The American Academy of Pediatrics and other healthcare organizations recommend breastfeeding as the best means for infant feeding. While bottle feeding can supply the nutrition necessary for a baby's healthy development, breastfeeding also provides emotional benefits for both baby and mother.
But there might be an obstacle in a baby's mouth that prevents them from getting a good seal on the mother's breast nipple—a small band of tissue called a frenum. This term describes any tissue that connects a soft part of the mouth like the upper lip or tongue to a more rigid structure like the gums or the floor of the mouth, respectively.
Although a normal part of anatomy, frenums that are too short, thick or inelastic can restrict a baby's lip or tongue movement and prevent an adequate seal while nursing. The baby may adjust by chewing rather than sucking on the nipple. Besides a painful experience for the mother, the baby may still not receive an adequate flow of breast milk.
Bottle-feeding is an option since it may be easier for a baby with abnormal frenums to negotiate during nursing. But the problem might also be alleviated with a minor surgical procedure to snip the frenum tissue and allow more freedom of movement.
Often performed in the office, we would first numb the frenum and surrounding area with a topical anesthetic, sometimes accompanied by injection into the frenum if it's abnormally thick. After the numbing takes effect, we gently expose the tissue and cut it with either surgical scissors or a laser, the latter of which may involve less bleeding and discomfort. The baby should be able to nurse right away.
If you wait later to undergo the procedure, the baby may already have developed compensation habits while nursing. It may then be necessary for a lactation consultant to help you and your baby "re-learn" normal nursing behavior. It's much easier, therefore, to attempt this procedure earlier rather than later to avoid extensive re-training.
While there's little risk, frenum procedures are still minor surgery. You should, therefore, discuss your options completely with your dental provider. Treating an abnormal frenum, though, could be the best way to realize the full benefits of breastfeeding.
During his former career as a professional footballer (that's a soccer star to U.S. sports fans) David Beckham was known for his skill at “bending” a soccer ball. His ability to make the ball curve in mid-flight — to avoid a defender or score a goal — led scores of kids to try to “bend it like Beckham.” But just recently, while enjoying a vacation in Canada with his family, “Becks” tried snowboarding for the first time — and in the process, broke one of his front teeth.
Some fans worried that the missing tooth could be a “red card” for Beckham's current modeling career… but fortunately, he headed straight to the dental office as soon as he arrived back in England. Exactly what kind of treatment is needed for a broken tooth? It all depends where the break is and how badly the tooth is damaged.
For a minor crack or chip, cosmetic bonding may offer a quick and effective solution. In this procedure, a composite resin, in a color custom-made to match the tooth, is applied in liquid form and cured (hardened) with a special light. Several layers of bonding material can be applied to re-construct a larger area of missing tooth, and chips that have been saved can sometimes be reattached as well.
When more tooth structure is missing, dental veneers may be the preferred restorative option. Veneers are wafer-thin shells that are bonded to the front surface of the teeth. They can not only correct small chips or cracks, but can also improve the color, spacing, and shape of your teeth.
But if the damage exposes the soft inner pulp of the tooth, root canal treatment will be needed to save the tooth. In this procedure, the inflamed or infected pulp tissue is removed and the tooth sealed against re-infection; if a root canal is not done when needed, the tooth will have an increased risk for extraction in the future. Following a root canal, a tooth is often restored with a crown (cap), which can look good and function well for many years.
Sometimes, a tooth may be knocked completely out of its socket; or, a severely damaged tooth may need to be extracted (removed). In either situation, the best option for restoration is a dental implant. Here, a tiny screw-like device made of titanium metal is inserted into the jaw bone in a minor surgical procedure. Over time, it fuses with the living bone to form a solid anchorage. A lifelike crown is attached, which provides aesthetic appeal and full function for the replacement tooth.
So how's Beckham holding up? According to sources, “David is a trooper and didn't make a fuss. He took it all in his stride." Maybe next time he hits the slopes, he'll heed the advice of dental experts and wear a custom-made mouthguard…
If you have questions about restoring damaged teeth, please contact our office to schedule a consultation. You can read more in the Dear Doctor magazine articles “Trauma and Nerve Damage to Teeth” and “Children's Dental Concerns and Injuries.”
Besides daily hygiene and regular dental visits, the best thing you can do for your kids' dental health is to see that they're eating a nutritious diet. And not just at mealtime—healthy snacking also promotes healthy teeth and gums.
Healthy snack foods are quite similar to their counterparts at mealtime: fresh fruits and vegetables, whole grains and low-fat dairy. At the same time, you should avoid providing processed snacks high in sugar, salt, unhealthy fats and calories.
Managing snack choices at home is usually a simple matter of discipline and follow-through. When they're at school, however, it's a bit trickier as they may encounter snacks sold on school grounds or offered by fellow students that don't meet your definition of a healthy food. Public schools follow nutrition guidelines from the U.S. Department of Agriculture (USDA) on snacks sold on school grounds, but many dentists don't believe the standard goes far enough to protect dental health.
So, what can you do to combat these less healthy snack choices your kids may encounter at school? For one thing, you can work with your child's school officials to exceed the USDA guidelines or turn off snack vending machines right before lunch to lessen kids' temptation to skip lunch.
You can also interact with your children to better manage their schooltime snacking. But rather than issue blanket commands about what they should snack on at school, help them instead understand the difference between nutritional foods and less nutritional ones, and why it's important to choose healthy snacks for their life and health.
Finally, don't send them to school empty-handed—pack along nutritious snacks so that they won't seek out vending machines or their classmates to satisfy the munchies. You can supercharge your efforts with a little creativity (like a dash of cinnamon in a bag of unbuttered popcorn) that make your snacks fun and more enticing than other school ground options.
It's not always easy to keep your kids from unhealthy snack choices. But with a little commitment, interaction and ingenuity, you can help steer them toward snacks that are tooth-friendly.
If you would like more information on boosting your child's dental health, 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 “Snacking at School: How to Protect Your Child's Teeth and Promote Good Nutrition.”
Watching your newborn develop into a toddler, then an elementary schooler, a teenager, and finally an adult is one of the most exciting and rewarding experiences there is. Throughout the years, you’ll note the passing of many physical milestones — including changes that involve the coming and going of primary and permanent teeth. Here are some answers to frequently asked questions about children’s dental development.
When will I see my baby’s first tooth come in?
The two lower front teeth usually erupt (emerge from the gums) together, between the ages of 6 and 10 months. But your baby’s teeth may come earlier or later. Some babies are even born with teeth! You will know the first tooth is about to come in if you see signs of teething, such as irritability and a lot of drooling. The last of the 20 baby teeth to come in are the 2-year molars, so named for the age at which they erupt.
When do kids start to lose their baby teeth?
Baby teeth are generally lost in the same order in which they appeared, starting with the lower front teeth around age 6. Children will continue to lose their primary teeth until around age 12.
What makes baby teeth fall out?
Pressure from the emerging permanent tooth below the gum will cause the roots of the baby tooth to break down or “resorb” little by little. As more of the root structure disappears, the primary tooth loses its anchorage in the jawbone and falls out.
When will I know if my child needs braces?
Bite problems (malocclusions) usually become apparent when a child has a mixture of primary and permanent teeth, around age 6-8. Certain malocclusions are easier to treat while a child’s jaw is still growing, before puberty is reached. Using appliances designed for this purpose, orthodontists can actually influence the growth and development of a child’s jaw — to make more room for crowded teeth, for example. We can discuss interceptive orthodontics more fully with you at your child’s next appointment.
When do wisdom teeth come in and why do they cause problems?
Wisdom teeth (also called third molars) usually come in between the ages of 17 and 25. By that time, there may not be enough room in the jaw to accommodate them — or they may be positioned to come in at an angle instead of vertically. Either of these situations can cause them to push against the roots of a neighboring tooth and become trapped beneath the gum, which is known as impaction. An impacted wisdom tooth may lead to an infection or damage to adjacent healthy teeth. That it is why it is important for developing wisdom teeth to be monitored regularly at the dental office.
If you have additional questions about your child’s dental development, please contact us or schedule a consultation. You can also learn more by reading the Dear Doctor magazine articles “Losing a Baby Tooth” and “The Importance of Baby Teeth.”
When does dental care begin for a child? In the truest sense, before they're born. Although the first teeth won't erupt until months after birth, they're already forming in the baby's jaw while still in the womb.
During the prenatal period a baby's dental health depends on the mother's health and diet, especially consuming foods rich in calcium and other minerals and nutrients. Once the baby is born, the next dental milestone is the first appearance of primary teeth in the mouth. That's when you can begin brushing with just a smear of toothpaste on a toothbrush.
Perhaps, though, the most important step occurs around their first birthday. This is the recommended time for you to bring them to visit our office for the first time.
By then, many of their primary teeth have already come in. Even though they'll eventually lose these to make way for their permanent set, it's still important to take care of them. A primary tooth lost prematurely could cause the permanent tooth to come in improperly. Saving it by preventing and treating tooth decay with fluoride applications and sealants, fillings or even a modified root canal treatment could stop a bad bite and costly orthodontic treatment down the road.
Regular trips to the dentist benefit you as a caregiver as much as they do your child. We're your best source for information about dental health and development, including concerns like teething and thumb sucking. We'll also keep you informed on your child's growth process as their teeth, jaws and facial structure develop.
Beginning regular dental visits at age one will also help make your child comfortable with seeing the dentist, more readily than if you wait until they're older. It's an unfortunate fact that many people don't seek out the clinical dental care they need because of anxiety over visiting the dentist. Starting early, not only will your child be getting the best in dental care, they'll be developing a habit that can continue to benefit their oral health the rest of their lives.
If you would like more information on your child's dental care, 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 “Age One Dental Visit.”
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