Small child

Teeth care in children

Teeth care in children

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The care of milk teeth is as important as permanent teeth. This is because it allows the child to teach the correct rules, develop appropriate habits and protect against tooth decay, which is already often diagnosed in children.

When to buy a child's first real brush, at what point to reach for a fluoride toothpaste and at what age to bring the toddler to the dentist: these questions are answered by Joanna Rąpała, dentist, Mr. Krokodyl. Read!

Are milk teeth different from permanent teeth?

Joanna Rąpała: Yes, milk teeth and permanent teeth differ in structure (shape, color, degree of mineralization). The erupting permanent teeth may appear yellow, large and prominent in shape, and this is normal because this is their structure.

Is it true that decay of primary teeth "passes" to permanent teeth?
Decay of primary teeth can infect permanent teeth. That is why milk teeth treatment is so important. Fixed teeth appear in the mouth, have unfinished development and can easily decay if there is caries in the deciduous teeth.

Does the diet of a pregnant woman affect the condition of the teeth in children?

J.R: Yes, diet is very important for the child's development, including his teeth. If a woman is expecting a child, her diet should not lack products from whole grains of cereals, dairy products with reduced fat, lean meat, fruits, vegetables. A pregnant woman should always choose fresh products. Twice a week, it's good for her to eat fish, eat more often, but in smaller portions.

Should baby's gums be washed before teeth appear?

J.R: Infants' gums should be cleaned, even if they have no teeth. It is important to maintain a healthy oral environment and prepare it for the appearance of teeth. It is best to clean the gingival shafts with a cotton swab dipped in boiled water.

When should you buy a real toothbrush?

J.R: Toothbrush should be used from the first tooth. For starters, it can be with rubber bristles, on the finger, to control the range of motion well. Afterwards, it is worth buying a bristle brush adapted to the size of the child's mouth. It should be selected very individually. Not always what is on the brush packaging coincides with what is in our child's mouth. In addition to the size of the head, it is important that the brush is soft enough and that the handle is not too long.

How often should you change your children's toothbrush?
Toothbrush should be replaced once a month. Children often gnaw on the brush, which makes them wear out quickly. Frayed brush fibers can damage gums or tooth enamel.

Can a child use an electric brush?

J.R: An electric brush may only be used on a child under parental control due to its high potency. It is recommended by me for children who are preparing for surgery in the office due to similar operation as the machines in the office (it makes a sound, moves, tickles). It also works well for children who have a problem maintaining proper oral hygiene.

Since when should you use children's toothpaste?

J.R: From the first tooth you should use fluoride toothpaste - a little paste - 1 mm will not hurt, even if swallowed. Children at different stages of development have different oral hygiene needs. The European Academy of Pediatric Dentistry (EAPD) recommends that the dose of fluoride vary at different stages of dental development, starting from 500ppmF - once a day in very small amounts, up to 1000ppmF-
at a regular dose twice a day.

And a typical fluoride paste?

J.R: Since the start of permanent dentition replacement, i.e. 5-6 years of age, I recommend pastes containing 1000-1500ppm of fluoride. Children at this age are calm and have a swallowing reflex and are able to spit toothpaste out of their mouths.

Do you know good ways how to convince children to brush their teeth?

J.R: In my experience, children are happy to brush their teeth if they have a good role model. It is good to start with yourself so that the child imitating behavior (because this is the first way of learning children), start to brush your teeth. The parent is the person who supervises the correctness of brushing, and if the child is small and cannot handle the technique, he should brush the child's teeth. You can encourage brushing by buying a colored brush, including your favorite music. Usually, the parent knows best what motivates his child.

Since when can children brush their teeth on their own?

J.R: Children willingly brush their teeth by themselves. This should be enabled for them, because it develops a good habit. However, the parent should improve after brushing the child until he / she learns how to do it thoroughly. Currently, there are products on the market in the form of tablets or liquid that facilitate control. The child brushes his teeth, and after brushing, he rinses his teeth with staining fluid, tartar deposits and non-brushed spots will stain. It is easy for both parent and child to assess the quality of brushing.
Parental controls over brushing are recommended until the age of 12.

Can "painful teething" be hereditary?

J.R: Teething is different for each child. It is difficult to talk about heredity, but it is possible that a similar teething pattern may occur in the family.

What do you think about the use of gels that relieve pain when teething?

J.R: Commercially available gels that alleviate teething symptoms are very useful. They have anti-inflammatory properties, reducing inflammation associated with tooth eruption and pain relief. Thanks to them, the moment of tooth breaking through the gum is easier.

How long should we brush our baby's teeth?

J.R: Brushing teeth should last about 2-3 minutes. Depending on the number of teeth, of course, brushing may be shorter. It is worth remembering that teeth should be brushed by a parent if the child is not able to handle the correct technique. Parental supervision is recommended up to the age of 12.

Should spots on children's teeth before the age of two years disturb?

J.R: Any change in color, texture, surface appearance, tooth shape at any age should disturb the parent and requires consultation with a dentist.

When should I go to the dentist with my child for the first time?

J.R: It is worth having contact with the dentist from the first tooth. He will assess the condition of the teeth, the order in which they are cut, and give hygiene recommendations. The first visit with the child's conscious participation may take place at the age of 1.5-2 years. A lot depends on the child's preparation for home visits.

How do you find a good dentist for your child?

J.R: It's best to look for him through word of mouth. Cabinets well received by children and parents are usually recommended by parents. There are many offices that pay more and more attention to cooperation with children.

When is the best time to take your child to the orthodontist?

J.R: A child who is under dentist control should report for follow-up visits every 4 months. Your primary care physician will refer your child to a specialist if he / she deems it necessary. If a parent is worried about something, they can go to the orthodontist at any time. The sooner irregularities are caught, the easier they will be cured.