Saturday, December 31, 2011

It's A Good Time To Add New Dental Hygiene Routine For Kids And Teens


A New Year is a great time to put in place a new dental hygiene routine with your kids and teens. 

The energy and comments of everyone around will help make the change seem natural and positive for your kids. Instead of one more unreasonable parent demand, your new habits can be a new years resolution that is actually easy to keep.

A great component to add to their dental hygiene routine is the "parent quality time" aspect we have discussed in some other articles.

For small children and toddlers you can add in hands on effects like hugs and helping them with the flossing. Throwing in the fun parts like a brushing song to mark the minimum 2 minutes mark or a bright smile story while they brush makes your attention fun and positive rather than stern parental.

For school age children you can still have a before and/or after hug to look forward too. Take the moments they are brushing to tell them something you like about them or that you liked about their day. This reinforces hygiene time as a time of positive strokes. Also good to add, is to say to them afterward, "Let me see your beautiful bright smile". So that again, you are not a stern parent making them do a chore but a caring parent admiring their happiness and appearance.

Teens especially can benefit from a re-vamping of their hygiene routine. Now that social interaction has become much more important in their lives, and often orthodontia and braces are on the horizon or exist, hygiene needs have changed too.

For breath, introducing teens to a tongue scrapper can be one of the biggest favors you can do for them -- and their social life. Good breath begins with controlling bacteria, and the tongue is a place bodies will use to rid itself of waste that can heavily contribute to bad breath.

Adding tongue scraping into their morning routine can make a big difference to the success of  your teens interactions with their peers and teachers during the day.

Especially, teens with braces and other devices need to be more aware of the importance of irrigation with water to the success of their hygiene. Since food particles and chemicals can get easily trapped, irrigating with water (even just swishing, though an electric water irrigation device is best)can make a huge difference in the ultimate state of their teeth after orthodontia. And, of course, will help keep  breath fresher.

I would still recommend asking to see their beautiful smile afterward. Even as they groan and complain and roll their eyes at that silly routine, on an underlying level it will give them the feeling of love and approval from you as parents, that can't be found anywhere else.

So Happy New Year ALL...
And happy new dental hygiene routines, too!


 
Karen Chu DMD

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Wednesday, December 21, 2011

Fun How To - Preparing Your Young Child For The Dentist Visit - Storytime!

Helping your younger children prepare for their dentist visit is easier and more fun than you might imagine!

Much of the fear and upset young children experience on those 1st appointments come from having no "frame of reference" for  the strange environment, strange people and even stranger actions happening to and around them.



There are several ways to help prepare our toddler and young child to go to the dentist. One of the most fun, though, is adding a personalized dentist adventure story to your nightly cuddle and quality time with your kids.

Above is a presentation to help give you some "how to" ideas to  make nightly storytime fun and pleasurable preparation time with your kids.

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Thursday, December 1, 2011

All About Baby Bottle Decay

 
How many anxious parents out there have despaired when noticing their young child's teeth turning black? 


Or, when many or all their teeth appear eaten up or broken down?

 Hang on, take heart. It is not as mysterious or impossible to deal with as it might seem.

Modern pediatric dentistry can and does come to the rescue for your baby.

What has been just been described is a classic example of nursing bottle caries, also referred to as baby bottle decay or Early childhood caries (cavities). And, there are ways to treat and to prevent the condition.
   
   So, What IS Baby Bottle Decay?

   Essential Factors

For decay to occur on any tooth - whether in children or adults - the following factors are essential:

        1) The tooth surface itself! So, the strength and hardness of the surface plays a major role.

    2) Bacteria. There are only a few types of bacteria that specifically cause decay -so if your saliva has more of those ,then ,well , its like you drew a bad hand in a game of cards - you're stuck with it - so you will have to just be extra careful and vigilant with your child about dental hygiene and good habits.             
     
    3) Food Substrates. If there are food particles (even too tiny to be seen by the naked eye such as those in formula and juices) left behind on the tooth surface  to rot - especially fermentable carbohydrates - then they will act like adding fuel to a fire. They consume the fuel and leave a gaping  hole in the tooth in the process. 
     
   Fementable Carbohydrates What??

 It is here that the bottle formula for children becomes the main culprit of baby bottle decay.

You see, any fermentable  carbohydrates - whether from milk or other sweetened formulations or from fruit juices or sodas - can be deadly for teeth. The former because bacteria act on them to produce acids and the latter because they are a direct source of  the acids themselves!

This acid then removes all the calcium and minerals from baby's tooth structure -- leaving it extremely softened  and vulnerable (in other words, decayed).

 What compounds the issue is a child being allowed to sleep with the bottle. This leaves the sugar just sitting on the teeth for a long time and causes extensive damage of the child's teeth. 

   Can Baby Bottle Decay Be Treated Effectively?

Luckily for children today, pediatric dentistry now offers effective treatment options for baby bottle decay.

Teeth can be filled, capped or extracted as need be. And there is a choice of appliances that children can wear comfortably  to maintain teeth positions until their permanent teeth are ready to come in.

These procedures can be very scary for and wearing on the tiny children who get this condition. Small children at best don;t like sitting for long periods and less having their mouths held in one spot. 

Modern pediatric dentistry has developed some tools to aid in  keeping them quiet and less uncomfortable - from papoose boards to to cocood and prevent injury due to squirming to modern anesthesia with less risks (though never risk free). 

Still, the BEST treatment is always prevention.

   How Can You Prevent It?

The best place to start can be derived from it's name -- simply put, stop feeding with a bottle! ;-) Smiles, If only, it truly was that easy!
  
   But what you CAN DO, jokes apart, is make sure to:
         
    a) Remove the bottle immediately after feeding
             
    b) Wipe/clean your baby's/child's mouth after Every feeding. ***more so after even one tooth has come in-  which is usually by 6-7 months. This tip applies to after drinking any juices, too.
           
    c ) Encourage healthy eating habits in the child one solid food eating starts - get them to chew well rather than be soft eaters.
               
    d) In some instances, substituting sugar with xylitol may be beneficial. * Be sure to get your specialists go ahead before doing this.
             
    e) Schedule regular dental appointments for your little one with a children's dentist - they are trained to look out and prevent such problems at an early stage.

Remember that, started early, your child grows up thinking of  dental appointments as a routine, necessary , and not unpleasant experience rather than something to be terrified about.

If you delay until the signs of baby bottle decay are already present, the unpleasantness of treatment could affect not only your wallet but your kids lifelong attitudes about dental care - something that has a large impact on over all health.

So let's use these tips to understand, prevent and stamp out baby bottle decay before it can take root in our kids teeth.

Karen Chu DMD
  

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