The American Academy of Pediatric Dentistry (AAPD) recommends finding your child’s Dental Home by age one or when the first tooth erupts, whichever occurs first. Establishing your child’s Dental Home provides the opportunity to implement preventive dental health habits that keep a child free from dental/oral disease. PedZ Dental focuses on prevention, early detection, and treatment of dental diseases. We work to keep current on the latest advances in dentistry for children and our services reflect just that.
Our goal at PedZ Dental is to help all children feel good about visiting the dentist and teach them how to care for their teeth. From our special office design to our communication style, our main concern is what is best for your child.
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.
Research has shown that mothers with poor oral health may be at a greater risk of passing cavity-causing bacteria to their children. Also, periodontal disease in mothers 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.
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).
Baby teeth are temporary; however, if a baby tooth is lost too soon, 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.
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.
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
If your child fractures a tooth, gather any fragments you can find and store them in a clean container of milk or saliva of the child that lost the tooth. Never use water to transport a broken or knocked out tooth. It is important that you 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. Dr. Stacey or Dr. Cook will try to repair the tooth, replant the tooth, or advise you about why it can’t be fixed and what to expect.
If you child experiences a cut on their tongue, cheek or lip, bleeding can usually be stopped by applying a clean, damp gauze and pressure 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 period of time, they can be susceptible to infection.
If your child has a toothache, it is best to look at it and compare it to the surrounding teeth. Does something look different about the tooth that hurts or the gums around it? If your child is having repeated complaints, you see something that doesn’t look right to you, and/or you want Dr. Stacey or Dr. Cook to check it out, please call. Persistent toothaches can indicate a serious problem.
X-rays are valuable aids to help dentists diagnose and treat conditions that cannot be seen by looking in the mouth. 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 the 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 incredibly careful to minimize the exposure of their patients to radiation. Dental radiographs represent a far smaller risk than an undetected and untreated dental problem.
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 concerns are habits (such as finger or thumb sucking), underdeveloped dental arches, and early loss of primary teeth. From ages 6 to 12, treatment options can address jaw and dental alignment problems. This time period is a great time to start treatment as your child’s hard and soft tissues are usually very responsive to orthodontic forces.
When adult teeth come in behind the baby teeth it is often called a “Double Row.” It is common and occurs as the result of a lower baby tooth not falling out when the permanent tooth is emerging. In most cases, the baby tooth will fall out on its own within a couple of months. If it does not fall out, contact your pediatric dentist.
If your child shows signs of disturbed sleep including long pauses in breathing, tossing and turning in the bed, chronic mouth breathing during sleep, night sweats (owing to increased effort to breathe) this may be an indication of sleep apnea. This is far more common than parents realize and is mostly seen in children between 2 and 8 years old, although it can present itself at any age.
If your child is suffering from these symptoms, we can help determine underlying causes and may refer your child to an Ear, Nose, and Throat (ENT) doctor for further evaluation. While there is a possibility that affected children will “grow out of” their sleep disorders, the evidence is steadily growing that untreated pediatric sleep apnea can affect attention-deficit hyperactivity disorder, bed-wetting, sleep-walking, and even failure to thrive.
We use nitrous oxide, sometimes called “laughing gas” or “happy air," to help children become more comfortable during dental procedures. Nitrous oxide is a safe and effective sedative that is mixed with oxygen and is inhaled through a small mask that fits over the nose. It is not intended to put patients to sleep, but is instead designed to help them feel calm and comfortable. The effects of nitrous oxide are temporary and wear off soon after the mask is removed.
For more complex dental procedures or for highly anxious patients, there may be a requirement for a deeper sedation. General anesthesia through an IV may be used to create a temporary loss of consciousness for the patient while the dental treatment is performed. Your child’s comfort and safety are especially important to us. We offer both in-office IV sedation as well as operating room treatment at Cincinnati Children’s Hospital Medical Center.
Yes. Silver diamine fluoride (SDF) is a liquid substance used to help prevent tooth cavities (or caries) from forming, growing, or spreading to other teeth. It can also help to arrest the cavities in young kids to hold off treatment until treatment can be done.
Bruxism (more commonly known as teeth-grinding) is a surprisingly common condition affecting approximately 3 in 10 kids. 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. It 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 nightguard to protect their teeth and mouth. A nightguard helps ease the pain of tooth grinding and protects tooth enamel from being worn away.
Thumb sucking, finger sucking, and pacifier use are habits common in many children. 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 3, then you must wean them from the habit so that they can develop a healthy smile. By 3 years of age, your child’s mouth will be rapidly developing and thumb sucking, finger sucking, or pacifier use can interfere with that process. Dr. Stacey and Dr. Cook are happy to give suggestions to help with this process.
While it can be common for children to breathe through their mouths on occasion (when they are congested, have a cold, or are involved in strenuous activities) breathing through the mouth all the time, including when you’re sleeping, can lead to problems.
If your child is suffering from these symptoms, we can help determine underlying causes and may refer your child to an Ear, Nose, and Throat (ENT) doctor for further evaluation. Mouth breathing in children can cause bad breath, crooked teeth, jaw alignment issues, and other orthodontic problems.
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.
It’s never too early to begin a healthy oral care routine. 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 predictor 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 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 decrease the oral bacteria that can later cause cavities.
Once your child has a baby tooth 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 fluoridated toothpaste – about the size of a grain of rice – to brush their teeth. When they’ve gotten older and have more teeth at age 3, use a pea-sized amount of fluoridated toothpaste.
Flossing is also important for baby teeth. Flossing helps remove the plaque and food that can become lodged between teeth. Begin to floss your child’s teeth daily as soon as they are in contact with each other.
Children should eat a variety of foods including grains, fruits, protein, vegetables, and dairy. Raw vegetables like carrots, celery, and bell peppers are excellent snacking alternatives to unhealthy chips, crackers, and cookies. Sticky and gummy fruit snacks, dried fruit, or candies, and starchy carbs like potato chips and crackers can stick to teeth and cause unhealthy build-up, which can lead to cavities. Fibrous vegetables like celery can clean your teeth as you eat them! This is also true of fibrous fruits like apples, strawberries, and kiwi. Cheese is also a good snack option because it helps balance out the acidity in the mouth.
So, choose raw fruits and vegetables or cheese instead of sticky snack foods or crackers because they are better for your overall health, and they won’t stick to your teeth like sugars and starchy carbs.
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.
Fluoride is considered to be nature’s 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 has the sweet benefits of traditional sugar, but it does not have negative effects on teeth like sugar. The natural sugar alcohol, Xylitol, 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.
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 and helps give bad oral bacteria the fuel it needs to create cavities.
Mouthguards – 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? Mouthguards work to prevent tooth loss and other facial injuries. Mouthguards come in a variety of shapes, sizes, and are designed for multiple sports.
A frenectomy is the removal of connective tissue (called the frenum) from under the tongue (Lingual Frenectomy) or the upper gums (Maxillary Frenectomy). If your baby is having trouble with breastfeeding and “latching on” or your older child is experiencing certain speech, eating, or orthodontic problems, we may recommend frenectomy as an option. New technologies have made frenectomies a safe and convenient option for even very young children.
Babies who have difficulty achieving or maintaining proper latching with their mother’s breast may have a condition called Ankyloglossia, sometimes referred to as tongue-tie. Tongue-tie is usually related to a short, thick frenum, which limits the tongue’s capacity to move. Symptoms of a possible tongue-tie or lip-tie in a newborn are prolonged breastfeeding, difficulty latching onto the breast (causing sore nipples on the mother), and excessive gassiness. Many mothers are opting for a safe, fast healing frenectomy to help their babies establish a good seal while eating. Apart from breastfeeding difficulty, tongue ties can also impact speech and eating in children and adults. Patients often try to compensate for the lack of tongue mobility by changing their jaw position – resulting in other orthodontic issues.
Frenectomies can be an important part of orthodontic treatment when a long or short frenum is causing tooth or jaw displacement. In the case of a short lingual frenum, patients may push out the lower jaw to make eating or speaking easier – causing pain in the jaw or an underbite. In this case, a lingual frenectomy may be recommended to help ensure the success of orthodontic treatment. When treating a patient with a gap between their front teeth, the orthodontist may recommend a maxillary frenectomy after braces to prevent the teeth from spreading apart after treatment.