Radiographs (x-rays) are vital to ensure a thorough dental examination for your child.
Radiographs are used to detect cavities, evaluate the eruption of teeth, evaluate teeth and the supporting bone following trauma, plan for orthodontic treatment, and detect any disease of the bone. Without the use of x-rays many dental conditions are not visible until they become a more serious problem.
The American Academy of Pediatric Dentistry recommends children receive radiographs every 6-12 months depending on their risk for cavities. As your child’s permanent teeth begin to erupt a larger, panoramic, radiograph is recommended. This allows your dentist to evaluate all existing and developing teeth, bone, and other orofacial structures.
Pediatric dentists take every precaution possible to minimize radiation exposure for patients and employees. Our office is pleased to offer digital radiographs which lower the radiation exposure for your child compared to conventional radiographs. This coupled with the use of a lead apron and collar exposes your child to minimal radiation.
Silver Diamine Fluoride
Silver diamine fluoride is a non-invasive treatment option for some cavities. Not all teeth are candidates for this material but, when used correctly, it can stop active decay and also prevent future decay in the treated tooth. Silver Diamine Fluoride, or SDF, received FDA approval in 2014. Since coming on the market it has been an incredible aid in helping address decay in children and adults. With dental cavities continuning to be the most common chronic childhood illness, we are excited to offer an alternative to the traditional “drill and fill” approach to managing dental cavities.
Pros of SDF:
- Quick and painless application
- Helps relieve sensitivity
- Arrests 80% of dental decay
- It helps arrest current caries activity and helps promote remineralization of natural tooth structure
Cons of SDF:
- Permanently stains any decayed portion of the tooth black
- Cavitated teeth, or teeth with holes, will still require a restoration to prevent food from packing in the area
- SDF is not a treatment for certain teeth such as those with deep cavities
- SDF is not a cure for dental decay, it is a treatment option
When your pediatric dentist detects a cavity during their examination they will recommend a means to restore the tooth in both form and function. Depending on the size of the cavity the area may be numbed to ensure your child is comfortable throughout the procedure. Often a “raincoat” or non-latex rubber dam is placed to protect your child from any debris during the cavity removal. Once the cavity is removed the tooth will be restored.
Depending on the size of your child’s cavity your pediatric dentist may recommend a crown, or “cap”, to protect their teeth. Baby teeth are small and often a cavity is large enough that the remaining tooth structure is insufficient to hold a filling. These caps are silver; however, white crowns are available to meet more esthetic needs.
Baby teeth are small but the nerve and blood vessels, ‘dental pulp’, inside of them are much larger in proportion than in adult teeth. Often cavities in baby teeth progress quickly towards the pulp and cause pulpal inflammation in the area. Sometimes this can cause some discomfort on that tooth, other times your child will have no symptoms.
The purpose of pulpal therapy is to remove the affected pulpal tissue place an inert material inside the tooth that allows the tooth to remain in the mouth until it is naturally lost. These procedures are often called “baby root canal”, “indirect pulp cap”, “pulpotomy”, or “pulpectomy”.
A pulpectomy is the removal of all pulpal tissue from the crown and root of the tooth. The space is then disinfected and a restorable material placed to allow normal eruption of the permanent tooth underneath.
A pulpotomy removes the affect portion of the pulp and places an agent that calms the remaining nerve and removes any residual bacteria. The tooth is restored with a full coverage stainless steel crown to help seal the pulp from further injury.
Indirect Pulp Cap
An indirect pulp cap is the removal nearly all of the cavity leaving small portion over the nerve of the tooth. A medicine is placed that allows the tooth to heal itself from the inside out and prevents further growth of the bacteria. The tooth is then filled with a restoration to help prevent bacteria from re-invading the tooth.
We make every attempt to save teeth here at Silverdale Dental Center; however, there are times when the removal of a tooth is recommended. Teeth which have a large cavity that would prohibit the placement of a filling or crown, have a large infection, or have had trauma making them unsafe to remain in the mouth are all possible scenarios when an extraction could be recommended. Since baby teeth are a placeholder for permanent teeth we often place an appliance to save the space for the developing tooth to erupt.
Tongue-tie and lip-tie corrections
Tongue and lip ties are a fairly common condition and can be diagnosed as early as a few days old. Some people are able to function with their tongue or lip ties while others will require a correction to aid in relatively “simple” activities such as breastfeeding, speaking and eating.
Everyone has a “tie” or frenum that connects their tongue to their floor of the mouth and lip to their upper jaw bone. This tissue is usually thin and will continue to thin as an individual grows. Occasionally the tissue is so thick that it restricts an individual’s movement leading to more severe problems.
For many mothers breastfeeding can be extremely difficult, painful, and frustrating. Though many factors play into successful breastfeeding, numerous breast feeding specialist note tongue and lip ties as the frequent cause of breastfeeding difficulties. Releasing the restrictive tissue can allow an infant the ability to properly latch. This greatly increases their efficiency of feeding and greatly decreases a mother’s discomfort.
Though a tongue and/or lip tie correction will greatly improve the infant’s ability to nurse our office strongly encourages a mother and infant to work closely with a lactation consultant. Kitsap County has numerous wonderful resources to help new mothers and infants achieve successful breast feeding. We encourage moms to visit the Kitsap County Health Department http://www.kitsapcountyhealth.com/CommunityHealth/pch_lactation.php for more information on these services.
Children Older Than 2:
Tongue and lip ties in children over 2 can lead to a child’s inability to articulate certain sounds, affect their tooth alignment and can lead to an increase in cavities. The release of these tissues can greatly help in a child’s ability to properly articulate words, help correct mal-alignment of teeth and decrease in cavities (particularly on the upper front teeth). Our office works closely with speech therapists and pediatricians to help provide support for children suffering from a tongue and/or lip tie.
Our office is pleased to offer this service to infants and children. With the use of a laser this procedure is only a few minutes long and relatively painless. If you have any questions or would like your child to be evaluated by Dr. Neste and her team please don’t contact us.