Dental Health From Birth To Age 3

Baby Bottle Nipples
Usually, we like to see your child for their first check-up at about age 2 - 3 years, when all their primary [deciduous] teeth have erupted. However, there are many measures that you as parents can take before this time to insure good oral health. To begin, if mom is not going to breast feed, the type of nipple used on the bottle can have a definite effect on the growth of the jaws and development of muscles and swallowing patterns. The NUK nipple has an optimal shape that fits the anatomy of your babys mouth. Upon first sight, many parents assume that its funny shape and size will cause the baby to reject it, and thus, shy away from using it. Try the NUK nipple for a few days. Most babies will accept it readily. Using the NUK will lessen the chance of your baby developing a colicky stomach and may prevent certain orthodontic conditions that wont become evident until your child is much older.

Fluoride
Perhaps, the most predictable and consistent preventive measure in dentistry is the ingestion of systemic [enters the blood stream] fluoride up to about age 14. The incorporation of fluoride into the tooth enamel allows the tooth to be more resistant to demineralization by acid and ensuing tooth decay. If your water district doesnt add fluoride to the water supply, your baby should be receiving fluoride drops of a fluoride/vitamin combination as soon as possible after birth. The first permanent molars are already calcifying by age 3 months. It is in this formative stage that the tooth will incorporate the greatest amount of fluoride. Studies have shown that fluoride will not cross the placental barrier, so pregnant woman no longer receive fluoride preparations. Systemic fluoride [at 1 part per million] is a safe and effective way to dramatically reduce dental decay, along with the cost of dental treatment. Please call our office to learn if your water is fluoridated, and if not, we will be able to prescribe the proper dosage.

Teething
On the average a baby will start to get their first teeth at about six months. Teething [tooth eruption] can cause discomfort for your baby, as well as many sleepless nights for you. During teething periods, your baby may exhibit excess drooling, runny noses, low-grade temperature and/or overall crankiness. To help this situation, you may purchase some 2 by 2 inch gauze pads at your pharmacy and lightly rub your babys gums with them several times a day. This will remove a thin layer of plaque that forms on their gums, thus lessening eruption pain. Most babies will find this massaging very soothing, and some will derive pleasure from sucking on the gauze or your finger. A clean teeth ring to chew on may also be helpful. Teething gels or ointments that will temporarily numb your babys gums and reduce discomfort are available at your pharmacist.

Nursing Bottle Syndrome
Many parents give their babies a bottle in bed to pacify him/her and enable them to fall asleep. Most people fill the bottle with milk, formula, fruit juice or water mixed with a sweetening agent such as Kayro syrup or honey. Unfortunately, as your baby falls asleep, the tongue and nipple on the bottle pool the liquid around certain teeth. The acidic and/or sugar content of these liquids can cause severe tooth decay. This is called nursing bottle or baby bottle syndrome. Dont allow your baby to become a dental cripple before his/her first check-up. If you must give them a bottle in bed, be sure to fill it only with plain water.

Sinusitis Got You Down?

During the winter months and at other times when the air is very dry, it is important to keep our nasal passages moist. An easy way to do this is to sniff salt solution into both sides of the nose 2-4 times a day. To prepare a solution of proper strength, add 1/4 teaspoon of table salt to a cup of warm water, and stir it until all the salt has dissolved. Sniff some from a spoon or other small container into each nostril. Alternatively, you can buy ready-prepared nasal saline products, such as Ocean, Simply Saline or generic equivalents from drug stores. Such solutions can be used to wash away mucus from the membranous lining of the nasal passages. They also help by shrinking any parts of it that are swollen. If this is not done, mucus and the swollen membranes around these openings may block openings of the sinuses into the nasal passages. Sinusitis will then occur if nasal bacteria infect the mucus, which can no longer drain from the blocked sinus. Treatment of sinusitis (rather than its prevention) often requires the use of antibiotics.

Some doctors are not enthusiastic about nasal saline irrigation since researchers found that it does not significantly reduce the incidence of colds. However, do not confuse colds with sinusitis. Viruses cause colds, while sinusitis is a bacterial-induced complication for some colds. Irrigation of the nasal passages with saline cannot kill viruses or bacteria, but it does help to reduce the incidence of sinusitis in people with a tendency to develop this common complication of colds.

Sources: American Family Physician (70:1685 & 1697, "04) & Wall Street Journal (Dec.7"04, page D6).

Are You Thumbing Your Mouth At Me?

Infants have a natural instinct to suck as a way of nourishing and soothing themselves. Often, this leads to the child sucking on their fingers, a blanket, a stuffed animal or their thumb. Usually, this habit is given up by age 4. If it continues, it can be extremely detrimental to the development of their teeth and jaws causing crooked teeth, an incorrect bite, speech problems and/or open-mouth breathing. This habit may result in psychological trauma if it continues into school age when the other children tease them.

What should a parent do? If possible, try to switch them to a properly designed pacifier that fits the shape of the mouth. Pacifiers are less likely to create the same developmental problems [by distributing forces over greater area], are usually discarded by the child at an earlier age and are easier to hide than a thumb. If the thumb sucking is during the day, discuss the problem with them to discourage the habit. Placing a band-aid on their thumb as a reminder may help. Be positive and praise them when they remember. And reward them for their success.

It is more difficult to control thumb sucking when the child is asleep, because the child is unaware of this involuntary action. So, try this habit-breaking technique that is usually successful within two weeks. Before your child goes to bed, wrap a 2-inch wide ace bandage lightly around their fully extended arm [straight]. Start about 3 inches from their armpit and continue down past the elbow. This will not prevent your child from putting their thumb into their mouth. However, as soon as they fall asleep, the tension created by bending the elbow will pull the thumb from their mouth.

If your child is still sucking on their thumb or anything else by the time their permanent teeth erupt [around age 6], please call it to the attention of our office.