What You Don’t Know About ADHD in Your Child

Inattention, forgetfulness, and irritability are often symptoms of attention-deficit/hyperactivity disorder (ADHD). They are also common symptoms of sleep-disordered breathing in children. 

Does your child exhibit signs of ADHD? It’s crucial to know how these behaviors can be connected to disordered breathing—and how a dentist can help!

What is ADHD?

ADHD is one of the most common neurodevelopmental disorders among children. It is characterized by an inability to pay attention, a lack of impulse control, and general hyperactivity. Such symptoms can be mild, moderate, or severe. They can appear as early as three years old and can potentially last through adulthood. 

What is Sleep-Disordered Breathing?

Sleep-disordered breathing refers to abnormal breathing patterns while asleep. These can include apneas, in which a child intermittently stops breathing and wakes up to take a breath, as well as hypopneas, in which the child’s breath becomes shallow. Other signs in children can include snoring or audible breathing, mouth breathing, difficulty falling asleep or waking up in the morning, bedwetting, frequent changes in position during sleep, or excessive sweating while asleep.  The nightly disruption of restful sleep patterns can result in excessive daytime sleepiness as well as irritable, emotional, or moody behavior. 

How are they connected?  

Studies show a link between ADHD and sleep-disordered breathing. One study shows that children with ADHD report higher rates of daytime sleepiness than those without ADHD. Another study shows that 50% of children with ADHD had signs of sleep-disordered breathing as compared to 22% of children without ADHD. A recent study confirms that roughly 75% of those with ADHD have sleep-disordered breathing!  Teeth grinding, or bruxism can also be associated with sleep-disordered breathing.  If your child grinds their teeth at night you should discuss with your child’s dentist to learn how they can help.

Why should I care? 

Parents are rightfully concerned when their child shows ADHD symptoms. Such symptoms are correlated with low self-esteem, trouble focusing in school, and negatively impacted relationships. 

ADHD has been a point of controversy in the two decades. As rates of children with ADHD have increased dramatically since 2000, some argue that the neurodevelopmental disorder is both overdiagnosed and overmedicated. 

If your child shows symptoms of ADHD, it is worth further investigating their sleep patterns. Restorative sleep means increased focus, improved mood, and better overall health. 

Dr. Dan has had additional training to understand sleep-disordered breathing in children and how the dental team can help.  His team provides assessments that can offer insight into your child’s breathing patterns. This simple appointment can provide important information regarding your child’s wellness and quality of life. Contact Children’s Dental Specialities in Worcester, Massachusetts, to make an appointment for your child today!

Should you worry about your child’s teeth grinding?

Teeth Grinding in kids, bruxism
Occasionally parents will reach out to us because they’ve been alarmed by the sounds their children make while sleeping.  It’s not uncommon for children to grind their teeth, especially during sleep.  In fact, some estimates put that number close to 33%.  Tooth grinding, or bruxism, is most common when baby teeth begin to emerge and permanent teeth come in.  And while it generally goes away, there are a few considerations you should be aware of.

What causes bruxism?

We aren’t always 100% sure why children grind their teeth.  Oral discomfort as teeth shift and realign may cause much of the temporary bruxism, as well as allergies and other minor illnesses.  Bruxism may also be caused by minor changes in inner ear pressure, similar to what’s experienced on an airplane. Ongoing teeth grinding may be more serious and can sometimes be the results of anxiety, stress or fear.  While most children stop grinding their teeth over time, it’s often important to look at your child’s overall health as well as the frequency and severity of tooth grinding to determine if intervention is necessary.

When should parents worry about bruxism?

Again, bruxism is extremely common, and most children grow out of the habit.  But as with any issue you are concerned with, please always feel free to reach out to us with your questions.  The following list of symptoms are signs that your child’s teeth grinding may require additional investigation:

  • If your child is having trouble sleeping or is waking frequently throughout the night
  • Jaw pain or soreness
  • Headaches
  • Tooth sensitivity or pain not associated with other dental issues
  • Teeth begin showing signs of wear
  • Damage to the soft tissues of the mouth
  • Loud, persistent grinding that doesn’t seem to subside over time

What can parents do to help alleviate minor bruxism?

If your child occasionally grinds his or her teeth at night, and isn’t showing any serious side effects like those mentioned above, you may try the following tips to reduce or eliminate bruxism without the intervention of a dentist:

  • Work to identify and decrease your child’s stress.  Allow your child to talk openly about his or her feelings.
  • Be sure your child is getting a proper diet
  • Since dehydration may be linked to bruxism, be sure your child is drinking enough water

Of course, you should always make us aware of any issue involving your child’s teeth.  We can help you monitor them for any potential issues.  Never hesitate to reach out to us with any questions or concerns you might have.

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