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Mandi Franklin, CPNP

Oral Health for Kids

Updated: Jul 2, 2020



Many parents seem surprised when I inquire about dental habits and overall oral health.


Believe it or not, I do care about your child's mouth. Proper dental care is important to keep your teeth, gums, and mouth healthy for a lifetime.


Outlined below you will find how to care for your little one’s mouth throughout the stages of childhood:


Infancy

  • Healthy gums=healthy teeth. Clean your baby’s mouth with a soft rag or cloth after feedings

  • Never prop the bottle or allow your child to go to sleep at night with the bottle in his or her mouth

  • Never use the good ole’ “mom will clean it off” strategy where you pop the dropped pacifier from the floor into your mouth. Bacteria that you may have in your mouth can be transmitted to your child’s mouth, causing tooth decay

  • Teeth typically begin to erupt after 6 months of age. Once your child sprouts a tooth, begin brushing using a soft bristle toothbrush and a GRAIN OF RICE size amount of fluoridated toothpaste

  • Once teeth erupt, it is important to avoid overnight feeds. Infants can go through the night without feeds typically beginning at 6 months

  • If your water is not fluoridated, inquire about fluoride supplements and varnishes once teeth have erupted

  • Try to have your child transitioned off the bottle and onto the cup by 12-15 months of age

  • Provide only clean pacifiers and try to eliminate it by 12-15 months of age

  • It is recommended that your baby be seen by a pediatric dentist after teeth begin to erupt and by no later than their first birthday


Toddlerhood

  • Continue dental visits every 6 months and as needed

  • Be sure to check your child’s teeth, looking for brown or white spots or any abnormalities. If anything looks off, make an appointment with his or her dentist

  • Be sure to offer ONLY water in the sippy cup. I do not recommend juice, Gatorade, sweet tea, soft drinks, or flavored water at this age

  • Offer meals and snacks with fresh fruits, vegetables, lean meats, proteins, and whole grains. Avoid sugary foods such as fruit snacks, gummies etc.

  • When able to spit out toothpaste and not swallow it, usually by age 3, start using a pea size amount of toothpaste twice daily while brushing teeth

  • Once your child has two teeth that are close together, typically after age 2, it is time to add supervised flossing into the daily routine


Preschool/school age/teens

  • Continue dental visits every 6 months for cleanings and possibly visit the orthodontist depending on recommendations

  • Check in with your child and make sure they are ACTUALLY brushing their teeth for a full 2 minutes twice daily. There are even toothbrushes with timers on them.

  • Kids are..err.. Sometimes lazy. Many times, I find that kids do not brush their teeth at night because they are already cozy in bed, and don’t want to get up again. I recommend that my patients keep an extra toothbrush in the shower. This way, they can brush their teeth while showering prior to bed

  • Continue to monitor what your child is eating and drinking at friends’ houses and parties to ensure they are avoiding excessive sugary beverages and snacks

  • As your child reaches middle school and high school, have conversations with them regarding tobacco usage and the increased risk of mouth cancers


What is the biggest hurdle you’ve faced with your child’s oral health?



Until next time,

Mandi



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