Our Blog

Whether it’s your first child or you’re an experienced mom, pregnancy is an exciting time—which you’ll be able to enjoy much more once the days of morning sickness are over.

Morning sickness affects most pregnant women, and can present in any number of ways. It might take the form of mild nausea, or cause frequent vomiting. It often occurs in the morning hours, but can take place at any time of day. It’s usually over with by the second trimester, or it can last weeks longer. Because of this wide variety of symptoms, morning sickness is more accurately referred to as NVP, the nausea and vomiting of pregnancy.

Your doctor can recommend safe and effective ways to deal with NVP, especially when symptoms are more severe. We have some recommendations to minimize the effect of morning sickness on your dental health.

Wait, dental health? That’s right. Besides its more obvious unpleasant consequences, NVP can cause problems for your teeth and gums. We have a few suggestions for getting you through the weeks of morning sickness with easy and effective strategies to protect your oral health.

Prevent Acid Damage

Vomiting and heartburn with reflux expose the teeth to stomach acids. Tooth enamel is the strongest substance in the body, but it’s not safe from acid attacks.

Normally, the pH balance in our mouths is neutral, around a 7 on a scale of 0 to 14. When acidic conditions lower the oral pH to 5.5 or below, the minerals in enamel begin to dissolve, leading to sensitivity and, eventually, cavities. The pH of our stomach acid ranges from 1.5 to 2.5. This is great for digesting food, but not great at all for enamel and sensitive gum tissue.

Whenever we vomit, the immediate (and understandable!) impulse is to reach for our toothbrushes. But this is an impulse we should resist. Because acids weaken tooth enamel, scouring the teeth with a toothbrush right away can cause more erosive damage. Instead,

• Wait half an hour or more before brushing to give your enamel time to recover its strength.
• In the meantime, rinse with water and perhaps a bit of toothpaste or diluted, doctor-approved mouthwash.

Keep Hydrated

Another consequence of frequent vomiting is dehydration. It’s always important to keep our bodies properly hydrated, and this is particularly true during pregnancy.

Hydration is also essential for oral health. Saliva helps wash away the bacteria and food particles which cause cavities and irritate the gums—especially important now, since pregnancy hormones can leave you more vulnerable to gingivitis and other forms of gum disease.

• Drink water as recommended by your doctor. It’s healthy, it hydrates, and it helps prevent cavities and gum disease. Win/win/win.
• Whichever fluids are your favorites, drinking them in measured amounts through the day will be more effective and more appetizing than drinking large amounts once or twice a day to catch up.
• You have a busy life, so make things easy on yourself. If you need to hydrate more, keep track of your hydration goals with an app or a phone notification. There are even “smart bottles” to track your intake. Or go old school, and fill a bottle marked with timed measurements to remind you to hydrate through your day.

When The Very Idea of Brushing Is Nauseating . . .

When just the thought of brushing is unappetizing, we have suggestions which might help.

• Postpone brushing until later in the day when you feel better. Rinse with water first thing in the morning instead.
• Trade in your regular toothbrush for one with a smaller brush head. This can help prevent the gag reflex.
• Brush slowly, using small strokes.
• If brushing the back teeth is particularly triggering, try deep breathing or sitting down to brush.

We want to help you enjoy a healthy pregnancy. Let us know when you first learn you’re pregnant. We have some valuable tips for the coming months, including suggestions for reducing the dental effects of NVP. Fortunately, morning sickness is temporary, and we’re here with ideas to help your beautiful smile last a lifetime!

Pregnancy leads to so many changes in your body, so it’s no surprise that your teeth and gums are affected as well! Dental care is very important during these months, so let’s look at some of the concerns you might have about treatments and procedures.

• Regular Exams and Cleaning

Yes and yes! Let us know you are pregnant when you make your appointment. Preventive care is especially important during pregnancy for keeping your gums healthy.

• Periodontal Care

Swollen and tender gums are often one of the first signs of pregnancy. Hormonal changes can make your gums more vulnerable to irritation and infection. Early gum disease, called gingivitis, should be treated promptly to avoid a more serious condition called periodontitis. This form of gum disease can actually cause the gums to pull away from the teeth, leading to pockets where infection can develop. Talk to us about scheduling extra cleanings, if needed, to avoid the plaque build-up that leads to gum disease.

• Regular Dental Work

If you need a cavity filled or a crown placed, talk to us about scheduling. It is important to keep your teeth healthy to avoid infection or more serious dental problems. If you do need restorative work, procedures are usually best treated during the second trimester, where morning sickness is less of a problem and reclining comfortably in the dental chair is easier than it would be in your third trimester.

• Emergency Work

If there is a dental emergency, call us immediately. You shouldn’t put off emergency work, as the complications of pain and infection can be harmful to you and your baby.

• Elective Treatments

If you are thinking about whitening your teeth or having other cosmetic dental work done, waiting until after your baby is born is usually recommended.

• X-rays

Most studies suggest that dental X-rays, because they are so limited in focus, are probably safe during pregnancy. But since there is no definitive answer at this time, it’s recommended to wait until after your baby is born for elective X-rays. In case of a dental emergency, however, an X-ray might be a necessity. If you are worried, talk to us about the shielding we use during X-rays, as well as scientific agreement about the safety of dental X-rays.

Let Dr. Milillo, and Dr. Saldivar know about your pregnancy, and we will work with you to schedule exams or treatments at our West Chester, Pennsylvania office so that your dental experience is both comfortable and safe. If you have any concerns, call us immediately. We know your pregnancy brings many significant changes to your life, but our concern for your health and well-being—that’s unchanging!

Should a quick bite between meals make us feel guilty? Or worse, make our teeth suffer a greater risk of cavities? Let’s avoid both those possibilities! We have several tooth-healthy snacking strategies designed to help you keep your enamel cavity-free while preventing snacker’s remorse.

But first, a word or two about why we may find snacking unappetizing.

• Please, Don’t Feed the Bacteria!

The bacteria in plaque feed on sugars and leave acidic waste products behind. These acids attack enamel, dissolving the calcium and phosphorus minerals that keep it strong. Weakened enamel leaves teeth vulnerable to decay. That’s why Dr. Milillo, and Dr. Saldivar and our West Chester, Pennsylvania team recommend avoiding a steady diet of sugary treats.

Even if you’re not reaching for a soda, or grabbing a candy bar, many snack foods are filled with added sugars. Check the nutritional labels before you indulge to avoid sugar surprises.

• Off Balance?

Bacteria plus sugar equals more acidic conditions in the mouth. This change in the oral pH balance also reduces our natural defenses against cavity-causing acids.

A well-balanced oral environment depends on saliva to keep acids in check. Saliva washes away lingering food particles after meals, and it neutralizes acidic conditions in the mouth over the course of the day.

How does snacking interfere? Immediately after eating or drinking, acids in saliva increase. It takes about 20 minutes for saliva’s neutralizing process to begin. When we snack throughout the day, saliva doesn’t have a chance to reduce acids as long or as effectively.

• Staying Power

Sticky and chewy snacks tend to stick to the tops of molars and between the teeth. This gives bacteria more fuel and more time to attack tooth enamel. It’s not just candies that are the culprits here. Chips, bread, pizza crusts, pastries—these simple carbs stick to teeth and break down easily into sugars.

But we promised some *positive* strategic snacking ideas. Here are some ways to make sure that snacking doesn’t put you at a much greater risk for cavities.

• Be Choosy

Avoid processed treats that are high in added sugars. If you’re craving something sweet, fresh fruits provide sweetness with vitamins included.

Crispy fruits such as apples and Bosc pears, as well as vegetables like celery and carrots, provide gentle scrubbing action to help clean teeth between brushings.

Snacking on cheese helps neutralize acids, and other dairy products are high in calcium and phosphorus, helping rebuild the minerals that acids leach out of enamel.

Eat whole grain breads, pastas, and pastries. They offer more nutrients, and don’t break down into sugars as easily.

Finally, when it’s time to indulge in a sugar-rich treat, save it for a meal. There’s a better chance that other foods will balance the acids created by sugar, and you’ll be getting the most out of saliva’s neutralizing abilities. Speaking of which,

• Stay Neutral

When you’re craving something flavorful without giving bacteria more fuel for acid production, consider sugar-free gum. Sugar-free gum saves you from adding sugar to your diet, and it increases saliva production as you chew. If we give you the all-clear, chewing a piece or two of gum during the day can help curb your sugar cravings and protect your enamel.

Thirsty? Drink water instead of sodas or energy drinks with your snacks. Water washes away food particles, cuts down on acidity, and provides fluoride to strengthen and protect teeth.

• To Brush or Not to Brush?

It’s always a good idea to brush after eating. But since eating sugary or acidic foods can leave enamel vulnerable to toothbrush abrasion, many dentists recommend waiting 30 minutes after you snack before brushing. Ask Dr. Milillo, and Dr. Saldivar what’s best for your teeth.

If you can’t brush, rinse with water after eating or drinking.

If you wear braces or aligners, be sure to check with Dr. Milillo, and Dr. Saldivar about snacking, gum, best times to brush, and any other diet questions.

Talk to Dr. Milillo, and Dr. Saldivar about your snacking habits. Learning when and how to snack is as important as deciding what to snack on. Finding the perfect balance means you can enjoy a mid-day energy boost without guilt—and without risking tooth decay!

For many individuals, autumn brings with it a number of new beginnings. Fall is the time that many people return to school, get back to the daily grind after an enjoyable summer, and even get married. As the weather cools down, it’s easier to enjoy the outdoors. And regardless of what fall-related events are on your calendar, Dr. Milillo, and Dr. Saldivar and our team at Water's Edge Dental know you’ll want to look your best.

One of the very first things that people will notice about you is your smile. And if yours has become less dazzling over the years — as teeth tend to do — you know how disappointing it is not to have the beautiful, pearly white look you’re used to.

Benefits to Teeth Whitening

For school-bound students and autumn brides, fall calendars are certainly filled. School and weddings call for large financial investments, loads of social interaction, and a large amount of personal dedication. So the last thing any bride or student wants to think about is a less-than radiant smile.

For many, there is a lack of confidence associated with their smile and investing in teeth-whitening techniques can be an effective solution. Studies suggest that not only can you experience a boost in your level of confidence, but also you may find that other advantages quickly fall into place.

A confident smile can affect:

• Personal and work-related relationships
• Job interviews and meetings
• Success when dealing with customers and potential clients
• Your personality and general happiness with your age
• Overall outlook on daily interactions

A Real Effect on Daily Living

All of these benefits can relate directly to how you see yourself. When you are insecure with something as prominent as your smile, it can affect the way that you handle your life, everything from social gatherings to professional situations.

Now is the perfect opportunity to rejuvenate your smile. With the right teeth-whitening product and regular hygienic practices, walking down the aisle or starting the new semester with the utmost confidence has never been easier.