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What should I use to clean my baby’s teeth?

July 23rd, 2025

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

When do I start?

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

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

What do I use?

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

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

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

How do I do it?

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

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

In addition to regular visits with John Pappas, instilling good oral health habits in your child early on will ensure a lifetime of good dental health.

Fluoride Use in Adolescents

July 16th, 2025

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

John Pappas and our team at Masterpiece Dentistry at Copley 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

John Pappas 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 John Pappas, please give us a call at our convenient Boston, Massachusetts office!

Your Options for Sedation Dentistry

July 9th, 2025

Fear of going to the dentist is more common than you may think. That’s why John Pappas and our team want to make your visit as relaxing as possible.

Your anxiety about pain or routine procedures doesn’t have to stop you from visiting our Boston, Massachusetts office; we offer various types of sedation to remove the pain and stress from your dental procedure.

Nitrous Oxide Sedation

Nitrous oxide combined with local anesthetics ensures both pain relief and reduced anxiety for many patients. It’s useful because the dosage can be regulated during treatment, and patients are usually able to drive shortly after the procedure is completed.

Oral or Injected Sedation

With oral sedation, you may be given a pill or liquid to consume several hours before your treatment. Make sure someone will be available to drive you to your appointment, because you will not be able to drive yourself.

An oral liquid is often given to children before any shots or intravenous anesthesia. An intramuscular injection may be given at the office to provide relaxation benefits for 20 to 30 minutes.

Nitrous Oxide with an Oral Sedative

For patients with higher levels of anxiety, an oral or injected sedative can be offered before nitrous oxide begins. This can also be effective for reducing anxiety about the injection of local anesthetics itself. A liquid medication followed by nitrous oxide is beneficial for children to produce a deep sedation level.

General Anesthesia

This type of anesthesia can be offered as an inhaled gas or intravenous liquid. If no oral sedative is given before the general anesthesia is administered, you should wake up quickly after your procedure.

To reduce your anxiety, we can offer a pill or liquid medication before intravenous sedation starts. Intravenous sedation can also be used at moderate-to-deep sedation levels without complete loss of consciousness.

John Pappas and our team are happy to go over your sedation or pain prevention options when you visit. We’re here to ensure all your questions are answered and your procedure is a relaxing one.

Celebrate the Fourth with a Smile!

July 2nd, 2025

As our nation prepares to observe its birthday, we’d like to share some timely dental tips to help make celebrating the Fourth of July more enjoyable for you and healthier for your teeth and gums.

Hydrate

It might be hot and humid where you’re living, so be sure to keep hydrated in the backyard or along the parade route. Proper hydration is essential for both your overall health and your oral health. Drinking water helps prevent cavities by washing away food particles and bacteria and reducing acidic conditions in the mouth. 

Use Ice for Cooling, not Chewing

If you’re enjoying an icy cold beverage to beat the heat, don’t crunch down on that ice! Chewing on ice can lead to immediate disaster in the form of a chipped or cracked tooth or a broken filling or crown. And, over time, munching ice will damage your enamel, making your teeth more sensitive to heat and cold and more vulnerable to cavities. 

Enjoy All Your Cookout Favorites

If you celebrate the Fourth with family and friends, there’s a good chance you’re celebrating outdoors. According to surveys, Independence Day is the most popular grilling day in the country. Are you sitting on the picnic table sidelines because of loose teeth, tooth pain, or missing teeth? Don’t miss out on any of the fun in Boston, Massachusetts! 

  • Tooth pain can be caused by cavities. It can also be a sign of a damaged tooth or an infection. If you suffer persistent tooth pain lasting several days or more, it’s time for a dental appointment.
  • Gum disease can cause bone loss, loose teeth, and lost teeth, making sharing a meal with friends something you avoid instead of something you look forward to. Regular flossing, cleanings, and checkups will help keep your gums in the pink. If you have advanced gum disease, we can discuss treatment options.
  • If you or a loved one wear braces, be sure your BBQ choices are not only delicious, but safe for wires and brackets. Offer menu options which are braces-friendly—that is, which are soft and easy to eat rather than hard, crunchy, or sticky. Remove kernels from corn on the cob and have utensils available to cut finger foods like burgers and hot dogs into fork-friendly bits. 
  • Missing teeth not only make dining difficult, but can also lead to gum disease, decay, and misalignment in adjacent teeth. To enable you to enjoy your meals and to protect your dental health, talk to John Pappas about implants, bridges, or dentures to make your smile complete again.

Whether you’re marching in the parade, enjoying a meal with family and friends, oohing and aahing at the fireworks, or all of the above, we wish you a healthy and happy Fourth of July! If you have any dental concerns, we’re here at Masterpiece Dentistry at Copley to help you achieve your best smile every day of the year.

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