Has your child ever begged you not to leave the dentist? Impossible you say? Not at our dental clinic. It could be our gentle touch and special way with kids. Our pediatric specialists and staff love children and are specially trained to put them at ease. We teach your children the proper way to take care of their teeth; but just as important, they learn that going to the dentist can be fun.

In the same way that pediatricians are trained to meet a child's medical needs, our pediatric dental specialists are uniquely qualified to protect your child's oral health, using the most advanced techniques...and all in our delightfully friendly open treatment area. Pediatric dentists have an additional 2-3 years of training at university pediatric facilities in addition to 4 years of dental school and 4 years of college study. Pediatric dentists learn how to deal with the behavioral aspects of children, how to make them feel comfortable, and to make the experience as pleasant as possible. Also, they are trained and qualified to treat special patients.

Some dental problems begin very early in life. One concern is baby bottle tooth decay, a serious condition caused by a child staying on the bottle (or breast) too long. Another problem is gum disease. About 40% of children 2-3 years old have at least mild inflammation of gum tissues. Oral habits (such as thumb-sucking) should also be checked. The earlier the dental visit, the better the chances of preventing problems. Strong, healthy teeth help your child chew food easily, speak clearly and feel good about his or her appearance.

Primary teeth are important because they help with proper chewing and eating, help in speech development and add to an attractive appearance. A child who can chew easily, speak clearly and smile confidently is a happier child. Healthy primary teeth allow normal development of the jaw bones and muscles, save space for the permanent teeth and guide them into place. If a baby tooth is lost too soon, permanent teeth may come in crooked. Decayed baby teeth can cause pain, abscesses or infections, and can spread to the permanent teeth. Also, your child's general health can be affected if diseased baby teeth aren't treated. Remember, some primary molars are not replaced until age 10-14, so they must last for years.

What should I tell my child about the first dental visit? We are asked this question many times. We suggest you prepare your child the same way that you would before their first hair-cut or trip to the shoe store. This will not be the frightening experience you may remember from your youth. If you are nervous about the trip, then the less you say the better. You cannot hide your anxiety from a child (they have radar for these things). Your child's reaction to his first visit to the dentist may surprise you.

Some children as early as 5 or 6 years of age may benefit from an orthodontic evaluation. Although treatment is unusual at this early age, some preventative treatment may be indicated.

By age 7, most children have a mix of baby (primary) and adult (permanent) teeth. Some common orthodontic problems seen in children can be traced to genetics, that is they may be inherited from their parents. Children may experience dental crowding, too much space between teeth, protruding teeth, and extra or missing teeth and sometimes jaw growth problems.

Other malocclusions (literally, "bad bite") are acquired. In other words, they develop over time. They can be caused by thumb or finger-sucking, mouth breathing, dental disease, abnormal swallowing, poor dental hygiene, the early or late loss of baby teeth, accidents or poor nutrition. Trauma and other medical conditions such as birth defects may contribute to orthodontic problems as well. Sometimes an inherited malocclusion is complicated by an acquired problem. Whatever the cause, the orthodontist is usually able to treat most conditions successfully.

Our Orthodontists are trained to spot subtle problems with jaw growth and emerging teeth while some baby teeth are still present. The advantage for patients of early detection of orthodontic problems is that some problems may be easier to correct if they are found and treated early. Waiting until all the permanent teeth have come in, or until facial growth is nearly complete, may make correction of some problems more difficult. For these reasons, we recommend that all children get a check-up with an orthodontist no later than age 7. While your child's teeth may appear straight to you, there could be a problem that only an orthodontist can detect. Of course, the check-up may reveal that your child's bite is fine, and that is comforting news.

Even if a problem is detected, chances are we will take a "wait-and-see" approach, checking your child from time to time as the permanent teeth come in and the jaws and face continue to grow. For each patient who needs treatment, there is an ideal time for it to begin in order to achieve the best results. Our orthodontist has the expertise to determine when the treatment time is right. The orthodontist's goal is to provide each patient with the most appropriate treatment at the most appropriate time.

In some cases, your orthodontist might find a problem that can benefit from early treatment. Early treatment may prevent more serious problems from developing and may make treatment at a later age shorter and less complicated. For those patients who have clear indications for early orthodontic intervention, early treatment gives your orthodontist the chance to:

• Guide jaw growth
• Lower the risk of trauma to protruded front teeth
• Correct harmful oral habits
• Improve appearance and self-esteem
• Guide permanent teeth into a more favorable position
• Improve the way lips meet

It's not always easy for parents to tell if their child has an orthodontic problem. Here are some signs or habits that may indicate the need for an orthodontic examination:

• Early or late loss of baby teeth
• Difficulty in chewing or biting
• Mouth breathing
• Thumb sucking
• Finger sucking
• Crowding, misplaced or blocked out teeth
• Jaws that shift or make sounds
• Biting the cheek or roof of the mouth
• Teeth that meet abnormally or not at all
• Jaws and teeth that are out of proportion to the rest of the face

If any of these problems are noted by parents, regardless of age, it is advisable to consult an orthodontist. It is not necessary to wait until age 7 for an orthodontic check-up.

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