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One of the most charming aspects of your baby’s beautiful smile is his brilliantly white teeth. But now that his adult teeth are coming in, the difference in color is very noticeable. Is this something to be concerned about? Happily, probably not.

Both baby teeth and adult teeth have the same basic structure. The inside of the tooth, the pulp, contains blood vessels and nerves. The pulp is covered by a layer of dentin, a hard, yellowish substance composed of living tissue that helps protect the pulp and transmits signals for pain, pressure, and temperature. Enamel is the outer protective covering of the tooth, and its natural color can vary from greyish-white to light yellow.

If primary and permanent teeth are so alike, how can they look so different? As with so many things, the difference lies in the details. In adult teeth, enamel is semi-translucent, so it will allow the color of what is beneath it to show through. And the color of the thick dentin beneath is naturally yellow. Baby teeth have a thinner layer of the yellowish dentin. And while their enamel is also thinner, the enamel in baby teeth is generally whiter and more opaque, so less of the underlying yellow from the dentin is visible.

The result of these small differences is that adult teeth are normally darker than baby teeth to begin with. And when a permanent tooth that is just a bit darker erupts next to a bright white baby tooth, it is going to look even more yellow than it actually is. Once all of the baby teeth in front have been replaced with adult teeth, you will have a much better idea of their real color without unflattering comparisons!

There are times when concerns about tooth color should be looked at by Dr. Alvarez more closely.

• Unusual discoloration in teeth should be examined. Some discoloration is caused by medical conditions such as hypomineralization, some by environmental factors such as excess fluoride, some by trauma, some by medication. If you notice a discolored section of your child’s tooth, or the tooth has turned a different shade from the teeth around it, give us a call.
• Your child might have naturally whiter or yellower teeth simply as a matter of genetics. If your child is self-conscious about the color of his teeth, we can talk about whitening solutions when he is old enough to use them safely. Home whitening products should never be used on young children.

Give yourself time to adjust to your child’s new, adult smile. You will probably notice no difference at all once all of his permanent teeth come in. And keep those new teeth their brightest with consistent brushing and flossing, and regular checkups and cleanings at our Winter Park office. This is the simplest prescription for a charming, white, and healthy smile at any age.

First aid training is a must when you are a parent. You can put on a bandage with your eyes closed. Perhaps even apply butterfly tape to avoid stitches. What about a dental injury? Do you have a checklist in mind on what to do when a tooth is knocked out, broken, or displaced from impact? All of these situations happen often and should be in a parent’s emergency training regiment. Luckily Dr. Alvarez and our team are here to be a resource for such an incident!

Children’s most common dental injury is chipping a front tooth. It is so common that it seems like a right of passage. Say, for example, a two year old trips and hits her front teeth on the tile floor. First, check to see if the teeth have been broken to the nerve. You can tell if you see layers and a pinkish center. Then, wiggle each tooth and make sure it is not loose. If the teeth feel firmly in place, that is a good sign. Even if they are a little loose, the teeth will tighten again with time. If she develops a severe temperature or bite sensitivity then you know treatment is needed, which may include a root canal. If there are minor symptoms that diminish with time, continued observation will be fine.

Knocking out a tooth is also common and requires more attention than observation alone. As soon as possible, locate the tooth, touch only the crown (not the root), and rinse any debris gently with milk or water. Place it back into the tooth socket as soon as possible. The American Association of Endodontists states a tooth has a high chance of survival and retention for life if it is re-implanted within five minutes or up to 60 minutes if soaking in milk or saline solution. Our team at Winter Park Pediatric Dentistry know many parents are nervous about the thought of doing this alone, but not to worry, our team is here to help!

Here’s another dental emergency example: Your child takes an elbow to the mouth during a basketball game and severely displaces a tooth but does not knock it out. What to do? First, apply light pressure in an attempt to move it back into place. Be extremely careful not to use excessive force. Place a cold pack for swelling and contact our office as soon as possible.

A dental emergency can be frightening. It is often messy and painful. The best initial reaction is to remain calm, and remember that we are here to help! Contact us at our Winter Park office if your child encounters a dental emergency.

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. Alvarez 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 Winter Park 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. Alvarez check the sealant at every visit to our Winter Park 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 Winter Park 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.

Baby teeth are very important to your child’s present and future dental health, so we want to help you keep your child free from cavities and gum disease even before those permanent teeth erupt. That’s why we recommend professional cleanings at our Winter Park office—to keep plaque and tartar from damaging little teeth and gums.

But a dental cleaning might be a bit stressful for young children, especially when they’re not used to the steps, the sounds, and the sensations of the cleaning process.

So, just as we strive to make every examination and visit a positive experience for your child, we do our best to make their cleanings a happy, stress-free time. How do we do this? With your help!

• Preparation

A happy experience begins even before your child arrives in the office. If you are relaxed and positive before an appointment, you’ll help your child feel relaxed and positive, too.

Explaining what goes on during a cleaning even before your visit will help your child feel more comfortable when unfamiliar tools like dental mirrors, scalers, and polishing brushes are used. You can talk about your own experience, read a book together, watch a video, or find online resources to help your child understand what will happen during your visit, and why cleanings are so important for happy, healthy teeth.

Sometimes children benefit from a form of mild, conscious sedation (such as nitrous oxide) when they have special health needs or dental anxiety. If you feel this is an option we should discuss, please talk to us in advance and we’ll answer any of your questions.

• Pre-Cleaning Examination

After being made welcome in the office and settled comfortably in the dental chair, we’ll examine your child’s teeth and gums for any signs of plaque and tartar.  A small, handled mirror is used to check out hard-to-see places behind the teeth and in the back of the mouth. Gum health is also important, and your child’s gums will be examined for any signs of gingivitis, or mild gum disease.

Plaque and tartar cause cavities and gum disease, even for young children. Finding any trouble spots will let us know where to concentrate on cleaning, and where you can help your child to brush more effectively.

• Removing Plaque and Tartar

No matter how well a child (or an adult!) brushes and flosses, plaque can build up in some hard-to-reach spots, especially between the teeth and along the gumline. And if plaque isn’t removed within a few days, it starts hardening into tartar—and tartar can’t be brushed away.

That’s why removing tartar is a job for a dental professional. Using a special tool called a scaler, we gently scrape built-up plaque and tartar off tooth enamel (especially where it tends to accumulate behind and between teeth) and near the gumline. Sometimes an ultrasonic scaler can be used to dislodge tartar with sound waves.

Scalers can make a scraping noise and cause some pressure, and ultrasonic scalers use a stream of water as they clean. We’re happy to explain, in an age-appropriate way, why tools make these noises and how they work to clean little teeth.

• Polishing & Flossing

After the plaque and tartar are removed, your child’s teeth will be polished with a power brush and a special gritty toothpaste. This is usually a bit noisy as well. A careful flossing and a final rinse will wash away any leftover particles or paste.

Once the teeth are cleaned, you may choose to have a fluoride treatment or a dental sealant applied to your child’s teeth.

• After a Cleaning

Your praise and encouragement are always welcome! Giving children praise for helping keep those little teeth clean, shiny, and healthy makes them partners in the process.

How do we clean your child’s teeth? Gently. Thoroughly. Expertly. We want to make sure each cleaning is just one of the many positive dental experiences your child will have in our office. Help us make your child’s cleaning appointment stress-free with positive preparation and reinforcement, and together we’ll start your child on the path to a lifetime of shining smiles and proactive dental care!