Comprehensive Pediatric Dental Care

How should I clean my baby’s teeth?

A toothbrush with soft bristles and a small head, especially one designed for infants, is the best choice for infants. Brushing at least once a day, at bedtime, will remove plaque bacteria that can lead to decay.

At what age should my child have his/her first dental visit?

“First visit by first birthday” is the general rule. To prevent dental problems, your child should see a pediatric dentist when the first tooth appears, usually between 6 and 12 months of age, certainly no later than his/her first birthday.

What is baby bottle tooth decay and how can I prevent it?

Baby bottle tooth decay is a pattern of rapid decay associated with prolonged nursing. It happens when a child goes to sleep while breast-feeding or bottle-feeding. During sleep, the flow of saliva is reduced and the natural self-cleansing action of the mouth is diminished. After the first tooth erupts, avoid nursing children to sleep or putting anything other than water in their bedtime bottle. Encourage your child to drink from a cup as they approach their first birthday. He/she should be weaned from the bottle at 12-14 months of age.

Can thumbsucking be harmful for my child’s teeth?

Thumb and pacifier sucking habits that go on for a long period of time can create crowded, crooked teeth or bite problems Most children stop these habits on their own. However, if your child is still sucking his thumbs or fingers when the permanent teeth arrive, a mouth appliance may be recommended by your pediatric dentist. A pacifier habit should be discontinued by your child’s second birthday. Prolonged pacifier use can cause unfavorable changes in your child’s bite.

What are dental sealants and how do they work?

Sealants are clear or tinted plastic in liquid form applied to the teeth to help keep them cavity-free. Sealants fill in the grooved and pitted surfaces of the teeth, which are hard to clean, and shut out food particles that could get caught, causing cavities. Fast and comfortable to apply, sealants can effectively protect teeth for many years.

When should my child start using toothpaste?

Starting at birth, clean your child’s gums with a soft infant toothbrush or cloth and water. As soon as the teeth begin to appear, start brushing twice daily using fluoridated toothpaste and a soft, age-appropriate sized toothbrush. Use a “smear” of toothpaste to brush the teeth of a child less than 2 years of age. For the 2-5 year old, dispense a “pea-size” amount of toothpaste and perform or assist your child’s tooth brushing. Remember that young children do not have the ability to brush their teeth effectively. Children should attempt to spit out and not swallow excess toothpaste after brushing.

If my child gets a toothache, what should I do?

To comfort your child, rinse his/her mouth with warm salt water and apply a cold compress or ice wrapped in a cloth on your child’s face if it is swollen. Do not put heat or aspirin on the sore area, but you may give the child acetaminophen for pain. Call your pediatric dentist for an evaluation.

Is my child getting enough fluoride?

Fluoride has been shown to dramatically decrease a person’s chances of getting cavities by making teeth stronger. Fluoride in the drinking water is the best and easiest way to get it, but to make sure your child is getting enough fluoride, have your pediatric dentist evaluate the fluoride level of your child’s primary source of water. If your child is not getting enough fluoride internally through water (especially in communities where the water district does not fluoridate the water or if your child drinks bottled water without fluoride), your pediatric dentist may prescribe fluoride supplements.

How safe are dental X-rays?

With contemporary safeguards and digital imaging, such as what is offered at The Dental Specialists, the amount of radiation received in a dental X-ray examination is extremely small. Even though there is very little risk, pediatric dentists are particularly careful to minimize the exposure of child patients to radiation. In fact, dental X-rays represent a far smaller risk than an undetected and untreated dental problem.

My child plays sports. How should I protect my child’s teeth?

A mouth guard should be a top priority on your child’s list of sports equipment. Athletic mouth protectors, or mouth guards, are made of soft plastic and fit comfortably to the shape of the upper teeth. They protect a child’s teeth, lips, cheeks and gums from sports-related injuries. Any mouth guard works better than no mouth guard, but a custom-fitted mouth guard fitted by our doctor is your child’s best protection against sports-related injuries.

When do the first teeth start to erupt?

At about 6 months, the two lower front teeth (central incisors) will erupt, followed shortly by the two upper central incisors. The remainder of the baby teeth appear during the next 18 to 24 months but not necessarily in an orderly sequence from front to back. At 2 to 3 years, all of these 20 primary teeth should be present.

What should I do if my child knocks out a permanent tooth?

First of all, remain calm. If possible, find the tooth and hold it by the crown rather than the root. Replace the tooth in the socket and hold it there with clean gauze or a washcloth. If you can’t put the tooth back in the socket, place the tooth in a clean container with milk and take your child and the glass immediately to the pediatric dentist. The faster you act, the better your chances of saving the tooth.

What should I do if my child knocks out a baby tooth?

First of all, remain calm. Locate the tooth and any fragments. Baby teeth are not re-implanted into the mouth because complications can damage the developing permanent tooth. However, you should still contact your pediatric dentist for an evaluation of the injury and surrounding teeth. It is also important to locate the tooth to ensure that it does not pose a risk for choking.

How can I help my child through the teething stage?

Sore gums when teeth erupt are part of the normal eruption process. The discomfort is eased for some children by use of a teething biscuit, a piece of toast or a frozen teething ring. Occasionally it may be necessary to give your child an over the counter pain medication such as acetaminophen or ibuprofen

I noticed a space between my child’s two upper front teeth. Is this cause for concern?

Usually, the space will close in the next few years as the other front teeth erupt. We can determine whether there is cause for concern and develop a plan of action if needed.

If my child gets a cavity in a baby tooth, should it still be filled?

Primary, or “baby,” teeth are important for many reasons. Not only do they help children speak clearly and chew naturally, they also aid in forming a path that permanent teeth can follow when they are ready to erupt. Some of them are necessary until a child is 12 years old or longer. Pain, infection of the gums and jaws, impairment of general health and premature loss of teeth are just a few of the problems that can happen when baby teeth are neglected. Also, because tooth decay is really an infection and will spread, decay on baby teeth can cause decay on permanent teeth. Proper care of baby teeth is instrumental in enhancing the health of your child.

What causes tooth decay?

Four things are necessary for cavities to form — a tooth, bacteria, sugars or other carbohydrates and time. Dental plaque is a thin, sticky, colorless deposit of bacteria that constantly forms on everyone’s teeth. When you eat, the sugars in your food cause the bacteria in plaque to produce acids that attack the tooth enamel. With time and repeated acid attacks, the enamel breaks down and a cavity forms.

What is the difference between a pediatric dentist and a family dentist?

Pediatric dentists are the pediatricians of dentistry. Pediatric dentists are primary and specialty oral care providers for infants and children through adolescence, including those with special health needs. A pediatric dentist has two to three years specialty training following dental school and limits his or her practice to treating only children, adolescents and patients with special health care needs.

Are baby teeth really that important to my child?

Primary, or “baby,” teeth are important for many reasons. Not only do they help children speak clearly and chew naturally, they also aid in forming a path that permanent teeth can follow when they are ready to erupt.

How can I prevent decay caused by nursing?

Avoid nursing children to sleep or putting anything other than water in their bed-time bottle. Also, learn the proper way to brush and floss your child’s teeth. Take your child to a pediatric dentist regularly to have his teeth and gums checked. The first dental visit should be scheduled by your child’s first birthday.

How often does my child need to see the pediatric dentist?

A check-up every six months beginning at his or her first birthday is recommended in order prevent cavities and other dental problems. However, your pediatric dentist can tell you when and how often your child should visit based on their personal oral health.

How do I make my child’s diet safe for his teeth?

Make sure your child has a balanced diet, including one serving each of: fruits and vegetables, breads and cereals, milk and dairy products, and meat fish and eggs. Limiting the servings of sugars and starches will also aid in protecting your child’s teeth from decay. Sweet, sticky foods such as fruit chews or snacks are particularly damaging to your child’s teeth and should be avoided. Ask your pediatric dentist to help you select foods that protect your children’s teeth.

How do I know if my child is getting enough fluoride?

Have your pediatric dentist evaluate the fluoride level of your child’s primary source of drinking water. If your child is not getting enough fluoride internally through water (especially if the fluoride level is deficient or if your child drinks bottled water without fluoride), then your pediatric dentist may prescribe fluoride supplements.

How can parents help prevent tooth decay?

Parents should take their children to the dentist regularly, beginning with the eruption of the first tooth. Then, the dentist can recommend a specific program of brushing, flossing, and other treatments for parents to supervise and teach to their children. These home treatments, when added to regular dental visits and a balanced diet, will help give your child a lifetime of healthy habits.