7 Essential Tips in Baby Tooth Care

Most of us love the first glimpse of baby teeth when they appear. That's when the toothless smile, gets brighter and better. 

Although accompanied by irritation, grinding, crying and sometimes fever, baby teeth when start to appear are a milestone that all of us look forward to.

As parents we often know what to do when it comes to baby's teeth, what paste to use, how to brush, etc. However, it can be possible to miss some things, and before we know, something might have been overlooked, causing a little black spot to appear on your child's teeth that doesn't seem to be going away.

These 5 tips, are therefore compiled to give you a reference guide on what is important to keep track of, what are the absolute must-do's to ensure that your oversight or negligence doesn't cause harm to your child's teeth and often avoidable procedures at the hands of the pediatric dentist.

1. Begin even before baby teeth erupt - Even though baby teeth may not have appeared, your baby is drinking milk, and this leaves residues which should not be allowed to remain on the teeth or in the mouth.

Wiping the gums after every feed, with a soft, wet washcloth or gauze wrapped around your finger, or thimble-like rubber finger glove, will remove the excess food stuck on the teeth.

2. Care for them immediately when they appear - Once teeth erupt, take care of them immediately. Many parents think baby teeth are unimportant, since they will drop off eventually. However, these first teeth actually create the space for permanent teeth to grow and also help babies chew food and learn to articulate or talk. If left uncared for, they decay, causing gum infection or gingivitis, and mess up the space between teeth.

3. Avoid Cavities - Cavities in baby's teeth show up as discoloration or yellowing and pitting or dents in the teeth. Often, putting baby to bed with a milk bottle in the mouth is the main cause of this. 

Leaving an infant with a milk bottle in the mouth for long periods causes food collection and must be avoided. Comfort feeding or bottle chewing should also be stopped.

4. Finish meals with water, either drink or gargling - Since infants usually eat pureed food or drink milk, this can be washed off with a few sips of water. However, a good soft bristled toothbrush must be used as soon as possible so that the baby can get used to using it and it becomes a habit. A good brush will only be handy when the baby starts feeding on solids at or around 18 months. Sticky or sugary foods must be cleaned immediately with a soft brush or cloth in small babies and not left overnight.

5. Toothpaste must be used at 2 years of age - A drop sized amount of non-fluoride toothpaste must be used when toddlers begin eating semi-solid or solid food. Fluoride toothpastes must not be used until the child is much older, at 4 years or above, so they understand spitting out the paste rather than swallowing it.

Choosing the Right Toothbrush for Your Children's Teeth

Toothbrushes are one of the most important tools in dental hygiene, and yet they are often taken for granted. While adults choose toothbrushes based on ease of use and other fancier requirements - dual bristles or unusual shape, with children we often buy what we assume is best for them in terms of their looks.

Toothbrushes have come a long way - from 'chew sticks with frayed edges', still used in rural areas, to those crafted with bone or wood. Nylon bristled plastic toothbrushes, as we see them today, were only introduced in the 1930's.

Why Brush?

Toothbrush plays an important role in a child's oral health. Brushing removes accumulated food, plaque found between teeth and even the yellowish stain on them (a sticky film of bacteria). If plaque is left untouched, it leads to tartar formation or whitish deposits between teeth. When this tartar hardens, brushing becomes difficult, leading to gum tissue swelling or bleed. This is when periodontal or gum disease actually begins.

Which is the best toothbrush to choose for your child's teeth?

The toothbrush market is bursting with them in various sizes, colors and shapes. It is often difficult to choose which is the perfect one. Below are a few pointers about what you can look out for;

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•       Soft Bristled - Children have small teeth, and their gums are sensitive. Soft bristles help remove plaque and food from the gum line, as well as are gentle on gums. It is better to choose toothbrushes that have a rounded end or are polished. 
•       Comfort matters - It doesn't matter what toothbrush you choose for your child's teeth, it must be comfortable. Long toothbrushes can cause injuries and short ones may not reach certain areas of the mouth. The only criteria you should look for, is whether the brush fits their mouth and reaches the back of it as well.

•       Regular or Powered Toothbrushes - Electric powered toothbrushes are very popular abroad, but haven't yet caught the fancy of Indians in a big way. While powered have been thought to clean teeth better, regular ones are just as good, safer and also cost-effective.

Age specific brush use;

1. Babies and Toddlers - Using a damp cloth or gauze, rubbed gently in circular motions is sufficient to clean baby's teeth. Toothbrushes are available for babies, which are small and convenient. Beginning their use early, makes the child get used to the ritual and removes accumulation of milk and food.

By 2 years of age, toddlers are eager to brush themselves, and longer toothbrushes with small heads and soft grips can keep them busy with their teeth.

2. Five to Eight - At this age, the child shows his readiness to brush independently. The toothbrushes although similar to adult ones, are still small with large handles. Manual and powered are often available for pre-adolescent children.

Buying the right toothbrush for your child's teeth, isn't where it all begins and ends. For clean and healthy teeth, brushing must be done twice a day, after breakfast and before bed at night. Flossing must be done whenever possible, to remove food accumulated between teeth. When toothbrush bristles fray or after a period of three months - whichever earlier - new toothbrushes have to replace the old ones. Brushes for kids are to be replaced more frequently than that of adults.

It is always important to involve your child when buying toothbrush for themselves, so that they grow to love the entire process of cleaning their teeth lifelong.