Our Blog


When should my child start using toothpaste and how much should I use?

July 26th, 2023

As a parent, it is your job to instill good dental habits in your kids, and this starts even earlier than you might realize. The American Academy of Pediatric Dentistry responds to the “when to start” question with a succinct “The sooner the better!”

From the time your baby is born, you should make sure that your child’s gums are regularly cleaned using water and a toothbrush made for infants. Once the first tooth erupts, you should visit the pediatric dentist for the first time. Dr. Parulkar and our staff often recommend that if your child is a year old, but has yet to get the first tooth, you should bring your son or daughter to our Lewis Center, OH office for his or her initial dental care appointment.

Once your child’s teeth start to appear, you can begin brushing two times per day, using fluoride toothpaste. Choose a toothbrush made specifically for your child’s age group, and one with has soft bristles.

Only a small smear of toothpaste is needed if your child is under two years old. Once the child celebrates his or her second birthday, you can use a pea-sized amount of fluoridated toothpaste. Continue this practice until your child is five.

Of course, it is important that you monitor your child’s tooth brushing closely to help educate about proper techniques. Some young children might try to eat or swallow toothpaste, and this needs to be strongly discouraged. Be sure to teach proper rinsing and spitting behavior to round out your child’s early childhood tooth-care regimen.

For young kids, tooth brushing can be made into a fun event, and you can find a multitude of special toothbrushes that appeal to kids. There are even uniquely flavored and colored toothpastes that might encourage your child to get into the brushing game!

Dental Sealants for Baby Teeth?

July 19th, 2023

Perhaps you’ve heard your friends talking about dental sealants, and how well they prevent cavities. And as soon as your child’s permanent molars come in, you absolutely plan to make an appointment at our Lewis Center, OH office for this treatment. But should you also be concerned with your child’s baby teeth? Could they benefit from sealants too?

Even though those beautiful baby teeth are going to be replaced with permanent teeth, they should still be protected. Primary teeth help with speech development, enable your child to develop proper chewing and eating habits, and serve as place holders so that permanent teeth can erupt in the correct place. That’s why you’ve been so careful to help your child brush and floss twice daily, and make regular visits to our office for exams and cleanings.

But some teeth are just harder to keep clean with regular brushing than others. Primary molars, just like permanent ones, have depressions and grooves on the chewing surfaces. These grooves collect bacteria and food particles that are hard for bristles to reach, providing a perfect opportunity for cavities to develop in those little molars.

Cavities are not the only problem which can affect primary teeth. Because baby teeth have thinner layers of protective enamel, a cavity can actually reach the pulp (the center of the tooth) more quickly, leading to pain and potential infection.

While baby teeth can be treated, with fillings, restorations, and even stainless steel crowns, preventing tooth decay is always our first, best choice. And dental sealants are recommended by the American Academy of Pediatric Dentistry and the American Dental Association as one of the most effective ways to prevent cavities in both baby teeth and adult teeth.

Dental sealants are safe and effective.  Sealants are thin coatings (usually a plastic resin or other dental material) that cover a molar’s grooves and depressions, making it impossible for bacteria and food particles to collect there. Applying them is a simple, pain-free process.

Each tooth will be examined first. If we find any signs of decay starting, we will gently treat that area before applying the sealant. After the tooth is cleaned and dried, an etching solution will be brushed on to the surface area being sealed. This etching roughens the surface so that the sealant will hold to the tooth more effectively. A thin coat of the sealant is then painted on and hardened under a curing light.

That’s all there is to it! Sealants typically last from three to five years, and some last even longer. Keep up your regular careful brushing and flossing, and we will monitor the condition of the sealants at each exam.

Talk to Dr. Parulkar about dental sealants. We’ll let you know if your child can benefit from the procedure even before those baby teeth give way to permanent ones. It’s never too early to prevent tooth decay!

How do I handle my child’s dental emergency?

July 19th, 2023

Kids are active, and with lots of activity comes the potential for mishaps. Before an emergency occurs, you’d be smart to stay informed about the problems your child may encounter.

Here are a few things you should keep in mind about teething pain, loose baby teeth, and other common dental issues.

Teething Pain

Discomfort while teething is common for babies from the time they are four months until they are about two and a half. Teething can cause drooling, tender gums, and irritability. To help relieve your child’s discomfort, gently rub his or her gums with wet gauze or offer a cold teething ring.

Loose Baby Tooth

It is normal for a child’s first set of teeth to become loose and fall out. If a tooth is knocked out by a forceful blow, however, you should make an appointment with our office to determine whether any damage may have occurred. You should also book an appointment if the baby tooth that’s on its way out develops a crack but doesn’t fully fall out.

Issues with Permanent Teeth

Sometimes, permanent teeth can come in before the baby teeth have fallen out. In this event, schedule an appointment with us even if your child does not report discomfort or pain. Dr. Parulkar will need to determine if the permanent teeth are coming in correctly to avoid problems later on.

Bleeding Gums

Bleeding gums can have multiple causes: periodontal disease, rough brushing, or an injury to the gum tissue. If your child experiences heavy bleeding, it’s vital to call our office immediately. Wash the youngster’s mouth with warm salt water and put gentle pressure on the area to soothe it before your appointment.

Dr. Parulkar and our team are always here to address any concerns you may have regarding your child’s dental health. Contact our Lewis Center, OH office for emergency services 24 hours a day, seven days a week.

Wrong Time/Wrong Place?

July 13th, 2023

In a perfectly predictable world, your child’s teeth would come in—and fall out—right on schedule, right in place. But life isn’t perfectly predictable, and teeth can erupt—or fail to erupt—in their own time and in unexpected places. Let’s look at a few of the ways your child’s teething development can differ from “typical” schedules.

  • Leaving So Soon?

Sometimes a baby tooth is lost early because of injury or decay. And baby teeth are important for more than creating an adorable smile. These little teeth help your child with eating, speech, and jaw development. And they serve another purpose as well—they are essential place holders for your child’s adult teeth.

When a baby tooth is lost too early, the neighboring teeth can drift into the open space. Adult teeth waiting to arrive will tend to erupt in any space left available, whether it’s the right space or not. This can lead to bite problems and misaligned and/or crooked teeth. Depending on your child’s age, and which and how many teeth are affected, your dentist might recommend a space maintainer.

Fixed space maintainers are attached to the lost tooth’s neighboring teeth to keep them in place. Removeable space maintainers resemble retainers, and are usually recommended for older children. Both fixed and removable appliances serve to keep the baby teeth spaced apart just as they should be, preventing neighboring teeth from shifting to fill the empty spot, and making sure there’s enough room for the adult tooth to arrive right on schedule and right where it belongs.

  • Hangers-On

Losing baby teeth too early isn’t the only punctuality problem that can arise with little teeth—sometimes baby teeth don’t seem to realize when they’ve worn out their welcome.

The roots of baby teeth are much smaller than those of adult teeth. When a permanent tooth starts to erupt, it pushes against the root of the baby tooth above it. This pressure breaks down the root of the primary tooth, leaving the tooth loose and just waiting to fall out.

Sometimes primary roots don’t dissolve, though, which means the permanent teeth will erupt beside those lingering baby teeth. The result is a double row of teeth. Because all these teeth in one small jaw can cause crowding and misalignment, it’s a good idea to schedule a visit with Dr. Parulkar when you see two sets of teeth where only one is welcome! This is especially true for older children, when the molars start erupting.

  • No-Shows

When a tooth fails to erupt at all, it’s called an embedded tooth. When a tooth is blocked from erupting, it’s called an impacted tooth. Factors like the jaw size, tooth size, genetics, trauma, and medical conditions can affect eruption.

There’s no perfect eruption schedule for every child. Even typical eruption charts provide a range of several months to several years during which baby teeth arrive, baby teeth are lost, and adult teeth appear.  But any time you have any concerns about your child’s tooth development, talk to Dr. Parulkar to see whether the situation will correct itself in time or whether treatment is recommended.

If the unpredictable occurs in your child’s teething schedule, working proactively with our Lewis Center, OH  dental team is the best way to create a lifetime of predictably happy, healthy smiles.

Back to Top