Posts for tag: pediatric dentistry

DontWaittoHaveYourChildsMouthBreathingCheckedandTreated

It's normal for your child to breathe through their mouth if they're winded from play, or if they have a stuffy nose from an occasional cold. But what if they're doing it all the time, even at rest? That could be a problem for their overall health—and their oral health as well.

Although we can breathe through both the nose and the mouth, our bodies naturally prefer the former. The nasal passages filter out allergens and other harmful particles, as well as warm and humidify incoming air. Nose breathing also helps generate nitric oxide, a highly beneficial molecule to physical health.

We switch to mouth breathing when we're not receiving sufficient air through the nose. For chronic mouth breathers, something has obstructed or restricted the nasal passages like allergies or enlarged tonsils or adenoids.

Mouth breathing especially can affect a child's oral health because of the relationship between the tongue and jaw development. During nose breathing, the tongue rests against the roof of the mouth (palate), where it serves as a kind of mold around which the growing upper jaw can develop.

When breathing through the mouth, however, the tongue falls against the back of the bottom teeth. If this becomes chronic, the jaw may develop too narrowly, depriving the incoming teeth of enough room to erupt and leading to a poor bite.

If you notice things like your child's mouth falling open while at rest, snoring, irritability or problems with concentration (associated with poor sleep due to blocked nasal passages), then consider having a doctor examine them for a possible nasal obstruction. You should also check with your dentist to see if your child's jaw development has been affected. If caught early, there are interventional measures that could get it back on track.

Even after correction of a nasal obstruction, a child may still find it difficult to readapt to nose breathing because of a "muscle memory" for breathing through the mouth. In that case, they may need orofacial therapy to retrain their muscles for nose breathing.

It's important to stay aware of any signs of chronic mouth breathing with your child. Diagnosing and treating the condition early could help them avoid other problems later in life.

If you would like more information on the effects of mouth breathing on jaw development, 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 “The Trouble With Mouth Breathing.”

SealantsCanPreventChildhoodCavitiesNowandaBiteProblemLater

Even with dedicated daily home care and regular dental cleanings, some children still have problems with cavities. And, that could morph into an even more serious problem in the future: Primary teeth lost prematurely to the disease could cause incoming permanent teeth to erupt out of position and form a poor bite.

To avoid this, parents often need a little extra help protecting their children's teeth from cavities. One way is with a dental sealant applied to larger teeth by their dentist.

A dental sealant is a protective coating of plastic or glass-like material that partially fills in the pits and crevices of the biting surfaces of larger teeth like molars. Even with diligent brushing it can be difficult to clean these surfaces of plaque, thus allowing bacteria to hide out in deep crevices. By "smoothing" out these areas with a sealant, they're easier to rid the teeth of decay-causing plaque.

Your child can undergo a quick and painless sealant application during a routine visit. After applying the liquid form of the sealant to the teeth with a brush, the dentist uses a curing light to harden the coating into a durable defense against decay.

Dentists have been applying sealants for several years now, which begs the question—do they work? At least two major studies say yes.

These independent studies both surveyed thousands of pediatric patients over several years. And, they both concluded that children with sealants experienced significantly fewer cavities than those without sealants. Furthermore, the protection appeared to last at least four years after the application.

A sealant application does involve a modest cost per tooth. But compared to what you'll spend to treat cavities, or even expensive orthodontic treatment later, sealants are well worth the cost.

If your child continues to develop cavities regardless of home and dental care, then talk with your dentist about sealants and other ways to minimize cavities. Taking these extra steps could help prevent a problem now, and a bigger problem in the future.

If you would like more information on dental care for children, 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 “Sealants for Children.”

VictoriaBeckhamsToothsomeCollection-AllofHerChildrensBabyTeeth

In one respect, celebrities are no different from the rest of us—quite a few famous people love to collect things. Marie Osmond collects dolls (as well as Johnny Depp, reportedly); Leonardo DiCaprio, vintage toys. And, of course, Jay Leno has his famous fleet of cars. But Victoria Beckham's collection is unusually "familial"—she's kept all of her four children's "baby" teeth after they've fallen out.

Best known as Posh Spice of the 1990s group Spice Girls and now a fashion designer and TV personality, Beckham told People Magazine that she has an "entire bucket" of her kids' primary teeth. And, she recently added to it when her nine-year old daughter lost another tooth earlier this year.

You may or may not want to keep your child's baby teeth, but you'll certainly have the opportunity. Children start losing their first set of teeth around age 6 or 7 through early puberty. During the process, each tooth's roots and gum attachment weakens to the point that the tooth becomes noticeably loose. Not long after, it gives way and falls out.

Although a baby tooth doesn't normally need any help with this, children (and sometimes parents) are often eager to accelerate the process. A loose tooth can be annoying—plus there's often a financial incentive via the "Tooth Fairy!"

First off, there's not much harm in a child wiggling a loose tooth—it may even help it come out. It's also possible to help the tooth safely detach sooner by taking a small piece of tissue, folding it over the tooth and giving it a gentle downward squeeze. If it's loose enough, it should pop out.

If it doesn't, don't resort to more forcible measures like the proverbial string and a door—just wait a day or two before trying the gentle squeeze method again. Once the tooth comes out, the empty socket may bleed a bit or not at all. If heavy bleeding does occur, have the child bite down on a piece of clean gauze or a wet tea bag until it stops. You may also have them eat softer foods for a few days to avoid a resumption of bleeding.

Beyond that, there's little else to do but place it under your child's pillow for the Tooth Fairy. And if after their "exchange" with that famous member of the Fae Folk you find yourself in possession of the erstwhile tooth, consider taking a cue from Victoria Beckham and add it to your own collection of family memories.

If you would like more information about losing baby teeth, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Importance of Baby Teeth.”

HowtoEnsureYourChildsTeethandGumsStayHealthyNowandLater

Being a parent can be a rewarding role. But it's also hard work, especially the effort required in keeping children healthy. In that respect, there's one area you don't want to overlook—their dental health.

Taking care of their teeth and gums has two aspects: their current state of dental health and their ongoing development that impacts future health. Fortunately, you can address both the present and the future by focusing on the following areas.

Prioritizing oral hygiene. From the moment your child is born, you'll want to practice daily oral hygiene to keep their teeth and gums clean of disease-causing bacterial plaque. This starts even before teeth erupt—simply wipe their gums with a clean wet cloth after feeding. As teeth emerge, begin brushing each one with a small amount of toothpaste. Around your child's second birthday, start training them to brush and floss on their own.

Limit their sugar intake. The biggest threat to your child's teeth is tooth decay, which is caused by bacteria. These bacteria multiply when they have plenty of sugar available in the mouth, one of their primary food sources. It's important then to reduce the sugar they eat and limit it to mealtimes if possible. Also avoid sending them to bed with a bottle filled with sweetened liquids, including juices and even formula.

Visit the dentist. You're not in this alone—your dentist is your partner for keeping your child's teeth healthy and developing properly. So, begin regular visits when your child's first teeth appear (no later than their first birthday). You should also consider having your child undergo an orthodontic evaluation around age 6 to make sure their bite is developing properly.

Practice oral safety. Over half the dental injuries in children under 7 occur in home settings around furniture. As your child is learning to walk, be aware of things in your home environment like tables and chairs, or hard objects they can place in their mouths. Take action then to move these items or restrict your child's access to them.

Good habits in each of these areas can make it easier to keep your child's teeth and gums healthy and on the right developmental track. That means good dental health today that could carry on into adulthood.

If you would like more information on children's 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 “Top 10 Oral Health Tips For Children.”

SedationCanHelpaChildReceiveNeededDentalCareNowandintheFuture

You have a wonderful pediatric dentist who's great with kids. Their dental office is a children's wonderland with cheerful colors, toys and a staff that tries to make things fun. But no matter what you do—including rewards and positive praise—it's not enough to calm your child's anxiety during dental visits.

Even with the most conducive clinical environment and parental efforts, some children still have an inordinate fear of seeing the dentist. Their anxiety could be a roadblock to getting the treatment they need to maintain good oral health and development. And if that fear carries over into adulthood, they may get into the habit of postponing needed care.

But dentists have an important tool they can use to help children relax: conscious sedation therapy. Using proven sedation medication, dentists can place patients in varying degrees of suppressed consciousness.

Although often used in conjunction, sedation is not the same as anesthesia. The latter is used to eliminate pain during dental procedures. Sedation, on the other hand, aims to calm the negative emotions generated by dental anxiety. A child under sedation can still breathe normally without assistance and respond to physical stimulation or verbal commands.

Sedation medications can be administered orally, usually in syrup form, or with an intravenous (IV) drip. Two of the more popular drugs are Midazolam and Hydroxyzine, both of which act fast and then leave the body quickly after the procedure. These types of sedation drugs have a very low risk of side effects compared to general anesthesia.

While under sedation, the child's vital signs (heart rate, respiration, blood pressure, etc.) are continuously monitored. Afterward, they'll wait in recovery until their vital signs are back to their pre-sedation levels. They can then go home to rest for the remainder of the day, and then usually return to school or other normal activities the following day.

Besides making it easier for a child to receive needed dental care, conscious sedation can also make the overall visit more pleasant, and lead to more positive memories of the experience. This may indeed help them later in life to overcome any lingering anxiety and continue regular dental care throughout adulthood.

If you would like more information on reducing your child's dental visit anxiety, 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 “Sedation Dentistry for Kids.”