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17 . When does thumb-sucking become damaging to the teeth?
If the child is a vigorous and constant thumbsucker, there can be moderate to severe movement of teeth and prevention of normal bone growth. Early intervention is recommended."

18 . Should my child wear a mouthguard while playing sports?
It is strongly recommended that children wear a mouthguard while playing any contact sport. It is always better to prevent an injury than to repair one. The earlier a child begins to wear the mouthguard, the easier it is to become comfortable and continue to wear it as they get older.

19 . What should I do if my child gets a tooth knocked out?
If the tooth is a permanent tooth, time is extremely crucial. Immediately place the tooth back into the socket, rinsing off debris prior to placement (if necessary). Don't worry about getting it in straight or having it turned backwards, just get it in the socket and immediately call your dentist. If you are uncomfortable placing the tooth in the socket, put it in a glass of milk and get your child to the dentist as quickly as possible. If the tooth is a baby tooth, do not put it in the socket because damage to the permanent tooth can occur. When in doubt, put the tooth in milk and see your dentist immediately.

20 . What causes gum disease?
Gum (periodontal) disease is caused by bacteria. If left along the gumline, it will irritate the gums and cause an inflammation reaction. The gums then begin to bleed and swell allowing the bacteria to go deeper under the gumline. If the inflammation is allowed to continue, the bone will begin to demineralize and dissolve. As the bone dissolves around the teeth, the teeth will become loose and unsupported and may fall out. Unfortunately, pain may not occur until the final stages of the disease and treatment at that time has very little chance of being successful. If your gums bleed regularly, seek treatment as soon as possible.

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Steven L. Lysenko DMD PLLC • (518) 765-4616
17 Maple Road • Voorheesville, NY 12186
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