Dental Topics

Home / Dental FAQ / Dental Topics

Peachtree Children's Dentistry - Dental FAQ

Understanding pediatric dental care is pivotal for every parent and guardian. Children’s teeth are not just miniature versions of adult teeth; they have unique needs and challenges. 

By gaining insight into pediatric dental care, you’re not only ensuring your child’s radiant smile today but also laying the foundation for a lifetime of optimal oral health. Knowledge empowers you to make informed decisions, prevent common dental issues, and instill good oral hygiene habits from the start.

FAQ Categories

General Topics

Pediatric dentists are not just dentists for children – they’re superheroes in white coats! With an additional 2-3 years of specialized training beyond dental school, they’re experts in caring for your child’s teeth, gums, and mouth from infancy through their teenage years. Each age group – from toddlers to teens – requires a unique approach to support their dental development, manage their behavior, and steer them away from future dental issues. Our pediatric dentists are perfectly equipped to cater to these diverse needs.

Think of primary teeth, or baby teeth, as the foundation for a lifetime of healthy smiles. They’re essential for several reasons:

  • Chewing and Eating: They help your little one enjoy their meals.
  • Space Guardians: They reserve the right spots for permanent teeth, guiding them into place.
  • Jaw and Muscle Development: They play a key role in the growth of jaw bones and muscles.
  • Speech and Smiles: They aid in speech development and contribute to your child’s adorable appearance.

While the front teeth bid farewell around age 6-7, the back teeth (cuspids and molars) stick around until 10-13.

Teeth start forming even before birth and make their grand entrance around 4 months. By age 3, most kids have all 20 primary teeth. The transformation to permanent teeth begins around age 6 and goes on until about age 21, ending with a grand total of 28-32 teeth, wisdom teeth included!

Dental Emergencies: Quick Tips for Parents

  • Clean and rinse the affected area.
  • Use floss to remove any trapped food.
  • If pain persists, call us. Avoid aspirin or heat on the gum/tooth.
  • Swelling? Use a cold compress and contact us immediately.
  • Use ice for swelling.
  • For bleeding, apply gentle pressure with gauze or cloth.
  • If bleeding doesn’t stop, seek medical help.
  • Find the tooth and hold it by the crown (not the root).
  • Rinse with water only (no soap or scrubbing).
  • If it’s not broken, try to put it back in place; bite down gently to hold it.
  • Can’t reinsert it? Keep it in saliva or milk and see a dentist ASA

Call your pediatric dentist. Don’t replant it to avoid harm to the upcoming permanent tooth.

Contact your pediatric dentist right away. Rinse the mouth and use a cold compress for swelling. Bring any broken pieces if found.

Call 911 or head to the nearest hospital.

Prevent jaw movement and go to the hospital emergency room.

Dental Procedures & Technologies

Radiographs (X-Rays) are a vital and necessary part of your child’s dental diagnostic process. Without them, certain dental conditions can and will be missed.

Radiographs detect much more than cavities. For example, radiographs may be needed to survey erupting teeth, diagnose bone diseases, evaluate the results of an injury, or plan orthodontic treatment. Radiographs allow dentists to diagnose and treat health conditions that cannot be detected during a clinical examination. If dental problems are found and treated early, dental care is more comfortable for your child and more affordable for you.

The American Academy of Pediatric Dentistry recommends radiographs and examinations every six months for children with a high risk of tooth decay. On average, most pediatric dentists request radiographs approximately once a year. Approximately every 3 years, it is a good idea to obtain a complete set of radiographs, either a panoramic and bitewings or periapicals and bitewings.

Pediatric dentists are particularly careful to minimize the exposure of their patients to radiation. With contemporary safeguards, the amount of radiation received in a dental X-ray examination is extremely small. The risk is negligible. In fact, the dental radiographs represent a far smaller risk than an undetected and untreated dental problem. Lead body aprons and shields will protect your child. Today’s equipment filters out unnecessary x-rays and restricts the x-ray beam to the area of interest. High-speed film and proper shielding assure that your child receives a minimal amount of radiation exposure.

Brushing teeth is crucial for maintaining good oral health, especially in children. However, be cautious when selecting toothpaste for your child. Many varieties contain abrasive substances that could harm the delicate enamel of young teeth. It’s best to choose a toothpaste endorsed by the American Dental Association (ADA), as indicated on its packaging. ADA-approved toothpastes are rigorously tested to ensure they’re safe for children’s use.

For children under 3 years old, a tiny amount of toothpaste, about the size of a rice grain, is sufficient for brushing. For kids between 3 and 6 years, a pea-sized dab of toothpaste is appropriate. At this age, children often need help or supervision while brushing, as they may not yet have the skill to brush effectively on their own. It’s important to teach children to spit out toothpaste rather than swallowing it, to avoid ingesting excess fluoride.

Pulp therapy is essential in treating the innermost part of the tooth, known as the pulp. This area houses nerves, blood vessels, connective tissue, and cells that help repair the tooth. The goal of pulp therapy is to preserve the life and health of a damaged tooth, preventing its loss. The primary reasons a child’s tooth might need pulp therapy are dental decay (cavities) or physical trauma. This procedure is sometimes called a “nerve treatment,” “children’s root canal,” “pulpectomy,” or “pulpotomy.” There are two main types of pulp therapy used for children’s teeth: pulpotomy and pulpectomy. In a pulpotomy, the dentist removes the damaged part of the pulp within the tooth’s crown. Afterward, a special substance is applied to stop bacterial growth and soothe the remaining nerve tissue. The treatment is usually completed with a final restoration, often a stainless steel crown. A pulpectomy is necessary when the entire pulp, including the root canals, is affected. This procedure involves removing all the diseased pulp from both the crown and the roots. The canals are then cleaned, disinfected, and filled with a material that can be naturally absorbed by the body in primary teeth. For permanent teeth, a non-resorbable material is used. The procedure concludes with a final restoration to rehabilitate the tooth.

Dental Habits & Prevention

Many parents become aware of their child’s teeth grinding, or bruxism, when they hear it during the child’s sleep or notice their teeth getting shorter from wear. There are various theories behind why children grind their teeth. One suggests a psychological cause, such as stress from life changes like moving, parental divorce, or school transitions. Another theory links bruxism to inner ear pressure changes similar to what people experience during an airplane’s take-off and landing, leading children to move their jaws to relieve this pressure.

In most pediatric bruxism cases, treatment isn’t necessary. However, if there’s significant tooth wear (attrition), a mouth guard might be recommended for nighttime use. While mouth guards are effective in preventing further wear to the primary teeth, they come with downsides, like the risk of choking if the guard comes loose, and potential interference with jaw growth.

Fortunately, bruxism is typically a phase that children outgrow. The frequency of grinding often diminishes between ages 6-9, and most children stop grinding altogether by ages 9-12. If you’re concerned about your child’s teeth grinding, it’s a good idea to talk to your pediatrician or pediatric dentist for advice and guidance.

Sucking on thumbs, fingers, or pacifiers is a natural and comforting reflex for infants and young children. It often provides a sense of security, especially during challenging times or when they are seeking relaxation and sleep.

However, persistent thumb sucking, especially beyond the emergence of permanent teeth, can lead to issues with mouth development and tooth alignment. The intensity of the sucking is key: passive thumb suckers, who simply rest their thumbs in their mouth, are less likely to experience dental issues compared to children who suck their thumbs vigorously.

Ideally, children should stop thumb sucking by the time their permanent front teeth start to appear, typically between the ages of two and four. Often, peer pressure in school-aged children naturally leads to a cessation of the habit.

Pacifiers may seem like a good alternative to thumb sucking, but they can cause similar dental problems. The advantage of pacifiers is that their use can be more easily controlled and modified compared to thumb or finger habits. 

If you’re concerned about your child’s thumb sucking or pacifier use, it’s advisable to consult a pediatric dentist.

  • Address Insecurity: Children often resort to thumb sucking when they feel insecure. Providing comfort and addressing the source of anxiety can be more effective than focusing on the sucking habit.
  • Provide Comfort: Offering extra comfort during stressful times can reduce the child’s need to seek comfort from thumb sucking.
  • Positive Reinforcement: Reward your child for not sucking their thumb, especially during challenging times, such as when they’re away from you.
  • Dentist’s Role: A pediatric dentist can offer encouragement and explain the dental consequences of continued thumb sucking.
  • Reminder Aids: Bandaging the thumb or wearing a sock on the hand at night can be helpful reminders. In some cases, a pediatric dentist might suggest a mouth appliance as a last resort.

Care for Your Child’s Teeth

  • From Day One: Begin oral care early by gently cleaning your baby’s gums with a soft cloth and water right from birth.
  • First Teeth: As soon as your child’s first teeth appear, start brushing them with a soft-bristled toothbrush.
  • Toothpaste Quantity for Toddlers: For children under 2 years, use a tiny “smear” of toothpaste for brushing.
  • Toothpaste Quantity for Preschoolers: For children aged 2 to 5, a “pea-size” amount of toothpaste is ideal.
  • Choose the Right Toothpaste: Always use a fluoride toothpaste approved by the ADA (American Dental Association), and ensure your child doesn’t swallow it.
  • Parental Assistance: Continue to brush your child’s teeth for them until they have developed the ability to do it effectively on their own.

Diet & Oral Health

The key to healthy teeth is a balanced diet, just as it is for the rest of the body. Teeth, bones, and the soft tissues in the mouth all require a range of nutrients for optimal health. Encouraging children to eat a variety of foods from all five major food groups is essential.

Frequent snacking, especially on certain types of foods, can increase the risk of cavities. The duration that food stays in the mouth also matters. Foods like hard candies and breath mints linger in the mouth, prolonging the time teeth are exposed to acids that can erode enamel.

If snacking is necessary, opt for healthier options that are kind to teeth. These include vegetables, low-fat yogurt, and low-fat cheese, which not only provide essential nutrients but also are less likely to contribute to tooth decay.

Caution with Sports Drinks

Sports drinks, while popular among athletes, pose a risk to dental health due to their high sugar content and acidity. These elements have the potential to erode even fluoride-enriched enamel, increasing the likelihood of cavity formation.

To safeguard dental health, it’s advisable for children to primarily rely on water for hydration before, during, and after sports activities. Consult your pediatric dentist for advice on using sports drinks.

  • Limit Frequency and Exposure: Try to reduce how often and how long the teeth are exposed to sports drinks.
  • Prompt Consumption: Drink quickly without swishing the liquid around your mouth.
  • Water Balance: Alternate between sips of sports drinks and water to neutralize their effects.
  • Mouthguard Care: Only rinse mouthguards with water, not sports drinks.
  • Choose Wisely: Opt for sports drinks that are more dental-friendly.

Xylitol's Role in Reducing Dental Cavities

The American Academy of Pediatric Dentistry (AAPD) acknowledges xylitol’s positive impact on the oral health of infants, children, adolescents, and individuals with special health care needs.

Research indicates that when mothers chew xylitol gum 2-3 times daily starting three months postpartum and continuing until the child reaches two years old, there can be up to a 70% reduction in cavities by the time the child turns five.

Studies have shown that using xylitol as a sugar alternative or a small part of the diet can significantly reduce new dental cavities and even reverse some existing ones. Xylitol not only complements existing dental care methods but also offers long-lasting, potentially permanent benefits. Decay rates remain low years after the completion of these studies.

Xylitol is naturally found in modest amounts in various sources like fruits, berries, mushrooms, lettuce, hardwoods, and corn cobs. For instance, a cup of raspberries contains less than one gram of xylitol.

Studies suggest an effective daily intake of xylitol ranges from 4-20 grams, distributed over 3-7 times throughout the day. Higher intakes don’t necessarily lead to better results and may even have diminishing returns. Furthermore, consuming it less than three times a day doesn’t seem to be effective.

To purchase xylitol products such as gum, look in local health food stores or search online for products containing 100% xylitol.

Adolescent Dentistry

You might not be surprised anymore to see people with pierced tongues, lips or cheeks, but you might be surprised to know just how dangerous these piercings can be.

There are many risks involved with oral piercings, including chipped or cracked teeth, blood clots, blood poisoning, heart infections, brain abscess, nerve disorders (trigeminal neuralgia), receding gums or scar tissue. Your mouth contains millions of bacteria, and infection is a common complication of oral piercing. Your tongue could swell large enough to close off your airway!

Common symptoms after piercing include pain, swelling, infection, an increased flow of saliva and injuries to gum tissue. Difficult-to-control bleeding or nerve damage can result if a blood vessel or nerve bundle is in the path of the needle.

So follow the advice of the American Dental Association and give your mouth a break – skip the mouth jewelry.

Tobacco in any form can jeopardize your child’s health and cause incurable damage. Teach your child about the dangers of tobacco.

Smokeless tobacco, also called spit, chew or snuff, is often used by teens who believe that it is a safe alternative to smoking cigarettes. This is an unfortunate misconception. Studies show that spit tobacco may be more addictive than smoking cigarettes and may be more difficult to quit. Teens who use it may be interested to know that one can of snuff per day delivers as much nicotine as 60 cigarettes. In as little as three to four months, smokeless tobacco use can cause periodontal disease and produce pre-cancerous lesions called leukoplakias.

If your child is a tobacco user you should watch for the following that could be early signs of oral cancer:

  • A sore that won’t heal.
  • White or red leathery patches on the lips, and on or under the tongue.
  • Pain, tenderness or numbness anywhere in the mouth or lips.
  • Difficulty chewing, swallowing, speaking or moving the jaw or tongue; or a change in the way the teeth fit together.

Because the early signs of oral cancer usually are not painful, people often ignore them. If it’s not caught in the early stages, oral cancer can require extensive, sometimes disfiguring, surgery. Even worse, it can kill.

Help your child avoid tobacco in any form. By doing so, they will avoid bringing cancer-causing chemicals in direct contact with their tongue, gums and cheek.

Early Oral Care for Infants

The American Academy of Pediatric Dentistry (AAPD) advises that oral health care and counseling are important for pregnant women. Studies indicate that periodontal disease can elevate the risk of preterm birth and low birth weight. Pregnant women should consult with their healthcare providers about preventing periodontal disease.

Mothers with poor oral health might have a higher likelihood of transmitting bacteria that cause cavities to their children. To reduce this risk, mothers should:

  • Regularly visit the dentist.
  • Maintain daily oral hygiene with brushing and flossing to minimize bacterial plaque.
  • Opt for a diet low in sugary and starchy foods and beverages.
  • Use ADA-recommended fluoridated toothpaste and rinse nightly with an alcohol-free mouth rinse containing 0.05% sodium fluoride to lower plaque levels.
  • Avoid sharing utensils, cups, and food with their children to prevent the spread of cavity-causing bacteria.
  • Chew xylitol gum (about 4 pieces daily) to reduce the child’s chances of developing cavities.

The American Academy of Pediatrics (AAP), the American Dental Association (ADA), and the American Academy of Pediatric Dentistry (AAPD) recommend establishing a “Dental Home” for your child by their first birthday. Children with a dental home are more likely to receive consistent preventive and routine dental care.

The concept of a Dental Home offers a go-to place for parents, other than the Emergency Room, for their child’s dental needs.

Making the first dental visit a positive experience is important. If the child is old enough, explain the purpose of the visit and assure them that the dental team will guide them through the process and answer any questions. 

A calm approach to the visit is often most effective.

Avoid using words that might scare your child, like needle, pull, drill, or hurt. Pediatric dental practices use friendly, non-threatening language to explain procedures to children.

Search Results Area