An Interview with Dr. R. James Richardson on Pediatric Dentistry |
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Dr. R. James Richardson is a dentist and has answered some of the common questions Bizymoms visitors have about Pediatric Dentistry.
Q. When should parents take their children to have their first checkup?
A. Along with the American Academy of Pediatric Dentistry, we recommend that a child’s first dental visit be scheduled by his/her 1st birthday. It is very important to make the first visit as positive and enjoyable for the child as possible. We want your child to enjoy getting to know our doctors and staff and be comfortable at all times. A pleasant, comfortable first visit builds trust and helps put the child at ease during future dental visits. Let the child know that the doctors and staff will explain everything in detail and will answer any questions he/she has. Children should be encouraged to discuss any fears or anxiety they feel.
Parents should not make a big deal out of the visit and refrain from using any words that could cause unnecessary fear, such as "needle" or "drill." We are experienced in dealing with children with anxiety and can explain treatment procedures in a positive and pleasant manner to avoid any anxious or negative feelings toward dentistry.
We will record the child’s dental and medical history, complete a comprehensive examination and discuss any findings with you. We will also review the importance of maintaining a good dental health program with you and your child to ensure a healthy and beautiful smile for life!
Q. What should be used to clean a baby's teeth?
A.
1. Brushing:
Use a toothbrush with soft bristles and a small strip of fluoride toothpaste, unless the child is under the age of 3. If a child is younger than age 3, parents should clean their child’s teeth with water and a soft-bristled toothbrush. After age 3, parents should supervise brushing. Use no more than a pea-sized amount of toothpaste and make sure children do not swallow excess toothpaste.
When you brush your teeth, move the brush in small circular motions to reach food particles that may be under your gum line. Hold the toothbrush at an angle and brush slowly and carefully, covering all areas between teeth and the surface of each tooth. It will take you several minutes to thoroughly brush your teeth. Brush up on the lower teeth, down on the upper teeth and the outside, inside and chewing surface of all of your front and back teeth. Brush your tongue and the roof of your mouth before you rinse.
Brush your teeth four times daily to avoid the accumulation of food particles and plaque:
• In the morning after breakfast
• After lunch or right after school
• After dinner
• At bedtime
As soon as the bristles start to wear down or fray, replace your toothbrush with a new one. Do not swallow any toothpaste; rinse your mouth thoroughly with water after you finish brushing. It is important to carefully floss and brush daily for optimal oral hygiene.
2. Flossing:
For areas between the teeth that a toothbrush can’t reach, dental floss is used to remove food particles and plaque. Dental floss is a thin thread of waxed nylon that is used to reach below the gum line and clean between teeth. It is very important to floss between your teeth every day.
Pull a small length of floss from the dispenser. Wrap the ends of the floss tightly around your middle fingers. Guide the floss between all teeth to the gum line, pulling out any food particles or plaque. Unwrap clean floss from around your fingers as you go, so that you have used the floss from beginning to end when you finish. Floss behind all of your back teeth.
Floss at night to make sure your teeth are squeaky clean before you go to bed. When you first begin flossing, your gums may bleed a little. If the bleeding does not go away after the first few times, let a staff member know at your next appointment.
Q. What is the difference between a pediatric dentist and a family dentist?
A. Pediatric dentistry is a dental specialty that focuses on the oral health of young people. Following dental school, a pediatric dentist has two to three years additional specialty training in the unique needs of infants, children and adolescents, including those with special health needs.
Q. What should a parent do if their child has a toothache?
A. To comfort your child, rinse his/her mouth with warm salt water and apply a cold compress or ice wrapped in a cloth on your child's face if it is swollen. Do not put heat or aspirin on the sore area, but you may give the child acetaminophen for pain. See us as soon as possible.
Q. Are thumb sucking and pacifier habits harmful for a child's teeth?
A. Thumb and pacifier sucking habits that go on for a long period of time can create crowded, crooked teeth or bite problems. If they are still sucking their thumbs or fingers when the permanent teeth arrive, a mouth appliance may be recommended by your pediatric dentist. Most children stop these habits on their own.
Q. How can a mom prevent decay caused by nursing?
A. Baby bottle tooth decay is a pattern of rapid decay associated with prolonged nursing. It happens when a child goes to sleep while breast-feeding and/or bottle-feeding. During sleep, the flow of saliva is reduced and the natural self-cleansing action of the mouth is diminished. Avoid nursing children to sleep or putting anything other than water in their bedtime bottle. Encourage your child to drink from a cup as they approach their first birthday. He/she should be weaned from the bottle at 12-14 months of age.
Q. How often does a child need to see the pediatric dentist?
A. Every 6 months.
Q. How to contact Dr. Richardson if we have further questions?
A. Call our office and ask for Mercedes: 951-735-2011
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