Dentist

[Guest guest]

Tom,

Try http://www.vnh.org/Providers.html#43 as a strating point

Nigel

Nigel Mitton

Medic

MV Ramform Viking

[Guest guest]

Tom,

Have a look at the Oxford handbook of clinical dentistry.

It is pocket sized, concise (well at over 800 pages anyway) and

reasonable. Amazon has it at $39.95 (UK price is ?18.95). It is

widely available.

At present I have five of the Oxfords and all are very good.

Ross

> dentist

>

>

> Hi All,

> Looking for a general dentistry book that is small in size does not

> cost a arm and a leg any suggestions? I am see a alot of " teeth "

> problems recently. My personal dentist is not real helpful on advise.

> I assume he is concerned about lawsuits etc: Just doesn't understand

> really what I do for a living but oh well any help apperaciated

>

> Cheers

>

> Tom Greaber

>

[Guest guest]

Thanks Ross didn't even think about them must have been a " senior moment "

Tom

>From: " Ross Boardman " <emonline@...>

>Reply-

>< >

>Subject: RE: dentist

>Date: Wed, 8 Aug 2001 13:20:49 +0100

>

>Tom,

>

>Have a look at the Oxford handbook of clinical dentistry.

>

>It is pocket sized, concise (well at over 800 pages anyway) and

>reasonable. Amazon has it at $39.95 (UK price is ?18.95). It is

>widely available.

>

>At present I have five of the Oxfords and all are very good.

>

>Ross

>

> > dentist

> >

> >

> > Hi All,

> > Looking for a general dentistry book that is small in size does not

> > cost a arm and a leg any suggestions? I am see a alot of " teeth "

> > problems recently. My personal dentist is not real helpful on advise.

> > I assume he is concerned about lawsuits etc: Just doesn't understand

> > really what I do for a living but oh well any help apperaciated

> >

> > Cheers

> >

> > Tom Greaber

> >

_________________________________________________________________

Get your FREE download of MSN Explorer at http://explorer.msn.com/intl.asp

[Guest guest]

Principle of Oral Surgery by JR and GV Gillbe ISBN 0 7190 3360 8

Manchester University Press is quite informative.

JC

dentist

>Hi All,

>Looking for a general dentistry book that is small in size does not

>cost a arm and a leg any suggestions? I am see a alot of " teeth "

>problems recently. My personal dentist is not real helpful on advise.

>I assume he is concerned about lawsuits etc: Just doesn't understand

>really what I do for a living but oh well any help apperaciated

>

>Cheers

>

>Tom Greaber

>

>

>

>

[Guest guest]

I concur I find the Oxford books excellent too, nice as they have pages left

for notes alngside the topics as well.

Hope everyone is well Ross. Currently nursing a cat with a broken Pelvis,

and another with a wound which if licked too much leads to " Licking

Melanoma " , amazing where nursing takes you ain't it.

JC and Ruth

dentist

>>

>>

>> Hi All,

>> Looking for a general dentistry book that is small in size does not

>> cost a arm and a leg any suggestions? I am see a alot of " teeth "

>> problems recently. My personal dentist is not real helpful on advise.

>> I assume he is concerned about lawsuits etc: Just doesn't understand

>> really what I do for a living but oh well any help apperaciated

>>

>> Cheers

>>

>> Tom Greaber

>>

>

>

>

[Guest guest]

Nice one Virtual Naval Hospital is a great site, totally recommend it along

with the University of Ohio site.

JC

Re: dentist

>

>Tom,

>

>Try http://www.vnh.org/Providers.html#43 as a strating point

>

>

>Nigel

>

>Nigel Mitton

>Medic

>MV Ramform Viking

>

>

>

>

[Guest guest]

" Where there is no dentist "

If the tooth is sensitive to cold it has a viable pulp. Needs a tempary

filling and referal or temperature/chem seal and referal.

If tooth is sensitive to pressure and not cold it has a non viable pulp

requires antibiotics suggest flagyl/pen V.

Bleeding gums is gingivitis/periodontitis/periodontal disease requires you

to brush your teeth better and maybe corsodyl/chlohexadine gluconate.

If pain from socket after removal of tooth ?alveolitis requires alvogel.

Pain from wisdom teeth impacted hot salt water mouth

washes/?antibiotics/?removal of upper wisdom teeth that are striking low

impacted teeth. Excuse all spelling.

>From: tom5255@...

>Reply-

>

>Subject: dentist

>Date: Wed, 08 Aug 2001 11:58:50 -0000

>

>Hi All,

>Looking for a general dentistry book that is small in size does not

>cost a arm and a leg any suggestions? I am see a alot of " teeth "

>problems recently. My personal dentist is not real helpful on advise.

>I assume he is concerned about lawsuits etc: Just doesn't understand

>really what I do for a living but oh well any help apperaciated

>

>Cheers

>

>Tom Greaber

>

_________________________________________________________________

Get your FREE download of MSN Explorer at http://explorer.msn.com/intl.asp

[Guest guest]

In a message dated 12/7/01 12:49:27 PM Pacific Standard Time, crltn5@...

writes:

<< Deion's (7 years old) teacher called me today. They were eating

popcorn and he was trying to eat the kernels. His aide told him not

to eat the kernels because he would ruin his teeth and have to go to

the " dentist " . He was full of anxiety the rest of the day and at

some point got into the fetal position.

He has had a tooth pulled and apparently it was a traumatic

experience for him. He had a dental appointment recently and I had

to cancel it because he seemed to go into a depression when I

mentioned " dentist " .

He will have to get his teeth cleaned. What should I do to help him

get rid of this fear of the dentist?

>>

Try playing dentist at home or a story about going to the dentist, or maybe a

video of someone he knows going to the dentist that you could create

[Guest guest]

Hi . I've been in dentistry for almost 20 years and there is nothing

harder than to get someone who has had a bad experience at the Dentist to

" trust " them and show them that not all Dentists' are painful. The best way

to try and initiate this is to find a caring Dentist who has worked on

apprehensive patients in the past, so lots of phone calls and asking other

parents in a ASD support groups are in order. Explain your situation to them

on the phone to see if they are receptive and experienced in this. Another

thing, if you have siblings, let them watch when they and you go for ROUTINE

CLEANINGS, not a good idea when anesthetic is involved. We let our kids

wander around the office before we attempt to see them so they can get

familiar with the noises, see us with all of our infection control stuff on,

and let them see and touch all of our equipment. When it comes to fear, the

unknown is a scary situation. We even give them a glove or face mask to take

home to visualize and try on. Once we get them into the chair(step1), we take

them for a ride. If receptive, we show them the mirror, light, napkin, and

what the " tooth tickler " does.(that is the toothbrush we clean with). We let

them pick a color and smell the polishing paste, hold " Mr. Thirsty " or " the

Mcs' straw " (the saliva ejector), and if ok to this part, we see if we

can get them to open so we can " count their teeth " We use a toy to visualize

them opening, which is a whale on a stick that we squeeze a trigger and it

opens/closes so they know the cues, and some kids choose to control the whale

themselves when asked to open/close. This point we know if it can be done or

not. If so, we tickle the teeth, if not, we stop there and try again another

day. As far as X-rays, this is very difficult for kids with gag reflex and

oral stims, so we do this selectively, and only if we suspect in between

tooth decay or high decay history. The parent may be asked to hold the child

on their lap and assist with this. This requires a TON of patience. You may

be referred to a Pedodontist, who specializes in treating children. If after

a few tries with no success, they may suggest Versed(kinda like valium) to

calm the child down, or they might suggest using a general anesthesia in a

hospital setting to complete everything in one day. If your child respond

better to a male or female, seek the appropriate one. Since having an ASD kid

myself, I have taught our staff a wonder of ways to get work done, but keep

in mind, I am not a Dentist and this is what works for us(sometimes, but not

always). Last, if you are terrified of the Dentist yourself, your anxiety

level and comments are picked up by others. Another thing, we don't use words

like " hurt, pain, needle, shot, drill, etc. " we use " not gonna bother you,

sleepy juice, tooth whistle, etc. " We also use sunglasses to block out the

bright light, topical anesthetic before the shot(kinda like ora-jel) and call

it " jelly " on a Q-tip. Always use encouraging words to help the staff direct

your child, as YOU know your child BETTER than they do, however there are

some that wish you don't try to help. Ask around, parents are the best

resources.....................Best of luck to you, and hope this can help,

Cheri

[Guest guest]

Kris, have you tried to buy a small childs toothbrush and just let your

daughter put the toothbrush in her mouth and let her do it herself. let her

keep it for awhile so she can get most of her teeth clean. Water is fine she

don't need toothpaste. You could also just wipe her teeth with a wet

washcloth.

[Guest guest]

In a message dated 6/7/02 10:53:33 PM Central Daylight Time, Kdumais5@...

writes:

> My daughter is 3 yr 4 mos, and should be seeing a dentist. Problem is she's

>

> very orally defensive. I have to fight to get a toothbrush in her mouth

> and

> brush. Can you imagine a dentist in there??

Been there done that. LOL

One thing that might help is one of the electric toothbrushes that spin, they

even make some fancy ones for kids. the trick is to let HER 'brush' her own

teeth with it, with a little encouragement from you, this may mean that you

watch her look at the thing spinning but encouraging her to get it up by her

mouth and then eventually into her mouth at her on pace did seem to help

tremendously.

when she was around 3 or 4 we just used a ped. dentist who actually forced

the whole thing, we then decided when she was 8 to try our reg. dentist, she

did cleanings with no problem, luckily didn't need any work.........until

about two months ago when she ended up with an infection from a tooth that

fell out and left a chunk in. :-( she wouldn't let them anywhere near it.

(she also has to be pre medicated) They sent us to a new ped.

dentist/orthodontist and she is wonderful. Told she was going to count

her teeth and started counting and pulled that little piece out while

counting, mary didn't even notice. hehe. so we are now going to her. :-)

But anyway good luck. :-)

Joy, Mom to 12

[Guest guest]

I guess I am lucky...turns out our dentist has a niece with Down syndrome who is

7 years old. Her parents bring her up to his office for all her dental work.

He said does much better in the chair than she does. had his

first bite wing xray this past week. He also said that 's teeth are in

great shape. His niece is given a vitamin formula mixed with coke and it's

really harmed her teeth. Because of that, they tell all patients no coke

products for their kids.

[Guest guest]

my little girl is 5 and a half now and has had her teeth done 3 times

already under anasthetics, the first time she was only one and a half. Her

medications really rot her teeth, even tho she brushes very well. The

dentist has only been able to look into her mouth when she is at the front

desk, drawing and stamping and cutting and generally messing up the desk

with the receptionist. She won't even enter the room with the chair. She has

another brown spot now, inspite of having her teeth coated every time she

was under. We're trying to wait as long as possible without danger to the

other teeth before having it treated again.

good luck

Gundula

[Guest guest]

I think some of it is genetic too. My kids have inherited their Dad's

perfect teeth (you know...the perfect one...of course his teeth are perfect

too!). Cristen drinks cokes alot, she's very fond of them, and she has no

cavities in her big square white teeth. She's lucky she didn't get my genes

for teeth.

Re: dentist

> I guess I am lucky...turns out our dentist has a niece with Down syndrome

who is 7 years old. Her parents bring her up to his office for all her

dental work. He said does much better in the chair than she does.

had his first bite wing xray this past week. He also said that

's teeth are in great shape. His niece is given a vitamin formula

mixed with coke and it's really harmed her teeth. Because of that, they

tell all patients no coke products for their kids.

>

>

>

>

>

[Guest guest]

Kris,

Have you looked around for a special needs dentist? they do exist i have one

for amanda. Actually both my kids go to him and jesse, non ds is a much

worse patient than amanda. But he and his staff are really good and patient

with them.

~ Mom to 11 DS and Diabetes Type 1 and 7 NY

[Guest guest]

Kris, My son Tayler was like this as well and we got him an electric

toothbrush and he loves it and now tells us that he would like to brush his

teeth before bed. Tayler will be 4 in August. Just thought you might like to

know this.

Sherri Mom to Tayler ( ds) Almost 4 and Cierra almost 2 1/2

dentist

> My daughter is 3 yr 4 mos, and should be seeing a dentist. Problem is

she's

> very orally defensive. I have to fight to get a toothbrush in her mouth

and

> brush. Can you imagine a dentist in there?? I've taken her in before

just

> to have a quick see, wouldn't let him near her. Also, because of her

cardiac

> issues, she will need antibiotics first. I know she won't let him near

her,

> so why go through this medicine? Anyone have any suggestions how to

handle

> this? I brought her in to see her brothers get their teeth clean, no

> problems. TOuch her, then there is a big problem! HELP!!

>

> Kris mom to Sierra, and

>

> Click reply to all for messages to go to the list. Just hit reply for

messages to go to the sender of the message.

>

>

[Guest guest]

According to my mother in law, who was talking to her oral hygenist she said

that people with ds do not get cavities, they are very prone to gum problems

though.

Sherri Mom to Tayler almost 4 and cierra almost 2 1/2

Re: dentist

>

>

> > I guess I am lucky...turns out our dentist has a niece with Down

syndrome

> who is 7 years old. Her parents bring her up to his office for all her

> dental work. He said does much better in the chair than she does.

> had his first bite wing xray this past week. He also said that

> 's teeth are in great shape. His niece is given a vitamin formula

> mixed with coke and it's really harmed her teeth. Because of that, they

> tell all patients no coke products for their kids.

> >

> >

> >

> >

> >

[Guest guest]

Hi Kris. I had/have the exact probelm with my son. I had to take him to the

dentist because his baby teeth were not falling out and his big teeth were

coming in ....we ended up with 2 rows of teeth before I found a dentist who

would touch him! I talked to everybody I knew, and finally someone mentioned a

dentist who specialized in special needs patients (of all kinds!!) - He is

awesome! The first visit he actually got my son to sit still for 17 minutes

while he cleaned his teeth....17 whole minutes!! I was jealous LOL. The office

set up is neat - the waiting room is actually next door to the little room with

the chair and things - and the door in between is just a doorway so we can sit

and watch but not be in the room, or we can sit around the other side of hte

wall and still hear what is going on - but he can't see me. We've been 3 times

to have teeth pulled and go again in a couple of weeks. the staff is great. he

is great, the only glitch is he is 3 hours away - but worth the drive if you ask

me... You should see if there is one in your area.

Kdumais5@... wrote: My daughter is 3 yr 4 mos, and should be seeing a

dentist. Problem is she's

very orally defensive. I have to fight to get a toothbrush in her mouth and

brush. Can you imagine a dentist in there?? I've taken her in before just

to have a quick see, wouldn't let him near her. Also, because of her cardiac

issues, she will need antibiotics first. I know she won't let him near her,

so why go through this medicine? Anyone have any suggestions how to handle

this? I brought her in to see her brothers get their teeth clean, no

problems. TOuch her, then there is a big problem! HELP!!

Kris mom to Sierra, and

Click reply to all for messages to go to the list. Just hit reply for messages

to go to the sender of the message.

[Guest guest]

In a message dated 6/8/02 1:19:23 AM Central Daylight Time,

writes:

> My daughter is 3 yr 4 mos, and should be seeing a dentist. Problem is she's

>

> very orally defensive. I have to fight to get a toothbrush in her mouth

> and

> brush. Can you imagine a dentist in there?? I've taken her in before just

>

> to have a quick see, wouldn't let him near her. Also, because of her

> cardiac

> issues, she will need antibiotics first. I know she won't let him near

> her,

> so why go through this medicine? Anyone have any suggestions how to handle

>

> this? I brought her in to see her brothers get their teeth clean, no

> problems. TOuch her, then there is a big problem! HELP!!

>

> Kris mom to Sierra, and

Kris,

Find a pediatric dentist and continue with the quick exams. At least it will

allow them to spot any major issues before they get worse. I give my toddler

a toothbrush to play with when he is sitting at the table. I make sure it

doesn't have any fraying bristles to choke on. He chews on it which helps to

clean his teeth. A good OT should be able to help with desensitizing her

mouth.

Karyn

[Guest guest]

There is a " Barney Goes to the Dentist " book that might be helpful

too.

[Guest guest]

--- sherriwalthers <sherriwalthers@...> wrote:

> According to my mother in law, who was talking to

> her oral hygenist she said

> that people with ds do not get cavities, they are

> very prone to gum problems

> though.

> Sherri Mom to Tayler almost 4 and cierra almost 2

> 1/2

The hygenist is wrong. My son had a cavity in a molar

in the very back...

sissy

__________________________________________________

[Guest guest]

Oh really....

Can I forward my latest bill for Noah's dental work to her? It's about

$2700 for " non-existent " cavities! It is possible that children with DS

are not " prone " to cavities, but I get sick of people telling me they

don't get them. I think that opinion can make people less diligent

about oral hygiene, and that is a big mistake.

I hate it when people make generalizations about our kids!!!

Karla in Texas-Mom to Noah 7ds with a mouth full of crowns...on baby

teeth!

sherriwalthers wrote:

>

> According to my mother in law, who was talking to her oral hygenist she said

> that people with ds do not get cavities, they are very prone to gum problems

> though.

> Sherri Mom to Tayler almost 4 and cierra almost 2 1/2

[Guest guest]

To desensitize her oral area, try using the rounded end (the non-writing end) of

a Squiggle Writer, it's sold at Wal-Mart. You can use a washcloth, moving around

her mouth, rubbing with firm motions. Most kids with oral defensiveness don't

care for too light of a touch, since it can be more irritating.

You can make a game of it. I have a full length mirror in Karrie's room. It's

hung on the wall where she can sit on the floor and see herself. It's great for

getting her to do different things. We take turns making faces (oral exercises),

chewing on Nuk brushes (we each have our own), etc.

Good luck!

Sue mom (also COTA/L) to Kate 12 and Karrie 6 w/ds who now falls asleep with her

head in the dentist's lap while he cleans her teeth!

[Guest guest]

Up until now Bridget has seen a pediatric dentist. I

would straddle her in the chair and hold her arms. A

hygenist would would hold her shoulders and the

dentist would use a device to hold open her mouth. We

would go through this, he was quick. Well the last

time he was not very patient so I am going to change

dentist.

A friend takes her child to a dentist that uses

laughing gas (is up front about it) and it has really

helped. Some others use non-narcotic sedation.

I hope by modifying things and not laying Bridget all

the way back (the biggest problem) we can find someone

to clean her teeth without much hassel. I have been

able to get hte hygenist to use a regular toothbrush

rather than a polisher and that was a big help.

mom to Bridget 9 ds

__________________________________________________

[Guest guest]

,

where is your dentist? I need a very easy going dentist. my son will

be the worst of the two also.

Maureen