Running a damp washcloth over your baby's gums following feedings can prevent build up of damaging bacteria. Once your child has a few teeth showing, you can brush them with a soft child's toothbrush or rub them with gauze at the end of the day.
Putting your baby to sleep with a bottle in his or her mouth may be convenient in the short term - but it can be harmful to the baby's teeth. When the sugars from juice or milk remain on a baby's teeth for hours, they may eat away at the enamel, creating a condition known as bottle mouth. Pocked, pitted, or discoloured front teeth are signs of bottle mouth. Severe cases result in cavities and the need to pull all the front teeth until the permanent ones grow in. Parents and child care providers should also help young children develop set times for drinking during the day as well because sucking on a bottle throughout the day can be equally damaging to young teeth.
When all of your child's primary teeth have come in (usually around age 2 1/2) your dentist may start applying topical fluoride during your child's visits. Fluoride hardens the tooth enamel, helping to ward off the most common childhood oral disease, dental caries, or cavities. Bacteria and food that are left on the teeth after eating cause cavities. When these are not brushed away, acid collects on a tooth, softening its enamel until a hole - or cavity - forms. Regular use of fluoride toughens the enamel, making it more difficult for acid to penetrate.
If the water supply is not fluoridated, or if your family uses purified water, ask your dentist for fluoride supplements. Even though most toothpaste contains fluoride, toothpaste alone will not fully protect a child's mouth. Be careful, however, since too much fluoride can cause tooth discoloration. Check with your dentist before supplementing.
Discoloration can also occur as a result of prolonged use of antibiotics, as some children's medications contain a large amount of sugar. Parents should encourage children to brush after they take their medicine, particularly if the prescription will be long-term.
Brushing at least twice a day and routine flossing will help maintain a healthy mouth. Children as young as age 2 or 3 can begin to use toothpaste when brushing, as long as they are supervised. Children should not ingest large amounts of toothpaste - a pea-sized amount for toddlers is just right. Parents should always make sure the child spits the toothpaste out, instead of swallowing.
As your child's permanent teeth grow in, his or her dentist can help seal out decay by applying a thin wash of resin to the back teeth, where most chewing occurs. Known as a sealant, this protective coating keeps bacteria from settling in the hard-to-reach crevices of the molars.
Although dental research has resulted in increasingly sophisticated preventative techniques, including fillings and sealants that seep fluoride, a dentist's care is only part of the equation. Follow-up at home plays an equally important role. For example, the sealants on a child's teeth do not mean that he or she can eat sweets uncontrollably or slack off on the daily brushing and flossing - parents must work with children to teach good oral health habits.
If you are prone to tooth decay or gum disease, your child may be at higher risk as well. Therefore, sometimes even the most diligent brushing and flossing will not prevent a cavity. Be sure to call your dentist if your child complains of pain in his or her teeth. The pain could be a sign of a cavity that needs to be treated.
New materials have given the paediatric dentist more filling and repair options than ever before. Silver remains the substance of choice for the majority of fillings in permanent teeth. Other materials, such as composite resins, also are gaining popularity. Composite resins bond to the teeth so the filling won't pop out, and they can be used to rebuild teeth damaged through injury or conditions such as cleft palate.
Tooth-colored resins are also more attractive. But in cases of fracture, extensive decay, or malformation of baby teeth, dentists often opt for stainless steel crowns. Crowns maintain the tooth while preventing the decay from spreading.
As your child grows older, you may be concerned about his or her bite and the straightness of his or her teeth. Orthodontic treatment begins earlier now than it once did. What once was a symbol of preteen anguish - a mouth filled with metal wires and braces - has become a relic of the past. Kids as young as age 7 are now sporting corrective appliances. Efficient, plastic-based materials have replaced old-fashioned metal contraptions. Dentists now understand that manipulation of teeth at a younger age can be easier and more effective in the long run. Younger children's teeth can be positioned with relatively minor orthodontia, thus preventing major orthodontia later on.
As your child grows, plan on routine dental check-ups anywhere from once every 3 months to once a year, depending on his or her dentist's recommendations. Limiting intake of sugary foods and regular brushing and flossing all contribute to your child's dental health. Your partnership with your child's dentist will help keep your child's teeth healthy and his or her smile beautiful.