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National Children's Dental Health Month

Healthy Dental Habits for Babies and Children. Advice for parents on how and when their children should go to the dentist and how to take care of their teeth.

February is National Children's Dental Health Month. I'm going to be covering two groups of children and addressing there needs separately. First will be Babies and Children and next week will be Preteen and Teens.

Healthy Habits For Babies and Children

Start Early  

Your child’s baby teeth are at risk for decay as soon as they first appear—which is typically around age 6 months. Tooth decay in infants and toddlers is often referred to as Baby Bottle Tooth Decay. It most often occurs in the upper front teeth, but other teeth may also be affected. In some cases, infants and toddlers experience decay so severe that their teeth cannot be saved and need to be removed.

The good news is that tooth decay is preventable! Most children have a full set of 20 primary teeth by the time they are 3-years-old. As your child grows, their jaws also grow, making room for their permanent teeth.

Cleaning Your Child’s Teeth  

  • Begin cleaning your baby’s mouth during the first few days after birth by wiping the gums with a clean, moist gauze pad or washcloth. As soon as teeth appear, decay can occur.
  • When your child’s teeth begin to come in, brush them gently with a child-size toothbrush and water. A baby’s front four teeth usually push through the gums at about 6 months of age, although some children don’t have their first tooth until 12 or 14 months.
  • For children older than 2, brush their teeth with a pea-sized amount of fluoride toothpaste. Be sure they spit out the toothpaste. (Ask your child's dentist or physician if you are considering using fluoride toothpaste before age 2.)
  • Until you’re comfortable that your child can brush on his or her own, continue to brush your child's teeth twice a day with a child-size toothbrush and a pea-sized amount of fluoride toothpaste. When your child has two teeth that touch, you should begin flossing their teeth daily.

Teething  

Teething is one of the first rituals of life. Although newborns usually have no visible teeth, most baby teeth begin to appear generally about six months after birth. During the first few years of your child’s life, all 20 baby teeth will push through the gums and most children will have their full set of these teeth in place by age 3. A baby’s front four teeth usually erupt or push through the gums at about six months of age, although some children don’t have their first tooth until 12 or 14 months. As their teeth erupt, some babies may become fussy, sleepless and irritable, lose their appetite or drool more than usual. Diarrhea, rashes and a fever are not normal symptoms for a teething baby. If your infant has a fever or diarrhea while teething or continues to be cranky and uncomfortable, call your physician.

First Dental Visit  

As soon as your child’s first tooth appears, it’s time to schedule a dental visit. The ADA recommends that the first dental visit take place within six months after the first tooth appears, but no later than a child’s first birthday. Don’t wait for them to start school or until there's an emergency. Get your child comfortable today with good mouth healthy habits.

Although the first visit is mainly for the dentist to examine your child’s mouth and to check growth and development, it’s also about your child being comfortable. To make the visit positive:

  • Consider making a morning appointment when children tend to be rested and cooperative.
  • Keep any anxiety or concerns you have to yourself. Children can pick up on your emotions, so emphasize the positive.
  • Never use a dental visit as a punishment or threat.
  • Never bribe your child.
  • Talk with your child about visiting the dentist.

During this visit, you can expect the dentist to:  

  • Inspect for oral injuries, cavities or other problems.
  • Let you know if your child is at risk of developing tooth decay.
  • Clean your child’s teeth and provide tips for daily care.
  • Discuss teething, pacifier use, or finger/thumbsucking habits.
  • Discuss treatment, if needed, and schedule the next check-up.

Fluoride  

Fluoride is a mineral that occurs naturally in all water sources, including oceans, rivers and lakes. Fluoride is also added to some community tap water, toothpastes and mouth rinses. Infants and toddlers who do not receive an adequate amount of fluoride may be at an increased risk for tooth decay since fluoride helps make tooth enamel more resistant to decay. It also helps repair weakened enamel. Bottled water may not contain fluoride; therefore, children who regularly drink bottled water or unfluoridated tap water may be missing the benefits of fluoride. If you are not sure if your tap water has fluoride, contact your local or state health department or water supplier.

Note: Discuss your child’s fluoride needs with your dentist or pediatrician. They may recommend a fluoride supplement if you live in an area where the community water is not fluoridated.

Pacifiers 

Infants and young children may suck on thumbs, other fingers or pacifiers. Pacifiers dipped in sugar, honey, juice or sweetened drinks, can lead to tooth decay. Tooth decay can also begin when cavity-causing bacteria pass from saliva in a mother or caregiver’s mouth to the infant. When the mother or caregiver puts the baby’s feeding spoon in her mouth, or cleans a pacifier in her mouth, the bacteria can be passed to the baby.

This post is contributed by a community member. The views expressed in this blog are those of the author and do not necessarily reflect those of Patch Media Corporation. Everyone is welcome to submit a post to Patch. If you'd like to post a blog, go here to get started.

Hazel Wilkonson the First February 12, 2013 at 03:44 PM
Hah! Preliar, my comment, which was harmless, was followed by your typical, inappropriate teabaggery and you're calling me out? Hah! Your insanity is delightful on so many levels.
Preliator February 12, 2013 at 04:55 PM
Thank you Hazel for proving you are nothing but a close minded bigot who can not even answer a simple question with out letting the raw hate seep out at every turn.
Hazel Wilkonson the First February 12, 2013 at 04:59 PM
Thank you Preliar for proving you are nothing but a close minded bigot who can not even answer a simple question with out letting the raw hate seep out at every turn.
Laura Otto February 12, 2013 at 05:25 PM
Thanks Dr. Parli for putting some great information out there! It's very sad when we still see kids with such poor diets and dental care. As for Hazel and Preliator- just stop it!. THanks again Dr. Parli!! Laura Otto, RDH
Preliator February 12, 2013 at 11:14 PM
Oh Eva what's wrong, Adolf too busy to show you any attention. Why don't you be a good Frau and go feed Blondi.

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