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Have you ever watched to see if your child is breathing through his or her mouth? Breathing through the mouth instead of the nose may lead to trouble for youngsters. Kids who typically breathe through their mouth—most often children who suffer from allergies—experience problems getting enough oxygen into their blood, a condition that affects their weight, size, sleep, and even their performance in the classroom and daily life.

Mouth breathing as a child can also lead to sleep apnea, behavior and learning problems, delayed speech, dental and facial abnormalities, and even breathing problems as your child grows. There are a multitude of reasons for an individual to mouth breathe, such as enlarged tonsils, adenoids, and deviated nasal septum, but the cause is usually allergies.

As bad as the condition sounds, we want you to know mouth breathing is a treatable condition. Doing so, though, requires early diagnosis and treatment. Since our team at Just 4 Kids Pediatric Dentistry sees our patients every six months, we may be in a position to identify the symptoms of mouth breathing.

If you suspect your child is a chronic mouth breather, please give us a call at our convenient Surrey, BC office to schedule an appointment with Dr. Tang.

First aid training is a must when you are a parent. You can put on a bandage with your eyes closed. Perhaps even apply butterfly tape to avoid stitches. What about a dental injury? Do you have a checklist in mind on what to do when a tooth is knocked out, broken, or displaced from impact? All of these situations happen often and should be in a parent’s emergency training regiment. Luckily Dr. Tang and our team are here to be a resource for such an incident!

Children’s most common dental injury is chipping a front tooth. It is so common that it seems like a right of passage. Say, for example, a two year old trips and hits her front teeth on the tile floor. First, check to see if the teeth have been broken to the nerve. You can tell if you see layers and a pinkish center. Then, wiggle each tooth and make sure it is not loose. If the teeth feel firmly in place, that is a good sign. Even if they are a little loose, the teeth will tighten again with time. If she develops a severe temperature or bite sensitivity then you know treatment is needed, which may include a root canal. If there are minor symptoms that diminish with time, continued observation will be fine.

Knocking out a tooth is also common and requires more attention than observation alone. As soon as possible, locate the tooth, touch only the crown (not the root), and rinse any debris gently with milk or water. Place it back into the tooth socket as soon as possible. The American Association of Endodontists states a tooth has a high chance of survival and retention for life if it is re-implanted within five minutes or up to 60 minutes if soaking in milk or saline solution. Our team at Just 4 Kids Pediatric Dentistry know many parents are nervous about the thought of doing this alone, but not to worry, our team is here to help!

Here’s another dental emergency example: Your child takes an elbow to the mouth during a basketball game and severely displaces a tooth but does not knock it out. What to do? First, apply light pressure in an attempt to move it back into place. Be extremely careful not to use excessive force. Place a cold pack for swelling and contact our office as soon as possible.

A dental emergency can be frightening. It is often messy and painful. The best initial reaction is to remain calm, and remember that we are here to help! Contact us at our Surrey, BC office if your child encounters a dental emergency.

Our team at Just 4 Kids Pediatric Dentistry understand that the sights, sounds and sensations at a dental office can be unsettling for some children. One effective technique that we use to comfort your child is to offer the gas nitrous oxide. Nitrous oxide is a common anesthetic used during many dental procedures.

What is Nitrous Oxide?

Nitrous oxide is an oxide of nitrogen which has a slight sweet odor and taste. During medical or dental procedures, the gas is mixed with oxygen then inhaled through a mask that covers your child's nose. Within minutes, your child should feel calm and experience an overall sense relaxation. Most children are enthusiastic about the administration of nitrous oxide and report feeling like they are dreaming. Children will be able to breathe on their own, move their limbs, and be conscious enough to hear and respond to our dentist's questions such as, "Did you remember to brush your teeth today?" Of course they did! All our patients are great brushers! The effects of nitrous oxide disappear shortly after the mask is removed and the drug is quickly eliminated from their body.

Is Nitrous Oxide Safe?

Recreational use of nitrous oxide for its euphoric effects can be dangerous, however, the drug is combined with oxygen at dental offices. This ensures oxygen reaches the brain and prevents dangerous side effects or hypoxia. The American Academy of Pediatric Dentistry (AAPD) recognizes nitrous oxide inhalation as a "safe and effective technique to reduce anxiety, produce analgesia, and enhance effective communication between a patient and healthcare provider."

Nitrous oxide is non-addictive and non-allergic, however, it may cause nausea in up to ten percent of patients. The drug is not recommended for children with some medical conditions such as chronic pulmonary disease. We recognize that all patients are different and encourage you to talk with Dr. Tang about whether nitrous oxide would be a good option for your child.

Our team wants to help all patients in Surrey, BC to overcome dental anxiety, so please, give us a call at Just 4 Kids Pediatric Dentistry.

Sports and energy drinks cause irreversible damage to the teeth of teens and young adults. A study which was published in the May/June 2012 issue of General Dentistry states that energy and sports drinks contain so much acid that they begin destroying teeth after only five days of consistent use. According to the Academy of General Dentistry, an estimated 30 percent to 50 percent of U.S. teenagers consume energy drinks and as many as 62 percent consume at least one sports drink per day. The high acidity levels in the drinks erode tooth enamel and the result is irreversible damage.

Dr. Tang and our team at Just 4 Kids Pediatric Dentistry encourage our patients to limit their intake of sports drinks. The enamel erosion ultimately makes teeth more susceptible to bacteria and that can lead to hypersensitivity, staining, and tooth decay. If you do consume an energy or sports drink, make sure to wait at least 45 minutes until you brush, as consumption of acidic drinks causes tooth enamel to soften, making teeth more vulnerable to wear from the abrasives found in toothpaste.

Tooth decay is the most common chronic childhood disease, five times more common than asthma. It’s also preventable with proper care. Dr. Tang and our team can help identify early signs of erosion and offer solutions on how to prevent further damage and more serious problems from occurring.