Pediatric Dentistry in Middle Childhood (Ages 9-12)

pediatric dentistry childhood

Pediatric Dentistry in Middle Childhood (Ages 9-12)

With all the sugar in foods and a busy schedule, Pre-teens residing in Mississauga often put wear and tear on their dentition and this can create apprehension for their caring parents. Mississauga children have a lot of contend with from their rigorous sports schedules and all the homework they have from our local schools. Hence, in their minds, care of their teeth can be one of the last priorities. St Lawrence Dentistry would like to work with you and your children to make sure they have healthy teeth during this important period of life and beyond.

pediatric dentistry childhood

You as parents, and us as your child’s dentist, need to keep reminding children in this age group why oral hygiene is important and what they should do. Most fundamentally, we need to remind them that it is important to brush twice a day and make sure they do not miss the permanent molars in the back. A lot of children don’t have an interest in brushing per se, but they do care about how they look so sometimes it helps to explain how good home care can lead to a healthy appearance. Once your child understands that improper oral hygiene can lead to missing, decayed and stained teeth they will be more motivated to take care of themselves. St Lawrence Dentistry’s friendly dental hygienists would be happy to have the opportunity to coach your child on the best oral care routines for them. Of course leading by example goes along way at this impressionable age. If children see their parents having an excellent oral health routine they are more likely to adopt this. Children often love to have the excuse they ‘ran out of floss’ so it’s important to have a good supply at home. At your visit to St. Lawrence Dentistry we can provide you with samples for the best products for your child. Its helps to not have too much junk food at home, so the only options available will be healthy foods like vegetables. Fruits also provide excellent nutritional benefit but have more sugars and acidity which can lead to demineralized tooth enamel. Therefore we recommend you may consider telling your child to rinse with water after fruit consumption. If your child’s teeth are becoming soft there are products that can help remineralize your child’s teeth before they turn into cavities.

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One well researched product is MI Paste and you can learn about it here:

MI Paste Line of Products

Tweens usually loose all their primary dentition between the ages 11 to 12 years. This period is marked by many teeth coming and going and eventually there will be more permanent teeth present than primary ones. The adult dentition usually appears and presses on the primary teeth when the adult roots are approximately 65 percent developed. If the adult teeth are developing slower than usual this will delay the eruption and the primary teeth will stay longer. If all the permanent teeth have not come in by age 14 there is a chance there may not be a permanent tooth present under the primary one. Another possibility is that the permanent tooth is erupting sideways so it can’t come in. Dr. Hawryluk may recommend taking an x-ray at this point to check on the status of the new teeth. If any action is needed to correct the eruption of the teeth we will discuss all the options with you. Referral to an orthodontist is sometimes needed and there are several excellent ones in the Mississauga area. If the x-ray reveals there is no permanent tooth, sometime Dr. Hawryluk may recommend no treatment. Sometimes these retained primary teeth can last many decades into adulthood. If they eventually become symptomatic years later Dr. Hawryluk can discuss the possibility restoring the space with several possible options.

pediatric dentistry childhood

When your child is in for their hygiene visits at St. Lawrence Dentistry we will make sure your child is aware of all the new teeth and how to properly care for them. Since the new ’12 year molars’ or ‘second molars’ are the very back teeth (most distal) they are easier to miss when brushing and there is a higher incidence of decay on these teeth. At the same time the permanent canines come in which are very important teeth. The canines are the longest teeth and sometimes the strongest ones and take the brunt of the grinding forces in your child’s developing dentition. Dr. Hawryluk will see if these teeth are coming in ideally and will make recommendations if they are not. Do not worry if the teeth come in at different ages. Every child is different and the time of eruption of these teeth can range several years.

When pediatric dental x-rays are taken occasionally we find an extra tooth. Sometimes these extra teeth have no room to erupt above the gum line, can crowd other teeth, or pose an esthetic issue. These extra teeth are called ‘supernumerary teeth’ and the most prevalent one of this class is the ‘mesiodens’. It is called this because it resides in the middle of the 2 upper central incisor teeth. In addition to the issues above common to supernumerary teeth, the mesiodens can cause cyst formation and is common site for debris impaction between teeth. If Dr. Hawryluk detects the presence of supernumerary teeth he will discuss with you whether or not he feels this will pose an issue for your child. Removal of these teeth may be indicated.

pediatric dentistry childhood

Some primary teeth are more resistant to naturally coming out than others. Primary teeth which are more stubborn to come out are often ‘ankylosed’. This where the tooth is fused directly to the bone instead of having a ligament separating the tooth and the bone. If a tooth is not coming out and it is affecting the positive development of your child’s jaw, Dr. Hawryluk may recommend removal of an ankylosed baby tooth. The procedure for removing these more robustly seated teeth is slightly different. To lessen the force in removal Dr. Hawryluk will sometimes section the ankylosed tooth and remove it in pieces. That way less force needs to be used to remove them which makes for a more comfortable dental visit for your child. This condition is most prevalent in the lower primary molars and correlates highly with children who grind their teeth.

For some children orthodontic work may be indicated at this age. This could take the form of a simple appliance such as a ‘palatal expander’ which pushes the jaw in a favorable growth direction, or actual braces. There are instances where early intervention is appropriate, and there are also other cases that are better to wait until the jaw is fully developed. Dr. Hawryluk can discuss the relative indication for orthodontic treatment with your child and you can decide together with him if you would like your child to have a referral to an orthodontist. There are several excellent orthodontists in the Mississauga area St. Lawrence Dentistry works closely with. If you live in the Port Credit area Dr. Hawryluk may refer you to Dr. Virdee who provides high quality treatment.

pediatric dentistry childhood

She is located in Credit Landing Shopping Center and her website is:

If you live in the Square One area, Dr. Schacher is an excellent orthodontist to consider. He uses Damon technology in his orthodontic treatment which means that your child’s orthodontic work may be done in fewer adjustments, with no elastics, and in a fashion which is faster and more comfortable than regular braces. In addition to making your child’s teeth straight, Dr. Schacher also focuses on your development of the esthetics your child’s facial profile when providing orthodontic treatment.

His website can be found here:

With all the demanding sports programs in Port Credit, it is quite common for a child’s front tooth to get knocked and become loose during physical activity. In addition, there are other reasons such as dental bone conditions, or a traumatic bite which can make a child’s permanent tooth become loose. If your child’s tooth becomes loose from a simple fall or from sports please call St. Lawrence Dentistry. If it is after business hours our friendly live answering service will field the call and will relay the message to Dr. Hawryluk Jr. promptly. Your child may need a temporary splint or other treatments to help tighten the tooth up. There are some bone conditions that also loosen children’s teeth such as Juvenile Periodontitis. This is a rare condition but it is seen in our Mississauga community and needs immediate attention. If found Dr. Hawryluk will ensure appropriate treatment is carried out and may refer you so one a periodontal specialist. One excellent periodontal specialist in the Mississauga is Dr. Guy Aboodi.

His website is here:

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If a loose tooth is the result of too much force when biting down Dr. Hawryluk can sometimes gently contour the tooth in question to ease the pressure on the tooth thus allowing it to tighten up. This is called ‘selective contouring’ and is an easy process to do for the pediatric dental patient if required.

Issues with bad breath can peak around this age group as children’s eating habits sometimes change during this times and oral home care is sometimes not a priority for them. If you suspect a breath issue for your child, Dr. Hawryluk and our dental hygienists can see what is causing this and we will work with your child to resolve this.

For more information on correcting bad breath please visit us here:

Creating Perfect Breath

St. Lawrence Dentistry would like to be your child’s dentist for this period and beyond. We are committed to offering the best possible dental care for your child and your family. Please call us if you would like to visit our office.

References: Your Childs Teeth, Weidman

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