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Learning to suck their thumbs is one of the first physical skills babies acquire. In fact, ultrasound images have revealed babies sucking their thumbs in the womb! Babies have a natural sucking reflex, and this activity is a normal way for your baby to soothe herself.

If your toddler still turns to her thumb for comfort, no need to worry. Most children give up this habit as they grow, and generally stop completely between the ages of two and four. But what of the child who doesn’t? Should you encourage your child to stop? And when?

When Thumb Sucking Becomes a Problem

After your child turns five, and certainly when her permanent teeth start to arrive, aggressive thumb sucking is something to watch for. This type of vigorous sucking, which puts pressure on the teeth and gums, can lead to a number of problems.

• Open Bite

Our bites are considered normal when the upper teeth slightly overlap the lower where they touch in the front of the mouth. But with aggressive thumb sucking, teeth are pushed out of alignment. Sometimes this results in a condition called “open bite,” where the upper and lower teeth don’t make contact at all. An open bite almost always requires orthodontic treatment.

• Jaw Problems

Your child’s palate and jaw are still growing. Aggressive thumb sucking can actually change the shape of the palate and jaw, and even affect facial structure. Again, orthodontic treatment can help, but prevention is always the better option!

• Speech Difficulties

Prolonged thumb sucking has been suggested as a risk factor for speech disorders such as lisping, the inability to pronounce certain letters, or tongue thrusting.

The consequences from aggressive thumb sucking can be prevented with early intervention. What to do if you are worried?

Talk to Us

First, let us reassure you that most children stop thumb sucking on their own, and with no negative dental effects at all. But if your child is still aggressively sucking her thumb once her permanent teeth have started erupting, or if we see changes in her baby teeth, let’s talk about solutions during an appointment at our Charleston office. We can offer suggestions to help your child break the habit at home. There are also dental appliances available that can discourage thumb sucking if your child finds it especially hard to stop.

Work with your Child

• Be Positive

Positive reinforcement is always best. Praise her when she remembers not to suck her thumb. Make a chart with stickers to reward every thumb-free day. Pick out a favorite book to read or activity you can share.

• Identify Triggers

Children associate thumb sucking with comfort and security.  If your child turns to her thumb when she’s anxious, try to discover what is bothering her and how to reassure her. If she automatically sucks her thumb when she is bored, find an activity that will engage her. If she’s hungry, offer a healthy snack.

• Talk about It!

Depending on her age, it might help your child to understand why stopping this habit is important. We are happy to explain, in a positive, age-appropriate way, just how breaking the thumb sucking habit will help her teeth and her smile.

Again, most children leave thumb sucking behind naturally and easily. But if what is a comfort for your child has become a concern for you, please give us a call. Drs. Don and Mindy will work with you and your child to prevent future orthodontic problems and begin her lifetime of beautiful smiles.

Happy June from Kanawha City Pediatric Dentistry! Our office reopened on May 11th so the team is ready and waiting to take care of your little one’s smile again. Please call our office to schedule your child’s next dental appointment.  

There are a few new implementations to be aware of before you and your child arrive at our office. Before the appointment, all paperwork should be printed from the website and completed. The paperwork can be found at pediatricdentistcharleston.com, under the "new patient" tab in "online forms". For payments, we ask you to pay your co-pay on our website or call our office with your credit card number. Filling out your virtual paperwork and paying your copay online or over the phone ahead of time helps the process move along more swiftly. When you arrive with your child, please text us at 304-926-9260 to let us know you are here. Everyone must wear a mask, and we ask parents of children above the age of 9 to stay in the car if the child is comfortable going in alone. Patient appointments have been spaced out so it will be less crowded and we can practice social distancing. For both our team’s safety and your child’s we will be wearing a lot more gear! Our team will wear Face shields, masks, and protective gowns, but we are still the same smiling faces underneath. If you or your child feel ill or are running a fever of 100.4 please stay home and call us to reschedule the appointment. This is our "new normal" and it seems to be running very smoothly so far! Thanks to everyone for their cooperation during this time. 

Did you know June is National Smile Month? Every day is a good day to review your child’s dental care routine to make sure they are forming healthy habits that will last a lifetime. We suggest flossing every time your child brushes their teeth. A lot of the cavities we see in kids are between their teeth, which can be eliminated with adequate flossing. If you are looking for extra help to encourage your child to take care of their teeth our office offers brushing charts! These charts let them keep track of how many times they have brushed and flossed their teeth and give them a sense of accomplishment. Your child’s diet can also play a large part in keeping their smile healthy. Add in fruits and vegetables every day to your child’s meals.  For snack options, we suggest drinking milk and eating cheese.  

In other recent news, Kanawha City Pediatric Dentistry has a new associate, Dr. Mindy Husson. We are excited for you to meet her! She has taught and practiced in Richmond, VA for the last 15 years and has returned to her WV roots. Please help us welcome Dr. Mindy! 

Thank you for your patience in this unprecedented time. Our patients have been very pleased with the safeguards we are taking and we have still been able to run efficiently with little waiting time. Please call our office if you have questions about finding your online forms or any of the new procedures.  

You’ve always taken care of your child’s smile. You make sure thorough brushing and flossing take place twice a day. You serve foods high in vitamins and minerals and low in sugar. You make and keep regular dental appointments at our Charleston office. But even with the best dental routines, sometimes conditions can occur that will require additional professional care.

One of these conditions can affect your child’s enamel while the tooth is still forming. When baby teeth or adult teeth appear, you might notice white, creamy yellow, or brown spots in otherwise healthy-looking enamel. These spots are softer and rougher than normal hard, smooth enamel. Because of their texture and color, such teeth are often referred to as “chalky teeth,” but this condition is actually known as enamel hypomineralization.

What is hypomineralization?

Enamel is the strongest substance in our bodies—stronger even than bones. Enamel is largely composed of minerals. If something disrupts the process of enamel development in baby or adult teeth, the result can be abnormally low mineral content in the enamel. This leaves teeth weaker and more likely to suffer decay and damage.

Premature birth, low birth weight, and other pre-natal factors have been suggested as risk factors for hypomineralization in primary teeth enamel. Permanent teeth can be vulnerable to this condition as well. Adult teeth are forming in young children well before they make an appearance. It’s been suggested that certain early childhood factors, such as recurring high fevers, some diseases, even specific antibiotics, can interrupt the formation of the enamel and lead to hypomineralization of adult teeth.

What are the results of enamel hypomineralization?

Children with this condition are much more likely to experience rapid tooth decay because of their weaker, more porous enamel, especially in the molars. Further, they tend not to respond as well to the numbing effects of local dental anesthetics, while their teeth tend to be more sensitive to pain. Cases can be mild, moderate, or severe. In severe cases, teeth might require crowns or possibly extractions, but even mild discoloration and other cosmetic problems can lead to self-consciousness in your child.

How can we help?

Catching this condition early is very important. If your child has had any medical conditions that might affect tooth development, let Drs. Don and Mindy know even before that first tooth comes in. If you notice anything unusual about a new baby or adult tooth, give us a call. For primary or permanent teeth, the sooner we can begin treatment, the better the long-term outlook.

We might suggest fluoride applications or desensitizing treatments. We can apply sealants to reduce the risk of cavities, and use bonding to restore discolored or weak patches in the tooth. Both of these methods have greater success if the enamel near the affected area is in good condition, so early treatment is vital. If teeth require more protection, crowns are often the best choice. We will design a treatment program to suit your child’s individual needs now and for the future.

How can you help?

Dental hygiene is important for every child, but especially for a child with weak and porous enamel. Because children with hypomineralized enamel develop cavities more quickly that those with strong enamel, it is very important to watch your child’s diet and keep to a regular, careful, and thorough routine of brushing and flossing at home. Be attentive to any sensitivity problems, and be sure to follow any suggestions we might have for strengthening enamel.

Remember, early diagnosis and treatment is always best! If at any time you notice chalky patches, or have any other concerns about the appearance of your child’s teeth, if they seem to be causing your child pain or are unusually sensitive, call Drs. Don and Mindy immediately. We want to work with you to treat any current problems and to prevent new ones.

The habit of grinding teeth can be both painful and harmful for your children. If you discover that they are frequently grinding their teeth—a condition called bruxism—here is some helpful information on the problem, and how you can find help to put a halt to it.

How to Know if Your Child is Grinding

Sometimes, identifying a child that grinds teeth is as simple as checking in while he or she is asleep. At other times, you may not be able to readily identify the grinding problem. A few of the most common symptoms associated with bruxism include:

• Frequent teeth grinding or clenching of the jaw (in some cases it may be more subtle; in others it may be loud enough that you can hear it)
• Teeth that are worn down
• Complaints of sensitive teeth
• Pain or tightness in the jaw muscles, or an earache or other jaw pain
• Frequent unexplained headaches

In most cases, if your children are grinding their teeth, they will do it at night. If the teeth grinding is a result of excessive amounts of stress, it may also happen during the daytime. Some of the most common reasons children grind their teeth involve:

• Improper alignment of top and bottom teeth
• As a response to pain, especially for tooth, jaw, or gum pain
• Excessive stress, tension, or anger

Treatment Options for Bruxism

In many cases, children will grow out of the teeth grinding as their permanent teeth develop, replacing poorly aligned or painful baby teeth. If your child grinds his or her teeth more frequently, or you begin to notice significant damage, it may be more serious and need to be addressed by Drs. Don and Mindy before it causes more permanent pain or problems.

In some cases, our team at Kanawha City Pediatric Dentistry may recommend that your child wears a protective mouthguard to prevent grinding, or work with a therapist or other specialist to develop awareness of the grinding. If the grinding is caused by stress or anxiety, it may be helpful for you to sit down and talk to your child each day about how she is feeling, and why, to help her work through the stress.

Teeth grinding can be a painful, problematic condition for some children. However, a combination of parental vigilance and frequent visits for regular checkups at our Charleston office can help. If you are concerned that your child may be grinding his or her teeth, and it could cause permanent damage before the child grows out of it, come talk to us about strategies for dealing with bruxism, and ways for you to help your child.