It is important to begin oral hygiene practices early to pave the way for a healthy mouth later in life. As soon as the first tooth erupts, around six months of age on average, make sure to begin a good oral hygiene routine and establish healthy habits. Once baby has teeth, it is important to avoid letting the baby sleep with milk pooled in the mouth. Whether it be breastmilk, formula or cow’s milk, prolonged exposure can lead to tooth decay. A great naptime and bedtime routine might consist of milk and books followed by brushing and off to bed. For babies who are napping away from home or children who no longer nap, brushing after breakfast might be the ideal time for a morning brush. Follow up with a through removal of any food, drink or plaque before bed at night.
Clean your infant’s teeth with a baby-sized toothbrush or a damp washcloth or gauze. The American Dental Association is now recommending that parents begin using children’s fluoride toothpaste once the teeth have erupted. However, a child size dose is only the size of a grain of rice. Because infants are so small and unable to spit out the paste, any more would be too much. Once your child moves into toddlerhood and has a mouth full of teeth, practice spitting after brushing. Once you are confident that they are not sucking the brush and eating the paste, upgrade the dosage to the size of a pea. Children who are brushing independently should still be monitored as they are prone to using excessive amounts of paste. Once children have posterior molars that are touching, it is recommended to floss between these teeth as many children are likely to get decay in these “in-between” areas in the back of the mouth.
Healthy snacking habits are also an important component in keeping the teeth healthy. Children should be offered water throughout the day but should avoid juice or sugary beverages as much as possible. Snacking should also be limited to healthy foods. Repeated exposure to sugar in the form of drinks, snacks and treats throughout the day will greatly increase the chance of tooth decay. Again, removing the food and drink with careful brushing before bed will help keep the teeth clean and strong.
It is recommended that children see a dentist within six months of the eruption of the first teeth. At the first dental visit, the dentist will primarily check that the teeth are coming in properly and that they look healthy. This may be accomplished with a traditional exam or perhaps even with a toothbrush. Typically, x-rays are not taken on very young children unless there are signs of decay. The dentist will also review proper home care and diet. They may also recommend a fluoride varnish be placed. These early appointments are a good opportunity for children to get comfortable coming to the dental office and setting the stage for positive experiences. It often helps if the parents present these visits as a fun opportunity as children can easily pick up on cues from the parents.
Parents should plan to commit to taking care of their own mouth if they have not already. Parents who have untreated dental issues and high levels of cavity-causing bacteria in their mouth could potentially transmit bacteria to their children and increase their chance for dental decay. Visiting your dentist to address any problems and practising good oral hygiene will help you and your family. Modelling healthy behaviours is always a great way to encourage your children.
