Showing posts with label dental visit. Show all posts
Showing posts with label dental visit. Show all posts

Sunday, June 6, 2010

Heading home, and Spanish thoughts on childrearing


I’m heading home and I think the length of this trip was just right. We were able to do the things we wanted to do, I think we avoided overstaying our welcome, and I’m now anxious to see River.

We spent time with other children on this trip, all of whom were good kids. But those close to River’s age appeared to be more difficult. We appreciate how easy we have it and I want to see my baby to show him how much I appreciate him.

Today I asked my friend what the Spanish recommend regarding potty training and she said people are advised to get their children out of diapers when they turn 2. She thought that was too generic of a recommendation, that it doesn’t take into account the differences between children. But in general, it sounds like most Spaniards complete daytime training between 18 months and age 2.5. She said no one goes to school still wearing diapers.

Regarding dental care, they don’t make their first visit to the dentist until age 5 or 6. Our friends still put their 3-year-old to bed with a bottle (a bottle, not a sippy cup) of chocolate milk. I wouldn’t want to emulate the bottle, nor the chocolate, and we are trying to move away from milk in the bed. But I did like their lack of mania about dental care, especially since I have peers where I live urging people to bring their kids to the dentist at age 18 months or earlier. When I called the dentist, he said not to bring River until age 3, which is what I plan to do.

“I think Americans tend to be kind of manic about teeth,” said our friend’s husband. “Not just about dental hygiene, but also appearance.” They also thought it was strange, and going a bit overboard, to have hair salons (or dentists) that focus just on serving children. “There is nothing traumatic about sitting in a chair and getting a haircut,” one of them said. “Our local hair salons will cut a child’s hair for 5-7 euro. There is no need to make a big deal of something that isn’t really.” They said when they were growing up, their mothers cut their hair.

I do agree with them, but where I live, there aren’t a lot of other options. The man who cuts my hair said only a few people in the salon will agree to work with children, and they charge something exorbitant. I could take him to a cheap place, but then one is rolling dice as to the quality. I still have memories of when my mother took me for a cut at a training center for hair stylists. It’s just not worth the possibility of such mistakes.

While I liked their more relaxed attitude regarding dental care and haircuts, one Spanish practice I’m glad we don’t use is the late bedtimes. I found the evidence in the book Nurture Shock of greater hours of sleeping being related to better brain development to be convincing. Another study that found negative effects from co-sleeping, due to reduced hours of sleep achieved by both mother and child made sense to me. The kids we spent time with often didn’t nap, then they went to bed very late – 10 p.m., 11 p.m., later. When it was time to get up, they were tired and clingy. During the day they were cranky. The lack of a set routine seemed to make the bedtime routine a fight and/or a negotiation.

We weren’t so much into a routine when River was a small baby. At that time, I figured we’d follow his signs. But as he’s gotten older, he’s fallen into a routine and I think it’s a good thing for all of us. He knows what to expect, which is the same virtually every day. Since he likes most of the steps of the routine (potty with his favorite program, book, milk), there is no resistance as we go through the steps. In the process, he’s settling down. And when it comes time for bed, that’s just a natural extension of the process. He gets plenty of sleep. We get plenty of down time.

One thing I do love about the Spanish culture is the strong tie with the family. Perhaps there is a tendency to coddle and to spoil their children. But family connections are strong and children remain close to their parents well through adulthood. My ideal would be for River to be empowered and independent and for him to be well-behaved and respectful, and for him to feel so loved by his family that he wants to remain close.

Wednesday, November 18, 2009

First dental visit

There is a woman in one of the mom’s groups I belong to whose husband
specializes in pediatric oral health. She is urging everyone in the
group to get their kiddos to the dentist and says that dentists who
recommend waiting to age 3 (like mine) or 4, just don’t like
interacting with young kids.

These are some of the major dental organization guidelines she passed along:

The American Academy of Pediatric Dentists (AAPD) policy says "the
first dental visit should occur shortly after the first tooth erupts
and no later than the child’s first birthday."

The American Dental Association (ADA) policy says the first dental
visit should occur "within six months of the eruption of the first
tooth, and no later than the child's first birthday."

The Academy of general Dentistry (AGD) policy says "a child’s first
visit to the dentist should occur within six months of the eruption of
the first tooth.”

I was surprised to not see any questioning, or any explanation of the rationale behind the guidelines. I felt like a cynical crank when I pointed out that earlier
visits = more patients = more money for the dentists. It’s in their
self interest to promote people coming in as soon and as often as they
can. Shortly after the first tooth erupts? Are you kidding? For
what?

She took her own daughter at 20 months and cited the benefits of
getting a really cool toothbrush and getting used to sitting in the
chair. For $150 and the time it would take me to make the appointment
and bring him? Sorry. River will get used to sitting in the chair when
the time comes because he has to. I don’t think it will traumatize
him.

Unless someone can show me some evidence that a kid who eats a healthy
diet and brushes once a day is at some serious risk of dental disease
if he doesn’t get to the dentist before age 3, I think I’ll listen to
my dentist, and not these guidelines. It does make me sad though that
I feel so little confidence in U.S. medical association guidelines.
Though I feel very cynical compared to these hyper-concerned moms, who
are willing to jump at whatever an expert says, I am a little more
active on this front than Mark. When I told him I thought we should
start making a habit of River brushing once a day, he asked “Why?
Those teeth are all going to fall out anyway.”

When did you make your first pediatric dental visit? When you do think it makes sense?