Wednesday, May 30, 2012

Children with Autism in the Dental Setting

Pediatric Dentists see patients with all kinds of special needs, developmental conditions and disabilities. Autism is a relatively common condition affecting children throughout the country. Children with Autism usually present with a spectrum of disorders and often have difficulty communicating or interacting with others. Loud sounds, lights, smells and sometimes touching can overwhelm a patient with Autism. This presents a special challenge for dental treatment because pretty much anything about dentistry involves these things. Other than these sensitivities and the patient's reaction to them, the dental problems are pretty much like every other patient. Special attention to oral hygiene is helpful along with a measured approach to dental examinations and cleanings. Of course, children with Autism need dental care just like every other child.

Treating patients with Autism can be a challenge for dental professionals. When fillings or other treatment is needed, sedative medications can often help patients more easily cope with the stimulus and stress of their environment during treatment. In a few cases where extensive procedures are required, general anesthesia might be considered. Each child is different. Treatment modalities for one may differ for the next. As patients with autism may present reactions and symptoms in varying degrees, many can be treated in a similar manner to other children. Most parents are well aware of their child’s conditions and limitations, and are usually very helpful when treatment is necessary.

Thursday, May 24, 2012

Which is your favorite toothpaste?

One of the most common questions my staff gets asked daily is regarding the recommended toothpaste for children. Which toothpaste is the best? What do you recommend? Should we use fluoride?
Most toothpaste brands all have the same amount of fluoride. The ones that market themselves as natural toothpaste, as well the ones made for babies and toddlers do not have any  fluoride. Fluoride toothpaste is generally recommended for children who are at least two or three years old. The idea is that we don’t want them swallowing too much of it. You should always limit the amount of fluoridated toothpaste given to your child, according to how well you think they can spit it out.

By age five or six most children are fairly capable of spitting out most of the toothpaste. As long as you keep the amount of toothpaste small, even if they do swallow some of the toothpaste, no real harm is caused. Remember, even adults only require “pea size” amount of toothpaste for effective tooth brushing. Fluoride content is the only significant element of good toothpaste. It’s what prevents cavities and makes our teeth stronger.  The rest is pretty much appearance, taste, and the added whitener, Triclosan, as well as some tartar control.
As far as what I recommend for children, it’s pretty much the . If they like it, they will use it. No point in having great toothpaste your child will not be motivated to use. If your child likes sparkles or bubblegum, get that one! In fact, your child should be picking out their own toothpaste, the same way you let them pick a toy. Don’t forget, brushing without toothpaste is still much better than no brushing at all; so if your child doesn’t like any toothpaste, use water. And don’t give up, there are so many
brands out there, you’ll probably find something the little rascal likes…
Which one do you like best? If you found a creative way to get your child to like toothpaste, please share your experience with us here on our blog.


Dr. Kaufman