Local Dental Care - Pennsylvania Letters From the Tooth Fairy

Dealing with Child Dental Fears

They scream. They whine. They throw tantrums. It's no wonder many parents become so frustrated with their children's anxiety that they consider not taking them to a pediatric dentist at all. It's stressful, but perfectly normal.

Children experience dental anxiety just as adults do, and this fear is intensified by a sense of the unknown. They just don't know what to expect, and that's scary. You want to do what you can to put their minds at ease, but don't really know where to start. To really address these concerns, it's important to understand where dental anxiety originates in children. There are essentially two types of dental fear: objective and subjective.

Objective fear is created when a child goes to the family dentist and has a negative experience, such as feeling pain or not understanding precisely what's happening. The only way to overcome objective fear is to return to the dentist and replace these negative experiences with positive ones. Over time, a child should become more comfortable, their anxiety dissipating. Subjective fear, on the other hand, does not spring from actual experiences at all. It may be implanted by images of terrifying dentists on television, by playground horror stories or by sensing mom's anxiety before her own dental appointment.

Education is a parent's best defense against subjective fear. To relieve a child's pre-dentist anxiety, discuss the appointment in positive terms. For instance, explain that the pediatric dentist is a friend who will count, clean and examine his or her teeth using neat tools. Let children know that despite playground rumors, a dental exam is painless. There are a number of children's books that can help, but try to avoid those that discuss advanced procedures like fillings and extractions. Stick to the basics, and your family dentist will go from there. If you struggle with dental anxiety yourself, try not to let it show, or leave these lessons to somebody else. Children are very perceptive.

Next, consider taking your child to a pediatric dentist. Pediatric dentists are specially trained in dealing with child dental fears. They use techniques such as modeling (demonstrating procedures on fake jaws or stuffed animals) to alleviate anxiety, and explain everything in simple, fun terms that a child can understand. Beyond that, however, pediatric dentists understand child dental health needs, such as identifying problems related to thumb-sucking or baby bottle tooth decay. The experience could be just as educational for the parent as it is for the child.

Finally, for the sake of both your children's teeth and emotional well-being, it's best to bring them to the family dentist before their first birthdays. Establishing positive experiences from such a young age will squelch both objective and subjective fears before they even materialize. It will also ensure that the dentist can identify and treat child dental care problems and help to establish a proper dental regimen right from the start!

+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.

Seal Out Tooth Decay in Your Children's Teeth

Sealants are a plastic barrier to protect the chewing surfaces of the eight permanent molars from decay. The six-year molars usually erupt (come in) between five and seven years of age and the twelve-year molars erupt around 11 to 14 years of age. More than 90% of decay occurs in the deep grooves of the chewing surfaces of these molars. When teeth first erupt, the enamel is not completely calcified (hardened), and the teeth are very susceptible to decay. Dental sealants should be applied as soon as the molars are in far enough to see the entire chewing surface. If a primary (baby) molar has early decay on a chewing surface, and the child is cooperative, a sealant may be recommended. Once decay has penetrated the second layer of tooth structure, a restoration (filling) must be placed.

The application of a sealant is painless, but does require cooperation. A very high flow of saliva, a strong gag reflex, or an inability to open the mouth wide enough for access to the molars, will make the procedure difficult. Your pediatric dentist will use various methods to manage these circumstances. The most important requirement for a quality sealant is your child's cooperation.

In order to see how the sealant is performed, you and your child could ask if you may watch the procedure being performed on another child or your dentist may have a videotape or DVD that you may view. There are four six-year molars and four twelve-year molars. Because the teeth do not always come in at the same time, all four permanent molars may not be sealed during one visit.

First, the tooth must be isolated from saliva. Remember, the tooth must be dry for the sealant to bond tightly to the tooth surface. A gel will be applied for 15 seconds. After this is rinsed away with water, the sealant is applied (usually with a tiny brush). A bright light is used to harden the sealant. There is no heat or sensation from the light. The procedure takes only minutes for each tooth. Your child may eat right away.

Sealants do wear out. Retention rates are about 85% over three years. Grinding teeth and chewing ice, popcorn kernels, or hard candy can crack sealants. How well the child's enamel bonds with the sealant will often determine how long a sealant will last. If a sealant is lost, the tooth is still more protected from decay than if the tooth had never been sealed. Decay will probably not occur if the sealant is replaced during the next six-month dental check-up. If your child has had a problem with cavities and his or her oral hygiene is very poor, decay can still occur.

Sealants are one of the very best things dentistry has to offer. Seal out your child's decay!

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.