Carolina Complete Dental Blog

Malocclusion: Sometimes It Bites

November 12, 2021

Goose Creek dentists, Dr. Barganier, Dr. Zuffi, Dr. Williams, and Dr. McAdams of Carolina Complete Dental, talk about different types of malocclusion or misaligned teeth, the effects, and potential treatment solutions.Malocclusion is the dental term for misaligned teeth, a common condition affecting about 200,000 people in the United States every year. Many seek cosmetic solutions to feel better about their smiles, but there are also negative health consequences including pain and discomfort that result from improperly aligned teeth. 

The most severe cases may require surgical treatment beyond orthodontics, such as orthognathic (corrective jaw) surgery. Goose Creek dentists, Dr. Barganier, Dr. Zuffi, Dr. Williams, and Dr. McAdams would like to share some information about malocclusion, the effects it can have on oral health, and potential treatment solutions.

Occlusion & Bite

Occlusion refers to the alignment of your teeth, specifically the way your upper and lower teeth fit together. The way your upper and lower dental arches fit together is called your bite. If your upper teeth fit slightly over your lower teeth with the points of molars fitting the grooves of the molars directly opposite, you’ve got a healthy occlusion and bite. While the upper teeth keep us from biting our cheeks and lips, the lower teeth protect the tongue.

What Causes Malocclusion?

Malocclusion is often genetic. It presents in a variety of ways, ranging from differences in upper and lower jaw size to cleft lip or palate, which can result in overcrowded teeth or atypical bite patterns. Other causes of malocclusion include:

  • Early childhood habits like thumb-sucking and prolonged bottle or pacifier use.
  • Later childhood habits like nail biting, chewing pencils and pens, and swallowing disorders.
  • Jaw misalignment after a fracture or other injury.
  • Mouth or jaw tumors.
  • Poor dental treatment with badly fitting dental appliances (fillings, crowns, etc.).
  • Impacted, missing, abnormally shaped or extra teeth.
  • Airway obstruction or mouth breathing (possibly resulting from allergies or enlarged tonsils).

What are the Negative Effects of Malocclusion?

When teeth are not aligned properly, daily functions such as breathing, eating, and speaking may become much more challenging. Pain and discomfort can lead to headaches and TMJ dysfunction. Sleep apnea is also a potential consequence of malocclusion. Even tooth decay and gum disease are more likely when dental irregularities exist, simply because there tend to be more places for bacteria to hide when teeth are crooked.

Treatments for Malocclusion

Depending on the type of malocclusion you have, different treatments will be considered, including:

  • Bonding can reshape teeth that are not uniform in appearance. 
  • Extraction can correct overcrowding, allowing room for teeth to shift on their own. 
  • Orthodontics can correct the position of the teeth. There are many different options for braces today, from clear aligners to short-term and traditional braces. 

Orthognathic Surgery

Orthognathic surgery corrects conditions of the jaw and face too severe to be treated with orthodontics alone, as correction requires surgical movement, modification, and realignment of bone. Conditions like these affect about 5% of the US population including, but not limited to, issues such as cleft palate, chronic jaw joint (TMJ) pain, facial injury, sleep apnea, and protruding or receding jaw. 

While orthognathic surgery often improves a patient’s appearance, its true purpose is to solve functional problems with chewing, speaking, and breathing. Orthognathic surgery is often performed in conjunction with orthodontic treatment both before and after as part of a long-term treatment plan.

If you have any questions about malocclusion or orthodontic treatment, contact Carolina Complete Dental today. Dr. Barganier, Dr. Zuffi, Dr. Williams, and Dr. McAdams love to improve lives by creating healthy, confident, and functional smiles!

 

The content of this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

Brushing with Braces: Cleaning Every Nook & Cranny

October 27, 2021

Goose Creek dentists, Dr. Barganier, Dr. Zuffi, Dr. Williams, and Dr. McAdams of [OFFICE] inform patients about the best tools and tricks to use when performing oral hygiene routines with braces.If braces are in your future, or you have just had them placed, you may be wondering just how the heck to work around them when flossing and brushing. We’d love to calm your mind by reminding you those wires and brackets are temporary visitors, hanging out to help correct the bite and achieve a smile anyone would feel confident flashing. 

Yes, there will be a learning curve while our favorite curve on your face is a work in progress, but Carolina Complete Dental is confident in your abilities and wants to fill you in on just how important it is to be diligent in your oral hygiene routine—while going through orthodontic treatment, and afterward, too!

Bands, Brackets & Wires—Oh My!

The anatomy of your mouth is more complex than what we see with our eyes alone, while the anatomy of your braces is fairly simple (and visible, unlike the pulp, nerves, and roots of your teeth). This might lead you to believe your typical hygiene regimen won’t require much change. We hate to break it to you, but you may need to add some tools to your belt and skills to your resume. If it sounds intense, don’t worry! Most Goose Creek patients—adults, kids, and pre-teens alike become pros in no time. 

Your Trusty Techniques & Tools

The basics will remain largely the same—a soft-bristled toothbrush and handy-dandy dental floss. A manual toothbrush will work, but you might prefer the ease of an electric or sonic toothbrush, which can maneuver itself around the hardware and withstand the wear a bit longer than their manual counterparts. You should be brushing gently already, but you’ll find it’s especially important with braces because brushing too hard can cause damage. 

Typically, Dr. Barganier, Dr. Zuffi, Dr. Williams, and Dr. McAdams advise to hold the toothbrush at a 45-degree angle and brush gently along the gumline in small circles. With braces, however, you’ll want to angle the bristles both upwards and downwards to be sure no food debris or plaque is left behind on the wire or brackets. You’ll still want to brush in small circles and spend 25-30 seconds on each bracket. If you notice stubborn particles after you’ve finished brushing, an interdental toothbrush can help you remove them.

Flawless Flossing

While the idea of flossing with so much in your way may seem tricky, once you nail the technique (we know you can do it!), you’ll see it doesn’t take much more time than flossing without braces. Waxed floss will be your best bet, as the unwaxed varieties are more likely to get caught and shred. 

A length of 18 inches should work well. Thread the floss under the main wire of the braces. If for any reason this proves too difficult (maybe your fingers are too large or you’ve got some shakiness), floss threaders can simplify the process! 

If you weren’t much of a flosser before braces and don’t think you’ll become a fan of the string method, water flossers (like the WaterPik®) are a great option, too. These have been proven to work just as well, but aren’t particularly convenient if you’re at work or school.

Mindful Eating

Remember that while the benefits of braces are numerous, the number of foods you should avoid while wearing them are, too. Braces are a tried and true way to get your teeth in proper alignment, but they’re not strong enough to endure hard, sticky, or crunchy foods. You also want to avoid nail biting or chewing on pens and pencils. Eating softer, enamel-friendly foods will protect your braces and your smile and make your hygiene routines easier to conduct!

Picture This

Visual reminders can be helpful if you’re feeling frustrated throughout your orthodontic treatment, whether it’s because of the dietary restrictions, the increased importance of your oral hygiene routine, the length of treatment, or the pain and discomfort that can come with your mouth’s structural changes. We want your post-braces smile to be 100% worth it, and being thorough is the best way to ensure you’ll be ready to proudly share your smile once you’ve crossed the finish line. We can’t wait to celebrate your new smile with you!

If you have any questions about oral hygiene routines while wearing braces, don’t hesitate to contact your Goose Creek dentists, Dr. Barganier, Dr. Zuffi, Dr. Williams, and Dr. McAdams at Carolina Complete Dental today!

Why Haven’t My Child’s Permanent Teeth Come In?

October 13, 2021

Goose Creek dentists, Dr. Barganier, Dr. Zuffi, Dr. Williams, and Dr. McAdams at Carolina Complete Dental shares medical reasons that your child’s permanent teeth may take longer to come in than other kids their age.If your child’s permanent adult teeth haven’t emerged in a timely manner, you may wonder if there is a reason to worry. Carolina Complete Dental would like to share a few possible reasons permanent adult teeth can be delayed

Is There Enough Space for the New Teeth to Grow?

The most common reason for permanent teeth to appear late a simple one: there is just not enough space for them. Adult teeth tend to be larger than the primary baby teeth they replace, and at times, a surrounding tooth (or teeth) may require removal to create extra space. Occasionally, braces also become necessary to facilitate this process.

Are Permanent Teeth Facing the Right Direction?

Sometimes permanent teeth come through the gums facing the wrong way. This is most common with upper canines and bicuspids. The primary teeth around the affected area may require removal to allow repositioning of teeth that are out of place, and braces are usually required for a permanent solution. 

Gender

There are wide variations in every aspect of human development, and the rate that teeth grow is no exception. Girls tend to experience puberty changes before boys do, and studies also show that girls begin losing primary teeth up to six months earlier than boys lose theirs. If your firstborn was a girl and your second child was a boy, keep this in mind if you start comparing the rates their teeth develop!

Genetics

In 80% of cases, kids are going to take after one (or both) biological parents when it comes to their teeth—so if you needed braces or your spouse’s teeth came in late, this could happen to your child, too. 

There are also congenital conditions present at birth that can cause teeth to be missing. Hypodontia is when six or fewer permanent teeth are absent, and is associated with Down’s syndrome, cleft lip, and cleft palate. 

Having more than six permanent teeth missing is a condition called oligodontia. If a child is missing multiple adult teeth, consulting with their pediatrician to rule out medical conditions affecting the entire body is a good idea.

Since each tooth serves an important purpose in the mouth, when one or more teeth are missing, it can impede the function of the overall mouth structure. Dental implants are the most commonly recommended solution for a missing permanent tooth; bridges can also be an option in certain cases. Orthodontics may also be necessary to reposition any teeth that have shifted into the wrong spot to compensate for the absent ones. 

Nutrition

Calcium and other minerals give permanent teeth the strength to push through the gums. If your child is a picky eater, you know that feeding them can be challenging—and what they eat or don’t eat can also affect the development of adult teeth. If essential nutritional components are lacking, dental delays can occur—so you may want to consider dietary changes or supplements to make sure they’re getting the essential nutrients they need.

Height & Weight

Children that are heavier and taller typically develop their adult teeth before children that are shorter or have more slender body types. Heavier children, particularly girls, also tend to go through puberty at a younger age, so this goes along with the correlation between gender and earlier appearance of permanent teeth as well.

Impacted Teeth

If your child lost a baby tooth prematurely—for example, due to injury—the permanent teeth in their mouth may not have room to erupt. A small jaw can also complicate things. These situations can cause impacted teeth, which are teeth trapped in the jawbone that either only partially erupt or fail to emerge at all. 

Impacted molars are the most common, but other teeth may also become impacted. If children with missing teeth complain of jaw pain, infected or swollen gums, bad breath or recurring headaches, impacted teeth may be the problem. Extraction or oral surgery are possible solutions.

Missing Teeth that Never Develop

If wisdom teeth come in—and most do by the time a person turns 21—the adult mouth should, in theory, have 32 teeth. If all four wisdom teeth were extracted and no other teeth have been lost, the tally is reduced to 28. However, about 20% of the population has one or more wisdom teeth that just never showed up. Lucky for them!

Failure to Launch

If there is enough space in the jaw and the teeth are present in the gums but have not erupted, your child may have a rare condition called “primary failure of eruption”. It sounds dire, but the definition is “adult teeth that failed to erupt on their own.” 

The solution to this condition is typically a combination of oral surgery and braces to “save” the teeth in the jaw and prevent additional complications with neighboring ones. Because multiple teeth are usually involved, correction can take many treatments and several years. Dr. Barganier, Dr. Zuffi, Dr. Williams, and Dr. McAdams will outline a detailed treatment plan to make each step of the process easier to understand.

If you have any questions or concerns about your child’s permanent teeth coming in, we would be happy to speak with you. Contact us today!

 

The content of this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

Toothbrush Timers Can Make Brushing Fun for Kids!

September 27, 2021

Goose Creek dentists, Drs. Bargainier, and Zuffi at Carolina Complete Dental share toothbrush timer apps and other ideas to get kids to brush for two minutes at a time, and maybe have some fun!Many parents wonder how to get—and keep—their kids interested in brushing their teeth. A wall chart with stickers may be enough, but some kids get bored more easily than others (especially in today’s digital age).

While you may wish at times that your kids didn’t spend so much time online, technology does offer some positives when it comes to keeping kids motivated about regular oral hygiene. Drs. Bargainier, and Zuffi at Carolina Complete Dental would like to share some ideas about using digital resources like toothbrush timers to help kids get into the habit of taking care of their teeth.

Online Videos

Enter the words “toothbrush timer” into the YouTube search bar and prepare to be amazed! (Other word combinations like “kids tooth brushing” work well, too.) You will find thousands of short instructional videos, often with cartoon animation, about how great it is to brush your teeth. Themes include some familiar friends (Disney, Pixar, and Star Wars characters, superheroes, and more!) and some have original characters kids have probably never seen before.

There are also videos of real kids learning to brush their teeth. Most toothbrush timer videos range in length from 60 seconds to 4 or 5 minutes, and many include fun songs to brush to. Longer videos usually delve into more dental detail, elaborating on subjects such as plaque and cavities, and why teeth need brushing and flossing daily. The best thing of all: most of these videos are free!

Smartphone Apps

When it comes to smartphones, “app” is short for “application”—the average person downloading apps usually does so to a mobile device like a smartphone or tablet, but apps exist for regular desktop computers, too. Different devices have different selections of apps to choose from, but “toothbrush timer” should bring up many results no matter what kind of device you use.

Many toothbrush timer apps incorporate familiar TV and movie characters to make them more fun for kids —just as the online videos do. Some apps are free, while some cost only a dollar or two. Either way, the results will be worth it!

Brushes with Built-In Timers

Interactive battery-powered or electric toothbrushes with built-in timers are available for kids with fun colors and themes. Some of these toothbrushes coach kids through the entire process, going through the parts of the mouth one by one and even congratulating them at the end! Nice work!

Your budget and your child’s age and stage of development will probably influence your choice of this type of toothbrush. The battery-powered type is much cheaper, but also more disposable, only lasting a couple of months.

Other Ways to Time Brushing

  • Against the Clock: You can use an actual timer or wall clock that has a second hand to time your child’s brushing. While a kitchen timer will work, there are specially designed timers for brushing teeth that will chime after two minutes. Over time, your child will get the feel for how long brushing teeth for two minutes really takes.
  • Brushing to a Song: Depending on the song’s length, kids can either brush for the entire song or take “spit breaks” so they can sing along to the chorus and resume brushing after they spit. This makes the process more fun —and the time it takes to brush will probably seem to pass faster.
  • Brushing During a Commercial Break: Commercials can be a good time for your child to brush their teeth. Commercial breaks average about 2.5 minutes, so there is plenty of time to brush, rinse, and spit before the show comes back on, particularly if the toothbrush is loaded with toothpaste and waiting for the ads to begin. Because your child is already enjoying their show and it comes back when brushing is done, brushing their teeth may not feel as boring to them, and returning to their show is the reward!

Carolina Complete Dental knows that even with all these resources available, getting kids into a regular oral hygiene routine can still be challenging. If you have any questions, please contact us today! We would love to help put a little fun in your child’s routine for a lifetime of happy, healthy smiles.

 

The content of this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

Baby Teeth: Folklore & Traditions Around the World

September 13, 2021

Goose Creek dentists, Drs. Bargainier, and Zuffi at Carolina Complete Dental discuss some folklore and traditions about baby teeth throughout the world.What parents do with their children’s baby teeth varies from family to family. Some save them, some throw them away, some make a craft project or a keepsake from them. Recent research is even exploring the possibility of having parents store their children’s baby teeth to preserve mesenchymal stem cell content in the event the child develops cancer or certain other illnesses in their future. Just for fun, Drs. Bargainier, and Zuffi want to discuss some history of baby tooth traditions around the world.

Baby Teeth Rituals Throughout History

Every human culture in documented history included rituals around the disposal of a child’s lost baby teeth. Researchers in the early 20th century summarized them to include:

  • The tooth was thrown into the sun or between the legs
  • The tooth was thrown onto or over the roof of a house, often while saying a prayer or singing a song to some individual or animal
  • The tooth was placed in a mouse hole near the hearth or offered to another animal
  • The tooth was hidden where animals could not get at it
  • The tooth was placed on a wall
  • The tooth was “planted” in a tree, garden, or field, with the idea a new tooth would then grow in the child’s mouth to replace it
  • The tooth was thrown into a fire to prevent a witch or other malevolent force from cursing or gaining any power over the child
  • The tooth was swallowed by the mother, the child, or an animal

The most commonly practiced ritual—recorded from Mexico to Russia to New Zealand—was to offer the lost baby tooth as a sacrifice to a mouse (or rat) with the hope the child’s adult teeth would be as strong as the rodent’s, usually accompanied by a prayer or song.

Another strong-toothed animal could be substituted for mice or rats according to research, which revealed similar ceremonies that incorporated cats, squirrels, beavers, or dogs—but the mouse remained the most common by far.

Ever Heard of the Tooth MOUSE?

In many countries around the world, children still believe in the Tooth Mouse. Spain, Guatemala, Venezuela, Colombia, Peru, Chile, and Mexico put lost teeth under pillows, expecting money or gifts left by “El Ratoncito Perez” or several variations that translate to “mouse who collects teeth.”

Kids in Argentina leave their teeth in a glass instead, still expecting a visit by a magical, thirsty rodent who leaves a treasure while they sleep. In France and Switzerland, La Petit Souris (“Little Mouse”) is the name of the rodent that whisks away discarded baby teeth for cash or candy.

In South Africa, the tooth is left in a slipper for the Tooth Mouse, who leaves a gift behind. Other countries who offer their baby teeth to the Tooth Mouse during the night expect nothing in return but the guarantee of a strong, healthy new tooth in their future.

Where Did the Tooth Fairy Come From?

Researchers believe modern-day “tooth fairy” customs—observed by the United States, Canada, England, Australia, and Denmark—combine the “tooth mouse” myth with the idea of a “good fairy”—a concept from English children’s literature and expanded on by media like Disney movies.

The motif of relationships and financial exchanges between people and benevolent fairies has been around for many years, but the idea of a tooth fairy has likely persisted as a source of comfort to kids who could be a little scared by losing their teeth. (We understand that fear here at Carolina Complete Dental!)

It’s a Bird, It’s a Plane, It’s… A Tooth?

In Greece, Vietnam, Singapore, India, Sri Lanka, and China, children throw their baby teeth on the roof when they fall out. Kids in Greece wait for a mouse or pig to retrieve it, young Sri Lankans await a squirrel, while in India, anticipation is for the return of a sparrow bearing a new tooth. Cherokee Indian children throw the tooth on the roof, repeating, “Beaver, put a new tooth in my jaw!” four times.

In parts of Africa, children throw lost upper teeth on the roof and bury lost lower teeth in the ground. The reverse is true in East Asia, where lower teeth are thrown on the roof and upper teeth are buried, thrown on the ground, or hidden under the bed.

In some Middle Eastern countries such as Iraq, Jordan, and Egypt, kids are encouraged to toss their teeth up toward the sky. Brazilian children throw teeth outside for birds, who they believe will only take them if they are clean, while kids in El Salvador expect a rabbit to swipe their tooth, regardless of its cleanliness.

Give a Dog a Tooth

Throughout Central Asia, baby teeth might be put into fat and fed to a dog with the wish that the child’s replacement tooth will be as strong as the dog’s. If there is no dog available, the teeth are buried near a tree so that the new tooth will have strong roots. Some Alaskan tribes also feed baby teeth to a dog with similar intentions.

Family Jewels

Some Central American countries fashion jewelry from lost baby teeth, a tradition said to originate from ancient Viking customs where articles belonging to children were regarded as powerful, good luck, and sometimes carried into battle.

…Or a Family Tree

The children of the Yellowknives Dene First Nation tribe of Canada give lost teeth to their mother or grandmother, who place the tooth in a tree. The family then dances around the tree together to encourage the tooth to grow in as straight as the trunk.

Food for thought, huh? Contact Carolina Complete Dental in Goose Creek today so we can take the best care of your little one’s baby teeth… we’ll let you decide what to do with them when they fall out!

 

The content of this blog is not intended to be a substitute for professional medical advice, diagnosis, or  treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

 

Xylitol: Is it Safe for Kids?

August 27, 2021

Goose Creek dentist, Drs. Bargainier, and Zuffi at Carolina Complete Dental shares information about Xylitol, its uses, and how safe it is for children as a sugar substitute and in helping prevent tooth decay.What is Xylitol?

Xylitol is a naturally-occurring substance found in the birch tree and in many fruits and vegetables. Its chemical structure resembles a cross between sugar and alcohol—but it is neither. Xylitol is used as an FDA-approved artificial sweetener that can also assist in the prevention of tooth decay, so Drs. Bargainier, and Zuffi would like to share some information about xylitol’s safety for children.

How is Xylitol Used?

Because bacteria in the mouth cannot use xylitol as an energy source, oral care products like toothpaste and mouthwash often contain xylitol to help alleviate dry mouth symptoms and prevent tooth decay. When extracted from birch wood, xylitol can be used as an active ingredient in other medicines as well. Its capability to eliminate or reduce the effects of bad bacteria extends to those that cause ear infections in young children.

How Does Xylitol Work?

Xylitol tastes sweet like sugar but contains fewer calories and is absorbed more slowly by the body, reducing the likelihood of dramatic blood sugar spikes. These characteristics make xylitol an ideal sugar substitute for diabetics. Unlike other artificial sweeteners and sucrose (actual sugar), xylitol reduces the bacteria that cause tooth decay in the saliva. 

Is Xylitol Safe for Children?

The unaltered natural xylitol present in fruit and vegetables should be safe for kids, barring allergies or a major produce binge. Cavity prevention medicines containing xylitol used in pediatric dentistry typically range from 7 to 15 grams per day (divided into three to five doses). More than 20 total grams of xylitol per day is not recommended for children. 

Like other artificial sweeteners, exceeding the recommended intake of xylitol can cause pronounced physical discomfort, including diarrhea and intestinal gas. Because children’s medicines containing xylitol may taste as good as regular candy, parents need to be careful that kids don’t eat more than the recommended amount!

Non-Medical Products that May Contain Xylitol

If you buy sugar-free items a lot, it’s good to be aware of which items in your kitchen, fridge, or pantry may contain xylitol:

  • Packaged goods (ice cream, yogurt, gelatin, pudding)
  • Packaged mixes (pudding, gelatin, baking mixes)
  • Flavored bottled water
  • Powdered drink mixes
  • Candies, chewing gum, and mints (keep an eye on your purse!)
  • Jams and jellies
  • Syrup and honey
  • Protein bars and powders
  • Peanut and other nut butters
  • Vitamins and supplements (especially gummies)
  • Liquid shots for energy, sleep, etc.

Keep the Xylitol Away from Your Pets

Xylitol in any amount can be toxic to dogs and cats. If you have reason to believe your pet has swallowed anything containing xylitol—especially if it also contains chocolate—take them to the vet immediately.

Xylitol in the proper doses can be very useful and safe to promote better oral health for both adults and kids. If you have any questions about xylitol, its uses and its safety, contact us at Carolina Complete Dental today!

 

The content of this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

Adult Braces: What to Expect at Your First Appointment

August 13, 2021

Goose Creek dentists, Dr. Barganier, Dr. Zuffi, Dr. Williams, and Dr. McAdams at Carolina Complete Dental, discuss orthodontics and braces for adult patients and what can be expected at the first appointment.Orthodontics Aren’t Just Kid Stuff

The use of orthodontic appliances to improve smiles isn’t just for kids and teens anymore. According to the Academy of General Dentistry, about one million Americans and Canadians over the age of 18 wear braces or aligners, and the use of adult orthodontics rose 24 percent between 1989 and 2008. 

Modern orthodontic solutions requiring shorter treatment times and less visible appliances have continued to increase in popularity among adults who want to achieve more confidence in their personal lives and careers. If not for aesthetics, orthodontics can also help improve oral health and relieve pain and tension in the mouth and jaw.

Different Dentists, Different Appliances

Not all types of orthodontics are appropriate for every dental case, and not everyone needs a full-fledged orthodontist to get their dream smile. These are good things to keep in mind when choosing a dentist for your orthodontic treatment.

Orthodontists are dental specialists—they have completed three additional years of training beyond dental school to become experts in straightening and aligning teeth. The specialty of orthodontics includes diagnosis, prevention, and treatment of a variety of dental and facial problems and may include the use of any type of dental appliances to achieve the desired outcome.

Certain types of orthodontics—such as the clear aligners made popular by Invisalign® or the “invisible” braces of Six Month Smiles®—allow general dentists who are not full-fledged orthodontists to achieve continuing education and official certification through the manufacturers for the specific use of those products to administer orthodontic treatment.

Your First Consultation & Checkup

Your first appointment should focus on fact-finding, education, and planning. You need to have a complete understanding of your current dental condition and all your treatment choices, which should be made clear by the end of the initial consultation.

  • The doctor will want to review your complete medical and dental history before making recommendations for major orthodontic treatment, so expect some paperwork.
  • Dr. Barganier, Dr. Zuffi, Dr. Williams, and Dr. McAdams perform a comprehensive oral exam, thoroughly examining your teeth, mouth and jaws and asking detailed questions about jaw function (whether your jaw pops or clicks, if you have jaw pain, or have difficulty chewing or swallowing). 
  • Digital imaging and x-ray technology will be used to make a record of your teeth and bite for the most accurate diagnosis and the most effective treatment plan.
  • We will discuss customized treatment options with you, going over the pros and cons of each as they pertain to your individual case. The images or records taken of your mouth show exactly what is happening with your teeth and what each treatment option has the potential to accomplish and in what amount of time.
  • Depending on Carolina Complete Dental policies, your treatment plan, and your budget, financing options are usually discussed at the first appointment with a staff member to allow you to make the most informed decision about your treatment acceptance and payment plan.

If you’re an adult in Goose Creek who’s interested in orthodontic treatment options, contact Dr. Barganier, Dr. Zuffi, Dr. Williams, and Dr. McAdams at Carolina Complete Dental today! We look forward to helping you straighten your smile and discover your confidence.

 

The content of this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

What to Expect: Your Child’s First Visit to the Orthodontist

July 27, 2021

Goose Creek dentists, Dr. Barganier, Dr. Zuffi, Dr. Williams, and Dr. McAdams at Carolina Complete Dental share information about what you can expect at your child’s first visit to the orthodontist.If you had to undergo orthodontic treatment as a child or teen, hearing it recommended for your little one might make you wince—we understand! However, we’d like to assure you that just like general dentistry and treatments today, orthodontic care has improved in hopscotch-style leaps and bounds! 

Thanks to advances in technology and early intervention, Dr. Barganier, Dr. Zuffi, Dr. Williams, and Dr. McAdams can focus on building your child’s comfort in our care, and confidence in their smile! Read on to learn about what you can expect during your child’s first visit to the orthodontist, and feel free to contact Carolina Complete Dental with any questions! 

Getting Acquainted

We enjoy getting to know everyone who sits in our chair, and we want you and your child to trust that you’re in safe, qualified, and caring hands. We’re here to answer questions in ways that make sense and take any fear out of treatment. Your child will get an opportunity to meet the Carolina Complete Dental team and tour the office before we settle in for some radiography (x-rays) and digital photography to get a clear picture of what’s going on internally and externally. 

Oral Health Exploration

Once we have a chance to look over the images and share them with you both, we’ll move to the next phase of examination. Gathering the physical clues is imperative, but there are certain signs to be aware of that will make diagnosis and treatment more individualized and effective. We will want to know if your child displays any of the following habits:

  • Mouth breathing
  • Thumb sucking
  • Trouble sleeping
  • Jaw clenching & teeth grinding
  • Difficulty eating/chewing food
  • Frequent cheek biting

If there is an issue to address and intervention is desired to prevent complications at a later stage, we can create a fully customized treatment plan. We will go over options with you and weigh the pros and cons, and we absolutely want the input of your child or teen—it’s their mouth, after all! 

Game Plan

Once a treatment method has been chosen, you and your child will be given an estimated timeline as well as an estimate of the cost. Our staff will review your insurance benefits and work to maximize them when applicable—either way, we can discuss financing options and payment plans to suit your needs. We want everyone to be able to get the care they need and deserve without breaking the bank.

We’ll get to visit with your child as often as every 4 weeks, or as few as every 10 weeks depending on their appliances and progress. However, it’s very common for people to have questions or concerns between appointments, so don’t hesitate to reach out to us as they pop up. We’re here to help teach you both how to care for the hardware and maintain proper dental hygiene throughout treatment. 

Once they have completed their treatment, we’ll be able to congratulate them, celebrate their healthy, beautiful new smile, and prescribe a retention appliance when necessary—achieving that smile was a process, and we want to ensure they hold onto it for a lifetime! 

If you’re curious about pediatric orthodontics in Goose Creek or would like to schedule an appointment, contact us today!

 

The content of this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

How to Choose the Right Pediatric Dentist for Your Child

July 13, 2021

Goose Creek dentists, Dr. Barganier, Dr. Zuffi, Dr. Williams, and Dr. McAdams at Carolina Complete Dental, talk about the differences between general and pediatric dentists and offers advice on how to choose the right dentist for your child.Being the parent of a little one (or a couple or a few) means making a lot of decisions each day—what to dress them in, what to feed them, what books to read, toys to purchase, schools in your district. There are also a lot of questions you’ll ask, such as: “How do I care for my child’s oral health? How do I help them through teething? When is fluoride toothpaste safe for them to use?” 

It can feel a little overwhelming to think about, but Dr. Barganier, Dr. Zuffi, Dr. Williams, and Dr. McAdams of Carolina Complete Dental want you to take a deep breath, sit back, and read on to learn about how to choose a pediatric dentist that can answer these questions and more. We’re pleased to provide supportive care and education that teaches Goose Creek children the importance of oral health and good habits that will keep their smiles happy and healthy for life.

1 Tooth, 2 Teeth, Red Tongue, Blue Toothpaste

Did you know Dr. Seuss was a dentist? We joke (but first a little bit of trivia: the beloved writer and illustrator wasn’t actually a doctor at all but wrote under the pen name Dr. Seuss because his father wanted him to practice medicine), but this is to emphasize how we like to make the dental world a fun, creative, exploratory, and yes, sometimes silly place for children to visit. That’s one difference you might find between a pediatric dentist and a general dentist. Other differences include:

  • Pediatric dentists study for an additional 2-3 years after obtaining their DDS or DMD (Doctor of Dental Surgery or Doctor of Dental Medicine).
  • Pediatric dentists treat children from infancy through adolescence.
  • A pediatric dental office will be completely geared toward making children feel safe and comfortable. 
  • Besides a warm, friendly atmosphere, even the equipment and tools will be child-sized.

Olly Olly Oxen Free

Finding the right pediatric dentist for your child doesn’t have to be a tricky game of hide-and-seek. The AAPD (American Academy of Pediatric Dentists) has a search tool that can help you narrow your selection based on your location. We also suggest:

  • Asking family and friends for their recommendations and experiences.
  • Asking your family doctor or pediatrician for a referral.
  • Searching local websites or print publications in your area.
  • Keeping in mind that if you don’t feel like you’ve found a good fit for your little one(s), you’re not obligated to return. You and your family deserve quality care you can trust.

If you do end up searching around, one thing that should remain constant in any pediatric dental office is an emphasis on education and prevention. At Carolina Complete Dental, we employ digital x-rays that reduce radiation exposure and can be taken from the comfort of the dental chair. The images will help us confirm your child’s mouth is developing properly. If it isn’t, we can get them back on track with fluoride treatments and sealants, and we can provide gentle cleanings and fillings if any of their teeth suffer decay.

Go Forth & Conquer

The team at Carolina Complete Dental believes in you. Even if it takes some time for you to find the right dental family in Goose Creek, you have the power to set a positive example by conducting a diligent oral hygiene routine. 

While our role includes making oral health education fun and protecting those baby teeth that will set the stage for their adult teeth, you know your child best and spend the most time with them. You’ll know their favorite stories and cartoon characters and can use those details to motivate them. If they’re into Pokémon, they won’t be able to catch them all if they’re spending a lot of time at the dentist getting cavities filled, so let’s fight those double-trouble decay-causing bugs by brushing our teeth, gums, and tongue at least twice a day!

If you have additional questions or are contemplating making Carolina Complete Dental your child’s dental home, please contact us today! Dr. Barganier, Dr. Zuffi, Dr. Williams, and Dr. McAdams would be happy to smile with you and your family!

 

The content of this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

 

Finding Your Oasis: Food & Drinks for Dry Mouth

June 27, 2021

Goose Creek dentists, Drs. Bargainier, and Zuffi of Carolina Complete Dental discuss some foods and beverages to alleviate the symptoms of xerostomia (dry mouth).Xerostomia is the technical term for dry mouth, the condition that results from absent or reduced saliva flow. It is not a disease on its own, but it may be a side effect of medication or radiation treatments.  Xerostomia affects about 20% of the elderly population—not because of their age, but due to the increased likelihood of using medication or having radiation therapy that causes dry mouth. Drs. Bargainier, and Zuffi is here to discuss some foods and beverages to alleviate the symptoms of dry mouth.

Food & Beverages that Help Dry Mouth

8-12 glasses of water per day are ideal to keep saliva production on track, so making a habit of carrying a water bottle with you is a great idea. Sugar-free juices, reduced-sugar sports drinks, club soda, and herbal tea with lemon are good beverage choices when you just can’t stand the idea of drinking any more water.

A soft, high-protein diet is recommended for people with dry mouth. Substitute moist fish, eggs, and cheese for red meat. Serving food lukewarm or at room temperature reduces the chances of burning the mouth with hot food. To make bread or rolls easier to eat with dry mouth, soak them in milk or your favorite sauce to soften them. Eat moist casseroles and other foods that incorporate gravy, sauce, or broth in their recipes. Make smoothies, slushies, or shakes in the blender that incorporate milk alternatives like soy, almond, or rice milk (consumption of cow’s milk often produces thicker saliva and can worsen dry mouth).  

More examples of soft natural foods that are helpful for people with dry mouth include tender meats like chicken and fish, smooth peanut butter, soups, canned fruits, soft-cooked/blended vegetables like carrots or celery, mashed potatoes, soft-cooked pasta, oatmeal, ice cream, pudding, and popsicles. Herbal flavor enhancers, condiments, and fruit extracts can be used to make food more flavorful, as the diet for dry mouth may seem bland to many.

There are also artificial saliva substitutes and stimulants that can help curb dry mouth, as can sugarless candies and chewing gums. Sucking on fruit pits from cherries or olives, and lemon rinds can help stimulate saliva flow, as do lemon drops and other hard candies, although be wary of excessive sugar intake. 

Food & Beverages to Avoid for Dry Mouth

Increased water and fluid intake are recommended, but caffeinated fluids such as tea, coffee, and cola act as diuretics and are not ideal for xerostomia sufferers. If you’re craving soda, let it go flat prior to indulging. Alcohol consumption should also be limited or avoided. 

Foods should not be excessively hot or cold, sugary, salty, spicy, or acidic, including citric fruits like tomato, grapefruit, orange, and pineapple and astringent foods like apple, pomegranate, pear, quinoa, legumes, tofu, sprouts, beans, and lentils. You should also avoid dry, crumbly foods like crackers, cereal, pastries, toast, and dry meat.  

If you have any questions or concerns about dry mouth, contact your Goose Creek dentists, Drs. Bargainier, and Zuffi at Carolina Complete Dental today and we’ll be happy to talk about solutions with you!  Proudly serving the Liberty Hall Plantation, Longleaf, Boulder Bluff, & Crowfield Plantation areas.

 

The content of this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

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