One of the most frequent concerns parents express to us is their child’s thumb or finger sucking habit. The good news, though, is that thumb sucking is a completely normal activity for babies and young children, and if they stop by age 4 it should have no adverse effects on their future bite.
In fact, there are positive aspects to thumb sucking: it provides babies with a sense of security, as well as a way to learn about the world. As a child grows and becomes more confident with their surroundings, the thumb sucking habit will fade and eventually stop: for most children this occurs between the ages of two and four.
If, however, the habit continues later in childhood, there is a chance the upper front teeth may be influenced to tip toward the lip during eruption and come into an improper position that could also adversely affect jaw development. The same concern exists for pacifier use — we recommend weaning a child off a pacifier by the time they’re eighteen months of age.
If your child still has a thumb or finger sucking habit as they prepare to enter school, it’s quite appropriate to work on getting them to stop. Punishment, shaming or similar negative approaches, however, aren’t the best ways to accomplish this: it’s much more effective to try to modify their behavior through reward, praise or some creative activity.
Another factor that may help is to begin regular dental visits around their first birthday. Regular checkups give us a chance to monitor the development of their bite, especially if thumb sucking continues longer than normal. We can also assist you with strategies to encourage them to stop thumb sucking or pacifier use.
Thumb sucking that continues later than normal isn’t a cause for panic, but it does require attention and action. Helping your child “grow” past this stage in their life will improve their chances of developing a normal and healthy bite.
If you would like more information on thumb sucking, please contact us to schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Thumb Sucking in Children.”
Periodontal (gum) disease is the most likely cause of a loose, permanent tooth. This progressive infection causes damage to the gums and bone tissues that hold teeth in place, leading to looseness and ultimately tooth loss.
Gum disease, however, isn’t the only cause: although not as common, excessive biting forces over time may also lead to loose teeth. The excessive force stretches the periodontal ligaments that hold teeth in place, causing the teeth to become loose.
This condition is called occlusal trauma. In its primary form, the patient habitually grinds or clenches their teeth, or bites or chews on hard objects like pencils or nails. Generating 20-30 times the normal biting force, these habits can cause considerable damage. It can also be a factor when gum disease is present — supporting bone becomes so weakened by the disease, even normal biting forces can cause mobility.
If you recognize the early signs of grinding or clenching, particularly jaw soreness in the morning (since many instances of teeth grinding occur while we sleep), it’s important to seek treatment before teeth become loose. The symptoms are usually treated directly with muscle relaxants, an occlusal guard worn to soften the force when teeth bite down, or stress management, a major trigger for teeth grinding. The sooner you address the habit, the more likely you’ll avoid its consequences.
If, however, you’re already noticing a loose tooth, treatment must then focus on preserving the tooth. Initially, the tooth may need to be splinted, physically joined to adjacent teeth to hold it in place while damaged tissues heal. In some cases, minute amounts of enamel may need to be removed from the tooth’s biting surfaces to help the tooth better absorb biting forces. Other treatments, including orthodontics and gum disease treatment, may also be included in your treatment plan.
If you notice a loose tooth, it’s critical you contact us as soon as possible for an evaluation — if you delay you increase the chances of eventually losing it. The earlier you address it, the better your chances of preserving your tooth.
If you would like more information on loose teeth, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Loose Teeth.”
Dental implants are considered today’s premier method for restoring missing teeth. Obtaining an implant, though, is often a long process and the implants themselves must be surgically placed within the jaw bone. Nothing to worry about, though: implant surgery is a minor to moderate procedure akin to a surgical tooth extraction.
Still like any surgery, this procedure does involve cutting into the soft tissues of the gums and could allow oral bacteria to enter the bloodstream. While most bacteria in the mouth are harmless (and even beneficial) a few strains can cause disease. For some people, especially those with certain heart conditions or joint replacements, this could potentially cause serious issues in other parts of their body that might be highly susceptible to infection.
To guard against this, it’s been a long-standing practice in dentistry to prescribe antibiotics to certain high risk patients before a procedure. Although this departs from the normal use of antibiotics for already occurring infections, due to the circumstances this has been deemed an acceptable measure to prevent disease.
In the past, the categories of patients for which preventive antibiotics were appropriate had been more extensive. In recent years, though, both the American Dental Association and the American Heart Association have adjusted their recommendations. Today, your dental provider may recommend antibiotic pre-treatment if you have a prosthetic (artificial) heart valve, a history of infective endocarditis (inflammation of the inner linings of the heart), a heart transplant or certain congenital heart conditions.
While physicians may still recommend premedication with antibiotics for patients with joint replacements, it’s not as blanket a standard as it might once have been. It’s now only recommended for certain cases, such as patients who’ve received a prosthetic joint within the last two years.
There’s still an ongoing debate about the effectiveness of antibiotic pre-medication. However, there’s evidence medicating before procedures with antibiotics can be beneficial in avoiding infection. If you fall into one of the categories just mentioned or are concerned about infection, feel free to discuss with your dentist if using antibiotics before your implant surgery is wise move for you.
If you would like more information on antibiotic treatment before oral surgery, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Implants & Antibiotics: Lowering Risk of Implant Failure.”
Cavities can happen even before a baby has his first piece of candy. This was the difficult lesson actor David Ramsey of the TV shows Arrow and Dexter learned when his son DJ’s teeth were first emerging.
“His first teeth came in weak,” Ramsey recalled in a recent interview. “They had brown spots on them and they were brittle.” Those brown spots, he said, quickly turned into cavities. How did this happen?
Ramsey said DJ’s dentist suspected it had to do with the child’s feedings — not what he was being fed but how. DJ was often nursed to sleep, “so there were pools of breast milk that he could go to sleep with in his mouth,” Ramsey explained.
While breastfeeding offers an infant many health benefits, problems can occur when the natural sugars in breast milk are left in contact with teeth for long periods. Sugar feeds decay-causing oral bacteria, and these bacteria in turn release tooth-eroding acids. The softer teeth of a young child are particularly vulnerable to these acids; the end result can be tooth decay.
This condition, technically known as “early child caries,” is referred to in laymen’s terms as “baby bottle tooth decay.” However, it can result from nighttime feedings by bottle or breast. The best way to prevent this problem is to avoid nursing babies to sleep at night once they reach the teething stage; a bottle-fed baby should not be allowed to fall asleep with anything but water in their bottle or “sippy cup.”
Here are some other basics of infant dental care that every parent should know:
- Wipe your baby’s newly emerging teeth with a clean, moist washcloth after feedings.
- Brush teeth that have completely grown in with a soft-bristled, child-size toothbrush and a smear of fluoride toothpaste no bigger than a grain of rice.
- Start regular dental checkups by the first birthday.
Fortunately, Ramsey reports that his son is doing very well after an extended period of professional dental treatments and parental vigilance.
“It took a number of months, but his teeth are much, much better,” he said. “Right now we’re still helping him and we’re still really on top of the teeth situation.”
If you would like more information on dental care for babies and toddlers, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “The Age One Dental Visit” and “Dentistry & Oral Health for Children.”
Have you been wondering if root canal therapy is the answer to your dental problems? Root canals offer important benefits for your oral and general health. Keeping your smile healthy and strong is the goal of our Southgate, MI, dentist, Dr. Jason Cohen
Why is a root canal needed?
Root canals are performed on teeth when the pulp becomes infected or inflamed. The pulp is a collection of nerves, blood vessels, and tissue that makes up the soft core of your tooth. Pulp played a very important role when your tooth first formed but isn't as vital any longer. If it must be removed, your tooth will continue to function normally.
How are root canals performed?
Root canals may sound a little scary, but they're actually very similar to having a cavity filled. After your tooth is opened with a drill in your Southgate dentist's office, the pulp is removed. A thorough cleaning of the tooth is the next step. As part of the cleaning process, the tiny canals that extend from the top of your tooth to the roots are shaped with small files. In most cases, you'll receive a temporary filling, then return to the dentist's office in a week or two for your permanent filling. A dental crown may also be recommended to strengthen your tooth.
What are the advantages of root canals?
Root canals offer several benefits, including:
- Pain Relief: Pain can be severe if your tooth is infected or inflamed. Removing the pulp eliminates pain. If you need a root canal, you may notice that your pain intensifies when you chew or press on your tooth or drink or eat hot or cold foods and beverages.
- A Complete Smile: Your inflammation or infection won't go away by itself. If you don't have a root canal, you'll lose your tooth.
- Elimination of Abscesses: Root canals are often necessary if you have a bacterial infection called an abscess. Unfortunately, the infection doesn't always remain in your tooth but can travel to your heart, lungs, or other areas of your body if it isn't treated with a root canal and antibiotics. You may have an abscess if you experience tooth pain, a fever, facial swelling, red or sore gums, and swollen lymph nodes.
Root canals can eliminate your pain and save your tooth! Call our Southgate, MI, dentist, Dr. Cohen, at (734) 283-1263 if you're suffering from pain in a tooth.
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