My Child's First Visit to the Dentist.
When Should I Begin to Bring My Child to the Dentist?
The answer varies depending on circumstances. Bring the child in anytime there is a concern, but when the first tooth appears in the mouth is a good start. This is an opportunity to check for developmental differences, talk about oral hygiene and other child related dental issues. If they go to bed with a bottle we suggest a visit in their first year. It is a good idea to familiarize the child to the dental surroundings and staff prior to any “hands on” treatment. Depending on the child we may be able to clean their teeth as early as age 3.
But what about before age 3?
Recent research indicates poor maternal periodontal health can increase the infants potential for low birth weight (LBW). LBW babies account for almost one half of USA’s infant mortalities and a higher incidence of congenital malformations and disorders. One research team discovered that women with periodontal disease were seven times more likely to deliver LBW babies prematurely. Mom’s teeth and gums need to be healthy during pregnancy, to ensure a healthy baby.
Published reports suggest that children acquire the bacteria that is the major cause of dental disease from their mothers. This occurs at an early age, around 26 months. Once again, mom’s teeth and gums need to be healthy as baby grows.
Looking After Your Child’s Smile
Nursing bottle carries syndrome (NBCS) occurs when the child has prolonged exposure to a bottle. i.e. they go to bed with bottled milk or juice. The result can be extensive decay of the top front teeth requiring repair or removal; an unpleasant experience at an early age. It is important to keep baby teeth healthy as they contribute to normal speech and chewing patterns and maintain space for the permanent teeth yet to erupt. To avoid NBCS have the child drink from a cup ASAP and do not send them to bed with a bottle.
Fluoride supplement protocol has changed. Please ask for the latest recommendations.
Teeth need to be cleaned as soon as they cut through the gums. Use a soft tooth brush or cloth to remove plaque daily. A pea size amount of fluoridated tooth paste is recommended. Flossing needs to begin when the teeth’s sides touch each other. You as a parent will need to help daily with the brushing and flossing until the child becomes proficient at these skills.
Sealants are used to prevent decay on the biting surfaces of teeth. Pits and grooves can be protected as these areas are difficult to keep clean. Sealants are plastic coatings placed on teeth without freezing or drilling.
© Dr. Garry Lunn