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baby biting

Help! My child bites…

By Early Years, Health, teeth and dental care

by Jovita Opio
Nursery Manager, Little Lancing Day Nursery & Forest School

Biting is a more common behaviour than one might think amongst very young children and it’s a topic that is not always spoken about very much, until it happens within your family. It can happen anywhere – in the home, at a soft play or play park, a child’s birthday party and of course in a childcare setting.

Biting can be a shock and it is certainly distressing – for the child or adult who has been bitten and the parents of a child who has been bitten who can understandably feel angry about it. It should go without saying that it is also upsetting for the parents of the child who has been biting.

Understanding about biting is vitally important to the way in which we respond to this happening – it is not the case that a child who bites is a ‘little monster’. He or she should not be punished for it, or worse still, bitten back. That’s not to say that this behaviour should simply be ignored. The following will help to explain why some children bite and what strategies can be employed to navigate a way through this behaviour.

Starting with the youngest of babies, as they begin to understand and engage with the world around them, they use all their senses as part of that natural exploration, and that includes using their mouths. Parents, carers and nursery staff all know that babies are inclined to put anything and everything into their mouths. It’s also a common feature of teething that babies will bite down on practically anything within reach to relieve the discomfort caused to their gums. It’s highly unlikely that children that young would deliberately bite another person with any kind of malice or ill feeling. In fact it’s sometimes the case that this is how they express their feelings of love – some babies only ever bite their parents!

As babies become toddlers, they continue to develop their language and communications skills and this happens at different times for different children. Some 18 month olds are real chatterboxes and others take more time to get to that stage. For those children whose language development occurs later, they may feel some frustration at not being able to express themselves and this can be a similar experience for children for whom English is an additional language.

Whenever children play together, there is inevitably a certain amount of disagreement that can creep in. For example, when both want to play with the same toy or when a child is blocking another child’s way, say on a slide or in a soft play environment. It’s a common reaction in such circumstances that a child may bite another child, or an adult, as they have not yet reached the point where they are able to express themselves verbally with the confidence to show their emotions.

Young children can find transitions and changes in their lives frustrating or stressful. For example, moving house, adjusting to changes in routine, the arrival of a new sibling as well as what might seem more mundane aspects of daily life, such as struggling to understand that they have to wait their turn to do something, or play with a particular toy, when they find it difficult to understand the concept of time. Biting can often be a response to relieving these frustrations and tensions.

It is also a possibility that some toddlers may find that biting focuses attention on them from adults and they see this as a reward. They are too young to differentiate between gaining attention through positive rather than negative behaviour. It’s also important to understand that children begin to realise that their behaviour (whatever it may be) can be a way for them to influence or control the environment or situation they find themselves in. Initially, biting can be a response to frustration or physical pain, but left unchecked, it may develop into a learned behaviour as a way of ending a situation they are not happy in or avoiding having to do something they do not want to do. It’s also the case that children at this stage of development may imitate all sorts of behaviours they see in others, and that includes biting.

Acquiring language and communication skills in turn leads into the stage in the early years development journey, where children begin to understand their emotions better and are more able to express themselves. This enables them to begin to self-regulate their responses to situations where they feel upset or angry.

So how best to deal with a situation when a child has bitten someone else?
For parents of the child who has been bitten, it’s understandable to feel anger and distress at what has happened. It’s all too easy to assume that the child who has been biting has additional needs (in most cases they don’t) and complaining to friends or other parents may not be helpful (and potentially embarrassing if your child then bites another person at another time). Discussing it with the parents of the child who has bitten may sometimes help understanding and clear the air but sadly this is not always a positive solution. If we are asking our children to be kind in their dealings with others, we should be kind too.

Parents of young children who bite often do not know where to turn or how to help their child through this stage. It can feel overwhelming but there is help at hand. They can turn to their Health Visitor for advice, and if attending an Early Years setting, the nursery staff will be supportive. Working with parents to devise strategies is key, as is consistency in approach to biting.

Whether at home with family or within an early years setting, there are a number of strategies that can help children through this stage in their development. These include:
• Praising and rewarding positive behaviour, so children don’t only get attention for negative behaviour.
• When a child bites another child, focus the attention first on comforting the child who has been bitten, so the child who has bitten does not receive priority attention. Remove them from the situation and make it clear with simple phrases such as “Stop. Biting hurts your friend. Biting isn’t kind.” The days of the ‘naughty step’ should be long past – in fact the word ‘naughty’ should not even come into the conversation.
• Providing sensory activities to create a similar experience to the biting behaviour and build these into a child’s daily routine – whether a ‘chew’ teething toy, such as a ‘chew buddy’, a ‘chew necklace’ or offering a healthy crunchy snack of fruit or vegetables.
• Redirecting a child’s attention to offer an alternative activity if they are struggling to regulate their response to a frustrating situation is a useful technique to defusing tension.
• Using visual prompts and storytelling to the children (at nursery this usually takes place as a group activity) helps them to learn. For example, if there has been an incident at a soft play, this can become the theme of a social story, using role play, such as puppets, to help children understand better positive strategies to use in social situations.
teeth are not for biting• Reading storybooks, for example the behaviour series by Elizabeth Verdick and other authors, such as ‘Teeth are not for Biting’, is commonly used in Early Years settings to help reinforce positive messages about behaviour. These could also be used by parents at home. This is most beneficial if used proactively, rather than as a reaction to specific events.
• Modelling turn-taking activities and extending play to other popular toys and interests so the child is engaged in another activity while waiting for the toy they want. Having more than one of a particularly popular toy or activity available can help smooth out any potentially tricky situations. Using a sand timer as a visual aid to help children to understand when it’s their turn can also help teach them to learn to wait.

For repeated incidences of biting, nursery staff monitor the ‘Why, Where, When’ of occurrences, to see if there is a pattern for this. For instance, is it when they are tired or hungry, or is there an activity that regularly triggers the impulse to bite? It may in fact be a combination of factors and strategies can then be put in place to help avoid situations that can give rise to biting.

For the parents of a child who bites, it is important to know that they are not alone. Very many children, some say up to a quarter of all children, will bite at some point during their early lives. Most commonly this is amongst those aged two to three years. That doesn’t make it any less difficult for all concerned but it is helpful to know that it is a phase that usually will pass.

The Lancing College family includes its two Prep Schools located in Hove and Worthing and Little Lancing Day Nursery & Forest School which offers day care all-year round for children aged two months and over. www.littlelancing.co.uk, www.lancingcollege.co.uk

thumb sucking solution

Why, when and how we should encourage our children to break the thumb sucking habit

By family, Food & Eating, Health, teeth and dental care
by Dr Chaw-Su Kyi
Orthodontist

Thumb sucking is a natural and soothing habit that many babies start while they are in the womb. Studies have shown that foetuses can start thumb sucking as early as the 10th week of gestation! From birth, the habit often naturally continues, until the age of three or four. Most often, children will stop at around this age as a result of learning other ways of expressing themselves like speaking.

For older children who continue to be thumb suckers, peer pressure at school can often end the habit. However, according to the British Orthodontic Society one in every eight children (aged 7-11) have a prolonged digit sucking habit. Girls are more likely to be prolonged digit suckers than boys.

Why stop thumb sucking?
Thumb (or finger) sucking is probably one of the most common habits infants have, and for the majority of us, we often stop in our early years. However, it can prove to be a difficult habit to break. Research has shown that there can be a number of problems associated with thumb or finger sucking in children. If the act of digit sucking is performed vigorously over a prolonged period of time, this may cause issues with the growth of the mouth and the alignment of child’s teeth. Because thumb sucking affects the development of the teeth, jaw and palate, the habit can also change how children eat and speak. Thumb sucking may cause lisping and other speech impediments, including an inability to pronounce hard consonant sounds like ‘D’ and ‘T’.

If your child is still sucking their thumb once the permanent teeth begin to erupt, it can begin to impact the adult teeth. If the thumb (or finger) is placed in the mouth for prolonged periods of time, the thumb itself begins to act like a brace – pushing the upper front teeth forwards and the lower front teeth back. As the thumb is resting in-between the upper and lower teeth, it can also prevent the normal eruption of the front teeth, causing an open bite and the front teeth not to meet.

When we should look to stop the habit?
The sooner a child can be encouraged to stop thumb sucking, the greater the probability no lasting impact will be experienced to the teeth.

If your child’s teeth have begun to move as a result of thumb sucking, there is still a possibility, if the habit is stopped early enough, the teeth can start to return to their normal positions as children are going through their growth and development. This may mean they do not require orthodontic treatment to correct any misalignment of their teeth caused by their thumb sucking.

How to stop thumb or finger sucking?
Thumb sucking can be a tricky habit for children to break. It’s one of those things, as adults that we often shy away from encouraging our children to stop doing as we know it may be difficult and stressful to try and stop. We first have to start with the child – if he or she is determined to stop the habit, it will happen, but having a habit breaker has shown to aid in the cessation of the habit.

All habit breakers work by acting as a reminder – letting your child know that ‘their digits are in the mouth and to take it out’. There are varnishes which you can paint onto the nails which are designed to be extremely unpleasant tasting. Some parents turn to thumb or finger guards, that can be worn at all times, and prompt children to remove their digits as the feel of the fabric in the mouth is less pleasant or comforting.

If these remedies do not work, there are other options that have been shown to be effective at stopping thumb sucking. As well as straightening the teeth orthodontists, commonly see and treat patients to help stop thumb-sucking. They are able to fit a type of brace to act as a permanent habit-breaker. The brace is often fixed with a little ‘gate’ on the palate which acts as the ‘reminder’ to remove the thumb.

These devises tend to be fitted for around three months before they are removed, typically the habit is broken within a month, and the device is left in situ for at least two months after the habit has stopped to ensure it’s ceased.

It is important that the digit sucking habit is stopped at a young age to allow the teeth to ‘recover’. If the habit is continued through to adolescence, it may have severe consequences on the developing dentition – particularly their alignment. Often brace treatment with fixed braces will be needed and possibly removing teeth to allow space for the teeth to be moved back into their correct alignment to attain a
good overbite.

If you would like some advice on stopping a thumb-sucking habit from Dr Chaw-Su Kyi please visit

teeth wee girl

Make time for teeth…

By beauty, children's health, Health, teeth and dental care
by Lisa Costigan
Rottingdean Dental Care

Lisa Costigan from Rottingdean Dental Care has practised locally for 29 years. During this time she has dealt with many dental injuries and is very keen that all patients should know what to do if their child damages a tooth.

What should I do if my child damages a primary (baby) tooth?
You don’t have to do anything yourself to the tooth. However it is important that you visit your dentist as soon as possible. NEVER put back a knocked out primary (baby) tooth as you could damage the permanent tooth below.

Why is it important that I visit the dentist straight away?
Your dentist will want to assess the injury and monitor the tooth. If it has become very loose they may want to remove it, as there could be an airway risk. If it has been mildly displaced from the socket they may be able to reposition it. Sometimes if the movement is very slight the tooth will reposition spontaneously.

How can I care for the injured tooth at home?
Avoid giving hard food for two to four weeks and if possible avoid use of a pacifier or nursing bottle. Remember to keep brushing the tooth as it is important to keep clean. Look out for any changes around the injured tooth. Colour change is a common sign of primary (baby) tooth trauma and may range from yellow to grey to black. Always return to your dentist with any concerns.

Can an injury to a primary (baby) tooth damage the unerupted permanent tooth?
During the first years of life the primary (baby) teeth are very closely related to the permanent teeth which are forming inside the bone. When injury occurs in the primary teeth in this period it can affect the appearance of the permanent teeth, which could erupt with white or brown marks or a deformation in the crown. It may also disturb the eruption time of the permanent tooth.

What should I do if a permanent tooth is broken or knocked out?
• Find the tooth. Hold the tooth by the crown (the white part), not by the root (the yellow part).
• Re-implant immediately if possible.
• If contaminated rinse briefly with cold tap water (do not scrub) and put the tooth back in place. This can be done by the child or an adult.
• Hold the tooth in place. Bite on a handkerchief to hold in position and go to the dentist immediately.
• If you cannot put the tooth back in place, place in a cup of milk or saline. When milk or saline is not available, place the tooth in the child’s mouth (between the cheek and gums).
• Seek immediate dental treatment as your dentist will need to take an x-ray and place a splint on the adjacent teeth. Follow up treatment will depend on the stage of root development of the tooth.

Lisa advises that due to the frequency of tooth injuries all parents should download the Dental Trauma First Aid App which is endorsed by IAPT 9International Association of Dental Traumatology).

Rottingdean Dental Care was opened in 1982. It became the first practice in Sussex to hold both national quality standards BDA Good Practice and Investors in People.
www.rottingdeandental.co.uk