Infant Oral Care

No parent wants their child to have cavities and the majority of us take special care to ensure that each dental visit ends cavity-free.  Yet, tooth decay remains the most common preventable childhood disease in the U.S. Here are a few simple mistakes that, if corrected, could save children from millions of cavities.

1. Not Starting Prevention Early Enough

Many parents wait until children are almost school-age before setting the first dental appointment and before they begin focusing on good oral habits.  However, oral care should truly begin before primary teeth even appear.  For example, parents can use a soft, damp cloth to clean their baby’s gums after each feeding.  Scheduling the first dental appointment should also take place when the first tooth appears or before the age of one, whichever comes first.  Finding a dental home early in your child’s life is one of the most important preventative measures you can take for your child’s oral future.

2. Baby bottles and Sippy Cups at Bedtime

Even though 80% of parents say they know that children should not be put to bed with a bottle of milk or juice, a surprising number of parents still do just that on a regular basis.  Regularly allowing your children’s teeth to be constantly bathed in liquids other than water is one of the most significant contributors of early tooth decay.  Even diluting juice with water can give bacteria the sugar they need to thrive inside your child’s mouth.

3. Not Teaching Kids to Floss

Most parents do a fantastic job of teaching their kids to brush their teeth (two minutes, twice a day!) But recent studies have shown that 43% of school-aged children have never flossed their teeth…not even once.  Brushing alone only reaches a quarter of tooth surfaces and a large number of cavities are actually found where a toothbrush can’t go – between teeth.  It is important to floss for young children, who often don’t have the dexterity to floss on their own.  Older children should be taught the correct way to floss daily.  Here’s a great instructional sheet that provides some guidelines on flossing.

4. Thinking Sports Drinks are Better than Sodas

These days, nearly all parents are vigilant about keeping sodas away from their children.  But one source of sugar may have simply been replaced by another.  Sports drinks often contain just as many calories and sugar as soft drinks.  Instead of serving kids sports drinks during sporting events and games, a better option is simply water.  The types of activities that kids are involved in are rarely strenuous enough to require anything else.

Are you looking for a dental home for your children?  Give us a call today!

We often hear people downplay the importance of primary teeth (also called “baby” or “milk” teeth).  The front 4 primary teeth generally last until 6-7 years of age, while the back teeth (cuspids and molars) aren’t replaced until age 10-13.  People mistakenly believe that since these teeth are temporary, that they do not matter in the long run.  This will often lead to the neglect of primary teeth and can cause permanent damage.

In truth, it is very important to care for the health of the primary teeth. Untreated cavities frequently lead to problems which have long term effects on developing permanent teeth. Here are four reasons why caring for primary teeth is so important:

(1) Proper chewing and eating.  A cavity free mouth often means that it’s easier to enjoy healthy foods without pain or discomfort.  It also means that children are more likely to chew their food completely and are less likely to develop bad eating habits.

(2) Providing space for the permanent teeth.  Primary teeth reserve space for the permanent teeth.  They help in guiding primary teeth into the correct position.

(3) Permitting normal development of the jaw bones and muscles.  Like any muscle, your baby’s face and jaw muscles need exercise to help them develop; healthy primary teeth allow for proper chewing to build these muscles.  Without well-developed jaw muscles, your baby’s jawbones may not develop properly.

(4) Proper development of speech.  Missing teeth can affect the ability for a child to form words and learn to speak properly.  These speech problems can translate into difficulty later in life.

Aside from the reasons listed, there is a very practical reason for taking care of primary teeth: healthy smiles add to an overall attractive appearance which encourages a positive self esteem and good self image.

Not all children suck their thumbs or fingers and for those that do, it’s not always problematic. For some children, however, the thumb sucking habit can be a hard one to break. This can have a negative impact on growing mouths and developing teeth, causing the front teeth to push forward over time. According the American Academy of Pediatric Dentistry, thumbsucking is generally not a concern until after the age of 4. By that time, most thumb and finger sucking habits have long since ceased.

If your child is a thumb or finger sucker past the age of 4, it’s important to understand why he/she is engaging in the behavior. The urge to root and suckle is an essential impulse for newborns, who depend on those instincts for food. As babies mature, some continue to find comfort through sucking behaviors and as they grow, that urge becomes more habitual than essential.

For some children, thumbsucking is an absent-minded habit not unlike fingernail biting, hair chewing or rolling a favorite blanket between the fingers. For those kids, giving gentle reminders when you observe the behavior can be enough to help them break the habit.

For others, the behavior can be an attempt to self-soothe when feeling anxious, scared or tired. For those children, the sucking behavior is more than simply a habit and changing the behavior should be handled carefully and conscientiously. It’s important to keep in mind that a child that is sucking on his/her fingers for comfort is not necessarily misbehaving, so be sure to offer encouragement and support instead of negative reinforcement.

If you think your child is sucking his/her fingers and thumb out of anxiety or when fearful, it’s important that you try to identify what is triggering that response. Once you know what those triggers are, you can move to reassure your child before, during and after those experiences. Perhaps offer small rewards or incentives that are aimed at stopping the behavior.

If you are concerned that your child’s prolonged thumb or finger sucking is causing dental issues that need attention, we encourage you to reach out for an evaluation. Be sure to ask for tips or advice on breaking or redirecting the thumb or finger sucking habit. Sometimes, a simple, friendly chat with the dentist is enough to convince an older child to break the habit completely.

Remember, we are your allies in keeping your child’s teeth healthy.

Teething can be an uncomfortable time for babies, with little gums experiencing tenderness and swelling as emerging teeth break through the surface.  In light of a recent FDA warning against using lidocaine for teething infants, we wanted to put together a few helpful tips for managing this sometimes-difficult time for your child.

Massage sore gums.

Gently rubbing your baby’s tender gums with a clean finger or soft cloth can help alleviate some teething pain.  Applying slight pressure to the gums offers temporary relief from soreness and is one of the quickest and easiest ways to make your child more comfortable.

Find a teething ring that your baby loves.

We recommend sticking to teething rings that are made of solid rubber because those filled with liquid can sometimes break.  Experiment with different types or sizes until your baby shows you which one he or she clearly prefers.

Stay cool, but not frozen.

While it’s fairly common to give babies cold washcloths or teething rings that have been in the freezer, it's best to use one that is simply cold.  Your baby’s gums are very sensitive and contact with frozen objects could actually harm them.  If you do use a frozen teething ring, you might consider giving it a few minutes to warm up or unthaw.

Consider cold foods.

If your baby is beginning to eat solid foods, you may try offering large chunks of vegetables for gnawing.  It’s important to always carefully watch your baby and remember that choking can occur easily, with babies being able to bite off small pieces.  A good solution is mesh feeders that allow children to taste foods without the fear of choking.

Keep a clean cloth nearby.

Teething often causes excessive drooling which can irritate your baby’s chin and neck if consistently left to dry. Instead, have a soft cloth handy to gently dab away saliva regularly.

Remember that teething isn’t sickness.

Teething is normal and natural that shouldn’t be accompanied by symptoms of illness outside of an occasional mild or low-grade temperature (under 101 degrees Fahrenheit or 38.3 degrees Celsius).  Your baby may be irritable or fussy during teething, but high fevers are caused by viral infections and not teething.  Contact your pediatrician if you sense your child may be getting ill.

Don’t forget to establish a Dental Home.

The American Academy of Pediatric Dentistry recommends establishing a dental home by age one or at the emergence of the first tooth, whichever comes first.  If your child is teething, and you have questions, please don’t hesitate to reach out to our office!

Establishing a healthy starting point for your child’s oral care start earlier than you may realize.  It’s amazing how quickly time passes and how fast children grow up.  We’ve put together a few guidelines to encourage you to make good dental habits a priority and to begin caring for your child’s teeth as soon as possible.

Start before teeth arrive.

First teeth generally appear around 6 months. (Don’t worry if your child is sooner or later than this.  All children are different.) Gently wiping the inside of your baby’s mouth with a soft cloth after meals or during bath time will help to reduce bacteria and give emerging teeth a great start.  It will also get you in the habit of caring for your child’s teeth until they are ready to take over themselves.

Begin brushing as soon as the first tooth appears.

Once the first tooth emerges, it’s time to begin brushing.  We recommend a tiny smear of toothpaste on a toothbrush that’s specifically designed for infants.  These usually have small brush heads and a special shape or handle that fits easily in your hand.  Stick to brushing twice a day and be sure to brush both the inside and outside of each tooth surface.  Flossing shouldn’t be a concern until tooth surfaces touch.

Establish a dental home early.

We encourage you to make the first visit to our practice more of a “meet and greet”.  We can give you and your child a mini-tour, and introduce you to our team.  It is our belief that a comfortable, caring environment is essential for a lifetime of healthy smiles.  We would love to see your child when their first tooth arrives or by age one.

Keep a routine for the whole family.

Children imitate what they see their parents do.  Chances are, if caring for your own teeth is a priority then you will pass those health habits along to your children.  Try making brushing and flossing something that everyone in your family does as part of your regular routine.

If you haven’t been following these guidelines, it’s not too late to start!  The best time to begin a lifetime of great dental habits is today.  We encourage you to share this blog post with your friends and family who have young children or may be expecting.  And don’t forget to call us if it’s time for a check-up!