End the Teeth-Brushing Battles with Your Kids
Getting your kids to brush their teeth twice a day can be a struggle at any age. Parents know they’ll have to be involved with the dental health of toddlers, but with older kids, they often set themselves (and their children) up for failure by expecting too much, according to Dr. Brian LeSage, a Beverly Hills, Calif., dentist and father of two.
Parents should plan to brush their kids’ teeth until the age of 6 and supervise until they’re 12. Here are Dr. LeSage’s tips for teaching good brushing habits from an early age, without having to nag:
Little Kids (Ages 3-5)
Baby teeth are important to digestion, proper tooth spacing and airway development. If you haven’t already taken your child to a dentist who works with kids (experts recommend starting at age 1), do it now. Meanwhile, find a toothbrush (or several) and toothpaste your kids love. Start your dental routine by letting your child play with his toothbrush for a minute so he feels as if he’s brushing his own teeth; this will also help him to get the sense of his own mouth. Then take over, says LeSage. Brush gently and make it fun.
Big Kids (Ages 6-9)
Slightly older kids need equally close supervision but less hands-on help. Let your kid brush first, and then run the toothbrush over her teeth to cover hard-to-reach spots. Brushing for the recommended one to two minutes can seem like an eternity, so you might want to buy a brush with a timing light or a song that plays for the time she should be brushing. “Knowing when they’re done can make it a lot easier,” says LeSage.
Tweens (Ages 10-12)
As kids get older, they’re likely to be more interested in hygiene — or avoiding bad breath, at least. Explain to your tweens that bacteria eat the sugars that are left on your teeth after eating, producing acid that rots teeth. To up the ante, add that the bacteria almost double every 10 minutes. “Just imagine what happens overnight,” says LeSage. “They’re having a little party on your teeth and gums!” Tell your child to take as much time as he likes to brush. Never scold or threaten that his teeth will fall out if he doesn’t; simply praise his good efforts.
It can take 30 days to make a habit of taking good care of young teeth. But by then, you’ll have one less battle to fight, which is bound to make you all smile.
How to Spot Anxiety and Depression in Your Child
How can you determine if your child is experiencing depression or anxiety? To begin with, you as parents have the most intimate knowledge of your child; so to define “normal behavior” according to some external “objective“ standard is not only foolish but does not tell you about your own child. The hallmark of any emotional or psychological issues in children is a significant, long term change in your child’s behavior, which cannot be assigned to any particular recent event. These changes might involve a change in appetite, sleep patterns, social behavior, and school work or attendance. One might also notice onset of risky behaviors or a lack of interest in the world around him/her.
In those occasions that are clearly visible but also clearly anticipated, such as the loss of a family member or pet, unusual behavior can be expected but for what length of time? This is indeed the major question and sometimes can only be answered by comparing similar situations in the past that affected your child. My own feeling is that any such radical behavior might in fact last up to one month or so but really should be expected to diminish after that time.
While some of the observable differences might include lack of interest in things ordinarily enjoyed by your child, sudden intense interest in repetitive movements or “hobbies” or change in temperament may also act as an alert signal.
Your first line of defense should always begin with a visit to your family doctor or Pediatrician who might also have important knowledge about your child. A total evaluation should be performed to be sure that the changes you see in your child are not caused by physical events. If your Pediatrician also agrees that this is unusual behavior, or if you feel that even though he/she had a normal medical evaluation, he/she is still showing you signs of emotional distress, your next step might very well be finding a pediatric psychologist or psychiatrist for further evaluation. You might in fact have difficulty locating a pediatric mental health care provider because there is a nationwide shortage of such people.
If you are not having any luck finding such a person I would suggest you get in touch with your closest children’s hospital and inquire. Remember you are your child’s best historian, ombudsman and support- don’t sell yourself short.
How to Celebrate Your Holidays with Kids and Pets
As I was contemplating what to write my post about this month, (yeah, I think everyone gets writers block once in a while) I suddenly realized how quickly the holidays have descended upon us again! And when I looked back over some of my old posts, I realized that not only has it been about three years since I have written about the holidays, but I have also never written one about Thanksgiving! I decided to update my holiday article from three years ago, not only to add some important updates and edits, but also to include Thanksgiving and the things that somehow always seem to happen at that time of year.
For many of us, the Holidays are such an exciting time: family and friends gathering around, sharing laughs, some songs, sharing old memories, and creating new ones. You spend weeks preparing for it, who to invite, how you are going to fit everyone around the tables, what you are going to serve….
You put so much time, energy and love into every aspect of this. You think of each adult and child (this one is vegetarian, that one may have a milk sensitivity) and you think you have covered it all. But have you?
Let’s face it, you can’t possibly plan for EVERY ‘surprise’, but you can take steps to keep any negative ones to a minimum when it comes to all the children that will be there and any pets as well.
Visiting Family: As far as Thanksgiving goes, we have all heard thousands of times that that is the most traveled day of the year. This holiday is very synonymous with ‘Family.’ For many of us, ‘family’ also includes the family dog! So if you want to bring Fido along with you, please read my post How To Travel Safely For The Holidays With Pets AND Kids This will give you quite a bit of information on everything from car and air travel to a helpful list of what to pack for your pup. And I will add one more tip that was not in that post… if you are planning to go away without Fido, make sure to book your reservations for him at your favorite boarding facility or dog watcher in advance. I do private in-home boarding in my house, and only take a limited amount of dogs…. and some of my regular clients booked me for the holidays as early as August!
So having covered the traveling with your kids and pets over the holidays, I have compiled a list …. starting with all the very pretty things that come hand in hand with the holidays, things that seem innocent enough, but can become a deadly hazard.
Ribbons and garland:
They seem pretty harmless, but a child watching us decorate may see us ‘drape’ a few strands of it around our necks for easy access to it while we put it up. While we see it as ‘convenient’; they may see it as a cool necklace or costume. A garland or ribbon wrapped around their necks may not be a great idea. For that matter, it might not be a great idea around yours either. I will add one more danger to it….. it is a sparkly hanging thing….. so how does the dog distinguish that from any one of their numerous pull toys? It is a recipe for potential disaster that is easily avoidable. Instead, grab a folding stack table and lay it across that for easy access.
One quick helpful hint…. while you decorate, put the animals in another room. Cats especially love ribbons, rubber bands, and anything else they can pounce on or play hockey with – at a minimum, you will save yourself the frustration of having to chase them around trying to reclaim your decorations, but you will also avoid the ‘worse case scenario’ of them swallowing them, which can get twisted up inside them, costing you thousands in vet bills or worse.
Candles and Scented Plug Ins
While candles do add to the ambiance, remember that small curious hands and tails wagging furiously in all the excitement tend to send any object on a coffee table into flight. Put those and any glass ornaments high up and out of reach. And those plug-in oils…. Make sure you unplug them before bed, and beware of when the oil runs dry because that is when they become a horrific fire hazard.
Poisonous Plants
Many people are aware that some Christmas plants may be poisonous…. But are you familiar with which ones are on the list? Although I knew some of them, after I started to do more research, I was surprised at how incorrect my own knowledge was! For example, I would have topped the list with the poinsettia…. After all, the name almost sounds like the word ‘poison’ . But at the top of the list was the seemingly ‘innocent’ plant of Holly! Which is deadly unlike the poinsettia which was listed as ‘not that bad’. So I will add a link here which provides some names and their dangers to help you recognize what may harm your little one or your pet.
Children’s Interactions with Pets
As a dog trainer, I often hear, “I don’t understand…. My dog has never bitten anyone before!” It is very important to keep in mind that this is not your dog’s normal setting. With their heightened senses, the constant noises and the mouth-watering aromas of all the fantastic food being prepared can be overwhelming to them – and lets not forget the Football game playing on the TV at peak volume! My family was never huge into sports, but I have been to some Thanksgiving dinners where ‘watching’ the game can get pretty loud and boisterous! With all of this going on, your dog may not react the way they typically do. Your pet may be a mild and quiet little thing, or generally pretty social and outgoing…. But just because you enjoy the hustle and bustle, don’t assume your pet will too. A sweet child innocently reaching over to pet the dog while he is overwhelmed can lead to a bite. They might be much happier having a quiet space away from it all. And if they tend to startle easily, or be a bit skittish, it is probably best to crate them, put them in another room, or possibly think of boarding them somewhere for the night.
The most important thing I need to stress here is that if you want to have your family dog with you, you must remember that he is ultimately your responsibility… so be aware of what his body language is saying at all times to ensure everyone involved is safe. If you are not sure what your dog’s body language means, please read my article Recognize a Dog’s Body Language Before Your Child Gets Bitten
There is one more important thing you will want to be aware of… if there are young children at your holiday gathering, keep an eye on them around the dog as well. One difference between Thanksgiving and Christmas is that Thanksgiving can tend to be a non-stop food-fest. The holiday is pretty much centered around families getting together and eating. Young children running around with food or snacks in their hands can be a potential recipe for danger on a few levels:
1. Danger to your Pet. Young children tend to drop things and keep going. There are certain foods that are not only potentially dangerous, but toxic to your pet. See Pet WebMD’s comprehensive list of holiday no-no’s for your pet.
2. Danger to your Child. Worse than a child accidentally dropping their food and continuing on, is the child that realizes they have dropped it and goes back for it, just to find out it is already in Fido’s mouth. A toddler trying to reclaim their food from a dog who just received some seriously ill-gotten-goods can become a very high risk for a bite.
One suggestion I would make is to bring an exercise pen with you. My favorite one is the one without the door made by MidWest. I like this one because it both opens and folds very easily, and comes in numerous heights depending on how large or small your dog is. You can fold into any shape you want, or open it up all the way to block a large entryway or doorway. It is a very versatile item.
Alcohol Consumption
More often than not, drinks tend to be all set out on one table. The bottles of wine and beer are right next to the bottles of soda. This is potentially a ‘free-for-all” for experimenting teens. I have been in recovery for a long time, and attend 12 step fellowships meeting regularly, and I wish I could say that I never see ‘members’ under the age of 21…. But I can’t. I am seeing more and more young people attending meetings. And when I listen to their stories, more often than not, they begin with drinking the ‘free-flowing’ alcohol served at their family’s parties. Make a separate table for the liquor, and designate one or two adults to serve.
And while I am on this subject, medicine cabinets are another very serious danger. We are in the middle of the worst opioid crisis the U.S has ever seen. Opiods are narcotic pain killers (Vicodin, Percocet OxyContin and Fentanyl) which suppress the central Nervous System. All of these medicines are highly addictive, and according to the National Institute of Drug Abuse (NIDA) ‘have led to more deaths in the past few years than car accidents, diseases and guns.’ In August 2017, the US declared this epidemic a ‘National Public Health Emergency’. Has anyone in your family had surgery or dental work recently that required pain medicine? If you are not addicted to pain pills, then you probably think nothing of leaving the left over pills in the medicine cabinet. Years ago, when I was using, we had a name for pills that had labels on the bottles identifying them as narcotic or ‘May Cause Drowsiness.” We called them ‘party invitations’. Please go through your medicine cabinets and either get rid of them or lock them up!
Outdoor Safety
Even though it is cold outside, drowning accidents are not exclusive to summer only. Make sure the pool out back is securely locked or gated.
One suggestion which may keep young kids, tweens, and teens all out of trouble and occupied, and allow parents to relax and have fun…. Set up a ‘babysitting’ scenario. Figure out how many of each group you are going to have, and ‘assign’ a child or two to each older child. You can even pay them a small fee for doing the service! Assign age appropriate younger kids to older ones. Give a kid no guidance and too much freedom, you are asking for a bored kid to look for trouble, but assign them a responsibility, and throw in the possibility of some monetary gain, and more often than not, they will step up to the plate.
Sorry Mom’s and Dad’s, the dog needs to stay with you! Children and animals should never be left alone together unsupervised. If you can’t watch the dog, I do not suggest just locking him in a room. He could get very stressed out, and if someone accidentally opens that door and he charges out in panic, someone could get hurt. The safest place for your dog if you can’t watch him is in a crate.
Follow some of these guidelines or ideas, and avoid any future regrets. I have learned throughout my life that I much prefer saying, “I am so glad I ___“ than saying, “If only I ____“.
I wish everyone a happy, safe and healthy holiday season!!
Post Halloween: Teaching Our Kids the “Why” Behind Moderation
My son, Evan, was on quite a roll a recent morning! He started off by telling me his leg hurt. I asked him if he hit it on something and he said no. I then explained that when his body grows, it can cause his body to hurt sometimes. He said, “Oh, I know why! I think I ate too much candy for Halloween.” I stopped in my tracks and smiled. “Really? You think that’s why?” He said, “Yes. Mommy, will you give me something healthy to eat? I need to make my leg feel better.” I almost fell over. I explained to him that the foods he ate for breakfast were actually healthy (whole grain waffles, yogurt, orange juice) so that should make his leg feel better soon.
I think Evan remembered me telling him and his sister about how candy can make them feel “yucky” if they eat too much. I’ve explained that eating some candy is fine, but eating a lot can make them feel sick and can even take some of their “super powers” away. Even though I thought Evan wasn’t listening, I think that made an impression on him after all.
As parents, let’s remember to tell our children the “why’s” behind being healthy. Avoid making associations between food and weight or “to avoid getting granny’s sugar disease,” but instead mention things that matter to them right now.
Evan loves soccer, being strong, smart and running fast. I tell him that eating healthy foods help him with those things and he gets it. Get them invested in the healthy lifestyle for their own reasons; it will stick with them for the rest of their lives. [By the way, he recently started eating broccoli after over 3 years of rejecting it on his plate and now he says it’s his favorite food. Perserverance in healthy messaging and exposure pays off!]
Stick with those positive messages, Mom and Dad. They are listening even when you don’t think they are. I was reminded today that my son is listening to me!
Healthy Alternatives to Halloween Candy
Want some healthier alternatives to candy to pass out at Halloween?
Once you put your sugar-free but ghoulish thinking cap on, there are lots of healthy alternatives – edible and not – says Amy Jamieson-Petonic, a registered dietitian and an American Dietetic Association spokesperson and director of wellness coaching at Cleveland Clinic. Look for small accessories such as light-up rings or individual packs of baked chips or pretzels at local discount stores, party supply shops and wholesale clubs. “Have a few choices to satisfy different age groups,” she suggests.
Here are a few more of Jamieson-Petonic’s favorite affordable and healthy alternatives to candy:
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Packs of sugar-free gum - Sugar-free hot chocolate packets
- Individual packs of roasted pumpkin seeds or trail mix
- Stickers or temporary tattoos
- Glo-sticks or slime
- Small bouncy balls
- Jump ropes
- Sidewalk chalk
- Beanbags or hacky sacks
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Editor’s Note: We are all concerned about childhood nutrition these days, which makes Halloween a particularly “tricky” holiday. But there’s more than one way to skin a black cat!…as we see from two different perspectives on Halloween treats. Today’s post looks at candy alternatives, while another post by Mommy Dietitian talks about letting kids have their candy on Halloween (as long as moderation prevails after the holiday). We hope you found some useful ideas to safely satisfy your “ghouls”!
Kids and TMJ – Aren’t They Too Young For That?
TMJ (tempero-mandibular joint) disorder occurs when the chewing muscles and the joints of the jaw fail to work together properly causing a number of symptoms. These symptoms include: headaches, jaw pain, fatigue, clenching and/or grinding of the teeth, clicking or popping of the jaw, tinnitus, earaches and pain in the neck, back and face.
There are a number of things that can contribute to the cause of TMJ disorder:
- Malocclusion (the misalignment of teeth),
- Bruxism (clenching /grinding),
- Stress and
- Accidents with damage to the face, head or neck
Children who may be predisposed to TMJ or have malocclusion may not experience pain until later in their teen years. Early prevention and treatment is key to avoiding later dysfunction, pain and more costly treatments. 
Luckily there are a few simple ways to determine if TMJ may be an issue for you child. In addition to the panoramic xray your dentist will likely take of your child’s teeth, there are also the cephalometric xray, tomographic xray and CT scans that can be taken to determine the position of the jaw joints. Impressions of the teeth may be taken to allow your dentist to study your child’s bite to determine if malocclusion is an issue. The treatments may range from a simple appliance called a splint to help reposition the jaw or full orthodontics to correct the bite.
An important thing to consider is that recent research shows TMJ is often undiagnosed by medical doctors.
The reason for this is that TMJ symptoms mimic the symptoms of more serious illnesses such as aneurysms and migraines. These more harmful diagnoses should be ruled out before considering TMJ treatment.
As always, make sure your child is receiving a complete and thorough exam at every dental checkup. Early detection reduces the risk of life long pain and costly treatments. Ask your dentist if your child may be at risk.
