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Kids are active, and with lots of activity comes the potential for mishaps. Before an emergency occurs, you’d be smart to stay informed about the problems your child may encounter.

Here are a few things you should keep in mind about teething pain, loose baby teeth, and other common dental issues.

Teething Pain

Discomfort while teething is common for babies from the time they are four months until they are about two and a half. Teething can cause drooling, tender gums, and irritability. To help relieve your child’s discomfort, gently rub his or her gums with wet gauze or offer a cold teething ring.

Loose Baby Tooth

It is normal for a child’s first set of teeth to become loose and fall out. If a tooth is knocked out by a forceful blow, however, you should make an appointment with our office to determine whether any damage may have occurred. You should also book an appointment if the baby tooth that’s on its way out develops a crack but doesn’t fully fall out.

Issues with Permanent Teeth

Sometimes, permanent teeth can come in before the baby teeth have fallen out. In this event, schedule an appointment with us even if your child does not report discomfort or pain. Our team will need to determine if the permanent teeth are coming in correctly to avoid problems later on.

Bleeding Gums

Bleeding gums can have multiple causes: periodontal disease, rough brushing, or an injury to the gum tissue. If your child experiences heavy bleeding, it’s vital to call our office immediately. Wash the youngster’s mouth with warm salt water and put gentle pressure on the area to soothe it before your appointment.

Our team is always here to address any concerns you may have regarding your child’s dental health!

Our team hears this question a lot. While many people believe periodontal disease is an adult problem, studies have indicated that periodontal disease, also known as gum disease, as well as other serious infections such as gingivitis and periodontitis, are prevalent among kids and adolescents. First, let’s identify the differences between gingivitis, periodontitis, and periodontal disease.

Gingivitis

Gingivitis is a type of periodontal disease in which only your child’s gums are affected. Characterized by swollen and red gums that bleed easily, gingivitis causes an inflammation of the gums, and is the first stage and mildest form of periodontal disease. The good news is that gingivitis is often reversible. Treatment for gingivitis includes having your child come in for a professional teeth cleaning. It also includes daily brushing, which will help eliminate plaque from the surfaces of your child’s teeth. Your child should also get in the habit of flossing daily to remove plaque and food particles wedged in the crevices between his or her teeth.

Periodontitis

If left untreated, gingivitis can progress to periodontitis, the advanced stage of gum disease that can not only damage your child’s gum tissue, but also destroy the underlying bone which supports the teeth. Eventually, teeth can become loose and may have to be removed. In some cases, the bacteria from the ensuing infection may also be distributed to other areas of the body via the bloodstream.

Periodontal Disease

Periodontal disease is a chronic bacterial infection of the gums, periodontal ligament, and bone that surround and support your child’s teeth. Periodontal disease causes gums to become red, swollen, and tender, and can even cause the gums to recede (pull away) from the teeth. If left untreated, periodontal disease can lead to tooth loss.

Having persistent at-home oral care regimen is a critical step in your child’s fight against periodontal disease. But sometimes brushing and flossing are simply not enough. Having your child’s teeth cleaned twice a year, or as recommended, is crucial.

Early diagnosis of gingivitis, periodontitis, and periodontal disease can give you and your child peace of mind. If you are concerned your child is suffering from gum disease, we recommend that you give us a call. We look forward to working with you and giving your child a smile to last a lifetime!

Around two years old, your child may be ready to start brushing on their own. The transition is not always easy, but with these tips, your toddler will be brushing on their own in no time! 

• Show them how it’s done. Before handing over full responsibility, encourage your child to watch in the mirror as you brush their teeth. Briefly explain what you are doing to keep their attention. 

• Practice makes perfect! It can be helpful for your little one to practice brushing your teeth first. Not interested? Don’t be afraid to hold their hand and brush together the first couple of times.

• Still not sure their teeth are getting completely clean? Offer to take turns brushing. Maybe they brush on their own in the morning and you brush for them at night. Give your child the ability to be autonomous while still getting a refresher each night of what brushing should look like.

• Lead by example. Make brushing together a part of your morning and night routines. If they see you brushing, they will likely want to prove that they too are grown up and can brush their teeth.

• Finally, make brushing fun! Oral hygiene should never be treated as a chore or a punishment. Have fun with it by playing music for two minutes instead of using a timer,  create a reward system for when your child brushes twice a day for a certain amount of time, or bring them shopping for a new toothbrush and toothpaste to make brushing more special.

With these tips, your toddler will be brushing on their own in no time. By instilling good oral hygiene habits now, you are ensuring a happier and healthier smile in their future.

School’s out and you’ve emptied your gym locker until next fall. But while you’re stowing away the football gear, the basketball warm-ups, the field hockey sticks, and all the other equipment you’ve collected over the school year (that’s where that other shoe went!), be sure to keep one item handy: your mouthguard.

Team and contact sports like football, basketball, and wrestling aren’t the only potential dental dangers. In fact, almost any sport or activity can be made safer when you use your mouthguard.  While you’re keeping active and fit in the summer months, remember to look out for your smile.

• Sports on wheels

Biking, skateboarding, rollerblading—it only takes one fall to make you realize that roads, sidewalks, and concrete are not ideal landing pads. If you do take a spill, using a mouthguard, along with your helmet, will help protect your teeth and jaw.

• Court sports

Handball and tennis are not what we consider contact sports, but an unexpected bounce from a ball, or a completely unexpected backhand from your partner, can lead to dental injuries. Ace your workout and wear a mouthguard.

• Water sports

A fall in the water can lead to a collision with your surfboard or water skis, and water polo often seems to be a game of stamina, accuracy and elbows. Wear your mouthguard on land and sea, and help reduce your chance of dental injury.

• Team sports

Anyone who has played summer league baseball, softball or soccer knows that occasional contact with other players is pretty much a given. Cushioning your head, mouth, and teeth with a mouthguard will not only protect you, but keep you in the game—and your teammates will appreciate that!

If you already use a mouthguard, keep up the good work! If you don’t, talk to us about the importance of protecting your smile with a mouthguard. There are ready-made options available at drug stores and sporting goods shops. These will provide protection to your mouth and teeth, but can sometimes be bulky and uncomfortable and should never be used with braces. If you would like a mouth protector that provides the best fit and comfort, or if you wear braces, we can customize a mouthguard in our office that will be a perfect fit for your teeth and bite.

Whatever activity you choose, play it smart! Don’t gear up without your mouthguard, and you’ll greet next year’s classes energized, fit, and sporting a beautiful smile!

Your darling three-month old is crying and fussy—can she be teething already? Or, your happy baby boy has just celebrated his first birthday—with only one tooth in that beautiful, gummy smile. Is this normal? Probably! While baby teeth do typically erupt (come in) in the same order for all babies, and around the same time, there is still a lot of flexibility in the time it takes for a full, healthy smile to develop.

Baby teeth actually form before your baby is born, and those 20 teeth are there under the gums waiting to come out and shine. And even though there are no firm and fast dates for each of these primary teeth to erupt, it’s helpful to have a general overview of typical teething patterns so you know what to look forward to.

Incisors

These little teeth create a charming baby smile, and, if your finger has been in the wrong place at the wrong time, a very sharp one as well! That is because these tiny incisors are made to bite into foods. You might notice this when you introduce solid foods, even if the majority of your child’s “chewing” is done with her back gums. These teeth are the earliest to arrive.

• Six to ten months old: The lower central incisors (bottom front teeth) are often the first to come in.

• Eight to 12 months old: The upper incisors (8-12 months) are the next to show.

• Nine to 13 months old: The upper lateral incisors on each side of the front teeth arrive.

• Ten to 16 months old: The lower lateral incisors appear.

First Molars

Because these are larger teeth, babies often experience another bout of teething pain at this time. The large flat surface of each molar helps your child to chew and grind food, so he can handle a wider variety of foods and develop his chewing skills.

• 13 to 19 months old: You can generally expect to see the upper first molars arrive.

• 14 to 18 months old: The lower first molars appear.

Canines (Cuspids)

Fitting between the first molars and the incisors, the strong, pointed shape of the canine teeth allows your child to grip food and break it apart more easily.

• 16 to 22 months old: The upper two canines make their way into the space between the incisors and the first molars.

• 17 to 23 months old: The two lower canines appear.

Second Molars

By the age of three, most children have a full set of baby teeth.

• 23 to 31 months old: The second pair of bottom molars start erupting—you are in the home stretch!

• 25 to 33 months old: The upper second molars come in—completing that beautiful set of 20 teeth!

Baby teeth are extremely important, as our will tell you when you visit our office. They help your child eat and chew, develop face and jaw muscles, assist proper speech formation, and provide space for the adult teeth to come in properly. Now that your child’s smile is complete, keep providing him with the same care and attention you have been giving those little teeth since the arrival of the very first incisor.

It seems that so much of new parenthood is scheduling—when to feed her, when to put her to bed, how many hours between naps. But we soon find out that every baby is not on the same schedule, and the same is true for the arrival of their teeth. We should see your baby when that first tooth comes in, or by his or her first birthday. And if you ever have concerns at any time about your child’s teething schedule or teething delays, always feel free to give us a call.

Today, our team thought we would answer some of the most frequent questions about pediatric dentistry and oral health we hear from parents.

What constitutes a “healthy, balanced diet” for my child?

A healthy, balanced diet contains all the nutrients your child needs to grow, including one serving each of fruits and vegetables, breads and cereals, milk and dairy products, and meat, fish and eggs per day. Make sure your child limits snacking in between meals and limits how frequently they consume food or beverages that contain sugar, which is known to cause tooth decay. Besides pastries, cookies, and candy, sugars are usually found in processed foods such as crackers, cereals, and soda, as well as in condiments like ketchup.

Should my kid give up all foods that contain sugar?

Absolutely not, we simply recommend choosing and serving sugars sparingly. A food with sugar is safer for teeth if it is eaten with a meal, not as a snack. When your child chews during his or her meal, the saliva produced helps neutralize the acids that are found in sugary and starchy foods. Foods that are not easily washed away from your child’s teeth by saliva, water, or milk have more cavity-causing potential.

What causes cavities?

Many types of bacteria live in our mouths—some good, some bad. When these bacteria come into contact with sugary foods left behind on your child’s teeth after eating, acids are produced. These acids then attack the enamel, and eventually eat through the enamel and create holes in the teeth, which our team call cavities, or caries.

How can I help my child avoid cavities?

This is a great question that we hear a lot. Make sure that your child brushes his teeth twice a day with fluoride toothpaste. Flossing daily is also important, as flossing can reach spots between the teeth that brushing simply can’t. And finally, we encourage you to schedule regular appointments with us so that we can check the state of your child’s teeth and gums, as well as provide a professional cleaning to protect him or her from cavities and gum disease.

What is the best way to clean my baby’s teeth?

We recommend you clean your baby’s gums after feedings with a damp, soft washcloth. This is even before your baby’s first tooth appears. As soon as his or her first tooth does appear, you may begin using a toothbrush with soft bristles and a small head. You can most likely find a toothbrush designed for infants at your local drugstore or ask us for one during your next visit.

What should I do if my child has a toothache?

First, we recommend rinsing the irritated area with warm salt water and placing a cold compress on his or her face if it is swollen. If you have any at home, give your child acetaminophen for any pain, rather than placing aspirin on the affected teeth or gums. Finally, give us a call as soon as possible to schedule an appointment.

We hope that helps! Please give us a call if you have any questions or ask us next time you visit our office for your child’s appointment! If you have any other questions, or would like to schedule an appointment, we would love to hear from you.

One of the most important tools in your child’s mouth-health arsenal is their toothbrush. Often overlooked and under considered, it is vital that you take the time to buy the right toothbrush for your child. Below are some smart shopping guidelines to consider when buying your child’s next toothbrush.

Bristles

Bristles come in all shapes and sizes, but did you know that most dentists think that soft, rounded bristles make the best toothbrushes? This is because soft bristles effectively clean teeth without damaging sensitive gums. Hard rubber bristle liners (called burs) can cut your gums and do not provide any extra cleaning power. Additionally, the rounded shape is easy on sensitive teeth and gums while sharper shaped tooth brushes can easily fray as well as harm sensitive gums. So when you’re looking for a new toothbrush, look for soft, rounded bristles.

Size

The toothbrush head should be sized to comfortably fit in your child’s mouth and small enough to clean all of the spots that are tough to reach. The toothbrush head should fit comfortably between their back molars and their cheek. When purchasing their toothbrush, take your child with you so that you can accurately size their new toothbrush. Try to choose a toothbrush that is specifically designed for kids, or your child’s age bracket.

Handle

There are straight handles, curved handles, angled handles and even handles that vibrate, but the most effective handle isn’t based upon shape, but comfort. When choosing your child’s new toothbrush, you need to make sure that the handle is large enough and comfortable enough for them to hold and brush for two minutes. If the handle is the wrong size, it may not be easy enough for them to grasp and effectively brush their teeth. Look for toothbrushes with a rubber grip so that it is easier for your child to grasp.

When to Exchange It

Toothbrushes face a couple of different problems that can cut their lifespan short. First, general use wears down bristles and impedes their effectiveness over time. Worn down bristles begin to lose their shape and become obviously frayed. You should exchange your child’s toothbrush when the head begins to lose its shape and the bristles become frayed, usually around three months of use.

When your child gets sick, it’s time to get a new toothbrush. Bacteria can buildup on the handle and bristles of their toothbrush and can extend their sickness or reignite it at a later date. If your child has a cold or the flu, immediately buy a new toothbrush once they are no longer sick.

A good rule of thumb is to buy a new toothbrush every three months.

Ask Us!

All of the above criteria applies to adult toothbrushes in addition to those used by children. If you are unsure of the exact toothbrush your child should use, then consult our office! We will be able to help you choose the best toothbrush for your child, and we can suggest a specific model most of the time. Visit our office today to discuss the tools your children use to attain better oral health.

Gummy vitamins have become very popular in the last several years and even adults now have the option of getting essential vitamins and nutrients through a tasty gummy treat. But while this can be a great way to get children to take their vitamins, gummy vitamins can harm your teeth. Yes, they are enhanced with vitamins, but also often contain ingredients that can be found in traditional candy, such as glucose syrup (sugar). Even sugar free gummies can also contain sticky gelatin and enamel eating citric acid.

Deciding whether or not to use gummy vitamins may come down to what you or your children are most likely to actually use as well as what your own dietary requirements. If it’s difficult to encourage children to take a regular vitamin, or if you don’t like the taste yourself, then considering a gummy vitamin might not be all bad. Simply make sure that teeth are brushed shortly after taking them so that these “almost candies” don’t sit on your teeth for long periods of time.

The first line of protection for your child’s teeth is the enamel, which is the white, visible part of the tooth. It’s also hardest substance in the human body, and yet it takes a lot of abuse. Enamel can crack, chip and wear away. What steps can you take to protect your child’s enamel?

Use a soft toothbrush. While we may be tempted to use a toothbrush with hard bristles, thinking that a stiff bristle will be better and cleaning teeth, the best choice is one that provides more gentle care. Additionally, children often use more force than needed when brushing their teeth. This can be damaging to sensitive gum tissue and only serves to wear down precious enamel.

Limit starchy foods. While we all understand that certain starchy foods like potato chips and french fries aren’t always the healthiest choices, we don’t often associate these foods as being bad for teeth. Interestingly, starch turns to sugar so quickly that it raises blood glucose levels even faster than table sugar. The sugar produced by starchy foods feeds bacteria that act as microscopic jack-hammers on your child’s enamel.

Don’t forget the cheese. Cheese truly is a dental powerhouse. Dairy neutralizes acid, contains calcium and a protein called casein which acts as an enamel protector. Cheese is a great choice for an afterschool snack.

Drink water after meals. Drinking water shortly after eating is an excellent way to quickly wash away some of the food that lingers on and between the teeth. Even having children simply rinse their mouths with water after meals has been shown to be an effective way to protect enamel.

Avoid “whitening” toothpastes. Toothpaste made specifically for children if often the best choice when deciding what they should brush with. Not only are flavors often more kid friendly, but they generally don’t carry the harsh abrasives that many whitening toothpastes have. These abrasives can act line sandpaper by wearing down the enamel on young teeth. Remember, any toothpaste you choose should always carry the ADA’s seal of approval.