Posts for tag: pediatric dentistry
While they're resilient, your child's teeth aren't invincible. Daily hygiene and regular dental visits are important, but you should also be alert for problems and take action when they arise.
Here are 4 areas that could cause problems for your child's teeth, and what you should do — or not do — if you encounter them.
Teething. This is a normal experience as your child's first teeth erupt through the gums. The gums become tender and painful, causing constant gnawing, drooling, disturbed sleep and similar symptoms. You can help relieve discomfort by letting them bite on a chilled (not frozen) teething ring or a cold, wet washcloth. Pain relievers like ibuprofen in appropriate dosages can also help — but don't apply ice, alcohol or numbing agents containing Benzocaine directly to the gums.
Toothache. Tooth pain could be a sign of decay, so you should see us for an examination. In the meantime you can help relieve pain with a warm-water rinse, a cold compress to the outside of the face, or appropriately-dosed pain relievers. If the pain is intense or persists overnight, see us no later than the next day if possible.
Swollen or bleeding gums. If you notice your child's gums are red and swollen or easily bleed during brushing, they could have periodontal (gum) disease. This is an infection caused by bacterial plaque, a thin film of food particles that build up on the teeth. You can stop plaque buildup by helping them practice effective, daily brushing and flossing. If they're showing symptoms, though, see us for an exam. In the meantime, be sure they continue to gently brush their teeth, even if their gums are irritated.
Chipped, cracked or knocked out tooth. If your child's teeth are injured, you should see us immediately. If part of the tooth has broken off, try to retrieve the broken pieces and bring them with you. If it's a permanent tooth that was knocked out, pick it up by the crown (not the root), rinse it with clean water and attempt to place it back in the socket. If you can't, bring the tooth with you in a container with clean water or milk. The sooner you see us, the better the chances for saving the tooth — minutes count.
Around ages 6 to 8, a child's primary teeth will begin to loosen to make way for their permanent teeth. If all goes well, the new set will come in straight with the upper teeth slightly overlapping the bottom.
But sometimes it doesn't go that well: a child may instead develop a poor bite (malocclusion) that interferes with normal function. If we can detect the early signs of a developing malocclusion, however, we may be able to intervene and lessen its impact. You as a parent can play a vital role in this early detection.
The first thing you should be watching for is teeth spacing.Â Normal teeth come in straight with a slight gap between them. But there are two abnormal extremes to look for: teeth having no space between them or crowded together in a crooked, haphazard manner; or they seem to have too much space between them, which indicates a possible discrepancy between the teeth and jaw sizes.
You should also notice how the teeth come together or “bite.” If you notice the lower front teeth biting in front of the upper (the opposite of normal) it may be a developing underbite. If you see a space between the upper and lower teeth when they bite down, this is a sign of an open bite. Or, if the upper front teeth seem to come down too far over the lower, this could mean a deep bite: in extreme cases the lower teeth actually bite into the roof of the mouth behind the upper teeth.
You should also look for crossbites, in which the teeth in one part of the mouth bite abnormally in front or behind their counterparts, while teeth in other parts bite normally. For example, you might notice if the back upper teeth bite inside the lower teeth (abnormal), while the front upper teeth bite outside the lower front teeth (normal).
The important thing is to note anything that doesn't look right or seems inconsistent with how your child's teeth look or how they function. Even if you aren't sure it's an issue, contact us anyway for an examination. If it really is a developing bite problem, starting treatment now may lessen the extent and cost of treatment later.
Like the rest of their bodies, children’s teeth and mouth are on a rapid development track. By the time they’re young adults, they will have had two sets of teeth, extensive bone growth and a noticeable change in their features. The natural process is truly amazing.
But dental disease can easily derail their development, with tooth decay the most common problem children encounter. More than at any other time of life, preventive dental care is a top priority.
True preventive care for your child includes the entire mouth, not just the teeth. Our main focus, of course, is to head off tooth decay before it develops, including the application of topical fluoride or sealants when appropriate. But we also monitor bite development and provide protection against sports injuries or other forms of trauma with customized mouth guards.
You also have a part to play in your child’s preventive dental care. It begins when your child’s first teeth begin to emerge in the mouth — the point when you should begin brushing them. You can also reduce the risk of dental disease by providing a nutritious diet that’s high in fresh fruits and vegetables and low in sugar, especially between-meal snacks.
You should also start regular dental visits around their first birthday. This is not only the best time to begin professional care, but your child will also have an easier time at this age becoming comfortable with visiting the dentist than waiting until they’re older.
Taking care of your child’s teeth is a working partnership between you and us: we provide the professional care your child needs to develop properly, while you look to their daily hygiene and nutrition, which is just as important for your child’s healthy development. Through our partnership, we can ensure your child is getting the very best start toward a lifetime of healthy teeth and gums.
Like any parent you want your child to grow up healthy and strong. So be sure you don't neglect their dental care, a crucial part of overall health and well-being.
The most important part of this care is prevention — stopping dental disease and other problems before they do harm. Proactive prevention is the best way to keep their teeth and gum growth on the right track.
Prevention starts at home with a daily habit of brushing and later flossing. In the beginning, you'll have to brush for them, with just a smear of toothpaste on the toothbrush. As they get older, you can teach them to brush for themselves, graduating to a pea-sized dose of toothpaste.
It's also important to begin regular dental visits around their first birthday. Many of their primary (baby) teeth are coming in, so regular cleanings and checkups will help keep tooth decay in check. Early visits will also get them used to seeing the dentist and hopefully help stimulate a lifelong habit.
These visits have a number of purposes. First and foremost is to monitor dental development and early detection of any emerging problems, like a poor bite. Catching problems early could help reduce or even eliminate future treatment.
Some children are also at greater risk for tooth decay and could benefit from applications of topical fluoride, a mineral that strengthens tooth enamel, or a sealant to help protect the teeth. This is especially helpful in preserving primary (baby) teeth: early loss of a primary tooth could disrupt the permanent tooth's eruption and cause a poor bite.
Your child's dental visits could also benefit you as their caregiver. You receive regular feedback on how well your child's teeth and gums are developing, and the effectiveness of their oral hygiene. You also get answers to your questions about their oral health: the dentist's office is your best source for advice on teething, diet and other issues.
Together, you and your dentist can provide and maintain the best conditions for your child's dental development. The result will be the healthiest mouth they can have as they enter their adult years.
Your child’s dental care wouldn’t be the same without x-ray imaging. It’s one of our best tools for finding and treating tooth decay.
But since x-rays emit radiation, is your child in any danger when they’re exposed?
X-rays, an invisible form of electromagnetic energy, will form images on exposed film after passing through the body. Because it takes longer for x-rays to pass through dense tissue like teeth and bones, the corresponding areas appear lighter on the film than less dense tissue like the gums. We can detect decay because the diseased tooth structure is less dense and thus appears darker against healthier tooth structure.
The downside of x-rays, though, is the radiation they emit could potentially alter cell structure and increase the risk of future cancer, especially with children. That’s why we follow a principle known as ALARA when using x-ray imaging. ALARA is an acronym for “as low as reasonably achievable,” meaning the doses for an x-ray session will be as low as possible while still gaining the most benefit.
Advances in technology, particularly the development of digital processing, has helped reduce the amount of radiation exposure. We’re also careful with what types of x-rays we use. The most common type is the bitewing, a device with the film attached to a long piece of plastic that the child holds in their mouth while biting down.
Depending on the number of our patient’s teeth, we can usually get a comprehensive view with two to four bitewings. A typical bitewing session exposes them to less radiation than what they’re receiving from natural environmental background sources each day.
Keeping the exposure as low and as less frequent as possible greatly reduces health risks while still getting the full benefit of early decay detection. Still, if you have concerns about your child’s x-ray exposure, we’ll be happy to discuss our approach and all the precautions we take using x-ray imaging.
If you would like more information on x-ray diagnostics and 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 “X-Ray Safety for Children.”