Is Fluoride Safe? A Pediatric Dentist’s Take on One of the Most Common Questions I Get from Parents

June 20th 2025

 Is Fluoride Safe? A Pediatric Dentist’s Take on One of the Most Common Questions I Get from Parents

By Dr. Nate, Pediatric Dentist at Carolina Orthodontics & Children’s Dentistry

If you're a parent, you’ve probably asked yourself this question at least once: Is fluoride actually safe for my child? You’re not alone. This is one of the most common topics that comes up during dental visits, and I completely understand why.

As someone who has spent his career caring for children’s oral health—I take this question seriously. I also know there’s a lot of mixed information out there, especially online. So let’s take a deep breath, cut through the noise, and talk honestly about fluoride: what it is, why we use it, and how to do so safely.

What Is Fluoride?

Fluoride is a naturally occurring mineral found in water, soil, and even some foods. It's been added to toothpaste and public water supplies for decades because of its powerful ability to protect teeth. Fluoride strengthens tooth enamel, the hard outer surface of our teeth, making it more resistant to decay.

In short: fluoride helps fight cavities. And for kids, that’s a big deal.

Why Is Fluoride Important for Children?

Children are more prone to cavities than adults—especially as their teeth are developing and their brushing habits are still improving. Even small cavities can lead to pain, missed school days, infections, and expensive treatments down the line.

Fluoride gives kids’ teeth a boost by:

• Rebuilding weakened enamel
• Slowing down the loss of minerals from tooth surfaces
• Making teeth more resistant to acid from bacteria in the mouth
• Even reversing very early stages of tooth decay

When used correctly, fluoride acts as a gentle shield that keeps teeth healthy as children grow.

So, Is It Safe?

This is the heart of the matter. And here’s the good news: yes, fluoride is safe when used appropriately.

The American Dental Association, the American Academy of Pediatrics, and the Centers for Disease Control and Prevention all support the use of fluoride for preventing tooth decay. These recommendations are based on decades of solid scientific research.

It’s important to understand that like many things in life—vitamins, sunshine, even water—too much of a good thing can be harmful. But the amounts of fluoride in toothpaste and public water are carefully regulated to be both safe and effective.

What About Fluorosis?

Fluorosis is a word that sometimes raises concern, so let’s talk about it. Dental fluorosis is a cosmetic condition that can occur if children consume too much fluoride while their teeth are still forming under the gums. It typically shows up as faint white spots on the teeth.

But here’s the thing—mild fluorosis is not harmful, and it doesn't affect the function or health of the teeth. In fact, it’s often so subtle that most people wouldn’t notice it without a dentist pointing it out.

The key to avoiding fluorosis is supervising young children during brushing and using the right amount of toothpaste. Here’s a quick guide:

• Under age 3: Use a smear of toothpaste, about the size of a grain of rice.
• Ages 3 to 6: Use a pea-sized amount.
• And always encourage kids to spit out the toothpaste instead of swallowing.

What About Fluoride in Drinking Water?

Many communities in the U.S. add a small amount of fluoride to their public water supply. This process, called water fluoridation, has been shown to reduce tooth decay in children and adults by about 25%.

Some parents worry about long-term health effects, but studies have shown that fluoride at the recommended levels in drinking water is not associated with any serious health risks. It’s actually one of the most effective and affordable ways to help protect entire communities from cavities—especially kids.

How Can You Use Fluoride Safely at Home?

Here are a few tips we share with families at our practice:

• Use fluoride toothpaste (just the right amount, depending on age).
• Help your child brush until they can do a thorough job on their own—usually around age 7 or 8.
• Don’t use fluoride mouth rinses unless directed—these are typically recommended only for older kids or those with a higher risk of cavities.

Still Have Questions? You’re Not Alone

We know that every child is different, and every parent wants to make the best decisions for their family. If you ever have questions about fluoride or anything else related to your child’s dental health, please don’t hesitate to ask. Our job isn’t just to clean teeth—it’s to be a resource for you, and to work together toward building healthy habits that last a lifetime.

At Carolina Orthodontics & Children’s Dentistry, we’re here to make those big decisions feel a little less overwhelming. You can trust that we’ll always take the time to explain the “why” behind our recommendations—because parenting is hard enough without second-guessing every tube of toothpaste.

Final Thoughts

Fluoride is a safe, smart tool in the fight against tooth decay—especially when it’s used correctly. And in the world of pediatric dentistry, preventing cavities before they start is one of the best gifts we can give your child.

Thanks for trusting us with your child’s smile. We’re honored to be part of their journey toward a lifetime of healthy habits.

— Dr. Nate
Pediatric Dentist
Carolina Orthodontics & Children’s Dentistry

Let us help you achieve the smile you deserve, a smile for all seasons!

Click here to learn more about COCD & our united stance on the importance of fluoride for cavity prevention & overall dental wellness.

Scheduling is easy & we have 7 locations to choose from: 

Cary, Fuquay Varina, Apex, Raleigh, Rolesville, Fayetteville, & Pittsboro.

Our goal is to provide you with a smile for all seasons, for all reasons!

👍ONLINE SCHEDULING NOW AVAILABLE

BOOK YOUR VISIT TODAY

"Creating Smiles For All Seasons"

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| Pittsboro |

Why Choose Invisalign?

May 27th 2025

Why Choose Invisalign? 

A Clear Choice for a Confident Smile 😁

Let’s be honest — when most people think of orthodontics, their minds jump to a mouth full of metal, tightening appointments, and food restrictions galore. But what if we told you there’s a way to straighten your teeth that’s sleek, simple, and surprisingly high-tech?

Enter Invisalign®: the modern solution to achieving your dream smile without the brackets and wires. Whether you’re a teen, a busy adult, or just someone who’s been avoiding braces altogether, Invisalign may be the game-changer you've been waiting for. Let’s explore why choosing Invisalign is a smart (and stylish) move!

What Is Invisalign, Anyway?

Invisalign is an orthodontic treatment that uses a series of clear, custom-made aligners to gently shift your teeth into place. Instead of brackets and wires, these trays are made from smooth, BPA-free plastic. They’re nearly invisible — hence the name! — and can be easily removed when eating, brushing, or taking selfies.

Pro #1: Virtually Invisible

We get it — most people want straighter teeth without the “metal mouth” look. Invisalign trays are clear and fit snugly over your teeth, so most people won’t even know you’re wearing them. That means you can smile with confidence at work, school, on dates, or during big life events. 🎉

Pro #2: Comfort You Can Feel

Unlike traditional braces, which can poke, prod, and irritate your cheeks and gums, Invisalign aligners are smooth and custom-fit. There are no emergency trips to the office for broken wires or painful bracket adjustments — just a comfortable, gradual transformation.

Pro #3: Eat What You Love 🍕🥦🍿

One of the biggest perks? No food restrictions. With traditional braces, sticky, crunchy, or chewy foods are off-limits. But with Invisalign, you simply remove your aligners before meals. That means popcorn at the movies, crunchy apples, or chewy bagels are still on the menu!

Pro #4: Fewer Office Visits — Thanks to DentalMonitoring 📲

Welcome to the future of orthodontics! At our practice, we pair Invisalign treatment with DentalMonitoring — a cutting-edge app that keeps your progress on track between appointments.

Here’s how it works:

• Each week, you scan your smile at home using the provided ScanBox and the DentalMonitoring app.

• Your orthodontist reviews your scans and lets you know if it’s time to move to your next set of trays.

• Got a concern? Just send us a message through the app — no need to wait for your next visit!

This tech-savvy tool means fewer in-person visits (great for those with packed schedules) and more direct communication with your doctor. You’re never on your own during treatment, and we’re just a scan away.

Pro #5: Say Goodbye to Goopy Impressions 👋

If you’ve ever had dental impressions taken the old-fashioned way, you probably remember the gag-inducing goop and uncomfortable trays. Luckily, that’s a thing of the past.

We use the iTero® digital scanner, a handheld wand that captures a detailed 3D image of your teeth — no mess, no stress. It’s fast, precise, and allows you to see what your new smile will look like before you even start treatment. Pretty cool, right?

Who’s a Good Candidate for Invisalign?

You might be surprised to learn how many orthodontic concerns Invisalign can address. It’s not just for mild cases!

Ideal candidates include those with:

• Crowded teeth

• Gaps between teeth

• Overbite or underbite

• Crossbite or open bite

• Relapsed movement after previous orthodontic treatment

Teens and adults alike can benefit, and thanks to advances in aligner technology, more complex cases can be treated than ever before. Not sure if you’re a candidate? A quick consultation with our team can give you all the answers.

Invisalign vs. Traditional Braces vs. No Treatment At All

The takeaway? Invisalign offers a balance of aesthetics, comfort, and effectiveness that traditional braces and doing nothing simply can’t match.

Your Journey Starts with a Smile

At Carolina Orthodontics & Children's Dentistry, we believe everyone deserves a confident, healthy smile — and the journey to get there should be smooth, supportive, and even fun. With Invisalign, DentalMonitoring, and iTero scanning, we combine cutting-edge tech with personalized care to make sure your experience is top-notch from start to finish.

Still have questions? Ready to start your smile transformation? Let’s talk! Schedule a complimentary consultation and find out how Invisalign can fit into your life — no metal required. 😄

Want to learn more? Click [here] to book your FREE Invisalign consultation today!

"Creating Smiles For All Seasons"

| Cary | Fuquay | Apex | Brier Creek | Rolesville | Fayetteville |

| Pittsboro |

Kicking the Habit, lets talk about the damages to your child's smile

April 24th 2025

Kicking the Habit, Let's Talk About the Damages to Your Child's Smile

Your child has their favorite binky toy or pacifier; it soothes them during those difficult moments. Or maybe it is their favorite finger that helps them during stressful situations, when you look at their finger you can see the wrinkles and indentation from the habit. You know at some point they need to stop their habit, but you are also considering potty training in the coming months. Of course that would not be a good time to try to stop the habit. Why would you consider stopping this habit now, it has saved you many sleepless nights or when the car ride gets a little too long? How will anyone else in your home sleep without the pacifier or thumb sucking? How will your child cope with breaking their habit? When is the best time to stop? What are the consequences if we wait to stop the habit? 

Parents may feel guilty or worried about taking away something that brings their child peace. Rest assured, you’re not alone in this struggle. Researchers have noted that pacifiers act as security objects, much like a favorite blanket or stuffed animal, and are a normal part of development for the majority of infants and toddlers. So if your little one seems very attached to their binky or thumb, remember that it’s a common experience – and with a supportive approach, you can gently help them move on when the time is right.

What Is Non-Nutritive Sucking Behavior (NNSB)?

Before diving into solutions, let’s understand the habit itself. Non-nutritive sucking behavior (NNSB) refers to sucking that isn’t for feeding – typically on pacifiers, thumbs, fingers, or other objects – purely for comfort. It’s a fancy term for a very normal habit. Babies are born with the urge to suck (it’s how they eat!), and they quickly learn that sucking on a pacifier or their thumb can calm them down and help them feel secure. This self-soothing behavior can help infants cope with everything from boredom to stress. A pacifier, for example, might be offered after a feeding or at bedtime to satisfy a baby’s natural urge to suck when they’re not hungry.

NNSB is extremely common in infancy. By around 3 months old, about two-thirds of babies in the United States have at least some attachment to a pacifier. Many infants continue to enjoy pacifiers or thumb-sucking through their first year – it’s a normal and healthy coping mechanism. As children grow, most find other ways to soothe themselves (like hugging a teddy bear or using words to ask for mom or dad). Indeed, most children give up pacifiers and thumb-sucking on their own between 2 and 4 years of age. During this toddler period, you might notice your child naturally losing interest in the pacifier as they become more engaged in the world around them. But what about the kids who hang on to that binky a bit longer? That’s where a closer look at timing and potential impacts becomes important.

Why Timing Matters

You might be wondering: When should my child stop using a pacifier or sucking their thumb? The general rule of thumb (no pun intended!) is by the age of 3 to 4 years. Many pediatric dentists and pediatricians recommend actively weaning off the pacifier around the preschool years if your child hasn’t stopped on their own. There are a couple of reasons for this timing. First, baby teeth (primary teeth) are still developing, and the jaw is growing rapidly. Prolonged sucking beyond age 3–4 can start to shape the mouth in an undesirable way. Second, around age 4–5, children are getting closer to the stage when their permanent teeth will begin to come in (usually around age 6 for the first adult teeth). Quitting the habit before permanent teeth erupt greatly increases the chance that any minor dental changes from sucking will self-correct as the child grows. In other words, if you can help your child ditch the pacifier by age 4 or so, you’re likely to avoid long-term effects on their bite.

Conversely, the longer the habit continues past age 4, the more likely it is that a child may develop dental issues that need intervention. Frequent pacifier use over a long period can cause the upper front teeth to tip outward or not meet properly, and can even affect jaw growth. These changes don’t happen overnight, but gradually. By intervening at the right time – ideally by the third or fourth birthday – you minimize the risk of these problems. The American Academy of Pediatric Dentistry notes that the earlier a child stops a sucking habit, the less chance of orthodontic problems down the road. So, timing truly matters: you want to hit that sweet spot where your child is old enough to understand and cope without the pacifier, but young enough to prevent lasting dental changes.

The Consequences

What actually happens if a child keeps sucking their thumb or pacifier for too long? Dental development can be affected. The constant pressure of a thumb or pacifier can change how the teeth and jaws grow. One common outcome is malocclusion, which is a fancy word for the teeth being misaligned or the bite not fitting together properly. For example, the top front teeth might start to jut outward (sometimes called “bucked teeth”) or the child could develop an open bite – a gap where the front top and bottom teeth don’t touch even when the mouth is closed. Long-term pacifier or thumb use is a known cause of these types of bite problems. The good news is that if the habit is stopped early, a young child’s teeth and jaw often naturally realign as they grow. The baby teeth might have looked a bit crooked or the bite was open, but the later developing permanent teeth can come in normally once the sucking pressure is gone.

However, if a child continues these sucking habits after age 5 or 6, when permanent teeth start appearing, those dental changes may become more permanent. Prolonged, intense sucking can also contribute to a narrowing of the upper jaw arch and a misalignment called a crossbite in the back teeth. In some cases, children who don’t break the habit might require orthodontic treatment (like braces or expanders) later to correct their bite. Beyond the visible teeth alignment issues, there are other considerations: an altered bite can sometimes make it harder for a child to pronounce certain sounds or to chew effectively. And although less common, there’s even a risk of the habit causing changes in tongue placement and swallowing patterns if it persists long enough.

In summary, after about age 4, the risks to your child’s dental health start to outweigh the benefits of non-nutritive sucking. That doesn’t mean you need to panic the day after their 4th birthday, but it does mean it’s a good time to make a plan for kicking the habit. Nearly all the dental consequences can be avoided or reversed with timely intervention. Knowing this can give you extra motivation to help your little one say goodbye to the binky or thumb – it’s all about protecting that precious smile!

When and How to Intervene

So your child is at that age where it’s time to bid farewell to the pacifier – how do you start? The first step is assessing readiness. Every child is different: some 2-year-olds might readily toss their pacifier, while some 4-year-olds cling to it for dear life. Look for signs that your child might be ready to wean off. Can they understand simple explanations like “we’re going to send the binky to the baby fairies soon” or “big kids don’t need pacifiers as much”? If they’re old enough to talk about it, involve them in the conversation. Choose a time to intervene when life is relatively calm. Avoid attempting this during big transitions like starting preschool, moving homes, the arrival of a new sibling, or even during an illness or potty training.  Timing is key – don’t try to ditch the pacifier during major life changes or travel, because it can add unnecessary stress. Pick a stretch of a few weeks when routines are stable and your child can handle a new challenge.

Next, make a plan together. Some families opt for gradual weaning: for example, limit pacifier use to nap time and bedtime for a week or two, then only bedtime, and then not at all. This gentle step-down approach lets the child slowly get used to less and less pacifier time. Other families choose the “cold turkey” route – when you and your child are ready, you collect all the pacifiers and say goodbye to them on a chosen day. There’s no right or wrong, as long as the approach is loving and consistent. It can help to get all caregivers on board with the plan, there's nothing worse than making progress and then your kid visits grandma's house and is given a new pacifier. Make sure grandparents, daycare providers, and babysitters know about the plan and stick to it, so your child isn’t getting mixed messages (or sneaking a binky on the side!). If you’re unsure about the best strategy, this is a great time to consult your pediatric dentist. Pediatric dental professionals have lots of experience with this very issue and can offer personalized guidance and encouragement. In some cases, simply having the dentist explain to your child that it’s time to stop can make a big impression. The key is to approach this milestone with patience and positivity.

Support and Solutions That Work

Breaking the pacifier or thumb-sucking habit is much easier with the right support and a few tricks up your sleeve. One effective strategy is positive reinforcement. Rather than scolding your child when you catch them sucking their thumb or asking for the pacifier, focus on praising them when they’re not doing it. For example, if you notice your child watching TV without the pacifier, say, “I’m so proud of you for playing without your binky!” This shifts the attention to the behavior you want to see. You can also use reward systems – many parents have success with sticker charts or small prizes for each day (or night) without the pacifier. Make it fun and celebratory, so your child feels proud of their progress.

Another helpful approach is to identify triggers. Notice when your child tends to want the pacifier. Is it when they’re tired? Anxious? Bored? Once you know the situations that trigger the habit, you can find alternative comforts. For instance, if your child reaches for the pacifier when they’re upset or insecure, try to address the root cause: give extra cuddles, talk calmly about their feelings, or offer a favorite stuffed animal for comfort. If boredom is the trigger (say, long car rides or waiting in a grocery line), distract them with a fun activity or a game. Many parents “swap” the pacifier with another special object – perhaps a cuddly toy or blanket – that the child can use for comfort instead. We have even had parents who take their child to Build-A-Bear Workshop and have the child put their favorite pacifier inside the bear allowing them to still use for comfort.

When simple encouragement isn’t enough, you can get creative. Some families talk about the “Pacifier Fairy” or “Binky Fairy,” a magical character who collects pacifiers to give to new babies and leaves behind a gift for the child in return. Others have a “Goodbye Binky” party or let the child trade all their pacifiers for a new toy at the store. These kinds of rituals can make the process feel positive and intentional rather than a loss. It gives your child a sense of control and excitement about growing up. Involve your child in choosing the method – maybe they like the idea of giving their pacifiers to the fairy, or perhaps they’d rather pack them up and mail them to a pretend place. By giving them a role in the decision, you help them feel empowered.

If you’ve tried everything and the habit persists, don’t despair. There are additional tools and supports. The American Dental Association (ADA) and pediatric dentists sometimes suggest gentle habit reminders if needed – for example, putting a bandage or a special sock on the thumb at night as a reminder not to suck. You can even use an over-the-counter method like "Mavala Stop", the taste is bitter so it discourages putting your fingers inside your mouth. For thumb-suckers or kids who seek the pacifier at night, there are also physical aids you can get. One example is a soft plastic guard that a child wears on their thumb, which breaks the suction and makes thumb-sucking less satisfying. Such devices have been found to be very effective in many cases, without causing the child discomfort. We have even seen success in some extreme cases where parents gently and some-what loosely wrap the child's elbow with an ace bandage (or purchase a wrap online), this makes bringing the arm/thumb to face more difficult while a child is sleeping and can help them stop.

Finally, in situations where a child is really struggling to stop and their teeth are being affected, a pediatric dentist might recommend a special orthodontic appliance called a palatal crib. This small device is placed in the upper mouth and gently prevents the thumb or pacifier from suctioning against the palate. It serves as a constant, passive reminder and usually stops the habit fairly quickly. Dental appliances, along with supportive counseling (like positive reinforcement), can successfully help children quit persistent sucking habits. Most families won’t need to go that far, but it’s nice to know there are solutions in case your child needs extra help. Whatever methods you choose, remember to stay gentle and supportive. Breaking a habit is hard work for a little kid, and your understanding means the world to them.

Final Thoughts: Teamwork and Patience Pay Off

Helping your child give up their pacifier or thumb-sucking habit can feel daunting, but with teamwork and patience, it will happen. Embrace a supportive mindset: you and your child are on the same team, working together to reach this milestone. Expect that there may be some tears or setbacks – that’s okay. Staying consistent with helping your child give up their pacifier or thumb-sucking habit can feel daunting, but with teamwork and patience, it will happen. Stay consistent with your chosen plan, and celebrate small victories along the way (even a few hours without the pacifier is progress!). Remember that positive reinforcement and understanding go a lot further than scolding or punishment. If your child has a slip-up, respond with gentle reassurance that they can keep trying. This encourages them to keep going rather than feeling ashamed.

Finally, don’t hesitate to lean on pediatric dental professionals for help and advice. Your child’s dentist has seen it all when it comes to binky battles and thumb-sucking, and they can be a great coach for both you and your child. They can examine your child’s teeth to see if any changes are developing and guide you on the urgency of stopping the habit. Often, a friendly talk from the dentist about “big kid teeth” is enough to motivate a child. And if you need extra support, dentists can recommend proven strategies or devices (like that palatal crib) to ensure success. The bottom line is that you’re not alone – breaking this habit is a common challenge, and pediatric dentists are experts in helping families through it.

In the end, patience and teamwork pay off. It may take some creativity and a lot of hugs, but your child will eventually let go of the pacifier/thumb and move on to new ways of self-soothing. When that day comes, applaud your child’s effort – and give yourself a pat on the back, too. You’ve helped protect their healthy smile and supported their emotional growth at the same time. By approaching the process with love, understanding, and the right timing, you’ll make the binky farewell a positive experience for your child. And remember, every child develops at their own pace. With your gentle guidance (and input from your pediatric dentist), your little one will be habit-free before you know it – showing off their grin with the confidence that together, you conquered this challenge.

📅 Ready to schedule your next dental visit? Scroll & choose which scheduling option works best for your family

Let us help you achieve the smile you deserve, a smile for all seasons!

Click here to learn more about COCD

Scheduling is easy & we have 7 locations to choose from: 

Cary, Fuquay Varina, Apex, Raleigh, Rolesville, Fayetteville, & Pittsboro.

Our goal is to provide you with a smile for all seasons, for all reasons!

👍INTRODUCING ONLINE SCHEDULING FOR NEW PATIENT'S

BOOK YOUR VISIT TODAY

"Creating Smiles For All Seasons"

| Cary | Fuquay | Apex | Brier Creek | Rolesville | Fayetteville |

| Pittsboro |

Nutrition & Dental Wellness: Fueling Healthy Smiles For All Seasons

March 21st 2025

Nutrition & Dental Wellness: 

Fueling Healthy Smiles For All Seasons

March is National Nutrition Awareness Month, making it the perfect time to talk about the important connection between what we eat and our oral health. A balanced diet isn’t just beneficial for overall wellness—it plays a crucial role in maintaining strong teeth and gums. This is especially true for children and those undergoing orthodontic treatment, as their smiles require extra care and attention.

At Carolina Orthodontics & Children's Dentistry, we are committed to helping families make informed choices about their dental health, starting with the foods they eat. In this blog, we’ll explore key nutritional recommendations that support both general oral health and those with braces or aligners.

The Link Between Nutrition & Oral Health

What you eat directly impacts the health of your teeth and gums. Foods rich in essential vitamins and minerals help strengthen enamel, promote gum health, and prevent tooth decay. On the other hand, sugary and acidic foods can contribute to cavities, enamel erosion, and gum disease.

For children, proper nutrition supports the development of strong teeth, while for orthodontic patients, eating the right foods can make treatment more comfortable and effective- which in turn gives you the smile you've been dreaming of.

Best Foods for a Healthy Smile

To maintain strong teeth and gums, incorporate these nutrient-rich foods into your diet:

🥦 Calcium-Rich Foods – Calcium is essential for strong teeth and bones. Dairy products like milk, cheese, and yogurt are great sources, as well as leafy greens, almonds, and fortified plant-based milks.

🐟 Phosphorus-Packed Foods – Foods like fish, eggs, nuts, and lean meats help protect and rebuild tooth enamel.

🥕 Crunchy Fruits & Veggies – Apples, carrots, and celery help clean teeth naturally by stimulating saliva production and scrubbing away food particles.

🥑 Vitamin-Rich Foods – Vitamins A, C, and D are key to gum health, immune support, and enamel strength. Enjoy citrus fruits (in moderation), leafy greens, sweet potatoes, and fatty fish.

💧 Water – Staying hydrated is essential for overall health and helps wash away bacteria and food particles from your teeth. Fluoridated water is particularly beneficial in strengthening enamel and preventing cavities.

Foods to Avoid for Better Dental Health

While it’s important to focus on nutrient-dense foods, there are certain foods and beverages that can be harmful to your teeth:

❌ Sugary Snacks & Drinks – Sodas, candy, flavored milk, and sports drinks contain high amounts of sugar & feed bacteria, leading to cavities and plaque buildup.

❌ Sticky & Chewy Foods – Gummy candies, dried fruit, fruit snacks (organic or not- it's the texture) and caramel can get stuck between teeth and braces, increasing the risk of decay.

❌ Acidic Foods & Drinks – Citrus fruits, tomato-based foods, and carbonated drinks can erode enamel over time. If consumed, rinse your mouth with water afterward. We recommend having carbonated drinks or high in sugar drinks once daily and preferably at a mealtime. Frequent sipping on sugary drinks can cause major damage to your smile.

❌ Hard Foods – Hard candies, ice, and even popcorn kernels can damage enamel and pose a risk of breaking brackets for those with braces.

Nutrition Tips for Orthodontic Patients

If you or your child has braces or clear aligners, you’ll need to be extra mindful about what you eat to protect your orthodontic appliances and keep your treatment on track. Here are some specific tips:

🔹 Stick to Soft Foods After Adjustments – Braces adjustments can cause temporary soreness. Enjoy soft foods like mashed potatoes, yogurt, smoothies, and scrambled eggs to stay comfortable.

🔹 Avoid Hard, Crunchy, or Sticky Foods – These can break brackets, bend wires, or get stuck in aligners, prolonging treatment time.

🔹 Cut Fruits & Veggies into Small Pieces – Instead of biting directly into apples or raw carrots, slice them into small pieces or cook them until they’re softer.

🔹 Drink Plenty of Water – Water helps keep your mouth clean and free from food particles that could get trapped in braces.

🔹 Maintain a Balanced Diet – Even with food restrictions, make sure to get plenty of vitamins and minerals to keep your teeth and gums healthy during treatment.

Healthy Snack Ideas for Kids & Ortho Patients

Looking for orthodontic-friendly snacks? Here are some delicious and nutritious options:

✅ Greek yogurt with honey & berries ✅ Soft cheese & whole-grain crackers ✅ Hummus with sliced bell peppers ✅ Hard-boiled eggs ✅ Bananas or seedless grapes ✅ Smoothies with leafy greens, bananas, and almond milk ✅ Soft oatmeal with cinnamon and nuts

Final Thoughts: Nutrition is Key to a Healthy Smile

A well-balanced diet is just as important for oral health as brushing and flossing. By making smart nutritional choices, you can strengthen your teeth, protect your gums, and keep your smile healthy—whether you're a child, an orthodontic patient, or simply looking to maintain great dental wellness.

As we celebrate National Nutrition Awareness Month, we encourage you to make mindful eating choices that support both your overall health and your smile. If you have any questions about orthodontic treatment or pediatric dental care, our team is here to help!

📅 Ready to schedule your next dental visit? Scroll & choose which scheduling option works best for your family

#NutritionAwarenessMonth #HealthySmiles #BracesFriendlyFoods #PediatricDentalCare

Let us help you achieve the smile you deserve, a smile for all seasons!

Click here to visit our website & learn more about COCD

Scheduling is easy & we have 7 locations to choose from: 

Cary, Fuquay Varina, Apex, Raleigh, Rolesville, Fayetteville, & Pittsboro.

Our goal is to provide you with a smile for all seasons, for all reasons!

👍INTRODUCING ONLINE SCHEDULING FOR NEW PATIENT'S

BOOK YOUR VISIT TODAY

"Creating Smiles For All Seasons"

| Cary | Fuquay | Apex | Brier Creek | Rolesville | Fayetteville |

| Pittsboro |

Give Kids a Smile: 2025 Recap

February 21st 2025

 Give Kids a Smile: 2025 Recap

Give Kids a Smile (GKAS) holds a special place in my heart. I was introduced to the event as a first-year dental student, and it quickly became one of the highlights of my early dental education. My dental school had a major focus on community outreach—something that deeply resonated with me when I was applying to programs. Each February, the entire building transformed into a pediatric clinic for one full day, creating a magical experience for the children who came through our doors. The effort that went into making the event special was truly inspiring. We had balloons, decorations, games, prizes, transportation, and even a Teddy Bear Clinic to help ease any dental anxieties. I was amazed at how dedicated everyone was to ensuring that children in the community had access to the care they needed.

GKAS not only showed me the joy of working with children in dentistry, but it also sparked my passion for community outreach. Providing care to those who might not otherwise have access is something that has stayed with me throughout my career. Since joining this practice, I have been thrilled to continue this tradition and to see our team come together each year to make a difference in the lives of children and families in need.

The Importance of Events Like GKAS

Healthcare is expensive—let’s face it. Even with insurance, families are often left with costs that may not be fully covered. Between rent or mortgage payments, groceries, and everyday expenses, dental care can sometimes fall by the wayside for families facing financial hardships. Unfortunately, this means that many children go without regular cleanings, preventive care, and necessary dental treatments. Lack of access to dental care can lead to serious oral health issues, including cavities, infections, and pain that interferes with eating, sleeping, and concentrating in school.

That’s where Give Kids a Smile comes in. This event allows dental professionals to provide much-needed care to children who might not otherwise receive it. The day is always filled with positive energy, fun, and, most importantly, essential dental services. Families are incredibly appreciative, and it’s heartwarming to be able to offer our expertise and care without them having to worry about financial burdens. The event is a powerful reminder of why community service in dentistry is so vital.

A Look at GKAS 2025

This year’s event was no different. The day was sunny and beautiful, perfectly matching the bright and excited faces of the children we had the privilege of treating. From the moment families arrived, there was a buzz of excitement in the air. Many children were receiving their very first dental check-ups, while others were returning for follow-up care.

Every child who attended GKAS received a comprehensive oral examination, professional cleaning, proper X-rays, and a fluoride treatment. For those with cavities or other urgent dental needs, we were often able to address their most pressing issues that same day. In cases where additional treatment was necessary, we worked with families to schedule follow-up appointments, ensuring that no child was left without a plan for continued care.

Some children had healthy smiles and "cavity free" check-ups, bringing a sigh of relief from both parents and kids. Others, however, had been experiencing significant dental pain, sometimes for weeks or even months. One of the most rewarding parts of GKAS is seeing the relief on a parent’s face when they realize that their child’s pain will soon be alleviated. It’s these moments—when we witness firsthand the impact that accessible dental care can have—that reinforce why we do what we do.

The Power of Community and Prevention

Beyond just providing free dental care, GKAS is about education and prevention. Our goal isn’t just to fix existing problems but also to teach children and parents how to maintain good oral hygiene habits at home. During the event, we take time to educate families about proper brushing and flossing techniques, the importance of a healthy diet, and how regular dental visits can prevent future issues.

For many families, this information is just as valuable as the dental care itself. When children learn good habits early, they are more likely to carry them into adulthood, reducing the risk of serious dental problems later in life. Prevention is always better (and less costly) than treatment, and GKAS helps set children on the right path to lifelong oral health.

Looking Ahead

Events like Give Kids a Smile are a reminder of the power of coming together as a community. Dentistry isn’t just about filling cavities and cleaning teeth—it’s about giving people confidence in their smiles, relieving pain, and ensuring that everyone has access to the care they deserve.

If you know a family that may be struggling to afford dental care, encourage them to look for local GKAS events (usually hosted in February) or other community dental outreach programs. Many dental schools, clinics, and private practices participate in events like these, offering free or low-cost services to those in need.

As we wrap up another successful GKAS, I am filled with gratitude for our incredible team, the volunteers who make this event possible, and the families who trust us with their children’s care. We look forward to next year’s event and to continuing our mission of spreading healthy smiles throughout our community.

We want to give special thanks & appreciation for the ADA Foundation for encouraging dental professionals across the country to participate in GKAS and for providing our guests with oral hygiene kits to take home.

#GKAS #HealthySmiles #CommunityDentistry #GivingBack #OralHealthForAll

Let us help you achieve the smile you deserve, a smile for all seasons!

Click here to visit our website & learn more about COCD

Scheduling is easy & we have 7 locations to choose from: 

Cary, Fuquay Varina, Apex, Raleigh, Rolesville, Fayetteville, & Pittsboro.

Did you know that Carolina Orthodontics & Children's Dentistry specializes in not only top-notch orthodontic care for the whole family, but we also specialize in top-notch pediatric care for children 18 & younger. Our goal is to provide you with a smile for all seasons, for all reasons!

INTRODUCING ONLINE SCHEDULING FOR NEW PATIENT'S

BOOK YOUR VISIT TODAY

"Creating Smiles For All Seasons"

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| Pittsboro |

Start the Year with a Confident Smile

January 20th 2025

The start of a new year is a chance to hit refresh and focus on what matters most—taking care of yourself. While many of us set resolutions like hitting the gym, eating healthier, or focusing on mental well-being, have you considered investing in your smile? Your smile is one of the first things people notice about you, and it’s a key part of your overall confidence. But a straighter smile is about more than just appearances. It plays a significant role in improving your oral health and overall well-being. Orthodontic treatment not only enhances your smile but also sets you up for a healthier future that you can be proud to show off all year long.

Why Your Smile Matters

Your smile is more than just a way to express joy—it’s a window to your health. Misaligned teeth can lead to a host of oral health issues, including tooth decay, gum disease, and difficulty cleaning certain areas of the mouth. Over time, these problems can escalate, potentially affecting your overall health. A straight, properly aligned smile makes it easier to maintain good oral hygiene, reducing your risk of cavities and gum disease.

Moreover, a confident smile can have a profound impact on your mental health and social interactions. Studies have shown that people who smile more often are perceived as more approachable, confident, and trustworthy. By investing in your smile, you’re investing in both your health and your self-esteem.

Orthodontic Care: Not Just for Kids

Orthodontic care isn’t just for kids or teenagers anymore—it’s for everyone. While it’s ideal for children to visit an orthodontist around age seven to catch potential issues early, it’s never too late to transform your smile. Many adults who missed the opportunity for orthodontic treatment in their younger years are now embracing it. Modern orthodontics offers discreet and comfortable options, such as clear aligners, making the process more appealing for adults.

For adults, orthodontic treatment can do more than just straighten teeth. It can correct misalignments, improve your bite, and even alleviate jaw pain or headaches caused by dental issues. Crooked or crowded teeth can put undue stress on your jaw, leading to discomfort and other health problems. By addressing these issues, you’re not only enhancing your smile but also improving your quality of life.

The Confidence Boost of a New Smile

Starting orthodontic treatment at the beginning of the year sets the stage for a big confidence boost as the months go by. Whether you choose traditional braces or clear aligners, every small change you see in the mirror will remind you of the progress you’re making. There’s something incredibly rewarding about watching your smile transform over time. It’s a resolution that doesn’t just last for a few weeks or months but continues to impact your life for years to come.

Imagine walking into meetings, social events, or even casual outings with the confidence of knowing your smile is becoming the best version of itself. That kind of self-assurance is invaluable, and it radiates into every area of your life. A confident smile isn’t just about how you look—it’s about how you feel and how you show up in the world.

The Benefits of Modern Orthodontics

Today’s orthodontic treatments are more advanced and convenient than ever. Clear aligners, for instance, offer a discreet way to straighten your teeth without the need for metal braces. They are removable, making it easy to eat, brush, and floss, and they’re comfortable to wear. For those who prefer traditional braces, advancements in technology have made them smaller, more efficient, and less noticeable.

Additionally, we offer flexible payment plans and in-house financing, making treatment more accessible. Investing in your smile doesn’t have to break the bank, and the long-term benefits far outweigh the initial costs. It’s a decision that pays dividends in your health, confidence, and happiness.

Why Start Now?

There’s no better time than the start of the year to embark on your journey to a healthier, more confident smile. Starting treatment now means you’ll begin to see results as the year progresses, and by the end of the year, you could be well on your way to achieving the smile you’ve always wanted.

Waiting to take action can delay the benefits that come with an aligned smile. The sooner you start, the sooner you’ll experience the physical, emotional, and social advantages of orthodontic care. Plus, making this commitment to yourself at the beginning of the year sets a positive tone for the months ahead. It’s a resolution that’s as much about self-care as it is about self-improvement.

Transform Your Smile, Transform Your Life

Your smile is a powerful tool. It’s the way you greet the world, express yourself, and connect with others. By investing in your smile, you’re investing in your overall well-being. Orthodontic treatment isn’t just about aesthetics; it’s about creating a healthier foundation for your future.

This year, make your smile a priority. Whether it’s for health, confidence, or simply the joy of seeing yourself transform, starting orthodontic care is a decision you won’t regret. Let this be the year you not only improve your smile but also enhance your sense of self-confidence and well-being.

So, why wait? Begin your journey to a healthier, straighter smile today. The sooner you start, the sooner you’ll be smiling brighter and feeling more confident with every step of the way. Let your smile be the reason you shine in 2025 and beyond. 

Want an even sweeter deal to kick off 2025? 

Now offering $500 off comprehensive orthodontics when you book at our Pittsboro or Raleigh locations, but be sure to mention the ad below to snag this offer.

Scheduling just got even easier, we are now offering online booking for first time guests & initial orthodontic consultations. Just click the calendar widget to get started!

Let us help you achieve the smile you deserve, a smile for all seasons!

Click here to visit our website & learn more about COCD

Scheduling is easy & we have 7 locations to choose from: 

Cary, Fuquay Varina, Apex, Raleigh, Rolesville, Fayetteville, & Pittsboro.

Did you know that Carolina Orthodontics & Children's Dentistry specializes in not only top-notch orthodontic care for the whole family, but we also specialize in top-notch pediatric care for children 18 & younger. Our goal is to provide you with a smile for all seasons, for all reasons!

"Creating Smiles For All Seasons"

| Cary | Fuquay | Apex | Brier Creek | Rolesville | Fayetteville |

| Pittsboro |

COCD’s Guide to Surviving the Holidays: Sugar Edition

November 1st 2024

 

    When you come see one of the pediatric dentists at Carolina Orthodontics and Children’s Dentistry we are evaluating many things, one of which is the presence or absence of cavities.  We do an exam using our eyes and instruments to feel the teeth and often take radiographs.  Let's be honest, we can't see inside or in between teeth and we take x-rays once a year.  If we see a cavity, we will discuss treatment options.  But, one of our goals is to prevent cavities.  We strive to have cavity free visits with each of our patients and both a healthy diet and good oral hygiene contribute to this!  So… watch what you are eating during the upcoming holidays and make sure to brush and floss well! 

Let us help you achieve the smile you deserve, a smile for all seasons!

Click here to visit our website & learn more about COCD.

Ready to book your next visit? Click here!

Scheduling is easy and we have 7 locations to choose from: Cary, Fuquay Varina, Apex, Raleigh, Rolesville, Fayetteville, & Pittsboro.

Did you know that Carolina Orthodontics & Children's Dentistry specializes in not only top-notch pediatric care, but we also specialize in orthodontic care for the whole family. That's right, our board-certified orthodontists treat children and adults. Our goal is to provide you with a smile for all seasons, for all reasons!

"Creating Smiles For All Seasons"

| Cary | Fuquay | Apex | Brier Creek | Rolesville | Fayetteville |

| Pittsboro |

 

 

 

(AHA) 

Miriam B. Vos, Jill L. Kaar, Jean A. Welsh, Linda V. Van Horn, Daniel I. Feig, Cheryl A.M. Anderson, Mahesh J. Patel, Jessica Cruz Munos, Nancy F. Krebs, Stavra A. 
Xanthakos and Rachel K. Johnson. Added Sugars and Cardiovascular Disease Risk in Children. American Heart Association Scientific Statement. 2016 (134):1-9  

 

https://www.mouthhealthy.org/all-topics-a-z/brushing-your-teeth 

 

https://www.aapd.org/globalassets/media/policies_guidelines/r_healthybev.pdf 

 

 

https://www.aapd.org/globalassets/assets/latest-news/halloween_press_release_final-002.docx2018.pdf 

 

 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4147807/  free visits with all of our patients and both a healthy diet and good oral hygiene contribute to this!  So… watch what you are eating during the upcoming holidays and make sure to brush and floss well! 

Collaboration Between Orthodontics/Pediatric Dentistry

September 30th 2024

 Collaboration Between Orthodontics/Pediatric Dentistry

Early orthodontic treatment is a growing trend in the younger population. It allows pediatric dentists and orthodontists to work together to resolve teeth alignment and occlusion (bite) problems earlier and with more predictable outcomes. This treatment is not recommended for every child, only those who would benefit from early treatment that takes advantage of the ability to adapt and modify growth patterns. 

A common dental concern that is a good candidate for early orthodontic intervention is discrepancies regarding a patient’s bite and how their upper and lower jaws fit together. A significant overbite, underbite, or crossbite could all be reasons to start treatment early and achieve correction while a patient’s jaws are still actively growing.

An overbite occurs when a patient’s upper jaw and teeth are positioned too far in front of the lower jaw and teeth. Conversely, an underbite occurs when the patient’s lower jaw and teeth are positioned in front of the upper jaw and teeth. A crossbite occurs when a patient’s upper and lower jaw do not fit on top of each other correctly, resulting in the lower jaw being positioned too far to one side or the other. All of these bite issues can lead to problems with appearance, teeth wear, and even future issues with how the jaws fit and function together.

Correcting bite and jaw issues in younger patients who are still growing gives the pediatric dentist and orthodontist more options than when trying to correct jaw discrepancies in patients past their growth spurts. Timing treatment during active growth periods allows jaw growth modification, which is impossible once the jaws have completed formation. Orthodontic appliances can help to correct patients with overbites by helping promote the growth of the lower jaw while restricting the growth of the upper jaw. The reverse plan can be undertaken to help patients with underbites. For patients with crossbites, growth modification treatment typically involves expanding the upper jaw to allow the lower jaw to fit evenly and symmetrically when patients bite together. Again, these treatments are usually only possible during growth, as once the jaw bones have completed formation, they can no longer be modified in this way. For adult patients, these bite problems are more likely to be treated with jaw surgery. This is why it is essential for pediatric dentists to evaluate children at each dental visit, to give parents appropriate recommendations for the correct timing on when to see the orthodontist, and to allow parents to have all possible treatment options. Pediatric dentists receive education on when and how these referrals and treatments will work as part of their specialty training.

Early treatment can also correct a dental problem that is significantly impacting a child and should be corrected sooner rather than later. Examples of significant early dental problems could be appearance-related dental concerns that are causing social difficulties for a child or a dental presentation that creates a high chance for potential harm from trauma. 

As children become more aware of their appearance at younger ages, early orthodontic intervention is also a way to correct dental issues that may be affecting their self-esteem.

Young patients may be at an increased risk of significant tooth damage due to accidental trauma. Their teeth may be out of position, and they are more likely to be damaged from a fall or sports injury. Early orthodontic intervention can help bring these teeth back into a safer position.

These factors and more are important when considering whether early orthodontic intervention suits your child. A pediatric dentist is trained to look for teeth and bite issues that may need early intervention and let parents know when the right time for an orthodontic consultation may be. Pediatric dentists discuss these issues with the patient and parent, and together, they can decide what best suits your child. Not every child is ready for early treatment, which is another factor that the pediatric dentist and parent can discuss and consider.

At every dental check-up, our pediatric dentists evaluate patients to determine if it is time to schedule an orthodontic consultation. When that time comes, we can schedule a consultation right away before you leave at a time that is convenient for you. At your consultation visit, the orthodontist and their team will obtain appropriate photos, radiographs, and records to show and discuss the best plan for each patient.

Collaboration between families, pediatric dentists, and orthodontists is crucial to setting every patient up on the right path to ensure the best dental health and appearance outcome. We are lucky at Carolina Orthodontics and Children’s Dentistry, where we have both pediatric dentists and orthodontists who work closely with one another to make a comprehensive dental plan that is specific to each patient. We are always glad to discuss any questions or concerns that children or adults may have about how orthodontic treatment works and what to expect. 

Are you curious if your child is in need for early orthodontic intervention?

Schedule a visit with any one of our board-certified specialists today, we would love to discuss treatment options with you.

Does your child have an upcoming wellness visit? This is the perfect time to discuss possible orthodontic treatment in children ages 7-11 (saving you an extra trip to the office).

We even offer complimentary pediatric iTero scanning at ALL of our locations, this is an amazing service that allows our specialists to better track your child's growth & development over time and to communicate back and forth with our ortho team about your child's treatment recommendations.

Scheduling is easy and we have 7 locations to choose from: Cary, Fuquay Varina, Apex, Raleigh, Rolesville, Fayetteville, & Pittsboro.

Let us assist you with achieving the smile you deserve, a smile for all seasons!

Click here to visit our website & learn more about COCD.

Ready to schedule your next visit? Click here!

Did you know that Carolina Orthodontics & Children's Dentistry specializes in not only top-notch pediatric care, but we also specialize in orthodontic care for the whole family. That's right, our board-certified orthodontists treat children and adults. Our goal is to provide you with a smile for all seasons, for all reasons!

"Creating Smiles For All Seasons"

| Cary | Fuquay | Apex | Brier Creek | Rolesville | Fayetteville |

| Pittsboro |

Treatment Spotlight: Silver Diamine Fluoride (SDF)

August 28th 2024

Treatment Spotlight: 

Silver Diamine Fluoride (SDF)

Silver diamine fluoride (SDF) is a topical treatment dentists can use to manage tooth decay and sensitivity in a non-invasive and painless way – in just a few minutes!  The American Academy of Pediatric Dentistry (AAPD) supports the use of silver diamine fluoride as part of a comprehensive plan for managing dental decay, when appropriate, given its safety record, clinical results, ease of use, and cost effectiveness. 

SDF is a liquid or gel that is scrubbed onto a cavity; it does not require getting a tooth numb with local anesthetic and does not require drilling.  SDF begins to work immediately, strengthening the tooth and making it more resilient against cavity-causing bacteria.  SDF is safe when used as directed by a qualified dental professional and has been used for decades with great success.  Research studies have shown SDF to be highly effective in arresting tooth decay in both baby teeth and permanent teeth, making it a very useful way to treat cavities in children who may not otherwise tolerate traditional dental treatment (like fillings and crowns) without some form of sedation. 

What is it and how does it work? 

38% silver diamine fluoride (SDF) is a combination of fluoride ions and silver ions in a basic solution (pH of 10). The fluoride ions remineralize tooth structure; the silver ions are antimicrobial in nature, reducing the amount of bacteria present. This creates an environment that bacteria cannot thrive in, halting the progression of tooth decay. Studies consistently show that SDF is more effective at stopping cavity activity than fluoride varnish (what is typically applied after cleaning visits in the dental office). SDF stains cavities black, but it does not stain or discolor healthy tooth structure.  The black staining does not go away and is a sign that the cavity is arrested. In some cases, cavities are already discolored, so applying SDF may not drastically change the appearance of the decayed areas. This staining/discoloration may not be as much of an issue for back teeth which are less visible, but it may be less desirable on front teeth which are more visible. If esthetics is an issue, if behavior allows, SDF-treated teeth may be restored at a later date.

The pediatric specialists at Carolina Orthodontics & Children's Dentistry use protocols backed by science to increase the effectiveness of SDF in stopping cavity progession. We recommend two applications, about 4-6 weeks apart, each application just taking a few minutes. While a single application can still be very effective (47%-90%) effective in stopping dental decay, depending on the cavity's size and location, a second application can significantly increase SDF’s effectiveness (90% and higher). We then monitor these areas at routine dental visits to ensure they are stable and not progressing; in some cases, your dentist may recommend that SDF be reapplied if it looks like the cavity is once again becoming more active. 

Who is SDF a good option for? 

As with any kind of treatment, there are certain scenarios in which SDF can be more effective than others. Below are some situations a dentist may recommend using SDF as opposed to doing traditional restorative procedures (fillings, crowns, etc.):  

• Cavities that have not reached the nerve of the tooth
• Cavities in difficult-to-treat areas
• Back teeth that are hypersensitive due to enamel hypoplasia 
• Young children who are unable to tolerate traditional restorative procedures, either due to behavioral concerns or medical concerns 
• Children with multiple cavities who can tolerate traditional restorative procedures, but who will require multiple treatment visits to address their needs. In this case, SDF can be used to stop cavity progression, reducing the chances of needing more involved or invasive dental treatment and buying time for restorative procedures to be completed. 
• Children without regular access to dental care 

Research shows that SDF can be more effective on certain teeth and in certain locations. SDF stops cavities more predictably on front teeth compared to back teeth. Similarly, SDF seems to be more effective and predictable when placed on areas that are more visible (smooth surfaces of front teeth, or the chewing surfaces of back teeth) compared to when cavities are between teeth (think flossing spots).  Additionally, once SDF has been placed, cavities can be reactivated if food or plaque are routinely resting in these areas, so good oral hygiene practices are essential to prolong the effects of SDF. 

Some cavities are not good candidates for SDF treatment. If a cavity has reached the nerve of a tooth, or if there are signs and symptoms of infection, these teeth may be better served by traditional dental procedures. Likewise, if a child can tolerate a restorative dental procedure that eliminates the decay and restores the tooth to its normal form and function, that may be a more reliable way to treat the decay without worrying about the cavity “re-activating”. 

Will additional treatment be necessary after SDF? 

It depends! SDF does not “fix” cavities in the sense that it will not fill a hole or a broken tooth. The goal of SDF is to prevent the existing cavities from getting any larger. In some cases, an SDF-treated tooth stays stable and may never need additional treatment – yay! In other cases, especially if a tooth is expected to be in the mouth for a significant amount of time, an SDF-treated tooth may need additional treatment. That may be an additional SDF application, or the dentist may recommend more traditional restorative procedures like fillings or crowns. Even if restorative treatment is needed later, SDF may have delayed the need for that treatment enough that your child can now tolerate treatment in the dental chair.  This should also be considered a success! 

Summary 

In short, silver diamine fluoride (SDF) is not a cure-all treatment, but it can be a very effective, safe, quick, easy, and less costly way to manage dental decay in some children. It is another tool that a pediatric dentist can use as part of a comprehensive plan for managing cavities. 

Do you have more questions about SDF treatment?

Are you curious if SDF is an option for your child?

Schedule a visit with one of our board-certified pediatric specialists today, we would love to discuss treatment options with you.

Scheduling is easy and we have 7 locations to choose from: Cary, Fuquay Varina, Apex, Raleigh, Rolesville, Fayetteville, & Pittsboro.

Let us assist you with achieving the smile you deserve, a smile for all seasons!

Click here to visit our website & learn more about COCD.

Ready to schedule your next visit with one of our trusted pediatric teams? Click here to request a visit.

Did you know that Carolina Orthodontics & Children's Dentistry specializes in not only top-notch pediatric care, but we also specialize in orthodontic care for the whole family. That's right, our board-certified orthodontists treat children and adults. Our goal is to provide you with a smile for all seasons, for all reasons!

"Creating Smiles For All Seasons"

| Cary | Fuquay | Apex | Brier Creek | Rolesville | Fayetteville |

| Pittsboro |

Shark Teeth-- Don't Panic!

June 25th 2024

There it is…two rows of teeth, often referred to as “shark teeth"

First, it is important to understand that the eruption of teeth is a dynamic process. There are many factors that contribute to this process. When a permanent tooth erupts and the baby tooth is still

present, the is called ectopic eruption. Ectopic eruption means an altered eruption path of the tooth or the eruption of a tooth into a position that is not its normal position in the dental arch (3). Although it is not common, it is believed that prevalence of “shark teeth” is 4.3% in the general population (2). Statistics also show that siblings of patients have a prevalence rate of 19.9%, which is higher than the general population and this supports that there may be a genetic component to this presentation (3). The most common teeth to see ectopic eruption includes maxillary first molars, maxillary canines, mandibular lateral incisor, followed by the maxillary central incisor (3). Females often have a higher incidence of ectopic eruption when compared to males (3). 

Now that we know what this is, let’s understands why it happens. There are several etiological factors that can lead to the presentation of ectopic eruption. Some factors can include the rate of resorption of the primary (baby) tooth, tooth size, jaw width and length or the presence of supernumerary or extra tooth (3). Additionally, we also take into consideration if there has been any previous trauma that could have caused disruption in the development or rotation of the teeth (3). As stated earlier, genetics play some sort of role in this phenomenon, we often see smaller petite children in the office with the chief complaint of "shark teeth". When you think about it, of course it could be due to the child's stature, your looking at a child with a small and narrow jaw that is trying to figure out how to make all of these larger teeth fit. Sometimes the puzzle is not exact and we see patients with that second row of teeth (commonly the lower front teeth) where the permanent tooth missed the roots of the primary tooth by a small amount and in turn are erupting behind the primary tooth. What is important to understand is these factors are beyond our control, but with anticipatory guidance the crowding can help manage growth and development.

What does this mean and what are our next steps?

If there is significant concern, it is best to schedule an appointment for an evaluation. Treatment options vary from patient to patient. Treatment options can include allowing teeth to exfoliate naturally, possibly extraction, and possible early orthodontic intervention (2). Pediatric dentists and orthodontists can provide parents with anticipatory guidance and discuss treatment options and help establish a plan for long- 

Allowing the teeth to exfoliate naturally:

Often, with ectopic erupted front teeth, we can "watch and wait" instead of jumping right into extractions. In our clinic, we sometimes give the child and parent a goal to wiggle and loosen the tooth each day for a specified amount of time and then instruct them to give us a call if the tooth has not naturally exfoliated by that date. Most kids are goal driven so this can easily turn into a fun activity for a child who is not necessarily excited about the idea of the dentist removing the tooth for them. Also, on our side is the magnificent strength of the tongue. With normal talking, chewing, swallowing, tongue thrust motions the majority of the time these "shark teeth" will in fact work their own way out.

Extractions:

Sometimes we do not see the ideal results from "watching and waiting" and the dentist will need to intervene. We know this can also sound terrifying, but at Carolina Orthodontics & Children's Dentistry, you are in great hands. Surprisingly to many, our number one goal is not to treat decay, but to make sure ALL of our guests have a positive experience each time they step inside one of our locations. All of this to say, do not fret if you are advised that your child needs an extraction. Our office offers many tactics to help your child through procedures that may be a little "nerve-wrecking" for them (and sometimes the parent). At Carolina Orthodontics & Children's Dentistry, our team will recommend treatment in a way that will lead to a life-long happy dental patient; such options can include nitrous oxide (laughing gas), oral conscious sedation, and even IV sedation. We also pride ourselves on knowing what our guests need and sometimes that just means a friendly face to walk you through the whole procedure and have you leaving with a smile (and we do have A LOT of smiles to pass along- have you seen the size of our staff?).

Early Orthodontic Intervention:

Take a deep breath & leave the shark antics to the Discovery channel!

"Creating Smiles For All Seasons"

| Cary | Fuquay | Apex | Brier Creek | Rolesville | Fayetteville | Pittsboro |

American Academy of Pediatric Dentistry. Management of the developing dentition and

occlusion in pediatric dentistry. The Reference Manual of Pediatric Dentistry. Chicago,

Ill.: American Academy of Pediatric Dentistry; 2023:466-83.

E. Jayni Bradley, DMD, Bell, R. Eruptive malpositioning of the mandibular permanent

lateral incisors: three case reports, Pediatric Dentistry 1990; 12(3):380-7.Rajashekhar R, Sharada J, Suhasini K, Hemachandrika I, Shaik H, Singh PT. Occurrence

of ectopic eruption of different classes of teeth in growing children – A prospective

Study, Indian J Orthod Dentofacial Res 2019;5(3):96-7.

Suresh KS, Uma HL, Nagarathna J, Kumar P. Management of Ectopically Erupting

Maxillary Incisors: A Case Series. Int J Clin Pediatr Dent 2015;8(3):227-233.

Graduation: Life After Braces

June 1st 2024

 Graduation:  Life After Braces 

Graduation day has finally arrived – not the kind where you walk across a stage in cap and gown, but the day your braces come off, marking the end of an era and the beginning of a new chapter. As you run your tongue along your teeth, feeling the smoothness that was once concealed beneath brackets and wires, you can't help but marvel at the transformation that has taken place. Life after braces is a journey of liberation and newfound confidence. 

While the removal of braces marks the end of one chapter, it also signifies the beginning of another: post-braces orthodontic care. Orthodontic visits in the months following braces removal are essential to ensure that your teeth stabilize properly in their new positions. These visits allow your orthodontist to monitor the progress of your smile, make any necessary adjustments to retainers or other appliances, and address any concerns or discomfort you may experience as you adjust to life without braces. 

Stabilization is crucial because, after the braces come off, your teeth may tend to shift back to their original positions. This is why wearing retainers as prescribed by your orthodontist is imperative. By staying proactive with post-braces orthodontic care, you can safeguard the investment you've made in your smile and enjoy long-lasting results. 

One common concern among individuals who have undergone orthodontic treatment is the development of white spot lesions on their teeth. These chalky white marks are the result of poor brushing and hygiene practices during the time braces were in place. The accumulation of plaque around the brackets and wires can lead to demineralization of the enamel, resulting in these unsightly spots. 

Fortunately, advancements in dental technology offer a solution for treating white spot lesions without invasive procedures. Icon, a minimally invasive treatment, is designed to penetrate the enamel and reverse the early stages of tooth decay. This innovative approach involves the infiltration of resin into the porous enamel, effectively masking the white spots and restoring the natural appearance of the teeth. 

Icon treatment is a game-changer for individuals who may feel self-conscious about the appearance of their teeth post-braces. Not only does it improve the aesthetic appearance of the smile, but it also promotes overall dental health by addressing early signs of decay. With just a single visit to the dentist, you can bid farewell to white spot lesions and enjoy a smile that exudes confidence and vitality. 

Graduation day may have marked the end of your orthodontic journey, but it's just the beginning of a lifetime of smiles. Life after braces is about embracing every aspect of your journey, from the initial excitement of getting braces to the moment you unveil your new smile to the world. So, as you step into this new chapter of your life, remember to celebrate your unique journey and embrace the confidence that comes with your beautiful smile. 

If you're inspired by the transformative power of orthodontic treatment, why not take the first step towards your own smile transformation? Schedule your COMPLIMENTARY consultation with one of our orthodontists today to explore your options and learn more about how orthodontic treatment can enhance your smile and boost your confidence. Your journey to a radiant smile begins with a single appointment – don't hesitate to take that first step towards the smile of your dreams. 

All Are Welcome!

April 30th 2024

All Are Welcome 

(Even If You Don't "Like" Visiting Us)

Bad flavors. Distinct smells. Cavities. Pain. Blood. Bad jokes. Dental bills. Personal space. Private information. The fear of the unknown. There are a lot of reasons to experience anxiety associated with going to the dentist. There are countless TV episodes that, while comical, render a visit to the dentist, at best, uncomfortable. There is even an entire song and scene dedicated to the “horrors” of dentistry brought to life by Steve Martin in Little Shop of Horrors. The fears and anxieties surrounding dental visits are so common to the human experience, that almost anyone can appreciate the way writers and comedians exaggerate what many feel when facing their oral healthcare.

The fear of the dentist is known as dentophobia or odontophobia, and is a very real form of anxiety. According to the Cleveland Clinic, dental anxiety affects more than a quarter of the American population. 12% of those are even reported to experience extreme fear. Dentophobia is documented to prevent people from seeking care, even if they are in pain! This is a problem!

Typically people who have dentophobia are most fearful of the anesthetic, blood, choking, the dentist him/herself, feeling pain, needles, noise from the instruments, and smells. Interestingly enough, studies show that people are not so much afraid of getting the anesthetic, as much as they are of it not working or the lingering numbness.

All of this being said, dentistry has come a long way in creating a more positive experience. Not only have materials and technology improved, but there have also been great advancements in education on behavioral management, conservative treatment philosophies, and an overall transition to a more patient-centered approach to care. Gone are the days where dentists dictate the treatment plan in a “my way or the highway” fashion. Dental students are taught that patient input is critical to the long-term success of treatment, and are trained to engage patients in a discussion about their goals and priorities for their oral health.

While the dental experience has become more comfortable for many, that is not to say that fears are not still present. The triggers for those that suffer from dentophobia or even mild anxiety in a dental setting are still a reality of providing dental care. The soft skills or bedside manner can make all of the difference in how those triggers are perceived. If adults are known to have such significant worries at the dentist, how must our little ones feel during these encounters? Especially with significantly less life experience and coping mechanisms. They are tiny humans, everything feels bigger and scarier!

One of the greatest privileges as a pediatric dentist is having the opportunity to create the first associations with the dentist for our little ones. The fears many people experience at the dentist

can often be traced back to a negative experience they had as a child. People underestimate the complexity of a child’s thoughts or their level of awareness. Because of this, it is easy to fall into the trap of speaking “at” children. Directive or command based language may be used without the explanation that children (or anyone) would benefit from. In my experience, showing children all of the materials and instruments that are used with a fun or relatable explanation, can be the difference between a “screaming and uncooperative child” to a child that may still be anxious, but trusting and ready to follow instructions step by step.

The American Academy of Pediatric Dentistry recommends that children see a dentist for their first exam at the eruption of their first tooth or by their first birthday. There are important developmental reasons for this. But it is also largely to encourage early exposure to the dentist. Early exposure builds confidence through easy and painless visits. While there may be tears for a toddler, they can leave knowing that nothing hurts. Building trust with their provider is critical to good oral health. Without regular and early visits, undetected cavities can form and pain or infection can ensue. Pain often results in emergency visits, which may require emergency treatment. Accidents happen too! Even if you have excellent oral hygiene and healthy dietary choices at home, kids still play contact sports, fall, and do unexpected (or unexplainable) things that can cause dental injuries. If an emergency visit/treatment is your first experience with the dentist, your foundation can be severely compromised.

At Carolina Orthodontics & Children’s Dentistry, we encourage early visits. We do everything we can to create a comfortable experience for the entire family. We are aware of the anxieties that exist and have even worked with other specialists to develop resources to help your child prepare for their visit. When you schedule your first visit, you will be asked if your child has any anxiety, fear, or sensory issues. If these items are flagged, the resources highlighted below can be sent directly to you. We want to make sure that all children, adolescents, and young adults are welcome and comfortable when they join our team.

Some of the resources available to patients include videos showing our dental instruments. These videos allow patients to see what these instruments look and sound like, and how they are used. This may be particularly helpful for those with sensory issues that may struggle with loud or high pitched noises. Preparatory videos help to gain some familiarity before their arrival. You can always expect us to “tell, show, do” each step of the experience with your child before we get started. Rest assured, your child will have the opportunity to see and feel most things we use in the office several times before getting started.

2Social stories can be a great resource for children on the Autism spectrum. The stories can help present the experience at the dental office from the pediatric patient’s perspective in a step by step fashion. We have social stories available for different types of dental visits.

We have weighted blankets and hand held items available for use at each visit. We also have fun incentives that can be helpful for patients to get through challenging steps.

All of the pediatric dentists you’ll see in our offices have completed specialty training in pediatric dental care after dental school and are board-certified. The pediatric dental curriculum includes extensive training in behavior management, child/adolescent psychology, and being able to safely and comfortably deliver dental care in all scenarios to meet all of our patients’ unique needs.

We pride ourselves in doing all that we can to make your child feel safe, seen, and comfortable when they are in our care. You may notice that we have crafted our own language for the materials and instruments that we use, so that our patients can understand what they are and how they are used. We communicate in a way that children can understand and relate to, without using trigger words like “shot” or “needle.” You can also find a list of other common trigger words on our website that are helpful to avoid when preparing your child for a visit with us.

Our hope is that everyone who walks through our door, no matter their age, gender, anxiety or with the dentist, or experience level can visit us knowing that it is a safe space.

We are proud to serve our community and create "Smiles For All Seasons" with locations across the Triangle and the Sandhills. 

Convenient Locations: 

Cary Park: 7535 Carpenter Fire Station Road Cary, NC 27519

Fuquay Varina: 1625 N. Main Street, Suite 201 Fuquay Varina, NC 27526

Apex: 1460 Kelly Road, Suite 201 Apex, NC 27502

Raleigh: 7860 Brier Creek PKWY Raleigh, NC 27617

Rolesville: 101 Redford Place Drive, Suite 100 Rolesville, NC 27571

Fayetteville: 2350 Bentridge Lane, Suite 301 Fayetteville, NC 28304

Pittsboro: OPENING IN JUNE- 50 Lifestyle Place, Suite 200 Pittsboro, NC 27312

Need to schedule your next visit?

Call or click to request a visit at the location that fits you best!

Do's and Don'ts of Braces

March 26th 2024

 Do's and Don'ts of Braces

Do's:

1. Maintain Regular Oral Hygiene: Brush your teeth after every meal to prevent food particles from getting stuck in your braces. Flossing is equally important to reach areas that your toothbrush might miss.

2. Follow Orthodontist's Instructions: Adhere to the guidelines given by your orthodontist. Attend regular appointments for adjustments and follow-up visits.

3. Eat Braces-Friendly Foods: Choose soft and easy-to-chew foods to avoid discomfort and damage to your braces. Opt for items like yogurt, soft fruits, and pasta.

4. Use Orthodontic Wax: If wires or brackets cause irritation, use orthodontic wax to create a barrier between the braces and your cheeks or gums.

Don'ts:

1. Avoid Hard and Sticky Foods: Hard foods like nuts, hard candies, and popcorn kernels can exert excessive pressure on braces, potentially causing brackets to break or wires to bend. Sticky foods such as caramel, taffy, and gum can easily get stuck in braces, making them difficult to clean and increasing the likelihood of plaque buildup and tooth decay. By making mindful dietary choices, you can help protect your braces.

2. Don’t Skip Appointments: These appointments are essential for your orthodontist to monitor the movement of your teeth, make any necessary adjustments to your braces, and ensure that your treatment plan is on track. Skipping orthodontic appointments can disrupt your treatment progress and may lead to setbacks in achieving  your desired results.

3. Limit Sugary Snacks: Sugary snacks, such as candies, sodas, and sweets, can increase the likelihood of tooth decay. When sugary snacks are consumed, bacteria in the mouth feed on the sugars and produce acids that will cause decay. Instead of sugary snacks, opt for healthier alternatives like fruits, vegetables, and dairy products, which are not only lower in sugar but also provide essential nutrients for maintaining overall health.

4. Skip Cleaning Your Braces: Neglecting oral hygiene can lead to tooth decay and discoloration. By maintaining diligent oral hygiene habits, you can ensure the success of your orthodontic treatment and maintain a healthy smile throughout the process.

Hygiene Care for Braces:

1. Brushing:

Choose a toothbrush with soft bristles to avoid damaging your braces or causing irritation to your gums. Angle the toothbrush towards the gum line and brackets to ensure that you clean around the brackets and wires thoroughly. Brush the front, back, and chewing surfaces of your teeth and use fluoride toothpaste to strengthen enamel and protect against decay.

2. Flossing:

Flossing with braces can seem challenging, but it is essential for maintaining optimal oral hygiene. While traditional flossing may be more difficult with braces, there are specialized tools like floss threaders, and interdental brushes that can make the process easier and more effective.

3. Mouthwash:

Your braces are crafted from top-quality stainless steel, ensuring they resist rust and corrosion. Incorporating daily mouthwash use with braces is crucial for maintaining oral hygiene, since it prevents gum disease and cavities, and leaves breath feeling fresh.

4. Regular Dental Check-ups:

In addition to your orthodontic appointments, it is highly advisable to include regular dental cleanings in your schedule. By doing that, you ensure that any potential issues are addressed promptly, helping to prevent complications such as gum disease, cavities, or enamel erosion. Additionally, your dentist can provide personalized advice on oral hygiene practices tailored to your specific needs, ensuring that your orthodontic journey is as smooth and successful as possible.

Things to Avoid:

1. Chewing on Hard Objects:

Chewing on hard objects with braces can damage your orthodontic appliances, leading to discomfort and requiring extra visits for repairs. Avoiding hard objects like ice or pens helps protect your braces and teeth, ensuring your treatment progresses smoothly.

2. Playing with Braces:

Resist the temptation to play with or manipulate your braces, as this can lead to breakages.

3. Ignoring Discomfort:

If you experience significant pain or discomfort, contact your orthodontist instead of trying to address it yourself.

Dealing with a Broken Bracket:

1. Temporary Solutions:

 If you notice a broken bracket, first assess whether it is causing any discomfort or irritation. If so, you can apply orthodontic wax to the area to help alleviate any discomfort and prevent further irritation/

2. Contact Your Orthodontist:

Contact your orthodontist as soon as possible to schedule a repair appointment. In the meantime, try to avoid eating hard, sticky, or crunchy foods that could further damage the bracket or wires. By addressing the issue promptly and seeking professional assistance, you can minimize any disruptions to your orthodontic journey and maintain the integrity of your braces.

Our practice offers 24-hour emergency care assistance, with 3 simple ways to get in touch with a trusted orthodontist. You can utilize the chat tool located on our website, open your DentalMonitoring app (if it is a part of your treatment plan), or call our office at (919) 846-7900 and follow the prompts to speak with the on-call doctor. We may even be able to talk you through a simple temporary fix to hold you over until you can visit us in the office. 

3. Avoid DIY Repairs:

Refrain from attempting to fix the broken bracket yourself, as this can lead to more significant issues.

We are proud to serve our community and create "Smiles For All Seasons" with locations across the Triangle and the Sandhills. 

Convenient Locations: 

Cary Park: 7535 Carpenter Fire Station Road Cary, NC 27519

Fuquay Varina: 1625 N. Main Street, Suite 201 Fuquay Varina, NC 27526

Apex: 1460 Kelly Road, Suite 201 Apex, NC 27502

Raleigh: 7860 Brier Creek PKWY Raleigh, NC 27617

Rolesville: 101 Redford Place Drive, Suite 100 Rolesville, NC 27571

Fayetteville: 2350 Bentridge Lane, Suite 301 Fayetteville, NC 28304

Pittsboro: OPENING IN MAY- 50 Lifestyle Place, Suite 200 Pittsboro, NC 27312

Need to schedule your next visit?

Call or click to request a visit at the location that fits you best!

Treatment Spotlight: Zirconia Crowns

February 22nd 2024

               Treatment Spotlight:

It can be overwhelming to be told that your child has extensive dental needs and tooth decay that requires more than a filling.  Many parents become concerned with the child’s experience with the procedure, the cost, the invasiveness and, of course, the appearance of the restoration.  Luckily, we live in an era of oral health care that provides us with options and alternatives that can be both affordable, manageable and beautiful for patients of all ages.

As parents, you may be wondering why we are even using crowns on baby teeth.  Baby teeth serve a very important function for children - for purposes of speech, growth and development and eating.  Research has shown that untreated cavities in baby teeth can lead to issues with sleep and even with problems performing in school.  And the scientific literature shows numerous benefits to saving teeth over removing the tooth when possible.  The best option to hold space for an adult tooth is a properly functioning baby tooth!

Parents often wonder what their options are when exploring various alternatives for their child’s oral health.  Many of us have seen or know a child with a silver crown on their back teeth.  And while those silver crowns, or stainless steel crowns, are considered the gold standard and have many years of successful clinical outcomes, parents and occasionally patients are bothered by the esthetic shortcomings.  Fortunately we are able to offer our families an alternative option for full-coverage restorations that are far superior esthetically.  Thanks to very advanced dental technology, we have the option of Pediatric Zirconia Crowns, which are both attractive and functional.  And for some families this can mean a world of difference in their perception of their child’s oral health.

Many years ago, in an effort to make stainless steel crowns more appealing in their appearance some companies began to offer white coated stainless steel crowns.  Frequently these crowns do not hold their initial improved appearances long-term as the white facing chips, breaks or comes off completely.  This leaves the original silver backing very present and obvious, creating more esthetic concerns for the family and patient.  Additionally, this rough surface is a larger area for plaque accumulation and cleanliness is more difficult for the patient and parent.

Alternatively, pediatric zirconia crowns are metal-free and research has shown that they are very biocompatible, which means less gingival irritation for your child and optimum conditions for maintaining ideal oral hygiene after placement of the crowns.  Because of their smooth surface and glazed exterior they are resistant to stains and their appearance makes it difficult to discern them from natural teeth.  Pediatric zirconia crowns can be used to address cavities or esthetic concerns on front and back teeth, helping to totally transform a young child’s smile.  Patients gain an increased sense of confidence when their smile is restored and parents can feel confident that they have chosen an option with a proven track record.

In our practice, our doctors use EZ Crowns by Sprig Oral Health Technologies (https://sprigusa.com/parent-resources-2021/).  Each provider has participated in advanced training to learn the most effective techniques in diagnosis and placement of EZ Crowns.  These days there are numerous pediatric zirconia crown options but our team of specialists chose EZ Crowns for several reasons.

EZ Crowns have a unique approach to removal of carious tooth structure, making them a more conservative option than some of the other brands on the market.  Additionally, they have internal ridges that increase their retention, making them designed to last until the permanent teeth are ready to erupt.  According to the Sprig website “Each crown is glazed with a hint of natural color, making them very smooth, shiny, and impermeable to staining.”  This makes a very big difference in the appearance of the zirconia crowns and most people have no idea that what they are seeing is not natural tooth structure.  They are durable because they are made from solid Zirconia, which gives your child the confidence to behave (and eat!) like a child!

EZ Crowns have been around for over a decade, with their initial conception dating back to 2006.  The founder, a dentist, worked with colleagues to create the first pediatric zirconia crown, when his own son experienced a fractured tooth from an accident.  From that time he worked tirelessly to create a product that would be easy to use for practitioners, comfortable for patients, and esthetically pleasing for families.

We have been using EZ Crowns in our office for well over 8 years.  We have personally seen the lives of patients and their families changed for the better because of the transformational power of providing a healthy and happy smile to children.  A healthy and confident smile are priceless and we can help your child to achieve that!  Allow our pediatric dental specialists to talk to you about our options and whether or not pediatric zirconia crowns are a good option for your child!

Don't just take our word for it, watch the video below to hear testimonies from parents just like you!

"Creating Smiles For All Seasons"

| Cary | Fuquay | Apex | Brier Creek | Rolesville | Fayetteville | Pittsboro- COMING SOON |

How Does Orthodontic Treatment Work?

January 24th 2024

 How Does Orthodontic Treatment Work?

What a question!  Here is our attempt to break down and summarize the 10-11 years of professional training that each of our Orthodontists here at Carolina Orthodontics & Children’s Dentistry have completed.

One of our favorite analogies is to think of every single person as a puzzle.  

The major puzzle pieces that we need to take into consideration and fit together include:

• The number of teeth present.
• The shape and size of those teeth.
• The shape and size of the jaw bones.
• The position of the jaw bones relative to the base of the skull.
• The position of the jaw bones relative to each other.
• The soft tissues that surround the bones of the face and skull.
• The soft tissues that surround the teeth

… AND we also need to make sure that everyone is satisfied with the outcome!

At Carolina Orthodontics & Children’s Dentistry each of our Board Certified Orthodontists takes careful consideration to each of these puzzle pieces (and more) to ensure that we achieve the most healthy, functional, stable, and esthetic result possible.  The decision on which appliances to use will depend on which mechanical movements are most important in achieving those desired results.  For the most part, we feel we can achieve ideal results with either of the two main options we offer here at Carolina Orthodontics & Children’s Dentistry.  Of course there will be cases where one option will be more favorable than the other either in mechanics, cost-effectiveness, or efficiency.

The two main Orthodontic options we offer here at Carolina Orthodontics & Children’s Dentistry are: Traditional Braces & Clear Aligners (like Invisalign).  Let’s briefly discuss the similarities and differences of the two options:

Traditional Braces

Braces are attached to each tooth to help control the position of each individual tooth.  The wires that are tied into the brackets are what provide the forces necessary to achieve the desired position.  Each individual bracket has a specific prescription milled into what we call the bracket slot.  The prescription of the bracket will have a different value for rotation, tip, and torque. As we progress through treatment we move into larger and stiffer wires that will eventually “fill” the slot of the bracket and therefore provide more control over the exact position of the tooth.  When we reach our “working” wires which are also referred to as “final” wires we can then make adjustments to the shape of the wires to make finite, detailed changes in tooth position.

Traditional Braces are a fixed appliance.  This means that they are adhered to your teeth and stay there throughout the course of treatment.  Fixed appliances have an advantage in that you know they are always working for you as long as they are in tact.  They are a little more involved when it comes to brushing and flossing around them.  It’s also necessary to be careful and aware of diet with fixed appliances.  In general, the foods that you want to try to avoid are those that are hard, crunchy, and sticky.

Clear Aligners

Clear Aligners are a series of custom-fit plastic aligners that gradually move your teeth between each set.  Small amounts of prescriptive movement are present in each set of aligners and teeth move incrementally until the desired position is achieved. Tooth colored attachments (also called buttons or anchors) are placed on certain teeth to help provide specific pressure points and specific movements.  They also help in the retention of the aligner itself so it doesn’t pop out easily.  Clear Aligners are removable so there are no dietary restrictions and you can brush and floss normally which is a major benefit.  Because the aligners are removable, if they aren’t worn for as many hours as directed, their effectiveness can be significantly diminished.

Clear Aligners have become increasingly more popular over the last 10-15 years.  With increased popularity we have seen improvements in the product materials and improvements in clinical efficiency.  At Carolina Orthodontics & Children’s Dentistry we LOVE both options and for most cases feel we can get an ideal result with either method.

"May The Force Be With You"

Teeth do not know the difference between plastic and metal.  What they understand is the forces that are pushing and pulling against them.  When a force is applied to a tooth a signal is sent to the body to modify the shape and position of the bone that supports those teeth.  This is why moving teeth TAKES TIME.  Orthodontics is actually the process of modifying the bone and ligaments that holds teeth in their position.

After achieving the desired result it is absolutely essential to have a retention plan.  Retainers are designed to prevent teeth from moving back to where they came from.  As long as our hearts are beating, our teeth are trying to move and establish a stable home.  So our saying at Carolina Orthodontics & Children’s Dentistry is “Night Time for a Lifetime!”. Retainers should be worn at least while sleeping for as long as you want to keep your teeth straight.

In Summary, there is A LOT that goes into how Orthodontic treatment works.  Here at Carolina Orthodontics & Children’s Dentistry our Board Certified Orthodontists try to help each guest reach their smile goals individually.  We love what we do… and we’re super grateful for entrusting us with your treatment.

Have you been considering orthodontics to improve the look and function of your smile for yourself or your child? The time is now and getting started is easy. Connect with us today to reserve your FREE orthodontic consultation and our team will make a game-plan for piecing together your custom puzzle (smile). At Carolina Orthodontics and Children's Dentistry, we firmly believe in creating smiles for all seasons, meaning smiles for a lifetime and smiles for ALL AGES! 

See you soon.

"Creating Smiles For All Seasons"

| Cary | Fuquay | Apex | Brier Creek | Rolesville | Fayetteville | Pittsboro- COMING SOON |

🦃Thanksgiving 2023- What Are We Thankful For?

November 23rd 2023

What Are We Thankful For?

Thanksgiving 2023

Thanksgiving is not just for enjoying delicious food with family, having extra time off from work, shopping the big sales, or watching football with a full stomach. No, Thanksgiving is so much more than that. Thanksgiving is the perfect holiday to reflect on all that you have and to re-focus your heart and mind on being gracious. Whether you are thankful this year for the roof over your head, your awesome career, your caring family, or maybe you are thankful for the smaller things in life like fast internet, a morning of sleeping in past 7, or scoring the last box of little Debbie Christmas tree desserts (because lets face it, those things are a hot commodity), you should still take a few moments to reflect on it. As you read along and learn about what some of the Carolina Orthodontics & Children's Dentistry doctors are thankful for this year we challenge you to join in on the fun and post what you are thankful for (and while your there tag us-- @MyCarolinaSmile). Not only do our doctors have so much to be thankful for this year, but they also thought it would be fun to share a few Thanksgiving traditions. Our team is so diverse and we enjoy learning new traditions and encourage you to try adding a new tradition or holiday recipe to your rotation this season. 

Dr Nate-- Fayetteville Location

I'm thankful for an exciting past year with lots of good changes like moving to Fayetteville and starting a new practice. And I'm thankful for my wife who encouraged me and supported me with all these new changes!

Like a lot of families we get together for a big Thanksgiving meal with all the classics, and then eat Thanksgiving leftovers for days afterwards. I like to sneak in watching some football and napping, too.

Dr Felicia-- Apex Location

My favorite holiday is hands down Thanksgiving! I Kick off the day with an 8K race in Carboro every year with my running buddies and their family members! 

Dr Jed-- Fuquay & Cary Locations

I'm thankful the Cubs are finally making roster moves to compete for a World Series again. I'm thankful that Hubert Davis seems to be the leader Carolina Basketball needs to continue to lead the Tar Heels to be the greatest basketball program in the history of the universe. I'm grateful for leftover Halloween candy that always seems to satisfy the unexpected cravings that pop up throughout the whole year. I'm thankful for beef jerky, energy drinks, Titleist golf balls, college football, stand-up comedy, sappy country music, and NC beaches. I'm also thankful for the person that absolutely loves me more than any other person on this planet possibly could.... 
my dog. 

My wife makes a killer pumpkin pie. My signature move on Thanksgiving is smoked brussel sprouts w/ bacon

Dr Erin-- Rolesville & Brier Creek Locations

This year I am most thankful for the health of my family!

My favorite Thanksgiving tradition is Friendsgiving - We moved to NC and do not have extended family here. We are thankful for friends helping make it a memorable holiday every year!

Dr Jordan-- Cary & Brier Creek Locations

I am thankful for my amazing family both near and far, every day but especially when Thanksgiving gives us a chance to focus on it.

As far as favorite recipes go, can’t beat the stuffing (secret ingredients can’t be shared)

Dr Lauren-- Fuquay Varina Location

I'm so thankful for the time that we've been able to spend with family this year! We've had 5 family weddings this year, which is sometimes the only time we get to see extended family all together since we live so far apart. We have also gotten to travel to California and the NC mountains with family, and recently ran the Disney Half Marathon in Orlando with family! It has been so fun seeing everyone more than once this year!

Our traditions go a little like this: We always watch the Macy's Thanksgiving Day Parade, followed by the Thanksgiving Day National Dog Show -- the miniature schnauzer should ALWAYS win, in my opinion! Then it's turkey time!

Dr Brett-- Apex & Brier Creek Locations

I am thankful for my wonderful family!

One of my go-to's is Raspberry Cream Pie... You've got to try this recipe!

Follow this link to make your own!

Dr Jenna-- Apex & Cary Locations

I am thankful for so many things this year and always. I am so grateful for my family - even with the expansion!! 😊 I am thankful for my work family. They keep me on my toes and help make sure we all get through this adventure together.

 I am thankful for all of our amazing patient families and how trusting they are for us to take care of their most precious members. I am grateful for the awesome team of doctors that I work with every day. We really do have the best of the best on our team! I am grateful for friendships, learning and growth.

 And I am especially grateful for the UNC Tar Heels and the excitement that sports brings to my life! 👣👣

My favorite Thanksgiving dessert is the Pioneer Woman pecan pie-- It's the best version of pecan pie I've ever made, follow this link if you want to impress your family!

Dr Jenna was recently a guest on the My Carolina talk show to discuss healthy dental habits around the holidays.

You can watch her feature here ^ and let us know what you think!

__________________________________________________________

In conclusion, we have SO MUCH to be thankful & grateful for. As a practice we are so thankful for YOU, our guest, for entrusting us each day with caring for your family and allowing us to create smiles for all seasons.

Happy Thanksgiving, to everyone near and far!

ps. Don't forget to brush & floss after you devour all of those delicious holiday desserts!

Need an appointment? Click here <---

| Cary | Fuquay Varina | Apex | Brier Creek | Rolesville | Fayetteville | COMING SOON- Pittsboro |

Debunking Myths: Orthodontic Treatment

September 21st 2023

 Debunking Myths: 

Orthodontic Treatment

Let’s set the scene: you are considering straightening your smile, but now you are thinking about all the options and all the pro’s and con’s and it is becoming slightly overwhelming. Or maybe your son/daughter has been BEGGING you for braces because his/her friends ALL have them, but you are not convinced there is a need or that your child can handle treatment. Let this be a guide to help ease your mind and make you feel more confident in your decision making when choosing an option to straighten your smile and take control of your smile journey. 

Traditional metal braces are not esthetically pleasing!

Braces are used by your orthodontist to help you improve the look and feel of your smile. While traditional metal braces are what most people think of first when considering straightening their smile, there are many popular options available. At Carolina we offer our guests traditional metal braces, metal Damon braces, ceramic or “clear” Damon braces, and Invisalign clear aligners. 

With the advances made by Align Technology, clear aligners or trays are becoming more and more popular amongst guests of all ages. Not only have clear aligners become the choice amongst teens and young adults, but also with adults and professionals because the aligners are discrete and the care aspect is easy to maintain. Clear aligners have their perks as the aligners are easily removed for routine oral hygiene care, eating, drinking, and are easily removed for big presentations or if needed for work tasks. 

Our ceramic or “clear” Damon option is a good fit for anyone who may feel overwhelmed with keeping up with your clear aligner trays. The ceramic Damon system is very similar to traditional metal braces, the science is the same but the upper brackets are “masked” as the ceramic brackets blend in with your smile unlike the metal option where you can see each bracket immediately. As a general rule, our office offers the clear ceramic Damon brackets for the upper teeth. We usually recommend metal on the lower teeth because when most people smile you cannot see their bottom teeth. At the end of the day, the decision is up to you, you know yourself best and know what option will fit best with your lifestyle.

Orthodontic treatment takes too long!

The amount of time spent in braces will vary depending on the individual patient, because every smile responds differently to treatment. Treatment times can take anywhere between 6 and 30 months, but most standard treatments take about 18 months. At Carolina, we offer complimentary orthodontic consultations to all of our guests so that we can take the time to sit down with you and review your X-rays, hear your concerns about your smile, review your customized treatment options, and importantly give you an estimate of how long it may take to give you the smile you’ve been dreaming of. 

Will I spend all of my free time at the ortho office?

Believe it or not, some orthodontic treatment options CAN free up your schedule and you CAN actually spend minimal time at the office (compared to traditional braces). At Carolina, we partner with DentalMonitoring to provide our ortho guests with optimal care while allowing you to be in the driver seat, orthodontic treatment your way! Did you know you can see your Orthodontist less, but stay more connected than ever? DentalMonitoring is an app based technology that is powered by the industry’s largest dental image database making their AI capabilities unique in assisting our board certified orthodontists to provide each guest with precision care. It is so easy to use, anyone can do it.. Promise. With the DentalMonitoring app and ScanBox pro, you can now send in photos of your teeth and communicate with your doctor securely from the comfort of your home — or anywhere in the world. Your doctor will receive your photos to review your treatment and ensure it’s on track without the need for unnecessary trips to the office. The doctor will send communication and guidance on your treatment via the app, such as “You are doing great, please advance to your next tray” or “Let’s allow these trays to work a little longer, please do not advance this week”. Over time, you can monitor the progress of your treatment with our photo time lapse technology that shows you how your teeth are moving towards your goal. You get to see your teeth “move” in real time! 

Is orthodontic treatment only for cosmetic purposes?

Braces are a cosmetic treatment procedure if you are self-conscious about your teeth and want to improve your smile. However, if you have a dental problem that needs to be corrected to improve your oral health, you should see care with an orthodontist. Here are some common reason orthodontic treatment may be recommended to you:

• Keep teeth from erupting in the wrong position
• Correct crowding
• Protect teeth and gum tissue 
• Correct an overbite, underbite, or cross bite 
• Prevent jaw pain
• To avoid or aid with breathing or swallowing problems
• Correct over-spacing or “gaps” between teeth
• Correct the effects of finger or thumb sucking
• Prevent heart disease
• Aid in preventing tooth decay

There are many reasons why orthodontics can improve your daily life along with your overall functionality and health.

Braces are too painful!

Braces do not hurt when they are placed. You will likely feel some discomfort for a couple days as your teeth, gums, cheeks, and mouth get used to your new braces. We always recommend a softer diet the first few days after starting treatment and keeping Tylenol or pain relieve on hand. If the “pain” factor is keeping you from choosing traditional braces vs Invisalign know that both options can come with soreness and discomfort. 

Will I be deprived of good food and drinks during treatment?

Though there are limitations on what you SHOULD and SHOULD NOT eat and drink during treatment, the goal is never to “deprive” your stomach of happiness. With caution and self-control you can still enjoy the “sweeter” things in life… as long as you avoid the sticky treats. Check out this list of foods that are on the ortho “No-No List” that can cause harm or damage to your braces and the overall health of your teeth.

Do you have to skip your dental cleanings when in treatment? How do you keep your teeth clean while in treatment?

Absolutely NOT, in fact, it's even more important that guests receiving orthodontic treatment visit their dentist regularly. With braces, food may be caught in places that your toothbrush can't reach. This causes bacteria to build up that can lead to cavities, gingivitis, and gum disease. Your dentist will work closely with your orthodontist to make sure that your teeth stay clean and healthy while wearing braces. Your dentist and your orthodontist should have close communication during your orthodontic treatment. 

With braces, you should brush your teeth at least three times a day to keep your teeth, gums, and mouth healthy and clean. Brushing regularly will help remove any food that may be caught between the braces or trapped inside your clear aligners. You should also floss daily to get in between your braces where your brush isn't able to reach. Your orthodontist can show you how to properly brush and floss once your braces are placed.

Orthodontic treatment is just for kids!

If you want to improve the look and feel of your smile, then any age can be a great age to see the orthodontist. The American Association of Orthodontists recommends that children first visit an orthodontist around the age of seven; however, orthodontic treatment is not exclusive to children and teens, with about one in every five orthodontic patients being over the age of 21. Whether you're considering treatment for yourself or for a child, any time is a good time to visit the orthodontist.

 

Orthodontic treatment is too expensive!

Orthodontic insurance is different from most regular dental policies. Most orthodontic policies cover 50% of the cost, up to a specified lifetime maximum set by each insurance company. Prior to your first appointment, we ask that you become familiar with your benefits so we can provide the most accurate information regarding your out of pocket expenses throughout your treatment.

At Carolina, we accept most major insurance plans as well as Health Savings Accounts (HSA). Since Carolina Orthodontics and Children's Dentistry is an in-network/preferred provider for many of the major insurance companies, you can maximize your insurance benefits more easily. As a service to our patients, we are happy to verify your orthodontic benefits and process your insurance forms for you.

Treatment fees vary according to the time estimated for your individualized treatment and a few other factors. Our fees are all-inclusive. This means we do not charge for pre- and post-treatment records, braces removal, or retainers. An estimate of these fees will be provided during your first appointment at the complimentary consultation. Don’t worry, all financial arrangements will be thoroughly discussed with you before beginning treatment.

We offer various payment plans and work closely with you to find one that fits into your budget. Our payment and financing options include:

No interest, in-office financing: This usually consists of a down payment and then the balance divided into interest-free, monthly installments over the course of the Orthodontic treatment.

Fee reductions are offered for pre-payment in full or for families with multiple patients.

So What Comes Next?

Connect with us and schedule your FREE orthodontic consultation at one of our many locations including: Cary, Fuquay Varina, Apex, Brier Creek, and Fayetteville.

Have your insurance card ready when you chat with a team member to schedule your visit, our team will do our best to have your benefits breakdown in time for your visit.

Maybe you’ve already had a consult and you needed some extra time to think over your options, your next step is to reach out to our team and schedule your bonding appointment (traditional braces) or Invisalign scan. Still have questions before you schedule? Don’t be shy, contact the office and we can have one of our outstanding treatment coordinators reach out to go over any questions that you may have. 

Before you go, check out this amazing offer available to all eligible Invisalign guests who schedule their scan or secure their deposit by 9/30. 

“Creating Smiles For All Seasons”

| Cary | Fuquay Varina | Apex | Brier Creek | Rolesville | Fayetteville | COMING SOON- Pittsboro |

Pediatric Oral Health (Including Breastfeeding & BOHP)

August 4th 2023

Pediatric Oral Health (Including Breastfeeding and BOHP) 

“Why does my child have cavities?” 

“What should I have done differently?” 

You may find yourself thinking about questions similar to these. Cavities are preventable and helping your child start out “on the right track” by establishing healthy habits is crucial to not only healthy oral health as an adult, but optimal systemic health, too. 

Early childhood caries (ECC) is a “significant chronic disease of childhood.” According to the American Academy of Pediatric Dentistry, ECC is defined as a decayed, missing, or filled tooth in someone under 6 (AAPD ECC). If a child under 3 years old has a cavity on a “smooth” surface (not in the grooves of the teeth), a cavity on a front top tooth under the age of 5, or more cavities than their age (ex 5 cavities in a 4 year old) then the AAPD describes the child as having severe early childhood caries. Did you know 23% of kids between 2 and 5 years old have cavities on baby teeth? 

Many consequences of early childhood caries exist: “a higher risk of new caries lesions in both the primary and permanent dentitions, hospitalizations and emergency room visits, high treatment costs, loss of school days, diminished ability to learn, and diminished oral health- related quality of life” (AAPD). 

A cavity is formed when a healthy tooth starts to break down (or demineralize) forming a hole or cavitation in tooth structure. Bacteria exists in the oral cavity and that bacteria metabolizes food creating an acid that breaks down the tooth structure creating a cavity. Thus, good oral hygiene practices (including brushing and flossing) and a healthy diet are essential. 

Cavities are preventable and it is important to instill healthy dental habits from a young age. Below are helpful tips for caries prevention: 

• Baby's First Dental Visit
• Establish a dental home by baby’s 1st tooth or 1 year of age (the rule of 1’s). 
• Optimal Oral Hygiene. 
• Prior to tooth eruption, wipe your baby's gums with a warm, soft, damp cloth. Once the teeth erupt, transition to a small, so^-bristled toothbrush. 
• Adult supervision is key. Cleaning an infants gums or brushing a child’s teeth once tooth eruption has occurred, minimizes the oral bacterial load and sugars that can cause cavities.
• Fluoride 
• Community water fluoridation (It is key to preventing dental caries on a public health level. Lifetime exposure to community water fluoridation has been shown to reduce cavity prevalence, may reduce caries-related visits, and avoid dental surgeries under general anesthesia)

• Professionally-applied fluoride varnish treatments. These treatments are commonly preformed at routine dental cleaning appointments twice per year, but can also be recommended on a more frequent schedule as prescribed by a dentist.

• Fluoridated toothpaste

• Fluoridated toothpaste: if your child cannot spit (typically 3 and under), use a smear/grain/rice sized amount. Once your child can spit, transition to a pea sized amount. Please always check the label of your child’s toothpaste, training toothpaste and flouoride-free toothpaste will not aid in preventing cavities (look for the words “Anti-cavity” and “Active Ingredient: Sodium Fluoride”).

Tip: allow your child to choose their own toothpaste, this gives them a 

sense of control in their daily hygiene routine.

• Diet
• Sugary snacks and drinks such as juice and flavored milk should be limited (and avoided in children under 2 years of age).

• Limit juice to 4 ounces per day for children 1 to 3 years. The rule of thumb is to allow your child 1 special drink per day (at a mealtime) whether that be juice or flavored milk.

• Encourage 4-6 oz of water per day for a infants age 6 months to 1 year old. 

The American Academy of Pediatrics (AAP) recommends breastfeeding due to its “short- and long-term medical and neurodevelopment advantages.” The AAP also recommends “exclusive breastfeeding” for approximately 6 months after birth. A baby’s first tooth typically erupts between 5 and 8 months. The American Academy of Pediatric Dentistry encourages the nourishment of children up until 12 months with breastmilk but acknowledges the increased caries risk for children fed beyond 12 months or breasted nocturnally (throughout the night). It is important to note that breastfeeding alone does not contribute to cavity formation, but in combination with carbohydrates and sugars breastmilk has been found to be cariogenic (causes cavities). It is important to make sure we are brushing a child’s teeth after having a bottle at night, too. 

We often forget our youngest kids when considering diet. Yes, we realize kids should have limited sugars and carbohydrates. Yes, we likely know the benefits of breastfeeding. Do we always remember that breastmilk or formula may play a part in cavity development? Early Childhood Caries (ECC) was previously called “baby bottle tooth decay” and “nursing bottle caries”. The broader name of ECC was adopted to make it clear that cavities in young children are not just due to dietary considerations (see the first three bullet points above). That being said, diet is an important part of the equation. Let’s dive a little deeper... 

The pediatric dentists at Carolina Orthodontics and Children’s Dentistry are trained in the Baby Oral Health Program (BOHP). BOHP is a program designed to educate and provide resources for dental healthcare providers regarding infant and toddler oral health. This is of utmost importance considering “oral health [is the] window to the entire body.” BOHP’s mission is “to improve the health trajectory of every child by engaging providers to deliver comprehensive and essential preventative oral health services in early childhood.” Through the BOHP program, the dental healthcare provider has access to resources such as a caregiver presentations to not only better educate themselves, but their patient’s parents. By using the resources provided, our pediatric dentists are better able to understand where their parents are in their oral healthcare journey and better help them achieve an optimal oral healthcare routine and health trajectory for their children. 

We have 5 convenient locations throughout the triangle:

CARY, FUQUAY-VARINA, APEX, RALEIGH, ROLESVILLE,

& FAYETTEVILLE!

“ Policy on Early Childhood Caries (ECC): Consequences and Preventive Strategies. “ American Academy of Pediatric Dentistry: America’s Pediatric Dentists. The Big Authority on Little Teeth. https://www.aapd.org/globalassets/media/policies_guidelines/p_eccconsequences.pdf 

“Policy Statement: Breastfeeding and the Use of Human Milk.” The American Academy of Pediatrics: Policy Statement.hdps://publica=ons.aap.org/pediatrics/ar=cle/150/1/e2022057988/188347/Policy- Statement-Breas4eeding-and-the-Use-of?autologincheck=redirected 

Quinonez, Rocio, et al. The Baby Oral Health Program. 

hdps://www.babyoralhealthprogram.org/about/page/26/panel2 

Erickson PR, Mazhari E. Investigation of the role of human breast milk in caries development. Pediatr Dent 1999;21(2):86-90. 

Autism Acceptance In The Dental Office

April 10th 2023

 Autism Acceptance In The Dental Office

April is Autism Acceptance month and it is important we recognize the amazing caregivers and patients who have been diagnosed.  Autism Spectrum Disorder (ASD) can be defined as a developmental disability with differences in social interaction and or repetitive behavioral patterns that can sometimes interfere with daily interactions or activities. Autism is a developmental disability that affects the way people experience the world. This may include differences in processing senses, thinking, physically moving, communicating, socializing and going about daily living.(1) In 2020, one in 35 children aged 8 were diagnosed as having ASD.(1)  For some patients with ASD, participating in day to day activities can be challenging, many families have a team of providers to assist with providing the best care for their child (1).   The team of providers may consist of the pediatrician, occupational therapist and your dentist.  Together we can provide anticipatory guidance to help parents and patients prepare for their dental visit. 

Establishing a dental home is the first step towards maintaining optimal dental health.  A dental home will allow the patient and parent to develop a relationship with a dental provider and will provide an opportunity for the patient to become familiar with the dental setting (2). 

When scheduling an appointment, please inform the office if you desire increased time for the visit and if there is a certain time of day that works best for you and your child.  During the initial exam, medical history will be thoroughly reviewed.  Information regarding previous treatment or medications used is important to share.  Sometimes it may be necessary to complete a consultation with other health care providers prior to the dental visit. 

During your visit it is important for the dental team to told what to avoid or understand what can trigger negative behavior (2).  Please expect providers to do a clinical examination (head, neck, inside the mouth) and cleaning if the patient allows us to.  We will also attempt to obtain radiographs at the visit.  If there are treatment needs, we will review behavior management options that is offered in our office.  Sometimes a discussion regarding completing or deferring dental care may be necessary prior to major procedures or treatment such as cardiac surgery or chemotherapy (2).   

Caregiver and patient education is key to prevention of dental decay.  Maintaining good daily oral hygiene is important.  We encourage brushing two times a day with fluoridated toothpaste and nightly flossing.  If brushing is difficult to implement, an occupational therapist may be able to offer guidance that can assist with brushing.  Electric toothbrushes and handheld flossers can make brushing easier for the caregiver and patient. A discussion with the caregiver regarding a noncariogenic diet will also help to prevent the development of cavities. (3) 

If you have questions about how to schedule a visit with us, please contact our office.

You may ask, what sets our practice apart from other pediatric dental providers? The answer is simple, our providers and team take your child’s care seriously and prepare for your child’s visit in many different ways to provide your child with optimal care.

1. Specialty Training For Doctor’s And Team

Our pediatric dentist’s have had extensive training to help children of ALL backgrounds, medical disorders, and behavioral disorders. Our dentists specialize in treating children and have learned over time that each child and family is different therefore having different needs. Whether your child is diagnosed as being "on the spectrum” or not, our doctors know the importance of tweaking our methods to match your child’s needs. For example, if your child is not a morning person and would have a better attitude towards their visit if it were in the afternoon we would suggest avoiding scheduling the earliest appointment of the morning. Our team prides themselves on taking continuing education courses to stay up to date with the guidelines and recommendations for treatment and they are always willing to try new things if it means helping your child have a successful dental visit. 

2. The Dental Toolkit 

Last summer we had the pleasure of working with Hannah Schultz, OTD, OTR/L as she wrapped up her capstone project to become an occupational therapist. With the help of Dr. Schultz, we were able to implement her idea of the Dental Toolkit to help children of ALL needs to have successful dental visits. 

The dental toolkit is for children and families that could use additional resources to be comfortable during a visit to the dentist. The toolkit includes access to video models, social stories, and items like weighted blankets and fidget toys to help ease any fear or anxiety during dental treatment. If you would like more information about how you can access the dental toolkit please give our office a call prior to your child’s visit and one of our caring team members can send you the information and links to the video models and social stories. 

Autism Acceptance Month was created by and for autistic people to respect the rights and humanity for all autistic people and center “the perspectives and needs of autistic people with intellectual disabilities, nonspeaking autistic people, and autistic people with the highest support needs.”

Ways To Support The Autistic Community During Autism Acceptance Month:

1- Don’t speak over autistic voices. 

Decisions about autism need to be made by or with autistic people.

2- Avoid harmful language & labels 

Descriptions such as “high functioning” or “low functioning” can come across as harmful and people with autism do not always fit inside the “high/low functioning” category. Everyone has things that they are good at and things they may need help with.

3- Support autistic-run organizations & businesses. 

Support organizations that center autistic voices and are run by autistic people.

4-Don’t perpetuate myths about autism.

Stay up to date on current research & take a second glance before sharing something that furthers stereotypes about autistic people

Acceptance means not only understanding Autism, but respecting Autistic people and not trying to change fundamental aspects of who they are.

Acceptance includes education and inclusion. We encourage you learn about autism and accept differences in the people around them.

Did you know that Carolina Orthodontics & Children’s Dentistry has 6 locations across the triangle?

Cary 

Fuquay-Varina

Apex

Brier Creek 

Rolesville

Fayetteville

Ready to schedule your family?

• Contact us at (919) 846- 7900
• Email us at [email protected]
• Request an appointment online- www.MyCarolinaSmile.com

Resources:

1.Maenner MJ, Warren Z, Williams AR, et al. Prevalence and Characteristics of Autism  Spectrum Disorder Among Children Aged 8 Years-Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2020.  MMWR Surveill Summ 2023;72(No. SS-2):1-14. 

2. American Academy of Pediatric Dentistry. Management 

of dental patients with special health care needs. The Reference 

Manual of Pediatric Dentistry. Chicago, Ill.: American Academy of 

Pediatric Dentistry; 2022:302-9. 

3. American Academy of Pediatric Dentistry. Policy on 

dietary recommendations for infants, children, and adol- 

escents. The Reference Manual of Pediatric Dentistry. 

Chicago, Ill.: American Academy of Pediatric Dentistry; 

2021:87-9. 

No Insurance? No Problem!

January 27th 2023

 No Insurance? No Problem!

    Brushing and flossing twice daily is great, but good oral practices alone are not enough. Visiting the dentist at least twice a year is an important part of maintaining good oral health because your dentist can detect areas of decay or other dental issues (in most cases) before they become major problems.

    At Carolina Orthodontics & Children’s Dentistry, we understand that not every family has access to dental insurance whether that be due to the high cost of adding your family as dependents or maybe your employer does not offer family dental coverage or maybe you are self-employed and dental insurance just isn’t possible right now. So you might ask one of more of the following questions: What do we do? How can I ensure my family gets the dental care they deserve? Do I have to pay out of pocket for dental care? Does my budget allow for paying out of pocket? We have an affordable solution for you and your family, because making sure our community has access to dental care is one of our top goals. Did you know that Carolina Orthodontics & Children’s Dentistry offers an in-house dental membership plan to help our un-insured patients offset the cost of cash fees?

Dental Advantage Plan

    Carolina Orthodontics & Children’s Dentistry is now offering to our patients without dental insurance a way to save money while still receiving excellent dental care. For this reason, we have created a Care Advantage Plan. With this plan there are no deductibles, no yearly minimums, and no waiting periods to begin your dental care.

    Our annual membership benefits include preventative care, limited & emergency care, and discounts on restorative treatment. Preventative care benefits are covered at your first visit to include the dental exam and screening, cleaning (prophy), fluoride treatment, and radiographs (either bitewings or a panoramic X-ray). Preventative care benefits also include the services at your second visit of the year (recall appointment); the dental exam and screening, cleaning (prophy), fluoride treatment, and radiographs (only if not take at your first visit). Limited and emergency visits include a 10% discount on the exam and X-rays required for diagnosis. Active dental advantage members will receive 10% off of all treatment including sedation, hospital treatment and in-office IV sedation (discount only applies to the dental portion of the proposed treatment/ hospital fees and anesthesia fees are billed by the hospital or PDAA). Another bonus for active dental advantage members is a 15% orthodontic discount, so if your child is ready for braces you would have instant savings. 

Terms & Conditions: 

• 10% Off treatment is to be completed within the year of contract
• All appointments must be scheduled and completed before the plan year ends
• Dental advantage membership may not be combined with other offers
• Non-transferable 
• No refunds. No Exceptions 
• Not valid with any other form of dental insurance 
• The dental advantage plan is NOT dental insurance, it is a loyalty membership discount plan
• Cancellation prior to plan year end date will result in reversal of the discount applied to all services rendered

So what’s the cost to be a dental advantage member?

    At Carolina Orthodontics & Children’s Dentistry, the yearly cost for dental advantage membership is $347 per child and additional children receive a discounted rate of $299 for each additional child. We understand that each household has different budgets and financial situations so membership can be paid at activation for the entire year or it can be broken into mostly auto-payments of about $29 a month. See the chart below to compare the cost of dental advantage membership to the standard cash fees at our office. 

But what is the REAL cost?

    We totally and completely understand the struggle of daily life, running a household, having a career, and caring for your family and we also understand the financial hurdles and stress that all the previously listed topics bring about. We know that as parents and caregivers it is tough to make decisions like choosing between dental insurance and skipping out on dental care due to tight finances. We never want to see or hear of our patients having to make the tough decision to not go to the dentist and that is why having a membership program like this has been successful amongst our guests. The American Academy of Pediatric Dentistry recommends that every child has a check-up with their dentist every six months in order to prevent cavities and other dental problems. Primary or “baby” teeth are important for many reasons. Not only do they help children eat and speak clearly, but primary tooth also aid in normal growth of the jaws and forming a path that permanent or “adult” teeth can follow when they are ready to erupt. We hope to see you soon at your next visit. 

Did you know that Carolina Orthodontics & Children’s Dentistry has 5 locations across the triangle?

• Cary 
• Fuquay-Varina
• Apex
• Brier Creek 
• Wake Forest/ Rolesville

And coming soon.....

• Fayetteville, NC

We are so excited to serve the Fayetteville & Fort Bragg community this spring!

Ready to schedule your family?

• Contact us at (919) 846- 7900
• Email us at [email protected]
• Request an appointment online- www.MyCarolinaSmile.com

Check out these excellent resources for parents from the American Academy of Pediatric Dentistry

Interventional Orthodontic Treatment

November 16th 2022

 Interventional Orthodontic Treatment

“Why am I seeing so many kids with braces while they’re still in Elementary School?”

“Aren’t people supposed to get braces when they’re in Middle School?”

“My neighbor’s child got braces when he was in 2nd grade, is that too early?”

As Orthodontic Specialists we are on the receiving end of questions and concerns similar to these every day. Timing in Orthodontics is very important, but also varies greatly from case to case. We wanted to shed some light on Interventional Orthodontic Treatment (also known as: Phase I treatment or Early Phase Orthodontics)

Interventional Treatment has existed for many years, but has recently (in the last 5-10 years) increased in prevalence significantly. The more traditional school of thought was to monitor growth and development until someone has all of their permanent teeth. Once that person had lost all of their primary (baby) teeth, a treatment plan was made on how to align the teeth and correct the bite. Orthodontic treatment has since evolved to include shorter phases of treatment while patients still have quite a few baby teeth and before the majority of their permanent teeth have erupted.

The main objectives and goals behind Interventional treatment is to:

● Eliminate or minimize potential risks to permanent teeth as they are erupting into the mouth.

● Make complicated orthodontic cases more straightforward to significantly reduce the amount of time in orthodontic treatment once all the permanent teeth are in.

● Combat irregularities in growth and development and imbalances in jaw position.

● Prevent teeth from getting stuck (impacted) due to severe amounts of crowding

● Eliminate esthetic and social concerns when recognized early.

We would like to highlight a few of the most common reasons why Interventional Treatment is prescribed:

1. Severe Crowding:

Crowding occurs when there is a mismatch between the size of teeth and the size of the upper or lower arch. In cases with severe amounts of crowding, some of the permanent teeth that are the last to erupt into the mouth may not have any room to be able to erupt into a reasonable position. This can lead to impaction (teeth getting stuck), ectopic eruption (teeth erupting in a position or angle they aren’t designed to do), or potential root resorption (damage to the roots of neighboring permanent teeth). Any of these risks can significantly complicate orthodontic treatment in the future or may lead to an inability to save a particular tooth or teeth. To avoid those complications an Orthodontist may prescribe early phase treatment to create room for the erupting permanent teeth. This may include: removal of baby teeth before they come out on their own, orthopedic appliances like headgear or expanders, or braces.

2. Traumatic Occlusion:

Traumatic Occlusion refers to damage to teeth, gum tissue, or bone caused by the incorrect position or function of neighboring/surrounding teeth. Each type of tooth in the mouth is anatomically designed for certain functions. When teeth erupt out of position, we can see wear, gum recession, tooth fracture, and bone loss. When these risks are identified, timely treatment is usually recommended to prevent further progression of any potential issues.

3. Growth & Development Imbalances

One of the most important aspects of getting teeth to fit together properly is having balance in the position of our upper and lower jaws relative to the base of our skull. Genetics play a large factor in where the upper and lower jaws are going to grow, but it is extremely difficult to predict the magnitude and exact direction that growth will occur. If early imbalances are detected, an Orthodontic Specialist may prescribe early treatment to help re-establish balance in the position of the jaw bones. This is done most commonly with orthopedic appliances (headgear, expanders, etc.) in conjunction with braces.

4. Esthetic & Social Concerns:

The most common reason Interventional Orthodontics is sought after is to improve the esthetics of our smile. This varies widely from patient to patient. Some patients are aware of what their teeth and smile look like very early and others are not. Some patients may be getting a negative response to their smile from classmates, neighbors, or family members. We want to do everything we can to help these situations and provide patients with confidence in their smile. It’s impossible to quantify the value of having that confidence, but we know it is important for many reasons. We strive to ensure that each patient is pleased and happy with the result after having gone through orthodontic treatment.

When considering Interventional Orthodontic treatment it is essential to also evaluate the patient’s level of cooperation. High dental anxiety, lack of good oral hygiene habits, high risk for developing cavities, and poor compliance are some of the more common reasons that an Orthodontic Specialist might choose to NOT prescribe early orthodontic treatment. Careful consideration for each patient is taken to ensure that we don’t inherit more risks or cause more harm by doing early treatment. In these instances we may elect to allow a particular patient more time to mature.

Hopefully this information can help provide more clarity regarding Interventional Orthodontic Treatment. If you have any questions about how our Orthodontic Specialists use Interventional Orthodontics in our practice, feel free to email, call, text, or chat! We are here for you!

Ready to schedule your child? Great!

We offer complimentary orthodontic consultations to all guests, call schedule your child's visit today!

We have 5 convenient locations throughout the triangle:

CARY, FUQUAY-VARINA, APEX, RALEIGH, WAKE FOREST

& Coming soon to ROLESVILLE!

Dental Trauma-- What Should You Do?

September 27th 2022

 Is your kid wobbly? Does your kid roughhouse? Does your kid play contact sports? 

Emergencies happen. Being prepared is essential. Did you know that the second most common area injured in 0-6 year olds is the mouth? Did you know that if your child has had a traumatic dental injury he/she is likely to have another? Dental emergencies are most likely to occur between two and six years of age and most often affect the gingiva (gums). Ever wonder what to do or who to call if your child has a dental emergency? If your child has lost consciousness, has a compromised airway, has nausea or vomiting, or is bleeding from the ears, nose, or throat, go straight to your physician or the emergency room. If not, don't look any further - we are here. 

We understand accidents do not always happen from 830am-5pm during our normal business hours. Do not hesitate to contact our office. Please call the office and you will be directed to an answering service. Below are some common dental emergencies and what to do. 

“Shark Teeth” 

Does your child have two rows of teeth on the bottom in the front? Do not panic – this is not an emergency. Often, lower front permanent teeth erupt “behind” the existing baby teeth. Once the baby teeth fall out, the permanent teeth are “pushed forward” into the U-shaped arch due to the pressure of the tongue. 

Toothache or discomfort

Clean/ brush around the tooth. Rinse with warm salt water. Use dental floss if anything is lodged in between the teeth. Apply ice or a cold compress if the patient is swollen. Over the counter Tylenol or Motrin can be taken – please, avoid using aspirin. Make an appointment to see the dentist. 

Mouth/Cheek cut or lip bite

Apply pressure to the area to stop any bleeding. Use ice or a cold compress for swelling or the bruised area. Exercise caution when eating - generally a soft, bland diet is recommended until healed. 

Broken/Cracked tooth

Look for the tooth fragments. If found, place them in milk. Check your childs lips, tongue, cheeks for any tooth pieces. Make an appointment to see the dentist. 

Tooth “pushed up/in” (intruded tooth)

Check your surroundings to make sure the tooth did not break. Apply ice or a cold compress to ease any swelling or discomfort. If in pain, take over the counter Tylenol or motrin as prescribed on the bottle. Call the emergency/after-hours number to talk to a dentist and determine the next steps. Call (919) 846-7900 and follow the prompts to connect with one of our doctors.

My kids tooth was "knocked out" (avulsed tooth)

• Permanent tooth knocked out? Find the tooth. Touch the tooth by the crown (portion of the tooth with white enamel that is exposed in the mouth). Rinse the tooth with a gentle stream of water (do not clean the tooth). Place the tooth back into the socket (inside your child’s mouth). If unable, place the tooth in milk. Time is of the essence - call our emergency/after-hours number to speak to a dentist and determine the next steps. 
• Baby tooth knocked out? Take a clean piece of gauze/toilet paper/wash cloth/etc. and place it over the area with applied pressure or have your child bite on it (applying pressure). The bleeding should stop. If the bleeding is not controlled, call the dentist. 

Broken braces/orthodontics or appliances

If you can remove the appliance, remove it. If unable to remove it, cover any portion that is uncomfortably poking your child with dental wax. Call your orthodontist or pediatric dentist to assess the situation and make an appointment. 

Wondering about the impact of dental trauma to a baby tooth on the developing permanent dentition? The answer to this question largely depends on the age of the patient, but in general, the root of the baby tooth is located near the developing tooth bud. Some possible sequela to the developing permanent tooth may be change in permanent tooth shape, a “bruise” or mark on the developing permanent tooth, impacted teeth, and changes in tooth eruption patterns. These side effects most often happen when a baby tooth is intruded (pushed in) or avulsed (knocked out). 

Carolina Orthodontics and Children’s Dentistry has a team of orthodontists and pediatric dentists that are here to help you. Contact our office and we can help you decide if your child needs emergency dental care, how soon your child needs to be seen, and/or get your child scheduled. If you contact the office after hours, stay on the phone and a representative will pick up, take your message, and forward it to our on-call doctor. We always have a pediatric dentist and orthodontist on call – someone will be in touch with you shortly. Pictures are often very helpful and can allow the pediatric dentist to make an assessment without seeing the patient – Don’t be surprised if we ask you to send us a picture or two! 

Attend your child’s appointment. One of our pediatric dentists will get a history of the incident from both you and your child and examine the injury. We may obtain radiographs and will perform any necessary emergency dental care. 

Ready to schedule your child? Great!

We have 5 locations throughout the triangle:

CARY, FUQUAY-VARINA, APEX, RALEIGH, WAKE FOREST

& Coming soon to ROLESVILLE!

**CLICK the image above to request your next visit**

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RESOURCES:

Day PF, Flores MT, O’Connell AC, et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 3. Injuries in the primary dentition. Dent Traumatol 2020;36(4):343-359. https://doi.org/10.1111/edt.12576. 

“ Frequently Asked Questions. “ American Academy of Pediatric Dentistry: America’s Pediatric Dentists. The Big Authority on Little Teeth. https://www.aapd.org/resources/parent/faq/

Fouad AF, Abbott PV, Tsilingaridis G, et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 2. Avulsion of permanent teeth. Dent Traumatol 2020;36(4):331-342. https://doi.org/10.1111/edt.12573. 

Levin L, Day PF, Hicks L, et al. International Association of Dental Traumatology guidelines for the management of trau- matic dental injuries: General introduction. Dent Traumatol 2020; 36(4):309-313. https://doi.org/10.1111/edt.12574. 

August 23rd 2022

 Should I stay or should I go?

It has happened, your child has their first cavity and treatment is recommended. You are nervous for them and you want to be there to support them every step of the way. However, you ask yourself, “Should I be in the room?” 

Parents are always welcome to accompany their child in the treatment room in our office. There are some benefits to being present for your child’s dental treatment. For example, it allows the parent to see how hard the dental team worked to help make their child as comfortable as possible. It also allows the parent to see the necessary steps for providing dental care for different procedures. Parents can also be supportive and help their child relax if they notice their child is starting to become anxious or extremely nervous. 

If a parent wants to be present for treatment it is important for the parent to know their role in the room. Here are some things to consider: 

• It is best for the parent to be a silent observer. During dental treatment if your child is doing well, but you ask, “Does it hurt?” or “Are you ok?” repeatedly, this can be distracting and confuse a well behaving patient. Additionally, it can cause them to think that perhaps something should be wrong. It can create anxiety for the patient when everything is actually going well.
  
• If the parent has dental anxiety, it may best if that parent is not present for treatment. When a parent has anxiety that anxiety can be transferred to the child. Children will notice if their parent is anxious and this could cause them to be concerned as well. If you know your child does better with mom, dad or their grandfather, they may be the better person to accompany them to their visit.
  
• Communicate to the dental team if you have questions. It is important for the parent to understand the treatment process and the treatment that is being provided. You are always welcome to call and speak with a team member about what to expect prior to dental treatment. In fact, asking questions prior to the appointment will help decrease dental anxiety on the day of treatment.
  
• It is important for parents to know that body language is important. During and after anesthesia has been given, some patients may cry or become upset. This is normal and expected behavior in most cases, especially if it is their first time receiving anesthesia. Many children may have what we call a compensatory cry during treatment, which very different from a painful cry. A compensatory cry usually is the way a child copes in a stressful situation. When there is a compensatory cry there is no movement, arms and legs are still (sometimes the patient even has their legs crossed). A patient with that behavior is comfortable and doing well. A painful or fearful cry is usually accompanied with lots of movement and patients are unable sit still. If we notice lots of movement or unsafe behavior we will stop treatment. If we are unable to help your child become more comfortable, we should consider other behavior management options for your child. 

When a child is given the opportunity to complete care without the parent present, it can give them a sense of accomplishment and bravery. Having dental treatment is a very different experience. For example, the anesthesia feels strange, the noises can be loud and the vibration can be scary. However, despite all of those factors the pediatric team does their absolute best to calm all fears and provide the best support for a positive experience....because that is what we do for our patients! 

Full circle moment: Why do so many adults have dental anxiety?

Yes, pediatric dentists have a goal of children being cavity-free, but as a profession we are also realistic. We understand that children get cavities and that those cavities require treatment, but we also have the knowledge that some parents may be extremely uncomfortable with the thought of going to the dentist because of their own past experiences as children. It is simple. Pediatric dentists have a mind-set that positive dental experiences stick with us as children and in return those children have a better tolerance of going to the dentist and keeping up with their oral health as adults. There is a cycle at play here. Parents who have positive memories of going the dentist as a child will then willingly bring their child to the dentist (for routine care, not only when there is a specific reason or dental pain). We hear it all the time, “Wow, I wish when I was a kid the dentist made me feel comfortable, where were you when I was growing up”. This is the reason we focus so much on positive visits and strive to provide each child with a customized plan for treatment that works best for their situation. We work together, with parents, to set realistic goals and ways to accomplish said goals. 

If you would like to learn more about the different treatment options available at our practice please follow the link below to our website. 

https://www.mycarolinasmile.com/childrens-dental-treatments.php

Ready to schedule your child? Great!

We have 5 locations throughout the triangle:

CARY, FUQUAY-VARINA, APEX, RALEIGH, WAKE FOREST

& Coming soon to ROLESVILLE!

Follow the link here or give us a call at (919) 846. 7900

July 8th 2022

Dental Work For Children- Sedation (and Non-Sedation) Options for Treatment 

So, your child has a cavity and needs dental treatment - your next question may be “How do you do dental work on kids?”  Today’s focus will be on sedation, but we’ll review our other treatment options to help you think about which method may be best for your child. 

The goals of any dental visit include safely completing the visit, minimizing physical discomfort or pain, managing anxiety, and promoting a positive attitude towards oral health. Sometimes, to achieve these goals, children need very little assistance and can tolerate dental treatment with or without nitrous oxide. Sometimes, achieving these goals involves some form of sedation. Your pediatric dentist will discuss what may work best for your child to give your family the best dental experience possible. 

 

Key Take-Aways: 

• There are a number of ways dental treatment can be completed: (1) conventional treatment without nitrous oxide, (2) treatment with nitrous oxide, (3) oral conscious sedation, and (4) IV sedation or general anesthesia. Your dentist considers many factors in determining which option(s) may work best for each child, including behavior during cleanings and exams, how well they tolerate taking dental x-rays, medical history, the amount and type of dental treatment needed, anxiety levels, and more. 

Maternal Health

May 27th 2022

Maternal Health

May is always a time that we reflect on the importance of mothers in our lives.  We all have a mother or mother-figure that had a strong impact in our lives.  So often mothers sacrifice their time, their energy, their sleep, and their overall well-being to make sure that those they love are cared for and that their needs are met.  During this month we would like to take a moment and talk about the importance of maternal health and how making a mom’s well-being can actually improve the lives of those they love and the community they live in.

From the moment a woman realizes that she is pregnant or has been introduced to the baby that she is now responsible for, her priorities and perspectives immediately change.  Things are no longer about just her and now include concerns for another human being.  There has been significant evidence to show that improving the health of mothers-to-be and mothers increases the health outcomes of their children as well.  In their publication Ensure Health For All, the organization Women Deliver said “Healthy girls and women are the cornerstone of healthy societies. Provide girls and women access to health throughout their lives, and they deliver a healthier and wealthier world.” Early evidence suggests that primary prevention focused on mothers can lead to an improvement of the child’s oral health and general health well into adolescence (Meyer et al., 2013).

Ensuring that a mother’s overall health - both mental and physical - has lasting impacts that reach well beyond their home.  Not only are families happier and healthier, but local and national economies improve when women are healthy.  And these benefits can extend into subsequent generations (Onarheim, et al).

Unfortunately, significant health disparities do exist both globally and in our own country, with minority and under-represented women experiencing increased rates in mortality associated with childbirth, increased complications during postpartum recovery, and continued disadvantages in accessing adequate medical care and nutrition.  As such, making leaders at all levels aware of the barriers these women and families face is extremely important. (Improve Maternal and Newborn Health and Nutrition, WomenDeliver.org). As noted above, making strides to close these gaps in access to nutrition and healthcare will benefit all of us.

While all of this may seem overwhelming and hard to think about on a grand scale, we can start by taking an introspective look at ourselves and where we are in our own health journey.  We can make sure that we are up-to-date with our health care needs, scheduling our annual physical and dental appointments.  And we can allow ourselves the opportunity to practice self-care and self-reflection.  Self-care for mothers is extremely important.  It should be pointed out that self-care is not being selfish.  And there are some very important points that need to be acknowledged before we move on:

*Being a mom is hard!

*Being a mom is tiring!

*Being a mom is a daily challenge that 

can test even the most patient person!

You are normal to feel overwhelmed, stressed, confused, or even scared from time to time.  These are all emotions that all mothers feel in their motherhood journey.  Acknowledging that you, as a mother, are entitled to feel this way can help you to step back and process situations as they arise.  Additionally, taking time to be focused on yourself for a period of time is not only helpful, but crucial!

Kaiser Permanente recommended these self-care tips for busy moms:

1. Get physical - Get moving in whatever way feels comfortable for your fitness level.  This can range from taking a walk around the block, doing strength training, doing yoga, or going for a bike ride.  Just getting up and getting moving, even if for ten minutes, can make a big difference in your mood and well-being.
2. Think of your Brain - Meditation, journal writing, and reading a good book are all excellent ways to divert your attention from the normal everyday stresses and focus on something you find enjoyable.  There are good resources for meditation, including free applications on your phone like the Calm App and the Insight Timer App.
3. Pamper yourself - Kaiser Permanente mentions relaxing in a hot bath, planning a spa day, taking a nap, splurging on your favorite flowers or giving yourself a facial.  These are all great ways to unwind from a busy day of shuffling kids to and from practices or figuring out your busy work schedule.
4. Make time for your friends - you can be creative about how you sneak in time to strengthening friendships.  You can invite them to join in on your yoga session, you can go for a walk, have lunch at a new restaurant, or volunteer with a friend.
5. Take a leap - Kaiser Permanente recommends doing something that you have never done before - like indoor rock climbing or geocaching.
6. Working on sharpening your skills in a particular area - like getting back into a sport you once loved, taking a class to improving your cooking skills or artistic abilities.
7. Let loose - feel free to find laughter in whatever ways you can!  Sing along to a song you love and dance along in the mirror!  

Making time for yourself is not selfish.  It is self-protecting and benefits not only you but your family will also see how more engaged you are and how you are more yourself. 

Ready to schedule your child? Great!

We have 5 locations throughout the triangle:

CARY, FUQUAY-VARINA, APEX, RALEIGH, WAKE FOREST

& Coming soon to ROLESVILLE!

Follow the link here or give us a call at (919) 846. 7900

Resources: