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Did you know there are five distinct stages of tooth decay? And, that in the first stage of decay, you can actually take steps to reverse the progression of the disease? Indeed, it’s true. In the first stage of decay, whether you’re a child or an adult, the application of fluoride via fluoride treatments, your toothpaste and even the local water supply can stop a cavity from penetrating through the enamel and reaching its second stage. Even the saliva in your mouth and the foods you eat help to re-mineralize a tooth in jeopardy. But that’s just the first stage! What about the rest? Understanding how a cavity progresses can assist you in preventing each successive stage from occurring in your children. There’s always a lot going on in that little mouth!

Stage One: White Spots

In stage one, the tooth begins to show signs of strain from the attack of sugars and acids, and white spots will begin to materialize just below the surface of the enamel. These white spots are representative of the demineralization of the tooth and can be easy to miss because they’re likely to occur on your child’s molars. A dental exam, of course, is designed to catch such cavities! Can you see why regular visits to the dentist are recommended? As mentioned previously, at this stage, the cavity can be repaired without the need to excavate the tooth.

Stage Two: Enamel Decay

Stage two marks the beginning of the end for the surface enamel that is being attacked. Initially, the tooth erodes from the underside outward, so the outer enamel will still be intact for the first half of this second stage. Once the cavity breaks through the surface of the enamel, there is no turning back, and your child will need to have the cavity corrected with a filling.

Stage Three: Dentin Decay

If a cavity in your child’s mouth were to progress beyond stage two without you knowing, you’d become aware of it when it started to hit stage three because it would probably start to cause some pain. At this level, the cavity begins to eat away at the second level of tooth material that lies beneath the enamel: the dentin. A filling can still be used to stop the onslaught of bacteria assaulting the tooth in order to prevent the cavity from reaching the tooth’s most critical component: the pulp.

Stage Four: Involvement of The Pulp

Once the cavity reaches the pulp, it’s going to hurt. A lot. So if you’ve unfortunately missed all the signs to this point, a screaming child or moaning teenager will certainly let you know there is a big problem. Stage four is serious, and a root canal is the only option of treatment at this stage, save for a complete extraction.

Stage Five: Abscess Formation

In the fifth and final stage of a cavity, the infection has reached the tip of the root and exited the tip of the tooth’s structure. This in turn infects the surrounding tissues and possibly the bone structure. Swelling would be commonplace and pain severe. Root canal or extraction would be the order of the day should decay reach this stage.

As you can see, cavities don’t happen overnight. In the early stages, regular visits can stall and reverse the progression of these dastardly little devils, so it really does pay to visit the dentist at pre-selected intervals. You can keep your kids far from stage five their whole lives, and if a little bit of prodding to get them to the dentist accomplishes that, you can rest easy despite the griping.

While the current percentage of Americans who smoke cigarettes is the lowest it’s been in decades, those who continue the habit remain at risk for heart and lung disease. Additionally, while we know smoking is also bad for our oral health, most don’t understand just how bad it is…

More Than Just Stained Teeth

From its seemingly mild side effects (bad breath, tooth discoloration, buildup of plaque and tartar), to the more sinister (increased risk of oral cancer, loss of bone within the jaw, gum disease and any number of resulting complications) – tobacco is indeed an oral health risk.

Tobacco can cause serious health issues by breaking down the attachment of bone and soft tissue to your teeth. Because of this breakdown, the use of tobacco makes smokers much more susceptible to infection and diseases. In fact, 90% of people who have cancer of the mouth, throat, or gums admit to using tobacco in some form. Cigarettes, cigars and pipes aren’t the only culprits; smokeless tobacco can be just as detrimental to oral health, if not worse. In fact, there are twenty-eight chemicals found in chewing tobacco alone that are proven to increase the risk of cancer in the mouth, throat, and esophagus.

Help is Just Next Door

The only way to help eliminate these risks is to never start using tobacco products, or to quit if you do. In fact, simply reducing tobacco use is proven to help lower your risks. If you feel that it is time to reduce your risk of cancer, gum disease, infection and other oral complications, your dentist or doctor can help you create a plan to help you quit using tobacco, along with prescribing certain medicines or programs to help you kick the habit.

Remember, it is never too late to quit. If you’re interested in getting help to quit, let us know the next time you’re in for an appointment.

Typically, when a parent brings a young child to the dentist, the last discussion they’re expecting to have is one centered on braces and orthodontic appliances. Yet, even at ages three and four, a talk about braces, expanders, and retainers can indeed be front and center when a child is diagnosed with a crossbite.

The question then is what to do about it, how soon should intervention take place, and what the complications are that can arise if nothing is done at all. Let’s get some answers.

What Exactly Is a Crossbite? Imagine for a moment you’re sitting in front of a nice soup bowl with a wide flat brim, and inside that bowl is hearty chowder you’d like to keep warm until you’re ready to devour it. So, you grab another bowl designed exactly like the first, and hover it upside-down over the bowl containing the soup. As you slowly lower it, you try to line up the brims so when they rest together they form a nice even seal. Unfortunately, given the soup is hot, you don’t quite get the brims to line up perfectly, and the edge of the top bowl ends up resting just slightly to the left of the lip on the bottom bowl. The way these two bowls now rest unevenly atop one another is exactly what you would see in a person with a crossbite.

A crossbite can affect several teeth, or a single tooth, and can occur on either one side of the mouth or both. Simply put, if any one tooth (or several teeth) lies nearer the tongue or cheek instead of coming together evenly, you’re likely dealing with a crossbite.

So, What To Do About It And When? The dental community is split on when to initiate treatment for a crossbite, with some suggesting treatment should begin as soon as it is noticed (sometimes as early as age three), while others suggest parents should wait until a child’s sixth year molars have arrived. Despite the difference of opinion as to when treatment should begin, dentists and orthodontist are in agreement that the condition cannot be left untreated. Doing so presents a host of complications for the child later in life including gum and tooth wear, uneven jaw development that can lead to temporomandibular joint disorder (TMJ), and facial asymmetry – something no parent or child wants.

What Does Crossbite Treatment Look Like? Crossbite treatment generally involves adjusting the spread of a child’s teeth with dental appliances so the bite pattern matches evenly on all sides. Depending on the type of crossbite a child has, this can be done with dental expanders that resemble orthodontic retainers, and include a screw that is tightened nightly to “spread” a child’s bite to the prescribed width. Additionally, dental facemasks, braces and clear aligners may be used – particularly when a single tooth is out of alignment. Crossbites are generally regarded as genetic in nature, and they’re not overly common. It is, however, a condition that needs to be treated before permanent damage to a child’s facial and oral development occurs.

So, if you find yourself at the other end of a discussion about having your little one wear a dental expander, be sure you listen and get however many opinions regarding that advice as you require. Your child, and your wallet, will thank you long into the future.

Mouth open or mouth closed?
After lunch or after dinner?
Flat or at an angle?
We brush our teeth every day (hopefully!), but who knew it was this complicated. Just grab a
brush a get to work, right?
Not so fast, my friend! There are actually some best practices to be mindful of when brushing
those pearly whites. The trick is cutting through the fat and finding out exactly what works. We live in a world of alternate facts, truthiness, and lists of “7 Ways to Keep Your Teeth Clean Without Picking Up a Toothbrush.” What’s even correct these days?!
Fear not, because we’ve got you covered with this handy FAQ (frequently asked questions)
guide. We’ll keep it simple with some easy dos and don’ts of brushing. Let’s get to it!

Proper Brushing Habits
Don’t: Keep your brush flat
Do: Use a 45-degree angle when brushing
Don’t: Use looooooooong strokes. No need to cover your whole mouth in one stroke!
Do: Use short, side-to-side strokes
Don’t: Brush with the force of a giant. This isn’t a strongman contest!
Do: Gently cover all areas. A gentle touch helps prevent wear and tear on your enamel
Don’t: Go one and done
Do: Brush at least twice a day, especially after eating or drinking something acidic (like citrus or soda)
Don’t: Be sentimental and use the same toothbrush for life
Do: Change your toothbrush every 3-4 months. A trick to remember: switch out on the first day of each season
Don’t: Be average – the average person brushes their teeth for 45 seconds
Do: Brush for a full 2 minutes. A helpful trick: say the alphabet while brushing a certain section, move to the next section after you hit Z.
Don’t: Keep your toothbrush in a closed container
Do: Allow your toothbrush to air dry
Don’t: Store your toothbrush on the sink counter where bathroom particles can get on it
Do: Store your toothbrush in the medicine cabinet
Don’t: Wield a tough-bristled brush
Do: Use a soft-bristled toothbrush, which is much better for your tooth enamel

And there we have it! Some easy practices to keep that perfect smile.
Remember: Brushing is only 4 minutes out of the day, so why not make it the best 4 minutes of the day!

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 St. Paul, MN team at your child’s next appointment!

According to the American Academy of Pediatric Dentistry, checkups at Dr. Bob Maley Family Dentistry are recommended for all children two times a year. Children should be evaluated for cavities and other emerging dental issues every six months, because these problems can lead to more serious dental problems and health issues if left untreated.

While it is always good to follow the official guideline mentioned above, it is also important to understand that each child is unique and his or her dental needs are equally unique. If your child shows signs of dental or orthodontic problems, Drs. Bob Maley and Ann Jennen might recommend more frequent visits.

One way to help your son or daughter maintain good oral health between pediatric dental visits is to monitor brushing and oral care habits, especially if the child is still very young. Children who are two to five years of age will usually still require at least some degree of monitoring during their dental care routine.

The Checkup Visit

During your child’s regular dental care checkups, Drs. Bob Maley and Ann Jennen will evaluate the current state of oral health and will be able to recognize any issues. The twice-yearly checkup visits are typically the time at which problems like cavities, irregular growth patterns of the teeth, and oral decay are discovered. Thus, making these appointments for your child, and following through with them, is extremely important.

Learning and Maintaining Good Oral Health

Drs. Bob Maley and Ann Jennen and our St. Paul, MN staff are your partners in terms of your child’s health care. Even when your child is an infant and a toddler, good brushing and other oral care habits can be taught. We will help you to educate your child about how to care for teeth in the most effective way, and you can carry those lessons home and help your child to follow them for the ultimate in oral health.

Drs. Bob Maley and Ann Jennen and our team at Dr. Bob Maley Family Dentistry frequently get questions about cavity causes and prevention. You brush twice a day and floss regularly. You rinse with mouthwash, just like the dentist recommended. In fact, you can’t remember the last time you had a cavity, but you think it was when you were a little kid. In all seriousness, you thought only kids got cavities.

The Signs and Symptoms of a Cavity

It’s believed that roughly 90% of North Americans will get at least one cavity in their lifetime. Those other ten percent, it seems, can eat as much pie, cake, and sugary cereals and sweets as they want. That’s not really true; just a stab at dental humor, and it was as bad as the pain your cavity is probably giving you.

When a cavity is in its initial stages, you will often be symptom-free and experience no discomfort at all. It’s not until the tooth decay has reached a certain level that you will begin to notice the signs and symptoms. While a toothache and sensitivity to hot and cold foods and liquids are surefire signs that you have a cavity, there are lesser-known symptoms as well. If you’re experiencing any of these warning signs, you may want to consider making an appointment with our office as soon as possible:

• Persistent bad breath or a bad taste in the mouth
• When you bite down, there is a sticky, tarry feeling
• Puss or discharge around a tooth
• A visible discoloring, usually black or brown
• Small pits or holes in the tooth

Routine dental care is important. While good oral hygiene, a healthy diet, and regular cleanings will deter the formation of cavities, they do not constitute a foolproof practice. A cavity can occur at any time, no matter what your age. Bacteria causes tooth decay, and no amount of brushing, flossing, and rinsing will eradicate all the bacteria from your mouth. If you think you may have a cavity, please contact our office immediately.

According to the American Academy of Pediatric Dentistry, your child should visit a dentist, like Drs. Bob Maley and Ann Jennen, when his or her first tooth pops through the gum, or by time they are one year old.

Children do not always want to brush their teeth. In fact, the average child has three cavities by the time they reach their third birthday. However, if you make brushing fun for them, they will look forward to it, and develop a lifelong habit of good oral hygiene.

How to Make Brushing Fun

• Let them pick out their own toothbrush, like one with their favorite cartoon character.
• Allow your child to choose their own special toothpaste, as long as it adheres to AAPD guidelines for safety.
• Brush to a fun song that is two to three minutes long. When the music stops they are done brushing.
• Brush your teeth with them. Make it a family affair!
• Toddlers may be afraid of having their teeth brushed or brushing them by themselves. Allow them watch as you brush your teeth; this will help them to see that brushing their own teeth will not hurt them.
• Reward systems are great incentives for children, just don’t overdo it. You’re trying to instill good brushing habits, not simply reward them for something they need to do.
• Try an app on your phone; you’ll be surprised how many there are and how much fun your child will have using them.
• It’s important to make sure every tooth gets brushed, so as you child brushes their teeth, count them. Then when they are finished ask them how many teeth they have. You can switch it up a little by giving each tooth a silly name or make up a short rhyme about each tooth as your child brushes.
• Use educational tools, such as the movie “The Adventures of Timmy the Tooth.”
• Read books to your child about brushing their teeth and good oral hygiene.

All you need is a little imagination to help your child learn to love brushing their teeth!

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

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

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

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.

The earliest sign of gum disease is called gingivitis (sometimes called periodontal disease), and is an inflammation of the gums. If left untreated, gingivitis can lead to gum tissue loss, loss of bone that supports the teeth, and eventually tooth loss. The good news is that gingivitis is easily treatable at Dr. Bob Maley Family Dentistry. Better yet, gingivitis is nearly 100 percent preventable.

Gingivitis is usually caused when plaque and bacteria accumulate on the gums, generally due to poor oral hygiene. A patient with gingivitis will have red and puffy gums that will likely bleed when he or she brushes or flosses.

It is almost entirely within our patients’ power to prevent gingivitis by brushing and flossing on a daily basis. In addition to good oral health habits, regular visits to see Drs. Bob Maley and Ann Jennen will also help with early detection. We can often detect minor inflammation and other signs of gingivitis before it causes any discomfort or issues.

If left untreated, gingivitis will eventually progress to periodontitis, a breakdown of the tissue and bone that support the teeth. Smokers, women who are pregnant or menopausal, people with heart disease, diabetes, epilepsy or HIV infection, and people who suffer from poor nutrition are more likely to have gum disease.

To learn more about gingivitis, or if you suspect you have gingivitis, we encourage you to give us a call at our St. Paul, MN office today!

As part of our continued efforts to provide the highest quality of care to our patients, Dr. Ann Jennen recently traveled to Key Biscayne, FL for a continuing education course on Bite Splint Fabrication the Pankey Way. Bite splints are similar to mouth guards, and are a type of mouthguard widely used to help relieve jaw pain and treat TMJ disorder.

The Pankey Institute prides itself in providing visionary dental education that addresses the technical, philosophical, behavioral, and financial habits necessary to build a successful practice. It delivers education in a supportive community of learners, and inspires dental professionals to narrow the gap between what is known and what is practiced.

In this particular course, Dr. Jennen enjoyed hands-on experience with newer products, articulators, and different materials for splints. Her favorite presenter was Sandra Caicedo, Lab Technician, who demonstrated all aspects of fabricating splints from face bow record to mounting casts to fabricating splints and adjustments.

Dr. Jennen looks forward to incorporating the techniques she learned into her day to day work in the practice. She is also a member of the SPDDS (MDA, ADA) and a member and participant of the East Metro Study Club and TC Pankey Study Club.

Our St. Paul, MN office often provides CEREC for patients who need tooth restorations. Quite simply, patients love their new smiles. And they love the durable, easy-to-care-for natural of CEREC.

For many people, a CEREC restoration is like getting a childhood smile back again -- only more brilliant than ever before.

After treatment, Drs. Bob Maley and Ann Jennen and our team hear a lot of questions about how to keep the repaired smile looking fresh and clean. Keep these tips in mind:

Talk to us: Please don’t leave our office with any unanswered questions about your new restoration. Let us know if you have any concerns about diet, tooth and gum care, or if you feel any discomfort.

Check your smile: People who aren't thrilled with their smiles often avoid looking at their teeth and gums. You may be in the habit of brushing and flossing without even checking the mirror.

With a new smile, the mirror becomes your friend again. Use the mirror when you clean your teeth to make sure you've removed all visible food particles. Check your gumline for redness or tender areas.

Chew things over: Your CEREC restoration should provide a very normal and comfortable eating experience. In fact, if your teeth were giving you problems while eating, the treatment should help relieve the discomfort. If you still experience pain or chewing feels uncomfortable, call our office and let us know.

Brush and floss: CEREC dental restorations need the same care as your natural teeth. Keep brushing and flossing after meals. Use a mouthwash if you prefer or if we recommend one for gum care. Follow any special advice the doctor or the hygienist gives you during your exam.

Finally, make sure to come see us every six months for a cleaning and exam. Caring for your CEREC restorations is that simple, and has the added benefit of helping keep teeth and gums in good shape, too.

It’s summer—that wonderful time of year when fresh and delicious produce abounds. Drs. Bob Maley and Ann Jennen will tell you that your teeth, gums, and tissues all rely on an appropriate mix of vitamins and minerals to maintain good oral health no matter what time of year. In previous studies, nutrients in fruits and vegetables such as dietary fiber, potassium, and antioxidants have all been associated with a reduced risk for cardiovascular disease and cancers, including oral cancer.

Here are four foods we want you to enjoy this summer to ensure a healthy mouth:

Watermelons and Strawberries

Watermelons have high water content, which dilutes the affects of the sugars they contain and stimulates the flow of saliva. In addition, research shows that eating foods full of water (watermelon is 92 percent water) helps keep you satiated on fewer calories. Finally, in addition to containing skin-protecting lycopene, eating watermelon can help you stay hydrated during the summer months, which not only keeps your memory sharp and your mood stable, but also helps keep your body cool.

Strawberries are juicy and delicious, and they’re also considered a superfood. Nutrient-rich and packed with antioxidants (such as vitamin C, which can help with cancer prevention), strawberries also promote eye health, help fight bad cholesterol, and regulate blood pressure.

Apples

Did you know consuming apples can help you attain whiter, healthier teeth? It’s true. Biting and chewing an apple stimulates the production of saliva in your mouth, and in the process, lowers the levels of bacteria and other harmful acids, leading to a lower likelihood of tooth decay. Apple consumption can also boost your immune system, reducing cholesterol and helping you avoid Alzheimer’s and Parkinson's diseases. Finally, eating an apple a day has been linked to heart health, including a lower risk of death from both coronary heart disease and cardiovascular disease.

Tomatoes

Tomatoes are a delicious and healthy snack and can help you ward off cancer. The yummy red fruit contains lycopene, which helps protect your skin from sunburn. Tomatoes can also help you fight heart disease due to the niacin, folate, and vitamin B6 nutrients they contain. They’re high in crucial antioxidants, such as vitamin C and vitamin A, which work to prevent DNA damage.

Let’s call it the cranky phase. Let’s call it the “Mom, I don’t want to” stage. When kids are little, getting them to brush can be a challenge. They bite the toothbrush and eat the toothpaste. They make faces in the bathroom mirror, brush for two seconds, and run away. When it’s time to brush, some kids even resort to kicking and screaming, which makes the bedtime chore a lot like, well, pulling teeth.

As a parent, you know the importance of good oral hygiene, so when the dreaded “brushing hour” arrives, if you want to prevent your child from turning into an angry pumpkin, you better have a few tricks up your sleeve to make brushing fun.

Game time

Kids love games, so it’s time to get creative and turn tooth brushing into game time. Whether you’re playing a hide and seek, peek-a-boo game with your child as he or she brushes, or singing the ABC’s as your child brushes for two minutes, Drs. Bob Maley and Ann Jennen and our team at Dr. Bob Maley Family Dentistry recommend turning the process into play. Games are based on a reward system, right? If your child does a good job, put a sticker on the calendar. Tell your son or daughter that five stickers will earn a treat at the end of the week.

Fun accessories

A toothbrush that lights up and blinks when you turn it on is more fun than a traditional toothbrush from the dentist’s office. The same is true of a toothbrush that’s shaped like your child’s favorite animal or features a cartoon character. A fun accessory like a Smurfs or Angry Birds toothbrush might make all the difference. A timer is another fun accessory. Give your child the special responsibility of setting it for two minutes before brushing.

The Great Toothpaste Experiment

Kids can be notoriously picky eaters, so it stands to reason that they would be picky about their toothpaste flavors too. Little Johnny might like strawberry, whereas Suzie prefers mango. Spend a night experimenting with different flavors (yes, it’s another game). Say something like, “It’s just like sampling different flavors of ice cream, right kids?”

Eventually, your child will develop the healthy habit of brushing on a regular basis, and think nothing of the time it takes to clean his or her teeth. Just remember to make it fun, and it can be a great experience for you both!

To learn more about making brushing fun for your little one, or to schedule an appointment with Drs. Bob Maley and Ann Jennen, please give us a call at our convenient St. Paul, MN office!

Memorial Day is not only a federal holiday in the United States, but it is a day of observance and remembrance of those who died in service. Originally known as Decoration Day, this solemn day has been marked on calendars since the end of the American Civil War as a day to commemorate both the Confederate and Union soldiers who fought and died in the war.

Marking the graves of fallen soldiers with flowers, wreaths, or other tokens has been practiced throughout history, but it wasn't until the mark of the end of the Civil War that a special day was decided upon as the one to spend in remembrance. By 1890, every state in the country was observing Decoration Day. It wasn't until 1967 when the name formally changed from Decoration Day to Memorial Day, in order to encompass all fallen American soldiers in all wars and conflicts. In June of 1968, Congress moved the official date of Memorial Day to the last Monday in May in order to create a three day weekend.

Today, while there is certainly an air of remembrance on Memorial Day, it has become more a day of spending time with family, friends, and other loved ones. This day is also heralded as the start of summer, with many schools finishing for the year around this time. Our team at Dr. Bob Maley Family Dentistry remembers it as a day to take solace and remembered those lost.

Traditional observances of Memorial Day are still held, and they often involve raising the American Flag then lowering it to a half-staff position until noon, and then raising it once again to its full height afterwards. The flag is lowered to remember those who've lost their lives while in service to their country, and then it is raised to signify our willingness to not let their sacrifice be in vain.

From community parades in the St. Paul, MN area, backyard cook-outs, and fireworks to formal ceremonies, Memorial Day is commemorated in many different ways. No matter how you choose to spend this day, take a moment to remember those who've lost their lives in an effort to preserve our freedom.

You can improve your oral health with CEREC, the most technically advanced tooth restoration method available today. Broken, worn, decayed, misshapen, or otherwise damaged teeth do not function well and are difficult to clean. This means imperfect teeth do more than ruin your smile; even one bad tooth can negatively affect your oral health.

If you are like millions of people with broken, slightly crooked, or misshapen teeth, you have a hard time cleaning in all the nooks and crannies around these teeth. This leaves these areas vulnerable to buildup of bacteria and plaque that can lead to painful gum infections and tooth decay.

Dentists often perform dental restorations, using synthetic materials to create crowns and fillings that restore the tooth’s shape and size, strength, and improve its appearance. Dental restoration reduces those hard-to-clean nooks and crannies, making it easier for you to maintain good oral hygiene. Dental crowns can even protect a tooth from further decay, halting oral disease in its tracks.

CEREC® to Improve Your Oral Health

CEREC is one of the most revolutionary ideas in dental restorations that improve oral health. CEREC is an acronym, short for CEramic REConstruction. The system uses a special camera, computer, and an in-office milling machine to create restorative pieces in just one office visit.

To use the CEREC system, Drs. Bob Maley and Ann Jennen and our team use the camera to take a 3D picture of your teeth and mouth. The camera then sends the images to the computer, where we use the information to create your new dental crown or other restoration. The milling machine then creates the actual restoration used to restore your imperfect tooth or teeth.

Because CEREC restorations are computer generated, they fit better than traditional crowns and restorations. This superior fit leaves fewer gaps for bacteria to hide, reducing your risk for gum disease and tooth decay. Drs. Bob Maley and Ann Jennen can perform CEREC in just one office visit, so you never leave your teeth vulnerable to bacteria while you wait for days or weeks for your conventional crown to come back from the lab.

Make an appointment at our St. Paul, MN office today to learn how you can improve your oral health with CEREC.

Summer is almost here, which means a season full of vacations, adventures and great memories is just around the corner for our patients at Dr. Bob Maley Family Dentistry.

Everyone wants a glowing and radiant white smile when the sun comes around and we have a few reminders to keep your pearly whites healthy and beautiful over the summer! Try to stay away from drinks that will stain your teeth like coffee, soft drinks, or dark colored juices. Not only will drinks like this weaken your enamel but they will also darken that fabulous smile you're working on! Another tip is to try and focus on brushing your teeth; everyone knows that when busy schedules start picking up, getting a good brushing session in tends to take the backseat! A good tip for keeping your mouth safe from staining and other possible pitfalls is to rinse your mouth with water after any meal you can’t fully brush your teeth after. Your teeth, inside and out, will benefit!

And remember, whether you are headed to a barbecue, a camping trip, or just having fun in the backyard this summer, we want to hear all about it! Make sure to let us know what you’re up to below or on our Facebook page! We also encourage you to post any photos from your adventures!

Fluoride is a mineral that plays an essential role in oral health. In fact, the significant reduction in American tooth decay in recent decades can be attributed to a greater availability of fluoride in public water supplies, toothpaste, and other resources. When it comes in contact with the teeth, fluoride helps protect the enamel from acid and plaque bacteria. In some cases, it can even reverse tooth decay in its earliest stages.

Despite the benefits of fluoride, tooth decay is still common, especially among teenagers. The Centers for Disease Control reports that cavities can be found in more than half of young teens and two-thirds of older teens over age 16. Many of those teens are deficient in fluoride, either due to a lack of public water fluoridation or the use of bottled water. So how can parents ensure their teens are getting the fluoride they need to facilitate strong, healthy teeth?

Monitor Fluoride Exposure

Drs. Bob Maley and Ann Jennen and our team at Dr. Bob Maley Family Dentistry recommend you start by measuring your teen’s fluoride exposure. Make sure you purchase fluoridated toothpaste for your household, and find out if your tap water is fluoridated. If your teen primarily consumes bottled water, examine the bottle to determine whether fluoride has been added. The majority of bottled waters are not supplemented with fluoride, but those that are will be clearly labeled.

Fluoride Supplementation

Drs. Bob Maley and Ann Jennen may recommend topical fluoride treatments at routine dental exams. These treatments are painless for your teen and may help establish stronger enamel that is more resistant to plaque and tooth decay. If you have a public water supply that is non-fluoridated, we may recommend fluoride supplementation between visits. These can be administered as drops, tablets, or vitamins.

Keep in mind that fluoride is most important for children and teens under the age of 16. Be proactive about your teen’s oral health by speaking with us about your family’s fluoride needs at your next dental visit.

For more information about fluoride, or to schedule an appointment with Drs. Bob Maley and Ann Jennen, please give us a call at our convenient St. Paul, MN office!

Your teeth were once naturally white and bright. Wouldn't it be great to keep them that way all of your life? Unfortunately, everyday living can dim our smiles. Food, coffee, some juices, and soft drinks can stain your teeth. Poor brushing and flossing can also leave tooth stains. Injuries to teeth or gums can cause some yellowing as well, and in some cases, medicines can discolor teeth.

So, you may need some extra help to maintain or restore your teeth's natural beauty. Here are some of the best ways to whiten your teeth:

1. Reduce additional staining by drinking with a straw or cutting back on coffee and soft drinks.

2. Brush and floss every day.

3. Try a whitening toothpaste or mouthwash.

4. Visit our office for teeth cleaning and an exam every six months.

We can also help you whiten your teeth with in-office professional teeth whitening at our St. Paul, MN office. These whitening products are much more effective than whiteners you can buy at the store and are completely safe. Since they're stronger, application by a member of our team is essential to achieve the best results.

Some teeth can resist bleaching. If that's the case, we can try several techniques:

• Deep bleaching that applies whitening agents over several visits.
• Veneers and bonds that cover existing stains with a whiter, brighter surface.
• Laser whitening that uses light to clean stubborn stains off teeth.

Take Care!

You may come across “bleaching stations” in shopping malls or at fairs. Avoid using these as the so-called whitening techniques can irritate your teeth and gums, leaving them highly sensitive to pain. Note too, that the operators of these whitening stands will make customers apply the bleach themselves, to avoid charges of practicing without a license. That should serve as a red flag and a caution to seek trained professionals, like Drs. Bob Maley and Ann Jennen, instead.

Today marks the one-month anniversary of Drs. Maley and Jennen's practice merger. Patients have been pleased with the smooth transition of records, convenient location, and availability of new on-site services. Here's how one patient sums it up:

"Thank you Dr. Jennen for staying in practice and so smoothly moving us and our records to a great place so close to your last practice. Very easy, very convenient, same great meticulous cleanings and care! Very pleased. Congratulations on the move."

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 Dr. Bob Maley Family Dentistry to schedule an appointment. Have a happy and healthy Earth Day, from Drs. Bob Maley and Ann Jennen!

Have you ever had a sinking feeling when you bite into something and hear an unsettling crunch? You know you’ve broken a tooth, and worry about just how long it will take to get it fixed. You’ve heard that it can take two dental appointments and several weeks to get a crown, while the dentist waits for a dental lab to make your new tooth. But who wants to wait that long?

That’s why our St. Paul, MN office invested time and money into the equipment and training necessary to offer CEREC single-visit crowns to our patients. CEramic REConstruction means that our dental practice can produce metal-free dental restorations to match your smile in just one visit.

CEREC uses CAD/CAM technology, an advanced computer program that acts as a dental restoration tool, so you don’t have to worry about dealing with the mess and discomfort of traditional crown placement. No more choking on dental trays while we make an impression of your teeth. When you come to us with a broken or damaged tooth, we perform a thorough examination and then create a 3D optical impression of your mouth. After that, we use CEREC technology to design and mill a precision ceramic restoration right in our office.

Feel Better Faster With CEREC Restorations

As a patient, you experience many benefits from this one-visit approach to dental restorations. CEREC allows Drs. Bob Maley and Ann Jennen to preserve more of your original tooth structure, which means less drilling for you. No temporary crowns are required, because we can take you from diagnosis to restoration in one office visit.

Patients say they love the results, too. Natural tooth-colored porcelain materials are used to create your restoration so it matches your natural coloring as closely as possible.

There is no mess, less discomfort, and no long wait with CEREC, and you get great results, too. Technology is changing the way we provide dental services. If you experience a broken tooth, or are thinking of replacing a cracked or damaged tooth, contact our St. Paul, MN office today and ask whether a CEREC single-crown visit is right for you.

With advancements in prosthetic dentistry, patients are now able to wear dentures that are comfortable, natural looking, and long lasting. There are different options to choose from that will meet your individual needs, whether you have a few teeth missing or have lost all of your teeth. Drs. Bob Maley and Ann Jennen will be able to help you decide which denture option is best for you.

Partial Dentures

Patients who receive partial dentures have some of their original teeth still in place and therefore only need a partial to replace the missing teeth and keep their existing teeth from moving. It also makes sense that patients need them to be able to eat comfortably. All dentures are made from porcelain or plastic and are made with comfort in mind.

Complete Dentures

If you have suffered from complete tooth loss, you would typically receive complete dentures. Immediately after you have your teeth extracted you will leave the dentist office with a set of temporary dentures. These will be worn for a few months while your mouth heals. After this initial wait time, your conventional or permanent dentures will be ready to be fitted.

Implant-Supported Dentures

Implant-supported dentures involve a more invasive procedure, but are also permanent. A select number of implants are placed into the jaw. The denture is then attached to the implant posts. You will be able to chew normally and maintain normal dental hygiene, like brushing and flossing.

Drs. Bob Maley and Ann Jennen will be able to advise on which kind of denture would be the best based on your individual needs. Contact our St. Paul, MN office to schedule an appointment!

Every six months or so you head down to your local dentist for a teeth cleaning, but have you ever thought that your dentist could one day be famous? Well, the chances are unlikely, however, there have been a number of dentists throughout history that have achieved acclaim and celebrity coming from a profession that is not typically associated with such regard. Here are a few examples:

Doc Holliday

Perhaps most famous for his gun fight at the O.K Corral alongside his buddy, Wyatt Earp, but "Doc" also had a day job as a dentist. He was trained in Pennsylvania and later opened a thriving practice near Atlanta. Sadly, Holliday came down with a case of tuberculosis and had to close his practice. He then packed his stuff and moved west, and we all know how the rest of the story goes.

Mark Spitz

Known around the world as a champion swimmer, Spitz was actually accepted into dentistry school before he became an Olympic gold medalist. While he ultimately decided not to attend school, it's safe to say he made the right choice considering he now has seven gold medals.

Paul Revere

The most famous dentist to come out of the American Revolution, Paul Revere was a man of many hats. He, of course, is known throughout history books for warning the colonies of the impending British troops on the attack, but when he wasn't involved in the fight he had a few different jobs. He was a silversmith, but also advertised his services as a dentist. More specifically, he specialized in making false teeth for people in need.

Miles Davis' Father

Miles Davis Jr. was one of the most acclaimed and influential jazz musicians of all time and his dad was a dentist. Miles Davis Sr. had a thriving dental practice and was a member of the NAACP. Dentistry was how he paid the bills and provided for Miles Jr., so in some ways it seems we all have the dental profession to thank for allowing Miles Jr. to become such a fantastic musician, and treating us to his jazz stylings.

Drs. Bob Maley and Ann Jennen may not be famous, but you’ll still receive excellent care each and every time you visit our St. Paul, MN office.

Dr. Bob Maley Family Dentistry is pleased to welcome Dr. Ann Jennen, Patient Coordinator Ceng, and the patients of our neighboring practice, Smiles on Seventh. Beginning March 20, the two practices will operate out of Dr. Bob Maley Family Dentistry.

Patients of both practices will benefit from the expanded hours and dentist availability of the merged practice. “Ceng and I are excited to begin working with Dr. Maley and his staff and to be able to welcome our patients to a beautiful, ground-floor office with state-of-the-art technology and ample parking,” says Dr. Jennen.

When you are having trouble with your teeth, one of the worst parts of the experience can be making multiple trips to the dentist instead of getting everything done in one trip. CEREC allows you to save time and get better results by taking advantage of advanced technology to restore your teeth with a crown, inlay, or onlay.

What is CEREC?

CEREC is the short term for Chairside Economical Restoration of Esthetic Ceramics, or CEramic REConstruction. CEREC uses CAD/CAM (computer aided design/computer aided manufacturing) technology to take impressions quickly and generate a precisely fitted filling so you can leave our office sooner.

How can CEREC help you?

One of the biggest advantages of CEREC is its convenience. If you need a crown, inlay, or onlay, you can get your teeth restored during a single trip to our office. Traditionally, these procedures require two trips to the dentist.

During the first, the dentist cleans the tooth, makes a mold, and places a temporary restoration onto the tooth. In a couple of weeks, after the permanent restoration is ready, you need to return to the office so that the dentist can remove the temporary fix and place the permanent one.

The CEREC process lets you receive your permanent restoration right here in our St. Paul, MN office, so you do not have to live for weeks with a temporary fix and schedule another appointment. In addition, Dr. Bob Maley and our team use digital impressions to make a mold for the filling. This is more comfortable and accurate than traditional impressions with plaster.

Another benefit of CEREC is that it uses a single block of solid ceramic materials instead of pressed ceramic and metal. CEREC restorations are able to withstand moderate chewing so yours will last for years. The lifespan of a CEREC restoration is longer than similar work with traditional methods. In addition, the color of CEREC ceramic is closer to the color of your natural teeth, which will make your restoration virtually unnoticeable.

For more information about CEREC single-visit restorations, contact our office.

On March 17, everyone has a little Irish in them. St. Patrick’s Day is a joyous celebration of Irish heritage. The holiday originated as a commemoration of Saint Patrick, who brought Christianity to Ireland. The saint arrived in Ireland in 432 and earned the reputation of a champion of Irish Christianity. March 17th, the day of St. Patrick’s death, has been commemorated by the Irish for over 1,000 years. St. Patrick’s Day is still observed as a religious feast day by several Christian denominations, but it is better known in the public imagination as a rich celebration of Irish culture.

St. Patrick’s Day has been an official public holiday in Ireland since 1903. Each year, the Irish celebrate with a several-day festival that includes theater performances, music, fireworks, and festive parades. The celebration is also a public holiday in Northern Ireland, Montserrat, and Newfoundland and Labrador. In other parts of the world with heavy Irish populations, it is an unofficial celebration of Irish heritage. Parts of Great Britain, Canada, Argentina, South Korea, Switzerland, New Zealand, the United States, and Australia commemorate the holiday each year. Typical celebrations in these countries include drinking green beer, wearing green, eating traditional Irish foods, parades, and shamrock decorations.

Many people, Irish and non-Irish alike, take part in the “wearing of the green” on St. Patrick’s Day. In fact, the color originally associated with Saint Patrick was blue. His use of shamrocks to explain the Holy Trinity to the Irish made the green clover emblematic of the holiday, leading to the traditional green attire worn by thousands on St. Patrick’s Day. Other little-known facts about St. Patrick’s Day include the following:

• Each year, the United States and Ireland face off in a rugby competition called the “St. Patrick’s Day Test.”
• Montreal celebrates the holiday with an annual parade, which has been held each year since 1824. The Montreal city flag even features a shamrock in its corner, as a nod to its Irish heritage.
• The Guinness World Records named St. Patrick’s Day the “Friendliest Day of the Year.”
• Along with Valentine’s Day, St. Patrick’s Day is one of the most widely celebrated saint’s day in the world.

No matter your cultural heritage, St. Patrick’s Day is a great time to let loose and celebrate your inner Irish-ness! Don your greenest attire and exclaim “Erin go Bragh!” (Ireland forever!) to everyone you meet. From Dr. Bob Maley - have a great St. Paddy’s day!

Capturing the Moment

At our office we know that just about anyone who has taken on the challenge of planning her own wedding could tell you how important the little details can be. Things like having complementary colors, the right location, show-stopping flowers, and delicious food are all a big part of planning your spring wedding. Another little detail that has a big "I do" related role? Your smile.

Whether you’re the bride, or an attendant, looking your best when you tie the knot (or help someone tie the knot) is essential. If your teeth aren’t ready to make an entrance, turning to one of the many available teeth whitening solutions is a great option.

Reliable Solutions

Before the wedding day arrives, you should take your smile into consideration. If diet and daily wear-and-tear have caused your teeth to lose their original luster, our team can help! In-office procedures do cost more than kits you use at home, but with an in-office treatment, you benefit from a professional taking proper care of your teeth.

In addition, relying on our office to handle teeth whitening before the wedding can give you access to trustworthy advice on how to keep your teeth looking their best for a longer period of time. It’s common for someone experienced in assisting people with their oral health to suggest investing in an in-office whitening technique and then following up with a teeth-whitening kit at home.

This is a season of new beginnings and beauty. Take the time to bring out your most beautiful smile before the big day. Don’t let your smile hold you back on your wedding. With our in-office teeth whitening, you can be sure that you’ll be more confident and comfortable interacting with friends and family. So remember, when in need of some quality oral care in St. Paul, MN to think of Dr. Bob Maley!

Dr. Bob Maley 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 St. Paul, MN office. We look forward to working with you and giving your child a smile to last a lifetime!

There are different situations for which Dr. Bob Maley may recommend a crown, and Dr. Bob Maley will recommend different types of crowns depending on your unique situation. Dental crowns are made from various materials, including all-metal, porcelain-fused-to-metal, all-ceramic or porcelain, or resin. The material the crown is made of will dictate the length of time you may have to wait for it, whether or not you will need a temporary, and of course, the cost.

A crown is a protective cap. Possible reasons Dr. Bob Maley may want to give you a crown include:

• To cover a tooth after a root canal
• To cover a cracked or broken tooth
• To cover a weak tooth, either because of a large filling, or because of the likelihood that it will crack or break
• To cover an implant
• To cover anchor teeth that support a bridge

CEREC crowns

CEREC crowns are made of a solid block of ceramic or resin materials. This type of crown is made right in our office during a single visit. There is no need to construct a temporary crown, take impressions for the permanent crown, and wait for the crown to be made at an off-site dental laboratory to be returned to our office about a month later.

This type of crown uses computer technology to take a picture of the tooth that will receive the crown, as well as the surrounding teeth. Thanks to CAD software that works with this system, Dr. Bob Maley can design the tooth while looking in your mouth, and make sure the color matches the rest of your teeth. Also, because the crown is made from a single block of material, it is considerably stronger than many other types of crowns.

Types of traditional crowns

All metal: All-metal crowns don’t require as much tooth preparation, and therefore don’t alter the existing tooth structure as much as porcelain-fused-to-metal or ceramic crowns. They are the longest-lasting type of traditional or permanent crown, and are far less likely to break or chip. Metals used may include gold alloy, palladium, nickel, or chromium.

Porcelain fused to metal: Porcelain can be matched to your natural tooth color. A disadvantage, however, is that these types of crowns create more stress and wear on the surrounding teeth than either pure metal or resin. The metal sometimes shows through at the bottom of the tooth, near the gum line. Porcelain can chip or break, but can be made to look exactly like your real teeth.

All ceramic/all porcelain: This type of crown is most easily matched to your existing teeth. Because there is no metal, there is no risk that it will show. This type of crown is ideally suited to people who have metal allergies. The greatest disadvantage is that ceramic or porcelain may cause more wear and tear to the surrounding teeth. On the other hand, it is ideal for front teeth because they look very much like real teeth.

Resin: Resin crowns are cheaper than ceramic, porcelain, or metal crowns. This material is more prone to fracturing and causes more wear and tear on the crown itself.

Different situations warrant different types of crowns. Dr. Bob Maley will discuss your situation and determine which type of crown you need. Our team at our office is happy to answer any questions you may have about crowns, CEREC, or any other aspect of your oral health.

To learn more about CEREC, or to schedule an appointment with Dr. Bob Maley, please give us a call at our convenient St. Paul, MN office!

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. Bob Maley.

In an uncanny reversal of roles, we’ve just realized that while we’re in business to make our patients smile, it’s really the other way around.  We’re the ones smiling.

Sounds corny we know. We can’t help it. We spend a lot of time feeling awfully darn grateful for being able to do what we do, for the people we do it for, with the people we do it with.  Here’s just a sampling why we’re so smiley …

Whether it’s through Google Reviews, Angie’s List, Yelp, HealthGrades, Facebook … our patients are sharing their wonderful feelings about our office with the world. New patients are seeing it, telling us what a difference it made in their search process, and coming in, which grows and strengthens our business. We are humbled by and ever so grateful for your praise!

Our new CEREC single-visit-crown machine has blown us away! Not only has it re-energized our dentistry, our patients are loving getting the whole business handled in one appointment.

So to honor our patients during Dental Health Month and welcome any curious passersby who might want to stop in to check things out, we’re serving PJ Murphy’s yummy and super cute cookies throughout February.

Stop in for a cookie, coffee and a smile. And then go brush your teeth. :)

Be sure to check out our Facebook page for more photos of our smiling team.

At our office, we know that unfortunately, gum disease can exist in your child’s mouth without you even knowing. In fact, your child may be suffering from the beginning stages of periodontal (gum) disease without noticing any pain or discomfort. Since gum disease can be undetectable, it’s critical to watch for the warning signs in order to prevent the disease from growing worse!

If your child is experiencing any of the following symptoms, you may want to consider scheduling an appointment with Dr. Bob Maley as soon as possible:

• Gums that are red or swollen
• Gums that feel tender
• Gums that bleed easily during brushing or flossing
• Gums that are receding
• Persistent halitosis (bad breath)
• Loose teeth
• Any change in the way teeth come together in the biting position

If your child is experiencing these symptoms, schedule an appointment right away by calling our St. Paul, MN office. Dr. Bob Maley and our team can diagnose the problem and begin treatment to save your child’s teeth!

Our team at our office looks forward to seeing you!

The fact is, according to the Oral Cancer Foundation, close to 40,000 Americans will be diagnosed with oral or pharyngeal cancer this year, resulting in more than 8,000 deaths. Men face twice the risk of developing oral cancer as women, and men who are over age 50 face the greatest risk. The American Cancer Society recommends an oral cancer screening exam every three years for people over the age of 20 and annually for those over age 40. The five-year survival rate is only 50 percent, and oral cancer, which is the sixth-most common diagnosed form of the disease, is one of the few cancers whose survival rate has not improved. Today, Dr. Bob Maley and our team would like to take this opportunity to remind all of our patients about the importance of maintaining good oral hygiene to prevent the disease.

So, what can you do at home to take an active role in preventing oral cancer?

The American Cancer Society recommends an oral cancer screening exam every three years for people over the age of 20 and annually for those over age 40. In addition, we encourage you to:

1. Conduct a self-exam regularly. Using a bright light and a mirror, look at and feel your lips and gums. Try tilting your head back to look at and feel the roof of your mouth, and pull your cheeks out to look inside of your mouth, the lining of your cheeks, and your back gums. Pull out your tongue and look at all surfaces. Feel for lumps or enlarged lymph nodes in both sides of your neck and under your lower jaw. Please give us a call immediately if you notice any changes in the appearance of your mouth or any of the signs and symptoms mentioned above.
2. Don’t smoke or use any tobacco products and drink alcohol in moderation.
3. Eat a well-balanced diet. This includes eating a wide variety of foods from the five primary food groups on a daily basis to meet the recommended amounts of vitamins, minerals, carbohydrates, proteins, and fats you need in a given day.
4. Limit your exposure to the sun. Repeated exposure increases the risk of cancer on the lips, especially the lower lip. When out in the sun, be sure to use UV-A/B-blocking sun protective lotions on your skin as well as your lips.

Please let us know if you have any questions about your oral health, either during your next scheduled visit, by giving us a call, or asking us on Facebook.

The primary teeth are the initial teeth that erupt from a child’s gums in the first few years of childhood. There are a total of 20 primary teeth, most of which will have appeared no later than age three. Because they are only temporary, some parents believe they are less important than the permanent teeth that will emerge around age five or six. However, primary teeth hold a special significance and are important for a child’s long-term oral health.

Function and importance of baby teeth

Baby teeth have several basic functions. Decay can interfere with these functions, and potentially lead to life-long complications. For example, severe tooth decay that causes tooth loss during childhood, perhaps due to sleeping with a bottle at night, can obstruct a child’s speech development. It can also hinder his or her ability to sufficiently chew food.

The primary teeth also serve as place-holders for the permanent teeth. When a primary tooth falls out or must be removed before its time, surrounding teeth may shift into the space the tooth once held. This can cause orthodontic complications once the permanent teeth begin to erupt, which can lead to serious tooth alignment problems and call for extensive orthodontic treatment.

Caring for baby teeth

Dr. Bob Maley and our team at our office will tell you it is never too early to begin caring for your child’s teeth. Baby teeth require the same care and attention that permanent teeth do. The American Dental Association recommends that children see a dentist as soon as the teeth begin to erupt from the gums. Early childhood dental visits usually include examinations, cleanings, fluoride treatments, and hygiene education for parents. It is also important to adopt an oral care routine at home that includes daily brushing, flossing, and dietary modifications that support a lifetime of good oral health.

To learn more about baby teeh, or to schedule an appointment with Dr. Bob Maley for your little one, please give us a call at our convenient St. Paul, MN office!

Our team at our office hears this question a lot. According to our friends at the American Academy of Pediatric Dentistry (AAPD), pediatric dentistry is “an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral healthcare for infants and children through adolescence, including those with special healthcare needs.”

Pediatric dentists, such as Dr. Bob Maley, are dedicated to the oral health of our young patients from infancy through their teen years. Our team at our office has the experience and qualifications to care for your child’s teeth, gums, and mouth throughout his or her various stages of childhood.

Pediatric dentists complete at least four years of dental school, including an additional two additional years of residency training in dentistry for infants, children, teens, and children with special needs.

At our office, we know children are not born with a fear of the dentist, but they can fear the unknown. And that is why Dr. Bob Maley and our team know how to examine and treat children in ways that make them relaxed and comfortable.

To learn more about pediatric dentistry, or to schedule your child's next visit at our St. Paul, MN office, please give us a call today!

Our team at our office recently learned that in the decade between 2000 and 2010, the amount of adults who regularly visited their dentist declined, according to research released by the American Dental Association's Health Policy Resources Center (HPRC). In fact, the HPRC found that the percentage of adults who had regular checkups every six months declined from 41 percent in 2003 to 37 percent in 2010. The largest decline in dental care occurred in the 35- to 49-year-old age group. That’s down from 43 percent in 2003 to just 38 percent in 2010.

There is some good news, however. While adult visits may have decreased, children's visits were on the rise, particularly among low-income families. More low-income children are visiting the dentist now than they were ten years ago. And the HPRC notes that between 2000 and 2010, dental visits among low-income children increased in 47 states.

Have you ever wondered why the American Dental Association and Dr. Bob Maley recommend that you come in for a dental checkup and cleaning every six months? While daily oral hygiene habits are essential to good oral health, professional dental cleanings at our office ensure your and your child’s teeth are treated to a deeper level of cleaning. In addition to a thorough cleaning and teeth polishing, regular visits at our St. Paul, MN office help us detect and prevent the onset of tooth decay and periodontal (gum) disease. During your visit, we’ll check the health of your mouth, teeth, gums, cheeks, and tongue for symptoms of any oral disease. We will also check old fillings and restorations, as these can wear away over time from constant chewing, clenching, or grinding at night.

If you are predisposed to oral diseases due to age, pregnancy, tobacco use, or medical conditions such as diabetes or dry mouth, Dr. Bob Maley may recommend you visit our office more often than every six months.

If you are overdue for your next checkup and cleaning, please give us a call to schedule an appointment!

People have been ushering in the New Year for centuries but it became an official holiday in 1582 when Pope George XIII declared January 1st to be the day on which everyone would celebrate the New Year. At midnight people would yell, holler, and blow horns to scare away the evil spirits of the previous year so the New Year would be joyous and filled with opportunity. Nearly 500 years later, we still greet the New Year by whooping and hollering, but in a celebratory manner instead. Whether you intend to ring in the New Year quietly at home in the St. Paul, MN area or have plans to join the countdown at a gala extravaganza, these tips can help you ring out the old and usher in the new with a smile.

Tips for a Happy New Year's Eve Celebration from our office

• Be Safe. There's no way to predict the behavior of others on New Year's Eve, but you can be responsible for your own behavior to keep yourself safe. If adult beverages will be part of your celebration, plan on spending the night wherever you are or line up a designated driver to bring you home after the party is over.
• Enjoy Family and Friends. Spending time with the important people in your life is what makes the holidays enjoyable. Coordinate your schedules and choose New Year's Eve activities that everyone in the group will enjoy. You don't have to go to a party to ring in the New Year; some people like to go bowling, see a movie, or have a great meal at home.
• Accessorize with a Smile. Whether you dress up or have a quiet dinner with family and friends, one of the best accessories you can add to your attire is a beautiful smile.

New Year's Eve is a time to gather with friends and family, reflect on the year that's coming to an end, and look forward to the new one with anticipation. Enjoy this transitional holiday in a way that's safe, healthy, and fun. After all, counting down until the clock strikes 12 marks the beginning of a full year of opportunity ahead of you. From Dr. Bob Maley, have a great new year!.

You already know that our office 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 our office

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 St. Paul, MN office for a full exam will mostly involve getting to know Dr. Bob Maley 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. Bob Maley for a portion of the appointment so we can start building trust with your child.

Our team at our office 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.

Regular visits to the dentist are important for people of all ages. Seeing Dr. Bob Maley as recommended provides preventive care for oral diseases. If a disease is already present, early detection can prevent hefty dental bills and further damage to the teeth and gums. Once you have made the decision to visit our office, you may ask yourself, “What happens during my hygiene appointment?”

Preparation

Arrive at your appointment a few minutes early and bring along any insurance cards or medical information. While it may seem irrelevant, a full medical history can be important, since certain conditions include symptoms that occur inside the mouth.

Initial appointment

In some offices, the first appointment is a screening appointment, during which a dental hygienist will go over your medical and dental history with you, assess the condition of your teeth and gums, then schedule a future appointment to complete the cleaning and any other treatments you may need. In other offices, the screening and cleaning will be done over the same appointment. The dental hygienist may:

• Count your teeth
• Clean your teeth by using a small tool to scrape them in order to remove plaque
• Brush and floss your teeth
• Apply a fluoride treatment using foam that sits on your teeth within a tooth mold, or a gel that can be “painted” on with a small brush
• Inspect your teeth for cavities or signs of decay
• Administer oral X-rays. You will be covered with a special blanket to protect your body and then given a small piece of plastic on which to bite.

Seeing the dentist

After the dental hygienist completes his or her portion of the appointment, the dentist will usually come in and inspect your teeth. After an initial inspection, the dentist may:

• Perform a quick tooth count as well as a more thorough inspection, looking for signs of decay in and around the teeth
• Use a small tool called a “probe” in order to check for signs of gum disease around the base of your teeth
• Visually inspect the skin around your mouth, called the “mucosa”

If you need any further dental work completed, you will usually be required to make an additional appointment. To learn more about hygiene visits, or to schedule an appointment with Dr. Bob Maley, please give us a call at our convenient St. Paul, MN office!

Providing dental care for patients with special needs can be a challenge at times, both for the dentist and the family of the individual. Fortunately, Dr. Bob Maley and our team at our office have the experience needed to provide optimal care for your special-needs child. Here are just a few of the ways our office works to help those who need a little extra care.

Assistance with at-home dental health care

We understand that sometimes at-home dental care can be extremely difficult for those with special needs. Individuals with physical difficulties, which may prevent them from holding the toothbrush, and those with developmental issues, who may have difficulty understanding the importance of dental hygiene, need extra attention with regard to home hygiene care. Our team at our office can provide support and education to ensure your child will achieve and maintain a healthy smile. For example, devising improvised toothbrushes to help patients get a properly grip, creating a specialized meal plan, and establishing a more frequent office visitation schedule to monitor overall dental health are all areas where our office is happy to help.

Coordinating office care

Dr. Bob Maley and our team understand that sometimes special-needs patients feel anxiety when it comes to receiving dental care. In many cases, reliably seeing the same dental health professionals can help to promote a relationship and soothe the patient. We encourage special-needs patients to make appointments at the optimal time of day for them to help everything go smoothly as well. We also encourage preparing your child in advance of the appointment so he or she is not surprised in the office. In certain situations, Dr. Bob Maley may also recommend sedation dentistry. Occasionally, special-needs patients are too overwhelmed by the thought of dental care and exams are best performed with the support of light sedation.

Accommodating physical needs

We also understand that special needs patients sometimes need physical accommodations. Two of the more common examples we face are patients in wheelchairs who need access to the office. We are fully compliant with all accessibility regulations to make sure our patients receive the care they need. Other patients need physical props for their mouth to help keep it open if they are physically unable to do so.

Dental care for patients with special needs requires knowledge and experience of limitations and how to address them. In our St. Paul, MN office, you will find an accommodating staff ready to help, so your child can receive optimal dental care.

Dr. Maley has been evaluating CEREC technology for 13 Years. Never an early adopter, he waits until the technology develops to the point that it’s reliable, better for  the patient than his current process, and of course as affordable as possible.  After attending a weekend training conference in Scottsdale, AZ in October, he became convinced the time has come for him to introduce single-visit-crown service for his patients. The benefits he sees include:

• Providing patients in a single visit what used to take two weeks, two visits, two numbing shots.
• ”I had a teacher in yesterday. Do you know how hard it is for a teacher to get time to visit the dentist? She was surprised and grateful for the chance to walk out that day with a new crown.”
• Ability to preserve more tooth structure.  “My crown preparations allow me to keep more of what Mother Nature has provided, and that’s the strongest tooth structure there is.”
• No more gagging on impression material. The CAD/CAM takes thousands of tiny pictures of the tooth site, the upper and lower jaw, and the bite registration and then stitches them together to allow us to design the crown. The patient can see their crown site and entire mouth in three-dimensions as we work.
• Reenergizing the team. “We’ve brought more artistry into the process. We are creating these with our own tools and can refine the color, shape and feel with the patient right in our office.”

Dr. Maley and his assistants, Stef and Lynda, have been through extensive training throughout November learning to use the CAD/CAM, the milling machine, staining, glazing and smoothing the crowns, and using the oven cure the materials. This is the first week they’ve begun offering patients the one-day-visit crown.

“We are still learning and adjusting our processes. Every day we discover more exciting things we can do for our patients.”

What do patients think?

“I’ve had several crowns done before and this process is much improved. Using the camera instead of impressioning material was much easier for me because I have a strong gag reflex. And getting it done in one day not only saved me time, but I didn’t have to worry about chewing carefully for a week or two while I waited for my permanent crown.” Keith, Inver Grove Heights, MN

Adolescence is a critical period for oral hygiene. By the teenage years, kids will have lost all their baby teeth and replaced them with permanent teeth. Furthermore, many oral hygiene habits solidified in adolescence carry through to adulthood. Teaching adolescents to follow a healthy diet not only benefits their physical fitness but helps them maintain strong teeth and healthy gums.

Fruits and vegetables

Parents know that eating broccoli is important, but were you aware that it can keep teeth and gums healthy, too? Dr. Bob Maley and our team at our office will tell you that eating plenty of crunchy fruits and vegetables, such as broccoli, carrots, celery, apples, and pears, increases your saliva production. Saliva works to brush away bad bacteria that produce dangerous acids that wear away tooth enamel.

It’s also important to avoid acidic foods, which can exacerbate cavities and other dental problems. Although oranges, tomatoes, grapefruit, lemons, and berries are healthy, they can also wear away the enamel of your teeth. To be safe, it’s important to brush after each meal or swish with mouthwash to remove excess acid from your mouth.

Sugar-free foods

Many candies and treats are chock-full of sugar, making them dangerous for your child’s dental health. If you have a sweet tooth, fear not: you don’t have to give up the sweet stuff entirely. Whenever possible, opt for sugar-free substitutes rather than regular sugar. For example, chewing sugar-free gum or drinking sugar-free beverages is better for teeth. These sugar substitute molecules don’t wear away enamel, which makes them safer for dental health.

Watch the beverages

Most adolescents have been told that soda will rot your teeth, but you may not realize that other beverages can be just as sugary. Many fruit juices, even those that boast 100% fruit, contain dozens of grams of sugar per serving. Similarly, popular energy drinks pack a sugary punch. When possible, drink water or milk. If your child is craving a hot beverage, turn to tea over hot chocolate or a sugary latte.

Dairy products

Teeth are like any other bones; they rely on calcium and other minerals to stay strong. To help build strong teeth, have your child drink milk or eat other dairy products to get his or her daily calcium. Yogurt, cottage cheese, and cheese are good options as well. If your child can’t tolerate dairy, consider calcium-fortified soy milk or orange juice to provide that daily dose of vitamins and minerals.

For more information on this topic, or to schedule an appointment with Dr. Bob Maley, please give us a call at our convenient St. Paul, MN office!

At our office we love learning trivia and interesting facts about Thanksgiving! This year, Dr. Bob Maley wanted to share some trivia that might help you feel a bit smarter at the holiday dinner table and help create some great conversation with friends and family.

The Turkey

There is no historical evidence that turkey was eaten at the first Thanksgiving dinner. It was a three-day party shared by the Wamponoag Indians and the pilgrims in 1621. Historians say they likely ate venison and seafood.

According to National Geographic, the dinner at the Plymouth colony was in October and included about 50 English colonists and 90 American Indian men. The first Thanksgiving dinner could have included corn, geese, and pumpkin.

Today, turkey is the meat of choice. According to the National Turkey Association, about 690 million pounds of turkey are consumed during Thanksgiving, or about 46 million turkeys.

The Side Dishes

The green bean casserole became popular about 50 years ago. Created by the Campbell Soup Company, it remains a popular side dish. According to Campbell’s, it was developed when the company was creating an annual holiday cookbook. The company now sells about $20 million worth of cream of mushroom soup each year, which is a major part of the recipe.

While there were likely plenty of cranberries for the pilgrims and Indians to enjoy, sugar was a luxury. What we know today as cranberry sauce was not around in those early Thanksgiving days. About 750 million pounds of cranberries are produced each year in the US, with about 30 percent consumed on Thanksgiving.

The Parade

Since Thanksgiving did not become a national holiday until Lincoln declared it in 1863, the annual parades were not yearly events until much later. The biggest parade that continues to draw crowds is the Macy's Thanksgiving Day Parade. Beginning in 1924 with about 400 employees, they marched from Convent Avenue to 145th Street in New York City. Famous for the huge hot-air balloons today, it was actually live animals borrowed from the Central Park Zoo that were the stars of the show then.

However you choose to spend your Thanksgiving holiday, we wish you a safe, happy and healthy holiday with those you love.

At our office, we know many people have experienced some form of mouth sores or irritation. Some mouth sores are harmless and go away on their own after a few days, while others are more serious and should not be ignored. Mouth sores occur for many different reasons, but bacterial infections, viruses, or funguses often trigger them. The best way to tell the difference between a canker sore and a cold sore is that canker sores occur inside the mouth while cold sores occur on the outside the mouth.

The most common mouth sores are:

Canker sores: A non-contagious, small, grayish ulcer with a red border, canker sores appear inside the mouth. While outside factors such as stress, fatigue, or allergies may increase the chances of developing a canker sore, most health experts believe they stem from bacteria or a virus that attacks the immune system. Canker sores typically heal within a week or two.

Cold sores: Also called fever blisters, cold sores are contagious groups of fluid-filled blisters that often erupt around the lips and sometimes under the nose or around the chin. Cold sores are the result of the herpes simplex virus, and once infected, the virus remains in the person’s blood stream.

Leukoplakia: A potential warning sign of oral cancer, leukoplakia is a premalignant lesion that appears as a white patch on the inside of the mouth, tongue, or gums. The lesions, which are caused by excessive cell growth, usually afflict those who smoke tobacco. Dr. Bob Maley may choose to have the lesion biopsied if the outbreak appears severe.

Oral candidiasis: Also called oral thrush or moniliasis, this condition is caused by the overgrowth of a type of yeast called candida. Common symptoms of oral candidiasis include white spots inside the mouth and on the tongue, redness or discomfort in the mouth area, sore throat,difficulty swallowing, and cracking at the corners of the mouth. It is important to visit Dr. Bob Maley if you have oral candidiasis. If left untreated, it may infect your bloodstream, which can be very dangerous. Healthy adults do not usually get thrush, and the condition is most often seen in infants, the elderly, patients undergoing chemotherapy, or people with AIDS or other diseases that are known to weaken the immune system.

Should you have a mouth sore that lasts a week or longer, we encourage you to give us a call and schedule an examination at our St. Paul, MN office.

Whether it’s a dull and throbbing ache or a sharp pain, toothaches can come in many different forms. Chances are you’ve had the discomforting experience once or twice in your life. It’s the type of experience that nobody wants to have, because a toothache can be as annoying as fingernails scratching a chalkboard.

What’s a good way to describe a toothache? Let’s see … your mouth feels as if it’s being besieged by one of those Loony Tunes-style jackhammers. As fate would have it, toothaches always seem to occur over the weekend or after-office hours, leaving you to suffer and forcing you to cancel your reservation at that high-end restaurant you’ve been anticipating all week.

Not so fast!

While you’re probably going to want to skip the rib-eye steak, there are numerous tried-and-true home remedies you can use to ease the pain until you can make an appointment with our office. Here’s a look at four ways to soothe a toothache.

1. Don’t underestimate the power of salt water. Rinsing your mouth with warm salt water will both soothe your toothache and disinfect your mouth. However, make sure the water is warm; cold water can further exacerbate a sensitive tooth. Follow up the saltwater rinse by swishing your mouth with hydrogen peroxide.
2. Clove oil, eucalyptus oil, peppermint oil, and vanilla extract are proven to be comforting elixirs. Dip a cotton swab in one of these mixtures and apply it to your tooth and gums. These substances, which you may even have in your kitchen cupboards, are known to have pain-relieving qualities. For the best results, repeat the application throughout the day.
3. Eating yogurt is good for toothaches and mouth pain. Yogurt is filled with healthy bacteria that combat pain. Afterward, place a cold compress on your jaw.
4. Try flossing. Your toothache might be throbbing and severe, but there’s always a chance the pain is caused by a piece of food awkwardly lodged in your teeth.

We hope that helps! Give our office a call to learn more!

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

Primary teeth

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

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

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

Permanent or adult teeth

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

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

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

Kimberly S.

We recently started going to Dr. Maley and can honestly say that we love it. The whole experience - from calling to make an appointment, to checking in, to getting teeth cleaned, etc. I have always hated the dentist, until now. They are super friendly and genuinely seem happy to be there. And they meet people where they are at with their oral hygiene, without judgment, encouraging better oral health without making you feel bad for not flossing daily. They are also fantastic with kids - we have a 4.5 yr. old and a 3 year old - and both of them actually get excited to go to the dentist. I highly recommend them!

Kaye M.

My only goal in picking a new dentist was to find one that wasn't scary. I was very surprised after submitting a website appointment request to be given an appointment that same day. Unfortunately, my tooth pain required a root canal (and a second visit), but everyone I dealt with was very kind and  gentle. I especially appreciated the follow up call to see if I was in pain or had any questions. Dr Maley's office has gone far above and beyond my expectations.

Frank Miley

My wife and seven children have been going to Dr. Maley for nearly a decade. We have always experienced a warm, friendly and professional staff. Our dental care has been outstanding. Our preventative care is wonderful and has resulted in very few cavities or need for other dental care. That says a lot for nine individuals including seven kids! We recommend Dr. Maley to anyone looking for quality dental care.

Pat Black

I've been going to Dr. Maley for 6-7 years now. I first went with a history of unstable teeth, lots of extractions with seemingly no end in sight. His care stabilized my teeth and now no problems. The entire staff is great. I love sitting in the chair and hearing staff that laugh easily and heartily. I love going to a dentist office where they are not only skilled but happy.

Dental X-rays are an essential and invaluable tool to help assist us in evaluating your oral health. With X-rays, we can see what’s happening beneath the surface of your teeth and gums and identify oral health issues otherwise hidden during a visual exam, including:

• · small areas of decay between the teeth or below existing restorations (fillings)
• · infections in the bone
• · periodontal (gum) disease
• · abscesses or cysts
• · developmental abnormalities
• · types of tumors

If left untreated, these problems can lead to expensive, time-consuming, and painful conditions, so it’s important to find and treat them early.

Dental X-rays are extremely safe, and our team is certified in the proper use of our digital X-ray equipment. The amount of radiation that you are exposed to from dental X-rays is very small compared to your daily exposure from things like atmospheric radiation and naturally-occurring radioactive elements, as well as medical X-rays you may have gotten at your doctor’s office or hospital. In fact. our digital system dramatically decreases the already minimal amount of exposure even further.  We try to be as conservative as possible when prescribing x-rays but do need them to see what is going on where our eyes can't see.

Halloween is fast approaching, and Dr. Bob Maley wanted to be sure to wish our patients a happy day, no matter how you might celebrate this holiday. The Halloween that is familiar to most people today bears little resemblance to the original Halloween; back in the "old days" it wasn't even called Halloween!

Festival of the Dead

Halloween started out as a Celtic festival of the dead that honored departed loved ones and signified a change in the cycle of the seasons. The Celtic people viewed Halloween, then called "Samhain," as a very special day – almost like our New Years day in fact, as their new calendar year began on November 1st. Samhain was the last day of autumn, so it was the time to harvest the last of the season's crops, store food away for winter, and situate livestock comfortably for the upcoming cold weather. The Celts believed that during this day, the last day of winter, the veil between this world and the spirit world is the thinnest, and that the living could communicate with departed loved ones most effectively on Samhain due to this.

Modern Halloween

Halloween as we know it today started because Christian missionaries were working to convert the Celtic people to Christianity. The Celts believed in religious concepts that were not supported by the Christian church, and these practices, which stemmed from Druidism, were perceived by the Christian church as being "devil worship" and dangerous.

When Pope Gregory the First instructed his missionaries to work at converting the Pagan people, he told them to try to incorporate some of the Pagan practices into Christian practices in a limited way. This meant that November 1st became "All Saints Day," which allowed Pagan people to still celebrate a beloved holiday without violating Christian beliefs.

Today, Halloween has evolved into a day devoted purely to fun, candy, and kids. What a change from its origins! We encourage all of our patients to have fun during the holiday, but be safe with the treats. Consider giving apples or fruit roll-ups to the kids instead of candy that is potentially damaging to the teeth and gums.

Remind kids to limit their candy and brush after eating it! Sweets can cause major tooth decay and aggrivate gum disease, so to avoid extra visits to our St. Paul, MN office, make your Halloween a safe one!

Concerned parents often ask Dr. Bob Maley about which kinds of snacks are best for a child's teeth. While most know that candy isn't always the best choice, many parents are confused about which kinds of after-school snacks can actually be beneficial for teeth. Left to their own devices, children might pick the sugary snack that comes in colorful packaging. There are, however, choices that are much better for your child's teeth.

Go Natural

The foods that are best for your children's teeth are also the best for their overall health. Choosing whole foods, such as fruits and vegetables, is always the best option for snacks. Try sticks of celery and let your kids dip it into all-natural peanut butter, or a juicy and crunchy apple cut into wedges.

Lean Proteins

Lean protein, such as chicken breast, fish, turkey, and lean cuts of pork also make good snacking options. For the best overall health, avoid giving your child a lot of lunch meats, because such products are often higher in sodium. However, these proteins are also low in sugar, which is always a preferable choice when it comes to teeth.

Avoid Packaged Foods

Sugars are unhealthy partly because they stick more readily to the surface of the teeth. Even foods that appear to be healthy, such as many brands of granola bars, can in fact be loaded with hidden sugars. Sugar can also be found in higher concentrations in dried fruit, honey, and syrups. The rule is that if a foodstuff has been altered in any way from its original state then there are perhaps better choices.

Beverages

Drinks are another murky area. Parents often presume that fruit juices are an acceptable beverage when in reality many of them are loaded with excessive sugar as well. The best beverages for your child's teeth are water and low-fat milk. Milk has the added benefit of containing calcium, which is highly beneficial for the bone structure that supports the teeth.

An apple a day might keep the doctor away, but it is also a great snack to keep teeth healthy. The next time your children are looking for an after-school snack, guide them toward healthier, low-sugar options that are beneficial to their overall health and their teeth.

YES! X-rays have been used in dentistry for a long time, and the amount of radiation has significantly decreased with advances in technology. While there is risk in every health diagnostic procedure at our office, the benefits must outweigh the risks. Dental X-rays do indeed fall into this category.

X-rays are exposed to a type of film to produce an image. The amount of X-rays required to produce this image differs with film speeds. Speed E or F is highly recommended, and digital X-rays require up to 50% less than speed E or F film. The digital X-ray software can adjust the exposure to produce a quality image. Digital X-rays are becoming a new standard and are most common.

Lead aprons have been used to reduce the amount of scatter radiation. All X-ray units have a cone to focus the X-ray beam so the exposure is highly localized. Lead aprons continue to be worn as a precaution for pregnant women, and a thyroid collar should also be worn. In most cases, this is sewn into the lead apron.

We get radiation exposure from environmental factors as well as healthcare diagnostic and treatment tools. To place this in perspective, in one year a person is expected to have 360mRem per year from the sun, air etc. By comparison, a single set of bitewing X-rays is 0.3mRem. Radiation can accumulate in our body over a lifetime, and additional exposure should be avoided whenever possible.

Adults are no strangers to feeling like there is never enough time in the day to get everything done. Your alarm clock rings and within minutes you ping pong around trying to spread peanut butter on sandwiches, answer your cell phone, remove the dog hair from your clothes, and make sure your child has completed his or her science fair project. Brushing your teeth can easily fall to the wayside. That is why our office promotes a simple, daily oral health regimen that you can easily incorporate into your busy lifestyle.

The American Dental Hygienists' Association (ADHA), in partnership with the Wrigley Jr. Company, is celebrating National Dental Hygiene Month (NDHM) during October. The ADHA encourages people to "Brush. Floss. Rinse. Chew...Keep it Clean, Keep it Healthy!" and offers some great tips for a quick and effective home oral health routine, below:

Oral Health Routine at Home

• Brushing your teeth twice daily is the most important thing you can do to diminish the accumulation of plaque and the potential for other oral problems such as cavities and gingivitis.
• Flossing once daily removes plaque and food from beneath the gums and between teeth that brushing alone cannot remove. Tooth decay and gum disease often begin in these areas.
• Rinsing your mouth with an antibacterial, non-alcohol based mouthwash kills plaque and gingivitis germs that brushing and flossing do not catch. We recommend using a mouthwash with the ADA Seal of Acceptance.
• Chewing sugar-free gum helps produce saliva, which battles cavities. The gum also neutralizes plaque, strengthens enamel, and removes remaining food. It is especially important to chew gum after eating or drinking.

It's easy to put the toothbrush down in order to take care of matters you feel are more urgent, but remember, a good oral health routine at home is the best way to prevent periodontal disease. "Periodontal disease is the most common cause of tooth loss in adults. An estimated 75 percent of Americans reportedly have some form of periodontal disease," said the ADHA. Periodontal disease also is linked to more serious illnesses such as diabetes and stroke.

Also, remember to keep regular visits with our office. Dr. Bob Maley can help you learn more about proper care for your teeth and gums.

Dr. Bob Maley and our team at our office know this is an exciting time as you anticipate the arrival of your new little one. We want to take this opportunity to provide you with some important information pertaining to your oral health during pregnancy. Just as the rest of your body is changing, the amount of bacteria in your mouth also changes. Scientists don’t understand all the reasons why, but during pregnancy, your mouth is more susceptible to bacterial complications that could result in increased risk for gingivitis or periodontal disease. What researchers do know is the change in hormones creates a more favorable environment for gum infections and diseases when you are pregnant.

You may experience an increase in gingivitis, even while continuing with regular daily brushing and flossing, and routine semi-annual month cleanings. You will likely complain of increased bleeding of the gums with routine daily care and more tenderness in the mouth. This is due, in part, to the increased blood flow and volume that naturally occurs with pregnancy. There is a greater amount of blood flowing through your veins, which translates into slightly engorged gum tissues. If gingivitis prevails, you may also experience pain and tenderness. We can help you navigate through your specific needs.

Brushing your teeth two times a day may not be quite enough. Similarly, if you only floss on occasion, consider making this activity a daily habit. Mouthwash is also advised, or sometimes a mild saltwater rinse may feel better than a commercial brand. Consider other products with xylitol and a WaterPik for additional cleaning.

Finally, we now know that bacteria in the mouth circulate throughout the body. These harmful bacteria compromise your immune system and may increase your risk for respiratory illness and cause other strains on your immune system. Remember that nutrients as well as pathogens are shared with your baby. If you feel tired or tempted to slack on your home-care routine, remember the importance and implications of your daily decisions on how your care for your oral health.

Contact our convenient St. Paul, MN location if you have more specific questions. We’re here to help you!

According to the National Institute of Dental and Craniofacial Research, more than 200 million Americans suffer from some degree of inflammation of the gums. Over the past decade, researchers have published studies that link the bacteria involved in periodontal disease to cardiovascular disease. The Centers for Disease Control and Prevention have connected oral infections to heart disease, diabetes, stroke, and low birth weights.

Studies suggest bacteria that cause periodontal disease are also responsible for causing a thickening of the carotid arteries, which increases the chance of a heart attack or stroke. Further research is being conducted to understand the link between oral health and heart disease better.

What is periodontal (gum) disease?

Dr. Bob Maley and our team at our office hear this question all the time. Periodontal disease is an infection. Our mouths are filled with bacteria, and this bacteria forms plaque. If the plaque is not removed through brushing, flossing, and regular cleanings at the dentist, it hardens into tartar. If gingivitis (gum inflammation) is not treated early, it can advance to periodontitis. Bacteria get under the gum tissue and erode it as well as the bone that supports the teeth. The gums eventually pull away from the teeth, and infected pockets form.

Proving that periodontal gum disease is connected to heart disease has been difficult for researchers. However, there are two theories about to what might connect the processes.

• Bacteria are released in the bloodstream through chewing and tooth brushing. The same species of bacteria that causes gum disease has been discovered in the plaque in arteries in the heart.
• Inflammation in the mouth is a catalyst for inflammation throughout the rest of the body.

Practice good oral health habits

While the link between periodontitis and heart disease is not yet fully understood, you can prevent the possibility of health complications by practicing good oral health. It’s recommended that you brush and floss twice a day, as well as visit your dentist twice a year for a cleaning and exam. Oral health should not be taken for granted. By preventing oral diseases, you’re also minimizing the risk of having a heart attack or stroke.

To learn more about the connection between heart disease and oral health, or to schedule an appointment with Dr. Bob Maley, please give us a call at our convenient St. Paul, MN office! A clean mouth leads to a happy heart!

Is your child nervous about visiting Dr. Bob Maley and our team at our office? Today, we put together some tips to help ensure your little one relaxes before his or her next dental checkup!

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

We hope this helps! For more on dental anxieties, ask us during your next visit to our office! Or, ask us on Facebook!

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

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

Knocking out a tooth is also common and requires more attention than observation alone. As soon as possible, locate the tooth, touch only the crown (not the root), and rinse any debris gently with milk or water. Place it back into the tooth socket immediately. If pain or swelling make that impossible, place the tooth in a cup of milk, saline solution or water. The American Association of Endodontists states a tooth has a high chance of survival and retention for life if it is re-implanted within five minutes or up to 60 minutes if soaking in milk or saline solution. Call us immediately so we can work together to preserve the tooth if possible.

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

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

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

How Labor Day Started

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

The First Labor Day

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

Labor Day Today

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

Our team at our office hopes all of our patients celebrate Labor Day, and every holiday, safely and happily. Whether you stay in the St. Paul, MN area, or travel out of town, have fun, and don't forget to brush!

Many people think dental fluorosis is a disease, but it’s not; it’s a condition that affects the appearance of your tooth’s enamel, not the function or health of the teeth. These changes may vary from tiny, white, barely noticeable spots to very noticeable staining, discoloration, and brown markings. The spots and stains left by fluorosis are permanent and may darken over time.

Dental fluorosis occurs in children who are excessively exposed to fluoride between 20 and 30 months of age. Only children ages eight years and younger can develop dental fluorosis. Why? That is the period when permanent teeth are still developing under the gums. For kids, fluorosis can cause significant embarrassment and anxiety about the appearance of their teeth. No matter how much they might brush and floss, the fluorosis stains do not go away.

Many well-known sources of fluoride may contribute to overexposure, including:

• Fluoridated mouth rinse, which young children may swallow
• Bottled water which is not tested for fluoride content
• Inappropriate use of fluoride supplements
• Exposure to water that is naturally or unnaturally fluoridated to levels well above the recommended levels

One way to reduce the risk for enamel fluorosis is to teach your children not to swallow topical fluoride products, such as toothpaste that contains fluoride. In fact, kids should use no more than a pea-sized amount of fluoride toothpaste when brushing, and children under the age of two shouldn’t use fluoride toothpaste at all.

Dental fluorosis can be treated with tooth bleaching, microabrasion, and conservative composite restorations or porcelain veneers. Please give us a call at our office to learn more or to schedule an appointment with Dr. Bob Maley.

Is the sound of a drill enough to make your child flinch or cringe? Does he or she worry about the twice-yearly dental checkup at our office? Trust us when we say your child is not alone!

To help eliminate that distress, Dr. Bob Maley and our team put together five steps to help your child overcome his or her dental anxiety when visiting our office.

1. Ask your child what they’re most afraid of. Is it the sound of the drill? Do you have needle phobia? Has your child been traumatized by previous dental visits? Have children write down their fears, one by one, and talk about them.

2. Don’t wait. The more frequently your child visits our office, the less work will need to be done at any given visit. Simply having Dr. Bob Maley professionally clean your child’s teeth twice a year prevents many, if not most, problems down the road.

3. Bring a distraction such as music to your child’s appointment. Just plug in those earphones, have your child close his or her eyes, and get lost in the music. Listening to tunes can also be a pain killer.

4. Remind your child to unwind. Inhaling slowly and counting to five helps. Encourage children to hold their breath for ten seconds, then exhale slowly to the count of eight, and repeat as needed. It’s easier if they’re not focused on the work going on inside their mouth.

5. Ask us. Before any procedure your child undergoes, we encourage you to ask Dr. Bob Maley or one of our assistants why we’re using the tools we’re using. Ask us what we’re doing during your child’s procedure, what the tool is used for, and how it benefits your child. Also, please ask about anti-anxiety medications we may prescribe to help your child relax during his or her appointment.

Remember, our team at our office are health care professionals who strive to improve your child’s oral health, and will do all we can to ensure a trauma- and pain-free experience during his or her visit!

We hope these tips help! For more on pediatric dental anxieties, ask us during your next visit to our St. Paul, MN office! Or, ask us below or on Facebook!

Dr. Bob Maley and our team at our office hear this question all the time. Millions of people have dental crowns that artificially restore the chewing surface of a tooth. Also known as caps, these restorations surround the entire portion of the tooth that is above the gum line. Crowns are custom fabricated to match the color, shape, and size of other teeth and are visually undetectable to others. Several types of materials can be used to create crowns, including stainless steel, resin, metal alloys, porcelain fused to metal, or ceramic. When properly cared for and accurately fit, crowns can stay in place for a decade or more.

There are many reasons to get a dental crown, including:

• To restore a broken or cracked tooth
• To protect a tooth after a root canal
• To restore a severely decayed tooth
• To help anchor a dental bridge
• To complete a dental implant
• To protect a tooth that is at high risk for developing decay
• For cosmetic purposes

Getting a dental crown

The process of getting a dental crown begins at our St. Paul, MN office. X-rays are used to ensure the teeth are healthy enough to receive a crown. If the roots and surrounding bone are in satisfactory condition, the tooth will be numbed, filed, and reshaped in preparation for the crown. If the tooth root is not healthy, a root canal may be necessary first.

After the tooth is prepared, a special paste is placed over the upper and lower teeth to make impressions. These impressions serve as blueprints for the dental laboratory responsible for making the crown. They also help ensure the position of the new crown will not negatively affect a patient’s bite. The prepared tooth is protected by a temporary crown while the permanent one is made. When ready, the permanent crown replaces the temporary crown and is cemented in place.

To learn more about crowns, or to schedule an appointment with Dr. Bob Maley, please give us a call at our convenient St. Paul, MN office!

Dr. Bob Maley and our team at our office specialize in pediatric dentistry, and we understand that children can be frightened of things they do not understand. This anxiety is often heightened by an unpleasant dental experience or stories they hear from classmates. We have many methods at our St. Paul, MN office to make your child’s dental visit pleasant and anxiety-free.

Listening

The first thing Dr. Bob Maley and our team do is talk to your child, listen to any concerns he or she may have, and take the time to explain the dental work that will be done. Often children will lose their fears by simply understanding what is happening and why. In addition, you are welcome to be in the room with your child during exams and treatments. When a child is able to see that the parent is relaxed, this is more conducive to the child’s relaxation.

Relaxation

When you arrive at our office, let your child to play with the toys we provide. This starts the visit in a positive manner. Taking your child’s mind off the exam is useful. While your child is undergoing an examination or procedure, listening to music or watching a video can support a sense of relaxation. When children understand that we care, their anxiety levels are reduced.

We welcome you and your child to discuss any concerns that you have regarding his or her dental appointment. We want your child to be free from anxiety about visiting Dr. Bob Maley. The earlier your child’s fears are addressed, the less likely the fear will carry into adulthood.

Today, Dr. Bob Maley and our team at our office thought we would answer some of the most frequent questions about pediatric dentistry and oral health we hear from parents.

What constitutes a “healthy, balanced diet” for my child?

A healthy, balanced diet contains all the nutrients your child needs to grow, including one serving each of fruits and vegetables, breads and cereals, milk and dairy products, and meat, fish and eggs per day. Make sure your child limits snacking in between meals and limits how frequently they consume food or beverages that contain sugar, which is known to cause tooth decay. Besides pastries, cookies, and candy, sugars are usually found in processed foods such as crackers, cereals, and soda, as well as in condiments like ketchup.

Should my kid give up all foods that contain sugar?

Absolutely not, we simply recommend choosing and serving sugars sparingly. A food with sugar is safer for teeth if it is eaten with a meal, not as a snack. When your child chews during his or her meal, the saliva produced helps neutralize the acids that are found in sugary and starchy foods. Foods that are not easily washed away from your child’s teeth by saliva, water, or milk have more cavity-causing potential.

What causes cavities?

Many types of bacteria live in our mouths—some good, some bad. When these bacteria come into contact with sugary foods left behind on your child’s teeth after eating, acids are produced. These acids then attack the enamel, and eventually eat through the enamel and create holes in the teeth, which Dr. Bob Maley and our team call cavities, or caries.

How can I help my child avoid cavities?

This is a great question that we hear a lot. Make sure that your child brushes his teeth twice a day with fluoride toothpaste. Flossing daily is also important, as flossing can reach spots between the teeth that brushing simply can’t. And finally, we encourage you to schedule regular appointments with Dr. Bob Maley at our St. Paul, MN office so that we can check the state of your child’s teeth and gums, as well as provide a professional cleaning to protect him or her from cavities and gum disease.

What is the best way to clean my baby’s teeth?

We recommend you clean your baby’s gums after feedings with a damp, soft washcloth. This is even before your baby’s first tooth appears. As soon as his or her first tooth does appear, you may begin using a toothbrush with soft bristles and a small head. You can most likely find a toothbrush designed for infants at your local drugstore or ask us for one during your next visit.

What should I do if my child has a toothache?

First, we recommend rinsing the irritated area with warm salt water and placing a cold compress on his or her face if it is swollen. If you have any at home, give your child acetaminophen for any pain, rather than placing aspirin on the affected teeth or gums. Finally, give us a call as soon as possible to schedule an appointment with Dr. Bob Maley.

We hope that helps! Please give us a call if you have any questions or ask us next time you visit our office for your child’s appointment with Dr. Bob Maley! If you have any other questions, or would like to schedule an appointment, we would love to hear from you.

Looking back at childhood photos, you may notice picture after picture of yourself with a mouthful of shiny white teeth. When you look in the mirror today, you wonder what happened to that beautiful smile. Many adults struggle with tooth discoloration and find it embarrassing to show off their teeth in a smile. Once you identify the cause of your tooth discoloration, there are treatment options at our office that can restore your teeth and your confidence.

What Causes Tooth Discoloration?

There are a host of factors that may cause your teeth to discolor. Some are directly under your control, and others may not be preventable. Here is a list of common reasons that teeth become discolored.

• Genetics: Much of your dental health is determined by genetic factors beyond your control. Some people naturally have thinner enamel or discolored teeth.
• Medications: Several medications lead to tooth discoloration as a side effect. If you received the common antibiotics doxycycline or tetracycline as a child, your teeth may have discolored as a consequence. Antihistamines, high blood pressure medications, and antipsychotic drugs can also discolor teeth. If you think a medication may be leading to tooth discoloration, talk to Dr. Bob Maley. Never discontinue the use of a medication without consulting your doctor, however.
• Medical Conditions: Genetic conditions such as amelogenesis or dentinogenesis cause improper development of the enamel, and can lead to yellowed, discolored teeth.
• Poor Dental Hygiene: Failing to brush your teeth at least twice a day or regularly floss may lead to tooth decay and discoloration.
• Foods and Tobacco: Consumption of certain foods, including coffee, tea, wine, soda, apples, or potatoes, can cause tooth discoloration. Tobacco use also causes teeth to turn yellow or brown.

Treatments for Tooth Discoloration

There are a variety of treatments available to individuals with discolored teeth. One of the easiest ways to reduce tooth discoloration is through prevention. Avoid drinking red wine, soda, or coffee and stop using tobacco products. If you drink beverages that tend to leave stains, brush your teeth immediately or swish with water to reduce staining.

After determining the cause of tooth discoloration, Dr. Bob Maley can suggest other treatment options. Over-the-counter whitening agents might help, but in-office whitening treatments provided at our St. Paul, MN office would be more effective. When whitening agents do not help, bondings or veneers are among the alternative solutions for tooth discoloration.

If you are worried about your teeth becoming yellow or brown, think carefully about your diet and medication use. Talk to Dr. Bob Maley to identify substances that may be causing the problem. After treatment for tooth discoloration, you will have a beautiful white smile you can be proud to show off.

Today’s crowns, veneers, and tooth colored fillings are very natural looking compared to early counterparts. There was a time when dentists placed silver fillings exclusively. This material is still used, however the most common material used today in fillings is composite, tooth-colored fillings. Composite fillings can be made to match any shade of tooth and even let light travel through them like natural enamel.

Composite fillings are great in many different scenarios. The most obvious reason is when a cavity is present. This is an excellent way to seemingly erase the imperfection that once was. It is almost as if the cavity was never there.

Placing composite fillings to reshape teeth can also minimize excessive spacing. In the case of a diastema, (a large space between the two front teeth) composite material is a non-invasive and cost-effective choice that provides instant results. It can be an alternative to braces.

Mottled enamel is a symptom of fluorosis, which causes discoloration and imperfections in the enamel. Composites are the material of choice for masking this condition.

Composite fillings are easy to place, easy on the eyes, and easily repaired. With skill and good composite material, a filling can be easily disguised. This look is desired most in our society today, where dental perfection is now standard.

In conclusion, your smile is in good hands with composite fillings. There are some great materials that give a near perfect match to the appearance of natural tooth enamel. Smile with confidence knowing no one ever has to know. Your secret is safe with us at our office!

The dog days of summer are upon us, and what better time for Dr. Bob Maley and our team to ask our patients about their summer!

Whether you visited our nation’s capital, went on a camping trip, or just stayed in St. Paul, MN and relaxed, we want to know how you’re all spending your summer! Please feel free to share your summer plans and experiences with us below or on our Facebook page as summer rolls on!

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 our office.

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 St. Paul, MN, or even participating in a hot dog eating contest, Dr. Bob Maley and our team hope you have a safe and fun-filled holiday. Happy Fourth of July!

Thanks Jeff from Brooklyn Park, MN!
"I go to Dr. Robert J. Maley. I've been seeing him for about six years. He is outstanding. I like his excellent service and he seems to really stay on top of technology."

Thanks Kristen from St. Paul, MN!
"Dr. Robert J. Maley is an excellent dentist and has a very good office. He's done general dentistry for me, including regular teeth cleanings and a crown. He takes time to explain what's going on with your teeth, if you have questions. His staff is just great. They have really good hygienists and a very welcoming atmosphere from the front desk staff. The work he's done on me has been very good."

At Dr. Bob Maley Family Dentistry, we have been creating beautiful smiles for years. Whether you or your family have visited Dr. Bob Maley and our team for a single visit or have been loyal patients throughout the years, we would love to hear your thoughts about your experience! In fact, we encourage you to leave a few words for us below or on our Facebook page or email care@maleydental.com!

We look forward to reading your feedback!

After hours of juggling a wailing baby, you’re probably desperate to address teething pain. If your baby is irritable, drooling, and chewing on hard objects, he or she is likely teething. Although some discomfort while your baby is teething is inevitable, learning a few basic approaches can ease painful gums and soothe your frazzled nerves.

• Offer your finger. Simply chewing on your nice, plump finger may be enough to ease your little one’s pain. Make sure you clean your finger before placing it in your baby’s mouth.
• Use a teething ring. A firm rubber teething ring allows your child to gnaw, and alleviates pain. If your baby seems to like sucking on a bottle, replace the milk or formula with water during teething periods. This reduces sugar intake and decreases the risk of tooth decay.
• Cool it down. Stick a clean, moist washcloth in the freezer (place it on a tray for cleanliness) and offer that to your baby. The cooler temperature of the chilled cloth eases the pain of teeth erupting through the gums. Soaking the washcloth in non-caffeinated tea, such as chamomile, may reduce inflammation associated with teething.
• Grab some hard foods. Certain foods allow your kiddo to gnaw, and can ease teething pain. For example, frozen bananas, large chunks of chilled carrots, an apple, or frozen bagels make good teething pain relievers. If you’re offering your child solid food, watch carefully to ensure that your infant doesn’t bite off a piece and choke.
• Try a natural remedy. Years of grandmotherly wisdom suggest that home remedies might help with teething. Try rubbing clove oil, peeled ginger root, or vanilla extract onto your child’s gums. Although there isn’t scientific evidence to prove these remedies are effective, they may help your little one through the painful teething process. Just remember to test the method out on your own gums first to ensure any tingling or numbing is bearable for your child.
• Use medications. If your baby seems to be especially uncomfortable, over-the-counter medications may be appropriate. Giving an age-appropriate dose of acetaminophen (Tylenol) or ibuprofen (Advil) may reduce discomfort. Make sure you check with your child’s pediatrician or our office first to ensure the medication is safe.

If nothing seems to be helping your child’s teething pain, you can always schedule an appointment with Dr. Bob Maley. Our team at our office understands the unique health needs of your little one, and are more than happy to help ensure he or she grows up with a beautiful smile.

For more information about teething, or to schedule an appointment with Dr. Bob Maley, please give us a call at our convenient St. Paul, MN office today!

Many people consume carbonated or sugary drinks and acidic foods every day but have no idea those beverages may be harming their teeth, making them vulnerable to tooth erosion. The acid in the foods we eat and drink can cause tooth enamel to wear away, making your teeth sensitive and discolored. Dr. Bob Maley will tell you that in many cases, what’s important is not what you eat and drink, but rather how you consume it.

What is tooth erosion?

Tooth erosion is the loss of tooth structure caused by the weakening of dental enamel, which is the strongest substance in the human body. Enamel is the thin, outer layer of hard tissue that helps maintain the tooth’s structure and shape. When the enamel is weakened, it exposes the underlying dentin, causing your teeth to appear yellow.

What causes tooth erosion?

Tooth erosion may occur when the acids in the foods and beverages you eat and drink, as well as other factors we will discuss later, weaken the enamel on your teeth. Typically the calcium contained in saliva will help remineralize (strengthen) your teeth after you consume foods or drinks that contain some acid. However, the presence of a lot of acid in your mouth does not allow for remineralization to happen.

Acid can come from many sources, including the following:

• Drinking carbonated or fruit drinks. All soft drinks (even diet varieties) contain a lot of acid and are capable of dissolving enamel on your teeth. Bacteria thrive on sugar and produce high acid levels that can eat away at enamel.
• Eating sour foods or candies. All those sour candies may taste great, but these treats can be acidic to your teeth. Sour and fruity candy, such as Starburst and Skittles, are the worst for your teeth since these candies have a low pH value, which is known to ruin enamel.
• Low saliva volume. Saliva helps prevent decay by neutralizing acids and washing away leftover food in your mouth.
• Acid reflux disease. Acid reflux, or GERD, brings stomach acids up to the mouth, where the acids can erode enamel.
• Bulimia or binge drinking. These conditions can cause tooth damage because they frequently expose teeth to stomach acids.
• Wear and tear. Brushing your teeth too vigorously or grinding your teeth at night can erode enamel.

What are the symptoms of tooth erosion?

Acid wear may lead to serious dental problems. When your tooth enamel erodes, your teeth become more vulnerable to cavities and decay, and you may begin noticing the following symptoms:

• Severe sensitivity or tooth pain when consuming hot, cold, or sugary foods or drinks
• Tooth discoloration
• Rounded teeth
• Transparent teeth
• Visible cracks in teeth
• Cupping, or dents, that show up on the biting or chewing surfaces of the teeth

What you can do to prevent tooth erosion

• Reduce or eliminate altogether your consumption of carbonated drinks. Instead, sip water, milk, or tea.
• If you must consume acidic drinks, drink them quickly and be sure to use a straw so that the liquid is pushed to the back of the mouth. Don’t swish them around or hold them in your mouth for a long period of time.
• Instead of snacking on acidic foods throughout the day, we suggest eating these foods just during meal times in order to minimize the amount of time the acid makes contact with your teeth.
• After consuming highly acidic food or drinks, rinse with water to neutralize the acids.
• Chew sugar-free gum to produce more saliva, as this helps your teeth remineralize.
• Brush with a soft toothbrush and be sure your toothpaste contains fluoride.
• Dr. Bob Maley may also recommend daily use of a toothpaste to reduce sensitivity (over-the-counter or prescription strength) or other products to counter the effects of erosion.

It’s important to know that the majority of dental problems, such as tooth erosion, do not become visible or painful until they are advanced. And, unfortunately, serious oral issues are painful and expensive to treat. A deep cleaning twice a year by our team at our office is the best way to hit all the spots you may have missed with brushing and flossing and prevent any issues that may have gone unseen.

Make sure your teeth get the professional attention they deserve! If you are overdue for your next checkup or cleaning, please give us a call to schedule an appointment at our conv

With the warmer and longer days here, we know many of our patients at our office will be much more active in the summer. Though most of our patients are probably already ready to hit the field for some summer fun, we thought we would discuss a few precautions to take when it comes to keeping your teeth safe as you enjoy playing your favorite sports.

Use a Mouthguard

Are your kids participating in contact sports this summer? If the answer is yes, we strongly encourage you to have them fitted for a mouthguard at our office before the season starts. Athletes can avoid serious mouth and jaw injuries by using a mouthguard.

Be Mindful of Sports Drinks

While sports drinks can be refreshing after a game, they unfortunately contain high levels of sugar and citric acid, which are known to erode the teeth and reduce the minerals in the outer tooth enamel. The simplest way to prevent sports drinks from damaging your teeth? Avoid them completely and drink water instead. Water is a great option to keep you hydrated before, during, or after a game.

Floss, Floss, Floss

While we always tell our patients about the importance of flossing, it is especially important on the day of the game. Athletes are likely to consume more sugar; from energy bars and chews to gum, you are not doing your teeth any favors. All that sugar may give you that extra bounce in your step when out on the field, but we want you to remember to floss when you get home, or else contend with an increased risk of cavities down the road.

If you have any questions about keeping your teeth and mouth healthy while participating in summer sports, please give us a call at our St. Paul, MN office! Have fun!

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. Bob Maley 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 our office 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.

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. Bob Maley and our team at our office 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. Bob Maley 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. Bob Maley and our team will be able to help. Please give us a call at our convenient St. Paul, MN office! We look forward to treating your child!

When you think of a dental emergency, you may picture teeth that have fallen out or severe tooth pain. But it is not uncommon for wisdom teeth to develop conditions or problems that require urgent care from Dr. Bob Maley and our team at our office. Wisdom teeth are the third set of molars that erupt in the late teen years to early 20s. Spacing and crowding problems often cause impaction and infections, which is why many people elect to have their wisdom teeth removed. If you are experiencing discomfort or pain related to your wisdom teeth, call our office to schedule a wisdom teeth consultation.

Perisoronitis and Infections

You may develop perisoronitis if you have a partially-erupted wisdom tooth that has become inflamed. Often, inflammation is caused by food lodged beneath the gum. Here at our office, we can gently search for and remove food debris, as well as clean the affected area and treat it with antibiotics. Do not avoid treatment, however, as untreated perisoronitis can lead to infection, which ultimately places your health at risk.

Crowding and Impaction

When your wisdom teeth erupt, they may cause overcrowding of your teeth, which can have a negative effect on their alignment. This can make it harder for you to clean your teeth properly, and it also increases the chances for developing tooth decay and other oral health problems in the future. For some people, the wisdom teeth never erupt, becoming impacted beneath the gum and causing problems with the neighboring teeth.

If you have an impaction or wisdom tooth crowding, make an appointment with our office soon. We will be happy to evaluate the progress of your wisdom teeth, as well as their effect on the rest of your jaw. Depending on our analysis, we will then discuss your options for treatment and whether extraction might be right for you.

Complications from Wisdom Tooth Extraction

If you have recently had your wisdom teeth extracted, blood clots will have formed in the open sockets the teeth previously occupied. In most cases, the gums heal normally, assuming you follow post-surgical care instructions. However, a small percentage of wisdom tooth extractions do not heal according to plan. If you continue to experience pain or other unusual symptoms following a wisdom tooth extraction, please give us a call. We’ll do everything we can to minimize discomfort and help you heal safely and quickly.

Remember, our team is here to support your dental health in every capacity. We are dedicated to providing excellent service before, during, and after all wisdom tooth procedures, so you can rest assured that your oral health is in good hands.

"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 our office. 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. Bob Maley and our entire staff would like you to know that we appreciate you all!

Happy Mother’s Day and enjoy your special day!

Dr. Bob Maley and our team know that cavities know no age boundaries, and that is why we recommend a visit to our St. Paul, MN 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 our office 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. Bob Maley 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. Bob Maley, please give us a call today! We look forward to seeing you!

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

Earth Day Over the Years

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

The Earth Day Movement

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

The Five R's and Their Importance

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

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

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

Happy Earth Day from the team at our office.

Children are born with a natural sucking reflex. In fact, sonogram images from the womb often reveal an unborn baby practicing by sucking on his or her fingers or thumb. Not only does sucking aid in your baby’s ability to acquire food and nutrients, but it is also a security and possible analgesic outside of meal times.

Though it is both normal and beneficial for parents to soothe their children with pacifiers during infancy, long-term use could interfere with oral health and development. Most children will stop using a pacifier on their own. However, the American Academy of Pediatric Dentistry recommends halting pacifier use after age three. Prolonged thumb sucking or pacifier use after this time can cause the upper front teeth to begin to lean outward. It can also cause new teeth to erupt crookedly, and it can negatively affect jaw alignment.

If your child is not showing signs of self-weaning by age two, you may begin the process by limiting pacifier usage to specific times, such as nap time or when getting vaccinations. Offer an alternative security item, such as a blanket, and be sure to praise your child when he or she chooses the blanket over the pacifier.

Tips

• Never under any circumstances should you dip your baby’s pacifier in something sweet. Though it is a tempting way of encouraging your child to take a pacifier when crying, it can also lead to early childhood tooth decay.
• If your child has not discontinued pacifier use by age three, talk with Dr. Bob Maley about behavioral modifications or appliances that can help your child wean.
• Never use negative reinforcement to discourage pacifier use. Punishment for pacifier use is not effective for changing your child’s habits.

If you have any questions or concerns about your child’s pacifier usage or which types of pacifiers are best for your child’s oral health, please give our team at our office a call at our convenient St. Paul, MN office!

This February marked Dr. Bob Maley’s third trip to Chimbote, Peru, where he used his many gifts as a dentist to give back to people who would otherwise go without dental care. Through Friends of Chimbote: Father Jack’s Mission, a Sister Parish to Dr. Maley’s church, Lumen Christi Catholic Community, he is able to support a community that has shared so much love with him and his family.

Dr. Maley and his family hosted choir members from Father Jack’s Mission in their home several years ago and have maintained their connection with the mission. He and his wife, Anne, have created a dear friendship with Fr. Jack Davis and Sister Peggy Byrne, who have run the mission for many years, ever since. Dr. Maley was thrilled to bring his daughter, Kate, and son, Ben, on this trip this year.

While Dr. Maley only expected to go to Peru once, the people of Chimbote touched his heart in ways he did not expect. Each time, he comes back wanting to improve the clinic down there. He works with dental supply vendors from Patterson Dental and 3M to get donations of equipment and supplies, and even shipped one of our own dental chairs from our office this past fall.

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. Bob Maley and our team at our office 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 our office 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. Bob Maley, please give us a call at our convenient St. Paul, MN office!

Dr. Bob Maley and our team at our office know that periodontal disease isn't something exclusive to adults. It can affect adolescents as well. Gingivitis, which is a milder form of periodontitis, is a form of periodontal disease, and a warning that more serious problems may arise. Untreated gingivitis can develop into full-blown periodontitis.

The American Academy of Periodontology (AAP) explains that research proves that younger people may develop more severe forms of gingivitis. Gingivitis is linked to periodontal disease. Children and adolescents who have type 1 diabetes or immune deficiencies are more likely to suffer from periodontal disease.

There are three types of periodontal diseases Dr. Bob Maley and our team see in children and adolescents.

Chronic gingivitis

Parents may suspect that their adolescent has chronic gingivitis if he or she shows or complains of symptoms such as redness, swelling, or bleeding gums. Early treatment may prevent gingivitis from developing into a more severe form of periodontal disease.

Aggressive and/or chronic periodontitis

Once called adult periodontitis, the term chronic replaces “adult” because periodontitis can occur in people in their early teenage years, and progress throughout their teens. Chronic and aggressive periodontitis primarily affects incisors and first molars. One of its distinguishing characteristics is bone loss. Curiously, patients who suffer from this form of the disease have minimal dental plaque on examination.

Generalized aggressive and chronic periodontal disease

This form of periodontal disease has many of the same characteristics of the chronic and aggressive form, but this more severe type of the disease affects the entire mouth. Symptoms include major plaque and calculus accumulation, and inflamed gums.

In both forms of more severe periodontal disease, the overall gum structure may change. The severity of these changes may alter gum strength enough to loosen teeth, or even worse, cause them to fall out.

The success of any treatment is largely contingent on early diagnosis. Dr. Bob Maley should conduct a thorough periodontal exam as part of an adolescent’s twice-yearly complete dental examinations.

The mouth is full of bacteria. Some of it is necessary for food digestion. Diseases are more likely to develop if bacteria travel to open places in the mouth, such as exposed gum pockets or cavities. Proper dental hygiene is essential for a healthy mouth, and a healthy mouth offers greater protection against painful dental diseases.

Be sure every member of your family has a complete dental exam and cleaning twice a year, and contact Dr. Bob Maley when you or your young kids or adolescents complain of pain, sensitivity, or other oral problems. Early detection at our St. Paul, MN office leads to treatment of oral problems and prevents them from turning into serious periodontal disease and potentially irreversible problems.

Oral health is an important and often overlooked component of an older person’s general health and well-being. Dr. Bob Maley and our team know that for many of our older patients, oral health can become an issue when arthritis or other neurological problems render them unable to brush or floss their teeth as effectively as they once did. Today, we thought we would discuss four common oral health issues our older patients face and how they can avoid them:

Cavities: It’s not just children who get tooth decay—oral decay is a common disease in people 65 and older. Ninety-two percent of seniors 65 and older have had dental caries in their permanent teeth, according to the National Institute of Dental and Craniofacial Research. The risk for tooth decay increases because many older adults don’t go to the dentist as often as they used to, thus cavities go undetected and untreated for longer than they should. Keeping regular appointments with Dr. Bob Maley is the key to getting cavities treated in a timely manner.

Difficulty eating: Oral health problems, whether from missing teeth, cavities, dentures that don’t fit, gum disease, or infection, can cause difficulty eating and can force people to adjust the quality, consistency, and balance of their diet.

Dry mouth: Also called xerostomia, dry mouth is a common issue for a lot of seniors. Our friends at the Oral Cancer Foundation estimate that 20 percent of elderly people suffer from dry mouth, which means the reduced flow of saliva (saliva plays a crucial role in preventing tooth decay). Many seniors are on multiple medications for a variety of chronic illnesses or conditions. Common medications taken that may cause dry mouth are decongestants, antihistamines, blood pressure medications, pain pills, incontinence medications, antidepressants, diuretics, muscle relaxers, and Parkinson’s disease medications. To help counter this, we suggest drinking lots of fluids and limiting your intake of caffeine and alcohol. We also encourage you to check with Dr. Bob Maley during your next visit if you think your medications are causing your mouth to feel dry.

Gum Disease: Gum (periodontal) disease is an infection of the gums and surrounding tissues that hold teeth in place. While gum disease affects people of all ages, it typically becomes worse as people age. In its early stages, gum disease is painless, and most people have no idea that they have it. In more advanced cases, however, gum disease can cause sore gums and pain when chewing.

Gum disease, which can range from simple gum inflammation to serious disease, is usually caused by poor brushing and flossing habits that allow dental plaque to build up on the teeth. Plaque that is not removed can harden and form tartar that brushing simply does not clean. Only a professional cleaning at our office can remove tartar. The two forms of gum disease are gingivitis and periodontitis. In gingivitis, the gums become red, swollen, and can bleed easily; in periodontitis, gums pull away from the teeth and form spaces that become infected.

Proper brushing, flossing, and visiting our office regularly can prevent gum disease. Seniors with limited dexterity who have trouble gripping a toothbrush should ask Dr. Bob Maley about modifying a handle for easier use or switching to a battery-powered toothbrush.

Millions of people, around St. Paul, MN and beyond, wear green on St. Patrick’s Day so they can show their spirit for the holiday and avoid getting pinched. While it may be easy for you to throw on a green shirt, sport a St. Patrick’s Day button, or wear a pair of emerald-hued shoes, if you’re an avid St. Patty’s Day enthusiast you may want to try something different this year. Dr. Bob Maley thought of a few ideas that will help you take your holiday spirit to the next level:

Visit Chicago’s Green River

If you happen to be near the Windy City during St. Patrick’s Day or you’re thinking of planning a trip, don’t miss out on going downtown to watch the large-scale celebration that kicks off when the city dyes the river bright green. According to the Chicago Sun-Times, Chicago has been celebrating the holiday with this tradition for more than 50 years, with tens of thousands of people gathering annually to witness the mysterious dying process and the stunning result.

Don Green Face Paint

Just like an avid sports fan on game day, you can use green face paints to showcase your enthusiasm for this holiday. Avoid breakouts or allergic reactions by only using paints that are specifically meant to be applied to the skin. A little bit of face paint can cover a large area, so feel free to get creative and decorate the whole family on St. Patrick’s Day.

Eat Green All Day

Not a fan of green eggs and ham? With the increasing popularity of green smoothies, there’s no better time to get in on this health craze. To create a green smoothie without the aid of food coloring, you can simply blend a generous amount of a leafy green vegetable, such as spinach or kale, with the ingredients that you would typically use to make a smoothie, like fruit, ice, milk, or juice. Keep the trend going throughout the day by using those same vegetables to create a green soup, egg salad, or a batch of bright green pastries. As an added bonus, you’ll get a healthy dose of vitamins without changing the taste of most of these foods.

If your old holiday routine has gotten stale, leave your green T-shirt in the drawer and try one or all of these tips. Don’t be surprised if you have so much fun that you decide to start a new, annual St. Patrick’s Day tradition! Have a happy St. Paddy’s day from our office!

A dental crown is often called a “cap.” A dental crown covers all of the visible parts of the tooth and has many functions and reasons for placement.

There are several different types of crowns available at our office. They vary in their material, appearance, and functionality. A PFM, or porcelain fused to high-noble metal, is the most common. A full cast, high noble metal crown is a gold crown, and a stainless-steel crown is meant to be temporary. The most natural-looking crown is one that is all porcelain. These are often used for front teeth.

Getting a crown typically requires two appointments. The first is a preparation with impressions, shaping, and placing a temporary. The impressions are either sent to a dental lab, where the process generally takes two weeks, or done in-office with a machine that can make a crown without needing a second appointment. These crowns are made from a high-quality solid block of porcelain. The shape of the tooth is constructed from a digital 3D image of your tooth.

To accurately determine which type of crown is best, you must first know why you need the crown and in what area of your mouth is it needed, which can be answered when you visit us at our office. For instance, if you have a gold crown on the lower right and need a new crown directly above on the upper right, the best durability and long-lasting relationship is another gold crown.

If you need a crown on a front tooth, a gold crown may not be the best choice. A PFM has strength but is not ideal, as a dark line will appear at the gum line. A full porcelain crown is going to look as close to a natural tooth as possible, but will have less strength than a gold crown.

There are two types of porcelain crowns, depending on how they are made. A dental lab makes a full porcelain crown by baking layer upon layer to make the porcelain look like natural enamel. A full porcelain crown made in-office out of a solid piece of porcelain will have increased strength. However, the natural layered appearance is extremely difficult to achieve.

A crown is placed on a tooth when added strength is needed. Cracks, large broken-down fillings, or previous root canal treatment are all conditions where a crown is the standard care. The type of crown that is most appropriate depends greatly on location.

At our office, 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. Bob Maley about it. See you soon!

Dr. Bob Maley was recently honored as the recipient of three awards, highlighting his dedication to our patients, our services, and the St. Paul, MN community.

Talk of the Town Customer Satisfaction Award

In 2013, Dr. Maley received the Talk of the Town Customer Satisfaction Award, and was again awarded it this year! Only the highest-rated businesses have been chosen to receive this award, presented by Talk of the Town News. To win in consecutive years is exceptional!

For more than five years, Talk of the Town News has helped businesses get noticed while connecting consumers to the top-rated businesses in the United States and Canada. As a patient of a Talk of the Town Award winner, you won’t wonder whether you will get good service, you know you will!

Dr. Maley is proud to make a difference in our community by providing the dental services, products, management, leadership, and staff that have earned this award.

Angie’s List

Dr. Maley has also won the 2013 Super Service Award! The Angie's List Super Service Award honors excellence among service and health providers who maintain superior service ratings and reviews on Angie's List throughout the past year. The Super Service Award is the highest honor given annually to the top 5% of qualifying businesses on Angie's List, and Dr. Maley is one of them!

2013 Best of Saint Paul Awards for Doctors and Clinics

Each year, the Saint Paul Award Program identifies companies they believe have achieved exceptional success in their local community and business category. Dr. Bob Maley Family Dentistry has been chosen because of our efforts to enhance the positive image of small business through service to our patients and our community. It is our goal to make the Saint Paul area a great place to live, work, and play.

For Dr. Maley, this recognition is a result of his dedication and efforts as well as the work of our team who have helped build Dr. Bob Maley Family Dentistry. We are grateful to be a part of an exclusive group of small businesses that have achieved this selection.

Imagine that you sit down for some evening television, and during the course of the evening, you see five commercials regarding dental products. They all claim to be the best. Then remember your last visit to the dental aisle at a local grocery store. The choices are overwhelming and there seems to be no sure answer as to which would be the best choice for your child.

our office recommends that parents break down the decision process. First, consider your child’s age and stage of development. Up until age ten to 12, your child cannot adequately brush or floss independently. It is not a maturity issue, but rather dexterity. Automatic toothbrushes are highly appropriate for all ages. Brushing quality improves when using a battery-powered toothbrush. Use it together with your child, and always play an active role in your child’s oral home care.

As a general rule, the brush head of the toothbrush should be a little larger than the child’s upper portion of the thumb. This will help ensure it will fit in all the places it needs to.

Flossers are great for children. These will have a horseshoe shape on one end with floss in-between. A particular brand name does not matter. Some have a higher quality and this should be evident when you use them. You can make a choice for individual preference with color, handle size, or shape, etc.

There are many brands of toothpaste and there are also differences in the ingredients. Some contain sodium fluoride, the standard ingredient in cavity prevention. Others have stannous fluoride, which is anti-bacterial and anti-cavity. Potassium nitrate is commonly found in anti-sensitivity, and triclosan is found in one particular brand for anti-bacterial properties. It is most common for children to be at a high risk for cavities. Therefore, our team at our office recommends toothpaste with fluoride once your child is old enough to spit.

Before a child can spit, use toothpaste without fluoride. This is an ideal time to use toothpaste with xylitol. Xylitol should be listed as the first ingredient; this way you’ll get the almost medicinal property of this natural sweetener. After you have found the right type of toothpaste, consider its flavor. The best kind of toothpaste is one that will be used, so choose a flavor that your child will love!

If you have any other questions, our would like specific brand recommendation feel free to call us at our office or ask Dr. Bob Maley during your next appointment!

From a student handing out sweets for her classmates to an older married couple exchanging boxes of candy, Valentine’s Day is the time of year when people like to show affection by gifting sugary treats to their loved ones. Whether you’re on the giving or receiving end of Valentine’s Day candy, you can celebrate the holiday in a healthier way by making dark chocolate your confection of choice.

Contribute to Your Health

According to the Cleveland Clinic, studies have shown that the cocoa beans used to make chocolate contain flavonoids, which can help protect the body against damage from various toxins. Flavonoids may also help lower blood pressure and improve blood flow to the heart and the brain. Dark chocolates typically contain a higher amount of flavonoids than other types, making them a great choice for chocolate lovers. However, you should keep in mind that many companies produce chocolate that is so heavily processed that the flavonoids are largely eliminated. Your best bet is to look for high-quality dark chocolates and cocoa powders that have undergone minimal processing.

Protect Against Cavities

If you think there’s no way candy could ever be beneficial for your teeth, think again. The Texas A&M Health Science Center has reported that the tannins present in cocoa beans may actually help prevent cavities by interfering with bacteria’s harmful interaction with teeth. Just like with flavonoids, tannins have been found to be present more often in dark chocolates, rather than milk chocolates, giving you another great reason to choose the richer, sweet varieties.

Avoid a Sticky Situation

One more benefit of choosing chocolate over other candies is that it is less likely to get stuck in the crevices and spaces between teeth. Gooey sweets like taffy can stay lodged in the mouth for longer periods of time, putting you at a greater risk for developing cavities. When you choose your chocolate, be sure to avoid types that also contain sticky ingredients like caramel or marshmallow, and instead opt for the plain varieties.

Remember that the health benefits you can receive from dark chocolate are largely based on eating the candy in moderation. With that being said, it’s easy to make this delicious and health conscious switch when you’re out shopping for your sweetheart, friends, loved ones, and yourself. Have fun satisfying your sweet tooth this year and Happy Valentine’s Day from all of us at our office!

A Fun New Way to Encourage Your Children the Importance of Proper Brushing!

At Dr. Bob Maley Family Dentistry, we know that it can be challenging to instill in your child the importance of regular and proper teeth-brushing. Maintaining excellent dental health isn't just important for teeth: an increasing amount of studies show that great dental and oral health promotes great overall health and wellness. This means that training children on excellent dental hygiene is a very important effort!

Teaching your child how to brush properly and why it’s so important can actually be fun for both you and your child. Recently, the Partnership for Healthy Mouths, Healthy Lives released a fantastic new app that encourages great brushing habits while making it interactive for children. This awesome new Toothsavers gaming app is endorsed and encouraged by the American Dental Association and is easily available on both the App Store for Apple devices and the Google Play store for Androids.

Here are some more details about the app from the ADA:

“This interactive game makes toothbrushing fun by encouraging kids to save friendly fairy tale characters from the evil, cavity-creating sorceress who cast a wicked tooth-rotting spell on the kingdom. The goal of the game is to motivate children to save their own teeth by brushing their teeth two minutes, twice a day.”

We think your child will love this new gaming app while also learning about just how important great brushing habits are!

Download Toothsavers on the App Store or on Google Play today!

The American Academy of Periodontology stresses the importance of good oral health since gum disease may be linked to heart disease and stroke. Thus far, no cause-and-effect relationship has been established, but there are multiple theories to explain the link between heart disease and periodontal disease. One theory suggests that oral bacteria may affect heart health when it enters the blood and attaches to the fatty plaque in the heart's blood vessels. This can cause the formation of blood clots. Another theory suggests the possibility that inflammation could be a contributing link between periodontal disease and heart disease. Gum disease increases plaque buildup, and inflamed gums may also contribute to the development of swollen or inflamed coronary arteries.

What is coronary artery disease?

Coronary artery disease is caused in part by the buildup of fatty proteins on the walls of the coronary arteries. Blood clots cut off blood flow, preventing oxygen and nutrients from getting to the heart. Both blood clots and the buildup of fatty proteins (also called plaque) on the walls of the coronary arteries may lead to a heart attack. Moreover, periodontal disease nearly doubles the likelihood that someone will suffer from coronary artery disease. Periodontal disease can also worsen existing heart conditions, so many patients who suffer from heart disease need to take antibiotics before any dental procedures. This is especially true of patients who are at greatest risk for contracting infective endocarditis (inflammation of the inner layer of the heart). The fact that more than 2,400 people die from heart disease each day makes it a major public health issue. It is also the leading killer of both men and women in the United States today.

What is periodontal disease?

Periodontal disease is a chronic inflammatory disease that destroys the bone and gum tissues around the teeth, reducing or potentially eradicating the system that supports your teeth. It affects roughly 75 percent of Americans, and is the leading cause of adult tooth loss. People who suffer from periodontal disease may notice that their gums swell and/or bleed when they brush their teeth.

Although there is no definitive proof to support the theory that oral bacteria affects the heart, it is widely acknowledged better oral health contributes to overall better health. When people take good care of their teeth, get thorough exams, and a professional cleaning twice a year, the buildup of plaque on the teeth is lessened. A healthy, well-balanced diet will also contribute to better oral and heart health. There is a lot of truth to the saying "you are what you eat." If you have any questions about you periodontal disease and your overall health, give our St. Paul, MN office a call!

It is not uncommon to be concerned about your safety when you have dental X-rays performed. Putting on a heavy lead vest may make you apprehensive. The benefits of dental X-rays far outweigh the risks when safety procedures are followed and the number of X-rays is limited to the required number.

About Dental X-rays

Intraoral X-rays are the most common, and include bitewing X-rays. These allow Dr. Bob Maley and our team at our office to detect caries (cavities) and check the health of your bone and root structure. Extraoral X-rays provide the information we need to monitor your jaw and temporomandibular joint (TMJ), as well as look for impacted teeth and tooth development.

X-ray Safety

A set of four bitewing X-rays exposes you to about 0.005 mSv (millisievert) of radiation, which is equal to the amount of radiation you receive in an average day from natural sources. A panoramic X-ray exposes you to about twice the amount of a bitewing. In both cases the risk is negligible and worth the diagnostic benefits.

Guidelines from the American Dental Association are offered for individuals who are not at high risk for cavities. Children in this group should have X-rays every one or two years. Teenagers should have X-rays every one-and-a-half to three years. Adults can go two to three years between X-rays. If you are at higher risk, yearly X-rays are not harmful and can save your teeth.

No matter what type of X-ray you are having, it is extremely important to tell Dr. Bob Maley or one of our technicians if you are pregnant or may be pregnant. If you are concerned about the number of X-rays you are having done, or about any radiation you are exposed to, please give us a call at our convenient St. Paul, MN office and talk to us about your concerns.

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. Bob Maley and our team at our office 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. Bob Maley, please give us a call at our convenient St. Paul, MN office!

Halitosis is the scientific name for bad breath. It is one of the most common oral concerns, and it affects a large percentage of the population, including children. Having bad breath can be embarrassing and a nuisance. When considering what to do about halitosis, the team at our office highlights that you need to focus on the cause, rather than just masking the problem.

Children commonly have bad breath because of an upper respiratory infection. This includes a common cold, postnasal drip, or allergies. When this is the case, treatment may be complicated if one or more of these issues is chronic.

Another cause of halitosis in children is a condition with their teeth or gums. Just as in adults, gum disease has a distinctive malodor. The quality of brushing and flossing in children directly influences the presence of gum disease. If there is a large untreated cavity, there will be a strong smell causing bad breath. Both of these issues need professional attention, including a visit to the dentist.

Tonsillitis can also cause halitosis in children. It happens because of a constricted airway, resulting in mouth breathing. Mouth breathing is a concern because of how much it dries the tissue in the mouth. This makes any bacterial infection in the mouth worse and causes an increased potency within the bacteria in the mouth.

Treatment of halitosis is as varied as the causes listed above. Beware of ingredients in products that mask bad breath. Sucking on a mint on a regular basis will cause more harm than good because of potential decay. Chew sugarless gum and mints.

If you have any other questions, feel free to call us at our office or ask Dr. Bob Maley during your next appointment!

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

United States and Canada

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

China

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

Jewish Celebration

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

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

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

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

At our office, we know most of our patients enjoy a cup of coffee or two throughout the day. But what many of you don’t know is that coffee can be especially tough on your teeth because tannic acid (the substance that makes the dark color) etches into the pits and grooves of tooth enamel, staining your pearly whites and being generally detrimental to your smile.

Coffee is one of the most popular beverages in the world, with more than 50 percent of people drinking a cup daily. Other foods and drinks such as wine, chocolate-flavored beverages, and soft drinks can all cause tooth enamel discolorations. A hot cup of Joe, however, goes one step farther: extreme temperature changes in your mouth can cause teeth to expand and contract. This allows stains to penetrate deep into the micro-cracks of your tooth enamel.

Additionally, caffeine is considered a diuretic, which means it causes the body to lose fluids. So when you enjoy coffee or any kind of caffeinated beverage, it slows the production of saliva and causes dry mouth, which can potentially lead to bad breath and even tooth decay.

If you just can't make it through the day without a cup of java, we encourage you to consider these tips to help make sure your teeth stay in tip-top shape:

• Drink a glass of water with your coffee or rinse with a glass of water after every cup. Not only does it help neutralize and rinse away the acid left behind from the coffee, but it also helps replenish fluids drawn out of your body by caffeine.
• Chew gum after you drink coffee. Chewing gum will help keep your saliva production up and prevent dry mouth.
• Enjoy your beverage with a straw so that tannins don’t make contact with your front upper and lower teeth.
• Switch to decaf. Each cup of regular coffee you drink has an average of 110 milligrams of caffeine. Decaf has the same great taste with only two to 12 milligrams of caffeine.

Dr. Bob Maley and our team also invite you to visit our convenient St. Paul, MN office for whitening options. We can help bleach your teeth with proven and professional products. To learn more about whitening options available at our office, please give us a call!

Dry mouth, or xerostomia, is a common side effect of many medications. It can also be a side effect of cancer treatments, or the result of certain auto-immune diseases. Dr. Bob Maley and our team at our office will tell you that for most people, discontinuing their medication isn’t an option. The solution is two-fold: find ways to increase saliva production and eliminate specific things that are likely to increase dryness in the mouth.

Lack of saliva creates a situation in the mouth that allows harmful organisms such as yeast and bacteria to thrive. It may also make it difficult to swallow food, create a burning feeling in your mouth, or cause bad breath, among other problems.

Medications that are known to cause dry mouth include:

• Anti-depressant drugs
• Anti-anxiety medications
• Drugs for lowering blood pressure
• Allergy and cold medications — antihistamines and decongestants
• Chemotherapy drugs
• Medications to alleviate pain
• Drugs used in the treatment of Parkinson’s disease

Saliva helps people digest their food. It also functions as a natural mouth cleanser. Xerostomia increases the risk you will develop gum disease or suffer from tooth decay.

Solutions for dry mouth

• Carry water wherever you go, and make a point of taking regular sips.
• Avoid oral rinses that contain alcohol or peroxide.
• Chew sugarless gum or suck on sugarless hard candies that contain xylitol.
• Limit your consumption of caffeine, carbonated beverages (including seltzer and sparkling waters), and alcoholic beverages.
• Brush your teeth at least twice a day, and use dental floss or other inter-dental products to remove food particles that get stuck between your teeth.
• Look for oral rinses and other oral hygiene products that bear the American Dental Association (ADA) Seal of Approval.
• Brush your teeth and use oral rinses that contain xylitol. Certain gels and oral sprays are equally helpful. Biotene is one over-the-counter brand that makes products designed to treat dry mouth.
• Make sure you get your teeth checked and cleaned twice a year. Dr. Bob Maley will be able to examine your mouth for problems and treat them before they turn into something more serious.

You may not be able to solve your dry mouth problem altogether, but you’ll be able to deal with it by following these recommendations. You’ll be able to increase saliva production while reducing your risk of more serious dental problems. To learn more about preventing dry mouth, or to schedule an appointment with Dr. Bob Maley, please give us a call at our convenient St. Paul, MN office!

Yes, absolutely. A recent survey by Oral-B® reveals that despite knowing that a healthy, good-looking smile affects not only their personal wellness but their professional image as well, very few people (only 14 percent) brush and floss at the office regularly. What’s more, three quarters of people who responded to the survey said they ate twice or more a day at work.

Today, Dr. Bob Maley and our team thought we would provide some tips for brushing at work.

• Leave a toothbrush at work to increase your likelihood of brushing
• Brush your teeth twice a day with fluoride toothpaste. Replace your toothbrush every three or four months, or sooner if the bristles are frayed. A worn toothbrush won’t do a good job of cleaning your teeth.
• Clean between teeth daily with floss or an interdental cleaner; this helps remove plaque and food particles from between the teeth and under the gum line. Tooth decay-causing bacteria still linger between teeth where your toothbrush bristles can’t reach.

And remember to brush for 30 to 45 seconds across visible parts of the teeth. Brushing after breakfast or lunch will eliminate any remaining food particles and odors. We recommend people brush their teeth twice and floss once a day to remove plaque and other harmful bacteria.

To schedule your next appointment with Dr. Bob Maley at our St. Paul, MN office, please give us a call!

“But they are only baby teeth; won’t they just fall out?” Our team at our office 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. Bob Maley 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.

At our office, we love to celebrate the holidays with vigor! Dr. Bob Maley would love to share some unique ways of celebrating Thanksgiving from beyond the St. Paul, MN 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.

At our office, we know your dental health is closely connected to your overall health. We also know that the mouth can oftentimes be the first place to show signs of other bodily health issues.

Studies have shown possible links between periodontal (gum) disease and heart disease, and researchers have found that people with gum disease have an elevated risk of suffering from a stroke or developing coronary artery disease. Believe it or not, an estimated 70 to 80 percent of North American adults currently have some form of gum disease.

Gum disease, which affects the tissues that surround and support the teeth, is an infection caused by a sticky film of bacteria called plaque that forms on the teeth, mainly along the gum line. In its early stages, called gingivitis, gum disease can be treated by Dr. Bob Maley and often reversed.

To help keep your mouth and heart healthy, we’ve provided following tips to help prevent problems before they arise:

• Brush your teeth with fluoride toothpaste at least twice a day. Make sure you brush gently beneath the gum line around each tooth.
• Floss at least once a day.
• Have a dental checkup and cleaning twice a year, or as recommended.
• Eat a healthy diet. This includes avoiding foods with a high concentration of sugars or starches and consuming more fruits and vegetables.
• Avoid tobacco and copious levels of alcohol. If you smoke, quit. And remember, heavy drinking dramatically increases the risk of developing mouth and throat cancer.

Don’t put off your next visit to our office any longer! If it has been a while since your last visit to our St. Paul, MN office, please give us a call!

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 St. Paul, MN office to schedule an appointment with Dr. Bob Maley. 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.

Many thanks to our patient, Catherine, for making our day with this review. You can't imagine how good it feels to know that doing what we love to do makes a difference in our patients' lives. We are humbled and grateful.

Dr. Maley is the best dentist I've ever had. I have a disability so he and his staff make accommodations that make the chair more comfortable for me. Procedures are seldom painful but when they are, Dr. Maley is always willing to stop and change his approach to make things as painless as possible. Dr. Maley is always on time, and the staff is always cheerful and friendly, even when I'm a few minutes late. He is very mindful of the cost of dental work and the amount of insurance I have. We will talk about the things I can afford to have done right now and the things I can wait to have done at future visits. I used to see a dentist in South Minneapolis, but she didn't care much about my discomfort. She just kept going. I knew from the first time I walked into Dr. Maley's office, I was in the right place. He is kind, gentle, and patient. And the staff is the best. I so appreciate the reminder of my upcoming appointment by text, email or phone. I give my highest recommendation to Dr. Maley, the best choice I've made in years.

Women using medication to treat a variety of medical conditions are often unaware of the potential side effects. One common side effect of medications such as blood pressure medication, birth control pills, antidepressants, and cancer treatments is dry mouth. The technical term for dry mouth is xerostomia.

Xerostomia can lead to undesirable effects in the oral cavity including periodontal disease and a high rate of decay. Many women who have not had a cavity in years will return for their routine exam and suddenly be plagued with a multitude of cavities around crowns and at the gum line, or have active periodontal disease. The only thing that the patient may have changed in the past six months is starting a new medication.

Saliva washes away bacteria and cleans the oral cavity, and when saliva flow is diminished harmful bacteria can flourish in the mouth leading to decay and gum disease. Many medications can reduce the flow of saliva without the patient realizing the side effect. Birth control pills can also lead to a higher risk of inflammation and bleeding gums. Patients undergoing cancer treatments, especially radiation to the head and neck region, are at a greatly heightened risk of oral complications due to the possibility of damage to the saliva glands.

There are many over the counter saliva substitutes and products to temporarily increase saliva production and help manage xerostomia. One great option for a woman with severe dry mouth or high decay rate is home fluoride treatments. These work in a number of ways, including custom fluoride trays that are worn for a short period of time daily at home, a prescription strength fluoride toothpaste, or an over the counter fluoride rinse. If you have more questions on fluoride treatments, make sure to ask Dr. Bob Maley, your dental specialist, at your next visit to our office.

The benefits of many of the medications on the market outweigh the risks associated with xerostomia, however, with regular exams you can manage the risk and prevent many oral consequences of medications.

Diabetes is a chronic disease that increases the risk for many serious health problems, including severe gum disease. November is Diabetes Awareness Month, and it’s a great time for us at our office to remind our patients that the way you care for your teeth at home doesn’t just affect your oral health; keeping your mouth healthy is vital to your overall health, too.

Diabetes is the result of a deficiency, or lack of the hormone insulin to properly transport glucose (blood sugar) to the cells throughout the body. According to the American Diabetes Association, the most common types of diabetes are Type One (90-95 percent of cases), Type Two (five percent), and gestational or pregnancy diabetes. Women who have had gestational diabetes have a 35 to 60 percent chance of developing diabetes, mostly Type Two, in the ten to 20 years following their pregnancy.

In the past decade, researchers have found links between periodontal (gum) disease and diabetes. Not only are people with diabetes more vulnerable to gum disease, but diabetes may also have the potential to affect blood glucose control, as well as contribute to the advancement of diabetes.

Nearly 26 million Americans currently live with the disease, with an additional 79 million in the pre-diabetes stage. There is some good news we want you to know, however; you can protect your gums and teeth from the effects of diabetes by visiting our St. Paul, MN office for an exam. Patients who are living with diabetes may require more often visits to ensure their dental health remains in tip-top shape. Many insurance plans provide expanded benefits for diabetic patients, and Dr. Bob Maley can tell you how often you need to come in for an appointment.

For more information on how we can help, please do not hesitate to give us a call at our St. Paul, MN office.

Do you have a space where a tooth used to be? Were you born with a missing tooth? Are you getting ready for dentures? You may be a good candidate for a dental implant. Metal dental implants were invented in 1965. Technology continues to advance with nearly 800,000 implants placed last year in the United States. Placing implants has become mainstream and a common practice for offices like ours.

A dental implant is a small titanium post, which resembles a screw with threads. The post also has holes for bone to integrate. A dental implant is placed into the jawbone during a short dental procedure. It is relatively painless with very little post-operative pain. The threads on the implant post allow for the bone to fill in and integrate. To facilitate this process the implant is re-covered with gum tissue and allowed to heal and integrate for nearly three months. The implant acts as the root for the tooth to provide solid and stable support for the crown that’s yet to be placed.

The next step in the dental procedure is to uncover the implant and place a healing cap to allow the gum tissue to heal. After a short period of healing, an impression is taken to fabricate a crown to fully restore the missing tooth. The crown is then cemented on top of the post, at which point you can resume normal eating activities.

Dental implants do require some special care, but that is easily managed when you follow the directions outlined by Dr. Bob Maley. During your regularly scheduled cleaning, special instruments are used to clean implants. While a dental implant cannot get a cavity, a condition known as peri-implantitis can occur. This is very similar to periodontal disease as the end result is dental implant loss and loss of bone structure. Be sure to floss the dental implant daily and run the floss under the implant crown as far as it can go to remove food and plaque. If you use any picks or small brushes to go in between your teeth, make sure they are plastic. Metal will scratch the implant making it more susceptible to infection. Be sure to keep your regular dental visits and cleanings to monitor the implant and help preserve your investment.

Time flies when we are not at the dentist! Before you know it, years may have gone by. Let’s take a moment to explain what takes place when a patient comes back to receive care after an extended period of time.

After a while, small dental concerns or issues can grow into an unexpected journey of discovery and expense. Anxiety is common and expected. Let’s discover first of all, “What brings you here today?” It is a good place to start and once the initial concerns are addressed, a comprehensive plan to restore optimum dental health can be arranged. During the first appointment Dr. Bob Maley and our team want you to feel comfortable, and establish a confidence allowing you to be open with any questions.

Your visit will take approximately 90 minutes. First, a complete medical and dental history will be recorded and reviewed in one-on-one interview style. This is the time to voice any concern, anxiety issues, worries, etc. Then, X-rays are taken to provide additional information about what is happening beneath the surface of your teeth and gums. Finally, a series of screenings including those for oral cancer, home care evaluation, and periodontal disease are conducted to complete your oral health evaluation.

The hygienist has a great eye for other conditions such as broken fillings, cracked teeth, active decay, and other dental concerns. Then, Dr. Bob Maley will come in for a comprehensive exam and list and prioritize your dental needs. Our treatment coordinator will present scheduling options, insurance coverage, and payment plans.

Our team will coach you and help you gain control of your own dental destiny with good home care habits. You will receive a bag with a toothbrush, floss, appropriate toothpaste, and any other specialized tools for your needs. You will know how often you need to return for hygiene visits or other dental appointments.

Our patients at our office are our most important asset, and we strive to create a comfortable experience, no matter how long it has been since your last visit at our St. Paul, MN office. From phone conversations to financial arrangements to clinical treatment, we want you to feel confident that our team will meet your needs.

With children undergoing developmental dental changes and engaging in rough-and-tumble activities, dental emergencies can sometimes arise. If your child knocks out a tooth or experiences any type of oral discomfort, call our office right away so we can provide you with a quick assessment and pain-free treatment.

Before an emergency occurs, it’s a good idea to stay informed about the problems your child may encounter. Here are a few things you should keep in mind about teething pain, loose baby teeth, and other common dental issues.

Teething Pain?

Typically occurring in babies that are between four months and two and a half years old, teething may cause excessive drooling, tender gums, and some irritability. The Massachusetts Dental Society recommends providing plenty of fluids to children who are experiencing teething pain. Giving your baby a cold teething ring or gently rubbing her gums with wet gauze or your finger may also make her feel better.

Loose Baby Tooth

It is normal for a child’s first set of teeth to become loose and fall out. On the other hand, if your child’s baby tooth is knocked loose, schedule an appointment with our office so we can assess whether any damage has been done.

Issues with Permanent Teeth

Sometimes a child’s permanent teeth will grow in before the baby teeth have fallen out. Sutter Health notes that this a good reason to consult with a dental professional. Even if this condition isn’t causing any discomfort, you should schedule an appointment with our office so we can determine whether your child’s permanent teeth are growing in correctly.

Bleeding Gums

Bleeding gums can result from a number of factors, including periodontal disease, rough brushing, or an injury to the gum tissue. If your child’s gums are bleeding heavily, call our office right away so we can address the situation. If you have time before your appointment, the Cleveland Clinic recommends that you wash the child’s mouth with salted water and gently put pressure on the affected area.

Regardless of the type of dental issue your child has, you can always consult Dr. Bob Maley for further guidance. We make sure our emergency services are available 24 hours a day and seven days a week, so you have ready access to convenient and professional dental care that will have your child feeling better in no time.

Dr. Bob Maley, as well as our team at our office, would like to give those patients with flex spend, health savings, or insurance benefits a friendly end of the year reminder that it’s high time to schedule your dental visits so you optimize your benefit.

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

Great question! Baby bottle tooth decay is the development of cavities caused by the frequent and long-term exposure of a child's teeth to liquids containing sugars. These liquids include milk, formula, fruit juice, sodas and other sweetened drinks. The bacteria in the mouth thrive on this sugar and produce acids that attack the infant's teeth and gums. After numerous attacks, tooth decay can begin.

The first rule is to make sure your child does not fall asleep with a bottle containing milk, formula, juice or other sweetened liquids. Giving an infant a sugary drink before bedtime is harmful because the flow of saliva decreases during sleep, allowing the sugary liquids to linger on the child's teeth for an extended period of time. If left untreated, pain and infection can result.

So, how can you prevent baby bottle tooth decay? Be sure to clean and massage the baby's gums once a day to help establish healthy teeth and to aid in teething. When brushing your child's teeth, use a soft toothbrush, as well non-fluoride toothpaste. Once your little one is able to spit, around the age of two, you should begin using fluoride toothpaste. From the beginning, have your little one practice spitting the toothpaste out after brushing. That way, he or she will already have the good habit of spitting when you switch to fluoride toothpaste, which should never be swallowed.

Also, be aware that children should visit our office when they are between six and 12 months old. Please give us a call if your child hasn't visited our St. Paul, MN office in the last six months!

The habit of grinding teeth can be both painful and harmful for your children. If you discover that they are frequently grinding their teeth—a condition called bruxism—here is some helpful information on the problem, and how you can find help to put a halt to it.

How to Know if Your Child is Grinding

Sometimes, identifying a child that grinds teeth is as simple as checking in while he or she is asleep. At other times, you may not be able to readily identify the grinding problem. A few of the most common symptoms associated with bruxism include:

• Frequent teeth grinding or clenching of the jaw (in some cases it may be more subtle; in others it may be loud enough that you can hear it)
• Teeth that are worn down
• Complaints of sensitive teeth
• Pain or tightness in the jaw muscles, or an earache or other jaw pain
• Frequent unexplained headaches

In most cases, if your children are grinding their teeth, they will do it at night. If the teeth grinding is a result of excessive amounts of stress, it may also happen during the daytime. Some of the most common reasons children grind their teeth involve:

• Improper alignment of top and bottom teeth
• As a response to pain, especially for tooth, jaw, or gum pain
• Excessive stress, tension, or anger

Treatment Options for Bruxism

In many cases, children will grow out of the teeth grinding as their permanent teeth develop, replacing poorly aligned or painful baby teeth. If your child grinds his or her teeth more frequently, or you begin to notice significant damage, it may be more serious and need to be addressed by Dr. Bob Maley before it causes more permanent pain or problems.

In some cases, our team at our office may recommend that your child wears a protective mouthguard to prevent grinding, or work with a therapist or other specialist to develop awareness of the grinding. If the grinding is caused by stress or anxiety, it may be helpful for you to sit down and talk to your child each day about how she is feeling, and why, to help her work through the stress.

Teeth grinding can be a painful, problematic condition for some children. However, a combination of parental vigilance and frequent visits for regular checkups at our St. Paul, MN office can help. If you are concerned that your child may be grinding his or her teeth, and it could cause permanent damage before the child grows out of it, come talk to us about strategies for dealing with bruxism, and ways for you to help your child.

Hearing that you need a root canal can be highly intimidating. What is a root canal? It is the removal of the nerve supply from the tooth. Here, Dr. Bob Maley will describe the parts of a tooth and explain the reasons for a root canal and how it is done when you visit us in our St. Paul, MN office.

Your tooth is made up of many layers. The outside layer is called enamel and is made of minerals. The middle layer is dentin, which is also a calcified tissue, but less dense. The center of the tooth is called the pulp, and that hosts the nerves and blood vessels. A root canal is the removal and replacement of this center with a sterile filling.

A root canal is needed when an infection spreads to the center of the tooth. This can be from trauma (recent or previous), a cavity, a severe crack, or other compromise that causes nerve damage. An X-ray and examination are required to see if a root canal is needed. Symptoms may include but are not limited to pain, swelling, change in tooth color, and over-reaction to temperature change or pressure.

When it is time to begin, you’ll receive local anesthesia (via injection) to make you most comfortable. A rubber dam is used to isolate the tooth, while other equipment determines the nerve location and maintains a sterile working environment. All of the infected area is removed including the nerve tissue and blood vessels. Then, medicines are used to sterilize and alleviate any pain. Next is the placement of a filling material in the spot where the nerve used to be.

When your nerve and blood supply are taken away, the tooth is non-vital, or dead, and can become weak and fragile. If your tooth is badly decayed, a large portion of it will have to be removed. It is recommended to place a crown on the tooth to keep the enamel from breaking or falling apart. If you do not get a crown, you could eventually lose the tooth to more decay or infection. The tooth could also break off completely and you would have to have an extraction. The crown fits over the top of the tooth and secures it from breaking down.

A root canal saves the life of a tooth that would otherwise succumb to further infection and eventually extraction. Infection is the cause of most-needed root canals. If you are ever unsure what is happening at your appointment, don’t be afraid to ask questions so you understand the procedure completely.

It's the end of summer, and fall is just around the corner. Soon the temperatures will cool down, the leaves will start to change, and Dr. Bob Maley and our team at our office are sure that you’ll soon be thinking about Halloween costumes and Thanksgiving plans in no time. But wait! First, we want to know about your favorite parts of the summer! Did you go on a wonderful family trip? Did you pick up a new hobby? Did you try to spend as much time outside and in the sun as possible?

Share your favorite memories, stories, or photos with us by leaving a comment below or on our Facebook page.

Get to know more about our fantastic staff on our blog! Today we are introducing Lynda, our Registered Dental Assistant.

Lynda is a “lifer,” having worked with Dr. Maley more than 20 of the 30 years she’s been in dentistry. Lynda’s aim is to make every patient’s experience positive, and she gets great rewards out of seeing the results of their work and the happy smile of their patients. She has completed extensive training, which allows her to expand beyond her regular assisting duties. On her off hours, Lynda enjoys being with her husband and three kids as well as gardening, walking and reading.

Labor Day is upon us, and that means the non-official end to summer. Before the kids head back to school and temperatures start to cool down, this is your last chance to barbeque in the beautiful St. Paul, MN community, head to the lake, and wear your favorite pair of white pants.

About Labor Day

Each year, Labor Day is celebrated on the first Monday of September. It is the one day of year Americans celebrate their achievements in work, which the US Department of Labor says has contributed to prosperity and well-being of America as a whole. Americans have been celebrating Labor Day since the 1880s, and today it is an official federal holiday.

Interesting Facts About Labor Day

• Every year, more than 30 million Americans travel over Labor Day weekend.
• Canada was the first to celebrate Labor Day, and the US soon followed.
• President Cleveland made Labor Day and official US holiday in 1894.
• Labor Day marks the beginning of the NFL and NCAA sports seasons for fans.
• Labor Day marks the end of hot dog season, when Americans consume seven billion hot dogs.

Thanks for being a valued patient of our dental office. Our staff would like to wish you a safe and happy Labor Day weekend. Enjoy your time off!

Our team at our office 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. Bob Maley 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 St. Paul, MN 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. Bob Maley 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.

Oral cancer is largely viewed as a disease that affects those over the age of 40, but it can affect all ages, even non-tobacco and alcohol users. Oral cancer can occur on the lips, gums, tongue, inside lining of the cheeks, roof of the mouth, and the floor of the mouth. Our team at our office recently put together some facts and figures to illustrate the importance of visiting our St. Paul, MN office.

Our friends at the American Cancer Society recommend an oral cancer screening exam every three years for people over the age of 20 and annually for those over age 40. Because early detection can improve the chance of successful treatment, be sure to ask Dr. Bob Maley and our team to conduct an oral exam during your next visit to our St. Paul, MN office.

• Symptoms of oral cancer may include a sore in the throat or mouth that bleeds easily and does not heal, a red or white patch that persists, a lump or thickening, ear pain, a neck mass, or coughing up blood. Difficulties in chewing, swallowing, or moving the tongue or jaws are often late symptoms.
• The primary risk factors for oral cancer in American men and women are tobacco (including smokeless tobacco) and alcohol use. Risk rises dramatically (30%) for people who both smoke and consume alcohol regularly.
• Oral cancers are part of a group of cancers commonly referred to as head and neck cancers, and of all head and neck cancers they comprise about 85% of that category.
• Oral cancer is the sixth most common cancer among men.
• Oral cancer is more likely to affect people over 40 years of age, though an increasing number of young people are developing the condition.
• Death rates have been decreasing over the past three decades; from 2004 to 2008, rates decreased by 1.2% per year in men and by 2.2% per year in women, according to the American Cancer Society.
• About 75% to 80% of people with oral cavity and pharynx cancer consume alcohol.
• The risk of developing oral cavity and pharynx cancers increases both with the amount as well as the length of time tobacco and alcohol products are used.
• For all stages combined, about 84% of people with oral cancer survive one year after diagnosis. The five- and ten-year relative survival rates are 61% and 50%, respectively.
• It is estimated that approximately $3.2 billion is spent in the United States annually on treatment of head and neck cancers.

Cancer can affect any part of the oral cavity, including the lip, tongue, mouth, and throat. Through visual inspection, Dr. Bob Maley and our team at our office can often detect premalignant abnormalities and cancer at an early stage, when treatment is both less extensive and more successful.

Please let us now if you have any questions about your oral health either during your next scheduled appointment, by giving us a call or asking us on Facebook.

There is no substitution for a natural healthy tooth. Dental fillings are intended to replace tooth structure and restore a tooth damaged by decay (a cavity) back to its normal function and shape. Silver (amalgam) and tooth-colored (composite) fillings last a long time, though they can develop decay when the integrity is compromised by open margins, fracture, or recurrent decay. In this blog, we discuss the signs and symptoms that indicate your filling may need to be replaced in order to prevent further complications.

Amalgam fillings are made of an alloy (mixed metals) that expands and contracts. They have no bonding properties, and so to place an amalgam filling, the hole in the tooth may need to be larger. Because of these two factors, fractures frequently occur. There are three types of cracks that are commonly associated. Craze lines are superficial with no treatment needed. Fractures extend along other parts of the tooth and may require a filling replacement or crown. Cracks extend toward the root and can require a root canal and crown or, if too severe, extraction.

A filing needs to be sealed to the tooth. If the seal between the tooth and the filling breaks down, food debris and bacteria can seep down under the filling and cause recurrent decay. If the decay is treated early, replacing the filling is adequate. If not, a crown and even a root canal may be needed. The biggest mistake you can make is waiting to do something about a broken or unsealed filling until it is painful. Doing this will only make the treatment more involved and often times more expensive.

Regular dental exams and X-rays are used to evaluate dental fillings. You will not be able to tell on your own when your fillings start to fail. Just as a car mechanic will change the oil, correct your alignment, or change your tires, a dental checkup will help you identify small concerns to fix as you go in order to avoid a critical emergency.

Pay attention to any bite or temperature sensitivity in teeth that have fillings. This can be an indicator for some of the problems listed above. You know your teeth better than anyone. Your observations are most valuable when evaluating a filling for replacement. If replacement is needed, know you are doing what is best to prevent future dental calamities and make an appointment to see Dr. Bob Maley.

At our office, we are often asked “should I be concerned with my child’s thumb sucking?” So, our team thought we’d share what our thoughts are on your child sucking his or her thumb.

Infants Who Suck Their Thumbs

As infants begin experimenting with the basic functions of their mouths, from sucking on a bottle to beginning to speak, it is natural for them to suck their thumbs. Parents with young babies who regularly suck their thumbs probably don’t need to feel overly concerned, so long as fingers are kept clean and the habit is kept in check. For most children, the exploratory stage of thumb-sucking ends after just a few short years. Problems with thumb-sucking occur when infants grow into young children but the habit has not been resolved.

Dangers of Thumb-Sucking

One of the main differences between an infant and a child sucking his thumb is the formation of the mouth and teeth. An infant’s mouth is barely beginning to grow and develop, so sucking a thumb might actually help to stimulate the process. For a child with a mouth full of teeth, however, a thumb-sucking habit might cause some serious problems. As a parent, it can be very important to watch your child carefully to make sure the sucking habit is regulated.

As a child grows and develops, baby teeth begin to fall out. A child sucking his or her thumb during the baby teeth stage may not run any great risks. Our team at our office often sees that once a child has developed his or her permanent teeth, the problems with thumb-sucking can become more serious. KidsHealth.org states that children who suck their thumbs beyond the age of four or five might increase their risk of developing an overbite, infections, and other dental problems.

What You Can Do To Help

Parents who want to prevent possible problems for their child would be wise to begin preventive care early on. While you don’t need to be overly concerned about an infant sucking a thumb, it might be a good idea to help your toddler break the habit before permanent teeth begin to show.

• Try to use positive rewards for good behavior instead of negativity or threatening behavior.
• Talk openly with your child about the potential dangers of a thumb-sucking habit.
• Help your child find other productive things to do with the hands as a means of distraction. Playing a game of blocks, for example, might be a great diversion.
• Support and encourage your child while he or she is trying to break the habit.

As children develop, they have many things to learn and to think about. By understanding a few simple facts about thumb-sucking, you can help your child develop in a healthy and positive way. If you have any other questions, feel to contact us at our St. Paul, MN office, or ask Dr. Bob Maley during your next appointment!

Laser therapy in dentistry provides patients with a more comfortable dental treatment experience. Using laser dentistry, your dentist is able to deliver a precise treatment that is more comfortable, quicker, and provides more stunning results.

Benefits of laser therapy

There are several benefits to receiving a laser therapy dental treatment.

• Many laser treatments do not require anesthesia, and the recovery time is much quicker than with traditional treatment methods.
• Treatments are more comfortable.
• There is potentially less of a chance of bacterial infection because laser treatments are so precise.

Two types of laser dentistry

There are two different types of laser dentistry: hard tissue and soft tissue. Hard tissue includes treatments such as cavity detection, dental fillings, and tooth sensitivity improvements. Soft tissue treatments include gum reshaping, gum surgery, and muscle attachment improvements.

Procedures such as removing benign oral tumors, regenerating nerves, overcoming sleep apnea, whitening teeth, and treating TMD are also considered laser dentistry treatments.

To learn more about laser dentistry and how you may benefit from a laser treatment, please contact our practice and schedule an appointment.

Dr. Bob Maley 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 our office get cavities. Thankfully, there is always room for improvement. Happy brushing!

Sealants provide a thin coating over molars that can be a powerful tool to protect your child’s teeth from decay. This simple and painless solution can be applied in a matter of minutes by our team at our office, forming a protective shield and avoiding costly and painful cavities or other forms of tooth decay later.

The Causes of Tooth Decay

Our mouths are routinely filled with germs and bacteria. Some of these bacteria can be helpful in converting the foods we eat (especially sugars in the food) into acids that our bodies use to break down food. However, when we eat too much sugar, the excess acids can cause cavities and other decay in teeth.

Molars (our chewing teeth) are prime sites for tooth decay because they have rough surfaces with lots of little grooves where small food particles and germs find places to stay for extended periods of time. If you can prevent tooth decay in your child’s teeth now, you may be able to avoid treatments for decaying teeth later in life—costly and painful procedures like crowns and fillings.

Protecting Against Decay

A comprehensive plan for mouth care can protect against tooth decay. This plan should include:

• Drinking water with fluoride in it or using other fluoride supplements
• Eating a healthy diet (avoiding excessive sugar)
• Brushing teeth regularly
• Applying sealants

On their own, each of these activities is good but does not provide enough protection against decay. Fluoride is best for protecting the smooth surfaces of our front teeth, but may not provide enough of a shield for our rough, uneven back teeth. In addition, toothbrush bristles may not get to all the tiny food particles and germs in our mouths. For these reasons, sealants are the recommended preventive measure for molars in the fight against germs.

Who Needs Sealants, and When?

The best time to get a sealant is when your child’s adult teeth are just growing in. Between the ages of about five and seven, children grow their first permanent molar teeth, and they grow a second set of permanent molars between the ages of 11 and 14. Sealants placed on these teeth as soon as they grow in will be most effective in preventing tooth decay before it occurs.

If your child still has his or her baby teeth, Dr. Bob Maley may recommend sealants for teeth that are especially rough or uneven and may be prone to tooth decay. When your child loses his or her baby teeth, we will apply new sealants to the permanent teeth when they grow in. In addition, our team may recommend sealants for adults in special cases; for example, if a previously placed sealant falls out, if you never had sealants put in as a child, or if your teeth are prone to decay and the preventive treatment may help.

Talk to us during your next visit at our St. Paul, MN office to learn more about how dental sealants can help protect your child’s teeth.

Unless you work for an insurance company, you probably do not spend a lot of your time studying all the terminology that dental insurance companies use to describe the treatments and services they cover. If it seems pretty confusing, here are some of the most commonly used dental insurance terms and what they mean.

A Basic Glossary

Annual Maximum–The maximum amount your policy will pay per year for dental care at our office. It is often divided into costs per individual, and (if you are on a family plan) per family

Co-payment– An amount the patient pays at the time of service before receiving care, and before the insurance pays for any portion of the care

Covered Services– A list of all the treatments, services, and procedures the insurance policy will cover under your contract

Deductible– A dollar amount that you must pay out of pocket each year before the insurance company will pay for any treatments or procedures

Diagnostic/Preventive Services– A category of treatments or procedures that most insurance will cover before the deductible which may include services like routine checkups with Dr. Bob Maley, cleanings, X-rays, fluoride treatments, and evaluations

In-Network and Out-of-Network– A list of providers that are part of an insurance company’s “network”

• If you visit in-network providers, the insurance company will typically cover a larger portion of the cost of the care you receive. If you visit someone who is not part of the network, known as an out-of-network provider, the insurance company may pay for a portion of the care, but you will pay a significantly larger share from your own pocket.

Lifetime Maximum– The maximum amount that a dental insurance plan will pay toward dental care for an individual or family (if you have an applicable family plan)

• This is not a per-year maximum, but rather a maximum that can be paid over the entire life of the patient.

Limitations/Exclusions– A list of all the procedures a dental insurance policy does not cover

• Coverage may limit the timing or frequency of a specific treatment or procedure (only covering a certain number within a calendar year), or may exclude some treatments entirely. Knowing the limitations and exclusions of a policy is very important.

Member/Insured/Covered Person/Beneficiary/Enrollee– Someone who is eligible to receive benefits under a dental insurance plan

Provider– Dr. Bob Maley or other oral health specialist who provides treatment

Waiting Period– A specified amount of time that the patient must be enrolled with an insurance plan before it will pay for certain treatments; waiting periods may be waived if you were previously enrolled in another dental insurance plan with a different carrier

There are many different insurance options available, so you need to find out exactly what your insurance covers. It’s important to review your plan with a qualified insurance specialist. Don’t be afraid to ask questions about the policy so you can understand it fully and be confident that you know everything your policy covers the next time you come in for treatment at our St. Paul, MN office.

We hope you’re all having a great summer so far! If you are planning on traveling with family this summer, or think you might not be able to make it to your scheduled appointment with Dr. Bob Maley, please let us know ahead of time.

Also, we ask that you give us a call at our St. Paul, MN office and and let us know if you have any new phone numbers, or if your contact information has changed so we can easily reach you in the future. Thank you!

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 St. Paul, MN 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. Bob Maley and our team at our office wish you a safe and happy Fourth of July!

In dentistry, there are a wide variety of treatments, everything from elective procedures to those that are necessary and potentially lifesaving. So given the slew of treatment options, how do you choose what’s right for you? Our experts at our office have handpicked the three must-have procedures that we believe can benefit nearly every patient.

The first: A complete periodontal exam. If you are going to the dentist for scheduled cleanings, this exam should happen at least once a year. A periodontal exam is quick and relatively painless. The dentist or hygienist will carefully probe around each tooth to take measurements that show the health of the bone and its supporting tissue, all while looking for signs of any active infection. It has been suggested that there is a link between periodontal (gum) disease and the increased risk of some potentially fatal diseases such as heart disease, stroke, and diabetes. Signs of some diseases show up in the mouth sometimes before the patient is aware of changes in the body. Diabetes is one of these silent diseases. Many Americans are unaware that they have the disease until sudden and severe changes in the periodontal health of the teeth lead to a trip to the patient’s physician. And did you know that more adults lose teeth to periodontal disease than to cavities? A simple screening once a year can lead to saving your teeth.

The second treatment our team at our office recommends is a dental sealant; it’s not just for kids! Dental sealants provide a protective barrier from bacteria deep in the pits and grooves of the teeth where cavities often start. Sealants placed in childhood will often wear away in adulthood. Replacing a sealant as an adult can also help prevent decay in adulthood. This is a great cost-effective procedure for adults. Dental insurance will likely not cover sealants as an adult, but the cost of a sealant for prevention versus the cost of a filling is much less.

Our third must-have dental treatment is often the most fun: in-office whitening. Who doesn’t want an instantly dazzling smile? In-office whitening is one of the most dramatic and quick ways to brighten a smile. It will take a few years off your age in a two-hour period of time. Whitening is very safe and can give a patient newfound confidence to smile.

Fluoride is a naturally found ion with a history of greatly reducing the incidence of tooth decay in children. However, over the past decade Americans have increasingly consumed bottled water, most of which does not contain fluoride, and children are no longer getting the recommended dosage of fluoride. In addition, many areas do not add the optimum amount of fluoride to the town drinking water.

Everyone’s dental needs are different. The amount of fluoride a person needs is determined by age (children), tooth sensitivity, risk for cavities, and medical conditions. When a patient needs additional fluoride it can be applied in a foam or varnish.

Children receive additional topical fluoride because teeth in the early development stages have a higher mineral uptake. The future strength of the enamel depends on this. When a tooth absorbs the fluoride ion, it creates hydroxyapatite, a harder mineral compound than enamel alone.

Those who have a dry mouth from medication also need extra fluoride. A daily fluoride rinse and a semi-annual fluoride varnish treatment are standard. If you are on medicine for high blood pressure, anxiety, diabetes, depression, or cholesterol, you may fit in this category.

Cancer treatments can also greatly impact your oral health. Fluoride varnish treatments prior to, during, and after radiation and chemotherapy can be beneficial. There are other mouth conditions which coincide with cancer treatments which make it difficult to brush and floss daily, and can contribute to an increased risk for decay. An infection during cancer treatment can be especially harmful, which is why preventive measures are important.

Fluoride treatments, administered topically, are highly beneficial in preventing decay. Feel free to call our office to schedule an appointment or if you have any questions.

In honor of June being Dairy Month, Dr. Bob Maley and our team at our office would like to remind our patients about the importance of dairy to your overall health! Regular consumption of dairy products, such as milk, cheese, and yogurt, has been found to lower your chances of contracting gum disease (also known as periodontal disease).

Those who consume at least 55 grams of lactic acid a day are less at risk for gum disease. Eating dairy is not just healthy for building strong bones, but is essential for maintaining a strong, healthy mouth and a smile that will last a lifetime.

Questions about which foods you should steer clear of and which you should enjoy? Give us a call or ask us on Facebook!

Molars are made up of canyons, caves, pits, and seemingly endless caverns that are a breeding ground for decay. The protective solution is a sealant. When done correctly, a sealant from Dr. Bob Maley of our office can be most effective in preventing cavities.

A sealant is made up of composite (a plastic-like) material that contains bonding agents to seal to the edge of the tooth. Sealants placed on the chewing surfaces of back teeth block food from being trapped. The process in which a sealant is placed is quite precise and painless.

First the tooth is cleaned with a sodium bicarbonate (baking soda) spray. Then an acid etch is applied to “roughen up” the surface. No saliva is to touch the tooth. This will re-mineralize the area, then a repeat etching is needed. An alcohol-based liquid then dries out the area and it must remain completely dry. The sealant is placed and guided through all the caverns, pits, fissures, and grooves. It is then cured with a special light, which makes it a hard, plastic-like material.

Sealants can last for several years. It is wise to have them examined on a semi-annual basis. If there is a break in the sealant, a high risk for decay is common. If a sealant is damaged, repair is simple, painless, and quick to complete.

Who can benefit from sealants? Anyone! Children often receive sealants as routine preventive care. Adults with deep canyons with stained grooves on their teeth can also benefit from a sealant. The process is quick, painless, and does not require any anesthesia. It is an effective way to lower dental restorative costs.

An investment in dental sealants can reap great benefits as properly cared for teeth will remain cavity free. Our St. Paul, MN location is available to answer your questions so give us a call today!

“The purpose of all war is peace.” - Saint Augustine

Fire truck sirens, baton twirlers, marching bands covering patriotic tunes, colorful floats, costumes, and millions of red, white, and blue American flags being waved in the air on a beautiful day in late May, that is what Memorial Day is all about. It is a federal holiday celebrated with town parades, remembrance, and a sense of unity and community togetherness.

Our team at our office wants to take this time to wish you and your family a happy Memorial Day, as well as pause for a moment to reflect on what this holiday means and how it has changed over time. No, this is not a history lesson, but just a couple of thoughts and observances for you to take with you on your way to the next barbecue.

On the last Monday in May, America observes Memorial Day as a time to remember and celebrate the men and women who have lost their lives while serving our country in the Armed Forces. The holiday originated after the Civil War; at that time it was known as Decoration Day. While holidays like Thanksgiving, Christmas, and Easter remain the same from year to year, Memorial Day has changed over time, and in the 21st century we observe a far different holiday than what Americans did after the Civil War, or even the World Wars.

While many people place flags at cemeteries and visit national memorials in order to honor those who have passed away serving the country, Memorial Day is also a time for family barbecues, pool parties, trips to the beach, blockbuster movies, long weekend getaways, and fireworks. In America, Memorial Day has come to represent the unofficial start of the summer – a long, sunny, warm weekend devoted to family togetherness, outdoor events, and community.

It is time to load up the potato salad and the apple pie and head over to the neighbor’s house for their annual barbecue. And yes, contrary to popular belief, dentists do eat sweets, especially homemade apple pie! Everything in moderation, of course.

So whether you’re in the St. Paul, MN area or beyond- Happy Memorial Day to you and yours from Dr. Bob Maley!

Our team at our office understand that the sights, sounds and sensations at a dental office can be unsettling for some children. One effective technique that we use to comfort your child is to offer the gas nitrous oxide. Nitrous oxide is a common anesthetic used during many dental procedures.

What is Nitrous Oxide?

Nitrous oxide is an oxide of nitrogen which has a slight sweet odor and taste. During medical or dental procedures, the gas is mixed with oxygen then inhaled through a mask that covers your child's nose. Within minutes, your child should feel calm and experience an overall sense relaxation. Most children are enthusiastic about the administration of nitrous oxide and report feeling like they are dreaming. Children will be able to breathe on their own, move their limbs, and be conscious enough to hear and respond to our dentist's questions such as, "Did you remember to brush your teeth today?" Of course they did! All our patients are great brushers! The effects of nitrous oxide disappear shortly after the mask is removed and the drug is quickly eliminated from their body.

Is Nitrous Oxide Safe?

Recreational use of nitrous oxide for its euphoric effects can be dangerous, however, the drug is combined with oxygen at dental offices. This ensures oxygen reaches the brain and prevents dangerous side effects or hypoxia. The American Academy of Pediatric Dentistry (AAPD) recognizes nitrous oxide inhalation as a "safe and effective technique to reduce anxiety, produce analgesia, and enhance effective communication between a patient and healthcare provider."

Nitrous oxide is non-addictive and non-allergic, however, it may cause nausea in up to ten percent of patients. The drug is not recommended for children with some medical conditions such as chronic pulmonary disease. We recognize that all patients are different and encourage you to talk with Dr. Bob Maley about whether nitrous oxide would be a good option for your child.

Our team wants to help all patients in St. Paul, MN to overcome dental anxiety, so please, give us a call at our office.

Cheese, as our team at our office will tell you, is one of the healthiest snacks for your child’s teeth. In addition to providing large amounts of much-needed calcium, cheese also helps fight cavities. Cheese helps stimulate the body’s salivary glands to clear your child's mouth of debris and protect them from acids that weaken them. This means cheese disrupts the development of cavities, especially when eaten as a snack or at the end of a meal. Calcium and phosphorous found in cheese reduce or prevent decreases in the plaque’s pH level and work to re-mineralize the enamel of your child’s teeth, according to the American Academy of Pediatric Dentistry.

We hope this helps! If you or your child have any questions about cheese or calcium, or want to schedule an appointment, please give us a call!

Did you know the month of May is designated National Physical Fitness and Sports Month? After all, there isn't a better time to celebrate physical activity as when the warm weather and sunshine makes its way back into our lives!

Now that the flowers are in bloom and the weather has warmed up, it's easier to go outside and soak up the sun. After spending the winter working out in gyms or doing crunches at home, exercising outdoors can be a lot more enjoyable as well. Whether you enjoy hikes, jogging, or biking, spring gives us a chance to smell the grass, take in the rays, and enjoy the blue sky—all senses that we just can't duplicate at the gym.

If jogging or biking isn't your cup of tea, we encourage you to try a sport! Sports have some amazing qualities that we often overlook. Team sports like baseball and soccer, and individual sports like golf and tennis can improve your coordination and agility, in addition to building determination, confidence, drive, hard-work, pride, leadership, and time management.

At our office, we always encourage our patients to stay fit by exercising or participating in sports. However, we want to remind you to always wear a mouthguard or other form of facial protection when playing sports. To learn more about how often your child should exercise, or to ask us about obtaining a mouthguard, please give us a call!

Our team at our office would like to offer some tips regarding the sometimes dreaded task of brushing a toddler’s teeth.

Much of the trick lies in the positioning. Before you begin, make sure you are in a position of control. This protects both you and your child from injury. Consider how well you can see. If you cannot see clearly, the quality of brushing drops significantly. For instance, if your child is standing, you are likely to see only the bottom teeth well.

Our team finds that the best position for brushing and flossing a toddler is when your child is calm. Have your child lie down on his or her back with arms out to make a T. Sit down just above the head and lightly place your legs over your child’s arms. Using a circular motion, brush all sides of the teeth.

It may sound odd, but approaching the routine this way can make brushing time a cinch! After you’re done, give your child the toothbrush and let him or her have a turn. The benefit of doing the brushing and flossing first is that it gives an example, which your child is more likely to repeat when you’re done.

Different methods work best for different families and children. These practices need to be performed with kindness and care. Be gentle and make this time a happy learning time. Don’t forget to bring your child to our St. Paul, MN office for regular dental checkups and cleanings. Dr. Bob Maley can advise you on ways to implement portions of these tips in a way that may work bests for you and your child.

During the early days of the environmental awareness movement, those who demonstrated against pollution, toxic chemicals, and the general public health were known as hippies. The early 1970s were a time of change, and assertions that we needed to pay more attention to the Earth's atmosphere were generally dismissed. But within a couple decades, it had become clear that the previous generation was right; the citizens of the world needed to become more environmentally conscious.

Many people feel that they can't make a difference if they don't do something big. But caring for the environment doesn't have to be an all-or-nothing concept. In fact, the little things you do can add up to make a great impact, especially in our community. Here are a few ways you can help the environment on Earth Day, April 22nd and all year around.

Four Small Ways to be Environmentally Friendly

• Recycle Your Textiles. Nearly 21 million tons of textiles are added to American landfills each year, according to the Environmental Protection Agency. Donating your unwanted clothing to a secondhand store or an organization that repurposes fabric helps cut down on solid waste and conserves natural resources.
• Reduce Usage of Disposables. Plastic bottles and bags, disposable diapers and other things we can use and toss out are convenient, but they're not necessary. Simply choosing to replace one of type of disposable with a reusable product can help you cut down on waste that has a large negative impact on our environment.
• Conserve Water. If everyone in the United States turned off the water while brushing their teeth, more than 1.5 million gallons of water could be conserved. Turn the water on long enough to wet your toothbrush for brushing and rinsing, and then immediately turn the water off again.
• Turn Off the Lights. Flip the light switch to "Off" if you're going to leave a particular room for 15 minutes or more. This will conserve energy on incandescent light bulbs and cut down on cooling costs.

It's not necessary to be an activist or install solar panels all over your home to help the environment. Although you can do these things, the little everyday measures make a big difference in helping to conserve energy and the environment, while reducing your carbon footprint. Our team at our office wants to remind you to celebrate Earth Day and help the environment, knowing that it will benefit your and your children's generation.

When patients of our office hear any mention of oral or dental hygiene, they probably think of brushing and flossing their teeth. Although these are extremely important, the term dental hygiene encompasses much more than that. Your mouth’s health, including your teeth, has an important impact on your overall physical health. The National Institute of Dental and Craniofacial Research published the surgeon general's first ever report on dental health. It is called A National Call to Action to Promote Oral Health. In that report, the surgeon general states that the 1948 World Health Organization expanded its earlier definition of health to "a complete state of physical, mental and social well-being, and not just the absence of infirmity."

The Importance of Oral Health to Total Overall Health

One of the most important themes that the dental health report stressed is that you cannot be healthy without oral health. It went on to explain that oral health and general health are inextricably linked, and therefore can't be seen as two separate things. Because oral health is so critical to overall health, it should be included in all community health programs. For individuals, this means that it is just as important to take care of your mouth, your teeth, and your overall oral health as it is to take care of the rest of your body. The two most prevalent dental diseases are caries (cavities), also known as tooth decay, and periodontal (gum) disease.

Ways that Oral Health Impacts Overall Health

One important way in which good oral health contributes to better overall health is seen in the findings of several studies in which the blood sugar levels of diabetic patients were significantly lowered when their periodontal (or gum disease) was successfully treated. Your mouth has roughly 500 different species of bacteria. Many are harmless, and some are even good bacteria that help maintain the balance of your intestinal flora. Harmful bacteria can infect your gums, causing gingivitis. Your body's immune system may try to fight off the alien invaders, but they attack your gums, causing inflammation and bleeding when you brush.

Now that you know how important good dental hygiene is, be sure to see to get your teeth cleaned every six months with Dr. Bob Maley, have regular dental checkups, brush and floss your teeth at least twice daily, and replace your toothbrush at least every couple of months. Call us to schedule your next appointment at our convenient St. Paul, MN location.

What is Oral Cancer?

April is Oral Cancer Awareness Month. If you have been putting off a visit to our St. Paul, MN office for your regular checkup, now is an excellent time to schedule one. Regular visits to our office can be the first line of defense against oral cancer, by identifying early warning signs of the disease, or helping you with preventive care tips to lower your chances of developing it.

Oral Cancer Rates in America

Nearly 40,000 people in the U.S. will be diagnosed with oral cancer this year, and more than 8,000 die every year from this disease. It is a devastating illness: most people who are diagnosed with it do not live more than five years beyond their diagnosis. Oral cancer has a higher death rate than many other common cancers, including cervical cancer, testicular cancer, Hodgkin’s lymphoma, and thyroid or skin cancers. The high death rate results from the fact that most oral cancers go undiagnosed until the disease is well advanced and has spread to another part of the body—most often, the lymph nodes in the neck.

What Causes Oral Cancer

While there is no way to predict exactly which individuals will get oral cancer, there are some potential causes you should know about—because in some cases, you can minimize these risk factors.

• Age (most patients diagnosed with oral cancer are over the age of 40)
• Tobacco use, either from cigarettes or smokeless chewing tobacco
• Excessive alcohol consumption (especially in combination with tobacco use)
• Persistent viral infections, such as HPV16
• A diet low in fruits and vegetables

In addition, oral cancer tends to occur at a rate six times greater in men than in women, and more often for African Americans than other ethnic groups. No genetic links have been identified to explain the higher incidence in these populations, so lifestyle choices remain the likeliest cause.

Oral Cancer Treatments

Once a diagnosis has been made, treatment of oral cancer usually involves a multi-disciplinary team that includes surgeons, oncologists, dentists, nutritionists, and rehabilitation and restorative specialists. Our team will decide on the best approach for each patient, depending on the risk factors and how far the cancer has progressed. The strategy will be different in every case. Some of the most common methods include chemotherapy, radiation, and potential surgery.

Finding out you have cancer can be devastating news. If you are concerned that you might be at risk for developing oral cancer, talk to us about screenings and other things you can do to reduce your risk.

References:

The Oral Cancer Foundation. (2012). Oral Cancer Facts. Retrieved from http://oralcancerfoundation.org/.

You water the garden three times a week, you change your car's oil every three months, and you replace the batteries in your smoke detectors once a year. Your teeth need to see your dentist on a regular schedule, too.
While daily oral hygiene habits are essential to good oral health, professional dental cleanings at our office ensure your teeth are treated to a deeper level of cleaning. We recommend for most of our patients to have a checkup at least every six months. In addition to a thorough cleaning and polishing of your teeth, these regular visits help us detect and prevent the onset of tooth decay and periodontal (gum) disease. During your visit, we’ll check the health of your mouth, teeth, gums, cheeks, and tongue. We’ll also check old fillings and restorations, as these can wear away over time from constant chewing, grinding, or clenching.
If you are predisposed to oral diseases, you may need to visit our office more often than every six months. Factors at play in these diseases include age, pregnancy, tobacco use, medical conditions (such as diabetes, dry mouth, or HIV infection), along with how well you take care of your teeth on a daily basis.
Make sure your teeth get the professional attention they deserve – If you’re overdue for your next cleaning, check with our office to schedule an appointment!

While spring isn't quite officially here, we thought today would be a good time to remind all our patients to let us know if you have recently moved or if your contact information has changed. As you may know, you can always connect with us on our Facebook page and social networks, as well as here on our blog, but we invite you to please contact our office with any updates to phone numbers and addresses, so that we may be able to reach you.

Thank you! Have a great week!

It’s almost spring! Tulips are blooming and the world is awakening from its winter sleep. We thought today we would remind our patients about the need to visit our office for your cleaning. After all, studies have shown there could a link between proper oral and dental care and heart disease, diabetes and even stroke. Regular visits to our office can keep harmful bacteria from entering your body by removing plaque build up.

Another great benefit to scheduling your 6-month visit is the opportunity for us to screen for other potential health hazards. During your visit, we can not only clean and whiten your teeth, but potentially identify other signs or symptoms.

Get your beautiful smile today! Give us a call to schedule an appointment!

Great question. It’s usually easy to tell when you have a cavity, but unfortunately, gum disease can exist in your mouth without you even knowing. In fact, you can have the beginning stages of gum disease without even noticing any pain or discomfort. Since gum disease can be undetectable, it’s imperative to watch for warning signs in order to prevent the disease from worsening.

Here are the signs to watch for:

• Gums that appear red or swollen
• Gums that feel tender
• Gums that bleed easily (during brushing or flossing)
• Gums that recede or pull away from the teeth
• Persistent bad breath (halitosis)
• Loose teeth
• Any change in the way teeth come together in the biting position
• Any change in the way partial dentures fit

If you or someone in your family is showing these signs, schedule an appointment at our office. We can diagnose the problem and begin treatment to save your teeth and give you back a healthy mouth!

By now, you’re probably familiar with our blog-writing process: Each week, we write about important dental topics and your well-being, including the treatments we proudly offer.

This week, though, we thought we’d step back and ask you, our amazing patients: what’s on your mind? What would you like to know about the always-changing and exciting field of dentistry? What would you like us to focus on our blog? Perhaps there’s something you’ve wanted to ask us for a while now? Here’s your chance! Let us know by posting here or on our Facebook page! Give us your best shot, and we’ll try to answer any question you may have!

You may remember our post from last week, when we discussed February being National Dental Health Month and the benefits of visiting our office every six months (or as recommended). But did you know February also marks American Heart Month?

It’s a great time to take notice of the health of your heart as cardiovascular disease remains the leading cause of death in the world, according to the American Heart Association.

Studies have shown a correlation between gum disease and heart disease, underscoring the importance of good oral health care. Visiting our office on a regular basis can help prevent gum disease or at least catch it in its early stages. In observance of Heart Month, it’s also important to know your numbers: blood pressure (less than 120/80), cholesterol (less than 200) and BMI (less than 25).

A healthy mouth begins with a visit to our office! If you have any questions about your heart health, or to schedule your next appointment, please give us a call today!

Did you know February is National Dental Health Month? It’s a great time of the year to renew those resolutions about continuing to practice great dental hygiene. Today, we thought we would discuss the importance of preventative oral care. While most folks are familiar with traditional healthy-conscious practices such as eating well and exercising regularly, lesser-known are the benefits that great oral hygiene provides to your cardiovascular health.

Here are a few tips to help you continue taking care of those pearly whites and in the process, your heart.

*Brush and floss every day to remove the plaque that can lead to cavities. Flossing daily removes food debris that your toothbrush simply cannot reach.

*Replace your toothbrush on a regular basis. You should replace your toothbrush every three to four months or after a cold to prevent re-infection. Please remember to use a soft toothbrush so that you don’t wear off the enamel of your teeth.

*Visit our office regularly. The American Dental Association recommends you visit us every six months (or as recommended) for regular checkups and cleanings. Fluoride treatments twice a year will help prevent tooth decay.

Each February, we focus on the preventive oral care of our patients. Have you visited us in the past six months? If not, it’s time to give us a call and schedule an appointment!

From your very first visit to our office, we strive to provide superior treatment in a pleasant, friendly atmosphere. We are always updating our office with the most advanced and up-to-date technologies and methods and are here to get to know you personally and find out how we might make your visit a wonderful one!

We thought we’d ask you, our wonderful patients: Have you been especially impressed by our work? Did our team go out of their way to make your day? Are you in love with your smile?

Whether you’ve just come in for a one appointment or your family has been visiting our office for years, we’d love to hear your feedback below. Or, you can tell us by posting on our Facebook page!

From your very first visit to our office, we strive to provide superior treatment in a pleasant, friendly atmosphere. We are always updating our office with the most advanced and up-to-date dental technologies and methods and are here to get to know you personally and find out how we might make your dental visit a wonderful one!

We thought we’d ask you, our wonderful patients: Have you been especially impressed by our work? Did our team go out of their way to make your day? Are you in love with your smile?

Whether you’ve just come in for a one appointment or your family has been visiting our office for years, we’d love to hear your feedback below. Or, you can tell us by posting on our Facebook page!

With winter sports underway, we wanted to remind our patients about the importance of wearing a mouth guard while you’re on the court or the field. Here are some frequent questions we hear from our patients about mouth guards.

Q: What are mouth guards?

A: Mouth guards are a flexible, removable device made of soft plastic, and are adapted to fit comfortably to the shape of the upper teeth.

Q: Why are mouth guards so important?

A: Mouth guards protect not just the teeth, but the lips, cheeks, and tongue, and help protect athletes from head and neck injuries, as well as concussions and jaw fractures. Increasingly, organized sports are requiring mouth guards to prevent injury to their athletes and research shows us that most oral injuries occur when athletes are not wearing mouth protection.

Q: When should I wear my mouth guard?

A: Whenever you are in an activity with a risk of falls or of head contact with other players or equipment. This includes football, baseball, basketball, soccer, wrestling, hockey, and even gymnastics.

Q: How do I choose a mouth guard that is right for me?

A: We encourage you to choose a mouth guard that you can wear comfortably. You can select from several options in mouth guards. First, preformed or “boil-to-fit” mouth guards are found in sports stores. Otherwise, we can talk about your options for a custom mouthguard, which will be more comfortable to wear, and more effective in preventing injuries this winter. Please give us a call if you have any other questions or ask us on Facebook!

The dreaded cold and flu season is here again! After recovering from your cold, one of the most important steps you can take to avoid becoming reinfected is replacing your toothbrush!

Germs can linger on the bristles, and you risk prolonging your sickness by continuing to use the same toothbrush. Be smart - keep a spare, just in case! To protect your toothbrush from bacteria all year long, consider the following tips:

• Wash your hands before and after brushing
• Allow the brush to air dry after each use, harmful bacteria dies after being exposed to oxygen
• Store the toothbrush in an upright position to allow water to drain and dry faster
• Replace your toothbrush every 3-4 months. Worn bristles are less effective in properly cleaning your teeth, and can actually be damaging to teeth if used too long!

We hope these tips help! Feel free to give us a call or ask us on Facebook if you have any questions!

With 2012 over, we thought we would ask you, our patients: what was memorable about 2012 for you, and what are you looking forward to in 2013? Do you have a new year’s resolution or any exciting plans for the coming year?

Here are the top resolutions for 2013, and some great free iOS and Android apps to help you achieve your 2013 resolutions!

Eat Healthier:

Fooducate

iOS Download | Android Download

Lose weight, eat real food, and get healthy. Fooducate grades your groceries, explains what's really inside each product, and offers healthier alternatives. We've got the largest database of UPCs - over 200,000 unique products and growing.

Work out / Exercise More:

NPT BOOM

iOS Download | Android Download

Nike BOOM syncs your music to your dynamic training workouts, with the world’s most elite athletes and coaches motivating you along the way. Choose your type of workout, length of training, best workout music and favorite Nike athletes—then get to work.

Become More Organized:

Wunderlist

iOS Download | Android Download

Wunderlist 2 is the easiest way to manage and share your daily to-do lists. Whether you’re planning an overseas adventure, sharing a shopping list with a loved one, or simply keeping track of your daily to-dos, Wunderlist is here to help you get things done.

Gain More Control of Finances:

Mint.com App

iOS Download | Android Download

Mint.com allows you to track, budget and manage your money all in one place, so you can see where you’re spending and where you can save. Open an account, add your bank, credit, loan and retirement accounts and Mint will automatically pull in and categorize your transactions. It’s safe, secure and easy to keep your personal finances organized.

Expand Social Circle:

SupperKing

iOS Download | Android Download

If you're trying to expand your friend circle in 2013, or maybe just plan more exciting activities with your current friends, apps like Sonar and Highlight can connect you to new people. A new iOS app called SupperKing is like Airbnb for at-home meals. You can charge strangers cash to enjoy a meal at your place with you -- an idea that not everyone is game for. But the app is also great for organizing dinner parties with your friends.

We want to wish all our patients, friends, family and all our colleagues a happy and healthy New Year!

Sources: Mashable, PolicyMic

The year is almost over, and as we reflect on the year that was, we’d like to ask all our patients: what was memorable about 2012 for you, and what are you looking forward to in 2013? Do you have a New Year’s resolution, or any exciting plans for the coming year?

Have a safe and happy New Year from our family to yours!

In this season given to tidings of comfort and joy, and as we reflect on the year that was, we’d like to ask you, our wonderful patients: What do you love about the holidays this year? Being with your loved ones? Hitting the slopes? A clean slate for 2013? Opening presents by the fireplace? All the delicious food?

Also, what gift are you most looking forward to getting this year? We’d love if you shared with us all the things you love about the holidays. Stay warm, and don’t forget to limit the amount of sweets you eat!

Happy holidays from our family to yours!

We know dental emergencies are never convenient nor timely. If you are a patient of record, we are committed to your dental health and are happy to see you.

When your dental health is at risk, we will do everything we can to make sure that you’re treated as soon as possible. While dental emergencies are certainly rare, we know they can happen at any moment, and it’s important to know how to deal with them.

Common dental emergencies may include:

• A bitten lip or tongue
• Broken or cracked tooth/teeth
• Permanent tooth that has been knocked out
• Object caught between teeth
• Severe toothache

If you have a dental emergency after regular office hours, please give us a call.

We hope you’re all having a great holiday season!

Looking for ways to motivate your child to brush his or her teeth? Why not compare their teeth to those of their favorite animals? After all, everyone loves fun facts. Like people, some animals have several different kinds of teeth, while others have only one kind. Others don't have any teeth at all! Animals’ teeth also give us clues about what they eat. Here are some fun facts comparing human teeth and animal teeth we thought you might enjoy, courtesy of the American Student Dental Association!

- Humans form two sets of teeth over the course of a lifetime, with baby teeth being replaced by adult teeth between the ages of 6 and 12.

- And here’s one from prehistoric times! The Tyrannosaurus Rex, or T-Rex, had more than 60 thick, conical, bone-crunching teeth that were up to 9 inches long. Its jaws were up to 4 feet long.

We hope you enjoyed these fun facts! Stay tuned for more soon!

We would like to give those patients with flex spend, health savings, or insurance benefits a friendly end of the year reminder that it’s about that time to schedule your last dental visit of 2012 so you can optimize your benefits!

Now is the time to reserve you appointment with us. Space is limited and we get VERY busy around the holidays, so don’t wait to give us a call! Happy holidays!

With Thanksgiving right around the corner, we would like to wish you a safe and happy Thanksgiving. Enjoy a day filled of friends, family, and great food.

We are very thankful for all of our patients and their families. We’d like to know, what are you most thankful for this year? Leave us a comment, or if you have any stories, photos or recipes to share with us, we encourage you to share them below or on our Facebook page!

Besides brushing and flossing, a swish with mouthwash can keep your smile fresh and bright. But which kind you use depends on your needs, according to Dr. Maley.

Gum Health

Antiseptic mouthwashes reduce the majority of bacteria on and near the gum line. Using an antiseptic mouthwash can help decrease your chances of developing gingivitis. If possible, look for a mouthwash with antibacterial or antimicrobial ingredients.

Fluoride

Fluoride is beneficial for oral health and can help prevent tooth decay. If you drink a lot of bottled water without fluoride, consider a rinse with fluoride in it.

Bad Breath

Although mouthwash is designed to prevent bacterial build-up within the mouth, many people use it to combat bad breath. Most mouthwashes will help eliminate the bacteria that cause bad breath, and some are specifically designed to do so.

However, if bad breath is a chronic problem that requires daily treatment with a mouth rinse, contact our office to discuss your symptoms.

American Dental Association Approval

The ADA reviews mouth rinses for safety and effectiveness. A mouthwash with the ADA Seal of Approval will meet strict criteria, and will have scientific evidence or clinical studies that support the claims of the manufacturer. If possible, select a mouthwash that bears the ADA Seal of Approval to ensure you are using a quality rinse.

Considerations

If you are unsure as to which mouthwash is right for you, contact our office or ask Dr. Maley or your dental hygienist at your next appointment. Also, be sure to keep mouthwash out of the reach of children, as it contains alcohol and other substances that could be harmful to them. Avoid letting children under age six use a mouth rinse, and discontinue use if you experience a burning sensation in the soft tissues of your mouth.

At Dr. Bob Maley Family Dentistry, we encourage our patients to practice good oral hygiene between office visits. Part of that process includes flossing, which is the process of cleaning between the teeth to remove food and debris from the areas that are hard to reach with a toothbrush. When food is allowed to remain between the teeth, it provides a breeding ground for bacteria, which can cause periodontal disease.

Unlike brushing, you need only floss between your teeth once per day. Whether you do it in the morning or night is a matter of preference. Dr. Maley often says, "Floss the teeth you want to keep!" Morning, night, traditional floss or floss picks, it's up to you, he emphasizes, "Do what makes it easiest for you."

Many people who are careful about brushing and flossing their teeth wonder how they still end up with cavities or tooth decay. Several factors affect wear and tear on tooth enamel. Diet is a major factor, with certain foods increasing the likelihood that your enamel will become discolored or decayed. Pay close attention to the foods you eat to keep your pearly whites looking healthy and clean.

What Causes Enamel Damage?

Tooth enamel refers to the hard, semi-translucent, whitish part of the tooth that shows below your gums. The enamel is primarily comprised of minerals that are strong but susceptible to highly acidic foods. When acid reacts with the minerals in enamel, tooth decay results. Strongly pigmented foods or drinks like wine or coffee can also damage enamel by discoloring the surface of the tooth.

What Can I Do to Prevent Enamel Damage?

Fortunately, there are several measures you can take to prevent your enamel from discoloring or decaying. The easiest way to avoid decay is to steer clear of high-acidity foods. This may not always be possible, but eliminating sugary fruit juices and soda from your diet is a good start. Brushing your teeth after each meal and flossing frequently also preserves your enamel. Another good idea is to rinse your mouth with water or mouthwash after eating to wash away high-acidity particles.

Although enamel damage is common, it's not inevitable. Knowing the foods that harm your teeth gives you the tools to prevent discoloration and decay. With some easy preventive measures, your teeth will stay strong and white for years to come.

Concerned parents often ask us about which kinds of snacks are best for a child's teeth. While most know that candy isn't the best choice, many parents are confused about which kinds of after-school snacks can actually be beneficial for teeth

Go Natural

The best for your children's teeth are also best for their overall health. Choosing whole foods, such as fruits and vegetables, is always the best option for snacks. Try sticks of celery and let your kids dip it into all-natural peanut butter, or a juicy and crunchy apple cut into wedges.

Lean Proteins

Lean protein, such as chicken breast, fish, turkey, and lean cuts of pork also make good snacking options since they are low in sugar. For the best overall health, avoid giving your child a lot of lunch meats, because such products are often higher in sodium

Avoid Packaged Foods

Sugars are unhealthy partly because they stick more readily to the surface of teeth. Even foods that appear to be healthy, such as many brands of granola bars, can in fact be loaded with hidden sugars. Sugar can also be found in higher concentrations in dried fruit, honey, and syrups.

Beverages

Drinks are another murky area. Parents often presume that fruit juices are an acceptable beverage when in reality many of them are loaded with excessive sugar as well. The best beverages for your child's teeth are water and low-fat milk. Milk has the added benefit of containing calcium, which is highly beneficial for the bone structure that supports teeth.

An apple a day might keep the doctor away, but it is also a great snack to keep teeth healthy. The next time your children are looking for an after-school snack, guide them toward healthier, low-sugar options that are beneficial to their overall health and their teeth.

Simply put, yes! Visiting the dentist on a regular basis is essential to keeping your smile in tip-top shape.  Dr. Bob Maley offers a number of preventive services to ensure the health of your mouth and the beauty of your teeth. We’d like to think that your smile is just as important to us as it is to you!

Another good reason to visit Dr. Bob Maley every six months is to check for “hidden” problems you may not even realize you have. Tiny cavities can form in the hard-to-reach areas of your teeth and may only be found through a professional exam. If left untreated, these cavities can get worse, needing more extensive treatment, and costing you even more time and money. During your routine exam, your hygienist will also check to make sure your fillings or other dental restorations are in good shape.

If it has been more than six months since your last visit to our office, please give us a call. We look forward to your next visit!

Cavities occur as a result of the destruction of tooth structure, called tooth decay. Tooth decay can affect both the enamel (the outer coating of the tooth) and the dentin (the inner layer of the tooth). While it is very important to brush and floss every day to remove food particles and plaque, regular cleanings and checkups are the best way to help avoid cavities.

"Regular oral care visits help us prevent issues or at least detect and treat them at an early stage," Dr. Maley explains. "Don’t wait for a toothache! "

Remember, the longer you wait to treat a cavity, the more extensive your treatment will be. A small cavity can be treated with a filling, while a large cavity that weakens the structure of your tooth may require a crown. If the decay is so bad that it causes the nerve or pulp of the tooth to die, a root canal or tooth removal may be your only options. If you think you may have a cavity, contact our office and schedule an appointment. We’ll make sure you leave with a healthy, pain-free smile!

Since 1964. when cities began adjusting the fluoride levels in water,  fluoridation has dramatically improved the oral health of tens of millions of Americans. Community water fluoridation is the single most effective public health measure to prevent tooth decay, but you may not be drinking as much fluoridated water as you may think. If bottled or home-purified water is your main source for drinking water, you may be missing out on this extremely safe and effective mineral that prevents tooth decay.

Of course, using toothpaste with the ADA Seal of Approval is a good source of fluoride, but optimal levels of absorption can only be achieved if you use it as directed: brushing twice a day for two to three minutes each time.

At our office, Dr. Maley often recommends a topical application of fluoride for kids as well as adults especially for patients with less-than-perfect oral hygiene, sensitive teeth, braces or weakened enamel due to lifestyle choices or genetic factors. The paint-on "varnish"  is simple, quick and very effective, according to Dr. Maley.  If you have any questions regarding fluoride, please feel free to ask Dr. Bob Maley or your hygienist. We want you to have the healthiest smile possible.

You water the garden three times a week, you change your car's oil every three months, and you replace the batteries in your smoke detectors once a year. Your teeth need to see your dentist on a regular schedule, too.

While daily oral hygiene habits are essential to good oral health, professional dental cleanings at our office ensure your teeth are treated to a deeper level of cleaning. We recommend for most of our patients to have a checkup at least every six months. In addition to a thorough cleaning and polishing of your teeth, these regular visits help us detect and prevent the onset of tooth decay and periodontal (gum) disease. During your visit, we’ll check the health of your mouth, teeth, gums, cheeks, and tongue. We’ll also check old fillings and restorations, as these can wear away over time from constant chewing, grinding, or clenching.

If you are predisposed to oral diseases, you may need to visit our office more often than every six months. Factors at play in these diseases include age, pregnancy, tobacco use, medical conditions (such as diabetes, dry mouth, or HIV infection), along with how well you take care of your teeth on a daily basis.

Make sure your teeth get the professional attention they deserve – If you’re overdue for your next cleaning, check with our office to schedule an appointment!

Now that many of the schools are back in session, we would like to remind all of our patients about the importance of scheduling appointments in advance. With school, clubs, sports and family duties to consider, we know that it can be challenging to find time this fall.

Here are some important things you can do to prepare for the new school year:

• Brush your teeth twice a day with a fluoride toothpaste.
• Floss at least once a day
• Limit sugary snacks that cause tooth decay

In order to accommodate all of our patients’ busy schedules, it is important that you plan ahead for your appointments so that we are able to provide you with an appointment time that is convenient for you.

We look forward to seeing you soon!

We all experience bad breath every now and then. Usually it’s a minor inconvenience resolved with a thorough brushing. There are times, however, when bad breath becomes a re-occurring condition that can be a major source of embarrassment. Fortunately, mouth odor is preventable. By familiarizing yourself with the causes of bad breath, you’ll be able to take action and keep it in check.

Brushing and Flossing Habits: Proper care of your teeth and gums will go a long way toward maintaining fresh breath. The American Dental Association recommends brushing twice each day with a fluoride toothpaste. Don’t forget to brush your tongue; bacteria can gather there as well. To remove odor-causing food particles from between your teeth, be sure to floss once per day.

Diet: The phrase “you are what you eat” is especially true when it comes to mouth odor. Researchers at New York University list strong-smelling foods such as pastrami, garlic, and onions as common culprits of bad breath.

Dry Mouth: The American Dental Association attributes a condition called xerostomia, better known as dry mouth, to bad breath. Dry mouth is exactly what it sounds like: a decreased amount of saliva resulting from continuous mouth breathing, salivary gland problems,  eating infrequently, or certain medications. The lack of beneficial saliva can lead to a buildup of odor-causing particles in the mouth. To combat dry mouth, be sure to stay hydrated or try sucking on a sugar-free candy.

Tobacco Use: Yet another entry on the long list of reasons to kick the habit, tobacco products can also contribute to bad breath. The experts at Ohio State University’s Wexner Medical Center attribute tobacco use to a wide range of problems with the teeth and gums. In addition to mouth odor, potential problems include periodontal disease, loss of taste, gum irritation, and oral cancer.

Medical Conditions: Bad breath can be a warning sign or symptom of another underlying health issue. According to the Wexner Medical Center, mouth odor can indicate a respiratory infection, diabetes, a gastrointestinal disorder, or issues with the liver and kidneys. Symptoms vary from person to person, so if you suspect that your bad breath might be stemming from a larger problem, make an appointment with your doctor to address your concerns.

Additional Prevention: Scheduling regular dental checkups will help keep plaque buildup and gum disease from developing. Contact our office about any oral health issues you may be experiencing. We can provide professional recommendations tailored to your situation that will help keep your mouth as fresh and clean as it can be.

If you have ever suffered from a toothache, you know how excruciating the pain can be. Tooth pain is usually caused by irritation to the nerves in the roots of the teeth, although there are other potential sources of the pain as well. Fortunately, there are ways to both prevent and resolve a toothache, regardless of its cause.

Causes of Tooth Pain

Some of the most common causes of tooth pain include:

• Tooth Decay – Also known as cavities, tooth decay occurs when bacteria erodes the enamel of the tooth, which can eventually expose the nerve. This is the most common cause of tooth pain.
• Gum Disease – Also known as periodontal disease, occurs when bacteria populate along and below the gum line.
• Injury – An injury can include a small chip or a large break in the tooth.
• Impaction – Teeth often become impacted beneath the surface of the gums. This condition is most common in molars, such as the wisdom teeth. An impacted tooth may cause no pain at all, or it could become extremely painful if it begins to affect the nerves and teeth around it.

Pain Resolution

Determining the source of your pain starts with a trip to the dentist. AT our office, Dr. Maley will conduct a thorough examination that may include X-rays. If your X-rays or examination reveal tooth decay, the solution may involve a simple filling, a root canal or even a tooth extraction. Dr. Maley will decide which option is best for you based on how advanced the tooth decay is, as well as whether an infection is present within the tooth.

If, however, gum disease is causing your tooth pain, a thorough cleaning and perhaps oral or topical antibiotics to kill the bacteria causing your symptoms will like do the trick. If you have a cracked, chipped or broken tooth, Dr. Maley may resolve your pain by either filling the crack, or covering the tooth with a crown designed to prevent bacteria from entering the tooth.

If your dental X-rays reveal that you have an impacted tooth, you will most likely need to have it extracted to avoid causing damage or misalignment to the other teeth. Impacted teeth can also become infected, which is why it is important to remove impacted teeth before they begin to cause problems.

Prevention

Although there are ways of treating a toothache, the best way to treat it is by preventing it altogether. Some causes of tooth pain are not preventable, such as an impacted tooth or a predisposition to tooth sensitivity. However, tooth decay and gum disease are easily prevented by using good hygienic practices at home and visiting Dr. Maley for regular examinations and cleanings. By brushing your teeth twice a day and flossing, as well as wearing protective mouthguards when participating in high impact activities, you can significantly decrease your chances of developing tooth pain in the future.

Most people know that visiting the dentist is an essential part of caring for their teeth. Regular checkups and cleanings are, of course, very important. But what some people don't realize is that good dental hygiene starts long before you get to the dentist's office. You may be saying, "I know, it starts with my toothbrush and floss." But actually, oral health begins even before that. A healthy smile starts at your grocery store.

Dental checkups can detect problems early on and address them, but only good nutrition can give your teeth and gums the healthy foundation they need. If your diet is rich in tooth-friendly nutrients, you will be less prone to gum disease, tooth decay, and even jawbone loss.

So, which nutrients are the most important? Here are a few tooth-building superstars.

Calcium

We all know that calcium builds strong bones and teeth. Most expectant mothers are even aware that the calcium-rich foods they eat during pregnancy will ensure that their babies develop strong, healthy teeth later on. But did you know that calcium is important to your teeth long into adulthood?

On its "Milk Matters" page, the National Institute of Health tells us that calcium can protect teeth against decay. Furthermore, a 2001 study published by the US National Library of Medicine found that elderly people who had adequate amounts of calcium in their diets were more likely to retain their teeth as they aged.

Good sources of calcium include yogurt, cheeses, milk, and leafy green vegetables. If you can't get an enough calcium from your diet alone, talk to your doctor about adding a calcium supplement.

Vitamin D

Vitamin D is sometimes called the sunshine vitamin because your skin can synthesize it during exposure to sunlight. Vitamin D could also be called the healthy smile vitamin. It not only helps your teeth, but it also keeps your gums healthy. Another study published by the National Library of Medicine has shown a connection between low levels of dietary vitamin D and gingivitis. People in the study who had more of the vitamin in their diets had healthier gums.

While most of us get plenty of vitamin D from sun exposure,  Minnesotans may need to take a supplement during the winter months.

Vitamin C

Long ago, British sailors were called "Limeys" because their superiors made them eat limes on long ocean voyages. Why? Because limes are rich in vitamin C and without it, the sailors got scurvy and often lost their teeth. While there's little danger of developing scurvy today, a study in the year 2000 of people who ranged in age from 20 to 90, showed that vitamin C is still necessary for healthy gums. People in the study who had the lowest dietary intake of this essential vitamin were at the highest risk of gum disease.

Vitamin C is perhaps the easiest of vitamins to get from your diet. Rich sources include strawberries, apricots, oranges, lemons and, of course, limes. Red and yellow peppers also have lots of vitamin C, as do tomatoes and brussel sprouts.

Never put off regular dental checkups and cleanings, but in between appointments, watch your diet. Making sure these essential nutrients are a part of your daily intake will ensure that your teeth and gums are as healthy as they can be.

We know you'll go to any extreme to protect your child (check out this youtube to see how far some may go), but sometimes keeping your child smiling is as simple as using a mouthguard during sports, bike riding and skateboarding. Call today if you need a new one for fall sports.

If you have noticed that your teeth are starting to feel more sensitive than usual, you might initially avoid foods and drinks that seem to cause discomfort. For example, you feel some dental pain when you drink a hot cup of coffee in the morning or while chewing on a cold apple. While it’s a normal reaction to avoid foods or drinks that lead to pain or discomfort, it’s better to determine the cause of the problem and take steps to improve the health and quality of your teeth.

Causes of Tooth Sensitivity

- If only a single tooth is sensitive, it could be caused by a cavity. In other cases, the tooth might be cracked. These situations require care from a trained dental professional. You may need to get a filling, a new crown, or a root canal to reduce the tooth sensitivity.

- If many or all of your teeth are sensitive, you may have recently begun consuming increasingly larger amounts of foods or drinks that are high in acid. The acid dissolves the protective enamel of your teeth, exposing the dentin. The tooth’s dentin is sensitive to heat and cold as well as sticky or acidic foods that can trigger pain.

- Teeth whitening treatments can also cause tooth sensitivity.

- Increased stress in your life also can indirectly lead to tooth sensitivity. High stress can cause you to grind your teeth while you sleep. If you suffer from teeth grinding, also known as bruxism, one treatment option may be a special night guard appliance to wear while you sleep.

- Weather changes are another factor to consider. If it starts getting cold suddenly, the cool air you breathe in may trigger teeth pain, especially when enamel has been eroded from your teeth.

Reducing Tooth Sensitivity

- Avoid consuming foods and drinks that are high in acid. For example, citrus fruits and their juices can wear down your teeth’s enamel over time. Taper down your consumption to minimize teeth erosion. Try using a straw when drinking acidic juices in order to minimize their contact with your teeth. Rinse your mouth with water after consuming acidic foods and drinks.

- Start brushing your teeth with the softest available toothbrush. Use gentle motions to brush your teeth to minimize abrading their surfaces.

- You may be interested in switching to a new toothpaste to help you with the discomfort. Select a toothpaste formulated for sensitive teeth. You can find a variety of brands at your local pharmacy or supermarket. Follow the manufacturer’s instructions, particularly paying attention to how long you can use the product. If your teeth are still sensitive after using the special toothpaste, you should contact our office so we can rule out a more serious underlying problem.

Gingivitis is a type of periodontal disease in which only your gums are affected. Gingivitis, according to the American Dental Association (ADA), is a milder and often reversible type of periodontal disease. However, it can lead to periodontitis -- a more destructive and serious disease -- if proper professional treatment and home care aren't put into place. No tissue damage or irreversible bone damage is present in the gingivitis stage of periodontal disease.

Many people with gingivitis won't experience any discomfort, particularly in its early stage. However, as the bacteria in plaque builds up, it can cause your gums to become inflamed, which may make them red and swollen. You may also experience blood when brushing your teeth, indicates the American Academy of Periodontology.

Causes of Gingivitis

The most common cause of gingivitis occurs when plaque builds up due to inadequate oral hygiene.

Other less common causes of gingivitis include:
* diabetes
* aging
* smoking
* improper nutrition
* hormonal fluctuation
* stress
* pregnancy
* substance abuse
* certain medications
* genetic predisposition

Up to 30 percent of people in the United States may be susceptible genetically to gum disease or are six times more prone to developing gum disease, according to the American Academy of Periodontology. Therefore, if one of your family members has gum disease, it may indicate that you have a higher risk of developing the condition as well. If you are one of these people who are more susceptible to developing gum disease, your dentist may recommend more frequent cleanings, check-ups, cleanings, and treatments.

Implications of Gingivitis
If gingivitis is left untreated, it can progress to periodontitis. In periodontitis, the bone and inside layer of your gum pulls away from your teeth, allowing small pockets to form. These small pockets are danger zones because they allow bacteria to collect, and can they can then become infected. As periodontitis progresses, these pockets deepen, resulting in even more bone loss and gum tissue damage. Eventually, teeth that were once anchored in place become loose. Tooth loss often follows.

Treatment of Gingivitis
In practically all cases, gingivitis can be reversed, according to the Cleveland Clinic. Treatment includes proper control of plaque, which consists of having a professional teeth cleaning, at least two times a year. It also includes daily teeth brushing, which will eliminate plaque from the surfaces of your teeth. You should also floss daily to remove plaque and food particles from in between your teeth.

Lifestyle and health changes may help decrease the risk of developing gingivitis or reduce its severity or progression. These lifestyle changes include stopping smoking, decreasing your stress, eating a well-balanced diet, and avoiding grinding and clenching of your teeth.

Brushing your teeth every day keeps them cleaner, improves your breath, and reduces plaque buildup. But did you know that there may be a connection between your dental health and chronic illness? Some scientific evidence suggests that poor dental health may be linked to cardiovascular disease. Although more research is needed to explore this association, it provides yet another reason to brush your teeth twice per day, floss daily, and visit your dentist regularly.

Over 2,400 people die from cardiovascular disease each day, making it an immense public health problem. Cardiovascular disease occurs when arteries become harder, making it more difficult for blood to easily pass through your circulatory system. Plaques also build up in your blood vessels, further restricting blood flow. Periodontal disease, also known as gum disease, affects nearly 75% of the U.S. population, according to the American Academy of Periodontology. It is a chronic inflammatory condition that can cause bone and gum tissue to deteriorate, causing bad breath, swollen or bleeding gums, sensitive teeth, and loose teeth.

If periodontal disease affects your teeth and cardiovascular disease affects your heart, what’s the connection between the two? Scientists have known for years that the two conditions share several risk factors. Increasing age, cigarette smoking, and type 2 diabetes increase your risk of developing both periodontal disease and cardiovascular disease. None of these risk factors, however, explain the causal mechanism connecting the two conditions.

According to a 2009 review article by the editors of the American Journal of Cardiology and the Journal of Periodontology, one possible explanation is inflammation. Moderate to severe periodontal disease triggers chronic systemic inflammation, affecting not only your mouth but also your circulatory system, leading to cardiovascular disease. Another hypothesis is that bacteria from your mouth can cause heart disease. People with periodontal disease have billions of bacteria and other microorganisms teeming in their mouths. Chewing food and brushing your teeth release these bacteria into the bloodstream. The Harvard Heart Letter reports that the types of bacteria that cause periodontitis have been associated with plaque buildup in your arteries.

Not all scientific findings have shown a relationship between the two conditions. In April 2012, the American Heart Association published a scientific statement in the journal Circulation denying that gum disease causes heart attacks or stroke. The American Dental Association’s Council on Scientific Affairs and the World Heart Federation also endorsed the statement, agreeing that there is no conclusive evidence that the conditions are related. More scientific research needs to be performed to determine the exact relationship between periodontal disease and cardiovascular disease.

Although the scientific evidence has been mixed, periodontal disease can be very harmful to your health even if it does not lead to cardiovascular disease. It is important to reduce your risk of gum disease by careful tooth brushing, frequent flossing, and regular trips to the dentist.

Our team knows one thing no patient likes hearing when visiting our office is “root canal.” But what, exactly, is a root canal, and when might you need one?

A root canal is a treatment uses to repair and save a tooth that is infected or badly decayed to the point where the nerve is involved. In the past, if a patient had a tooth with a diseased nerve, dentists in most cases would recommend an extraction. Today, however, with a procedure called root canal therapy, available at our office, you may save that tooth—and your beautiful smile—after all!

Here are some symptoms that indicate a decayed or infected tooth, courtesy of WebMD:
• Severe toothache pain upon chewing, biting or application of pressure
• One tooth consistently more sensitive to hot or cold than other teeth
• Pain that hurts without any stimulus, keeps you awake or wakes you up at night
• A tooth that feels loose
• Discoloration (a darkening) of the tooth
• Pain that persists weeks following a filling or replacement of a filling
• Chronic pain and/or pressure that may extend to the ear, eye or neck

If any of these symptoms apply to you, we recommend you schedule an appointment with us right away.

The best way to avoid a root canal is to practice good oral hygiene at home, and that includes brushing at least twice a day and flossing to reduce plaque and bacteria. For more tips on how to avoid root canal therapy or for general questions about your dental treatment, we invite you to ask us during your next visit to our office! We also invite you to ask us on Facebook!

Dr. Bob Maley was recently featured in The Villager and we wanted to make sure you had seen it! We take pride in serving our community and enjoy having the opportunity to get to know you in our "...small town in a big city..."

Read the article here:

Thanks for the question! Yes! In fact, it's even more important that patients receiving orthodontic treatment visit our office regularly. When you're wearing braces, food may be caught in places that your toothbrush normally can't reach. This causes bacteria to build up and can lead to cavities, gingivitis and even gum disease. Believe it or not, an estimated 80 percent of American adults currently have some form of gum disease. Studies have shown a correlation between gum disease and heart disease, underscoring the importance of good oral health care. Our team will work closely with your orthodontist to make sure that your teeth stay clean and healthy while you're undergoing orthodontic treatment.

If it has been more than six months since your last visit to our office, please give us a call! We look forward to your next visit!

We know your dental health is closely connected to your overall health. We also know the mouth can oftentimes be the first place to indicate signs of health issues in the body. Recently, we found a helpful article that outlined seven warning signs that indicate it might be time to check in with our team.

Flat, worn teeth plus headache (sign of stress)

Grind, grind, grind .... grind. If you live with a teeth grinder, you’re probably familiar with this unpleasant sound. Emotional or psychological stress can definitely contribute to teeth grinding. In addition, headaches, which are caused by spasms in the muscles, can radiate from the mouth and head down to the neck and upper back. Night guards, which we proudly provide, may relieve the symptoms, as well as protect your teeth.

Cracking, crumbling teeth (sign of Gastroesophageal reflux disease)

As we age we may notice that the enamel on our teeth starts to chip at the edges of our front teeth or form hollowed out “wells” on the surface of our molars. These symptoms may be a sign of gastroesophageal reflux disease, or GERD, which is a chronic digestive disease that occurs when stomach acid—and occasionally, bile—flows back into your food pipe. Other signs and symptoms of GERD include acid reflux, dry mouth and heartburn.

Sores that won’t go away (sign of oral cancer)

More than 21,000 men and 9,000 women are diagnosed with oral cancer annually, according to the National Cancer Institute. Those most affected include the elderly (most are over the age of 60) and smokers. The survival rate for oral cancer is 35 percent. When an open sore in the mouth doesn't go away within a week or two, or when you experience unexplained bleeding or numbness, it’s always a good idea to visit our office so that we may rule out oral cancer. A lot of sores and ulcers may lurk underneath your tongue, where they are difficult to find.

Gums growing over teeth (sign of medication problems)

If you notice your gum growing over your tooth, and you're taking a prescribed or other medication, please give us a call as soon as possible. Certain medications may cause the gums to overgrow; the dosage will need to be adjusted, but it’s important we take a look.

White webbing inside cheeks (sign of Lichen planus)

Lichen planus, whose cause is unknown, is an inflammatory skin disease that usually affects the skin, mouth, or both, according to the Mayo Clinic. On the skin it manifests with small purplish bumps while in the mouth it takes the appearance of a whitish, lacy pattern on the insides of the cheeks. The disease can't be passed from one person to another. Lichen planus may require relatively simple at-home care or no treatment. When symptoms are severe, such as pain or significant itching, please give us a call.

Crusting dentures (sign of pneumonia)

Older folks are known to inhale debris around the teeth and dentures, and inadvertently breathe in other materials into the lungs and airway, causing dangerous (even fatal) inflammation. Be sure to remove and wash dentures on a regular basis.

One word nobody wants to hear when they visit the dentist is Cavity! That’s right, the dreaded cavity; but what exactly is a cavity and how do you get one? A cavity is a hole that develops in a tooth when the tooth begins to decay. It’s important to get a cavity filled as soon as it’s detected so that it does not grow bigger.

So, what causes a cavity? A cavity is caused by plaque, a sticky substance that forms on the tooth as a result of germ and bacteria build-up. Plaque is acidic and as it clings to your teeth the acids eat away the outside of the tooth (also called the enamel) and a hole is formed.

Yes, cavities can be repaired by your dentist, but here are a few simple steps you can take to prevent cavities:

• Brush your teeth with fluoride toothpaste at least twice daily
• Gently brush your gums to keep them healthy (when choosing a toothbrush it is recommended to use soft bristles)
• Floss your teeth at least once a day to remove plaque and food that may be caught between the teeth where your toothbrush can’t reach
• Limit the amount of soda and sugary treats you eat/drink
• Be sure to visit your dentist every six months for a teeth cleaning and check-up

If you have missing teeth, it is crucial to replace them. Without all your teeth, chewing and eating can destabilize your bite and cause you discomfort. Dental implants are a great option for replacing missing or badly diseased teeth. A dental implant offers comfort, support, stability, and is as close to a natural tooth that a restoration can be.

There are many benefits to dental implants:

• Dental implants restore your ability to chew food properly.
• They fill out a face that may otherwise look sunken in because of missing teeth.
• They don’t need to be removed for overnight cleaning and soaking.
• No adhesives are needed.
• You’ll feel more confident to show off your smile to the world.
• Each implant is created to fit in perfectly with the look of the rest of your teeth.

Dental implants would be an appropriate treatment for you if you’re in good health, have healthy gums, and have enough bone structure to support an implant. A simple visit with our office will reveal if a dental implant is the best option to restore your smile to its absolute best.

Cavities occur as a result of the destruction of tooth structure, called tooth decay. Tooth decay can affect both the enamel (the outer coating of the tooth) and the dentin (the inner layer of the tooth). While it is very important to brush and floss every day to remove food particles and plaque, regular cleanings and checkups with Dr. Bob Maley are also important to help avoid cavities.

Dr. Maley can discover cavities during your regular dental checkup. The tooth surface feels soft when probed with a dental instrument. X-rays can also show cavities before they become visible to the eye. In advanced stages of tooth decay, you might experience a toothache, especially after consuming sweet, hot, or cold foods or drinks. Other signs of tooth decay are visible pits or holes in the teeth.
Don’t wait for a toothache!

Remember, the longer you wait to treat a cavity, the more extensive your treatment will be. A small cavity can be treated with a filling, while a large cavity that weakens the structure of your tooth may require a crown. If the decay is so bad that it causes the nerve or pulp of the tooth to die, a root canal or tooth removal may be your only options. If you think you may have a cavity, contact our office and schedule an appointment. We’ll make sure you leave with a healthy, pain-free smile!

Your child should visit Dr. Bob Maley every six months for regular dental cleanings and checkups. Depending on the circumstances of your child's oral health, more frequent visits may be recommended. Generally fluoride treatments are also recommended twice a year to keep teeth at their strongest.

Even though your child’s primary teeth don’t last as long as permanent teeth, your child's first teeth play an important role in development. While they're in place, these primary teeth help your little one speak, smile, and chew properly. They also hold space in the jaw for permanent teeth. If your child loses a tooth too early (due to damage or decay) nearby teeth may intrude on that space, which can result in crooked or misplaced permanent teeth.

Children with healthy mouths have a better chance of general health. Oral conditions can interfere with eating and adequate nutritional intake, speaking, self-esteem, and daily activities. Severe tooth decay can even affect growth and development. A healthy mouth is more attractive, giving children confidence in their appearance. Finally, preventive dentistry can result in less extensive, and less expensive, treatment for your child.

Nothing is sweeter than your new baby’s gummy little smile. With the arrival of your little one, it’s important to prepare for the arrival of that first tooth. Even before your child’s first tooth appears, his or her gums can benefit from your careful attention. After breast- or bottle-feeding, wrap your finger with a damp washcloth and gently rub across your baby’s gums. This will also reinforce the habit of brushing after eating as your baby grows up.

Your baby’s first tooth will make its grand entrance at about six months, and the rest of the primary teeth will come in during the next three years. When the first tooth erupts, it's time to upgrade to a baby toothbrush. There are usually two options: a long-handled toothbrush that you and your baby can hold at the same time, and a finger-puppet-like brush that fits over the tip of your pointer finger. In each case the bristles are soft and few. At this stage, toothpaste isn't necessary; just dip the brush in water before brushing.

When a few more teeth appear, you can start using toothpaste with your child's brush. However, for the first two years, be sure to choose toothpaste that does not contain fluoride, unless advised otherwise. From the beginning, have your little one practice spitting the toothpaste out after brushing to prepare him or her for fluoride toothpaste, which should not be swallowed at any age.

Be sure to schedule an appointment within six months of when your child’s first tooth comes in. Or just bring your baby along when you or Big Brother or Sister come in to get to know the office, go for a ride in the chair, feel comfortable with the setting. Early dental visits are the foundation for a lifetime of good oral health.

As if parenting isn’t hard enough, you need to make sure your child is brushing and flossing routinely and correctly to keep their teeth healthy over the long haul. We recognize this is no easy task, so we often recommend sealants--an added protection that can decrease a child’s chance of tooth decay by 60%! Better still, it’s a simple, painless procedure.

Dental sealants work by providing a protective shield over the tiny grooves and depressions found on the chewing surfaces of teeth. While brushing and flossing are still essential even if your child has sealants, this coating will "seal out" plaque and food from areas vulnerable to tooth decay.

If we think a sealant would be a good option for your child, a simple office visit is all it takes. One of our friendly dental hygienists or assistants will thoroughly clean your child’s teeth before applying the white or clear liquid-plastic material to the tooth’s surface. Sealants can protect teeth from decay for up to ten years, but they need to be checked for chipping or wearing at your child’s regular checkups with Dr. Bob Maley.

Email? Text? Phone call? You can choose how you’d like to receive appointment reminders and other communications from our office. Patients have told us they love these features, and beginning this month we’ve added even more.

Now you can:

• Check appointments online
• View your account balance and insurance payments and print your statement
• Make secure payments online
• Set up online account & reminders for dependent patients in your family
• Customize how we communicate with you, choosing to receive email, text message reminders, or both!

And much more.

And when you’re through, you can give us your feedback via our online survey so we can keep improving our practice. You can check out our new system today by going to our website at www.maleydental.com and clicking on Patient Login.

You water the garden three times a week, you change your car's oil every three months, and you replace the batteries in your smoke detectors once a year. Your teeth need to see your dentist on a regular schedule, too.

While daily oral hygiene habits are essential to good oral health, professional dental cleanings at our office ensure your teeth are treated to a deeper level of cleaning. We recommend for most of our patients to have a checkup at least every six months. In addition to a thorough cleaning and polishing of your teeth, these regular visits help us detect and prevent the onset of tooth decay and periodontal (gum) disease. During your visit, we’ll check the health of your mouth, teeth, gums, cheeks, and tongue. We’ll also check old fillings and restorations, as these can wear away over time from constant chewing, grinding, or clenching.

If you are predisposed to oral diseases, you may need to visit our office more often than every six months. Factors at play in these diseases include age, pregnancy, tobacco use, medical conditions (such as diabetes, dry mouth, or HIV infection), along with how well you take care of your teeth on a daily basis.

Make sure your teeth get the professional attention they deserve – If you’re overdue for your next cleaning, check with our office to schedule an appointment!

Cities have been adjusting the fluoride levels in water since 1964. Since that time, fluoridation has dramatically improved the oral health of tens of millions of Americans. Community water fluoridation is the single most effective public health measure to prevent tooth decay, but you may not be drinking as much fluoridated water as you may think. If bottled or home-purified water is your main source for drinking water, you may be missing out on this extremely safe and effective mineral that prevents tooth decay.

Of course, using toothpaste with the ADA Seal of Approval is a good source of fluoride, but optimal levels of absorption can only be achieved if you use it as directed: brushing twice a day for two to three minutes each time.

At our office, you can receive professionally applied topical fluoride during your next dental checkup. This is extremely important for people who are at high risk for tooth decay, including children, people with less than perfect oral hygiene, people undergoing orthodontic treatment, and people with weakened enamel due to lifestyle choices or genetic factors. If you have any questions regarding fluoride, please feel free to ask Dr. Bob Maley or your hygienist. We want you to have the healthiest smile possible.

Dental X-rays are an essential and invaluable tool to help assist Dr. Bob Maley in evaluating your oral health. With X-rays, we can see what’s happening beneath the surface of your teeth and gums and identify oral health issues otherwise hidden during a visual exam, including:

· small areas of decay between the teeth or below existing restorations (fillings)
· infections in the bone
· periodontal (gum) disease
· abscesses or cysts
· developmental abnormalities
· types of tumors

If left untreated, these problems can lead to expensive, time-consuming, and painful conditions, so it’s
important to find and treat them early. Dental X-rays are extremely safe, and our team is certified in the proper use of our digital X-ray equipment. The amount of radiation that you are exposed to from dental X-rays is very small compared to your daily exposure from things like atmospheric radiation and naturally-occurring radioactive elements, as well as medical X-rays you may have gotten at your doctor’s office or hospital. In fact our digital system dramatically decreases the already minimal amount of exposure even further. Dr. Bob Maley and his team try to be as conservative as possible when prescribing x-rays but do need them to see what is going on where our eyes can't see.

You know what they say, “if someone offers you a mint, take it!”

It’s one thing to subject the world to the after effects of one onion and garlicky meal, but chronic bad breath needs to be dealt with. Bad breath, also called halitosis, can result from poor dental health habits and may be a sign of other health problems. Bad breath can also be made worse by the types of foods you eat and other unhealthy lifestyle habits. If you’re concerned you may be suffering from it, talk to Dr. Bob Maley and team. We can help identify the cause and, if it’s due to an oral condition, develop a treatment plan to treat it.

There are many reasons for bad breath:
• If you don't brush and floss daily, particles of food remain in the mouth, collecting bacteria, which can cause bad breath, not to mention tooth decay and gingivitis.
• Bad breath can be caused by dry mouth, which occurs when the flow of saliva decreases. Saliva is necessary to cleanse the mouth and remove particles that may cause odor.
• Tobacco products cause bad breath. If you use tobacco, ask us for tips on kicking the habit.
• Bad breath may be the sign of a medical disorder, such as a local infection in the respiratory tract, chronic sinusitis, postnasal drip, chronic bronchitis, diabetes, gastrointestinal disturbance, liver or kidney ailment. If this is the case, we may refer you to your family doctor or a specialist to determine the cause.

The good news is there are many ways to help eliminate bad breath from your life.

Maintaining good oral health is essential to reducing bad breath, so schedule regular dental visits with Dr. Bob Maley for a professional cleaning and checkup. Brush twice a day with fluoride toothpaste to remove food debris and plaque, and don’t forget to brush your tongue, too!

Fluoride is a compound that contains fluorine, a natural element. Using small amounts of fluoride on a regular basis can help prevent tooth decay. Fluoride inhibits loss of minerals from tooth enamel and encourages remineralization (strengthening areas that are weakened and beginning to develop cavities).

Fluoride also affects bacteria that cause cavities, discouraging acid attacks that break down the tooth. Risk for decay is reduced even more when fluoride is combined with a healthy diet and good oral hygiene. Using fluoride for the prevention and control of decay has been proven over the past 70 years to be both safe and effective.

Fluoride can be found in any toothpaste with the ADA Seal of Approval, as well as in drinking water across the United States. To ensure you’re getting the appropriate amount of fluoride, having a professionally applied fluoride treatment during your next checkup is possible if you are concerned you are not getting adequate amounts at home.

Contact Dr. Bob Maley and his team if you have questions or find us on Facebook!

Every day we see patients--kids and adults--who for whatever reason experience intense anxiety over coming to the dentist, sometimes to the point they risk their health rather than seek the treatment they need.

Dr. Bob Maley specializes in helping these patients using a very simple process that works virtually every time.

"I slow things down, explain exactly what's going on and put the patient in charge, " he explains. "If you raise your hand, I stop. Some patients just need to take a breather before we proceed. Others just feel more confident knowing if it hurts, I'll stop and readjust. We have headphones with music, nitrous oxide (laughing gas), which helps you relax, whatever it takes to help you overcome this very real fear one step at a time."

"I don't believe most people need or want to be put unconscious to go to the dentist. By talking together and making a plan, we can change a patient's experience of dentistry, and that makes every visit a little easier. Each time we're together, we strengthen the relationship which increases trust. Building trust is the essential part of overcoming fear."

If you've been putting off going to the dentist, give us a call at 651-224-0001. We can schedule some time to talk about your concerns and make a plan of how to proceed. Your smile and health are too important to ignore.

Visiting Dr. Bob Maley regularly will not only help keep your teeth and mouth healthy, but will also help keep the rest of your body healthy. The fact is, every hour of every day in the U.S., someone dies of oral cancer, which is the sixth-most commonly diagnosed form of the disease. The five-year survival rate is only 50 percent, and oral cancer is one of the few cancers whose survival rate has not improved. Since April is Oral Cancer Awareness Month, Dr. Maley would like to take this opportunity to underscore the importance of visiting the dentist routinely to check on the health of teeth and gums and screen for health issues such as oral cancer.

As a dentist, Dr. Maley is specifically trained to diagnose, treat, and prevent oral health problems. Screening for oral cancer is a regular part of our routine oral exam. Please let us know if you have any questions about your oral health during your next appointment. Take care of your teeth!

We always say St. Paul is a small town in a big city. Knowing your neighbors and having lots of great independent places to eat, drink and shop--many you can walk to--are some of the best parts of being in the Highland Park/West 7th neighborhood. If you're new in town, we've got some recommendations that will make you love St. Paul from the start. Here are some of our team's favorite hotspots:

Favorite pizza place: Punch Pizza on Cleveland or Cossetta's on West 7th
Best place to run for lunch: Rusty Taco or Shamrock's
Best seafood: Coastal Sea Foods on Grand and Snelling
Best place to grab an appetizer to bring to a party: St. Paul Cheese Shop (try the goat cheese and chutney--yum!)
Favorite date night: A movie at the Riverview Theater right across the Ford Bridge--Best popcorn EVER and $3 movies
Favorite place to get office treats: Trader Joe's on Randolph and Lexington
Best place to buy a gift: Patina on Ford Parkway
Best walk or bikeride: Along the Missippi River Boulevard

Some say St. Paul is a hard community to break into. If you're new to town, give us a call. We'll welcome you as a new neighbor and --we hope--a patient. But we'll also help you figure out how to navigate the town.

Getting your taxes filed, your windows washed for summer sun, your car in for routine maintenance...these types of jobs can be a pain, but once you get them done, it feels soooo good! The same goes for getting your teeth cleaned.

While daily oral hygiene habits are essential to good oral health, professional dental cleanings at our office ensure your teeth are treated to a deeper level of cleaning. We recommend for most of our patients to have a checkup every six months. In addition to a thorough cleaning and polishing of your teeth, these regular visits help us detect and prevent the onset of tooth decay and periodontal (gum) disease. During your visit, we’ll check the health of your mouth, teeth, gums, cheeks, and tongue. We’ll also check old fillings and restorations, as these can wear away over time from constant chewing, grinding, or clenching. And, of course, we’ll address any questions or issues that may have come up since your last visit.

If you are predisposed to oral diseases, you may need to visit our office more often than every six months. Factors at play in these diseases include age, pregnancy, tobacco use, medical conditions (such as diabetes, dry mouth, or HIV infection), along with how well you take care of your teeth on a daily basis.

Make sure your teeth get the professional attention they deserve – If you’re overdue for your next cleaning, call us today at 651-224-0001 today to schedule an appointment! Happy Spring!

Dr. Bob Maley and his team know one thing no patient likes hearing when visiting our office is “root canal.” But what, exactly, is a root canal, and when might you need one? A root canal is a treatment Dr. Maley uses to repair and save a tooth that is infected or badly decayed to the point where the nerve is involved. In the past, if a patient had a tooth with a diseased nerve, dentists in most cases would recommend an extraction. Today, however, with a procedure called root canal therapy, available at our office, you may save that tooth—and your beautiful smile—after all!

Here are some symptoms that indicate a decayed or infected tooth, courtesy of WebMD:
• Severe toothache pain upon chewing, biting or application of pressure
• One tooth consistently more sensitive to hot or cold than other teeth
• Pain that hurts without any stimulus, keeps you awake or wakes you up at night
• A tooth that feels loose
• Discoloration (a darkening) of the tooth
• Pain that persists weeks following a filling or replacement of a filling
• Chronic pain and/or pressure that may extend to the ear, eye or neck

If any of these symptoms apply to you, we recommend you schedule an appointment with Dr. Maley.

The best way to avoid a root canal is to practice good oral hygiene at home, and that includes brushing at least twice a day and flossing to reduce plaque and bacteria. For more tips on how to avoid root canal therapy or for general questions about your dental treatment, we invite you to ask Dr. Maley during your next visit at our convenient St. Paul office! We also invite you to ask us on Facebook!

We will be rolling out our new Facebook Timeline page soon and would love for you to check it out!

You’ll find all the useful information that was there before, but now in a fun, new layout. When you Like us on Facebook, you’ll be able to check out photos of our office, find out about new events and contests, or you can even leave a note about how much you enjoyed your visit at our office. We love hearing your feedback to make our practice serve you and your family even better. To make life even easier, if you “Like” us on Facebook, you’ll automatically receive updates from our office right on your own news feed!

See you on Facebook!

Whether you’ve been a patient of ours for years or just started visiting our practice and have a follow-up question for Dr. Bob Maley or our team, or if you’d simply like to drop us a quick line, we’d love to hear from you! Our online communications are just another way to share important information about your dental health and happenings at our practice.

Please visit Dr. Bob Maley and our team on the following networks:

Facebook: http://www.facebook.com/MaleyDental
YouTube: http://www.youtube.com/user/DrBobMaley
Blog: http://www.maleydental.com/blog

See you online!

Dr. Bob Maley is out of the office this week on a mission trip in Chimbote, Peru. He joins 50 health care workers from all over the U.S. in delivering free care to the poorest of the poor in an area served by Fr. Jack Davis and Sister Peggy Byrne and the Friends of Chimbote.

Grind, grind, grind. If you live with a teeth grinder, you may be familiar with this unpleasant sound. Did you know teeth grinding, or bruxism, is common in children as well? In fact, three out of 10 kids grind or clench their teeth, usually in response to losing teeth, jaw growth or other discomforts, such as allergies or infections. Teeth grinding is typically a passing phenomena as most kids outgrow it by the time they reach their teenage years. An important thing to remember is that kids frequently grind their teeth in response to stress, and taking measures to reduce or eliminate stress can help solve the problem.

The first step of recovering from teeth grinding is noticing the problem. Symptoms of teeth grinding include:
• Sensitivity in the teeth
• Tightness or pain in the jaw
• Dull headaches, earaches, or facial pain
• Chipped, worn down, or loose teeth

If your child is a teeth grinder, Dr. Bob Maley and team may be able to help. Please give us a call at 651-224-0001.

Thanks for the question! Yes!

In fact, it's even more important that patients receiving orthodontic treatment visit our office regularly. When you're wearing braces, food may be caught in places that your toothbrush normally can't reach. This causes bacteria to build up and can lead to discoloration, cavities and even gum disease. Dr. Bob Maley even recommends that certain patients with braces come in an extra time each year to be sure we thoroughly clean around the bands and between the teeth. Our staff will work closely with your orthodontist to make sure that your teeth stay clean and healthy while you're undergoing orthodontic treatment.

If it has been more than six months since your last visit to our St. Paul office, please give us a call! We look forward to your next visit!

Hearing words like sticky, bacteria, acid, and decay makes most people cringe. Thinking about those things on your teeth…ew! Unfortunately, these are all characteristics of plaque and tartar: the enemies of healthy teeth.

Don’t panic—we have some tips on how to avoid plaque and tartar. But first, let’s back up a little. In order to figure out how to prevent them, we need to know exactly what they are, right?

The best way to understand plaque is to think of it as a thin, invisible film of sticky bacteria (and other unfriendly materials) that coats the surfaces of your teeth. When sugars and starches come in contact with plaque, an acid is created that can attack your teeth for up to 20 minutes after you finish eating. Repeated attacks can break down tooth enamel and lead to cavities, decay, and/or gum disease.

Tartar, on the other hand, is a deposit that forms when plaque hardens on your teeth. For most of us, tartar deposits begin to build up faster as we age. Unlike plaque, tartar bonds quite strongly to tooth enamel and can only be removed by a dental professional. Prolonged tartar buildup can cause a tooth’s enamel to break down, resulting in decay and/or cavities.

So… in order to avoid cavities we have to avoid tartar, and in order to avoid tartar we have to avoid plaque. Here are some recommendations from Dr. Bob Maley on the best ways to fight plaque and tartar buildup.
• Floss once a day.
• Brush your teeth at least twice a day with toothpaste that contains fluoride and fights plaque.
• Use a quality toothbrush and remember to replace it every three months, or as soon as the bristles have worn down.
• Add a mouthwash to your routine to provide longer protection even after you’re done brushing.
• Eat well-balanced meals. Raw fruits and veggies like apples and carrots even help remove plaque.
• Brush after snacks.
• Visit Dr. Maley regularly for oral exams and cleanings so that any tartar buildup you might have can be removed.

Take care of your teeth and fight cavities! Your bank account and smile will thank you. And since avoiding plaque altogether is impossible, don’t forget to schedule your regular dental appointments with us so we can help brighten your smile and keep your teeth healthy for life!

Don’t forget to join us on Facebook so you can keep up with everything going on in our practice, and so we can get to know you better. We look forward to connecting with you there.

When your child needs urgent dental treatment, Dr. Bob Maley and our team stand ready to help. Here are some helpful answers to some recent patient questions.

Q: What should I do if my child’s baby tooth is knocked out?

A: Contact Dr. Maley as soon as possible.

Q: What should I do if my child’s permanent tooth is knocked out?

A: Find the tooth and rinse it gently in milk or saliva. (Do not scrub it or clean it with soap — use just water!) If possible, replace the tooth in the socket and hold it there with clean gauze or a wash cloth. If you can’t put the tooth back in the socket, place the tooth in a clean container with milk, saliva, or water. Get to our office immediately--within 30 minutes is ideal. The faster you act, the better your chances of saving the tooth.

Q: What if a tooth is chipped or fractured?

A: Contact Dr. Maley immediately. Quick action can save the tooth, prevent infection and reduce the need for extensive dental treatment. Rinse the mouth with water and apply cold compresses to reduce swelling. If you can find the broken tooth fragment, bring it with you when you visit.

Q: What about a severe blow to the head or jaw fracture?

A: Go immediately to the emergency room of your local hospital. A blow to the head can be life threatening.

Q: What if my child has a toothache?

A: Call us and visit Dr. Maley promptly. To comfort your child, rinse the mouth with water. Apply a cold compress or ice wrapped in a cloth. Do not put heat or aspirin on the sore area.

Q: Can dental injuries be prevented?

A: Of course! First, reduce oral injury in sports by wearing mouth guards. Custom mouth guards provide the best protection. Second, always use a car seat for young children. Require seat belts for everyone else in the car. Third, child-proof your home to prevent falls. Fourth, protect your child from unnecessary toothaches with regular dental visits.

Contact our St. Paul dental office to schedule an appointment. We love what we do and enjoy watching our patients grow and smile as they visit our office!

Dr. Bob Maley and his team are always available to answer your questions about your teeth and dental treatment. We strive to provide our patients with quality care in a warm, family-friendly environment.

We also recognize that the most important questions are our responsibility to answer. Some of the questions that we hear in the office include:

• Will bleeding hurt my teeth?
• What is gingivitis?
• Does the bone grow back after rootplaning and scaling?
• Why do my gums bleed?
• Why do you take panographs and bitewing? What's the difference?
• Does an electric toothbrush really do anything?

All of the answers to these questions vary from patient to patient, and we are happy to answer them for you! The next time you have an appointment with us please ask us. We want your dental experience to be informative and comfortable.

Even if you brush and floss daily, it is still important to see Dr. Bob Maley every 6 months, or as recommended.

Why?

• We can detect and treat tooth and gum problems that you may have never felt or noticed.
• Even thorough daily oral care may not be enough to prevent cavities and oral decay.
• Frequent visits can allow us to treat a problem early to prevent future complications.
• We miss your smiling face!

If you are overdue for an appointment with us, please give us a call today!

- Dr. Bob Maley & Team

With winter sports under way for a lot of our patients, Dr. Bob Maley thought it would be a good time to remind our young athletes to take care of their smiles while participating in sports this winter.

More than half of the seven million sports and recreation-related injuries that occur each year are sustained by youth between ages 5 and 24. Sixty-seven percent of parents say their child does not wear a mouth guard;, yet, 70 percent say their biggest fear when their child plays is that they will get hurt. Despite the risks, many kids are still not wearing mouth guards and facial protection during games and practices.

Many people think a mouth guard is effective just to protect your teeth. But research has shown mouth guards can also reduce lower jaw impact that causes concussions and other dental injuries. Check out this video to see just how far some parents will go to protect their children's teeth from sports injuries.

We hope this helps you remember to always wear a mouth guard and other forms of protective gear when participating in fall sports! You handle the bubble wrap, we'll set you up with a mouth guard! We encourage you to give us a call if you have any questions or ask us on Facebook!

At Dr. Bob Maley Family Dentistry, we're in business to keep you smiling. Smiling itself is good for your health - taking care of your smile is even better.

To brighten up these dark winter days, we'd like you to show us your smile. Post a photo of you on our Facebook page and you'll be entered into a drawing to win a Nikon Coolpix 14 MP digital camera. We'll announce the winner on February 20!

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 dentistry and the dental industry, and the latest news about our practice.

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