Friday, January 20, 2012

Breastfeeding Vs Bottle Feeding

From Dr. Kevin Boyd,  Pediatric Dentist Chicago
in response to a patient's inquiry about breastfeeding and bottle feeding for children.
Pediatric Dentist Chicago

Breastfeeding will be best for your new baby and I encourage you to do this if you are able; if not, please consider minimizing the transition from the bottle, to cup can do this very early....and dad can help.

 If you plan to use a bottle, then certainly the Medela Calma seems to be the least harmful to normal growth and development of your baby's teeth jaws and face.  Please also consider pumping your own breastmilk in lieu of commercial formulas for as long as possible...none of them even come close to the superior quality of your own milk.

And finally, Dr.'s Carrie Gosch and Deanna Monroe are 2 of the finest pediatricians in Chicago and many of my patients, and my own daughters, see them or one of their associates; please call our Pediatric Dental Office  to get their number to schedule a pre-delivery appointment with them if you feel it necessary.

Also contact our pediatric dentist office to schedule a pre-natal visit with me if you'd like to ask more questions regarding infant/early childhood feeding, the Calma bottle, etc.; as I was aspiring to be an pediatric dietitian before entering dental school and have a master's degree in nutrition and dietetics, I enjoy diet counseling as a component of my dental practice.

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Pediatric Dentist Chicago

Pediatric Dentist
Pediatric Dentist Chicago
A real story from a patient's second visit to Dentistry For Children, to see Dr. Boyd, the Chicago Pediatric Dentist.

Yesterday we took both girls back in for their first of many dental devices. You may remember our first visit back in November which was completely unpleasant for Lucy. This time I asked the hygienist if she could take off her mask and with that, Lucy was calm. Len sat in the chair this time and we let Kate go first so Lucy could watch and see what was going to happen. It made a world of difference because, as has been demonstrated in nearly every video I've taken of them, Lucy insists on doing whatever Kate is doing even if it's unpleasant. Fortunately, the visit was not unpleasant at all. They were both fitted for infant trainers to help align their jaws correctly. True to form, they remain opposite in every way, even in jaw structure. Lucy needs her upper jaw to move forward and Kate needs her lower jaw to move forward.

Kate had it down pat last night but I could only get Lucy to keep it in her mouth if I distracted her with Yo Gabba Gabba. Pick your battles, right?

As for what else is going on in their mouths, here's what I can recall from trying to listen to the dentist while keeping 2 toddlers from destroying his office:

In order to explain, here's a visual to help in case you aren't familiar with tooth development: Kate has 16 teeth and is working on cutting the last 4--the 2nd molars. That's pretty much it. Normal.

Lucy has 13 teeth. She is missing both lateral incisors on her lower jaw and one lateral incisor on her right upper jaw where her cleft was located. She still needs to cut her 2nd molars as well. Since her bottom lateral incisors never came in that means she will not get them as an adult either. As for the top lateral incisor, it could be there in a stunted form or it may not be there at all. It could still come out through her gums or her palate (really hope that doesn't happen as that will cause nasty problems) or it might not ever come out. This all means that she may or may not have this tooth as an adult either.
For now, we wait are taking a wait-and-see approach. We'll work on jaw alignment with the infant trainer and continue that process with different appliances as they get older, shaping the jaw and keeping the canines where they are supposed to be so her face will keep the proper shape. In the past, dentists would just move all the teeth over to fill the gap where teeth are missing. Now, as they have realized that the canines are kind of like the cornerstones or framing of your face, it is best to keep those in their proper location.

The goal with the infant trainers now is for them to wear them 5-10 minutes a few times a day and then to work up to sleeping with them at night. This will also help them continue to breathe through their noses at night which is optimal for good health.

Pediatric Dentist

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Chicago Pediatric Dentist

A real patient's testimonial about their first visit to Dentistry For Children to see Dr. Boyd, Pediatric Dentist in Chicago.

Yesterday we took both girls to the dentist for the first time. We chose a dentist who works closely with our cleft team--Dr. Boyd. He said her lip and palate looked great--actually thought Dr. Vicari had done her lip it looked so good! She has a 2% overbite but she juts her tongue and lower jaw out which makes her appear to have a big underbite which is to basically say that it's all fixable. She screamed (but surprisingly stayed immobile on my lap, clutching my finger) through both the dental exam and the teeth cleaning which was helpful in that we could see all her teeth and her palate but it did make explanations from the dentist a bit difficult to hear. We go back in January to have her fitted for her first appliance to help her jaw form properly--an infant trainer.

Kate was up next and had the total opposite reaction to the masked hygienist and dentist. You can certainly tell which kid has been traumatized by masked doctors and which kid has not. After examining all the instruments and playing with the water wand, Kate reclined back on me and said "AAAHHHH" the whole time her teeth were being cleaned and examined. Got a clean bill of health but he also said the infant trainer could help her too as he can already see that she is going to have overcrowded teeth (sorry kid, that comes from me...) which is going to affect the way her jaw forms. So, she will go back in January as well.

He recommended that Lucy be weaned from the bottle in a month's time but in my opinion that is going to all depend on how quickly she picks up drinking from something else as the majority of her liquids still comes from the bottle. He also wanted Kate off the sippy cup and straws...bottom line, we should all be only drinking out of cups b/c the other types of cups force your jaw into growing in such a way that keep orthodontists in business. I guess that means Starbucks has been good for business with its version of the adult sippy cup!

Amazingly, no cavities for Lucy (or Kate but no surprise there as she's yet to eat candy and doesn't prefer sweet stuff). The dentist was actually really impressed with how good her teeth and mouth looked overall. He said it was obvious that someone was taking care of her nutritionally (which we could tell based on her overall health and her being able to self-limit on food when at the table). But she also received excellent surgeries which is just astounding based on the horror stories we've heard of fistulas, lips sewn too tight, etc. She got the best care she could have under the circumstances.
Lucy recovered quite quickly as soon as the masks came off the staff and the dental bib was removed. She did hug me and try to hide in my shirt as I was standing us up to leave the room but as soon as she saw Kate and Len in the waiting room she perked right up and started laughing and dancing around. It must just be the masked strangers because she loves to have her teeth brushed every fact she's the one with her mouth wide open saying "AAHHH!"

Kate, meanwhile, was upset when the bib was removed and kept asking for both the bib and the toothpaste...I can assure you she's not as thrilled or compliant when I brush her teeth at night, mouth clamped shut or biting the brush. I guess I need the spinny brush and "Mr. Thirsty" (the thing that sucks the water out of your mouth).

Chicago Pediatric Dentist