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Oral Health Problems in Children

There are a number of problems that affect the oral health of children, including tooth decay, thumb sucking, tongue thrusting, lip sucking, and early tooth loss. Even though baby teeth are eventually replaced with permanent teeth, keeping baby teeth healthy is important to a child's overall health and well-being.

Baby bottle tooth decay

Baby bottle tooth decay (also called early childhood caries, nursing caries, and nursing bottle syndrome) occurs when a baby's teeth are in frequent contact with sugars from liquid carbohydrates, such as fruit juices, milk, formula, fruit juice diluted with water, sugar water or any other sweet drink. Human breast milk can cause tooth decay as well. As these liquids break down in the mouth into simple sugars and are allowed to sit in the mouth, bacteria start feeding on the sugars, causing tooth decay.

If left untreated, decayed teeth can cause pain and make it difficult to chew and eat. Also, baby teeth serve as "space savers" for adult teeth. If baby teeth are damaged or destroyed, they can't help guide permanent teeth into their proper position, possibly resulting in crowded or crooked permanent teeth. Badly decayed baby teeth could lead to an abscessed tooth, with the possibility of infection spreading elsewhere.

How do I prevent baby bottle tooth decay?

Some tips to prevent baby bottle tooth decay include:

  1. During the day, to calm or comfort your baby, don't give a bottle filled with sugary liquids or milk; instead, give plain water or substitute a pacifier.
  2. At anytime, don't dip your baby's pacifier in sugar, honey, or any sugary liquid.
  3. At bedtime, don't put your baby to bed with a bottle filled with sugary liquids (watered-down fruit juice or milk still increases the risk of decay). Give plain water.
  4. Don't allow your baby to nurse continuously throughout the night while sleeping, since human breast milk can cause decay. Use a pacifier or give a bottle filled with plain water instead.
  5. Don't add sugar to your child's food
  6. Use a wet cloth or gauze to wipe your child's teeth and gums after each feeding. This helps remove any bacteria-forming plaque and excess sugar that have built up on the teeth and gums.
  7. Ask your dentist about your baby's fluoride needs. If your drinking water is not fluoridated, fluoride supplements or fluoride treatments may be needed.
  8. Teach your baby to drink from a cup by his or her first birthday. Moving to a "sippy cup" reduces the teeth's exposure to sugars; however, constant sipping from the cup can still result in decay unless it is filled with water.


Next: Thumb sucking »

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Oral Health Problems in Children

What is teething?

Teething is the process by which an infant's teeth erupt, or break through, the gums. Teething is also referred to as "cutting" of the teeth. Teething is medically termed odontiasis.

When do babies start teething?

The onset of teething symptoms typically precedes the eruption of a tooth by several days. While a baby's first tooth can present between 4 and 10 months of age, the first tooth usually erupts at approximately 6 months of age. Some dentists have noted a family pattern of "early," "average," or "late" teethers.

A relatively rare condition, "natal" teeth, describes the presence of a tooth on the day of birth. The incidence of such an event is one per 2,000-3,000 live births. Usually, this single and often somewhat malformed tooth is a unique event in an otherwise normal child. Rarely, the presence of a natal tooth is just one of several unusual physical findings which make up a syndrome...

Read the Teething article »










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