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What's the fuss about my kids teeth?

Cavity Prevention in Your Young Children:

Why is my kids’ pediatrician asking me about his teeth?

There is real excitement that comes when you see that first baby tooth erupt out of that gummy smile. For weeks most parents watch the shadow of the tooth and wonder will it come out today? Tomorrow perhaps? It's like watching a flower blossom out of a planted garden; you just can't wait to see it bloom. Parents love that moment and the milestones that come with each progression of infancy into childhood. We must remember the importance of oral health. That cute smile can be affected by poor hygiene practices even as babies.

As pediatricians we are often in close contact with families overseeing their babies care much of that first year. As a result, we are able to make recommendations and intervene to prevent poor oral health even before some families make it to a dentist. This is especially the case if you live in an area where there are not many pediatric dentists and the family dentists want to wait until your child is a bit older, 3 or 4 years old before the first visit. The American Academy of Pediatrics and the American Pediatric Dental Association recommend that children are seen at age one for an initial dental assessment.

So here are four things you need to know about your baby’s teeth. Many parents don't realize before they make it to the first dental appointment these practices can make a huge difference in how long that adorable healthy smile lasts.

1. Transition from bottle to sippy cup by the first birthday or as close to that as possible. Fluids taken by the bottle bathe the teeth in fluid that often has sugar content which breaks down the tooth enamel. The sucking of the bottle also can impact the tooth development and shape, the same way a pacifier used for a prolonged time can. Try not to have your child fall asleep with the bottle in his or her mouth. This is also a risk factor for dental caries.

2. Start wiping down or gently brushing even the first baby teeth when they come out. I often recommend a clean wash cloth placed on the tip of the parent finger to wipe down the teeth morning and evening time. This removes build up on those new teeth that even infants can develop. You can also purchase the finger brushes or a soft baby toothbrush.

3. Avoid toothpaste with fluoride in large quantities until your child is able to spit out toothpaste on his or her own. This means purchasing a toddler brand toothpaste that is safer and thus avoiding too much fluoride exposure in a young child.

4. Consider a varnish application to your baby's newly erupted teeth. Many pediatric practices now offer this treatment to protect your baby's enamel right in their office. Discuss this potential option with your child's pediatrician.

Lastly, please remember oral health is an important part of health. Poor oral health will also impact your child's self-esteem moving forward. It can result in bigger problems that may need procedures that are more invasive down the line. I can't emphasize how important prevention is. The more your children go to the dentist for their regular visits, the more comfortable they will become with dental cleanings. If the right dentist is found who is gentle with your child, this can set up a positive life long experience with dental care. I can't finish these four points without finally stating that avoiding excess sugar is so important. Try and offer alternatives to candy and sugary drinks because these negatively impact the teeth. Instead opt for fruits and water which not only are better for your child's teeth but their overall well-being.

Be Blessed, The Mommy Doc

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