[MERGED] Baby teeth ( The Pediatric Dentistry Thread)

[crazypixie_21]

i'm a single mother of a TWO YEAR old girl. i noticed that her teeth are developing cavities and her teeth is like getting smaller and smaller.. parang na chchip off na teeth nya. i'm really scared because in the way i look at it, maybe all her teeth will be gone in two months. i asked some dentists and they told me na she's too young to have a session and the only way to treat her is by making her sleep(they willl sedate her). i'm really scared to do that coz i don't know the side effects of sedatives. one dentist told me that i can help slow down the "decaying process" by helping her brush her teeth two times a day but i think that's not enough. i think the reason why this happens is because she drinks her milk even at night(her milk is sweet) and she couldn't sleep without her milk. i couldn't change her milk too because her stomach is a little sensitive. do you have suggestions on what i should do? please help:mecry:

[smilewarrior]

^^

6 months old is the ideal time for the first visit to a dentist. The first tooth usually comes out at 6 months.

Toothbrushing should start at 6 months old. From the age of 6 months up to 3 or sometimes 4 years old, it's the mother/father/legal guardian who brushes the infants teeth. Infants lack the skill to brush their own teeth.

Preferably, you need to bring your child to a Pediatric dentist (a dentist who has recieved additional post-graduate training, specializing in the treatment of children).

2 years old is actually a little late by world standards. The older a child is first brought to a dental clinic, the harder it will be for the child to acclimate to a clinic setting.

You are absolutely right with regards to the relationship of sleeping with a baby bottle filled with milk and rampant cavities in children. It has to stop. Even unsweetened milk can cause cavities.

All individuals are supposed to sleep with a clean mouth. Taking in anything caloric prior to sleeping will result in rampant cavities for infants, teenagers, adults and senior citizens. No exceptions.

Please visit your pediatrician and ask for a meal plan. By age two, milk is not the only source of nutrition that a child should be getting.


Also, by age two, bottle-feeding has to stop completely. Dapat sa baso na umiinom ang bata, kahit training cup/sippy cup ok lang.


I'm an orthodontist (I fix crooked teeth). Pediatric dentistry is not my field of expertise.

If you have time, why not visit the Pediatric dental center at Banaue. It's a training center for Pediatric dentists. They are in a much better position to explain the possible side effects of conscious sedation ( yes, there are side-effects). It's relatively safe to have the sedation done there, as the sedation is actually performed by an Anesthesiologist. Prior to sedation, a complete medical work-up of your child will be done, to determine whether or not it is safe to perform sedation.

[Bulacan111]

It's called Baby Bottle Rot. Google it and you'll find many sickening pictures as well as helpful advice.

[Misa Hayase]

The worrisome part here is that she's just two, and her first permanent teeth will only appear by the time she's about 6. So imagine that, her baby teeth will have to stay 4 more years in her mouth before it falls off. It's very prudent to have her be seen by a pediatric dentist before she feels any pain. If she is starting to feel pain and that's the only time you'll bring her to a dentist, it will be harder for you to have her treated because she'll associate dentist==>pain.
I advise helping her brush her teeth till she's 6 or 7. Tutukan mo talaga, whether she likes it or not.

[hooven]

i have almost the same problem as yours.... lahat ng ipin ng anak ko may tama ng cavity so dinala ko naman sa pediatric dentist kaya lang iyong dentist didn't put my son(3 yrs.old) to sleep (he wanted to crown three of my son's molar teeth kasi sira na at para ma-salvage)so alam ng anak ko ang ginagawa sa kanya... the process should take about 3 sessions, one tooth in every session... ang kaso noong 2nd session -palag na ng palag at iyak na ng iyak ang anak ko... hindi natapos ng dentist kaya pasta nalang ang ginawa... ngayon di ko na madala sa dentist - na-trauma na ..... anyway, ang gawa ko na lang supervise iyong pag-to-toothbrush and using gargle (prescribed by the dentist)... may nag-advise sa akin na dentists na huwag munang dalhin para makalimutan ang experience but then almost 7 months na ang nakalipas - alam pa rin niya ang bad experience niya... takot din ako kasi alam kong di kakayanin ng anak ko ang toothache pag nandiyan na... for emergency i bought something for temporary relief of toothaches pero di ko pa naman nagagamit... i'm just so cautious... imagine, ang anak ko 4 yrs. old na and if i tell him that eating sweets, chocolates or candies will make his teeth ache - ayaw nang ituloy ang pagkain ng candies.... ganun ang trauma niya... sapilitan ko ng itinigil ang pag-dede niya sa bote.... nag-switch ako sa cup.... sa umpisa mahirap sa iyo at sa bata... nangayayat pa nga pero naka-adapt naman kami medyo matagal nga lang...dinamihan ko ang solid intake tapos bigay yogurt n ice cream.... para kung sakaling di masyadong mag-gatas may ibang pagkunan ng calcium.... pasensiya na at mahaba ang sharing ko... at least maibsan man ang worries mo kasi i'm also a mom and i know how you feel.... di ka nag-iisa..

anyway, just bring your girl to a dentist as early as now para malunasan ang problema.... at ang iyong pag-iisip....

[blakedaddy]

Look around for a pediatric dentist

[cutedoc]

crazypixie_21 - these are some ways to delay the progress of dental caries in babies
1. brush your kids teeth every after meals or after drinking the milk, whats going on to your babies teeth is what we call bottle milk caries they are caries developing from the milk that curdles on the teeth surface particularly on the upper front teeth, so brush their teeth as often as needed, use stages by oral B they provide specific toothbrush for variuos age braket, they are also recommended by pediatricians, use a toothpaste that are specific for the kids dont use your regular toothpaste, some good toothpaste are stages by oral b, gerber, pigeon, avent brand, you can purchase them on your babies store or select dentist

2. if toothbrushing might posed a difficulty in doing so, you may opt to use a finger brush, they are also available on the kids shop.

3. you can use a gauze as well, wrap them on your finger and use them to clean the teeth of your child, use an adequate amount of toothpaste.

4. let your kids bruch their teeth after the milk atr night or help them brush their teeth, if they had already fallen asleep which usually is the case, you can have them drink water instead, you can also use gauze wrap around your finger to remove some milk residue when your baby is already asleep.

5. caution be sure that the gauze you are using are fiber free, wrap them around you rfinger very well and avoid any threads and fibers

[smilewarrior]

i have almost the same problem as yours.... lahat ng ipin ng anak ko may tama ng cavity so dinala ko naman sa pediatric dentist kaya lang iyong dentist didn't put my son(3 yrs.old) to sleep (he wanted to crown three of my son's molar teeth kasi sira na at para ma-salvage)so alam ng anak ko ang ginagawa sa kanya... the process should take about 3 sessions, one tooth in every session... ang kaso noong 2nd session -palag na ng palag at iyak na ng iyak ang anak ko... hindi natapos ng dentist kaya pasta nalang ang ginawa... ngayon di ko na madala sa dentist - na-trauma na ..... anyway, ang gawa ko na lang supervise iyong pag-to-toothbrush and using gargle (prescribed by the dentist)... may nag-advise sa akin na dentists na huwag munang dalhin para makalimutan ang experience but then almost 7 months na ang nakalipas - alam pa rin niya ang bad experience niya... takot din ako kasi alam kong di kakayanin ng anak ko ang toothache pag nandiyan na... for emergency i bought something for temporary relief of toothaches pero di ko pa naman nagagamit... i'm just so cautious... imagine, ang anak ko 4 yrs. old na and if i tell him that eating sweets, chocolates or candies will make his teeth ache - ayaw nang ituloy ang pagkain ng candies.... ganun ang trauma niya... sapilitan ko ng itinigil ang pag-dede niya sa bote.... nag-switch ako sa cup.... sa umpisa mahirap sa iyo at sa bata... nangayayat pa nga pero naka-adapt naman kami medyo matagal nga lang...dinamihan ko ang solid intake tapos bigay yogurt n ice cream.... para kung sakaling di masyadong mag-gatas may ibang pagkunan ng calcium.... pasensiya na at mahaba ang sharing ko... at least maibsan man ang worries mo kasi i'm also a mom and i know how you feel.... di ka nag-iisa..

anyway, just bring your girl to a dentist as early as now para malunasan ang problema.... at ang iyong pag-iisip....

Ganyan talaga. Kailangan talaga ng tiyaga. Para naman sa ikabubuti ng anak mo ang lahat.

Pagpalain ka sana.

[hooven]

Ganyan talaga. Kailangan talaga ng tiyaga. Para naman sa ikabubuti ng anak mo ang lahat.

Pagpalain ka sana.


thank you, smilewarrior....;)

[smilewarrior]

thank you, smilewarrior....;)

You're welcome. :)

[b♥♥m]

my sister-in-law who is a dentist advised my sister who happens to have a 3 year old child not to have her child's teeth extracted yet, kasi ma-trau-trauma raw yung bata, what should have taken place raw before is apllying sealant lang just to prevent cavitites from forming.. best age raw is 7 years old...

[smilewarrior]

my sister-in-law who is a dentist advised my sister who happens to have a 3 year old child not to have her child's teeth extracted yet, kasi ma-trau-trauma raw yung bata, what should have taken place raw before is apllying sealant lang just to prevent cavitites from forming.. best age raw is 7 years old...

Yes, it's true that tooth extraction (bunot) usually isn't done at a child's first dental visit.

Baby teeth start to come out usually at 6 months old and begin to exfoliate (fall off) starting the age of 6 to 7 years old.

There will always be exceptions to the rule, particularly for children with badly broken down, infected teeth. Still, there are alternatives to extraction, such as non-vital pulp treatment procedures such as Pulpotomy and Pulpectomy.

Prevention is still the best means to avoid all the headaches and heartaches, so please bring your children to the Pediatric dentist as early as 6 months old.

[daveigh]

i'm a single mother of a TWO YEAR old girl. i noticed that her teeth are developing cavities and her teeth is like getting smaller and smaller.. parang na chchip off na teeth nya. i'm really scared because in the way i look at it, maybe all her teeth will be gone in two months. i asked some dentists and they told me na she's too young to have a session and the only way to treat her is by making her sleep(they willl sedate her). i'm really scared to do that coz i don't know the side effects of sedatives. one dentist told me that i can help slow down the "decaying process" by helping her brush her teeth two times a day but i think that's not enough. i think the reason why this happens is because she drinks her milk even at night(her milk is sweet) and she couldn't sleep without her milk. i couldn't change her milk too because her stomach is a little sensitive. do you have suggestions on what i should do? please help:mecry:

Grabe, ganyan na ganyan ang nangyari sa pamangkin ko. Ang nangyari, nagdadalawang isip ang nanay nya na ipa-sedate, wala kasi kaming kilalang pediatric dentist. Nangingilo na tuloy yung bata, ayaw nang uminom ng tubig. At dahil din doon, nagconstipate tuloy sya. para nang domino effect. Try ko hanapin ang pediatric dentists sa Banaue, para na magawan nang paraan...

Kung may alam din kayo, pm nyo naman sa akin...

[smilewarrior]

Grabe, ganyan na ganyan ang nangyari sa pamangkin ko. Ang nangyari, nagdadalawang isip ang nanay nya na ipa-sedate, wala kasi kaming kilalang pediatric dentist. Nangingilo na tuloy yung bata, ayaw nang uminom ng tubig. At dahil din doon, nagconstipate tuloy sya. para nang domino effect. Try ko hanapin ang pediatric dentists sa Banaue, para na magawan nang paraan...

Kung may alam din kayo, pm nyo naman sa akin...

Pediatric Dentistry Center is near Fe Del Mundo Hospital. I can't exactly remember if it's in the Third, Fourth or Fifth floor. Several years ago when I visited there, there was still a Shakey's restaurant on the first floor.

Conscious sedation for children can easily be avoided if the kids don't have any cavities. Prevention is always the key, so it's important to bring children as early as 6 months old to the Pediatric dentist.

[daveigh]

Thanks, smilewarrior. Iconsult ko ito agad sa sister ko nang maayos na ang problema ng pamangkin ko... =)

[smilewarrior]

Thanks, smilewarrior. Iconsult ko ito agad sa sister ko nang maayos na ang problema ng pamangkin ko... =)

You're welcome.

[crazypixie_21]

thank you po sa mga information =)

[smilewarrior]

^^
You're welcome. :)

[smilewarrior]

Here's a good read:

"Dangers of bottle-feeding in bed
By Raising Children Network

It’s the end of the day, you’re about to pop baby into bed with a bottle, and then put your feet up for a rest. Before you do, you might like to know that there are a couple of problems with this picture.

Did you know that milk is quite high in sugar, and soaking your baby’s teeth in it overnight can give her tooth decay.

When a baby drinks lying down, milk can also flow through to her ear cavity, which can cause ear infections.

Whether it's breastmilk or formula milk, at some stage you might think about putting your baby to bed with a bottle. Yet there are good reasons why you might reconsider before you bottle-feed in bed.

Babies can draw fluid into their lungs and may choke or inhale it if they fall asleep while sucking on a bottle of milk. In the same way that adults can have something 'go down the wrong way', babies who fall asleep while drinking a bottle of breastmilk or formula milk can still draw liquid into their lungs. This is more dangerous for your baby than it is for you, because your baby isn't as good at waking up if something interferes with her breathing. Although it is more likely that your baby will cough and be uncomfortable, you may want to avoid the risk altogether.

If your baby is used to having a bottle while she goes to sleep, she may find it very hard to sleep without one. This is called a sleep association. When your baby gets used to having a bottle-feed every time she falls asleep, she might develop an association between the bottle and sleep, and find it hard to fall asleep without a bottle.

Instead of propping your baby up with a bottle in bed, holding her while she drinks can help you bond and connect. It’s also a great opportunity for partners to take turns at bonding with baby.

What about a bottle of water? If you are thinking of weaning your baby off night feeds, you might also think about replacing a breastfeed or bottle-feed with a bottle of water. Your baby might be comforted by having something familiar to suck on during the night. And there isn’t the same choking risk with babies having bottles of water in bed.

The two main downsides of doing so:

You could be swapping sleep associations from a feed to a bottle of water. This means your baby might find it hard to fall asleep without the bottle of water, and you might have to get up for her if she drops the bottle out of her cot or drinks so much liquid that she calls out for a refill during the night.
Your baby can drink so much liquid that her nappy soaks through and she calls out for attention.

However, if your baby seems happier at nights with the bottle of water, you might just want to go ahead and deal with the sleep association whenever you have to."

- from raisingchildren.net.au

[hooven]

up ko lang po... may tanong lang ako kung ang bata (4 yrs.old) hindi kaya ang dental procedures like rootcanal and capping, advisable ba na dapat mag-undergo thru general anesthesia?... gagawin ang procedure sa hospital thru the supervision of an anesthesiologist.... ano sa palagay ninyo?...

from what I posted a few months ago, ganoon pa rin ang situation ng anak ko... di ko pa rin nadadala sa dentist... tapos , noong Thanksgiving-for 4 days, bigla na lang siyang gumigising na umiiyak at masakit ang ngipin daw niya... pero noong time na iyon may ubo't sipon at sinat-sinat siya.... medyo expected ko na anytime puwedeng sumakit ang molar teeth niya pero gut feeling ko nangilo siya kasi mahina ang katawan ng anak ko... tapos after the holidays, tumawag ako sa dentist for a cleaning (medyo okay na siya dito) tapos consultation... di pa naman kami kinakausap ng derecho ng dentist kung anong gagawin sa kanya (we'll meet on tuesday) pero binigyan na ng slot ang anak ko sa hospital ng paggagawaan... ako, as his mom, medyo worried ako kasi di ko malaman kung dapat ko bang ituloy iyon... parang nabibilisan ako sa mga pangyayari tapos natatakot ako para sa anak ko.... tumawag ako sa pinsan ko na dentist din at the same time- kumonsulta rin siya sa isang pediatric dentist diyan sa Pinas (siyanga pala, nandito kami sa States)- ang advise nila wag ng ituloy kasi puro baby teeth pa naman daw... kung sumakit man bigyan ko na lang ng ibuprofen... update din pala na di pa ulit umiiyak ang anak ko dahil sa ngipin since the thansgiving... (pero kada iyak- di mawala sa isip ko na baka masakit ang ngipin niya)... actually, noong in-examine ang molar niya wala naman daw abcess or fistula... at saka may pasta naman iyon....

bukod sa pinansiyal na talagang mamumoblema kami sa pagbabayad... naiisip ko ang magiging kalalabasan ng operation na ito... halos lahat ng nakausap ko nag-oppose kasi bata pa ang anak ko... di naman daw life and death ang situation para umabot ng ganoon... on second thought, paano kung di ko pagawa?... nakakaawa naman ang bata... ano ang magiging repercussion... pls. ano pong ma-advise ninyo dito... may iba pa bang way na para di na lang patulugin ang anak ko... kelangan ba talagang i-rootcanal at i-cap ang molar?

ang ginawa kasi sa kanya nuong unang procedure - ipinagsuot ng shades para di masilaw sa ilaw... tapos may gas mask para groggy... tapos may parang plastic rubber na nasa bibig para kung may mahulog di tumuloy sa malunok o ma-choke... tapos iyong instrument na naka-clamp sa ipin... kaya naiinis ang bata...

grabe, di ako makatulog eh... mahal na mahal ko ang anak ko... andami na niyang pinagdaanan... pasensiya na at medyo magulo yata ang pagsulat ko... hintayin ko ang advice ninyo...thanks in advance

[smilewarrior]

Good afternoon hooven.

My gut tells me that whoever your dentist relative talked to in the Philippines is not a pediatric dentist at all. The advise given to you is absolutely wrong. (I'm actually very upset with whoever gave you the advise that baby teeth are not important, but since I'm a moderator I'm trying my very best to be as civil as possible).

Baby teeth are important for a number of reasons:
1. Nutrition - without baby teeth your kid won't be able to eat properly

2. They hold space for the permanent teeth - the last baby tooth falls off at about 9 to 10 years old)
- if baby teeth are lost early, chances are the permanent teeth might end up crooked (sungki)

3. Chronic untreated infections of either the baby teeth or the permanent teeth will ultimately lead to infections of either the heart or the brain. In extreme cases, death may be the end result (and this isn't even a joke).

The gas mask you mentioned is for Nitrous Oxide. Nitrous Oxide is a sedative gas (gamot na pampakalma, para mawala ng takot). It's different from General Anesthesia (because with general anesthesia, your kid is asleep, but GA is expensive).

The plastic rubber is called a rubber dam. It isolates the area from moisture (para hindi mabasa) and it prevents intruments and other debris from entering the mouth.

The clamp is a rubber dam clamp, it holds the rubber dam in place.

Pediatric dentists in the Philippines do the exact same thing. I have to mention that I'm not a pediatric dentist, I'm an orthodontist.

If you don't mind, may I please ask where exactly are you in the United States ( please mention your state and city)?

You have the option of having your child treated at a Dental School that offers Pediatric Dentistry services. Rates will be somewhat cheaper.

[hooven]

we're here at Windsor, CT.... actually professor in UConn ang dentist na tumitingin sa anak ko... in fairness dun sa dentist na nakausap ko diyan - di naman niya sinabing di importante ang baby teeth but then inisip nila ang kalagayan ng baby ko lang... kasi alam niya kung paano na-trauma ang bata... smilewarrior, iyon lang ba talaga ang puwedeng way?... patulugin ang bata?... ano ba ang pros and cons?... nakakakain naman ang bata ng maayos... di ba puwedeng constant supervision lang ng dentist na kung mag-worsen that's the time we give a go signal- re:patulugin ang bata...pasensiya na - speaking from my heart lang ito kaya medyo madrama... and thank you so much for your concern...

[smilewarrior]

Good morning mommy hooven. Trauma sa bata? Dalubhasa ang mga pediatric dentist ( well...yung mga tunay na pediatric dentist ) sa pagpapakalma sa mga natatakot na bata. Konting tiyaga lang mommy, mawawala din ang takot ng anak mo.

Behavior managment is a part of Pediatric Dentistry training. Dealing with frightened children is something pediatric dentists know how to do. Eventually, your child will lose her dental fear and become at ease in a dental clinic. Till that time comes, please be very patient.

When it comes to dental fear, studies have shown that dental fear from parents can be transferred to / copied by children. Kailangan mommy hooven ipakita mo na hindi ka takot sa dentist para gayahin ka ng iyong mahal na anak. Walang bahid ng takot ang dapat makita ng iyong anak sa iyong mukha pag kayo ay nasa clinic.

Hindi ba tayong mga Pilipino, minsan sinasabi natin sa mga bata " Huwag kang malikot, kung hindi bubunutin ipin mo ng dentist!" o di kaya "Huwag kang magulo, kung hindi iinjectionan ka ng duktor!" Ayon sa mga dalubhasa, masama daw ito. Nagkakaroon kasi ng association ang mga bata na nakakatakot pumunta sa physician o dentist.

Also re: trauma sa bata, Ito ang rason kung bakit minumungkahi ng mga pediatric dentist na 6 months old pa lang ay dalhin na ang bata sa kanila.

The dentist professor from University of Connecticut knows what he is talking about. I would put my trust in him over the rather misinformedinformation you're getting from your contacts here in the Philippines. I'm curious, is he a pediatric dentist?

Re: general anesthesia, the other alternative to it is Conscious sedation. Nagawa na ito mommy hooven sa anak mo with the Gas mask/ Nitrous Oxide/ Inhalation Sedation. Wala bang improvement sa tolerance sa anak mo sa paggagamot sa kanya with the mask?

Pagpasensyahan mo na lang pala ako. Sadyang ganito lang ako talaga magsalita. In my desire to be helpful, I tend to be too honest and blunt sometimes.:bashful:

[hooven]

Re: general anesthesia, the other alternative to it is Conscious sedation. Nagawa na ito mommy hooven sa anak mo with the Gas mask/ Nitrous Oxide/ Inhalation Sedation. Wala bang improvement sa tolerance sa anak mo sa paggagamot sa kanya with the mask?

===========================

walang pang chance na magamit ang gas mask after the second try... dahil sa reaction nuong anak ko ni-recommend na gamitan ng gen. anesthesia pero ibang dentista naman ang gagawa...

backgrounder lang po: iyong first dentist na gumawa- habang ongoing angprocedure itong bata nag-wi-wiggle na at pilit tinatanggal ang mga nakapatong sa muka niya... dahil siguro sa pressure na baka di masararhan ang molar- iyong dentist tumataas at parang nagagalit ang boses sa baby ko (imagine 3 yrs. old)... tapos ni-recommend niya kami sa ibang dentist- eto na nga iyong prof.... bukas kami makikipagkitang mag-asawa and we'll be discussing what and how sa friday... i'll update you... thanks again smilewarrior... at least na-enlighten mo ako although may kerbiyos at di pa rin kampante sa pagpapatulog ng baby ko.... hehehehehe... maraming salamat for giving us your undivided attention on this maski na thru the net lang... i appreciate it...

[smilewarrior]

You're welcome mommy hooven :). Balitaan mo na lang ako. We'll do what we can to help you.

[Misa Hayase]

iyong dentist tumataas at parang nagagalit ang boses sa baby ko (imagine 3 yrs. old)... .
I'm not sure if this dentist you're talking about is the pediatric dentist one. (medyo nalito ako sa details ng kuwento), but FYI lang, a pedriatic dentist might use a controlled, firm voice which may be louder than the usual. This is done especially when the child cries so loud na hindi na siya nakikinig sa instructions, or too many other people keep talking (imagine a ruckus of the child's voice, mommy and yaya). A louder voice is used to show the child that the dentist is in charge.

Sana naman hindi bad stuff ang sinigaw sa anak ninyo.

[hooven]

You're welcome mommy hooven :). Balitaan mo na lang ako. We'll do what we can to help you.

Hi mga docs. As per conversation with the dentist lahat ng molars up and down -i-root canal and stainless steel crowning kasama na rin iyong canine teeth sa itaas. Tapos iyong mga 4 na teeth na nasa ibaba pero harap - papastahan. Ang dilemma ko - iyong natitirang tatlo sa taas (kasi iyong isa sa two front teeth natanggal na 2 1/2 yrs. ago) gustong tanggalin na rin bubunutin. Kasi raw nasa loob na rin ang sira.

Parang ayaw kong patanggal kasi siyempre puro stainless steel ang matitira sa taas (parang ampangit sa bata although sinabi niya na puwedeng hintayin na lang matanggal pero iyon nga lang baka magka-abcess din or infection in time). Di ko maisip kung patatanggal na pero kasi baka siyempre ang mga bata may pagka-cruel din at saka iyong ibang ngipin niya na molar na mas matindi ang hitsura eh hindi naman nasakit.

Ano po ba, palagi nalang akong stressed and depressed. Ayaw kong masaktan ang kalooban ng anak ko at lalong ayaw kong magkaroon ng insecurity sa paglaki dahil sa bungi siya. Pls. advise me again. :(

(post edited) Pasensya na mommy hooven, I took the liberty of editing your post, hindi ko kasi gaanong maintindihan nuong una. I hope you don't mind. :bashful:

[smilewarrior]

Good morning mommy hooven. Tanong ko lang, huminto na ba sa pagdede sa bote ang anak mo? How many times a day does she brush her teeth?

Regarding the stainless steel crowns, nothing unusual about them. Don't worry, I have a feeling her classmates won't tease her because of them (I'm keeping my fingers crossed). Besides, you're in America. They might not even notice your kid has metal teeth ( Kung baga, parang bale wala lang sa kanila.).

Here in the Philippines, some of the children of foreign expats (and of course children of our fellow Filipinos) also sometimes have stainless steel crowns. Here's a sample of how their classmates react to them :

" Wow! You have metal teeth. Cool! I want to have metal teeth too!" (with matching American twang :lol: )

With regards to the baby front teeth being removed, you have nothing to worry about mommy hooven.

Girls essentially develop faster than boys. By 5 or 6 or 7 years old, her permanent front teeth will begin to come out. She won't be "bungi" for long.:) Ang swerte niya kung by 5 years old pa lang ay maglabasan na kaagad mga permanent front teeth (I'm referring to the incisors) niya.

Her baby molar teeth will be replaced by the permanent counterpart once she becomes 9 or 10 years old.

Her baby canine teeth will be replaced by the permanent couterpart by 10 to 11 years old.

Want to know something interesting? I was "bungi" when I was young. Pag tumatawa ako, mukha akong bampira :D I'm a guy, so my permanent front teeth were slower to come out ( mas matagal akong naging bungi kaysa sa anak mo) I became so obssessed with my teeth, I became a dentist.*okay*

[Misa Hayase]

Mommy hooven:
Agree with smile warrior re: stainless steel crowns. Some kids think they're actually cool. We usually tell them they're robotic teeth. :D Anyway , ask your pediatric dentist if it's possible to have strip-off crowns made instead of stainless steel. Strip off crowns are tooth colored. I'm not a pediatric dentist so I'm not sure if they're applicable for your child's case, so just ask your pedodontist.

[hooven]

sa sippy cup na lang siya... sa gabi after drinking his milk atsaka siya nagto-toothbrush... siyanga po pala, ang lalaki po ang anak ko... we're weighing the situation... kaya lang parang ang feeling ko might as well get it over and be done with it... in 10 mos. or so, di namin alam kung we'll still be here in the US... ang hirap maging parents... gusto natin nasa ayos ang mga anak... kapapanganak ko palang sa kanya may problema na kasi nahawa na sa akin na ICU tuloy pero minor lang naman kaya sobrang guilty ako... tapos ngayon pa...actually, ang problema kasi iyong pagkain niya kasi na-iimbak sa bibig... di nilulunok... so maski na 3 or 4 hours ago na nanduduon pa rin pala ang ibang food sa bibig niya... nakalakihan na niya iyon....biro ko nga eh para di magutom kung sakaling wala pang pagkain by dinner... thanks smilewarrior... for conversing and being patient with me...

[smilewarrior]

^You're welcome mommy hooven. Misa and I are glad we could help you.

Mommy hooven, kawawa naman anak mo. Wala ba daw paraan para maimprove ang paglunok ni baby? Masisira kasi talaga ipin niya kung 3 hours nasa bibig yung pagkain, dapat 15 to 30 minutes lang. Hindi naman puwedeng hindi siya kumain.

Best of luck to you. Kaya mo yan :)

[debra_liz]

help po! my daughter is 2 1/2 year old and she has a swollen/bleeding gums may low grade fever na rin sya ngayon. we presently live in china. unfortunately walang dentist na marunong mag english dito kaya pumunta kami sa chinese doktor lang na marunong ng konti mag english. binigyan sya ng amoxicillin 750mg a day, pangalawang araw na nya itong iniinom, i also gave her children's advil nawawala naman ang lagnat pero twice na din bumalik lagnat nya although low grade lang naman. i'm not sure kung tama na binigyan sya ng amoxicillin di pa rin nag susubside yung pamamaga kahit pangalawang araw na nya itong tine-take.

my daughter also suffered from early dental caries kaya nag undergo sya ng dental rehab last year when she was only 1 year old.(under general anesthesia), she underwent root canal on her two front teeth, and nilagyan din sya ng 4 tooth caps althought natanggal na din lahat yun at nasira na din lahat ng front teeth nya. sabi nang doktor baka daw dahil sa kulang sya sa vitamin c, dahil on her first 2 years di ko sya mapainum ng supplements dahil meron syang allergy at ilang fruits and vegetables lang din ang pwede ko ipainom at ipakain sa kanya dahil din sa skin allergy nya kaya we got stucked lang on elemental milk. but she is doing better now, i already started giving her vit c supplements and juices pero wala na din magawa dahil sira na din ngipin nya.

i'm just worried about her present situation. nasasaktan sya tuwing nag bbrush ng teeth nya, sapilitan pa nga. recently lang din kami nakagamit ng toothpaste with flouride dahil din nga allergy nya. i hope somebody can give me advice kung anong first aid ang pwede ko gawin sa ngayon. o kahit anong home remedy lang thanks po

[smilewarrior]

^Good evening. We'll be more than happy to help you, but please avoid using TextSpeak (everything highlighted in red) in this forum. Please spell all the words correctly.

Does your daughter still sleep with a bottle filled with milk in her mouth? By 1 1/2 years old, bottle-feeding has to gradually stop as sleeping with a bottle can lead to cavities on the teeth ( there's also a danger of the milk entering the lungs, resulting in Aspiration Pneumonia).

It would be best if she's given milk when she's awake. By now, she has to be drinking milk from a cup, even a training cup / sippy cup will do. After every meal, her teeth need to be brushed.

Fluoride containing toothpaste should not be swallowed. Fluoride containing toothpaste can be used on children once they know how to spit.

*For the tooth with the swollen gum, the area needs to be x-rayed. A periapical x-ray will do. The x-ray will show whether an infection is present in the area or not.

The antibiotics will help control the infection, but the symptoms will not disappear if the teeth involved (if the teeth really are involved) are not treated directly.

If advil doesn't bring her fever down, it would be better to switch to Paracetamol (Acetominopen). For dosage, please ask your doctor.

Would you happen to be in Shanghai? Where exactly in China are you?

Is your daughter being monitored by a pediatric allergologist?

[Misa Hayase]

Debraliz , where in China are you? I think you can find a dentist there where expats usually frequent.
In general, it doesn't make much of a difference if your child takes Vitamin C supplements or not because the tooth decay is already present.
Now, after your child has taken the antibiotics, there is still the matter of what to do with the cause of the swelling and tooth decay. Home remedies cannot be applied in this situation. You have to see a dentist to manage the child's tooth decay or else the infection will just keep recurring.

[debra_liz]

good morning, salamat po sa mabilis ninyong reply. I was able to call her pedia dentist last night and sent her my daughter's gum pictures, she told me to continue the amoxicillin until thursday tapos pag hindi pa rin nag effect ililipat namin sa augmentin. she'll tell me kung kailangan namin iuwi ang daughter ko para tanggalin daw yung ngipin.

Dito po kami sa Xiamen, City. Member din po kami ng asawa ko ng Expat Community dito meron po naman silang mga dental clinic dito na kahit papaano ay nagkakaintindihan kami ng sign language plus paunti unting alam ng mga dentist na english. Medyo provincial pa din kasi ang knowledge nila dito when it comes to medical concerns. may isa kaming kaibigan na nagpabunot ng ngipin dito, may naiwan daw sa loob ng ngipin namaga, umuwi nalang siya ng pilipinas para ipa opera lang, may isa naman na maling gamot at dosage ang naibigay. kaya nag aalangan ako dalhin yung anak ko doon.

to answer your questions naman. opo, nag mi-milk pa rin siya sa gabi pero hinihinto ko na gradually. As i've mentioned, grabe ang allergies niya. Pregestimil lang ang gatas na nakayanan niyang inumin nung 1st year niya, dami namin nasubukan na gatas (nan-ha, lacto-free,nutramigen, soymilk at kung ano-ano pa) of course with her pedia's supervision, pero walang kinaya. There was a time na naubos na Pregestimil sa pilipinas at kailangan sa amerika kami magpabili. salamat sa diyos at na survive naming mag-asawa yun. nabigyan lang namin siya ng solid food 1 1/2 year old na siya kaya nagkaisip na puro gatas lang ang iniinom, maya't maya gutom, nasanay na round the clock ang gatas. kahit noong nag 2 years old siya konti pa rin ang kaya niyang kainin kaya gatas pa din ang ibinibigay namin. konti lang naiinom sa baso kaya bote pa din ginagamit namin, ngayon lang talaga nag improve at madami nang nakakain na solid food ang anak ko kaya ngayon palang po kami nagsisimula tanggalin ang bote at sanayin siya sa baso.

Meron po siyang allergologist, pedia-dermatologist, gastroenterologist, pedia-dentist all from AHMC. Kapag nandito kami sa china at may problema, i seek their advice through phone and e-mail. Sinasabi nalang nila kapag kailangan talagang iuwi sa pilipinas ang anak ko. Kahit medicine galing pilipinas, bihira kasi imported medicines dito or kahit manlang medicines with english instructions, wala din sila.

for mommy hooven: my daughter underwent oral rehab (rootcanal, crowning, pasta) naka general anesthesia siya she was only 1 year old, ang trauma is more on me than on her kasi kasama niya ko sa operating room, nung ilagay ang mask pinalabas lang ako nung nakatulog na. naawa lang ako sa itsura niya sa loob ng o.r. pero ngayon di na rin niya naaalala yun eh. sana lang magawa yung procedure sa anak mo a.s.a.p. kasi yung sa daughter ko huli na eh, although itinry nila lagyan ng crown upod na yung original teeth na kakapitan kaya natanggal din agad nauntog kasi anak ko ng malakas kaya nalaglag *** mga caps. Sa amerika mo ba ipapagawa? ok din sa pilipinas, i can say mas maalaga ang staff ng ospital sa pinas kaysa diyan. i can tell you the whole story and scenario if you want to. ang haba na kasi nito

thanks doctors :) i really appreciate your willingness to help.

[smilewarrior]

^Hello again. Mabuti na lang at may contact kayong pediatric dentist. Mas alam niya kung ano dapat gawin.

Ang laki na siguro ng nagagastos ninyong mag-asawa para lang sa anak ninyo :(.

Maswerte anak ninyo at kayo ang naging magulang niya. Malalagpasan niyo rin yan. :)

[Misa Hayase]

Debra_liz:
Ok, good luck, I hope your child gets better. I've been to Xiamen a few times. (Pansin ko nga , see through ang dental clinics nila, you can see the dentist working on the patient from the picture window outside sa street). I know there's a big Pinoy community there (at may SM din doon!:D ). You can ask them where they have their teeth treated.
I'm glad that you are weaning your child from bottle feeding. Aside from the cavities it causes on her teeth, baka kasi maging sungki ang ngipin ng anak niyo kung tatagal pa ito.

[jovhelle]

may kilala po pa kayong pediatric dentist dito sa cavite???

[smilewarrior]

^Hello please pm me or Misa Hayase for referrals.

[hooven]

for mommy hooven: my daughter underwent oral rehab (rootcanal, crowning, pasta) naka general anesthesia siya she was only 1 year old, ang trauma is more on me than on her kasi kasama niya ko sa operating room, nung ilagay ang mask pinalabas lang ako nung nakatulog na. naawa lang ako sa itsura niya sa loob ng o.r. pero ngayon di na rin niya naaalala yun eh. sana lang magawa yung procedure sa anak mo a.s.a.p. kasi yung sa daughter ko huli na eh, although itinry nila lagyan ng crown upod na yung original teeth na kakapitan kaya natanggal din agad nauntog kasi anak ko ng malakas kaya nalaglag *** mga caps. Sa amerika mo ba ipapagawa? ok din sa pilipinas, i can say mas maalaga ang staff ng ospital sa pinas kaysa diyan. i can tell you the whole story and scenario if you want to. ang haba na kasi nito

thanks doctors :) i really appreciate your willingness to help.

thanks debra_liz for your concern... okay naman na kami ng anak ko... sana kayo rin ng mag-anak mo... mahirap talaga pag nasa ibang bayan ka... lalo na't di mga nag-iingles at saka sa Pinas kasi may malasakit sa pasyente kaya di ka gaanong mag-aalala... i'll pray for your kid's good health and for your peace of mind...

regards to smilewarrior and Misa Hayase...:)

[smilewarrior]

^Good morning :). I hope your kid's doing well.

[daveigh]

Hi smilewarrior,

if you browse on the earlier part of this thread, I also posted something with regards to my 2yr old niece's (now turning 3) teeth that also had the same problem.

Today, her front teeth will be removed to have "pustiso" na, kasi she always have bleeding gums na. as in tuwing umaga pag-gising nya may dugo sa labi nya and she gets bad breath na rin due to this. nung pina-consult namin sa family doc what to do, she referred us to nearby dentist, which also happened to be our dentist before (we switched to another dentist kasi mas malapit), and that dentist suggested we do so (pustiso). he's not a pediatric dentist pero bihasa rin naman sya sa bata. my niece wasn't scared naman whenever she's asked to have her teeth examined (ewan ko lang ngayon). what's your feedback on this, with the kid having pustiso as early as 3, since masyado pa ngang maaga para bunutan lang then let it be...?

[smilewarrior]

^I actually wore a denture when I was about 4 years old :). Nabungi kasi ako because of an accident (masyado akong malikot na bata). Thankfully, now as an adult I have a complete set of teeth.

From a theoretical standpoint, there is no real need for a denture for the baby front teeth as the space for the permanent teeth will not be affected. If anything, the denture will serve a cosmetic purpose (para hindi bungi si baby).

As an alternative, Pulpectomy (which is root canal therapy for baby teeth) can be performed. It can help get rid of the infection (if there is any) of the baby teeth. The teeth will then be restored (bubuuin) with Composite strip-off crowns or Metal crowns. This can be done, assuming the teeth are salvageable. When this is done, there will be no need for a denture because the teeth will not be extracted (hindi bubunutin).

It would be best if your niece is seen by a pediatric dentist, kahit consultation lang, so that at least you know your options.

Good luck.

[daveigh]

Thanks for the info, smilewarrior. The denture has been affixed kahapon. I wasn't able to tell my sister your feedback, but it seems things have turned up well naman. I find it really weird to see my a baby having the pustiso. medyo nakaprotrude nga yung gums nya (which i think na minana nya sa tatay nya) pero as the dentist said naman it will be beneficial for her and aalisin din once permanent teeth shows up na.

Warning to other moms, my niece had enfagrow on her 1-2 years & it's our primary suspect why she had her teeth rot like that. sobrang tamis nang gatas na ito. kahit ako eh napansin ko sa aroma nung gatas. we also have another baby in the house (a cousin) and she never had baby bottle rot (she takes Nido 1+ & Gain), considering she also drinks milk at night at mejo nagtatagal din sa bibig nya. I hope it won't happen to other kids.

[smilewarrior]

^You're welcome.

Experts agree that the number one cause for baby bottle rot is when a baby sleeps with a bottle-filled milk in her mouth. Masama daw magpatulog ng baby ng may gatas sa bibig. It will not only destroy the upper front teeth, it could also be a choking hazard.

As far as enfagrow being too sweet, I'm not really sure.

Good luck.

[crazypixie_21]

i hope there's a good one near pasay.. but anywhere in manila will do.. please recommend me as soon as possible. thanks in advance.

[smilewarrior]

^Unfortunately, I don't know of any pediatric dentist from Pasay or Manila. I can refer you to Pediatric dentists who practice at Makati, Malabon or Alabang if you like, please send me a private message.

You can also send a private message to my fellow moderator, Misa Hayase.

[apple_cinnamon]

Hi!! can u guys recommend a good pedia dentist within makati area?? my son will have his first tooth soon.

thanks

[smilewarrior]

^"U" is textspeak. Next time, please use "you" instead.

Please send me or Misa Hayase a private message. We can refer you to pediatric dentists who work in Makati.

[smile4kids]

just want to give you a little advice on how to care for your niece's teeth knowing that she has a pedi partial (denture for kids) in her mouth. I hope the pedi partial is fixed and not a removable one cause any kid could choke on it and more problems can possibly happen... I don't want to scare you, but just want you to be on the safe side at all times especially when we're dealing with kids. Fixed Pedi-partials in general should be removed on a regular basis (every 4-6 months) to check for new caries (tooth decay) in the kid's teeth; you know how young kids are they just eat anything and love sweets very much.... Its always best not to have a pedia partial at all for a 3 yo due to oral hygiene purposes, unless the kid is modeling for a commercial. If you decide to keep the denture in place advise her dentist to check on the denture and disband it on a regular basis during prophylaxis and at the same time since kid's head, face, mouth are growing in all direction, the pedipartial should be changed ones in awhile to accomodate the general growth of the child and not just wait until the permanent teeth erupt into the mouth. Please take note that due to the premature loss of her 2 front teeth, there will be a delay in the eruption of the permanent teeth; instead of 7 years of age those teeth might erupt around 8-9 years old. My take home message to you is to tell the dentist to monitor closely the patient and the denture and not just wait for the permanent teeth to come down; there are far more things to consider and know about aside from waiting ...thanks for your time

[smilewarrior]

^Hello. I'm an orthodontist. I'm not a pediatric dentist. Fixed splints have long been used on children for orthopedic traction, but this is the first time I've heard of a fixed pediatric partial.

I looked it up at the website of the American Academy of Pediatric Dentistry, and lo and behold they really do exist : The use of a resin-bonded denture to replace primary incisors: case report (http://www.aapd.org/upload/articles/orsi-21-01.pdf)

I don't mean to be nosy. May I please ask if you're a member of the Philippine Pediatric Dental Society?

[smile4kids]

yup they do exist and works wonders for kids and more to stage moms...haha...We sometimes call it "the Groper" sounds funny huh, but our specialty deals with a lot of fun stuff all the time. Yes, I am one of the 10 so far...pediatric dentists in the philippines and a member of both the Philippine Pediatric Dental Society Inc (PPDSI) and the American Academy of Pediatric Dentistry (AAPD). I just want to lend a hand to parents who are on the verge of having a nervous breakdown when they see their kids teeth being neglected for so many years....It boils down to education and giving the right advice by specialists for a particular field in dentistry.
Good day!

[smilewarrior]

^"The Groper"? Yikes! Welcome to What's Up Doc, Doc :).

[smile4kids]

thanks!!! I'll be more than happy to help out those who needs help with their children's oral health. Pediatric Dentistry here in the Philippines has a long way to go in terms of educating Filipino families with regards to oral health of babies, children and adolescents. Knowing there are only a handfull of specialists in the country, we still have a long way to go in re-educating parents, yayas and lolas and removing that negative stigma that primary teeth are just baby teeth...I still hear that line even among pediatricians and general dentists... Maybe this is one of the reasons why i decided to help out in this forum to share some knowledge to parents, physicians and the dental profession who are misguided about baby teeth. In reality pediatric dentistry is not just teeth that we look at, but the general health of the child just like pediatricians...and that should also apply to other fields of dentistry to avoid " A fill and drill dental practice" cause there are far more things we as doctors should know and take into consideration besides the regular fillings that we do in the dental office.
thanks again and I'll be glad to do my share doc.

[Misa Hayase]

^^Yay!!! A pediatric dentist!!! I have such a tremendous respect for you guys. I'm sure you have the patience of a saint. :D Welcome to the forum and we hope to see you here more often.

[smile4kids]

my pleasure...Thank you for your kind words

[babycrystal]

Hello dentists..

tanong ko lang kasi ang ginagamit na toothpaste ng anak ko (3yrold) is regular toothpaste (crest ang gamit namin, eh naubusan ngayon colgate) okay lang ba yun? or dapat pang kids na toothpaste? i tried before yung pambata..kaso ang tamis naman ng lasa hindi nagustuhan ng anak ko... i also tried yung gel type eh kaso feeling ko naman di nalilinis ng husto yung teeth nya dun..

salamat!

[smilewarrior]

Good morning. smile4kids is better suited for answering this (as he's a pediatric dentist), but it is recommended that kids not use fluoridated toothpaste (toothpaste which contain fluoride, as indicated in the label) until they know how to spit (kapag natuto na silang dumura).

Toothpaste with fluoride should not be swallowed.

Fluoride per se is not bad, but excessive fluoride intake during the time that the teeth are still developing will lead to Fluorosis of the teeth ( seen as discolorotions or even surface alterations on the permanent teeth).

Last time I checked, it is recommended that below the age of two, baby toothpaste or toothpaste which do not contain fluoride, be used. It will be your pediatric dentist who will monitor the amount of fluoride intake.

A child's first visit to a pediatric dentist should coincide to when the first tooth comes out , which is usually 6 months old.

For brands of baby toothpaste, perhaps smile4kids can give recommendations.

Does your three year old already know how to spit?

(from "The use of fluoride-containing toothpastes in young children: the scientific evidence for recommending a small quantity" )

For dental fluorosis to result, the increased systemic exposure must occur at the age when the enamel is forming. The maturation phase of enamel formation is the stage vulnerable to increased systemic fluoride intake. Chronic high doses of fluoride at this stage can cause enamel hypomineralization. For the maxillary incisors, the critical period seems to be 22-25 months of age, but the risk for dental fluorosis in the incisors may persist for 36 months beyond this period. Furthermore, Ishii and Suckling showed that increased systemic fluoride exposure from birth for more than 11, 12, and 24 months caused fluorosis in the first permanent molars, the permanent incisors, and premolars respectively. Exposure at 7 years or older did not result in clinically noticeable fluorosis.

[Misa Hayase]

According to the fluoride symposium I attended, they don't really recomemnd the use of flavored toothpastes since they taste so good that kids sometimes eat them (yup!). Also, when dispensing toothpaste, a small smear will already do. Imagine your pea sized amount.... that's for an adult. 1/6th or 1/8th of that pea size, is a smear.

[babycrystal]

Thanks Smilewarrior and Misa Hayase :) My 3yrold does know how to spit. SHe learned it when she was about 2 i guess. Dahil nga whenever i brush her teeth i don't want her to swallow. As for the toothpaste eh baliktad nga ang anak ko, sa sobrang tamis ayaw nya talaga!! so since regular toothpaste ang gamit nya, smear lang talaga...;) thanks again!

[smilewarrior]

^You're welcome. We're glad we could help :).

[smile4kids]

hi there babycrystal...I think you are on the right track with regards to how much fluoride toothpaste you should dispense for your child every time you brush her teeth. Eventhough you think she knows how to expectorate (spit) at the time she was two, please be on the safer side and be conservative with fluoride toothpastes. Kids could really get sick and experience stomach ache and vomiting due to fluoride toxicity and not just fluorosis which can only be noticeable when permanent teeth start to erupt in the child's mouth about 51/2- six years of age; yup a smudge is enough for your kid. The far more important thing that a parent should realize is the proper technique of brushing and flossing (if there are no spacess in between teeth called leeway spaces or primate spaces) of your child's teeth, which is very much different from an adult. You may be using fluoride toothpastes on your child's teeth, but brushing your child the wrong way could still lead to early childhood caries compounded with a bad diet. think about this, it is possible for a parent to brush their child's teeth even without toothpaste just with water provided the parent, yaya, lola, etc. knows the proper technique of brushing the child with the proper diet. Isn't that interesting to know mom?....i hope this is helpful and I'm glad you're very attentive to your child....good for you!!! To what brand of fluoride toothpaste would i recommend?...i don't care they're all the same...its just plane marketing strategy from the dental companies. What's important is the proper technique of brushing... right!!! good luck and
good day!!!

[babycrystal]

Hello smile4kids...thanks for the very thorough reply.. she doesn't have perfect teeth but i'm really trying my best to help take care of my baby's teeth. She does floss also...i mean i do it for her ofcourse..she loves the mint taste of the floss (oralB hehe) yun nga lang there's a space between her 2 lower front teeth. i've brought her to a pediatric dentist only once after her 1st bday but she got so traumatized. i was actually a bit disappointed w/ her 1st visit since pediatric dentist nga i was expecting they'd really know how to deal w/ a child. eh ayun humarap ba naman sa anak ko na naka todo mask na and all natakot tuloy sya agad! iniisip ko kasi like kausapin muna ng dentist chika kaunti...to think we were the 1st patient there walang ibang naghihintay...tas ayun ang nangyari tuloy ako ang nakahiga sa dentist chair and i was holding her on top of me while the dentist checked her teeth. hay.... tas the 2nd time eh naku talaga sa labas pa lang humahagulgol na so di ko na sya nabalik pa ulit....:(

[Misa Hayase]

^^Hi babycrystal. Spacing is normal for her age, so not to worry about that for now. (Smile4kids can expound on this). I'm happy though that you floss her teeth :D I have to warn you, unfortunately about the use of textspeak ("tas" instead of "tapos") which is not allowed in this forum.

[babycrystal]

Hi...sorry didn't know "tas" is considered as text speak :bashful: ...nice to know na normal naman pala ang spacing sa teeth niya :)

[blubby_90]

my baby is 8 months old.2weeks ago lumabas na ang first teeth niya.dalawa sa baba halos sabay lumabas.i want to bring him to a pediatric dentist, do you know any pediatric dentist in bicol region specifically in naga city?if wala po pediatric dentist where ko pwedeng ipa check ang teeth niya?i want to bring him to dentist to build good vibes habang nasa stage pa siya na lahat ng tao tha he meets e naka smile siya at nakikipag play/react on a playful mode.at least he would remember the dentist as a playmate.sa pediatrician kasi niya good buddies sila kasi kahit panay ang injection dahil sa immunization e nakikipag smile pa din siya even after the procedure. iyak lang siya ng konti tapos pag kinarga na play na uli with the doctor. sana maging ganun din ang outcome kapag sa dentist ko naman siya dadalhin.hope may mai recommend kayo.tnx! by the way doc smilewarrior tnx for your reply sa kabilang thread regarding my question about solcosery dental adhesive paste. :)

[smilewarrior]

^You're welcome blubby_90. :)

Not sure if there's a pediatric dentist working at Bicol Medical Center at Naga, but I guess it wouldn't be a bad idea for you to visit the center and inquire.

Here's the website of the Philippine Pediatric Dental Society, Inc. : PPDSI (http://www.pediatricdentistry.com.ph/PPDSI/Public%20Health.html) You can either send them an e-mail (through the e-mail address provided in the website) and ask them if they happen to have a member who practices at Bicol.

[smile4kids]

hi babycrystal! you seem do be doing a good job with your child's oral hygiene. Keep up the good work. Spacing in between baby teeth is normal, so no worries. But if you think your kid has crooked teeth in some areas despite the spaces you see, its always a good idea to start flossing her, so she'll get comfortable with the idea at an early stage.
I would just like to address your experience when you brought your 1 year old daughter to a pediatric dentist for the first time. To be honest with you, whether your pediatric dentist played with your kid first or just started treating your child with a mask, the outcome will be the same...She will cry whatever you do. The reason ,is simply the kid is very young and immature. She has not developed any concept of strangers like the dentist. All she knows and recognizes is her mom or anybody who she sees all the time like the yaya. At that age we do not try to manage and train the kid, cause it's pointless since the brain has not developed fully yet for them to understand simple instructions. Rather, we as pediatric dentist do what needs to be done quickly to assess the problem and inform and educate the parents how to prevent the problem from progressing. When we discuss these things, we get into a what we call " The Psychology of a Child" which is part of our 2 year training in pediatric dentistry. Another reason why young children from 0 to 3 years old cry is because of what we call Separation Anxiety . You should understand that children are very much dependent on their care givers particularly to their mom who is the primary care giver. Crying due to separation anxiety is also common in a dental clinic especially in first visits, cause young children from 0 to 3 years old have not learned to be with strangers, but as soon as they start going to school this will eventually disappear. This is the reason why I would rather have the mom be with the young child during dental procedures to make sure that the child feels comfortable. My advise is to go back to your pediatric dentist assuming he/she is a true specialist and let the doctor work on your child until she gets comfortable; this will take a while though. Learn to trust him/her just like your child's pediatrician, cause we are trained to do what's best for you and for your child to make the experience pleasant that would last a lifetime. Crying does not always equate to trauma to the child. Children will Cry as a defense mechanism or a way of communicating since they could not express themselves fully when they're young. What's important is how your pediatric dentist determines the different cries or reactions of children in a given situation and be able to do whats necessary to get the work done. There are many ways to know the different behavior and sounds children make (crying) and understanding these child behavior makes the profession of pediatric dentistry different and unique compare to other fields of dentistry. We just don't treat children's teeth, but rather treat the child as a whole, physically and pychologically. quite interesting huh...I hope this helps. Keep up the good work once again.
Good day!
smile4kids

[momsrtalking]

Hi dear dentists and to all who cares for babies teeth,
You may want to see a mom's review on "Spiffies" - baby toothwipes with xylitol. Please read the article at http://mom.exchange.ph
http://http://i199.photobucket.com/albums/aa8/momsrtalking/Slide1-1.jpg