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Kid's Dentist: Time For Teething

If babies could talk, they might have a few things to say about their troubles with teething: "Ooohh, do my gums ever hurt!" Since they can't, parents and caregivers must stay alert to signs of teething: drooling, fussiness, redness of gums and cheeks, sleeplessness, and maybe a loss of appetite. The first signs of teething may begin as early as three to four months of age. Baby teeth usually begin appearing between the ages of 6 to 16 months.

What Can Help My Child Feel More Comfortable While Teething?

Pay attention to the signs of teething and offer a big dose of TLC (tender loving care) and some relief of discomfort with some tried and true teething tips:

• Gently massage the baby's gums with a clean, cool, damp gauze pad or with your clean finger.
• Give your baby a cool non-plastic spoon to place into his or her mouth. Do not freeze the spoon.
• Allow your baby to chew on a cooled teething ring or moistened washcloth. Note: For safety reasons, do not leave your baby unattended while chewing on these things. Avoid plastic teething rings because a piece may break off and the baby's mouth could be cut or choking could occur. Also, teething rings should not be placed in the freezer. The frozen ring may stick to the lip, tongue, or gums and tear the tissue.
• If you apply over-the-counter topical medication, or if you use Acetaminophen (Tylenol or Tempra), follow the instructions on the label carefully and consult your doctor. Too much may cause liver damage. Over-the-counter medications should not be routinely given to an infant without a doctor's approval.

How Should I Care for My Baby's New Teeth?

As soon as your baby's teeth are visible, it's time to begin brushing! Baby teeth are susceptible to tooth decay that can lead to damage of permanent teeth. In the morning and before bedtime, brush teeth with a soft-bristled toothbrush and water only. Do not use toothpaste until your baby reaches two years of age to prevent accidental swallowing. After that, use just a dab (the size of a match-head) of fluoride toothpaste.

Be sure to schedule your child's first dental exam around the time of his or her first birthday (definitely no later than 16 months of age). Routine dental visits reveal any conditions that can be treated early as well as establish your child's dentist as a "healthy smile" partner.

By Brian J. Gray, DDS, MAGD, FICO

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.

Facts About Dental Fluoride

We have all received the benefit that fluoride offers in preventing tooth decay. The following facts will provide you with information to assure that your child's teeth receive the optimum amount of fluoride.

• Fluoride strengthens the outer layer of enamel, making teeth more resistant to the acid attack of decay-causing bacteria. It can be of benefit not only when the teeth are forming, but also after they have erupted (come in).
• Primary (baby) teeth begin to develop at six weeks during pregnancy. Fluoride supplements for mom during her pregnancy do not benefit baby's developing teeth. Only tiny amounts of fluoride are found in breast milk.
• Well water may contain large amounts of fluoride. Before giving your child fluoride supplements, have your well water tested for fluoride content. Fluoride sticks to the sides of glass containers. Use a plastic container for an accurate test result.
• Bottled water may also contain significant amounts of fluoride. The amount of fluoride will vary with the season of the year, the water table, and the plant from which the water was obtained.
• Juices, tea, and soft drinks may contain fluoride. White grape juice has the highest concentration of fluoride. Fish and chicken baby food may also provide fluoride.
• Do not assume that your home water filter system removes all fluoride. The age of the system and the filter may have a significant effect on your fluoride level. Have your water tested before giving your child a fluoride supplement.
• Do not use fluoridated toothpaste before two years of age. Dispense only a dab the size of a match head for children under five. Children's toothpaste has the same amount of fluoride as the adult brands.
• If your home water supply is not fluoridated, the water at school, daycare, or the caregiver's home may be optimally fluoridated.
• Your physician or pediatric dentist may prescribe a fluoride supplement. Once the chewable tablet is begun, fluoride and vitamins should be taken separately. Vitamins work best with food, and fluoride is best absorbed from an empty stomach. Fluoride tablets should be taken at bedtime after the teeth are brushed. Chew, swish, and swallow.
• There are many sources of fluoride other than your home water supply. When considering a fluoride supplement for your child, remember your fluoride facts!

by Jane A. Soxman, DDS



+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.