Three Reasons We're Fans of Fluoride
December 26th, 2024

Why all the fuss about fluoride? Your pediatric dentist recommends it, your child’s toothpaste is formulated with it, and most of our drinking water contains it. Just what is it about this mineral that makes dental professionals sing its praises? Read on for three good reasons why fluoride is a healthy choice for healthier teeth.
- Fluoride Works!
Fluoride is an attractive option for protecting your child’s teeth—and we mean that literally. Fluoride protects the surface of teeth by working on a molecular level to attract minerals that strengthen enamel and help prevent cavities.
Our tooth enamel is mostly made from calcium and phosphate ions. These elements combine to form hydroxyapatite, strong crystals which make up about 95% of our enamel. Hydroxyapatite is so strong, in fact, that tooth enamel is the hardest part of our bodies. What can go wrong?
Acids. Acids created by the bacteria in plaque and the acids in our diet strip away the calcium and phosphate ions in enamel, weakening the surface of the tooth. This process is called demineralization. Over time, weak spots become bigger as acids eat through enamel to the inner tooth, causing decay and cavities.
So, what can fluoride do?
First, fluoride helps remineralize tooth enamel. Fluoride is attracted to the tooth’s surface and bonds with its minerals. It also attracts the calcium and phosphate ions which are found in our saliva to restore any minerals which have been lost. This process helps repair any weak spots which might have begun to form.
But fluoride does more than restore and repair tooth strength—it improves it! Fluoride ions join with calcium and phosphate to form fluorapatite crystals, which are larger and stronger than hydroxyapatite crystals. Even better? These new crystals are more resistant to acids.
- Fluoride Is Doubly Effective
Fluoride works both externally and internally. We just looked at how fluoride helps keep teeth strong when applied to the outside of the teeth. This is called a topical application. Systemic benefits come the fluoride we consume in our diets.
Fluoride isn’t found in many foods, but it is found naturally in lakes, rivers, and other water sources. When the local water’s fluoride level is low, many communities add fluoride for its proven ability to prevent cavities. Water fluoridation is safe, has been studied for decades, and has been shown to reduce the risk of cavities by 25% or more for both children and adults.
Systemic fluoride is important for baby teeth, as fluoride joins with minerals in adult teeth while they grow and develop. This creates stronger, more cavity-resistant teeth even before they erupt.
When your child’s permanent teeth come in, fluoride is still at work! When your child drinks fluoridated water, they increasing the amount of fluoride in their saliva. Just like fluoride toothpaste, saliva bathes the teeth with fluoride ions, remineralizing and strengthening the tooth surface and helping repair weak spots in enamel.
- It’s Easy to Get Fluoride Protection
Because so much of our drinking water is fluoridated, most of us really don’t have to think about how to get the recommended amount of fluoride in our diet each day. If your community’s water is low in fluoride, Drs. Rottschalk, Acker, and Froidcoeur can help you. Prescription fluoride rinses, gels, supplements, and other treatments are available at our Fairview Heights, IL pediatric dental office to make sure that your child’s teeth are well protected, wherever you may live. We will let you know which products are best for your child and how often to use them.
Fluoride isn’t, of course, the only way to look out for your dental health. Proper brushing and flossing are still essential for removing plaque. And sealants provide long-lasting protection for chewing surfaces. But when it comes to a proven cavity-fighter that’s simple to use, effective, and easily available—is it any wonder we’re big fans of fluoride?
Healthy Diet for Adolescents
December 18th, 2024

Adolescence is a critical period for oral hygiene. By the teenage years, kids will have lost all their baby teeth and replaced them with permanent teeth. Furthermore, many oral hygiene habits solidified in adolescence carry through to adulthood. Teaching adolescents to follow a healthy diet not only benefits their physical fitness but helps them maintain strong teeth and healthy gums.
Fruits and vegetables
Parents know that eating broccoli is important, but were you aware that it can keep teeth and gums healthy, too? Drs. Rottschalk, Acker, and Froidcoeur and our team at Dr. John Rottschalk Dental Group will tell you that eating plenty of crunchy fruits and vegetables, such as broccoli, carrots, celery, apples, and pears, increases your saliva production. Saliva works to brush away bad bacteria that produce dangerous acids that wear away tooth enamel.
It’s also important to avoid acidic foods, which can exacerbate cavities and other dental problems. Although oranges, tomatoes, grapefruit, lemons, and berries are healthy, they can also wear away the enamel of your teeth. To be safe, it’s important to brush after each meal or swish with mouthwash to remove excess acid from your mouth.
Sugar-free foods
Many candies and treats are chock-full of sugar, making them dangerous for your child’s dental health. If you have a sweet tooth, fear not: you don’t have to give up the sweet stuff entirely. Whenever possible, opt for sugar-free substitutes rather than regular sugar. For example, chewing sugar-free gum or drinking sugar-free beverages is better for teeth. These sugar substitute molecules don’t wear away enamel, which makes them safer for dental health.
Watch the beverages
Most adolescents have been told that soda will rot your teeth, but you may not realize that other beverages can be just as sugary. Many fruit juices, even those that boast 100% fruit, contain dozens of grams of sugar per serving. Similarly, popular energy drinks pack a sugary punch. When possible, drink water or milk. If your child is craving a hot beverage, turn to tea over hot chocolate or a sugary latte.
Dairy products
Teeth are like any other bones; they rely on calcium and other minerals to stay strong. To help build strong teeth, have your child drink milk or eat other dairy products to get his or her daily calcium. Yogurt, cottage cheese, and cheese are good options as well. If your child can’t tolerate dairy, consider calcium-fortified soy milk or orange juice to provide that daily dose of vitamins and minerals.
For more information on this topic, or to schedule an appointment with Drs. Rottschalk, Acker, and Froidcoeur, please give us a call at our convenient Fairview Heights, IL office!
First Filling?
December 11th, 2024

It’s your child’s first filling at our Fairview Heights, IL office, and perhaps you’re both a little nervous. Your child doesn’t know what to expect, and you want to make sure this is a positive experience. We have some suggestions that might help both of you!
- Partner with Your Child’s Dentist
Because a pediatric dentist is a specialist in treating children and their dental needs, your dentist will have some suggestions for making that first filling a comfortable and comforting experience.
And because you’re the expert when it comes to your child’s needs, you can let Drs. Rottschalk, Acker, and Froidcoeur know about anything that might cause your child difficulty or anxiety beforehand.
- Age-Appropriate Explanations Are Best!
It’s a good idea not to make any explanations too complicated. “Your dentist will help your tooth get strong and healthy again” might be all a young child needs to hear. And talking about drills or needles can be scary, especially when kids have no experience with dental tools and procedures.
A pediatric dentist can help you describe cavities and the filling procedure in an age-appropriate, non-scary way—and can recommend helpful story books for reading ahead of time!
- Discuss Sedation Beforehand
If you think your child would benefit from light sedation options such as nitrous oxide or oral medication, talk to Drs. Rottschalk, Acker, and Froidcoeur about sedation procedures.
Your dentist will also have child-appropriate ways to talk about local anesthetics if they’re needed to numb the area around the tooth.
- Tool Talk
Most adults are familiar with dental tools, but this will be a new experience with new sensations and sounds for your child. A pediatric dentist can describe what each tool is and what it does so kids are comfortable when an instrument is used.
Sometimes a tool can be noisy or vibrate. Some tools squirt water and some (loudly) suck water and debris away. If noises are a problem for your child, let your dentist know in advance, and ask about music or headphones to help minimize sounds.
- Filling Material Concerns?
For molars, which bear the weight of chewing pressure, a silver-colored amalgam might be recommended. For a filling in the front of the mouth, a tooth-colored composite could be used to blend in. Fillings can also be made with gold or ceramic materials. A severely decayed tooth might require a crown, which is often made of stainless steel when used for a baby tooth.
If you have questions or concerns about the type or appearance of filling material, ask! Your dentist will be happy to explain which material is best suited to restore the appearance and function of your child’s tooth.
- Getting Ready for the Appointment
Choose an appointment day with a light schedule and let your child dress comfortably. Ask if your child can bring a favorite toy or a stuffed animal friend for comfort.
Your mood will influence your child, so make the day of the appointment as stress-free as possible for the both of you! That’s why it’s a good idea not to talk about any dental fears you might have, or any discomfort your child might experience. Your child will pick up on your feelings, so projecting a calm and positive attitude will help.
- Aftercare
Your dentist team will give you instructions for your child’s quickest, most comfortable recovery. These instructions include how to treat the extraction site, which foods are best, and over the counter pain medication.
It’s best not to plan strenuous activities immediately after a filling.
- Partner with Your Child’s Dentist
Yes, we know we already talked about this, but it can’t be stressed enough. When your child has his or her first filling, in a way it’s your first filling, too! Your pediatric dentist is there to help you navigate this procedure and to help make sure that the experience is a positive one for both of you.
Happy Holidays! Healthy Holidays!
December 4th, 2024

It’s the holiday season! With so much to do and so much going on, you want to be at your best. We have some ideas to help make your season bright with a few easy tips for a healthy smile.
- Keep Your Smile Merry and Bright
There’s a lot going on during the holidays. Visiting friends. Traveling to see family. Parties and get togethers. With all the enjoyable festivities on your holiday schedule, you might be tempted to overlook brushing or flossing. But, please don’t!
Many of our favorite holiday traditions and activities are centered around sharing good company, good cheer—and good food.
Indulging in more treats throughout the day, especially sugars and simple carbs, provides more fuel for the bacteria in plaque. These bacteria produce acids that weaken tooth enamel—the first stage of tooth decay. Plaque buildup also irritates the gums, causing swelling, redness, pain, bleeding, and chronic bad breath.
How to avoid these not-so-jolly consequences? Make time in your holiday schedule for dental care! Brushing twice a day for two minutes and flossing once each day removes plaque buildup and helps prevent cavities and gum disease.
- Holiday Snacks—Naughty or Nice?
We’re no Scrooges—enjoying holiday treats is one of the ways we celebrate. But since we’re trying to prevent a plaque buffet of sugar and simple carbs, it’s a good idea to add some healthier foods to the mix.
Whether it’s platters of snacks around the game table or a stylish hors d’oeuvre array, don’t forget to add nutritional, dental-friendly items to your plate. Options such as fresh fruits and vegetables, cheeses, nuts, and whole grain breads and crackers are great partners for more indulgent selections because they’re lower in added sugars and provide vitamins and minerals to strengthen teeth and gums.
And from the candy bar? Hard candies and candy canes make our naughty list because they take a long time to dissolve while bathing your teeth in sugar. So do caramels, toffees, and gumdrops, which stick between teeth and gums. Soft chocolates? A much nicer choice, because they are more easily rinsed away by saliva or a drink of water. Which leads us to . . .
- A Toast to Your (Dental) Health!
The holidays offer some of our favorite seasonal beverages. But spiced lattes, mochas, and hot chocolate can be full of sugar.
The answer? Enjoy in moderation, and enjoy with a glass of water. Water washes away sugars, neutralizes acids, helps increase saliva flow for tooth and gum health, hydrates, and, when it’s fluoridated, protects and repairs your enamel. That’s a lot of gifts in one convenient package!
- Dashing through the Snow?
If you’re taking to the slopes, or the hills, or the rink for a little holiday exercise, don’t forget to protect your teeth and mouth. It’s not just sports like football and hockey that cause dental injuries—it’s any sport where you can fall or make contact with someone or something.
If you don’t have a mouthguard, they’re available at sporting goods stores in stock sizes or models that can be molded to your teeth. A custom mouthguard from our Fairview Heights, IL office is more comfortable, fits better, and protects you better. This is a perfect gift to give yourself so you can take advantage of all those cold weather sports with confidence.
We all look forward to holiday surprises—but not when they take the form of cavities, gum disease, or dental injuries! In the flurry of holiday activities, keep up with your regular dental care, and you’ll be looking forward to a new year filled with happy and healthy smiles.