Tag Archives: dental hygiene in children

Pediatric Dentistry, Uncategorized

Why are there white spots on my child’s teeth?

My son is a healthy, growing 14 month-old little boy. He is eating what he should be at this age and was breastfed for his first year. Recently, his front two teeth started to appear and have white spots on them. I haven’t seen this before and wondered if it is something I should have checked by a pediatric dentist, or mention it to my child’s pediatrician? I am not sure if this is something I should be concerned about, or if I should just let it be.

Thank you,
Abby

Dear Abby,

It is recommended by the American Dental Association that children visit a dentist for the first time after their first year of age and following the arrival of their first teeth. Typically, this is a quick visit to ensure that everything is developing as it should. It is not like that of an adult visit, which would normally include x-rays, a cleaning, and an exam. Most insurance companies cover this visit as a diagnostic visit and even have a  different billing code for it.

The spots you mention are somewhat concerning. Spots such as these are often times called decalcification spots, or signs of early decay.  They appear when minerals are removed from the tooth and it becomes exposed. Although this doesn’t mean she has a cavity, the exposure of the tooth can cause decay and lead to future cavities. It’s important that your child is seen by a pediatric dentist right away, as they may suggest fluoride treatments to strengthen the tooth and prevent future decay.

This decalcification is not typically seen in children this young and may be the cause of another issue. It’s important to take steps to care for your child’s teeth, but, at this point, it is too early to be seeing signs of decay. Therefore, it could be a problem with the development of your child’s teeth and you should work with your pediatric dentist, as well as your child’s doctor, to better determine the cause.

This post is sponsored by the office of Phoenix pediatric dentist, Dr. Hillary Peck.

Pediatric Dentistry

Why won’t my daughter’s dentist use fluoride varnish?

Our previous pediatric dentist painted something on our daughter’s teeth, instead of using fluoride trays. We were thankful for this because it prevented the nasty taste that comes along with the trays.

Unfortunately, we had to change dental offices, for insurance reasons, and our new provider uses the trays. When I worriedly asked the hygienist, I was assured that this was a new foam version, with a better taste.

Well, my daughter hated it! She spat it out immediately and began crying hysterically.

When I asked about the painted version, used in our previous dental office, I was told it was “too new” and they don’t stock it. Was the painted version an experimental treatment used on my daughter? I am also now worried about how future dental visits will go.

Thank you,

Jen Smith

Dear Jen,

In regards to your question about the painted fluoride treatment, please rest assured that the varnish method is not experimental. It has been recommended by the American Academy of Dentists since 2006. It is the preferred method for children because it is easy to apply and tolerated much more positively by kids.

However, some dentists are resistant to change, even regarding something like fluoride varnish that has been successful for over a decade. The foam you are referring to is also safe, effective, and trusted, but the varnish is a more favorable option for children. It seems the choice to use the foam method is being made by personal preference, and your dentist should not have advised that it was “too new” or untrustworthy.

In regards to your question about your future dental visits being scared, please keep in mind that if you are fearful or nervous, your daughter will see this and feel the same. Dental trauma and anxiety can be difficult to overcome. If you are ever nervous or questioning a treatment that your child is receiving, try not to let this show on your face. If possible, ask to pause the treatment and speak to the provider in private, so as to not alarm your child. This will allow you to, hopefully, get your questions answered, and feel calm and confident going into the treatment, which will, in turn, help your child to feel the same and have a positive experience with her pediatric dentist.

This post is brought to you by the office of Phoenix pediatric dentist, Dr. Hillary Peck.

Pediatric Dentistry

Bad Brushing Habits in My Son

My nine year old son has horrible teeth brushing skills.  He does brush his teeth before going to bed, but even I can tell that he still has a lot of gunk on his teeth.  He isn’t in the habit of brushing in the morning. What can I do to help him develop better habits? We honestly can’t afford a dentist right now.

Sandy M.- Aberdeen, MS

Sandy,

I can tell you are a good mother and you want the best for your son. Here are some things that can help with his teeth brushing skills and habits. First, children often like charts. It helps them show they’ve accomplished something.  You don’t want him to feel you are babying him about his teeth. Because you said he is good about brushing in the evening, let’s just focus on the morning brushing. Make him a morning chart that includes everything he needs to accomplish before school. Include his morning brushing on that.

Next, we’ll focus on his brushing habits. There are plaque “revealers”, such as Cool Agent Blue, that will help. They’re liquids that your son can switch around your mouth and it will show your son where he still has plaque left.  These products have mixed reviews, but you could see if your son thinks it is fun.  The second thing is the amount of time he brushes. Tell him it means to be a minium of two minutes. Cell phones have timers on them. You can have him set the timer, which will be more fun for him.

Make sure he has the right sized toothbrush for his mouth. You don’t want anything too big for him.  Also, make sure they are soft bristles.

Now, I know you cannot afford a dentist at this time.  Don’t feel guilty about that. Lots of families are going through tough times right now. However, check ups are very important to help prevent more serious issues. Were you aware that dental schools and dental hygiene schools do check up and cleanings? They have incredibly reasonable fees and do a great job.  A friend in Arkansas takes her four children to the local dental school. They only charge $25 for the service.

This might be an option for you until you can save up for a pediatric dentist.

This blog is brought to you by Phoenix Dentists Drs. Kevin and Hillary Peck.