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Why Choose a Pediatric Dentist?

Pediatric dentistry was created to fill a void in traditional dental care. Your child's teeth and dental issues are different from yours, and therefore need special care. For instance, when was the last time your family dentist addressed your thumb- or pacifier- sucking habit, or explained that going to bed with a bottle can negatively affect your oral health? As a parent, you have to deal with teething and teaching another person how to properly care for his or her teeth, and pediatric dentists are equipped to deal with these issues. Both you and your child will appreciate the specialized care that a specialist can provide.

So, what sets a pediatric dentist apart from your traditional dentist? Pediatric dentists undergo additional training to learn about children's growth, development and psychology. They also take behavior management classes, where they learn to deal with nervous or hard-to-handle young patients. Here are just some of the things pediatric dentists can do to make this time easier (and healthier) for both you and your child:

• Preventive care. Small mouths have special needs, such as child-size toothbrushes and fluoride-free tooth paste. A pediatric dental specialist will not only show your child how to properly care for his or her teeth, but, even more importantly, teach you how to supervise and guide his or her preventive dental care.
• Monitoring growth.As children begin to grow primary teeth, pediatric dentists keep an eye on the bite and jaw alignment to predict, prevent and treat orthodontic problems.
• Teething. Only a parent can truly understand the struggles that accompany a teething child. They're in pain and grumpy while you're virtually helpless (and so probably just as grumpy!). A pediatric dentist can show you how to alleviate your child's discomfort properly clean the teeth once they erupt.
• Baby bottle tooth decay. If you send your child off to bed with a bottle, you aren't alone. It will often put an end to that incessant crying you've been struggling with most of the night. Unfortunately this habit can have terrible consequences. Sucking the bottle tip can misalign teeth. What's more, if the bottle contains any fluid other than water (particularly sugary fluids like juice), it can promote the growth of bacteria in the mouth and lead to tooth decay. A pediatric dentistry expert can minimize the effects of baby bottle tooth decay.
• Thumb- and pacifier-sucking. Sucking thumbs, pacifiers and baby bottle tips can cause teeth to either shift out of line or grow improperly. A pediatric dentist will advise you on how to overcome these bad habits, which are often difficult to break.

You can also expect a different sort of "bedside manner" from a pediatric dental specialist, who has been trained on soothing the worried minds of dental phobic children.

+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.

Dental X-Rays For Your Child

Parents often question the need for dental X-rays (radiographs or films). Just as a broken bone or lung disease require a radiograph for a diagnosis, dental decay or other pathology (disease) of the oral cavity may require a radiograph for diagnosis. Tooth decay in children spreads rapidly in primary (baby) teeth.

Bitewing Radiograph(s)

These films, usually two, identify the presence of decay between the back (posterior) teeth. Decay between the teeth is called interproximal decay. By four and one-half years of age, the baby (primary) molars usually touch or contact each other. Interproximal decay can spread to the adjacent tooth if the teeth are in contact. If there are spaces between the primary molars, and there is no other evidence of decay, these films may not be necessary until later. A lack of spacing between the primary teeth predisposes a child to a much higher incidence of interproximal decay. Early detection permits your dentist to restore (repair) the tooth in less time and preserve tooth structure.

Periapical x-Ray

This film is used to examine the area around the tip of the root(s) or in between the roots. Primary teeth have long roots before they are resorbed (dissolved) by the pressure of the erupting permanent tooth. A root fracture after trauma, deep decay, infection, the need for root canal treatment, the presence of extra teeth, or absence of developing teeth are some of the findings with this film.

Occlusal Radiograph

This film evaluates the presence or absence of the upper and lower front teeth (incisors). It may also be used to diagnose fractures of teeth or bone and extra or missing teeth.

Panoramic x-Ray

Some pediatric dentists request this film around seven or eight years of age, when all eight permanent incisors have erupted. Although this not as accurate in diagnosing decay, it may provide an alternative if a child has a gag reflex that has prohibited taking a periapical or bitewing radiograph. The film is outside the mouth in a machine that revolves around the head. A view of the entire upper and lower jaw is obtained. This is commonly obtained by orthodontists prior to treatment. The panoramic radiograph may reveal or evaluate:

• Missing teeth
• Extra teeth
• Tumors, cysts, or other disease
• Improper position of teeth
• Broken bones after trauma
• Development of the permanent teeth
• Future crowding
• Wisdom teeth

Cephalometric Radiograph

This film ordinarily is obtained by an orthodontist in order to make a diagnosis of a child's bite (occlusion) and to determine the best treatment plan. It measures the relationship of the bones of the head and jaws.

Now, you are "in the know" for your child's next dental X-rays!

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.