Kitsap Kid's Dentistry

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Baby Teeth

General Topics

Baby Teeth

Why is it important to choose a Pediatric Dentist?

Pediatric dentists care for children of all ages. From first tooth to adolescence, they help your child develop a healthy smile until they’re ready to move on to a general dentist. Pediatric dentists have had 2-3 years of special training to care for young children and adolescents.

Should I Visit the Dentist During Pregnancy?

Research has shown that mothers with poor oral health may be at a greater risk of passing cavity-causing bacteria to their children, and periodontal disease can increase the risk of preterm birth and low birth weight. The American Academy of Pediatric Dentistry (AAPD) recommends that all pregnant women continue to visit the dentist for checkups. during pregnancy. To decrease the risk of spreading the bacteria, mothers should visit their dentist regularly, brush and floss on a daily basis, and maintain a healthy diet full of natural fiber, and reduce sugary foods. Additionally, increasing water intake and using fluoridated toothpaste helps prevent cavities and improves oral health.
tooth eruption chart

When will my child begin to get teeth?

 

Your child’s first tooth will typically erupt between 6 and 12 months, although it is common to occur earlier. Usually, the two bottom front teeth – the central incisors – erupt first, followed by four upper front teeth – called the central and lateral incisors. Your child should have their first full set of teeth by their third birthday.


Permanent teeth start to appear around age 6, beginning with the first molars and lower central incisors. The age of 8, is generally when the bottom 4 primary teeth (the lower central and lateral incisors) and the top 4 primary teeth (the upper central and lateral incisors) begin to fall out and permanent teeth take their place. The rest of the permanent teeth will start to come in around age 10. Permanent teeth can continue to erupt until approximately age 21. Adults have 32 permanent teeth including the third molars (called wisdom teeth).

Why do I need to take care of baby (primary) teeth?

Baby teeth are temporary; however, if a baby tooth is lost too soon (either from an accident or decay), it can lead to other teeth crowding the vacant spot. This can cause alignment issues when the permanent tooth begins to emerge, and could cause crooked teeth and biting problems. Baby teeth are important to help with chewing and eating leading to proper nutrition. Finally, teeth play an important role in developing self-confidence and self esteem, even in young children.

What is Baby Bottle Tooth Decay?

One of the most common forms of early childhood caries is “baby bottle tooth decay,” which is caused by the continuous exposure of a baby’s teeth to sugary drinks. Baby bottle tooth decay primarily affects the upper front teeth, but other teeth may also be affected. Early symptoms of baby bottle tooth decay are white spots on the surface of teeth or on the gum line, and tooth sensitivity. More severe symptoms can appear in advanced stages of baby bottle tooth decay, and include: brown or black spots on teeth, bleeding or swollen gums, fever, and bad breath. If your child shows any of these symptoms, you need to see your pediatric dentist immediately to prevent further, more complicated problems from occurring.

Tips to Prevent Baby Bottle Tooth Decay

1 – Don’t send your child to bed with a bottle of anything EXCEPT water.

2 – Clean your baby’s gums after each meal.

3 – Gently brush your child’s first tooth.

4 – Limit sugary drinks and food

Emergencies

What if my Child Fractures or knocks out a Tooth?

If your child fractures or knocks out a tooth, you may store the tooth or fragments in a clean container of milk. If milk is not available, you may use the child’s saliva to store the tooth. Never use water to transport a broken or knocked-out tooth. You must visit the dentist immediately to prevent infection and other complications that are brought on by chipped or knocked-out teeth. If the tooth is knocked out, only touch the crown of the tooth and not the root. Your pediatric dentist will be able to repair your child’s tooth or fix it with a crown.

What if my child has a Tongue, Cheek, or Lip Injury with Excessive Bleeding?

If your child experiences a cut on their tongue, cheek, or lip, bleeding can usually be stopped by applying clean gauze to the affected area. You can also apply ice to the area to help stop the bleed. If you cannot stop the bleeding, call your pediatric dentist, or visit the emergency room. If your child has an open oral wound, for a long time they can be susceptible to infection.

What do I do for a Persistent Toothache?

If your child has a toothache, then have them rinse their mouth with warm water to ease the pain. If the pain persists for more than 24 hours, contact your pediatric dentist. Persistent toothaches can indicate more serious problems that need to be observed by a dental professional.

Treatment

Why are Dental Radiographs (X-Rays) Important?

X-rays are valuable aids to help dentists diagnose and treat conditions that cannot be visibly seen. X-Rays can detect much more than cavities. X-Rays can show erupting teeth, diagnose bone diseases, measure the damage of an injury, or help with planning of orthodontic treatment. If dental problems are found and treated early, dental care is more comfortable for your child and more affordable for you. Dental X-Rays are very safe and the amount of radiation from dental X-Rays is very small. Today’s equipment filters out unnecessary x-rays and restricts the x-ray beam to the area of interest. Dental X-Rays are designed to limit the body’s exposure. Pediatric dentists are very careful to minimize the exposure of their patients to radiation. In fact, dental radiographs represent a far smaller risk than an undetected and untreated dental problem.

When Is The Best Time For Orthodontic Treatment?

Orthodontic Treatment can be recognized as early as 2-3 years of age. Often, preventative steps can be taken to help reduce the need for major orthodontic treatment later on. From ages 2 to 6, the main concern would be habits such as finger or thumb sucking, underdeveloped dental arches, and early loss of primary teeth. From ages 6 to 12, treatment options deal with jaw and dental alignment problems. This is a great time to start treatment, as your child’s hard and soft tissues are usually very responsive to orthodontic or orthopedic forces.
two rows of teeth also known as shark teeth

What are Shark Teeth?

When adult teeth come in behind the baby teeth can be called “Shark Teeth” It is common, and occurs as the result of a lower baby tooth not falling out when the permanent tooth is arriving. In most cases, the baby tooth will fall out on its own within a couple months. If it doesn’t fall out on its own contact your pediatric dentist.

Habits

What is Bruxism (Teeth Grinding)?

Bruxism is more commonly known as teeth-grinding, and a surprising number of children suffer from it – around 3 in 10. Teeth-grinding usually occurs while children are asleep, and it can become a dental problem if left unchecked. Regular teeth-grinding can wear down tooth enamel, reinforce improper bite patterns, and leave teeth more susceptible to cavities and decay. Bruxism can cause headaches, earaches, facial pain and bite and jaw problems. If your child’s teeth-grinding is ongoing, then their dentist may prescribe a night guard to protect their teeth and mouth. A night guard helps ease the pain of tooth grinding, and protects tooth enamel from being worn away.

How do I Stop My Child from Thumb Sucking or Pacifier Use?

Thumb sucking, finger sucking and pacifier use are habits common in many children. In fact, nearly one third of all children suck on their thumbs, fingers or pacifiers in their first year of life. Thumb sucking, finger sucking and pacifier use can lead to many oral developmental issues that negatively affect the development of the mouth. These habits can cause problems with the proper alignment of teeth and can even affect the roof of the mouth.
Boredom, anxiety, anger, hunger, or even sadness can all cause children to suck on their fingers for comfort. Children mostly suck on their fingers for comfort from an uncomfortable emotional state or stressful situation.
If your child hasn’t stopped sucking their fingers by age 5, then you must wean them from the habit so that they can develop a healthy young smile. By5 years of age, your child’s mouth will be rapidly developing and thumb sucking, finger sucking or pacifier use can interfere with that process.

Prevention

How Can I Help Prevent Cavities for My Children?

To prevent cavities, we suggest enjoying a mouth-healthy diet, full of fibrous fruits and vegetables. Drink more water, which prevents dry mouth and naturally cleans teeth. Brush twice a day for two minutes at a time, and floss daily. Visit your dentist every six months for routine checkups and preventative care.
mom and daughter brushing teeth

How Do I Care for My Child’s Teeth?

It’s never too early to begin a healthy oral care routine. In fact, you should begin caring for your child’s gums long before their first tooth emerges, which is usually around the six-month mark of their life. Healthy gums are an important predicator of healthy teeth, and maintaining clean gums will help ensure that your child has healthy, cavity-free baby teeth.
You can clean your infant’s gums – or their first teeth – by simply using a cold, clean washcloth. Simply rinse a clean, soft washcloth with cool water and wring it out. After your child has finished eating, or drinking a sugary drink, use the damp washcloth to gently wipe out their mouth. This will remove any sugar or acid that’s left by their food, and help prevent early cavities.

Once your child has a few more baby teeth – usually between 8 and 12 months – then you can graduate from a washcloth to a toothbrush designed for toddlers. There are a lot of toothbrushes designed for babies and toddlers from which to choose. Generally speaking, toothbrushes designed for babies have much softer bristles and a smaller head than those meant for older children.

Use only a smear of toothpaste – about the size of a grain of rice – to brush their teeth. When they’ve gotten older and have more teeth, use a pea-sized amount of toothpaste. Always be sure to rinse their mouth out with cool water after you’re done brushing, and try to keep them from swallowing any toothpaste.
Flossing is also important for baby teeth. Flossing helps remove the plaque and food that can become lodged between teeth. Be sure to floss your child’s teeth daily.

Can my Child’s Diet affect their Teeth?

Children should eat a variety of foods including grains, fruits, protein, vegetables, and low-fat dairy.raw vegetables like carrots, celery and bell pepper are excellent snacking alternatives to unhealthy chips and crackers. Starchy carbs like potato chips and crackers can stick to teeth and cause unhealthy buildup, which can lead to cavities. Fibrous vegetables like celery can actually clean your teeth as you eat them! That is also true of fibrous fruits like apples, strawberries and kiwi. So choose raw fruits and vegetables instead of chips, they are better for your overall health, and they won’t stick to your teeth like starchy carbs and sugars.

What are Dental Sealants?

Dental sealants work to prevent cavities by sealing pits and fissures that naturally occur in molars. Sealants “seal off” the pit and fissure of your molars to prevent food and plaque from collecting and forming cavities.

What is Fluoride and Why Do My Children Need It?

Fluoride is considered to be nature’s own cavity fighter. Fluoride is naturally found in all sources of water such as lakes, rivers and even the ocean. Fluoride is added to most public water supplies, so the tap water in your home has fluoride added to it. Fluoride helps build tooth enamel which helps protect your teeth from tooth decay. For more than half a century, the ADA has recommended using toothpaste containing fluoride to prevent cavities. Fluoridated toothpaste does an excellent job of cleaning teeth, but make sure that your child spits all of it out and rinses their mouth thoroughly after brushing since ingesting excessive fluoride can lead to a condition called fluorosis. Fluorosis is faint white lines on the teeth.

Xylitol – A Healthier Sugar for Teeth

Xylitol has the sweet benefits of traditional sugar, but it doesn’t have the negative effects on teeth like sugar. The natural sugar alcohol, Xylitol, actually helps prevent cavities by inhibiting the growth of bacteria that causes cavities. You can find natural xylitol in some fruits and berries. Xylitol can most often be found in gums and mints. The American Academy of Pediatric Dentistry (AAPD) recognizes the benefits of xylitol for the oral health of infants, children, adolescents, and persons with special health care needs.

Are Sports Drinks Bad for Your Teeth?

Did you know that sports drinks can contain more sugar than leading cola beverages, with as much as 19 grams of sugar per serving? The sugars increase the acidity in your mouth which attracts tooth enamel destroying bacteria. Sugar increases the acidity in your mouth which helps give bad oral bacteria the fuel it needs to create cavities.

Why Does my Child Need a Mouthguard?

Mouth guards – sometimes called mouth protectors – work by helping cushion a blow to the face, and minimizing the risk of broken teeth, or lacerating a lip, tongue or cheek. Did you know that the CDC estimates that more than 3 million teeth are knocked out at youth sporting events? Mouth guards work to prevent tooth loss and other facial injuries. Mouth guards come in a variety of shapes, sizes, and are designed for multiple sports.
Contact us at Kitsap Kid’s Dentistry about custom mouth protectors.

colorful mouth guards

Outpatient General Anesthesia

About Deep Sedataion

After receiving a referral, we work closely with your child’s current dentist to confirm the dental treatment required. The initial visit to our office will focus on determining the best path forward. We will answer any questions that you may have and work to help your child feel as comfortable and relaxed as possible. We only see one patient in the office at a time, so you and your child will be the center of our attention. We dedicate an hour of our dentist’s time to performing your child’s exam, obtaining and/or reviewing any radiographs (x-rays), and explaining your little one’s treatment needs in detail. During this consult, we will go over your child’s medical history in extensive detail. We will discuss treatment with you in detail, to make certain that everyone is on the same page prior to scheduling the surgery date.

What will surgery day be like?

After the initial consult, we will schedule the surgery date. If in-office IV Sedation has been chosen, then we will see you at the same office for the next visit. At that time, a dental anesthesiologist will provide the anesthesia in our office. On that day we will also provide additional support for added personnel and increased safety during the surgery. All your child’s dental needs will be completed in one easy visit, while he/she sleeps. You will then stay together in a recovery room for a brief period, and then you will go home that same day. All instructions will be given to the parents both before and after surgery.

If you have chosen to complete your child’s surgery in an outpatient surgical center” Our office is located __need info on the surgery center used and its location_. The surgery center will then provide all nurses and anesthesia (many of whom work with regularly and are Fantastic!) All your child’s dental needs will be completed in one easy visit, while he/she sleeps. You will then stay in a recovery room for a brief period, and then you will go home that same day. All details and important instructions will be given to the parents both before and after the surgery.

  • Do not bring your child to his/her appointment if your child is sick or has a fever. Should your child become ill, contact us immediately so we can reschedule the appointment
  • Tell the doctor of any drugs that your child is currently taking (prescribed, over-the-counter, or herbal medications) and any drug reactions and/or change in medical history.
  • Have your child dress  in loose fitting, comfortable clothing.
  • Do not allow your child to have anything to eat or drink after midnight the night before the procedure.
  • The child’s parent or legal guardian must remain at the office, hospital or surgical site waiting room during the entire procedure.


After the appointment:

  • ACTIVITY: The medication may still affect your child for 24 hours. Whether he/she feels drowsy or seems fully awake, they may lack their usual coordination. Your child needs careful watching to prevent falls and accidents.
  • NAUSEA: Your child may experience some nausea or vomiting from the anesthesia. If so, please only give clear liquids until the nausea/vomiting has stopped.
  • DIET: Your child can be given clear liquids for the first 1-2 hours. If your child has no problems with nausea, then he/she may have a “light” meal (soup, ice cream, crackers, etc.). Should vomiting occur, return to the clear liquid diet. A soft bland diet may be tolerated easily for the first 1-2 days. If there is no nausea or vomiting, your child can gradually eat solid foods after the first few hours. Please do not allow your child to hard or sticky candy from now on, as this can damage the teeth that were fixed.
  • PAIN: It is important that your child be kept comfortable during the healing time following dental treatment. We commonly see children refuse to eat or drink when they are having severe mouth pain. Acetaminophen or ibuprofen medications should be given per the instructions on the package. Avoid the use of aspirin.
  • CARE OF MOUTH: It is of vital importance that the teeth be cleaned during the initial healing stages. This brushing must be done by an adult since children will be very reluctant to properly brush their teeth. Use only a soft bristled toothbrush to brush their teeth. It may help to run warm water over the toothbrush to soften the bristles. It is normal to notice a small amount of bleeding after brushing the teeth.
  • WHAT TO EXPECT: It is common for a slight amount of bleeding to continue for 2-3 hours following any extractions or extensive treatment. This small amount of blood usually appears excessive because it is mixed with saliva. Should an abnormal amount of bleeding occur, it can be easily controlled by taking a moist wash cloth and having your child bite on it (applying pressure to the bleeding area). Pressure for 10-15 minutes will control minor bleeding. It is common to have a low grade fever for the first 24 hours. Acetaminophen or ibuprofen medications should control the fever.