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According to the American Association of Pediatric Density, roughly one in five children suffers from canker sores. Canker sores are small sores that appear inside the cheeks, on the lips, on the surface of the gums, and under the tongue.

Even though, canker sores are not contagious, they do tend to run in families. There are several reasons your child may be suffering from canker sores including:

• Children who have Vitamin B12, iron, and folic acid deficiencies tend to get canker sores more often than children who have normal levels of these vitamins and minerals.
• Children who suffer from food allergies are also at a higher risk for developing canker sores. It’s difficult to determine what your child may be allergic to. If you feel strongly that the canker sores are related to an allergy, then a visit to an allergist is highly recommended.
• Biting their lip or cheek can also result in a canker sore.
• Any injury to mouth, where the skin breaks can cause a canker sore.
• Brushing their teeth too hard can also be a problem.
• Your child may be sensitive to an ingredient in their toothpaste. Try switching toothpastes and see if it makes a difference.
• Emotional disturbances and stress are also factors to consider.

If your child has frequent canker sores a visit to our Middleton, WI office will be beneficial. Canker sores are painful and usually last about 14 days. Dr. Joel Hartjes and Dr. Jon Szewczyk may recommend one or a few of the following treatment options:

• Avoid food that is acidic, salty, and spicy.
• A toothbrush with soft bristles may be helpful.
• Avoid mouthwash and toothpaste that contain SLS.
• Do not feed your child foods that they may be allergic to.

Canker Sore Remedies

• Eating yogurt that contains Acidophilus will relieve the pain and help the canker sore heal faster.
• Put one teaspoon of baking soda in an eight-ounce glass of lukewarm water. Have your child gargle and swish it around his or her mouth several times a day. Not only does this remedy relieve the pain, the canker sore could be gone in as little as 24 hours.
• Place a wet tea bag on the sore and hold it there for a few minutes several times a day. This remedy will help with the pain and quickly heal the sore.
• Camphor, Benzocaine, Lidocaine, and Orajel are over-the-counter medications that can help.

If you have questions about your child’s canker sore, contact Dr. Joel Hartjes and Dr. Jon Szewczyk to schedule an appointment.

Nobody can predict a dental emergency. That’s what makes them so terribly inconvenient. The good news is that our office is always available to assist you, so there’s no reason you should minimize an emergency.

Among the most common emergencies we see are lost fillings, lost crowns, and broken dentures. Lost fillings and lost crowns are very similar. A key difference, however, is that fillings are used to repair cavities but crowns are used to cover broken or damaged teeth.

Over time, it’s not uncommon for fillings and crowns to grow loose and fall out. If you lose a crown or a filling, hot or cold temperatures will likely begin to trigger pain because of the exposed tissue. The discomfort might seem manageable, but it’s better to get these situations fixed as soon as possible so you can avoid getting food stuck or developing an infection.

Unlike a busted filling or crown, a broken denture is more likely to make itself known constantly, every day. It can make chewing, swallowing, and eating properly difficult. Depending on the damage, you may require a new denture altogether.

If you’re experiencing any problems with your dentures, or suspect that they might be broken, it’s best to contact our Middleton, WI office immediately to avoid further damage. Dr. Joel Hartjes and Dr. Jon Szewczyk and our team are always here to help, especially when your dental health is at risk.

These things happen, so don’t feel embarrassed and please don’t hesitate to give us a call as soon as you notice or suspect something’s wrong! Get in touch with us … the sooner the better.

Xerostomia, otherwise known as dry mouth, can be a side effect of many common medications. Drugs used for blood pressure, birth control, antidepressants, or cancer treatments may cause the dry mouth problems you’re experiencing. When you have dry mouth, you’re more likely to experience tooth decay and an increased risk of developing periodontal disease. Medication can sometimes be the cause of dry mouth in women, and lead to an increased amount of cavities.

You may not develop a cavity for years, but suddenly find more than one when you’re on medication for several months. This is due to there being less saliva in your mouth, which normally prevents bacteria from flourishing. When there is a lack of saliva flow, your mouth will be more likely to host tooth decay and be more prone to gum disease.

You may not notice it, but birth control can lead to inflammation of the gums and bleeding because of dry mouth. The condition can also emerge if you’ve undergone cancer treatments such as radiation, because your saliva glands may be damaged in the process.

Boosting saliva production is critical for treating xerostomia. Many over-the-counter saliva products are designed to help manage dry mouth. For women with severe cases of dry mouth and decay, we may recommend in-home fluoride treatments that offer extra enamel protection. This can come in the form of fluoride trays, prescription toothpaste, or a special fluoride rinse.

Other ways to relieve dry mouth include chewing sugar-free gum, limiting caffeine intake, avoiding mouthwashes that contain alcohol, sipping water regularly, using a humidifier at night, and stopping all tobacco use.

If you believe you may be experiencing symptoms of dry mouth, contact our Middleton, WI office to schedule an appointment with Dr. Joel Hartjes and Dr. Jon Szewczyk. It’s wise to take medications that have been prescribed by your doctor, but it’s also smart to watch for any side effects. If you think a medication is causing you to have dry mouth, let’s figure out how to manage your symptoms as a team!

Should a quick bite between meals make us feel guilty? Or worse, make our teeth suffer a greater risk of cavities? Let’s avoid both those possibilities! We have several tooth-healthy snacking strategies designed to help you keep your enamel cavity-free while preventing snacker’s remorse.

But first, a word or two about why we may find snacking unappetizing.

• Please, Don’t Feed the Bacteria!

The bacteria in plaque feed on sugars and leave acidic waste products behind. These acids attack enamel, dissolving the calcium and phosphorus minerals that keep it strong. Weakened enamel leaves teeth vulnerable to decay. That’s why Dr. Joel Hartjes and Dr. Jon Szewczyk and our Middleton, WI team recommend avoiding a steady diet of sugary treats.

Even if you’re not reaching for a soda, or grabbing a candy bar, many snack foods are filled with added sugars. Check the nutritional labels before you indulge to avoid sugar surprises.

• Off Balance?

Bacteria plus sugar equals more acidic conditions in the mouth. This change in the oral pH balance also reduces our natural defenses against cavity-causing acids.

A well-balanced oral environment depends on saliva to keep acids in check. Saliva washes away lingering food particles after meals, and it neutralizes acidic conditions in the mouth over the course of the day.

How does snacking interfere? Immediately after eating or drinking, acids in saliva increase. It takes about 20 minutes for saliva’s neutralizing process to begin. When we snack throughout the day, saliva doesn’t have a chance to reduce acids as long or as effectively.

• Staying Power

Sticky and chewy snacks tend to stick to the tops of molars and between the teeth. This gives bacteria more fuel and more time to attack tooth enamel. It’s not just candies that are the culprits here. Chips, bread, pizza crusts, pastries—these simple carbs stick to teeth and break down easily into sugars.

But we promised some *positive* strategic snacking ideas. Here are some ways to make sure that snacking doesn’t put you at a much greater risk for cavities.

• Be Choosy

Avoid processed treats that are high in added sugars. If you’re craving something sweet, fresh fruits provide sweetness with vitamins included.

Crispy fruits such as apples and Bosc pears, as well as vegetables like celery and carrots, provide gentle scrubbing action to help clean teeth between brushings.

Snacking on cheese helps neutralize acids, and other dairy products are high in calcium and phosphorus, helping rebuild the minerals that acids leach out of enamel.

Eat whole grain breads, pastas, and pastries. They offer more nutrients, and don’t break down into sugars as easily.

Finally, when it’s time to indulge in a sugar-rich treat, save it for a meal. There’s a better chance that other foods will balance the acids created by sugar, and you’ll be getting the most out of saliva’s neutralizing abilities. Speaking of which,

• Stay Neutral

When you’re craving something flavorful without giving bacteria more fuel for acid production, consider sugar-free gum. Sugar-free gum saves you from adding sugar to your diet, and it increases saliva production as you chew. If we give you the all-clear, chewing a piece or two of gum during the day can help curb your sugar cravings and protect your enamel.

Thirsty? Drink water instead of sodas or energy drinks with your snacks. Water washes away food particles, cuts down on acidity, and provides fluoride to strengthen and protect teeth.

• To Brush or Not to Brush?

It’s always a good idea to brush after eating. But since eating sugary or acidic foods can leave enamel vulnerable to toothbrush abrasion, many dentists recommend waiting 30 minutes after you snack before brushing. Ask Dr. Joel Hartjes and Dr. Jon Szewczyk what’s best for your teeth.

If you can’t brush, rinse with water after eating or drinking.

If you wear braces or aligners, be sure to check with Dr. Joel Hartjes and Dr. Jon Szewczyk about snacking, gum, best times to brush, and any other diet questions.

Talk to Dr. Joel Hartjes and Dr. Jon Szewczyk about your snacking habits. Learning when and how to snack is as important as deciding what to snack on. Finding the perfect balance means you can enjoy a mid-day energy boost without guilt—and without risking tooth decay!