Tag: Dental Care

What You Don’t Know About ADHD in Your Child

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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!

Why Choose a Dentist that Focuses on Pediatric Patients?

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Choosing a Pediatric Dentist
 

While most parents understand the benefits of having a pediatrician for their child instead of simply a general doctor, it’s not often clean why a pediatric dentist is just as necessary and preferable over a general dentist.  Choosing a pediatric dentist will ensure that the development is going as it should, along with establishing good dental habits that will last a lifetime.

What sets us apart?

Pediatric Dentists only treat children and have 2 additional years of specialized education to earn our title.  From kid-friendly office designs to our unique communication style, our area of expertise offers the best care for your child.

Our goal as a pediatric dental office is to help all children feel good about visiting the dentist and teach them how to care for their teeth.  We’ll even set up a “friendly visit” to help alleviate any fears your child may have.  Pleasant visits to the dental office establish trust and confidence in your child that will set a precedent for dental visits later on.

Pediatric dentists also have special training in helping children with special needs. We encourage you to reach out to us about your child’s unique situation.

What about teens?

Adolescents require special attention too. In addition to orthodontic needs that are best addressed in the teen years, decaying or poorly situated teeth can make them more self-conscious. As teens take on more responsibility for their own diet, and as they adjust to busy schedules we often see a tendency to eat more unhealthy snack foods that can become a major part of their diet. We provide a positive approach to restoring and guiding teeth, and teaching preventive dental health care throughout the teenage years.

Our ultimate goal is to make our dental practice a comfortable and inviting place.  We hope you’ll let us show you how we accomplish that!

Should you worry about your child’s teeth grinding?

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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.

Being Prepared for Dental Emergencies

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Dental EmergencyWhen a dental emergency occurs, it’s essential to get prompt treatment.  Of course, the first (and best) step is to have an established dental home.  Whether an injury happens on the playground, in school or at home, having a dental home and maintaining regular dental check-ups and cleanings is the first and best way to be prepared.  Not only will you have an existing relationship already established, but you will also have someone to call who can provide guidance, care and support.

Like all emergencies, dental emergencies appear out of nowhere and demand immediate attention. Knowing what to do when an emergency arises is key to having a positive outcome and preventing a bad situation from getting worse. Taking the right action, can mean the difference between saving or losing a tooth. Just as we spend time learning first aid procedures for bodily emergencies, making a special effort to focus on handling dental emergencies means that you are prepared to take care of any situation, no matter what.

According to the American Academy of Pediatric Dentistry (AAPD), here are a few best practices for the following scenarios:

  • If a baby tooth is knocked out – Contact the dentist ASAP.
  • If a permanent tooth is knocked out – Find and carefully rinse the tooth in cool water. Do not use soap or scrub the tooth. Simply rinse it in cool water. Replace the tooth in the socket, if possible, and hold it in place with a clean piece of gauze or a washcloth.  If putting the tooth back in the socket isn’t an option, place the tooth in a clean cup with milk, saliva, or water. Contact the dentist immediately.  Prompt treatment is required to potentially save the tooth.
  • If a tooth is chipped or damaged – Contact the dentist immediately. Find any tooth fragments. Rinse in cool water and place in a clean cup with milk, saliva, or water and take them with you to the dentist. Prompt treatment is critical for preventing infection and avoiding potential complications. If there is any injury to the mouth, treat with cold compresses to decrease swelling.

If tooth loss is the result of a more severe or complicated injury, call for emergency services to insure that proper care is given to the entire injury. Call the dentist en route to the hospital or immediately upon arrival.

An emergency situation is no time to try to come up with a plan of action. Instead, it’s best to be prepared well in advance of any unforeseen injuries. Maintaining regular six month check-ups can help lay the groundwork for handling potential emergency situations when you don’t have time to think about what to do next.

Are “Soft Teeth” a Myth?

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Soft Teeth Myth
We often hear patients talk about how they or their children have “soft teeth”. We especially hear comments related to how “soft teeth” have been inherited from their parents or have been passed down to their children.

But is there really a condition that causes some people’s teeth to be more susceptible to cavities than others?

Yes…and no.

Most people who suffer from frequent dental caries (cavities) actually have perfectly normal teeth. Their enamel is just as developed and strong as the average person. Poor dental habits are usually the cause of most cavities and with very few exceptions nearly all cavities are 100% preventable. The actual number of people who would have what could actually be called “soft teeth” is quite low.

A condition called Amelogenesis Imperfecta can result in thin, improperly formed enamel. This enamel is often pitted, uneven and brown. Inner layers of teeth can become exposed to damaging acids from food and saliva which leaves these true “soft teeth” more open to cavities.

Babies and young children often develop cavities as a result of bacteria transferred through the sharing of eating utensils or parents cleaning off pacifiers in their own mouths. It’s important to avoid transferring bacteria from one mouth to another and to begin dental care early. A soft washcloth can be used on a baby’s toothless gums, for example, and the American Dental Association has long recommended a small “smear” of fluoridated toothpaste for children under two years of age.

Even though the condition is extremely rare, we can’t rule out “soft teeth” without an exam. But most cavities can be avoided by regular flossing and brushing for two minutes at least twice every day!

Why Do Pirates Have Bad Teeth? ­­­­

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Pirates and Bad Teeth
 

Have you ever noticed that pirates all seem to have bad teeth?  Have you ever wondered why? Probably not, but in honor of “International Speak Like a Pirate Day” we thought we would share why pirates have such a poor reputation for terrible chompers!  And the answers might also give us some helpful ideas for taking care of our own oral health.

Scurvy was a serious problem.

Scurvy is more than just a pirate insult.  It’s a disease caused by a lack of vitamin C and it can cause severely weakened and receding gums.  Pirates were often the victims of scurvy because they spent months at a time on the open seas with no access to fresh fruits and vegetables.  It wasn’t uncommon for pirates to have missing teeth due to poor gums.   What does this mean for us?  Eating a healthy diet with plenty of fresh fruits and vegetables can help us avoid looking like scurvy pirates!

They didn’t brush their teeth.

It wasn’t until 1938 that the modern toothbrush was invented.  Until then, if pirates cleaned their teeth at all it would have been with a “chew stick” which was less than effective at keeping teeth clean and plaque at bay.  Thankfully, today we have a lot of tooth-brushing options, the best being soft bristled and made to fit the size of your particular mouth.  Brushing for at least two minutes, twice a day can help you keep your teeth ship-shape.

Cavities were left untreated.

It’s hard to make oral care a priority when you’re sailing the ocean and looking for innocent ships to plunder!  Modern technology has made a tremendous difference in early cavity detection, but pirates would have had to rely on pain as an indicator that something was wrong with their teeth.  By the time a cavity is severely hurting, however, it means that tooth decay has grown so severe that enamel and dentin have been worn away exposing sensitive nerves located in the pulp of your tooth.  While we may not be able to enjoy the thrills of the open sea, we’re pretty thankful that regular dental visits can keep bacterial invaders at bay.

There were no real dentists!

In times past, dental services were practiced by people who had many trades.  A pirate “dentist” may very well have also served as the ship’s cook, boatswain or master gunner.  And while they may have tried their best at helping with dental care, being good with a cutlass doesn’t necessarily mean a pirate would make a good dentist!   We love what we do, and we’re focused on proving the best dental care possible in a caring and relaxed environment.  Pirates may not have had access to professional dental care, but you do, and we hope to see you soon, matey!

 

5 Pointers for Healthy Vacation Smiles.

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Having healthy teeth while on vacation
A vacation from work or school doesn’t mean a vacation from your dental health.  In fact, the change in your schedule and diet means that it is even more essential to be vigilant in maintaining your beautiful smile.  Here are five pointers for a healthy mouth while traveling or on vacation:

Get up to date on your dental visits before you go.

Don’t put off needed visits until you return from your travels.  It’s always a good idea to plan ahead, get an appointment early and take care of your teeth before the rush and hustle of vacations.  Doing this will help prevent dental issues from ruining your time away from home by detecting any underlying issues that need to be treated before your leave.  Holidays and vacation times are also very busy time in dental offices, so you want to make sure your appointments are scheduled and taken care of sooner rather than later.

Make a dental travel kit.

Nearly everything comes in a travel size and we’ve found that the activity of putting together a dental travel kit will encourage great habits while you are away from home.  Don’t forget to pack travel sized mouthwash, floss and a toothbrush for everyone in the family. We’re excited about new convenient options as well, such as quick disposable toothbrushes that can be carried for “in-between” brushing on the go.

Protect your toothbrush.

You want to make sure that your toothbrush stays covered.  Extra handling, luggage and hotel bathrooms provide bacteria extra opportunity to find its way onto your bristles and into your mouth.  Several options are available, including covers that are anti-bacterial.  A closed cover gives a warm, damp place for bacteria to thrive, so remember to let your toothbrush dry before covering it up.

Watch what you eat.

We are all more likely to indulge in sugary drinks, snacks and desserts while traveling or on vacation.  Why not make a conscious decision to eat a bit healthier this year?  Instead of planning your days around food, look for opportunities for more fun.  Pack healthy snacks so that you won’t be tempted to grab a quick treat that may not be good for your teeth.

Keep your routine.

Whatever you decide to eat, don’t forget your regular dental habits.  It may be tempting to just go to bed after a long day of fun, but forgetting your routine could mean no-so-fun dental problems later on.  Make brushing and flossing an activity that your family does together.  It can be a great opportunity to “de-brief” and discuss the activities of the day or plan for the next.

We hope everyone has a great summer full of fun and healthy smiles!

Do I Really Need X-Rays?

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Do kids need x-rays?
We often hear from patients concerned about the exposure to radiation from dental radiographs, or x-rays.  Naturally, they want to limit anything that may present a health risk to themselves or their children.  New technology, however, means that the amount of radiation received from dental x-rays is extremely limited.   The minimal exposure from a focused x-ray beam is certainly safer than risking an oral problem that may go unnoticed otherwise.  In fact, in some cases, a dental x-ray may even save your life.

Dental x-rays are beneficial because they can detect more than just cavities.  Radiographs are often able to  detect existing problems, but also help prevent developing and future issues that are invisible to the naked eye.

For adults, dental x-rays can reveal hidden decay in between teeth or under an existing filing.   By looking at the structures of the mouth, x-rays can show bone loss that is associated with gum disease, abscesses, cysts and even some tumors.

In children, x-rays are used to monitor tooth decay as well as look at how permanent teeth are developing.  We look for potential issues, checking teeth and their roots along with jaw placement and facial structure.  Wisdom teeth are also watched by using to make sure they aren’t becoming impacted.

The benefits of dental x-rays sharply outweighs any potential health risk.  Today’s equipment, along with standard precautions, make radiographs for you and your family safe and valuable.

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