Is this a trick question? After all, you and your family probably already know quite a lot about cavities:

• It all begins when bacteria-filled plaque sticks to teeth and starts to attack enamel. How?
• Because the bacteria in plaque use the sugars and other foods we eat to produce acids.
• These acids gradually weaken teeth by dissolving minerals that help make up our enamel (a process called demineralization).
• Over time, a hole, or cavity, develops in the tooth surface.
• Left untreated, bacterial decay can spread to the inside of the tooth, creating a more serious cavity.

Dr. Rachelle Dermody and Dr. Chris Dermody might discover an unexpected cavity at a regularly scheduled dental exam at our Port St. Lucie office, but there are also some symptoms that should have you calling for an appointment. A cavity can cause sensitivity when eating something hot or cold, or it can be painful, or you might even notice visible discoloration or damage to the tooth surface.

So, if your child has any of these symptoms, it’s a cavity, right? It might be—but it might not. Sometimes, because the symptoms are similar, what we suspect is a cavity is really enamel erosion.

The bacteria-created acids weaken enamel. But it’s not just bacteria that subject our teeth to acids. Acidic foods are one of the leading causes of tooth erosion.

And while we expect damage from a lifetime of acidic foods and beverages to catch up with us as we age, the fact is that erosion is becoming a problem even for young children. How is this possible? Let’s look at some food chemistry.

Our normal saliva pH level is around a 7, which is neutral. Any number lower is acidic; any number higher is alkaline. Acidic foods have a low pH (the pH of lemon juice, for example, measures between 2 and 3), and can reduce our normal, neutral pH level. When saliva pH levels drop to 5.5 or lower, tooth enamel starts to demineralize, just as it does when exposed to the acids from oral bacteria.

Regularly snacking on citrus and other acidic fruits, fruit juices, flavored drinks, sour candies, and other acidic foods can cause enamel erosion. Especially erosive are sports drinks, energy drinks, and colas, because they contain some combination of citric acid, phosphoric acid and/or carbonation.

So, when might you suspect enamel erosion? Your child might be sensitive to hot or cold foods, or feel pain, or even have noticeable enamel loss or pitting. Even though these symptoms may not have been caused by plaque and bacteria, acidic erosion from our diets leaves weakened enamel just as vulnerable to cavities and decay.

How to avoid erosion?

• Serve acidic foods sparingly, or as part of a meal. This helps our saliva pH stay in the neutral zone.
• Balance acidic foods with low-acid choices to neutralize acids and restore a normal pH balance. For example, mix those acidic berries with a banana.
• Use a straw! These are not only fun, but this simple solution keeps erosive drinks from bathing young teeth in acids.
• Encourage your child to drink water instead of an acidic beverage, or drink it afterward to rinse acids away. The pH of pure water? A perfect, neutral 7. And by using tap water instead of bottled water, you’ll be providing fluoride, which helps strengthen enamel.
• What about brushing right after eating or drinking something acidic? Ask Dr. Rachelle Dermody and Dr. Chris Dermody if your child should rush for the brush. We may recommend waiting 30 minutes or so after an acidic treat to give the teeth time to remineralize. Otherwise, brushing might cause more wear and tear on enamel.
• Finally, while foods are often the source of acid erosion, medical conditions can cause erosion as well. Talk to us about ways to minimize erosion while addressing these medical needs.

Be proactive. Ask your Dr. Rachelle Dermody and Dr. Chris Dermody about healthy drinks and snacks for healthy teeth. Make sure to keep on top of brushing and flossing, and stick with fluoride toothpastes. And visit our Port St. Lucie office regularly for exams and cleanings.

There’s really no trick to it—preventing enamel erosion helps keep your child’s teeth structurally strong and cavity-free for a lifetime of beautiful and healthy adult smiles.

New Year’s Day marks the beginning of the calendar year in most parts of the world. The holiday is celebrated on January 1st of each year. Customs and celebrations vary by country, religion, and even individual desires. Whether celebrated quietly or with gusto, the day brings the start of new opportunities for those that observe it.

United States and Canada

In both the US and Canada, celebrations begin on New Year’s Eve. At midnight on January 1st the New Year is welcomed with bells, horns, whistles, and other noisemakers. Fireworks are often part of the celebrations. In New York City, Times Square comes alive with revelers. In Toronto, there are large celebrations which may feature concerts, late-night partying, sporting events, and fireworks, with free public transit service during peak party times. Many individuals in North America greet the year by making resolutions for improvements in their lives.

China

In China, many people celebrate two forms of a new year. They may observe January 1st, but the traditional Chinese New Year is based on a lunar calendar. Parades with paper lanterns and dragons made from silk are a significant part of the festivities. Legends say that the dragon spends most of its time in hibernation so fireworks are used to keep the dragon awake.

Jewish Celebration

Jewish New Year’s observances begin with Rosh Hashanah, the first day of the New Year, and end with Yom Kippur, the Day of Atonement. This ten-day celebration is held in September or October, based on the Hebrew calendar. The New Year is not marked as much with loud celebrations as with personal insight to mend wrongs and resolve to better oneself.

Other countries and cultures also have different dates for New Year’s Day observances:

• Vietnam observes the New Year in February
• In Iran, the day is celebrated on March 21st
• Islamic cultures often observe the tenth day of the month of Muharram
• Russian Orthodox observers use the Julian calendar and celebrate on January 14th
• Buddhist celebrations are held from April 13th through 15th

If you observe New Year’s Day by making healthy resolutions, include dental care in your plans with Dr. Rachelle Dermody and Dr. Chris Dermody. The health of your teeth and gums contributes to your overall health. Caring for your mouth now can prevent many dental problems later in life. Dermody Pediatric Dentistry & Orthodontics wishes you a healthy, prosperous, and happy New Year!

Many parents worry that their children’s teeth are not falling out on time. A lot of concerned parents want to know: When will my child lose his or her first baby tooth? At what age should the last tooth fall out? Is there a specific order in which the teeth are lost?

Dr. Rachelle Dermody and Dr. Chris Dermody and our team explain that a child's 20 baby teeth (primary teeth) typically come in by age three and begin to loosen and fall out on their own to make room for permanent teeth, which usually appear by the time your child is six. It is important to know that timing may vary, and girls typically lose their baby teeth earlier than boys. The last baby teeth will likely fall out by the time your child is 13.

So, which teeth do children lose first? Baby teeth tend to fall out in the order in which they came, which means the lower center incisors are usually the first to go when your child is between six and seven years old. The next teeth your child will lose are his or her top center pair, also called the upper central incisors.

It’s important to note that if a child loses a baby tooth early as a result of decay or an unforeseen accident, his or her permanent tooth may erupt early and potentially come in crooked due to limited space. If your child suffers an injury or has tooth decay, we encourage you to give us a call to set up an appointment with Dr. Rachelle Dermody and Dr. Chris Dermody.

While we know some children couldn’t be more excited to lose their baby teeth, we know others are anxious about this childhood milestone. When your child starts to lose teeth, our team at Dermody Pediatric Dentistry & Orthodontics encourages you to stress the importance of proper dental care on a daily basis.

Remember to:

• Remind your child to brush his or her teeth at least twice a day. Supervise and offer assistance as needed.
• Help your child floss his or her teeth at bedtime.
• Limit eating and drinking between meals and at bedtime, especially sugary treats and drinks, such as candy and soda.
• Schedule regular dental visits for your child every six months.
• Ask about the use of fluoride treatments and dental sealants to help prevent tooth decay.

To learn more about baby teeth, or to schedule your child's next visit with Dr. Rachelle Dermody and Dr. Chris Dermody at our Port St. Lucie office, please give us a call today!

You devote a lot of energy to your orthodontic treatment. Appointments, rubber bands, adjustments, cleaning (so much cleaning)—and why? Because you know that your attractive, healthy smile will be well worth the effort.

But if you find that keeping your teeth and braces clean requires more time and energy than it should, and you’re still not getting the results you’d like, a water flosser might be just the tool you need to help make your cleaning routine easier and more effective.

Plaque and tartar can be a real problem when you wear braces. Cleaning around braces and wires can be a challenge, and it can be difficult to get floss between your teeth and close to your gums, even with special threaders or floss designed to slip behind your wires.

But ignoring bacteria and plaque build-up can lead to cavities, weakened or discolored enamel, and gum problems. Fortunately, a water flosser can help wash away food particles, bacteria, and plaque even in tight, hard-to-reach spaces, while providing gentle cleaning along sensitive gums.

Water flossers use a pulsing stream of water to remove food particles and plaque between and around teeth. You can adjust the water pressure to apply just the right amount of cleaning power, and then direct the flow to your gum line, between your teeth, around your brackets, or anywhere else you need. Some models even offer tapered heads with brushes designed specifically for cleaning braces.

You might consider investing in a water flosser if you have:

• Mobility issues. If you have joint or mobility issues, a water flosser will let you clean those hard-to-reach areas more easily.
• Lingual braces. Because lingual braces are on the inside of the teeth, they can be more difficult to clean effectively with regular brushing and flossing.
• Problems removing plaque. If you find that you are brushing and flossing regularly, but still have plaque build-up around your braces, give water flossing a try.

A beautiful smile is well worth all the time and effort you are devoting to it. If you think a water flosser might save you a bit of that time and effort, and provide better cleaning power, talk to Dr. Rachelle Dermody and Dr. Chris Dermody  about your options during your next visit to our Port St. Lucie office. We’ll let you know if traditional flossing, a water flosser, or a combination of the two will give you your cleanest, healthiest smile.

Many of our young patients experience anxiety during dental appointments. Dr. Rachelle Dermody and Dr. Chris Dermody and our team want to help your child overcome any fear he or she may feel when coming in for regular visits.

If you know your child suffers from anxiety during dental checkups, nitrous oxide sedation, popularly known as “laughing gas,” may be helpful. Nitrous oxide can be used during many types of dental procedures.

It has a sweet odor and taste, and gets mixed with oxygen when supplied through a mask. The effects typically kick in within a few minutes and leave your child feeling calm and relaxed.

Nitrous is helpful because your child will stay conscious and able to move and answer questions the doctor may ask. The drug is also convenient because the effects go away within a few minutes after the mask is removed.

Nitrous oxide is not dangerous when it’s combined with oxygen. It is non-addictive and non-allergenic. When used properly, nitrous oxide reduces anxiety, while allowing continued communication between the patient and dentist during a procedure. It can also help alleviate pain or discomfort during exams.

You should know that nitrous oxide may cause nausea in up to ten percent of patients. This drug is not recommended for people who suffer from certain medical conditions. We recommend discussing this method with Dr. Rachelle Dermody and Dr. Chris Dermody if your child's dental anxiety begins to interfere with his or her appointments.

We want all our patients to feel comfortable during their care. Talk with Dr. Rachelle Dermody and Dr. Chris Dermody at your child's next appointment to find out if nitrous oxide is an option. If you have questions regarding nitrous oxide, call our Port St. Lucie location and we’ll be happy to answer them.

At Dermody Pediatric Dentistry & Orthodontics, we love to celebrate the holidays with vigor! Dr. Rachelle Dermody and Dr. Chris Dermody would love to share some unique ways of celebrating Thanksgiving from beyond the Port St. Lucie area to the national level!

When Americans sit down to dinner on the last Thursday of November, the day that Abraham Lincoln designated as the day on which Thanksgiving would be celebrated, they do so thinking that the first Thanksgiving feast was held at Plymouth in 1621. According to National Geographic, the Spanish explorer Francisco Vásquez Coronado and his men celebrated a feast of Thanksgiving in Texas in 1541, giving Texas the distinction of being the first place where Thanksgiving was celebrated.

Different Types of Celebrations

Native Americans had rituals around which they celebrated in hopes of ensuring a bountiful harvest. The Cherokees had a Green Corn Dance that they did for this very purpose. The Pilgrims (not to be confused with the Puritans,) rejected any type of public religious display. They held a three-day long non-religious Thanksgiving feast. Although they said grace, the focus of their celebration was on feasting, drinking alcohol (they did have beer,) and playing games.

The Pilgrims at the Plymouth Plantation celebrated a different day of Thanksgiving in 1623. Plagued by a crop-destroying drought, the settlers prayed for relief. They even fasted. A few days later, they got the rain they so desperately needed. Soon thereafter, they received another blessing when Captain Miles Standish came with staples they couldn't otherwise get. He also told them that a Dutch supply ship was en route. In gratitude for the abundance of good fortune, the Plymouth settlers celebrated a day of prayer and Thanksgiving on June 30, 1623.

The Story of Squanto

No discussion of Thanksgiving is complete without a discussion of Squanto, or Tisquantum, as he was known among his people, the Patuxet Indians. It is believed that he was born sometime around 1580. As he returned to his village after a long journey, he and several other Native Americans were kidnapped by Jamestown colonist, Thomas Hunt. Hunt put them on a ship heading to Spain where they were to be sold into slavery.

As fate would have it, some local friars rescued him and many of the other kidnapped natives. Squanto was educated by the friars. Eventually, after asking for freedom so he could return to North America, he ended up in London where he spent time working as a ship builder. By 1619, he was finally able to get passage on a ship headed to New England with other Pilgrims.

Upon arriving at Plymouth Rock, he learned that his entire tribe was wiped out by diseases that accompanied earlier settlers from Europe. In gratitude for passage on their ship, he helped them set up a settlement on the very land where his people once lived. They called the settlement Plymouth. Since they knew nothing about how to survive, let alone how to find food, Squanto taught them everything, from how to plant corn and other crops, how to fertilize them, how and where to get fish and eels and much more.

After a devastating winter during which many settlers died, thanks to Squanto's teaching, they had an abundant harvest. After that harvest, they honored him with a feast. It is this feast of 1621 which was celebrated between the Pilgrims and Wampanoag Indians that is widely considered the first Thanksgiving celebration.

About the Meal of the Plymouth Settlers

Surviving journals of Edward Winslow that are housed at Plymouth Plantation indicate that the first Thanksgiving feast was nothing like what Americans eat today. The meal consisted of venison, various types of wild fowl (including wild turkey,) and Indian corn. There were no cranberries, stuffing, pumpkin pie, potatoes, or any of the other “traditional” foods that appear on modern menus.

Today, Thanksgiving is celebrated on the fourth Thursday of November, the day that Abraham Lincoln designated as the holiday. It is still a day of feasting, and for some, a day of prayer and thanksgiving. For others, it is a celebration of gathering, especially for families. Still others may celebrate in entirely different ways, including watching college football bowl games, or by playing family games.

If you ever wonder why you're so tired after the Thanksgiving meal, it's because turkey contains an amino acid, tryptophan, and it sets off chemicals whose chain reaction combine to make people sleepy.

Parents, and even older children, can become concerned about tooth development. Wondering when teeth should erupt, and being concerned when the teeth do not appear on schedule, is common. First, you need to remember that each individual is different. Guidelines are just guidelines, but Dr. Rachelle Dermody and Dr. Chris Dermody and our team at Dermody Pediatric Dentistry & Orthodontics thought we would pass on this information to help you.

Primary teeth

Children normally have 20 primary or baby teeth. The first two to appear are usually the lower central incisors between six to ten months of age. These fall out between five and seven years of age.

• Two upper central incisors – eight to 12 months
• Two upper lateral incisors – nine to 13 months
• Two upper cuspids or canines – 16 to 22 months
• Two upper first molars – 13 to 19 months
• Two upper second molars – 25 to 33 months
• Two lower lateral incisors – ten to 16 months
• Two lower cuspids or canines – 17 to 23 months
• Two lower first molars – 14 to 18 months
• Two lower second molars – 13 to 31 months

As you can see, all the primary teeth normally have erupted before three years of age, but the timeline can vary by four to six months. Except for the lower central incisors and second molars, upper teeth tend to appear before lower teeth.

Permanent or adult teeth

Adults normally have 32 permanent teeth. However, four of these are wisdom teeth or third molars, which are often removed.

• Two upper central incisors – seven to eight years
• Two upper lateral incisors – eight to nine years
• Two upper cuspids or canines – 11 to 12 years
• Two upper first premolars or bicuspids – ten to 11 years
• Two upper second premolars or bicuspids – ten to 12 years
• Two upper first molars – six to seven years
• Two upper second molars – 12 to 13 years
• Two upper third molars or wisdom teeth – 17 to 21 years
• Two lower central incisors – six to seven years
• Two lower lateral incisors – seven to eight years
• Two lower cuspids or canines – nine to ten years
• Two lower first premolars or bicuspids – ten to 12 years
• Two lower second premolars or bicuspids – 11 to 12 years
• Two lower first molars – six to seven years
• Two lower second molars – 11 to 13 years
• Two lower third molars or wisdom teeth – 17 to 21 years

Please discuss any of your dental concerns during your visit with Dr. Rachelle Dermody and Dr. Chris Dermody. If there is a problem with tooth development, the earlier we address it, the better the outcome. We specialize in pediatric dentistry and look forward to helping you and your child with all your dental needs. To learn more about tooth eruption, or to schedule an appointment with Dr. Rachelle Dermody and Dr. Chris Dermody, please give us a call at our convenient Port St. Lucie office!

Orthodontists and dentists both help patients improve their oral health, but in different ways. Dentistry is a broad medical specialty that deals with the teeth, gum, nerves, and jaw, while orthodontics is a specialty within dentistry that focuses on correcting bites, occlusion, and the straightness of teeth. One important difference is that all orthodontists like Dr. Rachelle Dermody and Dr. Chris Dermody are dentists, but not all dentists are licensed orthodontists.

How are they similar?

The main similarity between a dentist and orthodontist is that they both focus on oral care. An orthodontist can work in a dental office and provide the same care as a dentist. So in this respect, they are quite similar. They are both considered doctors, and deal with the teeth and gums.

How are they different?

There are more differences than similarities. An orthodontist requires additional schooling as a dental specialty; the situation is similar to a doctor who obtains additional schooling to become a surgeon. Another difference is that orthodontists specialize in helping patients with the alignment of their teeth, improving their bite, or fitting them for corrective braces and devices. If a patient has an overbite, a dentist will refer him or her to an orthodontist.

Dentists typically encourage good oral hygiene and provide services related to:

• Tooth decay
• Root canals
• Gum disease
• Crowns
• Bridges
• Veneers
• Teeth whitening

Orthodontists are dentists that specialize in the alignment of teeth, and provide services related to:

• Misaligned teeth
• Crowded teeth
• Overbite
• Underbite

What an orthodontist can help with

Orthodontists help with crooked teeth, but they assist patients with other issues as well. These include overbites and underbites, crossbites, spaces between teeth, overcrowding of teeth, and the treatment of temporomandibular disorders (TMD). Additional problems with the jaw also need to be treated by an orthodontist.

While a dentist may be trained to provide orthodontic care in addition to extractions, TMJ treatments, and fillings, trusting your smile to an orthodontist can better balance the different procedures you require.

To learn more about the difference between dentists and orthodontists, or to schedule an initial consultation with Dr. Rachelle Dermody and Dr. Chris Dermody, please give our team at Dermody Pediatric Dentistry & Orthodontics a call at our convenient Port St. Lucie office.

The wisdom teeth are the last of the permanent molars to emerge from the gums. This can occur as early as age 17 or as late as 21. Though some teens and young adults experience a completely normal tooth eruption with ideally aligned molars that pose no health threat, this is not the case for everyone.

According to the American Association of Oral and Maxillofacial Surgeons (AAOMS), wisdom teeth must meet specific criteria to avoid a required extraction. These guidelines include:

• Completely erupted and non-impacted
• Completely functional
• Painless
• Free of decay
• Disease-free
• Capable of being properly cleaned

If one or more of your child’s wisdom teeth do not meet these conditions, we recommend scheduling an appointment with Dr. Rachelle Dermody and Dr. Chris Dermody; an extraction may be necessary.

Impacted wisdom teeth

One of the most common reasons for extracting a wisdom tooth is due to impaction. An impacted wisdom tooth is one that has not erupted and will not fully erupt from the gums. Usually this occurs because there is not enough room for the tooth to emerge. Impaction can be painful and can also lead to infection if left untreated. According to the AAOMS, roughly 90 percent of the teen and adult population has at least one impacted tooth. Extracting an impacted wisdom tooth early can help prevent future complications, such as periodontal disease, infections, and damage to neighboring teeth.

Extracting fully erupted wisdom teeth

Even if your child’s wisdom teeth are fully erupted, Dr. Rachelle Dermody and Dr. Chris Dermody and our team at Dermody Pediatric Dentistry & Orthodontics may recommend removing them as a preventive measure. Fully-erupted third molars often interfere with a healthy bite. This can lead to problems with tooth and jaw alignment and may also contribute to the development of headaches. Your child’s wisdom teeth may also be more prone to tooth decay and gum disease, because their location in the back of the mouth makes them more difficult to reach for brushing and flossing.

To learn more about wisdom teeth, or to schedule an appointment with Dr. Rachelle Dermody and Dr. Chris Dermody, please give us a call at our convenient Port St. Lucie office!

All Hallows' Eve, more commonly known as Halloween, is a yearly event celebrated on October 31, and one that is anticipated by the young and young at heart all over the world. Some scholars claim that Halloween originated from Celtic festivals that honored the dead or that celebrated the harvest, while others doubt that there's any connection at all to Samhain (a Gaelic harvest festival.) Regardless of its origin, our team at the dental office of Dr. Rachelle Dermody and Dr. Chris Dermody hopes that Halloween is fun and enjoyed by all of our awesome patients!

Trick or treat?

In North America, Halloween is predominantly celebrated by children who dress up in costumes, which range from scary to cute, who then go around the neighborhood knocking on doors asking "trick or treat", and they are given candy in return. Trick-or-treating is a time honored tradition, and though many parents groan at the pounds and pounds of candy collected by youngsters and fear for the health of their teeth, there are a few things you can do to help their teeth stay in great shape until the candy is gone:

• Limit the amount of candy they can consume each day
• Have them brush their teeth after eating candy
• Avoid hard, chewy candies as they can stick in hard to brush places
• Keep candy out of sight to reduce temptation
• Don't buy candy too far in advance to limit pre-Halloween consumption
• Help or encourage your children to floss

Halloween Fun

Halloween isn't just about gorging on candy; there are other events associated with this festive day including carving jack-o'-lanterns, painting pumpkins, decorating sugar cookies, bobbing for apples, going to haunted houses, or just curling up on the couch with a bowl full of popcorn and watching some classic, scary movies.

Halloween Around the World

Some countries, like Australia, frown upon Halloween, claiming it is an American event and not based in Australian culture, while others like Italy have embraced the fun and celebrate much as Canadians and Americans do. Mexicans have been celebrating this fun day since around 1960, and it marks the beginning of the Day of the Dead festival. Some countries in Europe have come late to the party, but since the 1990s, countries like Sweden, Norway, and Germany have started celebrating Halloween as well, and finding children in costumes or having ghosts hanging in windows has become commonplace.

Halloween is about fun; stepping outside our normal lives and donning a costume or gathering with friends to knock on doors and ask for candy is as much a part of our culture as hot dogs and barbecue on Labor Day. Have a safe and happy Halloween from the team at Dermody Pediatric Dentistry & Orthodontics!

It seems like yesterday. There you were, comforting your baby through sleepless nights, soothing her with a dentist-approved teether, celebrating as that first tiny tooth poked through her gums. And now here she is running to show you that same tooth, wiggly, loose, and almost ready for the Tooth Fairy. Now what?

Be Prepared

Children normally lose that first tooth somewhere around the age of six, but a year or two earlier or later is not uncommon. If you ever took a business class, you might have heard of the inventory method called “First In, First Out.” Baby teeth operate much the same way! The two bottom front teeth, followed by the two upper front teeth, will probably be the first teeth your child loses. Once you notice some wiggling, let your child know what is going on and reassure her that it is a normal part of growing up.

What to Expect with that First Loose Tooth

Normally, baby teeth become loose when the pressure from the permanent tooth below gradually breaks down the roots of the primary tooth. If your child has a loose tooth, encourage him to wiggle, not pull. Typically, gentle wiggling is all that is needed to free a tooth that has lost most of its root and is ready to be replaced. Avoid pulling or forcing the tooth, because that can cause injury to the root area if the baby tooth isn’t ready to come out. Call our Port St. Lucie office if you have any questions about loose teeth. Dr. Rachelle Dermody and Dr. Chris Dermody and our team also have suggestions if the baby teeth don’t become loose on schedule, or if they stubbornly remain in place even after the adult teeth have started to show up. One important note—if your child ever loses a tooth through accident or injury, call us at once. We might need to provide a spacer to give your child’s permanent teeth the proper time and space to come in.

Celebrate this Milestone with Your Child

The arrival of the Tooth Fairy is a familiar way to mark the occasion, and she can leave your child a note, a small gift, even a brand new toothbrush. Or explore other options!

If your child is fascinated by stories and traditions, learn about El Ratón Pérez (Perez the Mouse), a familiar tooth-collector in many Spanish speaking countries, or his French cousin, La Petite Souris (the Little Mouse). In other parts of Europe, Asia and Africa, children throw teeth on the roof, drop them in a glass of water, or hide them in a slipper. This is a great opportunity for you and your child to explore the world!

If your child likes science, look into books that explain the biology of baby and adult teeth in an age-appropriate way. You could print a chart of the primary teeth and take notes on each lost tooth as it makes way for the permanent tooth below. Or track her progress with photos showing the baby tooth, the gap left by the tooth, and the adult tooth as it comes in.

Losing that first tooth is an important moment for your child—and for you. Be prepared to celebrate another milestone together, and always feel free to talk to Dr. Rachelle Dermody and Dr. Chris Dermody if you have any questions about this new stage in your child’s life.

Modern orthodontic technology has changed the way you wear braces. Brackets are smaller and come in a variety of shapes and colors. Wires are more efficient. Clear aligners can eliminate the need for brackets and wires altogether. And your high-tech advantages don’t stop there—today’s digital X-rays make creating your treatment plan even more convenient and efficient.

Why Are X-rays Necessary?

Beautifully aligned teeth and a healthy bite are the visible result of your orthodontic work, but there’s a lot going on above and below the surface that needs to be discovered and taken into account before your treatment even begins. X-rays help Dr. Rachelle Dermody and Dr. Chris Dermody evaluate:

• The size, shape, and position of your teeth, including impacted teeth and wisdom teeth
• The size, position, and health of your roots throughout treatment
• The size and shape of your jaw bones, and how they affect your teeth alignment and bite
• Your progress during different phases of treatment
• The most effective type of retainer for protecting your beautiful smile after treatment.

How Do X-rays Work?

Traditional X-rays, or radiographs, make use of film just like traditional cameras. When you have an intraoral X-ray, for example, the film is sealed in a moisture- and light-proof packet, and placed inside the mouth to capture images of specific teeth and the bone around them.

The X-ray machine is aligned precisely with the film and an exposure is taken. The image at this point is latent, and won’t show on the film, because, just like photo film, traditional radiographs need to be chemically processed before they produce a visible image.

Digital technology, on the other hand, uses an electronic sensor instead of film. For an intraoral digital X-ray, a small sensor is positioned in the mouth just like a film. When the X-ray is taken, a digital image capture device produces an image which is formed by a matrix of pixels instead of a photo-like film exposure. This format allows the image to be sent directly to a computer for immediate display without requiring processing.

Even though these methods seem very similar, digital X-rays offer some significant advantages over traditional films. Let’s look at how they compare, more or less.

• More Diagnostic Advantages

A traditional X-ray is a fixed image. It cannot be modified or enhanced. Here the digital X-ray offers a clear advantage in evaluating your teeth and the bone structure surrounding them.

Just as you can enlarge certain types of images on your computer without blurring or losing detail, a digital X-ray uses computer software to magnify images while keeping their details sharp. They can also be enhanced through brightness and contrast applications to make details stand out even more.

There is even digital subtraction radiography software available that can be used to compare recent images to older ones, removing (“subtracting”) all the similarities in the two images to display only the changes in the two—even small changes—that have taken place over time.

• Less Exposure to Radiation

Modern technology means traditional X-rays expose patients to less radiation than ever before, but digital X-rays have significant advantages here as well. Radiation exposure can be reduced by an additional 10%, 20%, or more with a digital radiograph.

And while all types of dental X-rays expose you to very little radiation, it’s always best to reduce exposure whenever possible.

• More Convenient for Sharing and Transmitting

If you need to share your X-rays with another dentist or physician, digital technology allows you to simply have them e-mailed to another office or multiple offices. You no longer need to worry about preserving physical copies, either.

• Less Waste

Unlike traditional X-rays, digital X-rays don’t need to be processed, so you save time in the office. And while the processing time is not significant (usually several minutes), if you need to repeat some X-rays for a clearer picture, or require different images for several teeth, this time can add up.

Digital X-rays are also more eco-friendly.  The fact that they don’t need to be developed means that the chemicals used to process traditional films are no longer necessary—which also means that there is no need to dispose of chemical waste products afterward.

Our goal is to provide you with the safest, most efficient, and most effective treatment possible. Digital X-rays are an important tool for orthodontists, helping us to provide you with the best treatment plan possible. If you have any questions about digital X-ray technology, contact our Port St. Lucie office. We’re happy to explain the science—and the benefits—behind this high-tech diagnostic tool.

Whether you’ve chosen traditional braces or invisible aligners, congratulations! You’ve taken the first step on your way to a beautiful, healthy smile. Of course, like every other journey, a good start helps you get where you’re going as quickly and easily as possible. And the best way to start your orthodontic journey at Dermody Pediatric Dentistry & Orthodontics is with a visit to your dentist for a checkup and a cleaning.

Dr. Rachelle Dermody and Dr. Chris Dermody and our team will want you to make sure your teeth and gums are healthy before you begin. A complete dental exam will let you know if you have any dental conditions that need to be addressed before you get braces or aligners. Why be proactive? Because if you need dental work during your orthodontic treatment, it can cause delays in your treatment plan.

• Cavities

Cavities grow over time and can eventually reach the inside of the tooth, causing infection and damaging the pulp. For this reason alone, it’s best to find and treat cavities before you get braces or aligners.

If you’re wearing braces when a cavity’s discovered, the situation gets a bit more complicated. Your dentist might be able to work around your braces if the cavity is easy to reach. But if a cavity’s near your brackets, Dr. Rachelle Dermody and Dr. Chris Dermody might have to remove a wire or bracket before treatment can start. This means scheduling different appointments to a) remove a section of your braces, b) repair your cavity, and c) replace your bracket and/or wire. See what we mean? Definitely more complicated.

• Gum Disease

While serious gum disease is most common in adults, children and teens can suffer from early-stage gum disease. Your gum health affects your orthodontic treatment—and can be affected by it, too—so your gums need to be healthy before you begin wearing braces or aligners.

Early gum disease can frequently be reversed with careful brushing and flossing habits. Because advanced gum disease weakens the bone under the teeth, patients with this kind of gum disease will need dental or periodontal treatment before any orthodontic work.

• A Clean Start

Once you’ve made sure your teeth and gums are healthy, there’s one more proactive step you can take for a better orthodontic experience. Whenever you’re at the dentist for an exam, it’s always a good idea to get a professional cleaning. It’s especially important when you’re getting—or wearing—braces.

Even with the most dedicated everyday brushing and flossing, plaque and tartar can build up, especially between and behind the teeth. A professional cleaning by an expert is just what you need to remove any plaque or tartar that you’ve missed before you start wearing braces or aligners.

And keep up with professional cleanings while you’re in treatment. It can be difficult to clean around brackets and underneath wires. Your dental team knows how to gently and thoroughly clean plaque from these hard-to-reach spots. In fact, Dr. Rachelle Dermody and Dr. Chris Dermody and your dentist might recommend that you have your teeth cleaned more often while you’re wearing braces.

• Your Best Bonding Experience

If you’re getting metal brackets, ceramic brackets, or lingual braces, your brackets will be applied to your tooth enamel with a special bonding glue. Applying brackets to teeth that are their cleanest will start you off with the best possible bond.

If you need dental work while you wear braces, we can certainly accommodate that. But why make life more difficult? See your dentist for a cleaning and an exam and get any necessary dental treatment before you get your braces at our Port St. Lucie orthodontic office. The easiest journey to a lifetime of beautiful, healthy smiles begins with a good start!

Dr. Rachelle Dermody and Dr. Chris Dermody, as well as our team at Dermody Pediatric Dentistry & Orthodontics, would like to give those patients with flex spend, health savings, or insurance benefits a friendly end of the year reminder that it’s high time to schedule your dental visits so you optimize your benefit.

Now is the time to reserve your appointment with us. Space is limited and we tend to get busy around the holidays, so don’t wait to give us a call at our convenient Port St. Lucie office!

Sealants offer many benefits, but the best is their ability to protect your molars. Molars are full of small caverns that can be the perfect breeding ground for tooth decay and plaque buildup.

Use of protective sealants prevents this buildup from happening. Although children often receive sealants for routine preventive care, they aren’t the only ones who can benefit from this treatment. Sealants can also help adults who have deep canyons or grooves in their teeth.

They are commonly placed on the rear molars that tend to suffer the most decay. Because your molars are used substantially as grinding surfaces, food is more likely to be trapped among them.

Sealant solution consists a composite material that contains bonding agents that seal the top of your teeth. The process is quick and painless, which makes it a great solution for both children and adults who have had trouble with cavities and tooth decay. Sealants also last for several years, and repair is a simple process that can be completed by Dr. Rachelle Dermody and Dr. Chris Dermody.

The process of putting sealants on teeth starts with the tooth getting cleaned. We clean it with a type of baking soda spray called sodium bicarbonate. Then acid is etched onto the teeth to rough up the surface.

We apply an alcohol-based liquid to dry the area where the sealant is supposed to go. After it completely covers the surface of the treated teeth, the sealant is cured with a light that makes it hard and long-lasting.

Getting sealants can prevent the possible restorative costs that come from cavities. Sealants help to protect your tooth’s enamel from harmful acids and prevent decay, which can be an investment in itself. The whole process is quick, so it should be easy to schedule an appointment at Dermody Pediatric Dentistry & Orthodontics.

Feel free to call our Port St. Lucie location and we can answer any questions you have about this service.

You’ve taken the first step toward a healthier and more beautiful appearance by getting braces at Dermody Pediatric Dentistry & Orthodontics, and you’re probably wondering what comes next. The first week is the period of biggest adjustment, and there’s a lot to learn in this short time. Don’t worry; in a few short days your braces will feel completely natural.

The first week

On the first day, your braces will probably feel very odd in your mouth; it will take time to get used to them. By the second day, you may feel some soreness or pain. If you are going to experience any pain, the second and third days are when it will happen. Most pain can be dealt with by taking an over-the-counter pain reliever, such as Tylenol.

What about sore spots?

Your cheeks and tongue are getting used to your new braces, just like your teeth are. You may develop sore spots where this soft tissue rubs against the harsh metal of your braces. The best way to avoid this and allow your mouth to heal is by covering the metal spot with orthodontic wax. Break off a small piece and roll it into a ball in your hands. Dry the metal of the braces with a cotton swab, then wrap the wax around the sharp spot to create a cushion.

What if they break?

Braces are held onto your teeth with special orthodontic glue. Once in a great while, part of your appliance may come loose from the surface of a tooth. This won’t harm anything; it will just be slightly inconvenient. Call our office right away and we will be able to glue the bracket back on.

Make sure you avoid hard items such as ice, brittle, and other hard candies, and don’t open packages with your teeth. These habits can contribute to braces popping off. Even fairly innocent-sounding items like popcorn or French bread can be a culprit, so avoid eating any hard foods, or cut them up into small pieces before consuming.

If you have questions about which foods to eat and avoid, or if your braces are more sore than expected, feel free to contact our Port St. Lucie office and ask Dr. Rachelle Dermody and Dr. Chris Dermody and our team. We’re more than happy to help!

Did you know that more than four million children throughout the US and Canada have braces? At Dermody Pediatric Dentistry & Orthodontics, Dr. Rachelle Dermody and Dr. Chris Dermody and our staff know that kids can be picky and meticulous eaters. If cooking for children without braces is difficult, preparing meals for children with braces is especially daunting.

“Comfort food takes on a whole new meaning when cooking for children with braces,” says Pamela Waterman, author of The Braces Cookbook: Recipes You and Your Orthodontist Will Love. “Whether you have new brackets, elastics, headgear, or more, there are great foods you can eat; it just takes some thought.”

These five braces-friendly dinner recipes will be sure to keep your kids smiling!

1. Macaroni and cheese is the ultimate comfort food. Pasta is soft, so it’s easy for children with braces to eat. The warm, gooey cheese melts in the mouth and doesn’t get stuck in the braces like hard or sticky foods. Chances are good that even the pickiest eater has a soft spot for this homespun classic.
2. The key to braces-friendly cooking is to replace hard, crunchy foods with softer substitutes. In other words, burritos are a better option than tacos, and lasagna is a better choice than pizza. At the same time, if you have the culinary skills to whip up a pizza with a soft crust, you’re going to win the Best Mom (or Dad) of the Year award.
3. Your child may not like fruits and vegetables. In fact, he or she may even try to convince you that with new braces, fruits and vegetables are off limits. Nice try, kids. While your child is wearing braces, prepare meals with cooked vegetables instead of raw vegetables. A vegetable stir-fry is a healthy and soft dinner choice for kids with braces.
4. Whether it’s beef or chicken, meat is a good source of protein. However, meat, even when it’s carefully taken off the bone (kids with braces should never eat meat from a bone), can easily get caught in braces. Sloppy Joes are a good alternative. The beef is softened by the addition of the sauce and less likely to get strung in the wires and brackets of the braces. Serve the Sloppy Joes with a side of mashed potatoes.
5. Ask any child and he or she will tell you that the best part of dinner is dessert. While hard candy, licorice, taffy, caramel, popcorn, and all other chewy candies should be avoided, ice cream and cake are braces-friendly treats that keep kids smiling.

Need more braces-friendly food ideas? Feel free to ask any member of our team.

The “Back to School” ads are out already? Halloween candy’s showing up in stores? Just a minute—summer isn’t quite over yet! While the days are still warm, let’s look at a few cool ways to keep your smile bright with some healthy dental options:

• Healthy Drinks

Hot summer days mean it’s time to hydrate. But sodas, fruit drinks, and sports drinks can have a lot of added sugars, which can mean added cavities. They can also be quite acidic, and acids break down tooth enamel. So, what to reach for on a hot day? Water!

Water is a good choice whenever you’re thirsty. Water is essential for healthy bodies and for healthy teeth and gums, too. Water helps wash away food particles that feed the cavity-causing bacteria in plaque. Acids in our foods and drinks break down tooth enamel, and water helps balance out those acids. If you have fluoridated water, fluoride makes enamel stronger and even helps reverse early decay. And it’s easily available and very cost effective!

• Healthy Gear

Make sure that healthy smile you worked so hard for stays looking its best with protective gear:

• A mouthguard will help protect your teeth and mouth from contact with hard surfaces and hard bodies when you’re enjoying biking, baseball, hoops, and other activities.
• If you have a retainer, wear it as directed. Retainers keep your teeth from moving out of position while your jawbones rebuild strong bone tissue around them.
• If you suffer from bruxism, your nightguard protects your teeth and jaws from tooth-grinding damage, so don’t forget to use it nightly.

Your appliances protect you, so return the favor and make sure your appliances stay healthy by cleaning them after use and storing them in their protective cases.

And remember to replace another piece of protective equipment regularly—your toothbrush. If you haven’t replaced your toothbrush for several months, it’s time to go shopping. Toothbrushes wear down over time, and, after three months or so, can’t clean plaque as effectively. Which reminds us . . .

• Healthy Habits

Even as we take advantage of the end of summer with last minute camping, or travel, or action-filled weekends, one thing should stay on schedule—regular brushing and flossing.

You should be brushing twice a day, for two minutes each time. If it’s hard to time yourself, try playing a favorite two-minute song or using a timer or even a brushing app. And don’t forget to floss! Floss gets into spaces where bushes can’t to remove plaque. Floss once a day to keep your teeth their cleanest.

Finally, don’t forget to schedule regular dental appointments at our Port St. Lucie office for a cleaning and exam with Dr. Rachelle Dermody and Dr. Chris Dermody.

Summer’s almost over, but these healthy tips work in fall, winter, and spring, too—for a smile that’s sunny and bright all year long!

Labor Day, celebrated on the first Monday each September here in the United States, is a holiday devoted to the American working community. The purpose of the holiday is honoring the country's workers and their contributions to the strength of our country as a whole.

How Labor Day Started

There is actually some debate as to the origins of Labor Day. It is uncertain whether Peter McGuire, a cofounder for the American Federation of Labor, or Matthew Maguire, who was the secretary of Central Labor Union of New York, had the great idea. However, the Central Labor Union's plans were what launched the first Labor Day in America.

The First Labor Day

The very first Labor Day was celebrated on September 5th, 1882. The Central Labor Union then held annual celebrations on September 5th for what they called a working man's holiday. By the year 1885, the Labor Day celebration had spread to many different industrial areas, and after that it began spreading to all industries in the United States.

Labor Day Today

Labor Day today is a huge United States holiday during which we honor the country's workers with a day of rest and relaxation or a day of picnics and parades. This holiday is truly one to honor the many people who work hard to contribute to the economic well-being of our great country!

Our team at Dermody Pediatric Dentistry & Orthodontics hopes all of our patients celebrate Labor Day, and every holiday, safely and happily. Whether you stay in the Port St. Lucie area, or travel out of town, have fun, and don't forget to brush!

When you start wearing braces, it can become a challenge to clean certain areas of your mouth. If these areas are neglected for long periods of time, though, decay and stains can form on your teeth.

Your mouth will require extra attention while you have your braces on. This can include using a special toothbrush to reach those spots, flossing every day, getting fluoride treatments, avoiding certain foods, and making sure to visit your dentist. Let’s take a closer look at what you can do to prevent decay during treatment.

When you get your braces on, Dr. Rachelle Dermody and Dr. Chris Dermody will give you an interdental toothbrush that can be used to get to those hard-to-reach spots in your mouth. The brush has bristles that can easily remove food residue stuck between the wires in your mouth. We may also suggest using a WaterPik, which pulses a pressurized stream of water to remove excess food particles.

Brushing and flossing every day should always be a part of your oral health regimen, but this becomes especially crucial when you have braces. If food gets stuck between braces and sits on your teeth, decay and staining will start to occur. Dr. Rachelle Dermody and Dr. Chris Dermody and our team recommend flossing at least once a day, and brushing and using mouthwash after every meal as long as you have braces.

If you don’t have the time, make sure at least to swish your mouth really well with water after you eat. It’s especially important to follow these steps after consuming sugary foods or beverages. It’s best to avoid sweets altogether when you have braces.

Making sure to visit your dentist at least twice a year for a routine cleaning can also help to prevent any decay from damaging your teeth while your teeth are encased in braces. Your dentist will remove any plaque or tartar that’s built up since your last cleaning.

Prevention is key when it comes to keeping your mouth healthy during orthodontic care with braces. Follow these tips and you’ll keep your teeth beautiful and healthy for the day your new smile is finally revealed!

Your beaming smile makes a sunny day even brighter—and that sunny day can return the favor! How does the sun affect your dental health? Let’s shine some light on the subject.

You may have heard how important calcium is to your body. Over 99% of the calcium in our bodies is used to form teeth and bones, providing strength and structure to the hardest parts of the body. But that’s not the only task on the calcium to-do list. Calcium is also necessary for:

• muscles to work
• nerves to carry messages
• blood to deliver nutrients and oxygen
• the release of hormones

When we don’t get enough calcium in our diets, our bodies start to draw the calcium they need for these critical functions from our teeth and bones. Over time, a severe calcium deficiency can lead to teeth that are brittle, or more vulnerable to decay, or loose due to weakened bone density in the jaw.

Keeping up with your calcium is especially important when you’re wearing braces or aligners. Calcium helps protect you from tooth decay and gum disease, which could delay your treatment. And you want your jaw bones strong and healthy as the bone tissue reforms and then stabilizes around your teeth as they move to their new, ideal positions.

We can get the calcium we need from a balanced diet. Dairy products are our most common source of calcium, and several servings of milk, cheese, or yogurt each day supply most of our needs. If dairy’s not on your menu, though, you can get calcium from other foods like broccoli, kale, collard greens, canned salmon, or sardines. Because calcium is so essential to our health, many foods are fortified with it, including fortified juices, bread, cereals—even tofu!

But there’s a snag here, and it’s a big one. We can’t really benefit from our careful consumption of calcium without the help of vitamin D. If calcium is the doorway to strong teeth and bones, vitamin D is the key which unlocks all of calcium’s benefits.

Without enough vitamin D, our bodies can’t absorb and make use of calcium. However, getting enough of this essential vitamin can be a problem. While we can get most of the vitamins we need from a balanced diet, there aren’t a lot of foods which are naturally rich in vitamin D.

So, how do we get this vital vitamin? The original option comes from nature.

• Sunlight

Vitamin D is called “the sunshine vitamin” because of the unique chemical reaction which creates it. When the ultraviolet B rays of the sun reach special cells in our skin, they convert cholesterol in these cells to a basic form of vitamin D. These vitamin molecules travel through the body, picking up hydrogen and oxygen molecules in the liver and kidneys to become active vitamin D.

Since sunlight exposure is easy, available, and free, it seems like a simple solution to getting the vitamin D we need.

But we’ve understandably moved away from the days of basking in the sun for hours at a time. Over-exposure to UV rays damages the skin, causing premature aging and, worse, a much greater risk of skin cancer. If you enjoy time in the sun, talk to your doctor about safe sun exposure, which can depend on the part of the country you live in, the time of year, and your individual skin type.

And, if you need to avoid sun exposure, there are other opportunities for getting the vitamin D you need.

• Diet

While there aren’t a lot of foods which are naturally rich in vitamin D, there are still a few options on the menu. Oily fish like salmon, tuna, and herring—and old-fashioned cod liver oil—are good sources of the vitamin. But most of us don’t live on a strict fish diet!

Instead, we can get the vitamin D we need from fortified foods. Vitamin D is commonly added to cow’s milk, soy milk, orange juice, and cereals to make sure the calcium in our diet is working effectively to keep our teeth and bones strong. Check out nutritional labels to discover whether your favorite grocery products contain vitamin D. And don’t forget to choose foods that are braces-friendly, as well!

• Supplements

For hundreds of years, people who lived in climates and cities without a lot of sunshine suffered from the effects of vitamin D deficiency. Diseases like rickets, where the teeth and bones don’t form properly, were common in children. Adults who couldn’t absorb enough calcium suffered from weak teeth and bones.

Today, depending on age, allergies to sun or food products, dietary choices, and health conditions, some people are still at risk for vitamin D deficiency. If you’ve been diagnosed with this deficiency, your doctor might recommend a vitamin D supplement. (It’s important to take any supplement as directed, because taking too much vitamin D can be harmful, too.)

So, which form of vitamin D is best? Fortified foods? Supplements? Or is it that radiant original source—the sun? No need to worry. With any form of vitamin D, you’re getting the key you need to unlock the benefits of the calcium in your diet—for healthy teeth and bones before, during, and after your treatment at our Port St. Lucie orthodontic office. Your sunny smile will thank you!

The grown-ups in your life want you to have a healthy, happy smile. That’s why they help you brush and floss, and make sure you come see Dr. Rachelle Dermody and Dr. Chris Dermody for checkups and cleanings. Did you ever wonder if there are other ways you can help build a beautiful smile? There are! And one of them is eating food that makes our teeth and gums strong and healthy.

Friendly Foods

• Enamel and Bone Builders

Calcium is a very important element that helps us grow strong bones and enamel, the hard covering on the outside of our teeth. Bacteria in our mouths can create acids that weaken enamel and lead to cavities, so we want to keep our enamel as strong as possible. Dairy products like milk, cheese, and yogurt are great sources of calcium, but you might be surprised to know dark green vegetables like kale, spinach and broccoli help build strong teeth as well, and strong teeth are less likely to get cavities!

• Good for Our Gums

Many foods have important vitamins that help keep our gums and mouths healthy. Vitamin C helps protect our gums and make them stronger. When we think of Vitamin C, we usually think of citrus fruits like oranges and lemons, but there are many other fruits and vegetables that give us this important vitamin, including mangos, potatoes, and strawberries. Vitamin A also helps keep our gums healthy. We can increase our Vitamin A by adding fish, leafy green vegetables, or orange colored foods to our diet.

• Natural Toothbrushes

Crunchy foods like apples, carrots, and celery can help keep our teeth clean. They act like gentle brushes to remove food and bacteria left on our teeth after eating. Chewing also increases saliva, which helps wash away food particles and bacteria. And, of course, drinking or rinsing with water after a snack helps clean our teeth when we can’t brush.

What Foods Aren’t Good for Our Teeth?

• Bacteria Builders

Plaque is a film of bacteria that sticks to our teeth. These bacteria make acids that soften our enamel and cause cavities. And what do these bacteria use for food? Sugar is one of their favorites! We can’t stop eating everything with sugar, of course, and we all deserve a treat every now and then. But to keep our teeth their healthiest, it really helps to cut down on sugary foods and drinks, and to brush or rinse with water when we do enjoy dessert.

• Acid Attacks

Bacteria can make acids that weaken our enamel, but we can also eat foods that damage our enamel and might lead to cavities. Drinks like sodas, citrus juices and even some sports drinks are acidic enough to make our enamel softer. Drinking with a straw or rinsing your mouth with water helps, but it’s a good idea to limit foods and drinks that make our enamel weaker over time.

• Sticky Stuff

Any food that stays on or between your teeth gives bacteria more time to grow and produce the acids that cause cavities. We can guess that hard candy and caramel would be a bad idea, but even healthy foods such as dried fruit and trail mix can be a problem when they stick to your teeth. If you eat something sticky, be sure to rinse with water or brush and floss as soon as you can.

You already know that brushing and flossing are the best way to keep your teeth clean, and that visiting us for checkups and office cleanings helps your teeth and gums stay strong and healthy. Eating well is just one more thing you can do to help. The next time you visit our Port St. Lucie office, talk to us about what you and your family can add to the menu for a lifetime of beautiful smiles!

Unfortunately, dental emergencies can sometimes be unavoidable among young children. The good news is Dr. Rachelle Dermody and Dr. Chris Dermody can help you prepare in case you and your child find yourselves in any of the following situations.

Teething

Starting at about four months and lasting up to three years, your son or daughter may experience teething pain. It’s common for teething children to grow irritable and become prone to drooling due to tender gums. Give your child a cold teething ring or rub his or her gums with your finger to help relieve the discomfort.

Loss of Teeth

If a baby tooth is knocked out in an accident, bring your child to our Port St. Lucie office to make sure damage hasn’t occurred in the mouth. Permanent teeth can sometimes grow in before baby teeth have fallen out. In this situation, Dr. Rachelle Dermody and Dr. Chris Dermody should examine your child to make sure teeth are growing in properly. This can prevent serious issues from arising later in adulthood.

Gum Issues

Bleeding gums could mean several things. They may be an early sign of periodontal disease, which results from poor oral hygiene. Gums may also bleed if a youngster is brushing too hard or has suffered an injury to the gum tissue.

Rinse your child’s mouth with warm salt water and apply pressure to the area if bleeding continues. Don’t hesitate to contact our Port St. Lucie office if you are concerned so we can schedule an appointment.

As a parent, you can provide the best education for your children on proper oral hygiene habits. If you some coaching, ask Dr. Rachelle Dermody and Dr. Chris Dermody for tips during your next appointment.

While the last baby teeth generally aren’t lost until age ten or 11, most children stop believing in the tooth fairy by the time they're seven or eight. Of course, children are more than happy to play along with the game when there’s money at stake! While it is impossible to know what the tooth fairy does with all those teeth (are they labeled and stored like museum pieces in a giant fairytale castle?), it is possible to trace the history and myth of the tooth fairy to several cultures and traditions. Dr. Rachelle Dermody and Dr. Chris Dermody and our team learned about some interesting myths about the tooth fairy!

The Middle Ages

Legend has it that Europeans in the Middle Ages believed a witch could curse someone by using their teeth, so it was important to dispose of baby teeth correctly. Teeth were swallowed, buried, or burned. Sometimes baby teeth were even left for rodents to eat. Despite being pests, rodents were valued for their strong teeth; it was generally believed a tooth fed to a rodent would lead to the development of a healthy and strong adult tooth.

Eighteenth Century France

The tooth fairy myth began to show more characteristics of a conventional fairytale in 18^th century France. La Bonne Petite Souris, a bedtime story, tells the strange tale of a fairy that changes into a mouse to help a good queen defeat an evil king. The mouse secretly hides under the evil king’s pillow and defeats him by knocking out his teeth.

Scandinavian Lore

So, why does the tooth fairy leave money under the pillow? The idea of exchanging a tooth for coins originated in Scandinavia. Vikings paid children for a lost tooth. Teeth were worn on necklaces as good luck charms in battle. While the idea of exchanging a tooth for coins quickly spread throughout the rest of Europe, a fierce, horn-helmeted Viking is far cry from the image of a fairy collecting teeth.

While the tooth fairy as children know her today didn’t make an appearance until the 1900s, tooth myths and rites of passage have existed in numerous cultures since the dawn of time.

Some foods are just terrible for your teeth — think cookies and candy bars — but there are certain foods that are beneficial to your oral health. Below, Dr. Rachelle Dermody and Dr. Chris Dermody and our team have covered five of the top foods to keep your teeth and gums healthy!

1. Crispy, low-acid fruits and vegetables: Fruits like apples and vegetables such as carrots and celery act like “natural toothbrushes,” helping to clear plaque from your teeth and freshen your breath.

2. Kiwis: These little green superstars are packed with vitamin C which is essential for gum health. The collagen in your gums is strengthened when you consume foods that are high in vitamin C, like kiwis, thus helping to prevent periodontal problems.

3. Raw onions: Onions have long been studied for their antimicrobial, antibacterial, and antioxidant properties. Proliferation of bacteria is what leads to tooth decay and cavities. By including raw onions in your diet, you'll be doing your part to wipe out those little microbes before they can multiply!

4. Shiitake Mushrooms: A specific compound in shiitake mushrooms, lentinan, has been shown to have antibacterial properties that target the microbes that cause cavities while leaving other beneficial bacteria alone. It may also help prevent gingivitis, or inflammation of the gums.

5. Green Tea: Often lauded for its high antioxidant content and many health benefits, it turns out green tea also benefits your oral health! A Japanese study found men who drank green tea on a regular basis had a lower occurrence of periodontal disease compared to men who drank green tea infrequently. It's believed this is due to the catechins in green tea, a type of flavonoid that may help protect you from free radical damage, but more research needs to be done. Either way, drink up for your overall health, as well as your teeth!

If you have any questions about your oral health, or are looking for even more oral health tips, contact our Port St. Lucie office!

If Dr. Rachelle Dermody and Dr. Chris Dermody and our team recommend a Hawley retainer to complete your orthodontic treatment, you’re getting a classic. This retainer, invented by Dr. Charles Hawley, has been in use since the early decades of the twentieth century.

But this isn’t your great grandmother’s pink plastic retainer! The look of today’s Hawley retainer has really evolved from its early days as the “Hawley bite plate”—and pink is now a choice instead of an inevitability. In fact, you can choose from any number of colors, patterns, and designs to create a retainer that is uniquely you.

Each Hawley retainer is customized to fit your mouth and teeth perfectly. Wire clasps and a labial bow wire are securely attached to an acrylic base based on a model made from your teeth and mouth.

Your retainer is designed for function—the bow wire makes sure your teeth stay in the perfect position while your bones and ligaments get strong enough to hold them in place. The acrylic base, of course, is also functional—but that doesn’t mean you can’t have fun with it!

Retainer bases can be formed in different ways.  One type of retainer model uses pre-formed acrylic discs for the base, and these are available in many pre-formed colors and patterns. Another type of retainer builds the base by alternating several applications of liquid and powder acrylics, layer after layer. This process allows the retainer technician to create one-of-a-kind designs.

What are some of the ways to make your retainer uniquely yours?

• Color—whether deep tones, pastels, electrics, neon, or metallic, you can find an appealing shade in the color chart. Or, if you want your retainer to keep a low profile, choose a clear or a color-coordinated pink tone.
• Glow in the Dark—if you don’t want your retainer to keep a low profile, this might be just the look for you!
• Glitter—accessorize your sparkling smile with a sparkling retainer.
• Patterns—stripes, polka dots, geometric shapes—even animal patterns are possible.
• Color Combinations—why choose one color when you can have a marbled swirl of your favorites? Or a tie-dye look? Or team colors?
• Acrylic Designs—a colorful design that captures your personality is available with some creative acrylic artistry. Rainbows and flags, hearts and flowers, ladybugs, and spider webs are just some of the options on hand.
• Picture Perfect—for that special hobby, pet, team, or other personal favorite, decals or pictures can be applied under a layer of clear acrylic.

Hawley retainers are made to last, so choose your design with years of use in mind. Talk to our Port St. Lucie team about the custom looks which are available to celebrate your unique personality. After all, there’s nothing more personal than your smile!

Happy Independence Day from Dr. Rachelle Dermody and Dr. Chris Dermody and team! The Fourth of July celebrations in America may have changed a lot over the years, but there is no doubt that we Americans love to celebrate the anniversary of our country's independence! Today we're devoting the Dermody Pediatric Dentistry & Orthodontics blog to some fun facts about the Fourth!

• My, how we have grown! This year the United States Census Bureau estimates that our country has 313.9 million residents celebrating the Fourth of July this year, but back in 1776 there were just 2.5 million members of the country.
• Our country loves to show how proud that we are of our independence. Did you know that there are 31 United States places with the word “Liberty” in their names? The state of Iowa actually has four towns with the word Liberty in the name: Libertyville, New Liberty, North Liberty, and West Liberty.
• The United States loves Fourth of July food! It is expected that around 150 million hot dogs are eaten on the Fourth each year. One of the Fourth's most popular sides, potato salad, goes just perfectly with the hotdogs and hamburgers that are standard Fourth of July fare. Some people choose potato chips instead, but we wouldn't have such a plethora of potatoes if not for the prodigious production of the states of Idaho and Washington -- they provide about half of all the potatoes in the United States today!
• Americans love celebrating the Fourth outdoors: About 74 million Americans fire up their BBQ grill every Fourth of July.
• The Chinese contribution: Did you know that Americans have spent more than $211 million on fireworks that were imported from China?

No matter how your family chooses to celebrate the Fourth, stay safe, take precautions, and don't forget to brush after your fabulous Fourth feast!

The team at Dermody Pediatric Dentistry & Orthodontics loves to help adults achieve straighter teeth and a beautiful smile. If you are considering getting braces, here are some things you’ll need to know.

Can braces work for adults?

The good news is that braces work for just about anyone. There are several different types of braces, howver, and not all of them may work for you. The different kinds of orthodontic treatments include:

• Ceramic braces
• Metal braces
• Self-ligating brackets
• Lingual brackets (braces behind the teeth)
• Invisible braces
• Rubber bands for bite correction
• Headgear and other appliances

Schedule a consultation with Dr. Rachelle Dermody and Dr. Chris Dermody, and we can help you determine the best option for your needs.

How do I get started?

We understand that braces can be a daunting prospect for many individuals. They may appear expensive and time-consuming; however, the process can be relatively pain-free! Here are the first steps you need to take on the road to straight teeth.

You will probably have a lot of questions and concerns before starting. Here are a few questions you should ask:

• What kind of braces do you recommend for my teeth?
• How long will the treatment take?
• How often will I need to come in for adjustments?
• What is the total cost of the treatment? Do you accept insurance? Will you require the full amount up front, or do you have payment plans?

During your first meeting with Dr. Rachelle Dermody and Dr. Chris Dermody, we’ll take some X-rays and molds of your teeth to help you determine your best treatment plan. To ensure your treatment is as effective as possible, we may include preliminary dental work before your braces are placed.

After you’ve chosen a treatment plan and undergone any necessary prerequisite dental work, you’ll be on your way to a better smile! Call our Port St. Lucie location so you can get started today!

We’re not talking about tearing up at the end of a sad movie, or that uncomfortable scratchy feeling you get from a coarse wool sweater—no shame in that kind of sensitivity! But it is a shame if you’re feeling unpleasant tooth sensitivity, especially while you’re wearing braces. No fear—we have some helpful ideas to make you more comfortable as you create your healthy, confident smile.

What do we mean by tooth sensitivity? You know it if you’ve felt it. Pain when you have a cold drink. Or a hot one. Or a sweet treat. Wincing when a light breeze hits your smile. Discomfort after an adjustment.

Fortunately, these annoying twinges can be avoided or eased with some proactive practices.

Keep Up with Your Brushing and Flossing

The oral bacteria in plaque break down enamel when they’re left on the teeth for too long. The result is a cavity, which leaves your sensitive dentin, the layer of the tooth between the enamel and the inner pulp chamber, exposed to elements which can trigger pain. These all-too-common elements include heat, cold, air, or sweet foods. If you suspect you have a cavity, a visit to the dentist will make sure your tooth is cleaned and filled to prevent further damage.

Better yet, prevent cavities before they cause tooth sensitivity. It can be harder to keep your teeth their cleanest while you’re in braces, but it’s more important than ever. You don’t want to have brackets and wires removed, even temporarily, to treat a cavity! You can keep decay at bay by:

• Brushing after every meal and snack.
• Flossing whenever necessary, making sure to clean around your brackets and wires.
• Using cleaning tools made for braces for the easiest and most effective dental hygiene.

Avoid Aggressive Brushing

If you’re using anything other than a soft toothbrush, time for a shopping trip! Using a stiff bristled brush is almost always too abrasive for even the strongest enamel. And vigorous brushing is more harmful than helpful. Poor tools and poor technique can wear away enamel, and, when enamel is worn away, the more sensitive dentin is exposed. Your gums can also be injured, exposing the tops of your roots—which are more sensitive than the enameled crowns.

If your teeth are sensitive because of abrasive brushing, talk to Dr. Rachelle Dermody and Dr. Chris Dermody about possible solutions for keeping your teeth both clean and strong.

• Use a softer-bristled brush.
• Try toothpaste designed for sensitive teeth.
• Practice proper brushing technique. Gently rub, don’t scrub!

Care for Yourself after Adjustments

Your teeth might be sensitive after an adjustment. This discomfort is normal, and should pass in a few days. In the meantime, treat yourself kindly.

• Brush as usual, taking special care to brush gently.
• Fill your menu with soft and soothing foods. Cool treats like classic ice cream and pudding, or healthier choices like frozen yogurt and fruit smoothies. Comfort foods like cream soups and mashed potatoes. Or all-day breakfasts of oatmeal, pillowy pancakes, or scrambled eggs.
• Take over the counter medication as recommended and as necessary.

Be sensitive to your needs while you’re in braces. If you’re feeling any kind of tooth sensitivity, talk to Dr. Rachelle Dermody and Dr. Chris Dermody at our Port St. Lucie office. We have solutions which will make sure you’re both comfortable and twinge-free on your journey to a healthy, attractive smile!

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

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

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

If your child has frequent canker sores a visit to our Port St. Lucie office will be beneficial. Canker sores are painful and usually last about 14 days. Dr. Rachelle Dermody and Dr. Chris Dermody may recommend one or a few of the following treatment options:

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

Canker Sore Remedies

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

If you have questions about your child’s canker sore, contact Dr. Rachelle Dermody and Dr. Chris Dermody to schedule an appointment.

School’s out for the summer, and it’s great to have the kids home. After all, they deserve a break after all their hard work. And you want to keep their vacation happy, relaxing, and fun—without letting them spend those summer months cooling off with sugary treats. What are some of your options for healthy hot weather snacks?

• Naturally Sweet Treats

Keep a supply of fresh fruit handy for summer snacking. Crispy fruits like apples and Bosc pears actually provide a little scrubbing action for the teeth with their vitamins, and softer fruits such as bananas, berries, and, of course, watermelon, provide natural sweetness along with vitamins and minerals. Yogurt has valuable calcium for strong teeth and the vitamin D our bodies need to use that calcium. Add some fresh fruit to Greek yogurt for added flavor and sweetness—and even more vitamins.

• Savory Snacks

Cheese is a calcium-rich snack, and crunchy carrots and celery help scrub teeth while providing vitamins and minerals. Do a little mixing and matching by adding some cream cheese to that celery for extra flavor. Serve up hummus and pita chips or cheese with whole grain crackers. They’re great nutritious alternatives to chips and dip.

• Blender Blast

Summer’s the perfect time to use your culinary creativity and expand your child’s palate with vitamin-rich smoothies. Toss your favorite fruits in the blender with a little juice, non-fat yogurt, milk, or honey, whirl away, and you have a delicious, healthy snack. You can add a few leafy greens for even more nutritional value. There are many easy recipes online for creating homemade smoothies that will please any picky palate.

• Freezer Favorites

Ice cream is a favorite summer treat, but it can also provide quite a sugar punch. There are many homemade frozen yogurt recipes available online which combine frozen fruit, yogurt, and honey for your own summer celebration, without adding large amounts of sugar. Or choose to stock your freezer shelves with low-sugar fruit pops, store bought or homemade.

• On Tap

A soda or a sports drink are often the go-to hydration choices in the summer. You might already be careful about handing these drinks out because they can have such a high sugar content. But they can also create a very acidic environment in the mouth, which is harmful to tooth enamel. Water is the safest, healthiest option for hydrating in hot weather, and can even provide some of the fluoride which helps keep enamel strong.

Whatever is on your child’s summer menu, keep up with all those great dental habits you’ve already established. A limited number of snacks—even healthy ones—is best, and be sure to brush after snacking, or rinse with water if brushing’s not an option. And don’t forget to maintain your child’s normal schedule of brushing and flossing, and regular visits with Dr. Rachelle Dermody and Dr. Chris Dermody at our Port St. Lucie office.

Have a great summer, and send your kids back to school rested, relaxed, and with a healthy, happy smile. Then take a moment, relax, and sip that smoothie—after all, you deserve a break after all your hard work!

Is your child nervous about visiting Dr. Rachelle Dermody and Dr. Chris Dermody and our team at Dermody Pediatric Dentistry & Orthodontics? Today, we put together some tips to help ensure your little one relaxes before his or her next dental checkup!

1. Start early. The earlier your child visits our Port St. Lucie office, the better. This will provide your child with a familiarity and ensure that he or she is comfortable with our team, office, and surroundings, whether it’s for a preventive visit or an emergency. The American Academy of Pediatric Dentistry recommends that your child first visit the dentist at age one or when the first tooth is visible.
2. Choose your words wisely. When preparing for a visit, go easy on the details. Over-explaining and adding more information about treatment such as a filling will lead to more questions as well as add unnecessary alarm. Remember to keep a positive attitude!
3. Bring a distraction to your child’s appointment. Bringing along music is a great idea. Just plug in those earphones, have your child close his or her eyes, and get lost in the tunes. Listening to music can also be a pain killer.
4. Consider a “pretend visit.” Before your child’s appointment, try role playing with him or her—you be the doctor and your child is the patient. All you'll need is a toothbrush. The key is getting your child familiar with the routine so that he or she is more relaxed once it’s time for the real visit with Dr. Rachelle Dermody and Dr. Chris Dermody.
5. Stress the importance of good oral health. Instill in your child that visiting the dentist is a necessity, not a choice, and that visiting the dentist will lead to a lifetime of smiles.

We hope this helps! For more on dental anxieties, ask us during your next visit to Dermody Pediatric Dentistry & Orthodontics! Or, ask us on Facebook!

Memorial Day didn't become an official holiday until 1971, but Americans started gathering annually in the spring to remember those who lost their lives in war during the 1860s, right after the Civil War. Celebrated on the last Monday in May, people still decorate the grave sites of war veterans and hold memorial services, but Memorial Day has also evolved into a day that signifies the beginning of summer.

During the summer months, many people take road trips to visit family members. Some head off to the airport to enjoy a long-awaited vacation far away, while others look forward to spending time with friends and family at home. However you spend Memorial Day and the subsequent summer months, there are a few things you can take care of to ensure your summertime is enjoyable.

Checklist for an Enjoyable Summer

• Have the AC Checked. During the hottest days of summer, many families find themselves sweating it out due to a broken air conditioning system. Be proactive so you can avoid waiting for hours or days because the HVAC repair person is booked solid. Have your air conditioning system checked before or around Memorial Day each year.
• Ensure Security While You're Away. When you leave for vacation, the last thing you should have to worry about is the security of your home. Install a home security system, if possible, and put a timer on your lights so they go on and off at normal hours. You can also alert your local police department that you'll be gone, and ask them to drive by your house once in a while to make sure everything is okay.
• Visit Dr. Rachelle Dermody and Dr. Chris Dermody Before Vacation. Many people put off exams until after summer vacation. Avoid the crowds and make sure your physical and oral health are in top shape prior to vacation time so there are no unpleasant surprises.

Our team at Dermody Pediatric Dentistry & Orthodontics wants you to look forward to Memorial Day and the days of summer by preparing to spend the time safely and comfortably. As you plan ahead, take care of your health and secure your home, you can place your focus on creating memories with family members and friends while enjoying your favorite Memorial Day traditions.

Bad breath, or halitosis, is probably not a matter of life or death. But it can make you feel self-conscious and have a negative impact on your life. The majority of people suffering from bad breath are dealing with oral bacterial. However, there are other causes of this embarrassing problem. Learning more can help you fight this solvable problem.

Five Causes of Embarrassingly Bad Breath

1. Dry Mouth. A decrease in saliva flow can be caused by several things. Most often, medication or mouth breathing are the culprits. As saliva helps wash away food particles from your mouth, it prevents bad breath. Dry mouth can be dealt with by stimulating salivation.
2. Gum Disease and Poor Oral Hygiene. Not brushing and flossing well enough or with enough frequency can lead to gum disease, which leads to bad breath. Halitosis can be a sign that plaque is present on your teeth.
3. Food-Related Bad Breath. Food particles that aren't brushed or flossed away attract bacteria that leads to bad breath. It's especially important to brush after eating strong-smelling foods, such as garlic or onions.
4. Smoking and Tobacco. Tobacco is bad for your health, and that includes your oral health. Smoking or chewing tobacco can contribute toward the development of gum disease, as well as oral cancer.
5. Mouth Infections and Other Medical Problems. A mouth infection, sinus infection or even the common cold can cause you to temporarily have bad breath. Even conditions such as diabetes and reflux can cause halitosis. It's always wise to see Dr. Rachelle Dermody and Dr. Chris Dermody to help determine the cause.

We are Your Ally

Even if you maintain good oral hygiene, it's important to see Dr. Rachelle Dermody and Dr. Chris Dermody at our Port St. Lucie office to deal with or avoid problems with bad breath. We can help you uncover the cause of halitosis, while also providing solutions that allow you to enjoy fresh breath without relying on mints and breath fresheners. As is the case with all things related to oral health, we are your number-one ally when it comes to eliminating the problem of bad breath.

"Motherhood: All love begins and ends there." - Robert Browning

We would like to take this moment to thank all the great moms out there for being so great during their child’s visits to Dermody Pediatric Dentistry & Orthodontics. Whether it’s driving their kids to regularly scheduled appointments or for “being there” while their child is treatment, the moms who come to our office are all stellar individuals, so Dr. Rachelle Dermody and Dr. Chris Dermody and our entire staff would like you to know that we appreciate you all!

Happy Mother’s Day and enjoy your special day!

The month of May has the unique distinction of being National Teen Self-Esteem Month. What does that mean?

National Teen Self-Esteem Month was created to raise public awareness about how low self-esteem can negatively affect teens. Especially during May, parents and guardians of teens are asked to be positive role models. If teens can receive positive re-enforcement and their negative images of themselves are improved, then their self-esteem has a better chance of developing in a positive direction.

Dr. Rachelle Dermody and Dr. Chris Dermody and our team at Dermody Pediatric Dentistry & Orthodontics know there are a lot of young adults living in America are struggling with depressed self-images. These can affect all aspects of their everyday lives. Some evidence shows learning abilities and increased risk of eating disorders can originate in a teen’s low self-esteem. It can also lead to abuse of drugs and thoughts of suicide. Dating violence among high school teens is now more common than previously thought.

What can be done to help?

So what can adults do specifically to help their teens? The National Teen Self-Esteem Facebook page offers a variety of suggestions and positive messages for teens and parents alike. Of all the pages your teen “likes” on social media, perhaps he or she should include this page. Some of the tips offered include:

1. When you stumble, get right back up.
2. Don’t compare yourself to anyone else.
3. Do things that make you feel good about yourself.
4. Open yourself up to compliments.

Another great way to build self-esteem is to have a beautiful, health smile, and that’s where our team at Dermody Pediatric Dentistry & Orthodontics come in! Whether your teen is due for a simple cleaning, could benefit from cosmetic treatments, or needs orthodontic care, we can help bestow a confident smile he or she will be proud to show off.

Overall, a more positive approach to life will help us all. It is a very important trait to instill in our teens. As parents, a big part of our responsibility is to show our children there is always another day and bumps in the road are just that. We need to help guide their self-esteem and reinforce their positive traits. We can help them recognize the value of who they are.

We should make our children’s self esteem a priority — not just in May, but throughout the year. Let National Teen Self-Esteem Month serve as the impetus for new levels of self-esteem.

For more information on this topic, or to schedule an appointment with Dr. Rachelle Dermody and Dr. Chris Dermody, please give us a call at our convenient Port St. Lucie office!

You may have heard this term the first time you or a friend got your wisdom teeth. That makes sense, as wisdom teeth are the teeth most often impacted in teenagers and young adults. But other permanent teeth can be impacted as well. What exactly do we mean by “impacted teeth,” and what can we do to treat them?

The term “impacted” means that somehow a tooth has been blocked from erupting properly. A tooth may be completely blocked by another tooth, erupt in the wrong space, or even come in from the wrong direction. Depending on the teeth involved, there are several different options for treatment.

From Baby Teeth to Permanent Teeth

Normally, when children lose a baby tooth, a permanent tooth is right there, ready to take its place. But teeth don’t always behave according to plan. Occasionally, that baby tooth just won’t budge, and the permanent tooth starts to erupt behind it. When this happens, a simple baby tooth extraction will often let the permanent tooth move into its proper position on schedule.

A more complicated situation develops when upper teeth are impacted because there isn’t enough space in the mouth for them. In this case, a device called a palatal expander might be used to gradually widen the upper jaw to allow the permanent teeth to erupt without crowding.

In other rare cases, a tooth (often the canine) fails to erupt and may require oral surgery to uncover it, followed by orthodontic treatment to guide it into position.

Impacted teeth can result from other causes as well, and every impacted tooth should be treated as quickly as possible. Left untreated, the teeth can fail to erupt at all or erupt in the wrong place, crowd other permanent teeth, damage the roots of the teeth near them, and lead to difficulties eating and dental pain.

Wisdom teeth

Wisdom teeth are often a problem because there is simply not enough room in the jaw for them.

Wisdom teeth that are completely impacted (still in the jawbone) can sometimes be left alone if they aren’t causing other problems. But if impacted wisdom teeth develop cysts, affect the teeth around them, or lead to other dental complications, they should be extracted.

Partially erupted teeth, those that have begun to emerge through the gums but don’t erupt fully, can be the source of different gum and tooth problems. Because the gum tissue overlaps the tooth, food particles and bacteria can become trapped, leading to rapid tooth decay and even infection. In this case, extraction is probably the best option.

Be Proactive

The term “impacted” actually comes from the Latin root meaning “pushed against.” But teeth that don’t erupt at the right time, in the right place, can have a different kind of impact on dental health and appearance. And the earlier we can catch these problems, the easier it is to treat them.

Regular exams and X-rays with Dr. Rachelle Dermody and Dr. Chris Dermody at our Port St. Lucie office will show the progress of the teeth even before they erupt, and if there will be the space for them to fit in the mouth properly. We may recommend a visit to the orthodontist by the age of seven to see if there are any signs of potential orthodontic problems.

Intervention at an early stage can prevent potential problems from becoming major ones. That is why it’s so important to be proactive when teeth are erupting in children and young adults. After all, a healthy, confident smile makes a real impact!

The idea for Earth Day was the brainchild of Gaylord Nelson, a senator from Wisconsin. He envisioned an Earth Day that would be a kind of environmental teach-in. The first Earth Day celebration took place on April 22, 1970, and a surprising 20 million people participated on that day. Ultimately, it became the largest organized celebration in US history.

Earth Day Over the Years

Over the years, the recognition of the day, and the number of people celebrating it all over the world, turned Earth Day into an international celebration. Because it is celebrated throughout the world, it is not only the largest international environmental observation, but it is also more widely celebrated than any other environmental event in the world. Today, Earth Day is celebrated in 175 countries where over 500 million people participate in celebrations.

The Earth Day Movement

The Earth Day movement is credited with developing the idea that people should “think green”. It encouraged congress to enact laws, including one that resulted in the creation of the Environmental Protection Agency. It also inspired the passage of the Endangered Species Act.

The Five R's and Their Importance

• Reduce – Reduce by avoiding unnecessary purchases. Reduce your use of materials that wind up in landfills. Reduce the use of chemicals around your house. Reduce your use of disposable bags, plates, cups, eating utensils, and batteries.
• Reuse – Instead of using plastic bags for your groceries or purchases, bring your own reusable bags. When you go to buy coffee at Starbucks, take a travel mug so you don't have to get your coffee in a disposable paper cup. Instead of storing food in disposable refrigerator containers, buy containers that can be washed and reused. Don't use regular batteries. Whenever possible, opt for rechargeable batteries that you can reuse.
• Recycle – Most cities offer a recycling program to collect used bottles, cans, and newspapers. Recycling includes collecting recyclable materials that would otherwise be considered waste, sorting and processing recyclables into raw materials such as fibers and manufacturing raw materials into new products.
• Re-buy – Make an effort to purchase things that are made through recycling. When purchasing furniture, look for items that are made from reclaimed wood. When buying paper for kids school work, computer printer paper, holiday cards, or anything else, make a point of purchasing recycled paper products. Instead of buying clothing at full retail price, shop for second hand clothing. You will save a lot of money by doing so!
• Rethink – Rethink the way you do things so that you do them in an eco-conscious way at all times. Instead of driving to work alone, consider taking the bus or going in a carpool. Walk or ride your bike when you're only going a short distance. Plan your shopping trips and errand runs so that you can do everything on one day, and do it in a way where you can save time and gas.

Other ways to "think green" include growing your own food, composting yard waste and food scraps, or by participating in local recycling programs. Join a group like Freecycle so you can share your unneeded and unwanted possessions with people who can use them. Likewise, you'll be able to get things you need or want for free.

Earth Day teaches people that the planet belongs to everyone, so everyone is equally responsible for protecting it. Although Earth Day is an environmental celebration, our team at Dermody Pediatric Dentistry & Orthodontics wants to remind you that you don't have to wait until then to make changes that will allow you and your family to live a greener life.

Happy Earth Day from the team at Dermody Pediatric Dentistry & Orthodontics.

You might think babies don’t need to brush their teeth, especially when they don’t have any. But by starting good habits like brushing when your child is young, you can lay the foundation for them to continue those good habits into adulthood.

When do I start?

The best time to start brushing your baby’s teeth is before he or she has any. Develop the habit of wiping your baby’s gums with a wet, soft washcloth or gauze every day. There is no need to use toothpaste, just wrap the gauze or cloth around your finger, moisten it with a little water, and gently rub it over the gums.

This helps your little one get used to brushing while it eliminates bacteria in the mouth that can harm emerging teeth. You don’t need to apply a lot of pressure or even take very long: just a quick, gentle rub over the gums will do it.

What do I use?

When your child’s teeth begin to come in, you will need to switch from a cloth to a baby toothbrush. Find one that has a grip big enough for your hand, but a head that is small enough to maneuver easily in your infant’s mouth.

You don’t need to use any toothpaste until your son or daughter is about a year old. Even then, though, you’ll want to use just a tiny amount: about the size of a grain of rice. When your toddler is about two years old, you can use a pea-sized amount.

By around six years of age, your child will probably rinse and spit without your help. At that point, you may want to introduce a child-friendly fluoride mouthwash.

How do I do it?

Your child probably won’t be able to brush his or her teeth alone until about the age of five or six. This means that you will need to do it. To brush your child’s teeth, gently use the brush over all the teeth and gums, even areas where the teeth have not come in yet.

As your child grows and becomes more independent, you can allow him or her to hold the toothbrush while you guide your child’s progress. Make sure you talk to your child while you are brushing, and explain why you brush: what you are doing and how you are doing it.

In addition to regular visits with Dr. Rachelle Dermody and Dr. Chris Dermody, instilling good oral health habits in your child early on will ensure a lifetime of good dental health.

Quick trivia question: define “mamelon.” Some kind of warm blooded animal? No, not a member of the mammal clan, but good guess. A fruit of the gourd family? Nope! There are watermelons, and honeydew melons, and even canary melons, but no ma-melons. Those little rounded bumps you notice on the edge of your child’s permanent incisors when they first emerge? We have a winning answer!

• Why Do We Have Mamelons?

We have eight incisors, or biting teeth, in the front of our mouths—four on top and four on bottom. Mamelons are actually a clue as to how these incisors were formed. Even before a baby is born, the permanent teeth begin to take shape. Three different groups of cells develop to form the incisal edge of these front teeth. As they fuse together, they create three lobes of enamel on the erupting edge of the tooth. It’s these lobes, or bumps, that give the teeth a serrated appearance.

Whether your child’s mamelons are quite prominent or barely noticeable, if you are worried about them, relax! They are almost always a temporary part of your child’s smile, and disappear over time with chewing and normal wear. But what if the mamelons overstay their welcome?

• Cosmetic Concerns

Because mamelons are composed of enamel, without the underlying dentin layer found in the body of the tooth, they can appear translucent or a bit different in color. They might wear away unevenly, leaving the tooth edges looking misaligned. Or, they might not wear away at all if your child’s tooth eruption is delayed. Talk to Dr. Rachelle Dermody and Dr. Chris Dermody if mamelons are a cosmetic concern for you or your child. You might discover that they are wearing away naturally, or we can discuss ways to polish or smooth them down if needed. This is a painless procedure that doesn’t require an anesthetic. Generally, however, this is a matter where time will resolve the issue for you.

• Orthodontic Implications

Occasionally, mamelons might become a topic of discussion for orthodontic reasons. Sometimes, mamelons do not wear away over time because of a malocclusion (misaligned bite). Your orthodontist will let you know your child has a bite problem and can explain treatment options. Your orthodontist might also suggest smoothing away the mamelons to ensure that the edges of the incisors align correctly and symmetrically while the teeth are in the process of straightening. Again, this is not always considered a necessity, so weigh your options with your dental care provider.

So, if you notice that your child’s beautiful new teeth are bumpy or serrated as they erupt, don’t be concerned! If you have any questions about mamelons, talk to Dr. Rachelle Dermody and Dr. Chris Dermody at your next visit to our Port St. Lucie office. This is a natural occurrence and most likely just a temporary “bump” in the road. Soon enough, mamelons will be a memory—and the answer to a pretty difficult trivia question.

Orthodontic braces are used to straighten the teeth, which not only creates a more pleasing appearance, but also helps prevent tooth decay and other oral health problems. Braces are only effective when they are properly cared for, however. Certain foods, for example, are better suited for individuals who have braces, as opposed to hard and sticky foods that can cause damage. So, what types of foods should you or your kids eat to protect dental appliances?

The best foods to eat with braces are those that are not high in sugar and do not require excessive chewing. For breakfast, try eggs, yogurt, bacon, wheat toast, or oatmeal. Lunch may steer toward a banana rather than an apple, a salad without nuts, and a glass of water. If you are looking for some after-school snacks for your kids, consider baked tortilla chips with salsa and guacamole, or try string cheese with fruit.

A healthy dinner can include most types of vegetables, so long as they are cooked to an appropriate softness. Pair that with a lean protein, such as fish or chicken, and follow up with dessert. Just be sure to brush afterward!

Post-Tightening Foods

As braces begin to adjust the alignment of the teeth, our team at Dermody Pediatric Dentistry & Orthodontics will periodically tighten them to continue the alignment process. After tightening occurs, the teeth may be sore and sensitive to certain foods. During this time, it is best to eat soft foods. Examples include:

• Pudding
• Mashed potatoes
• Soup
• Ice cream
• Cottage cheese
• Peas
• Pancakes
• Pasta

Foods to Avoid

Anyone who wears braces – whether fixed or removable – should avoid excessive snacking and should aim to eat a healthy and balanced diet. It is also important to avoid foods that could cause damage to the braces, such as:

• Hard candies
• Gum
• Nuts
• Popcorn
• Certain raw vegetables (for example, carrots)

Considerations

Regardless of what types of foods you eat with braces, it is important to keep the crevices between the teeth and around the braces very clean. That means brushing and flossing after meals to prevent the build-up of plaque and decay. Not only can failing to do so damage the teeth, but it can also cause discoloration.

Have more questions about orthodontic treatment? The Dermody Pediatric Dentistry & Orthodontics staff is always ready to answer all of your questions and help you get the most out of the treatment plan prescribed for you by Dr. Rachelle Dermody and Dr. Chris Dermody!

“St. Patrick's Day is an enchanted time -- a day to begin transforming winter's dreams into summer's magic.” Adrienne Cook

Lucky green shamrocks, leprechauns, and pots of gold – it must be St. Patrick’s Day! If you’re not Irish, how do you go about celebrating St. Patrick’s Day? It’s easy: You just put on one of those tall leprechauns hats, dress in green from head to toe, and wear one of those carefree pins that say “Kiss Me, I’m Irish”. On St. Patrick’s Day, everyone is Irish, and that is the universal beauty of the holiday. Celtic pride does not discriminate.

Wondering what our team at Dermody Pediatric Dentistry & Orthodontics is doing to celebrate March 17th? Well, we’ve thought about doing everything from handing out lucky gold coins (you know, the fake ones that are made of chocolate) to shamrock stickers. Maybe we’ll even give away green toothbrushes and floss! You’ll never know unless you come in to see Dr. Rachelle Dermody and Dr. Chris Dermody !

All kidding aside, St. Patrick’s Day is an important cultural and religious holiday. There are lavish parades and church services across Ireland on March 17th. Over time, however, the holiday has developed into a day to observe Irish culture in general. In places like England and the United States, where there is a large Irish Diaspora, the holiday has greater significance than other countries. From the streets of Boston to St. Patrick’s Cathedral in New York, it is a day of celebration, and many Americans of Irish descent will cook up a traditional meal of corned beef and cabbage.

So, to all of you with Irish ancestry, and to all of you who have decided to be Irish for the day, our office wishes you a Happy St. Patrick’s Day. Good luck looking for a pot of leprechaun gold, which is said to exist at the end of the rainbow. However, keep away from those sugary Lucky Charms; sweet cereals might taste good, but your kids’ teeth might not be feeling too lucky if they eat it for breakfast every day. Have a great St. Paddy’s Day!

At Dermody Pediatric Dentistry & Orthodontics, we know the most common oral health diseases are tooth decay and periodontal disease (or gum disease), and both are among the easiest to prevent. One of the most common ways we recommend to boost your oral health is by improving your diet, because you (and your mouth) truly are what you eat. A healthy diet can lead to a healthy mouth and body, while an unhealthy diet can lead to the exact opposite.

The Role Nutrition Plays

While diet is not the only factor that leads to periodontal disease, studies suggest the disease may be more severe among patients whose diets lack essential nutrients. Poor diets will generally lead to a weaker immune system, leaving your body susceptible to all kinds of ailments, including periodontal disease.

A Well-Balanced Approach

There is no “magic” diet that we can recommend to improve your oral health, but the most important thing is to seek a well-balanced approach in your eating. While fad diets that emphasize one food group over another may help you lose weight in the short-term, they probably will not provide all the nutrients your body needs in the long run.

Meals should include a balance of lean meats or other healthy protein sources, colorful fruits and vegetables, whole grains, low-fat dairy, and healthy fats. Foods containing substantial amounts of sugar and salt should be consumed in moderation.

Soda and Sugar: A Dangerous Duo

Millions of gallons of soda are consumed every day in America, but sipping a cold soft drink can be very harmful to your teeth. Many of these beverages wear down the enamel that protects the teeth, which weakens and even destroys them over time. The American Beverage Association estimates that soft drinks account for almost 30 percent of all drink consumption in the U.S., averaging an annual total of about 50 gallons per person (up from only 20 gallons in the 1970s). For healthy teeth and a healthy body overall, try to limit your soda intake.

Sugar is another ubiquitous treat in our daily lives. When we eat sugar, naturally occurring bacteria in our mouths convert it to acids that attack tooth enamel. Consuming too much sugar can swiftly lead to tooth decay, cavities, and gum diseases like gingivitis. Most people do not even realize how much sugar they consume each day. It’s important to limit your daily sugar intake by reading the labels of all the food you eat, and sticking with natural food sources that are low in sugar, especially ones that minimize added sugar, such as fruits and vegetables.

If you have questions about your diet and how it may be affecting your oral health, talk to Dr. Rachelle Dermody and Dr. Chris Dermody about it. See you soon!

Although major orthodontic emergencies are relatively rare, when they do happen it is important to seek immediate attention. By comparison, a minor orthodontic issue is something you can usually take care of yourself, or wait until your next scheduled appointment for care. Here are some guidelines to help you understand the difference between an orthodontic emergency and a minor issue.

Orthodontic Emergencies

Acute, Direct Injury to the Mouth, Jaw, or Teeth

Whether undergoing orthodontic care or not, if you injure your mouth, jaw, or teeth, you should see a doctor or dentist immediately. You may need an X-ray to determine the extent of your injury. If the injury affects the orthodontic appliances, they will need adjustment or possibly replacement, depending upon the extent of the injury.

Infected Teeth

It is possible for teeth to become infected following orthodontic treatment. This may or may not be related to your orthodontic appliances. If you experience pain or swelling around a tooth that gets progressively worse, seek professional care as soon as possible.

Minor Orthodontic Issues

While true orthodontic emergencies are rare, minor issues are much more common. Here are some examples of minor orthodontic issues that can be remedied on your own and/or fixed at your next office visit:

• Poking wire
• Loose bracket
• Loose elastic band
• Loose wire
• Loose appliance
• Headgear does not fit
• Lost or broken elastic band
• General soreness

Any of the above issues can happen as a result of normal usage, shifting, and wear of your braces. Eating unusually hard or sticky foods can cause or exacerbate these problems. Vigorous brushing of the teeth can also be a factor. None of these issues are emergencies unless they are accompanied by acute or prolonged pain or discomfort.

As for on-the-spot remedies, covering a loose bracket or wire with wax can be a quick fix to alleviate discomfort until your next orthodontist visit. Poking or protruding wires can be moved with a cotton swab or tweezers, or clipped down with nail clippers. Be sure to sterilize the tweezers or clippers in alcohol first. Cover any clipped wire ends with a small ball of wax.

Some soreness or small abrasions in the mouth are normal, especially with recent orthodontic work. Rinse your mouth with a saltwater solution comprised of eight ounces or warm water and one teaspoon of salt.

When in doubt, be sure to contact our Port St. Lucie office with any questions, or to schedule an appointment with Dr. Rachelle Dermody and Dr. Chris Dermody at Dermody Pediatric Dentistry & Orthodontics.

Dr. Rachelle Dermody and Dr. Chris Dermody and our team hear this question a lot. Some of the common reasons for crooked teeth include:

• Thumb sucking
• Tongue thrusting or improper use of the tongue during speaking and swallowing
• Premature loss of baby teeth, which causes teeth to drift and shift
• Poor breathing airway caused by enlarged adenoids or tonsils

There are also hereditary factors we get from our parents, like:

• Extra teeth
• Large teeth
• Missing teeth
• Wide spaces between teeth
• Small jaws

Dr. Rachelle Dermody and Dr. Chris Dermody and our team know that having crooked teeth isn’t just a cosmetic issue; it can lead to serious health problems as well. Crooked teeth can:

• Interfere with proper chewing
• Make keeping teeth clean more of a challenge, increasing the risk of tooth decay, cavities, and gingivitis
• Strain the teeth, jaws, and muscles, increasing the risk of breaking a tooth

There are several treatment options we offer at Dermody Pediatric Dentistry & Orthodontics that can help correct crooked teeth. Please give us a call at our convenient Port St. Lucie office to learn more or to schedule an initial consultation.

Valentine’s Day is best known as a celebration of love in all its forms. Pink hearts, red roses, and cute greeting cards adorn every surface you see. What many people don’t realize is that the modern Valentine’s Day celebration arose from a religious holiday.

St. Valentine’s Day was originally celebrated as a religious feast day in honor of early Christian martyrs. Three martyrs named Valentine were honored: a priest in Rome, the persecuted bishop of Interamna (a town in central Italy), and a saint martyred in Africa. This saint’s day was celebrated throughout Christendom, although it was removed from the Roman Catholic Calendar of Saints in 1969.

The origin of Valentine’s Day as a holiday for lovers began with Geoffrey Chaucer in his 1382 poem “Parlement of Foules.” Chaucer wrote, “For this was on Saint Valentine’s Day, when every bird cometh there to choose his mate,” and the modern romantic holiday was born. William Shakespeare and other writers mentioned Valentine’s Day as a day of love.

Valentine’s Day as we know it came about in the early 19th century. In Victorian England, printers began manufacturing small numbers of cards with romantic verses, lace, ribbons, and other frills. Anonymous Valentine’s Day card were a popular way for young lovers to exchange romantic sentiments in an otherwise prudish time. As the 19th century progressed, printers began mass manufacturing Valentine’s Day cards. People in the United States give an estimated 190 million valentines every year, and up to one billion if you count children exchanging cards at school! With the rise of the Internet, Valentine’s Day e-cards have become a popular mode of communication, with millions of e-cards sent each year.

The other items associated with Valentine’s Day include chocolate and flowers. The tradition of giving chocolates has been around for decades, and Richard Cadbury created the first box of Valentine’s Day chocolates nearly 150 years ago. Today, purchases of chocolate total over $1 billion in the United States alone, with 35 million heart-shaped boxes sold each year. Loved ones also exchange flowers, with red roses being associated with Aphrodite, the Greek goddess of love. On Valentine’s Day itself, florists sell nearly 200 million stems of roses.

Although many people dismiss Valentine’s Day as a commercialized “Hallmark holiday,” it is beloved to couples and romantics across the United States and other countries. The team at Dermody Pediatric Dentistry & Orthodontics wants to remind all patients that no matter what your celebratory plans, February 14th can be a wonderful day to celebrate the loved ones in your life. Happy Valentine’s Day!

February is National Children’s Dental Health Month, so it’s a great time for our team at Dermody Pediatric Dentistry & Orthodontics to talk about the importance of getting proper oral health care for your children. Oral health has been closely tied to the overall health of our entire body, so making sure that our children have the best oral health care can not only ensure that they have great smiles, but they are protected from the negative effects of poor oral health as well.

Special Care for Children’s Teeth

Oral health care should begin with the very first tooth that grows in your baby’s mouth. Even though these teeth will fall out within a few years, baby teeth hold a space for your child’s permanent ones, and it’s important that your child has a healthy mouth when those permanent teeth arrive. Without proper care, even baby teeth can decay and cause a host of problems, including:

• Painful teeth and gums
• Difficulty chewing, eating, and sleeping
• Gum disease and inflammation
• Embarrassment when talking and smiling

Develop Good Oral Health Habits Early

As a parent, you can teach your child the right way to care for teeth and make sure he or she visits Dr. Rachelle Dermody and Dr. Chris Dermody regularly for cleanings and checkups. According to the U.S. Department of Health and Human Services, almost 50 percent of children under 12 have some form of tooth decay, and it is one of the most common childhood diseases. Alarmingly, a report by the National Institutes of Health, Oral Health in America, found that almost six out of ten children have cavities or other tooth decay (also called “caries”).

There are many things you can do to help your child maintain a healthy mouth with strong teeth and gums.

• Brush your children’s teeth twice a day when they are babies, then teach them to do it on their own when they get older.
• Be sure your child gets enough fluoride—you can find out whether it is already in your drinking water, and provide supplements if it is not. If you are unsure how to get more fluoride, give our office a call to discuss. In addition, make sure your child is brushing with fluoride toothpaste.
• Feed your child a healthy diet, high in fruits and vegetables and low in added sugars. We especially recommend you avoid sugary drinks.
• Bring your child to our Port St. Lucie office for regular dental checkups and cleanings. Coming in every six months is recommended.

Helping children develop healthy habits to care for teeth while they are young is important. These habits can set the stage for good oral health care throughout their entire life. They can avoid many of the problems that result from poor oral health, including gum disease, cavities, and tooth decay. Start encouraging those habits now during National Children’s Dental Health Month, and help your children reap the benefits through the rest of their lives.

Even though it’s called a “permanent retainer,” your fixed retainer isn’t necessarily meant to last a lifetime. But with care, it should last just as long as you need it, keeping your teeth perfectly aligned after your orthodontic treatment is complete. Why is this retainer the one to choose for challenging alignments?

A fixed retainer is often used for teeth which were very crowded or had large gaps before treatment, especially along the bottom teeth, which tend to shift more. With a permanent retainer, a custom fitted wire is attached with a bonding adhesive to the back of each of the selected teeth. This design makes sure that the teeth can’t shift out of place while your bones and ligaments strengthen around them.

Occasionally, though, your permanent retainer isn’t quite as permanent as it should be. If you think your fixed retainer is becoming “unfixed,” what clues should you look for?

• Broken wire

A clearly broken wire can be obvious, or you might discover it when you notice pain or irritation caused by the end of a wire poking around your tongue or mouth.

• Loose bond

The orthodontic adhesive used to bond the wire to each tooth can come loose as the result of an accident, an unfortunately chewy treat, or simply with the passage of time.

• Shifting teeth

You might not notice anything wrong with your retainer, but what you do notice is that your once-straight teeth have started shifting back to their old positions. If you see any movement in your teeth, your retainer might need repair.

What should you do?

• Give our Port St. Lucie orthodontic office a call! It’s important to act promptly to prevent further retainer damage, oral discomfort, and tooth misalignment.
• Rinse with warm water if your mouth is irritated.
• If a wire is poking you, call us for advice on gently pushing it back into place.
• Orthodontic wax can protect your teeth and tissue from detached wires.
• If you have a clear retainer, wear it until you can come in. If you don’t have one, and you can’t see us immediately, ask if an over the counter moldable retainer is a good idea to help keep your teeth aligned in the meantime.

One benefit of a fixed retainer is that it’s almost invisible because it’s behind your teeth. But this hidden location can also make it difficult to notice potential problems. Fortunately, there are some proactive steps you can take to help your permanent retainer—and your bite—stay healthy:

• Avoid foods which are sticky, hard, or chewy. If a food can damage traditional braces, it can damage your retainer.
• Wear protective gear like mouthguards and helmets when you’re active—they protect more than just your retainer!
• Ask your dentist to examine your retainer adhesive’s staying power whenever you have a checkup.

If you notice a detached wire or loose adhesive or see your teeth shifting, give Dr. Rachelle Dermody and Dr. Chris Dermody a call. It’s important to act promptly to fix a fixed retainer, because your teeth and bite alignment are in jeopardy when you delay. And always bring your retainer (or retainer pieces) with you in case we can repair it.

Permanent retainers don’t necessarily last forever. But whether your fixed retainer is going to be with you long-term, or whether you’re going to transition to a removable retainer in the future, let’s make sure your permanent retainer is just as “permanent” as it needs to be!

When most patients ask Dr. Rachelle Dermody and Dr. Chris Dermody this question, they're thinking strictly about sugar content — cut out the bacteria-feeding sugar that's present in regular soda by opting for a diet soda and it will be better for your teeth. That seems logical, right? Well, there's a bit more to it than that. Let's take a closer look at how any kind of soda can affect your dental health.

Diet Soda – Why it can also lead to tooth decay

The main culprit in these drinks that leads to decay is the acid content. Diet sodas and other sugar-free drinks are usually highly acidic, which weakens the enamel on your teeth and makes them more susceptible to cavities and dental erosion. The level of phosphoric acid, citric acid, and/or tartaric acid is usually high in sugar-free drinks so it's best to avoid them.

Some patients also enjoy drinking orange juice or other citrus juices. These drinks are high in citric acid and have the same effect on the enamel of your teeth.

So what about regular soda?

We know the acidity of diet sodas and sugar-free drinks contributes to tooth decay, so what about regular soda? Like we alluded to earlier, regular soda is high in sugar — a 12 ounce can contains roughly ten teaspoons of sugar — and sugar feeds the decay-causing bacteria in the mouth. This also includes sports drinks and energy drinks, which are highly acidic and loaded with sugar too. So these drinks are a double-whammy of sugar and acidity your teeth and body simply don't need.

The problems caused by both diet and regular soda is exacerbated when you sip on them throughout the day. If you drink it all in one sitting, you won't be washing sugar and/or acids over your teeth all day long and your saliva will have a chance to neutralize the pH in your mouth.

The best beverages to drink and how to drink them

Drinking beverages that are lower in acid is a good step to take to keep your enamel strong. According to a study conducted by Matthew M. Rodgers and J. Anthony von Fraunhofer at the University of Michigan, your best bets are plain water, black tea or coffee, and if you opt for a soda, root beer. These drinks dissolved the least amount of enamel when measured 14 days after consumption of the beverage.

If you still choose to drink soda, diet soda, sugar-free drinks, or juices here are some other tips to lessen tooth decay:

• Drink your soda or acidic beverages through a straw to minimize contact with teeth
• Rinse with water immediately after consumption of the beverage
• Avoid brushing your teeth between 30 minutes to an hour after drinking the beverage as this has been shown to spread the acids before your saliva can bring your mouth back to a neutral pH
• Avoid drinks that have acids listed on the ingredients label

Still have questions about soda, sugar, and acid? Give our Port St. Lucie office a call and we’d be happy to help!

Dental floss is similar to a lot of products that depend mainly on the consumer’s preference. Fact is, floss comes in a wide variety of flavors, coatings, and other variations, but all types of floss essentially do the same thing. After all, that is what is most important: that the dental floss you buy is functional—cleaning the areas in between your teeth. If you want to know what the best dental floss is, the answer is the kind that enables you to successfully and regularly clean those areas. So to help you find the right type of floss for you, here are some options.

Flavored Dental Floss

Many people that floss prefer a flavored dental floss because it freshens their breath even more than unscented floss. The latter can also take on the smells associated with bacteria in your mouth. And we all know how bad that can be. So, if flavored dental floss is what you prefer, and it allows you to floss your teeth regularly, then it is automatically best for your mouth.

Flossers

There are also products on the market called flossers, which usually consist of a plastic instrument with strung floss and a pick on the opposite end. This option can be both effective at cleaning the areas in between your teeth and scraping off plaque. These flossers also come flavored in mint and various other varieties.

Gentle Dental Floss

Some people find that typical dental floss is too harsh on their gums. For that reason some companies make floss with soft coatings that are less abrasive on the gums. For the most part these types of floss are just as effective as regular floss, and for those people that require a more sensitive approach to flossing, especially when just starting out, this is the best option.

Of the aforementioned options, it is difficult to name an absolute best type of floss. However, Dr. Rachelle Dermody and Dr. Chris Dermody and our team say that the type of floss that works best for you, giving you the greatest chance of succeeding at regular flossing, is the best. For more information on floss, contact our Port St. Lucie office.

Toothaches in children can be tricky ordeals that cause distress for both the child and the parent. You may feel helpless and frustrated because you cannot pinpoint the location of the pain. It is so hard to see your little one experience discomfort and feel like there is nothing you can do about it. But there are ways you can help. Try these tips the next time your child has a toothache.

Zero in on the Painful Area

The first thing you need to do is find out where the pain is coming from. If your child is old enough, ask him or her to point to the painful area. In younger children, look for swelling and redness on the gums and cheek, dental caries (discolorations on the tooth), or broken teeth. Try to get as close to the location of the pain as possible so you can determine an effective course of action to relieve it.

Try to Find the Cause

Not all toothaches are actually toothaches. A child can bite his or her tongue or cheek, have sore gums, or develop ulcers in the mouth. Teeth that are coming in can also be quite painful. If a tooth is discolored, broken, loose, or has spots that are either darker or lighter than the rest of the tooth, those could be causes of pain.

Five-Step Approach to Dental Pain Relief

1. Floss. Help your child floss to remove any food particles that may be wedged between the teeth and could be causing pain.
2. Rinse with warm salt water. Use a warm salt-water solution and have your child rinse well by swishing or holding the salt water over the painful area.
3. Use a cold compress. This can relieve pain and swelling. If there is no swelling, you can try it anyway to subdue the pain. Try it on for about 15 minutes, then off for 20.
4. Give the child ibuprofen or acetaminophen. Use the appropriate dosage for your child’s age and administer it regularly as directed.
5. See Dr. Rachelle Dermody and Dr. Chris Dermody. If you determine that the tooth or gum is damaged, or if the pain simply cannot be relieved, call our Port St. Lucie office.

If your child is experiencing throbbing pain, fatigue, or fever, you should call your pediatrician as soon as possible. If your child is experiencing mouth pain accompanied by trouble breathing or swallowing, it can indicate a more serious situation and you should take your son or daughter to the emergency room.

Most mouth pain in children can be remedied with the simple steps here. The important thing is that you remain calm, no matter what. You child is taking cues from you and if you panic, he or she will panic.

How long? Well, a beautiful smile is both science and art—proper teeth and jaw alignment united with aesthetically pleasing results. Orthodontists achieve both these outcomes with a careful analysis of any dental and facial problems, a treatment plan designed specifically for each patient’s needs, and adjustments through each phase of treatment to carefully bring about that beautiful smile.

And that’s a long way of saying, there’s no one, standard answer as to how long a patient will wear braces because there is no one, standard patient. Often, treatment takes from 18 to 24 months, but it can be months shorter or months longer depending on a variety of different circumstances.

• Different Needs

Your orthodontic needs and goals will generally determine your treatment time. Some patients need only a bit of alignment, which can lead to a fairly short orthodontic experience. Some have malocclusions such as crossbites and open bites that require more complex and lengthy treatment.

And, while we used to think of orthodontics as a teenage rite of passage, that’s certainly no longer the case. Some children will need two-phase orthodontic treatment, where early procedures before the adult teeth even come in ease the way for any necessary second stage treatment when the permanent teeth arrive years later. And some adults will want orthodontic work later in life, where denser bone tissue might lead to (somewhat) longer treatment.

• Different Appliances

Today’s orthodontics offers you many choices in appliances. Lingual braces are an almost invisible option, with brackets and wires on the inside of the teeth. Aligners use clear, custom molded trays to move the teeth into a better position with each new tray. Even traditional braces are smaller and sleeker today, with metal or less visible ceramic brackets. Depending on the orthodontic goals you want to achieve, there might be a small difference in the amount of time each appliance will take to get you to those goals. Talk to us about all your options and what they mean for treatment time.

• Different Levels of Participation in the Process

This is one area you can make a real difference! If you follow our instructions for using your appliances most effectively, you’ll make progress as quickly as possible. If you have aligner trays, be sure to wear them for as long as directed each day. If you have rubber bands attached to brackets on your upper and lower teeth, wear them for as many hours as required, because these little bands are actually the tools that are moving your teeth into alignment. If you don’t wear your braces or aligners as directed, not much is going to happen, and certainly not on schedule.

Give our Port St. Lucie office a call, and we can discuss your goals for creating your very best smile. Once we’ve decided on a treatment plan, Dr. Rachelle Dermody and Dr. Chris Dermody can give you a fairly good estimate as to how long your particular treatment will take. And, when you get to share that beautiful, healthy smile, the time you’ve spent achieving it will be well worth it!

Watching the clock tick down the final seconds until midnight, many of us- Dermody Pediatric Dentistry & Orthodontics included- feel nostalgic about the passing year and hopeful about the new one to come. New Year’s Eve is one of the most widely celebrated holidays in the world, with over-the-top celebrations taking place in dozens of countries. The Gregorian calendar, which is widely used in Western nations and around the world, was implemented in 1582. Since that time, December 31st has marked the final day of the year, with midnight heralding the beginning of a brand new year. In the United States, New Year’s Day is a public holiday; government offices, schools, public organizations, and many businesses are closed for the day. Ponder the following fun facts as you think about your plans for the holiday:

• Approximately one billion people watch the New Year’s Eve ball drop in Times Square, New York City. This televised event is one of the most iconic New Year’s celebrations in the world. For many years, watching the ball drop meant tuning in to Dick Clark’s Rockin’ New Year’s Eve, an iconic television special dear to the hearts of many viewers.
• The idea for the New Year’s Eve ball came about because of a citywide ban on fireworks. Before 1907, when fireworks became illegal in New York City, celebrations included an elaborate fireworks show. The large, glittering, illuminated ball was developed as an alternative. Although the first ball was heavy at 700 pounds, the modern New Year’s Eve ball is made of Waterford crystal and tips the scale at six tons!
• The top five New Year’s resolutions are: to lose weight, quit smoking, get a new job, return to school, or increase personal savings. However, approximately 88% of New Year’s resolutions fail. But don’t let that discourage you! Resolutions are most likely to succeed when they are clear, achievable goals. Setting out a concrete plan to achieve your resolution also boosts your chances of success.
• Eating black-eyed peas on New Year’s Day is said to bring good fortune in the new year. Collard greens, cabbage, and ham hocks are also considered lucky foods to enjoy. Just steer clear of the chicken or turkey dinners; eating poultry is a bad omen for the year to come.

Whether you plan to stay in Port St. Lucie, or head out into the crowds to watch the ball drop in Times Square, New Year’s Eve is a time to enjoy friends and family. Send your loved ones well wishes for the New Year, and look for that special someone to share a midnight kiss with for good luck!

If you participate in sports or other physical activities, it’s wise to consider getting a mouthguard. Also known as mouth protectors, mouthguards are a device worn over the teeth to lessen the impact of a blow to the face.

This reduces the chance that you might lose teeth or sustain other serious oral injuries. We recommend that all patients involved in a contact sport such as wrestling, football, or hockey wear a mouthguard because of the high risk of such injuries.

However, anyone involved in a physically demanding sport or activity should wear a mouthguard as well.

Can you imagine what it would be like to lose a few of your front teeth? The way you talk, eat, and smile would all change. Potential injuries when you don’t wear a mouthguard include chipped and broken teeth, fractured jaws, root damage, damage to crowns and bridgework, concussions, and/or injury to the lips, cheeks, or gums.

Types of Mouthguards

There are three different types of mouthguards — typically made of a soft plastic material or laminate. You can decide which works best for you in terms of budget, fit, and comfort.

• Stock mouthguards are prefabricated to a standard size. They offer adequate protection, but you need to make sure you find one that fits properly and comfortably. Stock mouthguards are readily available at department stores, sporting goods stores, and online.
• Boil-and-bite mouthguards are placed in boiling water to soften them, then into the mouth so they can conform to the shape of the teeth. Boil-and-bite mouthguards are more expensive, but offer a more customized fit than stock ones. You can find these in department stores, pharmacies, sporting goods stores, and online.
• Custom-made mouthguards are created just for you by Dr. Rachelle Dermody and Dr. Chris Dermody. These offer the best fit and comfort of all the options, but they are also the most expensive. Ask a member of our Port St. Lucie team for more information.

The American Dental Association says a good mouthguard should be easy to clean, fit properly, be comfortable, and resist tearing or damage. It shouldn’t restrict speech or breathing.

Still not sure if you need a mouthguard or which kind is right for you? Ask Dr. Rachelle Dermody and Dr. Chris Dermody or one of our staff members for more information.

Kids today are more tech-savvy than ever before. Even young children use computers, tablets and smart phones to make learning about their world more accessible and more enjoyable. And with the enormous variety of apps geared to childhood education, it comes as no surprise that you can download an app to encourage your children to learn about—and celebrate—their dental health.

What kinds of apps are available for your child?

Happy Brushing!

Children’s apps can offer helpful advice for learning effective brushing and flossing habits that will last a lifetime. Some of the apps for young brushers include:

• Age appropriate instructions for proper brushing technique
• Two minutes of carefully chosen songs or stories to keep them brushing the recommended amount of time in an entertaining way
• Reminders to replace those little toothbrushes—every three months, please!
• Educational games and stories to teach effective dental habits and tooth-healthy food choices.

The best apps not only provide lots of important information for keeping young teeth and gums their healthiest, but make learning fun with rewards such as badges, stars, games, or simply plenty of positive encouragement.

Time for the Tooth Fairy to Appear?

Losing a tooth is an important event for many young children. If you’re a fan of the Tooth Fairy, there are apps that can provide some reassuring fun while your child waits for that first loose tooth to finally come out. Tooth Fairy apps offer a wide variety of activities, including:

• Tooth Fairy voicemails to report a loose or lost tooth
• Tooth Fairy diaries to record lost teeth—and save photos of the adorable smiles that result
• A video of an animated Tooth Fairy fluttering around your child’s pillow on the big night
• A Tooth Fairy alert for forgetful Tooth Fairy assistants.

Apply the Latest in Brushing Technology

If you’ve decided that an electric toothbrush is the best brush for your child, many of the products available today come with their own apps. What can these apps do?

• Let children know if they’ve brushed long enough
• Alert them when they’re brushing too hard, which is not good for young gums and enamel
• Some apps even provide a map of the mouth and teeth that lets children know just where they’ve brushed, in case they tend to neglect a few spots regularly.

Keep Those Appointments

Dr. Rachelle Dermody and Dr. Chris Dermody and our team are here to help keep your child’s teeth healthy. Regular examinations and professional cleanings at our Port St. Lucie office not only make sure problems are caught before they become serious, they can help prevent problems from developing in the first place.

There are many apps out there that are designed to help you keep your child’s dental care on track with appointment reminders. This sounds pretty basic, but when kids have school, sports, lessons, and activities filling their days, it doesn’t hurt to get a timely reminder that Dr. Rachelle Dermody and Dr. Chris Dermody should be seeing someone in your family for an appointment or checkup and a cleaning in the near future.

Dentist Approved

When looking for a dental app for children, there are lots of options. The best apps provide age-appropriate educational tips for keeping young smiles healthy, and present them in a way that engages your child’s imagination and provides positive reinforcement.

If you think an app might make dental care not only more efficient, but more enjoyable for your child, talk to Dr. Rachelle Dermody and Dr. Chris Dermody! We might have some suggestions that will be just right for your family.

Sleepless nights, crankiness, drooling—how can such tiny teeth cause such a big fuss? But all those uncomfortable days and nights are forgotten when your baby’s first teeth make their appearance. Why? Well, certainly because your child is happier, but also because you know baby teeth, or primary teeth, are important for your child’s growth in so many different ways.

• Chewing and Eating

Your baby might enjoy solid foods at an early age, but real chewing doesn’t happen until all the baby molars appear between the ages of one to three years. This is the time to feed children size-appropriate and texture-appropriate foods so they acquire proper chewing and eating habits for healthy digestion. Chewing also helps develop your child’s jaw and facial muscles.

• Developing Speech

Pronouncing many of the common sounds used in speech often requires tongue and teeth working together. If teeth are missing or there is a bite problem such as an open bite, it might be more difficult to pronounce words properly. This could be only a temporary delay, or it could require speech therapy when your child is older.

• Setting the Stage for Permanent Teeth

Baby teeth not only help with speech and jaw development, but they serve as space holders for permanent teeth. If a primary tooth is lost too early, a permanent tooth might “drift” into the empty space. The adult tooth will not have the room to fit where it should, and crowding or misalignment can occur. This might cause orthodontic problems in the future.

• Learning Healthy Dental Habits

You are your baby’s first dental health care provider! Wiping the gums and erupting teeth with a soft damp cloth after meals, gently brushing baby teeth when your toddler is young, teaching how to brush as your child gets older, helping to establish daily routines for brushing—all these practices will prepare your child for lifelong healthy dental habits.

• Making the Dentist a Regular Part of Your Child’s Life

Your child should visit our Port St. Lucie office soon after that first tooth comes in, and definitely by the age of 12 months. Dr. Rachelle Dermody and Dr. Chris Dermody can help with suggestions for your brushing and flossing routine, make sure your child’s teeth are healthy and clean, and ensure that teething progress is on track. In later visits, we will examine your child’s primary teeth and gums, and treat any problems, such as cavities, before they can become serious.

It turns out that baby teeth really are a big deal. Talk to us about suggestions for caring for your toddler’s teeth and about any questions you may have about teething progress, jaw and facial structure, speech development, or any other concerns at any time. We want to have a happy relationship with your child from the very start for a lifetime of healthy and confident smiles.

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

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

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

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

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

Thanksgiving marks the start to the holidays; a season filled with feasting, indulging, and spending time with family and friends are always special. Thanksgiving is a holiday meant for giving thanks, and while this may seem like such a natural celebration, the United States is only one of a handful of countries to officially celebrate with a holiday.

Unlike many holidays, Thanksgiving is a secular holiday, and it is celebrated on the fourth Thursday in November in the United States. In Canada, it is celebrated on the second Monday of October, which is, oddly enough, much closer to a time when harvests were likely gathered. In addition to the different dates, the origins of the celebration also share different roots.

Thanksgiving in the United States

Giving thanks for a bountiful harvest are not new, but the modern day holiday in the US can be traced to a celebration at Plymouth in Massachusetts in 1621. This feast of thanksgiving was inspired by a good harvest, and the tradition was simply continued on. At first, the colony at Plymouth didn't have enough food to feed everyone present, but the Native Americans helped by providing seeds and teaching them how to fish, and they soon began to be able to hold a feast worthy of the name. The tradition spread, and by the 1660s, most of New England was hosting a Thanksgiving feast in honor of the harvest.

Canadian Thanksgiving

An explorer of early Canada named Martin Frobisher is accredited for the first Canadian Thanksgiving. He survived the arduous journey from England through harsh weather conditions and rough terrain, and after his last voyage from Europe to present-day Nunavut, he held a formal ceremony to give thanks for his survival and good fortune. As time passed and more settlers arrived, a feast was added to what quickly became a yearly tradition. Another explorer, Samuel de Champlain, is linked to the first actual Thanksgiving celebration in honor of a successful harvest; settlers who arrived with him in New France celebrated the harvest with a bountiful feast.

A Modern Thanksgiving

Today, Thanksgiving is traditionally celebrated with the best of Americana. From feasts and football games to getting ready for the start of the Christmas shopping season, Thanksgiving means roasted turkey, pumpkin pie, and green bean casserole. No matter how you celebrate this momentous day, pause for a moment to give thanks for your friends, family, and all the bounties you’ve received. Happy Thanksgiving from Dermody Pediatric Dentistry & Orthodontics!

Dr. Rachelle Dermody and Dr. Chris Dermody and our team hear this question a lot. While many people believe periodontal disease is an adult problem, studies have indicated that periodontal disease, also known as gum disease, as well as other serious infections such as gingivitis and periodontitis, are prevalent among kids and adolescents. First, let’s identify the differences between gingivitis, periodontitis, and periodontal disease.

Gingivitis

Gingivitis is a type of periodontal disease in which only your child’s gums are affected. Characterized by swollen and red gums that bleed easily, gingivitis causes an inflammation of the gums, and is the first stage and mildest form of periodontal disease. The good news is that gingivitis is often reversible. Treatment for gingivitis includes having your child come in for a professional teeth cleaning. It also includes daily brushing, which will help eliminate plaque from the surfaces of your child’s teeth. Your child should also get in the habit of flossing daily to remove plaque and food particles wedged in the crevices between his or her teeth.

Periodontitis

If left untreated, gingivitis can progress to periodontitis, the advanced stage of gum disease that can not only damage your child’s gum tissue, but also destroy the underlying bone which supports the teeth. Eventually, teeth can become loose and may have to be removed. In some cases, the bacteria from the ensuing infection may also be distributed to other areas of the body via the bloodstream.

Periodontal Disease

Periodontal disease is a chronic bacterial infection of the gums, periodontal ligament, and bone that surround and support your child’s teeth. Periodontal disease causes gums to become red, swollen, and tender, and can even cause the gums to recede (pull away) from the teeth. If left untreated, periodontal disease can lead to tooth loss.

Having persistent at-home oral care regimen is a critical step in your child’s fight against periodontal disease. But sometimes brushing and flossing are simply not enough. Having your child’s teeth cleaned twice a year, or as recommended, is crucial.

Early diagnosis of gingivitis, periodontitis, and periodontal disease can give you and your child peace of mind. If you are concerned your child is suffering from gum disease, we recommend that you give us a call at our Port St. Lucie office. We look forward to working with you and giving your child a smile to last a lifetime!

Every moment of your baby’s first year of life is precious, since every day your child grows a little, develops new skills, and discovers new things. Most of it is wonderful, but parents don’t like to see their babies in pain. That’s why teething can be such a hard experience. However, you can take steps to make it easier for you and your baby.

What to Expect

Most babies begin teething around the age of six months, when the lower central incisors start to appear. Shortly after this time, the upper central incisors poke through, followed by the lateral incisors, first molars, canines, and second molars. Unfortunately, you’ll probably know that your baby is teething not because you see these teeth come in, but because your baby will be in discomfort. These are some of the signs to watch for when you’re expecting your baby to begin teething.

• Tender and sore gums
• More drooling than before
• Being crankier than usual
• Chewing on hard objects

What You Can Do

As a parent, you want to do everything you can to make your child more comfortable. These are some approaches that Dr. Rachelle Dermody and Dr. Chris Dermody and our team recommend:

• Take a clean moistened wash cloth or use your own washed finger to rub your baby’s gums and provide relief due to the pressure.
• Provide a firm rubber teething ring for your baby to use, but don't use the type that is filled with liquid.
• Use a bottle. A bottle filled with cold water can be soothing. Don’t give your baby formula, milk, or juice constantly because the sugar can cause tooth decay.
• Medications can help for extreme crankiness. Infant Tylenol is an example, but it’s best to check with your pediatrician before giving your baby medications.

You might also want to take special care to dry the drool. It’s not just to keep yourself and your baby dry. Keeping your baby’s skin dry can help prevent irritation.

When to Visit Us

Once your child’s first tooth comes in, it’s time to start thinking your baby’s first trip to our Port St. Lucie office. The American Dental Association suggests that you bring your child to the dentist within six months of the appearance of the first tooth, or at about one year of age. Dr. Rachelle Dermody and Dr. Chris Dermody can do a quick check for tooth decay, and we’ll make sure you know how to take care of your child’s new teeth.

First, let’s clarify what we mean about clear braces. We’re not talking about clear aligners, which can be a great option if you want treatment that is a) removable and b) almost invisible. But sometimes only traditional brackets-and-wires braces will do when it comes to your orthodontic treatment. Does this mean you can’t opt for a more subtle, less visible treatment plan?

No! Orthodontic advances in materials and design mean that you have more options than ever before when it comes to selecting brackets and wires. If you prefer more inconspicuous braces for professional or personal reasons, some of the current options in clear braces might be just the (inconspicuous) look for you.

“Clear braces” can refer to several styles of brackets and wires:

• Brackets themselves can be crafted in porcelain, ceramic, or plastic. High quality materials make them strong and stain-resistant.
• Brackets can be transparent or can be carefully tinted to blend in with your enamel.
• Some of these brackets require the usual ligatures (those tiny rubber bands holding the wire to the brackets), so it’s important to choose a band color to coordinate for a monochromatic look.
• Some of these brackets are self-ligating, designed to hold the archwire with built-in clips and needing no ligatures at all.
• Finally, there are coated and even non-metallic archwires that are designed to blend in with your enamel color and work without calling attention to themselves. Depending on your individual bite and tooth alignment, these wires might be an option.

Some of the common questions about clear braces include:

• Can everyone use clear braces?

While clear braces generally function just as traditional metal braces do, there are some cases where they might not be ideal depending on the amount and type of alignment and bite correction you need. Dr. Rachelle Dermody and Dr. Chris Dermody will let you know the best options to treat your orthodontic problems as effectively as possible.

• Are they as strong as typical metal braces?

Clear brackets are quite strong, but they’re not as durable as metal brackets. If you choose porcelain, ceramic, or plastic brackets, we’ll give you all the information you need for their care.

• Do clear braces take longer to work?

They might take a bit more time to bring your teeth into alignment, or they could work just as quickly as traditional braces. They often take less time than aligners. Today’s orthodontic treatments work more efficiently and therefore more quickly than ever before, so if there are any differences in wear-time, they probably won’t be significant.

Your individual orthodontic needs will dictate how long any treatment plan will take, and if different treatment options will add or save you time. Before you choose any orthodontic plan, we’ll go over all your options and give you an estimate for treatment time for each of them.

• Any notable differences from metal brackets?

Clear brackets can be larger than metal versions. Because they can also be somewhat abrasive, they might be suggested only for your upper teeth. We’ll let you know if these brackets are a good fit for you.

• Do clear braces stain?

Today’s clear brackets aren’t prone to staining—that would certainly defeat the purpose of choosing them! We’ll give you instructions on keeping them as clean and clear as possible. Do remember, if you use ligatures, that these little bands can stain if your diet is big on coffee, tea, cola, blueberries, or any other colorful food.

• Are clear braces more expensive?

Cost of treatment is based on several factors, including the type of braces you select. We’ll be happy to compare the costs of your various treatment options.

If you want the benefits of traditional braces, but don’t necessarily want the visibility of regular metal brackets, consider the many transparent and tinted options available. Want more clarity? Talk to a member of our Port St. Lucie orthodontic team! You might discover that clear braces are the clear choice to create your healthy, beautiful smile.

Halloween is an annual event celebrated by both children and adults every October 31. Some scholars claim that it originates from the celebration of Celtic festivals that honored the dead and harvest season. This day marks the end of summer, and the transition to cold winter months ahead. No matter what the origin may be, Dr. Rachelle Dermody and Dr. Chris Dermody and our team hope all our patients have a fun and safe Halloween!

The History of Halloween

North America predominantly celebrates Halloween by dressing up in costumes, going trick-or-treating to collect candy, and eating an abnormal amount of sweets. This tradition goes back hundreds of years and usually involves celebrations throughout the month of October.

Halloween festivities can also include carving pumpkins, going on hayrides, visiting apple orchards and haunted houses, watching scary movies, attending costume parties, and much more!

Spooky Facts

• Fifty percent of kids prefer to receive chocolate candy for Halloween, compared with 24% who prefer non-chocolate candy and 10% who preferred gum.
• One quarter of all the candy sold each year in the U.S. is purchased for Halloween.
• The first jack o’ lanterns were actually made from turnips.
• Halloween is the second highest-grossing commercial holiday after Christmas.
• The largest pumpkin ever measured broke the world record in 1993 by weighing in at 836 lbs.

Worried about your child’s teeth?

• Limit the amount of candy he or she consumes each day.
• Have your child brush his or her teeth after eating candy.
• Avoid hard, chewy candies, because they can stick in hard-to-brush places.
• Keep candy out of sight to reduce temptation.
• Don’t buy candy too far in advance so you can limit pre-Halloween consumption.
• Help or encourage your kids to floss.

Moderation is key when it comes to your oral health and celebrating Halloween. Make sure to schedule your child’s next appointment at our Port St. Lucie office if you notice any issues with his or her teeth. We hope you have a fun and spooky Halloween!

Your infant’s first teeth will begin to appear around six to 12 months of age. You might wonder how important these primary teeth really are. After all, baby teeth are destined to fall out within a few years and be replaced by a full set of permanent teeth. However, baby teeth have important functions, and proper care can set the stage for excellent oral and overall health.

Promote Better Nutrition

The appearance of your baby’s primary teeth around six to 12 months of age coincides with changes in your infant’s nutritional needs. Beginning at six months, exclusive breastfeeding is no longer nutritionally sufficient; this is the age at which you should introduce solid foods.

At six to eight months, when your baby can start to chew, strained or pureed fruits and vegetables are appropriate. As your little one’s teeth grow in and chewing abilities progress through 12 months of age, you can gradually add cereal, bread, cooked meats, and other adult foods to his or her nutritious diet.

Increase the Life Expectancy of Baby Teeth

Although baby teeth are inevitably going to fall out and be replaced by permanent ones, making baby teeth last serves an important role that can have benefits into the future. Baby teeth serve as placeholders for permanent teeth. If they decay and fall out too soon, permanent teeth are more likely to grow in crooked.

How to Take Care of Baby Teeth

Your baby’s primary teeth are already in his or her mouth at birth; they are just invisible because they have not broken through the gums. Since they are already present, your baby can get cavities if you do not practice proper oral hygiene from the beginning.

• Do not let your baby fall asleep with a bottle in his or her mouth.
• Brush your child’s baby teeth twice a day as soon as they come in.
• Floss your child’s teeth as soon as he or she has two teeth that touch.
• Visit Dermody Pediatric Dentistry & Orthodontics for your baby’s first checkup when the first tooth arrives.

The food you feed your child can have a lasting effect on his or her oral health. In fact, diet plays a major role in whether a child develops cavities and decay, which can lead to many dental visits and potential tooth loss. So what should you feed your child to ensure he or she has a healthy smile for life?

Foods to Avoid

It is normal for your child to take interest in many foods -- especially those filled with sugar and carbohydrates. But as tasty as these foods are, they can cause rapid decay when eaten in excess. That’s not to say your child can never have sugar again. Dr. Rachelle Dermody and Dr. Chris Dermody and our staff suggest limiting starchy and sugary foods such as candy and potato chips as much as possible.

Remember that some seemingly healthy foods can present the threat of decay too. Some of the most common culprits are sticky foods like peanut butter, raisins, and granola bars, which can stick to the teeth after eating. If you serve these foods to your child, be sure to have him or her brush immediately after eating to remove any lingering sugary residue.

Beverages

Many beverages marketed toward children contain sugar servings that far exceed the daily recommendations from national health organizations. They suggest no more than three to four teaspoons of added sugar per day for young children.

Make an effort to serve only water to your child any time other than meal times. During meals, allow your child to have milk or juice, but in limited serving sizes. Most importantly, never allow your young child to sleep with a bottle or “sippie cup” full of juice or milk. Doing so can cause rapid tooth decay: a condition known as “baby bottle caries.”

A Healthy and Balance Diet

So long as your child is brushing regularly and eating a healthy, balanced diet full of fruits, vegetables, lean proteins and whole grains, you should have little or no problem with tooth decay. For more questions about how your child’s diet affects his or her oral health, contact our Port St. Lucie office to schedule a consultation.

Whether you already miss the sun’s bright rays, or can’t wait for some cool, crisp weather and colorful leaves, summer is making way for fall. And the change of seasons might mean it’s time for some adjustments to your dental care routine.

Fall’s in the Air, and You Can Feel It

You might enjoy the brisk weather and the cool autumn breezes, but you’d enjoy fall much more without the tooth sensitivity that cold weather can bring. Sensitivity can be the sign of a cracked tooth, gum disease, or even something as simple as too-energetic brushing. If you’re experiencing sensitivity outdoors or with hot and cold foods, don’t give up your nature walks and hot cider! Give Dr. Rachelle Dermody and Dr. Chris Dermody a call, and we’ll get to the root of your problem.

Fall Sports

The baseball mitts, surfboards, and water skis have been retired for the year, but that won’t stop you from enjoying exercise and team sports. And while you’re keeping your body healthy, remember to keep your teeth and jaws healthy as well. A mouth guard is an essential piece of equipment for any autumn contact sport like football or soccer, and is also a good idea for biking, skateboarding, and other physical activities where a fall or a collision is a possibility.

Fall Feasts

‘Tis the season for sugary Halloween treats, bountiful Thanksgiving desserts, and those over-the-top holiday lattes. By all means, celebrate the season. And celebrate your dental health (and your overall health) as well by enjoying these treats in moderation.

Why not take this opportunity to explore some of autumn’s more nutritious seasonal offerings? Brussels sprouts, sweet potatoes, carrots, pumpkins, and apples are part of a fall harvest of fruits and vegetables rich in vitamin A, vitamin C, potassium, calcium, and other nutrients that help keep our teeth and gums their healthiest. (And if the pumpkins and apples make their way into pies, no one will complain.)

Fall Semester

Many schools require a dental exam before the start of the academic year. If you haven’t made an appointment for your child, now’s the time to do it! And don’t forget a professional cleaning to remove plaque and tartar. Nothing starts a school year off better than entering the classroom with a bright, healthy smile.

And don’t forget to call our Port St. Lucie office for your own regular checkup if it’s that time of year. Spring, summer, winter, fall—it’s always the right season for taking care of your dental health!

When a child is born, he or she will have 20 primary teeth and 32 permanent teeth. But sometimes kids are born with additional teeth, and our team at Dermody Pediatric Dentistry & Orthodontics calls this oral condition "hyperdontia." Primary teeth are the first set of teeth that erupt in your child's mouth, typically by the time they are 36 months old, and are shed by the time your child reaches the age of 12. Permanent teeth then take the place of the primary teeth and are usually fully-erupted by the time your son or daughter reaches 21 years of age. Anyone who develops more than 20 primary teeth or more than 32 permanent teeth has hyperdontia, and the additional teeth are referred to as supernumerary teeth.

While the cause of hyperdontia is not entirely clear, it is believed that there may be a genetic factor. Oral professionals have found that patients with extra teeth often have syndromes like cleidocranial dysplasia, Ehler-Danlos syndrome, Gardner syndrome, or cleft lip and palate. The prevalence of hyperdontia affects between one and four percent of the population in the United States, and the majority of cases are limited to a single tooth.

So, what is the best way to deal with hyperdontia? It really depends on the case. The treatment plan your doctor suggests varies according to the potential problem posed by the supernumerary teeth, as well as their type. Orthodontic treatment may certainly may help, but extraction can also be a good option. We recommend that children receive an oral evaluation or checkup no later than the age of seven. In addition to hygiene evaluation, this helps ensure your child does not experience hyperdontia problems.

If you suspect you or your child may be suffering from hyperdontia, please give us a call to schedule an appointment at our convenient Port St. Lucie office to be evaluated.

If you already wear traditional braces, you know all about these helpful little rubber rings. But if you are new to the world of braces, you might like to know just what kind of elastics are available and what they can do for you.

• Ligatures: Alignment Assistance

When you get your braces, the brackets you’ve chosen will be bonded to your teeth. Once they are attached securely, an arch wire will be threaded through the brackets to provide consistent gentle pressure, moving your teeth into their best positions. But what holds that wire in place? This is where those tiny, colorful bands, called ligatures, come in. Fit snugly around the wire and the bracket, they keep the wire where it needs to be to move your teeth to a better alignment.

There are also ligatures call “c-chain ligatures,” or “power chains.” These tiny ligature bands are connected to each other, and fit across the brackets in one long strip. This design lets them not only hold your wires in place, but help move your teeth closer together at the same time. They come in a variety of sizes depending on the spacing of your teeth, and might be worn weeks or months as needed.

One thing to remember is that while ligatures are essential, they are not permanent! Every time you have your wires tightened or replaced, you can make this an opportunity to express your personality through your choice of bands. There is a wide variety of color choices available, so take advantage of it!

Show your school spirit by displaying your high school’s colors. Go orange and black for Halloween. Match your ligature tones to your go-to clothing colors. Or, go monochromatic. Match grey or silver bands to your brackets, or choose white or clear bands if you have ceramic brackets. (One word of caution—light colored ligatures can pick up stains from dark foods and drinks. On the other hand, they won’t be around that long!)

• Rubber Bands: Building Better Bites

While ligatures are the colorful attention-getters in the elastics world, there are other bands that do very important work. When you have a malocclusion, or bad bite, your upper and lower jaws don’t fit together perfectly. We use rubber bands to align your bite correctly and carefully move it into the proper position. This is accomplished by attaching bands to tiny hooks on specially chosen brackets on the upper and lower teeth. The bands usually connect an upper bracket to a lower one, and are specifically placed to correct your unique bite problem.

If you need this type of elastic, you will play a very important part in making your orthodontic treatment work. You will probably need to wear your bands 24 hours a day, removing them only for brushing and flossing. (Talk to us about how to work with your bands when you are eating, playing an instrument, or wearing a mouthguard.) And they need to be replaced several times a day, which is where you come in.

Even if the bands look perfect, after hours of work, they lose the tightness needed to keep moving your teeth to their best position. Bands that are too loose won’t be as effective. On the other hand, doubling the bands is a bad idea because that might apply too much force. Bands come in a variety of sizes and strengths, and yours have been chosen for this specific phase of your treatment. Keep calm, keep to a schedule, and keep a supply of bands on hand in case one breaks, and everything will work out.

If this sounds like a lot of confusing information, don’t worry! Dr. Rachelle Dermody and Dr. Chris Dermody will supply you with the right bands for your treatment, clear instructions on where and how to place them, and practice time for putting them in. You’ll probably need a mirror at first, but you’ll become an expert in no time.

If you ever have questions we can help you with, contact our Port St. Lucie office immediately. We are here to guide you through the process and help you with any problems you might have. Wearing your bands consistently and correctly will help you achieve your beautiful smile in the shortest time possible. And that’s an accomplishment that is truly fantastic!

Why all the fuss about fluoride? Your pediatric dentist recommends it, your child’s toothpaste is formulated with it, and most of our drinking water contains it. Just what is it about this mineral that makes dental professionals sing its praises? Read on for three good reasons why fluoride is a healthy choice for healthier teeth.

1. Fluoride Works!

Fluoride is an attractive option for protecting your child’s teeth—and we mean that literally. Fluoride protects the surface of teeth by working on a molecular level to attract minerals that strengthen enamel and help prevent cavities.

Our tooth enamel is mostly made from calcium and phosphate ions. These elements combine to form hydroxyapatite, strong crystals which make up about 95% of our enamel. Hydroxyapatite is so strong, in fact, that tooth enamel is the hardest part of our bodies. What can go wrong?

Acids. Acids created by the bacteria in plaque and the acids in our diet strip away the calcium and phosphate ions in enamel, weakening the surface of the tooth. This process is called demineralization. Over time, weak spots become bigger as acids eat through enamel to the inner tooth, causing decay and cavities.

So, what can fluoride do?

First, fluoride helps remineralize tooth enamel. Fluoride is attracted to the tooth’s surface and bonds with its minerals. It also attracts the calcium and phosphate ions which are found in our saliva to restore any minerals which have been lost. This process helps repair any weak spots which might have begun to form.

But fluoride does more than restore and repair tooth strength—it improves it! Fluoride ions join with calcium and phosphate to form fluorapatite crystals, which are larger and stronger than hydroxyapatite crystals. Even better? These new crystals are more resistant to acids.

2. Fluoride Is Doubly Effective

Fluoride works both externally and internally. We just looked at how fluoride helps keep teeth strong when applied to the outside of the teeth. This is called a topical application. Systemic benefits come the fluoride we consume in our diets.

Fluoride isn’t found in many foods, but it is found naturally in lakes, rivers, and other water sources. When the local water’s fluoride level is low, many communities add fluoride for its proven ability to prevent cavities. Water fluoridation is safe, has been studied for decades, and has been shown to reduce the risk of cavities by 25% or more for both children and adults.

Systemic fluoride is important for baby teeth, as fluoride joins with minerals in adult teeth while they grow and develop. This creates stronger, more cavity-resistant teeth even before they erupt.

When your child’s permanent teeth come in, fluoride is still at work! When your child drinks fluoridated water, they increasing the amount of fluoride in their saliva. Just like fluoride toothpaste, saliva bathes the teeth with fluoride ions, remineralizing and strengthening the tooth surface and helping repair weak spots in enamel.

3. It’s Easy to Get Fluoride Protection

Because so much of our drinking water is fluoridated, most of us really don’t have to think about how to get the recommended amount of fluoride in our diet each day. If your community’s water is low in fluoride, Dr. Rachelle Dermody and Dr. Chris Dermody can help you. Prescription fluoride rinses, gels, supplements, and other treatments are available at our Port St. Lucie pediatric dental office to make sure that your child’s teeth are well protected, wherever you may live. We will let you know which products are best for your child and how often to use them.

Fluoride isn’t, of course, the only way to look out for your dental health. Proper brushing and flossing are still essential for removing plaque. And sealants provide long-lasting protection for chewing surfaces. But when it comes to a proven cavity-fighter that’s simple to use, effective, and easily available—is it any wonder we’re big fans of fluoride?