ZFO Blog

Sleep Issues in Children – Read before your child’s next physical exam

February 3rd, 2019


When you hear the words sleep apnea, you probably don’t think much about kids. However, sleep apnea affects 2-3% of kids, and the symptoms are subtler than they are in adults. Children with sleep apnea may appear totally normal at a physical exam, but there are some signs to watch out for. This list is not all-inclusive, nor does it mean that any one of these indicates a problem. However, if some of these describe your child, it may be a good idea to consult with your family doctor about the possibility that sleep may a problem.

  • Snoring – No child should snore – period. An occasional load breath may be heard, but your child should not be snoring or breathing loudly at night on a regular basis. Snoring in children goes hand-in-hand with sleep apnea, and this should definitely be brought the attention of your family doctor.
  • Teeth grinding – Grinding teeth at night may be a defense mechanism for the body. If your child is struggling with proper airflow at nighttime (due to a collapsed airway, tonsils, adenoids, allergies, etc.), pushing the lower jaw forward often helps open the airway to allow a better passage of air down the throat. This protective measure for the body is helpful for breathing, but can really cause long lasting harmful effects on the teeth.
  • Bedwetting – Typically, by around the age of 5, most kids will be able to sleep without wetting the bed. An accident here or there is much different than an older child who is wetting the bed frequently. Although this can be due to other medical conditions, bedwetting can be linked to sleep disorders as the body fails to awaken when the bladder is full.
  • Mouth breathing – While humans are able to breathe through both the nose and the mouth, we are technically “obligate nasal breathers” as a species, meaning we are supposed to breathe through our nose. Deviated septum, allergies, and other nasal airway obstructions can make it difficult to breathe through the nose. Mouth breathing can affect the development of the face, jaws, and teeth position, often times leading to orthodontic treatment to normalize the effects of letting the mouth hang open all the time.
  • ADHD – Sleep issues may contribute to problems relating to attention span. When some kids don’t get enough sleep, they actually act opposite of what we would expect – they actually become hyperactive rather than tired. Additionally, they may be irritable, unfocused, and easily distracted, and these consequences can have a very negative effect on school performance. Studies have shown that 1/3 kids with ADHD also snore while sleeping.
  • Morning headaches – If your child’s airway is partially blocked while sleeping, the amount of oxygen in the blood will be reduced. This reduction in oxygen level may lead to headaches, specifically in the morning after waking from a poor night’s sleep.
  • Sleepwalking and sleep talking – Typically if these are observed, they are usually shortly after going to bed and associated with “confused arousal.” This means that something startles the child awake, but they are still subconscious and may not be fully awake. This arousal may be from other medical conditions, but it may also be from airway obstruction that causes sleepwalking and/or sleep talking.

The bottom line is this – sleep is obviously important for all of us, but many kids with sleep issues are not being identified. As an orthodontist, I am a specialist in facial growth and development, and my job is to simply screen for some of these issues. I can fix some of the side effects on the teeth and jaws, but ultimately a physician (sleep specialist or ENT physician) needs to put all the pieces together to make a diagnosis. So, if you see these issues at home, or your dentist or orthodontist has mentioned some of them to you, make sure to follow up with your physician. Improving your child’s sleep very well could change their life, so the sooner we do it, the better : )

- Dr. Zach

Thank You to Our Community

December 16th, 2018

Downers Grove has always been a special place for me. I grew up here, went to the local schools, and even went to Downers Grove North right down the street from my office. One thing that strikes me is how many people share my story: they grew up here and now they have come back to raise their families in DG as well. It truly speaks volumes about our community.
Since opening my practice in 2015, I have been overwhelmed by the amount of the local support. I’m truly grateful for all the families that have come to visit me and have trusted me with their kids, as well the adults that have come to visit me that trust me with their smile. Now, we’re creating hundreds of smiles every year for people in the area, and it’s truly been a special ride. In 2018, we donated over $10,000 back into the community in the forms of sponsorships to PTAs, schools, churches and sporting events. In 2019, we want to make that even bigger by continuing our support. So look for us around town - you may see us at a local restaurant or at a local event. We truly love this community, and we truly want you to love your smile : )
I'm proud to be your hometown orthodontist!
- Dr. Zach

Keep Your Kids and Their Teeth Safe!

November 2nd, 2018

In the past couple weeks, we have seen multiple children with injuries from one thing - trampolines! I know - the kids love them and they seem fun, but an article by the American Academy of Pediatrics estimates that there are about 100,000 emergency room visits per year due to trampoline injuries. That is a lot!

The injuries can range in severity, from bone fractures to sprains to spinal cord injuries. With trampoline parks becoming more and more popular for birthday parties and events, we have to make sure we are considering the safety of our children.

So why is the orthodontist talking about this? Teeth can get pretty banged up by trampoline injuries as well. The teeth can be displaced or pushed back into the bone due to heavy impact, and this can compromise the tooth forever by damaging the nerve and blood supply. If the nerve and blood supply are damaged, root canals and crowns may be necessary on the front teeth which will lead to tens of thousands of dollars in lifetime maintenance of these critical front teeth. Even worse, front teeth may be completely knocked out and lost from trampoline injuries.

The front teeth are a critical component of our smile, and although the injury can be expensive, the effect it will have on a smile is even more devastating. A lifetime of fake or missing teeth in the front is not worth the risk. We cannot protect our kids from every injury in the world, but in my opinion, I recommend that your kids skip the trampoline park!

- Dr. Zach

IT'S ABOUT MORE THAN JUST STRAIGHT TEETH

October 13th, 2018

Orthodontics is awesome. Using braces or Invisalign, we have the ability to shape a person's smile over the course of 12-24 months. It's simply amazing to see the transformation in esthetics and bite correction along the way.

Traditionally, orthodontics has been focused on just the teeth - which, I agree, is the main point : ) - but there is so much more to it than just straightening teeth. The teeth, more importantly, are the focal point in the smile. A smile is our own, personal, lifelong asset that is truly unique to us. It conveys emotion to our friends, family, and strangers, and it will show up in photos that capture the most important memories and events of our lives.

It should come as no surprise that with so much emphasis on our smile, some people are truly not happy with it. They may feel they have to hide it, or worse, that others are teasing them in school because of their appearance. This can be very challenging for both kids and adults alike, and this is why orthodontics is so much more powerful than straight teeth.

 

In the course of wearing braces or Invisalign, we get to see the change in confidence and self-esteem of so many people. It is truly gratifying to know that treatment can affect a person's life in such profound ways. There are many studies that support that orthodontic treatment has positive psychosocial effects, and this is truly what it is all about.

It's about improving lives by improving smiles. It's about feeling confident in all those important moments in life. It's about giving your child more self-esteem in all those awkward years of their young lives. It's about looking back at photos of those milestone days of our lives and really appreciating that each and every one of us has a unique smile, and we should not be afraid to show it : )

- Dr. Zach

 

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