Local Dental Care - Late Baby Teeth

Pediatric Dentistry Prevent Tooth Decay in Children

Snacking -- it's a frequent ritual for all ages and a regular part of most kids' lives. Healthy snack foods can contribute to a well-balanced diet that includes a variety of foods, giving our bodies the nutrients they need.

The Daily Food Pyramid established by the U.S. Department of Agriculture and the U.S. Department of Health and Human Services is a good guide to daily food choices. The best snacks for good dental health include foods rich in complex carbohydrates, vitamins, minerals, and protein. Fruits and vegetables are rich sources of vitamins and minerals, free of cholesterol, virtually fat-free, and low in calories -- which are good reasons for enjoying them as snacks.

Foods containing fats, oils, pastries, candy, and other sweets should be eaten sparingly. However, food products that are high in these things often have the large advertising budgets and are heavily promoted to children.

Serving your children healthy snacks or having these ingredients on hand for them to serve themselves is easy and convenient. Teaching them early about making healthful food choices is good guidance that lasts a lifetime.

At least five servings of fruits and vegetables are recommended daily. Snacks are a good way to get them. However, even natural sugars found in them can contribute to tooth decay. Limit the frequency of snacking because frequent "grazing" coats the teeth in cavity-causing bacteria.

Some research has shown that when cheese or peanuts are eaten with or after carbohydrates, they may help to counter the effects of acids harmful to teeth. In any event, be sure and rinse or brush after each snack!

Here are some fresh, snack ideas from a children's dentist for satisfying and healthy treats:

• Munch on a colorful assortment of fresh fruit. There's a rainbow of snack ideas - apples, pears, grapes, kiwi, berries, peaches, plums, melons, and more. Try some of the new fruits, too, from around the world now available in produce departments.
• Enjoy celery, broccoli, cauliflower, bell peppers, and other crunchy fresh vegetables plain or dunk them into a dressing or your favorite dip.
• Zip up a zesty snack with citrus fruits including juicy oranges, grapefruit, and those easy-to-peel, "zipper" fruits: tangerines and tangelos.
• Make frozen banana chips to have on hand whenever the snack urge strikes. Cut a green-tipped or ripe banana crosswise into rounds; spread rounds on aluminum foil, then wrap tightly. Freeze and enjoy a frosty snack.
• Make fruit smoothies for refreshing, satisfying, and healthful snacks. Choose from the cool collection of fruits. Combine chunks of fruit like bananas, berries, or nectarines with some milk and ice, and whirl in a blender. You can also add some yogurt or fruit juice or sweeten smoothies with a little sugar, if desired. The ideas are endless with the rainbow of fruits, flavored yogurts, and juices.
• Make a snack mix of low sugar cereals with peanuts, tiny snack crackers, sesame sticks, and raisins, or other dried fruits such as cranberries.

Encourage children to eat healthy snacks but limit the frequency of snacking. Let them know that brushing between meals whenever possible is an excellent way to fight cavities. Don't let snack attacks become plaque attacks!

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.

Dental Care: Toothbrush Tips For Kids

There are so many designs for toothbrushes. How does anyone know what to select? Here are some tips from a pediatric dentist to make the right decision and get the most out of your purchase.

Let's begin with preschoolers. Toothbrushes should have extra soft bristles with small, rounded heads. The handles should be larger for a good grip. Some toothbrushes have rubber on the handle to make them slip-proof. A colored area on the bristles indicating the correct amount of toothpaste to dispense can be helpful. Do not permit your preschooler to chew on his or her toothbrush or run with a toothbrush in his or her mouth. You should do the brushing until six years of age. No toothpaste should be used until after age two.

The six-year molars erupt (come in) behind the primary (baby) molars in the back of the mouth. When they begin to erupt, it is time for another toothbrush design. This brush should have a larger head to accommodate the larger permanent teeth and a longer tuft of bristles on the end of the head. As the six-year molars erupt, they are lower than the teeth that are beside them. A toothbrush with a longer set of bristles at the end, an end tuft, is better for cleaning erupting molars.

Around age twelve, when the twelve-year molars are erupting, use the same style brush with an end tuft, but the head should be larger.

During orthodontic treatment, a toothbrush that can clean around the braces is necessary. These brushes will have a short row of bristles in the center and two longer rows on the outside. They will clean around the brackets more effectively. A tiny brush, called an interdental brush, is used for cleaning areas that are hard to reach. Your orthodontist will instruct you regarding the extras needed for good dental care during orthodontic treatment.

All brushes, for all ages, should have soft bristles. Hard bristles are hard on gums. As soon as the bristles look frayed, the toothbrush should be replaced. It is impossible to clean teeth properly with a tattered toothbrush. Replacement may be once a month for some heavy-duty brushers and less often for those with a healthier gentle technique.

All toothbrushes should be rinsed thoroughly with hot water before and after brushing. Rinsing toothbrushes has been shown to reduce the growth of bacteria on the bristles between brushing.

Toothbrushes should be replaced after any illness. If a strep infection is being treated, the toothbrush should be replaced. The strep grows on the toothbrush and can re-infect your child. When you pick up your prescription, also pick up two new toothbrushes. Begin a new toothbrush 24 hours after the antibiotic is started and begin the second toothbrush upon completion of the antibiotic. The same holds true for acrylic orthodontic appliances. They must be disinfected during a strep infection because strep grows on appliances too.

Because viruses and bacteria are growing on the toothbrush bristles during an illness, do not touch the toothpaste tube with the bristles of the toothbrush. Place the toothpaste on a clean finger for transfer, or if the child has herpes, place the toothpaste on a cotton swab for transfer to the toothbrush.

What about the power or electric toothbrushes? Do they do a better job of cleaning? Yes, yes, yes! The first electric brush can be used at age six when children begin to do their own brushing. They must be kept clean and the heads should be changed when the bristles become frayed. The head can be soaked in mouthwash containing alcohol for disinfecting if an illness occurs just after starting to use a new brush. Keep all mouthwash out of the reach of children!

Bedtime brushing is the most important time of day. Morning brushing may be done before breakfast, but after breakfast is more important. After you have purchased the appropriate toothbrush for your child, the only thing left is for you to say, at least twice each day, USE IT!!!

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.