DentalCareisDifficultbutnotImpossibleforaSpecialNeedsChild

A child with a chronic illness or condition often requires a lot of focus on care for their special needs. Other aspects of their health can often take a back seat — too often including dental care.

Proper dental care can be a challenge for special needs children if they have diminished physical, intellectual or behavioral capacities. Children with autism or attention deficit disorders may not be able or willing to perform tasks like brushing and flossing. Other conditions could make them intolerant to toothpaste in the mouth, or create an inability to keep their mouths open or to spit.

Some chronic conditions also seem predisposed to dental defects. For example, enamel hypoplasia, a lack of sufficient tooth enamel, is common with Down, Treacher-Collins or Turner Syndromes, and can greatly increase the risk of tooth decay.

But even though difficult, effective dental care isn't impossible. It begins with your dental provider.

Pediatric dentists are often excellent in this regard: they often have the training and experience to treat children with chronic conditions. Whoever you choose must be able to partner with you in caring for your child's dental needs.

Daily hygiene is also a critical factor. Your goal should be the same as with any child — to teach them to brush and floss for themselves. Depending on their condition, however, you may need to assist them for a longer term, perhaps permanently. But it is imperative — daily hygiene is their best defense against oral diseases.

You should also consider their medication and how it may impact their dental health. Antidepressants, antihistamines or drugs that assist with breathing function can cause mouth dryness. This, as well as drugs with sugar or acid compounds, can increase risk for dental disease. If they must take these types of medications, try to give them at mealtime to reduce their effect in the mouth.

Above all, pursue the same professional dental care as you would for any other child. Keep up regular dental visits beginning around their first birthday for cleanings and preventive measures like topical fluoride or sealants. By taking these measures you'll help ensure their dental health won't suffer.

If you would like more information on dental care for special needs 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 “Managing Tooth Decay in Children with Chronic Diseases.”

By Children's Dental Care
December 11, 2017
Category: None
Tags: Untagged

Food AllergyEspecially during the younger years, adequate food and nutrition is vital for a child’s growth and development. But for some children, a snack or meal as simple as a peanut butter sandwich or a cup of milk can cause serious health problems. So, what’s a parent to do when they suspect their child is allergic to a certain food?

A food allergy is the abnormal response of the immune system to a food. It’s possible to be allergic to any food, but these particular foods are responsible for the majority of allergies: milk, eggs, wheat, soy, tree nuts, fish, shellfish, and peanuts. Food allergies should not be confused with food intolerance, or food sensitivity, which is more common and less severe.

Symptoms of an allergic reaction typically occur within just moments to an hour after the child ingests a food. They can range from uncomfortable to life-threatening, so it’s important for parents to understand what to do if they suspect their child is having an allergic reaction to food. Symptoms will vary for each child, but the most common telltale signs include:

  • Vomiting
  • Diarrhea
  • Hives
  • Eczema
  • Trouble breathing
  • Itching or swelling of the lips, tongue, mouth or throat
  • Sneezing
  • Wheezing
  • Light-headedness or loss of consciousness

Food allergy symptoms often resemble other medical conditions, so always contact your pediatrician for a proper diagnosis. If you suspect your child has a food allergy, remove that particular food from your child’s diet immediately. If the allergic reaction is severe, seek medical care right away.

The good news is that food allergies are often outgrown during early childhood. Your pediatrician or allergist can perform tests to pinpoint and track your child's food allergies They can also work with you to modify and manage your child’s diet to ensure they are receiving adequate nutrition for growth and development without putting them at risk for additional allergic reactions.

By Children's Dental Care
January 13, 2015
Category: Oral Health
Tags: oral hygiene  
WordQuizonOralHygiene

Yes, you brush your teeth every day. But how much do you really know about this important habit? Test your knowledge with our quiz on dental vocabulary.

Choose the correct meaning for:

  1. Oral Hygiene
    1. Clean language
    2. The practice of keeping your teeth and gums clean
    3. A shade of lipstick
    4. A type of dental surgery
  2. Biofilm
    1. A movie about a person’s life, such as “Ray Charles”
    2. A new kind of cling wrap
    3. An accumulation of bacteria that forms a whitish, sticky film
    4. A tooth whitener
  3. Dental plaque
    1. A type of instrument used to clean teeth
    2. Bacteria that accumulate on teeth and gums
    3. An award given at the Dental Oscar ceremony
    4. Your dentist’s framed diploma
  4. Inflammation
    1. The body’s response to harmful bacteria
    2. A condition in which your gums become red and swollen and bleed easily
    3. A cause of gingivitis
    4. All of the above
  5. Periodontal disease
    1. Any disease caused by bacteria
    2. Tooth decay
    3. Whitish sores on the lips
    4. Gum disease caused by dental plaque
  6. Disclosants
    1. Simple dyes that can stain plaque and make it visible
    2. Television reality shows
    3. Dental x-rays
    4. A section of your annual tax report
  7. Gingivitis
    1. Any infection in the oral area
    2. Tooth decay
    3. Inflammation of the gums that can lead to periodontal disease
    4. All of the above
  8. Dental caries
    1. Gum disease
    2. A task carried out during your teeth cleaning
    3. A technique of orthodontia
    4. Tooth decay
  9. Fluoride
    1. A mineral that has been found to prevent tooth decay
    2. The location of a famous dental school
    3. A gasoline additive
    4. A type of house paint
  10. Inter-dental Area
    1. Referring to the area between your teeth
    2. The area regular proper flossing will keep clean
    3. Area that wood points and specially designed brushes can be used to clean
    4. All of the above

Answers: 1. b, 2. c, 3. b, 4. d, 5. d, 6. a, 7. c, 8. d, 9. a, 10. d

How did you do on our quiz? The more you know about keeping your teeth and gums clean and healthy, the better you will look and feel. Contact us today to schedule an appointment or to discuss your questions about oral hygiene. You can also learn more by reading the Dear Doctor article, “Oral Hygiene Behavior.”

By Children's Dental Care
December 29, 2014
Category: Oral Health
CatCoras6WaystoKeepKidsOffJunkFood

Junk food and between-meal sweets are a habit for many of us, even though we know it is bad for our bodies and our teeth. As adults, we are responsible for our own choices. As parents, we are also responsible for our children's choices, and for teaching them to choose wisely.

Celebrity Chef Cat Cora offers the following six suggestions for leading children to a healthy lifestyle. Cora is a star of Iron Chef America and author of Cat Cora's Classics with a Twist: Fresh Takes on Favorite Dishes, in which she reveals healthier versions of classic recipes. In her remakes she shows how to cook with a lot of flavor while reducing fat and sugar. Cora has four young sons, so her methods are not just theories — they have been practiced in real life.

1. Remember who's the boss.

“My kids have never had fast food,” Cora said in a recent interview with Dear Doctor magazine. “The parents have a choice to do that or not,” she said. “The kids are not going to the grocery store to shop; the kids are not driving themselves through fast food chains.”

2. Make your rules clear and stick to them.

“Right now my 7-year-old tries to be picky, but it's really about us being consistent as parents,” Cat said. For example, in her household pizza is served only at the weekly pizza and movie night. The kids get a healthier version of what they want, so they don't feel deprived. The evening includes air-popped popcorn without butter — and no soda, which is bad for teeth because of its sugar and other chemical ingredients.

3. Offer your children a variety of foods and tastes.

Cora made sure her children tried different foods and spices from infancy, so they are open to trying new things. It's easier to get all the nutrition you need if you eat a wide variety of foods.

4. Learn to make tasty substitutions for sugar.

When her children were babies, Cora stopped relying on bottles and sippy cups as soon as possible, reducing her children's likelihood of developing tooth decay due to sugary residues remaining in their mouths. Now that they are older, she uses tasty substitutes for sugar such as fruit purees and the natural sugar substitute Stevia.

5. Include the children in meal planning.

Kids are more likely to eat a meal they are involved in planning and cooking. For example, ask them which vegetable they would like to have (not whether they want to have a vegetable).

6. Model healthy behavior for your kids.

Parents are the best role models. This is true not only for food choices, but also for exercise and maintaining a healthy lifestyle.

Contact us today to schedule an appointment to discuss your questions about oral health. You can also learn more by reading the Dear Doctor magazine article “Cat Cora.”

DeterminingtheRightWhiteningApproachisKeytoBrighteningaDullSmile

Bright, naturally white teeth are a key component in a beautiful smile. But the opposite is also true: nothing diminishes an otherwise attractive smile more than stained or discolored teeth.

There is good news, however, about tooth staining: it can be greatly reduced with the right whitening technique. But before taking action we need to first uncover the cause for the staining — whether from the outside or inside of the tooth, or a combination of both.

If it’s an external cause — known as extrinsic staining — our diet is usually the source. Foods and beverages that contain tannins, like red wine, coffee or tea fall in this category, as do foods with pigments called carotenes as found in carrots and oranges. Besides limiting consumption of stain-causing foods and maintaining daily oral hygiene, you can also diminish extrinsic staining with a bleaching application.

There are two basic ways to approach this: with either a professional application at our office or with a home kit purchased at a pharmacy or retail store. Although both types use similar chemicals, the professional application is usually stronger and the whitening effect is obtained quicker and may last longer.

Discoloration can also occur within a tooth, known as intrinsic staining, and for various reasons. It can occur during tooth development, as with childhood overexposure to fluoride or from the antibiotic tetracycline. Poor development of enamel or dentin (the main sources of natural tooth color), tooth decay, root canal treatments or trauma are also common causes of intrinsic discoloration.

There are techniques to reduce the effects of intrinsic staining, such as placing a bleaching agent inside the tooth following a root canal treatment. In some cases, the best approach may be to restore the tooth with a crown or porcelain veneer. The latter choice is a thin layer of dental material that is permanently bonded to the outer, visible portion of the tooth: it’s life-like color and appearance covers the discoloration, effectively renewing the person’s smile.

If you’ve been embarrassed by stained teeth, visit us for a complete examination. We’ll recommend the right course of action to turn your dull smile into a bright, attractive one.

If you would like more information on treatments for teeth staining, 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 “Teeth Whitening.”





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