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Parenting

By Dr. Mona Patel

Children's Dental Health Month

Good dental habits begin early

What can you do to take care of your child’s teeth from the start? At what age should your child begin flossing? Since February is National Children’s Dental Health Month, now is a good time to address these questions. During this month, dental professionals focus on the preventative oral care for our nation’s children. Good habits start early, so teaching our children to care for their teeth is an important part of a lifetime of healthy smiles.

Unfortunately, there is a high prevalence of dental decay in South Asians within the United States. South Asian adults are the ethnic group least likely to seek dentist care which, in turn, affects their children. Some children from our community have never had a dental visit! Because negative attitudes toward dental health can be passed onto the children, it is important to model good dental hygiene for your children.

Baby Teeth
Oral care should begin long before children have their first teeth. Even before first teeth emerge, certain factors can affect their future appearance. Pregnant and nursing mothers should avoid taking Tetracycline, a common antibiotic, as it can cause discoloration of a baby’s developing teeth.

When infants are born, all of their primary teeth or baby teeth have formed, although they are still hidden in the gums. Typically, when the baby is about six months old, baby teeth start emerging. Even though baby teeth eventually fall out, they are just as important as permanent teeth. Baby teeth help a child bite and chew food, help develop correct speech, save spaces for permanent teeth and guide permanent teeth into place.

Caring for a baby’s gums and teeth is simple. Swab your child’s gums with a cotton swab after bottle-feeding or nursing, and make sure your baby is getting the right amount of fluoride. Talk to your pediatrician or dentist about whether or not your child might need fluoride supplements, because fluoride helps strengthen tooth enamel as teeth are forming. Watch out for Baby Bottle Decay, which is when cavities develop on upper front teeth due to long-term exposure to milk, formula or fruit juices via baby bottles.

Tips for Preventing Baby Bottle Decay:

- Do not put your baby to bed with a bottle filled with milk, formula or juice.

- Wean your infant when he or she is 12-14 months old. South Asians tend to keep children on bottles longer, which allows children to associate feeding with comfort. However, this behavior increases the chance of cavities and can introduce orthodontic issues later on.

- Don’t use a bottle during the day to comfort your baby. Only use it for meals. Find another way to comfort and cuddle your child, perhaps with a book or a soft toy.

- Don’t dip your baby’s pacifier in sugar or sugary liquids.

- Do not let an infant walk around with a bottle.

Toddler Habits
As your baby grows into a toddler, try to pass on good oral habits. The American Dental Association (ADA) recommends that children have their first dental visits by the age of two, maintain regular dental visits and limit snacks in-between meals. Until your children are six or seven, help them brush their teeth twice daily. It is important to keep your children’s teeth free of food particles, especially in the molars. These teeth have lots of little grooves and crevices where food particles can hide.

The easiest way to help your child brush is to cradle his or her head in your hand while leaving your other hand free for brushing. As your toddler grows, he or she can brush his or her own, with mom or dad helping and going over spots the child has missed. Use a soft bristled brush with a pea sized amount of fluoride toothpaste. Teach your child to spit and not swallow.

Flossing, which removes food from between the teeth where a toothbrush cannot reach and helps prevent cavities, should be encouraged as soon as your child’s teeth touch each other. For younger kids there are toothbrushes and dental flosses featuring cartoon characters that make brushing fun. Again, mom and dad can help with flossing until the child has developed enough dexterity. Make sure to touch base with your child’s dentist to make sure your child is using toothpaste with correct fluoride dosages.

Permanent Teeth
Permanent teeth start to erupt at age six or seven. Continue with good oral hygiene and regular visits to the dentist. By the time your child is 13 years old, most of his or her permanent teeth will be in place. Then, dental issues such as orthodontics, sports guards and nutrition will come into play.

Orthodontic evaluations are generally recommended early, sometimes as early as five or six. Timely orthodontic treatment can create an even and pleasant smile and does wonders for children’s self-esteem. Protect your children’s smiles with sports guards if they play contact sports. Also, continue educating your child on healthy food choices. At around the age of 13, fluoride supplements can be stopped. Wisdom teeth consults usually start at about the age of seventeen onwards.

Diet and Your Child’s Teeth
What we feed our children is an important factor for healthy teeth. A balanced diet is important for long-term dental health. In a world of working parents, fast lives, fast food, convenience comes first before nutrition. As a result, dental health can be overlooked.

Snack Options:
We all know the obvious foods that cause decay, such as foods high in carbohydrates and sugars, like candies and juices. Many of us are unaware of the foods with hidden sugars, such as pretzels, potato chips, peanut butter and crackers.

Replace these snacks with healthier ones. Some options include fresh fruit, vegetables, cheeses and other sugar-free and unsweetened options. Serve starchy foods as part of a meal rather than a snack and aim for fewer snacks.

Beverage Consumption
As children get older, limiting soft drink consumption is recommended. Consuming carbonated drinks on a regular basis can contribute to erosion of tooth enamel and increase the chance of a child developing cavities. It is hard to eliminate these drinks, so use them as a treat or for a special occasion. This not only reduces the risk of cavities, but also can avoid long term ill effects such as diabetes and osteoporosis.

This advice also applies to drinks that contain sticky sugars. Some examples are tropical juices such as mango and sweet lassis. Limit sports drinks as well, as these can also affect teeth.

Some options for beverages include:

- Stocking the fridge with beverages containing less sugar and acid, such as milk, water or a pitcher of water with lime slices.

- Diluting juices with water before serving—younger children in particular won’t know the difference.

- Teaching your children to flush their mouths with water after drinking sugary beverages. This removes vestiges of the drink and reduces harmful effects of these drinks.

Good dental habits, regular visits to the dentist and sensible nutrition choices will enable our children to greet the future with beautiful, strong and healthy smiles!

 

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Dr. Mona Patel D.M.D, B.D.S is a graduate of University of Pennsylvania. She is a mother of two and has been in private practice for fifteen years.


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