Dental Fear in Children: Brought on by parents?

February 26th, 2025

Two studies – one conducted in Washington State, and whose findings were published in the Journal of Pediatric Dentistry in 2004, and another conducted in Madrid, Spain, and whose findings were reported in 2012 in Science Daily, reinforce earlier findings that show a direct relationship between parental dental fear and that of their children.

The Washington study looked at dental fear among 421 children whose ages ranged from 0.8 to 12.8 years. The children were all patients at 21 different private pediatric dental practices in Western Washington State. The Spanish study looked at 183 children between the ages of seven and 12, and their parents in Madrid.

The Washington study used the Dental Sub-scale of the Child Fear Survey Schedule. The survey responses came from either parents, or other parties charged with taking care of the children. The people responsible for each child filled out the survey, which consisted of 15 questions to which answers were given based on the child’s level of fear. The scale used was one to five, with one meaning the child wasn’t afraid at all, and five indicating the child was terrified. The maximum possible points (based on the greatest fear) was 75.

Spanish researchers found that like past studies, there is a direct connection between parental dental fear levels and those of their kids. The most important new discovery from the study conducted in Madrid, was that the more anxiety and fear a father has of going to the dentist, the higher the fear levels among the other family members.

Parents, but especially fathers, who suffer from fear of going to the dentist and fear of dental procedures in general pass those fears on to every member of the family. While parents may not feel like they have control over those fears, the best way to help your child understand the importance of going to the dentist is by not expressing your fears in front of them – or around the rest of the family.

Drs. Paul Pasternack, Chara Pasternack, and Christine Biondi and our team understand that some patients are more fearful than others when it comes to visitingour Vorhees office. We work hard to make our practice as comfortable for our patients, both children and adults.

Losing a Baby Tooth Prematurely

February 19th, 2025

Losing a baby tooth is often an exciting event in a child’s life. It’s a sign your child is growing up, and might even bring a surprise from the Tooth Fairy (or other generous party). But sometimes, a baby tooth is lost due to injury or accident. Don’t panic, but do call our Vorhees office as soon as possible.

If Your Child Loses a Tooth

It is important to see your child quickly when a baby tooth is lost through injury. The underlying adult tooth might be affected as well, so it’s always best to come in for an examination of the injured area. The American Dental Association recommends that you find the lost tooth, keep it moist, and bring it with you to the office. Call Drs. Paul Pasternack, Chara Pasternack, and Christine Biondi immediately, and we will let you know the best way to treat your child and deal with the lost tooth.

Baby Teeth Are Important

There are several important reasons to look after your child’s first teeth. Baby teeth not only help with speech and jaw development, but they serve as space holders for permanent teeth. If a primary tooth is lost too early, a permanent tooth might “drift” into the empty space and cause crowding or crookedness.

Space Maintainer

A space maintainer is an appliance that does exactly that—keeps the lost baby tooth’s space free so that the correct permanent tooth will erupt in the proper position. The need for a space maintainer depends on several factors, including your child’s age when the baby tooth is lost and which tooth or teeth are involved. We will be happy to address any concerns you might have about whether or not a space maintainer is needed.

It is important to remember that there are solutions if the Tooth Fairy arrives at your house unexpectedly. Keep calm, call our office, and reassure your child that his or her smile is still beautiful!

 

Dental X-rays: The Inside Story

February 13th, 2025

Pediatric dentists strive to make your children’s visits welcoming and worry-free, and, we want the same for you! Ask us about any questions you might have. We are happy to explain procedures, equipment, and sedation options so you know just how safe and comfortable your child’s experience can be. And if X-rays are a concern, we can put your mind at ease here as well.

What Exactly Are X-rays?

Sometimes parents feel reluctant about the process of imaging because X-rays are a kind of radiation. But the fact is, radiation is all around us. We are exposed to radiation naturally from our soil and water, sun and air, as well as from modern inventions such as cell phones, Wi-Fi, and air travel.

Why is radiation so common? Because matter throughout the universe constantly gives off energy, and the energy that is emitted is termed radiation. This radiation takes two forms—as particles (which we don’t need to consider!) and as traveling rays. This second type is known as electromagnetic radiation, created by photons traveling in regular waves at the speed of light.

We are exposed to electromagnetic radiation every day, because, whether we can see them or not, these different wavelengths and frequencies create various forms of light. Radio waves, microwaves, infrared, visible, and ultraviolet light, X-rays, and gamma rays are all part of the electromagnetic light spectrum.

Different types of radiation on this spectrum have different wavelengths and different frequencies, and produce different amounts of energy. Longer wavelengths mean lower frequencies and less energy. Because X-rays have shorter wavelengths and higher frequencies than, for example, radio waves and visible light, they have more energy.

How Do Dental X-rays Work?

An X-ray machine produces a very narrow beam of X-ray photons. This beam passes through the body and captures images of our teeth and jaws on special film or digital sensors inside the mouth (intraoral X-rays), or on film or sensors located outside the mouth (extraoral X-rays). These X-ray images are also known as radiographs.

Why are X-rays able to take pictures inside our bodies? Remember that higher energy we talked about earlier? This energy enables X-rays to pass through the softer, less dense parts of our bodies, which are seen as gray background in a radiograph. But some substances in our bodies absorb X-rays, such as the calcium found in our bones and teeth. This is why they show up as sharp white images in radiographs. 

There are different types of common dental X-rays which are used for pediatric exams, including:

  • Bitewing X-rays, which are used to check on the health of the back teeth.
  • Periapical X-rays, which allow us to look at one or two specific teeth from crown to root.
  • Panoramic X-rays, which use a special machine to rotate around the head to create a complete two-dimensional picture of teeth and jaws.

Why Do We Need X-rays?

If all of our dental conditions were visible on the surface, there would be no need for X-rays. But there are many conditions that can only be discovered with the use of imaging—infection, decay, or injuries, for example, can show up as darker areas in the teeth or jaws. Among their many diagnostic uses, X-rays can help us find:

  • Cavities between teeth
  • Damage to the tooth’s pulp which might require root canal treatment
  • Injuries to teeth or roots after trauma
  • Abscesses, tumors, or other conditions that might be causing swelling or pain
  • Unusual position or development of the teeth before and as they erupt
  • Alignment and development of wisdom teeth

X-rays can also serve an important preventative role, by discovering small problems before they become major ones.

How Do Dentists Make Sure Your Child’s X-rays Are as Safe as They Can Be?

First of all, the amount of radiation patients are exposed to with a dental X-ray is very small. In fact, a set of bitewing X-rays exposes us to slightly less than the amount of radiation we are exposed to through our natural surroundings in just one day. Even so, Drs. Paul Pasternack, Chara Pasternack, and Christine Biondi and our team are committed to making sure young patients are exposed to as little radiation as possible.

Radiologists, the physicians who specialize in imaging procedures and diagnoses, recommend that all dentists and doctors follow the safety principal known as ALARA: “As Low As Reasonably Achievable.” This means using the lowest X-ray exposure necessary to achieve precise diagnostic results for all dental and medical patients.

The guidelines recommended for X-rays and other imaging have been designed to make sure all patients have the safest experience possible whenever they visit the dentist or the doctor. We ensure that imaging is safe and effective in a number of ways:

  • We take X-rays only when they are necessary.
  • We provide protective gear, such as apron shields and thyroid collars, whenever needed.
  • We make use of modern X-ray equipment, for both traditional X-rays and digital X-rays, which exposes patients to a lower amount of radiation than ever before.
  • We set exposure times based on each child’s size and age.

X-rays play an important part in helping us make sure your child’s teeth stay their healthiest. If you have any concerns, contact our Vorhees office. When it comes to making sure you’re comfortable with all of our procedures, including any X-rays that might be necessary, we’re happy to give you all the inside information!

National Children’s Dental Health Month

February 5th, 2025

February is National Children’s Dental Health Month, and a perfect time for Drs. Paul Pasternack, Chara Pasternack, and Christine Biondi to review some of the important steps in keeping your child’s smile healthy!

Your Baby

Early care is best! Even before teeth appear, the American Dental Association recommends gently wiping your baby’s gums with a clean, moist gauze pad or washcloth after feeding. When his or her first tooth arrives, it’s time to schedule your child’s first visit. Our office will be happy to answer any questions you might have about brushing tools and techniques. This is also an opportunity to check not only tooth health, but jaw and teeth development. Check your baby’s teeth regularly, and call us if you have any concerns.

Your Preschooler

By the time children are three, they will probably have all or most of their baby teeth. Brushing your child’s teeth twice a day with a soft-bristled, child-sized brush is a great model for when your child begins brushing on his or her own. And when teeth begin to touch, flossing your child’s teeth is recommended once a day as well.  Remember to schedule regular checkups at our Vorhees office, and help make your toddler’s visit positive by reading books or watching videos about visiting the dentist, using playtime to practice things that might happen in the dentist’s chair (such as opening his or her mouth to count teeth), and planning visits during times your child is well-rested.

Your School-Age Child

Your child might be ready to take on brushing and flossing while you supervise, and there are many ways you can encourage both reluctant and enthusiastic brushers! The ADA recommends two minutes of careful brushing twice a day, or as directed by your dentist or physician. You can use these four important minutes to tell your child stories, listen to music, or brush together. Your child can help choose his or her toothbrush and toothpaste, or earn stickers for a brushing job well done. Stick to a routine for best results, and schedule regular checkups and cleanings to protect your child’s overall dental health. This is also an important age to check bite alignment, any potential orthodontic issues, and the possibility of sealants.

February might be the shortest month, but it’s a great time to consider your child’s life-long smile. If you have any questions or concerns, the team at our Vorhees office is always happy to discuss them with you—any time of year!