1. Why do the permanent teeth look so much yellower than the baby teeth?
ANSWER: I get asked this question almost every day. Permanent teeth are normally more yellow than primary (baby) teeth, but they appear even more so because you are comparing them with the lighter, whiter baby teeth still in the mouth. They even make composite or white filling material in whiter shades for primary teeth.
2. What are sealants, and is it necessary for my child to get them?
ANSWER: Sealants are a clear or white shaded resin (plastic) applied to the teeth to keep them cavity-free. Sealants fill in the grooved and pitted surfaces of the teeth, which are hard to clean. Sealants act as a barrier to shut out food particles and bacteria that could get caught in those grooved or pitted surfaces and cause cavities. Applying sealants is a relatively inexpensive procedure – especially when compared to the cost of treating cavities and other oral health issues.
3. There are so many types of toothpaste – which is the best kind to use?
ANSWER: First, check for a toothpaste with an American Dental Association (ADA) Seal of Acceptance. Second, choose one that contains fluoride – but only if your child is age two or older. For children under age two, use water, or a training toothpaste without fluoride, and a soft-bristled brush. Third, find a flavor your child likes – we don’t want him to dislike brushing his teeth just because he doesn’t like the taste!
4. Why should the baby teeth be filled, since they will be lost anyway?
ANSWER: Even though these primary teeth are called “baby teeth”, some of them must serve until the child is at least twelve years old, sometimes longer. Neglect of the baby teeth can result in pain, infection of the gums and jaws, impairment of general health, and premature loss of teeth, which is a major cause of orthodontic problems. Also, cavities tend to form in teeth that are next to other teeth with unfilled cavities, because decay is really an infection and will spread if left untreated. It is unwise to leave active decay in the mouth. Decay on baby teeth can cause decay on permanent teeth. Unfortunately, most children with untreated decay on baby teeth will develop decay on permanent teeth.
5. My daughter is afraid to visit the dentist. What do you suggest that might help her relax?
ANSWER: This is a common fear, even among adults! Try to avoid using words like “needle” or “drill” that could cause unnecessary fear for her. And please let us know if your child is apprehensive about her visit. Our staff members are experienced in dealing with anxiety and will explain all procedures in a positive and kid friendly way to help her avoid any negative feelings toward dentistry. We also offer a FREE orientation appointment where we give a tour of the our office and show your child with a stuffed animal what will happen when during their dental visit. These orientations can really help a fearful/anxious child feel more comfortable.
6. My child has a double row of front teeth. Why is this and what should be done about it?
ANSWER: This is a relatively common occurrence. Sometimes the permanent teeth begin to come in before the baby teeth are lost. When this happens, unless the child can work the baby teeth out by himself within a few weeks, the pediatric dentist may have to remove them. Once the baby tooth is out, the tongue usually moves the permanent tooth forward into its proper position, if space permits. If this crowded condition should occur in the upper jaw, the baby teeth should be removed immediately.
7. What causes decay?
ANSWER: Decay is caused by dental plaque, a thin, sticky, colorless deposit of bacteria that constantly forms on everyone’s teeth. When sugar is eaten, the bacteria in plaque produce acids that attack the tooth enamel. After repeated acid attacks, the enamel breaks down, and a cavity (hole) is formed.
8. Should I worry about thumb or finger sucking?
ANSWER: Thumbsucking is perfectly normal for infants; most children stop by age two. The less amount of time and effort a child sucks on a thumb, finger, or pacifier, the less effect it will have on his/her teeth. Offering a manipulative toy to your child when he/she is actively sucking their thumb will prompt an immediate removal of the thumb/finger and can help to decrease the habit in the waking hours. Prolonged thumbsucking can create crowded, crooked teeth and bite problems. We will be glad to suggest ways to address a prolonged thumb sucking habit.
Older Questions & Answers
What types of toothpaste are age appropriate for my child or baby?
Any tooth paste with the American Dental Association seal that your child likes should be fine. As soon as the teeth begin to appear, start brushing twice daily using non-fluoridated toothpaste and a soft, age appropriate sized toothbrush. Use a “smear” of toothpaste to brush the teeth of a child less than 2 years of age. For a 2-5 year old, dispense a small “pea-size” amount of toothpaste with fluoride and perform or assist your child in brushing.
When should I start flossing my baby’s teeth?
Flossing can make a big difference in preventing cavity formation between the teeth. So it’s a good idea for parents to start flossing their child’s teeth as soon as the teeth are in contact with one another. Even a ten month old baby with teeth that touch should floss.
Are electric toothbrushes safe for kids?
Manual or powered toothbrushes can both assist with keeping your child’s smile cavity free. Choose one specifically designed for a child’s smaller hands and mouth. Look for large handles that can help children control the toothbrush. Electric toothbrushes are a grat way to keep your child’s teeth healthy. They usually have built in timers which is very helpful. I like the Sonicare for Kids electric toothbrush a lot. It is sturdy, has a long battery life, and has a small head size. A good age to try an electric toothbrush may depend on the child. Some kids may not like the “vibration” and some will love it. At younger ages (7 and under) parents should still help their child brush.
What should I do if my child falls asleep before having their teeth brushed?
If your child often falls asleep before you get to brush, brush while your child is sleeping with a wet bristled toothbrush or better yet, brush and floss right after dinner.
Are mouthwashes safe for kids?
Yes and no. It really depends on the age of the child using the mouthwash. In general young children should not mouthwash becasue they are less able to avoid swallowing it. Children between ages 6 and 12 years should only use a mouth rinse under close and direct adult supervision. Children under the age of 6 should avoid fluoride rinses altogether.
What special training do pediatric dentist have that qualifies them to work with kids?
Pediatric dentists are the pediatricians of dentistry. A pediatric dentist has two or three years specialty training post dental school and limits his/her practice to treating children only. Pedicatric dentists are primary and specialty oral care providers for infants and children through adolescence, including those with special needs.
Are baby teeth really important to my child?
Primary or “baby” teeth are important for many reasons. Not only do they help children speak clearly and chew naturally, they also aid in forming a path that permanent teeth can follow when they are ready to erupt.
How often does my child need to see the pediatric dentist?
A check-up every six months is recommended in order to prevent cavities and other dental problems. However, your pediatric dentist can tell you when and how often your child should visit based on their personal oral health and caries risk level.