Archive for the 'Children’s Dentist : Folsom-Natomas-Sacramento' category

What If My Child Has a Serious Cavity?

Posted by on January 24, 2014 at 5:10 pm

If your child is experiencing a serious cavity, it may require a root canal. What is a baby root canal and why is it necessary in order to maintain your children’s dental health?

Learn more about the anatomy of a tooth

A baby root canal (also called a pulpotomy) is needed when the hole in the tooth (cavity) is large and has either reached the third and middle part of the tooth called the pulp chamber or has become very close to the pulp chamber.

This procedure performed by a children’s dentist may be necessary even if the cavity has not reached the pulp chamber  because the second layer of the tooth called dentin is made of tubules.

A closer look at cavities

Although these are small tubes, they are wide enough for bacteria to enter and eventually find their way to the pulp chamber, which will lead to the tooth dying, getting an infection or both. This is a leading cause of failure of large restorations in primary teeth. When removing caries (a cavity) one is removing bacteria among other things, but bacteria are small and not all of them can be removed.

A closeup look at bacteria in teeth

A baby root canal involves removing the pulp chamber down to the level of the roots of the tooth. If the pulp at the level of the roots is healthy, a material can be placed that hopefully keeps the remaining pulp in the roots alive.

 Illustration of baby root canal treatment

A common material that is still widely used called formal creosol, derived from formalin, is placed that cauterizes the pulp at the roots. The problem with formal creosol is that it is a proven carcinogen. Formal creosol also can cause significant internal resorption inside the tooth and the result is that tooth just simply disappears – which is a failure of the procedure and the remaining part of the tooth should be removed.

A material recently developed called Mineral Trioxide Aggregate (MTA) can now be used safely for baby root canal therapy for toddlers and young children’s dentistry and has success equal or better then formal creosol with no evidence of negative health effects. [1] MTA has been shown, in some circumstances, to promote the repair of the dentin leading to a layer of healing over the roots referred to as a dentinal bridge from one side of the root to the other. Baby root canal treatment is not 100% effective and even under the best circumstances will have a failure rate of 2-8% and this rate increases the more advanced that cavity is before the root canal was completed.

In pediatric dental care, once a baby root canal has been completed the top part of the tooth called the crown, is no longer vital. These means there is no longer any living material inside the tooth and the crown of the tooth becomes brittle. The tooth becomes easy to break and fracture. For this reason it is best to place a cap on the tooth to prevent this. A cap goes all the way around the tooth and helps to protect it. If the baby tooth that had a root canal completed on it is not going to be in the mouth very much longer because the permanent tooth will be coming in, a regular filling can sometimes be placed.

Illustration of developing permanent tooth


[1] Comparison of Mineral Trioxide Aggregate and Diluted Formocresol in Pulpotomized Human Primary Molars: 42-month Follow-up and Survival Analysis. PEDIATRIC DENTISTRY V35 ND 3 MAY-JUN 13

A Sacramento Kids Dentist is Working for Your Child’s Dental Health
If you have been searching for a compassionate pediatric dentist call our Folsom children’s dental office at 916-984-6747 today.

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How Much Toothpaste For My Toddler?

Posted by on February 6, 2013 at 4:07 pm

Toddler learning how to brush his teeth

How Much is Too Much Toothpaste For My Kids Teeth?

This is a common question the kid-friendly dentist staff at The Tooth Station are asked every day, and it’s a very good one. Because babies and toddlers do not know how to spit out their toothpaste, because large doses of fluoride aren’t good for small children, and because toothpaste is very tasty, it is important that you monitor the amount of toothpaste you use for your young children’s preventative dental care.

Below you will see photos of the right amount of children’s fluoridated toothpaste (such as Crest) to use for both infant and toddler. Adult toothpaste will have much more fluoride so these photos would not be appropriate guides. It is also important to keep in mind when thinking about your baby and infant dental health that kids who are already exposed to fluoride via the Sacramento fluoridated water supply or by formula or drops should not use a fluoridated toothpaste.

Amount of toothpaste used for an infantAmount of toothpaste used for toddlers






Your First Visit is Free at The Tooth Station! Committing to a schedule for your kids dentist care is a powerful first step for your child’s dental health in Sacramento. Contact our kids dental office today.

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Probably the Best Children’s Dentist in Folsom Ever!

Posted by on January 17, 2013 at 1:38 pm

From Zoom Magazine, Folsom

Bryan Randolph helping at the Jinotepe Orphanage in NicaraguaThe Tooth Station Cares: From Folsom To Nicaragua

Dentist Bryan Randolph specializes exclusively in treating children at his Folsom pediatric dental office, The Tooth Station. Bryan Randolph is devoted to quality preventative dentistry for kids with such a passion that he is committed to providing significant discounts on services for children with no insurance.

In addition to working at his children’s dentist office in Folsom, Bryan Randolph, DDS travels with his kid-friendly dentist staff each year to Nicaragua to provide dental care for children in a particular orphanage and school. Seeing first-hand that the children there were without necessary dental care and knowing how easy these problems are to prevent inspired Bryan to dedicate his practice to prevention and education.

He hopes to ensure that children avoid not just the discomfort of dental issues but also the toll it takes on one’s self-esteem when one does not have a healthy smile. The Tooth Station, serving Folsom since 1999, is continuing its campaign to raise money for their annual visit to Nicaragua, and plans to purchase supplies to bring with their team when they visit again in February 2013. Funds raised will help with the purchase of health care products such as tooth paste, fluoride and other useful cavity prevention products.

Visit The Tooth Station For a Board Certified Kids Dentist
Because we know that prevention is the best medicine, book your children’s dentist appointment today.

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Cavity Prevention Secret: Bacterial Caries Risk Test

Posted by on January 2, 2013 at 1:23 am

Sharing food with baby can cause cavitiesIt is currently thought that about 75% of dental cavities in children are initiated by a bacteria called Streptococcus Mutans. This particular bacteria readily converts carbohydrates to acid, easily sticks to the smooth surface of the tooth and survives under very acidic conditions.

Lactobacilli, the second most common form of bacteria in the mouth is usually found in higher numbers in people who have active cavities in their teeth and consume larger quantities of carbohydrates. Lactobacilli also readily converts sugars to acid, thrive in acidic conditions and live inside the cavity of the tooth  initially created by Streptococcus Mutans.  They are also found around grooves, pits and other hard to get to places such as orthodontic brackets and bands.

It has been shown that individuals that have high Streptococcus Mutans present in their mouth are much more likely to develop cavities within a relatively short period of time. It has also been demonstrated that primary care givers, mainly mothers, of toddlers and young children who have high levels of Streptococcus Mutans themselves will usually pass the bacteria to their offspring, thus leading to cavities in the children at a later time.

The Bacteria Caries Risk Test is an approximate measure of these two different types of bacteria in saliva.  Performing the Bacterial Caries Risk Test on expectant women or mothers of babies and infants gives an opportunity to lower the level of bacteria in the mouth of the mother before it is transferred to the offspring. This leads to dental health benefits to both mother and child.

Performing the Bacterial Caries Risk Test on young children can help show if they have the cavity-causing bacteria present and are at higher risk for developing future cavities so that more aggressive strategies can be deployed to combat the cavity causing process.

Performing the Bacterial Caries Risk Test in a pediatric dental office on adolescents,  teens, young adults and parents provides information on how much of the decay process is resulting from high bacterial levels or is a result of something else such as low saliva flow, weak tooth formation and too much acid intake in drinks. It also provides a baseline measurement to determine how much bacteria levels have decreased with preventative efforts since the last test.

What are good preventative strategies for infants, toddlers and kids with high bacteria levels?

  • Good mechanical removal of the plaque by tooth brushing and flossing. The bristle against the tooth and the floss is what removes the plaque and bacteria.
  •  Use of Xylitol. Xylitol is a natural sweet substance that has been shown to reduce Streptococcus Mutans bacteria in the mouth when used regularly. It has also been shown to reduce transmission of bacteria from mother to child, resulting in less decay in the children’s teeth. It is available in toothpaste, gum, candy and powdered form. Xylitol toothpaste, wipes, or a small amount of Xylitol should be used in infant preventative dental care because it can cause G.I. upset.
  • Antibacterial mouth rinses and varnishes have been shown to reduce cavity causing bacteria in the mouth over a short period of time. Enough time to “get ahead” of the high levels with Xylitol and tooth brushing / flossing.
  • Attempt to replace cavity causing bacteria with “good bacteria” using a probiotic and/ or consuming an organic and refrigerated yogurt that contains live bacteria.

The Tooth Station Provides Quality Kids Dentistry To Patients
Helpful financing, payment and insurance options are always available. Call 916-984-6747 or email The Tooth Station.

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What Every Parent Should Know About Fluoride

Posted by on December 19, 2012 at 2:20 pm

Fluoride toothpaste is good for kidsAs a parent trying to do what’s best for your child and their pediatric dental care, you must sort out information gathered from many sources on every topic about your child’s dental health. Fluoride is one such topic.

Fluoride is scientifically proven to prevent cavities and the fluoridated water supply found in Sacramento County is the best method for delivery because it provides fluoride at low concentration over a long period of time. It is a natural element found in various concentrations throughout the world.

When it comes to toddlers and young children’s dentistry, fluoride containing toothpaste, gels, rinses and fluoride varnish placement on teeth is next best and can be used in combination with fluoridated water. Fluoride toothpaste or gels work best when used at night right before bed with no eating, drinking or rinsing after use.

Fluoride drops and tablets probably do not help that much. High concentrations of fluoride over a shorter period of time is used to treat (heal) cavities that are starting to form. Fluoride on kids teeth works by penetrating the first layer of the enamel from the outside of the tooth (topical effect). Enamel that has fluoride requires more acid to dissolve it and fluoride also helps to re-mineralize (heal) the start of cavities in young children’s teeth.

During the time around baby, infants and dentist first visits, when a tooth first erupts, fluoride penetrates further into the tooth. Toddlers and young children should have some form of fluoride to get maximum benefits. On the other hand, fluoride in too high of concentrations, can cause fluorosis or permanent staining of the adult teeth. When using fluoride paste and gels, a smear on the tooth brush is enough for infants, half pea size amount for toddlers and pea size amount for children, adolescents, teens and young adults.

Children’s Dentist Visits Are Easy At The Tooth Station
For this reason and more, we look forward to welcoming you to our dental family! Contact our dental office today.

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How to Avoid Kids Cavities With a Low Acid Diet

Posted by on December 11, 2012 at 5:00 pm

Reduce acid in diet to fIght cavitiesDo you know how much acid is in the beverages you and your children consume on a daily basis? Most juices, carbonated soft drinks, energy drinks as well as coffee and tea come with a hefty dose of acid. Check out these quick tips to practice preventative dental care for your children at home.

Try dairy or soy products instead. Milk and especially cheese reduce acid and help prevent children’s cavities. Drink plenty of water, especially between meals. Water washes acid out and helps reduce children’s tooth decay making your next kids dentist visit in Sacramento a pain-free one. Other food categories helpful in reducing the number of cavities are eggs, nuts, seeds and seafood. When your young child gets hungry in the middle of the day, opt for a healthy snack of sunflower seeds, cheese and milk. Avoid potato chips, the stealthy cavity-creators.

Starch combined with sugar (such as potato chips) increases acid levels quickly. Use baking soda based toothpaste. Tom’s of Maine has some good options. Though there are few child friendly flavors and should probably not be used with fluoride containing toothpaste or products, it will reduce the acid in the mouth. You can easily measure the amount of acid with test strips found at Phion Balance. In children’s dentistry, a pH lower than 5.5 is high risk for cavity development.

Trust The Tooth Station For A Smooth Dentist First Visit
Fill out your new kids dentist patient forms ahead of time so you can be fully present with your child upon arrival. We look forward to seeing you!

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Find Out How This Candy Can Reduce Cavities

Posted by on November 14, 2012 at 2:37 pm

Fight cavities with sweet Xylitol treats

What would a child say about a dentist who recommends eating candy on a regular basis? “Mom, when do I get to see Dr. Bryan again?” What would a parent say? “You’re recommending candy? Are you serious?” It’s not what you’re thinking. We’re talking about treats made with Xylitol, a naturally occurring sweetener from berries, oats and birch bark.

A Xylitol lollipop might taste as good as one made with sucrose (basic white sugar), but it helps prevent kids cavities and lowers the amount of cavity-causing bacteria found in the mouths of toddlers and young children needing dental care. We’ve looked at some global studies supporting this. In Finland, a group of people eating Xylitol-sweetened food developed almost no new cavities, compared to other groups using sucrose and fructose.

As your reliable kids dentist office in Sacramento, we’re also watching some pediatric dental trends here in the US, and frankly, we’re alarmed. Preschoolers and even toddlers are showing up in our chair with a mouthful of cavities, and nobody’s happy about that! A New York Times article about the rise in preschool cavities suggests it’s because little ones are constantly snacking in environments where sweet treats are the norm, are given bottled water instead of the fluoridated tap water, and do an excellent job of convincing their parents that brushing twice a day is far too stressful!

While there’s no substitute for healthy eating habits, adequate fluoride and stellar dental hygiene for kids on a daily basis, we think it may not be a bad idea to add Xylitol to those healthy habits –one that is fun for kids! Chewing Xylitol gum 3 timeas a day has been shown to significantly reduce cavity-causing bacteria.

So let’s close with five compelling reasons for adding Xylitol to your family’s healthy dental habits:

  1. Gum, candy and food without sugar deprive the cavity-causing bacteria of “fuel” to grow, multiply and cause cavities.
  2. Chewing gum or food stimulates saliva production. Saliva lowers the acid levels inside the mouth and washes away plaque.
  3. Consuming Xylitol decreases acid levels and slows or halts de-mineralization, which causes tooth decay in children.
  4. Lower acid levels increase “re-mineralization,” a process where minerals from the saliva enter the tooth, helping prevent and treat dental cavities in kids.
  5. Regular use of Xylitol products reduces the level of cavity-causing bacteria in the mouth. Less bacteria to destroy tooth structure = fewer cavities.

So there you have it! While we will miss you in the office we will rest better knowing we’ve helped you prevent unnecessary drilling in your kids’ teeth. Happy kids = happy us.

Schedule An Appointment With The Tooth Station Today
Contact the kids dentist office in Natomas at 916-419-0020. Our mission is to provide exceptional quality and compassionate dentist care.

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Probiotics Are Bacteria Your Kids Really Need!

Posted by on October 22, 2012 at 10:40 pm

Yogurt is good for your teeth

Probiotics are bacteria contained in food and health products that have been shown to be harmless to humans and have been used for many years to improve lower gastrointestinal health. Probiotics are harmless bacteria that overgrow or “crowd out” disease causing bacteria, thus reducing the “bad” bacteria and promote responsible pediatric dental care.

There is some recent evidence that probiotic use may be helpful in the prevention of cavities and gum disease aiding in your children’s dental care. Organic yogurt such as Stonyfield and Chobani contain two main bacteria from two general categories of bacteria named Streptococcus and Lactobacillus. These happen to be the same two types of bacteria that are mostly responsible for cavity formation in the teeth.

A recent study reported in the Journal of Dentistry, three-year-old Japanese children who consumed yogurt four times per week or more, had significantly less cavity development [1]. Similar results were also observed in Italian children ages three to five who consumed yogurt and milk regularly [2].

At The Tooth Station in Sacramento, our kid-friendly dentist staff helps to develop proper diet habits for your children. All dairy products, including yogurt, contain many, many useful anti-cavity minerals, substances and complex proteins such as casein phosphopeptides (part of the compound In M.I. Paste™ and Recaldent™ – available in Trident Extra Care™ gum. Organic yogurt also contains “good” bacteria that might be able to replace cavity causing bacteria in the mouth of your young child.

There has been a bacteria in the Streptococcus family that has been found only in mouths of very low or no cavity activity individuals. This special bacterium helps prevent cavities by converting acid to hydrogen peroxide and destroying cavity causing bacteria along with reducing acid. [3] Besides consuming foods, there are oral probiotic products available in tablets one can dissolve in their mouth. These products such as Evora™ and Periobalance™ have limited evidence of effectiveness.

Educating you and your children is just one of the reasons to choose The Tooth Station for your next kids dentist visit. Two things to remember: 1) Frozen yogurt is unlikely to be effective because these bacteria cannot survive freezing temperatures. 2) Products designed in capsule form for the lower digestive tract are intended  to withstand the acid in the stomach and are not very likely to benefit the teeth.

[1] Tanaka K, Miyake Y, Sasaki S. Intake of dairy products and prevalence of dental caries in young children. Journal of Dentistry 2010; 38:579-583.

[2] Petti S, Cairella G, Tarsita G. Rampant early childhood dental decay: an example from Italy. Journal of Public Health Dentistry 2000;60:159–66.

[3] Tong H, Chen, W. Streptococcus oligofermentans inhibits Streptococcus mutans through conversion of lactic acid into inhibitory H2O2: A possible counteroffensive strategy for interspecies competition. Mol Microbiol 2007; 63(3): 872-880.

Schedule An Appointment With The Tooth Station Today
Contact our kids dentist office in Natomas at 916-419-0020. Our mission is to provide exceptional quality and compassionate dentist care.

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Four Foods You Can’t Live Without For Healthy Teeth

Posted by on October 16, 2012 at 1:45 pm

Green tea is good for your teeth

Although the following foods have not been scientifically proven in clinical studies to reduce cavities in humans, they have been found to be beneficial by interfering with processes that could eventually lead to cavities. None will hurt and all are common, natural and safe for your children’s dental health. While your kids are likely to eat raisins or licorice root lollipops, green tea might be something to incorporate into your own diet.

1. Raisins. Grape seed extract contains proanthocyanidin which has been shown to re-mineralize (help heal) cavities and start of cavities on the roots of young children’s teeth.

2. Cranberries contain contains polyphenols and they appear to help prevent decay by interfering or reducing tooth plaque formation and inhibiting acid production from cavity causing bacteria. At The Tooth Station, our kid-friendly dentist staff supports your children’s dental health fun through proper diet education. As most people know, cranberry juice has been recommended for many years in the treatment and prevention of urinary tract infection, so there are likely positive benefits for the use in cavity prevention.

3. Green tea contains catechins, which has antimicrobial (antibacterial) effects against some of the bacteria that have been shown to produce cavities in children.

4. Licorice Root Extract has been shown to have very high antibacterial effects against the bacteria most responsible for dental cavities. Dr. John’s orange lollipop is delicious and contains licorice root for your kids healthy teeth in Sacramento.

Consult With an Experienced and Compassionate Kids Dentist Today
Email Bryan Randolph directly or call 916-984-6747 to begin your children’s dental health care today at The Tooth Station.

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Potato Chips – The Stealthy Cavity-Creators

Posted by on October 16, 2012 at 1:37 pm

Potato chips are bad for your dental healthIn pediatric dental care, while candy and soda get the worst rap for destroying your children’s teeth, starchy items such as potato chips can be just as bad. If your kids tend to snack on starchy items all day, their chance of getting a cavity increases even more.

Frequent consumption of carbohydrates and sugars lead to increased acid levels in the mouth. Once the acid gets high enough, the tooth surface will dissolve and cause a cavity that goes undetected until your children’s dental care check up. Bacteria in the mouth produce acid from sugars. Eating sugars “all the time” or frequent snacking results in lots of sugar for the bacteria to convert to acid and saliva does not have a chance to clear the mouth of the sugars and acid, resulting in cavity formation over time.

It is likely best to avoid foods high in starch such as potato chips because the starch is quickly converted  to sugar, forming large amounts of acid. Instead choose healthy snacks for children’s teeth. In addition, chips are something people have a tendency to snack or “graze” on throughout a longer period of time instead of eating them all at once and letting the saliva clear the mouth of acid. There is a direct correlation between eating lots of potato chips and cavity production in teeth. Be sure to ask for more information when visiting our kids dental care office in Sacramento.

Contact Bryan Randolph at The Tooth Station
If you have suffered a loss of caring and professional kids dentistry for your child, choose a compassionate dentist. Contact our pediatric dental office today.

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