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Ask the Dentist
If you have questions or would like to be
better educated about preventing dental disease
and improving your smile, we have complied information about the
following topics:
CHILDREN'S DENTISTRY:
Baby
Teeth
Primary teeth usually start to erupt in the first year of life. The
first teeth to erupt at approximately six months are the lower central
incisors followed by the upper central incisors. At 12 months
usually all lower incisors and all upper incisors are erupted. All
eruption times are variable and can vary by six months. Taking
care of your child's teeth begins prior to birth. Mother's
need to eat the right foods for optimum nutrition and should have
regular checkups during pregnancy.
Bottle Caries
Inappropriate feeding of children can lead to "baby bottle tooth decay.
This is a devastating type of tooth decay for the child,. Early
recognition and intervention are essential to treat and prevent this
disease progression. For young children to develop caries several
factors need to be present: !) teeth need to be present; 2)
bacteria need to be present; 3) food (usually juice bottles) for the
bacteria needs to be present; and 4) time for the caries to develop.
Bacteria and substrate need to be present for a prolonged time to allow
demineralization and caries progression. The bottle at nap time or
bedtime is most dangerous. Fluids may pool around the teeth for hours.
The teeth primarily affected by that are the maxillary incisors. Lower
teeth are in general less affected since they are covered by the
tongue.
The typical high risk child
will use a nursing bottle far beyond the first birthday. If infants are
allowed prolonged access to the bottle its use may become habitual. The
result is the toddler that is never seen without a bottle. These
children may have a very high inappropriate caloric intake or the high
fluid intake may cause the child to keep away from other foods, which
leads to an overall poor nutritional outcome.
Prevent Decay in Your Children
Some rules to follow to prevent tooth decay in the young child:
1) infants should not
be put to sleep with a bottle containing a liquid other than water.
2) infants should be encouraged to drink from a cup prior to their
first birthday
3) juices should only be offered from a cup
4) oral hygiene should be started with the eruption of the first
primary tooth
5) about the time of the child's first birthday, it is time for
the first dental visit.
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