Posts for: February, 2015
Thumb or finger sucking is a normal activity for babies and young children — they begin the habit while still in the womb and may continue it well into the toddler stage. Problems with tooth development and alignment could arise, however, if the habit persists for too long.
It’s a good idea, then, to monitor your child’s sucking habits during their early development years. There are also a few things you can do to wean them off the habit before it can cause problems down the road.
- Eliminate your child’s use of pacifiers by eighteen months of age. Studies have shown that the sucking action generated through pacifiers could adversely affect a child’s bite if they are used after the age of 2. Weaning your child off pacifiers by the time they are a year and a half old will reduce the likelihood of that occurring.
- Encourage your child to stop thumb or finger sucking by age 3. Most children tend to stop thumb or finger sucking on their own between the ages of 2 and 4. As with pacifiers, if this habit continues into later childhood it could cause the upper front teeth to erupt out of position and tip toward the lip. The upper jaw also may not develop normally.
- Replace your child’s baby bottle with a training cup around one year of age. Our swallowing mechanism changes as we grow; introducing your child to a training cup at around a year old will encourage them to transition from “sucking” to “sipping,” and make it easier to end the thumb or finger sucking habit.
- Begin regular dental visits for your child by their first birthday. The Age One visit will help you establish a regular habit of long-term dental care. It’s also a great opportunity to evaluate your child’s sucking habits and receive helpful advice on reducing it in time.
While your child’s thumb or finger sucking isn’t something to panic over, it does bear watching. Following these guidelines will help your child leave the habit behind before it causes any problems.
If you would like more information on children’s thumb-sucking and its effect on dental development, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Thumb Sucking in Children.”
You may think snoring is a minor problem, but it can be a lot more than that. Just ask hoops star Shaquille O'Neal, whose rambunctious snoring bothered his girlfriend enough for her to suspect a health problem. Her observations eventually led to Shaq's diagnosis of moderate Obstructive Sleep Apnea (OSA), which occurs when the soft tissue structures at the back of a person's throat, including the tongue, partially close off the upper airway and prevent air from moving into the lungs during sleep. Sometimes airflow can be blocked completely for 10 or more seconds.
When air flow is reduced, blood oxygen levels drop. This leads to brief waking episodes known as “micro-arousals,” which can happen sometimes more than 50 times an hour. The sleeper might not even be aware of this, even while gasping for air. Micro-arousals prevent the person from ever reaching deep, restful sleep.
Besides suffering from excessive daytime sleepiness, studies show sleep apnea patients are at higher risks of heart attacks, congestive heart failure, high blood pressure, brain damage and strokes. People with sleep apnea also have a higher incidence of work and driving-related accidents.
OSA can be treated in a few different ways. On the advice of his doctor, Shaq opted for a Continuous Positive Airway Pressure (CPAP) machine, which generates pressurized air delivered through a face mask worn while sleeping. The force of the pressurized air opens the airway (windpipe) in the same way as blowing into a balloon does.
For people with milder OSA, or who find they can't tolerate wearing a mask during sleep, an oral appliance supplied by a dental professional might be the answer. Oral appliances are worn in the mouth and are designed to gently reposition the jaw and move the tongue forward away from the back of the throat. Success rates of 80% or more have been reported using oral appliances, depending on the severity of the OSA.
If you would like more information on sleep apnea, please contact us or schedule an appointment for a consultation. You can learn more about sleep apnea by reading the Dear Doctor magazine article “Snoring & Sleep Apnea.” Dear Doctor also has more on “Sleep Disorders & Dentistry.”