Phone: 910-778-8485 fax: 910-778-8477

2980 Ray Road Spring Lake NC 28390 Near Overhills Schools

Vincent Vissichelli, DMD

Board Certified Pediatric Dentist

Specializing in the treatment of infants, children, teens and special needs patients.

Patient Forms

Toothpaste – Antihypersensitive toothpaste

Teeth hypersensitivity is a condition characterized by sharp pain associated with
temperature change, evaporative, tactile, or chemical stimuli. It
has been reported that up to 57% of the adults suffer from this condition.

Toothpaste with potassium nitrate or potassium citrate are used for this problem. The most common potassium salt used in sensitivity toothpaste is potassium nitrate (KNO3).

Other componds in toothpaste to reduce hypersensitivity are arginine with calcium carbonate, strontium acetate, calcium sodium phosphosilicate,  and stannous fluoride .

Toothpaste – what is triclosan and what does it do?

Triclosan is a broad-spectrum antibacterial agent that inserts into and disrupts the bacterial membrane. Since it is an uncharged molecule, alone it has
poor retention in the mouth.
Triclosan is the antibacterial ingredient thatit provides plaque and
gingivitis benefits of the toothpaste.  Some toothpast are formulated with a  special polymer to increase the retention of triclosan in the mouth.  Toothpaste with triclosan was  introduced outside the U.S. in 1992 and was the first broadly marketed antibacterial toothpaste.

Fluorides in toothpaste – science behind different fluorides

Stannous fluoride (SnF2;also called tin fluoride) was first formulated
successfully into a toothpaste to deliver an anti-cavity benefit in the 1950s. Fluoride
is highly reactive, and the challenge was finding an abrasive system that had low
enough reactivity with fluoride to maintain fluoride being available.

 Sodium fluoride (NaF) is a fluoride salt commonly used in toothpaste
and oral rinses. Sodium fluoride delivers a highly reactive fluoride ion; therefore,
formulating it with a compatible abrasive is critically important for achieving the anti-cavity
benefit. In the early 1980s, silica abrasives that were compatible with sodium fluoride
became available and allowed toothpaste with stannous fluoride to be reformulated with the more stable sodium fluoride.

 Sodium monofluorophosphate (SMFP) was introduced in 1968.  Unlike sodium fluoride, SMFP is not an ionic fluoride salt, but rather a covalently bound fluoridated compound that requires enzymatic activation by a salivary enzyme (alkaline phosphatase) to release bioavailable fluoride.  Because of this lower reactivity, SMFP is compatible with more abrasives than other fluoride sources

What does toothpaste have in it?

Toothpastes contain ingredients that help reduce tooth decay, plaque, gingivitis, hypersensitivity, calculus, stain, and halitosis. Some ingredients
provide a therapeutic benefit, while other ingredients or additives contribute to the cosmetic benefits or physical properties of the toothpaste.

Anti-cavity ingredients include sodium fluoride, sodium monoflurophosphate, and stannous fluoride.

Tooth Desensitizer include potassium nitrate and stannous fluoride

Anti-plaque, Anti-gingivitis – stannous fluoried


The mouth provides a baby’s first contact with the external world, and sucking is an infant’s first coordinated muscular activity. Babies even suck their thumb before they are born. The survival of a newborn baby depends on instinctive nutritive sucking, which allows for essential nourishment. Infants also engage in non-nutritive sucking of their fingers and thumbs, which provides them with a sense of well-being, comfort, and security.

Thumb sucking, however, can also have negative influences on both dental development and speech. Prolonged thumb sucking can deform a child’s upper dental arch, cause a crossbite, protrude teeth, and create an open bite. The extent of these negative consequences are affected by the duration of the habit, the daily frequency of the habit, and the manner in which the thumb is placed into the mouth.

After the age of four, correction of a thumb habit may involve using psychological and/or physical preventive measures. Evaluation by pediatric dentist may be necessary to help resolve the sucking problem. The ultimate goal is to help your child stop the habit rather then forcing them to stop sucking.

First dental visit at 12 months!

Prevention is the key when it comes to dental health.  The American Dental Association, the American Academy of General Dentistry, and the American Academy of Pediatric Dentistry all recommend that your child’s first dental visit take place at 12 months of age, or shortly after the eruption of the first baby teeth. This is the ideal time for a dentist to evaluate your child’s oral and dental health, as well as to diagnose any problems which may exist.


Best ways to prevent tooth decay.

· Parents should not put children to sleep with a bottle containing any liquid other than water. Parents should encourage their infants to begin drinking from a cup around their first birthday.
· Parents should help brush their children’s teeth every day, after every meal.
· Parents should not let their children drink fruit juice or sweetened drinks from a bottle or “sippy” cup, since this prolongs the exposure of teeth to harmful sugar.
· Parents should provide healthy, balanced meals for children. They should limit the amount of sugar-laden foods and snacks in their diet. Plenty of healthy snacks should be available for children. Cheese products actually fight dental caries.
· Parents can help make children’s teeth more decay-resistant by using an ADA-approved children’s toothpaste.
· Children taking oral medications should have their teeth cleansed after each dose of medication. Nearly 100% of children’s medications contain sucrose, which can increase the risk of developing dental caries.
· Children should have their first oral/dental health evaluation by the age of 12 months, or within 6 months of the eruption of the first tooth.
· Parents should consider providing children with xylitol-containing chewing gum, which can help prevent dental caries.


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