Posts for tag: pediatric dentistry
It can be daunting for parents to know just what to do when their child complains of an ache or pain. What if your child tells you their tooth hurts — is that cause for alarm? That's actually not so easy to determine, but there are some things you should do when your child has a toothache.
First, try to determine from your child exactly where the pain is coming from and how long it's been hurting. Look for an apparent cause for the pain: the most common is tooth decay, considered a type of infection caused by bacteria, and normally indicated by brown spots or tiny holes (cavities) on the biting surfaces or between teeth. Look for swelling or tenderness in the gum tissues, a sign of a possible abscess. Debris caught between teeth may also cause pain.
The pain might stem from an injury. Though the lips and outer tissues may appear fine, a blow to the face or other traumatic incident may have damaged the teeth. Without treatment, pulp tissue within a traumatized tooth may die and lead to an infection and potential tooth loss.
If you see any of these signs or symptoms, or the pain keeps your child up at night or continues into the next day, you should contact our office as soon as possible so that we can do a full evaluation of the tooth. In the meantime, there are some things you can do to help lessen the pain. First, clean the teeth to remove any debris. Administer ibuprofen or acetaminophen (in the proper dosage for a child) for pain relief. An ice pack against the jaw may also help, but alternate on and off in five-minute intervals to prevent burning the skin with the ice.
If these steps stop the pain within an hour, you can wait until the next day to make an appointment. If not, this may be indicative of an abscess forming and you should not delay contacting our office. The quicker we can properly diagnose and begin treatment, the less chance your child will suffer from any long-term damage to their teeth.
If you would like more information on caring for a child's toothache, 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 “A Child's Toothache.”
Dentists have been saying for years that it helps to see children as early as possible — ideally, around the time they reach one year old. Just recently, an evidence-based study was released that backs this up: It shows that starting dental visits prior to age one actually reduces the cost of oral health care, and helps ensure that kids have pleasant dental experiences in the future.
Why do young children need to go to the dentist if they only have one or two teeth (and they’re baby teeth, to boot)? For one thing, those early dental visits get a child used to the new sights and sounds of the office: the big chair, the shiny equipment, and the friendly staff who will be taking care of them. And even at this tender age, it’s not too soon to check for signs of decay, make sure gums are healthy, and show everyone the best techniques for keeping up good oral hygiene in a growing mouth.
Still, it’s natural for a child to be a little nervous before an office visit. (Even grown-ups have been known to show some anxiety at the dental office from time to time.) To ease their way through, there are several techniques you can borrow from behavioral psychology to help make the experience as stress-free as possible.
First… just relax. Remember that kids quickly pick up on non-verbal cues that tell them something’s wrong — so try and stay positive, and keep smiling. You should prepare the little ones for what’s coming — but not too much information, please! We go to great efforts to make children feel safe and comfortable in our care, and we can tell them all they need to know in age-appropriate terms. In fact, most of your child’s first dental visit may consist of a show-and-tell about what we do and what tools we use.
Another thing to keep in mind is that parents are the major role models for their children, both in and out of the home. Kids naturally follow along — in both good and bad ways. If parents take good care of their own teeth, it helps kids develop good oral hygiene habits too. That includes brushing and flossing regularly, limiting sugary snacks between meals, and avoiding non-nutritious drinks — not only sodas, but also so-called “sports” and “energy” drinks, which can be extremely high in sugar and caffeine.
Of course, regular visits to the dentist should also be a part of every adult’s oral hygiene program. If your child sees you relaxing in the chair, it’s much easier for them to do it too. And that’s good for everybody’s health.
If you would like more information about children’s dental visits, please call our office to schedule a consultation. You can learn more in the Dear Doctor magazine article “Taking the Stress Out of Dentistry for Kids.”
Caring for a young child can be overwhelming at times. Sometimes, it may feel like you can't read enough books to learn the correct way to do everything from potty training to feeding. It's also important to teach your child healthcare habits during these crucial years, so that they continue these habits for a lifetime!
Here are a few simple ways you can help your child to institute lifetime oral care habits.
- DO: Encourage your Child to Brush Every Day with Fluoride Toothpaste. Fluoride will help make your child's teeth more resistant to tooth decay. You should use a thin smear of fluoride toothpaste for children under age two and a pea-sized amount for older children. At age two, you can also begin empowering your child to brush, but make sure that you supervise and finish the job. Your child will probably need your help until around the age of six.
- DON'T: Share your Germs. Did you know that children are not born with the bacteria that cause tooth decay? In fact, the bacteria are transmitted to them from adults! You should never share a cup or spoon with your child. Also, next time you kiss your child, kiss him or her on the cheeks instead of the lips. Believe it or not, you can transmit harmful bacteria through this quick little kiss.
- DO: Limit your Child's Sugar Intake. When your child consumes sugar, the bacteria use the sugar to produce acids that dissolve tooth enamel, eventually leading to tooth decay. Saliva can neutralize those acids, but it needs enough time, 30 to 60 minutes, to work its magic. That is why it is important to limit sugar intake between meals.
- DON'T: Give Your Child a Bottle at Night. Juice, milk and even breast milk contain sugars that promote tooth decay, in particular during sleep, when less saliva is being produced. So, though it may be tempting, do not let your child go to bed with a bottle.
- DO: Take your Child to the Dentist Early. The American Academy of Pediatric Dentistry recommends that all children have their first dental visit by the age of one. Your toddler will benefit from regular dental visits, because we will monitor tooth decay, correct brushing techniques and also, most importantly, ensure that he or she is comfortable in the dental chair.
- DON'T: Allow your Child to Suck His or Her Thumb Past Age Three. Thumb sucking for comfort is a very normal behavior for babies and toddlers. However, if your child constantly sucks his or her thumb past the age of three, it can affect teeth alignment and jaw development.
If you would like more information about oral care for your child, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine article “Dentistry and Oral Health for Children.”
If your infant is extra cranky and seems to want to chew everything in sight, it's a good bet that the first tooth is on the way! For parents, this is cause for both celebration and concern. After all, no parent wants to see a child suffer even a little bit. Decades ago, when a teething infant showed signs of discomfort, a parent might have rubbed some whisky or other strong liquor on the child's gums — a misguided and dangerous practice. There are far safer, more effective ways to help your child through this exciting yet sometimes uncomfortable phase of development. Here are our top five teething remedies:
Chilled rubber teething rings or pacifiers. Cold can be very soothing, but be careful not to freeze teething rings or pacifiers; ice can actually burn the sensitive tissues of the mouth if left in place too long.
Cold, wet washcloths. These are great for gnawing on. Make sure the washcloth is clean and that you leave part of it dry to make it more comfortable to hold.
Cold foods. When your child is old enough, cold foods such as popsicles may soothe sore gums. However, make sure you confine them to mealtimes because sugars can cause tooth decay — even in very young children.
Gum massage. Massaging inflamed gums with your clean finger can help counteract the pressure from an erupting tooth.
Over-the-counter medicine. If teething pain persists, you can give your baby acetaminophen or ibuprofen, but check with a pharmacist or this office for the correct dosage. The medicine should be swallowed and not massaged into the sore areas, as this, too, can burn.
So when does it all begin? Some babies start teething as early as three months or as late as twelve months, but the typical time frame is between six and nine months. Usually the two lower front teeth erupt first, followed by the two upper front teeth. The first molars come in next, followed by the canines (eyeteeth). Most children have all 20 of their baby teeth by age 3.
If you have any questions about teething or the development of your child's teeth, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine article “Teething Troubles.”
Even before your infant's first tooth emerges, you can take steps to reduce the risk for cavities!
Cavities occur when decay-causing bacteria living in the mouth digest carbohydrates (sugars) introduced into the mouth via food and beverages. This produces acid, which can eat through the protective enamel surface of teeth and attack the more vulnerable dentin below. Infants aren't born with decay-promoting bacteria; however, they can acquire them from their caregiver(s) through close contact, for example:
- Kissing on the mouth
- Sharing food
- Sharing eating utensils (e.g., a spoon or glass)
- Cleaning off a pacifier by mouth
Tooth decay is the most common chronic childhood disease! It can start as soon as the first tooth erupts — which generally happens around age 6 to 9 months but can be as early as 3 months or as late as 1 year. Besides being potentially painful, severe tooth decay may cause your child to lose the affected primary (baby) tooth before it's due to fall out on its own. That, in turn, can raise the risk of orthodontic problems because primary teeth maintain space for permanent teeth, which also use them as their guide for coming in properly.
It's important to clean your child's teeth regularly once they appear and to refrain from certain feeding activities that have been linked with early tooth decay. For example, use of a sleep-time bottle containing a liquid with natural or added sugars, such as formula or juice, can result in a pattern of severe decay once referred to as “baby bottle tooth decay.” These days, the term early childhood caries (ECC) is more commonly used to also encompass decay linked to continuous sippy-cup use, at-will breast-feeding throughout the night, use of a sweetened pacifier, or routine use of sugar-based oral medicines to treat chronic illness.
We recommend that you schedule a dental visit for your baby upon eruption of his or her first tooth or by age 1. This first visit can include risk assessment for decay, hands-on instruction on teeth cleaning, nutritional/feeding guidance, fluoride recommendations, and even identification of underlying conditions that should be monitored. Your child's smile is a sight to behold; starting early improves the odds of keeping it that way!
If you would like more information about infant dental care, 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 “Age One Dental Visit.”