Your child could hit a speed bump on their road to dental maturity—tooth decay. In fact, children are susceptible to an aggressive form of decay known as Early Childhood Caries (ECC) that can lead to tooth loss and possible bite issues for other teeth.
But dentists have a few weapons in their arsenal for helping children avoid tooth decay. One of these used for many years now is the application of sealants to the biting surfaces of both primary and permanent teeth. Now, two major research studies have produced evidence that sealant applications help reduce children's tooth decay.
Applying sealant is a quick and painless procedure that doesn't require drilling or anesthesia. A dentist brushes the sealant in liquid form to the nooks and crannies of a tooth's biting surfaces, which tend to accumulate decay-causing bacterial plaque. They then use a curing light to harden the sealant.
The studies previously mentioned that involved thousands of patients over a number of years, found that pediatric patients without dental sealants were more than three times likely to get cavities compared to those who had sealants applied to their teeth. The studies also found the beneficial effect of a sealant could last four years or more after its application.
The American Dental Association and the American Academy of Pediatric Dentistry recommend sealants for children, especially those at high risk for decay. It's common practice now for children to first get sealants when their first permanent molars erupt (teeth that are highly susceptible to decay), usually between the ages of 5 and 7, and then later as additional molars come in.
There is a modest cost for sealant applications, but far less than the potential costs for decay treatment and later bite issues. Having your child undergo sealant treatment is a worthwhile investment: It could prevent decay and tooth loss in the near-term, and also help your child avoid more extensive dental problems in the future.
Tooth decay and developing bite problems could be major obstacles to your child's normal growth and development. Without good, preventive dental care at home and from the dentist, these obstacles could impact their health now and well into adulthood.
Here are 3 things you should do to help your child stay ahead of harmful dental problems.
Start daily hygiene early. To protect your child from tooth decay, you should begin cleaning their teeth and gums early, even before teeth appear. For your first hygiene efforts use a clean wet cloth to wipe their gums after feeding to reduce bacterial growth in the mouth. After teeth begin to erupt start brushing them with a fluoride toothpaste—a slight smear for infants and up to a pea-sized amount when they get older.
Keep sugar to a minimum. The bacteria that causes tooth decay thrive on sugar. To minimize bacterial growth, keep your child's sugar intake to a minimum by providing dental-friendly snacks and foods. Also, try to limit any sugar they eat to mealtimes rather than with snacking through the day. And avoid sending them to bed with a bottle filled with a sugary liquid (including formula and breastmilk).
Begin dental visits around age one. Dentists and pediatricians recommend regular dental visits for children starting around their first birthday. This increases the chances of detecting disease or bite problems early before too much damage occurs. Your dentist can also provide preventive measures like sealants or topical fluoride to reduce the risks of tooth decay. And early visits lessen the chance of your child developing dental visit anxiety, a phobia that could continue into adulthood.
How braces from your dentists in El Cajon, CA, can help your child
Are you wondering if braces are right for your child? It’s a good question, and one you shouldn’t try to answer on your own. There are many benefits and reasons why braces are a good idea for your child.
Dr. Gary Olen and Dr. Michael Maurer of Pediatric and Adolescent Dentistry and Orthodontics in El Cajon, CA, offer comprehensive pediatric and adolescent dental services, including orthodontic treatment to help your child.
Braces or other orthodontic treatment is a good idea if your child has:
- An overbite or underbite
- A crossbite or open bite
- Tooth rotation and crowding
- Teeth that have failed to erupt
- Gaps or spaces between teeth
- Overlapping teeth
These are just a few of the benefits having a straight smile can give your child:
- Enhanced self-esteem and self-confidence
- Teeth that are easier to keep clean
- Less chance of tooth decay, gum or periodontal disease
- Less chance of excessive tooth wear
- Less chance of jaw problems, including TMJ
You can tell by this list that not only do braces help your child or adolescent, they also prevent dental problems later in life.
Braces are an excellent choice for your child. You can choose from:
- Conventional metal brackets and wires
- Clear or ceramic brackets and tooth-colored wires
- Lingual braces, which are attached to the back surfaces of teeth
- Clear plastic aligners are available too, as an alternative to braces. The aligners have the advantage of being removable, to allow easier eating, brushing, and flossing.
Deciding on the type of braces your child needs is difficult. That's why we recommend talking to your El Cajon, CA, dentist. They can help you decide the best course of action.
You want to do everything you can to take care of your child, and for many parents, that often includes orthodontic care. To find out more about whether your child could benefit from orthodontic treatment, call Dr. Gary Olen and Dr. Michael Maurer of Pediatric and Adolescent Dentistry and Orthodontics in El Cajon, CA at (619) 440-5915. Call today!
“That kid is growing like a weed!” Every proud parent likes to hear something like that about their child: It means they’re growing up—and it shows!
As nature takes its course, your child will physically transform into an adult. And that also includes their mouth: By the time they enter early adulthood they will have had two sets of teeth and their jaw structure will have changed dramatically.
All of this happens without you needing to do anything. But there can be bumps along the road like tooth decay or abnormal bite development. For that, you can and should intervene by preventing or at least slowing the formation of such situations.
The best way to do this is to form a partnership with your child’s dentist. Like any partnership, each party contributes something to the relationship.
For you that means first and foremost keeping up your child’s regular oral hygiene practice. This should start even before they begin showing teeth. As an infant you should start wiping their gums after each feeding with a clean wet cloth to hold down bacterial growth. When teeth appear, you can graduate them to brushing and flossing, teaching them along the way to do it for themselves.
You can also boost their dental health by cutting back on sugar consumption, which feeds bacteria. Besides monitoring their snacks, also avoid sending them to bed with a bottle filled with a sugary liquid (including formula, breast milk, or regular milk). And be sure you provide them a nutritious diet filled with tooth-strengthening foods.
On your dentist’s part, they provide regular cleanings that help ensure decay-causing plaque doesn’t build up on the teeth. They’ll also monitor for any signs of decay, and provide treatment when necessary. To further protect them against decay, dentists can apply sealants and topical fluoride to your child’s teeth, especially if they appear to be at high risk. And they’ll also be watching for early signs of a bite problem: Early intervention could prevent or at least minimize this development.
With that kind of solid partnership, your child’s normal dental development can proceed as smoothly as possible. Avoiding the possible pitfalls will help them achieve optimal oral health now and throughout their lives.
Keeping your child’s teeth and gums healthy may sometimes seem like “one step forward, two steps back.” You do all the right things like daily brushing and flossing, and keeping sugar consumption to a minimum. But they’re still getting too many cavities.
We can add something else to what you’re already doing to decrease their cavity rate: apply a concentrated fluoride mixture (stronger than what’s found in toothpaste or drinking water) directly to their teeth. Studies have shown that topical fluoride is effective at reducing the risk of new cavities in children at high risk for decay, and may even reverse early decay.
Topical fluoride can be applied as a gel, foam or varnish. The particular method used depends on factors like the child’s age or the preference of the dentist. But any of the three methods can deliver a short-term, high dose of fluoride to the teeth.
As a result, the burst of fluoride strengthens tooth enamel against decay, with plenty of evidence of its effectiveness. As such, the American Dental Association recommends periodic topical fluoride applications for children older than 6, and especially those that appear to be at higher risk for decay.
You might, however, be concerned about the long-term health effects of these stronger concentrations of fluoride. Again, research indicates that the only long-term hazard associated with too much fluoride is a condition called fluorosis, which produces heavy tooth staining. Fluorosis, though, is more of an appearance issue and doesn’t harm the tooth itself. And it can be avoided in the case of topical fluoride by performing the procedure correctly and conservatively.
There’s also a short-term risk of a reaction to the fluoride mixture if the child swallows too much during the procedure, which could cause stomach upset and pain, vomiting or headaches. We can avoid this by using precautions like dental dams and other isolation methods to prevent the child from ingesting it.
Using proper precautions and procedures, topical fluoride is a safe and effective way to give your child added protection against decay. Avoiding this destructive disease can help ensure they’ll enjoy good dental health for the rest of their lives.
If you would like more information on keeping your child’s teeth and gums healthy, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Fluoride Gels Reduce Decay.”
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