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Kids and Teeth Grinding

July 21st, 2021

Grind, grind, grind… if your little one happens to be a teeth grinder, you may be familiar with this unpleasant sound. Teeth grinding, or what Dr. Rugama and our team at Tooth in Boots also call bruxism, is common in children. In fact, three out of ten kids grind or clench their teeth, usually in response to stress, jaw growth, malocclusion, losing teeth, or other discomforts, such as allergies. Kids typically outgrow teeth grinding by the time they reach their teenage years.

Many kids who grind their teeth in their sleep have no idea they’re doing it. In fact, when they wake up in the morning they feel no jaw, facial, neck, or shoulder pain. In most cases, if it hadn’t been for a parent or sibling telling them about it, the teeth grinding would have gone unnoticed.

There are children, however, who wake up with jaw pain, shoulder pain, neck pain, and headaches. Teeth grinding can cause a host of dental complications, from cracked teeth and receding gums to a misaligned jaw. Dr. Rugama will tell you that teeth grinding is not something to take lightly. Teeth grinding can have serious consequences that, if left untreated, can lead to tooth fractures and damage to the temporomandibular joint, also known as TMJ.

The first step in helping your child recover from teeth grinding is noticing and diagnosing the problem. Symptoms of teeth grinding typically include:

  • Grinding noises when your child is sleeping
  • Complaints of tightness or pain in the jaw
  • Complaints of headaches, earaches, or facial pain
  • Complaints of pain when chewing
  • Tooth sensitivity
  • Chipped, worn down, or loose teeth

If you suspect your child is a teeth grinder, Dr. Rugama and our team will be able to help. Please give us a call at our convenient Richmond office! We look forward to treating your child!

Beat the Brushing Battle

July 14th, 2021

Dr. Rugama and our team know it can be a challenge to get our children to brush, brush well, and brush often. Here are some tips that can help you keep those beautiful little teeth healthy.

Make it Fun, Make it a Habit!

We should all brush twice a day. The most important time to brush is at night before bed. When we sleep, our saliva production decreases, and this creates an environment for oral bacteria to cause greater destruction to our teeth and gums. Brushing should last at least two minutes, followed by flossing and mouthwash if you choose.

Here are some ideas to make this nightly ritual more entertaining.

  • Set a good example. Brush your teeth with your children and make it fun! Pick a song to play while brushing.
  • Make it a race to the bathroom to see who can get their toothbrush and floss ready. But don’t make it a race to finish; make sure brushing lasts at least two minutes.
  • Try using a sticker sheet. For every night your children brush well, give them a sticker. (Be sure to check their work.) After a certain number of stickers, they earn a reward. Let them pick the reward! As the child improves at brushing every night without reminders, you can wean her or him from the reward.
  • SPECIAL TIP: Let your child check your brush work!

As parents, we should help our children make health and wellness something to take pride in. Be gentle with your children when they make mistakes, whether forgetting to brush or maybe developing a cavity. Tell them even our team at Tooth in Boots gets cavities. Thankfully, there is always room for improvement. Happy brushing!

Summer Sports and Mouthguards

July 7th, 2021

School’s out and you’ve emptied your gym locker until next fall. But while you’re stowing away the football gear, the basketball warm-ups, the field hockey sticks, and all the other equipment you’ve collected over the school year (that’s where that other shoe went!), be sure to keep one item handy: your mouthguard.

Team and contact sports like football, basketball, and wrestling aren’t the only potential dental dangers. In fact, almost any sport or activity can be made safer when you use your mouthguard.  While you’re keeping active and fit in the summer months, remember to look out for your smile.

  • Sports on wheels

Biking, skate boarding, rollerblading—it only takes one fall to make you realize that roads, sidewalks, and concrete are not ideal landing pads. If you do take a spill, using a mouthguard, along with your helmet, will help protect your teeth and jaw.

  • Court sports

Handball and tennis are not what we consider contact sports, but an unexpected bounce from a ball, or a completely unexpected backhand from your partner, can lead to dental injuries. Ace your workout and wear a mouthguard.

  • Water sports

A fall in the water can lead to a collision with your surfboard or water skis, and water polo often seems to be a game of stamina, accuracy and elbows. Wear your mouthguard on land and sea, and help reduce your chance of dental injury.

  • Team sports

Anyone who has played summer league baseball, softball or soccer knows that occasional contact with other players is pretty much a given. Cushioning your head, mouth, and teeth with a mouthguard will not only protect you, but keep you in the game—and your teammates will appreciate that!

If you already use a mouthguard, keep up the good work! If you don’t, talk to Dr. Rugama about the importance of protecting your smile with a mouthguard. There are ready-made options available at drug stores and sporting goods shops. These will provide protection to your mouth and teeth, but can sometimes be bulky and uncomfortable and should never be used with braces. If you would like a mouth protector that provides the best fit and comfort, or if you wear braces, we can customize a mouthguard in our Richmond office that will be a perfect fit for your teeth and bite.

Whatever activity you choose, play it smart! Don’t gear up without your mouthguard, and you’ll greet next year’s classes energized, fit, and sporting a beautiful smile!

Happy Fourth of July

July 1st, 2021

Every year, Americans all over the world celebrate the birth of the country and its independence on the Fourth of July. There are countless ways that people celebrate and they range from community parades and large scale gatherings to concerts, fireworks displays, and smaller scale celebrations among family and friends. For some people, July 4th is synonymous with baseball, while for others it is all about the beach of barbecues. However you celebrate, you can be sure that red, white, and blue is visible everywhere throughout the area.

The Beginnings of Fourth of July Celebrations

Although it wasn't officially designated as a federal holiday until 1941, the actual tradition of celebrating Independence Day goes back to the time of the American Revolution (1775 – 1783). At the time of the American Revolution, representatives from the 13 colonies penned the resolution that ultimately declared their independence from Great Britain. The continental congress voted to adopt the Declaration of Independence on July 2nd of 1776. Two days later, Thomas Jefferson's famous document that is now known as the Declaration of Independence, was adopted by delegates representing the 13 colonies.

First States to Recognize the Fourth of July

In 1781, Massachusetts became the first state (or commonwealth) whose legislature resolved to designate July 4th as the date on which to celebrate the country's independence. Two years later, Boston became the first city to make an official designation to honor the country's birth with a holiday on July 4th. In that same year, North Carolina's governor, Alexander Martin, became the first governor to issue an official state order stipulating that July 4th was the day on which North Carolinians would celebrate the country's independence.

Fun Facts About the Fourth of July

  • The reason the stars on the original flag were arranged in a circle is because it was believed that would indicate that all of the colonies were equal.
  • Americans eat over 150 million hot dogs on July 4th.
  • Imports of fireworks each year totals over $211 million.
  • The first “official” Fourth of July party took place at the White House in 1801.
  • Benjamin Franklin didn't want the national bird to be the bald eagle. He believed that the turkey was better suited to the coveted distinction. John Adams and Thomas Jefferson disagreed with him, and he was outvoted, so the bald eagle became the official bird of the United States.

For many, the tradition is something entirely different. Along the coastal areas of the United States, people may haul out huge pots to have lobster or other types of seafood boils. Others may spend the day in the bleachers at a baseball game, or at a park, cooking a great traditional meal over an open fire. No matter how or where you celebrate, one thing is certain: all Americans celebrate July 4th as the birth and independence of our country.

Dr. Rugama and our team at Tooth in Boots wish you a safe and happy Fourth of July!

Oral Health Concerns for Teens

June 23rd, 2021

You have a lot more freedom as a teenager than you did as a young child. You also have a lot more responsibilities, and one of your jobs is to take care of your teeth. Develop and maintain good dental habits now so you can have great dental health for life!

Tooth Decay

As a teenager, you risk tooth decay, or dental cavities, if you are not careful. In fact, 59% of adolescents aged 12 to 19 have at least one cavity, according to the National Institute of Dental and Craniofacial Research. Dr. Rugama and our staff recommend keeping your teeth strong and healthy by brushing at least twice a day and flossing every day.

If you suspect that you have tooth decay, do not be embarrassed. Instead, ask your parents to bring you to Tooth in Boots to get it looked at. When you do not treat your dental cavities, they can turn into more serious problems. A severely damaged tooth may need to be treated with a root canal or even an extraction.

You can take easy steps to prevent tooth decay when you are at school or hanging out with your friends. Carry a bottle of water around with you so you can take a sip after you eat any kind of food. Choose water or milk instead of soda or sports drinks, and if you chew gum, select a sugar-free flavor.

Other Oral Health Concerns

You can probably think of many reasons why you should not smoke or use tobacco. Your oral health is another one. Tobacco gives you bad breath and stains your teeth yellow. It also increases your risk for gum disease and cancer of the mouth. Smoking even slows the speed of healing after you have dental procedures done.

Here are a few more tips that can keep your mouth attractive and healthy during your teen years.

  • Drink plenty of milk.
  • Limit candies and sugary snacks.
  • Wear a mouthguard if you play a contact sport.
  • Visit Tooth in Boots twice a year.
  • Reduce infections and avoid piercing your tongue and lips.

You only get one set of permanent teeth in your life, so get in the habit of taking care of them now!

Pediatric Dental Emergency Know-How

June 9th, 2021

Parents are usually expert at taking care of their children’s injuries. You know how to disinfect a cut, soothe a bump on the head, and apply a bandage faster than you can blink.

But what happens if your child suffers a dental injury? Teeth can get broken, knocked out, or displaced from a forceful impact, and parents ought to know what to do in those situations, too. Luckily, Dr. Rugama and our team are here to be a resource for such incidents!

Chipped front teeth are a common injury for young children. First, check to see if the teeth have been broken to the nerve. You can tell this is the case if you see layers and a pinkish center.

Then, wiggle each tooth to make sure it is not loose. If the teeth still feel firmly in place, that’s a good sign. Don’t worry if they are a little loose, because they will tighten again with time.

If your child develops a high temperature or bite sensitivity, treatment is necessary and could include a root canal.

A knocked-out tooth is an injury that requires more attention than just observation. Locate the tooth as soon as you can, and touch only the crown, not the root. Rinse any debris gently with milk or water and place the tooth back in its socket as soon as possible.

According to the American Association of Endodontists, a tooth has a high chance of survival and retention for life if it is returned to the socket within five minutes, and possibly up to 60 minutes, if soaked in milk or saline solution in the meantime.

Say your child is elbowed in the mouth and a tooth gets severely displaced but does not get knocked out. Attempt to shift it back into place by applying light pressure, but be careful not to use too much force. Give your child a cold pack for the swelling and contact our office as soon as possible.

Dental emergencies can be frightening for the child as well as the parent. The best advice we can offer is to stay calm and be assured that we are always here to help! Contact us at our Richmond office as soon as you can, if your child encounters a dental emergency.

Summer Treats for Healthy Teeth

June 2nd, 2021

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. Rugama at our Richmond 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!

Memorial Day and Getting Ready for Summer

May 26th, 2021

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. Rugama 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 Tooth in Boots 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.

My child has canker sores! How can I help?

May 19th, 2021

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 Richmond office will be beneficial. Canker sores are painful and usually last about 14 days. Dr. Rugama 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. Rugama to schedule an appointment.

Just What Is Plaque?

May 12th, 2021

When you were younger, and you brushed your teeth without any help for the first time, it was a big step. It meant you’d learned the right way to brush to keep your teeth and gums healthy. But why does brushing help keep you healthy? Let’s talk about plaque!

  • What Is Plaque?

Plaque rhymes with “attack,” and that’s just what it does to your teeth. If you don’t brush for a few days (which is a bad idea!), plaque is the reason for that fuzziness you feel when you run your tongue over your teeth.

If your teeth feel fuzzy, that means that plaque has been building up for a while. But how does it begin?

Plaque is made up of saliva, bits of food, other liquids, and tiny little organisms called bacteria. While most of the bacteria in our bodies don’t bother us—and some even help us—the bacteria in plaque are not so helpful.

Plaque starts with a type of bacteria that stick to the teeth, loosely at first, and then more strongly. Within hours, they join with saliva, bits of food, and other bacteria and bacterial products to make a very sticky film. This film is plaque.

Why is it so important to brush plaque away every day? As Dr. Rugama will tell you, plaque can cause cavities and hurt your gums.

  • How Does Plaque Cause Cavities?

Bacteria are like us—they need food. The bacteria in plaque especially like the sugars we eat. (That’s why you shouldn’t have too much junk food or candy in your diet.) Bacteria change these sugary building blocks into a kind of acid, and because plaque is sticky, the acids stay on your teeth.

These acids breaks down the enamel, that hard coating which covers teeth. Tiny weak spots can grow and become holes in the enamel. We call these holes cavities, and your dentist can repair them by cleaning away the decay and putting a filling in your tooth to protect it.

But it’s best to prevent cavities from ever starting by brushing and flossing. Even though plaque is sticky, it is easy to brush away when you do it every day.

  • How Does Plaque Hurt Your Gums?

The gums surround our teeth and help protect them, but they are also delicate. When plaque builds up, it can irritate your gums.

You might notice that your gums get red, feel sore when you brush, or look puffy. You might have bad breath that doesn’t go away. All these are signs that your gums are reacting to the plaque around them.

The good news is that careful brushing and flossing can usually fix these problems. Talk to Dr. Rugama about taking good care of your gums.

  • Can We Fight Plaque?

Yes! From the time you were small and learned how to brush, you’ve been learning how to fight plaque.

  • Brush at least twice a day for two minutes, and be sure to brush all around each tooth and the gums.
  • Floss to remove plaque from where it hides between the teeth and near the gums.
  • Visit our Richmond office for a cleaning, to remove plaque from hard-to-reach places and to learn the best ways to brush and floss.

As soon as you finish brushing, plaque starts to build up again. But no need to worry! Keep brushing, flossing, and visiting us for regular cleanings, and all your careful work will be rewarded will a beautiful, healthy smile.

Wishing all our moms a happy Mother’s Day!

May 5th, 2021

"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 Tooth in Boots. 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. Rugama and our entire staff would like you to know that we appreciate you all!

Happy Mother’s Day and enjoy your special day!

How can I protect my child's teeth during sports?

April 28th, 2021

Sports are great for children for a variety of reasons. Children can develop their motor skills, learn how to solve conflicts and work together, and develop their work ethics. As a parent, you may recognize the benefits of sports, but also naturally worry about your child’s health and safety. Your job goes beyond providing a water bottle and making sure your child follows the rules of the game.

Although you may not think of your child’s teeth first when you think about sports, accidents can happen that affect your children’s teeth. A stray hockey stick, an errant basketball, or a misguided dive after a volleyball are examples of ways a child could lose a tooth. In fact, studies show that young athletes lose more than three million teeth each year.

Becoming a Better Athlete to Protect Teeth

Becoming a better athlete involves refining skills, learning the rules of the game, and being a good sport. These components are not just about winning. They are also about safety. Young athletes who are better ball-handlers and who are careful to avoid fouls and penalties are less likely to have harmful contact with the ball, teammates, or opponents. Children who are better roller-bladers are less likely to take a face plant into the blacktop, and more likely to save their teeth. Being a good sport and avoiding unnecessary contact is one way to protect teeth.

Proper Protective Equipment for Teeth

If your child is in a sport that poses a high threat to teeth, it is essential for your child to wear a mouthguard. Mouthguards fit your child’s mouth and consist of soft plastic. Dr. Rugama can custom fit a mouthguard if generic ones are uncomfortable. While children may resist wearing a mouthguard initially, your persistence in insisting that they wear it should be enough to convince them. A helmet or face mask provides additional protection.

While prevention is best, rapid treatment can improve the situation if your child does happen to lose a tooth during sports. Rapid implantation can work in about ten percent of cases. To learn about ways to save a lost tooth, contact our Richmond office.

Make Every Day Earth Day

April 21st, 2021

Earth Day began in 1970 as an event to raise awareness of our environment. What began as a single day in April is now recognized around the world to bring attention and education to global environmental issues. Conserving our natural resources, reducing water and air pollution, and developing green technologies are all ways in which we can improve the environment around us.

Reduce, Recycle, and Reuse

One of the easiest ways to participate in Earth Day is by simply reducing the amount of refuse that ends up in landfills. Many communities have recycling programs for paper, plastic, and metal refuse. By keeping recyclable items out of landfills, we reduce the need for new disposal space and the amount of energy needed for burning refuse. Recycling products also helps conserve the resources that are used in making new products.

You can save money by reducing your consumption of many everyday products. Single disposable water bottles can be recycled but they are costly. By using filtered faucet water, you can conserve your financial resources. Disposable paper towels can also be wasteful. Consider reusable cleaning rags for the majority of your chores.

Reusing items saves both the environment and your finances. A large number of products can be re-purposed to create a new item. Old furniture can be remade into a new piece. Old clothing can be used for craft items. If you are not able to find ways to reuse your old items, donate them to a charity. Remember to continue your positive environmental steps on a daily basis.

Other things you can do to improve the environment

Everyone, young or old, can find ways to participate in improving the environment. Some ideas include:

  • Planting trees
  • Picking up litter
  • Reducing energy consumption
  • Walking, bicycling, or carpooling to work or school
  • Disposing of hazardous waste properly
  • Using rain barrels to conserve water for plants

Earth Day is designed to appreciate and celebrate the health of the earth. Keeping the earth healthy is important, but keeping your mouth healthy is important, too. Healthy teeth and gums contribute to your overall health and well-being, so remember to call our team at Tooth in Boots to schedule an appointment. Have a happy and healthy Earth Day, from Dr. Rugama!

Pediatric Dentistry: The benefits of dairy

April 14th, 2021

When you were a child, your mother may have instructed you to drink all your milk to build strong bones. Now that you have children of your own, you may hear yourself parroting those instructions you received years ago. Getting enough dairy is essential for young children whose teeth are growing. A child who consumes the recommended daily serving of dairy will develop healthy, strong teeth for the rest of his or her life.

Structure of the Tooth

To fully grasp the importance of dairy for dental health, it is necessary to understand tooth structure. Your teeth are made of living tissues covered by a hard outer shell. The inner dental pulp is fed by blood vessels and connects to a nerve bed in your gums. Surrounding the pulp is dentine, a calcified tissue that is less brittle than the tooth’s outermost layer, the enamel. The enamel layer is the white part of your teeth, 96% of which consists of minerals such as calcium phosphate.

How does dairy help my child’s teeth?

Milk and other dairy products are excellent sources of calcium. Your child’s body deposits this calcium into her growing bones, including the teeth. Calcium contributes to bone growth and strength, and it forms an important part of the solid enamel that surrounds each tooth’s fragile inner pulp. Milk also contains vitamin D, phosphorus, magnesium, and proteins. Magnesium promotes calcium deposits in your enamel, while phosphorus forms a small barrier against acidic foods that cause cavities. Vitamin D and protein are used by a child’s body to build bone tissue and maintain dental health.

How much dairy does a child need?

According to a study conducted by researchers at the University of Connecticut, the majority of Americans do not receive enough calcium. The U.S. Department of Agriculture recommends that children under the age of eight should receive at least two and a half cups of dairy per day. Children older than eight need three full cups — the same as adult men and women. Supplying your child with nonfat milk to drink and yogurt to eat every day is a great way to increase dairy consumption.

Growing children who do not get enough dairy in their diets risk improper tooth development and other dental health problems. Drinking sugary beverages in place of milk causes cavities and tooth decay. As a parent, it is essential to monitor your child’s dairy consumption to ensure he or she grows healthy teeth to last a lifetime.

April is National Facial Protection Month

April 7th, 2021

The Importance of Facial Protection

Americans from all walks of life should mark April as National Facial Protection Month on their calendars. The American Association of Pediatric Dentistry, Academy for Sports Dentistry, American Academy of Pediatric Dentistry, and American Association of Oral and Maxillofacial Surgeons have combined forces to sponsor this annual campaign, which aims to educate and remind us of the importance of protecting our face and teeth against impacts and injuries.

Wearing a helmet can save your life and prevent devastating physical damage in a variety of situations, from playing football to riding a bicycle. According to the American Association of Oral and Maxillofacial Surgeons, helmets reduce the risk of various head injuries by as much as 85 percent. Whether helmet laws apply in your area or not, Dr. Rugama and our team at Tooth in Boots want you to make sure you and your loved ones wear helmets with the appropriate safety ratings for specific activities. (A sticker on or inside the helmet will usually indicate this rating.) Helmets can also help save your teeth if they come with an attached faceguard, an essential addition for football players and others involved in contact sports.

Preventing Dental Injuries

A mouthguard can protect you against a variety of dental injuries, such as cracked, broken, or knocked-out teeth. The American Dental Association states that mouthguards play an essential role in preventing up to 200,000 dental injuries each year, and many states mandate their use for sports activities such as football and hockey. The Academy for Sports Dentistry warns, however, that these mouthguards must be custom-fitted as precisely as possible to prove effective. Have a professional-quality mouthguard molded and fitted by our team at Tooth in Boots for better protection than a generic store-bought or “boil-and-bite” variety can offer. These cheaper versions tend to wear out quickly, interfere with proper breathing, and provide uneven degrees of cushion against impacts. Always have a fresh mouthguard fitted for each new sports season.

Choose the right combination of helmet, faceguard, and mouthguard to protect your teeth and face this April, and tell your friends to do the same! To learn more about mouthguards, or to schedule an appointment with Dr. Rugama, please give us a call at our convenient Richmond office!

Mamelons

March 31st, 2021

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. Rugama 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. Rugama at your next visit to our Richmond 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.

Five Nutrition Tips for Healthy Kids' Smiles

March 24th, 2021

If your child could have it his way, chances are he would eat Lucky Charms for breakfast, a peanut butter and fluff sandwich for lunch, and chicken fingers slathered in ketchup for dinner.

Kids will be kids, and maintaining a healthy diet is often the farthest thing from their minds. Do you remember the old saying “an apple a day keeps the doctor away”? Well, that folksy wisdom can be applied to oral health, too. Think of it like this: an apple a day keeps the dentist at bay. Here are five nutrition tips Dr. Rugama and our team at Tooth in Boots wanted to pass along that will give your child a healthy, bright smile.

  1. Eat a well-balanced diet of fruits and vegetables. We weren't joking about the apple. An apple naturally scrubs and cleans your teeth. The nutrients and antioxidants in vegetables are good for the entire body.
  2. According to the Centers for Disease Control and Prevention, calcium is a mineral needed by the body for healthy bones and teeth, and proper function of the heart, muscles, and nerves. Dairy products like milk, cheese, and yogurt are good sources of calcium. Dark leafy vegetables and calcium-fortified foods like orange juice and tofu are also healthy options.
  3. Keep snacking to a minimum. Sticky and gummy snacks can increase a child’s risk of tooth decay. Unless a child brushes after every snack (and what child does?), sticky snacks can easily get lodged between the teeth.
  4. Limit soda intake. Drinking large amounts of soda has been linked to childhood obesity. Soda is loaded with sugars and acids, and these ingredients also damage the teeth. Soft drinks have long been one of the most prominent sources of tooth decay. Have your child drink water throughout the day or juice that’s low in sugar concentrate.
  5. Chew sugarless gum. After all those fruits and vegetables, sooner or later your child is going to want a treat. Chewing gum stimulates saliva, which in turn helps keep teeth clean and bacteria-free. Sugarless gum contains xylitol. The combination of excess saliva and xylitol reduces plaque, fights cavities, and prevents the growth of oral bacteria.

For more information on keeping your child’s smile looking its very best, or to schedule an appointment with Dr. Rugama, please give us a call at our convenient Richmond office!

St. Patrick's Day: Celtic pride, green shamrocks, and lucky charms!

March 17th, 2021

“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 Tooth in Boots 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. Rugama !

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!

Can children be at risk for developing periodontal disease?

March 10th, 2021

Dr. Rugama 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 Richmond office. We look forward to working with you and giving your child a smile to last a lifetime!

Good Nutrition Leads to Healthy Mouths

March 3rd, 2021

At Tooth in Boots, 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. Rugama about it. See you soon!

Providing the Right Dental Care for your Children

February 24th, 2021

You already know that Tooth in Boots recommends you come in for a checkup and cleaning at least every six months, but do you know what your child’s dental needs are? From the time children are babies and growing in their first teeth, their oral health care needs may be different from adults. It’s important to know what they need, and when, to help them grow strong, healthy teeth.

When to See Our Team at Tooth in Boots

While dental care (at home) can begin as soon as your baby starts to show signs of that first tooth, most experts do not recommend you see a dentist until your child is at least one year old. The child will likely be too young at this point to have a full dental exam, but we can take a look at your baby’s teeth and give you tips for brushing and flossing properly.

By the time your child has all of his or her baby teeth—usually around 24 to 30 months of age—we can begin scheduling regular checkups and cleanings.

What to Expect on the First Visits

The first visit to our Richmond office for a full exam will mostly involve getting to know Dr. Rugama and staff members, and making your child feel comfortable. Let us know if you would like to sit in the exam room during the appointment, but keep in mind that it may be beneficial to leave your child alone with Dr. Rugama for a portion of the appointment so we can start building trust with your child.

Our team at Tooth in Boots will likely do some or all of the following during your child's visit:

  • Look for signs of decay or other tooth or gum problems
  • Examine your child’s bite, checking for misalignment that could lead to problems in the future
  • Clean the teeth, and apply fluoride if your child is old enough
  • Talk to you about proper oral health care for your children
  • Answer any questions you may have about caring for your child’s teeth, which may include topics like fluoride needs, nutrition and diet, teething, and the frequency of future checkups

In most cases, we will recommend that you bring your child in every six months for regular checkups, the same as your recommended frequency.

Understanding your child’s unique dental needs is important for providing the best possible care when it becomes necessary. We look forward to building a good relationship with your child so coming to the dentist is a fun, rewarding experience and not a frightening one.

Does Your Child Need Endodontic Treatment?

February 17th, 2021

Baby teeth come with a built-in expiration date. That charming first smile is meant to make way for a healthy, beautiful adult smile. Unfortunately, before they are ready to make way for permanent teeth, primary teeth can be affected by decay, trauma, or infection—problems which can lead to damage to the pulp within the tooth. If your dentist tells you that your child’s tooth needs specialized endodontic treatment, is treatment really that much better for your child than losing a baby tooth prematurely?

Quite often, the answer is yes!

Baby teeth do much more than serve as temporary stand-ins for adult teeth. They are essential for:

  • Biting and chewing—a full set of baby teeth helps your child develop proper chewing, which leads to healthy digestion. And chewing also helps build face and jaw muscles.
  • Speech development—primary teeth help guide speech production and pronunciation.
  • Spacing—a baby tooth serves as a place holder for the adult tooth waiting to arrive. If a primary tooth is lost too early, the remaining baby teeth may drift from their proper location. This, in turn, can cause overcrowding or misalignment of the permanent teeth when they do erupt.

Baby teeth, like adult teeth, contain living pulp tissue. The pulp chamber inside the crown (the visible part of the tooth) and the root canals (inside each root) hold nerves, blood vessels, and connective tissue. When the pulp is damaged by trauma or infected, a baby tooth can still be saved with endodontic treatment. Endodontic treatment in baby teeth can take two forms.

  • “Vital” pulp is pulp that can be saved. Vital pulp therapy uses procedures to deal with damaged pulp inside the crown, or visible part, of the tooth. Pulp therapy can be used on teeth when only the top of the pulp has been affected by decay, limited exposure, infection, or trauma, but the root pulp remains healthy. Specific treatment will depend on the nature of the pulp injury, and a crown will usually be placed over the tooth after treatment to protect it.
  • With non-vital pulp, your dentist will probably recommend a traditional root canal procedure. All of the pulp tissue will be removed from inside the crown and the roots, and the pulp chamber and root canals will then be cleaned, disinfected, shaped, and filled. Finally, because the treated tooth will be more fragile, a crown will be used to protect the tooth from further damage.

There can be good reasons for extracting a seriously damaged baby tooth, and there are situations where preserving the tooth is the best and healthiest option for your child. Discuss your options with Dr. Rugama when you visit our Richmond office for the safest, most effective way to treat your child’s compromised tooth.

The Transformation of Valentine's Day

February 10th, 2021

Did you know the actions leading to the beginnings of Valentine's Day were actually centered on the avoidance of war? A Catholic priest named Valentine defied the orders of the Emperor Claudius II and secretly married young men and their brides after the emperor had declared it illegal because only single, young men could be sent to war. Rather than lose potential soldiers to fight his war, Claudius attempted to hoard them by proclaiming marriage illegal.

Valentine continued to marry young couples anyway and, eventually, was put to death for it in 270 AD. Before his death, he sent a letter to a secret love and signed it “From your Valentine”. Nearly 1,800 years later, people are still signing letters and cards in this manner. This year, carry on the tradition started long ago, while adding your own twist. Here are a few suggestions.

Simple and Creative Valentine's Day Ideas

  • Memorialize it with a Photo. Couples often have photos taken around Christmas, but Valentine's Day photos allow you to capitalize on romance. Famous couple Julia Child and her husband, Paul, had their picture taken together every Valentine's Day and included their sense of humor with silly props.
  • Return to Your First Date Location. Even if your first date together was at a local hotdog stand, its sentimental value can make it a fun part of your Valentine's Day agenda. Be creative and make a treasure hunt with clues that lead your partner to the original date location, where you can express your love with flowers or a gift.
  • “From Your Valentine” Messages. Deliver your message in a creative way to make this Valentine's Day stand out from the others. Bake your partner's favorite treat and write a message on it with a tube of icing, or draw a note on the steamed up mirror so it shows up when your partner takes a shower.

Although Valentine's Day is a day to celebrate love, it doesn't have to be a special day only for couples. If you're single, use this special day to shower yourself with love, because you're worth it! After all, the priest Valentine believed so strongly in the sanctity of love that he was willing to risk his life for it. Whether you're in a relationship or single, young or old, romantic or not, Valentine's Day is for you. Happy Valentine’s Day from the dental office of Dr. Rugama.

The Importance of Oral Health Care for your Child

February 3rd, 2021

February is National Children’s Dental Health Month, so it’s a great time for our team at Tooth in Boots 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. Rugama 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 Richmond 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.

What’s an intraoral camera?

January 27th, 2021

One of the greatest features our team at Tooth in Boots offers is the ability to see first-hand how we can help our patients. While X-rays help us detect any problems in your mouth and give us valuable information on what is bothering you, they often don’t give Dr. Rugama a complete view of everything that is going on inside your mouth. With the use of an intraoral camera, we can see every aspect of your teeth and mouth with incredible detail, uncovering cracked or fractured teeth, excessive wear, carious lesions, cavities, or other issues that may be hidden. When we can discover oral problems early on, your treatment is much less invasive and often saves you money down the road.

An intraoral camera allows Dr. Rugama to view clear, precise images of your mouth, teeth, and gums and allows us to make an accurate diagnosis.  With clear, defined, enlarged images, Dr. Rugama and our team see details that standard mirror examinations may miss. It’s much easier to understand what is happening in your mouth if you can see the problem on a computer monitor, and it means faster diagnosis and less chair-time for our patients!

Intraoral cameras are small, about the size of a dental mirror, and emit a light onto the tooth. The tooth will emit a color that lets Dr. Rugama determine if the tooth is healthy or diseased. Intraoral cameras also allow us to save your images on our office computer to provide a permanent record of treatments. These treatments can be printed for you, other specialists, and your lab or insurance companies.

For any questions about the intraoral camera, we encourage you to ask Dr. Rugama or our team during your or your child’s next visit or by giving us a call at our convenient Richmond office.

Dental X-rays and Your Child

January 13th, 2021

We’re parents, so we worry. It comes with the job description! That’s why we make sure our children use toothbrushes with soft bristles and apply just the right amount of fluoride toothpaste. That’s why we make regular appointments with their dentists for preventive care and examinations. And that’s why we want to know all about the X-rays that are used in our children’s dental exams.

First of all, it’s reassuring to know that the amount of radiation we are exposed to from a single dental X-ray is very small. A set of bitewing X-rays, for example, exposes us to an amount of radiation that is approximately the same as the amount of radiation we receive from our natural surroundings in a single day.

Even so, dentists are especially careful when children need X-rays, because their bodies are still growing and their cells are developing more rapidly than adults. And children often have different dental needs than adults, which can require different types of imaging.

In addition to the usual X-rays that are taken to discover cavities, fractures, or other problems, young patients might need X-rays:

  • To confirm that their teeth and jaws are developing properly
  • To make sure, as permanent teeth come in, that baby teeth aren’t interfering with the arrival and position of adult teeth, and that there’s enough space in the jaw to accommodate them
  • To plan orthodontic treatment
  • To check the progress and placement of wisdom teeth

So, how do dentists make sure your child’s radiation exposure during X-ray procedures is as minimal as possible?

Radiologists, the physicians who specialize in imaging procedures and diagnoses, recommend that all dentists and doctors follow the safety principal known as ALARA: “As Low As Reasonably Achievable.” This means using the lowest X-ray exposure necessary to achieve precise diagnostic results for all dental and medical patients.

Moreover, radiologists are devoted to raising awareness about the latest advances in imaging safety not only for dental and medical practitioners, but for the public, as well. With children in mind, pediatric radiologists from a number of professional associations have joined together to create the Image Gently Alliance, offering specific guidelines for the specific needs of young patients.

And because we are always concerned about the safety of our patients, dental associations around the world, including the American Academy of Pediatric Dentistry, the American Dental Association, the American Dental Hygienists’ Association, the Canadian Academy of Pediatric Dentistry, and the Canadian Dental Hygienists Association, are Image Gently Alliance members.

The guidelines recommended for X-rays and other imaging for young people have been designed to make sure all children have the safest experience possible whenever they visit the dentist or the doctor. As dental professionals, Dr. Rugama and our team ensure that imaging is safe and effective in a number of ways:

  • We take X-rays only when they are necessary.
  • We provide protective gear, such as apron shields and thyroid collars, whenever needed.
  • We make use of modern X-ray equipment, for both traditional X-rays and digital X-rays, which exposes patients to a lower amount of radiation than ever before.
  • We set exposure times based on each child’s size and age, using the fastest film or digital image receptors.

We know your child’s health and safety are always on your mind, so you’re proactive about dental care. And your child’s health and safety are always on our minds, too, so we’re proactive when it comes to all of our dental procedures available at our Richmond office.

Please free to talk with Dr. Rugama about X-rays and any other imaging we recommend for your child. We want to put your mind at ease, knowing that X-rays will be taken only when necessary, will be geared to your child’s age and weight, and will be used with protective equipment in place. Because ensuring your child’s dental health and safety? That comes with our job description!

What's on your child's reading list?

January 6th, 2021

What better way for children to spend their time than cuddled up by the fireplace or out in the yard with a book in hand? Dr. Rugama and our team encourage you to inspire your child’s mind with a few great books. Sure it may be easy to put off reading when balancing a busy schedule, but reading is vital to kids’ brain development. Plus, reading is always fun!

This week, we thought we’d ask: What are you or your child reading? Do you have any suggestions for must-read books? Out of ideas for great reads? Ask us during your next visit, and Dr. Rugama and our team would be happy to provide a few suggestions. You may also ask a local librarian here in Richmond for some ideas.

Happy reading! Be sure to share your book picks or your all-time favorites with us below or on our Facebook page!

New Year's Eve

December 30th, 2020

Watching the clock tick down the final seconds until midnight, many of us- Tooth in Boots 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 Richmond, 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!

When to Begin Dental Care for Your Child

December 16th, 2020

Children’s oral health differs from that of adults in a variety of ways. Dr. Rugama and our team want you to understand how you can provide the best care for your son or daughter’s teeth. It’s essential to understand what your child will need from you when it comes to his or her oral health in those first few years.

In-home dental care begins when your baby starts to show signs of developing the first tooth. We recommend that you bring your child to our Richmond office between the ages of one and two. Dr. Rugama will take a look at your child’s tooth development and gums during this first scheduled appointment.

The initial appointment with your little one is designed to get him or her accustomed to our office. We recommend allowing your child to be in the exam room alone with us during the first visit in order to become comfortable with our staff at an early age.

We will go over several general matters during your child’s first visit:

  • Look for signs of decay or other tooth or gum problems
  • Make sure your youngster doesn’t have gum disease or cavities
  • Examine your child’s bite, and check for misalignment that could lead to problems in the future
  • Clean the teeth, and apply fluoride if your son or daughter is old enough
  • Talk to you about proper oral health care for your
  • Give you some tips for brushing and flossing your child’s teeth
  • Answer any questions you may have about caring for your little one’s teeth

Once your child is old enough for his or her first visit to the dentist, you should begin to schedule regular cleanings every six months. If any problems arise before a scheduled appointment, call our Richmond location and we will be happy to answer any questions you may have.

Remember, creating healthy oral health habits with your child early on is crucial. We’re here to guide you through this process and make sure your child is healthy and happy.  

Can baby teeth get cavities?

December 9th, 2020

Our team at Tooth in Boots knows that every parent loves to hear his or her child say, "no cavities!" when leaving our office. Let's talk about why primary (baby) teeth get cavities, what you can do to help prevent them, and what Dr. Rugama can do if your child gets a cavity. It's a team effort!

Prevention is Key

A well-balanced diet high in protein, vitamins, and minerals (especially calcium and phosphorous) is an important part of cavity prevention. The American Academy of Pediatric Dentistry (AAPD) states that children should eat healthy snacks like cheese, vegetables, and yogurt, and drink milk. Limit hard candy and carbonated beverages, which have acid and can cause tooth decay. Also, do not put children to bed with a bottle of milk, formula, or juice because sugary fluids pool around the teeth and gums, which promotes decay.

In addition to limiting sweets and scheduling regular visits at our Richmond office, make sure your child flosses once a day and brushes his or her teeth twice a day with a pea-sized amount of fluoride toothpaste. A good rule of thumb is if children can tie their shoelace, then they should be able to brush their teeth without help. The American Dental Association (ADA) recommends the following basic brushing techniques:

  • Place the toothbrush at a 45-degree angle to the gums.
  • Move the brush back and forth gently in short strokes
  • Brush the outer surfaces, inside surfaces and chewing surfaces of all teeth.
  • To clean the inside surface of the front teeth, tilt the brush vertically and make several up-and-down strokes.
  • Brush your tongue to remove bacteria and keep your breath fresh.

These tips will greatly increase cavity prevention; however, if your child gets a cavity, it will not heal on its own and must be fixed. Dr. Rugama will remove the decayed part of the tooth and fill the hole where the decay was. You may wonder why it's important to fill baby teeth if they're going to fall out eventually. Baby teeth hold space for permanent teeth to grow in. If one is lost, teeth may shift and prevent a permanent tooth from growing in. In addition, a decayed tooth can become abscessed and cause pain. No fun!

Let’s work together to help your child develop good oral health habits that last a lifetime. Please contact our office if you have any questions about your child's diet or cavity prevention.

Thanksgiving

November 25th, 2020

At Tooth in Boots, we love to celebrate the holidays with vigor! Dr. Rugama would love to share some unique ways of celebrating Thanksgiving from beyond the Richmond 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.

My son is turning one. When should I bring him in for a visit?

November 18th, 2020

Dr. Rugama and our team know that cavities know no age boundaries, and that is why we recommend a visit to our Richmond office by a child’s first birthday. That also happens to be the opinion of our friends at the American Academy of Pediatrics, as well as the American Dental Association.

Research has shown that more than one in four kids has had at least one cavity by the time they’re four years old. In fact, many children get cavities as early as age two, which is a critical reason why you should pay us a visit sooner rather than later. Your child’s appointment at Tooth in Boots also covers topics such as the importance of baby teeth, nutrition, development, and any concerns you may have with your child’s dental health. We believe that your child’s first visit with Dr. Rugama should be an enjoyable and positive one, and we strive to teach good oral care that will enable your child to have a beautiful smile that lasts a lifetime.

To learn more about baby teeth, or to schedule your child’s next visit with Dr. Rugama, please give us a call today! We look forward to seeing you!

Let’s Talk About Fluoride

November 11th, 2020

So much of parenting is a balancing act. Making sure your child has enough play time and enough nap time. Crafting meals that are both healthy and appealing. Making sure every dental product you use is both effective and safe.

While Dr. Rugama and our team can’t recommend the perfect bedtime story, or tell you why your child just won’t go for that delicious steamed broccoli, we are more than happy to discuss the very best ways to promote healthy, strong teeth. Should fluoride toothpaste be part of your child’s dental routine? For many good reasons, the answer is yes.

Why Fluoride is Important

Our enamel is the strongest substance in our bodies, with the highest concentration of minerals, but it is not indestructible. The bacteria that live in our mouths create acids which attack our enamel. Weakened enamel leads to cavities. Fluoride is a mineral that makes the enamel surface more resistant to these acids, and can actually help our enamel repair itself in a process called “remineralization.” Fluoride helps prevent cavities and makes teeth stronger, and those are benefits that will last your child a lifetime.

Can There Be Too Much of a Good Thing?

Fluorosis is a condition that can sometimes develop when a child has been exposed to too much fluoride while the adult teeth are developing below the gum line. (Around the age of eight, children’s teeth have finished forming and are not at risk.) Fluorosis is not a disease, and doesn’t harm teeth, but can lead to faint streaks in the enamel. While this streaking is usually white and subtle, it can sometimes be darker and more noticeable. Teeth discolored by fluorosis can be treated cosmetically, but prevention is always the best option.

Finding the Perfect Balance

Talk to us about using fluoride toothpaste when your baby’s first teeth start arriving. If a very young child is at risk for tooth decay, we might recommend early use of fluoride toothpaste. And for these small children, younger than the age of three, a small smear of paste (about the size of a grain of rice) is sufficient if needed. Swallowing fluoride products increases the risk of fluorosis, so make sure to use a very small amount of paste.

Because young children can’t understand the concept of rinsing and spitting, you always want to make sure the amount of toothpaste you use is age-appropriate even as they get older.  From ages three to six, a pea-sized dab of toothpaste is enough. Children should not use fluoride rinses or supplements unless recommended, and should be monitored to make sure they spit out fluoride toothpaste or rinses after brushing.

Most drinking water already has natural levels of fluoride, which normally aren’t a problem. If you are concerned about high fluoride levels in your local water, talk to us. If your water has higher levels of fluoride than normal, you can minimize consumption when your baby is young by breastfeeding, using non-fluoridated water for mixing with formula powder or concentrate, or buying prepared formula. If your child is a toddler, don’t add fluoride rinses or supplements unless they are recommended by a dental or medical professional.

Talk to us during your visit to our Richmond office about protecting your child’s teeth. We are happy to help you find just the right amount of fluoride to keep young smiles stronger and more resistant to tooth decay. Healthy teeth in a beautiful smile—that’s a perfect balance!

They're just baby teeth, right?

November 4th, 2020

“But they are only baby teeth; won’t they just fall out?” Our team at Tooth in Boots has had these questions asked many times from parents over the years. Primary teeth, or “baby teeth,” will indeed come out eventually, to be replaced by permanent teeth as the child grows and develops. These teeth serve a great purpose as the child continues to develop and require specific care.

Because baby teeth are temporary, some parents are unenthusiastic about fixing cavities in them. This may be due to the cost or having to force a child undergo the process—especially having to receive an injection. But if a cavity is diagnosed early enough, an injection can often be avoided. More important, failure to fill cavities in primary teeth when they are small and manageable can have lasting consequences in cost and health concerns. Serious illnesses in children have been diagnosed which began as a cavity.

Primary teeth act as a guide for permanent teeth. When decay reaches the nerve and blood supply of a tooth, this can cause an abscess. Severe pain and swelling may result. At that point, the only treatment options are either to remove the tooth or to perform a procedure similar to a baby root canal. When a primary tooth is lost prematurely—to decay or a painful abscess—the adjacent teeth will often shift and block the eruption of a permanent tooth. Braces or spacers become necessary to avoid crowding or impaction of the permanent tooth.

There is nothing more heartbreaking for Dr. Rugama than to have to treat a child experiencing pain and fear. To all the parents of my little patients our team strongly recommend filling a small cavity and not waiting until it becomes a larger problem such as those described above.

Prevention is the key to a healthy mouth for our smallest patients. Parents should allow the child to brush his or her teeth using a pea-sized amount of fluoride toothpaste and then take a turn to ensure the plaque gets removed from all surfaces: cheek side, tongue side, and chewing edges of all the teeth.

Good Dental Hygiene Impacts Overall General Health

October 21st, 2020

There are many ways in which your oral health has an impact on your overall general health. There are naturally occurring bacteria in the mouth. Some of those bacteria, including strep and staph, are harmful, while other bacteria are essential for the balance of intestinal flora. The healthier your mouth is, the less likely it is the harmful bacteria will travel to other parts of your body to infect it and make you sick. There is much more to good dental hygiene than brushing and flossing.

Historical Methods of Maintaining Oral Health

Ancient civilizations relied on natural remedies for maintaining oral health. Around 250 AD, the Kemetic Egyptians used myrrh and other herbs as antiseptics for treating infected gums. Two centuries later, the Nubians, who lived in the Nile River valley, drank beer to ease the pain of infected teeth. That probably sounds crazy, but their beer was effective because they used grains that were contaminated with the same bacteria that produce the antibiotic tetracycline.

Today's Biggest Dental Hygiene Challenge

In the past, tooth decay was more of an issue because there was no routine dental care, and problems that are routinely treated today went untreated. Thanks to fluoridated water, and toothpastes containing fluoride, tooth decay is far less problematic than it was a century or more ago. Gum disease has replaced tooth decay as the most serious dental problem facing people today. According to the American Dental Association, a staggering 80 percent of Americans over age 65 suffer from some form of periodontal disease.

Ironically, if that infection attacked any other part of your body, especially in a place where it was clearly visible, you would head to your doctor for treatment immediately. People tend to ignore gum tenderness and bleeding. When the tenderness and bleeding aren't treated, the inflammation can turn into periodontitis. The longer you allow the inflammation to go untreated, the greater the likelihood that it will affect other body parts. Make sure to visit Dr. Rugama at Tooth in Boots regularly to be proactive about dental health!

Researchers are now discovering that untreated inflammation in the mouth acts as a driving force for multiple chronic illnesses, including clogged arteries, heart attacks, arthritis, and even cancer. That inflammation is one of many hypotheses that may explain how chronic infections can trigger systemic diseases, and even intensify existing ones. Bacterial overgrowth in the inflamed gum tissue can enter the bloodstream through the food you eat, and from daily brushing.

Caring for your mouth at home is just as important as visiting our office for exams!

Avoid Brushing After Every Single Meal!

October 14th, 2020

Here is some surprising yet worthwhile advice you might be hearing for the first time: Brushing can be incredibly bad for your child’s teeth if done right after eating certain foods.

Enamel is an extremely hard mineral on the exterior of each tooth. It’s actually the hardest substance in the human body: It’s even stronger than bones! Its only weakness is that acids in the food we eat can easily destroy enamel.

Healthy teeth thrive in an environment that has the proper pH balance. That ensures the mouth doesn’t start the process of demineralization—the process when alkaline turns into acid, which attacks and softens the enamel on the surface of your child’s teeth. Pores and fissures form, and that’s when the harmful bacteria go to work.

A mouth’s pH level fluctuates depending on what is eaten throughout the day. Examples of the most common highly acidic foods include citrus fruits, soda, and sugary foods. Highly acidic foods tip the balance of pH in the mouth from a healthy alkaline to a dangerous acid.

Can brushing your child’s teeth immediately after a meal lead to even more damage? The answer is yes!

Eating highly acidic foods causes your child’s teeth to be more susceptible. If your child brushes when the teeth have been weakened by acids, even more destruction can happen to the enamel. Your child’s toothbrush bristles will actually wear away some of the enamel. So it’s healthier for your child to wait at least an hour after eating or snacking to brush.

Good preventive measures to take instead of brushing after your child eats include:

  • Rinsing or drinking water
  • Chewing sugarless gum
  • Consuming dairy or non-acidic foods to conclude a meal

These practices help produce saliva, which in turn restores a healthy pH level in your child’s mouth and coats the teeth with minerals they need.

Once your child’s mouth is restored to a healthy pH level, he or she may brush normally. Keep in mind that acidic foods can weaken the enamel on the teeth and take the right measures to prevent spiking pH levels.

Still have questions? Call our Richmond office and schedule an appointment for your child with Dr. Rugama.

The History and Mythology of the Tooth Fairy

September 30th, 2020

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. Rugama 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 18th 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.

Dental Emergencies while Traveling

September 23rd, 2020

You’ve planned your dream vacation. Your reservations are made. You’re packed and ready. You’ve even scheduled a dental checkup at our Richmond office to make sure you catch any potential problems, have finished any major work, and have an up-to-date chart.

But things don’t always go according to even the best of plans. So, what to do if you find you have a dental emergency while traveling? Dr. Rugama and our team have some recommendations for problems that might arise.

  • Toothache—Rinse your mouth with warm water and use dental floss to remove any food particles. Never put aspirin directly on a tooth or gum tissue. If the pain persists, call a dentist.
  • Cracked or broken tooth—Immediately rinse with warm water to clean the area and apply cold compresses to the face to minimize swelling. Get in touch with a dentist.
  • If you lose a tooth—Keep the tooth moist at all times. Put the tooth back in the socket without touching the root if possible. If that is not an option, place the tooth between the cheek and gums or in milk. See a dentist as soon as possible.

Know where to get help if you need it! If you are traveling in the United States, the American Dental Association offers Find-a-Dentist, a website that can locate a member dentist closest to you. If you are traveling to another country, there are steps you can take to prepare for an emergency.

  • If you are out of the country and need to locate a dentist, your local embassy or consulate, your hotel concierge, or friends abroad can be a useful resource.
  • Before you go, check your insurance to see if you are covered while traveling.
  • If you have travel insurance, find out if it covers dental treatment and can provide information on qualified local dentists and translation help, if necessary.
  • Good dental care is available in many areas internationally, but it is important to know what standards are present in the countries you plan to visit. The Organization for Safety and Asepsis Procedures offers a checklist for safe treatment in their “Traveler’s Guide to Safe Dental Care.”

If you have any questions, Dr. Rugama and our team are happy to do all we can to answer them. While it’s unlikely that problems will arise, we are always available if you need to contact our Richmond office. Bon voyage, and we look forward to hearing about your trip!

Using Sippy Cups Successfully

September 16th, 2020

Congratulations! Your child is beginning to leave her bottle behind and has started to use her first sippy cup. And the best training cup is one that makes the transition from bottle to cup an efficient, timely, and healthy one.

The Right Training Cup

While a “no spill” cup seems like the perfect choice for toddler and parent alike, those cups are designed much like baby bottles. The same valve in the no-spill top that keeps the liquid from spilling requires your child to suck rather than sip to get a drink. If your child’s cup has a top with a spout, she will learn to sip from it. Two handles and a weighted base make spills less likely.

When to Use a Training Cup

Children can be introduced to a sippy cup before they are one year old, and we suggest phasing out the bottle between the ages of 12 and 24 months. Use a sippy cup as the source for all liquids at that age, and only when your child is thirsty and at mealtime to avoid overdrinking. The transition from sippy cup to regular cup should be a swift one.

Healthy Sipping Habits

The best first option in a sippy cup between meals is water. Milk or juice should be offered at mealtimes, when saliva production increases and helps neutralize the effects of these drinks on young teeth. And don’t let your child go to sleep with anything other than water—falling asleep with a cup filled with milk, juice, or other sugary drinks means these liquids stay in the mouth overnight. Finally, while a sippy cup is convenient and portable, don’t let your young child walk and sip at the same time to avoid injuries.

When your child comes to our Richmond office for her first visit, please bring any questions you might have about training cups. We would be glad to share ways to make the move from bottle to cup both successful and safe!

Can my child really avoid tooth decay?

September 9th, 2020

Great question! Yes, in fact, tooth decay is preventable! Decay, which is caused by sugars left in your child’s mouth, can turn into an acid, which in turn can break down his or her teeth. Children are at high risk for tooth decay for a simple reason: many children and adolescents tend to be lax in their oral hygiene habits.

So, how can your child prevent tooth decay?

  • Start early. After the age of two, brush your child’s teeth with fluoride toothpaste twice a day. And, if possible, clean between the teeth with dental floss at least once a day, preferably before they go to bed.
  • Don’t allow your little ones to eat after cleaning teeth at bedtime, as salivary flow decreases while they sleep and their teeth become vulnerable to cavities.
  • Do not allow your little ones to nibble food or sip drinks continuously, and keep in mind that a low-sugar diet also helps keep tooth decay at bay. Allow time between meals for saliva to neutralize acids and repair the teeth.
  • Drinking water frequently throughout the day can also reduce the possibility of new cavities forming.
  • Dental sealants can also protect your children’s teeth from cavities. Sealants, which are applied to the chewing surfaces of molars, act as a shield between the tooth and harmful bacteria.

Finally, make sure your child visits Tooth in Boots approximately every six months for a checkup and routine cleaning! Please give us a call at our Richmond office.

Is there a connection between oral health and school performance?

August 26th, 2020

As a parent, you want the best for your children, and that includes doing their best in school. You can support them by taking an interest in their activities, being enthusiastic about attendance, and helping them with homework. There may also be one more way you can help your children succeed at school. Surprisingly, research suggests that children with better oral health are likely to do better in school.

What the Research Says

One study in North Carolina looked at risk factors for poor school performance among school-aged children. As expected, the study found poor school performance linked to low socioeconomic status, low levels of parental education, and poor overall health. However, it also found a strong link between poor oral health and poor school performance, with children classified as having poor oral health 40 percent more likely struggle in school.

These findings are generalizable to the rest of the country. For example, attendance is an important factor in academic achievement, but dental conditions are responsible for a loss 51 million school hours among schoolchildren each year. Dental pain and infection are linked to poorer performance.

School-Based Programs to Promote Oral Health

In light of the apparent benefits of good oral health for school performance, some schools are taking steps to promote better oral care and health. In Maine, for instance, schools in need can apply for grants through School Oral Health Program (SOHP). The SOHP consists of four components:

  1. Oral health education for all children to support healthy behaviors
  2. A weekly fluoride mouth rinse to strengthen teeth
  3. Dental screenings to identify children who may need dental care
  4. Dental sealants, or plastic coatings, on back teeth to guard against decay

The State of Maine also supports an “Annual Sugar Out Day” to raise awareness of the effects of sugar on dental health and to help students choose low-sugar alternatives.

Oral Health Habits to Adopt

You can help your child improve oral health and do better in school by encouraging good oral hygiene. This includes brushing at least twice a day with a fluoride-containing toothpaste, and reminding your child to drink water after eating. Also, regular trips to our Richmond office can help prevent serious tooth problems.

Brushing Your Toddler’s Teeth

August 19th, 2020

At Tooth in Boots, we know that brushing your toddler’s teeth can be an intimidating prospect. So we’re providing a few tips in the hope of making the process a lot more easy, effective, and all-around enjoyable for everyone!

Start by getting into a position that gives you control and enables you to see well into your child’s mouth. If you can see clearly, you will be able to maneuver the toothbrush better around your son or daughter’s mouth for a better quality of brushing.

It’s important to choose a time when your toddler is calm. Have your little one sit with his or her favorite stuffed animal, or play a fun movie in the background so your child can focus on something comforting while you’re brushing.

Using a circular motion, brush all sides of their teeth. Be sure to let your toddler have a turn after you’re done, to start getting used to it. This way, he or she is more likely to repeat the brushing and flossing exercise when your youngster is old enough.

Dr. Rugama and our team agree that brushing and flossing need to be performed with kindness and care. To ensure your child learns good dental hygiene habits early on, be gentle and make this time a happy, learning time.

Your child should also have regular appointments at our Richmond office for checkups and cleanings to keep on track!

Oral Health Concerns for Infants

August 12th, 2020

Because babies’ teeth don’t appear until around six to eight months of age, it’s a natural misconception that they don’t need dental care. But the steps you take as the parent of an infant can help your baby maintain good oral health and develop healthy dental habits in the future.

It’s easy to take care of a baby’s teeth and gums, especially when oral hygiene for your infant becomes part of the normal daily routine. Learn more about how you can promote good dental health for your baby with these tips and considerations.

Taking Care of Baby’s Oral Hygiene

  • Dental Hygiene for Birth to Six Months. Cleaning your infant’s gums is as important as cleaning teeth will be later. Hold your baby in your arms, and with a clean, moistened washcloth wrapped around your index finger, gently massage his or her gums.
  • Dental Hygiene for Six to 12 Months. After teeth begin to appear, it’s time to switch to a soft, children’s toothbrush for teeth cleaning. New research has shown that fluoride toothpaste is safe and recommended for use once your baby’s first tooth arrives. Gently brush your baby’s teeth after each feeding, in the morning, and before bedtime, just as you did before teeth appeared.
  • Good Bedtime Habits. One of the most important things you can do to protect your infant from tooth decay is to avoid the habit of putting baby to bed with a bottle. Use other soothing bedtime activities, such as rocking and lullabies, to help your baby drift off to sleep.
  • A Note about Dental Decay. Many people are unaware that dental decay is transmissible. Avoid placing your baby’s bottle, sippy cup, or pacifier in your own mouth to test the temperature. Likewise, don’t share utensils with your baby.

Partner With Your Dentist

Your baby should receive his or her first dental health checkup by the age of six months. Even though your infant may not have teeth yet, Dr. Rugama can assess the risk your baby might face for oral diseases that affect hard or soft tissues. Dr. Rugama can also provide you with instructions for infant oral hygiene, and explain what steps to add as your baby grows and develops.

Tooth in Boots is your partner for good oral health, and we’re here to make caring for your baby’s dental hygiene and health easier and more enjoyable for you.

Can a Night Guard Mean Sweet Dreams for Your Child?

August 5th, 2020

Sometimes the reason for a poor night’s sleep is obvious. Maybe your child watched a scary movie. Or loaded up on sugar before bed. Or can’t get to sleep after a night of computer screens or video games. Not much we can do about these problems.

Sometimes, though, the cause of your child’s sleep difficulties is dental in origin, and that is something Dr. Rugama can help with.

Teeth grinding, or bruxism, is a very common childhood dental problem. While children with this condition sleep, their jaws clench and their teeth grind against each other throughout the night. When to suspect children might suffer from bruxism? When they experience:

  • Frequent headaches or facial pain
  • Waking with a sore jaw, or popping or clicking jaw sounds through the day
  • Teeth which are chipped, cracked, flattened, worn down, or sensitive
  • Waking up tired, because grinding affects the quality of sleep
  • Siblings who complain about nocturnal grinding noises, which affect the quality of their

Pain and fatigue are unpleasant enough, but there are additional serious consequences for those who suffer from bruxism. Our jaws are extremely powerful, and clenching and grinding can put hundreds of pounds on pressure on teeth and jaws over a few hours of sleep.

These forces can lead to damaged teeth and dental work, and problems with the temporomandibular joint, or TMJ, the complex hinge that allows our jaws to move up and down, back and forth, and side to side.

Clearly, prevention is clearly a much better option for a healthy smile. And one of the simplest and most effective treatments for preventing the damage caused by bruxism is a night guard.

Night guards fit over the affected teeth to prevent them from touching directly, saving tooth and enamel from injury and wear. Not only do night guards prevent contact, they spread the biting forces of the jaw over the surface of the guard to greatly reduce their impact. And because they also stop the jaw muscles from clenching tightly, there’s no excess stress placed on the temporomandibular joint.

For all these reasons, a night guard is pretty much a slam dunk for adults who grind their teeth. But for children, it’s not necessarily an automatic decision. Why?

  • If tooth grinding is mild and appears to be limited to baby teeth, children often outgrow the condition. Your dentist can let you know if you need to do more than monitor the situation.
  • Sometimes it seems like your child’s smile changes from day to day. Between losing baby teeth and erupting adult teeth, this beautiful smile is a work in progress. A fitted night guard might not be a perfect fit while your child’s teeth are still coming in and shifting position.
  • Finally, jaw and facial pain can also be caused by problems with your child’s bite or misaligned teeth, and that might mean that an orthodontic consultation is in order.

But if you suspect your child is suffering the effects of night time grinding and clenching, give our Richmond office a call. A thorough examination will provide you with the best diagnosis and solutions for helping your child retain a healthy smile and regain a healthy night’s sleep.

And if a night guard is recommended, a dental professional is the best person to see for the most effective night guard.

While over-the-counter products are available, a custom night guard is designed to fit your child’s individual teeth and mouth perfectly. Impressions or 3D scans are taken in the office, and a guard is fabricated with the precise shape, strength, and thickness needed to protect young teeth. And, as a bonus, custom night guards offer the most comfortable fit for the most comfortable night’s sleep.

Scary movies, a late night sugar rush, mesmerizing video screens—not much we can do about those! But if your child is suffering lost sleep and painful mornings because of tooth grinding, give us a call. A night guard just might be the key to sweet dreams.

Thumb Sucking, Pacifiers, and Your Baby's Teeth

July 29th, 2020

Sucking is a common instinct for babies and the use of a pacifier or their thumb offers a sense of safety and security, as well a way to relax.

According to the American Academy of Pediatric Dentistry, the majority of children will stop using a pacifier and stop sucking their thumb on their own between the ages of two and four years of age. Prolonged thumb sucking or use of a pacifier can have dental consequences and needs be taken care of sooner, rather than later.

Many dentists favor pacifier use over thumb sucking because it makes it easier for parents to control and even limit the use of a pacifier. If thumb sucking lingers, the same strategies used to break the baby from using the pacifier can be used for thumb sucking.

Precautions

  • Try to find "orthodontically correct" pacifiers, as they may reduce the risk of dental problems.
  • Never dip a pacifier in sugar or honey to calm the baby.
  • Give your baby a bottle of water at bedtime, never juice.

Dental Complications

Long term pacifier use can lead to an assortment of dental complications including:

  • The bottom teeth leaning inward
  • The top teeth slanting outward
  • Misalignment of the baby’s jaw

The risk of any or all of these things happening is greatly increased if thumb sucking and pacifier use is sustained after the baby’s teeth start to come in.

Breaking the Thumb Sucking and Pacifier Habit

Most toddlers and children will stop sucking their thumb or using a pacifier between the ages of two and four on their own. However, if intervention is necessary here are a few tips to help your child break the habit:

  • Slowly decreasing the use of a pacifier can be effective for many children. This method does not work very well with thumb sucking.
  • Thumb sucking can be more difficult to break. Dr. Rugama may recommend using an over the counter cream that you put on the child’s thumb; it doesn’t taste good and usually does the trick.
  • Rewards can also help with the process.
  • If these simple commonly used strategies do not work, there are oral devices that will prevent a child from sucking their thumb or a pacifier.

Talk to Dr. Rugama and our team, as we have many tricks up our sleeves that will be effective in breaking your child’s thumb sucking or pacifier use.

Make Brushing Fun!

July 22nd, 2020

It’s gratifying to know your child has good oral hygiene, especially starting from an early age. We know it can be difficult to get your son or daughter to brush those tiny teeth, let alone brush them well enough, every day. Dr. Rugama and our team are here to give you some tips on how to help your youngster learn excellent oral health habits.

Your child should brush his or her teeth at least twice a day in order to prevent cavities and decay. An grownup may have to assist with flossing or using mouthwash. Always make sure your little one doesn’t swallow toothpaste or mouthwash in the process.

Only buy alcohol-free mouthwash, especially if you have young children in your household. Oral healthcare should be made fun from the start, to create good habits!

Helpful Tips

  • Set a good example. Brush your teeth with your children and make it fun! Pick a two-minute song to play while brushing and dance along to it.
  • Make it a race to the bathroom to see who can get the toothbrush and floss out first.
  • Use a sticker sheet. For every night your children brush well, give them a sticker. After they’ve earned certain number of stickers, they win a reward. Let them pick it!
  • Let your child check your brushwork, or try letting your youngster brush your teeth!
  • Allow children to play with a toothbrush if they want to. They can brush their favorite stuffed animal’s or doll’s teeth before bed as well.
  • Let your child pick his or her own toothbrush or toothpaste from a range of options you provide. Kids might pick one with their favorite cartoon character(s) on it, for example.
  • Get a two-minute brushing timer your child can flip over when he or she starts to brush. Your son or daughter can watch the sand fall until it’s empty, which notifies the kid it’s time to stop brushing.
  • Buy special children’s mouthwash that is colored to stain the areas of the child’s mouth where he or she needs to re-brush for effectiveness.
  • Be gentle when your little one makes a mistake like forgetting to brush, and remind your son or daughter about the importance of good oral health in a fun, loving way.

There are plenty of ways to make brushing your child’s teeth more fun and effective. When Dr. Rugama and the parents work together, we can help establish good oral health habits in children that will last a lifetime.

Take the trouble to set a great example for your children, and they will follow in your footsteps. If you’re concerned about your child’s oral health, contact our Richmond office and schedule an appointment with our team.

My child is getting blood blisters; is this normal?

July 8th, 2020

Thanks for the question. The “blisters” you are referring to are actually a normal part of losing baby teeth. Sometimes when teeth start to come through, children experience some bleeding under the skin, which typically causes small blisters or bruises on your child’s gums. The blisters, bluish in color, will disappear once the tooth comes through, and the tooth itself will still come through as it should.

Even though they can look a little frightening at first, there is no treatment required to treat blisters, nor are these blisters preventable. In fact, our bodies do a great job of cleaning up the loose ends of baby tooth loss and permanent tooth emergence, and not too long after, it’s as if no blisters ever happened. It’s important to note, however, that these blisters should not be pricked or cut as doing so may cause an infection in your child’s mouth.

If you are worried about blisters or bruises in your child’s mouth, please give us a call at our convenient Richmond office to schedule an appointment with Dr. Rugama. We especially encourage you to give us a call if your child has had one of these blisters for more than a month and the tooth has yet to come through.

Fun Facts for the Fourth

July 1st, 2020

The Fourth of July is a great time to get together with friends and family members for BBQ, games, fireworks, and other celebrations in honor of our country’s independence. While your fellow revelers eat hot dogs and wave flags, you can impress them by sharing these fascinating facts and historical tidbits about some of our country’s traditions and symbols from the team at Tooth in Boots.

The Statue of Liberty

With a torch in one hand and a tablet in the other, the Statue of Liberty is one of the most iconic and recognizable symbols of our country. However, as recognizable as certain parts of the statue are, not many people know that broken shackles, which represent oppression and tyranny, are lying at Lady Liberty’s feet. According to the Statue of Liberty-Ellis Island Foundation, the copper-plated lady weighs in at a whopping 450,000 tons and has been holding her torch up for more than 125 years, which must make for some impressive arm muscles.

Nathan’s Hot Dog Eating Contest

Since 1916, people have been flocking to Coney Island on the Fourth of July to witness what some people call the “superbowl of competitive eating.” Nathan’s Hot Dog Eating contest challenges competitors to devour as many hot dogs as they can in just ten minutes, with the current record holder swallowing a whopping 68 hot dogs! If you’d like to witness this bizarre and frenzied eating competition but you won’t be anywhere near Coney Island on the fourth, don’t worry. ESPN has been broadcasting this popular event for several years, so you can watch from the comfort of your couch while you eat a reasonably portioned meal.

The History Behind Fireworks

Viewing the nighttime fireworks display is exciting way to finish off the fourth. Many people know that these brilliant displays probably originated with the Chinese. However, many historians also believe that fireworks were stumbled upon when the Chinese roasted bamboo sticks over fires and watched them explode. After many years of roasting the sticks, a group of alchemists created an early form of gunpowder, which they stuffed into the bamboo sticks to create an even more powerful explosion, paving the way for the today’s modern fireworks.

Whether you’re planning on visiting the Statue of Liberty, watching fireworks in Richmond, or even participating in a hot dog eating contest, Dr. Rugama and our team hope you have a safe and fun-filled holiday. Happy Fourth of July!

Preventing Tooth Decay in Children

June 24th, 2020

Childhood tooth decay is the most common chronic childhood disease, affecting nearly one in three children between the ages of two and five. In fact, the American Academy of Pediatric Dentistry reports that tooth decay can appear in children as young as six months old. As a parent, it is possible to spare your child from early childhood tooth decay, and potentially prevent a lifetime of oral health problems in one fell swoop.

Birth to age two

Good oral health begins before your child’s teeth ever erupt from the gums. During the first few months of life, you should be wiping your child’s gums with a damp cloth after eating. As soon as teeth appear, Dr. Rugama and our team at Tooth in Boots recommend you start brushing them with a toddler toothbrush and water, and call our Richmond office to schedule your child’s first visit. Never allow your child to go to bed with a bottle, and try to limit beverages other than water only to meal times. Children who walk around or go to sleep with bottles or sippy cups full of juice or milk are exposed to more sugars and are more likely to develop tooth decay.

Ages two to six

All of your child’s primary teeth should erupt by age three. Brush your toddler’s teeth at least twice daily with a toddler toothpaste and toothbrush. As your child gets older and learns not to swallow toothpaste, you may begin to use oral care products specially designed for preschoolers and elementary-age children. Be sure to maintain regular dental appointments and cleanings as recommended by your child’s dentist, and encourage your son or daughter to begin drinking from a regular cup. This is also the time to teach your child the importance of healthy eating habits, which includes limiting sweets and sugary desserts to mealtime.

By first grade, your child will begin to lose primary teeth. This is the time to start talking with Dr. Rugama about dental sealants, which can prevent tooth decay from forming on the chewing surfaces of the teeth. Sealants are painless, easy to apply, and undetectable to other people.

Tips

Fluoride is an important ingredient for healthy teeth. Check to make sure the water your child drinks is enriched with fluoride. Also, brush your child’s teeth with fluoridated toothpaste, and talk to our office about whether fluoride treatments could be right for your family. For more information about preventing your child’s tooth decay, or to schedule an appointment with Dr. Rugama, please give us a call at our convenient Richmond office!

What to Do When Your Child Has a Loose Tooth

June 17th, 2020

When your child loses a tooth for the first time, you both have a lot to look forward to. Sharing in the “I’m a big kid!” excitement. Tales of the Tooth Fairy or other traditions to mark the occasion. Seeing the start of a beautiful grown-up smile.

But before that baby tooth wiggles all the way out of your child’s mouth, let’s talk about how to handle a loose baby tooth.

  • Be mindful of your children’s feelings. Reassure them that this is a normal part of growing up. If they are anxious about losing a tooth, there are children’s books which can help ease their fears in a soothing and entertaining way.
  • Crunchy and healthy foods like carrot sticks and apple slices can help the tooth fall out naturally—and nutritiously!
  • Encourage careful wiggling. No need for children to yank or pull—time, and a child’s own gentle wiggling with tongue or clean hands, should do the trick. If wiggling the tooth is painful, it might not be ready to come out just yet.
  • If a tooth absolutely is ready, but just won’t come out, you can help your child without resorting to a string and a doorknob. Give our Richmond office a call for some suggestions for helping that baby tooth on its way to the Tooth Fairy in a timely—and gentle—fashion.

And if a tooth is clearly loose before its time? Should you encourage its exit?

Probably not. Baby teeth are temporary, but they’re important for your child’s development. They help with speech production, eating and chewing, and serve as placeholders so that permanent teeth can erupt in the right spot at the right time.

There are some situations when a loose baby tooth means a visit to the dentist is in order:

  • Baby teeth usually fall out over a period of years, generally from ages 6 through 12. Since children’s teeth tend to fall out in the same order they arrived, if a molar is loose before the front teeth start to wiggle, give your dentist a call.
  • If your child suffers a fall, or a sports injury, or any kind of accident that leaves a tooth or teeth loose, call your doctor or dentist right away to make sure there are no serious injuries or chance for infection.
  • Any time you feel a tooth is loose that shouldn’t be, make an appointment with your child’s dentist.

Finally, we’ve been talking about loose baby teeth, but loose permanent teeth are another matter entirely.

If you child has a loose permanent tooth due to an injury, or a bad bite, or night-time bruxism (tooth-grinding), or for any other reason, it’s important to call for an appointment immediately. Dr. Rugama will be able to pinpoint the cause of the problem and can offer some solutions. In the meantime,

  • Make sure your child eats soft foods, and tries to eat on the opposite side of the loose tooth.
  • Keep the area clean with gentle rinsing instead of brushing and flossing.
  • Tell your child not to wiggle it! If the bone or ligaments holding the tooth in place have been damaged, playing with the tooth can make it looser.

A loose baby tooth is a step in your child’s journey to a beautiful, healthy adult smile. Reassure, encourage, and help your child through this rite of passage—and don’t hesitate to call on Dr. Rugama for advice!

Five Fun Snacks for Healthy Teeth

June 10th, 2020

Snacks can taste good and give your child’s energy a boost, but they can also be bad for teeth. Sugary, sticky snacks, such as candy, cookies, and snack cakes can lead to tooth decay if eaten regularly between meals. Still, there are plenty of fun snacks for healthy teeth.

The trick when selecting snacks is to avoid too many added sugars and refined carbohydrates that stay on the teeth and give bacteria a chance to ferment and produce acid from them, which can lead to tooth decay. In addition, snacks should provide nutrients to support a healthy mouth. These are five fun snacks you can feel good about giving to your child.

1. Yogurt and cereal.

Yogurt contains calcium, which is an essential mineral for strong and healthy teeth. Select plain yogurt or yogurt flavored with real fruit, rather than flavored yogurt that is sweetened with added sugar. We recommend choosing a whole-grain cereal, which is less likely to lead to dental caries. Choose a low-sugar or unsweetened cereal to avoid accidentally making the snack as sugary as a candy bar.

2. Tuna and whole-wheat crackers.

Canned tuna contains vitamin D, which is an essential vitamin for helping your body absorb and use calcium. Whole-wheat crackers are natural sources of antioxidants for a strong immune system, and they’re lower in refined carbohydrates than white crackers.

3. Bell pepper strips and hummus.

Red, yellow, and green bell peppers are excellent sources of vitamin C, which is an antioxidant. Vitamin C is also a good choice for supporting regeneration or maintenance of healthy gum tissue. Vitamin E is another antioxidant, and it also supports a healthy immune system. A strong immune system is protective against infections, such as bacterial infections associated with gum disease.

4. Turkey and cheese roll-ups.

Turkey is carbohydrate-free, so it doesn’t leave residues of sugars on teeth for bacteria to ferment. Lean ham is another good choice. Low-fat cheddar, mozzarella, or Swiss cheese is a good source of calcium as well as protein. For a more substantial snack that’s still low in carbohydrates and sugar, add a few celery sticks.

5. Peanut butter and carrots.

Peanut butter is another source of vitamin E. Carrots provide vitamin A, which is essential for a strong immune system. You can also substitute cauliflower or broccoli florets for the carrots, and ranch dressing for the peanut butter, and still have a snack that’s fun to eat and good for your child’s teeth.

For more great snack tips, ask a member of our Richmond team at your child’s next appointment!

Welcome to Our Blog

January 31st, 2020

Thank you for taking the time to visit our blog. Please check back often for weekly updates on fun and exciting events happening at our office, important and interesting information about  the dental industry, and the latest news about our practice.

Feel free to leave a comment or question for our doctors and staff - we hope this will be a valuable resource for our patients, their families, and friends!

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