When should my child first see a dentist, and why?
The ideal time is six months after your child's first (primary) teeth erupt. This time frame is a perfect opportunity for the dentist to carefully examine the development of your child's mouth. Because dental problems often start early, the sooner the visit the better. To safeguard against problems such as baby bottle tooth decay, teething irritations, gum disease and prolonged thumb-sucking, the dentist can provide or recommend special preventive care.
How do I prepare my child and myself for the visit?
Before the visit, ask the dentist about the procedures of the first appointment so there are no surprises. Plan a course of action for either reaction your child may exhibit cooperative or non-cooperative. Very young children may be fussy and not sit still. Talk to your child about what to expect, and build excitement as well as understanding about the upcoming visit. Bring with you to the appointment any records of your child's complete medical history.
What will happen on the first visit?
Many first visits are nothing more than introductory icebreakers to acquaint your child with the dentist and the practice. If the child is frightened, uncomfortable or non-cooperative, a rescheduling may be necessary. Patience and calm on the part of the parent and reassuring communication with your child are very important in these instances. Short, successive visits are meant to build the child's trust in the dentist and the dental office, and can prove invaluable if your child needs to be treated later for any dental problems. Child appointments should always be scheduled earlier in the day when your child is alert and fresh. For children under 24-36 months, the parent may need to sit in the dental chair and hold the child during the examination. Also, parents may be asked to wait in the reception area so a relationship can be built between your child and the dentist. If the child is compliant, the first session often lasts between 15-30 minutes and may include the following (depending on age):
A gentle but thorough examination of the teeth, jaw, bite, gums and ora tissues to monitor growth and development and observe any problem area;
If indicated, a gentle cleaning, which includes polishing teeth and removing any plaque, tartar build-up and stains;
X-rays;
A demonstration on proper home cleaning; and
Assessment of the need for fluoride.
The dentist should be able to answer any questions you have and try to make you and your child feel comfortable throughout the visit. The entire dental team and the office should provide a relaxed, non-threatening environment for your child.
When should the next visit be?
Children, like adults, should see the dentist every six months. Some dentists may schedule interim visits for every three months when the child is very young to build up a comfort and confidence level, or to treat a developing problem.
Five ways to protect your child's oral health at home:
Parents typically provide oral hygiene care until the child is old enough to take personal responsibility for the daily dental health routine of brushing and flossing A proper regimen of preventive home care is important from the day your child is born.
Clean your infant' gums with a clean, damp cloth. Ask your dentist if you may rub a tiny dab of toothpaste on the gums.
As soon as the first teeth come in, begin brushing them with a small, soft-bristled toothbrush and a pea-sized dab of fluoride toothpaste. Remember, most children are also getting fluoride from the community water supply.
To avoid baby bottle tooth decay and teeth misalignment due to sucking, try to wean your child off the breast and bottle by one year of age; and monitor excessive sucking of pacifiers, fingers and thumbs. Never give your child a bottle of milk, juice or sweetened liquid as a pacifier at naptime or bedtime.
Help a young child brush at night (the most important time to brush due to lower salivary flow and higher susceptibility to cavities and plaque). Perhaps, let the child brush their teeth first to build self-confidence, then the parent can follow up to ensure that all plaque is removed. Usually by age five or so, the child can learn to brush his or her own teeth with proper parental instruction.
The best way to teach a child how to brush is to lead by good example. Allowing your child to watch you brush your teeth teaches the importance of good oral hygiene.
Questions?
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What Foods Cause Tooth Decay In Children?
Many different types of food can cause tooth decay, not just candy. Foods that are high in carbohydrates, as well a some fruits, liquids, peanut butter, crackers and potato chips are culprits. Factors that cause tooth decay include the frequency in which the foods are eaten and the time they remain as particles in the mouth.
Can decay affect infants?
Yes. Tooth decay in infants and young children most often occurs in the upper front teeth, but also may affect other teeth. Sometimes parents do not realize that a baby's teeth can decay soon after they first appear. The decay may even enter the underlying bone structure, which can hamper development of the permanent teeth. This problem is frequently referred to as baby bottle tooth decay. This kind of decay is caused by long-term exposure of a child's teeth to liquids containing sugars. When a child consumes a sugary liquid, acid attacks the teeth and gums and causes decay.
Are children safe from soda and other beverages?
Dentists believe that kids who consume too much soda and not enough nutritional beverages are prone to tooth decay in addition to serious ailments later in life, such as diabetes and osteoporosis. Drinking carbonated soft drinks regularly can contribute to the erosion of tooth enamel. Soft drinks contain sticky sugars that bacteria in our mouths use as an energy source. They break down into acids and adhere to tooth surfaces.
How does bacteria hurt teeth?
Decay is caused by bacteria that feed on any food that contains sugars and carbohydrates. Decay occurs when solid or liquid food particles are left unswallowed and cling to the teeth or gums for long periods. Bacteria in the mouth use sugars to produce acid that attacks the enamel of the teeth, softening and then eroding them. Enamel breakdown leads to cavities. If erosion spreads beneath the enamel, pain and sensitivity may eventually result. This can cause nerve infection, which can result in the need for a root canal.
My children rarely drink soda. Are they still at risk for tooth decay?
Yes, any prolonged exposure to soda can cause damage. Sipping a soft drink all afternoon is more harmful to your teeth than drinking a large soda with a meal and then not drinking any soda for the rest of the day. While many dentists advocate drinking nutritional beverages such as milk, many agree soda should be consumed from a can rather than a bottle with a replaceable cap to discourage prolonged exposure to soda.
How can children prevent damage to their teeth?
Children at school should rinse their mouth with water after meals, leaving their teeth free of sugar and acid. Children also should seek sources of fluoridation. If you purchase bottled water, be sure that it is fluoridated. Encourage children to drink tap or fountain water. Use a straw when drinking soda to keep sugar away from teeth. Remember, bottled juices are not a good alternative due to the high sugar content. Regular dental checkups, combined with brushing with fluoride toothpaste also will help protect children's teeth.
How can you help your child prevent tooth decay?
Parents should take their infant to the dentist just after the first tooth appears. Brushing teeth after meals, regular flossing and fluoride treatments are the best ways to prevent tooth decay. Children should also be supervised as they brush. A good rule of thumb is that when children can dress themselves and tie their own shoes, then they are ready to brush unsupervised. Children should be supervised in proper flossing techniques until the age of ten. If you have any concerns about your child's dental health or want some tips on preventing tooth decay, ask your dentist.