Posts for tag: pediatric dentistry
For most people, raising kids is an expensive proposition. (A recent estimate by the U.S. Department of Agriculture puts the average tab at almost a quarter of a million dollars before they turn 18.) But if you’ve been keeping up with parenting news lately, you may have come across an even more jaw-dropping fact: According to a survey by the Sunstar group, a maker of oral hygiene products, when the tooth fairy makes a pickup in New York City, she (or her parental surrogate) leaves an average of $13.25 per tooth!
That compares to $9.69 per tooth in Los Angeles, $5.85 in Chicago and $5.02 in Boston — and it’s a far higher rate than most other polls have shown. But it brings up a good question: What's a baby tooth really worth? Ask a dentist, and you may get an answer that surprises you: A lot more than that!
A child’s primary (baby) teeth usually begin coming in around the age of 6 to 9 months, and start making their exits about the time a child reaches six years; by the age of 10 – 13, they’re usually all gone. But even though they will not last forever, baby teeth are far from disposable — and they deserve the same conscientious care as adult teeth. Here’s why:
Primary teeth play the same important roles in kids’ mouths as permanent teeth do in the mouths of adults: they allow kids to bite and chew effectively, speak normally and smile brightly. Their proper functioning allows children to get good nutrition and develop positive social interactions as they grow toward adolescence — and those are things it’s difficult to put a price tag on.
But that’s not all baby teeth are good for. Each one of those little pearly-whites serves as a guide for the permanent tooth that will succeed it: It holds a space open in the jaw and doesn’t let go until the grown-up tooth is ready to erupt (emerge) from beneath the gums. If primary teeth are lost too soon, due to disease, decay or accidents, bite problems (malocclusions) can develop.
A malocclusion (“mal” – bad; “occlusion” – bite) can result when permanent teeth don’t erupt in their proper locations. “Crowding” is a common type of malocclusion that can occur when baby teeth have been lost prematurely. The new, permanent teeth may come in too close together because neighboring teeth have shifted into the gap left by the prematurely lost tooth, creating an obstruction for the incoming teeth. In other cases, the permanent teeth may emerge in rotated or misplaced positions.
Bite problems make teeth harder to clean and thus more prone to disease; they may also cause embarrassment and social difficulties. The good news is that it’s generally possible to fix malocclusion: orthodontists do it every day. The bad news: It will almost certainly cost more than $13.25 per tooth. Alternatively, baby teeth in danger of being lost too soon can often be saved via root canal treatment or other procedures.
We’re not advocating giving big money to toddlers — but we do want to make a point: The tooth fairy’s payout: a few dollars. A lifetime of good checkups and bright smiles: incalculable.
Throughout your child's lifetime, you will experience many important milestones together, some more pleasant than others. Teething is one of those notable milestones, and unfortunately, this “rite of passage” may cause your baby to feel uncomfortable at times.
Teething describes the tooth eruption process by which baby teeth emerge through the gums and into the mouth. It usually begins when your baby is between six and nine months, but may start as early as three months or as late as twelve months. Most children will have all 20 baby teeth by agree three, with the lower front teeth erupting first, followed by the two upper front teeth and then the molars.
Every baby will experience teething differently, but the following symptoms are very common:
- Biting and gnawing
- Gum swelling
- Chin rash
- Disrupted sleeping patterns
- Ear rubbing
- Decreased appetite
Many babies make it through the teething phase without much discomfort, but sometimes the pain can be substantial. If your baby is lucky enough to experience no discomfort, he or she will likely demonstrate some of the classic symptoms of teething, such as swollen gums and drooling. You may also notice that he or she will bite or chew anything and will wake up frequently during the night. These symptoms occur most often the week the teeth actually break through the gums, beginning four days before the eruption and lasting about three days after.
Here are a few suggestions to help reduce your baby's discomfort during teething:
- Teething rings: The American Academy of Pediatric Dentistry (AAPD) recommends that parents use a clean, chilled, rubber teething ring or cold wet washcloth.
- Chilled pacifiers: Be careful not to freeze teething rings or pacifiers, as ice can burn if left in place too long.
- Gum massage: Massaging inflamed gums with your clean finger may be helpful to reduce the pressure.
- Over-the-counter medicine: If pain continues, you can give your baby acetaminophen or ibuprofen, but check with a pediatrician or pharmacist for the correct dosage. The medicine should be swallowed and not massaged into the sore areas, as this, too, can burn.
Other unpleasant side-effects of teething include diarrhea, rashes and fever. Though many have reported these symptoms to be normal, if your infant has fever or diarrhea during teething or continues to experience pain, you should schedule an appointment with our office. We'll examine your baby to ensure that the discomfort is related to teething and not something more serious.
In times of stress, people have many ways to comfort themselves. For adults, it can be habits such as eating, drinking, or smoking. For children, it is often sucking their thumb, fingers, or a pacifier. Babies have been observed in scans to suck on their fingers and thumbs even before they are born. It makes them feel secure.
When is thumb sucking a problem?
Sucking on fingers or thumbs can be a problem when it is done too vigorously and too long. A young child's jaws are soft and can change their shape to make room for the thumb if the child sucks too hard and too often. If thumb, finger or pacifier habits continue too long, the upper front teeth may tip toward the lip or not come into the correct position in the mouth.
How do you know if your child falls into the group that will suffer from the results of too much thumb sucking? It's best to visit our office so we can check on how the child's teeth and jaws are developing.
What can be done about thumb and finger sucking?
Most children naturally stop sucking their thumbs, fingers, or pacifiers between the age of two and four. The pacifier habit is easier to break than the thumb or finger sucking habit, probably because it is always easier to find their fingers or thumbs. It is a good idea to try to transfer your child's habit to a pacifier at an early age. The next steps are to cut down pacifier usage and gradually stop by 18 months.
If your child is still engaging in these habits at age three, we can recommend strategies for cutting back and stopping. Remember that positive reinforcement, in which a child is rewarded for the desired behavior, always works better than punishment for the behavior you don't like.
Also remember that finger and thumb sucking is normal. Help your child to feel safe, secure, and comfortable as the behavior will probably disappear by itself. If you are worried about your child's sucking a pacifier, thumb or fingers, please visit us to put your mind at rest.