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Children are born with a natural sucking reflex. In fact, sonogram images from the womb often reveal an unborn baby practicing by sucking on his or her fingers or thumb. Not only does sucking aid in your baby’s ability to acquire food and nutrients, but it is also a security and possible analgesic outside of meal times.

Though it is both normal and beneficial for parents to soothe their children with pacifiers during infancy, long-term use could interfere with oral health and development. Most children will stop using a pacifier on their own. However, the American Academy of Pediatric Dentistry recommends halting pacifier use after age three. Prolonged thumb sucking or pacifier use after this time can cause the upper front teeth to begin to lean outward. It can also cause new teeth to erupt crookedly, and it can negatively affect jaw alignment.

If your child is not showing signs of self-weaning by age two, you may begin the process by limiting pacifier usage to specific times, such as nap time or when getting vaccinations. Offer an alternative security item, such as a blanket, and be sure to praise your child when he or she chooses the blanket over the pacifier.

Tips

• Never under any circumstances should you dip your baby’s pacifier in something sweet. Though it is a tempting way of encouraging your child to take a pacifier when crying, it can also lead to early childhood tooth decay.
• If your child has not discontinued pacifier use by age three, talk with Dr. Allen Job about behavioral modifications or appliances that can help your child wean.
• Never use negative reinforcement to discourage pacifier use. Punishment for pacifier use is not effective for changing your child’s habits.

If you have any questions or concerns about your child’s pacifier usage or which types of pacifiers are best for your child’s oral health, please give our team at All Smiles Pediatric Dentistry a call at our convenient San Diego, CA office!

All Hallows' Eve, more commonly known as Halloween, is a yearly event celebrated on October 31, and one that is anticipated by the young and young at heart all over the world. Some scholars claim that Halloween originated from Celtic festivals that honored the dead or that celebrated the harvest, while others doubt that there's any connection at all to Samhain (a Gaelic harvest festival.) Regardless of its origin, our team at the pediatric dentist office of Dr. Allen Job hopes that Halloween is fun and enjoyed by all of our awesome patients!

Trick or treat?

In North America, Halloween is predominantly celebrated by children who dress up in costumes, which range from scary to cute, who then go around the neighborhood knocking on doors asking "trick or treat", and they are given candy in return. Trick-or-treating is a time honored tradition, and though many parents groan at the pounds and pounds of candy collected by youngsters and fear for the health of their teeth, there are a few things you can do to help their teeth stay in great shape until the candy is gone:

• Limit the amount of candy they can consume each day
• Have them brush their teeth after eating candy
• Avoid hard, chewy candies as they can stick in hard to brush places
• Keep candy out of sight to reduce temptation
• Don't buy candy too far in advance to limit pre-Halloween consumption
• Help or encourage your children to floss

Halloween Fun

Halloween isn't just about gorging on candy; there are other events associated with this festive day including carving jack-o'-lanterns, painting pumpkins, decorating sugar cookies, bobbing for apples, going to haunted houses, or just curling up on the couch with a bowl full of popcorn and watching some classic, scary movies.

Halloween Around the World

Some countries, like Australia, frown upon Halloween, claiming it is an American event and not based in Australian culture, while others like Italy have embraced the fun and celebrate much as Canadians and Americans do. Mexicans have been celebrating this fun day since around 1960, and it marks the beginning of the Day of the Dead festival. Some countries in Europe have come late to the party, but since the 1990s, countries like Sweden, Norway, and Germany have started celebrating Halloween as well, and finding children in costumes or having ghosts hanging in windows has become commonplace.

Halloween is about fun; stepping outside our normal lives and donning a costume or gathering with friends to knock on doors and ask for candy is as much a part of our culture as hot dogs and barbecue on Labor Day. Have a safe and happy Halloween from the team at All Smiles Pediatric Dentistry!

Many people think dental fluorosis is a disease, but it’s not; it’s a condition that affects the appearance of your tooth’s enamel, not the function or health of the teeth. These changes may vary from tiny, white, barely noticeable spots to very noticeable staining, discoloration, and brown markings. The spots and stains left by fluorosis are permanent and may darken over time.

Dental fluorosis occurs in children who are excessively exposed to fluoride between 20 and 30 months of age. Only children ages eight years and younger can develop dental fluorosis. Why? That is the period when permanent teeth are still developing under the gums. For kids, fluorosis can cause significant embarrassment and anxiety about the appearance of their teeth. No matter how much they might brush and floss, the fluorosis stains do not go away.

Many well-known sources of fluoride may contribute to overexposure, including:

• Fluoridated mouth rinse, which young children may swallow
• Bottled water which is not tested for fluoride content
• Inappropriate use of fluoride supplements
• Exposure to water that is naturally or unnaturally fluoridated to levels well above the recommended levels

One way to reduce the risk for enamel fluorosis is to teach your children not to swallow topical fluoride products, such as toothpaste that contains fluoride. In fact, kids should use no more than a pea-sized amount of fluoride toothpaste when brushing, and children under the age of two shouldn’t use fluoride toothpaste at all.

Dental fluorosis can be treated with tooth bleaching, microabrasion, and conservative composite restorations or porcelain veneers. Please give us a call at our office to learn more or to schedule an appointment with Dr. Allen Job.

Toothaches in children can be tricky ordeals that cause distress for both the child and the parent. You may feel helpless and frustrated because you cannot pinpoint the location of the pain. It is so hard to see your little one experience discomfort and feel like there is nothing you can do about it. But there are ways you can help. Try these tips the next time your child has a toothache.

Zero in on the Painful Area

The first thing you need to do is find out where the pain is coming from. If your child is old enough, ask him or her to point to the painful area. In younger children, look for swelling and redness on the gums and cheek, dental caries (discolorations on the tooth), or broken teeth. Try to get as close to the location of the pain as possible so you can determine an effective course of action to relieve it.

Try to Find the Cause

Not all toothaches are actually toothaches. A child can bite his or her tongue or cheek, have sore gums, or develop ulcers in the mouth. Teeth that are coming in can also be quite painful. If a tooth is discolored, broken, loose, or has spots that are either darker or lighter than the rest of the tooth, those could be causes of pain.

Five-Step Approach to Dental Pain Relief

1. Floss. Help your child floss to remove any food particles that may be wedged between the teeth and could be causing pain.
2. Rinse with warm salt water. Use a warm salt-water solution and have your child rinse well by swishing or holding the salt water over the painful area.
3. Use a cold compress. This can relieve pain and swelling. If there is no swelling, you can try it anyway to subdue the pain. Try it on for about 15 minutes, then off for 20.
4. Give the child ibuprofen or acetaminophen. Use the appropriate dosage for your child’s age and administer it regularly as directed.
5. See Dr. Allen Job. If you determine that the tooth or gum is damaged, or if the pain simply cannot be relieved, call our San Diego, CA office.

If your child is experiencing throbbing pain, fatigue, or fever, you should call your pediatrician as soon as possible. If your child is experiencing mouth pain accompanied by trouble breathing or swallowing, it can indicate a more serious situation and you should take your son or daughter to the emergency room.

Most mouth pain in children can be remedied with the simple steps here. The important thing is that you remain calm, no matter what. You child is taking cues from you and if you panic, he or she will panic.