FDA Warning – Teething Jewelry Not Safe

Teething Jewelry Safety Warning FDA

The FDA has issued a warning against using teething jewelry, including necklaces, bracelets, and other jewelry marketed as relieving infant teething pain.

The U.S. Food & Drug Administration issued a warning on December 20, 2018, against the use of “teething jewelry” that is marketed to parents as relieving an infant’s teething pain.

The new FDA warning was issued to alert parents about the risks of teething jewelry after an 18-month old toddler died after strangling on his amber teething necklace during a nap.

The FDA said it had also received a report about a 7-month-old baby who choked on the beads of a wooden teething bracelet and was taken to the hospital.

“We know that teething necklaces and jewelry products have become increasingly popular among parents and caregivers who want to provide relief for children’s teething pain and sensory stimulation for children with special needs. We’re concerned about the risks we’ve observed with these products and want parents to be aware that teething jewelry puts children, including those with special needs, at risk of serious injury and death,” said FDA Commissioner Scott Gottlieb, M.D.


Dangerous Teething Jewelry

amber teething necklace safetyThis FDA warning includes teething jewelry such as teething necklaces, teething bracelets, and other teething jewelry that is worn by either an adult or child.

It includes items marketed as teething jewelry for dads and teething necklaces for moms.

The warning covers teething jewelry beads made from various materials including amber, wood, marble, or silicone.

These teething jewelry products are not the same as traditional teething rings or teethers. These are still considered safe. Traditional teething rings are made of hard plastic or rubber and are not designed to be worn by adults or children.


Is Teething Jewelry Safe?

According to the FDA, teething jewelry, including necklaces and bracelets, are not safe and may cause serious injuries to infants and children. The risks of using teething jewelry include choking, strangulation, injury to the mouth, and infection.

The FDA also advises against using teething creams, benzocaine gels, sprays, ointments, and lozenges for mouth and gum pain. These anesthetics can cause a life-threatening condition in small children called methemoglobinemia, in which the amount of oxygen carried through the blood is reduced.


Are Teething Rings Still Safe?

rubber teething ring fda approvedTraditional teething rings or teethers not meant to be worn as jewelry are still considered safe.

This FDA warning is about newer teething jewelry products that are intended to be worn by infants or adults and may be made with amber, wood, silicone or other materials.

Teething rings made from firm rubber are still recommended to help soothe teething pain.


Teething Recommendations

Talk to your doctor about alternative ways you can reduce teething pain such as:

  • Gently rubbing or massaging the gums with a clean finger
  • Giving the teething child a teething ring made of firm rubber
  • Make sure the teething ring is not frozen. If the object is too hard, it can hurt the child’s gums.
  • Parents and caregivers should supervise the child during use.
  • Read these recommendations from the American Academy of Pediatrics


We hope that you will be aware of the risks of using teething jewelry and warn others about this new warning issued by the FDA. There are teething rings that are safe for infants. Please do not use these newly popular teething necklaces and amber teething beads.

Plano Dentist David Wilhite David Wilhite is a Plano Dentist specializing in children’s pediatric dentistry with over 30 years experience in general and cosmetic dentistry. He can help you with children’s dental carethumb sucking and pacifier usedental fears in children and baby dental care.

Keep your child smiling now and in the future!

Call us today at (972) 964-3774

FDA: Don’t use teething jewelry to relieve pain – American Dental Association
FDA warns about teething jewelry after 18-month-old dies – CBS News
FDA Warns Against Use of Teething Necklaces, Bracelets, and Other Jewelry Marketed for Relieving Teething Pain or Providing Sensory Stimulation: FDA Safety Communication – Food & Drug Administration 
Baby Teething Pain – American Pediatric Association


Holiday Dental Tips for Kids

Holiday Dental TipsDental health is important at every time of the year, all through your life. For kids, it’s important that we establish good dental habits.

During the holiday season though, your kid’s dental health will be put to the test. Snack trays, sweets, pastries and sugary temptations will be everywhere. Well-meaning grownups and grandparents will be more than happy to fill them up with treats.

We want to make sure your children stay healthy during the holidays and don’t head into their next appointment with new cavities.

In order to help, we’re going to share some holiday dental tips for kids provided by the American Academy of Pediatric Dentistry. Read the tips below to keep your kids healthy.


Healthy Habits to keep your kids smiling through the holidays and into the new year.

The holiday season is always a busy time, especially for families. With kids out of school, a steady stream of festivities and a new year to plan for, the rhythm of everyday life gets put on hold. And sometimes that means good oral health routines and habits go out the window too.

The American Academy of Pediatric Dentistry (AAPD) wants to remind parents and caregivers that the holiday break is a great time to help your kids establish and maintain healthy dental habits. This includes good brushing, flossing and eating habits that are essential for healthy teeth.

  • The AAPDS recommends that a child’s first visit to a pediatric dentist should be by the AGE OF ONE or when the FIRST TOOTH APPEARS. Regular check-ups should occur every SIX MONTHS.
  • Parents should help their children brush their teeth TWICE DAILY – after breakfast and before bedtime are ideal. It’s recommended that parents/caregivers supervise the brushing for school-age children until they are 7 to 8 years of age.
  • The BEST TOOTHBRUSHES for children have soft, round-ended (polished) bristles that clean while being gentle on the gums. The handle should be proportionate to the size of the child’s hand.
  • Parents can begin FLOSSING for their children when two teeth are touching. Children can begin flossing on their own around age 7.
  • Look for FLOURIDE TOOTHPASTE with the American Dental Association Seal of Acceptance.
  • Sugary candy, food, and drinks are part of the holidays. With this, the risk of cavities and poor dental health also increases. Parents should try to moderate sugar intake, and WATCH OUT FOR CARBONATED DRINKS, which actually erode teeth more than sweetened drinks.
  • Keep an eye on on snacking – ideally, children should have NO MORE THAN THREE SNACK TIMES a day.
  • COOKED STARCHES CAN LEAD TO CAVITIES just as sugars can. In fact, cooked starches such as bread, crackers, pasta, pretzels and potato chips frequently take longer to clear the mouth than sugars.
  • LIMIT SUGAR INTAKE by checking labels and buying sugar-free varieties of food options, if available.
  • CHEESES such as aged cheddar, Swiss, mozzarella and Monterey Jack are great as a snack or to eat after a meal because they clear the mouth of food and neutralize the acids that attack teeth.

This story originally appeared on The Mouth Monsters

Healthy Habits at the Holidays Infographic

We hope that you will take these recommendations into consideration for your own children during the holiday season. We want to help parents establish good dental health habits for children so they get a good foundation for health as adults.

Plano Dentist David WilhiteDavid Wilhite is a Plano Dentist specializing in children’s pediatric dentistry with over 30 years experience in general and cosmetic dentistry. He can help you with children’s dental carethumb sucking and pacifier usedental fears in children and baby dental care.

Keep your child smiling now and in the future!

Contact us online or call us today at (972) 964-3774

Halloween Candy Tips to Protect Your Kids Teeth

Halloween Candy Tips to Protect Your Kids
Kids love Halloween! And why wouldn’t they? Costumes, friends, staying out late, and of course… candy!

Toothbrush Halloween Costume

Parents enjoy Halloween too, but they also worry about their kids eating too much candy. They love seeing all the kids in costumes but those seemingly endless bads of candy make you worry about your kid’s health and their teeth.

You have reason to worry. All that candy. All that sugar, and more sugar and even more sugar. It’s a recipe for upset stomachs and cavities.

What is a parent to do? Here are a few tips to help you protect your kid’s teeth and their health on Halloween.

Halloween Health Tips

Eat dinner before trick or treating – Try to fill your kids with some healthy food before they go out for trick or treating. Even a slice of pizza is going to be like health food compared to all the candy they’ll be eating later. The fuller their stomach is the less room there will be for candy.

Drink water – Drinking fluoridated water can help prevent tooth decay. It will also help fill the stomach and maybe help ease their appetite for more candy.

Chew sugarless gum Xylitol, a fluoride like substance in sugarless gum can help remineralize any initial acidic breakdown of enamel.Hard Candy

Stay away for soda and sugary drinks – Your kids will get plenty of sugar on Halloween so there’s no reason to give them sugary and acidic soda.

Try to limit eating the most unhealthy candies – Some candies are worse than others. Sticky taffy and sour patch kids will stick to your kid’s teeth and can cause more damage. Chocolate, on the other hand, can wash off your children’s teeth more easily.

Don’t forget to brush and floss – Your kids should be doing this every night anyway, so don’t change the routine for Halloween. Clean that sugar off their teeth so it’s not lingering all night long.

Give candy to Operation Gratitude – Let your kids pick out some of their favorites and then donate the rest to overseas troops through Operation Gratitude.

“Kid Dentists” Explain How to Avoid Cavities This Halloween

Worst candy for your teeth

  • Hard candy
  • Gummy candy
  • Sticky candy
  • Sour candy
  • Candy corn
  • Caramel candy

What makes these candies bad for your teeth? For sticky candy like taffy, caramel, and gummy candies, the problem is that they stick to your teeth. Because of this they can stay on your teeth longer and expose it to much more sugar and put your teeth at more risk than some other candies. Hard candies tend to be in your mouth for a lot longer. This exposes your teeth to so much more sugar and for a longer time. Sour candies are highly acidic and can break down tooth enamel quickly.

Don’t Give Juice to Babies or Children Under Age One Says American Academy of Pediatrics

Don't give juice to children under one year

Juice not recommended for children under oneIn a new policy statement published by the American Academy of Pediatrics in May 2017, they recommend no fruit juice for children under 1 year.

The new statement says:

“Fruit juice offers no nutritional benefit to children under age 1 and should not be included in their diet”

The new advisory comes from the recently published statement Fruit Juice in Infants, Children, and Adolescents: Current Recommendations.

This is an update to past recommendations which already advised that children under six months should not drink juice.

Related: Worst drinks for your teeth

Historically, fruit juice was recommended by pediatricians as a source of vitamin C and as an additional source of fluids for healthy infants and young children. It was also sometimes recommended for children with constipation.

Fruit juice is usually marketed as a healthy, natural source of vitamins. Because it tastes good, children will usually accept it easily, as opposed to many other foods at this age. Although juice consumption has some benefits, it also has

Although juice has some benefits, it also has potentially negative effects as well. It is usually full of both sugar and calories and can lead to unnecessary weight gain.

“We know that excessive fruit juice can lead to excessive weight gain and tooth decay,” said co-author of the statement Steven A. Abrams, M.D., in a news release.

Related: 4 Easy Tips to Prevent Tooth Decay in Kids Under Age Five

Kids first trip to dentistHe goes on to say “Be cautious about putting a bottle or sippy cup in the child’s mouth with fruit juice because that can cause really cause problems for their teeth,” Abrams said.

“Some parents will use the bottle as a pacifier and just stick some apple juice in the bottle.” That leads to sugar from the apple juice just sitting in the child’s teeth, which can increase the risk of tooth decay.”

“One hundred percent fresh or reconstituted fruit juice can be a healthy part of the diet of children older than 1 year when consumed as part of a well-balanced diet. Fruit drinks, however, are not nutritionally equivalent to fruit juice.”


Juice for children recommendations

  • Children under one year of age should not have any juice.
  • Children ages 1-3 should not have more than 4 ounces of juice daily.
  • Children ages 4-6 should be limited to 4 to 6 ounces daily.
  • Children ages 7-18 should be limited to 8 ounces daily.
  • Toddlers should not be given juice in “sippy cups”. This allows them to drink juice all day long, causing excessive exposure of the teeth to sugar and tooth decay.
  • Toddlers should not be given juice at bedtime.
  • Children should be encouraged to eat whole fruits. These contain both vitamins and dietary fiber.
  • Consumption of unpasteurized juice products should be strongly discouraged for children of all ages.
  • Children who take specific forms of medication should not be given grapefruit juice, which can interfere with the medication’s effectiveness.
  • Fruit juice is not appropriate in the treatment of dehydration or management of diarrhea.


We hope that you will take these recommendations into consideration for your own children. We want to help parents establish good dental health habits for children so they get a good foundation for health as adults.

Plano Dentist David WilhiteDavid Wilhite is a Plano Dentist specializing in children’s pediatric dentistry with over 30 years experience in general and cosmetic dentistry. He can help you with children’s dental care, thumb sucking and pacifier use, dental fears in children and baby dental care.

Keep your child smiling now and in the future!

Contact us online or call us today at (972) 964-3774

Related resources:
Juice image credit: Pixabay
AAP says juice a no-no for babies – ADA
Don’t Give Your Baby Fruit Juice, But A Little For Older Kids Is Okay, Say Pediatricians – Forbes
American Academy of Pediatrics Recommends No Fruit Juice For Children Under 1 Year – AAP


4 Easy Tips to Prevent Tooth Decay in Kids Under Age Five

Kids first trip to dentistAlthough tooth decay affects 1 out of 3 kids under age five, it’s also preventable. In this post, we’ll give you some simple tips to help prevent tooth decay in small children. 

Tooth decay remains a top infectious disease among children and can compromise the dental health, development, and quality of life of children both in the short and as they grow older.

The good news is that it’s nearly 100 percent preventable.

According to Dr. Jade Miller, President of the American Academy of Pediatric Dentistry, “There are a few common misconceptions, that if cleared up, could help make a huge difference in your child’s oral health – which is linked to their overall health & wellness”.

Here are four tips to help protect your child’s dental health:

Frequency of sugary treats and drinks is even worse for teeth than the amount ingested

Keeping the consumption of sugary foods at a minimum is important for children (and adults too). Prolonged exposure to sugar from drinking soda, juice or sports drinks all day long, and the digestive acids the mouth produces when consuming them is bad for the teeth. Don’t let your kids “graze” on drinks or

Don’t let your kids “graze” on drinks or foods that are bad for their teeth all day long. Stick to consistent meal and snack times, which is not only good for their teeth but also good for establishing routines that help keep them happy. And drink lots of water throughout the day.

Related: Kids dental health habits start at home

Don’t send babies to bed with a bottle

baby bottle childrens dental healthThis issue is similar to the above tip. Sending your baby to bed with a bottle, whether milk or juice, will prolong their exposure to the sugar in the drink. Their teeth could end up coated in sugary residue for the entire evening.

This is such a common issue that there is even a name for it:  “Baby Bottle Tooth Decay.” If a bottle soothes your child before they go to bed, instead fill it with water.

Related: Brushing teeth for kids

Ween kids off of their pacifier by age three

It’s commonplace and normal for children to be soothed with a pacifier. We’ve all been there. I could never have made it through this phase of parenthood without a pacifier.

However, the prolonged use of a pacifier can increase the risk of cavities and can affect the way a child’s teeth bite together, which could potentially cause an overbite. Your dentist can assist in helping to encourage children to stop a sucking habit and discuss your child’s particular situation.

Related: Tips for your kids first trip to the dentist

Avoid topical teething gels and rings

The U.S. Food and Drug Administration (FDA) strongly warns against using teething gels that contain benzocaine or lidocaine because they can seriously harm your child.

Parents and their caregivers should also stay away from teething rings. These can often contain chemicals and low levels of BPA (bisphenol A) even when labels say otherwise. BPA is an industrial chemical that can be harmful to your children’s health.

We’re sure you’d agree that keeping your children from ingesting industrial chemicals is beneficial.

Prevent these four common causes of tooth decay in children under five and you will be helping them establish a lifetime of healthy dental habits.

Is your child ready for a checkup? Keep them up to date to prevent any issues from becoming serious problems.

Schedule a consultation online or call us at (972) 964-3774

David Wilhite is a Plano Texas dentist with over thirty years of pediatric experience.

Article Source: AAPD


Tips for Your Kid’s First Trip to Dentist

Kids first trip to dentist Giving your kids good dental habits such as brushing and flossing will help them have a healthy mouth and smile for a lifetime. Good dental habits start at home and they look to your for an example.

The next thing they need to learn is how to go to the dentist.

You want to make sure the first experience is as pleasant and stress free as possible in order to help make going to the dentist something your kids aren’t frightened of.

Below are some tips to help make that first visit for your child a success.

>>Click here to schedule your child’s visit to the dentist.

Child’s first dental visit tips

  • If possible, give your child a preview so they know what to expect. Your child may be able to visit the dentist with you on a checkup. If another parent can attend to the child, then they will get a chance to see Mom or Dad visit the dentist and see that nothing bad happens to them. Your dentist may also let your child do a “walk through” of the office before their first appointment.
  • Schedule an appointment with a pediatric dentist. A pediatric dentist such as David Wilhite, has had extra years of training to work with children.
  • Talk about the visit at home. Explain to your child that a dentist will look at their mouth and count their teeth. Avoid using phrases such as “It won’t hurt.” That may seem innocent enough but it can place a negative idea in your child’s mind.
  • Look at a children’s book. All kids love books. Go to your local library and you’ll find several books about visiting the dentist and the doctor. Check one out and read it with them in the nights and weeks leading up to that first visit.
  • Play dentist with a stuffed animal. You can both pretend to be the dentist and open a stuffed animals mouth. You can count teeth (or pretend to) and show how a trip to the dentist is not a big deal.
  • Time the visit around your child’s moods. Every parent knows when their kids is most likely to be happy or crabby. If your kid gets crabby in the afternoon before nap time, DON’T plan your visit around that time. Set the visit up for success with good planning.
  • Treat the visit as normal. A visit to the dentist should be a “big deal” or an “ordeal”. Keep it positive and simple. It’s just a routine visit that everyone does.

If you would like to schedule a visit with an experienced pediatric dentist in Plano, Texas, call us at (972) 964-3774