A Message from the President of the AAPD: "Children who have discovered they have some control in their lives and are resistive to their parent's direction and instruction can be a more challenging issue. A term that I've found to be extremely useful in these situations is "cheerful persistence." First of all, parents need to be positive and keep a smile on their face when working with their child. Parents give many nonverbal cues to their children. If you go into a tooth-brushing session looking like you're going to war, more than likely it will be just that! Secondly, oral hygiene is something that works only if it is undertaken on a regular basis. Therefore, daily brushing is a must. Avoiding tooth brushing because of the potential for a clash between a child and parent dramatically increases the potential for development of dental cavities." (AAPD, 2009)

Researchers have shown that dental sealants are highly effective in preventing dental caries (cavities). They have been shown to reduce pit and fissure (grooves) cavities by 60% from 2-5 years after placement (American Journal of Preventive Medicine, 2002).

Orthodontic treatment often begins between ages 8 and 14. Treatment that begins while a child is growing helps produce optimal results. As a result, children should have an orthodontic evaluation no later than age 7. By then, they have a mix of primary (baby) teeth and their permanent (adult) teeth (ADA, 2009).

Put the tooth back in the socket. If not able to do so, place into milk first. If not available, place the tooth in your child’s mouth next to cheek or finally water. Call the office immediately for an appointment. Contraindications: immunocompromised, severe congenital cardiac anomalies, severe uncontrolled seizure disorder, severe mental disability, severe uncontrolled diabetes, and lack of alveolar (bone) integrity.