Posts for: April, 2013

By Kent S. Denton, D.D.S., P.A.
April 20, 2013
Category: Oral Health
OliviaNewton-JohnRecallsDaughtersTeethingTroubles

Singer Olivia Newton-John's daughter Chloe is now a lovely, grown woman, but Olivia recently recounted to Dear Doctor magazine a rather creative method she found to sooth Chloe's teething troubles many years ago.

“When Chloe was a baby and teething I remember using a frozen bagel for her sore gums,” Olivia said. “She loved it!”

Cold is often very soothing to a teething child's gums. In fact, the American Academy of Pediatric Dentistry (AAPD) recommends using a clean, chilled, rubber teething ring, or cold wet washcloth. Chilled pacifiers can also be helpful. Be sure not to freeze teething rings or pacifiers as ice can actually burn sensitive mouth tissues.

Older teethers can sometimes find relieve from cold foods such as popsicles (or bagels!) but make sure your child eats these sugar-containing foods only at mealtimes so as not to promote tooth decay.

If your baby has not yet begun the teething (or tooth-eruption) process, you can expect it to begin usually between six and nine months. It may, however, start as early as three months or as late as twelve months.

Teething symptoms vary among children, as does the length of time it takes for a tooth to make its appearance. But many parents notice the following signs:

  • Irritability
  • Biting and gnawing
  • Gum swelling
  • Chin (facial) rash
  • Disrupted sleeping patterns
  • Ear rubbing
  • Drooling
  • Decreased appetite

These symptoms are usually most bothersome during the week that the tooth is breaking (erupting) through the gums, starting about four days before and lasting about three days after the tooth appears.

Occasionally, teething discomfort can be considerable. If that is the case with your baby, you can give her or him acetaminophen or ibuprofen in the appropriate dose (check with your pharmacist if you're not sure what that is). The medicine should be swallowed — not massaged into the gums, as this can also burn. Numbing agents should not be used for children under 2, except under the advice and supervision of a healthcare professional.

If you would like to learn more about teething or any other child-related oral health issue, please contact us or schedule an appointment for a consultation. If you would like to read Dear Doctor's entire interview with Olivia Newton-John, please see “Olivia Newton-John.” Dear Doctor also has more on “Teething Troubles.”


By Kent S. Denton, D.D.S., P.A.
April 05, 2013
Category: Oral Health
Tags: oral health   pregnancy  
MythorFactTestYourKnowledgeaboutPregnancyandOralHealth

Already read every “What to Expect” book twice over? Think you know something about how pregnancy affects your teeth and gums — and vice versa? OK, ace — test your knowledge by taking the quiz below. No peeking at the answers!

Myth or fact: The calcium in baby's teeth comes from mom's teeth.

MYTH. Calcium is needed to build baby's teeth and bones, but it should come primarily from the mother's diet, not her body. If an expectant mom's diet contains too little calcium, however, this essential mineral may be supplied from calcium stored in her bones. That's one reason why a proper diet — with an adequate intake of dairy products, plus dietary supplements, if recommended — is important throughout pregnancy.

Myth or fact: Developing symptoms of periodontal disease is common during pregnancy.

FACT. The levels of many hormones, including progesterone, are higher during pregnancy. When periodontal disease is present, progesterone stimulates the body to produce prostaglandins, which cause inflammation of blood vessels in the gum tissue. This can result in a disease called pregnancy gingivitis. Excess growths of gum tissue called “pregnancy tumors” may also develop. These benign growths are probably related to dental plaque.

Myth or fact: Untreated dental infections pose a risk to the fetus as well as the mother.

FACT. Studies have shown that pregnant women with severe periodontal disease are at greater risk for preterm birth and low birth weight babies, and may be susceptible to an increased rate of pre-eclampsia, a serious complication. This seems to be due to the fact that oral bacteria can trigger inflammatory responses in other parts of the body — even the placenta. That's why a dental evaluation is so important at the first sign of a potential problem.

Myth or fact: All moms should take fluoride supplements to help their babies form strong teeth.

MYTH (for now). The benefits of parental fluoride supplements are poorly studied, and at present remain controversial. Although baby's teeth begin forming in the second month, fluoride works best after the teeth have erupted in the mouth. So, at present, this practice isn't recommended by the American Academy of Pediatric Dentistry.

Myth or fact: Once your baby is born, it's OK to feed them pre-chewed food or slobber over them.

Myth (we gave that one away). First of all, it's gross. Second, while your baby isn't born with the bacteria that cause tooth decay, this behavior can transmit them from you to her, causing dental problems down the road. So don't do it. But do come in for a dental evaluation as soon as you know you're expecting. And have a safe and healthy pregnancy!

If you would like more information about pregnancy and oral health, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine articles “Pregnancy and Oral Health,” and “Expectant Mothers.”