Local Dental Care - Dental Tooth Chart

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.

Your Children's Dentist - Thumb Sucking

A Most Common Habit: Thumb Sucking

What's the most common thing nearly half of American toddlers do when they're teething and tired, relaxing, sleeping or being scolded? They suck their thumbs!

Thumb-sucking is the earliest and most common habit among children. It's nothing for parents to worry about — unless the habit persists. Only after age four does thumb-sucking threaten to damage children's teeth.

Some thumb-suckers simply rest the thumb in the mouth, sucking only at certain times. Others work at the habit, and can displace teeth severely. If, when you remove the thumb from your child's mouth you hear a "popping," it signals a great deal of pressure on the teeth that may cause an overbite or underbite. If the child is over four, you may want to discuss the habit with an orthodontist.

To help break a child of thumb-sucking, parents should;

• Avoid punishing the child
• Provide play materials to occupy the child's hands
• Keep supervision to a minimum
• Keep the home environment happy

One of the worst approaches is parental pressure — it can have a negative effect. On the other hand, peer pressure often works well, encouraging the child to imitate "grown-up" behavior.

Sometimes an orthodontic appliance can prevent or replace a thumb-sucking habit. Once a child becomes accustomed to the appliance, he or see may no longer interested in thumb-sucking.

The first step is to determine when and why a child is thumb-sucking. Your family or pediatric dentist has had lots of experience. Give them a call — they may be able to help.

+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.