Posts for tag: pediatric dentistry
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.”
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.”
As parents, we want to do everything possible to help our kids stay healthy—and that includes their teeth. And just like other aspects of their health, it's better not to go at dental care alone. That's why we recommend beginning your child's regular dental visits no later than their first birthday.
You may think that's a bit premature, given the few teeth a child may have when they're a year old. But there are solid reasons why early childhood dental visits are a smart move, especially if you're playing the long game for their future dental health and development.
Minimizes damaging tooth decay. If a child loses just one primary tooth to decay, it could have an adverse, cascading effect on their developing bite. Dental visits begun sooner rather than later are more likely to catch and treat tooth decay, as well as provide other preventive measures that can ensure primary teeth aren't lost prematurely.
Provides you a partner for your child's dental care. A child's dental development and health depend on what you do in the home—daily oral hygiene, monitoring for signs of disease and avoiding habits that promote tooth decay. Regular dental visits help support the home front by providing you helpful insight and advice for supporting your child's dental health.
Identifies bite problems early. Although they usually develop gradually, there are often early signs of an emerging bite problem. Pediatric dentists especially are trained to notice early signs of an abnormal bite and refer you to an orthodontist for interventional treatment.
Reduces your child's dental visit anxiety. The unfamiliarity and clinical nature of a dental office can make a child susceptible to anxiety that could follow them into adulthood. Early childhood dental visits help normalize the dentist's office for your child, reduce anxiety and make it more likely they'll continue seeing the dentist later in life.
Life can be hectic with an infant in the home. But getting into the routine of regular dental visits at an early age is a worthwhile investment in healthier teeth and gums—now and in the future.
If you would like more information on good dental care practices 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 “Age One Dental Visit.”
Fluoride is an important part of your child's dental development. But if children take in too much of this important mineral, they could experience enamel fluorosis, a condition in which teeth become discolored with dark streaking or mottling.
That's why it's important to keep fluoride levels within safe bounds, especially for children under the age of 9. To do that, here's a look at the most common sources for fluoride your child may take in and how you can moderate them.
Toothpaste. Fluoridated toothpaste is an effective way for your child to receive the benefits of fluoride. But to make sure they're not getting too much, apply only a smear of toothpaste to the brush for infants. When they get a little older you can increase that to a pea-sized amount on the end of the brush. You should also train your child not to swallow toothpaste.
Drinking water. Most water systems add tiny amounts of fluoride to drinking water. To find out how much your water provider adds visit “My Water's Fluoride” (//nccd.cdc.gov/doh_mwf/Default/Default.aspx) online. If it's more than the government's recommendation of 0.70 parts of fluoride per million parts of water, you may want ask your dentist if you should limit your child's consumption of fluoridated drinking water.
Infant formula. Many parents choose bottle-feeding their baby with infant formula rather than breastfeed. If you use the powdered form and mix it with tap water that's fluoridated, your baby could be ingesting more of the mineral. If breastfeeding isn't an option, try using the premixed formula, which normally contains lower levels of fluoride. If you use powdered formula, mix it with bottled water labeled “de-ionized,” “purified,” “demineralized” or “distilled.”
It might seem like the better strategy for preventing fluorosis is to avoid fluoride altogether. But that can increase the risk of tooth decay, a far more destructive outcome for your child's teeth than the appearance problems caused by fluorosis. The better way is to consult with your dentist on keeping your child's intake within recognized limits to safely receive fluoride's benefits of stronger, healthier teeth.
If you would like more information on fluoride and your baby's dental health, 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 “Tooth Development and Infant Formula.”
Perhaps the only thing worse than having a toothache of your own is when your child has one. Tooth pain can be a miserable experience, especially for children. It can also be confusing about what to do to deal with it.
Fortunately, a toothache usually isn't a dental emergency, so take a deep breath. Here's what you should do if your child is experiencing tooth pain.
Get the 411 from them. Before you call the dentist, find out more first about the tooth pain from your child with a few probing questions: Where exactly does it hurt? Do you feel it all through your mouth or just in one place? Is it all the time, or just when you bite down? When did it start? You may not get the same level of detail as you would from an adult, but even a little information helps.
Take a look in their mouth. There are a lot of causes for toothache like a decayed tooth or abscessed gums. See if any of the teeth look abnormal or if the gums are swollen. You might also find a piece of food or other particle wedged between the teeth causing the pain. In that case, a little dental floss might relieve the problem.
Ease the pain. While you're waiting on your dental appointment, you can help relieve some of their discomfort by giving them a child-appropriate dose of ibuprofen or acetaminophen. You can also apply an ice pack on the outside of the jaw for five minutes on, then five minutes off to decrease swelling. Under no circumstances, however, should you give your child aspirin or rub it on the gums.
See the dentist. It's always a good idea to follow up with the dentist, even if the pain subsides. In most cases, you may be able to wait until the next day. There are, however, circumstances that call for a visit as soon as possible: if the child is running a fever and/or has facial swelling; or if the tooth pain seems to be related to an injury or trauma.
It can be unsettling as a parent when your child has a toothache. But knowing what to do can help you stay calm and get them the care they need.
If you would like more information on pediatric 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 “A Child's Toothache.”