hand, if your child’s baby tooth is knocked loose, schedule an appointment with our office so we can assess whether any damage has been done.

Issues with Permanent Teeth

Sometimes a child’s permanent teeth will grow in before the baby teeth have fallen out. Even if this condition isn’t causing any discomfort, you should schedule an appointment with our office so we can determine whether your child’s permanent teeth are growing in correctly.

Bleeding Gums

Bleeding gums can result from a number of factors, including periodontal disease, rough brushing, or an injury to the gum tissue. If your child’s gums are bleeding heavily, call our office right away so we can address the situation. If you have time before your appointment, wash your child’s mouth with salted water and gently put pressure on the affected area.

Regardless of the type of dental issue your child has, you can always consult Dr. Allen Job for further guidance. We make sure our emergency services are available 24 hours a day and seven days a week, so you have ready access to convenient and professional dental care that will have your child feeling better in no time.

[caption id="" align="aligncenter" width="320"] What's on your fall reading list?[/caption]

How better to spend the fall months than inside by the fireplace with a warm cup of cider and a book in hand? Dr. Allen Job and our team at All Smiles Pediatric Dentistry encourage you to warm up your mind this fall season with a few great books. Sure it may be easy to put off reading when balancing a hectic schedule, but reading is vital to brain development. Besides, reading is always a blast!

This week, we thought we’d ask what you or your child are reading this fall. Do you have any suggestions for must-read books this year? Out of ideas for great fall reads? Ask us for suggestions, and we would be happy to provide a few. You may also ask a local librarian here in San Diego, CA for some ideas.

Happy reading! Be sure to share with us your fall picks or your all-time favorites below or on our Facebook page!

[caption id="" align="aligncenter" width="321"] How do you accommodate a child with special needs?[/caption]

Providing dental care for patients with special needs can be a challenge at times, both for the dentist and the family of the individual. Fortunately, Dr. Allen Job and our team at All Smiles Pediatric Dentistry have the experience needed to provide optimal care for your special-needs child. Here are just a few of the ways our office works to help those who need a little extra care.

Assistance with at-home dental health care

We understand that sometimes at-home dental care can be extremely difficult for those with special needs. Individuals with physical difficulties, which may prevent them from holding the toothbrush, and those with developmental issues, who may have difficulty understanding the importance of dental hygiene, need extra attention with regard to home hygiene care. Our team at All Smiles Pediatric Dentistry can provide support and education to ensure your child will achieve and maintain a healthy smile. For example, devising improvised toothbrushes to help patients get a properly grip, creating a specialized meal plan, and establishing a more frequent office visitation schedule to monitor overall dental health are all areas where our office is happy to help.

Coordinating office care

Dr. Allen Job and our team understand that sometimes special-needs patients feel anxiety when it comes to receiving dental care. In many cases, reliably seeing the same dental health professionals can help to promote a relationship and soothe the patient. We encourage special-needs patients to make appointments at the optimal time of day for them to help everything go smoothly as well. We also encourage preparing your child in advance of the appointment so he or she is not surprised in the office. In certain situations, Dr. Allen Job may also recommend sedation dentistry. Occasionally, special-needs patients are too overwhelmed by the thought of dental care and exams are best performed with the support of light sedation.

Accommodating physical needs

We also understand that special needs patients sometimes need physical accommodations. Two of the more common examples we face are patients in wheelchairs who need access to the office. We are fully compliant with all accessibility regulations to make sure our patients receive the care they need. Other patients need physical props for their mouth to help keep it open if they are physically unable to do so.

Dental care for patients with special needs requires knowledge and experience of limitations and how to address them. In our San Diego, CA office, you will find an accommodating staff ready to help, so your child can receive optimal dental care.

[caption id="" align="aligncenter" width="500"] Understanding Cavities[/caption]

Getting a cavity seems like delayed punishment for eating that special dessert every weekend or for the few days you forgot to floss. When you are doing everything right with minimal exception and a cavity is diagnosed, it is discouraging. Knowing how cavities form and what causes them is valuable in knowing how to prevent them. In this blog post, Dr. Allen Job will help you understand cavities!

A cavity is not a one-time event. It is actually a symptom of a disease called caries. Tooth decay is a result of an active infection and condition in the mouth. There are ingredients to this infection, which include bacteria, acid, your tooth, and a food source. The main bacterial culprit is S. Mutans. Bacteria live in a housing structure called biofilm. This offers them protection, food, and an ideal replicating environment.

Biofilm can be healthy if there is a balance of good bacteria. When you have caries, the numbers of “bad” bacteria increase and produce an environment where they thrive and therefore cause tooth decay. A main indicator of this is a pH measurement of your saliva.

Several factors can influence the biofilm pH. Foods and beverages all have different pH levels. The lower the number, the higher the acidity. Since acid promotes tooth decay, a beverage like soda will promote a cavity. Water, being neutral, is a good choice to promote healthy oral pH. Healthy eating can still cause cavities. Here is an example of a highly acidic, yet traditionally healthy meal:

Toast with store-bought strawberry jam, and a cup of cottage cheese topped with fresh cranberries.

Instead, here is a better choice, which involves mixing acidic healthy foods with alkaline (non-acidic) foods to reduce the overall pH:

Toast with almond butter, and Greek yogurt topped with fresh blueberries.

The first example will result in a very low pH in the mouth and even in the rest of the body. The second meal mixes highly acidic blueberries with an alkaline Greek yogurt. Dairy products from cows are highly acidic. Toast is acidic because of the yeast and almonds are alkaline.

A natural buffer is saliva. Whenever mouth breathing or medications compromise the saliva flow, the pH is going to drop and caries can go rampant. Getting a cavity is not just about the sweets or forgotten flossing sessions. It is about the pH levels and bacterial management.

For more helpful tips about how to avoid cavities, contact our San Diego, CA office.

[caption id="" align="aligncenter" width="333"] Who’s afraid of the dentist?[/caption]

Is the sound of a drill enough to make your child flinch or cringe? Does he or she worry about the twice-yearly dental checkup at All Smiles Pediatric Dentistry? Trust us when we say your child is not alone!

To help eliminate that distress, Dr. Allen Job and our team put together five steps to help your child overcome his or her dental anxiety when visiting All Smiles Pediatric Dentistry.

1. Ask your child what they’re most afraid of. Is it the sound of the drill? Do you have needle phobia? Has your child been traumatized by previous dental visits? Have children write down their fears, one by one, and talk about them.

2. Don’t wait. The more frequently your child visits our office, the less work will need to be done at any given visit. Simply having Dr. Allen Job professionally clean your child’s teeth twice a year prevents many, if not most, problems down the road.

3. Bring a distraction such as music to your child’s appointment. Just plug in those earphones, have your child close his or her eyes, and get lost in the music. Listening to tunes can also be a pain killer.

4. Remind your child to unwind. Inhaling slowly and counting to five helps. Encourage children to hold their breath for ten seconds, then exhale slowly to the count of eight, and repeat as needed. It’s easier if they’re not focused on the work going on inside their mouth.

5. Ask us. Before any procedure your child undergoes, we encourage you to ask Dr. Allen Job or one of our assistants why we’re using the tools we’re using. Ask us what we’re doing during your child’s procedure, what the tool is used for, and how it benefits your child. Also, please ask about anti-anxiety medications we may prescribe to help your child relax during his or her appointment.

Remember, our team at All Smiles Pediatric Dentistry are health care professionals who strive to improve your child’s oral health, and will do all we can to ensure a trauma- and pain-free experience during his or her visit!

We hope these tips help! For more on pediatric dental anxieties, ask us during your next visit to our San Diego, CA office! Or, ask us below or on Facebook!

[caption id="" align="aligncenter" width="500"] Celebrate Labor Day by Getting Away[/caption]

It's the end of summer, and fall is just around the corner. Soon the temperatures will cool down, the leaves will start to change, and Dr. Allen Job and our team at All Smiles Pediatric Dentistry are sure that you’ll soon be thinking about Halloween costumes and Thanksgiving plans in no time. But wait! First, we want to know about your favorite parts of the summer! Did you go on a wonderful family trip? Did you pick up a new hobby? Did you try to spend as much time outside and in the sun as possible?

Share your favorite memories, stories, or photos with us by leaving a comment below or on our Facebook page.

[caption id="" align="aligncenter" width="500"] Celebrate Labor Day by Getting Away[/caption]

Labor Day honors the contributions that workers have made to this country, and for many Americans, the holiday is a great time to relax at home with family and friends. But there are quite a few people who celebrate the holiday by getting out of town, with an estimated 33 million people traveling more than 50 miles over Labor Day weekend each year. If you’re dreaming of a great Labor Day escape but you’re not quite sure where to go, here are a few ideas from our team at All Smiles Pediatric Dentistry to give you some travel inspiration.

Explore a National Park

On a national holiday like Labor Day, it’s only fitting to experience the beauty of America’s landscapes by heading to the nearest national park. If you’re confined to an office most days of the year, national parks can provide a relaxing and scenic escape, whether you’re by yourself, traveling with a group of friends, or bringing the whole family along. Depending on how close you live to the nearest park, you can stay for an afternoon or for longer than a week. With 58 parks located in 27 states, there are plenty of beautiful areas to choose from.

Chow Down in a BBQ Haven

Barbecuing is a popular Labor Day activity, but instead of sweating over your own grill or oven, try visiting one of the country’s BBQ capitals. U.S. News and World Report names Memphis as the top BBQ destination, with more than 80 BBQ restaurants in the city, most notably Corky’s BBQ and Central BBQ. Kansas City is also known for the sweet taste of its sauces, while central Texas is said to have perfected the technique of smoking tender and flavorful brisket.

Relax on the Beach

Many people think of Labor Day as the unofficial start of fall, which brings cooler temperatures, more rain, and for many people, an end to lazy days at the beach. End your beach days with a bang by taking a trip to one of the coasts or to a lakeside beach. For an added dose of festivity, find a city or town that celebrates the occasion with a fireworks display over the water.

Whether you’re looking to turn your getaway into a full week affair or you simply want to experience a quick escape, make the most of your holiday by changing your surrounding scenery. Happy Labor Day from the pediatric dentist practice of Dr. Allen Job!

[caption id="" align="aligncenter" width="500"] Common Emergency Care Visits: Toothaches or abscesses[/caption]

Dental problems do not always wait for normal office hours. Broken fillings or damaged teeth are common reasons for emergency treatment. Toothaches and abscesses can also require prompt attention. Dr. Allen Job can provide you with the information and treatment you need to prevent the problem from becoming worse. Emergency dental care is only a phone call away, 24 hours a day, seven days a week.

Abscess

An abscess is a bacterial infection, and will normally cause pain and swelling around the affected tooth and gum area. Antibiotics are not always necessary, but you should seek treatment quickly. Left untreated, an infection can spread and cause serious complications.

Toothache

There are many reasons that you may develop a sudden toothache. The cause of the pain may be a particle of food lodged between your tooth and gum line. One of the first steps you can take is to rinse your mouth with warm water. You may also try gently flossing the area to dislodge the particle. Do not continue flossing if bleeding occurs.

Toothaches can occur from a carie — a cavity in the tooth — or from a fracture. Sensitivity to heat or cold may also cause tooth pain. You should make an appointment to ensure that a minor problem does not become serious. We may recommend acetaminophen or another pain reliever to reduce the pain before your visit.

Additional tips and treatments:

• If you have fractured a tooth, rinse the area with warm water to keep the surfaces clean. Apply a cold compress to the outside of your facial area to reduce swelling.
• A tooth that has been knocked out should be kept moist, in a clean container, until you can receive treatment.
• Do not apply aspirin directly on a damaged tooth or gum area as it can cause tissue irritation.
• If you suspect that your jaw has been broken, go to an emergency room immediately.
• If you have bitten or damaged your lips or tongue, rinse your mouth well with warm water. If bleeding continues, call us or seek other medical attention immediately.

Our team at All Smiles Pediatric Dentistry is ready to assist you when you have an emergency dental need. When you call, please provide us with as much information as possible so we can offer recommendations that will assist you until your appointment. Do not delay; emergency treatment is available and immediate treatment is the best course of action.

[caption id="" align="aligncenter" width="500"] Steer clear of that candy![/caption]

At All Smiles Pediatric Dentistry, we know how tempting candy can sometimes be on our sweet tooth, but it’s important to remember that every candy and sugary treat you consume elevates your risk of developing tooth decay, which can break down your teeth.

While not all bad in moderation, when eaten in excess, candy can lead to big problems, especially if good oral hygiene habits are not followed. We have a few helpful tips if you just can’t stay away from all those treats:

1. Consume candy and other sweets during meals when your saliva can help neutralize the acids that are found in some candies, especially the sour variety.

2. Avoid sticky or hard candies, which can stay in your mouth longer than you think, resulting in acids being constantly exposed to your teeth. That leads to cavities and tooth decay.

3. Make sure the water you drink is fluoridated. Water that is fluoridated has been shown to help prevent cavities.

4. Make sure to maintain your daily oral hygiene habits. This includes brushing twice a day, and flossing at least once.

5. Visit our office twice a year for regular dental checkups and cleanings with Dr. Allen Job. During your visit, we can help catch problems such as cavities early to reduce the effects they have on your teeth, as well as give you tips for improving your oral health.

We hope these tips have helped! To learn more about cavity prevention, or to schedule your next visit at our convenient San Diego, CA office, please give us a call!

[caption id="" align="aligncenter" width="477"] What is hand-foot-and-mouth disease?[/caption]

Hand-foot-and-mouth disease, or HFMD, is a type of contagious viral illness that causes a rash in the mouth and on the hands and feet of infants and young children, and, while rare, adults. Characterized by sores in the mouth and a rash on the hands and feet, hand-foot-and-mouth disease is most commonly caused by a coxsackievirus, a bacterium that lives in the human digestive tract. HFMD can spread from person to person, typically via unwashed hands.

What are the symptoms of HFMD?

Symptoms of HFMD usually begin with a fever, sore throat, poor appetite, or general malaise. A couple of days after the fever starts, kids may develop painful sores in the mouth. A skin rash characterized by red spots may also develop, usually on the palms of your child’s hands and soles of their feet. It’s important to note some children may only experience a rash while others may only have mouth sores.

Is HFMD serious? Should we be concerned?

Usually not. Nearly all children infected recover anywhere between seven to ten days without medical treatment. Rarely, however, a child can develop viral meningitis and may need to be hospitalized. Other rare complications of HFMD can include encephalitis (brain inflammation), which can be fatal.

How can my child prevent HFMD?

There is no known vaccine to defend your child against HFMD. However, the risk of your child contracting the disease can be reduced by:

• Making sure your child washes his or her hands often
• Thoroughly cleaning objects and surfaces (these include doorknobs and toys)
• Making sure your child avoids close contact with those who are infected

To learn more about hand-foot-and-mouth disease or to schedule an appointment for your child, please give us a call at our San Diego, CA office!

[caption id="" align="aligncenter" width="500"] How to Make Brushing Fun[/caption]

Let’s call it the cranky phase. Let’s call it the “Mom, I don’t want to” stage. When kids are little, getting them to brush can be a challenge. They bite the toothbrush and eat the toothpaste. They make faces in the bathroom mirror, brush for two seconds, and run away. When it’s time to brush, some kids even resort to kicking and screaming, which makes the bedtime chore a lot like, well, pulling teeth.

As a parent, you know the importance of good oral hygiene, so when the dreaded “brushing hour” arrives, if you want to prevent your child from turning into an angry pumpkin, you better have a few tricks up your sleeve to make brushing fun.

Game time

Kids love games, so it’s time to get creative and turn tooth brushing into game time. Whether you’re playing a hide and seek, peek-a-boo game with your child as he or she brushes, or singing the ABC’s as your child brushes for two minutes, Dr. Allen Job and our team at All Smiles Pediatric Dentistry recommend turning the process into play. Games are based on a reward system, right? If your child does a good job, put a sticker on the calendar. Tell your son or daughter that five stickers will earn a treat at the end of the week.

Fun accessories

A toothbrush that lights up and blinks when you turn it on is more fun than a traditional toothbrush from the dentist’s office. The same is true of a toothbrush that’s shaped like your child’s favorite animal or features a cartoon character. A fun accessory like a Smurfs or Angry Birds toothbrush might make all the difference. A timer is another fun accessory. Give your child the special responsibility of setting it for two minutes before brushing.

The Great Toothpaste Experiment

Kids can be notoriously picky eaters, so it stands to reason that they would be picky about their toothpaste flavors too. Little Johnny might like strawberry, whereas Suzie prefers mango. Spend a night experimenting with different flavors (yes, it’s another game). Say something like, “It’s just like sampling different flavors of ice cream, right kids?”

Eventually, your child will develop the healthy habit of brushing on a regular basis, and think nothing of the time it takes to clean his or her teeth. Just remember to make it fun, and it can be a great experience for you both!

To learn more about making brushing fun for your little one, or to schedule an appointment with Dr. Allen Job, please give us a call at our convenient San Diego, CA office!

[caption id="" align="aligncenter" width="480"] How much calcium does my child need?[/caption]

When you were a kid, your parents may have told you to drink milk to build strong bones and grow tall and strong. Now that you have children of your own, you may hear yourself parroting those instructions you received years ago. Getting enough dairy is essential for young children whose teeth are growing. A child who consumes the recommended daily serving of dairy will develop healthy, strong teeth for the rest of his or her life.

So, which foods are the best in terms of acquiring the right amount of calcium? Milk and other dairy products are excellent sources of calcium. Milk also contains vitamin D, phosphorus, magnesium, and proteins. Magnesium promotes calcium deposits in your enamel, while phosphorus forms a small but important barrier against acidic foods that cause cavities. Vitamin D and protein are used by a child’s body to build bone tissue and maintain dental health.

According to a recent study, the majority of Americans, including children, do not receive enough calcium. In fact, according to the Academy of General Dentistry, only one in five children meets even the minimum standards for calcium consumption. The U.S. Department of Agriculture recommends that children under the age of eight should receive two and a half cups of dairy per day. Children older than eight need three full cups, the same as adult men and women. In addition to milk, eating yogurt is a great way your child can increase his or her dairy consumption. Drinking sugary beverages in place of milk causes cavities and tooth decay.

If your child does not get enough dairy consumption, they run the risk of improper tooth development and other dental health problems. Dr. Allen Job and our team at All Smiles Pediatric Dentistry encourage you to monitor your child’s dairy consumption to ensure he or she grows healthy teeth to last a lifetime.

Questions? Give us a call at our San Diego, CA office!

[caption id="" align="aligncenter" width="500"] Five Nutrition Tips for Healthy Kids' Smiles[/caption]

If your child could have it his way, chances are he would eat Lucky Charms for breakfast, a peanut butter and fluff sandwich for lunch, and chicken fingers slathered in ketchup for dinner.

Kids will be kids, and maintaining a healthy diet is often the farthest thing from their minds. Do you remember the old saying “an apple a day keeps the doctor away”? Well, that folksy wisdom can be applied to oral health, too. Think of it like this: an apple a day keeps the dentist at bay. Here are five nutrition tips Dr. Allen Job and our team at All Smiles Pediatric Dentistry wanted to pass along that will give your child a healthy, bright smile.

1. Eat a well-balanced diet of fruits and vegetables. We weren't joking about the apple. An apple naturally scrubs and cleans your teeth. The nutrients and antioxidants in vegetables are good for the entire body.
2. According to the Centers for Disease Control and Prevention, calcium is a mineral needed by the body for healthy bones and teeth, and proper function of the heart, muscles, and nerves. Dairy products like milk, cheese, and yogurt are good sources of calcium. Dark leafy vegetables and calcium-fortified foods like orange juice and tofu are also healthy options.
3. Keep snacking to a minimum. Sticky and gummy snacks can increase a child’s risk of tooth decay. Unless a child brushes after every snack (and what child does?), sticky snacks can easily get lodged between the teeth.
4. Limit soda intake. Drinking large amounts of soda has been linked to childhood obesity. Soda is loaded with sugars and acids, and these ingredients also damage the teeth. Soft drinks have long been one of the most prominent sources of tooth decay. Have your child drink water throughout the day or juice that’s low in sugar concentrate.
5. Chew sugarless gum. After all those fruits and vegetables, sooner or later your child is going to want a treat. Chewing gum stimulates saliva, which in turn helps keep teeth clean and bacteria-free. Sugarless gum contains xylitol. The combination of excess saliva and xylitol reduces plaque, fights cavities, and prevents the growth of oral bacteria.

For more information on keeping your child’s smile looking its very best, or to schedule an appointment with Dr. Allen Job, please give us a call at our convenient San Diego, CA office!

[caption id="" align="aligncenter" width="500"] The Safety of Dental X-Rays[/caption]

An article was released to the public stating that dental X-rays contribute to a type of brain cancer. After reading an article like this, your first thought may be to avoid dental X-rays, but you may want to hold off on that quick judgment. As with any treatment we offer at All Smiles Pediatric Dentistry, education is your most valuable tool in deciding what is best for you.

How often dental X-rays are taken is based on risk for infection, physical symptoms, and clinical findings. The American Dental Association (ADA) is a governing body over the dental profession. The ADA states, “ . . . healthy adults receive routine mouth X-rays every two to three years. Dental X-rays are recommended every one to two years for children and every 1.5 to three years for teens. Children often require more X-rays than adults because of their developing teeth and jaws and increased likelihood for cavities.”

A "caries risk category" often determines how often dental X-rays are taken. The most recent documented resource to determine a caries risk is Caries Management by Risk Assessment (CAMBRA). This was adopted by the ADA and is used by dental professionals giving interval recommendations for X-rays.

With knowledge of your risk for dental infection, you will be informed by Dr. Allen Job of the interval at which dental X-rays should be taken. You can rest assured that the standards published by the ADA have been researched extensively and are there to protect your personal health and safety.

Dental X-rays are most commonly digital, which significantly reduces exposure. There is more radiation exposure from the sun or in an airplane than in a dental X-ray. It is common practice to use a lead apron with a thyroid collar for protection during X-ray exposure.

Having a cavity means having an active, potentially harmful infection. Diagnosing such infection with minimal exposure through digital dental X-rays at our San Diego, CA office does more good than harm.

[caption id="" align="aligncenter" width="333"] Happy Fourth of July![/caption]

Happy Independence Day from Dr. Allen Job and team! The Fourth of July celebrations in America may have changed a lot over the years, but there is no doubt that we Americans love to celebrate the anniversary of our country's independence! Today we're devoting the All Smiles Pediatric Dentistry blog to some fun facts about the Fourth!

• My, how we have grown! This year the United States Census Bureau estimates that our country has 313.9 million residents celebrating the Fourth of July this year, but back in 1776 there were just 2.5 million members of the country.
• Our country loves to show how proud that we are of our independence. Did you know that there are 31 United States places with the word “Liberty” in their names? The state of Iowa actually has four towns with the word Liberty in the name: Libertyville, New Liberty, North Liberty, and West Liberty.
• The United States loves Fourth of July food! It is expected that around 150 million hot dogs are eaten on the Fourth each year. One of the Fourth's most popular sides, potato salad, goes just perfectly with the hotdogs and hamburgers that are standard Fourth of July fare. Some people choose potato chips instead, but we wouldn't have such a plethora of potatoes if not for the prodigious production of the states of Idaho and Washington -- they provide about half of all the potatoes in the United States today!
• Americans love celebrating the Fourth outdoors: About 74 million Americans fire up their BBQ grill every Fourth of July.
• The Chinese contribution: Did you know that Americans have spent more than $211 million on fireworks that were imported from China?

No matter how your family chooses to celebrate the Fourth, stay safe, take precautions, and don't forget to brush after your fabulous Fourth feast!

[caption id="" align="alignnone" width="207"] How Our Office Makes Your Child’s Visit Anxiety-Free[/caption]

Dr. Allen Job and our team at All Smiles Pediatric Dentistry specialize in pediatric dentistry, and we understand that children can be frightened of things they do not understand. This anxiety is often heightened by an unpleasant dental experience or stories they hear from classmates. We have many methods at our San Diego, CA office to make your child’s dental visit pleasant and anxiety-free.

Listening

The first thing Dr. Allen Job and our team do is talk to your child, listen to any concerns he or she may have, and take the time to explain the dental work that will be done. Often children will lose their fears by simply understanding what is happening and why. In addition, you are welcome to be in the room with your child during exams and treatments. When a child is able to see that the parent is relaxed, this is more conducive to the child’s relaxation.

Relaxation

When you arrive at All Smiles Pediatric Dentistry, let your child to play with the toys we provide. This starts the visit in a positive manner. Taking your child’s mind off the exam is useful. While your child is undergoing an examination or procedure, listening to music or watching a video can support a sense of relaxation. When children understand that we care, their anxiety levels are reduced.

Sedation

Nitrous oxide is a sedation technique commonly used to reduce anxiety and alleviate any pain. It is beneficial partly because the effects wear off quickly. Topical pain relievers can also be useful for children with sensitive teeth, and this will eliminate discomfort.

Deeper sedation is useful for complex dental issues, extreme anxiety, or a fear of needles. A liquid or tablet sedative can be given before your child’s appointment. This type of sedation is also helpful for children with a fear of the masks used for nitrous oxide.

We welcome you and your child to discuss any concerns that you have regarding his or her dental appointment. We want your child to be free from anxiety about visiting Dr. Allen Job. The earlier your child’s fears are addressed, the less likely the fear will carry into adulthood.

[caption id="" align="alignnone" width="207"] Is dairy crucial to my child's oral health?[/caption]

Healthy eating, combined with regular physical activity, plays a vital role in your child’s health and well-being. Dairy foods are naturally nutritious, packed with ten essential nutrients that help your child feel good for life. But did you know that dairy is also great for your child’s dental health? Our team at All Smiles Pediatric Dentistry will tell you that, in addition to providing large amounts of much-needed calcium, dairy products also help fight cavities! Dairy products have a specific role to play in dental health as they contain a unique combination of special anti-decay nutrients such as calcium, phosphorus, and the protein, casein. Cheese is especially useful, as eating a small piece of cheese after consuming sugary foods or drinks can help protect teeth and reduce the risk of tooth decay.

If you’d like to know more about the importance of dairy products in your child’s diet, or about any aspect of your child’s dental health, feel free to ask Dr. Allen Job at your next appointment!

[caption id="" align="aligncenter" width="500"] Fluoride Use in Adolescents[/caption]

Fluoride is a mineral that plays an essential role in oral health. In fact, the significant reduction in American tooth decay in recent decades can be attributed to a greater availability of fluoride in public water supplies, toothpaste, and other resources. When it comes in contact with the teeth, fluoride helps protect the enamel from acid and plaque bacteria. In some cases, it can even reverse tooth decay in its earliest stages.

Despite the benefits of fluoride, tooth decay is still common, especially among teenagers. The Centers for Disease Control reports that cavities can be found in more than half of young teens and two-thirds of older teens over age 16. Many of those teens are deficient in fluoride, either due to a lack of public water fluoridation or the use of bottled water. So how can parents ensure their teens are getting the fluoride they need to facilitate strong, healthy teeth?

Monitor Fluoride Exposure

Dr. Allen Job and our team at All Smiles Pediatric Dentistry recommend you start by measuring your teen’s fluoride exposure. Make sure you purchase fluoridated toothpaste for your household, and find out if your tap water is fluoridated. If your teen primarily consumes bottled water, examine the bottle to determine whether fluoride has been added. The majority of bottled waters are not supplemented with fluoride, but those that are will be clearly labeled.

Fluoride Supplementation

Dr. Allen Job may recommend topical fluoride treatments at routine dental exams. These treatments are painless for your teen and may help establish stronger enamel that is more resistant to plaque and tooth decay. If you have a public water supply that is non-fluoridated, we may recommend fluoride supplementation between visits. These can be administered as drops, tablets, or vitamins.

Keep in mind that fluoride is most important for children and teens under the age of 16. Be proactive about your teen’s oral health by speaking with us about your family’s fluoride needs at your next dental visit.

For more information about fluoride, or to schedule an appointment with Dr. Allen Job, please give us a call at our convenient San Diego, CA office!

[caption id="" align="aligncenter" width="500"] June is National Smile Month: Show off your smile![/caption]

The community health awareness group Oral Health America has reported that 82 percent of adults are unaware of the role that infectious bacteria can play in tooth decay or cavities, and almost three out of five children aged 12 to 19 have tooth decay. Since June is National Smile Month, Dr. Allen Job and our team at All Smiles Pediatric Dentistry thought we’d remind our patients about the importance of good oral hygiene visits between office visits.

To keep your family’s smiles healthy and beautiful for years to come, be sure to:

• Brush at least twice a day with fluoride toothpaste
• Floss every day to clean between your teeth
• Eat a healthy, well-balanced diet
• Reduce your intake of sugary foods and drinks
• Visit Dr. Allen Job for scheduled appointments

If you want to know more about healthy home care habits, feel free to ask our team at your next appointment, or ask us on Facebook!

[caption id="" align="aligncenter" width="500"] Use Pediatric Dentists to Treat Children[/caption]

There are many different types of dental specialties out there, so how do you know when you should see a general dentist (your regular dentist), and when you should seek the help of a dentist with specialized training? This article covers the basic differences between a pediatric dentist and a family or general dentist, and why it may be beneficial to find a specialized doctor to work with your children’s teeth.

What is a pediatric dentist?

All dentists, regardless of which specialty they practice, attend a four-year dental school for either a Doctor of Dental Surgery (DDS) or a Doctor of Dental Medicine (DMD) degree. Once they have completed the initial degree program, some dentists choose to proceed to additional training in an area of dental specialty. Pediatric dentistry is one of those specialties.

A pediatric dentist will study the development of teeth from infancy through the teen years. Babies, toddlers, school-age children, and teenagers experience different growth phases and have different needs for their oral health care from adults. A dentist with post-graduate training in this specialty can often provide a more comprehensive approach to treatment to meet those needs.

Specialized Needs Pediatric Dentists Can Address

Starting with the first teeth that grow in your child’s mouth (usually around six months of age), you need to begin caring for your child’s teeth. However, it’s not as simple as just doing the same things you do for your adult teeth, because children have specific needs and may have concerns and issues that you do not face for your oral health care as an adult.

There are several concerns unique to younger dental patients. Beginning with babies, parents need to be aware of the specific oral care required for children. For example, babies who drink from bottles can develop baby bottle tooth decay if parents do not properly clean their teeth. Young children may develop a habit of sucking their thumb, which can contribute to poor oral hygiene. Children who have trouble with teeth grinding may need specialized care. And children have specific dietary needs that serve their need to develop strong teeth and gums.

All these concerns can be addressed by a pediatric dentist with specialized knowledge of childhood oral health and teeth development. General dentists often know some of this information, but without the specialized training they may not be able to provide the care that is geared toward the needs of your children. In addition, pediatric dentists will often have a practice that is built entirely with children in mind, with décor, staff, and other elements that can help put children at ease when it’s time to visit the dentist.

If you have young children, consider our pediatric dentistry office. At All Smiles Pediatric Dentistry, our specialized care for young patients features a caregiver with the knowledge and training to provide your children with the best possible care.

[caption id="" align="alignnone" width="207"] Memorial Day: Parades, remembrance, and the unofficial start of summer![/caption]

“The purpose of all war is peace.” - Saint Augustine

Fire truck sirens, baton twirlers, marching bands covering patriotic tunes, colorful floats, costumes, and millions of red, white, and blue American flags being waved in the air on a beautiful day in late May, that is what Memorial Day is all about. It is a federal holiday celebrated with town parades, remembrance, and a sense of unity and community togetherness.

Our team at All Smiles Pediatric Dentistry wants to take this time to wish you and your family a happy Memorial Day, as well as pause for a moment to reflect on what this holiday means and how it has changed over time. No, this is not a history lesson, but just a couple of thoughts and observances for you to take with you on your way to the next barbecue.

On the last Monday in May, America observes Memorial Day as a time to remember and celebrate the men and women who have lost their lives while serving our country in the Armed Forces. The holiday originated after the Civil War; at that time it was known as Decoration Day. While holidays like Thanksgiving, Christmas, and Easter remain the same from year to year, Memorial Day has changed over time, and in the 21st century we observe a far different holiday than what Americans did after the Civil War, or even the World Wars.

While many people place flags at cemeteries and visit national memorials in order to honor those who have passed away serving the country, Memorial Day is also a time for family barbecues, pool parties, trips to the beach, blockbuster movies, long weekend getaways, and fireworks. In America, Memorial Day has come to represent the unofficial start of the summer – a long, sunny, warm weekend devoted to family togetherness, outdoor events, and community.

It is time to load up the potato salad and the apple pie and head over to the neighbor’s house for their annual barbecue. And yes, contrary to popular belief, we do eat sweets, especially homemade apple pie! Everything in moderation, of course.

So whether you’re in the San Diego, CA area or beyond, Happy Memorial Day to you and yours from Dr. Allen Job!

[caption id="" align="aligncenter" width="333"] Gum Disease and Your Child[/caption]

At All Smiles Pediatric Dentistry, we know that unfortunately, gum disease can exist in your child’s mouth without you even knowing. In fact, your child may be suffering from the beginning stages of periodontal (gum) disease without noticing any pain or discomfort. Since gum disease can be undetectable, it’s critical to watch for the warning signs in order to prevent the disease from growing worse!

If your child is experiencing any of the following symptoms, you may want to consider scheduling an appointment with Dr. Allen Job as soon as possible:

• Gums that are red or swollen
• Gums that feel tender
• Gums that bleed easily during brushing or flossing
• Gums that are receding
• Persistent halitosis (bad breath)
• Loose teeth
• Any change in the way teeth come together in the biting position

If your child is experiencing these symptoms, schedule an appointment right away by calling our San Diego, CA office. Dr. Allen Job and our team can diagnose the problem and begin treatment to save your child’s teeth!

Our team at All Smiles Pediatric Dentistry looks forward to seeing you!

[caption id="" align="aligncenter" width="480"] May Marks National Physical Fitness and Sports Month![/caption]

The merry month of May also happens to be National Fitness and Sports Month, so take advantage of the warmer days to get outside and exercise! Bringing a friend, family member, or coworker with you when you go for a brisk walk during a lunch break can provide an opportunity to socialize as well as health benefits. If you need a little more motivation, here are some good reasons to stay active and fit.

Exercise provides:

• Improved stamina and energy as well as toned muscles and bone strength and density
• Improved circulation and breathing for a healthier heart and lungs
• Reduced risk for Type 2 diabetes and certain forms of cancer
• For older adults, regular exercise may help improve balance and reduce the risk of falls as well as improved cognitive abilities

Children and Teens

Children and teenagers spend long hours at their desks in school, on the computer, watching television, and involved in other sedentary activities that result in obesity and poor health later in life. Getting them engaged in school or community sports teams can help them form good life-long exercise habits. One important note: If they are participating in contact sports, Dr. Allen Job and our team at All Smiles Pediatric Dentistry recommend your kids wear an approved mouthguard to protect those valuable teeth from injury! Ask us for a proper fitting of your safety appliance during your next visit!

A gym membership is nice but not necessary to stay fit; try these easy ways to work some exercise into your daily routine.

At Home

• Take a friend along for company on a walk through your neighborhood.
• Pursue gardening or other yard work, including mowing or raking.
• Take your kids on a bike ride or have them push a baby stroller around the block.

Couch potatoes take note: simply moving from the sofa to the floor for some sit-ups, leg-lifts, or push-ups while you’re watching television can help you get in better shape in no time.

At Work

• Take the stairs instead of the elevator.
• Take exercise breaks for walks around the building or parking lot.
• Walk or ride a bike to work.

So what are you waiting for? Get moving!

For more information on exercise techniques, or to schedule an appointment with Dr. Allen Job, please give us a call at our convenient San Diego, CA office!

[caption id="" align="alignnone" width="207"] Sealants Protect Your Child’s Teeth from Decay[/caption]

Sealants provide a thin coating over molars that can be a powerful tool to protect your child’s teeth from decay. This simple and painless solution can be applied in a matter of minutes by our team at All Smiles Pediatric Dentistry, forming a protective shield and avoiding costly and painful cavities or other forms of tooth decay later.

The Causes of Tooth Decay

Our mouths are routinely filled with germs and bacteria. Some of these bacteria can be helpful in converting the foods we eat (especially sugars in the food) into acids that our bodies use to break down food. However, when we eat too much sugar, the excess acids can cause cavities and other decay in teeth.

Molars (our chewing teeth) are prime sites for tooth decay because they have rough surfaces with lots of little grooves where small food particles and germs find places to stay for extended periods of time. If you can prevent tooth decay in your child’s teeth now, you may be able to avoid treatments for decaying teeth later in life—costly and painful procedures like crowns and fillings.

Protecting Against Decay

A comprehensive plan for mouth care can protect against tooth decay. This plan should include:

• Drinking water with fluoride in it or using other fluoride supplements
• Eating a healthy diet (avoiding excessive sugar)
• Brushing teeth regularly
• Applying sealants

On their own, each of these activities is good but does not provide enough protection against decay. Fluoride is best for protecting the smooth surfaces of our front teeth, but may not provide enough of a shield for our rough, uneven back teeth. In addition, toothbrush bristles may not get to all the tiny food particles and germs in our mouths. For these reasons, sealants are the recommended preventive measure for molars in the fight against germs.

Who needs sealants, and when?

The best time to get a sealant is when your child’s adult teeth are just growing in. Between the ages of about five and seven, children grow their first permanent molar teeth, and they grow a second set of permanent molars between the ages of 11 and 14. Sealants placed on these teeth as soon as they grow in will be most effective in preventing tooth decay before it occurs.

If your child still has his or her baby teeth, Dr. Allen Job may recommend sealants for teeth that are especially rough or uneven and may be prone to tooth decay. When your child loses his or her baby teeth, we will apply new sealants to the permanent teeth when they grow in. In addition, our team may recommend sealants for adults in special cases; for example, if a previously placed sealant falls out, if you never had sealants put in as a child, or if your teeth are prone to decay and the preventive treatment may help.

Talk to us during your next visit at our San Diego, CA office to learn more about how dental sealants can help protect your child’s teeth.

[caption id="" align="aligncenter" width="213"] Navigating the World of Dental Insurance Terminology[/caption]

Unless you work for an insurance company, you probably do not spend a lot of your time studying all the terminology that dental insurance companies use to describe the treatments and services they cover. If it seems pretty confusing, here are some of the most commonly used dental insurance terms and what they mean.

A Basic Glossary

Annual Maximum–The maximum amount your policy will pay per year for care at All Smiles Pediatric Dentistry. It is often divided into costs per individual, and (if you are on a family plan) per family

Co-payment– An amount the patient pays at the time of service before receiving care, and before the insurance pays for any portion of the care

Covered Services– A list of all the treatments, services, and procedures the insurance policy will cover under your contract

Deductible– A dollar amount that you must pay out of pocket each year before the insurance company will pay for any treatments or procedures

Diagnostic/Preventive Services– A category of treatments or procedures that most insurance will cover before the deductible which may include services like preventive appointments with Dr. Allen Job, X-rays, and evaluations

In-Network and Out-of-Network– A list of providers that are part of an insurance company’s “network”

• If you visit in-network providers, the insurance company will typically cover a larger portion of the cost of the care you receive. If you visit someone who is not part of the network, known as an out-of-network provider, the insurance company may pay for a portion of the care, but you will pay a significantly larger share from your own pocket.

Lifetime Maximum– The maximum amount that an insurance plan will pay toward care for an individual or family (if you have an applicable family plan)

• This is not a per-year maximum, but rather a maximum that can be paid over the entire life of the patient.

Limitations/Exclusions– A list of all the procedures an insurance policy does not cover

• Coverage may limit the timing or frequency of a specific treatment or procedure (only covering a certain number within a calendar year), or may exclude some treatments entirely. Knowing the limitations and exclusions of a policy is very important.

Member/Insured/Covered Person/Beneficiary/Enrollee– Someone who is eligible to receive benefits under an insurance plan

Provider– Dr. Allen Job or other oral health specialist who provides treatment

Waiting Period– A specified amount of time that the patient must be enrolled with an insurance plan before it will pay for certain treatments; waiting periods may be waived if you were previously enrolled in another dental insurance plan with a different carrier

There are many different insurance options available, so you need to find out exactly what your insurance covers. It’s important to review your plan with a qualified insurance specialist. Don’t be afraid to ask questions about the policy so you can understand it fully and be confident that you know everything your policy covers the next time you come in for treatment at our San Diego, CA office.

[caption id="" align="aligncenter" width="320"] Every Day is Earth Day[/caption]

During the early days of the environmental awareness movement, those who demonstrated against pollution, toxic chemicals, and the general public health were known as hippies. The early 1970s were a time of change, and assertions that we needed to pay more attention to the Earth's atmosphere were generally dismissed. But within a couple decades, it had become clear that the previous generation was right; the citizens of the world needed to become more environmentally conscious.

Many people feel that they can't make a difference if they don't do something big. But caring for the environment doesn't have to be an all-or-nothing concept. In fact, the little things you do can add up to make a great impact, especially in our community. Here are a few ways you can help the environment on Earth Day, April 22nd and all year around.

Four Small Ways to be Environmentally Friendly

• Recycle Your Textiles. Nearly 21 million tons of textiles are added to American landfills each year, according to the Environmental Protection Agency. Donating your unwanted clothing to a secondhand store or an organization that repurposes fabric helps cut down on solid waste and conserves natural resources.
• Reduce Usage of Disposables. Plastic bottles and bags, disposable diapers and other things we can use and toss out are convenient, but they're not necessary. Simply choosing to replace one of type of disposable with a reusable product can help you cut down on waste that has a large negative impact on our environment.
• Conserve Water. If everyone in the United States turned off the water while brushing their teeth, more than 1.5 million gallons of water could be conserved. Turn the water on long enough to wet your toothbrush for brushing and rinsing, and then immediately turn the water off again.
• Turn Off the Lights. Flip the light switch to "Off" if you're going to leave a particular room for 15 minutes or more. This will conserve energy on incandescent light bulbs and cut down on cooling costs.

It's not necessary to be an activist or install solar panels all over your home to help the environment. Although you can do these things, the little everyday measures make a big difference in helping to conserve energy and the environment, while reducing your carbon footprint. Our team at All Smiles Pediatric Dentistry wants to remind you to celebrate Earth Day and help the environment, knowing that it will benefit your and your children's generation.

[caption id="" align="aligncenter" width="500"] Preventing Tooth Decay in Children[/caption]

Childhood tooth decay is the most common chronic childhood disease, affecting nearly one in three children between the ages of two and five. In fact, the American Academy of Pediatric Dentistry reports that tooth decay can appear in children as young as six months old. As a parent, it is possible to spare your child from early childhood tooth decay, and potentially prevent a lifetime of oral health problems in one fell swoop.

Birth to age two

Good oral health begins before your child’s teeth ever erupt from the gums. During the first few months of life, you should be wiping your child’s gums with a damp cloth after eating. As soon as teeth appear, Dr. Allen Job and our team at All Smiles Pediatric Dentistry recommend you start brushing them with a toddler toothbrush and water, and call our San Diego, CA office to schedule your child’s first visit. Never allow your child to go to bed with a bottle, and try to limit beverages other than water only to meal times. Children who walk around or go to sleep with bottles or sippy cups full of juice or milk are exposed to more sugars and are more likely to develop tooth decay.

Ages two to six

All of your child’s primary teeth should erupt by age three. Brush your toddler’s teeth at least twice daily with a toddler toothpaste and toothbrush. As your child gets older and learns not to swallow toothpaste, you may begin to use oral care products specially designed for preschoolers and elementary-age children. Be sure to maintain regular dental appointments and cleanings as recommended by your child’s dentist, and encourage your son or daughter to begin drinking from a regular cup. This is also the time to teach your child the importance of healthy eating habits, which includes limiting sweets and sugary desserts to mealtime.

By first grade, your child will begin to lose primary teeth. This is the time to start talking with Dr. Allen Job about dental sealants, which can prevent tooth decay from forming on the chewing surfaces of the teeth. Sealants are painless, easy to apply, and undetectable to other people.

Tips

Fluoride is an important ingredient for healthy teeth. Check to make sure the water your child drinks is enriched with fluoride. Also, brush your child’s teeth with fluoridated toothpaste, and talk to our office about whether fluoride treatments could be right for your family. For more information about preventing your child’s tooth decay, or to schedule an appointment with Dr. Allen Job, please give us a call at our convenient San Diego, CA office!

[caption id="" align="aligncenter" width="322"] April is National Facial Protection Month[/caption]

The Importance of Facial Protection

Americans from all walks of life should mark April as National Facial Protection Month on their calendars. The American Association of Pediatric Dentistry, Academy for Sports Dentistry, American Academy of Pediatric Dentistry, and American Association of Oral and Maxillofacial Surgeons have combined forces to sponsor this annual campaign, which aims to educate and remind us of the importance of protecting our face and teeth against impacts and injuries.

Wearing a helmet can save your life and prevent devastating physical damage in a variety of situations, from playing football to riding a bicycle. According to the American Association of Oral and Maxillofacial Surgeons, helmets reduce the risk of various head injuries by as much as 85 percent. Whether helmet laws apply in your area or not, Dr. Allen Job and our team at All Smiles Pediatric Dentistry want you to make sure you and your loved ones wear helmets with the appropriate safety ratings for specific activities. (A sticker on or inside the helmet will usually indicate this rating.) Helmets can also help save your teeth if they come with an attached faceguard, an essential addition for football players and others involved in contact sports.

Preventing Dental Injuries

A mouthguard can protect you against a variety of dental injuries, such as cracked, broken, or knocked-out teeth. The American Dental Association states that mouthguards play an essential role in preventing up to 200,000 dental injuries each year, and many states mandate their use for sports activities such as football and hockey. The Academy for Sports Dentistry warns, however, that these mouthguards must be custom-fitted as precisely as possible to prove effective. Have a professional-quality mouthguard molded and fitted by our team at All Smiles Pediatric Dentistry for better protection than a generic store-bought or “boil-and-bite” variety can offer. These cheaper versions tend to wear out quickly, interfere with proper breathing, and provide uneven degrees of cushion against impacts. Always have a fresh mouthguard fitted for each new sports season.

Choose the right combination of helmet, faceguard, and mouthguard to protect your teeth and face this April, and tell your friends to do the same! To learn more about mouthguards, or to schedule an appointment with Dr. Allen Job, please give us a call at our convenient San Diego, CA office!

[caption id="" align="aligncenter" width="333"] What's on your child's reading list?[/caption]

What better way for children to spend their time than cuddled up by the fireplace or out in the yard with a book in hand? Dr. Allen Job and our team encourage you to inspire your child’s mind with a few great books. Sure it may be easy to put off reading when balancing a busy schedule, but reading is vital to kids’ brain development. Plus, reading is always fun!

This week, we thought we’d ask: What are you or your child reading? Do you have any suggestions for must-read books? Out of ideas for great reads? Ask us during your next visit, and Dr. Allen Job and our team would be happy to provide a few suggestions. You may also ask a local librarian here in San Diego, CA for some ideas.

Happy reading! Be sure to share your book picks or your all-time favorites with us below.

[caption id="attachment_211" align="alignleft" width="500"] Can baby teeth get cavities?[/caption]

Our team at All Smiles Pediatric Dentistry knows that every parent loves to hear his or her child say, "no cavities!" when leaving our office. Let's talk about why primary (baby) teeth get cavities, what you can do to help prevent them, and what Dr. Allen Job can do if your child gets a cavity. It's a team effort!

Prevention is Key

A well-balanced diet high in protein, vitamins, and minerals (especially calcium and phosphorous) is an important part of cavity prevention. The American Academy of Pediatric Dentistry (AAPD) states that children should eat healthy snacks like cheese, vegetables, and yogurt, and drink milk. Limit hard candy and carbonated beverages, which have acid and can cause tooth decay. Also, do not put children to bed with a bottle of milk, formula, or juice because sugary fluids pool around the teeth and gums, which promotes decay.

In addition to limiting sweets and scheduling regular visits at our San Diego, CA office, make sure your child flosses once a day and brushes his or her teeth twice a day with a pea-sized amount of fluoride toothpaste. A good rule of thumb is if children can tie their shoelace, then they should be able to brush their teeth without help. The American Dental Association (ADA) recommends the following basic brushing techniques:

• Place the toothbrush at a 45-degree angle to the gums.
• Move the brush back and forth gently in short strokes
• Brush the outer surfaces, inside surfaces and chewing surfaces of all teeth.
• To clean the inside surface of the front teeth, tilt the brush vertically and make several up-and-down strokes.
• Brush your tongue to remove bacteria and keep your breath fresh.

These tips will greatly increase cavity prevention; however, if your child gets a cavity, it will not heal on its own and must be fixed. Dr. Allen Job will remove the decayed part of the tooth and fill the hole where the decay was. You may wonder why it's important to fill baby teeth if they're going to fall out eventually. Baby teeth hold space for permanent teeth to grow in. If one is lost, teeth may shift and prevent a permanent tooth from growing in. In addition, a decayed tooth can become abscessed and cause pain. No fun!

Let’s work together to help your child develop good oral health habits that last a lifetime. Please contact our office if you have any questions about your child's diet or cavity prevention.

[caption id="attachment_58" align="alignleft" width="500"] 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!