Chidren Grinding Their Teeth

"My child grinds their teeth at night, what should I do?" I get this question all the time. In adults it is often called Bruxism. It seems most preschoolers grind their teeth (at least according to their parents). I also see it a lot of this with babies trying out their new teeth. Bottom line, it is usually not a big concern for baby teeth.Teeth grinding in children seems to be very common. Sometimes, continued grinding (usually at night), can cause abnormal wear of the teeth, sometimes it does not.
When it does, I usually see flattening of the baby teeth almost if you had placed them on a sander. Sometimes it can look like back teeth in the photo here sort of like a bowl shape. Sometimes there are associated factors that might aggrivate the situation like esophegeal reflux causing erosion of the enamel.














What to do? Well, even though it sounds awful and eventually can look funny, there is not much you can do. More importantly, usually there is really no need to do anything. As the enamel wears away the teeth flatten out, the dentin (inside more yellow layer) wears away even faster, sometimes leading to funny looking teeth like in the photo. It does not hurt as the pulp "scars" back out of the way about as fast as the kid grinds away the tooth structure. By the time you would see real problems due to lost tooth struture, the teeth naturally fall out. Very few cases I have ever seen where we needed any kind of restorative treatment or extraction.














What about a night guard? I might consider such a thing in adults who are grinding and doing damage to permanent teeth, that is more of a concern, but in kids-no. You would have to remake the thing so often due to growth and the kid would never wear it. Plus, like I stated, there is no real benefit.
"But the noise is driving me crazy!" First, get your pediatric dentist to take a look to make sure what is going on. If everything is ok, the grinding will likely reduce and most of the time go away by the time the permanent molars settle in around 7 or 8 years of age. Oh, a good set of earplugs for the parents does not hurt.

This article was syndicated via RSS From: http://cyberdentist.blogspot.com/

A Typical Day in Pediatric Dentistry-Part 1

This is the first of a two part series on a Typical Day in Pediatric Dentistry. Part 2 here What is the framework of a typical day for a Pediatric Dentist? Well, usually quite busy. Most Pediatric Dentist's services are in great demand. So, here is a typical day:
Get to the office early, usually 7:10 or so. I look over the charts especially the morning conscious sedation patients. If needed, fill out forms and mix the drugs, as they usually need to be administered first thing. We have a morning meeting at 7:30 with all the staff to review new patients and announcements. The first patients begin their appointments at 7:40---we're off to the races!

Most of my morning consists of doing operative dentistry (fillings, crowns, etc.) and spending a large amount of time checking hygiene patients discussing treatment, etc. We see our sedation patients in the am, usually preschoolers. In fact most of the morning is younger patients. It is usually a long busy morning--it can be a noisy morning too. Sometimes we get behind if a young child demands more attention. Hey, kids are unpredictable. It may take 10 minutes to do a filling, or an hour. It often depends on the patient. In addition, nearly every day we have patients with emergencies.

We break for lunch at 1:00 (if we are finished with the morning patients). Back to work at 2:00. It's nice to have a mental break from the fast paced, sometimes stressful mornings we have. That long morning is worth it to have a short three hour afternoon. We are often spent from the morning and see the teens and older more cooperative patients in the afternoon. Usually this is a high demand time for orthodontic patients. We end the day at 5:00. I usually do not leave the office till 5:30 if everything is on track.

On Fridays we see our hospital patients, doing treatment under general anesthesia. Pretty intense work too but a change of pace from the normal workaday routine. Most Pediatric Dentists like doing OR cases. Now having said all this, we do take some Fridays off and the occasional vacation. I don't know too many of us that can go too long without a day off.
Is that it? Well mostly, but if you are an owner, you have after hours meetings in the evenings or on the weekends. Not to mention having to come in on the weekend for an emergency. No rest for the weary.

This article was syndicated via RSS From: http://cyberdentist.blogspot.com/

APDA Carnival-Madison Office

This article was syndicated via RSS From: http://cyberdentist.blogspot.com/

CyberXpress Wordpress Theme