General Dentistry For Kids - In Your Local Palo Alto, CA Area

Dental Care: Malocclusion (Bad Bite) In Children

Malocclusion means "bad bite." It's when the upper and lower teeth are not meeting correctly, or when the teeth and jaws are not positioned for good dental health. This condition affects jaw growth, speech development, facial appearance, gum tissue health, and the ability to clean teeth properly.

What Causes Bad Bite In Children?

Many malocclusions are inherited. This includes crowding of teeth, too much space between teeth, extra or missing teeth, or irregularities in the jaws, face, and teeth.

Malocclusions also can be environmental in nature, caused by accidents, thumb sucking or sucking on a pacifier, obstruction by tonsils and adenoids, dental disease, or premature loss of primary (baby) teeth.

Why Is Dental Treatment Important?

If dental care is delayed or not taken, many problems get worse and more complicated (and expensive) to remedy. Malocclusion can cause excessive wear of tooth enamel, poor chewing, stress on both the gums and jawbone that support the teeth, chronic headaches, and facial and neck pains. Correcting the malocclusion can improve overall oral health and eliminate other potential problems.

Does the Pediatric Treatment Involve Removal of Some Teeth?

Sometimes when permanent teeth are crowded and their spacing and proper positioning is being affected by the primary teeth, removing primary or baby teeth is necessary. Otherwise, the severely crowded permanent teeth will either remain "stuck" (impacted) and unable to erupt, or they will erupt in an undesirable position.

Treatment of a malocclusion involves a thorough evaluation of your child's specific condition by a pediatric dentist and/or orthodontist. This may include recommendations for removal of some primary or permanent teeth because some malocclusions cannot be treated successfully without doing so. Extraction of some teeth in severely crowded conditions enhances proper alignment, function, and appearance, too.

How Is a Diagnosis of a Malocclusion Performed?

Each child's specific condition dictates the diagnostic procedures, but they often include several or all of the following:

• Clinical exam.
• Medical and dental history.
• Impressions of the teeth for making plaster models.
• Photographs of the face and teeth to provide a record of the child's facial appearance prior to treatment.
• Panoramic X-rays showing all the upper and lower teeth in biting position, and teeth that are not yet visible.
• Lateral (cephalometric) X-rays of the entire head showing the relationship of the teeth and jaws to the face and skull.

How Long Does Dental Care Treatment Take?

Each condition is unique and must be treated individually. The actual time is dependent on the growth of the child's mouth and face, the severity of the problem and the cooperation of the child in following instructions. Mild correction problems or early treatment may take only a few months. Treatment for more complex malocclusions range from one to three years.

An attractive smile, proper alignment, and healthy teeth are valuable rewards gained from a custom-designed treatment program made for smile after smile!

by Brian J. Gray, DDS, MAGD, FICO

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.

Pediatric Dentistry: Your Child's First Dental Visit

There are varying recommendations as to when the first pediatric dentistry visit should Pediatric Dentistry recommends that all children should have their baby teeth looked at by a pediatric dentist within six months of the eruption of the first tooth or no later than one year of age.

The American Academy of General and Pediatric Dentistry recommends between 18 and 24 months of age the child should have their baby teeth seen, unless there is an apparent problem. The American Academy of Pediatrics recommends a child be seen by age three, or sooner if there is a need.

Although there may not be many baby teeth to examine at one year of age, the first pediatric dentistry visit can provide parents with valuable information regarding care and prevention through education and counseling. Infants can be infected with the bacteria that cause tooth decay. Many children have decay in baby teeth by the time they are seven years old.

The infant oral health appointment will include:

• A review of the infant's diet and nutrition
• The need for fluoride supplementation considering dietary and other sources of fluoride
• Pediatric dentistry instructions for cleaning the baby teeth and gums
• Discussion regarding pacifier, finger, or other oral habits
• Injury prevention and trauma
• Oral development and normal eruption patterns
• Risk factors for decay in the child's baby teeth

Traumatic injuries to the mouth occur more often as the child progresses through crawling, walking, and running. If the first visit has already occurred, the parent has a doctor who is familiar with the child to call for emergency pediatric dentistry care.

The sooner your child is acquainted with a pediatric dentist and experiences a pediatric dentistry examination, the better for his or her overall perception of the dental visit. The child's temperament will determine how the appointment goes. Do not delay the first visit because you believe your child will not cooperate. You may be pleasantly surprised!

Make the first pediatric dentistry appointment as early in the day as possible. Toddlers are usually more rested in the morning. Try not to communicate your own fears, if any to your child. Your interpretations and expectations are different from your child's. Practice with your child's head on your lap. Depending on the age, explain how he or she should open wide, talk about the little mirror, the tooth counter, and Mr. Clean, who will make the baby teeth shine.

Avoid words such as hurt, drill, or shot. Do not expect too much from your child. The pediatric dentist will manage the behavior with age-appropriate expectations. A favorite toy or blanket can be taken with the child to hold. Some offices offer a "First Visit" videotape to be viewed at home prior to the visit. The book, Going to the Dentist, by Fred Rogers, is a great way to introduce the first visit. Here's to a wonderful first pediatric dentistry visit for your little "First Timer!"

by Jane A. Soxman, DDS

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.