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I hope for adam this gets easier, Medicaid, for him, paid because of health

problems its to risky on his health to do it any other way. I hope to

eventually make our way to a dental office.

I am with you, on hating dental trips...

michelle

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We found a dentist who was willing to give and Versed (much like vallium, but

has an amnesiac effect and fewer side effects) in his office. Andy does really

well with this as long as folks stay calm. Yes, we still ahve to restrain him at

times, But no more than *I* feel restrained when I'm in the dentist chair (I

hate the dentist). It is much less expensive to do it this way.

I doubht adults go to the OR for a mere cleaning - Medicaid would never pay for

that and I think, but don't quote me, that Medicaid doesn't always come with

dental insurance...

Oh the joys.

Joan

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-

My son, DJ, age 11 is scheduled for teeth cleaning and any needed fillings,

etc. under general anesthesia this coming Tuesday. What a wonderful way to

spend Halloween day : ) I have to laugh now about the discussion we had

recently about Halloween costumes for our kids---I guess we could just leave DJ

in his garb from the hospital and he could go as a " patient " OR maybe I should

dress him up " scary " to enter the OR and see what the OR team does with that!

LOL Anyway, it is about the 6th or 7th time we have gone through this. It

seems like the only way we can have DJ's teeth cleaned as he barely tolerates

someone brushing his teeth once a day. He has a note on his chart that he is

" orally aversive " . He used to not let anyone near his mouth and we attributed

it to his rocky first three years when he survived open-heart surgery, being

entubated for long periods, 2 bouts of RSV with entubation, long periods of

oxygen cannula placement and 8 months of NG tube use for

feeding. The Drs. decided that he just learned that things in or around his

mouth HURT! We have just recently found out about the Autism connection to oral

aversiveness - but since we don't have that diagnosis yet it just bolsters our

resolve to continue to seek someone here we can trust to evaluate DJ in that

regard.

Because of DJ's sensitivity we just kept trying to find ways to play in or

around his mouth to decrease that sensitivity. We also employed a vibrating

toothbrush, first as a play item to get him used to it (touching his hands,

cheek, arm), and later in his mouth. We found DJ would let us in if we counted

to 10 as a signal that we were finished. I have found that DJ will let us do

things he normally would not tolerate if we count to ten when we do it, and then

stop. He has learned to trust enough for that and we ourselves don't push him

much further, though sometimes we slow....

....our ...counting ...down ....quite ....a ....bit to s-t-r-e-t-c-h out the

time we get to perform whatever unappreciated task we are performing on him (ie.

nail cutting, hair brushing, face washing, toothbrushing).I have to say that we

also have had to intervene or even decline some interventions offered by

well-meaning but not understanding therapists and medical people who wanted us

to employ more restrictive means of keeping his mouth open for them or for

ourselves to brush his teeth. We always agreed with the counsel we got that

said it was important to create trust and to make it fun for our son and in that

way we would get more positive results. The positive results have come ... very

slowly over time (read: years).

Allowing your child to go through multiple procedures requiring general

anesthesia certainly isn't a decision arrived at lightly, but for us it is the

decision we have made for now. Until DJ shows us he is ready to accept someone

working in his mouth himself at least. There are significant risks, but DJ has

proven himself a survivor and I must acknowledge and respect that. He comes

through these teeth cleaning procedures with little problem and I try to

schedule them as far apart as he can possibly go. The alternative is letting

his teeth look horrible and create a health problem in the long run.

The decision is ultimately up to you but wanted to share our experience. It

has been very positive so far. It certainly helps to have the dentist we have -

he treats many patients with developmental delay and makes us feel that he

understands our unique needs. He doesn't entertain us with great jokes or a

song and dance, but he does seem to give us good information, is efficient and

competent in his work, and makes us feel he is focused solely on us and our

child when it is our turn for his services.

Hugs-

Donnell (mom to DJ-age 11)

Mitch0519@... wrote:

Adam has his dental surgery today. At only 3 his teeth were so bad, He

is

still taking a bottle becuase of swallowing and medication issues(but not for

sleeping). Also because of his history it was all done in the OR. He had 6

fillings and calcifucation of a couple of teeth. We brush him everyday 2 times a

day but 9 times out of 10 its a huge battle. Have any of you had problems

with teeth. and is this how older kids with downs have to get teeth cleaned? I

am scared to death everytime I have to hand over adam to the OR.

michelle

(adam;s mom)

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I doubht adults go to the OR for a mere cleaning - Medicaid would never pay

for that and I think, but don't quote me, that Medicaid doesn't always come

with dental insurance...

Oh the joys.

Joan

Joan,

I know of a couple of individuals who have a dental exam, cleaning, and

x-rays under general anesthesia every couple of years. It is covered by

medicaid

with prior auth. in Wisconsin.

Karyn

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Elie does not allow tooth brushing. When he was younger, I did try the

counting - didn't work. Tried hammerlock - worked until he was stronger

than I and finally gave up. HE eats NO candy, very little cake or cookies .

HE does love ice cream however. He drinks alot, but we go with diet

drinks, or ice water. Milk is with meals. we were told that sugarless gum

would help to keep the ph right in his n=mouth, but he wouldn't put it in

his mouth.

Other than that, we did have him anesthetized once to put fluoride and

sealant on and do a thorough cleaning and 2 fillings. Since then, the

dentist has been able to clean his teeth with a soft foam block to help him

keep his mouth open. AND they are quick. No xrays. We see a new dentist

next week. Keep your fingers crossed.

Sara - Choose to make lemonade, not complain about the lemons.

>

>Reply-To:

>To:

>Subject: Re: dental work

>Date: Fri, 27 Oct 2006 22:31:57 -0700 (PDT)

>

>-

> My son, DJ, age 11 is scheduled for teeth cleaning and any needed

>fillings, etc. under general anesthesia this coming Tuesday. What a

>wonderful way to spend Halloween day : ) I have to laugh now about the

>discussion we had recently about Halloween costumes for our kids---I guess

>we could just leave DJ in his garb from the hospital and he could go as a

> " patient " OR maybe I should dress him up " scary " to enter the OR and see

>what the OR team does with that! LOL Anyway, it is about the 6th or 7th

>time we have gone through this. It seems like the only way we can have

>DJ's teeth cleaned as he barely tolerates someone brushing his teeth once a

>day. He has a note on his chart that he is " orally aversive " . He used to

>not let anyone near his mouth and we attributed it to his rocky first three

>years when he survived open-heart surgery, being entubated for long

>periods, 2 bouts of RSV with entubation, long periods of oxygen cannula

>placement and 8 months of NG tube use for

> feeding. The Drs. decided that he just learned that things in or around

>his mouth HURT! We have just recently found out about the Autism

>connection to oral aversiveness - but since we don't have that diagnosis

>yet it just bolsters our resolve to continue to seek someone here we can

>trust to evaluate DJ in that regard.

>

> Because of DJ's sensitivity we just kept trying to find ways to play in

>or around his mouth to decrease that sensitivity. We also employed a

>vibrating toothbrush, first as a play item to get him used to it (touching

>his hands, cheek, arm), and later in his mouth. We found DJ would let us

>in if we counted to 10 as a signal that we were finished. I have found

>that DJ will let us do things he normally would not tolerate if we count to

>ten when we do it, and then stop. He has learned to trust enough for that

>and we ourselves don't push him much further, though sometimes we slow....

> ....our ...counting ...down ....quite ....a ....bit to s-t-r-e-t-c-h

>out the time we get to perform whatever unappreciated task we are

>performing on him (ie. nail cutting, hair brushing, face washing,

>toothbrushing).I have to say that we also have had to intervene or even

>decline some interventions offered by well-meaning but not understanding

>therapists and medical people who wanted us to employ more restrictive

>means of keeping his mouth open for them or for ourselves to brush his

>teeth. We always agreed with the counsel we got that said it was

>important to create trust and to make it fun for our son and in that way we

>would get more positive results. The positive results have come ... very

>slowly over time (read: years).

>

> Allowing your child to go through multiple procedures requiring general

>anesthesia certainly isn't a decision arrived at lightly, but for us it is

>the decision we have made for now. Until DJ shows us he is ready to accept

>someone working in his mouth himself at least. There are significant

>risks, but DJ has proven himself a survivor and I must acknowledge and

>respect that. He comes through these teeth cleaning procedures with little

>problem and I try to schedule them as far apart as he can possibly go. The

>alternative is letting his teeth look horrible and create a health problem

>in the long run.

>

> The decision is ultimately up to you but wanted to share our experience.

> It has been very positive so far. It certainly helps to have the dentist

>we have - he treats many patients with developmental delay and makes us

>feel that he understands our unique needs. He doesn't entertain us with

>great jokes or a song and dance, but he does seem to give us good

>information, is efficient and competent in his work, and makes us feel he

>is focused solely on us and our child when it is our turn for his services.

>

> Hugs-

> Donnell (mom to DJ-age 11)

>

>Mitch0519@... wrote:

> Adam has his dental surgery today. At only 3 his teeth were so

>bad, He is

>still taking a bottle becuase of swallowing and medication issues(but not

>for

>sleeping). Also because of his history it was all done in the OR. He had 6

>fillings and calcifucation of a couple of teeth. We brush him everyday 2

>times a

>day but 9 times out of 10 its a huge battle. Have any of you had problems

>with teeth. and is this how older kids with downs have to get teeth

>cleaned? I

>am scared to death everytime I have to hand over adam to the OR.

>michelle

>(adam;s mom)

>

>

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In PA Medicaide pays for anesthesia for dental work!!! we had Elie done in

PHL at Episcopal Hospital oin their special program for people with

disabilities.

Otherwise, I too would prefer VERSED.

Sara - Choose to make lemonade, not complain about the lemons.

>

>Reply-To:

>To:

>Subject: Re: dental work

>Date: Fri, 27 Oct 2006 20:38:26 -0700 (PDT)

>

>We found a dentist who was willing to give and Versed (much like vallium,

>but has an amnesiac effect and fewer side effects) in his office. Andy does

>really well with this as long as folks stay calm. Yes, we still ahve to

>restrain him at times, But no more than *I* feel restrained when I'm in the

>dentist chair (I hate the dentist). It is much less expensive to do it this

>way.

>

>I doubht adults go to the OR for a mere cleaning - Medicaid would never pay

>for that and I think, but don't quote me, that Medicaid doesn't always come

>with dental insurance...

>

>Oh the joys.

>

>Joan

>

>

>

>

>--------------------------------------------------

>Checkout our homepage for information, bookmarks, and photos of

>our kids. Share favorite bookmarks, ideas, and other information by

>including them. Don't forget, messages are a permanent record of the

>archives for our list. http://groups.yahoo.com/group/

>--------------------------------------------

>

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My dentist said that for some odd reason, kids with DS very rarely have

cavities. Jake does not eat candy, loves ice cream, and does brush his teeth,

just not all that great. He only tolerates it for a minute or so. Just enough

to go over the teeth quickly. He has been to the dentist quite a bit and they

use a bitterly vest which is almost like a straight jacket. I stay with him and

although he does scream, they are always very calm and reassuring him. We are

lucky that he recovers from these things very quickly. I did suggest that the

next time, we might try some kind of calming medicine. they can put him out but

they prefer to help them adjust but they always leave it up to me and how I

think he will do.

It is such a tough call. I am exhausted after his cleaning and I can only

imagine how it will be once he get a little bigger.

Holly

Re: dental work

>Date: Fri, 27 Oct 2006 22:31:57 -0700 (PDT)

>

>-

> My son, DJ, age 11 is scheduled for teeth cleaning and any needed

>fillings, etc. under general anesthesia this coming Tuesday. What a

>wonderful way to spend Halloween day : ) I have to laugh now about the

>discussion we had recently about Halloween costumes for our kids---I guess

>we could just leave DJ in his garb from the hospital and he could go as a

> " patient " OR maybe I should dress him up " scary " to enter the OR and see

>what the OR team does with that! LOL Anyway, it is about the 6th or 7th

>time we have gone through this. It seems like the only way we can have

>DJ's teeth cleaned as he barely tolerates someone brushing his teeth once a

>day. He has a note on his chart that he is " orally aversive " . He used to

>not let anyone near his mouth and we attributed it to his rocky first three

>years when he survived open-heart surgery, being entubated for long

>periods, 2 bouts of RSV with entubation, long periods of oxygen cannula

>placement and 8 months of NG tube use for

> feeding. The Drs. decided that he just learned that things in or around

>his mouth HURT! We have just recently found out about the Autism

>connection to oral aversiveness - but since we don't have that diagnosis

>yet it just bolsters our resolve to continue to seek someone here we can

>trust to evaluate DJ in that regard.

>

> Because of DJ's sensitivity we just kept trying to find ways to play in

>or around his mouth to decrease that sensitivity. We also employed a

>vibrating toothbrush, first as a play item to get him used to it (touching

>his hands, cheek, arm), and later in his mouth. We found DJ would let us

>in if we counted to 10 as a signal that we were finished. I have found

>that DJ will let us do things he normally would not tolerate if we count to

>ten when we do it, and then stop. He has learned to trust enough for that

>and we ourselves don't push him much further, though sometimes we slow....

> ....our ...counting ...down ....quite ....a ....bit to s-t-r-e-t-c-h

>out the time we get to perform whatever unappreciated task we are

>performing on him (ie. nail cutting, hair brushing, face washing,

>toothbrushing).I have to say that we also have had to intervene or even

>decline some interventions offered by well-meaning but not understanding

>therapists and medical people who wanted us to employ more restrictive

>means of keeping his mouth open for them or for ourselves to brush his

>teeth. We always agreed with the counsel we got that said it was

>important to create trust and to make it fun for our son and in that way we

>would get more positive results. The positive results have come ... very

>slowly over time (read: years).

>

> Allowing your child to go through multiple procedures requiring general

>anesthesia certainly isn't a decision arrived at lightly, but for us it is

>the decision we have made for now. Until DJ shows us he is ready to accept

>someone working in his mouth himself at least. There are significant

>risks, but DJ has proven himself a survivor and I must acknowledge and

>respect that. He comes through these teeth cleaning procedures with little

>problem and I try to schedule them as far apart as he can possibly go. The

>alternative is letting his teeth look horrible and create a health problem

>in the long run.

>

> The decision is ultimately up to you but wanted to share our experience.

> It has been very positive so far. It certainly helps to have the dentist

>we have - he treats many patients with developmental delay and makes us

>feel that he understands our unique needs. He doesn't entertain us with

>great jokes or a song and dance, but he does seem to give us good

>information, is efficient and competent in his work, and makes us feel he

>is focused solely on us and our child when it is our turn for his services.

>

> Hugs-

> Donnell (mom to DJ-age 11)

>

>Mitch0519@... wrote:

> Adam has his dental surgery today. At only 3 his teeth were so

>bad, He is

>still taking a bottle becuase of swallowing and medication issues(but not

>for

>sleeping). Also because of his history it was all done in the OR. He had 6

>fillings and calcifucation of a couple of teeth. We brush him everyday 2

>times a

>day but 9 times out of 10 its a huge battle. Have any of you had problems

>with teeth. and is this how older kids with downs have to get teeth

>cleaned? I

>am scared to death everytime I have to hand over adam to the OR.

>michelle

>(adam;s mom)

>

>

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---

Allyson's is now 13 years old and we have the same problems.She

hates anything never her mouth. Brushing teeth happens once a week

at best. She also has to go to the OR every other year for x-

ray,cleaning and fillings.I know some kids with DS that brush their

own teeth. Maybe it has something to do with the Austistic side of

our kids. Louisiana Medcaid stops dental services at the age of 22.

I do not know what we will do after that age.

In , " Holly Giglio " wrote:

>

> My dentist said that for some odd reason, kids with DS very rarely

have cavities. Jake does not eat candy, loves ice cream, and does

brush his teeth, just not all that great. He only tolerates it for

a minute or so. Just enough to go over the teeth quickly. He has

been to the dentist quite a bit and they use a bitterly vest which

is almost like a straight jacket. I stay with him and although he

does scream, they are always very calm and reassuring him. We are

lucky that he recovers from these things very quickly. I did

suggest that the next time, we might try some kind of calming

medicine. they can put him out but they prefer to help them adjust

but they always leave it up to me and how I think he will do.

> It is such a tough call. I am exhausted after his cleaning and I

can only imagine how it will be once he get a little bigger.

> Holly

>

> Re: dental work

> >Date: Fri, 27 Oct 2006 22:31:57 -0700 (PDT)

> >

> >-

> > My son, DJ, age 11 is scheduled for teeth cleaning and any

needed

> >fillings, etc. under general anesthesia this coming Tuesday.

What a

> >wonderful way to spend Halloween day : ) I have to laugh now

about the

> >discussion we had recently about Halloween costumes for our

kids---I guess

> >we could just leave DJ in his garb from the hospital and he

could go as a

> > " patient " OR maybe I should dress him up " scary " to enter the

OR and see

> >what the OR team does with that! LOL Anyway, it is about the

6th or 7th

> >time we have gone through this. It seems like the only way we

can have

> >DJ's teeth cleaned as he barely tolerates someone brushing his

teeth once a

> >day. He has a note on his chart that he is " orally aversive " .

He used to

> >not let anyone near his mouth and we attributed it to his rocky

first three

> >years when he survived open-heart surgery, being entubated for

long

> >periods, 2 bouts of RSV with entubation, long periods of oxygen

cannula

> >placement and 8 months of NG tube use for

> > feeding. The Drs. decided that he just learned that things in

or around

> >his mouth HURT! We have just recently found out about the

Autism

> >connection to oral aversiveness - but since we don't have that

diagnosis

> >yet it just bolsters our resolve to continue to seek someone

here we can

> >trust to evaluate DJ in that regard.

> >

> > Because of DJ's sensitivity we just kept trying to find ways

to play in

> >or around his mouth to decrease that sensitivity. We also

employed a

> >vibrating toothbrush, first as a play item to get him used to

it (touching

> >his hands, cheek, arm), and later in his mouth. We found DJ

would let us

> >in if we counted to 10 as a signal that we were finished. I

have found

> >that DJ will let us do things he normally would not tolerate if

we count to

> >ten when we do it, and then stop. He has learned to trust

enough for that

> >and we ourselves don't push him much further, though sometimes

we slow....

> > ....our ...counting ...down ....quite ....a ....bit to s-t-r-e-

t-c-h

> >out the time we get to perform whatever unappreciated task we

are

> >performing on him (ie. nail cutting, hair brushing, face

washing,

> >toothbrushing).I have to say that we also have had to intervene

or even

> >decline some interventions offered by well-meaning but not

understanding

> >therapists and medical people who wanted us to employ more

restrictive

> >means of keeping his mouth open for them or for ourselves to

brush his

> >teeth. We always agreed with the counsel we got that said it

was

> >important to create trust and to make it fun for our son and in

that way we

> >would get more positive results. The positive results have

come ... very

> >slowly over time (read: years).

> >

> > Allowing your child to go through multiple procedures

requiring general

> >anesthesia certainly isn't a decision arrived at lightly, but

for us it is

> >the decision we have made for now. Until DJ shows us he is

ready to accept

> >someone working in his mouth himself at least. There are

significant

> >risks, but DJ has proven himself a survivor and I must

acknowledge and

> >respect that. He comes through these teeth cleaning procedures

with little

> >problem and I try to schedule them as far apart as he can

possibly go. The

> >alternative is letting his teeth look horrible and create a

health problem

> >in the long run.

> >

> > The decision is ultimately up to you but wanted to share our

experience.

> > It has been very positive so far. It certainly helps to have

the dentist

> >we have - he treats many patients with developmental delay and

makes us

> >feel that he understands our unique needs. He doesn't entertain

us with

> >great jokes or a song and dance, but he does seem to give us

good

> >information, is efficient and competent in his work, and makes

us feel he

> >is focused solely on us and our child when it is our turn for

his services.

> >

> > Hugs-

> > Donnell (mom to DJ-age 11)

> >

> >Mitch0519@... wrote:

> > Adam has his dental surgery today. At only 3 his teeth were so

> >bad, He is

> >still taking a bottle becuase of swallowing and medication

issues(but not

> >for

> >sleeping). Also because of his history it was all done in the

OR. He had 6

> >fillings and calcifucation of a couple of teeth. We brush him

everyday 2

> >times a

> >day but 9 times out of 10 its a huge battle. Have any of you

had problems

> >with teeth. and is this how older kids with downs have to get

teeth

> >cleaned? I

> >am scared to death everytime I have to hand over adam to the OR.

> >michelle

> >(adam;s mom)

> >

> >

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Dear Holly,

It is the same for my son Neil, he has gone to the dentist he does not like

too, but we have been so lucky he has never had a cavity...he is not a fan of

candy but likes alot of lot of other sugary things well basicly he loves

food....

(mother of Neil 24 ds/austism hot springs arkansas)

Holly Giglio wrote:

My dentist said that for some odd reason, kids with DS very rarely

have cavities. Jake does not eat candy, loves ice cream, and does brush his

teeth, just not all that great. He only tolerates it for a minute or so. Just

enough to go over the teeth quickly. He has been to the dentist quite a bit and

they use a bitterly vest which is almost like a straight jacket. I stay with him

and although he does scream, they are always very calm and reassuring him. We

are lucky that he recovers from these things very quickly. I did suggest that

the next time, we might try some kind of calming medicine. they can put him out

but they prefer to help them adjust but they always leave it up to me and how I

think he will do.

It is such a tough call. I am exhausted after his cleaning and I can only

imagine how it will be once he get a little bigger.

Holly

Re: dental work

>Date: Fri, 27 Oct 2006 22:31:57 -0700 (PDT)

>

>-

> My son, DJ, age 11 is scheduled for teeth cleaning and any needed

>fillings, etc. under general anesthesia this coming Tuesday. What a

>wonderful way to spend Halloween day : ) I have to laugh now about the

>discussion we had recently about Halloween costumes for our kids---I guess

>we could just leave DJ in his garb from the hospital and he could go as a

> " patient " OR maybe I should dress him up " scary " to enter the OR and see

>what the OR team does with that! LOL Anyway, it is about the 6th or 7th

>time we have gone through this. It seems like the only way we can have

>DJ's teeth cleaned as he barely tolerates someone brushing his teeth once a

>day. He has a note on his chart that he is " orally aversive " . He used to

>not let anyone near his mouth and we attributed it to his rocky first three

>years when he survived open-heart surgery, being entubated for long

>periods, 2 bouts of RSV with entubation, long periods of oxygen cannula

>placement and 8 months of NG tube use for

> feeding. The Drs. decided that he just learned that things in or around

>his mouth HURT! We have just recently found out about the Autism

>connection to oral aversiveness - but since we don't have that diagnosis

>yet it just bolsters our resolve to continue to seek someone here we can

>trust to evaluate DJ in that regard.

>

> Because of DJ's sensitivity we just kept trying to find ways to play in

>or around his mouth to decrease that sensitivity. We also employed a

>vibrating toothbrush, first as a play item to get him used to it (touching

>his hands, cheek, arm), and later in his mouth. We found DJ would let us

>in if we counted to 10 as a signal that we were finished. I have found

>that DJ will let us do things he normally would not tolerate if we count to

>ten when we do it, and then stop. He has learned to trust enough for that

>and we ourselves don't push him much further, though sometimes we slow....

> ....our ...counting ...down ....quite ....a ....bit to s-t-r-e-t-c-h

>out the time we get to perform whatever unappreciated task we are

>performing on him (ie. nail cutting, hair brushing, face washing,

>toothbrushing).I have to say that we also have had to intervene or even

>decline some interventions offered by well-meaning but not understanding

>therapists and medical people who wanted us to employ more restrictive

>means of keeping his mouth open for them or for ourselves to brush his

>teeth. We always agreed with the counsel we got that said it was

>important to create trust and to make it fun for our son and in that way we

>would get more positive results. The positive results have come ... very

>slowly over time (read: years).

>

> Allowing your child to go through multiple procedures requiring general

>anesthesia certainly isn't a decision arrived at lightly, but for us it is

>the decision we have made for now. Until DJ shows us he is ready to accept

>someone working in his mouth himself at least. There are significant

>risks, but DJ has proven himself a survivor and I must acknowledge and

>respect that. He comes through these teeth cleaning procedures with little

>problem and I try to schedule them as far apart as he can possibly go. The

>alternative is letting his teeth look horrible and create a health problem

>in the long run.

>

> The decision is ultimately up to you but wanted to share our experience.

> It has been very positive so far. It certainly helps to have the dentist

>we have - he treats many patients with developmental delay and makes us

>feel that he understands our unique needs. He doesn't entertain us with

>great jokes or a song and dance, but he does seem to give us good

>information, is efficient and competent in his work, and makes us feel he

>is focused solely on us and our child when it is our turn for his services.

>

> Hugs-

> Donnell (mom to DJ-age 11)

>

>Mitch0519@... wrote:

> Adam has his dental surgery today. At only 3 his teeth were so

>bad, He is

>still taking a bottle becuase of swallowing and medication issues(but not

>for

>sleeping). Also because of his history it was all done in the OR. He had 6

>fillings and calcifucation of a couple of teeth. We brush him everyday 2

>times a

>day but 9 times out of 10 its a huge battle. Have any of you had problems

>with teeth. and is this how older kids with downs have to get teeth

>cleaned? I

>am scared to death everytime I have to hand over adam to the OR.

>michelle

>(adam;s mom)

>

>

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Dear Holly,

It is the same for my son Neil, he has gone to the dentist he does not like

too, but we have been so lucky he has never had a cavity...he is not a fan of

candy but likes alot of lot of other sugary things well basicly he loves

food....

(mother of Neil 24 ds/austism hot springs arkansas)

Holly Giglio wrote:

My dentist said that for some odd reason, kids with DS very rarely

have cavities. Jake does not eat candy, loves ice cream, and does brush his

teeth, just not all that great. He only tolerates it for a minute or so. Just

enough to go over the teeth quickly. He has been to the dentist quite a bit and

they use a bitterly vest which is almost like a straight jacket. I stay with him

and although he does scream, they are always very calm and reassuring him. We

are lucky that he recovers from these things very quickly. I did suggest that

the next time, we might try some kind of calming medicine. they can put him out

but they prefer to help them adjust but they always leave it up to me and how I

think he will do.

It is such a tough call. I am exhausted after his cleaning and I can only

imagine how it will be once he get a little bigger.

Holly

Re: dental work

>Date: Fri, 27 Oct 2006 22:31:57 -0700 (PDT)

>

>-

> My son, DJ, age 11 is scheduled for teeth cleaning and any needed

>fillings, etc. under general anesthesia this coming Tuesday. What a

>wonderful way to spend Halloween day : ) I have to laugh now about the

>discussion we had recently about Halloween costumes for our kids---I guess

>we could just leave DJ in his garb from the hospital and he could go as a

> " patient " OR maybe I should dress him up " scary " to enter the OR and see

>what the OR team does with that! LOL Anyway, it is about the 6th or 7th

>time we have gone through this. It seems like the only way we can have

>DJ's teeth cleaned as he barely tolerates someone brushing his teeth once a

>day. He has a note on his chart that he is " orally aversive " . He used to

>not let anyone near his mouth and we attributed it to his rocky first three

>years when he survived open-heart surgery, being entubated for long

>periods, 2 bouts of RSV with entubation, long periods of oxygen cannula

>placement and 8 months of NG tube use for

> feeding. The Drs. decided that he just learned that things in or around

>his mouth HURT! We have just recently found out about the Autism

>connection to oral aversiveness - but since we don't have that diagnosis

>yet it just bolsters our resolve to continue to seek someone here we can

>trust to evaluate DJ in that regard.

>

> Because of DJ's sensitivity we just kept trying to find ways to play in

>or around his mouth to decrease that sensitivity. We also employed a

>vibrating toothbrush, first as a play item to get him used to it (touching

>his hands, cheek, arm), and later in his mouth. We found DJ would let us

>in if we counted to 10 as a signal that we were finished. I have found

>that DJ will let us do things he normally would not tolerate if we count to

>ten when we do it, and then stop. He has learned to trust enough for that

>and we ourselves don't push him much further, though sometimes we slow....

> ....our ...counting ...down ....quite ....a ....bit to s-t-r-e-t-c-h

>out the time we get to perform whatever unappreciated task we are

>performing on him (ie. nail cutting, hair brushing, face washing,

>toothbrushing).I have to say that we also have had to intervene or even

>decline some interventions offered by well-meaning but not understanding

>therapists and medical people who wanted us to employ more restrictive

>means of keeping his mouth open for them or for ourselves to brush his

>teeth. We always agreed with the counsel we got that said it was

>important to create trust and to make it fun for our son and in that way we

>would get more positive results. The positive results have come ... very

>slowly over time (read: years).

>

> Allowing your child to go through multiple procedures requiring general

>anesthesia certainly isn't a decision arrived at lightly, but for us it is

>the decision we have made for now. Until DJ shows us he is ready to accept

>someone working in his mouth himself at least. There are significant

>risks, but DJ has proven himself a survivor and I must acknowledge and

>respect that. He comes through these teeth cleaning procedures with little

>problem and I try to schedule them as far apart as he can possibly go. The

>alternative is letting his teeth look horrible and create a health problem

>in the long run.

>

> The decision is ultimately up to you but wanted to share our experience.

> It has been very positive so far. It certainly helps to have the dentist

>we have - he treats many patients with developmental delay and makes us

>feel that he understands our unique needs. He doesn't entertain us with

>great jokes or a song and dance, but he does seem to give us good

>information, is efficient and competent in his work, and makes us feel he

>is focused solely on us and our child when it is our turn for his services.

>

> Hugs-

> Donnell (mom to DJ-age 11)

>

>Mitch0519@... wrote:

> Adam has his dental surgery today. At only 3 his teeth were so

>bad, He is

>still taking a bottle becuase of swallowing and medication issues(but not

>for

>sleeping). Also because of his history it was all done in the OR. He had 6

>fillings and calcifucation of a couple of teeth. We brush him everyday 2

>times a

>day but 9 times out of 10 its a huge battle. Have any of you had problems

>with teeth. and is this how older kids with downs have to get teeth

>cleaned? I

>am scared to death everytime I have to hand over adam to the OR.

>michelle

>(adam;s mom)

>

>

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<<<Allyson's is now 13 years old and we have the same problems.She

hates anything never her mouth. Brushing teeth happens once a week

at best. She also has to go to the OR every other year for x-

ray,cleaning and fillings.I know some kids with DS that brush their

own teeth. Maybe it has something to do with the Austistic side of

our kids. Louisiana Medcaid stops dental services at the age of 22.

I do not know what we will do after that age>>>>

That is so wrong. What, people quit having teeth when they turn 22?

Karyn

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