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Speaker 1: Welcome to Katie's Crib, a production of shondaland Audio in

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Speaker 1: partnership with iHeartRadio. What happens if the parent themselves is

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Speaker 1: super afraid and triggered by dentists? Like what happens when

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Speaker 1: you're the parent who I know hates the dentists, is terrified,

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Speaker 1: can't deal with the sounds? What do you do?

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Speaker 2: That's hard to be honest, because kids will come in

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Speaker 2: all the time with these preconceptions from their parents, and

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Speaker 2: they'll be like a cooperative patient for cleanings. They come

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Speaker 2: in for a filling and they're crying. I'm like, what's wrong? Like,

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Speaker 2: why are you upset? My mommy said I was can

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Speaker 2: get a shot and it's gonna hurt. I'm like, thanks, mom.

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Speaker 2: So sometimes the best thing is to not say anything

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Speaker 2: at all or asci the dentists first. How should I

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Speaker 2: prepare my child? The best thing is to not say

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Speaker 2: too much and give your child a fair start.

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Speaker 1: Welcome back everybody to Katie's Crib. I feel like I

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Speaker 1: am the most famous person in the world right now,

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Speaker 1: the fact that I have these two guests that we're

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Speaker 1: about to have on today. Because if you're a mom

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Speaker 1: in the valley, of Los Angeles. I'm talking to Studio City,

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Speaker 1: Sherman Oaks, to Luca Lake.

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Speaker 3: There's a good.

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Speaker 1: Chance that your dentist is probably possibly doctor Jill and

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Speaker 1: doctor Michael Laski. There are guests today. If you're listening

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Speaker 1: and you are not in the Los Angeles area and

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Speaker 1: you have no idea who these two infamous dentists are,

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Speaker 1: you're gonna know and you're going to be so grateful.

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Speaker 1: I feel like having little kids. Everyone is constantly asking me, like,

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Speaker 1: when do they have to go to the dentist? How

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Speaker 1: do we get them to brush their teeth? How did

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Speaker 1: they get to floss? What happens when they have eight

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Speaker 1: thousand cavities? Because guess what, Albi had nine and had

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Speaker 1: to get put under. But we're going to get into

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Speaker 1: all that. Let me tell you a little bit about

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Speaker 1: doctor Jill and doctor Michael Laski. They are partners in

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Speaker 1: both business and life. Three years after meeting through their

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Speaker 1: mutual dental school professor, they were married and started practicing

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Speaker 1: together at the Laski Pediatric Dental Group. Doctor Jill and

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Speaker 1: Michael believe it's important to care for their young patients

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Speaker 1: and their families like they are part of their own

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Speaker 1: extended family. As parents to two boys, they believe everyone

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Speaker 1: who enters their pediatric dental office should not only receive

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Speaker 1: exceptional oral health care, but more importantly, be treated with kindness, compassion,

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Speaker 1: and respect. Their professional goals are to help young patients

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Speaker 1: develop confidence and treatment and to instill in them healthy

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Speaker 1: dental habits that last a lifetime. Their personal goals are

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Speaker 1: to make a positive impact on their community and create

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Speaker 1: a healthy work life balance. Doctor Jyllan MICHAELASKI, welcome to

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Speaker 1: Katie's PRIs. Oh my goodness, I am so excited. I

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Speaker 1: have wanted to do an episode about pediatric dentistry since

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Speaker 1: I started this thing. You're in season six. My son

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Speaker 1: had nine cavities by the age of four and a half,

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Speaker 1: so I want it to be known here that I

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Speaker 1: don't give him too much sugar. No, I'm kidding, it's not.

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Speaker 1: It's not about that. First and foremost, when does a

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Speaker 1: child first go to the dentist.

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Speaker 4: First time a child shoulda the dentist is about when

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Speaker 4: they're one years old, because about that time they're starting

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Speaker 4: to walk, and that's when trauma happens.

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Speaker 3: That's when falls happen.

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Speaker 4: And honestly, it's really important for parents to have a

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Speaker 4: dental home, a place where they can go because pediatricians

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Speaker 4: are wonderful. They had learned so much in the four

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Speaker 4: years that they go to school, but they get about

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Speaker 4: five minutes about teeth, and the mouth leads a lot,

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Speaker 4: and it is scary and it is petrified, and you

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Speaker 4: do not want to be like scrambling trying to figure

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Speaker 4: out what to do when your baby's mouth is gushing blood.

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Speaker 4: So really that's one of the main reasons. Secondarily, I

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Speaker 4: think it's important to know how to take care of

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Speaker 4: their teeth, what's best for their nutrition because they're adding

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Speaker 4: more and more solids, but really feeling comfortable and having

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Speaker 4: a dental homeless keys, so about one is best at

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Speaker 4: least for the first child.

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Speaker 3: The second child, you know, things becomes from more relaxed,

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Speaker 3: and the third twos by himself and a lot of.

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Speaker 4: Things to Parents have these misconceptions that if they push

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Speaker 4: then their kids are never going to want to brush

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Speaker 4: their teeth, And honestly, I give the example all the

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Speaker 4: time that I don't know about you, but my boys

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Speaker 4: are not liking their tushes cleaned. But you didn't leave

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Speaker 4: a dirty I tell parents it's all the same hole mouth.

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Speaker 1: Is a great way to look at it, right, It's

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Speaker 1: like we're not letting our kids walk around here with

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Speaker 1: not pristinely cleaned bottoms, correct, and we'd to let them

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Speaker 1: get away with not fully brushing, right, taking care of

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Speaker 1: their oral hygiene. That's a very great way to put it.

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Speaker 1: And doctor Michael, when you first see a one year

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Speaker 1: old that might have one, two teeth, some I'm sure

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Speaker 1: come in with a lot more teeth, what does the

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Speaker 1: dental care look like for a little one?

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Speaker 2: Right? Okay, first off, so going back to the first visit,

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Speaker 2: usually the important thing is not cleaning their teeth at

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Speaker 2: age one. So, like you said, they may only have one, two,

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Speaker 2: four or five teeth. It's more important to have the

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Speaker 2: conversation with the parent as far as how to take

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Speaker 2: care of the teeth, what to expect, answer any questions,

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Speaker 2: what kind of toothpaste to use at that age. So

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Speaker 2: it's more of an informational visit than natural cleaning visit

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Speaker 2: of their teeth.

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Speaker 1: For example, I had friends that use toothbrushes, friends that

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Speaker 1: used gaws or a washcloth, you know what I mean,

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Speaker 1: while they were in the bath, right, Instead of making

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Speaker 1: it a whole thing. Here's a really scary question, doctor

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Speaker 1: Joe Laski, since you brought it up first, what is

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Speaker 1: the ratio, say, of how many little ones come in

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Speaker 1: with knocked out teeth?

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Speaker 4: Kids get bumped, They get bumped, even little ones. I

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Speaker 4: would say about fifty percent of kids have a gray

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Speaker 4: or yellow or discolored front tooth. I would definitely say that,

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Speaker 4: And I'd say large percent has little edges that are

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Speaker 4: the edges are chipped a little bit.

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Speaker 3: Yeah, and it didn't have to be like some big trauma.

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Speaker 4: It could have just you know, playing with a sibling

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Speaker 4: or tottering around and bumped and it hit more their knee,

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Speaker 4: but their face hit it for a second. Yeah, there's

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Speaker 4: lots of little microtraumas along the way that can make

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Speaker 4: the teeth discolored and parents think that they're dead and

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Speaker 4: they're not necessarily dead.

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Speaker 3: Most of the time, they're just bruised.

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Speaker 1: My son knocked his tooth in COVID on a he

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Speaker 1: fell off the couch, his tooth hit a fire truck

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Speaker 1: and wabam, that's the gray tooth. I'm so pumped. It's

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Speaker 1: loose right now. Yeah, and he's all upset He's like,

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Speaker 1: the tooth Fairy's good to know it's my grade tooth.

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Speaker 3: I'm like this, okay, it's okay, just brush it extra.

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Speaker 1: And I tell him that, oh yeah, I threaten that

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Speaker 1: tooth fairy like nobody's business. I'm like, she's coming soon.

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Speaker 1: You better check yourself. And then your name is brought

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Speaker 1: up in my household all the time because I lie constantly,

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Speaker 1: Like the doctor Lasky appointments coming up.

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Speaker 3: You're gonna read, oh for sure.

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Speaker 4: Yeah, we're very popular. Yeah, between five and seven every night.

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Speaker 1: We're very popular and very much brought up in everyone's back.

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Speaker 3: Exactly exactly how.

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Speaker 1: Often is it recommended that children visit the dentists? Is

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Speaker 1: it the same as adults? Is it like an every

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Speaker 1: six month thing?

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Speaker 3: Correct?

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Speaker 2: Yes, just like every six months.

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Speaker 1: What is the best way for parents to understand that

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Speaker 1: consistency helps a child to brush their teeth? But I

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Speaker 1: aren't the parent, Okay, everyone needs to get honest with themselves.

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Speaker 1: I feel like the parents are the best role models

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Speaker 1: to their kids. Am I wrong? Like I feel like

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Speaker 1: we teach modeling all the time. So if your kids

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Speaker 1: see you flossing and they see you brushing before bed

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Speaker 1: and all that kind of stuff. So someone called my

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Speaker 1: husband he skips nights a lot. Sh Michael Angel just shocked.

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Speaker 1: I just outed my husband. He's so upset. But is

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Speaker 1: that true? Like parents listening, you better get your act together.

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Speaker 2: Modeling is a big thing, and kids see what their

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Speaker 2: parents do. So it's hard to say one thing and

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Speaker 2: do another. Do as they say, not do as I do.

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Speaker 2: And it's hard to expect your child to brush your

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Speaker 2: teeth twice a day if you're not doing it. Definitely,

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Speaker 2: and a lot of times at that age, parents might

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Speaker 2: brush with their child correct at the same time to

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Speaker 2: show them how to brush properly, and it gets a

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Speaker 2: child into brushing more.

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Speaker 4: Well. That being said, is that you mentioned is like

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Speaker 4: this is one time in life where quantity matters more

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Speaker 4: than quality. So it is more important for you to

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Speaker 4: make sure that you're brushing your kid's teeth for five

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Speaker 4: seconds every night than like two or three good brushes

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Speaker 4: a week. You're making connection right now in their little brains.

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Speaker 4: That like getting ready for bed, pajamas, bathroom, bath like

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Speaker 4: La Lata Lotti, all of that goes and brushing is

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Speaker 4: incorporated in that.

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Speaker 1: Right. This is a routine that you never leave behind

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Speaker 1: in their art night for us, if it helps anyone listening.

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Speaker 1: We literally have their toothpaste and toothbrushes all over our

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Speaker 1: house because I think it's such a pain in the butt.

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Speaker 1: I'm in a cow I'm in a ranch style house,

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Speaker 1: so it's long, and sometimes when we're getting out of

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Speaker 1: the house almost and someone's having a meltdown and I

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Speaker 1: just want to get them out, but their toothbrushes all

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Speaker 1: the way in their bathroom, you know, on the other

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Speaker 1: side of the house. I'm like, forget it. Look, these

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Speaker 1: are the ones that are at the kitchen sink. I mean,

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Speaker 1: I don't even know if that's disgusting that we're spittling

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Speaker 1: in there, but I just need to get it done,

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Speaker 1: you know, or it's in this other bathroom. Following up

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Speaker 1: to what you were talking about, Michael, rushing with them

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Speaker 1: modeling all of the routine themselves. What happens if the

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Speaker 1: parent them so elves is super afraid and triggered by dentists,

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Speaker 1: Like what happens when you're the parent who I know

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Speaker 1: hates the dentists, is terrified, can't deal with the sounds?

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Speaker 1: What do you do?

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Speaker 2: That's hard? Yeah, you're not because kids will come in

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Speaker 2: all the time with these preconceptions from their parents, and

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Speaker 2: they'll be like a cooperative patient for cleanings. They come

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Speaker 2: in for a filling and they're crying. I'm like, what's wrong?

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Speaker 2: Like why are you upset? My mommy said I was

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Speaker 2: gonna get a shot and it's gonna hurt. I'm like, thanks, mom,

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Speaker 2: So now you gotta undo all that without lying to

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Speaker 2: the child because they probably will be getting a shot possibly.

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Speaker 2: So sometimes the best thing is to not say anything

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Speaker 2: at all, or aci dentists first, how should I prepare

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Speaker 2: my child? But it's hard when a parent is scared

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Speaker 2: to not portray those fears onto your child. And sometimes

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Speaker 2: it's just a look. They don't have to say anything,

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Speaker 2: but that scared look on their faces like oh my

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Speaker 2: gosh with their eyes and the child consent. So it's

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Speaker 2: very difficult to be competent. It's the best thing is

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Speaker 2: to not say too much and give yourch other a

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Speaker 2: fair start.

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Speaker 1: Just don't say anything at all and let them they

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Speaker 1: don't know showing up that it's a bad thing. Correct, Correct,

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Speaker 1: it's a great pediatric dentist's office. They may get a toy,

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Speaker 1: you know, a cool toothbrush, or a flavorful bubblegum tasting

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Speaker 1: toothpaste ecrapting awesome. If a child needs work done in

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Speaker 1: their mouth. Follow up to that question, what do you

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Speaker 1: suggest is the way we tell them.

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Speaker 4: I personally avoid the sea word cavity has a really

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Speaker 4: negative connotation, and you don't know if it's from an

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Speaker 4: older sibling somebody from school. So we kind of like

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Speaker 4: to say, like a little dirty spot, you're going to

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Speaker 4: come back for there different toothbrush. I mean again, like

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Speaker 4: what Michael mentioned, we're not lying to them, We're just

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Speaker 4: framing it in a way that seems a little bit

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Speaker 4: more gentle to them, doesn't seem a scary. Yeah, another toothblash,

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Speaker 4: Like usually if you found a cabinet xtra, that picture

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Speaker 4: you took was great, but there was a little more dirt.

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Speaker 4: So we're gonna sweep it out and then we're gonna

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Speaker 4: paint it and color it and draw something on it,

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Speaker 4: or you know, kind of make it that way. And

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Speaker 4: I just and then I tell the parents don't say

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Speaker 4: anything else. And then if they do ask at home.

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Speaker 4: Instead of lying, like Michael mentioned, you to say, let's

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Speaker 4: just ask doctor. Ask you, let's see what doctor Joel says,

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Speaker 4: or let the dental professionals explain it to your child

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Speaker 4: and then you're not putting your foot in your mouth.

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Speaker 1: This is gonna seem like a maybe, like a controversial question,

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Speaker 1: but it's in here, so somebody wanted to know the answer.

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Speaker 1: How do we know if the kid needs work done

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Speaker 1: that it's not like a scam.

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Speaker 3: Oh this has.

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Speaker 1: Never happened to me in my life because I've gone

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Speaker 1: to only like word of mouth, the most like reputable

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Speaker 1: doctor s dentist. But there are a lot of moms

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Speaker 1: listening who I'm sure go somewhere. Someone says, there's like

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Speaker 1: a million things. It's costs this much money, like this

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Speaker 1: something that is true that we need to be conscious about.

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Speaker 2: I always tell parents, if you want a second opinion,

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Speaker 2: buy means all means go. It's hard because you want

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Speaker 2: to trust the doctor, but as a lay person, you

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Speaker 2: don't know what's going on. Someone take taking your card

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Speaker 2: to the mechanic. So very often find cavities in between

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Speaker 2: the teeth on an X ray. They're not physible to

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Speaker 2: the naked eye. So you look in child's mouth, the mouth,

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Speaker 2: the teeth look perfectly white and clean. You don't see

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Speaker 2: any decay, any holes, any black spots, whatever, but there

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Speaker 2: could be eight, nine, ten cavities present. So I'll always

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Speaker 2: pull up the X rays and show the parent you

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Speaker 2: see this dark spot right here, and explain to them

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Speaker 2: what's going on, because it's definitely hard to absorb, understand,

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Speaker 2: or you know, relate to Oh my gosh, talk my

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Speaker 2: kid as a cavities all of a sudden at one time.

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Speaker 4: Especially if you didn't take the first time you gaint

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Speaker 4: X rays like he said.

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Speaker 3: So I think that.

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Speaker 4: Kind of like with everything in life, you need to

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Speaker 4: go with your instinct, go with your parent gut, and

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Speaker 4: then ask questions and you should have the right to

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Speaker 4: get those questions answered before anything is done.

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Speaker 3: Love this.

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Speaker 1: So that segues perfectly into my son's nine cavity between

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Speaker 1: all of his back teeth. How many cavities is too many?

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Speaker 1: What's a shocker because I was fucking shocked. Oh yeah,

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Speaker 1: I mean I've had one cavity in my whole life.

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Speaker 1: My husband's had a ton, which there is some genetics

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Speaker 1: that comes into play here. Can you explain why this happened?

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Speaker 2: So a lot of it is genetics. So to get

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Speaker 2: a cavity and eat three things, a tooth, a sugar source,

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Speaker 2: which is any carbohydrate, bread, fresh fruit, candy. It does

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Speaker 2: not make a difference. And you need the bacteria that

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Speaker 2: causes the cavities, and that's the part you can't control.

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Speaker 2: So if they have very high level of the cavity

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Speaker 2: causing bacteria, you'll get lots of cavites in your lifetime

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Speaker 2: or cavities. If you don't have the bacteria, you won't

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Speaker 2: get the cavities, and you can't control that, and you

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Speaker 2: don't know it ahead of time.

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Speaker 3: So I've never had a cavity fifty one, Oh my god. Okay,

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Speaker 3: so he had one. No, no, but it's not because I'm

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Speaker 3: not the best best brusher or flosster or had the

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Speaker 3: best diet of my whole life.

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Speaker 4: And this is a perfect example. Our younger son. The

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Speaker 4: toothbrush not his best friend. He's seventeen now, so it's

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Speaker 4: kicking in.

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Speaker 1: But let me tell you about you're honest the time,

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Speaker 1: and let.

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Speaker 4: Me tell you never had a cat. So he has

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Speaker 4: mommy spit. And I always tell parents like this is

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Speaker 4: one time in life. It's always the sibling who does

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Speaker 4: has the best home care that gets all the cavities

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Speaker 4: and it's the one that barely brushes who does it?

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Speaker 4: So I tell parents this is the first lesson in

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Speaker 4: their little lives that fair is not equal. Wow, sometimes

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Speaker 4: it's a lot out of your control. And then the

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Speaker 4: ones that have the bacteria have to work extra hard,

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Speaker 4: right to make sure that they don't have to fight it.

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Speaker 5: And where does this bacteria picked up? Is it from

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Speaker 5: a fork?

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Speaker 1: A kids?

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Speaker 4: Right?

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Speaker 1: Yeah? What is it?

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Speaker 2: So there's different theories, But what I've been told is

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Speaker 2: that it's physically transferred from person to person like you

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Speaker 2: would catch a cold, and then once your body accepts

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Speaker 2: the bacteria, you're set for life. Not in my interpretation.

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Speaker 2: I don't know how much this is based on science,

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Speaker 2: But my interpretation is everyone might be exposed to it,

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Speaker 2: but certain people may not be able to reproduce it.

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Speaker 2: For example, all this child might come home sick with

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Speaker 2: the flu. Sometimes everyone gets sick. Sometimes only one of

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Speaker 2: the person the family gets sick, not every time every

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Speaker 2: person will get sick. So I think it's the same

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Speaker 2: kind of a concept where not everyone who is exposed

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Speaker 2: to it will then keep it and keep reproducing in

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Speaker 2: their body.

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Speaker 4: Yeah, but there are things that help fight it, But

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Speaker 4: there's a window of infectivity between zero and three where

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Speaker 4: you're more prone to actually acquiring the bacteria. So your child,

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Speaker 4: if they embraces what their jaw looks like, the shape

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Speaker 4: of their teeth, that's how.

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Speaker 3: Your genetics of the parents mix. But really you.

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Speaker 4: Can acquire the bacteria not only from a blood relative,

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Speaker 4: but from outside primary caregiver, from like you'd mentioned, blowing

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Speaker 4: on food, giving kisses.

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Speaker 2: Water bottles.

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Speaker 4: So the best way to fight that is to make

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Speaker 4: sure the adults have taken care of all of their decay.

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Speaker 4: They don't have active decay in their mouth, because the

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Speaker 4: more active decay, then that higher the bacteria levels are.

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Speaker 6: Oh, active decay, that's gross.

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Speaker 1: I know, I know this is a big one for

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Speaker 1: I think American Academy Pediatrics. Bottles in the bed or

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Speaker 1: like bottling and not brushing your teeth after Like is

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Speaker 1: that just like sugar on the teeth and it's bad news.

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Speaker 3: Bears everything at night sits.

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Speaker 4: So that's that's the longest time where you're not like

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Speaker 4: drinking water or talking or moving your tongue around. Right. So, ye,

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Speaker 4: breast milk formula, I mean it's sweet, so it has

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Speaker 4: a lot of bacteria.

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Speaker 1: Sugar in it, and bacteria got it.

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Speaker 4: So it fits on your tongue and then the tongue

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Speaker 4: hits the back of the front teeth, and that's usually

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Speaker 4: where those first cavities happen for most kids.

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Speaker 1: So let me tell you, guys, when alb got the nine,

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Speaker 1: the nice nine cavety sitch, and everyone joked about my

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Speaker 1: mother ing and the amount of sugar he'd had and

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Speaker 1: all that. Now, he definitely liked sugar, but not any

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Speaker 1: more or less than all the other kids, So whatever,

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Speaker 1: he got the shit end of the deal right exactly.

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Speaker 1: But our experience that I want to share with our

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Speaker 1: listeners because it was the best choice for us. I

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Speaker 1: have a lot of friends whose kids have had some cavities,

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Speaker 1: and the kids totally went and sat for it and

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Speaker 1: maybe did some laughing gas and we're cool. I showed up,

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Speaker 1: we tried, we sat, we started, and Albe literally flew

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Speaker 1: off the chain at just the taste of whatever lotion.

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Speaker 5: Glodes the topical anesthetics, which was step one of one hundred,

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Speaker 5: sent him through the roof of like I don't like it.

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Speaker 1: Hot I got and just like losing his mind. Doctor

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Speaker 1: Laski was like, there's no way I'm going to be

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Speaker 1: able to do four today, and that he's ever coming

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Speaker 1: back here again in a month to do the other four.

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Speaker 1: He would be a perfect candidate to do this all

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Speaker 1: under anesthesion do it one time, and of course I

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Speaker 1: was like almost in tears and was terrified to put

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Speaker 1: my child under. And I have to say, I'm so

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Speaker 1: grateful that you held my hand because my son has

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Speaker 1: no recollection of it. I have the recollection of him

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Speaker 1: going under and being like that was really scary, and

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Speaker 1: just sitting and pacing outside of your office with another

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Speaker 1: mom whose kid had ten cavities, who was right before him,

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Speaker 1: and we were sort of holding each other's hands. But

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Speaker 1: what's the the gift was is that he does not

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Speaker 1: have any bad memory when we bring up your name,

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Speaker 1: he is no fear attached to that experience because to him,

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Speaker 1: he walked in, he fell asleep within a minute, and

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Speaker 1: he was up and it was over. You know, the

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Speaker 1: whole thing was an hour and we were home and

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Speaker 1: he was at school the next day. Who is a

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Speaker 1: candidate for something like this option versus no, you know what,

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Speaker 1: you're a different age. He was four and a half

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Speaker 1: when this happens, which is that's really little in my opinion,

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Speaker 1: when do you suggest something like this, When should a

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Speaker 1: parent advocate for something like this versus going the old

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Speaker 1: school route. What are your any advice here?

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Speaker 2: So if a child will sit in the chair and

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Speaker 2: be cooperative enough to get started, always trying the chair first,

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Speaker 2: just there's always a risk tantathesia and put in a

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Speaker 2: child to sleep, and most parents don't want to do it,

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Speaker 2: so it's never our first step go to. But for

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Speaker 2: some children who just absolutely can't do it, you don't

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Speaker 2: have any other choice. So the candidate is perfect, like

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Speaker 2: your son who like freaked out for the littlest thing,

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Speaker 2: and then you got to do like you said, step

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Speaker 2: one of one hundred, you know. And I'll try and

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Speaker 2: tell the parents, like, we can get through this. It's

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Speaker 2: not gonna be fun for anybody. You're gonna have to

404
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Speaker 2: hold your child down. You're gonna be crying at the

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Speaker 2: end because your child's crying. Yeah, everybody, I won't be

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Speaker 2: able to do a good job. So I'm trying to

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Speaker 2: rest with their kid and fill their teeth at the

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Speaker 2: same time and say great, we're done. Now I can

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Speaker 2: come back and do it round two or round three,

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Speaker 2: And then they want to get out of the car.

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Speaker 1: Nobody wants to do that. That sounds terrible. And my

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Speaker 1: son has censories like he can't. He freaks out when

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Speaker 1: you brush his hair. He's had a beasting and it

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Speaker 1: was like the world ended. It was phenomenal.

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Speaker 4: One of the reasons why I went to pediatrics was

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Speaker 4: because I really wanted to make sure that kids are

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Speaker 4: comfortable taking care of their bodies. Because what you the

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Speaker 4: habit you learn as a child will take you through

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Speaker 4: the rest of your life. So if you're not petrified

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Speaker 4: of going and that's why you gave your son the

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Speaker 4: gift of having his donal work a down whine who's asleep,

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Speaker 4: so then he won't be scared to take care of

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Speaker 4: his teeth later, So then things won't snowball, right, because

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Speaker 4: avoidance is that's when you have problems, mostly your teeth, right,

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Speaker 4: any other part of your body.

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Speaker 1: Is there anything else we can do to prevent yellow

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00:22:12,040 --> 00:22:16,000
Speaker 1: adult teeth as baby teeth fall out? You mentioned on

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Speaker 1: your YouTube channel that parents should not use teeth whitening products.

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Speaker 1: Doctor Jill, what do you think about that?

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Speaker 4: Okay, so adult teeth are innately more yellow than baby teeth,

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Speaker 4: and it is so unfair baby teeth are like toilet

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Speaker 4: bow white, right, and that adult teeth are not. They

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Speaker 4: come in looking extra yellow because here you are, you

434
00:22:37,840 --> 00:22:42,480
Speaker 4: have white teeth. The contrast, right, so you have really

435
00:22:42,520 --> 00:22:44,520
Speaker 4: white and then you have something that looks yellow. The

436
00:22:44,600 --> 00:22:47,480
Speaker 4: yellow is gonna look even more yellow than adult.

437
00:22:48,080 --> 00:22:50,760
Speaker 1: I'm so glad I know this in advance.

438
00:22:50,840 --> 00:22:53,160
Speaker 4: So then a full mouth of the same colored teeth

439
00:22:53,200 --> 00:22:55,840
Speaker 4: doesn't look as bad. And then also it depends, like

440
00:22:56,160 --> 00:22:59,320
Speaker 4: you know your your complexion. If you're a more fair skin,

441
00:22:59,400 --> 00:23:01,680
Speaker 4: they're gonna look more yellow. So unless you're going to

442
00:23:01,720 --> 00:23:03,879
Speaker 4: walk around with red lipstick on, I mean, it's going

443
00:23:03,920 --> 00:23:07,440
Speaker 4: to be hard to make the baby teeth look really white.

444
00:23:07,640 --> 00:23:11,320
Speaker 1: But we should not be using whitening products on children's.

445
00:23:10,800 --> 00:23:12,320
Speaker 4: Well because it's not going to help because they're not

446
00:23:12,400 --> 00:23:15,560
Speaker 4: suffering from coffee steak all those kind of things that

447
00:23:15,600 --> 00:23:21,040
Speaker 4: would make the extremes extaint. So that's what the grittiness

448
00:23:21,080 --> 00:23:23,360
Speaker 4: of the whitening toothpastees. So that's not really what their

449
00:23:23,440 --> 00:23:24,200
Speaker 4: issue is.

450
00:23:24,840 --> 00:23:27,840
Speaker 1: Right, It just looks more yellow because that is what

451
00:23:27,920 --> 00:23:31,560
Speaker 1: they are, and it's standing next to white baby teeth exactly,

452
00:23:32,240 --> 00:23:34,880
Speaker 1: or gray baby teeth in my child's exactly, but.

453
00:23:34,800 --> 00:23:37,880
Speaker 4: I hope that's only one or two and that's right, right,

454
00:23:37,920 --> 00:23:43,040
Speaker 4: So it is really normal to have yellowish adult teeth,

455
00:23:43,480 --> 00:23:45,280
Speaker 4: but they look extra yellow because they're next to the

456
00:23:45,400 --> 00:23:46,359
Speaker 4: porcelain white teeth.

457
00:23:47,520 --> 00:23:52,359
Speaker 1: You know, I've seen a lot of scooter incidents, trampoline incidents.

458
00:23:52,400 --> 00:23:54,879
Speaker 1: I mean, of my friends that I can think of,

459
00:23:55,320 --> 00:23:58,399
Speaker 1: I have four that have knocked out teeth, So I

460
00:23:58,480 --> 00:24:00,800
Speaker 1: know this is more common than we would like to admit.

461
00:24:01,680 --> 00:24:05,320
Speaker 1: Do you always pull the tooth? What's the deal? Can

462
00:24:05,400 --> 00:24:06,400
Speaker 1: we expect a little bit?

463
00:24:06,440 --> 00:24:10,280
Speaker 2: So if it's a baby tooth that gets knocked completely out,

464
00:24:10,520 --> 00:24:12,919
Speaker 2: then it goes to the tooth fairy, right, You cannot

465
00:24:12,920 --> 00:24:15,119
Speaker 2: put it back in. Just leave it out. You're done,

466
00:24:15,520 --> 00:24:18,400
Speaker 2: that's it, and you just treat the after pain right

467
00:24:18,760 --> 00:24:21,160
Speaker 2: kind on mud if you need it, and everything should

468
00:24:21,160 --> 00:24:25,280
Speaker 2: be fine. If the tooth is displaced, so it's not

469
00:24:25,400 --> 00:24:27,680
Speaker 2: knocked out, but it's loose and like kind of push forward,

470
00:24:27,720 --> 00:24:30,200
Speaker 2: pulled backwards or something. And if it's a baby tooth,

471
00:24:30,480 --> 00:24:32,960
Speaker 2: then you want to call your dentist and come in

472
00:24:33,000 --> 00:24:34,880
Speaker 2: and usually we'll do as well, reposition the tooth, put

473
00:24:34,880 --> 00:24:37,560
Speaker 2: it back in the right spot, a little wire on it,

474
00:24:37,640 --> 00:24:40,040
Speaker 2: like graces to stabilize it like a cast. If you

475
00:24:40,040 --> 00:24:42,560
Speaker 2: were to break your arm, for example, and you leave

476
00:24:42,600 --> 00:24:44,560
Speaker 2: the splint on for three weeks, take it off and

477
00:24:44,600 --> 00:24:47,639
Speaker 2: the tooth solidifies and then usually heals and it should

478
00:24:47,640 --> 00:24:50,200
Speaker 2: be fine. It's always the possibility that the nerve can

479
00:24:50,320 --> 00:24:53,040
Speaker 2: die from that, but that secondary a little bit later

480
00:24:53,080 --> 00:24:54,840
Speaker 2: down the road. But you are able to save the

481
00:24:54,880 --> 00:24:58,399
Speaker 2: teeth if it's still in the mouth. Okay, permanent tooth.

482
00:24:58,600 --> 00:25:00,080
Speaker 2: If that gets knocked out, you want to put it

483
00:25:00,200 --> 00:25:03,679
Speaker 2: back into the socket. A S, A P. Every second

484
00:25:03,800 --> 00:25:06,760
Speaker 2: does count. So if you're at the baseball field or

485
00:25:06,760 --> 00:25:09,400
Speaker 2: wherever we happen to be, pick it up off the ground,

486
00:25:09,760 --> 00:25:11,960
Speaker 2: don't clean it too much, just stick it back in

487
00:25:12,040 --> 00:25:14,320
Speaker 2: the socket and then get straight to a dentist.

488
00:25:15,160 --> 00:25:16,560
Speaker 3: Are you kidding me?

489
00:25:16,760 --> 00:25:18,119
Speaker 5: What are you talking about?

490
00:25:18,200 --> 00:25:20,000
Speaker 1: I don't know if I I don't know if I

491
00:25:20,040 --> 00:25:20,600
Speaker 1: could do that.

492
00:25:21,520 --> 00:25:26,119
Speaker 4: I get about the lake all right, when a patient

493
00:25:26,200 --> 00:25:29,800
Speaker 4: it was on a lake in Baker's Field, getting towed

494
00:25:29,840 --> 00:25:30,360
Speaker 4: behind a boat.

495
00:25:30,400 --> 00:25:33,720
Speaker 2: Mose little toob thing of the jiggy's and they're bouncing

496
00:25:33,720 --> 00:25:35,479
Speaker 2: around on the waves, not a wakeboard.

497
00:25:35,480 --> 00:25:37,359
Speaker 1: It was like in a round on a tube on

498
00:25:37,400 --> 00:25:37,720
Speaker 1: a tube.

499
00:25:37,800 --> 00:25:38,840
Speaker 3: Yah, yeah, behind.

500
00:25:39,280 --> 00:25:42,560
Speaker 2: Bouncing around her knee, hit her face and knocked out

501
00:25:42,600 --> 00:25:46,280
Speaker 2: her tooth. Her tooth landed on her lap in the lake,

502
00:25:46,520 --> 00:25:50,840
Speaker 2: the whole ake. So they had the tooth. They called

503
00:25:50,840 --> 00:25:52,720
Speaker 2: me right away. I said, put it in her mouth.

504
00:25:52,840 --> 00:25:55,159
Speaker 2: Just get it back into the socket. They did. They

505
00:25:55,240 --> 00:25:57,560
Speaker 2: drove all the way back to La from Baker's Field,

506
00:25:57,680 --> 00:25:58,119
Speaker 2: which is like.

507
00:25:58,119 --> 00:26:00,679
Speaker 3: A few hours. This is not around the corner.

508
00:26:01,080 --> 00:26:03,560
Speaker 2: And then I splintered the tooth to stabilize it. And

509
00:26:03,600 --> 00:26:06,600
Speaker 2: this was about four years ago, maybe even longer. And

510
00:26:06,640 --> 00:26:09,440
Speaker 2: that tooth is still in our mouth perfectly. Fine.

511
00:26:09,840 --> 00:26:13,760
Speaker 1: What it will reroot itself like into your bone.

512
00:26:13,760 --> 00:26:17,560
Speaker 2: It will reattach the problem if you clean it too much.

513
00:26:17,600 --> 00:26:20,600
Speaker 2: So there's this is getting very technical and dental related,

514
00:26:20,880 --> 00:26:23,000
Speaker 2: but there's fibers on the tooth that hold the tooth

515
00:26:23,080 --> 00:26:25,720
Speaker 2: in the bone. You can disturb those fibers and the

516
00:26:25,840 --> 00:26:30,360
Speaker 2: tooth will attach to the bone improperly. We'll just say,

517
00:26:31,080 --> 00:26:33,400
Speaker 2: and then you want to keep those fibers. It will

518
00:26:33,400 --> 00:26:37,080
Speaker 2: attach the best way and it can function normally later

519
00:26:37,119 --> 00:26:37,400
Speaker 2: in life.

520
00:26:38,320 --> 00:26:41,920
Speaker 4: Wow, and teeth the front and back kind of only

521
00:26:42,240 --> 00:26:44,399
Speaker 4: goes in one way, and if it's in the mouth,

522
00:26:44,800 --> 00:26:46,200
Speaker 4: we can always adjust it and tweak it if it

523
00:26:46,200 --> 00:26:48,119
Speaker 4: doesn't look like it's in right. But it's important to

524
00:26:48,160 --> 00:26:50,040
Speaker 4: get it back in the mouth so the pH and

525
00:26:50,080 --> 00:26:52,760
Speaker 4: everything stays as best as possible.

526
00:26:53,480 --> 00:26:55,280
Speaker 2: The exact timing can be off. Butt If the tooth

527
00:26:55,320 --> 00:26:58,080
Speaker 2: is out of the mouth for like five minutes, it

528
00:26:58,119 --> 00:27:00,320
Speaker 2: has a much worse chance of surviving than I'm in

529
00:27:00,359 --> 00:27:03,200
Speaker 2: one minute, and if it's twenty minutes, it's almost a goner.

530
00:27:03,840 --> 00:27:04,920
Speaker 1: Why don't we know this?

531
00:27:05,640 --> 00:27:09,000
Speaker 3: We should people know about the milk because that has

532
00:27:09,000 --> 00:27:09,760
Speaker 3: a similar pH.

533
00:27:09,840 --> 00:27:11,440
Speaker 4: There are saliva, but I mean, if you're like a

534
00:27:11,560 --> 00:27:14,119
Speaker 4: soccer field or whoever, no one's not milk in their bag,

535
00:27:14,640 --> 00:27:17,080
Speaker 4: so it's better to try to get it back in

536
00:27:17,080 --> 00:27:17,440
Speaker 4: the mouth.

537
00:27:18,720 --> 00:27:23,120
Speaker 1: What are some healthy snacks for cavity prevention? I would

538
00:27:23,200 --> 00:27:25,520
Speaker 1: love to know some options if there are any. And

539
00:27:25,520 --> 00:27:27,920
Speaker 1: then also what if they're lactose intolerant or they don't

540
00:27:27,960 --> 00:27:31,840
Speaker 1: like fruits and vegetables. Okay, it's so insane.

541
00:27:32,640 --> 00:27:34,360
Speaker 2: Do you want to try and stay away from snacks

542
00:27:34,359 --> 00:27:37,320
Speaker 2: that are chewy and sticky, that linger on the teeth,

543
00:27:37,960 --> 00:27:40,560
Speaker 2: gummies that just means sugar on the teeth for a

544
00:27:40,680 --> 00:27:43,560
Speaker 2: longer period of time, and even facts you may not

545
00:27:43,720 --> 00:27:47,040
Speaker 2: think of for example, like goldfish crackers, they form a

546
00:27:47,080 --> 00:27:49,040
Speaker 2: pace of your saliva. They get stuck in the grooves

547
00:27:49,080 --> 00:27:51,760
Speaker 2: of your teeth. So I'll have kids come in, I'll say, oh,

548
00:27:51,800 --> 00:27:54,040
Speaker 2: did you just see crackers like goldfish crackers? And I

549
00:27:54,080 --> 00:27:55,920
Speaker 2: can kind of guess what they just ache. It just

550
00:27:55,960 --> 00:27:57,320
Speaker 2: stays in the grooves of the teeth.

551
00:27:57,680 --> 00:27:59,880
Speaker 3: And then if you're a gang brand like, it doesn't matter.

552
00:28:00,200 --> 00:28:05,399
Speaker 4: They canna make it better, right, Yeah, organic sugar is.

553
00:28:05,400 --> 00:28:06,640
Speaker 3: Still sugar is still a card.

554
00:28:06,840 --> 00:28:09,400
Speaker 1: Sure sure, sure Nuts.

555
00:28:09,119 --> 00:28:11,280
Speaker 3: Are good because it's fat and protein. So if they

556
00:28:11,280 --> 00:28:13,440
Speaker 3: can eat nuts, that is helpful.

557
00:28:14,119 --> 00:28:17,160
Speaker 4: Fresh fruit is the most ideal freeze dried is necks

558
00:28:17,400 --> 00:28:21,400
Speaker 4: sometimes kids like those. The dried fruit is by far

559
00:28:22,000 --> 00:28:23,200
Speaker 4: our least favorite.

560
00:28:23,480 --> 00:28:27,439
Speaker 1: They have amazing dairy free options of yogurt packets now believable.

561
00:28:28,080 --> 00:28:30,640
Speaker 4: Yes, So if you're kind of like snacking things, it's

562
00:28:30,640 --> 00:28:34,160
Speaker 4: better to have like a puff a cheerio, a booty

563
00:28:34,160 --> 00:28:36,680
Speaker 4: of bomba like the dissolved veggie stick.

564
00:28:36,720 --> 00:28:38,920
Speaker 3: Those dissolved more than what Michael mentioned about, like.

565
00:28:38,920 --> 00:28:42,480
Speaker 2: A cracker, and wash it down with water, not lemonade

566
00:28:42,560 --> 00:28:43,360
Speaker 2: or apple juice.

567
00:28:45,320 --> 00:28:51,200
Speaker 1: What about the passes the thumb sucking. Both my kids

568
00:28:51,200 --> 00:28:54,760
Speaker 1: are thumb suckers. I'm so grateful that my kids can

569
00:28:54,840 --> 00:28:59,560
Speaker 1: self soothe like crazy, and they are incredible sleepers, and

570
00:28:59,600 --> 00:29:02,880
Speaker 1: I've so just sort of accepted they're screwed. They're gonna

571
00:29:02,920 --> 00:29:08,000
Speaker 1: need braces anyway. So that's what that is. And he's

572
00:29:08,000 --> 00:29:10,520
Speaker 1: only gonna quit probably when he starts having sleepovers and

573
00:29:10,520 --> 00:29:14,480
Speaker 1: he's like embarrassed. But do you recommend to people to

574
00:29:14,640 --> 00:29:18,240
Speaker 1: like try to get them to quit at a certain age?

575
00:29:19,160 --> 00:29:21,880
Speaker 2: Pass fire, thumb, a levee. Anything that's in the mouth

576
00:29:21,920 --> 00:29:23,680
Speaker 2: for an extended period of time that you're sucking on

577
00:29:24,160 --> 00:29:27,160
Speaker 2: can cause disortions of the teeth and jaws, all right.

578
00:29:27,240 --> 00:29:30,800
Speaker 2: Typically can be any combination of three things. Teeth get

579
00:29:30,800 --> 00:29:34,080
Speaker 2: pushed up vertically so you have like an open bier,

580
00:29:34,160 --> 00:29:36,880
Speaker 2: and then teeth get pulled out horizontally, which is like

581
00:29:36,880 --> 00:29:39,440
Speaker 2: the buck tooth kind of appearance, or can cause the

582
00:29:39,440 --> 00:29:41,560
Speaker 2: nearness of the upper jaw where the top teeth gets

583
00:29:41,560 --> 00:29:46,400
Speaker 2: squeezed and pushed in. Okay, suck great. The vertical caparte

584
00:29:46,600 --> 00:29:49,400
Speaker 2: component will self correct at any age where they stop

585
00:29:49,440 --> 00:29:51,920
Speaker 2: at two, four or five. It does not make a difference.

586
00:29:51,960 --> 00:29:54,400
Speaker 2: Take away the object that teeth will just grow back

587
00:29:54,440 --> 00:29:56,680
Speaker 2: down like with gravity, and that part will self correct.

588
00:29:57,200 --> 00:29:59,840
Speaker 2: The other two parts will be correct with braces. Everything

589
00:29:59,880 --> 00:30:03,120
Speaker 2: is correct the bull You're not causing any permanent damage

590
00:30:03,720 --> 00:30:06,000
Speaker 2: by sucking your thumb or a passifire for an extended

591
00:30:06,000 --> 00:30:09,640
Speaker 2: period of time. Therefore, I always say to my patients,

592
00:30:10,240 --> 00:30:12,600
Speaker 2: let it continue and it will stop when the child's ready.

593
00:30:12,680 --> 00:30:16,000
Speaker 2: On average, passified child will stop around fourish and the

594
00:30:16,080 --> 00:30:17,560
Speaker 2: thumbsucker will stop around eight.

595
00:30:17,840 --> 00:30:19,360
Speaker 3: Okay, so now I'm gonna self discussed.

596
00:30:19,480 --> 00:30:23,600
Speaker 4: So both our kids who are pacifier babies, our older

597
00:30:23,680 --> 00:30:26,600
Speaker 4: son read the book at four years and one month

598
00:30:26,600 --> 00:30:28,520
Speaker 4: because we're like, our birthdays are one month apart.

599
00:30:28,560 --> 00:30:30,920
Speaker 3: So for my birthday president he found a sleep all

600
00:30:31,040 --> 00:30:32,200
Speaker 3: night without the pacifier.

601
00:30:32,680 --> 00:30:36,640
Speaker 4: One thing to backtrack for fingers thumbs, I mean, they

602
00:30:36,640 --> 00:30:38,160
Speaker 4: need you as a parent, so you're not cutting their

603
00:30:38,200 --> 00:30:41,080
Speaker 4: fingers off, so you know, so that's gonna that's gonna

604
00:30:41,080 --> 00:30:43,640
Speaker 4: die when it You're like, you'll grizzle out when it does.

605
00:30:43,840 --> 00:30:48,320
Speaker 4: But for an external objectic of pacifier or levy or something,

606
00:30:48,400 --> 00:30:51,520
Speaker 4: you can take it away. So we let we kind

607
00:30:51,520 --> 00:30:54,200
Speaker 4: of limited for our kids at certain times as they

608
00:30:54,200 --> 00:30:57,120
Speaker 4: got older to the quote unquote needing it kind of

609
00:30:57,160 --> 00:30:59,240
Speaker 4: the car for sleep they didn't need to have it

610
00:30:59,280 --> 00:31:01,640
Speaker 4: walking around the house with it hanging out of their head,

611
00:31:01,880 --> 00:31:05,160
Speaker 4: and you don't want it to interrupt their speech development.

612
00:31:06,080 --> 00:31:08,840
Speaker 4: So our first son had what Michael mentioned where the

613
00:31:08,920 --> 00:31:12,120
Speaker 4: upper teeth up shorter, and once we took the past

614
00:31:12,160 --> 00:31:15,040
Speaker 4: fire up four, it grew down and self corrected.

615
00:31:15,320 --> 00:31:19,760
Speaker 3: And our younger son didn't read the book and he had.

616
00:31:19,600 --> 00:31:23,400
Speaker 1: His classic second child, Yeah, five.

617
00:31:23,160 --> 00:31:26,440
Speaker 4: And three quarters, so he was about to enter kindergarten

618
00:31:27,000 --> 00:31:27,760
Speaker 4: at that age.

619
00:31:27,800 --> 00:31:29,880
Speaker 3: I'm like, you need to be responsible. It was his baba.

620
00:31:30,320 --> 00:31:32,400
Speaker 4: You need to be responsible for your ba ba, and

621
00:31:32,480 --> 00:31:35,200
Speaker 4: she couldn't find it one day, so I'm like, we're

622
00:31:35,680 --> 00:31:38,920
Speaker 4: it's over. David, Like, if it was that important to you.

623
00:31:38,480 --> 00:31:42,160
Speaker 1: You wouldn't have lost it five and three quarters. But yeah,

624
00:31:42,960 --> 00:31:43,200
Speaker 1: it up.

625
00:31:43,520 --> 00:31:46,680
Speaker 3: But the funny thing is that he was looking.

626
00:31:46,800 --> 00:31:48,200
Speaker 4: We used to keep it like in the drying rock

627
00:31:48,280 --> 00:31:50,680
Speaker 4: and the sink, and his older brother, rather two and

628
00:31:50,720 --> 00:31:52,280
Speaker 4: a half years apart, was like, oh I saw one

629
00:31:52,280 --> 00:31:54,280
Speaker 4: in the kitchen sink. And David goes running forth the

630
00:31:54,320 --> 00:31:56,520
Speaker 4: next morning and can't find it, and then he calls

631
00:31:56,680 --> 00:32:00,960
Speaker 4: me at work get everything to not want to run

632
00:32:01,000 --> 00:32:04,360
Speaker 4: the drug store to buy another passifier because he's this

633
00:32:04,400 --> 00:32:04,880
Speaker 4: is Bobby.

634
00:32:05,160 --> 00:32:07,920
Speaker 1: We got all done the same thing, but you did

635
00:32:08,040 --> 00:32:09,120
Speaker 1: if you stayed strong.

636
00:32:09,760 --> 00:32:10,600
Speaker 3: That's one thing with parents.

637
00:32:10,640 --> 00:32:13,840
Speaker 4: You asked about the advice, So it's the family's decision

638
00:32:13,840 --> 00:32:15,320
Speaker 4: if they want to pull. If they walk in and

639
00:32:15,360 --> 00:32:17,360
Speaker 4: say too, we're taking it away, I'm not going to

640
00:32:17,400 --> 00:32:19,640
Speaker 4: say no. But the only thing I say is that

641
00:32:19,880 --> 00:32:23,040
Speaker 4: every single person is taking care for the child, All

642
00:32:23,120 --> 00:32:25,320
Speaker 4: of the child's primary caregiver doesn't need to be on

643
00:32:25,360 --> 00:32:26,960
Speaker 4: the same page, because it.

644
00:32:27,040 --> 00:32:28,120
Speaker 3: Is really confusing.

645
00:32:28,520 --> 00:32:31,600
Speaker 4: If grandma watches the kids for X hours of the

646
00:32:31,720 --> 00:32:34,040
Speaker 4: day and the kids work it, they know Grandma lets

647
00:32:34,080 --> 00:32:36,880
Speaker 4: me still have the pacifier, and then mom comes home,

648
00:32:37,080 --> 00:32:38,640
Speaker 4: you're going to get a vicious cycle.

649
00:32:39,040 --> 00:32:41,040
Speaker 1: I remember one of the girls I used to nanny

650
00:32:41,080 --> 00:32:43,400
Speaker 1: for before I was able to pay my bills just

651
00:32:43,400 --> 00:32:45,640
Speaker 1: from acting. But I used to be zip for a

652
00:32:45,680 --> 00:32:48,280
Speaker 1: girl and when she her parents decided, like, you know,

653
00:32:48,280 --> 00:32:50,040
Speaker 1: it's time, we're going to be done with her woo

654
00:32:50,080 --> 00:32:52,240
Speaker 1: bee or whatever she called it, I don't know, and

655
00:32:52,280 --> 00:32:54,680
Speaker 1: we all went to Disneyland and she took all of

656
00:32:54,680 --> 00:32:57,280
Speaker 1: her pacifiers and put them in a ziplock baggie and

657
00:32:57,360 --> 00:32:59,960
Speaker 1: walked up to Minnie Mouse and she had to say

658
00:33:00,160 --> 00:33:02,360
Speaker 1: bye and then for the next three and I just said, no,

659
00:33:02,400 --> 00:33:03,720
Speaker 1: you remember, you gave them.

660
00:33:03,760 --> 00:33:03,960
Speaker 3: You know.

661
00:33:04,000 --> 00:33:05,200
Speaker 1: She's like, where are they?

662
00:33:05,240 --> 00:33:05,840
Speaker 4: Where are they?

663
00:33:05,960 --> 00:33:08,320
Speaker 1: And You're like, we gave them ultimnymiles. She's going to

664
00:33:08,320 --> 00:33:10,280
Speaker 1: give them to another little boy or a little girl

665
00:33:10,280 --> 00:33:12,280
Speaker 1: who needs them, is going to take care of them.

666
00:33:12,320 --> 00:33:14,480
Speaker 1: And it was a rough couple of days, but she

667
00:33:14,680 --> 00:33:15,640
Speaker 1: made it through.

668
00:33:15,840 --> 00:33:31,360
Speaker 5: Exactly flossing not doing it over.

669
00:33:31,400 --> 00:33:33,360
Speaker 1: I mean, I lost twice a day. I love flossing

670
00:33:33,720 --> 00:33:39,120
Speaker 1: my children. Who in hell is able to floss their

671
00:33:39,240 --> 00:33:42,080
Speaker 1: kid's teeth once a day? Who is doing that? And

672
00:33:42,160 --> 00:33:45,160
Speaker 1: give them all the awards? Like, are really doing this?

673
00:33:45,760 --> 00:33:49,320
Speaker 1: Do you actually have clients who's four year olds and

674
00:33:49,360 --> 00:33:51,120
Speaker 1: five year olds are flossing daily?

675
00:33:52,000 --> 00:33:54,760
Speaker 2: Probably not, to be honest, Are they telling me that

676
00:33:54,800 --> 00:33:59,120
Speaker 2: they are? Maybe? Sure, I'm sure, I'm I'm sure I'm

677
00:33:59,160 --> 00:33:59,800
Speaker 2: being told that.

678
00:34:00,240 --> 00:34:02,960
Speaker 1: And I have the numb chucks, I have all the

679
00:34:03,000 --> 00:34:05,560
Speaker 1: things that Amazon provides.

680
00:34:06,240 --> 00:34:08,919
Speaker 2: But it's hard. However, it's one of those things where

681
00:34:08,960 --> 00:34:11,200
Speaker 2: if you're flossing h if a child's fossing at H four,

682
00:34:11,239 --> 00:34:13,719
Speaker 2: they'll be flossing at h twenty four. So you want

683
00:34:13,760 --> 00:34:17,240
Speaker 2: to establish those habits early but it's a difficult habit

684
00:34:17,480 --> 00:34:18,800
Speaker 2: to do and get into. So what a lot of

685
00:34:18,800 --> 00:34:21,200
Speaker 2: times I'll tell parents is just start with the front teeth.

686
00:34:21,280 --> 00:34:23,120
Speaker 2: Do the easy ones. You're not going to run a

687
00:34:23,120 --> 00:34:26,640
Speaker 2: marathon on day one, so just floss like the top

688
00:34:26,960 --> 00:34:30,359
Speaker 2: four front teeth first and just do those and then

689
00:34:30,440 --> 00:34:33,440
Speaker 2: introduce more later down the road, and then eventually you

690
00:34:33,440 --> 00:34:36,080
Speaker 2: can get to everything. But if you take little steps,

691
00:34:36,280 --> 00:34:37,480
Speaker 2: it's definitely much more manageable.

692
00:34:38,080 --> 00:34:41,880
Speaker 1: On the same subject, water pick versus dental floss.

693
00:34:42,480 --> 00:34:47,239
Speaker 4: The water Pick brand has the American Dental Association sealed

694
00:34:47,239 --> 00:34:50,839
Speaker 4: that there's been research where they're just as effective as

695
00:34:51,080 --> 00:34:55,359
Speaker 4: traditional flossing, and a water pick we have found helps

696
00:34:55,440 --> 00:34:57,600
Speaker 4: last specially we start getting hardware in the mouth, like

697
00:34:57,680 --> 00:35:02,080
Speaker 4: braces or those visiliine buttons things some kids that could

698
00:35:02,080 --> 00:35:04,280
Speaker 4: be fun. And spitting out in the sink is novel,

699
00:35:04,320 --> 00:35:06,319
Speaker 4: and I think that might be the coolest thing ever.

700
00:35:06,360 --> 00:35:07,759
Speaker 3: And they can spit on the mirror, and.

701
00:35:08,000 --> 00:35:10,680
Speaker 4: You know, all the above, and then some it's like

702
00:35:10,760 --> 00:35:14,080
Speaker 4: way too much all at once. Earlier you mentioned like

703
00:35:14,120 --> 00:35:16,799
Speaker 4: some people use goss, some people use toothbrushes, you know,

704
00:35:16,800 --> 00:35:17,960
Speaker 4: and brushing their kids teeth.

705
00:35:18,440 --> 00:35:19,600
Speaker 3: It's all the above.

706
00:35:19,719 --> 00:35:23,440
Speaker 4: Is correct, because every child is different, and one child

707
00:35:23,560 --> 00:35:25,920
Speaker 4: for one month this feels great and then the next

708
00:35:25,960 --> 00:35:28,440
Speaker 4: month they hate that again. So you need to have

709
00:35:28,520 --> 00:35:31,200
Speaker 4: a lot of tools in a toolbox and you're caring

710
00:35:31,239 --> 00:35:32,080
Speaker 4: for your kid's teeth.

711
00:35:33,320 --> 00:35:38,080
Speaker 1: Any other dental hygiene tips for parents who are listening

712
00:35:38,320 --> 00:35:39,319
Speaker 1: that I have left out?

713
00:35:40,239 --> 00:35:42,560
Speaker 2: Yeah, so for the real little ones. Right, So your

714
00:35:42,600 --> 00:35:44,920
Speaker 2: two year old that doesn't want to brush, and I've

715
00:35:44,920 --> 00:35:46,600
Speaker 2: heard Jill say this. I saw this for me, so they'll.

716
00:35:46,440 --> 00:35:46,920
Speaker 3: Give you credit.

717
00:35:47,640 --> 00:35:50,960
Speaker 2: There's nothing magical about the bathroom, right, So you don't

718
00:35:50,960 --> 00:35:52,760
Speaker 2: have to be in the bathroom to brush your child's teeth.

719
00:35:53,160 --> 00:35:54,960
Speaker 2: They first of all, they can't spit the toothpaste out.

720
00:35:55,000 --> 00:35:56,480
Speaker 2: They're just too young, right, So you don't have to

721
00:35:56,520 --> 00:35:59,040
Speaker 2: be near the sink. You can do it on the couch,

722
00:35:59,320 --> 00:36:01,880
Speaker 2: in the kitchen, in the bedroom. So just find a

723
00:36:01,880 --> 00:36:04,440
Speaker 2: comfortable spot to brush their teeth instead of making it

724
00:36:04,480 --> 00:36:06,680
Speaker 2: a fight to be in the bathroom. The other thing

725
00:36:06,719 --> 00:36:09,440
Speaker 2: I recommend is put their head in your lap. So

726
00:36:09,520 --> 00:36:11,960
Speaker 2: sit on the floor of the couch the bed, lie

727
00:36:11,960 --> 00:36:14,319
Speaker 2: your child down with their head ling in your lap.

728
00:36:14,360 --> 00:36:17,080
Speaker 2: It almost mimics how a dentist would work. You can

729
00:36:17,120 --> 00:36:20,279
Speaker 2: see better. If necessary, you can take the lips and

730
00:36:20,360 --> 00:36:21,560
Speaker 2: kind of pull them out of the way with your

731
00:36:21,600 --> 00:36:24,200
Speaker 2: other hand, if you just have a better visually versus

732
00:36:24,280 --> 00:36:26,160
Speaker 2: facing your child and like stabbing at them with a

733
00:36:26,239 --> 00:36:29,720
Speaker 2: toothbrush or standing on the side of them and rushing

734
00:36:29,719 --> 00:36:31,600
Speaker 2: from the side because you can't see the back teeth

735
00:36:31,600 --> 00:36:34,120
Speaker 2: if you're brushing from the side right and their heads

736
00:36:34,120 --> 00:36:36,680
Speaker 2: bobbing around and moving, So get their head stable, look

737
00:36:36,719 --> 00:36:38,920
Speaker 2: straight into the mouth. And it still may only be

738
00:36:39,440 --> 00:36:41,839
Speaker 2: five or ten seconds of brushing time that they'll give you,

739
00:36:42,560 --> 00:36:44,520
Speaker 2: there'll be a better five or ten seconds than in

740
00:36:44,640 --> 00:36:45,520
Speaker 2: the other positions.

741
00:36:46,280 --> 00:36:50,239
Speaker 4: And I also think like two toothbrushes because when you're

742
00:36:50,239 --> 00:36:53,080
Speaker 4: around at eighteen months to three, like I do it

743
00:36:53,120 --> 00:36:56,439
Speaker 4: myself everything. So let them suck and brush their back

744
00:36:56,480 --> 00:36:58,440
Speaker 4: teeth and gnaw on it. And when they gnaw on

745
00:36:58,440 --> 00:37:01,080
Speaker 4: the toothbrush, they're gonna wipe the food from the back

746
00:37:01,120 --> 00:37:03,120
Speaker 4: molars where the flat part where you chew your food.

747
00:37:03,400 --> 00:37:06,319
Speaker 4: But the gun line is usually where the kids miss

748
00:37:06,320 --> 00:37:08,680
Speaker 4: because they're not gonna put the toothbrush half on their

749
00:37:08,719 --> 00:37:10,839
Speaker 4: teeth and half on their guns. And that's when you

750
00:37:10,840 --> 00:37:12,840
Speaker 4: can take a finger if they don't want to.

751
00:37:13,160 --> 00:37:14,160
Speaker 3: They pierce their lips.

752
00:37:14,200 --> 00:37:17,319
Speaker 4: You can still move your pointer finger and wipe the

753
00:37:17,400 --> 00:37:19,919
Speaker 4: plack out from the gun line, and they can keep

754
00:37:19,960 --> 00:37:23,120
Speaker 4: their lip their mouth closed, but you can still like wipe,

755
00:37:23,120 --> 00:37:26,479
Speaker 4: like you get something off their face, do that scratching motion.

756
00:37:27,320 --> 00:37:31,120
Speaker 1: Because my kids chew on their toothbrushes so much, I'm

757
00:37:31,160 --> 00:37:34,920
Speaker 1: going through toothbrush. I've never seen toothbrushes this mangled within.

758
00:37:36,080 --> 00:37:38,720
Speaker 1: I want to say there's a two week to three

759
00:37:38,840 --> 00:37:41,239
Speaker 1: week shelf life. I should be buying them in bulk

760
00:37:41,320 --> 00:37:45,520
Speaker 1: because it's just ridiculous. And at first I had the

761
00:37:45,520 --> 00:37:48,120
Speaker 1: ones with all the bells and whistles and the lighting

762
00:37:48,200 --> 00:37:49,759
Speaker 1: up and this that and the other thing, and now

763
00:37:49,760 --> 00:37:54,120
Speaker 1: we go through them so much. Do you recommend a

764
00:37:54,600 --> 00:37:57,960
Speaker 1: electric toothbrush for little ones or just the regular baby

765
00:37:57,960 --> 00:38:01,600
Speaker 1: bristle like Crayola has them those ones? What do you recommend?

766
00:38:02,160 --> 00:38:05,759
Speaker 2: I usually recommend whatever the child wants to use, So

767
00:38:05,960 --> 00:38:07,839
Speaker 2: one day it might be electric, next day it might

768
00:38:07,880 --> 00:38:09,680
Speaker 2: be the fingerbrush. Do you just have to go with

769
00:38:09,760 --> 00:38:13,080
Speaker 2: the flow. I wouldn't spend fifty dollars on a sonic

770
00:38:13,080 --> 00:38:16,080
Speaker 2: hare toothbrush for a two year old, the little ten

771
00:38:16,160 --> 00:38:18,720
Speaker 2: or eleven dollars one in the drug store. That's fine

772
00:38:19,239 --> 00:38:22,040
Speaker 2: to use, but you just have to go with the flow.

773
00:38:22,760 --> 00:38:27,680
Speaker 1: It's unbelievable. What's the general rule on the fluoride? No

774
00:38:27,880 --> 00:38:30,400
Speaker 1: fluoride while we're here, Jill.

775
00:38:30,560 --> 00:38:31,640
Speaker 3: That's interesting topic.

776
00:38:31,760 --> 00:38:34,759
Speaker 4: So the American Academy Pediatric Dentistry says, as soon as

777
00:38:34,760 --> 00:38:37,480
Speaker 4: there is a tooth that you should be having a

778
00:38:37,560 --> 00:38:38,600
Speaker 4: little smear.

779
00:38:38,840 --> 00:38:41,759
Speaker 3: It's a little small amount of fluoride toothpaste.

780
00:38:42,040 --> 00:38:47,000
Speaker 4: So in where we practice, Los Angeles is fluoridated, so

781
00:38:47,080 --> 00:38:52,239
Speaker 4: the children are swallowing fluoride, so they're getting the benefits

782
00:38:52,280 --> 00:38:55,680
Speaker 4: of the fluoride, meaning incorporated the water in the water,

783
00:38:55,719 --> 00:38:59,280
Speaker 4: and they're they're getting their developing teeth and bones. Because

784
00:38:59,360 --> 00:39:01,960
Speaker 4: for us, we brush our teeth, we brush with floride.

785
00:39:01,960 --> 00:39:04,120
Speaker 4: We spit it out so it's all stays topical, it

786
00:39:04,160 --> 00:39:05,080
Speaker 4: all stays like lotion.

787
00:39:05,480 --> 00:39:07,759
Speaker 3: But for little ones, because they're swallowing, it's like they're

788
00:39:07,800 --> 00:39:08,479
Speaker 3: swallowing a pill.

789
00:39:09,200 --> 00:39:12,320
Speaker 4: So in our practice, unless a child really is a

790
00:39:12,400 --> 00:39:15,799
Speaker 4: high risk for decay, we recommend fluoride free until they

791
00:39:15,880 --> 00:39:19,560
Speaker 4: can spit because they're still getting the benefits of the

792
00:39:19,560 --> 00:39:21,960
Speaker 4: swallow fluoride just from living in Los Angeles.

793
00:39:22,600 --> 00:39:24,520
Speaker 1: So while I have you with my two year old,

794
00:39:24,560 --> 00:39:26,919
Speaker 1: and obviously she's at risk because her brother is mister

795
00:39:27,000 --> 00:39:31,240
Speaker 1: cavity man. Should she be with fluoride? She can't spit yet,

796
00:39:32,440 --> 00:39:37,000
Speaker 1: but she doesn't like it. She likes the Spry toothpaste.

797
00:39:37,120 --> 00:39:39,080
Speaker 1: And when I try to give her a little bit

798
00:39:39,080 --> 00:39:41,919
Speaker 1: of fluoride, I try to, like, how about a few

799
00:39:41,960 --> 00:39:44,959
Speaker 1: times this week we do fluoride? She's done like it,

800
00:39:45,640 --> 00:39:46,680
Speaker 1: don't like it.

801
00:39:47,880 --> 00:39:50,319
Speaker 4: You don't know where she's gonna fall. My sister had

802
00:39:50,320 --> 00:39:52,439
Speaker 4: a mouthful of cavities. Like I said, I never had any,

803
00:39:52,719 --> 00:39:54,600
Speaker 4: just because their slaving doesn't mean it the same. And

804
00:39:54,680 --> 00:39:57,800
Speaker 4: also depends if the two year old has those second molars,

805
00:39:57,800 --> 00:40:00,120
Speaker 4: and it depends if they're spacing between the molars.

806
00:40:00,560 --> 00:40:03,960
Speaker 1: Ah, So if there's no spacing in the molars, do

807
00:40:04,000 --> 00:40:06,160
Speaker 1: you run a little bit more high risk for bacteria

808
00:40:06,280 --> 00:40:09,160
Speaker 1: growing in there? And it's spreading to two teeth. Guys,

809
00:40:09,160 --> 00:40:11,200
Speaker 1: we've learned so much today. I'm ready to go to

810
00:40:11,320 --> 00:40:12,040
Speaker 1: dental school.

811
00:40:13,320 --> 00:40:16,080
Speaker 2: But can't you your question mark? You can maybe mix

812
00:40:16,160 --> 00:40:19,240
Speaker 2: the two A dab of fluoride toothpaste on the bottom

813
00:40:19,480 --> 00:40:23,719
Speaker 2: with the spry on top. Hide it. Try that.

814
00:40:24,120 --> 00:40:28,440
Speaker 1: See it's like those veggies, right, that's right, the veggies,

815
00:40:28,480 --> 00:40:32,520
Speaker 1: the spinach in the shape exactly exact, strawberries and blueberries

816
00:40:32,520 --> 00:40:34,759
Speaker 1: and pineapple, and you're like, I swear there's no green

817
00:40:34,800 --> 00:40:38,560
Speaker 1: in here. There's no green in here. Okay. So questions

818
00:40:38,560 --> 00:40:41,080
Speaker 1: we ask everybody if you can even remember was there

819
00:40:41,160 --> 00:40:45,040
Speaker 1: anything on your baby shower if you had one or

820
00:40:45,040 --> 00:40:48,800
Speaker 1: two or a sprinkle registry item that you couldn't live without.

821
00:40:49,960 --> 00:40:52,040
Speaker 3: I know that is it was a long time ago,

822
00:40:56,280 --> 00:40:57,160
Speaker 3: registrate thing.

823
00:40:57,760 --> 00:41:00,920
Speaker 2: I think we'll play bouncy things all.

824
00:41:01,000 --> 00:41:05,399
Speaker 3: They can sit, I think the sit yeah, the same thing.

825
00:41:05,520 --> 00:41:08,160
Speaker 3: So I could take a shower, and I think they could. Yes,

826
00:41:08,280 --> 00:41:09,040
Speaker 3: So I could.

827
00:41:08,800 --> 00:41:12,600
Speaker 4: Actually watch them that little chair bounce, the little chair

828
00:41:12,680 --> 00:41:13,400
Speaker 4: thing right exact.

829
00:41:13,520 --> 00:41:16,640
Speaker 1: Yeah, that's amazing. Baby Bjorn has one that's sick.

830
00:41:17,040 --> 00:41:17,360
Speaker 3: Okay.

831
00:41:17,360 --> 00:41:20,040
Speaker 4: So I think that was definitely something because they were

832
00:41:20,120 --> 00:41:22,439
Speaker 4: one place and if there was somewhat entertainment, I could

833
00:41:22,440 --> 00:41:24,439
Speaker 4: watch them so good.

834
00:41:25,480 --> 00:41:28,400
Speaker 1: What advice would you like to give to your children

835
00:41:29,400 --> 00:41:32,640
Speaker 1: as they get closer to their what when is their

836
00:41:32,680 --> 00:41:34,360
Speaker 1: next birthdays? How old are they turning?

837
00:41:35,360 --> 00:41:37,400
Speaker 3: Eighteen and twenty one?

838
00:41:37,600 --> 00:41:45,080
Speaker 4: I know, yes, I can't well, yeah, eighteen Seember milestone birthdays.

839
00:41:44,320 --> 00:41:47,720
Speaker 3: That's right, they'll be yeah, year corrects.

840
00:41:47,560 --> 00:41:52,120
Speaker 1: Huge milestone birthdays. Is there any thought on what advice

841
00:41:52,160 --> 00:41:53,320
Speaker 1: you would give to them?

842
00:41:54,480 --> 00:41:58,359
Speaker 3: I think don't be ow so many.

843
00:42:00,080 --> 00:42:05,200
Speaker 4: That's the whole other side.

844
00:42:02,880 --> 00:42:04,839
Speaker 2: Day because one didn't call it jack.

845
00:42:04,960 --> 00:42:14,520
Speaker 4: Remember, I think to treasure friendships, push yourself both professionally

846
00:42:14,640 --> 00:42:19,120
Speaker 4: and personally, to try new things, and just take take

847
00:42:19,200 --> 00:42:20,000
Speaker 4: your moments in.

848
00:42:21,160 --> 00:42:22,360
Speaker 3: Yeah, take the moments in.

849
00:42:22,760 --> 00:42:23,920
Speaker 6: I really love that.

850
00:42:25,000 --> 00:42:28,160
Speaker 2: I'd probably say along the lines of trying new things,

851
00:42:28,160 --> 00:42:31,520
Speaker 2: that you don't regret the things you tried, only things

852
00:42:31,560 --> 00:42:32,600
Speaker 2: you never tried.

853
00:42:34,000 --> 00:42:36,440
Speaker 1: A men, And by the way, we could all take

854
00:42:36,480 --> 00:42:41,239
Speaker 1: that advice for one at some point. Yeah, that's what

855
00:42:41,280 --> 00:42:43,399
Speaker 1: that is. This is a sentence, so you can both

856
00:42:43,440 --> 00:42:45,640
Speaker 1: answer this as there always a wrap up question. Finish

857
00:42:45,680 --> 00:42:47,520
Speaker 1: this sentence. Parenthood is.

858
00:42:48,920 --> 00:42:53,239
Speaker 2: It's phases good and bad, and they all end, not

859
00:42:53,320 --> 00:42:54,280
Speaker 2: one will be forever.

860
00:42:55,760 --> 00:43:00,600
Speaker 1: We need to remind ourselves of this even freak out

861
00:43:00,640 --> 00:43:02,759
Speaker 1: phase that my son was going to have eight or

862
00:43:02,840 --> 00:43:05,800
Speaker 1: nine cavities filled. I think it was nine nine cavities

863
00:43:05,840 --> 00:43:08,200
Speaker 1: filled at one time. We got through it and we

864
00:43:08,200 --> 00:43:12,920
Speaker 1: were onto the next. You know, I'm so appreciative of

865
00:43:12,960 --> 00:43:16,839
Speaker 1: you taking the time, and I'm just so grateful that

866
00:43:16,880 --> 00:43:20,239
Speaker 1: we get to be in your care I really think

867
00:43:20,320 --> 00:43:23,440
Speaker 1: that this is so important when you have a newborner,

868
00:43:23,520 --> 00:43:26,040
Speaker 1: you have a baby, people don't really know when they're

869
00:43:26,040 --> 00:43:27,840
Speaker 1: supposed to do it and what they're supposed to be

870
00:43:27,880 --> 00:43:31,000
Speaker 1: doing with teeth and so this really debunked a lot

871
00:43:31,160 --> 00:43:35,560
Speaker 1: of myths and ideas and got into the facts and

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Speaker 1: it was very helpful giving us the information. So thank

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Speaker 1: you so much for your time, doctor and doctor Mike Alaski.

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Speaker 3: Thank you, thank you for inviting us.

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Speaker 1: Thank you guys so much for listening to today's episode.

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Speaker 1: I want to hear from you. Let's chat, questions, comments,

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Speaker 1: can earns. Let me know. You can always find me

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Speaker 1: at Katiescrib at shondaland dot com. Katie's Crib is a

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Speaker 1: production of Shondaland Audio in partnership with iHeartRadio. For more

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Speaker 1: podcasts from Shondaland Audio, visit the iHeartRadio app, Apple Podcasts,

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Speaker 1: or wherever you listen to your favorite shows.