Local Dental Care - When Do Babies Get Molars

Dental Disease And Children's Gums

If your child complains that his or her young gums are sore, tender, or bleed after brushing or flossing, these might be warning signs of gingivitis, an early stage of periodontal disease. The word "periodontal" comes from the Greek meaning "around the tooth." Healthy gum tissue and bone support each tooth.

Young gum disease threatens the support system that healthy teeth need. If not treated, it can lead to serious problems including tooth loss.

What Causes Children's Gum Disease?

Certain types of bacteria found in plaque (that sticky film in the mouth) create toxins. This irritates the gums, causing tenderness and bleeding. As gums loosen around teeth, little pockets form and fill with plaque. If left untreated, the toxins destroy the tissues surrounding the teeth. This can lead to further complications, so it's important to treat young gum disease promptly.

What Can Be Done to Prevent Children's Gum Disease?

Good daily pediatric dental care is essential. If plaque isn't removed completely every 24 to 48 hours, it hardens into tartar, that can only be removed by pediatric dental care professionals.

Brushing twice a day and cleaning between teeth helps to remove plaque. If children are too young to brush themselves, they will need your help. Use a soft-bristled toothbrush and fluoride toothpaste.

Clean between teeth with dental floss or interdental cleaners (special picks, brushes, or sticks) to remove food particles trapped between teeth and plaque. Anytime two teeth touch, they must be cleaned in between. Tooth decay and young gum disease often starts in these areas, so flossing is very important! Teach children how to floss and help them until they're old enough to do it themselves.

Teens, ages 12 or older, can use an anti-microbial mouth rinse approved by the American Dental Association. This helps in controlling the plaque that forms above the gum line. These rinses are available only by prescription from your pediatric dentist.

Regular pediatric dental care check-ups and cleanings, usually about twice a year, help to remove the plaque that hardens into tartar under the gum line. Tartar can only be removed professionally.

How Is Gingivitis Treated in Children?

In the early stages, proper pediatric dental care helps restore gum tissue along with plaque and tartar removal around the teeth. Your dentist will design a pediatric dental care program for your child's specific needs. Doing so will help prevent young gum disease.

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.