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by Dr. James M. Abraham
Should I be concerned about my five-year old’s thumb sucking habit?
Most children stop sucking habits on their own between the ages of two and four years of age. If the habit continues damage may occur to the child’s palate, and it may also eventually affect the permanent front teeth if they have erupted.
When your child is old enough to understand the results of thumb sucking, you and your pediatric dentist can encourage him to stop. Behavior modification through positive reinforcement usually works well. Children respond to tracking progress on a calendar, followed by a reward. If this is not successful, other methods can be implemented.
In an older child, an orthodontist can insert a permanent appliance that will mechanically inhibit the ability to suck.
What are dental sealants, and are they recommended?
Dental sealants are clear or tooth-colored coatings that are placed on the biting surface of permanent, posterior teeth. The application is quick and easy. The material is flowed onto the tiny grooves and pits on the top of the tooth. A special light hardens the sealant, thus creating a smooth surface, and sealing out food particles and plaque bacteria.
Sealants are recommended because they make brushing more effective and reduce the risk of tooth decay. This procedure is affordable, and most dental insurance companies will cover the cost. Please remember, just the chewing surface is coated, so children must continue to brush and floss between their teeth even if their teeth are sealed.
Should I brush my toddler’s teeth with fluoride toothpaste?
Because children age three and under have not mastered the ability to expectorate reliably, the answer is no. The new kid’s fluoride toothpastes on the market taste so good that the children like to eat the paste instead of just spitting it out. Because we have no way of knowing how much fluoride is being ingested, it is better to use a “training” toothpaste or just plain water until we’re sure that the paste will end up in the sink instead of your toddler’s tummy. |
