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First word, first step, first day of school—these firsts are milestones every parent celebrates. And one of the earliest and most precious milestones is your baby’s first real smile! 

Keep that smile beaming and healthy from infancy to young adulthood with the help of dental milestones. These breakthrough events mark significant stages in oral development, and are a great guide to understanding, protecting, and supporting your child’s path to adult oral health.

• First Tooth

Baby’s first tooth often arrives around the age of six months. And this is the time to start cavity prevention, with twice daily gentle brushing with a soft-bristled, child-sized toothbrush. Talk to Dr. Joel Hartjes and Dr. Jon Szewczyk or your child's pediatrician to learn how and when to brush and how much and what kind of toothpaste to use.

By the age of three, toddlers typically have all of their 20 baby teeth, and these little teeth are essential to children’s health. They help kids chew and eat, assist speech development and pronunciation, and act as placeholders so adult teeth can erupt in the proper place. Keep your child’s baby teeth their healthiest by partnering with the dental team at Hartstone Dental in Middleton, WI.

• First Visit to the Dentist

Once that first tooth has come in, or around age one, it’s time to bring your little one to the dentist for a first visit. Your dentist will do a careful exam to see if your child’s teeth and jaws are developing as they should, check the health of the teeth, and answer your questions about brushing, flossing, toothpaste, teething, pacifiers, thumb-sucking, or any other concerns. 

Early visits are important. They allow you and your child to establish a “dental home”: a place where the dental team is familiar and comforting, and where regular preventative care will help keep young smiles their healthiest.

• First Lost Tooth/First Permanent Tooth

Around age six, most children start to lose baby teeth, typically in the order in which they arrived. Losing a baby tooth is a big step for children and might be a bit scary. You can celebrate this milestone with a visit from the Tooth Fairy, or a certificate, or a new toothbrush in your child’s favorite color. 

As the permanent teeth come in, continue to encourage twice daily brushing and flossing, and consider proactive treatment with dental sealants. Even when children have learned to brush properly, and brush twice each day, it can be hard for kids to remove all the plaque and food particles from the grooved chewing surfaces on top of molars. That’s why molars are much more vulnerable to decay than any other teeth. 

Around the time your child’s first permanent molars erupt, the team at Hartstone Dental might suggest sealants. Sealants protect the chewing surfaces of the molars from food particle and plaque buildup. This safe and invisible protective coating, usually a plastic resin, is applied in the office and typically lasts from three to five years. 

• First Orthodontic Visit

Dentists and orthodontists recommend an orthodontic examination by age seven (or earlier, if you have any concerns). At this point, children have a mix of primary and permanent teeth, allowing an orthodontist to assess tooth spacing and alignment and the way the jaws fit together. 

Your orthodontist might find no issues with your child’s teeth or bite. Or, perhaps, follow-up appointments might be scheduled to determine if and when future treatment is advisable. Sometimes, because some problems can be treated more easily when your child is young, early intervention with a fixed or removeable appliance is recommended right away. 

Having an orthodontic plan in place helps ensure that children benefit from the most effective and timely treatment at any stage of their development.

• Orthodontic Treatment

Orthodontic treatment commonly begins in early adolescence (ten to 14) when most or all of the permanent teeth have erupted. The facial and jaw bones are still growing in preteens and young teens, which makes it easier to reposition teeth and guide jaw alignment.

More treatment options are available than ever before—and today’s braces, clear aligners, smaller and more comfortable appliances, and even 3D technology make treating malocclusions and misalignments more efficient than ever before.

A healthy bite and properly aligned teeth are a foundation of lasting oral health. Orthodontic treatment helps prevent decay, gum disease, jaw pain, and even early tooth loss. And, of course, the value of your child’s increased self-confidence is impossible to overestimate!

• Wisdom Teeth

Wisdom teeth, or third molars, generally start to erupt in the late teens or early twenties and often have a harmful effect on oral health.

Erupting or impacted wisdom teeth can push neighboring teeth out of position, damage adjacent tooth roots, and cause inflammation and infection in gum and bone around the wisdom tooth. For these reasons, preventative extraction is often recommended. 

If your teen shows any symptoms of erupting or impacted wisdom teeth—irritated, swollen, or bleeding gums, bad breath, jaw pain or swelling—a visit to the dentist is in order.

As parents, you do your best to guide your child’s journey from infancy to healthy adulthood. Each dental milestone marks a new stage in your child’s oral health journey, and new ways for you to encourage and protect that oral health. Use these milestones to set your child up for a lifetime of good dental habits—and a lifetime of healthy smiles!

Need some gift ideas for family members and friends who seem to have absolutely everything? Who are impossible to shop for? Who tell you not to worry, it’s the thought that counts? Well, we have a few suggestions which will show the people on your gift list that you’ve put a lot of thought into their gifts this holiday season. 

You love to see your friends and family smile, so we’ve come up with some smile-worthy ideas designed for their specific interests. 

Environmental Ally

The world is becoming a more eco-conscious place, and happily this transformation includes products designed for personal care. Put together a spa basket which is good for your friend’s comfort, dental health, and the planet!

A recycled gift box filled with environmentally friendly bath products and organic cotton face cloths becomes even more mindful with the addition of bamboo or recycled plastic toothbrushes, zero-waste fluoride toothpaste tablets, and biodegradable picks and floss. 

Don’t forget to include a colorful, insulated water bottle for sustainable hydration—and washing away food particles when there’s no handy place to brush after eating. Healthy planet/healthy smile.

Talented Techie

If your friend or relative is cutting edge high-tech, maybe it’s time for a dental upgrade. 

Modern electric toothbrushes offer plenty of options for the tech-savvy. They come with different settings for brushing and massaging. They can let brushers know if they’ve brushed long enough, if they’re brushing too hard, or when the brush head needs to be retired. Smart models even link to apps, which can, among other things, map out any missed spots in brushing coverage or suggest more effective brushing angles. 

And for an extra thoughtful touch, include a packet of plaque disclosing tablets. Chew one of these helpful little tablets and they will reveal any plaque that’s still on the teeth.

Adventure Seeker

How about a new backpack or carry-all for outdoor or travel adventures? A travel first aid kit is always a welcome addition for the person on the go.

Go the extra step and help a friend be prepared for anything with an emergency dental kit. You can find these lightweight kits in stores or online, or you can assemble one yourself with a travel-size toothbrush and toothpaste, floss, a travel mirror, cotton rolls, pain relievers, and even temporary fillings. Include a pack of sugar-free gum—it helps with altitude changes and hydration. Ask Dr. Joel Hartjes and Dr. Jon Szewczyk or the team at Hartstone Dental for suggestions!

Timeless Trendsetter

Older relatives might love a selection of modern gifts designed with old-fashioned comfort in mind, such as an automatic jar opener and a selection of jams, trekking poles for easier hiking, or wireless earbuds for enjoying music or an audio book.

For a lifetime of healthy smiles, consider adding a water flosser to your gift basket. Gum disease is a leading cause of tooth loss for older Americans. Water flossers are a great way to eliminate stubborn plaque, especially when mobility issues make manual flossing difficult. Adjustable water pressure applies just the right amount of cleaning power, and the flow can be directed to the gumline, between teeth, or anywhere necessary. 

Film Buff

If your bestie likes nothing better than an evening spent in front of the home screen, consider a subscription or gift card for a streaming service tailored to his or her favorites, whether it’s classic films, sci-fi, action, rom-coms, or epic adventures. 

And don’t forget the binge-watch treats! Fill a basket with dental-friendly goodies like fresh fruits, nuts, and dark chocolate. Include a collection of simple sparkling waters or a gift card for vitamin-rich smoothies. Who needs sugary candies and sodas with options like these?

No matter who’s on your shopping list, tailoring your gifts to their interests and their well-being is a great way to share happy, healthy holiday smiles with family and friends in Middleton, WI.

When you leave on a trip, you probably double-check that evrything’s ready: your clothes are packed, your ticket is handy, and your passport waits patiently on top of your bag or in a special pocket.

The same level of preparedness should apply with regard to caring for your oral health when you’re about to leave home for a while. Whether you’re jumping in the car for a weekend camping trip or flying halfway across the globe for a longer stint, the tips below will help you keep your teeth healthy whil you’re away.

Prepare Ahead of Time

The key to maintaining good oral hygiene during travel is preparation. Schedule a regular dental appointment so your teeth are freshly cleaned and ready before you leave. This can identify potential issues that might cause problems while you’re away.

If you have any items on a dental “to-do” list, such as wisdom tooth removal, replacement of a filling, or orthodontic adjustment, it’s a good idea to get those procedures completed before your trip.

En Route

If you’re stuck on a long flight or trekking far into the woods, you might find yourself where there’s no sink or even a toothbrush at hand. We speak for everyone when we say that nothing is worse than a mouth that feels, shall we say, less than fresh.

A lemon wedge or Granny Smith apple slice can help freshen up your breath when you’re in need of a quick fix. Rinsing your mouth thoroughly with water can help to wash away bacteria that causes cavities and reduce that gritty sensation. If you’ve got toothpaste, put a dot on your finger or a damp washcloth to serve as a makeshift toothbrush.

Nowadays, travel-sized dental products are available at most grocery stores and pharmacies. You can find travel toothbrushes, mini mouthwashes, and pocket-sized floss to slip into your travel bag.

Colgate makes disposable mini-toothbrushes called Wisps that can help you freshen up when you may not have access to a regular toothbrush. Packing a few extra dental supplies may also be a good idea in case one gets damaged or lost.

At Your Destination

Traveling abroad can expose you to unfamiliar conditions. Some countries have compromised water sources that will make you extremely ill if ingested, even from the tiny amount of water with which you wet your toothbrush.

Minimize that risk and keep bottles of water on hand instead for rinsing your mouth and toothbrush. If your toothbrush comes in contact with contaminated water, swapping it out for a new one is the safest option.

Storing your toothbrush properly is necessary to prevent bacteria from growing on it. Place your brush in a Ziploc bag when you’re on the go and allow it to breathe once you get to a temporary destination.

Traveling near or far should be an enjoyable experience. Dental issues shouldn’t be a source of worry on your vacation. As long as you’re prepared and take precautions, your teeth can stay healthy even when they’re out of the country!

Of course, if you have any questions, don’t hesitate to contact our Middleton, WI office.

If you have a hard time understanding your dental insurance plan, particularly the treatments and services it covers, you’re not alone. That’s why Dr. Joel Hartjes and Dr. Jon Szewczyk and our team have put together a cheat sheet to help you through them.

It’s common for patients to get lost in the morass of the terms and phrases that surface when you’re dealing with a dental insurance plan. Knowing the commonly used terms can help speed up the process and enable you to get the most out of your coverage.

Common Terms

Annual Maximum: The most your policy will pay per year for care at Hartstone Dental. It is often divided into cost per individual or per family.

Co-payment: Typically, a small amount the patient has to pay at the time of service before receiving care, and before the insurance pays for any portion of it.

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

Deductible: An amount you must pay out of pocket each year before the insurance company will contribute for any treatments or procedures. The amount can vary according to your plan.

Diagnostic Services: A category of treatments or procedures that most insurance plans will cover before the deductible, which may mean services that occur during preventive appointments with Dr. Joel Hartjes and Dr. Jon Szewczyk, including X-rays or general screenings.

Exclusions: Dental services not covered under a dental benefit program.

In-Network: An insurance company will usually cover a larger portion of the cost of the care if you see an in-network provider for treatment.

Out-of-Network: If you visit someone who is not a part of your provider’s network, the insurance company may pay for a portion of the care, but you will be responsible for a significantly larger share out of your pocket.

Lifetime Maximum: The most that an insurance plan will pay toward care for an individual or family over the entire life of the patient(s).

Limitations: A list of all the procedures the insurance policy does not cover. Coverage may limit the timing or frequency of a specific treatment or procedure, or exclude some treatments altogether.

Member/Insured/Covered Person/Beneficiary/Enrollee:  A person who is eligible to receive benefits under an insurance plan.

Premium: The regular fee charged by third-party insurers and used to fund the dental plan.

Provider: Dr. Joel Hartjes and Dr. Jon Szewczyk 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.

It’s essential to understand the various insurance options available to you. Knowing what your insurance covers can save you major costs in the future.

Dr. Joel Hartjes and Dr. Jon Szewczyk and our dental staff hope this list of terms will help you understand your dental insurance plan better. Be sure to review your plan and ask any questions you may have about your policy the next time you visit our Middleton, WI office.