Dental News you Can Use

Ask Doctor Mel:

Q: We use food as a reward as part of our child's behavior modification program. Can this cause dental problems?

A: Food can be a great motivator in behavior modification programs. To help prevent dental problems there are several guidelines. Teeth that are frequently exposed to sugar are much more prone to cavities. Try to find a balance between maximizing behavior and minimizing sugar exposure. Sugar exposure can be minimized either by limiting portion size of the reward, limiting frequency of the reward, and/or seeking rewards that are low in sugars and starches. Since sticky foods keep the sugar in the mouth longer, they have more cavity-causing potential; try to avoid things like taffy, caramel, marshmallows and even raisins, as possible.

Improved oral hygiene can be very helpful. More frequent brushing is highly suggested. When a toothbrush is not available try detergent foods after high sugar foods to help teeth cleanse themselves; examples include crunchy foods like carrots, broccoli, and apples. Drinking low sugar beverages can also help the mouth clean itself. Of course, a varied, nutritional diet is important in assuring the development of strong teeth and healthy gums. Your physician should be consulted regarding other areas that may be affected by your proposed program including problems with nutritional deficiencies, allergies and obesity.

Q: My child turned six two months ago and still doesn't have six year old molars. Should I be worried?

A: there is a wide variation in the eruption dates of children's teeth. Children commonly lose and gain teeth at different times compared to their friends. in fact, it is so common for the “six-year-old-molars” to come in before or after a child turns six that most dentists have come to simply refer to them as the “first permanent molars” to decrease parents' anxiety. A variation of up to one year for any tooth would generally be considered within normal limits. Keep in mind that people with other developmental delays are very prone to have delayed dental development, as well. Also, there are some rare causes of delayed eruption of teeth that can only be evaluated by a dentist and may require special treatment, so give him or her a call to have this possibility ruled out; after a complete evaluation you and your dentist can decide if and when its time to worry.

Q: How can I help my child assure good dental health?

A:  According to the American Academy of Pediatric Dentistry “the following Steps will help your child be a part of the cavity free generation:

1.      Beware of frequent snacking

2.      Brush effectively twice a day with a fluoride toothpaste

3.      Floss once a day

4.      Have sealants applies when appropriate

5.      Seek regular dental checkups

6.      Assure proper fluoride through drinking water, fluoride products or fluoride supplements

Remember dental disease is preventable. If problems are present, most can be easily treated comfortably; if left untreated, dental disease can cause pain and infection as well as difficulties with eating, speech, and self image.

Q: How do I find a dentist that treats patients with special needs?

A:  There are several resources available to assist you in finding a dentist that treats patients with special needs. These resources include: the Easter Seals Foundation, the Massachusetts Dental Society, the Massachusetts Academy of Pediatric Dentistry, and the American Academy of Dentistry for the Handicapped.

In general, pediatric dentists are the most likely group to fulfill your needs because they have all received special education as part of their ten years of speciality training beyond dental school. Selecting a dentist is like choosing any kind of professional:call and find out how receptive the dentist and staff are towards your special needs, determine if the facility is accessible, are the hours and location convenient, and of course, seek recommendations from friends. Some general dentists and other specialties have chosen to seek out extra training, call and ask.

Mail your questions to:

Melvin A. Ehrilch, D.D.S.

223 Walnut Street, Suite 22

Framingham, Ma 01701

For Urgent issues: Dr. Mel can be reached at (508) 875-KIDS