Eight Ways to Help Your Anxious Child At the Dentist

As a dentist, and the father of a child who has dental anxiety, I know how helpless, embarrassed, and even frustrated parents feel when their child is experiencing a high level of anxiety at a dental appointment.  With the right amount of empathy, support, skills and coaching, nearly every child can overcome this fear.  

Here are my suggestions - as a dentist and a dad -  on how you can help your child deal with anxiety at the dental office:

Don't Share YOUR Dental Anxiety  

If a parent struggles with anxiety at the dentist - and I know a lot of adults do - there's a good chance their child will, too.  Why?  Because when you voice your fear, avoid going to the dentist, make jokes about how much you dislike dental appointments - your child picks up on it.  Addressing your own dental anxiety may help limit how much your child models these same behaviors.

The Benefits of the Dental Visit  

It's easy for a  frustrated parent to portray the dentist and a dental visit as a consequence or form of punishment for their child's poor oral hygiene.  Don't use threats like: "If you don't brush your teeth the dentist is going to use the drill to fix your cavities" - or something equally frightening.  Instead, emphasize how happy he is going to be when your child has a great check up, or how proud you'll be when the Dental Hygienist tells you that he has done a great job brushing.  Let them know the dentist is there to help keep their teeth healthy just as their pediatrician helps keep their body healthy. 

Visit Early  

Bring your child in at age three for their first visit.  We'll have a friendly chat, let them touch the instruments, see the inside of their mouth with the intraoral camera, listen to the noise of the suction machine, and sit in the chair.   We'll even take a quick peek in their mouth and let them get a toy out of the treasure box.   If your child shows signs of anxiety early on we can start to work on it.  Unaddressed dental anxiety usually just get worse.

Acceptance and Empathy 

Accept and empathize with - rather than invalidate - your child's anxiety.   Try to get at the specifics of their fear - are they worried about pain?  Fear of the unknown?   Getting a shot?  Loud or strange noises?  Taking a moment to understand and accept their feelings will allow you to support your child more effectively.  Share their fears with our staff so that we can assure their comfort when they're at the office. 

Don't Overreact 

It is hard to see your child upset, but as parents, we have to tolerate their distress, remain positive and calm, and move forward with the dental appointment because it's in the child's best interest.  Calling off the appointment or procedure,  providing excessive reassurance to a crying child, or appearing to be overly concerned about their anxiety may actually strengthen and reinforce it.  

We've found that often a child's anxiety will lessen when mom or dad remains in the waiting room during the appointment.  This lets the child know that their parent is confident  they're going to be fine, which alleviates some of the fear and allows the child to calm down. 

Help them Manage Their Anxiety  

If the sound of the suction machine is terrifying we can take a few minutes to let them see it and experiment with putting it in their mouth.  Prepare them for the appointment -  let them know the week before, the day before and the day of the appoint that they will be coming in to see the dentist.  Arrive early so they can sit calmly in the waiting area for a few minutes.  Help them come up with some calming strategies.  Do they have an item that keeps them calm?  We don't mind if their favorite toy or blanket is in the chair with them.   You can also download a kids or some special music for them to listen to on earphones while we work.  Finally, even very young children can practice simple breathing or relaxation techniques.  

Reward Brave Behavior 

Instead of paying attention to anxious behavior, or expressing disappointment about how they acted during the visit, praise their use of anxiety management skills - even if it was minimal.   Were they able to go into the exam room on their own?  Did they stay in the dental chair?  Did they get through the exam without crying?   Or maybe they cried for just for a minute?  These are all great steps.  

Prevention is Key 

The best way to help your anxious child?  Make sure they take great care of their teeth at home, and bring them in for regular exams and cleanings.  We can identify areas where they may need to improve their brushing, or intervene at a very early stage if there  is a problem.   With good oral hygiene, they may be able to avoid potentially anxiety-inducing procedures and simply have pleasant, comfortable visits for cleanings and exams.

We'll work together with you to make your child's dental experience as comfortable and pleasant as possible.  If you have questions or want to schedule an appointment, please contact us.   Do you have other calming strategies you've used with your anxious child a medical or dental visit?  Feel free to share in the space below.  

As always - we always welcome new patients (even anxious ones).  

Headaches? Call Your Dentist!

Are you suffering from unexplained or recurrent headaches? Have you been unable to figure out the culprit? It may sound strange, but headaches are often linked to your oral health.  Talking to Dr. Morrison, of Jeff M.Morrison & Associates, DDS, should be a starting point when dealing with chronic headaches.

"Many people suffer through headaches for years without getting to the root cause of their problem" notes Dr. Jeff M. Morrison, DDS.  "Letting your dentist know about your pain can be a great first step because chronic or recurrent headaches are frequently caused by dental issues."  In fact, the American Academy of Craniofacial Pain estimates that 80% of headaches are caused by muscle tension, which often originates in the jaws.  

What Do Tension Headaches Feel Like?

A tension headache may be on one side of your head, or it can pervade your entire skull. Typically, tension headaches feel like a dull, throbbing ache inside your head. Some patients report that they feel as though a metal band has been wrapped around their head and is causing significant pressure. Several common symptoms suggest that tension headaches may be caused by dental issues:

1.      Feeling as though your head or scalp is painful to the merest touch

2.      Experiencing a dull or throbbing pain behind the eyes

3.      Clicking or popping sounds in your jaw joints

4.      Grinding teeth or clenching the jaws, particularly in times of stress, anxiety or during the night

5.      Feeling as though your jaw muscles are sore when you wake up from sleep

Dental Origins of Headaches

Several dozen muscles control your facial expressions, jaw movements, and motions such as swallowing. When these muscles are contracted for long periods of time, tension builds up within the muscle and can lead to headaches. This may happen if you clench or grind your teeth at night, your bite is misaligned, or you have muscle imbalances in the jaw or neck.

Dental Treatments for Tension Headaches

Want to get to the bottom of your headaches?  Schedule anappointment with Dr. Morrison.  He will talk with you, review of your medical and dental history, and possibly take some x-rays.  If dental issues are contributing to you headaches, your care may include the following treatments:

1.      Bite adjustment. Every time you swallow the teeth come together to push the jaw against the skull.   If you have a poorly aligned bite, this can cause your muscles to work even harder. Those with TMJ (temporomandibular joint) disordersuffer from jaw joint and muscle problems that can cause pain and swelling and even headaches. In many cases, correcting your bite through orthodontics releases the stress on your jaw and muscles, and reduces the frequency of headaches.

2.      Nightguard.  A nightguard, which resembles a sports mouthguard, may also be helpful if you frequently grind your teeth or clench your jaws during sleep. Nightguards distribute the tension from your clenched jaws and reduce the possibility of dental damage.

3.      Physical therapy and relaxation. Correcting the posture of your shoulders, neck, and head may alleviate muscle tension associated with headaches. 

Have questions or want to talk with Dr. Morrison about your headaches?  Contact our office online or at (919) 755 3450 to schedule an appointment.  

Oral Health Concerns for People Over 50

When they say “age is all in your head,” they’re probably right. But then, your teeth ARE in your head -- so you likely can’t escape having to pay a little more attention to them after the age of 50. Although some oral health concerns are seen as common as we age, if you adopt a proactive mindset and educate yourself, these concerns do not have to be common for you. Anticipating and recognizing changes in your mouth can help you be on top of your health in this area -- so let’s take a look at the main ones you have to watch out for.

Dry Mouth: The most common oral health concern you’re likely to experience as you age is dry mouth. In the medical world, dry mouth goes by the name xerostomia, and can be brought on by a number of contributing factors, including the over-consumption of drying beverages like coffee and alcohol, as well as the frequent consumption of salty foods. Another big offender is the medication we take over a lifetime to treat various illness. And the list isn’t a short one – there are at least 400 medications that can contribute to xerostomia, including medications for high blood pressure and depression.

Ill-fitting Dentures: First off, it’s important to note that the need for dentures is not a must as we age. Today, healthier living and better access to dental care has reduced the percentage of seniors wearing dentures to 27% from nearly 50% just a few decades ago. That said, should dentures be a part of your life, or that of a loved one, wearing properly-fitting dentures is critical.Sometimes, all that’s needed is a denture reline. Give us a call at 919.755.3450 to see if we can help. Dentures that cause pain or shift in the mouth tend to alter a person’s eating habits, which can lead to nutrition deficits if healthy, but hard-to-chew, foods are avoided.

Physical Obstacles to Good Oral Care: As we age, we sometimes find ourselves having to contend with physical ailments that limit our desire to maintain good oral care. Arthritis, vision loss, or injuries are a few of the most common. To combat these concerns, using a floss pick to get between teeth can be helpful, and the regular use of oral rinses can assist in dislodging difficult-to-remove food debris, while adding to the overall health of one’s mouth and gum tissue. Talk to Dr. Morrison or your dental hygienist about how to choose the best mouth rinse for your needs!

Naturally Receding Gums: The old expression “long in the tooth” isn’t just a quaint idiom about how one accumulates wisdom with age – it also refers to how our teeth appear to “lengthen” as we age. In other words, it’s a fancy way of saying our gums are receding. While some degree of gum recession is indeed natural as we get up in years, this predisposes us to cavities along the root structure of the tooth where enamel doesn’t exist. So, as one ages, flossing, brushing and rinses are more important than ever.

Gum Disease: Natural gum recession is one thing, and a part of “growing up,” if you will. Gum disease, however, is preventable. So, if it’s been longer than six months since you’ve seen us, please do give us a call at 919 755 3450. Each of the above items in this list can contribute to gum disease, and good oral care can prevent it. Failing to do so can lead to a need for dentures at its most extreme, and pain and swollen gums at its least. We’d prefer you experience neither concern!

Tooth Loss: If a tooth is lost due to trauma or decay, and not replaced with an implant or other prosthetic, it can have serious complications for the health of the jawbone. Teeth can shift out of place and fall out, and bone tissue can be adsorbed back into the body. Not a good thing.

Loss of Insurance Coverage: Retirees without dental coverage can sometimes cover the expense of dental care on their own; sometimes they cannot. But a lack of funds to take care of one’s teeth can be devastating to the health of our mouths, and our overall health. So we need to plan for two things: a care routine that allows us to take care of our teeth as much as humanly possible and some sort of financial backup plan for when problems do arise.  If you don't have insurance we offer the Dental Savings Plan - our in-office affordable plan that provides a significant discount on all your dental care as well as annual preventive care. We also work with Care Credit to help pay for your dental care.  For more information on how we can work with you to afford your dental care, give our friendly staff a call.  

Most Common Place You Get Cavities

Perhaps one of the most dreaded phrases a child - or adult- can hear during a regular check-up is “You have a cavity.” At Jeff M. Morrison & Associates DDS, we never want to say these words! That's why our primary goal is prevention. But it's also helpful to know where you're most likely to get cavities - so you can target where you brush and floss. Here is a list of the places you're most likely to get a cavity.

In the Grooves

On the chewing surface of your back teeth there are many grooves (called fissures) that run in the teeth as well as small holes or pits. These are common places for cavities. 

In Between your Teeth

In a normal mouth, all the teeth touch each other except for the ones all the way in the back. In the area between the teeth, it is hard to fit a toothbrush and easy for plaque to grow and create a cavity, especially if you’re not flossing daily.

At the Margins

The margins of fillings, crowns, bridges, and other dental work aren't always as smooth as we’d like it to be. This area, between the restoration and the tooth, is an easy place for plaque to grow. 

Just Above the Gumline

This is a common place for cavities, especially for people who drink lots of energy drinks and soda because the acids in these drinks can pool around the gumline and attack the teeth, creating a cavity.

At the Roots

When you have periodontal, or gum, disease the bone and gums that surround the teeth gradually fall down. This exposes the root surface of the teeth. The root surface is much softer than the hard enamel shell that encases the tops of our teeth making it easier for cavities to occur on the root surface.

Next to a Partial

It's easy for food to get trapped between a partial denture and the natural teeth. Plus, there’s usually a metal appliance that fits around the tooth making it easy for plaque to grow. If you have a partial denture, Dr. Morrison or your Dental Hygienist will come up with an oral hygiene program tailor-made for you.

Under Fillings 

Fillings that have worn away, chipped, cracked or fallen out provide an entry point for the bacteria that cause tooth decay.

Good oral hygiene along, with a healthy diet, is the best way to avoid a cavity. Here are some tips:

• Good brushing.  Make sure you’re brushing the grooves and pits of your teeth. 
• Keep flossing. We recommend flossing every day. If you find you can’t get the floss to go down or come back up from between the tooth, give our office a call. 
• Fluoride: It's important for infants and children between the ages of 6 months and 16 years to be exposed to fluoride. Adults benefit from fluoride, too. New research indicates that topical fluoride -- from toothpastes, mouth rinses, and fluoride treatments -- are as important in fighting tooth decay as in strengthening developing teeth. 
• Regular cleaning and exams. With twice yearly cleaning and exams, you can often prevent a cavity from occurring, or catch one in the earliest stage - which is easiest (and less expensive) to treat. 

Worried that you may have a cavity? Don't wait! Give give us a call at (919) 755-3450 or schedule an appointment with Dr. Morrison online.



Source:

1. http://www.webmd.com/oral-health/guide/dental-health-cavities

2. http://www.webmd.com/oral-health/guide/fluoride-treatment

Ten Ways to Use Dental Floss - In Addition to Flossing Your Teeth

Earth Day has passed, but we want to continue to recycle, repurpose and up cycle.  Many dental products – including most dental floss and floss containers – aren’t recyclable in the traditional fashion, but there are plenty of clever ways to re-purpose these items around the home, saving our lovely planet from unnecessary waste. In fact, here are 10 uses for floss that don’t involve your teeth at all!                                           

1. FLOSS IN THE GARDEN CAN DETER PESTS AND TRAIN VINES:  Irish Springs soap smells great to us, but it is a strong repellent to deer and effective at keeping those nuisances away from your trees and out of your garden all year long. Cut the soap bar into quarters, use a skewer to poke holes through the soap chunks, and thread dental floss through the holes. After that, hang the “soap ornaments” from tree branches or stakes placed near plants deer like to munch on. As for vines, tie floss fairly loosely along the vine stems to train them to wind up your trellis. Floss is a resilient and weatherproof material!

2. FLOSS CAN BE USED TO PERFECTLY CUT THROUGH SOFT FOODS:  Besides being practical, doesn’t this alternate use for floss look fun? Whether you’re simply trying to avoid dirtying a knife, or you love it when slices of food are perfectly symmetrical, use floss to easily glide through soft solid foods like blocks of cheese, tubes of cookie dough, burritos, or even cake! *Tip: It’s probably a good idea to use unscented floss…unless you like minty cheddar!

3. FLOSS CAN HELP CREATE UNIQUE EASTER EGGS:  Easter has passed us by, so you’ll have to wait a whole year to show off these beautiful eggs. After you’re finished hard-boiling, drying, and cooling your eggs, tie multiple pieces of dental floss around the outer shell. You can keep the patterns horizontal as shown above right, or randomize the patterns as shown above left. Submerge the eggs in colored dye as usual, and when you remove them from the dye and slip off the floss, you’ll be left with a very cool effect!

4. FLOSS MAKES GREAT GARLAND STRING ON FESTIVE OCCASIONS

Waxed dental floss is especially perfect for creating festive holiday garlands since its slippery coating helps candy, food, or balloons, glide, making the threading process a breeze! Popcorn, cranberries, and gummy candies are just a couple of ideas – you can use floss and a needle to string up almost any material that can be pierced. Pom-poms, pretzels, doilies, marshmallows…the possibilities are endless.

5. FLOSS IS A HANDY ALTERNATIVE TO PICTURE WIRE:  Every once-in-a-while you get a hankering to hang art, and those times rarely coincide with the instances when you have picture hanging wire on-hand. Not to worry, dental floss is a great substitute- plus, it won’t scratch the paint off of your walls like wire tends to do! Wind the floss several times between the two hooks on the back of any lightweight artwork (leaving a bit of slack), knot the end, and you’re ready to hang your masterpiece on a nail.

 6. FLOSS IS A HARDY SUBSTITUTE FOR THREAD WHEN MAKING REPAIRS:  Did a handle fall off of your favorite tote bag? Did a metal spoke tear through your umbrella fabric? Has a naughty button popped off of your blouse? Don’t throw away the things you love, thread some floss on a needle and fix them up! Floss is a hardier alternative to traditional thread when it comes to emergency repairs and can mend shirts, bags, pants and even shoes.  Store some unwaxed floss just for this purpose.  

7. FLOSS CAN BE TRANSFORMED INTO A MINIATURE BOW AND ARROW SET:  It may be tiny, but this clever contraption can shoot Q-Tips 15-20 feet! Perfect for kids to use outdoors, and perfect for grownups to brandish during cubicle wars, this craft is sure to provide hours of entertainment. Carve small notches into both ends of a Popsicle stick, and submerge the stick in a bowl of water until it is malleable. Wrap a length of floss a few times around one end of the stick, pull the floss across to the other side and wrap it there, making sure the floss is taught. Ready, aim, fire at will! (Just don’t shoot your eye out, kid.)

8. FLOSS CONTAINERS MAKE PRACTICAL CATCH-ALLS

Floss containers make great catch-alls for things that are notorious for turning up in various places throughout your house or vehicle! Bobby pins, antacids, spare change, hair bands…this is such a smart and simple organizational tool.”These cartons also make perfectly portable emergency sewing kits. Remove the plastic spool from the container, wrap thread around it, and re-insert. You’ll be able to conveniently use the metal piece to cut your thread! There will even be additional space in the container for a few safety pins, a needle, and a button or two. They’re so handy, you may want to make multiple kits – keep one in your car, and one in your purse.  

9. MAKE A FISHING ROD:  If you don't have a fishing rod, us dental floss and a pole. 

10.  MAKE A SHELTER:  Use floss to make a lean-to with a tarp or blanket. Just thread the floss through the holes of the tarp or the corners of the emergency blanket.  If you need a larger shelter, use your dental floss to lash branches together so you can build one. If you already have a shelter, use floss to make it a little sturdier.

Benefits of Flossing 

Even though we’ve covered lots of creative uses for dental floss that don’t include your mouth, our recommendation is to first and foremost use floss as intended.  According to the Academy of General Dentistry, flossing is the single most important weapon when it comes to fighting plaque. Floss removes food trapped between the teeth and removes bacteria that forms on the teeth before it has a chance to harden into plaque. Brushing your teeth alone cannot clean effectively between these tight spaces, and plaque that is not removed can harden into tartar.  When this happens, brushing and cleaning between teeth become more difficult, and gum tissue can become swollen or may bleed. This condition is called gingivitis, the early stage of gum disease.   If you have questions about brushing or flossing, talk with Dr. Morrison or your Dental Hygienist at your next cleaning and exam.  Is it time for you to schedule one?  Give our office a call at 919 755 3450! 

Do you have some other uses for dental floss?  Let us know in the comments below.

Sources: 

http://www.ada.org/en/science-research/ada-seal-of-acceptance/product-category-information/floss-and-other-interdental-cleaners

http://urbansurvivalsite.com/27

Should you floss or not?

For decades dentists have recommended flossing as an essential part of oral hygiene. In fact, the American Dental Association (ADA) recommends flossing at least once a day to help remove plaque from the areas between your teeth where your toothbrush can't reach and insists on its website that, "Flossing is an essential part of taking care of your teeth and gums."

But how useful is flossing really?  An investigation by the Associated Press (AP), has shown there's insufficient proof to back up this claim and now the federal government says that there's no scientific evidence that flossing works.

For such an "unproven" practice, flossing certainly has a long history.  Researchers have discovered dental floss and toothpick grooves in the ancient teeth of prehistoric humans. It makes sense - people have been getting food stuck in their teeth since the beginning of human history.  It wasn't until the early 1800s, though, that flossing began to be recommended by pioneering dentist Levi Spear Parmly.   He suggested that people floss with waxed silk thread "to dislodge that irritating matter which no brush can remove, and which is the real source of disease."  But dental floss didn't become popular right away. Professional dentistry was still a developing field, and silk thread was expensive. It wasn't until after World War II, when nylon floss was substituted for silk floss, that it became a much more common dental practice.

The ADA has been promoting flossing  since 1908, and the federal government has been recommending flossing since 1979, first in a surgeon general's report and later in the evidence-based Dietary Guidelines for Americans issued every five years.  Under law, the guidelines must be based on scientific evidence.  When the federal government issued its latest dietary guidelines this year, the flossing recommendation had been removed.  The government acknowledged that the evidence for the effectiveness of flossing was weak and unreliable.

Does this mean you should stop flossing?  The ADA, and Raleigh dentist Dr. Jeff M. Morrison DDS say "keep flossing".  Despite the lack of scientific evidence for flossing, in a statement released Tuesday, the ADA  vigorously defended flossing, saying it was an "essential part of taking care of your teeth and gums".

Dr. Morrison acknowledged  that  "while better research is needed on the benefits of flossing. it's low risk and low cost.  Based on the thousands of patients I've seen in my dental practice, I'm confident that flossing can help remove plaque and food build-up between the teeth, which in turn reduces the risk of gingivitis, gum disease, and tooth decay."  Furthermore, Dr. Morrison points out, "flossing may be much more important for specific groups of people - those who smoke, have periodontal disease, or diabetes."

If you have questions about flossing, talk with Dr. Morrison or your Dental Hygienist at your next cleaning and exam.   For more information or to schedule an appointment go to jeffmorrisondds.com or call 919.755.3450.

A Road Map For Your Child’s Oral Health

Most of us don't set out on a journey without a map (or a GPS device) in our hand.  With that in mind, we at Jeff M. Morrison & Associates, DDS wanted to share with you a few mile markers you can use to stay on top of your child’s health today, next year, and for years to come!

6 to 24 months

When you’re a new parent, life is a whirlwind, and the dental care of your newborn may not be top of mind when you look in their mouths and see no teeth! Here are some things to keep in mind:

Schedule a visit: As soon as that first tooth comes in, you’ll want to give us a call at (919) 755 3450 to schedule a visit and set up a periodic exam schedule. Also, be aware the ADA recommends fluoridated toothpaste now for all children under the age of three. Don’t wait!

When your here, ask us about:

• Home hygiene basics: Things like, tips and tricks on brushing and other care. Our Dental Hygienists will be happy to give you a brushing tutorial – they’re experts!

• Preventative dentistry: The possible need for fluoride supplements

• Dietary strategies: Achieving a balanced diet early in life for good oral health later

• Feeding practice awareness: Bottle, breastfeeding, and no-spill training cups

• Non-nutritive oral habits: Thumb sucking, pacifiers

2 to 12 years old

Ah, the little ones are growing up. Teeth are coming in at all sorts of crazy angles, and you’re going crazy from the rise in obligations. Here’s a quick list of what to consider during this time frame:

• Preventative dentistry: Pit and fissure sealants can do wonders for keeping your child’s dental bills down, and their teeth in their head until they’re ready to fall out naturally. Ask us about them. They’re affordable AND useful. And, super-fast, you’ll be in and out in no time.
• Orthodontic Consultation: Visiting an orthodontist for an early consultation is best done around your child’s seventh birthday. With today’s technology, early intervention can reduce the cost and duration of braces when your child gets older.
• Craniofacial injury prevention: With your children’s possible participation in sports, you’ll want to get them a mouthguard. Hands down it’ll be one of your best investments in a healthy mouth. And we make great ones customized to your child's sport!

The Teen Years

The years “everything” happens!  As children start to come into their own, new habits and desires begin to unfold as well. You’ll have to address every imaginable concern during these years, from piercings, to calls for whitening, braces, and wisdom teeth removal. So, speak with us about:

• Cosmetic Dentistry: What solutions are advisable now, and what things should be avoided.
• Teen social pressures: Smoking, alcohol, intraoral/perioral piercings and the like. Believe it or not, we can help a lot with this. Does your teen have a favorite dental hygienist? We might be able to arrange for that person to help when your teen comes in so they can address these concerns with an intermediary they trust. Give us a call at  (919) 755 3450 to see how we can help!
• Orthodontics: Options for minimizing appearance and health problems later in life.
• Home hygiene tips: Brushing, flossing, choosing the right mouthwash.
• Wisdom teeth removal: If this is necessary, we can take care of it in most cases in-office without needing to refer your child to a specialist.
• Craniofacial injury prevention: It may be time to re-fit your child for a mouthguard if they are still playing any sports that may result in an injury such as baseball, basketball, football, lacrosse, etc.

Staying on top of your child’s oral health isn’t as hard as you think, and if you keep this schedule handy, you’ll be ahead of most of your neighbor's kids when it comes to a healthy mouth and body. Come to think of it … why not share it with them as well? They’ll thank you for the help.

Welcome to our blog!

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