Our Blog

“Non-nutritive sucking behavior”? That’s a mouthful—literally! This term describes behaviors such as thumb sucking and pacifier use, which are generally healthy, self-soothing activities for infants and toddlers. But, if followed too long, this comforting habit can have uncomfortable consequences for your child’s dental health.

When children are nursed or bottle-fed, placing a nipple in the mouth helps trigger the sucking reflex, enabling the flow of milk or formula. This is called nutritive sucking, because nourishment is the goal. The sucking reflex is so essential that it develops even before birth. And while the purpose of this reflex is nourishment, it provides other benefits as well.

For small children, sucking can be a comfort mechanism to help them cope with stressful situations and calm themselves. That’s why you often see your child sucking on a pacifier, toy, thumb, or fingers when feeling overwhelmed or tired. Non-nutritive sucking behavior, or NNSB, refers to these habits: sucking without nutritional benefit.

Such habits are extremely common in young children. Most children stop sucking their thumbs or pacifiers between the ages of two and four, and often even earlier. But if your child hasn’t, it’s a good idea to talk to Drs. Joanne Oppenheim, Marilia Montero, and Mary J. Hayes about easing your child away from this familiar habit before the permanent teeth start to arrive.

Why? Because when sucking behavior lasts too long, it can have orthodontic consequences. Just as the gentle pressure of braces or aligners can help shift teeth and jaws into the proper alignment, the pressure from sucking thumb and pacifier can push growing teeth and jaws out of alignment.

• Studies have shown a clear link between NNSB and malocclusions, or bite problems. These include overjets (protruding upper teeth), open bites (where the upper and lower teeth don’t make contact when biting down), and crossbites (where one or more upper fit teeth inside lower teeth).
• As young bones are still growing, prolonged, vigorous sucking can affect the shape and size of a child’s palate and jaw.
• When the teeth are pushed out of alignment, difficulties with pronunciation, such as lisps, can develop.

Sucking habits can be difficult to give up. If your child is still self-comforting with the help of thumb or pacifier past age three, and certainly if you’ve noticed any changes in teeth or speech, there are several gentle, positive steps you can take to protect your child’s dental health.

• Talk to Drs. Joanne Oppenheim, Marilia Montero, and Mary J. Hayes about strategies for weaning your child from pacifier and thumb, as well as possible comforting substitutes. Your healthcare team can offer suggestions for making this transition as easy as possible for your child—and for you!
• Discuss recommendations you’ve found in books or online which might be a good match for your child’s personality. Whatever you decide on, whether it’s a gradual phasing out, small rewards, a goals chart, or any other method, use positive reinforcement and plenty of encouragement.
• Set easy goals at the beginning, such as going thumb-free while playing a game, or enjoying a favorite video, or any stress-free activity, to give your child a feeling of accomplishment to build on.
• Be proactive with orthodontic health. One good idea is to schedule an orthodontic visit when your child is around the age of seven—or earlier if you notice problems with tooth alignment, speech, or bite.

Thumb sucking and pacifier use can be important, instinctive sources of comfort for very young children. And, of course, NNSB is not the only cause of childhood malocclusions. Many bite problems are genetically based and/or affected by the size and shape of your child’s teeth and jaws.

But eliminating the preventable oral health problems caused by prolonged non-nutritive sucking behaviors—that’s an opportunity we can’t afford to pass up. After all, wanting to ensure healthy, confident smiles for our children is instinctive parental behavior!

Toothaches in children can be tricky ordeals that cause distress for both the child and the parent. You may feel helpless and frustrated because you cannot pinpoint the location of the pain. It is so hard to see your little one experience discomfort and feel like there is nothing you can do about it. But there are ways you can help. Try these tips the next time your child has a toothache.

Zero in on the Painful Area

The first thing you need to do is find out where the pain is coming from. If your child is old enough, ask him or her to point to the painful area. In younger children, look for swelling and redness on the gums and cheek, dental caries (discolorations on the tooth), or broken teeth. Try to get as close to the location of the pain as possible so you can determine an effective course of action to relieve it.

Try to Find the Cause

Not all toothaches are actually toothaches. A child can bite his or her tongue or cheek, have sore gums, or develop ulcers in the mouth. Teeth that are coming in can also be quite painful. If a tooth is discolored, broken, loose, or has spots that are either darker or lighter than the rest of the tooth, those could be causes of pain.

Five-Step Approach to Dental Pain Relief

1. Floss. Help your child floss to remove any food particles that may be wedged between the teeth and could be causing pain.
2. Rinse with warm salt water. Use a warm salt-water solution and have your child rinse well by swishing or holding the salt water over the painful area.
3. Use a cold compress. This can relieve pain and swelling. If there is no swelling, you can try it anyway to subdue the pain. Try it on for about 15 minutes, then off for 20.
4. Give the child ibuprofen or acetaminophen. Use the appropriate dosage for your child’s age and administer it regularly as directed.
5. See Drs. Joanne Oppenheim, Marilia Montero, and Mary J. Hayes. If you determine that the tooth or gum is damaged, or if the pain simply cannot be relieved, call our Chicago office.

If your child is experiencing throbbing pain, fatigue, or fever, you should call your pediatrician as soon as possible. If your child is experiencing mouth pain accompanied by trouble breathing or swallowing, it can indicate a more serious situation and you should take your son or daughter to the emergency room.

Most mouth pain in children can be remedied with the simple steps here. The important thing is that you remain calm, no matter what. You child is taking cues from you and if you panic, he or she will panic.

You know a lot about taking care of your teeth. You brush carefully twice each day, you floss, you (mostly!) eat healthy foods, and you see Drs. Joanne Oppenheim, Marilia Montero, and Mary J. Hayes for checkups and cleanings. Good for you! These are some of the very best ways to make sure you don’t get cavities.

But it takes more than taking care of your teeth for good oral health. It also means taking care of your gums, because your teeth and gums are a team.

Clean and healthy gums and teeth work together. Our gums fit snugly around our teeth to help protect them from bacteria and other germs. And clean, plaque-free teeth are important for healthy gums. How? Let’s take a look.

Plaque forms all day long, and sticks to our teeth unless we brush and floss it away. The bacteria in plaque create acids. These acids make our tooth enamel weaker, which can lead to cavities. We don’t want cavities, and so we brush and floss to get rid of plaque.

But that’s not the only reason we clean our teeth well. Plaque is double trouble, because the bacteria in plaque also irritate our gums.

How do our gums react when they’re irritated? They turn darker pink or red, or they get swollen or sore, or they even bleed a bit when you brush. All these signs are symptoms of gingivitis, which is how gum disease begins. (And sometimes people can have gingivitis without any big symptoms at all.)

So, how do you make sure you keep your gums healthy? Just remember to include your gums while you’re doing all the things you already do to take care of your teeth!

• Brush Well

Lots of people, including kids, get gingivitis, because it doesn’t take long for plaque to build up when we don’t brush often enough or carefully enough. Make sure to brush twice each day, and don’t forget to angle your toothbrush to gently brush along the gum line where your teeth and gums meet.

Gentle brushing is all you need for daily tooth cleaning. Rough brushing and hard bristles can hurt even tough tooth enamel, so you know they’re not good for your gums!

• Floss Well

Flossing gets plaque that your toothbrush can miss. After all, it’s hard for bristles to squeeze in between those tight teeth. And flossing is especially important for your gums, because it removes plaque that is hiding near the gum line.

But figuring out the best way to floss teeth can be hard even for adults! Luckily, you have an expert to help you find out just how to use floss and just the right floss to use—your dental hygienist. When you have your teeth cleaned at our Chicago office, ask about the easiest and best ways to floss for your own special teeth and gums.

• Eat Well

All of the foods which are good for your teeth—milk, cheese, yogurt, fruits, vegetables—are good for your gums, too! And the foods which aren’t so great for your teeth—sticky, sugary foods—aren’t great for your gums, either. Sugar feeds the bacteria in plaque, and plaque irritates gums.

This doesn’t mean no treats ever. It does mean that it’s important to brush well after enjoying desserts, or chips, or candy, or any food that sticks around your teeth and gums after eating. And if you can’t brush, a drink of water helps wash away bits of food which are still hanging around.

• See Your Dentist Regularly

Regular visits to Pediatric Dental Health Associates, Ltd can catch any gum problems before they become more serious. And, if you’ve been missing any spots when you brush and floss, your dentist or hygienist will let you know.

If you notice any signs of gingivitis—puffiness, redness, bleeding, or pain—tell a grownup right away. One of the fantastic things about the way our gums work is the fact that careful brushing and flossing are often all you need to make them healthy again! If you need more help, your dentist is the person who can treat gum problems to keep your smile feeling and looking great.

Work together with Drs. Joanne Oppenheim, Marilia Montero, and Mary J. Hayes to make sure your teeth and gums are their healthiest. Just like healthy teeth and gums are a great team, you and your dentist make a great team, too!

Our team at Pediatric Dental Health Associates, Ltd would like to offer some tips regarding the sometimes dreaded task of brushing a toddler’s teeth.

Much of the trick lies in the positioning. Before you begin, make sure you are in a position of control. This protects both you and your child from injury. Consider how well you can see. If you cannot see clearly, the quality of brushing drops significantly. For instance, if your child is standing, you are likely to see only the bottom teeth well.

Our team finds that the best position for brushing and flossing a toddler is when your child is calm. Have your child lie down on his or her back with arms out to make a T. Sit down just above the head and lightly place your legs over your child’s arms. Using a circular motion, brush all sides of the teeth.

It may sound odd, but approaching the routine this way can make brushing time a cinch! After you’re done, give your child the toothbrush and let him or her have a turn. The benefit of doing the brushing and flossing first is that it gives an example, which your child is more likely to repeat when you’re done.

Different methods work best for different families and children. These practices need to be performed with kindness and care. Be gentle and make this time a happy learning time. Don’t forget to bring your child to our Chicago office for regular dental checkups and cleanings. Drs. Joanne Oppenheim, Marilia Montero, and Mary J. Hayes can advise you on ways to implement portions of these tips in a way that may work bests for you and your child.