Local Dental Care - New York Pediatric Dental Programs

Toddler And Pre-Schooler Dental Care

Almost half of the three-year-olds whom I see for a first dental examination have one or more cavities. Primary (baby) teeth do not have the enamel-strengthening advantage of fluoride during their development, because only trace amounts of fluoride pass through the placenta to the fetus. The primary teeth begin to develop during the sixth week and are calcifying at twenty weeks during pregnancy. Infants may be infected with the bacteria that cause tooth decay as early as ten months of age. This occurs when the caretaker tastes or blows on baby's food or by kissing. The decay-causing bacteria are transferred in saliva. Constant exposure of the teeth to juices, milk, or other sweetened drinks, either in a baby bottle or sippie cup, may also cause decay. Early childhood decay may result in a tendency to experience decay for the rest of your child's life. Good oral hygiene is just as important for the primary teeth as it is for the permanent teeth.

Pediatric dentists believe that toothpaste should not be used until after two years of age. A match head-sized amount should be dispensed. Some toothbrushes have a colored area on the brush head to indicate how much toothpaste to use. Do not permit your toddler to eat toothpaste from the tube. If your little one does not like toothpaste, do not use any. The fluoride in toothpaste does help to decrease decay, but sometimes brushing without toothpaste is necessary. Do not use tartar control toothpaste until the teen years. There are too many additives.

Toddler's teeth should be brushed at least once each day. Bedtime is always the most important time to brush the teeth. During the day, saliva flows over the teeth to aid in removing any food residues. Brushing should be done only by the parents, not the toddler or preschooler. A serious injury can result from permitting your child to run with a toothbrush in his or her mouth. Once all 20 primary teeth have erupted (come in), begin to brush after breakfast too. Do not permit your little one to brush first. The benefit of the fluoride in the toothpaste will be lost. Brushing the toothpaste directly onto the tooth's enamel surface will add to fluoride's strengthening effect. The toothbrush is not a toy. Chewing on the bristles will bend them. The brush must be replaced if this occurs, because it can no longer properly remove plaque. The brush should have a small, rounded head with soft bristles.

Most parents find brushing in a seated position to be easiest. Sit on the floor, the bed, or the couch and place your child's head on your lap. If your toddler is not cooperating, wrap one of your legs around both of his/her legs. Use your free hand to hold his/her hands. Your child will probably be protesting with the mouth wide open. Take advantage of the moment and brush! Brushing does not have to take two minutes. Thirty seconds may be enough time to cover all baby tooth surfaces. Do not think about time, just be sure to brush all surfaces.

A back and forth or small circular motion may be used for brushing primary teeth. Covering every tooth surface is most important. If you brush with the same pattern every time, you will be more efficient. Begin with the upper right or left primary molars. Brush from one side of the mouth to the other. Include the chewing surfaces and the side of the teeth next to the roof of the mouth. Move on to the bottom primary molars. Brush in the same manner as the upper teeth, moving from right to left, or vice versa, including the chewing surfaces and the side of the teeth next to the tongue. Ask your little one to close his or her mouth and brush the sides of the teeth all the way around next to the cheeks. Gently pull the bottom lip away from the bottom incisors (front teeth) and brush upward and away from the gum line. You may notice some light staining on these teeth when your little one is taking an oral antibiotic.

If there are no spaces between the primary teeth, flossing should begin. The same reclined position used for brushing should be used for flossing. Pretend like you are the dentist. This can become a time for not only cleaning teeth, but a time for desensitizing your child. Each time you brush or floss, he/she will become more accustomed to being in a reclined position with this activity occurring in his/her mouth. There are so many varieties of floss. If the teeth are tight together, use waxed floss. Your child may like the flavored floss, which also is easy to use with tight teeth. Use a piece of floss the length of your wrist to your elbow. Wrap the floss around your middle fingers on each hand. Palms will face upward for the top teeth and downward for the bottom teeth. Use your thumbs and index fingers to gently slide the floss between the teeth. In this case, begin with the front teeth first because they are easier to reach. Wrap the floss in a C-shape around each tooth and use an up and down motion (not back and forth) to floss. After a short time, you will be a pro! If you can manage to floss each day, that would be great, but two to three times a week is adequate.

No matter how much your child prefers to delay or avoid brushing, do it! It is much better for you to have a battle at home than for your child to experience early decay and have to undergo dental treatment at age two or three. In most cases, decay is preventable. Here's to a cavity-free future!

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.

Dental Care and Baby Teeth, Something To Smile About

Your child's first baby tooth is another milestone in the growth of a child. Parents love to celebrate the tiny, yet momentous steps that pave a child's healthy development.

Babies are born with their primary teeth formed underneath the gums, but they don't start appearing until many months later, usually between six to seven months after birth; however, there is considerable variation in the timing. By the time children are three years old, they usually have a full set of 20 primary teeth

Around age six, your child's jaws begin growing to make room for the permanent teeth. The roots of the teeth anchor them in the bone. As the permanent teeth start to push their way to the surface, the roots of the baby teeth dissolve completely and then the teeth fall out (exfoliate). Eventually, the roots of each baby tooth lose their anchoring power and are nudged out.

Each baby tooth should be replaced by a permanent tooth. The growth that occurs in the back of the jaws creates space for the additional 12 permanent molars.

When Should Children's Dental Care Begin?

Children's dental care should begin within just a few days after birth. Right after each feeding, wipe your baby's gums and inside of the cheeks, roof of the mouth and tongue with a clean damp washcloth or wet gauze pad to remove plaque, the sticky film containing decay-causing bacteria.

As soon as teeth begin erupting through the gums, continue proper dental care by brushing them with a soft-bristled brush. Do not use toothpaste. Regularly check your baby's teeth for any changes. If you notice any white or stained areas, see a pediatric dentist. Around the age of three when each baby tooth has erupted, dental care can continue as you begin flossing your child's teeth (if there is no space between the teeth).

Never let your child fall asleep at naptime or bedtime with a bottle of anything other than water! Milk, fruit juice, formula, or sweetened liquids contain sugars and can cause cavities and make dental care more difficult.

Each Baby tooth is important to your growing child's long-term dental care and oral health. Dental care is simple, yet essential, for a happy, healthy smile.

Since Each Baby Tooth Will Fall Out Anyway, Why Is It Important To Care For Them?

The primary teeth pave the way for your child's permanent teeth. They serve as the foundation for a healthy mouth and gums and proper positioning of permanent teeth.

The primary teeth help children to chew easily, speak clearly and put a great looking smile on their faces. They also provide structure to help shape their faces. If a baby tooth becomes broken or decayed and are left untreated, that can affect your child's erupting permanent teeth, cause them pain and even contribute to other health problems.

Primary teeth serve as natural space maintainers, holding the space open until the permanent teeth are ready to take their place. If baby teeth are lost too early, the other teeth can drift out of their position and invade the empty space. This might cause permanent teeth to come in crooked or unable to erupt into the gum, which leads to malocclusion.

It also can cause a permanent tooth to erupt prematurely, which isn't good for your child's long-term dental health. Be sure to seek dental care if a baby tooth is lost too early.

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.