baby teeth care

What to Do During a Dental Emergency

A dental emergency is always a stressful situation, but it can become absolutely nerve-racking when your dentist is out of the office. Whether it’s late Saturday night and your dentist won’t be back in until Monday, or if your dentist is out of the country on 2-week vacation, a dental emergency can be difficult to manage on your own. There are some basic things that you can do to prevent or cope with dental emergencies when they occur.
The best way to handle a potential dental emergency is to avoid it in the first place. The most common dental emergency is pain or swelling from an infected tooth. In most cases, this does not happen suddenly, overnight. Typically, a person has some degree of pain or discomfort for several days or even longer before they are in severe pain and in need of emergency dental care. The best advice is to visit the dentist at the first sign of any discomfort in the teeth or gums.
If a dental emergency does occur when your dentist is unavailable, there are several things that you can do. Pain in the teeth or gums can often be effectively handled with over-the-counter pain relievers such as ibuprofen (Advil®), naproxen (Aleve®), or acetaminophen (Tylenol®), to be taken as directed. Rinsing with warm salt water (a teaspoon of salt in eight ounces of water) can help temporarily relieve puffy or swollen cheeks and gums. Some-store bought products like Orajel® can also be effective in relieving minor soreness of the gums. If you have a broken tooth, a piece of wax or even some soft chewing gum can cover a sharp edge until you can get to the dentist.
Your dentist should also be available for advice if a dental emergency occurs. Thanks to cell phones and answering services, patients can often reach their dentist after office hours. This gives the dentist the ability to contact the pharmacy for antibiotics and pain medication should they feel that patients need them. If your dentist is going to be out of the office for more than a few days, he or she should have another dentist available to treat any dental emergencies that may occur.

Pacifiers and Bottles: Can Comfort Cause Complications?

When it comes to sucking, babies are naturals — maybe because they practice even before they are born! Children begin sucking on their thumb while in the womb to develop the skills necessary for breastfeeding. And for many kids, this skill has an added bonus: Thumb-sucking can be very soothing. Many infants and toddlers will continue to suck their thumb or use a pacifier after they start eating solid foods or stop taking a bottle.

Unfortunately, the use of pacifiers, bottles and sippy cups can lead to speech and dental problems as your child gets older. Since children develop at different ages, it is a good idea to speak with your dentist and pediatrician to make sure that your infant or toddler’s early oral habits don’t cause problems.

Pacifier Blues

In a child’s first few years, pacifier use generally doesn’t cause problems. But constant, long-term pacifier use, especially once permanent teeth come in, can lead to dental complications. Constant sucking can cause top front teeth to slant out, and bottom front teeth to tilt in. It also can lead to jaw misalignment (such as an overbite) and a narrowing of the roof of the mouth.

It is generally advised that children stop or drastically reduce their pacifier use around age 3. If a child is dependent on the pacifier to be calmed and soothed, try giving it to him or her only when absolutely necessary and using positive reinforcement to wean them off the habit.

If possible, buy pacifiers labeled “orthodontically friendly” because they may limit the risk of dental complications. It is also a good idea to buy pacifiers constructed as one piece. And never attach a pacifier to a string around your child’s neck, this can cause them to choke.

The Big Bad Bottle

Many children use a bottle longer than necessary. Apart from the risks associated with the sucking motion, bottles also carry a heavy risk of promoting tooth decay if they contain anything other than water.

Frequently sucking or sipping on milk or juice from a bottle over an extended period of time will increase your child’s risk of tooth decay. When sugars and carbohydrates come in consistent contact with teeth they create an environment for decay-causing bacteria to thrive. Tooth decay can lead to painful infection and in extreme cases children may need to have a tooth extraction or dental treatment to extensively repair damaged teeth.

If you notice small white spots or lines on your child’s teeth, particularly near the gum line, it is a good idea to consult your dentist immediately as this may be an early sign of decay. As a way to cut back on children’s bottle use, your pediatrician or pediatric dentist may recommend using sippy cups. While these are very useful for transitioning your child from bottle to regular cups, they also pose their own threat to teeth and speech development.

For more help breaking baby away from the bottle or pacifier, talk to your dentist

Sippy Cup: Friend Or Foe?

The sippy cup is a spill proof, lid-covered drinking cup designed to help parents teach their toddlers how to drink without spilling. Children can toss it, drop it and turn it upside down, but they can’t spill its contents. That’s thanks to a valve in the top that releases liquid only when a child puts his lips around the tip and sucks. Day after day countless parents reach for that sippy cup their toddlers love so well, proud that the bottle is a thing of the past, and thrilled that their car seats and living room carpets will be spared! These parents though, should think twice before resorting to extended use of the sippy cup.

Many parents operate under the mistaken impression that the sippy cup is better than allowing the child to sleep with a bottle. The damage done by the bedtime bottle is fueled by the fact that no saliva flows during sleep to clear liquids from the mouth or dilute them. Liquids bathe the teeth all night. The sippy cup filled with sweetened liquids can cause the same damaging effects. The child’s teeth are immersed in the liquid during drinking and many parents allow unlimited access to the sippy cup.

The American Academy of Pediatric Dentistry recommends that children be weaned from the bottle by 12-14 months of age and be encouraged to drink from a cup. Parents are cautioned however that the repetitive consumption of liquids that contain fermentable carbohydrates (milk, juice, soft drinks etc.) from a bottle or sippy cup should be avoided.

 Be very selective about the liquids that you give your child from the sippy cup. Avoid milk, juice, and soft drinks. Try water or sugar free beverages instead.

 Use the sippy cup only as a transition to a regular cup or adult drinking glass with no lid.

 Consider cup design carefully. A pop-up straw reduces the amount of time the liquid is in contact with the teeth.

 Some speech pathologists have expressed concern about over use of the sippy cup and liken its use to a thumb-sucking habit, the effects of which are well documented.