tag:blogger.com,1999:blog-16472438.post114367954566661698..comments2024-03-27T00:21:47.263-07:00Comments on Pediatric Dentistry: How Children Behave at the Dentist, What to ExpectDr. Dean Brandonhttp://www.blogger.com/profile/08709454067987829233noreply@blogger.comBlogger37125tag:blogger.com,1999:blog-16472438.post-33110642389512722422020-09-04T11:00:39.286-07:002020-09-04T11:00:39.286-07:00Anon-- There are 16-year-olds that have anxiety l...Anon-- There are 16-year-olds that have anxiety like that. It's a difficult situation of course. As a pediatric dentist, we actually see kids up to age 21, or even older if special needs. In-office options often include conscious sedation. If only extractions needed, an oral surgeon is also an option as they will be asleep for any treatment, similar to wisdom tooth removal. Oral surgeons only usually do tooth removal, not fillings, etc. So, we sometimes have to take patients to the operating room for general anesthesia for treatment. This is often preschoolers, but can also be older patients or adults. Dr. Dean Brandonhttps://www.blogger.com/profile/08709454067987829233noreply@blogger.comtag:blogger.com,1999:blog-16472438.post-28265280418024810892020-09-04T10:45:53.042-07:002020-09-04T10:45:53.042-07:00I have a 16 year old who has a mouth full of cavit...I have a 16 year old who has a mouth full of cavities and she refuses to brush her teeth. Needs to extract 4 molars because of extensive decay does not open her mouth for the dentist . Screams and cries as well as fight with the dentist for even an exam . She even had a wetting accident at her last visit she had to get an injection for a filling and we ended up not getting much done , she would not open her mouth without screaming and crying and fighting and is completely traumatized. She even saw a paedoatric dentist but was too embarrassed because she was the oldest kid there and the only one crying. <br />How to help Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-16472438.post-7288174407565956062017-04-11T23:23:19.361-07:002017-04-11T23:23:19.361-07:00I have a 2 year old her first visit is in a couple...I have a 2 year old her first visit is in a couple of days and i'm worried she won't cooperate she hates when we try to brush her teeth she screams and pushes us away so it's hard to really brush her teeth good she's getting like orange plaque or something and i'm anxious to know if they will do a cleaning for her first visit. Anonymoushttps://www.blogger.com/profile/01841397701145999073noreply@blogger.comtag:blogger.com,1999:blog-16472438.post-73131867331134484712016-08-24T04:48:30.310-07:002016-08-24T04:48:30.310-07:00If a child is cooperative, there is no problem doi...If a child is cooperative, there is no problem doing treatment in a "normal" way. We do it all the time. However, if he is uncooperative, you can consider pharmacological (sedation) or general anesthesia (asleep). Restraint, (in the form of anything from holding hands, to a physical restrianing wrap is another option). I bet the dental office was trying to inform you of your options. If you do not want the "tight hugs" of restraint, then tell them--but they may not be able to do any treatment without getting cooperation from the patient. Good luck.Dr. Dean Brandonhttps://www.blogger.com/profile/08709454067987829233noreply@blogger.comtag:blogger.com,1999:blog-16472438.post-19313278505581299562016-08-23T23:55:01.334-07:002016-08-23T23:55:01.334-07:00Hello , my son is 5 years old i took him to the de...Hello , my son is 5 years old i took him to the dentist a week ago and they found out that he has 1 simply cavity that has to be taking care soon...I want to do it asap... they make an appointment for the next month to do the filling or is called something else ** they asked me if I want to do the rapper thing where they hold him tigh or if I want they to put him to sleep I'm new on this so , I'm so concern about what to do because my son has fobia he can't even handle tight hugs he gets so desperate.... what should I do about it ? Beside that he did a really calm and good job in his last appointment for his cleaning ��<br /><br />Thank you Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-16472438.post-58409190467381824562015-07-29T17:22:38.851-07:002015-07-29T17:22:38.851-07:00We don't put kids to sleep (general anesthesia...We don't put kids to sleep (general anesthesia) for just a cleaning, unless there are very unusual circumstances related to proper diagnosis of a given concern. An anxious 6 year old can be examined and if treatment needs are determined, can be managed in whatever way seems appropriate, whether it be general anesthesia, conscious sedation, or just proper behavior management. Some kids are anxious and resistant.Dr. Dean Brandonhttps://www.blogger.com/profile/08709454067987829233noreply@blogger.comtag:blogger.com,1999:blog-16472438.post-31023461107875581772015-07-29T09:53:01.117-07:002015-07-29T09:53:01.117-07:00my 6 yr old son cry a lot and doesnt like to seat...my 6 yr old son cry a lot and doesnt like to seat in the chair when they put it down he gets really scared today is my 3 time taking him to the dentist and he wont let them clean his teeth so now they told me that he has high anxiety and to go to another dentist so they could put him to sleep for his cleaning im scared i dont know what to doAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-16472438.post-42224961470937121982015-05-23T13:28:23.430-07:002015-05-23T13:28:23.430-07:00Christine,
Behavior wise, I cannot say if sedatio...Christine,<br /><br />Behavior wise, I cannot say if sedation would "work". It all depends on the individual child and the given procedure. It very often does work well though. Something to discuss with the pediatric dentist. By the way, stainless steel crowns work very well, especially on back baby molars. I don't use them in the front, because of appearance. Otherwise, they are great for the back molars and are pretty much the standard of care.Dr. Dean Brandonhttps://www.blogger.com/profile/08709454067987829233noreply@blogger.comtag:blogger.com,1999:blog-16472438.post-51232033345672092702015-05-21T13:16:04.059-07:002015-05-21T13:16:04.059-07:00My 4 yr old daughter got 8 stainless steel crowns,...My 4 yr old daughter got 8 stainless steel crowns, long story that I dont't want to get into detail again because I get upset just thinking about it. I don't believe she needed all the crowns and at this point I'm just willing to forget what happened and see what I can do about it. A pediatric dentist will be changing 6 of them to zirconia crowns. I don't want to put her under general anesthesia because it would be an unecessary risk for a type of "cosmetic surgery". I am willing to do 2 at a time in 3 visits with some type of conscious sedation. Do you think this procedure can be done with office sedation? Christinahttps://www.blogger.com/profile/15115102247149924416noreply@blogger.comtag:blogger.com,1999:blog-16472438.post-18910373320012606132015-05-18T15:31:06.917-07:002015-05-18T15:31:06.917-07:00Sounds lie a pediatric dentist would be the best o...Sounds lie a pediatric dentist would be the best one to consult. We see teens up to age 21 and sometimes older. Premedication or other methods can be employed to help with anxiety.Dr. Dean Brandonhttps://www.blogger.com/profile/08709454067987829233noreply@blogger.comtag:blogger.com,1999:blog-16472438.post-89266764856446020222015-05-18T06:16:14.359-07:002015-05-18T06:16:14.359-07:00My soon to be 17 year old daughter has nine caviti...My soon to be 17 year old daughter has nine cavities and refuses to cooperate with the dentist. She's very nervous and refuses to listen at times...<br />Also she has a great deal of dental anxiety..<br />What can I do to help her<br />She cries and screams and refuses the injections Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-16472438.post-36661190623239811012015-01-26T09:20:34.254-08:002015-01-26T09:20:34.254-08:00Why cant we have more dentists like u in our town?...Why cant we have more dentists like u in our town? My baby girl is 4 and when i took her to the denstist it was her first time. They did some work on her but they strapped her down and didnt let me in there with her, when i came back when she was done they told me that she was so uncooperative that they couldnt finish, i feel like im just as traumatized as she is. When i went back for her she was really sweaty and clamy, and her face around her eyes was purple and blotchy. She told me that they choked her. When i asked about it they said that she had a hard time dealing with the water. Why is it that we as parents have no other options besides strapping them down and giving them lauging gas, or giving them medicine to work on them. Why cant i as a parent lay down with my child and hold her still? Idk it sounds like a dumb idea but i hate that those are the only options. Putting her under while she gets work done isnt an option for me because i have read of all the deaths caused by that...but i have read of suffocation from the pappoose board as well. Idk what to do for my baby. She needs more work done but i just cant seem to brimg myself To take her.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-16472438.post-42831115652988845892013-11-13T19:31:36.092-08:002013-11-13T19:31:36.092-08:00We use in-office oral sedation almost every day. ...We use in-office oral sedation almost every day. These kinds of things should be properly diagnosed, dosed and done in accordance with [roper guidelines of monitoring, health status etc. Read more on the blog here about sedation and general anesthesia. Oral surgeons often use IV sedation or even general anesthesia. <br /><br />In our office we allow parents back, but it is understandable if an oral surgeon wants to maintain the surgical suite differently, an controlled environment--kind of like an operating room. It's always ok to ask.Dr. Dean Brandonhttps://www.blogger.com/profile/08709454067987829233noreply@blogger.comtag:blogger.com,1999:blog-16472438.post-33712298669923794962013-11-13T15:13:21.931-08:002013-11-13T15:13:21.931-08:00My 10 year old daughter is scheduled to get 3 teet...My 10 year old daughter is scheduled to get 3 teeth pulled on Friday. Our dentist refered us to an oral surgeon. The oral surgeon saw my daughter once and has recommended IV sedation for the procedure. My daughter is generally calm and not usually afraid of shots or needles. His office keeps saying that the shots given in the roof of the mouth are painful and therefore she will be more comfortable with the IV sedation. I am more nervous than she is about the IV sedation. She is very petite weighing only 52 lbs. How concerned should I be about the actual IV sedation and her recovery afterwards? They're telling me she will be "out of it' and may vomit later. I don't like the sound of that. They have also said that I can't be present in the room for the procedure. I would like to be there while they get the IV started. Is that a reasonable request - to be there when she falls asleep and to be there when she wakes up? Thank you for your time. RekhaDnoreply@blogger.comtag:blogger.com,1999:blog-16472438.post-27188730649467531912013-04-08T15:51:24.414-07:002013-04-08T15:51:24.414-07:00Well, decay progresses on unless it is taken care ...Well, decay progresses on unless it is taken care of. I don't know what you mean by fluoride fillings. I suspect they mean glass ionomer restorative material. That does release fluoride in very small amounts--no problem at all. Unless the decay is totally removed, any restorative material is a temporary measure. Some dentists lightly scoop out some decay and place a glass ionomer (which can be an acceptable restorative) to buy time till there is more cooperation. YOu can read here when that might be... Dr. Dean Brandonhttps://www.blogger.com/profile/08709454067987829233noreply@blogger.comtag:blogger.com,1999:blog-16472438.post-66357637728903414252013-04-08T12:13:19.697-07:002013-04-08T12:13:19.697-07:00My one year old had two cavities on the upper teet...My one year old had two cavities on the upper teeth; the dentist said to wait until he's older to treat. Now at almost 2, his two front teeth have cavities also. First, what do u think about a fluoride filling ( don't know the name) that might last 3-6 mo , in order to prevent further decay? The dentist suggests Valium , laughing gas, and a jacket; my 2 yr old will be upset- very. Is it worth it for just a temp filling in your opinion ?<br />Also do these fluoride fillings give off a lot of fluoride in general which could effect the perm teeth?<br />Thanks!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-16472438.post-32328437941493916542012-09-16T16:26:33.516-07:002012-09-16T16:26:33.516-07:00bloggerbloggerDr. Dean Brandonhttps://www.blogger.com/profile/08709454067987829233noreply@blogger.comtag:blogger.com,1999:blog-16472438.post-71950582924410474412012-09-15T01:04:47.069-07:002012-09-15T01:04:47.069-07:00Hello! I know this is somewhat off topic but I was...Hello! I know this is somewhat off topic but I was wondering which blog platform are you using for this website?<br />I'm getting tired of Wordpress because I've had problems with hackers and I'm looking at options for another platform. I would be awesome if you could point me in the direction of a good platform.<br /><i>Here is my webpage</i> <b><a href="http://www.semazing.ch/seo-suchmaschinenoptimierung" rel="nofollow">seo</a></b>Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-16472438.post-73280457509466341832012-08-08T15:41:43.739-07:002012-08-08T15:41:43.739-07:00A gag reflex especially for impressions is not a s...A gag reflex especially for impressions is not a situation exclusive to children. Adults occasionally have a hard time too with that. Still, I do not usually start orthodontic treatment on a very young child unless first it is indicated and second that they are fairly cooperative. Depending on what is being done sometimes an impression just for diagnostic models is not necessary or possible. If an impression is needed to fabricate an appliance like a simple expander (something sometimes done on younger kids), they you have to decide if it is possible and how far you want to go with that. Mild sedation can help or just nitrous oxide (laughing gas) can reduce a gag reflex. All this has to be balanced with what you are trying to do how time critical it is and if it is worth all the fuss. Sometimes it is just best to wait till the patient is older (however, no guarantee a gag reflex will improve (although it can with age).Dr. Dean Brandonhttps://www.blogger.com/profile/08709454067987829233noreply@blogger.comtag:blogger.com,1999:blog-16472438.post-72160412204263902882012-08-08T07:43:59.693-07:002012-08-08T07:43:59.693-07:00I have a 7 year old that is in the beginning stage...I have a 7 year old that is in the beginning stages of braces and she had to have a mold done and was unable to tolerate it due to her Extreme gage reflex. We had to hold her down and fight with her and she vomitted all over the dentist and asperated. She will have to have more molds of her mouth taken any suggestions how to make this better or what to do different. Normally she is very cooperative at the dentist.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-16472438.post-74227667203534294922012-07-04T07:00:06.712-07:002012-07-04T07:00:06.712-07:00Not uncommon for a two or three year old to protes...Not uncommon for a two or three year old to protest. Read more here on the blog about behavior management, sedation, and hospital dentistry. Treatment (and behavior management) options should be discussed with your pediatric dentist.Dr. Dean Brandonhttps://www.blogger.com/profile/08709454067987829233noreply@blogger.comtag:blogger.com,1999:blog-16472438.post-46833811482819973342012-07-04T06:47:35.735-07:002012-07-04T06:47:35.735-07:00My 3 year old has white discolouration on her teet...My 3 year old has white discolouration on her teeth at the bases of most of them and a small cavity on her second to front tooth at the top I took her to the dentist today but all she did was scream and wouldnt even allow the dentist to see her mouth let alone inside it If she continues like this at appointments what are the options for treating her successfully?Anonymoushttps://www.blogger.com/profile/15902116912978287891noreply@blogger.comtag:blogger.com,1999:blog-16472438.post-65350726646798664452012-06-24T06:36:42.834-07:002012-06-24T06:36:42.834-07:00The younger they are the less reliable medications...The younger they are the less reliable medications can be. I'd discuss with your pediatric dentist. Also, there is a lot here on the blog about sedation and behavior. Kids are unpredictable as far as behavior. With three year olds I often say it depends on which side of the bed they wake up on. Not surprising to have a three yr. old with cavities though. They often start in between the teeth where we can't see till we get an x-ray or it gets large enough to see.Dr. Dean Brandonhttps://www.blogger.com/profile/08709454067987829233noreply@blogger.comtag:blogger.com,1999:blog-16472438.post-25181809616513373822012-06-18T12:24:55.745-07:002012-06-18T12:24:55.745-07:00I have a 3 year old daughter and she just came fro...I have a 3 year old daughter and she just came from tha dentist a couple of hours ago she got an x- ray and i was told that she has like 6 or 7 cavities and i was actually shocked like OMG and he explained to me how she was going to have to get sedated to get crowns and Im just really worried and scared. I just want to know how this is going to work and what to expect???Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-16472438.post-42123704454242613532012-03-28T04:46:04.069-07:002012-03-28T04:46:04.069-07:00Gosh, I know that must have been a difficult exper...Gosh, I know that must have been a difficult experience for him and for you. I have seen kids get upset even after numbing. Often kids react to things like noise and vibrations not necessarily anything that you would think is that bad. Why is it that one child has a difficult time and the next (who might be a 4 year old) does just fine doing the same exact thing? It seems to do partially with individual variation and what we call "temperment" or personality styles. Some are very verbal or vocal, others very laid back. Anxiety can cause some kids to say it hurts and all we are doing is placing a cotton Q-tip in their gum. There are kids who do not even need numbing and others that seems to be reactive even with lots of numbing and just small procedures. Often we use medications to reduce the anxiety as you can read here on the blog. There is a small number of kids (usually 9 -12yr old boys) that seem to be very very anxious about injections, and will resist suddenly and violently, but after the numbing is over, they usually do just fine. The key things are 1. that we do everything possible to make things as easy as possible for these children, 2. Each child reacts differently and differently on different days, 3. Anxiety management is an important consideration and is often mitigated by medications as benign as laughing gas or sedation or even general anesthesia.Dr. Dean Brandonhttps://www.blogger.com/profile/08709454067987829233noreply@blogger.com