The pediatric dentist has an extra two to three years of specialized training after dental school, and is dedicated to the oral health of children from infancy through the teenage years. The very young, pre-teens, and teenagers all need different approaches in dealing with their behavior, guiding their dental growth and development, and helping them avoid future dental problems. The pediatric dentist is best qualified to meet these needs.
It is very important to maintain the health of the primary teeth. Neglected cavities can and frequently do lead to problems which affect developing permanent teeth. Primary teeth, or baby teeth are important for (1) proper chewing and eating, (2) providing space for the permanent teeth and guiding them into the correct position, and (3) permitting normal development of the jaw bones and muscles. Primary teeth also affect the development of speech and add to an attractive appearance. While the front 4 teeth last until 6-7 years of age, the back teeth (cuspids and molars) aren’t replaced until age 10-13.
Children’s teeth begin forming before birth. As early as 4 months, the first primary (or baby) teeth to erupt through the gums are the lower central incisors, followed closely by the upper central incisors. Although all 20 primary teeth usually appear by age 3, the pace and order of their eruption varies.
Permanent teeth begin appearing around age 6, starting with the first molars and lower central incisors. At the age of 8, you can generally expect the bottom 4 primary teeth (lower central and lateral incisors) and the top 4 primary teeth (upper central and lateral incisors) to be gone and permanent teeth to have taken their place. There is about a one to two year break from ages 8-10 and then the rest of the permanent teeth will start to come in. This process continues until approximately age 21.
Adults have 28 permanent teeth, or up to 32 including the third molars (or wisdom teeth).
Toothache: Clean the area of the affected tooth. Rinse the mouth thoroughly with warm water or use dental floss to dislodge any food that may be impacted. If the pain still exists, contact your child’s dentist. Do not place aspirin or heat on the gum or on the aching tooth. If the face is swollen, apply cold compresses and contact your dentist immediately.
Cut or Bitten Tongue, Lip or Cheek: Apply ice to injured areas to help control swelling. If there is bleeding, apply firm but gentle pressure with a gauze or cloth. If bleeding cannot be controlled by simple pressure, call a doctor or visit the hospital emergency room.
Knocked Out Permanent Tooth: If possible, find the tooth. Handle it by the crown, not by the root. You may rinse the tooth with water only. DO NOT clean with soap, scrub or handle the tooth unnecessarily. Inspect the tooth for fractures. If it is sound, try to reinsert it in the socket. Have the patient hold the tooth in place by biting on a gauze or clean cloth. If you cannot reinsert the tooth, transport the tooth in a cup containing the patient’s saliva or milk, NOT water. If the patient is old enough, the tooth may also be carried in the patient’s mouth (beside the cheek). The patient must see a dentist IMMEDIATELY! Time is a critical factor in saving the tooth.
Knocked Out Baby Tooth: Contact your pediatric dentist. Unlike with a permanent tooth, the baby tooth should not be replanted due to possible damage to the developing permanent tooth. In most cases, no treatment is necessary.
Chipped or Fractured Permanent Tooth: Contact your pediatric dentist immediately. Quick action can save the tooth, prevent infection and reduce the need for extensive dental treatment. Rinse the mouth with water and apply cold compresses to reduce swelling. If possible, locate and save any broken tooth fragments and bring them with you to the dentist.
Chipped or Fractured Baby Tooth: Contact your pediatric dentist.
Severe Blow to the Head: Take your child to the nearest hospital emergency room immediately.
Possible Broken or Fractured Jaw: Keep the jaw from moving and take your child to the nearest hospital emergency room.
Radiographs (X-Rays) are a vital and necessary part of your child’s dental diagnostic process. Without them, certain dental conditions can and will be missed.
Radiographs detect much more than cavities. For example, radiographs may be needed to survey erupting teeth, diagnose bone diseases, evaluate the results of an injury, or plan orthodontic treatment. Radiographs allow dentists to diagnose and treat health conditions that cannot be detected during a clinical examination. If dental problems are found and treated early, dental care is more comfortable for your child and more affordable for you.
The American Academy of Pediatric Dentistry recommends radiographs and examinations every six months for children with a high risk of tooth decay. On average, most pediatric dentists request radiographs approximately once a year. Approximately every 3 years, it is a good idea to obtain a complete set of radiographs, either a panoramic and bitewings or periapicals and bitewings.
Pediatric dentists are particularly careful to minimize the exposure of their patients to radiation. With contemporary safeguards, the amount of radiation received in a dental X-ray examination is extremely small. The risk is negligible. In fact, the dental radiographs represent a far smaller risk than an undetected and untreated dental problem. Lead body aprons and shields will protect your child. Today’s equipment filters out unnecessary x-rays and restricts the x-ray beam to the area of interest. High-speed film and proper shielding assure that your child receives a minimal amount of radiation exposure.
Tooth brushing is one of the most important tasks for good oral health. Many toothpastes, and/or tooth polishes, however, can damage young smiles. They contain harsh abrasives, which can wear away young tooth enamel. When looking for a toothpaste for your child, make sure to pick one that is recommended by the American Dental Association as shown on the box and tube. These toothpastes have undergone testing to insure they are safe to use.
Remember, children should spit out toothpaste after brushing to avoid getting too much fluoride. If too much fluoride is ingested, a condition known as fluorosis can occur. If your child is too young or unable to spit out toothpaste, consider providing them with a fluoride free toothpaste, using no toothpaste, or using only a “pea size” amount of toothpaste.
Parents are often concerned about the nocturnal grinding of teeth (bruxism). Often, the first indication is the noise created by the child grinding on their teeth during sleep. Or, the parent may notice wear (teeth getting shorter) to the dentition. One theory as to the cause involves a psychological component. Stress due to a new environment, divorce, changes at school; etc. can influence a child to grind their teeth. Another theory relates to pressure in the inner ear at night. If there are pressure changes (like in an airplane during take-off and landing, when people are chewing gum, etc. to equalize pressure) the child will grind by moving his jaw to relieve this pressure.
The majority of cases of pediatric bruxism do not require any treatment. If excessive wear of the teeth (attrition) is present, then a mouth guard (night guard) may be indicated. The negatives to a mouth guard are the possibility of choking if the appliance becomes dislodged during sleep and it may interfere with growth of the jaws. The positive is obvious by preventing wear to the primary dentition.
The good news is most children outgrow bruxism. The grinding decreases between the ages 6-9 and children tend to stop grinding between ages 9-12. If you suspect bruxism, discuss this with your pediatrician or pediatric dentist.
Sucking is a natural reflex and infants and young children may use thumbs, fingers, pacifiers and other objects on which to suck. It may make them feel secure and happy, or provide a sense of security at difficult periods. Since thumb sucking is relaxing, it may induce sleep.
Thumb sucking that persists beyond the eruption of the permanent teeth can cause problems with the proper growth of the mouth and tooth alignment. How intensely a child sucks on fingers or thumbs will determine whether or not dental problems may result. Children who rest their thumbs passively in their mouths are less likely to have difficulty than those who vigorously suck their thumbs.
Children should cease thumb sucking by the time their permanent front teeth are ready to erupt. Usually, children stop between the ages of two and four. Peer pressure causes many school-aged children to stop.
Pacifiers are no substitute for thumb sucking. They can affect the teeth essentially the same way as sucking fingers and thumbs. However, use of the pacifier can be controlled and modified more easily than the thumb or finger habit. If you have concerns about thumb sucking or use of a pacifier, consult your pediatric dentist.
A few suggestions to help your child get through thumb sucking:
1-Children often suck their thumbs when feeling insecure. Focus on correcting the cause of anxiety, instead of the thumb sucking.
2-Children who are sucking for comfort will feel less of a need when their parents provide comfort.
3-Reward children when they refrain from sucking during difficult periods, such as when being separated from their parents.
4-Your pediatric dentist can encourage children to stop sucking and explain what could happen if they continue.
If these approaches don’t work, remind the children of their habit by bandaging the thumb or putting a sock on the hand at night. Your pediatric dentist may recommend the use of a mouth appliance.
The pulp of a tooth is the inner, central core of the tooth. The pulp contains nerves, blood vessels, connective tissue and reparative cells. The purpose of pulp therapy in Pediatric Dentistry is to maintain the vitality of the affected tooth (so the tooth is not lost).
Dental caries (cavities) and traumatic injury are the main reasons for a tooth to require pulp therapy. Pulp therapy is often referred to as a “nerve treatment”, “children’s root canal”, “pulpectomy” or “pulpotomy”. The two common forms of pulp therapy in children’s teeth are the pulpotomy and pulpectomy.
A pulpotomy removes the diseased pulp tissue within the crown portion of the tooth. Next, an agent is placed to prevent bacterial growth and to calm the remaining nerve tissue. This is followed by a final restoration (usually a stainless steel crown).
A pulpectomy is required when the entire pulp is involved (into the root canal(s) of the tooth). During this treatment, the diseased pulp tissue is completely removed from both the crown and root. The canals are cleansed, disinfected and, in the case of primary teeth, filled with a resorbable material. Then, a final restoration is placed. A permanent tooth would be filled with a non-resorbing material.
Developing malocclusions, or bad bites, can be recognized as early as 2-3 years of age. Often, early steps can be taken to reduce the need for major orthodontic treatment at a later age.
Stage I – Early Treatment: This period of treatment encompasses ages 2 to 6 years. At this young age, we are concerned with underdeveloped dental arches, the premature loss of primary teeth, and harmful habits such as finger or thumb sucking. Treatment initiated in this stage of development is often very successful and many times, though not always, can eliminate the need for future orthodontic/orthopedic treatment.
Stage II – Mixed Dentition: This period covers the ages of 6 to 12 years, with the eruption of the permanent incisor (front) teeth and 6 year molars. Treatment concerns deal with jaw malrelationships and dental realignment problems. This is an excellent stage to start treatment, when indicated, as your child’s hard and soft tissues are usually very responsive to orthodontic or orthopedic forces.
Stage III – Adolescent Dentition: This stage deals with the permanent teeth and the development of the final bite relationship.
This is a very common occurrence with children, usually the result of a lower, primary (baby) tooth not falling out when the permanent tooth is coming in. In most cases if the child starts wiggling the baby tooth, it will usually fall out on its own within two months. If it doesn’t, then contact your pediatric dentist, where they can easily remove the tooth. The permanent tooth should then slide into the proper place.
The American Dental Association (ADA) recommends visits to the dentist at least once every six months for a professional exam and cleaning. Regular dental visits are necessary for the maintenance of healthy gums and teeth. Your dentist may recommend more frequent visits, depending on the status of your oral health.
When one or more teeth are missing, the remaining teeth can shift out of position, which can lead to a change in your bite, the loss of additional teeth, decay and gum disease.
In the case of missing teeth, your dentist may recommend the placement of a bridge. A permanent bridge is one or more replacement teeth anchored by one or more crowns on each side. A removable bridge, or removal partial denture, usually consists of replacement teeth attached to pink or gum-colored plastic bases, which are connected by metal framework.
The Cause of teeth grinding in children is mostly the same as in adults: the teeth don’t fit together properly and 90% of the time the clenching and grinding is a natural and well intentioned unconscious effort on the part of the body to make things fit right.
Just like if you go to the beach in summer and put y our chair down where the sand is not level it will wobble back and forth. No one sits all day on a wobbly chair. Without even thinking you dig it in to fit. But if you try to do that in the parking lot where it is hard, you will never get the chair to sit evenly. Same thing with teeth. The unevenness does not self correct.
Some children (and adults) wear or break their teeth. Some also get a lot of headaches as a result of all that muscle hyperactivity.
Headaches
Headaches in children are very common and OFTEN are due to muscles from clenching or grinding teeth. If your child gets more than occasional headaches associated with fevers etc. you can arrange a consultation with our specialist in the adult practice, Dr Jerry Simon, author of the book, “Stop Headaches Now”. More information on that is available on our sister web page www.Headaches-TMJ.com.
Worn Teeth
If the only concern is wear of teeth and the six year molars have come in we might suggest an orthodontic consultation to see if some early interceptive orthodontic treatment might help.
Until the child has lost all of their baby teeth and adult teeth have come in the bite is changing too much to suggest long term treatment. Keep us informed of any concerns.
Parents are often concerned about the nocturnal grinding of teeth (bruxism). Often, the first indication is the noise created by the child grinding on their teeth during sleep. Or, the parent may notice wear (teeth getting shorter) to the dentition. One theory as to the cause involves a psychological component. Stress due to a new environment, divorce, changes at school; etc. can influence a child to grind their teeth. Another theory relates to pressure in the inner ear at night. If there are pressure changes (like in an airplane during take-off and landing, when people are chewing gum, etc. to equalize pressure) the child will grind by moving his jaw to relieve this pressure.
The majority of cases of pediatric bruxism do not require any treatment. If excessive wear of the teeth (attrition) is present, then a mouth guard (night guard) may be indicated. The negatives to a mouth guard are the possibility of choking if the appliance becomes dislodged during sleep and it may interfere with growth of the jaws. The positive is obvious by preventing wear to the primary dentition.
The good news is most children outgrow bruxism. The grinding decreases between the ages 6-9 and children tend to stop grinding between ages 9-12. If you suspect bruxism, discuss this with your pediatrician or pediatric dentist.
A crown can be used to cover a fractured tooth, a tooth with a large, old filling, or a tooth that is severely damaged by decay. Crowns strengthen and protect the remaining tooth structure and can improve the appearance of your smile. Crowns are also used to cover teeth that are discolored or badly shaped or to cover a dental implant. Types of crowns include the full porcelain crown, the porcelain-fused-to-metal crown and the all-metal crown. Your dentist can recommend the crown that is best for you.
Fitting a crown requires at least two visits to your dentist. Initially, the dentist removes decay and shapes the tooth. Then he makes an impression and fits a temporary or transitional crown of plastic or metal. On the next visit your dentist will remove the temporary crown, fit and adjust the final crown, then cement it into place.
Toothache: Clean the area of the affected tooth thoroughly. Rinse the mouth vigorously with warm water or use dental floss to dislodge impacted food or debris. DO NOT place aspirin on the gum or on the aching tooth. If face is swollen, apply cold compresses and contact your dentist immediately.
Cut or Bitten Tongue, Lip or Cheek: Apply ice to bruised areas. If there is bleeding apply firm but gentle pressure with a gauze or cloth. If bleeding cannot be controlled by simple pressure, call a doctor or visit the hospital emergency room.
Knocked Out Permanent Tooth: If possible, find the tooth. Handle the tooth by the crown, not the root portion. You may rinse the tooth but DO NOT clean or handle the tooth unnecessarily. Inspect the tooth for fractures. If it is sound, try to reinsert it in its socket. Have the patient hold the tooth in place by biting on a gauze or clean cloth. If you cannot reinsert the tooth, transport the tooth in a cup containing the patient’s saliva or milk, NOT water. The tooth may also be carried in the patient’s mouth (beside the cheek). The patient must see a dentist IMMEDIATELY! Time is a critical factor in saving the tooth.
Tooth loss can have an effect on your dental health and personal appearance if not dealt with properly. When you lose or have one or more permanent teeth extracted, your remaining teeth can drift out of position. This can lead to a change in your bite, and/or decay and gum disease, not to mention a change in your personal appearance.
Dental implants are an effective method in replacing one or several teeth. Each implant consists of a metal post that is inserted into the jawbone under your gums. During a healing period, the bone grows around the implant. Then the post is outfitted with an artificial tooth, which is similar to your natural tooth. Implants can also support a bridge, replace a partial denture or secure a fixed denture.
According to the American Dental Association (ADA), oral cancer kills more people nationwide than either cervical cancer or melanoma (skin cancer). Currently only half of all patients diagnosed with oral cancer survive more than five years. Good news is that it is now easier than ever to detect oral cancer early, when the opportunity for a cure is great.
Regular dental check-ups are essential in the early detection of cancerous and pre-cancerous conditions. You may have a very small, but dangerous, oral spot or sore and not be aware of it. In about 10% of patients, the dentist may notice a flat, painless, white or red spot or a small sore. Although most of these are harmless, some are not. To ensure that a spot or sore is not dangerous, your dentist may choose to perform a simple test, a biopsy, which can detect potentially dangerous cells when the disease is still at an early stage.
Signs of oral cancer that you may want to be aware of may include:
1. A sore that bleeds easily or does not heal
2. A color change of the oral tissue
3. A lump, thickening, rough spot, rust or small eroded area
4. Pain, tenderness, or numbness anywhere in the mouth or on the lips
Although oral cancer occurs most often in those who use tobacco in any form, more than 25% of oral cancers occur in people who do not smoke and have no other risk factors.
Remember to see your dentist regularly because in many parts of the mouth you may not be able to see a small spot or sore yourself. If you do notice any of the above signs, you should call your dentist as soon as possible.
To understand endodontic treatment, it helps to know something about the anatomy of the tooth. Inside the tooth, under the white enamel and a hard layer called the dentin, is a soft tissue called the pulp. The pulp contains blood vessels, nerves, and connective tissue and creates the surrounding hard tissues of the tooth during development. The pulp extends from the crown of the tooth to the tip of the roots where it connects to the tissues surrounding the root. The pulp is important during a tooth’s growth and development. However, once a tooth is fully mature it can survive without the pulp, because the tooth continues to be nourished by the tissues surrounding it.
Endodontic treatment is necessary when the pulp becomes inflamed or infected. The inflammation or infection can have a variety of causes: deep decay, repeated dental procedures on the tooth, or a crack or chip in the tooth. In addition, a blow to a tooth may cause pulp damage even if the tooth has no visible chips or cracks. If pulp inflammation or infection
Signs of pulp damage include pain, prolonged sensitivity to heat or cold, discoloration of the tooth, and swelling and tenderness in the nearby gums. Sometimes, there are no symptoms.
When a root canal is necessary, the dentist, or endodontist removes the inflamed or infected pulp, carefully cleans and shapes the inside of the tooth, then fills and seals the space. Afterwards, you will return to your dentist who will place a crown or other restoration on the tooth to protect and restore it. After restoration, the tooth continues to function like any other tooth.
Tobacco in any form can jeopardize your health and cause incurable damage. Smokeless tobacco, also called spit, chew or snuff, is often used by teens who believe that it is a safe alternative to smoking cigarettes. This is an unfortunate misconception. Studies show that spit tobacco may be more addictive than smoking cigarettes and may be more difficult to quit. People who use it may be interested to know that one can of snuff per day delivers as much nicotine as 60 cigarettes. In as little as three to four months, smokeless tobacco use can cause periodontal disease and produce pre-cancerous lesions called leukoplakias.
If you are a tobacco user you should watch for the following that could be early signs of oral cancer:
1. A sore that won’t heal
2. White or red leathery patches on your lips, and on or under your tongue
3. Pain, tenderness or numbness in the mouth or lips
4. Difficulty chewing, swallowing, speaking or moving your jaw or tongue; or a change in the way your teeth fit together
Because the early signs of oral cancer usually are not painful, people often ignore them. If it’s not caught in the early stages, oral cancer can require extensive, sometimes disfiguring, surgery. Even worse, it can kill.
The best advice is to avoid tobacco in any form. By doing so, you will avoid bringing cancer-causing chemicals in direct contact with your tongue, gums and cheek.
You might not be surprised anymore to see people with pierced tongues, lips or cheeks, but you might be surprised to know just how dangerous these piercings can be.
There are many risks involved with oral piercings including chipped or cracked teeth, blood clots, or blood poisoning. Your mouth contains millions of bacteria, and infection is a common complication of oral piercing. Your tongue could swell large enough to close off your airway!
Common symptoms after piercing include pain, swelling, infection, an increased flow of saliva and injuries to gum tissue. Difficult-to-control bleeding or nerve damage can result if a blood vessel or nerve bundle is in the path of the needle.
So follow the advice of the American Dental Association and give your mouth a break – skip the mouth jewelry.
Wisdom teeth, or third molars, are the final teeth to develop in the back of your mouth. Most people have four wisdom teeth, which erupt during our late teens or early twenties.
Oftentimes, problems develop that require the removal of your wisdom teeth. When the jaw isn’t large enough to accommodate them, they can become trapped or impacted. Wisdom teeth may grow sideways, emerge only part way from the gum or remain trapped beneath the gum and bone. In most cases, it is recommended that impacted wisdom teeth are extracted (removed).
Wisdom tooth surgery is performed, usually under local anesthesia, in your dentist’s or oral surgeon’s office, an outpatient surgical facility, or a hospital.
Fluoride is an element, which has been shown to be beneficial to teeth. However, too little or too much fluoride can be detrimental to the teeth. Little or no fluoride will not strengthen the teeth to help them resist cavities. Excessive fluoride ingestion, especially during your preschool years can lead to dental fluorosis, which is a chalky white to even brown discoloration of the permanent teeth.
Some sources of fluoride are:
1 Fluoridated toothpaste.
2 Fluoride supplements or mouth rinse.
3 Trace sources of fluoride in your diet.
4 Fluoridated public or bottled water.
Healthy eating habits lead to healthy teeth. Like the rest of the body, the teeth, bones and the soft tissues of the mouth need a well-balanced diet. In order to promote good dental health, we should eat a variety of foods from the five major food groups. Most snacks that we eat can lead to cavity formation. The more frequently we snack, the greater the chance for tooth decay. How long food remains in the mouth also plays a role. For example, hard candy and breath mints stay in the mouth a long time, which cause longer acid attacks on tooth enamel. If you must snack, choose nutritious foods such as vegetables, low-fat yogurt, and low-fat cheese, which are healthier and better for your teeth.
If you participate in recreational activities and organized sports, injuries can occur. A properly fitted mouth guard, or mouth protector, is an important piece of athletic gear that can help protect your smile, and should be used during any activity that could result in a blow to the face or mouth.
Mouth guards help prevent broken teeth, and injuries to the lips, tongue, face or jaw. A properly fitted mouth guard will stay in place while you are wearing it, making it easy for you to talk and breathe.
Ask your dentist about custom and store-bought mouth protectors.
Due to the high sugar content and acids in sports drinks, they have erosive potential and the ability to dissolve even fluoride-rich enamel, which can lead to cavities.
To minimize dental problems, children should avoid sports drinks and hydrate with water before, during and after sports. Be sure to talk to your pediatric dentist before using sports drinks.
If sports drinks are consumed:
1 reduce the frequency and contact time
2 swallow immediately and do not swish them around the mouth
3neutralize the effect of sports drinks by alternating sips of water with the drink
4 rinse mouthguards only in water
5 seek out dentally friendly sports drinks
The American Academy of Pediatric Dentistry (AAPD) recognizes the benefits of xylitol on the oral health of infants, children, adolescents, and persons with special health care needs.
The use of XYLITOL GUM by mothers (2-3 times per day) starting 3 months after delivery and until the child was 2 years old, has proven to reduce cavities up to 70% by the time the child was 5 years old.
Studies using xylitol as either a sugar substitute or a small dietary addition have demonstrated a dramatic reduction in new tooth decay, along with some reversal of existing dental caries. Xylitol provides additional protection that enhances all existing prevention methods. This xylitol effect is long-lasting and possibly permanent. Low decay rates persist even years after the trials have been completed.
Xylitol is widely distributed throughout nature in small amounts. Some of the best sources are fruits, berries, mushrooms, lettuce, hardwoods, and corn cobs. One cup of raspberries contains less than one gram of xylitol.
Studies suggest xylitol intake that consistently produces positive results ranged from 4-20 grams per day, divided into 3-7 consumption periods. Higher results did not result in greater reduction and may lead to diminishing results. Similarly, consumption frequency of less than 3 times per day showed no effect.
To find gum or other products containing xylitol, try visiting your local health food store or search the Internet to find products containing 100% xylitol.
A sealant is a protective coating that is applied to the chewing surfaces (grooves) of the back teeth (premolars and molars), where four out of five cavities in children are found. This sealant acts as a barrier to food, plaque and acid, thus protecting the decay-prone areas of the teeth.
Good oral hygiene removes bacteria and the left over food particles that combine to create cavities. For infants, use a wet gauze or clean washcloth to wipe the plaque from teeth and gums. Avoid putting your child to bed with a bottle filled with anything other than water. See “Baby Bottle Tooth Decay” for more information.
For older children, brush their teeth at least twice a day. Also, watch the number of snacks containing sugar that you give your children.
The American Academy of Pediatric Dentistry recommends visits every six months to the pediatric dentist, beginning at your child’s first birthday. Routine visits will start your child on a lifetime of good dental health.
Your pediatric dentist may also recommend protective sealants or home fluoride treatments for your child. Sealants can be applied to your child’s molars to prevent decay on hard to clean surfaces.
Brushing Tips
Starting at birth, clean your child’s gums with a soft cloth and water.
As soon as your child’s teeth erupt, brush them with a soft-bristled toothbrush.
If they are under the age of 2, use a small “smear” of toothpaste.
If they’re 2-5 years old, use a “pea-size” amount of toothpaste.
Be sure and use an ADA-accepted fluoride toothpaste and make sure your child does not swallow it.
When brushing, the parent should brush the child’s teeth until they are old enough to do a good job on their own.
Flossing Tips
Flossing removes plaque between teeth and under the gumline where a toothbrush can’t reach.
Flossing should begin when any two teeth touch.
Be sure and floss your child’s teeth daily until he or she can do it alone.
Bonding restores chipped, cracked, miscolored or misaligned teeth by rebuilding the surface with a resin material. To place the bond, your dentist prepares your tooth with an etching solution. Then special resin materials are blended in colors carefully chosen to match your own teeth. These materials are applied to your teeth, then shaped into just the right contours. Finally, they’re hardened or bonded in place. Bonding provides wonderful results at an affordable cost.
Tooth-colored restorations that are used on the chewing surfaces of the back teeth. They can be placed instead of silver fillings or to replace existing silver fillings.
Invisalign Teeth Straightening The invisible way to straighten your teeth, without braces.
Invisalign® can give you the beautiful straight teeth you’ve always wanted. It works through a series of invisible, removable, and comfortable aligners that no one can tell you’re wearing. So you can smile more during treatment as well as after. Invisalign® has been proven effective in clinical research and in dental and orthodontic practices nationwide.
How Does Invisalign® Work?
1 You wear each set of aligners for about 2 weeks, removing them only to eat, drink, brush, and floss.
2 As you replace each aligner with the next in the series, your teeth will move – little by little, week by week – until they have straightened to the final position your orthodontist or dentist has prescribed.
3 You’ll visit us about once every 6 weeks to ensure that your treatment is progressing as planned.
4 Total treatment time averages 9-15 months and the average number of aligners worn during treatment is between 18 and 30, but both will vary from case to case.
Dental Topics for General and Pediatric DentistsVeneers are thin, custom-made shells crafted of tooth-colored materials designed to cover the front side of teeth. Porcelain laminate veneers are commonly used to correct teeth that are stained or discolored, badly shaped or crooked, or damaged due to an injury.
Placing a veneer is usually an irreversible process, because it’s necessary to remove a small amount of enamel from your teeth to accommodate the shell.
Several options are available to help make your smile brighter and whiter. In-office bleaching, at-home bleaching, or whitening toothpastes. Ask your dentist which technique is the best suited for you.
The American Academy of Pediatric Dentistry (AAPD) recommends that all pregnant women receive oral healthcare and counseling during pregnancy. Research has shown evidence that periodontal disease can increase the risk of preterm birth and low birth weight. Talk to your doctor or dentist about ways you can prevent periodontal disease during pregnancy.
Additionally, mothers with poor oral health may be at a greater risk of passing the bacteria which causes cavities to their young children. Mother’s should follow these simple steps to decrease the risk of spreading cavity-causing bacteria:
1. Visit your dentist regularly.
2. Brush and floss on a daily basis to reduce bacterial plaque.
3. Proper diet, with the reduction of beverages and foods high in sugar & starch.
4. Use a fluoridated toothpaste recommended by the ADA and rinse every night with an alcohol-free, over-the-counter mouth rinse with .05% sodium fluoride in order to reduce plaque levels.
5. Don’t share utensils, cups or food which can cause the transmission of cavity-causing bacteria to your children.
6. Use of xylitol chewing gum (4 pieces per day by the mother) can decrease a child’s caries rate.
The American Academy of Pediatrics (AAP), the American Dental Association (ADA), and the American Academy of Pediatric Dentistry (AAPD) all recommend establishing a “Dental Home” for your child by one year of age. Children who have a dental home are more likely to receive appropriate preventive and routine oral health care.
The Dental Home is intended to provide a place other than the Emergency Room for parents.
You can make the first visit to the dentist enjoyable and positive. If old enough, your child should be informed of the visit and told that the dentist and their staff will explain all procedures and answer any questions. The less to-do concerning the visit, the better.
It is best if you refrain from using words around your child that might cause unnecessary fear, such as needle, pull, drill or hurt. Pediatric dental offices make a practice of using words that convey the same message, but are pleasant and non-frightening to the child.
Teething, the process of baby (primary) teeth coming through the gums into the mouth, is variable among individual babies. Some babies get their teeth early and some get them late. In general, the first baby teeth to appear are usually the lower front (anterior) teeth and they usually begin erupting between the age of 6-8 months.
See “Eruption of Your Child’s Teeth” for more details.
One serious form of decay among young children is baby bottle tooth decay. This condition is caused by frequent and long exposures of an infant’s teeth to liquids that contain sugar. Among these liquids are milk (including breast milk), formula, fruit juice and other sweetened drinks.
Putting a baby to bed for a nap or at night with a bottle other than water can cause serious and rapid tooth decay. Sweet liquid pools around the child’s teeth giving plaque bacteria an opportunity to produce acids that attack tooth enamel. If you must give the baby a bottle as a comforter at bedtime, it should contain only water. If your child won’t fall asleep without the bottle and its usual beverage, gradually dilute the bottle’s contents with water over a period of two to three weeks.
After each feeding, wipe the baby’s gums and teeth with a damp washcloth or gauze pad to remove plaque. The easiest way to do this is to sit down, place the child’s head in your lap or lay the child on a dressing table or the floor. Whatever position you use, be sure you can see into the child’s mouth easily.
Sippy cups should be used as a training tool from the bottle to a cup and should be discontinued by the first birthday. If your child uses a sippy cup throughout the day, fill the sippy cup with water only (except at mealtimes). By filling the sippy cup with liquids that contain sugar (including milk, fruit juice, sports drinks, etc.) and allowing a child to drink from it throughout the day, it soaks the child’s teeth in cavity causing bacteria.
I.V. Sedation is recommended for apprehensive children, very young children, and children with special needs that would not work well under conscious sedation. The dentist performs the dental treatment in our office with the child anesthetized under I.V. sedation, which is administered and monitored by an anesthesiologist.
1. Your child will be drowsy and will need to be monitored very closely. Keep your child away from areas of potential harm.
2. If your child wants to sleep, place them on their side with their chin up. Wake your child every hour and encourage them to have something to drink in order to prevent dehydration. At first it is best to give your child sips of clear liquids to prevent nausea. The first meal should be light and easily digestible.
3. If your child vomits, help them bend over and turn their head to the side to ensure that they do not inhale the vomit.
4. Please call our office for any questions or concerns that you might have.
1. Please notify us of any change in your child’s health and/or medical condition. Do not bring your child for treatment with a fever, ear infection or cold. Should your child become ill, contact us to see if it is necessary to postpone the appointment.
2. You must tell the doctor of any drugs that your child is currently taking and any drug reactions and/or change in medical history.
3. Please dress your child in loose fitting, comfortable clothing.
4. Please make sure that your child goes to the bathroom immediately prior to arriving at the office.
5. Your child should not have milk or solid food after midnight prior to the scheduled procedure and clear liquids ONLY (water, apple juice, Gatorade) for up to 6 hours prior to the appointment.
6. The child’s parent or legal guardian must remain at the office during the complete procedure.
