Even the sweetest children don’t always have sweet-smelling breath. If your child has persistent bad breath, it may be for one of the following reasons:
POOR ORAL HYGIENE HABITS. Bad breath often results from bacteria on the teeth and tongue that is not effectively removed during brushing and flossing.
- Tip: To encourage thorough cleaning as children are developing their oral hygiene habits, try handheld flossers that are colorful and easy to use, sing or play music to make brushing time fun, or try an electric toothbrush with a timer or a tooth-brushing app that keeps kids brushing for a full two minutes.
PLAQUE BUILDUP, TOOTH DECAY AND GUM DISEASE: Plaque, a sticky bacterial biofilm, can build up on tooth surfaces, between the teeth and under the gum line and can lead to tooth decay and gum disease. These conditions may result in bad breath.
- Tip: Stay on top of your child’s oral hygiene at home, and keep up with regular dental visits for professional cleanings and checkups.
POST-NASAL DRIP: This common cause of foul-smelling breath in children results when excessive mucus is produced and drips down the back of the throat.
- Tip: Schedule an appointment with your child’s pediatrician to determine and treat the cause.
MOUTH BREATHING. Breathing through the mouth instead of the nose can cause a dry mouth. This can lead to increased oral bacteria, which can cause bad breath. If children breathe through the mouth all the time, not just because of a temporary cold or allergies, your child is at greater risk for tooth decay and gum disease.
- Tip: If your child is a chronic mouth breather, schedule a dental visit so we can check for any adverse effects on dental health. Note that over time, habitual mouth breathing may lead to poor alignment of the teeth. An ear, nose and throat (ENT) specialist can treat problems with tonsils, adenoids and sinuses — common causes of mouth breathing.
FOREIGN OBJECT IN THE NOSE. It wouldn’t be the first time a child has stuck a pea or other small object up their nose â?? or their sibling’s nose — only to find that it won’t come back out. A foreign body in the nasal passage can cause infection and lead to bad breath.
- Tip: Don’t try to remove the object at home, as part of it may remain in the nasal passage. A medical professional will have the right equipment to dislodge the object more comfortably.
MEDICATION. Children who take antibiotics for a long time may develop a fungal infection (thrush) in the mouth. Other medications can cause bad breath due to the way they break down in the body.
- Tip: Call your pharmacist if you have a question about medications and bad breath.
MEDICAL CONDITION. Infections of the throat, sinus or tonsils can cause bad breath, as can more serious health conditions.
- Tip: If your child’s breath is unpleasant for an extended period of time, get it checked out by a health professional.
If you are concerned about your child’s breath, schedule a visit. We are happy to remind your child of proper brushing techniques and check for other problems that need to be addressed.
For more on young children’s oral health, read “How to Help Your Child Develop the Best Habits for Oral Health” and “Why See a Pediatric Dentist?”
Modern dental care wouldn’t be the same without x-rays. Since dentists began capturing x-ray images a century ago to detect beginning tooth decay, billions of teeth have been preserved.
“Catching it early” is the key to staying ahead of this aggressive bacterial infection. Once it breaks through the protective defenses of tooth enamel, it can advance toward the center of the tooth, the pulp, damaging dentin as it goes. While we can effectively stop it at this point with a root canal treatment, it’s better for the tooth’s long-term health to detect and treat any decay early on with a less-invasive filling or other treatment method.
X-ray imaging helps make that possible, revealing decay much easier than we can see with the unaided eye. And while we can often detect decay in front teeth by visual examination or by using very bright lighting, that’s not as easy with the less accessible back teeth. For those teeth we use a special x-ray technique known as the bitewing.
The name comes from the small frame used to hold the film. It’s held in place in the mouth by the patient biting down on small tabs or “wings” extending from the frame. The x-ray beam travels through the outer cheek and teeth to the film being held in the frame on the back side of the teeth. When exposed, we’ll be able to view the interior of these back teeth: a set of four bitewings gives us a full view of all the upper and lower molars and pre-molars on each side of the jaws.
Like other forms of radiation energy, too much or too frequent exposures to x-rays can lead to serious health problems. But bitewing x-rays carry little risk to health. That’s because they fit well with the ALARA principle, meaning “As Low As Reasonably Achievable,” which helps guide our use of x-rays. Patients receive a fraction of the radiation exposure from routine bitewing x-rays than they receive annually from the natural environment.
Without bitewing x-rays and other diagnostic methods, the chances are high that tooth decay or other dental problems can go undetected in their early stages. Using this important tool can help us head off major damage before it occurs.
If you would like more information on the role of x-rays in dental care, 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 “Bitewing X-Rays: A Routine Part of Your Dental Exam.”
Teething is an important phase in your baby's dental maturity. During the approximate two-year process, they will acquire their first set of teeth.
It can also be an unpleasant two years as each tooth sequentially breaks through the gums. The severity of teething problems differs with each child, but there are common signs: irritability, biting and gnawing, chin rash, drooling or ear rubbing among them. Although for most babies the discomfort isn't that great, the pain can occasionally be a lot for them — and their care-givers — to handle.
Although having a very unhappy infant can be nerve-jangling, there's no real cause for concern health-wise. If, however, they begin to run a fever or experience diarrhea, that could be a sign of something more serious. In those cases, you should see a doctor as soon as possible.
Otherwise, there are some things you can do to make them more comfortable during teething episodes. One thing to remember: cold items for biting or gnawing usually work wonders. So, be sure you have chilled teething rings or pacifiers (but not frozen — the extreme temperature could burn their gums). For older children, an occasional cold food like a popsicle can bring relief.
You can also try massaging the gums with your clean finger, which will help counteract the pressure of an erupting tooth. But avoid rubbing alcohol or aspirin on the gums, and you shouldn't apply numbing agents to children less than two years of age unless advised by your doctor.
If their pain persists, it's permissible to give them a mild pain reliever like the appropriate dosage for their age of baby acetaminophen or ibuprofen. Again, you should give this by mouth and avoid rubbing it on the gums.
By the time they're three, all their primary teeth should be in and teething symptoms should have largely dissipated. In the meantime, make them as comfortable as you can â?? in no time the unpleasantness of teething will pass.
If you would like more information on coping with your child's teething, 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 “Teething Troubles: How to Help Keep your Baby Comfortable.”
Exchanging passionate kisses with big-screen star Jennifer Lawrence might sound like a dream come true. But according to Liam Hemsworth, her Hunger Games co-star, it could also be a nightmare… because J.Law’s breath wasn’t always fresh. “Anytime I had to kiss Jennifer was pretty uncomfortable,” Hemsworth said on The Tonight Show.
Lawrence said the problem resulted from her inadvertently consuming tuna or garlic before the lip-locking scenes; fortunately, the two stars were able to share a laugh about it later. But for many people, bad breath is no joke. It can lead to embarrassment and social difficulties — and it occasionally signifies a more serious problem. So what causes bad breath, and what can you do about it?
In 9 out of 10 cases, bad breath originates in the mouth. (In rare situations, it results from a medical issue in another part of the body, such as liver disease or a lung infection.) The foul odors associated with bad breath can be temporarily masked with mouthwash or breath mints — but in order to really control it, we need to find out exactly what’s causing the problem, and address its source.
As Lawrence and Hemsworth found out, some foods and beverages can indeed cause a malodorous mouth. Onions, garlic, alcohol and coffee are deservedly blamed for this. Tobacco products are also big contributors to bad breath — which is one more reason to quit. But fasting isn’t the answer either: stop eating for long enough and another set of foul-smelling substances will be released. Your best bet is to stay well hydrated and snack on crisp, fresh foods like celery, apples or parsley.
And speaking of hydration (or the lack of it): Mouth dryness and reduced salivary flow during the nighttime hours is what causes “morning breath.” Certain health issues and some medications can also cause “dry mouth,” or xerostomia. Drinking plenty of water can encourage the production of healthy saliva — but if that’s not enough, tell us about it: We may recommend switching medications (if possible), chewing xylitol gum or using a saliva substitute.
Finally, maintaining excellent oral hygiene is a great way to avoid bad breath. The goal of oral hygiene is to control the harmful bacteria that live in your mouth. These microorganisms can cause gum disease, tooth decay, and bad breath — so keeping them in check is good for your overall oral health. Remember to brush twice and floss once daily, stay away from sugary foods and beverages, and visit the dental office regularly for checkups and professional cleanings.
So did J.Law apologize for the malodorous makeout session? Not exactly. “[For] Bradley Cooper, Christian Bale, yeah, I’ll brush my teeth,” she laughed.
Hemsworth jokingly agreed: “If I was kissing Christian Bale I probably would have brushed my teeth too. With you, it’s like, ‘Eh. Whatever.’”
If you would like more information about bad breath and oral hygiene, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine article “Bad Breath: More than Just Embarrassing.”
Philosopher Will Durant wrote, "…We are what we repeatedly do. Excellence, then, is not an act but a habit." While that observation could aptly apply to a great deal of life, it's certainly true of dental health. Strong, healthy teeth and gums are largely the result of good oral habits started in early childhood.
Here are some important dental care habits you'll want to instill in your child, as well as yourself.
Practice and teach daily oral hygiene. Keeping your child's mouth clean helps prevent future dental disease. It should begin before teeth appear by wiping your baby's gums with a clean, wet cloth after every feeding to keep decay-causing bacteria from growing. Once teeth appear, switch to brushing with just a smear of toothpaste until age 2, when you can increase to a pea-sized amount. As your child matures, be sure to teach them to brush and floss for themselves, especially by modeling the behavior for them.
Begin dental visits early. Besides daily hygiene, regular professional dental care is one of the best habits for keeping healthy teeth and gums. Plan to begin your child's dental visits by age 1 when some of their teeth may have already come in. And by beginning early, it's more likely your child will view dental visits as a routine part of life, a habit they'll more likely continue into adulthood.
Keep your oral bacteria to yourself. Many strains of bacteria, especially harmful ones, don't occur spontaneously in a child's mouth. They come from the outside environment, most often from their parents or caregivers. To avoid transmitting disease-causing bacteria from you to your baby don't share eating utensils, don't lick a pacifier to clean it, and avoid kissing infants (whose immune systems are immature) on the mouth.
Encourage your teenager to avoid bad habits. Hopefully when your children reach adolescence, they've already developed good oral habits. But there are some bad habits you should also help your teen avoid. While piercings are a popular expression among this age group, teens should avoid tongue and lip bolts and other piercings that could damage teeth. A tobacco habit can also have negative consequences for dental health including increased decay or gum disease risk and cancer.
If you would like more information on dental care for children, 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 “Dentistry & Oral Health for Children.”
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