Baby Teeth Eruption - In Your Local Los Angeles, CA Area

Pediatric Dentist and Tooth Decay FAQs

Q. Should you give a baby a fluoride supplement?

A. Babies living in areas where the water supply is fluoridated do not need fluoride supplements. If the water supply is not fluoridated, or if the baby is breastfed, the physician or pediatric dentist may recommend supplements starting at the age of six months.

Besides tap water, and often bottled water as well, fluoride also is found in juices (especially cranberry juice) and baby foods (especially chicken). These sources may provide enough fluoride without the need for supplements, so discuss the need for fluoride supplements with your child's physician and/or pediatric dentist

Q. What causes "baby bottle tooth decay"?

A. Frequent, long-term exposure of a child's teeth to sugary liquids (including breast milk, formula, and milk) causes baby bottle tooth decay. The sugars in these liquids pool around the teeth and feed the bacteria in plaque.

Q. When should an infant's oral hygiene begin?

A. Even without teeth, oral hygiene should begin soon after birth. After each feeding, wipe your baby's gums, inside the cheeks, tongue, and roof of the mouth with a clean, damp washcloth or wet gauze pad. This removes plaque, the sticky film containing decay-causing bacteria.

Q. What are the white patches sometimes found in a newborn's mouth?

A. Yeast infections in the mouth occur frequently in newborns. White patches can spot the tongue, cheeks, gums, or roof of the mouth. If they are removed, some bleeding will occur. Treatment is usually unnecessary; however, your doctor should be notified of this condition.

Q. What is the condition known as "tongue-tie"?

A. A piece of tissue connects the tongue to the bottom of the mouth, and if it's too short, a condition known as ankyloglossia results. This is common in newborns and usually resolves itself over time. The only reason to have the tissue cut is if the infant cannot nurse.

Q. When do babies start getting primary teeth?

A. The average age for the first primary tooth is five to six months; however, there is great variation.

Q. What are the signs of teething?

A. Fussiness, excessive drooling, rash, diarrhea, changes in sleep and feeding patterns, and fever can signal a baby's discomfort. However, don't assume that a fever or these changes are caused just from teething. They also can be symptoms of other health conditions. Check with your doctor to ensure your baby receives proper medical care.

Q. What remedies are recommended for teething pain?

A. Your children's dentist or pediatrician may recommend a pacifier, teething ring, or a special numbing ointment for the gums. Some teething rings and pacifiers can be chilled to extend their numbing effect. Older children will enjoy the soothing relief that popsicles provide.

Q. How can you help your child's teething pain?

A. To help your child's teeth pain, gently massage the infant's gums with a clean, wet finger, a small, cool spoon, or a clean, wet gauze pad. This often soothes the child's teeth pain and irritation. A cold rubber teething ring also helps.

Q. Can decay-causing bacteria be passed to an infant?

A. Yes, babies are exposed to bacteria from a variety of sources, such as a caregiver blowing on food to cool it, tasting food, sharing utensils, kissing the infant on the mouth, sharing a cup, or sucking on the baby's fingers. Care should be taken not to expose the infant to bacterial exposure from these sources.

Q. How should you care for a child's primary teeth?

A. As soon as the first tooth erupts, with a clean, wet washcloth or wet gauze. The gums also should be gently wiped. If a toothbrush is used, it should be an appropriate size.

Q. When should you start caring for your child's teeth?

A. As soon as primary teeth appear, they are at risk for decay and need to be brushed twice daily with a soft-bristled brush. Do not use toothpaste until your child is two years old.

Q. How can you prevent baby bottle tooth decay?

A. You can prevent baby bottle tooth decay by wiping the child's teeth and gums with a clean, moist washcloth after each feeding to remove plaque. You should never let your child go to sleep with a bottle containing a sweetened liquid. Among these are milk (including breast milk), formula, fruit juice, and other sweetened liquids. Constant use of a sipping cup containing sweetened liquids also can cause baby bottle tooth decay.

Q. Why is it important to care for primary (baby) teeth, since they will fall out anyway?

A. Primary teeth serve as the foundation for a healthy mouth, including the gums and the proper positioning of permanent teeth. They serve as natural space maintainers, holding the space open until the permanent teeth are ready to take their place.

If primary teeth become broken or decayed and are not properly treated, problems can occur with permanent teeth, which may contribute to other health problems. The result can be costly orthodontics and other pediatric dentistry treatments.

Q. Can juices hurt your child's teeth?

A. Because of the sugar content, juice and juice products have much greater potential to cause decay. Apple juice may cause staining of the teeth and should be diluted with water. Any beverage other than water has the potential to cause tooth decay, especially if the child drinks it frequently.

Q. What problems occur from baby bottle tooth decay?

A. To repair the decay, extensive treatment or extraction of the teeth may be required. Because the children are usually around 18 months to 2 years of age, hospitalization with general anesthesia is often required to perform these procedures.

Q. Is sucking harmful for teeth?

A. While sucking is a natural reflex, sucking on thumbs and pacifiers can cause problems after the permanent teeth erupt. Continued sucking after this time affects the proper growth of the mouth, alignment of teeth, and the development of the roof of the mouth that can result in the need for orthodontic treatment and other pediatric dentistry treatments in the future.

Q. How can parents encourage a child to stop thumb sucking?

A. Set a positive tone and praise the child when they're not sucking. Thumb sucking is a stress-reliever and offers comfort. Look for any factor that might be causing discomfort or anxiety and seek solutions to correcting them, rather than focusing on sucking as the issue.

Reward the child when he or she doesn't fall back into the habit, especially during stressful situations. Schedule an appointment with the child's pediatric dentist to talk about what is likely to happen if the habit continues.

Q. What can parents do if a child has difficulty breaking a thumb sucking habit?

A. Finding ways to take away the pleasure of thumb sucking reduces or eliminates the satisfaction gained from it. Bandage the thumb or put a sock over the hand at night. A pediatric dentist or pediatrician can prescribe a bitter-tasting medication to coat the thumb. A mouth appliance can be used to block the ability to suck.

Fresh Talk For Your Mouth

As a teen, you've got plenty to do -- going to school, homework, participating in after-school activities, spending time with friends, perhaps working a job, and other time commitments. Caring for your appearance also is a top priority, including your teeth. By doing so, you're rewarded with a bright, winning smile that really attracts attention!

Sometimes I Come Home So Tired After Long, Busy Days, I Don't Feel Like Brushing My Teeth. Does it Really Matter?

Yes, it does! If you haven't brushed your teeth since the morning, your mouth is filled with cavity-causing bacteria. When the sugar and starch from the day's food, snacks, or drinks combine with plaque (that sticky film on your teeth), an acid is produced. That acid attacks your tooth enamel. If this is repeated often, those acid attacks can break down enamel and cause cavities while you sleep. So, those few extra minutes it takes to brush your teeth really are important for cavity prevention.

What Can I Do to Make Sure My Breath Is Really Fresh?

Commercial products claim they will make your breath fresher, but the only way to make sure your breath is truly fresh is to practice good oral hygiene. In fact, too many breath mints and hard candies with sugar can lead to tooth decay. If you are constantly using breath mints, breath sprays, or mouth rinses in an effort to cover up bad breath, you may have a problem that needs correction.

If you neglect daily hygiene over time, bad breath can become a symptom of more serious dental problems. Teeth that are not cleaned properly become a place for bacteria to multiply in your mouth, causing cavities and gum disease. Gum disease produces bad breath and that's gross! So brush, floss, and brush or scrape your tongue.

If you smoke, bad breath comes with the habit. Smoking also puts you at an increased risk for developing gum disease. Brushing and flossing your teeth may slow the development of gum disease but smoking can lead to serious oral health problems, including oral cancer.

Can Dieting or Taking Medications Affect My Oral Health?

Hunger can contribute to bad breath. This is because of the chemical changes that occur as your body turns fat and protein into the energy it needs. Chemical changes caused by taking prescription or over-the-counter medications can also affect mouth odor.

Isn't a Mouth guard Just for Those Who Wear Braces?

No! Every year, more than 200,000 people are treated by dentists and oral surgeons for sports-related injuries, including broken and knocked-out teeth, concussions, jaw fractures, and neck and head trauma. Many of these could be avoided if athletes and sports enthusiasts used a mouth guard. Anyone participating in sports, especially contact sports, should wear protective mouth guards for safety.

Different types of mouth guards provide various advantages and degrees of protection -- from off-the-shelf to custom-fitted.

If you let good oral care habits slip away, you might be setting yourself up for some undesirable or painful events. Taking care of your teeth by brushing at least twice a day, cleaning between your teeth, avoiding smoking, and protecting yourself from injury by wearing a mouth guard does make a big difference. It matters to your mouth -- just a few minutes daily for clean teeth, fresh breath, and a magical smile!

by Brian J. Gray, DDS, MAGD, FICO