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Dental Issues & Down Syndrome.....
1- Delayed tooth eruption .
average, babies with Down syndrome get their first teeth at 12 to 14 months, but it may be as late as 24 months of age ....front permanent teeth and permanent 6 year old molars may not erupt until 8-9 years of age .
2-Small and Missing Teeth
Frequently, people with Down syndrome have smaller than average teeth and missing teeth. It is also common for the teeth of people with Down syndrome to have roots that are shorter than average.
3-Large Tongues
People with Down syndrome may have large tongues or they may have an average size tongue and a small upper jaw that makes their tongue too large for their mouth. It is also common for people with Down syndrome to have grooves and fissures on their tongues.
4-Problems with Bite
People with Down syndrome may have small teeth, which can cause spacing between the teeth. They also tend to have a small upper jaw. This may cause crowding of the teeth and may result in the permanent teeth being “impacted” because there is no room in the mouth for them to come in. The small upper jaw may create a situation where the top teeth do not go over the bottom teeth the way they are meant to; instead, the bottom teeth may be out further than the top teeth in the back of the jaw, the front of the jaw, or both. It is also common that the front teeth of people with Down syndrome do not touch.
5-Gum Disease
People with Down syndrome are at an increased risk for gum disease (periodontal disease). Even when individuals with Down syndrome do not have a lot of plaque and tartar (calculus), they get periodontal disease more frequently than others. This is because people with Down syndrome have an impaired immune system and do not have some of the natural protections against the disease that people without Down syndrome have. To prevent gum disease brush twice daily, focusing the bristles along the gum line, floss daily and be sure to visit the dentist regularly to have gum health monitored and to take X-rays to monitor bone levels. If the gums bleed that means that they are inflamed. Brushing and flossing should not be stopped because of this. In fact, brushing and flossing will keep the gums clean and help to minimize the inflammation.
6-Cavities
Some research says that people with Down syndrome are at less of a risk for cavities; however, much of that research was done when people with Down syndrome lived in institutions and had very restricted diets. People with Down syndrome do get cavities, so brushing with fluoride toothpaste, flossing between any teeth that touch, and limiting the amount and frequency of sugar and refined carbohydrates eaten will help to prevent the development of cavities.