What You Need to Know About Pediatric Oral Care via Real Simple

Taking care of your kids’ teeth—brushing, nagging about brushing, flossing, nagging about flossing—is probably one of your least favorite parental jobs. But it’s a necessary evil: Cavities are the single most common chronic childhood disease in America, affecting one in four kids ages 2 to 5. So open wide; here’s a painless pediatric dental checkup.

When Should I Book My Baby’s First Dental Exam?

The official recommendation of the American Academy of Pediatric Dentistry (AAPD) is to schedule a checkup by his first birthday. That said, many dentists admit that this is hard for parents to swallow—especially if only a handful of tiny teeth have come in by then. “Many parents who clean little teeth from the start with tooth wipes, a washcloth, or a soft toothbrush and water often choose to wait until age 2,” says Ruby Gelman, D.M.D., a pediatric dentist in New York City, who points out that your pediatrician will be able to spot any obvious red flags that would require earlier intervention.

Whenever you go, don’t worry that your squirmy toddler won’t be able to sit still in a dentist’s chair or tolerate a stranger poking around in his mouth with metal instruments. These early visits are a lot more about talking than touching, says Ed Moody, D.D.S., the president-elect of the AAPD. The dentist will discuss your family’s dental history, demonstrate how to clean your child’s teeth, and give general tips. For instance, don’t put her to bed with a bottle of milk or juice, which can linger in the mouth all night, causing decay. Think of it like a well-child visit: An ounce of prevention is worth a pound of fillings.

If My Kids Drink Only Bottled Water, Are They Getting Enough Fluoride?
Ever since American cities began adding fluoride (a mineral that helps prevent the breakdown of enamel) to their water supplies in the mid-1940’s, the rate of childhood cavities has decreased by as much as 40 percent, according to the American Dental Association. Still, plenty of kids subsist on bottled water—or, worse, sugary sports drinks and juices—so they’re missing out on that benefit. (As are the 26 percent of Americans who live in communities that don’t add fluoride to their water.) “Your dentist can help you figure out how much fluoride your children are actually getting and come up with a plan to increase it if necessary,” says Moody. Here are a few options.

Drink filtered water

If you live in a fluoridated area, skip the bottled H2O and run your tap water through a carbon filter, like the ones made by Brita. It will remove chlorine, copper, and mercury but keep the fluoride in. There are also portable versions by Bobble, essentially reusable sports bottles with a built-in filter, which can replace disposable bottles.

Buy enhanced, tooth-friendly bottled water

Bottled water with added fluoride (sold in supermarkets) provides the mineral and has no funny aftertaste.

Ask about supplements

For kids living in non-fluoridated areas, who are at high risk for decay, dentists may prescribe chewable fluoride supplements, to be taken once a day after brushing. Just don’t go over the recommended dose. Too much fluoride can lead to dental fluorosis (a condition causing white spots or stains on teeth).

Try fluoride toothpaste and rinses

Once your child is able to spit out toothpaste (around age 2), she can start using a smear of fluoride toothpaste on her toothbrush. Following with a fluoride rinse is particularly useful for kids with braces, who might have a hard time getting to each tooth with a brush.

My Preschooler Had Two Cavities at His Last Checkup Even Though I’m Careful With Brushing! Is It All My Fault?

Even the best brushers can get bad news at the dentist’s office. There are so many factors that play into childhood cavities, says Moody, including the depth of grooves in the molars, diet, and genetics. (Even the composition of saliva is hereditary and affects decay.) And know that it’s not just sodas and gummy bears that pose dietary threats. “Research shows that snacking all day can increase the rate of decay,” says Moody, adding that it’s wiser to eat one snack (whether it’s an apple or a cupcake) followed by a cup of water than to have a steady stream of crackers or raisins making constant contact with the teeth.

Other surprising ways you may be inadvertently increasing your toddler’s risk for cavities: kissing him on the mouth, sharing his ice cream spoon, or letting him put his little fingers inside your mouth. “Adult mouths contain bacteria that convert sugars into acids that attack the tooth structure,” says Moody. Babies are born without these bacteria and pick them up later in life. However, anytime saliva from your mouth gets into the baby’s, the bacteria can sneak in and set up a permanent home. So make sure to use separate toothbrushes (and utensils, when you can), and aim most of your cavalcade of kisses at his sweet-smelling head or soft belly. He’ll thank you for it one day.

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