Health

Parents: Don't Forget Your Own Oral Health

November 30th, 2010


As a parent you are always trying the do the best for your child and their oral health. Making sure they brush and floss, avoiding sugary foods and taking them to the dentist for regular checkups. Praise yourself for those efforts, but some of the most important things you can do for your child’s oral health begins with taking care of your own dental needs.


The quality of your child’s oral health starts before they are even born. There is a strong association between periodontal disease (gum and bone infection), preterm delivery, and low birth weight infants. Periodontal disease is one of the most common silent infections; many people have no idea they have it. Women with gum disease are six times more likely to deliver prematurely. If you are pregnant, and it has been longer than six months since your last visit, especially if you have any problems such as a toothache or bleeding gums, schedule a visit with your dentist. Although it is preferable to have any dental problems treated prior to pregnancy, there are safe times during your pregnancy to obtain necessary treatment.

Once the child is born, it is important to make sure that both the mother and other primary caregiver’s mouths are healthy. It is critical to your child’s risk for cavities. People often say “I got my Mom’s bad teeth,” when they have a lifetime full of dealing with tooth decay. What you really should be saying is “I’ve got my Mom’s bad bacteria.” Most children acquire the bacteria (Streptococcus mutans) causing cavities from their parents or caregivers soon after birth. This is referred to as “vertical transmission.” It may occur from kissing the baby on the mouth, cooling off or sampling food, cleaning a pacifier off in mouth for the child etc. Cavities are a preventable infectious disease!

To ensure your child has a great start, begin by taking care of your own oral health. Get regular checkups and cleanings, and take care of any cavities in your own mouth. This will decrease the amount of Streptococcus mutans (the bacteria causing cavities). Additionally, it may be beneficial to use certain mouth rinses and/or chew gum containing xylitol to decrease and change the type of bacteria present in your mouth.

The key here is: a healthy parent helps lead to a healthy child. Leading by example is a powerful motivator. Don’t ignore yourself; your kids will thank you.

Morgan

Resources
M. John Novak, BDS, LDS, PhD, Perio and Pregancy is there a link? Dimensions of DENTAL HYGIENE, Oct 2010 34-36.
Oral Healthcare During Pregnancy: A Summary of Practice Guidelines. http://www.mchoralhealth.org
Washington State Department of Health, Community and Family Health, Maternal and Child Health Oral Health Program, (360) 236-3507.

Hygienist's Role

October 12th, 2010

What is the role of the dental hygienist in a children’s dental office?

Dental hygienists are licensed health care professionals focusing on preventative oral health. Traditionally the role of the dental hygienist is to evaluate and gather information about each patient through x-rays and exams. Next, it usually involves a plan for treating any periodontal (gum and bone) condition, by cleaning the teeth and helping the patient maintain good oral habits. The hygienist’s most important role is patient education, teaching patients and parents how to prevent cavities and other dental diseases.

In many children’s dental offices the hygienist is often counted on to help out with restorative procedures. This usually includes giving local anesthetic and placing fillings. One difference between an adult and children’s practice is the hygienist may be more involved with the restorative treatment of children. This varies based on the state, but hygienists in Washington are trained in expanded duties.

Becoming a hygienist requires about 4 years of school, including 2 years in dental hygiene school. In Washington State, additional training is given beyond the scope of traditional dental hygiene. Hygienists are taught how to administer local anesthesia and to place and carve restorations (fillings). Clinical and written board examinations are required to demonstrate competency in these areas.

At Children’s Dentistry of Wenatchee the hygienist spends a good portion of the day administering anesthesia for patients and placing the fillings after Dr. Cara has prepared a tooth for restoration. Your child will typically get a “hygiene check” during a cleaning visit to scale off any calculus (a.k.a. tartar) as well as get oral health recommendations. During this time the hygienist will evaluate each child’s mouth for areas that need improvement, and always make sure to praise good work. The assistants are very involved in patient education and checkups. Working closely with the assistants to make sure that each child has an enjoyable experience is key to the success of your child’s visit.

Above all else the hygienist is a coach helping to instill lifelong healthy habits. By connecting with children at a young age dental problems cannot only be treated, but kids will be given knowledge as a preventative tool. Hygienists are a great resource on oral health. So bring your smile and questions to your next visit!

Morgan

The Best Toothbrush for Your Child

October 5th, 2010

There are so many to choose from. What is the best tooth brush for my child?



We are often asked for “the best” toothbrush recommendation. I have only one toothbrush that I strongly believe will make a difference in the oral health of your child and that is the Sonicare. Sonicare For Kids is specifically designed to help parents teach their child (ages 4-10) to brush, then help them transition their child to independent brushing.
Parents often ask if the “spin” type brushes available in stores at a lower price will do the same thing. The answer is NO. The carefully researched and patented sonic combination of approximately 31,000 brush strokes per minute and the specific reach of the brush head as it sweeps back and forth are what create Sonicare’s unique “beyond the bristles” cleaning action. Most power toothbrushes have either a different stroke frequency or bristle amplitude and do not have the same powerful, yet remarkably gentle fluid activity as Sonicare.

When children come into the practice 99% of the time I am able to identify by looking at their gum tissue and overall dental health whether or not they are Sonicare users. That was a powerful message and solidified for me as a mother and a dentist that the
Sonicare for Kids toothbrush IS the best.

Movitating Kids to Brush

September 28th, 2010

Three toothbrushes, photo taken in SwedenImage via Wikipedia I have a toddler, first grader, and fourth grader at home. How do I motivate them all to brush?

Different age groups learn in different ways. Use the tips below to help your children and motivate them in their lifelong brushing & flossing habit.

Preschool
Preschoolers learn most things through rhythm and rhyme. Make the
brushing experience fun and exciting. Let them know there are little
bugs that we can’t see that live on their teeth, and you have to brush
them away. Make a song out of your teeth brushing time:

There’s a bug on my teeth brush him off
Brush up, brush down, brush you teeth round and round
When you spit the paste in the sink, the bug goes down the drain
There are no more bugs in our teeth  Look smile now so bright

Once you have shown your tots the up and down and round and round flow
of brushing their teeth, give them the brush, “now you try. Once they
get the flow themselves and they move their tiny brushes correctly
make this a very exciting and joyous moment. Celebrate this with
laughter, clapping, and exciting hoorays. Let other family members in
on the celebration as well, have your child show their grandparents or
other family members how awesome they can brush their teeth.

Main points to address:

•Get excited about brushing and even more excited when they brush.
•Make it a fun experience.
•Ask them to show you how well they can brush their teeth.
Make it a big deal to other family members when they learn how, “Dad
look how great (child’s name) can brush his/her teeth.

Grades K-3rd
Grades K-3rd learn through presentation and repetition. The best way
for young elementary children to learn is through repetition and
presentation. Offer your young children the ability to watch as you
brush your teeth explaining what you are doing every step of the way.
Use creative analogies, “plaque are small bugs in your mouth
eating away at your teeth and the only way to get them out is to
brush.”

You’ll be amazed at how quickly your kids will ask to brush their
teeth and insist on doing so regularly.

Main points to address:

•Be consistent with times of the day to brush.
•Use creative analogies or stories of others who never brushed their
teeth.

Grades 4th-6th
While grades 4th -6th learn through show and tell. There is nothing
more effective than honesty and showing these youngsters what happens
when someone doesn’t brush their teeth. Find pictures of an individual’s
teeth with serious decay or rotten teeth. Use every dental visit
as a way to teach them by asking the dentist for pictures of people
who never brush their teeth. Explain to them, “this is what happens
when people don’t brush their teeth.”

You can also explain the health hazards of not brushing your teeth.
There are plenty of health risks for individuals who don’t brush their
teeth.

Main points to address:

•Be honest about how not brushing decays their teeth and hurts their
health.
•Use pictures offered through your dentist at every visit.
Ask your dentist to share with your children stories, pictures or
knowledge of the hazards of not brushing their teeth.

Remember....Learning is life long!

Dr. Cara

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