When Should My Child First See A Dentist?

The American Academy of Pediatrics (AAP) and the American Academy of Pediatric Dentistry (AAPD) recommend a child’s first visit by age 1. Early examination and preventive care will protect your child’s smile now and in the future.

Why so early? What dental problems could a baby have?

The most important reason is to begin a thorough prevention program. Dental problems can begin early. A big concern is Early Childhood Caries (also know as baby bottle tooth decay or nursing caries). Your child risks severe decay from using a bottle during naps or at night or when he/she nurses continuously from the breast. The earlier the dental visit, the better the chance of preventing dental problems. Children with healthy teeth chew food easily, learn to speak clearly, and smile with confidence. Start your child now on a lifetime of good dental habits.

What is a Pediatric Dentist?

A pediatric dentist has an extra two to three years of specializes training after dental school, and is dedicated to the oral health of children from infancy through the teenage years. The very young, pre-teen, and teenagers all need different approaches in dealing with their behaviors, guiding their growth and developing, and helping them avoid future dental problems. The pediatric dentist is best qualified to meet these needs.

Why Are The Primary Teeth So Important?

It is very important to maintain the health of the primary teeth. Neglected cavities can and frequently do lead to problems which affect developing permanent teeth. Primary teeth or baby teeth are important for (1) proper chewing and eating, (2) providing space for the permanent teeth and guiding them into the correct position, and (3) permitting normal development of the jaw bones and muscles. Primary teeth also affect the development of speech and add to an attractive appearance. While the front 4 teeth last until 6-7 years of age, the back teeth (cuspids and molars) aren’t replaced until age 10-13.

Which type of toothbrush should I use?

The brand of the toothbrush is not as critical as the type of bristle and the size of the head. A soft toothbrush with a small head is recommended because medium and hard brushes tend to cause irritation and contribute to recession of the gums, and a small head allows you to get around each tooth more completely and is less likely to injure your gums. It's unnecessary to "scrub" the teeth as long as you are brushing at least twice a day and visiting your dentist at least twice a year for cleanings.

Is one toothpaste better than others?

Generally, no. However, it's advisable to use a fluoride containing toothpaste to decrease the incidence of dental decay. We recommend our patients use what tastes good to them as long as it contains fluoride.

How does my child’s diet affect his/her teeth?

Healthy eating habits lead to healthy teeth. Like the rest of the body, the teeth, bones and the soft tissues of the mouth need a well-balanced diet. Children should eat a variety of foods from the five major food groups. Most snacks that children eat can lead to cavity formation. The more frequently a child snacks, the greater the chance for tooth decay. How long food remains in the mouth also plays a role. For example, hard candy and breath mints stay in the mouth a long time, which cause longer acid attacks on tooth enamel. If your child must snack, choose nutritious foods such as vegetables, low-fat yogurt, and low-fat cheese which are healthier and better for children’s teeth.

How can I prevent tooth decay from a bottle or nursing?

Encourage your child to drink from a cup as they approach their first birthday. Children should not fall asleep with a bottle. At-will nighttime breast-feeding should be avoided after the first primary (baby) teeth begin to erupt. Drinking juice from a bottle should be avoided. When juice is offered, it should be in a cup.

When should bottle-feeding be stopped?

Children should be weaned from the bottle at 12-14 months of age.

Should I worry about thumb and finger sucking?

Thumb sucking is perfectly normal for infants; most stop by age 2. If your child does not, discourage it after age 4. Prolonged thumb sucking can create crowded, crooked teeth, or bite problems. Your pediatric dentist will be glad to suggest ways to address a prolonged thumb sucking habit.

When should I start cleaning my baby’s teeth?

The sooner the better! Starting shortly after birth, clean your child’s gums with a soft infant toothbrush and water. Remember that most small children do not have the dexterity to brush their teeth effectively. Unless it is advised by your child’s pediatric dentist, do not use fluoridated toothpaste until age 2.

Any advice on teething?

From six months to age 3, your child may have sore gums when teeth erupt. Many children like a clean teething ring, cool spoon, or cold wet washcloth. Some parents swear by a chilled ring; others simply rub the baby’s gums with a clean finger.