Posts for tag: pediatric dentistry
Pediatricians and dentists alike recommend beginning your child's regular dental visits at an earlier age rather than later. Most say children's first visits should happen around their first birthday.
Some may question whether that's necessary given the state of a child's dental development at that age. At that stage they normally have only a few primary teeth, which will eventually give way to their permanent set soon enough.
But regular dental visits can make a positive difference even at that early age. Here are 3 oral health areas that could benefit from seeing the dentist by Age One.
Protecting primary teeth from decay. It's true that primary teeth don't last long when compared to a normal lifespan. But during their short tenure, they do play a critical role in a child's health and development. Not only do they provide a child dental function for eating, speaking and smiling, they also preserve the space for the permanent teeth that will succeed them. Without them, permanent teeth can erupt out of position to form a poor bite (or malocclusion). That's why early dental care to prevent and treat decay in primary teeth helps them remain for as long as they should.
Detecting developing malocclusions. A malocclusion doesn't form overnight—there can be subtle signs of its development during early childhood. A dentist, especially a pediatric dentist or orthodontist, can often detect those signs before the malocclusion fully develops (one reason why every child should have an orthodontic evaluation around age 6). With early detection, an orthodontist can use interventional techniques that will lessen or even stop a malocclusion from forming. As a result, later orthodontic treatment may not be as extensive—or expensive—as it could have been.
Developing a healthy dentist-patient relationship. Dental anxiety is a real problem for many adults—in some cases it can be so severe they avoid professional dental care altogether. The roots of that dental fear often go back to unpleasant experiences during childhood. Starting dental visits when a child is very young appears to minimize the development of dental anxiety. A young child, especially visiting a "kid-friendly" dental clinic, will more likely view dental care as a routine part of life and will less likely be afraid.
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 “Age One Dental Visit: Why It's Important for Your Baby.”
February is National Children's Dental Health month, sponsored annually by the American Dental Association. As important as good oral health is to a child's overall health and development, tooth decay tops the list as the most common chronic childhood disease. In fact, over 40% of children ages 2-11 have had cavities in their baby teeth.
If unchecked, tooth decay can have a profound impact on a child's quality of life. The good news is that tooth decay is preventable, and often reversible if detected early. Here are some things you can do to set your child on the path to good dental health for life:
Get your child in the habit of brushing and flossing every day. Cavity prevention starts at home, so teach your child to brush twice a day with fluoride toothpaste—but use only a smear of toothpaste the size of a grain of rice before age 3, and a pea-sized amount from ages 3-6. Introduce dental floss into the routine when you notice that your child's teeth are starting to fit closely together. Children generally need help brushing until age 6 or 7 and flossing until around age 10.
Encourage tooth-healthy eating habits. Provide your child with a balanced diet with plenty of vegetables, fruits and whole grains. Stay away from sugary snacks and beverages, especially between meals. If children drink juice, they should do so with meals rather than sipping juice throughout the day or at bedtime. Even 100% juice has natural sugars and can be acidic, which can harm teeth with prolonged exposure.
Establish a dental home early. Tooth decay isn't always easy to spot with the naked eye, so regular dental visits should start no later than a baby's first birthday. We can check the development of your child's teeth and spot any issues of concern. The earlier tooth decay is caught, the less damage it can do. Even if there are no dental problems, establishing a dental home early on will help your little one feel comfortable at the dental office.
Ask about preventive dental treatments. Fluoride varnishes or rinses are frequently recommended to help prevent cavities, particularly for children at higher risk of getting cavities. Dental sealants, another preventive treatment, are a coating commonly applied to molars to seal out tooth decay. According to the U.S. Centers for Disease Control, children ages 6-11 with dental sealants have nearly three times fewer cavities than children who do not have sealants.
The key to healthy smiles for life is to start your child at a young age with good habits at home and regular dental visits. If you have questions about your child's dental health, call us or schedule a consultation. You can learn more in the Dear Doctor magazine articles “How to Help Your Child Develop the Best Habits for Oral Health” and “Top 10 Oral Health Tips for Children.”
It’s often best health-wise to preserve even the most troubled tooth—including a child’s primary (“baby”) tooth. If that sounds like too much effort for a tooth that lasts only a few years, there’s a big reason why—if it’s lost prematurely, the incoming permanent tooth above it could erupt out of position.
Preserving a decayed primary tooth could include procedures similar to a root canal treatment, commonly used in adult permanent teeth with inner decay. However, we may need to modify this approach to protect the primary tooth’s pulp. This innermost layer plays a critical role in early dental development.
Because an adult tooth has reached maturity, removing diseased pulp tissue has little effect on its permanent health. But the pulp contributes to dentin growth (the layer between it and the outer enamel) in primary and young permanent teeth, so removing it could ultimately compromise the tooth’s long-term health.
Our goal then with a child’s tooth is to remove as much diseased tissue as possible while involving the pulp as little as possible. What techniques we use will depend on how much of the pulp has become infected.
For example, if decay has advanced to but hasn’t yet penetrated the pulp, we may remove all but a small amount of the decayed structure just next to the pulp to avoid its exposure. We may then apply an antibacterial agent to this remaining portion and seal the tooth to curb further infection.
If on the other hand the pulp has become infected, we may try to remove only the infected portion and leave the remaining pulp intact. We’ll only be able to do this, however, if we deem the remaining pulp healthy enough to remain infection-free after the procedure. If not, we may need to remove the entire pulp as with a traditional root canal. This option, though, is a last resort due to the possible effect on dentin growth and the tooth’s long-term health.
As you can see attempts to preserve a primary tooth can be quite involved. But if we can help it reach its full life span, it could mean better dental health for a lifetime.
If you would like more information on caring for primary teeth, 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 “Root Canal Treatment for Children’s Teeth.”
When your baby’s first teeth come in, you might not think it necessary yet to worry about tooth decay. But even infants can develop this common dental disease. In fact, it has a specific name in children 6 and under: early childhood caries (ECC).
About one-fourth of U.S. children have ECC, and poor or minority children are at highest risk. Because of primary (“baby”) teeth’s thin enamel layer, ECC can spread to healthier teeth with unnerving speed, causing extensive damage.
While such damage immediately affects a child’s nutrition, speech development and self-esteem, it could also impact their future oral health. Permanent teeth often erupt out of position because of missing primary teeth lost prematurely, creating a poor bite. And children with ECC are more likely to have cavities in their future permanent teeth.
While there are a number of effective treatments for repairing ECC-caused damage, it’s best to try to prevent it before damage occurs. A large part of prevention depends on you. You should, for example, begin oral hygiene even before teeth come in by wiping their gums with a clean, damp cloth after feeding. After teeth appear, switch to daily brushing with just a smear of toothpaste.
Because refined sugar is a primary food source for decay-causing bacteria, you should limit it in their diet. In the same vein, avoid sleep-time bottles with fluids like juices, milk or formula. As they grow older, make sure snacks are also low in sugar.
You should also avoid spreading your own oral bacteria to your baby. In this regard, don’t put their eating utensils or pacifier in your mouth and don’t drink from the same cup. Avoid kissing your baby on the lips. And above all, take care of your own oral health to prevent your own encounter with dental disease.
Finally, start regular dental visits on or before your baby’s first birthday. Regular cleanings and checkups increase the chances for early decay detection, as well as provide for treatments and prevention measures that can reduce the disease’s spread and destruction.
ECC can be devastating to both your baby’s current and future dental health. But with vigilance and good dental practices, you may be able to help them avoid this serious disease.
Regular dental visits are just as important for healthy teeth and gums as daily brushing and flossing. Not only will these visits reduce the amount of hidden or hard to reach bacterial plaque (the main source of dental disease), but they'll also boost the chances problems with teeth and gums are caught early and treated.
A lifetime habit of dental visits should begin around your child's first birthday, but children can be stressed or even frightened by trips to the dentist. This could stick with them, causing them to avoid regular dental visits when they become adults. The absence of professional dental care could prove hazardous to their dental health.
Here then are some things you can do to “de-stress” your child's dental visits.
Begin and sustain regular visits early. By not waiting a few years after age one, your child has a better chance of viewing it and subsequent visits as a normal part of life.
Choose a “kid-friendly” dentist. A pediatric dentist is trained not only for dental issues specific to children, but also in creating a comfortable environment for them. Some general dentists are also skilled with children, taking the time to talk and play with them first to ease any anxiety.
Stay calm yourself. Perhaps you've discovered, often in an embarrassing fashion, that your children are watching you and taking cues on how to act and react. Be sure then to project a sense of ease and a “nothing to this” attitude, rather than nervousness or anxiety. Your child will follow your lead.
Set the example. Speaking of following your lead, your children will intuitively pick up whether you're serious about your own dental health, which could influence them. So be sure you practice what you preach: daily oral hygiene, a dental-friendly diet and, of course, your own regular visits to the dentist. Your actions about your own dental care really will speak louder than words.
If you would like more information on effective dental care for your child, 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 “Taking the Stress out of Dentistry for Kids.”