November 5th, 2025

Congratulations! Your pregnancy is a time of joy and excitement—and a time to take special care of yourself. You’ve discovered that pregnancy brings many physical changes, but it may still come as a surprise to learn that pregnancy hormones can affect your oral health as well. What should you look out for?
Gingivitis
Beginning in the second or third month of pregnancy, your gum tissue may show signs of gingivitis. Pregnancy hormones can cause an increase in the blood supply to your gums and affect the way your gums respond to plaque. These changes may lead to gums that are swollen, red and more likely to bleed upon brushing. This early form of gum disease should be treated as quickly as possible to avoid a more serious condition called periodontitis.
Periodontitis
Without treatment, the inflammation caused by gingivitis can increase. Periodontitis can lead to gums pulling away from the teeth, creating “pockets” that can be home to infection. These infections can lead to bone and tooth loss, so professional treatment is a must.
Pregnancy Granulomas
If you find a dark red swelling along the gumline or between two teeth, it might be a pregnancy granuloma. These granulomas are thought to be triggered by pregnancy hormones and may be a reaction to plaque or some other irritant. They often disappear once your baby is born and usually don’t cause any bother, but if you develop discomfort eating or speaking, your dentist might suggest removal.
You are looking for every way possible to provide your baby with the best start in life, so it is important to know that some studies have suggested a link between periodontal disease in pregnancy and complications such as pre-term delivery and low birth weight. Here are some important ways to maintain your oral health during pregnancy:
- Call Dr. Joel Hartjes and Dr. Jon Szewczyk when you find out you are pregnant. We have suggestions for your dental care that you can use immediately.
- Keep to your regular schedule of dental examinations and cleanings at our Middleton, WI office. If you find your gums beginning to show signs of gingivitis, call our office for an appointment. You might need to have your teeth cleaned more often during your pregnancy to avoid plaque buildup.
- Maintain your daily dental hygiene. Be sure to carefully brush along the gumline to discourage plaque formation. If you have not switched to a soft bristle toothbrush, now is the time! Talk to us about possible rinses or other at-home treatments.
- See a periodontist if needed for more serious gum problems.
Your pregnancy is a time to treat yourself and your baby with care. Talk to our office as soon as you find out you are pregnant. Making your dental health a priority can bring rewards both now and in the future, and we welcome the opportunity to suggest the best possible ways to care for yourself and your baby!
October 29th, 2025

Over time, everyone’s teeth can naturally become dull, due to aging and consumption of staining foods such as chocolate and coffee. The good news is that teeth-whitening treatments can help you maintain white teeth that last a lifetime.
Get Regular Treatments
Regular treatments at Hartstone Dental are necessary to keep your teeth white for life, since whitening treatments are only temporary. Bleaching too frequently, however, can wear away your tooth enamel.
The effects of in-office bleaching are safe and can last for several months to a year. You may need to repeat your use of at-home bleaching kits every few months to maintain your white teeth. As far as day to day, whitening toothpastes are safe to use on a daily basis. The American Dental Association suggests you ask your dentist for advice on which treatment is best for you.
Have Realistic Expectations
Everyone’s teeth are different and, according to the American Dental Association, not all smiles can be turned bright white. Teeth can naturally be a light yellowish color that responds well to teeth-whitening procedures, but bleach is not likely to be effective for grayish teeth. Results for brownish teeth fall somewhere in between.
Practice Good Oral Hygiene
Good hygiene is imperative for teeth-whitening efforts. Visible fillings, implants, or bridges that are metallic can be visible against the white color you desire. These treatments can be prevented by maintaining a good oral hygiene routine.
In addition to brushing your teeth twice a day to remove dirt and potential staining agents, keep the following tips in mind:
- Floss every day
- Visit our Middleton, WI office every six months
- Rinse your mouth with water after each meal and snack
- Limit sugary and starchy foods and beverages, especially between meals
October 29th, 2025

You do everything you can to protect your toddler with safeguards large and small. Installing that complicated car seat. Figuring out which sunscreen is best for delicate skin. Spending weeks childproofing your home. But all the work protecting your child is more than worth it because the rewards are so great. And one more everyday precaution that brings great rewards is protecting your toddler from tooth decay.
The time to start your baby’s dental care is even before that first tooth arrives. Carefully wiping the gums with a clean, damp cloth after feeding gets your child used to the idea of brushing and removes bacteria that might irritate the gums as the teeth begin to erupt. As soon as those teeth arrive, gentle brushing with soft bristles will keep bacteria and plaque from causing tooth decay and gingivitis. We can recommend toothpastes formulated especially for toddlers and suggest the best ways to brush.
We know that sugary foods aren’t healthy for your toddler’s teeth. Bacteria in the mouth feeds on sugar, and a sugar-heavy diet results in more of the bacteria and plaque which cause cavities. But sugar is not the only food that is not tooth-friendly. For example, foods like citrus fruits and juices can also be a problem. Acidic foods can actually weaken enamel after eating and leave teeth more vulnerable to cavity-causing bacteria and plaque. We have suggestions for tooth-healthy snacks and the best times to brush after eating if you and your child indulge in a treat.
- Don’t Misuse Bottles & Sippy Cups
Your toddler might still use a bottle at night or a sippy cup throughout the day. Juices and even milk contain sugar that increases the risk of cavities, and if your child goes to sleep with a bottle or cup, these liquids pool in the mouth overnight allowing bacteria to flourish. If your toddler wants a drink at night or between meals, water is a much better option.
Those tiny teeth are important for so many reasons. They enable children to bite and chew efficiently, to pronounce sounds properly for speech development, and to save space for adult teeth so they erupt in the right place. Dr. Joel Hartjes and Dr. Jon Szewczyk and our team recommend that your child visit our Middleton, WI office after the first tooth comes in, and always by the first birthday. We will make sure your toddler’s teeth are developing as they should be and suggest ways to keep them cavity-free. Your toddler’s healthy, beautiful smile is a reward worth protecting!
October 22nd, 2025

Not many people look forward to going to the dentist, especially if you already know that you need dental work done. A small amount of anxiety is one thing, but dental phobia, or odontophobia, is something else entirely. It is an irrational fear of going to the dentist. If you have it, you might be unable to force yourself to go to the dentist, even if you are suffering from bad tooth pain. The effects of dental phobia can be serious, but there are ways to overcome your fear of the dentist to help you achieve and maintain good oral health.
Causes of Dental Phobia
You can develop dental phobia for a variety of reasons, including the following.
- Fear of pain, which you might acquire based on others’ horror stories of their trips to the dentist.
- Fear of needles, such as those used to provide anesthesia.
- A previous bad experience, when something went wrong and pain was intolerable.
- Lack of control from not knowing what is happening or how uncomfortable a procedure might be.
Consequences of Dental Phobia
Avoiding the dentist can have long-term consequences. When caught early, tooth decay is easily stopped with a minor filling. If you let the decay go, you can end up losing your tooth and have chronic pain. A dentist can also check for early signs of gum disease, which, if left untreated, could lead to losing one or more teeth.
Even if you do not have a particular problem, going to a dentist for regular cleanings is a good idea because the hygienist can point out where you need to brush better and remove the plaque from your teeth.
Getting Over Fear of the Dentist
Most patients with dental phobia can get over their condition. These are some approaches that Dr. Joel Hartjes and Dr. Jon Szewczyk and our team recommend:
- Explain each step of the process
- Let you know that you can stop the procedure at any time
- Encourage you to come with a family member or friend
- Help you with deep breathing techniques