Pediatric FAQs

Children’s Dentistry Frequently Asked Questions

Why are my child's permanent teeth so dark compared to the baby teeth?
Permanent teeth are usually darker than primary(baby) teeth, so against the very white baby teeth, they appear dark.
Does my child really need x-rays and why?
Cavity finding x-rays (bitewings) should be taken once a year to check for decay between the back teeth. This will allow the cavities to be detected as soon as possible to allow for the least invasive treatment possible to be done. A panorex or full mouth x-ray is taken every three years to check for missing teeth, extra teeth developing, eruption problems, or any other abnormalities that may occur.
Why are my child's permanent teeth coming in behind the baby teeth?
Approximately 40% of lower front permanent teeth erupt behind the baby teeth that are still in the mouth. Sometimes the baby teeth need to be helped out by the dentist.
What is a crossbite and why correct it early?
Typically the lower arch (mandible) is contained within the upper arch (maxilla). Sometimes the teeth in the lower arch will extend out beyond the teeth of the upper arch, either on one side or both or in the front (anterior) teeth. This should be corrected early to prevent the mandible from growing improperly to one side or forward. The earlier the correction the better stability as the years progress.
Why does my child need a fluoride treatment twice a year at the dentist if they take fluoride at home?
Fluoride treatments in the dental office have a much higher concentration of fluoride and therefore are highly beneficial to strengthen the teeth and help prevent decay.
Why do I have to floss my child's or my teeth?
Brushing alone cannot remove all the plaque in the mouth. Plaque between the teeth can only be completely removed by flossing. This will help prevent decay between the teeth.
Why does my child have bad breath?
Bad breath can be caused by a number of factors including decay, airway problems (tonsils, adenoids, post nasal drip, colds), gastrointestinal issues (reflux), poor oral hygiene, and bacteria on the tongue.
What do large tonsils have to do with facial growth and teeth?
If tonsils are very large all the time, the tongue cannot relax back into the throat so they set forward which can promote the forward growth of the mandible. This will affect the way the teeth and arches meet together.
Why do baby teeth need to be filled?
Baby teeth are not only needed for proper chewing but they hold the space for and help guide the permanent teeth into the proper location.
If a back tooth is extracted, why do I need a space maintainer?
A space maintainer will hold the space open for the permanent tooth that is unerupted. Without a space maintainer, the surrounding teeth may drift forward or backward and block the spot that the permanent tooth needs to erupt.
Why a stainless steel crown on a baby tooth instead of a porcelain crown?
A porcelain crown is not cost-efficient for a baby tooth that will be lost.
Is a pulpotomy the same as a root canal treatment?
No, with a pulpotomy, only the nerve in the crown of the tooth is removed.
What is Laughing gas? Is it safe? Can't we try the appointment without it first?
Laughing gas is a relative analgesia (medicated air) that is extremely safe and helps eliminate fear, nervousness, anxiety, and gag reflex. Once a procedure is started without laughing gas and a patient becomes anxious etc. especially a child, it is difficult to get the laughing gas nose on and the patient will have a hard time getting themselves and their breathing under control.
What's wrong with taking a bottle to bed or having juice(or other sugary drinks) in a sippy cup at my child's reach all the time?
Taking a bottle to bed causes decay because the sugar in the milk or juice pools around the teeth as the child drinks and then falls asleep. The sugar mixes with the plaque, creating acid which eats away at the enamel. The same thing happens with a sippy cup containing juice, milk or other drinks that contain sugar.
What is wrong with fruit roll-ups? Isn't there fruit in them?
Fruit roll-ups do not have fruit in them. They are fruit-flavored but are full of sugar as well as being sticky. Any sticky candy is not good for the teeth as they stay in the grooves long after they are eaten and cause decay.
Why Are Soft Drinks Bad For My Teeth?

We try to educate our patients on the best ways to keep their teeth healthy. Brushing, flossing and seeing the dentist regularly are very important to good oral health, but it goes further than that. Diet also plays a big role in keeping your teeth healthy.

Unfortunately, drinking carbonated soft drinks on a regular basis has become a way of life for many people in our country. The average American consumes 45 gallons of soft drinks per year! Many people are unaware of just how bad carbonated sodas are for their teeth.

Drinking sports drinks and carbonated sodas can do immense damage to tooth structure and lead to serious decay problems. Carbonated soda contains large amounts of sugar-some contain over 11 teaspoons of sugar per 12 oz can! A 20 ounce bottle of Mountain Dew actually contains 19 teaspoons of sugar!! It’s not just the sugar content that is dangerous, however. Carbonated drinks also contain acids that eat away at the enamel of the teeth and make a person more prone to decay and dental enamel erosion. People like students who tend to sip on soda throughout the course of a day and/or night while studying are at extreme risk for dental decay. “Sip all day-get decay” refers to the fact that when soda is consumed over a long period of time, your teeth are actually being bathed in acid over an extended period of time. Not to mention the fact that sugar in the soda is also converted to acid by the bacteria in the mouth, so together, that’s a good recipe for dental destruction!

Decay caused from carbonated soda

Though some people may think that diet carbonated sodas are better because they don’t contain sugar, they should know that diet sodas still contain the same acids that can do serious damage. People who think it’s safe to drink diet sodas throughout the day and between meals because they have no calories should know that the “Sip all day-get decay” scenario applies to them as well. It’s not just children or students who are at risk, but adults as well. If you must drink soda, it would be much better to limit it to once per day and drink it with a meal to reduce your exposure to sugar and acids. When finished eating, rinse your mouth with water first to neutralize the acids, then brush with fluoride toothpaste and rinse with water. Brushing your teeth in a high acid environment will erode tooth enamel.

Maybe Sports Drinks Would Be Better For Me To Drink?

Many people equate sports drinks with fitness, and assume that they must be a healthy choice when exercising or extremely thirsty. This may not be the best assumption to make. Like carbonated sodas, sports drinks also contain a high level of sugar. Gatorade and Powerade, for example, contain as much as two-thirds the sugar in carbonated sodas!

Besides the damage caused to teeth from sugar, sports drinks, lemonade, energy drinks, fitness water and iced tea can actually cause irreversible damage (erosion) to dental enamel due to organic acids and additives contained in the sports drinks. Enamel is the thin, outer layer of hard tissue that helps maintain the tooth structure and shape, while protecting it from decay. The organic acids are very erosive to the dental enamel because they actually break down calcium, which is necessary to strengthen teeth and prevent gum disease. Studies have revealed that enamel damage caused by non-carbonated drinks and sports drinks was three to eleven times greater than carbonated sodas. Energy drinks and bottled lemonades were shown to cause the most harm to dental enamel.

When extremely thirsty, the best thing you could do is to drink regular water. When you are thirsty or dehydrated, your saliva level is lower than usual. Your saliva helps to naturally neutralize the acids in your mouth, therefore helping to reduce decay. If you are extremely thirsty and drink a sports drink, soda or bottled lemonade that is high in sugar and acid, your teeth are at a much greater risk for decay. If your saliva level is low, it will be difficult to neutralize the acids in the mouth. So, think of water first when your mouth is very dry and you are very thirsty-it really is your best choice for oral and physical well-being!

Fruit Juices Must Be Good For My Children, Right?

Decay caused by being put to bed with bottles of juice or milkWe know that as a parent you want to make the best choices for your children in order to ensure they eat right, stay healthy, and have healthy teeth. You may be surprised to learn that giving your children fruit juice can actually do a lot more harm than good. Fruit juices, even ones that are labeled “ALL NATURAL”, or “ORGANIC”, contain sugar, which, as we’ve discussed before, causes serious decay.

The decay problems that we see in our office are caused by fruit juices more than any other cause. Parents who are aware of the sugar in the juice and the risk for decay from that sugar sometimes think if they add water to the juice it will reduce the risk. This is actually incorrect. Even if juice were to be watered to a ratio of 10 to 1, it would still be just as dangerous. The sugar is still there, and there is still enough of it to get into every crack and crevice in your child’s teeth and can cause massive decay.

Children who are put to bed with bottles of juice are sure to have decay problems at a very young age. Bottles of milk at bedtime are just as detrimental to your child’s oral health. There are natural sugars in milk and fruit juice that will pool around the teeth while a child sleeps. When children sleep, their saliva flow is reduced, which does not allow for those sugars and acids to be washed away. The best practice is to not use a bottle at bedtime. If a bottle must be used at bedtime until the habit can be broken, only use fresh, unflavored, natural water in the bottle or sippy cup.

We hope this information will help you to maintain optimal oral health. Please feel free to ask our doctors or staff members any questions you have regarding this subject. We truly want to help you maintain the best oral and physical health possible!