405 Frederick Road, Suite 150, Catonsville, MD 21228


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Angel Dental Care
405 Frederick Road, Suite 150
Catonsville, MD 21228
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Posts for: May, 2017


Cavities can happen even before a baby has his first piece of candy. This was the difficult lesson actor David Ramsey of the TV shows Arrow and Dexter learned when his son DJ’s teeth were first emerging.

“His first teeth came in weak,” Ramsey recalled in a recent interview. “They had brown spots on them and they were brittle.” Those brown spots, he said, quickly turned into cavities. How did this happen?

Ramsey said DJ’s dentist suspected it had to do with the child’s feedings — not what he was being fed but how. DJ was often nursed to sleep, “so there were pools of breast milk that he could go to sleep with in his mouth,” Ramsey explained.

While breastfeeding offers an infant many health benefits, problems can occur when the natural sugars in breast milk are left in contact with teeth for long periods.  Sugar feeds decay-causing oral bacteria, and these bacteria in turn release tooth-eroding acids. The softer teeth of a young child are particularly vulnerable to these acids; the end result can be tooth decay.

This condition, technically known as “early child caries,” is referred to in laymen’s terms as “baby bottle tooth decay.” However, it can result from nighttime feedings by bottle or breast. The best way to prevent this problem is to avoid nursing babies to sleep at night once they reach the teething stage; a bottle-fed baby should not be allowed to fall asleep with anything but water in their bottle or “sippy cup.”

Here are some other basics of infant dental care that every parent should know:

  • Wipe your baby’s newly emerging teeth with a clean, moist washcloth after feedings.
  • Brush teeth that have completely grown in with a soft-bristled, child-size toothbrush and a smear of fluoride toothpaste no bigger than a grain of rice.
  • Start regular dental checkups by the first birthday.

Fortunately, Ramsey reports that his son is doing very well after an extended period of professional dental treatments and parental vigilance.

“It took a number of months, but his teeth are much, much better,” he said. “Right now we’re still helping him and we’re still really on top of the teeth situation.”

If you would like more information on dental care for babies and toddlers, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “The Age One Dental Visit” and “Dentistry & Oral Health for Children.”

By Angel Dental Care
May 10, 2017
Category: Oral Health

It's never too early to begin a good oral hygiene routine. In fact, early care can help your child avoid cavities that can affect even newly pediatric dentistryerupted teeth. Catonsville, MD, dentist Dr. M.S. Warshanna of Angel Dental Care shares a few tips that will help you protect your child's oral health.

Protect new teeth from decay

Protecting your child's smile starts even before the first tooth appears. Although you can't see it, a clear coating of plaque builds up on your child's gums every day. Plaque contains bacteria and is a factor in tooth decay. You can protect baby teeth from plaque by cleaning your son or daughter's gums twice a day. Use a moist piece of gauze or a washcloth to gently clean the upper and lower gums.

Begin brushing as soon as the first tooth erupts

Buy a child's toothbrush as soon as the first tooth pushes through the gums. Although you'll need to use a little toothpaste on the moistened bristles, keep in mind that less is more when it comes to brushing young children's teeth. A tiny sliver of toothpaste will get the job done. Hold the brush at a 45-degree angle and brush all sides of the tooth.

Limit sugary beverages

Sugar increases your child's risk of developing tooth decay. If you give your child juice, water it down to decrease the sugar content. Water is much better beverage choice, whether it's provided in a bottle or sippy cup.

Don't put your baby to bed with a bottle

Giving your baby a bottle to take to bed may help him or her fall asleep more easily, but it can cause tooth decay. Milk, formula and juice all contain sugar. When your baby falls asleep with a bottle in his or her mouth, a small amount of the liquid tends to pool in the mouth, exposing the teeth to sugar throughout the night.

Start dental visits early

Dental visits should start within six months after your child's first tooth appears or no later than one year, according to the American Dental Association. Regular visits to Dr. Warshanna's Catonsville office will ensure that your child receives prompt treatment if he or she does develop a cavity.

Is it time for your child's first dental appointment? Call Catonsville, MD, dentist Dr. M.S. Warshanna of Angel Dental Care at (410) 747-0077 to schedule an appointment.


When it's time for your child to visit the dentist (we recommend around their first birthday), you may want them to see your family dentist. But you might also want to consider another option: a pediatric dentist.

The difference between the two is much the same as between a pediatrician and a family practitioner. Both can treat juvenile patients — but a family provider sees patients of all ages while a pediatrician or pediatric dentist specializes in patients who haven't reached adulthood.

Recognized as a specialty by the American Dental Association, pediatric dentists undergo about three more years of additional post-dental school training and must be licensed in the state where they practice. They're uniquely focused on dental care during the childhood stages of jaw and facial structure development.

Pediatric dentists also gear their practices toward children in an effort to reduce anxiety. The reception area and treatment rooms are usually decorated in bright, primary colors, with toys and child-sized furniture to make their young patients feel more at ease. Dentists and staff also have training and experience interacting with children and their parents to help them relax during exams and procedures.

While a pediatric practice is a good choice for any child, it can be especially beneficial for children with special needs. The “child-friendly” environment is especially soothing for children with autism, ADHD or other behavioral/developmental disorders. And pediatric dentists are especially adept in treating children at higher risk for tooth decay, especially an aggressive form called early childhood caries (ECC).

Your family dentist, of course, can presumably provide the same quality care and have an equally welcome environment for children. And unlike a pediatric dentist who will typically stop seeing patients when they reach adulthood, care from your family dentist can continue as your child gets older.

In the end it's a personal choice, depending on the needs of your family. Just be sure your child does see a dental provider regularly during their developing years: doing so will help ensure a lifetime of healthy teeth and gums.

If you would like more information on visiting a pediatric dentist for your child's dental needs, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Why See a Pediatric Dentist?