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Your Child's Teeth

How can I best care for my child's teeth?
What about using fluoride tablets?

What are cavities?
Is my child at risk for cavities?

How can I help stop cavities?
Does diet affect my child's teeth?

Is thumb-sucking bad for my child?
When should I start taking my child to the dentist?

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Dental Hygiene: How to Care for Your Child's Teeth
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How can I best care for my child's teeth?
Toothbrush Good dental hygiene habits should begin before your child's
first tooth comes in. Wiping your baby's gums with a soft damp cloth
after feedings helps to prevent the buildup of bacteria. When teeth
appear, start using a soft children's toothbrush twice a day.

Once your child is preschool-age, start using fluoride toothpaste.
Don't cover the brush with toothpaste; a pea-sized amount is just
right (see picture above). Young children tend to swallow most of the
toothpaste, and swallowing too much fluoride toothpaste can cause
permanent stains on their teeth.
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What about using fluoride tablets?
Fluoride helps make teeth strong by hardening the tooth enamel. Many
cities are required to add fluoride to tap water. If you live in an
area where the tap water doesn't contain fluoride, your doctor may
prescribe daily fluoride tablets when your child is about 6 months
old. Fluoride is an important part of your child's dental health, but
don't give him or her more than the directions call for. If you miss a
dose, don't give your child extra fluoride to make up. Just as with
swallowed toothpaste, too much oral fluoride can cause stains on your
child's teeth.

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What are cavities?

Cavities are holes that are formed when bacteria (germs) in your mouth
use the sugar in food to make acid. This acid eats away at the teeth.
Cavities are common in children. Good tooth care can keep cavities
from happening in your child
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Is my child at risk for cavities?
Your child might be at risk for cavities if he or she eats a lot of
sugary foods (such as raisins, cookies and candy) and drinks a lot of
sweet liquids (such as fruit juice and punch, soda and sweetened
drinks). Your child also might be at risk if he or she has any of the
following risk factors:

Was born early (prematurely) or weighed very little at birth (low
 birth weight)
Has ongoing special health care needs

Has white spots or brown areas on any teeth
Does not go to the dentist very often

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How can I help stop cavities?

Everyone in your family should take good care of their teeth. Family
members with lots of cavities can pass the cavity-causing bacteria to
babies and children.
Teeth should be brushed at least twice a day and adults should floss
once a day. Everyone should see the dentist twice a year. Have your
doctor or dentist show you the right way to brush your child's teeth.

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Does diet affect my child's teeth?

Yes. Avoiding sweets, sticky foods and between-meal snacks is good
advice. To avoid cavities, limit sweet snacks and drinks between
meals. Have meals and snacks at regular times. Teeth-friendly snacks
include fresh fruits and vegetables, and cheese and crackers.
Baby bottles can create additional problems with your child's dental
health. When liquid from a bottle--like milk and juice--stays in
contact with the teeth for a long time, the sugars cause tooth decay.
This can create a condition called bottle mouth. Your baby's teeth can
develop cavities and become pitted or discolored. Never put a baby to
bed with a bottle. Don't let your child walk around during the day
with a bottle, and teach your child to use a drinking cup around his
or her first birthday.

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Is thumb-sucking bad for my child?

It's normal for children to suck their thumbs, their fingers or a
pacifier. Most children give up this habit on their own by age 4, with
no harm done to their teeth. If your child still has a sucking habit
after age 4, tell your dentist. Your dentist can watch carefully for
any problems as the teeth develop. In most children there is no reason
to worry about a sucking habit until around age 6, when the permanent
front teeth come in.
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When should I start taking my child to the dentist?
The American Dental Association recommends that parents take their
child to a dentist around his or her first birthday. This gives the
dentist a chance to look for early problems with your child's teeth.
Pediatric dentists specialize in treating children's dental health.
You and your child's dentist should review important information about
diet, bottles, tooth brushing and fluoride use. Visiting the dentist
from a young age will help your child become comfortable with his or
her dentist. It also establishes the good habit of regular dental
check-ups.

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Source
Written by familydoctor.org editorial staff.

American Academy of Family Physicians
Reviewed/Updated: 12/09
Created: 09/00

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