8 Secrets to a Successful Back-to-School Dental Checkup

Backpack? Check. Booster shots? Check. Teeth cleaning? Check!

Regular dental visits are important year-round, but a back-to-school checkup is key in fighting the most common chronic disease found in school-age children: cavities. In fact, dental disease causes children to miss more than 51 million school hours each year.

Prevention and early detection can help avoid pain, trouble eating, difficulty speaking and school absences. “When people are beginning to do their pediatrician checks to make sure their kids are school-ready, make sure teeth are part of it,” says pediatric dentist and American Dental Association spokesperson Dr. Mary Hayes.

Plan Ahead

Between cookouts, camping trips and everything else on your family’s summer bucket list, it’s easy for school to sneak up on you. Unfortunately, many parents may not think about making that appointment until August, which Dr. Hayes says is one of her busiest times. “The rush is pretty intense,” she says.

Give yourself enough time by making it a habit to call when your child gets her spring report card each year. “Planning ahead is good,” Dr. Hayes says. “If families want to avoid the rush to go back to school in August, then plan on getting appointments for the beginning of the summer.”

Encourage Age-Appropriate Dental Habits at Home

The best kind of checkup is a cavity-free checkup. Moms and dads can help make this happen by encouraging kids to brush twice a day for two minutes and floss once a day. Here’s Dr. Hayes’ age-by-age advice:

Ages 6 and Under
At this age, your child might want to do all the brushing herself but doesn’t have the fine motor skills needed to do a thorough job. Let them start and jump in when needed. “During that age, the mouth is changing so much that children who are 5 or 6 are often brushing their teeth in the way they were when they were 2 or 3,” Dr. Hayes says. “They’re not accommodating the new molars, and they’re not accommodating the fact that the mouth is growing.”

Ages 7-12
By now, your child knows what to do, she just might not want to. Keep encouraging healthy brushing and flossing habits. “Be aware of the fact that sometimes you have to take over a little bit more,” she says. “By the time they’re teenagers, they’re starting to understand self-care, accountability for their actions and such.”

Ages 12-18
Dr. Hayes says this is a critical time for dental health. “When you look at research for when caries appear in kids, it tends to be in young kids. But another bump-up time is teenage years and early adulthood,” she says. “Part of this has to do with the fact that teenagers may have gone for many years and never had a cavity. They don’t necessarily take care of their teeth because they don’t see the consequence of not.”

Don’t let your teen’s habits become out of sight, out of mind. “The behaviors of the teenager are going to translate into the 20-year-old. We want to be able to support them and be respectful of them because they’re not kids anymore.”

Timing Is Everything

Time of day can make or break your child’s appointment. “It’s important for a child of any age who’s used to a nap to not schedule during naptime,” she says. If your child is always cranky after waking up, factor that in too.

For older children, avoid cramming in a dentist appointment right after day camp or school. “Not all kids have the energy to do that,” she says. “I will have parents who want to do very elaborate operative work after school because that’s when the kids can come out. But if the child has already been exhausted or had a bad day or had tests, they just don’t have the stamina to make it through the appointment successfully.”

Make One Child a Model

If you’ve scheduled back-to-back appointments for your children, there’s a simple way to decide who goes first: Choose the child who’s had the most positive experiences at the dentist. “Every child is going to be a little bit different in their temperament about how they approach a visit,” she says. “You generally want the ones first who are more successful because the others get to see how it goes.”



A Hungry Child Is Not a Happy Patient

 Feed your child a light meal before the appointment. “Hungry people are grouchy people. You want them to be comfortable,” she says. “It’s also generally a good idea not to feed them in the waiting room before you see the dentist because there’s all that food in [their mouth].”


Eating light is also better for a child with a healthy gag reflex. “Some children gag a lot just because they gag with everything,” she says. “As they age and they get more control over swallowing, kids tend to gag less.”

Bonus points if your child brushes before an appointment. “It’s polite,” Dr. Hayes says.

Leave Your Anxiety at the Door

If your heart races at the very thought of the dentist, your child can probably tell. “Kids pick up on parents’ anxiety,” Dr. Hayes says. “It’s important with kids, especially at 4, 5 and 6, because I believe the phobic adults are the ones who had bad experiences when they were that age.”

The younger your kids are, the more you need to be aware of how you’re communicating with them. For example, if your child asks about getting a cavity filled, don’t say, “It will only hurt for a little bit.” Instead, encourage your child to ask the dentist. “With any child, you want them to be able to feel successful at accomplishing a good visit and link that positive feeling with the idea that their teeth are strong and healthy so they have that message going forward for the rest of their lives.”

Keep Cool If Your Child Won’t Cooperate

If your child gets upset during her visit, the worst thing you can do is swoop them out of the chair and leave. “The next visit is going to be harder,” Dr. Hayes says. “You still have to help them get through part of the visit.”

First, assess why your child is acting out. Are they truly afraid, or are they trying to test the situation? “One of the reasons I think a 4, 5 or 6-year-old gets upset is because they think they’re going to be asked to do something they can’t be successful at,” she says. “They’re in an environment they feel they can’t control and that makes them upset, so we try to break it down into small steps.”

Then, work as a team with your dentist to keep the visit going. Let the dentist lead the conversation. Jump in where you think it helps most, while still allowing the dentist and your child to build a good relationship. “Give the dentist every opportunity to turn the visit around,” she says.

Take a Card (or Three) on Your Way Out

Accidents can happen whether your child is in sports camp, gym class or just walking down the street. In case of emergency, make sure your child’s teachers and coaches have all the medical contact information they need – including your dentist’s number. Grab business cards for your wallet, your child’s backpack and your school’s files. “Parents should be very aware of accidents and make sure that wherever they go that they bring the number of their dentist so that if a child has an accident, they can certainly call the office,” Dr. Hayes says.


this article first appeared on mouthhealth.org

Dental Emergencies

Accidents happen, and knowing what to do when one occurs can mean the difference between saving and losing a tooth.

For all dental emergencies, it’s important to visit your dentist as soon as possible. Most dentists reserve time in their daily schedules for emergency patients so be sure to call your dentist and provide as much detail as you can about your condition. If the accident occurs when your dental office is not open, visit your local emergency room.

Here are some common dental emergencies and how to deal with them.


Question: What do I do if I knock out my tooth?

Answer: For a knocked-out permanent or adult tooth, keep it moist at all times. If you can, try placing the tooth back in the socket without touching the root. If that’s not possible, place it in between your cheek and gums, in milk, or use a tooth preservation product that has the ADA Seal of Acceptance. Then, get to your dentist’s office right away.


Question: What do I do if my child knocks out a tooth?

Answer: If the tooth is a baby tooth, the best thing to do is find the tooth, keep it moist and get to a dentist. Your dentist can see whether the entire tooth, or just part of it, came out. Your dentist can also determine whether to implant it again.  If it is an adult tooth, follow the steps listed in the previous question.


Question: What if I crack my tooth?

Answer: For a cracked tooth, immediately rinse the mouth with warm water to clean the area. Put cold compresses on the face to keep any swelling down. See your dentist as soon as possible.


Question: If I bite my tongue or lip, how do I treat it?

Answer: If you bite your tongue or lip, clean the area gently with water and apply a cold compress. See your dentist or go to the emergency room if there is excessive bleeding, the bleeding won't stop or you are in a lot of pain.


Question: How do I treat a toothache?

Answer: For toothaches, rinse your mouth with warm water to clean it out. Gently use dental floss to remove any food caught between your teeth. Do not put aspirin on your aching tooth or gums; it may burn the gum tissue. If the pain persists, contact your dentist.


Question: What if I think my jaw is broken?

Answer: If you think your jaw is broken apply cold compresses to control the swelling. Go to your dentist or a hospital emergency department immediately.


Question: How do I remove an object that’s stuck in my mouth or teeth?

Answer: For objects stuck in the mouth, try to gently remove with floss but do not try to remove it with a sharp or pointed instrument. The item might be painful or cause an infection, so see your dentist if you cannot remove it.


Question:  Is there anything I should add to my first aid kit?

Answer: It's a good idea to have floss on hand in case something gets caught in your teeth. The Save-a-Tooth emergency tooth preservation kit is also a smart addition to your first aid kit in case you lose a tooth unexpectedly.


Question: What happens if I need to see a dentist when I'm traveling?

Answer: Use our Find a Dentist tool to locate an ADA member dentist near you.


Question: How can I avoid a dental emergency?

Answer: There are a number of simple precautions you can take to avoid accident and injury to the teeth.  Wear a mouthguard when participating in sports or recreational activities.
Avoid chewing ice, popcorn kernels and hard candy, all of which can crack a tooth.
Use scissors, NEVER your teeth, to cut things.


This article first appeared on mouthhealthy.org

Nutrition

Children need strong, healthy teeth to chew their food, speak and have a good-looking smile. What’s more, a good diet is essential for a child’s growth and development.

Almost all foods, including milk or vegetables, have some type of sugar, which can contribute to tooth decay. To help control the amount of sugar your child consumes, always try to read food labels and choose foods and beverages that are low in added sugars. Also, select beverages, such as water, that hydrate and contribute to good nutrition.

What to Eat:

According to MyPlate, a website from the Center for Nutrition Policy and Promotion, an agency of U.S. Department of Agriculture, a balanced diet should include:

* Fruits and vegetables. Combined these should be half of what your child eats every day.

* Grains. Make sure at least half of their grains are whole grains, such as oatmeal, whole wheat bread and brown rice.

* Dairy. Choose low-fat or fat-free dairy foods.

* Lean proteins. Make lean protein choices, such as lean beef, skinless poultry and fish. Try to vary  protein choices to include eggs, beans, peas and legumes, too. Eat at least 8 oz. of seafood a week.

In addition to a nutritious diet, snacking habits, bottles and pacifiers also impact your child's oral health.

 Here are some tips to keep your child's mouth healthy:

Place only formula, milk or breast milk in bottles. Avoid filling the bottle with liquids such as sugar water, juice or soft drinks
.
Infants should finish their bedtime and naptime bottles before going to bed.

If your child uses a pacifier, provide one that is clean—don’t dip it in sugar or honey, or put it in your mouth before giving it to the child.

Encourage children to drink from a cup by their first birthday and discourage frequent or prolonged use of sippy cups.

Serve nutritious snacks and limit sweets to mealtimes.

For tips on how to get your children to eat more fruits and vegetables, visit the Academy of Nutrition and Dietetics.

this article first appeared on mouthhealthy.org

CONCERNS

Baby Bottle Tooth Decay

You can help prevent your baby from getting cavities or developing what is called Baby Bottle Tooth Decay or Early Childhood Caries, by beginning an oral hygiene routine within the first few days after birth. Start by cleaning your baby’s mouth by wiping the gums with a clean gauze pad. This helps removes plaque that can harm erupting teeth. When your child's teeth begin to come in, brush them gently with a child's size toothbrush and a small amount of fluoride toothpaste, about the size of a grain of rice. For bottle feedings, place only formula, milk or breast milk inside and avoid using sugary beverages such as juice or soda. Infants should finish their bedtime and naptime bottle before going to bed.

Dental Emergencies

Accidents can happen anywhere, anytime. Knowing how to handle a dental emergency can mean the difference between saving and losing your child’s permanent tooth. For all dental emergencies, it’s important to take your child to the dentist or an emergency room as soon as possible.

Here are some tips if your child experiences a common dental emergency:

* For a knocked-out tooth, keep it moist at all times. If you can, try placing the tooth back in the socket without touching the root. If that’s not possible, place it in between your child’s cheek and gum, or in milk. Call your dentist right away.

* For a cracked tooth, immediately rinse the mouth with warm water to clean the area. Put cold compresses on the face to keep any swelling down.

* If your child bites his tongue or lip, clean the area gently and apply a cold compress.

* For toothaches, rinse the mouth with warm water to clean it out. Gently use dental floss to remove any food caught between the teeth. Do not put aspirin on the aching tooth or gum tissues.

* For objects stuck in the mouth, try to gently remove with floss but do not try to remove it with sharp or pointed instruments.

Thumbsucking

Sucking is a natural reflex and infants and young children may suck on thumbs, fingers, pacifiers and other objects. It may help them relax or make them feel safe or happy. Most children stop sucking by age 4. If your child continues to thumb suck that after the permanent teeth have come in, it can cause problems with tooth alignment and your child’s bite. The frequency, duration and intensity of a habit will determine whether or not dental problems may result. Children who rest their thumbs passively in their mouths are less likely to have difficulty than those who vigorously suck their thumbs. If you are worried about your child’s sucking habits, talk to your dentist or consult your child's pediatrician.

Space Maintainers

Space maintainers help “hold space” for permanent teeth. Your child may need one if he or she loses a baby tooth prematurely, before the permanent tooth is ready to erupt. If a primary tooth is lost too early, adult teeth can erupt into the empty space instead of where they should be.When more adult teeth are ready to come into the mouth, there may not be enough room for them because of the lost space. To prevent this from happening, the dentist may recommend a space maintainer to hold open the space left by the missing tooth.

Sealants

Sealants are a fast and easy way of protecting your child’s teeth that act as barriers to cavity-prone areas. They are usually applied to the chewing surfaces of back teeth and sometimes used to cover deep pits and grooves. Sealing a tooth is fast and there is virtually no discomfort. As long as the sealant remains intact, the tooth surface will be protected from decay. Sealants hold up well under the force of normal chewing but may have to be reapplied if needed. Both primary and permanent teeth can benefit from sealants. Ask your dentist if sealants will help your child.

Mouthguards

Mouthguards can help protect your child from a dental emergency. They should be worn whenever your child is participating in sports and recreational activities. Mouthguards cushion blows that would otherwise cause broken teeth, injuries to the lips and face and sometimes even jaw fractures. If your child participates in such pastimes, ask your dentist about custom-fitted mouth protectors.

Malocclusion

Malocclusion, or bad bite, is a condition in which the teeth are crowded, crooked or out of alignment, or the jaws don’t meet properly. This may become particularly noticeable between the ages of 6 and 12, when a child’s permanent teeth are coming in. If not treated early, a bad bite can make it difficult to keep teeth and gums clean where teeth are crooked or crowded, increasing the risk for cavities and gum disease.

Bad bites can also:

* Affect proper development of the jaws.
* Make the protruding teeth at risk for chips and fractures.
* Affect eating and speaking.
* Make some teeth more likely to wear abnormally or faster than those that are properly aligned.
* Anesthesia and Sedation

Your dentist might recommend that your child be administered anesthesia or sedation to relax them in order to safely complete some dental procedures.



This article first appeared  on mouthhealth.org

Toothbrushes

The toothbrush has been around for nearly 5,000 years. “Chew sticks,” bone, wood, ivory and hog bristles all make up the far-reaching history of this instrument of oral health. The nylon bristled toothbrush that we now use was invented in 1938. Today, battery powered toothbrushes are available in addition to manual toothbrushes.

Both manual and powered toothbrushes can effectively and thoroughly clean teeth. People who have difficulty using a manual toothbrush may find a powered toothbrush easier or more comfortable to use. The size and shape of the brush should fit your mouth comfortably, allowing you to reach all areas easily. Your dentist may offer suggestions about which type is suitable for your needs.

No matter what type of toothbrush you choose, the American Dental Association recommends that you brush twice a day with a fluoride toothpaste and clean between your teeth with floss or an interdental cleaner daily.

Keeping Your Toothbrush Clean!!!!

Just as it’s important to practice good dental hygiene, good toothbrush hygiene is essential. Here are five easy ways to make sure your toothbrush is truly clean:

Don’t share toothbrushes. Using someone else’s toothbrush exposes you to another person’s body fluids and potential germs, which could make you sick. People with compromised immune systems or who are sick with something they could pass on to another person should take special care to use only their own toothbrush.

Rinse your toothbrush after brushing. Give it a thorough washing to remove any leftover toothpaste or debris.

Store your toothbrush in an upright position. When you’re done brushing, try to store it standing straight up and allow it to air-dry until your next brushing. If there’s more than one brush in the same holder, try to keep them as separate as possible to prevent cross-contamination.

Keep your toothbrush out in the open. Do not routinely cover toothbrushes or store them in closed containers. A moist environment, such as a closed container, is more conducive to the growth of microorganisms than the open air.

Replace your toothbrush every 3-4 months. Bristles that become frayed and worn with use and will be less effective at cleaning teeth. Children’s toothbrushes often need replacing more frequently than adult brushes.

 Look for toothbrushes that display the ADA Seal of Acceptance.

This article first appeared in mouthhealth.org

DDS/DMD

                                                  Sharon Reynolds Lundgren, D.D.S.

If you’re looking to find a dentist you may notice that while most are listed with a “DDS”, some may be listed as “DMD”. They both mean the same thing—your dentist graduated from an accredited dental school. The DDS (Doctor of Dental Surgery) and DMD (Doctor of Medicine in Dentistry or Doctor of Dental Medicine) are the same degrees.

Dentists who have a DMD or DDS have the same education. It’s up to the universities to determine what degree is awarded, but both degrees use the same curriculum requirements.

Did you know that the level of education and clinical training required to earn a dental degree is on par with those of medical schools?

Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. Upon completion of their training, dentists must pass both a rigorous national written exam and a state or regional clinical licensing exam in order to practice. In order to keep their licenses, they must meet continuing education requirements for the remainder of their careers so that they may stay up to date on the latest scientific and clinical developments.

Additional post-graduate training is required to become a dental specialist, such as an orthodontist, periodontist or oral and maxillofacial surgeon


This article first appeared on mouthhealthy.org

Dentures

Dentures are removable appliances that can replace missing teeth and help restore your smile. If you’ve lost all of your natural teeth, whether from gum disease, tooth decay or injury, replacing missing teeth will benefit your appearance and your health. That’s because dentures make it easier to eat and speak better than you could without teeth—things that people often take for granted.

When you lose all of your teeth, facial muscles can sag, making you look older. Dentures can help fill out the appearance of your face and profile. They can be made to closely resemble your natural teeth so that your appearance does not change much. Dentures may even improve the look of your smile.

Types of dentures:

Conventional.
 This full removable denture is made and placed in your mouth after the remaining teeth are removed and tissues have healed, which may take several months.

Immediate.
This removable denture is inserted on the same day that the remaining teeth are removed. Your dentist will take measurements and make models of your jaw during a preliminary visit. You don’t have to be without teeth during the healing period, but may need to have the denture relined or remade after your jaw has healed.

Overdenture.
 Sometimes some of your teeth can be saved to preserve your jawbone and provide stability and support for the denture. An overdenture fits over a small number of remaining natural teeth after they have been prepared by your dentist. Implants can serve the same function, too.

New dentures may feel awkward for a few weeks until you become accustomed to them. The dentures may feel loose while the muscles of your cheek and tongue learn to keep them in place. It is not unusual to experience minor irritation or soreness. You may find that saliva flow temporarily increases. As your mouth becomes accustomed to the dentures, these problems should go away.

Follow-up appointments with the dentist are generally needed after a denture is inserted so the fit can be checked and adjusted. If any problem persists, particularly irritation or soreness, be sure to consult your dentist.

Even if you wear full dentures, you still have to practice good dental hygiene.
Brush your gums, tongue and roof of your mouth every morning with a soft-bristled brush before you insert your dentures to stimulate circulation in your tissues and help remove plaque.

Like your teeth, your dentures should be brushed daily to remove food particles and plaque. Brushing also can help keep the teeth from staining.

Rinse your dentures before brushing to remove any loose food or debris.

Use a soft bristle toothbrush and a non-abrasive cleanser to gently brush all the surfaces of the dentures so they don't get scratched.

When brushing, clean your mouth thoroughly—including your gums, cheeks, roof of your mouth and tongue to remove any plaque. This can help reduce the risk of oral irritation and bad breath.

When you’re not wearing your dentures, put them in a safe place covered in water to keep them from warping.

Occasionally, denture wearers may use adhesives. Adhesives come in many forms: creams, powders, pads/wafers, strips or liquids. If you use one of these products, read the instructions, and use them exactly as directed. Your dentist can recommend appropriate cleansers and adhesives; look for products with the ADA Seal of Acceptance. Products with the ADA Seal have been evaluated for safety and effectiveness.

If you have any questions about your dentures, or if they stop fitting well or become damaged, contact your dentist. Be sure to schedule regular dental checkups, too. The dentist will examine your mouth to see if your dentures continue to fit properly.


This article first appeared on MouthHealthy.org, an A.D.A. website.

Questions About Going to the Dentist

Whether you are 80 or 8, your oral health is important. Did you know that 100 million Americans fail to see a dentist each year, even though regular dental examinations and good oral hygiene can prevent most dental disease? Here are some frequently asked questions about going to the dentist.

Question: Why do regular dental visits matter?

Answer: Regular dental visits are important because they can help spot oral health problems early on when treatment is likely to be simpler and more affordable. They also help prevent many oral problems from developing in the first place. Visiting your dentist regularly is also important because some diseases or medical conditions have symptoms that can appear in the mouth.

Here are 15 signs you should see a dentist:

Your teeth are sensitive to hot or cold
Your gums are puffy and/or they bleed when you brush or floss
You have fillings, crowns, dental implants, dentures, etc.
You don’t like the way your smile or teeth look
You have persistent bad breath or bad taste in your mouth
You are pregnant
You have pain or swelling in your mouth, face or neck
You have difficulty chewing or swallowing
You have a family history of gum disease or tooth decay
You have a medical condition such as diabetes, cardiovascular disease, eating disorders, or are HIV positive
Your mouth is often dry
You smoke or use other tobacco products
You are undergoing medical treatment such as radiation, chemotherapy or hormone replacement therapy
Your jaw sometimes pops or is painful when opening and closing, chewing or when you first wake up; you have an uneven bite
You have a spot or sore that doesn't look or feel right in your mouth and it isn't going away.

Q: What if I don’t have any of these symptoms—do I still need to go to the dentist?
A: Yes. Even if you don’t have any symptoms, you can still have oral health problems that only a dentist can diagnose. Regular dental visits will also help prevent problems from developing. Continuity of care is an important part of any health plan and dental health is no exception. Keeping your mouth healthy is an essential piece of your overall health. It’s also important to keep your dentist informed of any changes in your overall health since many medical conditions can affect your oral health too.

Q: What can I expect during a dental checkup?
A: The dentist or hygienist will ask about your recent medical history, examine your mouth and decide whether or not you need x-rays. Depending on your treatment plan, the hygienist may use a special dental instruments to check your gums for gum disease. Your dentist will evaluate your overall dental health and conduct an oral cancer screening by holding your tongue with gauze, checking it and your whole mouth, then feeling your jaw and neck.

Q: How often do I have to go to the dentist? 
A: There is no one-size-fits-all dental treatment. Some people need to visit the dentist once or twice a year; others may need more visits. You are a unique individual, with a unique smile and unique needs when it comes to keeping your smile healthy.

Q: How do I find a dentist? 
A: The American Dental Association offers these suggestions in finding a dentist:

Visit ADA Find-a-Dentist to search dentists in your area.
Ask family, friends, neighbors or co-workers for recommendations.
Ask your family physician or local pharmacist.
If you're moving, your current dentist may be able to make a recommendation.
Call or write your state dental society.

Q: What should I look for when choosing a dentist? 
A: You may want to call or visit more than one dentist before making your decision. Dental care is a very personalized service that requires a good relationship between the dentist and the patient. During your first visit, you should be able to determine if this is the right dentist for you.

Consider the following:

Is the appointment schedule convenient for you?
Is the office easy to get to from your home or job?
Does the office appear to be clean, neat and orderly?
Was your medical and dental history recorded and placed in a permanent file?
Does the dentist explain techniques that will help you prevent dental health problems?
Is dental health instruction provided?
Are special arrangements made for handling emergencies outside of office hours? (Most dentists make arrangements with a colleague or emergency referral service if they are unable to tend to emergencies.)
Is information provided about fees and payment plans before treatment is scheduled?
Is your dentist a member of the ADA? All ADA member dentists voluntarily agree to abide by the high ethical standards reflected in the member code of conduct. You and your dentist are partners in maintaining your oral health. Take time to ask questions and take notes if that will help you remember your dentist's advice.

Here are some tips to help you take care of your smile:

Healthy habits.
   Brushing twice a day for two minutes and flossing daily are essential for everyone, no matter how   unique your mouth is. It’s the best way to fight tooth decay and gum disease.

Build a relationship.
  Continuity of care is an important part of any health plan and dental health is no exception. When your dentist sees you regularly, he or she is in a good position to catch oral problems early. For instance, catching gum disease when it’s still reversible, or cavities when they are small and are more easily treated.

Maintain.
  Keeping your mouth healthy is an essential piece of your overall health. It’s important to keep your dentist informed of any changes in your overall health as well.

Talk about it!
  Only your dentist can determine what the best treatment plan is for you. Have questions about your oral health or certain dental procedures? Start a conversation. Ask your dentist to explain step-by-step. Dentists love having satisfied, healthy patients.

Q: What is the difference between a DDS and a DMD?
A: If you’re looking to find a dentist you may notice that while most are listed with a “DDS”, some may be listed as “DMD”. They both mean the same thing—your dentist graduated from an accredited dental school. The DDS (Doctor of Dental Surgery) and DMD (Doctor of Dental Medicine) are the same degrees. Dentists who have a DMD or DDS have the same education. The level of education and clinical training required to earn a dental degree, and the high academic standards of dental schools are on par with those of medical schools. Upon completion of their training, dentists must pass both a rigorous national written exam and a state or regional clinical licensing exam in order to practice. In order to keep their licenses, they must meet continuing education requirements for the remainder of their careers so that they may stay up to date on the latest scientific and clinical developments.

Paying for Dental Care

Paying for dental care is a concern of many. Not everyone can afford dental insurance and not all businesses offer dental benefits. Assistance programs vary from state to state. Locate your state on this list and contact your state dental society to find out about care in your area. Another possible source of lower-cost dental care is a dental school clinic. Generally, dental costs in school clinics are reduced and may include only partial payment for professional services covering the cost of materials and equipment. Your state society should be able to tell you if there is a clinic in your area.
For more resources, please visit the National Institute of Dental and Craniofacial Research, U.S. Department of Health and Human Services or the Association of State and Territorial Dental Directors.

Are you over 60 or the caregiver of an older adult in need of dental care? Visit Oral Health America's Tooth Wisdom for a list of the resources available in your state. Additionally, the Children's Health Insurance Program (CHIP) provides free or low-cost health coverage for more than 7 million children up to age 19. CHIP covers U.S. citizens and eligible immigrants.

Below is a list of common questions about dental insurance:

Q: How does a dental plan work?
A: Almost all dental plans involve a contract between your employer and an insurance company. The amount your plan pays is agreed upon by your employer with the insurer.

Q: What does my insurance pay for?
A: What's covered by your dental plan is based on how much your employer pays into the plan. Usual, customary and reasonable charges (UCR) are the maximum amounts that your plan covers. These standards are set by your insurance company. Any portion of a dental bill not covered by your plan is your responsibility.

Q: What do I have to pay for?
A: Your dental plan may not cover conditions that existed before you enrolled in their plan, often called pre-existing conditions. Treatment may still be necessary for some conditions. Each dental benefit plan also has its own guidelines for which treatment is “dentally necessary.” If a procedure falls into this category, you may have to pay out-of-pocket. This does not mean the treatment is not necessary. It simply means your insurance provider defines it that way. There is an appeals process available should your dentist consider a procedure necessary that is not covered by your benefit plan. Although you may be tempted to decide on your dental care based on what insurance will pay, always remember that your health is more important than the price tag. The least expensive option is not always the best.

Q: How do I pick my dentist?
A: Your plan may want you to choose dental care from a list of preferred providers (dentists who have a contract with the dental benefit plan). “Preferred” refers to the insurance companies choices. If you choose to receive dental care from outside the preferred provider group, you may have higher out-of-pocket costs.

Q: How does financing work?
A: Financing may involve the use of a credit card. Make sure you understand what the monthly payment requirements will be before you decide on this option. Typically there are two types of financing offers: No Interest and Low Interest. "No Interest” payment plans are more commonly offered by healthcare credit cards. They typically give you a short time period to pay your balance (six to eighteen months). With these plans you must pay at least the monthly minimum and pay off the balance in the time offered. If you don't interest charges will be added. “Low Interest” payment plans are typically longer term, sometimes up to five years. Payments are divided into equal monthly payments and should be paid off every month. Interest charges will be placed on your account beginning on the original purchase date.

Make sure you understand how credit finance plans work before you decide on a specific plan. Only finance what you can afford, pay on time and make sure you read, fully understand and keep copies of anything you are asked to sign. Take the time to understand your options and obligations and you can improve your financial and oral health.

Chemotherapy and Your Mouth

Are You Being Treated With Chemotherapy for Cancer? 

If so, this booklet can help you. While chemotherapy helps treat cancer, it can also cause other things to happen in your body called side effects. Some of these problems affect the mouth and could cause you to delay or stop treatment. 

This booklet will tell you ways to help prevent mouth problems so you’ll get the most from your cancer treatment. 

To help prevent serious problems, see a dentist ideally 1 month before starting chemotherapy.

How Does Chemotherapy Affect the Mouth?

Chemotherapy is the use of drugs to treat cancer. These drugs kill cancer cells, but they may also harm normal cells, including cells in the mouth. Side effects include problems with your teeth and gums; the soft, moist lining of your mouth; and the glands that make saliva (spit). 

It’s important to know that side effects in the mouth can be serious. 

• The side effects can hurt and make it hard to eat, talk, and swallow. 
• You are more likely to get an infection, which can be dangerous when you are receiving cancer treatment. 
• If the side effects are bad, you may not be able to keep up with your cancer treatment. Your doctor may need to cut back on your cancer treatment or may even stop it. 

What Mouth Problems Does Chemotherapy Cause? 

You may have certain side effects in your mouth from chemotherapy. Another person may have different problems. The problems depend on the chemotherapy drugs and how your body reacts to them. You may have these problems only during treatment or for a short time after treatment ends. 

• Painful mouth and gums. 
• Dry mouth. 
• Burning, peeling, or swelling tongue. 
• Infection. 
• Change in taste. 

Why Should I See a Dentist?

You may be surprised that your dentist is important in your cancer treatment. If you go to the dentist before chemotherapy begins, you can help prevent serious mouth problems. Side effects often happen because a person’s mouth is not healthy before chemotherapy starts. Not all mouth problems can be avoided but the fewer side effects you have, the more likely you will stay on your cancer treatment schedule. 

It’s important for your dentist and cancer doctor to talk to each other about your cancer treatment. Be sure to give your dentist your cancer doctor’s phone number. 

When should I see a dentist? 

You need to see the dentist 1 month, if possible, before chemotherapy begins. If you have already started chemotherapy and didn't go to a dentist, see one as soon as possible. 

What Will the Dentist and Dental Hygienist Do? 

• Check and clean your teeth. 
• Take x-rays. 
• Take care of mouth problems. 
• Show you how to take care of your mouth to prevent side effects. 

What Can I Do To Keep My Mouth Healthy? 

You can do a lot to keep your mouth healthy during chemotherapy. The first step is to see a dentist before you start cancer treatment. Once your treatment starts, it’s important to look in your mouth every day for sores or other changes. These tips can help prevent and treat a sore mouth:

Keep your mouth moist. 

• Drink a lot of water. 
• Suck ice chips. 
• Use sugarless gum or sugar-free hard candy. 
• Use a saliva substitute to help moisten your mouth. 

Clean your mouth, tongue, and gums. 

• Brush your teeth, gums, and tongue with an extra-soft toothbrush after every meal and at bedtime. If brushing hurts, soften the bristles in warm water. 
• Use a fluoride toothpaste. 
• Don’t use mouthwashes with alcohol in them.
• Floss your teeth gently every day. If your gums bleed and hurt, avoid the areas that are bleeding or sore, but keep flossing your other teeth. 
• Rinse your mouth several times a day with a solution of ¼ teaspoon each of baking soda and salt in one quart of warm water. Follow with a plain water rinse. 
• Dentures that don’t fit well can cause problems. Talk to your cancer doctor or dentist about your dentures. 

If your mouth is sore, watch what you eat and drink. 

• Choose foods that are good for you and easy to chew and swallow. 
• Take small bites of food, chew slowly, and sip liquids with your meals. 
• Eat soft, moist foods such as cooked cereals, mashed potatoes, and scrambled eggs. 
• If you have trouble swallowing, soften your food with gravy, sauces, broth, yogurt, or other liquids. 

Call your doctor or nurse when your mouth hurts. 

• Work with them to find medicines to help control the pain. 
• If the pain continues, talk to your cancer doctor about stronger medicines. 

Remember to stay away from 

• Sharp, crunchy foods, like taco chips, that could scrape or cut your mouth. 
• Foods that are hot, spicy, or high in acid, like citrus fruits and juices, which can irritate your mouth. 
• Sugary foods, like candy or soda, that could cause cavities. 
• Toothpicks, because they can cut your mouth. 
• All tobacco products. 
• Alcoholic drinks. 

Do Children Get Mouth Problems Too? 

Chemotherapy causes other side effects in children, depending on the child’s age. 

Problems with teeth are the most common. Permanent teeth may be slow to come in and may look different from normal teeth. Teeth may fall out. The dentist will check your child’s jaws for any growth problems. 

Before chemotherapy begins, take your child to a dentist. The dentist will check your child’s mouth carefully and pull loose teeth or those that may become loose during treatment. Ask the dentist or hygienist what you can do to help your child with mouth care. 

Remember: 

• Visit your dentist before your cancer treatment starts. 
• Take good care of your mouth during treatment. 
• Talk regularly with your cancer doctor and dentist about any mouth problems you have. 

Acknowledgments 

The individuals listed here provided assistance in developing and reviewing all of the publications in this series. The National Institute of Dental and Craniofacial Research and its partners would like to thank them for their contributions. 

Article originally appeared on the National Institute of Dental and Craniofacial Research website. Link.