|
Pediatric
Dentistry: FAQ
FAQ
| First Aid
What
should I use to clean my baby's teeth?
A toothbrush will remove plaque bacteria that can lead to decay. Any
soft-bristled toothbrush with a small head, preferably one designed
specifically for infants, should be used at least once a day at
bedtime.
When
should I take my child to the dentist for the first check-up?
In order to prevent dental problems, your child should see a dentist when the first tooth appears, or no later than
his/her first birthday.
Are baby
teeth really that important to my child?
Primary, or "baby," teeth are important for many reasons.
Not only do they help children speak clearly and chew naturally,
they also aid in forming a path that permanent teeth can follow when
they are ready to erupt.
What
should I do if my child has a toothache?
First, rinse the irritated area with warm salt water and place a
cold compress on the face if it is swollen. Give the child
acetaminophen for any pain, rather than placing aspirin on the teeth
or gums. Finally, see a dentist as soon as possible.
Are
thumbsucking and pacifier habits harmful for a child's teeth? Thumb
and pacifier sucking habits will generally only become a problem if
they go on for a very long period of time. Most children stop these
habits on their own, but if they are still sucking their thumbs or
fingers when the permanent teeth arrive, a mouth appliance may be
recommended by your dentist.
How can I
prevent decay caused by nursing?
Avoid nursing children to sleep or putting anything other than water
in their bedtime bottle. Also, learn the proper way to brush and
floss your child's teeth. Take your child to a dentist
regularly to have his/her teeth and gums checked. The first dental
visit should be scheduled by your child's first birthday.
How often
does my child need to see the dentist?
A check-up every six months is recommended in order prevent cavities
and other dental problems. However, your dentist can tell
you when and how often your child should visit based on their
personal oral health.
Toothpaste:
when should we begin using it and how much should we use? Fluoridated
toothpaste should be introduced when a child is 2-3 years of age.
Prior to that, parents should clean the child's teeth with water and
a soft-bristled toothbrush. When toothpaste is used after age 2-3,
parents should supervise brushing and make sure the child uses no
more than a pea-sized amount on the brush. Children should spit out
and not swallow excess toothpaste after brushing.
How do I
make my child's diet safe for his teeth?
Make sure your child has a balanced diet, including one serving each
of: fruits and vegetables, breads and cereals, milk and dairy
products, and meat, fish and eggs. Limiting the servings of sugars
and starches will also aid in protecting your child's teeth from
decay. You can also ask your dentist to help you select
foods that protect your children's teeth.
How do
dental sealants work?
Sealants work by filling in the crevasses on the chewing surfaces of
the teeth. This shuts out food particles that could get caught in
the teeth, causing cavities. The application is fast and comfortable
and can effectively protect teeth for many years.
How do I
know if my child is getting enough fluoride?
Have your dentist evaluate the fluoride level of your
child's primary source of drinking water. If your child is not
getting enough fluoride internally through water (especially if the
fluoride level is deficient or if your child drinks bottled water
without fluoride), then your dentist may prescribe
fluoride supplements.
What
can I do to protect my child's teeth during sporting events? Soft
plastic mouthguards can be used to protect a child's teeth, lips,
cheeks and gums from sport related injuries. A custom-fitted
mouthguard developed by a dentist will protect your child
from injuries to the teeth, face and even provide protection from
severe injuries to the head.
What
should I do if my child falls and knocks out a permanent tooth? The
most important thing to do is to remain calm. Then find the tooth.
Hold it by the crown rather than the root and try to reinsert it in
the socket. If that is not possible, put the tooth in a glass of
milk and take your child and the glass immediately to the dentist.
How safe
are dental X-rays?
There is very little risk in dental X-rays. dentists are
especially careful to limit the amount of radiation to which
children are exposed. Lead aprons and high-speed film are used to
ensure safety and minimize the amount of radiation.
How can
parents help prevent tooth decay?
Parents should take their children to the dentist regularly,
beginning with the eruption of the first tooth. Then, the dentist
can recommend a specific program of brushing, flossing, and other
treatments for parents to supervise and teach to their children.
These home treatments, when added to regular dental visits and a
balanced diet, will help give your child a lifetime of healthy
habits.
At what
age should I bring my child to the dentist?
Children should have the first dental visit within six months of the
eruption of the first baby tooth and no later than their first
birthday. This is so that an assessment and record can be made of
your child's dental development and risk of getting cavities. This
also gives us the opportunity to discuss good oral hygiene practices
at home, diet, injury prevention and possible need for fluoride
supplements. If we find cavities or other problems, these things can
be taken care of early before they become a bigger problem.
My
two-year-old child has a cavity in a tooth. Should the tooth be
filled? Yes, it should be treated as soon as possible to
avoid pain and infection.
Will I go
into the treatment room with my child?
This depends on the dentist, the parent, the child and the
situation. The decision on where the parent remains during the
child's treatment should be made by the dentist and the
parent, and is based on what is best for the child.
When will
my baby start getting teeth?
Usually the two lower front teeth (central incisors) erupt at about
six months of age, followed shortly by the two upper central
incisors. During the next 18 to 24 months, the rest of the baby
teeth appear, although not in orderly sequence from front to back.
All of these 20 primary teeth should be present at two to three
years of age.
Is there
anything I can do to comfort my baby while he is teething? Some
children appear to be comforted during the normal eruption process
by chewing on a teething biscuit, a piece of toast, or a frozen
teething ring. Teething medications that can be rubbed on the gums
to reduce the discomfort are available at your pharmacy.
Why do the
permanent teeth look so much "yellower" than the baby teeth?
Permanent teeth are normally "yellower" than primary teeth, but they
appear even more so because you are comparing them with the lighter
baby teeth still in the mouth.
My child
has a double row of front teeth. Why is this and what should be done
about it? This is not an uncommon occurrence. Sometimes the
permanent teeth begin to come in before the baby teeth are lost.
When this happens, unless the child can work the baby teeth out by
himself within a few weeks, the dentist may have to remove
them. Once the baby tooth is out, the tongue usually moves the
permanent tooth forward into its proper position, if space permits.
If this crowded condition should occur in the upper jaw, the baby
teeth should be removed immediately. Sometimes it is necessary for
the dentist to move the permanent tooth forward with an
orthodontic appliance.
Is it all
right for my child to remove her own baby teeth when they become
loose? Perfectly all right. As the tooth loosens, it is
natural for a child to assist the process, which may take several
weeks.
What about
the big space between my eight-year-old's two upper front teeth?
Usually there is no need for concern. The space can be expected to
close in the next few years as the other front teeth erupt. If there
is a problem, your dentist will recognize it.
My child's
baby teeth had a lot of decay. Does this mean that the permanent
will be just as bad? Very probably, unless the cause can be
determined and proper preventive and corrective steps are taken.
What
causes nursing caries and baby bottle tooth decay?
Though dairy products are considered one of the four basic food
groups and an important part of the diet, in one specific situation
milk can be responsible for causing a type of rampant decay. This
decay process happens when a child goes to sleep while
breast-feeding and bottle-feeding. The milk is collected on the roof
of the mouth and tongue, and the upper front teeth are bathed in it.
During sleep, the flow of saliva is reduced and the natural
self-cleansing action of the mouth is diminished. The sugar content
of the stagnant collected milk is changed to acids, which cause
decalcification (softening) of the enamel, resulting in extensive
decay called "nursing caries".
Why should
the baby teeth be filled, since they will be lost anyway?
Even though these primary teeth are called "baby teeth,” some
of them must serve until the child is at least twelve years old,
sometimes longer. Neglect of the baby teeth can result in pain,
infection of the gums and jaws, impairment of general health, and
premature loss of teeth, which is a major cause of orthodontic
problems. Also, cavities tend to form in teeth that are next to
other teeth with unfilled cavities, because decay is really an
infection and will spread if left untreated. It is unwise to leave
active decay in the mouth. Decay on baby teeth can cause decay on
permanent teeth. Unfortunately, most children with untreated decay
on baby teeth will develop decay on permanent teeth.
When
should I start cleaning my baby's teeth?
You should start cleaning your baby’s teeth as soon as the teeth
come in, because harmful plaque begins to form as soon as teeth
erupt.
Should I
use an electric toothbrush on my child's teeth?
Some children, and some adults, seem to do a more effective job of
cleaning the teeth with the aid of an electric toothbrush. It is
often a matter of patient preference, and the novelty of the
electric toothbrush may even motivate your child to brush more
frequently. The dentist may suggest an electric toothbrush
for some children.
What
toothpaste is best for my child?
A fluoridated toothpaste that is recognized by the American Dental
Association, as being effective in reducing tooth decay should be
used. Equally as important as the toothpaste is the thoroughness
with which the plaque is removed by brushing and flossing. Children
aged three years and younger should not use a fluoridated
toothpaste; please select a non-fluoridated infant toothpaste.
Why is it
necessary to take my child to the dentist every six
months? The dentist will want to see your child
at regular and frequent intervals for several reasons. Regular
visits keep the child familiar with the dentist and his or
her staff and encourage a pleasant, confident attitude in the child
regarding this necessary, life long health practice. Also, as the
child develops and grows, the dentist will want to be
certain that tooth eruption and proper jaw development are
progressing normally or, if not, that corrective measures are
undertaken in time. Appropriate preventive measures such as regular
applications of fluoride on the tooth surfaces, placement of pit and
fissure sealants on newly erupted teeth, and reinforcement of good
daily health practices (brushing, flossing, and dietary advice) can
be continually encouraged by the dentist and his or her
staff when the child is a regular and frequent visitor to the dental
office. If decay or other dental defect has occurred, it will be
detected in the early stages when it is easier and less costly to
treat.
What
causes decay?
Decay is caused by dental plaque, a thin, sticky, colorless deposit
of bacteria that constantly forms on everyone's teeth. When sugar is
eaten, the bacteria in plaque produce acids that attack the tooth
enamel. After repeated acid attacks, the enamel breaks down and a
cavity (hole) is formed.
Why is
fluoride so important?
Fluoride has been shown to dramatically decrease a person's chances
of getting cavities by making teeth stronger. Fluoride in the
drinking water is the best and easiest way to get it. Most major
cities have fluoride in the drinking water system. In communities
where the water district does not fluoridate the water, fluoride
supplements should be given to your child until their twelve-year
molars are fully erupted (approximately age 12 years). Your dentist or pediatrician can help determine if your child
needs fluoride supplements or not.
Should I
worry about thumb or finger sucking?
Thumbsucking is perfectly normal for infants; most children stop by
age two. If your child does not stop thumbsucking, discourage it by
age four. Prolonged thumbsucking can create crowded, crooked teeth
and bite problems. Your dentist will be glad to suggest
ways to address a prolonged thumbsucking habit.
What is a
sealant?
A sealant is a clear or shaded plastic material that is applied to
the chewing surfaces of the back teeth (premolars and molars), where
decay occurs most often. This sealant acts as a barrier, protecting
the decay prone areas of the back teeth from plaque and acid.
|