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Pediatric Dental Appliances

Though many parents think of “teenagers” when presented with the term “dental appliances,” the use of such appliances in young children is very common.  Some dental appliances may be recommended for preventative purposes, while others may be recommended for treatment purposes.

It can be extremely difficult to encourage young children to wear removable dental appliances regularly, but there is some good news.  Pediatric dental appliances can prevent injury to the teeth and may also reduce (or even eliminate) the need for extensive treatment later.

What types of pediatric dental appliance are most common?

There are many types of pediatric dental appliances – each one fulfilling a different dental function.  The major categories of pediatric dental appliance are described below:

Mouth Guards

The American Academy of Pediatric Dentistry (AAPD) and American Dental Association (ADA) recommend that children wear mouth guards when engaging in any potentially injurious activity, including sporting and recreational endeavors.

The pediatric dentist can craft a customized mouth guard for the child, or a thermoplastic “boil-and-bite” mouth guard can be purchased at a sporting goods store.  Similar mouth guards are used for children who “brux” or grind their teeth at night.

Space Maintainers

Sometimes, primary (baby) teeth are lost prematurely due to trauma or decay.  Adjacent teeth tend to shift to fill the space, causing spacing and alignment problems for permanent (adult) teeth.  Space maintainers or “spacers” are inserted as placeholders until the permanent teeth are ready to erupt.  There are two main types of space maintainer:

  • Fixed space maintainers – Depending on the position of the missing tooth and the condition of the surrounding teeth, the pediatric dentist may adhere a “band and loop,” a “crown and loop,” or a “distal shoe” type of spacer to fill the empty gap.  All spacers fulfill the same function; just the nature of the attachment to the adjacent teeth differs.  Fixed spacers are usually made of metal and are highly durable.  If a highly visible tooth is missing, an acrylic button may be added to reduce the esthetic impact.
  • Removable space maintainers – Removable spacers are rarely used with young children.  Working a little like orthodontic retainers, special plastic parts fit into the empty slot to prevent the “drifting” of adjacent teeth.

Thumb Sucking Appliances

The majority of children naturally outgrow their thumb-sucking habit.  However, children who continue to thumb suck after the age of five or six (especially vigorously) risk oral complications.  These complications include: narrowed arches, impacted teeth, and misaligned teeth.  The “palatal crib” appliance usually stops thumb sucking immediately.

The “crib” is crafted and affixed to the teeth by the pediatric dentist, almost like a barely visible set of dental braces.  Preventing the thumb from reaching the roof of the mouth reduces gratification – and breaks the habit very quickly.  Removable variations of the “crib” are also available, and can be used depending on the age of the child and his or her willingness to cooperate.

Expansion Appliances

An overbite, where the upper front teeth protrude over the lower front teeth, can be corrected with an expansion appliance, as can a crossbite.  The expansion appliance is used to stretch and widen the arch, providing enough space for the teeth to be realigned in a straight manner.  Expansion appliances are custom-made, and can be affixed to the inside or the outside of the teeth.  Children born with a cleft palate may be required to wear an expansion appliance to prepare the jaw for oral surgery.

Bionator

If the pediatric dentist suspects that the child’s jaws are not growing in proportion to one another, a bionator device may be recommended.  In general, the bionator positions the lower jaw forward, helping the teeth to erupt and align properly.  This dental appliance is successful in reducing extensive orthodontic treatments later on, and helps to promote natural-looking alignment.

If you have questions or concerns about dental appliances, please contact your pediatric dentist.

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I WISH I COULD GIVE YOU 10 STARS!!!!
Omg!!! SOOOOO happy I found you!!!
I've had these 4 veneers on my front teeth for about 5 years, put on, again, and again and again, after pop offs and cracks and breaks, and several thousands of dollars, by another Santee dentist's office (won't mention who).
After about 4 years of miraculously no problems, I felt a familiar crunch while biting into a fish taco... I was so upset, I just froze staring at this tiny piece of porcelain in my hand. The tears starting welling up as I was reminded of the nightmares I often have of this exact thing happening on a date, or during a job interview... I knew I wouldn't be able to enjoy the rest of my mom's birthday lunch w my daughters, and luckily, I decided to drive myself. I held back the tears, apologized and asked that they wrap up the rest of my meal and I'll see you at home, and ran to my car, wanting to just vomit.... I'm not too vain, am I?
Not just for vanities sake, but the thought of coming up with another 2 grand to fix this, again, was taunting me! My head was spinning. I felt like I had been kicked in the jaw - literally.
First thing I did, after having a few glasses of wine to calm down, was do a search on Yelp. Dr. Fossett was the first to come up -- but still wanted to give my old office a chance, seeing as especially how They WERE THE ONES WHO PUT THE ORIGINALS ON. But, they offered no rest for my weary soul -- no discounts, no deals and no financing. And a replacement will cost @2000!!
I called Dr. Fossetts office next and was enchanted by Robyn, who understood my plight and offered all the help she could; gave me a rough estimate on cost (final cost was LESS than what she quoted!), and applied for Care Credit for me over the phone.
I could go on and on about how my appointment went -- didn't even have to sit or wait, was brought back for a consultation immediately. Not expecting to have everything even started the same day, the assistant and Dr. Dave came back in two minutes and said, let's get started!
Not more than 30 minutes later, I looked in the mirror to the most gorgeous "Temporary" veneer I have ever seen!! I mean, I'd be happy w this for years! The last office would spackle on this horrible looking crap that had no esthetically pleasing value at all!! THIS is a premier job!
And I'm a chronic perfectionist! Especially when it comes to my looks (hair, teeth, ect).
SO IF IM HAPPY, YOU BETTER KNOW THE JOB WAS STELLAR!!!
Thank you Dr. Fossett and staff-- THANK YOU!!!

Vanessa M.

Yesterday was my first visit to this wonderful Dental office. I haven't felt more welcome and comfortable in a Dental facility since I was 19... Now 31 years young. I grew up, going to a father/son dental group and Dr. David and Dr. Douglas Fossett had the same family centered vibe and conservative but smart dental care I've been searching for! As a Registered Nurse, quality care and patient centered care is the core of my own practice. Dr. David and Dr. Douglas exemplify this to a tee! I've finally found my go to family Dental office. I feel like a weight has been lifted off my shoulders after getting a second option from these very well informed Dentists!

Haylee R.

Great office!!! From the moment I walked in I felt very welcomed by the staff. I'm always nervous when going to the dentist no matter how many times I go, however after my visit to Dr. Fossett's office I felt much more relaxed and at ease. They did everything they could to make me comfortable. I felt the staff was very knowledgeable and answered any questions I had. The assistants are top notch . The smiles , kind hearts and exceptional service will keep me coming back. Thank you to the office for a positive experience.

Rachel Y.

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