March 21st, 2017
Sucking is a common instinct for babies and the use of a pacifier or their thumb offers a sense of safety and security, as well a way to relax.
According to the American Academy of Pediatric Dentistry, the majority of children will stop using a pacifier and stop sucking their thumb on their own between the ages of two and four years of age. Prolonged thumb sucking or use of a pacifier can have dental consequences and needs be taken care of sooner, rather than later.
Many dentists favor pacifier use over thumb sucking because it makes it easier for parents to control and even limit the use of a pacifier. If thumb sucking lingers, the same strategies used to break the baby from using the pacifier can be used for thumb sucking.
- Try to find "orthodontically correct" pacifiers, as they may reduce the risk of dental problems.
- Never dip a pacifier in sugar or honey to calm the baby.
- Give your baby a bottle of water at bedtime, never juice.
Long term pacifier use can lead to an assortment of dental complications including:
- The bottom teeth leaning inward
- The top teeth slanting outward
- Misalignment of the baby’s jaw
The risk of any or all of these things happening is greatly increased if thumb sucking and pacifier use is sustained after the baby’s teeth start to come in.
Breaking the Thumb Sucking and Pacifier Habit
Most toddlers and children will stop sucking their thumb or using a pacifier between the ages of two and four on their own. However, if intervention is necessary here are a few tips to help your child break the habit:
- Slowly decreasing the use of a pacifier can be effective for many children. This method does not work very well with thumb sucking.
- Thumb sucking can be more difficult to break. Dr. Dennis Stiles and Dr. Marie Stiles may recommend using an over the counter cream that you put on the child’s thumb; it doesn’t taste good and usually does the trick.
- Rewards can also help with the process.
- If these simple commonly used strategies do not work, there are oral devices that will prevent a child from sucking their thumb or a pacifier.
Talk to Dr. Dennis Stiles and Dr. Marie Stiles and our team, as we have many tricks up our sleeves that will be effective in breaking your child’s thumb sucking or pacifier use.
March 14th, 2017
Pregnancy can be one of the most exciting times in a woman’s life, as you eagerly wait for the birth of the new addition. Needless to say, pregnancy comes with a lot of responsibilities. Everything you do to your own body can affect your baby’s health, so you eat right and try to avoid anything that could harm your baby.
You may not realize it, but even your oral health affects your baby. You have a lot to worry about during this time in your life, but it’s important not to let your oral health slide. Maintaining good routines before and during pregnancy can improve the health of your baby.
Gum Disease and Pregnancy
Gum disease includes gingivitis and the more severe condition called periodontitis. Pregnancy gingivitis is a condition that results from bacteria in your teeth. Symptoms include gum inflammation and bad breath. If it progresses to periodontitis, your baby is at higher risk for preterm delivery and low-birth weight. You can also develop pregnancy tumors, or pyogenic granulomas, which can interfere with speaking and eating. Throughout pregnancy, continue to visit Dr. Dennis Stiles and Dr. Marie Stiles at your regularly scheduled appointments to look for signs of gum disease.
Pregnancy and the Role of Our Office
Make an appointment with Dr. Dennis Stiles and Dr. Marie Stiles at our Gaithersburg, MD office when you first learn that you’re pregnant, especially if you have unresolved oral health issues. If possible, try not to schedule necessary treatment during the first trimester or second half of the third trimester.
Oral Health Care Habits to Follow
Maintain a normal good oral health care regimen, which includes brushing your teeth at least twice daily with a fluoride toothpaste and soft toothbrush, and flossing daily. If your regular regimen is not up to par, now is a good time to develop good habits. You can use an unflavored toothpaste if you have morning sickness and regular toothpaste makes you feel nauseous. Also, rinse your mouth with water or mouthwash if you experience morning sickness to prevent acid damage to your teeth.
March 7th, 2017
Depending on how long the thumb sucking or constant pacifier use continues, and how aggressively the child sucks a thumb or the pacifier, it can indeed be an oral health issue. Generally speaking, most children outgrow these behaviors or are able to be weaned off them successfully sometime between ages two and four. When children wean off the behaviors in this age range, long-term damage is unlikely.
Why Kids Suck Their Thumb or Pacifier
Both of these habits are actually a form of self soothing that your child likely uses when he or she is very upset, or feeling stressed, confused, frustrated, or unable to properly express the emotions. If your son or daughters is a regular thumb sucker, or the child wants to use the pacifier almost constantly, it is best to try to taper off these habits at a young age.
If your child continues to suck a thumb or request a pacifier consistently after leaving toddler-hood, this could be a source of concern, and it should be addressed with Dr. Dennis Stiles and Dr. Marie Stiles and our staff. We will be able to evaluate your child's mouth to look for any signs of damage such as palate changes or teeth shifting.
Say Goodbye to Old Habits
In the event that your child is quite reluctant to give up a pacifier or thumb-sucking habit, there are a few things you can do to discourage these behaviors.
- When you notice that your child is not using a pacifier or sucking a thumb, offer effusive praise. This type of positive reinforcement can be much more effective than scolding the child.
- Consider instituting a reward system for giving up the habit. If the child goes a certain amount of time without this behavior, award him or her for being such a “big kid.”
- Employ the help of older siblings or relatives that your child admires. When a child’s role model says that he or she stopped sucking thumbs at a certain age, your child is likely to try to emulate that.
February 28th, 2017
According to the American Association of Endodontists, root canals have a success rate of over 95% and in most cases they last a lifetime.
There are a few factors that ensure the root canal will last and should be followed.
- You want to make sure you allow Dr. Dennis Stiles and Dr. Marie Stiles to perform a permanent restoration of the tooth. That means getting the filling and the crown immediately after the canals have been cleaned of all bacteria and debris.
- Practice good oral hygiene; that means brushing and flossing at least three times a day especially after meals and before bed.
- Just because a tooth has had a root canal that does not mean the tooth is safe for as long as it remains in your mouth. That tooth can still get a cavity. Since the nerves are no longer present in that tooth you will not feel any pain or experience any other signs of a cavity. That’s why it is important to get regular cleanings and checkups.
- If the tooth becomes fractured or you develop an abscess, you will feel pain and know there is a problem with the tooth.
Why do root canals fail?
As mentioned above, only about five percent of root canals fail, and sometimes it is not actually a “failure.” In cases, of teeth that have more than one root, it is possible that only one root was infected and filled. If the remaining root(s) become infected in the future, they will also need a root canal performed on them.
There are a few other reasons why your root canal may fail:
- The first reason is you may not have taken good care of your tooth (teeth). This is commonly seen in children and teens who often have inconsistent oral hygiene habits.
- If the tooth has more than one root, and one of the roots has a minute infection that is undetectable and goes unnoticed it can cause the root canal to fail. While this scenario is very unlikely, it does occasionally happen.
- Over time, the seal can become weak and bacteria can enter the tooth. This is also very uncommon but it does happen.
No procedure dental or medical comes with a 100% guarantee to last a lifetime, but if you take care of your treated tooth, the chances of success are great.
If you have any additional questions about root canals and your oral health, be sure to ask a member of our team at our Gaithersburg, MD office.