Welcome to the SRLL Dental Blog!
Where you can find the latest content on our office, oral health, and other dental-related topics!
January 13, 2020
New Dietary Guidelines for Infants and Toddlers
The 2020-2025 Dietary Guidelines for Americans have been released by the US Departments of Agriculture (USDA) and Human Services (HHS). The new American dietary guidelines emphasize no added sugar for children up to six months.
The new guidelines advise the following for infants and toddlers:
- Exclusively feed infants breast milk for the first six months of life. Continue to feed breast milk for the first year of life and longer if desired. Feed infants iron-fortified formula during the first year when breast milk is unavailable.
- Provide infants with supplemental vitamin D soon after birth.
- Around six months, begin nutrient-dense foods from all food groups.
- Include foods that are rich in iron and zinc. Two servings of infant cereal a day meets baby's needs for iron!
- Include potentially allergenic foods (peanut and egg) in the infant diet when starting foods.
November 30, 2020
Healthy Tips to Keep Your Children Smiling Through the Holidays and into the New Year from the AAPD
The holiday season is always a busy time--especially for families. With kids out of school, a steady stream of festivities and a new year to plan for, the rhythm of everyday life gets put on hold. And sometimes that means good health routines and habits go out the window too.
The American Academy of Pediatric Dentistry (AAPD) wants to remind parents and caregivers that the holiday break is a great time to help your kids establish and maintain healthy dental habits. This includes good brushing, flossing, and eating habits that are essential for healthy teeth.
For more information on prevention and diet from the AAPD, click the link here.
November 9, 2020
What to Expect when You're Expecting: Dental Edition
Did you know there is a link between maternal and infant oral health? Here are some frequently asked questions for women who are pregnant or planning on becoming pregnant.
Am I at a higher risk for cavities when I'm pregnant?
Yes, women are more likely to develop cavities or dental disease when pregnant. Because your risk of cavities is largely determined by the frequency of fermentable carbohydrate consumption (such as added sugars, processed carbohydrates, and sugar-sweetened beverages), and because most women snack more often while pregnant (due to increased appetite, cravings, and nausea), women are more likely to develop dental decay while pregnant.
Will my growing baby steal the calcium from my teeth while I'm pregnant?
No, your baby cannot take calcium from your teeth while pregnant. You may have heard that if a pregnant mother does not ingest enough calcium, the baby will "steal" it from her teeth. This is not possible, as your body does not use your teeth as a calcium reservoir for your bones or your baby's bones. Your teeth can lose calcium, however, if your oral environment is more acidic during pregnancy. This process is called demineralization and is caused by increased fermentable carbohydrate consumption. It is not caused by insufficient calcium ingestion.
Is it safe to go to the dentist while I'm pregnant?
Yes, it is safe to have dental appointments while pregnant. You may visit your dentist for your routine cleaning and examinations at any point during your pregnancy, but you may wish to defer your check-up x-rays until after you deliver. It is also safe to have fillings and other dental work during pregnancy, though it is advised to schedule these appointments during the second trimester, if possible.
How can I protect my teeth while pregnant?
Continue to brush your teeth twice a day with fluoridated toothpaste and floss in the evenings. Attempt to avoid sugar-sweetened beverages, especially between meals, and try to choose whole foods for snacking such as fruits, vegetables, nuts, and cheeses.
What should I do to protect my teeth if I have hyperemesis gravidarum (severe nausea)?
Some women experience frequent vomiting during pregnancy. The exposure of the stomach acid to the oral cavity can cause teeth to erode and increase cavity risk. After vomiting, a pregnant mother should not brush her teeth for at least 30 minutes. Brushing immediately will push the acid into the tooth surface and increase the rate of erosion. Instead, you should swish with a cup of water mixed with a teaspoon of baking soda for 60 seconds and spit. This will neutralize the acidic environment and help protect the teeth.
Why are my gums bleeding more when I'm pregnant?
This is a common condition called pregnancy gingivitis and is caused by increased hormone levels. If you notice your gums bleed more easily while brushing, you should consider switching to an electric toothbrush and increasing your flossing frequency.
How can my oral health affect the health of my baby?
Did you know that a mother with dental decay is three times more likely to have a child who has cavities in early childhood? Additionally, periodontal or gum disease has been linked to an increased risk for preeclampsia. The first step of infant oral health is to maintain your own oral health, so continue to brush, floss, and visit your dentist regularly.
What can I do for my baby's oral health once he/she is born?
Schedule your baby's first dental visit within six months of the eruption of her first tooth, and begin brushing her teeth with a tiny grain-of-rice amount of toothpaste as soon as her first tooth comes in. To learn more about infant oral health, visit our infant oral health page.
October 1, 2020
Tips for a "Tooth-Healthy" Halloween!
Choose chocolates over sticky candies and suckers
Some candies are better for your teeth than others. Sticky treats and suckers can cause cavities more easily candies that can melt, such as chocolates. Encourage your child to choose items when Trick-or-Treating such as:
- Hersheys Bars
- Hersheys Kisses
- Snickers Bars
Help your child stay away from candies that are more likely to cause cavities such as:
- Sticky Treats
- Laffy Taffy
- Tootsie Pops
- Blow Pops
- Jolly Ranchers
- War Heads
- Jaw Breakers
Pick a Time of Day for your child to enjoy his/her candy with adult supervision
Snacking on candies throughout the day is worse for our teeth than enjoying them during a specified period of time. Keep the "candy stash" in an area where a parent can monitor it (not in their bedrooms!), and choose a time for your children to enjoy snacking, such as immediately after dinner. As always, make sure you child’s teeth are thoroughly brushed with fluoridated toothpaste that evening.
Have the “Switch Witch” Visit Your House!
Instead of having the Halloween candy linger in the house for weeks, pick a date for the Switch Witch to come and take the leftover treats away. We suggest giving your children up to a week to enjoy their candy. Let your children know that after a week, the Switch Witch will come in the middle of the night to exchange their sweets for a toy or other gift!
September 28, 2020
Have a Tooth-Healthy Halloween with Triad Moms on Main
Fall is here, which means Halloween is around the corner! Our office loves to celebrate Halloween with decorations, costumes, pumpkin carving, and sweet treats, but we want our families to do it in a way that doesn't cause tooth decay. As our main priority is keeping our patients happy, healthy, and safe, we have some advice for a "Tooth-Healthy Halloween." Check out our blog in October through our website or through Triad Moms on Main for tips on candies that are healthier for our teeth (THINK: chocolate) and other strategies for navigating our children returning home with buckets full of candies (THINK: monitoring daily consumption).
Please note: the above photo is from Halloween 2019
September 21, 2020
COVID-19 Screening Forms
All patients are required to have a COVID-19 screening form completed prior to their appointment. There are three ways to fill out this form:
1. Digitally via SignNow
Prior to your child's appointment, you will be emailed and texted all forms digitally to complete prior to the appointment. If you are having a hard time finding the paperwork, look for an email from an @happykidssmiles account. To fill out the paperwork, we use an App called "SignNow", which is similar to "Docusign." If you would prefer to not download the app, you can open the document through your internet browser.
2. Through Our Website
Our COVID-19 Screening Forms can also be found on our website. Simply download the form here, print, and bring to your appointment; or you can send a digital copy to email@example.com (for Winston-Salem) and firstname.lastname@example.org (for Kernersville).
3. In-Person Prior To Your Appointment
If you are unable to complete the paperwork prior, we can fill out the paperwork in-person upon arrival at our office. As this new paperwork takes additional time, we ask that you arrive 15 minutes prior to your appointment time in order to complete everything in a timely manner.
September 14, 2020
Which electric toothbrush is best?
Many of our parents want to know when they can try an electric toothbrush for their child. When your child is younger (under five years old), a regular or manual toothbrush is sufficient at removing plaque and food from their teeth. However, you may choose an electric toothbrush based on you and your child's preference.
The less expensive options, such as the SpinBrushes and Quip toothbrushes, can motivate your children to brush longer if they are equipped with two-minute timers. However, these toothbrushes are not clinically proven to remove plaque better than a regular, manual toothbrush.
The "investment" options, such as the Sonicare or OralB also can motivate your children to brush longer, as most of these brushes have two-minute timers. They are also clinically proven to remove plaque better than manual toothbrushes. Additionally, these toothbrushes can be equipped with pressure sensors to detect when you are applying too much force to the teeth.
If you are considering switching to an electric toothbrush, we will often recommend trying a less-expensive option first. If your child tolerates the toothbrush well, then you may consider investing in a Sonicare or OralB.
September 8, 2020
Which toothpaste is best?
Parents commonly ask us which toothpaste is the best for their children's teeth. Our answer is that we recommend any toothpaste with fluoride, as it provides the best protection against cavities. To determine if your child's toothpaste has fluoride in it, look for the words "anticavity" on the front or "sodium fluoride" in the active ingredients.
Do you recommend a certain brand of toothpaste?
We find that if your child enjoys the toothpaste flavor, he/she will probably brush longer, so choose based on flavors that your child likes! If your child loves bubblegum, you can try Crest Blue Sparkles or Colgate Bubble Fruit. If your child prefers milder flavors, try Tom's Silly Strawberry or HelloFresh. If your child has hot and cold sensitivity, try Sensodyne.
Which toothpastes should I avoid?
We recommend not using fluoride-free toothpaste and charcoal toothpastes. Fluoride-free toothpastes do not provide sufficient protection against cavities. Charcoal toothpastes are too abrasive for daily use and can wear away the enamel over time.
August 31, 2020
New Patient Appointments During COVID-19 Pandemic
We love meeting new families! Our office is doing everything we can to ensure that your child's first visit is filled with laughter, smiles, and fun... even during the pandemic!
What will happen during my child's first visit?
During the first visit, we will thoroughly examine your child's mouth including the hard tissues (teeth), soft tissues (gums), and growth and development (bite). Depending on your child's age and anatomy, we may take x-rays and complete a dental cleaning. At the end of the visit, we will discuss applying fluoride varnish to protect your child's teeth. To read more about the first dental visit, click here.
How have first visits changed with COVID-19?
Our office has implemented additional preventive measures to protect our patients, families, and team during the COVID-19 pandemic. We offer a virtual check-in and check-out process with entirely paperless forms. Prior to entering the building, we ask that your family to complete a COVID-19 prescreening questionnaire and have their temperatures taken. All families are asked to wear a mask while in the building. Team members are equipped with extensive PPE including facemasks, face shields, surgical caps, and surgical gowns. To read more about how our office is protecting our families during COVID-19, click here.
Can I go back with my child for his/her first dental visit?
We ask that school-aged children attend their appointment alone. However, we understand that many parents want to be with their child, especially during their first visit, so exceptions will be made on a case-by-case visit.
How can I prepare my child for his/her first dental visit?
We have made a video that explains our new "superhero" outfits in silly, child-friendly terms here.
August 17, 2020
Fluoride Varnish at our Office
Do you remember the fluoride treatment when we were kids with the foam trays? Now, fluoride is easier, more comfortable, and tastier than ever before!
What is fluoride varnish?
Fluoride varnish is a highly concentrated, topically-applied fluoride treatment that is painted on your teeth in 30 seconds. It is fruit flavored, painless, and doesn't cause any uncomfortale gagging. After the fluoride varnish is applied to your teeth, you can eat and drink immediately following your appointment. We simply ask that your child avoid sticky/crunchy foods and hot liquids for the rest of the day and refrain from brushing until the following morning.
Do you recommend fluoride varnish for my child?
For most children, fluoride varnish is recommended every six months as it is an extremely effective way to prevent dental decay. If your child could benefit from fluoride varnish treatment, we will discuss applying it at the end of your child's cleaning visit.
August 10, 2020
We are sponsors for Triad Moms on Main
Our office is a proud sponsor for Triad Moms on Main, a website dedicated to all-inclusive resource for parents. Triad Moms on Main features daily blogs, directories, local events, contests, and giveaways. For more information, see the 'Health Section' at: https://triadmomsonmain.com/health/
August 3, 2020
Making every visit fun!
We strive to make every appointment fun for your children, so they recognize that this is a safe, interactive, and friendly environment where all of their oral healthcare needs are met! We have multiple strategies to help make every visit fun:
- Large playhouse with play kitchen for imaginary play
- Treasure tower filled with toys and tokens
- Video games
- Interactive touch screens
- Ceiling-mounted TVs for children to watch movies during their visit
- Treasure tower filled with toys and tokens
At the end of each visit, your child will receive a token to “buy” a prize from our treasure tower. Young children under the age of three are given a choice of a larger beach ball or rubber duck. Adolescents are given the option of SPF chap stick.
NOTE: During COVID-19, some of these amenities, such as the interactive touch screens and playhouse, have been put away to reduce high-contact surface contamination.
July 20, 2020
Our 'After Visit Care Instructions' are now on our website
If your child had a dental procedure such a sealant, filling, or crown, the doctor will review how to best care for your child afterwards. We understand it is sometimes difficult to remember all of these instructions and wanted to make it easier for our family have access to all of our information.
Now, all of our 'after visit care instructions' are available on our website. There are written post-operative instructions for each dental procedure. In addition, we have posted a video of one of our doctor's reviewing the information.
Click here to find the after visit care instructions for the following procedures:
- Fluoride varnish
- Front tooth build-up
- Numbing (local anesthesia)
- Pain management
- Silver diamine fluoride (SDF)
- Silver or white crowns
- Space maintainers
- Tooth colored fillings
- Tooth removal (extraction)
- Tooth trauma
- Dental surgery under general anesthesia
We hope this new addition to our website makes things easier for our parents and families!
July 13, 2020
Tips for wearing a mask
We are now requesting that parents and children wear a mask at our office. We have several tips for helping make your mask more comfortable!
#1 FIND YOUR FIT
Try multipel different masks to the see the best fit to your face. You want the most "snug" mask that doesn't leave gaps between the mask material and your face.
#2 ADJUST THE NOSE BRIDGE
If the mask has an adjustable nasal bridge, press it against your face to shape it. Pro tip: the better the mask is adapted to your nose, the less fog you'll get on your glasses.
#3 ADJUST THE EARLOOPS
If your mask is too loose, try twisting the earloops before hooking on your nose.
#4 SET IT AND FORGET IT
If you're constantly adjusting your face mask, you could be bringing germs to your face. Spend the time to fit your mask appropriately before heading out so you don't have to touch it again until it comes off.
July 9, 2020
Our Winston-Salem and Kernersville Offices are entirely paperless
We have prioritized becoming paperless during COVID-19 to reduce the amount of paperwork being cycled through the office and to be more eco-friendly!
We will now send all our digital paperwork to your email. Prior to your appointment, look for an email from an @happykidssmiles address. The email will have a link to fill out all necessary paperwork (such as consent forms, treatment plans, and COVID-19 questionnaires) without needing to print!
For more information, or to review our paperwork, click here
June 22, 2020
Our new reception area is your car
We have made a few changes to our office clinical flow. Think of your car as our new reception area; you'll remain in it during our virtual check-in and check-out process.
When you arrive in our parking lot, simply text (336)310-5114 with your child's name and the car you are driving. Please check to make sure your paperwork (sent from an @happykidssmiles email) is completed and have everyone ready with their masks on. One of our team members will be with you shortly to review paperwork and take a screening temperature. If your child is school-aged, we kindly request that you remain in your vehicle during the appointment. Exceptions will be made for new patients, anxious patients, and children with special healthcare needs.
Once your child has returned to your car and all questions/concerns have been discussed, we ask that you remain parked until the virtual check-out process is completed. A team member iwll call you to set up future appointments and take any payment over the phone. After the check-out process is completed, you are free to enjoy the rest of your day!
May 23, 2020
Office re-opening with new infection control protocols
We remaing committed to keeping our patients, families, and team members safe during the COVID-19 pandemic. Prior to our office reopening, we have added numerous additional infection control protocols beyond the recommendations of the Center for Disease Control (CDC), American Dental Association (ADA), and North Carolina Dental Board (NCDS).
Additional protective measures include:
- All patients and parents are screening for COVID-19 signs and symptoms including a temperature reading prior to entering the building
- Parents of school aged children are asked to wait in the car during the appointment
- All clinical staff are equipped with N-95 equipvalent facemasks, face shields, surgical caps, and surgical gowns
- Check-in and check-out is completed virtually over phone/text
- Air purification systems have been added to the office to remove any viral particles from the air
- Social distancing is maintained between all patients
To read more on our updated infection control protocols, please see our COVID-19 page here.
March 17, 2020
Office closed to all non-emergency dental visits
Due to the COVID-19 pandemic, our Winston-Salem and Kernersville offices are closed to all non-emergency dental clinics. If your child is having a dental emergency (such as infection, pain, swelling, or trauma) please do not hesitate to call our Winston-Salem office at (336)768-1332 or Kernersville office at (336)992-9222. For more information on dental emergencies, such as examples and possible treatment, see here.
March 2, 2020
Our office welcomes Ashley to the team
Please join us in welcoming Ashley, our newest dental hygienist, to the Spangler Rohlfing and Lambert Pediatric Dental Team!
Ashley has over 15 years working as a dental hygienist and absolutely loves working with children. She graduated from Guilford Tech for both her dental assisting and dental hygiene certifications.
Outside of the office, she enjoys going to the beach, reading, and relaxing. She is married to her husband, Will and has two sons and a dog named Mokka.
September 20, 2019
Our office welcomes Rhonda to the team
We would like to extend a warm welcome to Rhonda, our newest dental assistant and clinical coordinator.
Rhonda graduated from dental school at the University of North Carolina at Chapel Hill and has obtained her CDA license. She has over 30 years of dental assisting experience in pediatric dentistry. Rhonda was one of our original dental assistants with Dr. Mark Meyer when he opened our practice in 1989 and we are so lucky that she has come back home!
Rhonda finds a certain joy in working with children and radiates warmth to all patients. She is happily married and resides in Pfafftown with her husband Tim. she has three grown children and four grandchildren.