…if your little one happens to be a teeth grinder, you may be familiar with this unpleasant sound. Teeth grinding, or what is medically known as bruxism, is common in children. In fact, almost 30% of children grind or clench their teeth, usually in response to stress, jaw growth, malocclusion, losing teeth, or other discomforts, such as allergies. Kids typically outgrow teeth grinding by the time they reach their early teenage years.
Many kids who grind their teeth in their sleep don’t even realize they are doing it. In fact, when they wake up in the morning they feel no jaw, facial, neck, shoulder, or headache pain. Most often, if it hadn’t been for a parent or sibling telling them about it, the teeth grinding would have gone unnoticed by the child.
There are children, however, who wake up with jaw pain, shoulder pain, neck pain, and headaches. Teeth grinding can cause a host of dental complications, from worn and cracked teeth and receding gums to a misaligned jaw. Your dentist can tell you if your child’s teeth grinding is not something to be concerned with or just monitor. Teeth grinding, especially when all of the permanent teeth are in, can have serious consequences that, if left untreated, can lead to tooth fractures and damage to the temporomandibular joint, also known as TMJ.
The first step in helping your child recover from teeth grinding is noticing and diagnosing the problem. Symptoms of teeth grinding typically include:
If you suspect your child is a teeth grinder, our doctors and our team will be able to help. Please contact us at one of our 2 offices (West Portland or North Portland) if you have questions, www.visitworldofsmiles.com.
Here at World of Smiles we understand the importance of our children’s overall health. A healthy smiles comes from a healthy body and mind. In the spirit of promoting a healthy, active, community focused lifestyle we have relaunched our Pinterest page, https://www.pinterest.com/pdxkidsdentist/. Here you will find boards pinned with ideas, inspiration, fun, crafts, and more:
Hungry for healthy seasonal/holiday snacks, check-out our Food-for-Thought board.
Looking for family fun events around the Portland-Vancouver area, we’ve got you covered, This is happening PDX!
Too soggy to head outside, stay indoors and be creative with our Activities and Crafts board.
The world is an amazing place, go explore its beauty on our World of Wonder board.
We hope you enjoy our Pinterest boards. Happy inspiration, exploring, learning.
Need to schedule or reschedule your child’s next dental appointment? We have 2 locations, West (West Portland, Beaverton, Hillsboro, Tigard) and North (East Portland, Vancouver, Milwaukie, Gresham).
Happy New Year! You’ve probably thought about New Year’s resolutions in the wellness category, like eating healthier, going “green”, and increasing exercise. And that’s great! But have you considered your family’s dental health in the New Year? Don’t forget- dental health is an integral part of your overall wellness. Now is a great time to improve your mouth-healthy habits.
We want to help your family start the New Year off right. Review this checklist with your kids to ensure everyone has a healthier 2017!
Did every member of your family receive a perfect score on the checklist? If so, way to go! If not, there’s room for improvement in 2017. Read our past blog entries and continue to follow our blog for healthy tips and ideas.
We have two Portland area locations to help you get started, www.visitworldofsmiles.com
We wish everyone a happy and healthy New Year!
With the holiday season beginning, our little ones will need help navigating this stimulating and exciting time.
“The best way to change behavior isn’t discipline. You need to figure out what you want your child TO DO, instead of what NOT TO DO…”
The Quick Guide to Toddler Time Out
by Alexis Dubief
Parenting a toddler can make you yearn for the glorious newborn days where you could just carry your compliant child around with you like an adorable loaf of bread. So it’s no surprise that parents find themselves looking for techniques to help manage their toddler’s behavior because toddlers, by their very nature, are often unmanageable. One popular approach is toddler time out: putting your toddler in a chair or some other safe comfortable space for 1-2 minutes. During the toddler time out, your toddler will calm down and quietly reflect on their behavior, identifying their contribution to the current situation and changes they can affect to do better in the future.
I think parents of toddlers gravitate towards the idea of time outs because:
I don’t remember where I first came across the idea of time outs but I believe it was on Super Nanny.
I would watch the videos of parents wrestling their kid into the naughty chair for what appears to be 27 hours while the Benny Hill theme song plays in the background. It’s hard to watch this and feel like it’s a winning strategy. My own attempts played out in much the same way leaving me feel resentful and defeated.
So I asked two child psychologists about it.
Drs. Kate Viezel and Jamie Zibulsky see patients at Fairleigh Dickinson University’s Center for Psychological Services and are trained in Alan Kazdin’s Parent Management Technique (PMT). They also run a year-long PMT externship for psychology students. And they are both parents of young children so they totally “get it.” And this is what they have to say about it…
The Power of Positive Reinforcement
The best way to change behavior isn’t discipline.
Say what now? How do I get my child to stop being a small dictator if I don’t punish her? Well, as psychologists have known since teaching rats how to run through mazes, the best way to change behavior is through positive reinforcement. Rats won’t do much if you shock them when they make a wrong turn, but if you put a piece of cheese at the end of the maze, suddenly you have a little furry Einstein. If you’re offended that we are comparing your child to a rat, clearly you haven’t been subjected to the tiny claws of a tantruming toddler.
What does “positive reinforcement” mean in real life? You need to figure out what you want your child TO do, instead of what NOT TO DO (more on this later). And you need to regularly acknowledge when they do something right. Here are some examples of how to positively reinforce your child:
Most of us pay way more attention to our children when they do something wrong than when they do something right. Or we may praise exceptional accomplishment while breezing by the run-of-the-mill appropriate things they do every day. But research and experience show that kids behave better when people focus on the things they are doing right, even when those things are as simple as sitting down at the table to eat breakfast.
Tactics for Stubbornness vs. Aggression
Now that you have some strategies you can use when your kiddo is acting the way you want them to, let’s get to the issue you really want to address – what to do when your child is being stubborn or aggressive. By being stubborn (or, more charitably, “developing a sense of autonomy”) we mean those times when your peanut says, “no I won’t wear mittens, no you can’t change my diaper, no I’m not getting in that car seat, no I won’t stop throwing toys down the stairs.” And aggression is anything that hurts bodies or feelings, like hitting, kicking, screaming “I hate you!”, etc.
If you’re having a hard time getting your kid to follow instructions, first remember the power of positive reinforcement. That means you’ll need to be on the lookout for times when your child DOES put on their shoes the first time you ask. Simply saying “Great job getting in the bath the first time I asked!” (or doing a little happy dance) can work wonders.
Assuming you are praising, hugging, high-fiving, and Candy-Landing your kid a ton, another great response to noncompliance is to allow the natural consequence to play out. A natural consequence is anything (positive or negative) that flows organically from the child’s choice.
As an example, if your toddler breaks all their crayons into tiny bits of wax confetti, the natural consequence is that they’ve rendered their crayons unusable for drawing. The next time they want to draw they’ll be disappointed to find their crayons are no longer usable. You don’t lecture or use this moment to toss out a well-deserved “I told you so!” but trust your child to come to their own conclusions and let that inform future decisions. Natural consequences can be challenging for parents because we’ve been conditioned to believe that parenting means actively doing something and it can be hard to just sit back and let life happen without our involvement. It’s hard to get out of the way and trust your child to figure things out. But allowing natural consequences to happen is an enormously powerful and effective parenting strategy.
But what about aggression? Aggression isn’t something you can ignore, and timeout can be an effective strategy to use when bodies or feelings are getting hurt.
If done correctly.
How To Use Toddler Time Out
The time-out is a mild punishment technique that is usually an improvement over what many parents wind up doing when their kids are aggressive (arguing, harsh punishment, yelling, etc).
Time out can be effective, but you should do it consistently and rarely. And you must be regularly using positive reinforcement strategies in order for time out to work.
It is also important to remember that time out only works if you are removing a child from a highly reinforcing environment. Pick a place in your house where your child can sit in time out without any reinforcement or stimulation.
It should be brief; anything longer than 5-8 minutes isn’t any more effective than a shorter time-out, and can lead to additional problems. The minute-per-age rule (three minutes for a three year old) is pretty good, but we would recommend that you max out at about five minutes, regardless of the age of the child. Also, some kids might not be able to do three minutes; in this case, even one minute (or less) is sufficient.
Time outs should not involve any attention given to the child because any attention can reinforce negative behaviors. Time out should definitely not involve a power struggle. Any attention (even “negative”) defeats the purpose of time out. (Walking the child back to the time out spot a billion times is absolutely a power struggle and nobody wins a power struggle). Physically holding a child in time-out is giving them ALL THE ATTENTION, and carries the risk of accidental injury. If the child refuses to do time out, offer a choice of time-out or a privilege loss. If the child refuses the time out, they lose the privilege. Once the child either does time-out or loses the privilege, let the whole thing go. No one likes a lecture so save the moral discussion for a time when everyone is calm. Take a deep breath, grab the play-dough, and head outside for some fun.
Keep in the mind that, for all of the reasons above, it may be very tricky (and counterproductive) to give a time out to a child younger than the age of two or three. If you don’t think your child will be able to sit still for a brief time out or understand the concept of privilege loss, then they’re too young. You can still remove your child from the environment that is triggering the aggressive behavior, and pay lots of attention to appropriate behaviors.
The most important point is that time outs alone will not lead to behavior change. Reinforcement of good behavior will. If the child is not receiving praise, attention, and rewards for good behavior, all the time outs in the world won’t do a thing. You need to regularly acknowledge when our toddler uses gentle hands with the dog, plays nicely with their brother, and sits still for a diaper change.
This article originally appeared on 7/22/2016, http://bit.ly/2eBpjEA
To schedule an appointment or for more information, please visit, www.visitworldofsmiles.com. We have two Portland area locations to serve you.
Many parents don’t realize how early oral care needs to start.
By Melinda Wenner Moyer
If you hear blood-curdling screams coming from my house at 7 a.m. or 7 p.m., don’t fret: I’m just brushing my 2-year-old’s teeth. It’s a traumatic endeavor for us both, and I admit that I’ve sometimes wondered: Is this really worth it? Baby teeth are just, like, temporary teeth, right?
Then I saw some statistics on cavities in young kids and spoke with a couple of pediatric dentists, and was surprised to discover that caring for your wee one’s teeth isn’t optional—it’s essential. So is taking kids to the dentist at a very young age. Don’t worry; you can learn from my mistakes, because I’ve been doing pretty much everything wrong.
Let’s start with the stats: Numbers of cavities among kids have been going down in general, but cavities in baby teeth have become more common over the past 20 years. Today, a whopping 60 percent of 5-year-olds have had at least one cavity; many have had five or even 10. Dental decay in kids isn’t just a nuisance—it can cause a lot of pain, and decayed teeth often have to be repaired or pulled using general anesthesia, which, as I’ve previously reported, isn’t risk-free. And when baby teeth are pulled, they can no longer do the important job of holding space for the budding permanent teeth—some of which don’t come in until age 12—so the American Academy of Pediatric Dentistry recommends that dentists fit “space maintainers” in their stead when baby teeth are lost early. Cavities in baby teeth can also harm the permanent teeth directly, if the tissue in the central portion of the baby tooth gets infected.
There is good news, though: “Dental decay is preventable,” says AAPD president Jade Miller. When dentists see a cavity forming, they can actually reverse the process—which is in part why the organization recommends that parents bring their children to the dentist when they get their first tooth or by the time they turn 1, at the latest. (If these recommendations don’t mesh with what you’ve heard, that’s probably because the American Academy of Pediatrics used to recommend the first dental visit by age 3. But since 2003, the AAP and the AAPD have both recommended this timeline.)
To understand how dentists work their magic, you first need to know how cavities are formed. Bacteria in the mouth feed on the sugar and carbohydrates your kids eat, releasing acid in response. This acid breaks down tooth enamel and leads to tooth decay, explaining why dentists aren’t fond of kids consuming candy and juice; sugary foods provide feasts for mouth bacteria and lead to a buildup of cavity-causing acid. (Whole fruit, though, is fine: Chewing it stimulates saliva production, which helps to keep teeth clean, and its fibrous texture stimulates the gums.)
One way pediatric dentists can reverse burgeoning cavities is by applying a fluoride varnish to kids’ teeth, which causes fluoride to be released when the pH of the tooth drops as a result of the acid. The fluoride then helps rebuild the tooth enamel. When I finally brought my daughter to a pediatric dentist last week—those statistics on cavities really rattled me!—he didn’t even try to clean her teeth, because (surprise!) she was so uncooperative. But he did apply a quick fluoride varnish. Fluoride from drinking water and toothpaste can also get incorporated into the tooth enamel itself as it grows, thereby protecting it from future decay.
Of course, pediatric dentists do more than just deal with cavities in young toddlers; they can determine whether kids are doing things that might put them at risk for future cavities. For instance, if you’re letting little Jaden take a bottle of milk or juice into the crib with him at night, that’s a red flag for future cavities, and a dentist would likely tell you to stop. (This is so common it has its own name: baby bottle tooth decay.) The dentist can also check kids for signs of bigger dental or jaw problems. I got a talking-to about my daughter’s pacifier use, which is causing her to develop a gap between her upper and lower teeth. He advised me to nip her pacifier and periodically trim it more, to make it less damaging and appealing and hopefully prompt her to stop reaching for it.
Infant visits also give dentists the chance to educate parents on what to expect during teething and how best to care for kids’ teeth. If I had taken my daughter in when she got her first tooth, I might not be suffering through daily tooth-brushing battles, because I would have been told to wipe her teeth with a washcloth each day as an infant (which I didn’t do) and to start brushing with a toothbrush at age 1 (didn’t do that either). These are habits that establish oral care as a routine early on, making kids more compliant when they hit the terrible twos. Other important advice you might not have heard: brush your kid’s teeth for them at least once a day until they turn 8 or 9—oops, my 5-year-old son has been brushing solo for at least a year!—because the fine motor skills that make for good brushing “don’t really develop until about the age when a child can begin to tie shoes or write in cursive,” Miller explains; and start flossing when your child’s teeth no longer have space between them, because then the toothbrush isn’t able to reach plaque and debris between the teeth. (Yup, cavities can form between teeth, too.)
OK, but what if you, like me, have a kid who just won’t let you near her pearly whites? Jessica Lee, a pediatric dentist at the University of North Carolina at Chapel Hill School of Dentistry, suggests experimenting with different types of toothbrushes—maybe little Anna would prefer an electronic toothbrush to a manual one, or vice versa. IPad apps like Brusheez, a brushing timer with characters and music, may also make the task more fun. Or, try letting your kid brush your teeth while you’re brushing hers. If you still can’t get in there for more than a few seconds, Lee suggests that you put a rice grain–size amount of fluoride toothpaste on the brush or your finger and at least just get a little bit of fluoride on her teeth. (Generally, a child shouldn’t use fluoride toothpaste until she knows not to swallow it, but it’s OK, Lee says, to use a tiny amount in this way.)
This article originally appeared on 7/29/16, http://slate.me/2av9Yc9
To schedule an appointment or for more information, please visit, www.visitworldofsmiles.com. We have two Portland area locations to serve you.
Dr. Staci Whitman and Dr. Michelle Stafford worked for nearly two years to bring World Of Smiles to North Portland. They seek to partner with families to provide education and motivation for healthy dental habits. The practice strives for excellent patient care with a holistic, integrative approach while offering innovative treatment options. Both Docs enjoy teaching families and other healthcare professionals the importance of prevention and laying a foundation of healthy dental practices from a young age. They advocate for infant and child oral health, have had extensive experience with patients of special needs, and are Board Certified Pediatric Dentists. Learn more about who your family will partner with at your next visit!