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Posts for tag: pediatric dentistry

By Edward C. Smith, DMD, MPH, LLC
March 29, 2016
Category: Oral Health
ActorDavidRamseyDiscussesBabyBottleToothDecay

Cavities can happen even before a baby has his first piece of candy. This was the difficult lesson actor David Ramsey of the TV shows Arrow and Dexter learned when his son DJ’s teeth were first emerging.

“His first teeth came in weak,” Ramsey recalled in a recent interview. “They had brown spots on them and they were brittle.” Those brown spots, he said, quickly turned into cavi­ties. How did this happen?

Ramsey said DJ’s dentist suspected it had to do with the child’s feedings — not what he was being fed but how. DJ was often nursed to sleep, “so there were pools of breast milk that he could go to sleep with in his mouth,” Ramsey explained.

While breastfeeding offers an infant many health benefits, problems can occur when the natural sugars in breast milk are left in contact with teeth for long periods.  Sugar feeds decay-causing oral bacteria, and these bacteria in turn release tooth-eroding acids. The softer teeth of a young child are particularly vulnerable to these acids; the end result can be tooth decay.

This condition, technically known as “early child caries,” is referred to in laymen’s terms as “baby bottle tooth decay.” However, it can result from nighttime feedings by bottle or breast. The best way to prevent this problem is to avoid nursing babies to sleep at night once they reach the teething stage; a bottle-fed baby should not be allowed to fall asleep with anything but water in their bottle or “sippy cup.”

Here are some other basics of infant dental care that every parent should know:

  • Wipe your baby’s newly emerging teeth with a clean, moist washcloth after feedings.
  • Brush teeth that have completely grown in with a soft-bristled, child-size toothbrush and a smear of fluoride toothpaste no bigger than a grain of rice.
  • Start regular dental checkups by the first birthday.

Fortunately, Ramsey reports that his son is doing very well after an extended period of professional dental treatments and parental vigilance.

“It took a number of months, but his teeth are much, much better,” he said. “Right now we’re still helping him and we’re still really on top of the teeth situation.”

If you would like more information on dental care for babies and toddlers, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “The Age One Dental Visit” and “Dentistry & Oral Health for Children.”

By Edward C. Smith, DMD, MPH, LLC
November 27, 2013
Category: Oral Health
Top5TipsforTeethingTots

If your infant is extra cranky and seems to want to chew everything in sight, it's a good bet that the first tooth is on the way! For parents, this is cause for both celebration and concern. After all, no parent wants to see a child suffer even a little bit. Decades ago, when a teething infant showed signs of discomfort, a parent might have rubbed some whisky or other strong liquor on the child's gums — a misguided and dangerous practice. There are far safer, more effective ways to help your child through this exciting yet sometimes uncomfortable phase of development. Here are our top five teething remedies:

Chilled rubber teething rings or pacifiers. Cold can be very soothing, but be careful not to freeze teething rings or pacifiers; ice can actually burn the sensitive tissues of the mouth if left in place too long.

Cold, wet washcloths. These are great for gnawing on. Make sure the washcloth is clean and that you leave part of it dry to make it more comfortable to hold.

Cold foods. When your child is old enough, cold foods such as popsicles may soothe sore gums. However, make sure you confine them to mealtimes because sugars can cause tooth decay — even in very young children.

Gum massage. Massaging inflamed gums with your clean finger can help counteract the pressure from an erupting tooth.

Over-the-counter medicine. If teething pain persists, you can give your baby acetaminophen or ibuprofen, but check with a pharmacist or this office for the correct dosage. The medicine should be swallowed and not massaged into the sore areas, as this, too, can burn.

So when does it all begin? Some babies start teething as early as three months or as late as twelve months, but the typical time frame is between six and nine months. Usually the two lower front teeth erupt first, followed by the two upper front teeth. The first molars come in next, followed by the canines (eyeteeth). Most children have all 20 of their baby teeth by age 3.

If you have any questions about teething or the development of your child's teeth, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine article “Teething Troubles.”

By Edward C. Smith, DMD, MPH, LLC
November 12, 2013
Category: Oral Health
GiulianaRancicPreparesforHerSonsFirstDentalVisit

When Giuliana Rancic, long-time host of E! News, first saw her new son, she said it was “the best single moment of my life.” Recently, on the eve of Duke's first birthday, the TV personality and reality star spoke to Dear Doctor magazine about her growing family, her battle with cancer — and the importance of starting her child off with good oral health.

“Duke will have his first visit with the dentist very soon, and since he is still a baby, we will make his visit as comfortable as possible,” Giuliana said. That's a good thought — as is the timing of her son's office visit. Her husband Bill (co-star of the couple's Style Network show) agrees. “I think the earlier you can start the checkups, the better,” he said.

The American Academy of Pediatric Dentistry concurs. In order to prevent dental problems, the AAPD states, your child should see a dentist when the first tooth appears, or no later than his or her first birthday. But since a child will lose the primary (baby) teeth anyway, is this visit really so important?

“Baby” Teeth Have a Vital Role
An age one dental visit is very important because primary teeth have several important roles: Kids rely on them for proper nutrition and speech, and don't usually begin losing them until around age 6. And since they aren't completely gone until around age 12, kids will depend on those “baby teeth” through much of childhood. Plus, they serve as guides for the proper position of the permanent teeth, and are vital to their health. That's why it's so important to care for them properly.

One major goal for the age one dental visit is to identify potential dental issues and prevent them from becoming serious problems. For example, your child will be examined for early signs of dental diseases, including baby bottle tooth decay which is a major cause of early childhood caries. Controlling these problems early can help youngsters start on the road to a lifetime of good oral health.

Besides screening your child for a number of other dental conditions or developmental problems, and assessing his or her risk for cavities, the age one visit also gives you the opportunity to ask any questions you may have about dental health in these early years. Plus, you can learn the best techniques for effectively cleaning baby's mouth and maintaining peak oral hygiene.

Breezing Through the Age-One Visit
To ease your child's way through his or her first dental visit, it helps if you're calm yourself. Try to relax, allow plenty of time, and bring along lots of activities — some favorite toys, games or stuffed animals will add to everyone's comfort level. A healthy snack, drink, and spare diapers (of course) won't go unappreciated.

“We'll probably bring some toys and snacks as reinforcements,” said Giuliana of her son's upcoming visit. So take a tip from the Rancics: The age one dental visit is a great way to start your child off right.

If you would like more information on pediatric dental care, please contact us or schedule an appointment for a consultation. You can learn more about this topic in the Dear Doctor magazine articles “The Age One Dental Visit” and “Dentistry & Oral Health for Children.”

By Edward C. Smith, DMD, MPH, LLC
October 04, 2013
Category: Oral Health
TestYourKnowledgeAboutThumbSuckinginChildren

Are the following statements true or false?

Thumb sucking in children may cause problems with their teeth later on.

A: TRUE

Prolonged thumb sucking may be responsible for many problems with the bite. The constant pressure of the thumb itself can create a gap between the top and bottom teeth in front, a condition called an “open bite.” It also reinforces the habit of using the “tongue thrust” motion in swallowing, where the tongue is positioned between top and bottom teeth. This habit may also block full eruption of the front teeth.

Infants and young children swallow exactly the same way that adults do.

A: FALSE

When they swallow, young children use what is called the “infantile swallowing pattern.” In this method, which begins before their teeth have erupted, the tongue is thrust forward in the mouth, sealing and supporting the lips. In adult swallowing, the tongue touches the roof of the mouth, behind the front teeth. The transition from the infantile method usually happens naturally, by around age 4.

Most open bites result from the habit of positioning the tongue too far forward.

A: TRUE

Failure to transition between the infantile and adult swallowing pattern is believed to be the cause of most open bites. The tongue's position alone may prevent the front teeth from fully developing. Allowing the thumb to rest between the teeth has the same effect — and it can also push the front teeth forward. Other causes of an open bite are skeletal or jaw-related problems.

It is harder to cure open bites caused by thumb sucking or bad tongue position than those from other causes.

A: FALSE

Open bites that are caused by skeletal factors (patterns of bone growth, etc) are often difficult to resolve. Those caused by dental factors (tongue position, tooth eruption, etc) are generally easier to fix. However, the pressure exerted by the thumb over a long period of time can influence bone growth in the jaw.

There is a dental appliance that can help discourage thumb sucking.

A: TRUE

A thin metal “tongue crib” placed behind upper and lower incisors discourages the thumb-sucking habit. It also helps to “re-train” the tongue, keeping it from going between upper and lower teeth. To successfully treat an open bite caused by dental factors, and to prevent its reoccurrence, it is essential to eliminate the unhelpful habits of both the thumb and the tongue.

If you would like more information about thumb sucking or open-bite problems in 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 “How Thumb Sucking Affects The Bite.”

By Edward C. Smith, DMD, MPH, LLC
August 21, 2013
Category: Oral Health
OralCareTipsforyourToddler

Caring for a young child can be overwhelming at times. Sometimes, it may feel like you can't read enough books to learn the correct way to do everything from potty training to feeding. It's also important to teach your child healthcare habits during these crucial years, so that they continue these habits for a lifetime!

Here are a few simple ways you can help your child to institute lifetime oral care habits.

  1. DO: Encourage your Child to Brush Every Day with Fluoride Toothpaste. Fluoride will help make your child's teeth more resistant to tooth decay. You should use a thin smear of fluoride toothpaste for children under age two and a pea-sized amount for older children. At age two, you can also begin empowering your child to brush, but make sure that you supervise and finish the job. Your child will probably need your help until around the age of six.
  2. DON'T: Share your Germs. Did you know that children are not born with the bacteria that cause tooth decay? In fact, the bacteria are transmitted to them from adults! You should never share a cup or spoon with your child. Also, next time you kiss your child, kiss him or her on the cheeks instead of the lips. Believe it or not, you can transmit harmful bacteria through this quick little kiss.
  3. DO: Limit your Child's Sugar Intake. When your child consumes sugar, the bacteria use the sugar to produce acids that dissolve tooth enamel, eventually leading to tooth decay. Saliva can neutralize those acids, but it needs enough time, 30 to 60 minutes, to work its magic. That is why it is important to limit sugar intake between meals.
  4. DON'T: Give Your Child a Bottle at Night. Juice, milk and even breast milk contain sugars that promote tooth decay, in particular during sleep, when less saliva is being produced. So, though it may be tempting, do not let your child go to bed with a bottle.
  5. DO: Take your Child to the Dentist Early. The American Academy of Pediatric Dentistry recommends that all children have their first dental visit by the age of one. Your toddler will benefit from regular dental visits, because we will monitor tooth decay, correct brushing techniques and also, most importantly, ensure that he or she is comfortable in the dental chair.
  6. DON'T: Allow your Child to Suck His or Her Thumb Past Age Three. Thumb sucking for comfort is a very normal behavior for babies and toddlers. However, if your child constantly sucks his or her thumb past the age of three, it can affect teeth alignment and jaw development.

If you would like more information about oral care for your child, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine article “Dentistry and Oral Health for Children.”