Dental Health Tips and Visits for Toddlers, and Children.

The Best Trips to the Dentist Get an "All Clear" Report!

"Dear Dr. Reifman, Thank you for making my daughter, Dharma, feel comfortable during her first visit with you. You and your staff were very personable and accommodating. I researched dentists with updated methods, while offering the least invasive, toxic treatments. What I loved about the pediatric office Dharma went to, was that it was very child-centered. However, I found that forward-thinking techniques were not to be found. My concerns about excessive x-rays and amalgams were minimalized. I look to professionals for their expertise. I welcome your input and direction for my daughter's dental health. Thank you again." Kesa Ryono — Port Hueneme, CA

How should I care for my child's teeth at home?

Start brushing your child's teeth as soon as they come in. Brush your child's teeth for the first 4 to 5 years, until the child seems able to do it alone. A good teaching method is to have your child brush in the morning and you brush at night until he or she masters the skill.

Use disclosing tablets from time to time to see if any plaque (the soft, chalky material near the tooth and gums, and which contains lots of bacteria) is left on the teeth after brushing. Disclosing tablets are chewable and will color any plaque left on the teeth. They are available at most drugstores.

When brushing your child's teeth, use only a small amount of toothpaste, about the size of a small pea. It is important that a child not swallow too much fluoride.

If your local water supply does not contain enough fluoride, your child may need fluoride supplements. Discuss this with your dentist.

Do not put an infant or small child to bed with a bottle of juice or milk. The sugar and acids in these liquids can cause tooth decay. Nursing an infant to sleep is safe, however.

Start flossing your child's teeth as soon as they touch each other. Flossing tools may be helpful.

Do not give mouthwashes that contain alcohol to children. Children with a lot of cavities may start using a mouthwash that contains fluoride when they are around 6 years old. However, they will need to be watched so that they do not swallow it.

What causes a cavity in my child's mouth?

Your mouth is a busy place. Bacteria - tiny colonies of living organisms are constantly on the move on your teeth, gums, lips and tongue. Having bacteria in your mouth is a normal thing. While some of the bacteria can be harmful, most are not and some are even helpful.

Certain types of bacteria, however, can attach themselves to hard surfaces like the enamel that covers your teeth. If they're not removed, they multiply and grow in number until a colony forms. More bacteria of different types attach to the colony already growing on the tooth enamel. Proteins that are present in your saliva (spit) also mix in and the bacteria colony becomes a whitish film on the tooth. This film is called plaque, and it's what causes cavities.

What about sugar?

Sugar plays a harmful role in tooth decay. The bacteria that form together to become plaque, use sugar as a form of energy. They multiply faster and the plaque grows in size and thickness. Some of the bacteria turn the sugar into a kind of glue that they use to stick themselves to the tooth surface. This makes it harder for the bacteria to get washed away with your saliva.

#3: Dental Care For Toddlers

Your toddler should have all of his or her first set of teeth ("baby" teeth) by three years of age. Twenty teeth should appear - 10 in the top jaw and 10 in the bottom jaw. Baby teeth are very important. When teeth first come in they are not fully hardened and may decay easily. Some baby teeth are not replaced by permanent teeth until age 12 or 13. Healthy baby teeth will help your toddler look good, eat well and learn how to speak clearly. The baby teeth also guide the permanent teeth into their correct position.

#4: Diet and tooth decay

Tooth decay is caused by bacteria on the teeth. The bacteria use starches and sugars from foods to produce acid that can break down tooth enamel and cause tooth decay. Your toddler's teeth are at risk for decay if they are still drinking from a bottle filled with anything other than water, especially during rest and sleep periods. The risk is the same if your toddler walks around with a bottle, drinking box or sipper cup during the day. Fruit juice, sweetened tea, pop and even breast milk, cow's milk and formula all contain sugars that can cause tooth decay if left in contact with the teeth for lengthy periods of time. For information on breaking your toddler's bottle habit, contact the dental staff at your local health unit.

Two of the most important factors related to tooth decay are: how often food is eaten, and how long food stays on the teeth. Offer your toddler snack foods such as vegetables, fruits and dairy products.

Follow the 3-Step Snacking Guide for snacks between regular main meals:

• Choose healthy snacks
• Offer 2-3 snacks per day
• Vary your daily snack choices

What about fluorides?

Fluoride is a proven effective and low cost cavity fighter. Fluoride is added to most brands of toothpaste, and is found naturally in some water supplies. Many major cities in the United States add a small amount of fluoride to their drinking water to raise the natural level to between 0.8 and 1.0 parts per million. This level is recommended for preventing tooth decay in all age groups. If you are unsure if your water supply contains optimum fluoride, call your dentist.

When fluoride comes in contact with the tooth surface, it makes the tooth enamel stronger and more resistant to decay. That's why using fluoride toothpaste twice a day is so important in preventing tooth decay. Although many children get enough fluoride from using fluoride toothpaste twice a day, some children who are at high risk for tooth decay may need additional fluoride. Contact your dentist or health unit staff for further information if you are concerned that your child is at high risk for tooth decay.

Preventing tooth decay

Brush your toddler's teeth for them using a fluoride toothpaste twice a day, in the morning and before going to sleep at night. Use a "pea-sized" amount of toothpaste on a soft bristled, child-sized toothbrush. It's a good idea to gently brush your child's tongue to remove bacteria that forms there. Parents need to brush their children's teeth until at least 6 years of age.

What about soothers?

Soothers are not recommended for toddlers once their complete set of primary or "baby" teeth have grown in. This usually happens by age three. Regular use of a soother after this time may affect the child's speech development and the normal development of the mouth and jaws. To "wean" your toddler off their soother, try limiting soother use to rest and sleep times and gently removing it from their mouth after your child is asleep.

When should my child go to the dentist?

Regular dental visits should begin before age 3. If you have a concern about your toddler's teeth make an appointment to see a dental professional even if your child is very young and only has a few teeth. Your child's first dental visit is a good time to discuss daily mouth care, eating habits and fluoride.

Good Food, Healthy Teeth

We have all heard that sugar is bad for teeth. Why is this so? It's because when your child eats or drinks sugars, the germs (bacteria) in your child's mouth MIX with the sugars to make a mild acid. This acid attacks the hard outer layer of teeth (also called enamel). It can make holes (or cavities) in the teeth.

The damage that sugars do depends on: How LONG does sugar stay in the mouth?

Any kind of sugar will MIX with germs in the mouth. Natural sugars can have the same effect on teeth as white (or refined) sugar out of the bag! Many healthy foods contain natural sugars. Milk contains natural sugar. If you put your child to bed with a bottle of milk, the milk stays in the mouth for a LONG time. This MAY cause cavities.

Unsweetened fruit juice may have no ADDED sugar, but fruit juice has natural sugars in it. If your child is always sipping juice between meals, the teeth are being coated in sugars over and over again. Water is the best drink to have between meals. Starchy foods, like teething biscuits, break down to make sugars. If these kinds of food stay in your child's mouth long enough, they will make the acid that can cause cavities. Your job is to CLEAN your child's teeth, NOT to stop your child from having milk, juice, bread or noodles. Your child NEEDS these foods to stay healthy.

Read the labels of the packaged food you buy. By law, everything that's in the food is listed by weight. So if a sugar is listed first, you know that there is more sugar than anything else. These are sugars you can look for on labels: corn sweeteners, corn syrup, dextrose, fructose, glucose, honey, maple syrup, molasses, sucrose.

Also, check to see if liquid medicines (such as cough syrup) have sugars. Ask your doctor or pharmacist to give you medicines that are sugar-free.

Snacks

Growing children need and like snacks. Here are some smart ways to give snacks:

• Limit the number of times a day your child eats or DRINKS sugars. If your child sips juice or pop while playing, he or she will have sugars in the mouth over and over again. Water is the best drink to have between meals.
• Do not give your child sugar-rich foods that stay in the mouth for a long time like gum with sugar in it, suckers (or lollipops) and other hard candy. Stay away from soft, sticky sweets that get stuck in the mouth such as toffee, raisins and rolled-up fruit snacks or fruit leather.
• Keep good snacks handy, where your child can get them. Have carrot sticks or cheese cubes on the bottom shelf of the fridge. Children like small things like small boxes of cereal, small fruits and vegetables, and small packs of nuts or seeds (provided they are safe for your child). Keep them in a low cupboard.
• To keep your child from asking for sweets, do NOT buy them. If they are not in the house, you can't give them out. If you do serve sweets, limit them to meals. When your child is eating a meal, there is more saliva in the mouth. This helps to wash away the sugars.

Request a Dental Appointment Online

15720 Ventura Blvd. Suite 514 | Encino, CA 91436 | Telephone 818-990-6659 | reifmandds@yahoo.com