Although adults are more prone to dental disease, children aren't immune from one particular infection, tooth decay. Some children, in fact, are at higher risk for an aggressive form called early childhood caries (ECC).
There are a number of things you can do to help your child avoid this destructive disease, especially daily brushing and flossing to remove bacterial dental plaque, the underlying cause for tooth decay. It's also important for your child to see a dentist regularly for professional dental cleanings and checkups.
But some of their teeth, particularly the back molars, may need some extra attention to fully protect them against decay. This is because larger teeth like molars have numerous pits and crevices along their biting surfaces that can accumulate dental plaque difficult to remove by brushing alone. The added plaque increases the presence of bacteria around the tooth, which increases the risk of decay.
To minimize this possibility, dentists can apply a dental sealant to "smooth out" those pits and crevices in the molars and make it more difficult for plaque to accumulate. This is a quick and painless procedure in which a dentist brushes a liquid plastic resin or similar material onto the teeth's biting surfaces. They then apply a curing light to harden it into a durable coating.
About one-third of children—mostly those considered at higher risk for tooth decay—have undergone sealant treatment. But the American Dental Association and the American Academy of Pediatric Dentistry recommend this preventive measure for all children between ages 5 and 7, and then later between 11 and 14 when additional molars come in. Although there is a moderate cost per tooth for sealant application, it's much less than the potential expense of treating an infected tooth.
Combined with daily oral hygiene and other preventive measures, sealants can reduce the chances of damaging tooth decay. Keeping your child's teeth healthy is an important part in maintaining their dental health today—and tomorrow.
Madeline Stuart, acclaimed fashion model; Chris Burke, successful actor; Collette Divitto, founder of Collettey's Cookies. Each of them is accomplished in their own right—and each has Down syndrome. In October, Down Syndrome Awareness Month recognizes the achievements of people with Down syndrome overcoming incredible challenges. One such challenge, keeping their dental health on track, is something they and their families face every day.
Down syndrome, also known as trisomy 21, is a genetic disorder that happens when the body's cells contain an extra copy of chromosome number 21. This can cause a wide range of physical, intellectual and developmental impairments that, among other things, can contribute to dental disease and other oral health concerns.
But oral problems can be minimized, especially during childhood. Here are four ways to better manage dental care for a child with Down syndrome.
Begin dental visits early. Down syndrome patients can have physical challenges that could result in delayed tooth eruption, undersized teeth or smaller jaws that contribute to poor bite development and greater risk of tooth decay and periodontal (gum) disease. To stay ahead of any developing issues, you should begin regular visits to the dentist no later than the child's first birthday.
Be aware of dental anxiety. Some children with Down syndrome experience significant anxiety about the clinical aspects of their care. We strive to provide a comfortable, caring environment for all patients, including those with special needs. A variety of relaxation techniques as well as sedation options may help to reduce anxiety.
Coordinate medical and dental care. Medical problems can affect dental care. Be sure, then, to keep us informed about your child's health issues. For example, heart defects are more common among those with Down syndrome, and dental patients with heart conditions may need to be treated with antibiotics before certain dental procedures to minimize the chances of infection.
Make daily hygiene easier. Daily brushing and flossing are important for everyone's dental health, but they can be difficult for someone with Down syndrome. In some cases, you may have to assist or even perform these tasks for your child. You can make oral hygiene easier by choosing toothbrushes that fit your child's level of physical ability or using special flossing devices.
The physical disabilities of those with Down syndrome fall along a wide spectrum, with some individuals needing more help than others. Tailoring their dental care to their specific needs and capabilities can help keep your child's teeth and gums healthy for the long term.
If you would like more information about providing dental care for children with disabilities, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Managing Tooth Decay in Children With Chronic Diseases” and “Dentistry & Oral Health for Children.”
A child's formative years have an immense impact on their physical, mental and emotional well-being. As a parent you want them to have every advantage possible.
That should include a healthy mouth — actions you take now could determine the long-term soundness of their teeth and gums. Here are 5 things you can do to ensure your child's present and future oral health.
Begin oral hygiene habits early. By early, we mean even before their first teeth appear. Wipe their gums after every feeding with a water-soaked cloth or gauze pad; when teeth appear switch to brushing with just a smear of toothpaste on the end of the brush.
Start dental visits around their first birthday. Early dental visits increase the chances of detecting and treating developing problems before they become worse. And starting may also help your child become comfortable with visiting the dentist — waiting until later increases the chances of anxiety and an aversion to dental visits that might carry over into adulthood.
Adopt dental-friendly home and lifestyle habits.Â Don't allow your child to sleep with a pacifier or bottle filled with sugary fluids, including breast milk or formula: fill them with water instead. Limit their sugar consumption to small amounts and only at meal times. And be sure to “childproof” your home against hazards, especially sharp-edged furniture that could damage teeth if they make hard contact with it.
Teach them to care for their own teeth. Although you'll need to brush their teeth for them in the beginning, be sure you eventually teach them to perform this vital habit for themselves. To ease the transition try modeling the behavior or make it into an activity you can do together.
Partner with your family dentist. Your dental office can do more than prevent or treat dental disease — they're an important resource in helping you manage your child's dental needs at home. They can coach you on brushing and flossing techniques, and provide information to set your mind at ease about concerns like teething or thumb sucking.
If you would like more information on complete oral care 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 articles “Dentistry & Oral Health for Children” and “Top 10 Oral Health Tips for Children.”
Infancy is perhaps the only time in a person's life where a smile with just a few tiny teeth is still endearing. More will come—and then each will gradually depart, succeeded by permanent replacements.
That short lifespan, though, doesn't diminish their importance. Primary teeth not only provide children the ability to eat solid food and develop speech, but they set the stage for future dental health.
The latter arises from primary teeth's role as placeholders for incoming permanent teeth. Because permanent teeth eruption occurs in stages, primary teeth prevent earlier erupted teeth from drifting into the space intended for a later tooth. If they're lost prematurely and other teeth crowd into the space, the intended tooth may not have enough room to erupt properly, cascading from there into a poor bite (malocclusion).
The most common reason for premature loss is an aggressive form of tooth decay in children under 6 called early childhood caries (ECC). About one in four U.S. children encounter ECC, with those in poverty at higher risk. Infection in one tooth can spread to others, including newly erupted permanent teeth.
The goal then is to prevent ECC as much as possible, and initiate prompt treatment should it still occur. A good prevention strategy has two prongs: the actions and habits of parents or caregivers; and the prevention and treatment measures taken by dental providers.
At home, it's important that you wipe your newborn's gums with a clean, damp cloth after each feeding to reduce bacterial growth. As teeth erupt, switch then to gentle brushing with a rice grain-sized amount of baby toothpaste. You should also limit their sugar consumption, including not allowing them to sleep with a bedtime bottle of any liquid other than water.
It's also important that you start your child's regular dental visits around their first birthday. This allows us to detect any developing cavities, as well as apply sealants and topical fluoride to help prevent decay. And should a cavity develop, regular visits help ensure prompt treatment to preserve the tooth.
Your child's set of primary teeth only last a few short years, but their contribution echoes for a lifetime. Taking these measures to protect them from tooth decay ensures they'll fully make that contribution.
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 “Do Babies Get Tooth Decay?”
Your child could hit a speed bump on their road to dental maturity—tooth decay. In fact, children are susceptible to an aggressive form of decay known as Early Childhood Caries (ECC) that can lead to tooth loss and possible bite issues for other teeth.
But dentists have a few weapons in their arsenal for helping children avoid tooth decay. One of these used for many years now is the application of sealants to the biting surfaces of both primary and permanent teeth. Now, two major research studies have produced evidence that sealant applications help reduce children's tooth decay.
Applying sealant is a quick and painless procedure that doesn't require drilling or anesthesia. A dentist brushes the sealant in liquid form to the nooks and crannies of a tooth's biting surfaces, which tend to accumulate decay-causing bacterial plaque. They then use a curing light to harden the sealant.
The studies previously mentioned that involved thousands of patients over a number of years, found that pediatric patients without dental sealants were more than three times likely to get cavities compared to those who had sealants applied to their teeth. The studies also found the beneficial effect of a sealant could last four years or more after its application.
The American Dental Association and the American Academy of Pediatric Dentistry recommend sealants for children, especially those at high risk for decay. It's common practice now for children to first get sealants when their first permanent molars erupt (teeth that are highly susceptible to decay), usually between the ages of 5 and 7, and then later as additional molars come in.
There is a modest cost for sealant applications, but far less than the potential costs for decay treatment and later bite issues. Having your child undergo sealant treatment is a worthwhile investment: It could prevent decay and tooth loss in the near-term, and also help your child avoid more extensive dental problems in the future.
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