Small bites - Exclusive Centre for Child Dentistry

Small bites - Exclusive Centre for Child Dentistry
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Sunday, January 31, 2016

9 Ways of Handling Your Child's Thumb Sucking Habit




As adults, all of us have our ways of relaxing. While we may indulge in reading or a sport, our children have their own ways of unwinding. Of the many things we observe in our babies as they learn and grow, Thumb Sucking is one of the commonest habit that is also the way for them to cope and relax.

Thumb sucking signifies so many things; that the baby is feeling hungry, that he or she is teething, and often it also shows insecurity. This is a normal and healthy part of an infant’s growth.
Infants often suck on thumbs, fingers, pacifiers, toys and even food during play and sleep. Sucking on an object gives them a sense of security and comfort. This habit usually lasts till the age of 4, often even up till 6 years.

If thumb sucking continues beyond 6 years, especially at the time permanent teeth are beginning to be formed, then it is a cause for concern, since the habit often leads to a whole host of dental problems.

Often after 5 years, children develop language skills that help them cope. Therefore the habit when continued beyond this age, may indicate children’s inability to cope or convey what they feel.
Depending on the intensity of the thumb sucking, frequency and duration, teeth can gradually get pushed out of their original position, can become misaligned, making them protrude and resulting in an ‘overbite’, a condition in which teeth don’t clamp down properly.

In addition, the misaligned teeth don’t close the mouth fully, causing malformed jaws as the years go by.

Thumb Sucking therefore has to be observed and stopped before it becomes a habit that causes harm and irreversible dental damage. If your child is approaching preschool and still shows signs of not overcoming the habit, then parents will have to intervene to know why it I so.


Below are 9 ways that you can help your child wean themselves off this habit;

  •      DO try to gradually limit the time and place where your child sucks their thumb, either to the bedroom or house itself. Try to prevent them doing it outside in public. Explain that the activity must be restricted only to bedtime.
     
  •      DON’T make it a tussle of wills. Thumb sucking is an involuntary habit, so ordering the child to ‘Stop’ won’t get you anywhere. He or she may hide and do it or turn hostile which doesn’t solve the problem. Try to praise them whenever you see them not doing it, rather than criticizing when he is. This is positive reinforcement. 

  •      DO take time every now and then to talk to them about the habit. Help them understand why the habit isn’t good, and tell them you will be there whenever they want to stop. 

  •      DON’T prevent them from thumb sucking after a stressful time or when they are injured. The child usually does it to seek comfort, and preventing them from doing it will traumatize them further. 

  •      DO practice self-awareness with your child. If they are sucking their thumb, make them aware of what they are doing. Try to make them find other ways to soothe themselves, like hugging a stuffed animal or a toy.

  •      DON’T replace the thumb sucking habit with handing them chocolates or lollipops. It is cruel to remove one habit and replace it with something worse.  
     
  •       DO practice role play to make your child understand that he/she is growing up and there are some habits he cannot carry with him as he grows. Showing them how other grown-ups like their uncles and aunts, or the neighborhood policeman behave, can help them process whether they want to continue with the habit. 

  •      DON’T try shoving a glove or mitten into their hands, whenever you catch them sucking their thumbs. When this is done as babies, it might not matter much, but when older, this will frustrate them and cause them to suck on their fingers more. 

  •      DO remember, that although thumb sucking is worrying, the child will eventually grow out of it when he is ready. You may have tried everything you can, and yet do understand that your kid will grow out of it.
Thumb Sucking is a habit practiced by every child, but it starts to get worrying when it causes dental problems which can last a lifetime. Ensuring the child gets positive reinforcement to let go off the habit, rather than a harsh approach will help them understand and get rid of it sooner. It will also help in preventing some common dental problems that can develop later in life.

If you are seeing some teeth problems in your child due to this habit, please don't delay showing your pediatric dentist at the earliest, or reach out to the Small Bites Dental Clinic at
+918041256715 or +918025272614.

Monday, January 4, 2016

Preparing Your Child For Their First Pediatric Dental Visit




A visit to the dentist must be a very important part of your child’s quarterly health checkup plan. Good oral hygiene promotes healthy teeth. Since gum problems are tied in to many other problems in the body, getting a headstart on this important aspect of health will keep your kids covered at least when it comes to their dental health.

From a child’s perspective, a trip to the dentist can be very daunting. Lying on a chair in an unfamiliar room filled with huge machines, and a doctor poking instruments into their mouth can scare even the most strong-hearted. Also, with milk teeth growing and falling off, and permanent teeth making an appearance, there might be many trips to the dentist in store for them.

As parents, it is the onus on you to make a trip to the clinic as comfortable and relaxed as possible. This will only make our work as dentists easier and quicker.

Here is what you can do to ease your child’s anxieties;

  • Start very young – Children are very adaptable, and the earlier they see a dentist, the more comfortable they will be during a dental visit. Whether it is a regular checkup, preventive visit or even emergencies such as tooth impaction or Root Canal Treatment, they will be open to any procedures. We recommend bringing your child in at age 1 year, or when the first tooth erupts.

  • Keep it Simple – The first time dental visit is the most important, to make kids feel comfortable. Try not to explain too many details to them. Giving unnecessary details and explaining procedures may cause anxiety, which isn’t a good frame of mind to enter the clinic. Maintain a positive attitude but don’t make it sound all rosy too. Most importantly, avoid saying everything will be fine. If your child ends up getting treatment and going through pain, he/she will distrust your judgement in the future.
  • Mind your words – Putting words like ‘pain’, ‘injection’, and ‘hurt’ in their head, may make them associate such feelings with the dentist and their work. Let us at the clinic handle your kids. They will be taught specific words for such feelings that they can associate with. At Small Bites, we always begin by asking kids to show us their smile and count their teeth. Positive phrases like clean, healthy teeth sound good and do not alarm.
  • Pretend Dental Visit – To get children a little accustomed to visiting a dentist, play pretend with them at home. All you need is a toothbrush and chair. Start by counting the number of teeth in their mouth, make your child look in the mirror. Ask them to pretend-play by brushing their doll’s teeth. The aim is to get them comfortable with the routine and open to a visit with us.

  • Avoid taking them to your own dentist – Many parents take kids to their own dentist assuming that they can familiarize their kids with the place. Experts caution against this however. Often times your anxiety can trickle down to the kids, especially during certain procedures that your child may never really require. Also adult dental clinics are sterile, simple spaces which may scare them, while in pediatric clinics, there are kid-friendly toys, games and TV shows which will keep them relaxed.
Small Bites Dental clinic is a very kid-friendly place, where children can engage themselves with toys, rubber slides and television. The main examination room also has drawing and animated characters, including stuffed toys to keep kids engaged.


  • Fuss over – Small children are oftentimes whiny, cranky, wiggly and do not open to new people. As parents, you have to keep calm and soothe your child gently to take their anxieties at bay. As dentists, we and the support staff are used to working with children and can guide you on what’s best for your child.
  • Avoid bribery – Promising a special treat after being a good child at the dentist’s is a complete NO, since this only serves to increase their anxiety. Promising them a lollipop or candy, makes children wonder what they are in for, to deserve such a luxurious treat. Since we also emphasize on clean teeth and avoidance of sweets, it sends a wrong message to children. Instead, as parents you can praise your child's behavior and bravery for going through with the visit. 

  • Emphasize the necessity – Teaching your child that a dental visit is a necessity not choice, from a very young age, will ensure they take care of their teeth for life. You can explain that the dentist helps keep teeth strong, prevents cavities from forming and is responsible for their beautiful smile. A calm practical and no-nonsense parental attitude will set the right premise for the child to continue with good oral health.
As parents your role in your child's dental health cannot be over-emphasized. Follow all of the above steps and it will be a breeze getting them to us. In case of any assistance or more help, do reach out to the us on pedopremila@gmail.com.  

More details can be found here.

Sunday, November 15, 2015

Maintaining Children's Dental Hygiene After a Festival




After the long holiday for Diwali celebrations, it is time for the kids to get back to school. Although as parents you have taken much care to ensure that their teeth don’t suffer the damage from too many sweets, the kids will nevertheless be tempted to indulge in or buy similar stuff.
It is important to keep reminding the kids that milk teeth when not taken care of, can affect the growth of adult teeth. Gum problems and dental caries can cause permanent issues of the mouth, caries that may require medical intervention and also cause lots of absences from school and missed school and studies. Oral hygiene is important to be practiced at all times, and children should be aware of this on a daily basis.

Here is what you as parents can ensure;

  • Pack lunchboxes rather than giving money to buy food – Although most parents prepare and pack their kid’s lunchboxes themselves, it does become tempting to give them money to eat outside, or grab readymade sweets and pastries while on the go for their lunch. Although this makes things easy, such foods are also high on sugar and starch. One fallout of this practice, is the expectation from the child that these foods are alright, the implicit approval from parents in indulging in them, and the other, is the damage such foods cause to the mouth and teeth. 
 

  • Give water rather than juices or soda – Water is the only liquid that the body requires in plenty. Replacing it with soda and juices loaded with sugar not just harms health, but affects the enamel of the teeth. These liquids are also acidic, causing teeth to rot and discolor. Juices and soda contain chemicals, artificial sweeteners and preservatives that damage gums, and cause other health problems in the long run.


  • Provide a potable dental kit for school and travel – Good oral hygiene when started at home, can carry on to school as well as everywhere else the child goes. A potable grooming kit with a small toothbrush and toothpaste can be sent with the child to school in case of particularly long hours, when kids travel, stay overnight with friends or indulge in too much of sugar laden foods.

It is difficult for children to get into a routine, especially after coming out of a festival and the accompanying celebratory mood. By ensuring they follow strict dental hygiene, they become equipped to deal with their teeth both within the home and outside it.

Sunday, November 8, 2015

Diwali and Dental Caries - Here's What To Expect




It is time for Diwali, the season of celebration that starts now and lasts till the end of the year. This festival is also all about fun, frolic and most definitely food. It is difficult to imagine celebrations without food, without elaborate mithais prepared for friends and family, ladoos and jalebis enjoyed by the family, and children rushing about with sweets stuffed in their mouth.

As much as this whole scenario conjures up happiness and fun, there is a lot to deal with once the festivities are up, and the most important being BAD TEETH and oral problems.

Sweets and delicacies are unavoidable, and so are the after-effects of gorging on them; bad teeth, bad oral odour, and with children, the first signs of caries and gum trouble. 

As much as we love snacking on food throughout Diwali and thereafter, there are little unwelcome visitors snacking on the food collected in our and the kid’s mouth, that if left untreated or not looked after, can cause a whole host of problems, many of which are already known.
  • Plaque and Caries - Sugary foods cause tooth decay. Period. Whether you give your child something mildly sweet or chocolates and desserts loaded with sugar, they will cause harm in the mouth and eventually caries. Another important factor, is the frequency at which they are eaten.
Eating foods of different kinds, almost always causes something to remain in the mouth, debris that gets accumulated between teeth and gums. Bacteria present in the mouth, feed on all these foods. In the case of sweet stuff, these bacteria feed on the carbohydrates in sugar, especially refined sugars in desserts to produce acids, which combine with saliva to form plaque. The plaque deposits itself on the teeth over a period of time, causing erosion of the tooth and caries.
  • Bad Odor – Infrequent brushing and rinsing of teeth, causes the accumulated food build-up to cause an additional set of problems. Bad odour from the mouth is one such. Acid build-up in the mouth due to remaining food, tends to cause further damage to the teeth, leading to bad breath. The tongue is also a storage of bacteria and contributes to it.
  • Dry Mouth – The more you eat, the more saliva is produced, yet consequently, the more sugars you consume, makes that saliva get used up quickly and causes dry mouth and bad breath. Dry mouth can result in frequent gum irritation, pain, inflammation and difficulty in swallowing.
As much as the harm that sweets can do during this time, Diwali is really incomplete without indulging in them. You really can’t stop the children from eating what they like. Here are a few practices to follow during this festive period;
  • Brush the children’s teeth twice daily, even more frequently if required. No matter how long the day is, how tired and sleepy they are, never put them to bed without cleaning their mouth and brushing their teeth. This will help them in the long run by also enforcing a good habit.

  • Avoid kids indulging in frequent snacking, in between meals. This helps reduce food accumulation in the mouth, and also lowers the exposure to sugar. Let them eat whatever they like, but in one sitting at one time.
  • Drink juices, milk and other liquids with a straw. Sweetened liquids remain longer on children’s teeth than solids. Using straws will limit their contact with teeth, and also make it easier to get rid of them when brushing.
  • Ensure they drink a glass of water after having sweets, or rinse their mouth every time they do. This can loosen up any accumulated food particles and prevent further damage.


  • Enjoy sweets and sugary foods during a meal, rather than before or after it. Indulging in juices or snacks throughout the day, is giving bacteria a fertile ground to grow and flourish. But letting children have sweets together with their meals, ensures that the other foods prevent these sugars from sticking to the teeth and remaining in the mouth.
  • Reduce rewarding good behavior with a sweet treat. Occasional snacking on sweets is fine, but keeping children busy with such foods for distraction, or as reward for a good job, sends across a wrong message. This not just harms their behavior, but teeth as well.
  • Brush, rinse, clean and ensure nothing remains in the mouth. This cannot be emphasized enough. Brushing all areas of the teeth, especially the ones at the back and the molars, cleaning the tongue and flossing the mouth whenever possible, ensures that the festivities don’t leave children with harmful, long-lasting effects.
Children can and must enjoy Diwali, indulge themselves with sweets, but it is left up to us as parents to ensure their teeth and dental health don't take a hit because of this.