It's important to be able to spot the differences between a regular sore throat or viral infection and strep throat. Anyone can get strep throat, but it is most common in children and teenagers. If you notice any of these symptoms in your child, it's important to see your pediatrician immediately to determine whether or not your child has strep throat. Here are some symptoms of strep throat.
Strep throat is a bacterial infection that causes inflammation and throat pain. Severe pain in the throat is normally the first sign of strep throat. If you notice that your child's sore throat isn't going away easily, you may need to take your child to the pediatrician because it's usually difficult to get rid of the discomfort completely without the use of prescription medication.
Yellow or white patches on the tonsils or in the back of the throat are another symptom of strep throat. Instead of yellow or white patches, you may instead notice long streaks of pus coating your child's tonsils.
Pain during swallowing is another common symptoms of strep throat. If it becomes difficult for your child to swallow and they experience pain when they attempt to swallow, they may have strep throat.
If you touch the glands in your child's neck, you may be able to feel if their glands are swollen. The lymph nodes in your child's neck will usually be tender to the touch and swollen if they have strep throat, because normal lymph nodes are generally not painful or tender.
Headaches are another common symptom of strep throat. They can range in severity from mild to extremely excruciating. If your child's headache occurs frequently or worsens, be sure to consult a pediatrician immediately.
Another common symptom of strep throat in children is a fever over 100'F. A lower fever may end up being a symptom of a viral infection and not strep throat, so be sure to take note of that. With a viral infection, most fevers should go away on their own within one or two days, and by the third day, other symptoms should start to disappear.
So what are you waiting for? If you notice any of these symptoms in your child, be sure to consult your pediatrician as soon as possible so that they can determine whether or not your child has strep throat or just a viral infection and your child can receive all the relief they need.
Today’s technologically advanced dentures aren’t your grandparents’ “false teeth.” Now made with superior materials and processes, you could almost forget you’re wearing them. But don’t let that cause you to leave them in for the night: While it may seem like a harmless thing to do, wearing dentures 24/7 may not be good for them or your health.
For one thing, around the clock denture wearing could worsen bone loss, already a concern with dentures and missing teeth. The forces generated when we chew on natural teeth stimulate new bone growth to replace older bone cells. When teeth go missing, though, so does this stimulus. Even the best dentures can’t restore this stimulation, so bone loss remains a risk.
And, dentures can accelerate bone loss because of the added pressure they bring to the bony gum ridges that support them. Wearing them all the time deprives the gums of any rest, further speeding up the pace of bone loss. Losing bone volume not only affects your overall oral health, it will gradually loosen your dentures’ fit and make them uncomfortable to wear.
Another problem: You may clean your dentures less frequently if you don’t take them out at night. Lack of cleaning can encourage bacterial growth and lead to disease. Studies show that people who don’t take their dentures out at night have more dental plaque accumulation, gum inflammation and higher blood counts of the protein interleukin 6, indicating the body is fighting infection.
And that’s not just a problem for your mouth. Continuous denture wearing could make you twice as likely to develop life-threatening pneumonia as someone who routinely takes their dentures out.
These and other concerns make nightly denture removal a good practice for your health’s sake. While they’re out, it’s also a good time to clean them: Manually brush them for best results (be sure you’re only using regular soap or denture cleanser—toothpaste is too abrasive for them). You can then store them in clean water or a solution designed for dentures.
Having said all that, though, there may be one reason why wearing dentures at night might be beneficial—it may help prevent obstructive sleep apnea. If you have this condition, talk to your dentist about whether wearing your dentures at night has more advantages than disadvantages. And, if bone loss created by wearing dentures is a concern, it could be resolved by having implants support your dentures. Again, discuss this with your dentist.
Taking care of your dentures will help increase their life and fit, and protect your health. And part of that may be taking them out to give your gums a rest while you’re resting.
If you would like more information on denture care, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Sleeping in Dentures.”
Fluoride is a critical weapon in the war against tooth decay. But this natural chemical proven to strengthen tooth enamel has also aroused suspicion over the years that it might cause health problems.
These suspicions have led to rigorous testing of fluoride's safety. And the verdict from decades of research? We've found only one verifiable side effect, a condition called enamel fluorosis. Caused by too much fluoride present in the body, enamel fluorosis produces white streaks and patches on teeth, and can develop into darker staining and pitting in extreme cases. But other than having an unattractive appearance, the teeth remain sound and healthy.
Fortunately, you can reduce the risk of fluorosis by limiting fluoride exposure to within recommended limits. Fluoride can show up in processed foods and other substances, but the two sources you should focus on most are oral hygiene products and fluoridated drinking water.
Dentists highly recommend using toothpaste with fluoride to fight tooth decay. But be careful how much your family uses, especially younger members. An infant only needs a slight smear of toothpaste on their brush for effective hygiene. At around age 2, you can increase the amount to about the size of a vegetable pea.
As to drinking water, most utilities add fluoride to their supply. If yours does, you can find out how much they add by calling them or visiting cdc.gov ("My Water's Fluoride"), where you can also learn more about recommended levels of fluoridation. If you think it's excessive, you can switch to water labeled "de-ionized," "purified," "demineralized," or "distilled," which contain little to no added fluoride.
Even if your fluoridated water is within recommended levels, you may wish to take extra precautions for infants nursing with formula. If possible, use "ready-to-feed" formula, which usually contains very low amounts of fluoride if any. If you're using the powdered form, use only water with the aforementioned labeling for mixing.
Before making any drastic changes that might affect your family's fluoride intake, consult with your dentist first. And be sure you're keeping up regular dental visits—your dentist may be able to detect any early signs of fluorosis before it becomes a bigger problem.
If you would like more information on maintaining the proper fluoride balance with your family, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Tooth Development and Infant Formula.”
With the rise of newly diagnosed cases of type 1 and type 2 diabetes in children in the US, it’s now more important than ever for both parents and children to understand ways to prevent diabetes, as well as being able to identify the symptoms of type 1 and type 2 diabetes. A pediatrician is an integral part of your child’s health, providing everything from screenings and vaccines to routine checkups and lifestyle recommendations to ensure that your child stays healthy.
What is diabetes?
Diabetes is a chronic condition that affects glucose levels in the body. When the cells in the pancreas responsible for making insulin do not produce enough insulin or are insulin resistant, this results in diabetes.
Type 1 diabetes is most often diagnosed during childhood and is not the result of a poor diet or being overweight. In those with Type 1 diabetes the cells in the pancreas are unable to produce enough insulin. Unfortunately, there is no way to prevent type 1 diabetes in children.
On the other hand, type 2 diabetes is also becoming increasingly common in children because of the high rates of obesity. Type 2 diabetes means that the body doesn’t use insulin properly. Ensuring that your child eats right, gets regular exercise and maintains a healthy weight can greatly reduce your child’s risk for type 2 diabetes.
What are the symptoms of childhood diabetes?
Symptoms of type 1 diabetes will appear suddenly, while type 2 symptoms will develop over time. Symptoms may include:
- Excessive thirst
- Increased hunger
- Frequent urination
- Extreme tiredness
- Mood swings
- Blurred vision
- Sudden weight loss
- Cuts or sores that don’t heal
- Dark patches of skin
If you notice any of these symptoms in your child it’s best to see a pediatrician right away. The sooner a diagnosis is made the sooner your child can get the proper medication and treatment they need to manage their blood sugar levels. By managing your child’s diabetes right away our doctors can prevent potentially serious complications and hospitalizations.
How is diabetes treated?
There are a variety of lifestyle modifications and medications that will be recommended to help treat your child’s type 1 or type 2 diabetes. For both forms of diabetes, a healthy diet and active lifestyle are paramount. Talk with your doctor about what foods your child should avoid. You will also want to monitor your child’s glucose levels during the day to make sure that the insulin medication is working effectively.
All children should visit their pediatricians regularly for checkups, vaccines and care. Of course, if your child displays any symptoms of diabetes, call our office immediately.
Boston Bruins defenseman Zdeno Chara had a rough Stanley Cup final against the St. Louis Blues this past June. Not only did the Bruins ultimately lose the championship, but Chara took a deflected puck shot to the face in Game Four that broke his jaw.
With the NHL season now over, the 42-year-old Bruins captain continues to mend from his injury that required extensive treatment. His experience highlights how jaw fractures and related dental damage are an unfortunate hazard in hockey—not only for pros like Chara, but also for an estimated half million U.S. amateurs, many in youth leagues.
Ice hockey isn't the only sport with this injury potential: Basketball, football (now gearing up with summer training) and even baseball players are also at risk. That's why appropriate protective gear like helmets and face shields are key to preventing injury.
For any contact sport, that protection should also include a mouthguard to absorb hard contact forces that could damage the mouth, teeth and gums. The best guards (and the most comfortable fit) are custom-made by a dentist based on impressions made of the individual's mouth.
But even with adequate protection, an injury can still happen. Here's what you should do if your child has an injury to their jaw, mouth or teeth.
Recognize signs of a broken jaw. A broken jaw can result in severe pain, swelling, difficulty speaking, numbness in the chin or lower lip or the teeth not seeming to fit together properly. You may also notice bleeding in the mouth, as well as bruising under the tongue or a cut in the ear canal resulting from jawbone movement during the fracture. Get immediate medical attention if you notice any of these signs.
Take quick action for a knocked-out tooth. A tooth knocked completely out of its socket is a severe dental injury. But you may be able to ultimately save the tooth by promptly taking the following steps: (1) find the tooth and pick it up without touching the root end, (2) rinse it off, (3) place it back in its socket with firm pressure, and (4) see a dentist as soon as possible.
Seek dental care. Besides the injuries already mentioned, you should also see a dentist for any moderate to severe trauma to the mouth, teeth and gums. Leading the list: any injury that results in tooth chipping, looseness or movement out of alignment.
Even a top athlete like Zdeno Chara isn't immune to injury. Take steps then to protect your amateur athlete from a dental or facial injury.
If you would like more information about dealing with sports-related dental injuries, please contact us or schedule an appointment for a consultation. To learn more, read the Dear Doctor magazine articles “Athletic Mouthguards” and “The Field-Side Guide to Dental Injuries.”
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