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Care of Your
Child’s Teeth
Begin daily brushing
as soon as the child’s first tooth erupts. A pea size amount of fluoride
toothpaste can be used after the child is old enough not to swallow it.
By age 4 or 5, children should be able to brush their own teeth twice a
day with supervision until about age seven to make sure they are doing a
thorough job. However, each child is different. We can help you
determine whether the child has the skill level to brush properly.
Proper brushing
removes plaque from the inner, outer and chewing surfaces. When teaching
children to brush, place toothbrush at a 45 degree angle; start along
gum line with a soft bristle brush in a gentle circular motion. Brush
the outer surfaces of each tooth, upper and lower. Repeat the same
method on the inside surfaces and chewing surfaces of all the teeth.
Finish by brushing the tongue to help freshen breath and remove
bacteria.
Flossing removes
plaque between the teeth where a toothbrush can’t reach. Flossing should
begin when any two teeth touch. You should floss the child’s teeth until
he or she can do it alone. Use about 18 inches of floss, winding most of
it around the middle fingers of both hands. Hold the floss lightly
between the thumbs and forefingers. Use a gentle, back-and-forth motion
to guide the floss between the teeth. Curve the floss into a C-shape and
slide it into the space between the gum and tooth until you feel
resistance. Gently scrape the floss against the side of the tooth.
Repeat this procedure on each tooth. Don’t forget the backs of the last
four teeth.
Good Diet =
Healthy Teeth
Healthy eating habits
lead to healthy teeth. Like the rest of the body, the teeth, bones and
the soft tissues of the mouth need a well-balanced diet. Children should
eat a variety of foods from the five major food groups. Most snacks that
children eat can lead to cavity formation. The more frequently a child
snacks, the greater the chances for tooth decay. How long food remains
in the mouth also plays a role. For example, hard candy and breath mints
stay in the mouth a long time, which cause longer acid attacks on tooth
enamel. If your child must snack, choose nutritious foods such as
vegetables, low-fat yogurt, and low-fat cheese which are healthier and
better for children’s teeth.
How Do I Prevent
Cavities?
Good oral hygiene
removes bacteria and the left over food particles that combine to create
cavities. For infants, use a wet gauze or clean washcloth to wipe the
plaque from teeth and gums. Avoid putting your child to bed with a
bottle filled with anything other than water.
For older children,
brush their teeth at least twice a day. Also, watch the number of
snacks containing sugar that you give your children.
The American Academy
of Pediatric Dentistry recommends six month visits to the pediatric
dentist beginning at your child’s first birthday. Routine visits will
start your child on a lifetime of good dental health.
The dentist may also
recommend protective sealants or home fluoride treatments for your
child. Sealants can be applied to your child’s molars to prevent decay
on hard to clean surfaces.
Seal Out Decay
A sealant is a clear
or shaded plastic material that is applied to the chewing surfaces
(grooves) of the back teeth (premolars and molars), where four out
of five cavities in children are found. This sealant acts as a
barrier to food, plaque and acid, thus protecting the decay-prone areas
of the teeth.
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Before Sealant Applied |
After Sealant Applied |
Fluoride
Fluoride is an
element, which has been shown to be beneficial to teeth. However, too
little or too much fluoride can be detrimental to the teeth. Little or
no fluoride will not strengthen the teeth to help them resist cavities.
Excessive fluoride ingestion by preschool-aged children can lead to
dental fluorosis, which is a chalky white to even brown discoloration of
the permanent teeth. Many children often get more fluoride than their
parents realize. Being aware of a child’s potential sources of fluoride
can help parents prevent the possibility of dental fluorosis.
Some of these sources
are:
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Too much fluoridated toothpaste at
an early age.
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The inappropriate use of fluoride
supplements.
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Hidden sources of fluoride in the
child’s diet.
Two and three year
olds may not be able to spit out fluoride-containing toothpaste when
brushing. As a result, these youngsters may ingest an excessive amount
of fluoride during tooth brushing. Toothpaste ingestion during this
critical period of permanent tooth development is the greatest risk
factor in the development of fluorosis.
Excessive and
inappropriate intake of fluoride supplements may also contribute to
fluorosis. Fluoride drops and tablets, as well as fluoride fortified
vitamins should not be given to infants younger than six months of age.
After that time, fluoride supplements should only be given to children
after all of the sources of ingested fluoride have been accounted for
and upon the recommendation of your pediatrician or pediatric dentist.
Certain foods contain
high levels of fluoride, especially powdered concentrate infant formula,
soy-based infant formula, infant dry cereals, creamed spinach, and
infant chicken products. Please read the label or contact the
manufacturer. Some beverages also contain high levels of fluoride,
especially decaffeinated teas, white grape juices, and juice drinks
manufactured in fluoridated cities.
Parents can take the
following steps to decrease the risk of fluorosis in their children’s
teeth:
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Use baby tooth cleanser on the
toothbrush of the very young child.
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Place only a pea sized drop of
children’s toothpaste on the brush when brushing.
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Account for all of the sources of
ingested fluoride before requesting fluoride supplements from your
child’s physician or pediatric dentist.
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Avoid giving any
fluoride-containing supplements to infants until they are at least 6
months old.
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Obtain fluoride level test results
for your drinking water before giving fluoride supplements to your
child (check with local water utilities).
Bad Breath (Halitosis)
Daily brushing and flossing helps to prevent the buildup of food
particles, plaque and bacteria in your mouth. Food particles left in the
mouth deteriorate and cause bad breath. While certain foods, such as
garlic or anchovies, may create temporary bad breath, consistent bad
breath may be a sign of gum disease or another dental problem.
Mouth Guards
Mouth guards help
prevent broken teeth, and injuries to the lips, tongue, face or jaw. A
properly fitted mouth guard will stay in place while your child is
wearing it, making it easy for them to talk and breathe.
When a child begins to
participate in recreational activities and organized sports, injuries
can occur. A properly fitted mouth guard, or mouth protector, is an
important piece of athletic gear that can help protect your child’s
smile, and should be used during any activity that could result in a
blow to the face or mouth.
Ask
us about custom and store-bought mouth protectors.
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