Kids who are frequently eating sugary food and beverages such as fruit juice, softdrinks and milk for extended periods of time run the risk of suffering from Early Childhood Caries (ECC). This is an infectious disease that can start even as early as the teeth begin to surface (around 6 months), usually progresses quickly, causing discomfort to the child.

The American Dental Association defines as the ‘presence of one or more decayed (non-cavitated or cavitated lesions), missing (due to caries) or filled tooth surfaces in any primary tooth in a preschool-age child between birth and 71 months of age.

There are many factors by caries develop but this condition is primarily initiated by bacteria, mainly Streptococcus mutans. When food enters the mouth, the bacteria break down the carbohydrates and it produces acids which causes mineral loss from the teeth.

ECC calls for extensive dental repair, often under general anesthesia for children aged 22 months. If left untreated, it can further destroy the child’s teeth and can have a lasting effect on the child’s general health.

The effect of ECC is more infection and pain; it can affect communication and speech, dietary nutrition and eating, learning, sleeping, playing and the overall quality of life, even reaching adulthood. Many children suffering from ECC require expensive, restorative treatment.

How to Prevent Children from Getting Early Childhood Caries
The American Academy of Pediatric Dentistry (AAPD) suggests the following steps for parent to prevent ECC.

For infants:

1. Visit a pediatric dentist before the child’s first birthday.
   
2. Clean infant’s gums using a clean, wet gauze pad or a soft cloth after feeding.
3. Starting brushing infant’s teeth as soon the first tooth emerges two times a day using a fluoridated toothpaste and soft brittle toothbrush that is fitted to his/her age. Parents must only use a ‘smear’ of toothpaste when brushing the teeth of a child less than 2 years.
4. Do not breast feed for extended periods.
5. Infant must not be put to sleep with a bottle of fruit juice, sugar water or milk.
6. If the child falls asleep, the teeth should be cleaned before putting him/her on bed.

 
For Toddlers and Young Children:

1. Encourage your child to drink using a cup even after the first birthday. You may use a training cup (sippy cup) however, it should only be used as a transitional tool to help kids adjust from drinking a bottle to a cup.
   
2. When using sippy cups, only put water – except during mealtime. Filling the training cup with sugary beverage and letting a child drink from it throughout the day will encourage growth of cavity-causing bacteria.
3. Parents must use a ‘pea-size’ amount of toothpaste and assist their child in toothbrushing.
4. Supervise child while brushing and teach him/her how to spit out the toothpaste.
5. Guide your child in developing healthy eating habits early and offer sensible nutritious snacks.
   

Mint Kids Dentistry’s top priority is bringing children and adolescents on the right path to dental health and proper oral hygiene. Dr. Soo Jun believes that early education will prepare kids to a lifetime of optimal dental health. Hence, she educates the importance of routine dental checkups and proper oral care.
 
Schedule an appointment as http://bellevuekidsdentistry.com/.

While they do eventually fall out, it is still very important to take good care of your child’s milk teeth. Milk teeth helps them chew and bite food, and speak clearly. Underneath their teeth, roots of adult teeth are growing in place.

According to research, children who develop dental cavities in their milk teeth are more susceptible to develop cavities as an adult, so don’t take pediatric dental check-ups for granted. Even though they are still young, their teeth are still prone to the same damage and conditions that permanent teeth face. If he/she is at high risk for tooth cavities or decay, it is time to reduce consumption of starchy and sugary snacks and beverages.

Tips on How to Brush Your Child’s Teeth
Teaching your child on how to properly brush their teeth can instill a lasting habit that will promote a healthy mouth. Read below on how to get started with this routine.

Pick the right toothbrush
Take your child on a toothbrush shopping. Be sure to get a soft-bristled tooth. Kid’s toothbrush often come in different character themes and color – allow children to pick their toothbrush. There are also rotating, battery-operated toothbrush, which may come in handy for feisty toddlers.

Set the stage
It is advised to brush your teeth twice a day. Timing is also another crucial factor. When getting started, choose a time when your little one welcomes the idea of brushing like after breakfast and before bedtime. Of course, before naptime is a must, however, do not wait until he is tired or sleepy. Develop a ritual, like letting him/her go to the bathroom and turn the faucet. In this way, your child looks forward to the tooth brushing process and you are likely to be dealing with a cooperative toddler.

Start brushing
Prepare the toothbrush with toothpaste only a pea-sized amount. Next, determine his/her most comfortable position. You can use a step stool or a stand or your child can sit on your lap.

Begin by brushing the inside of the teeth first. Focus on brushing the gum line by moving the brush at a 45 degree angle. Move the toothbrush back and forth. Do the same on the outside of the teeth. Aim the gum line and do the same routine again.

Don’t forget to brush the top portion too. If your child gets cranky, take breaks but don’t forget to rinse their teeth and tell them not to swallow the toothpaste. Lastly, teach them how to properly rinse and spit using proper technique.

Make the experience fun
Turn toothbrushing into a game or sing a song to go along with it. This will help your child practice brushing and get the hang of it. You can also look for videos of their favourite cartoon character brushing teeth. In this way, you can make the experience fun and memorable, helping your toddler to enjoy tooth brushing and taking care of their dental health.

Mint Kids Dentistry’s top priority is bringing children and adolescents on the right path to dental health and proper oral hygiene. Dr. Soo Jun believes that early education will prepare kids to a lifetime of optimal dental health. Hence, she educates the importance of routine dental checkups and proper oral care.

Schedule an appointment at http://bellevuekidsdentistry.com/.
 

Sucking is a normal part of babies’ development. It is a natural reflex that they develop even before they are born. In fact, sucking provides them the comfort even after a child stops drinking milk from breast or bottle. Many children find pleasure by sucking their fingers or pacifier. On one hand, parent wonder if this habit can lead to problems on their child’s mouth or teeth.

Are Pacifiers Bad for Your Child’s Dental Health?
During a child’s first years, your child’s sucking habits probably won’t harm his/her mouth. However, frequent and long-term sucking can lead to problems, especially true if it continues after the milk teeth begins to fall out.
Some of the problems include:

• Top front teeth slanting out
• Bottom front teeth tilting in
• Misalignment of upper and lower jaws
• Roof of the mouth may become narrow side to side
  

Do’s and Don’ts of Using Pacifier
Below are some tips on how to use pacifier (1).

• Do purchase products that are made in one piece. It should not be composed of parts that may break off and might be swallowed.
• Do not try to calm a crying baby by dipping the pacifier in sugar water or any sweets. This will only increase the risk of developing tooth decay.
• Do not tie a pacifier on a necklace or string around the neck of your child. He could accidentally be strangled.
• Do encourage older children to give up using pacifier.
• Don’t use pacifier when the infant is falling asleep. He might be too dependent on the pacifier and may not learn how to sleep on their own.
• Do choose a pacifier with ventilation holes as it allow air passage. This feature is important in cases where the pacifier accidentally becomes lodged in your baby’s throat.
• Do replace pacifier every two to three months even if you cannot see any wear and tear.
• Don’t use pacifier when nipple changes color or become cracked, sticky or torn
• Do clean the pacifier before putting it in your child’s mouth. It can transmit germs that may risk your child of illness or cavities.
  

Thumb and pacifier sucking habits can become a problem if they continue for a very long period of time. Most kids discontinue use on their own, but if they continue past the age of three, your pediatric dentist may recommend a mouth appliance.

Also, your children should learn to do proper brushing and flossing of their teeth. In addition, it is important to visit a children’s dentist to have their teeth and gums checked.  Dental check-up every six month is advised to prevent carries and other dental problems.

Mint Kids Dentistry’s top priority is bringing children and adolescents on the right path to dental health and proper oral hygiene. Dr. Soo Jun believes that early education will prepare kids to a lifetime of optimal dental health. Hence, she educates the importance of routine dental checkups and proper oral care.

Schedule an appointment as http://bellevuekidsdentistry.com/.
 

According to the Center for Disease Control and Prevention, tooth decay is one of the most common chronic childhood conditions in the US. If left untreated, tooth decay can be a painful and uncomfortable experience for children and it can lead to infection, creating problems with learning, speaking and most especially, eating.

• Nearly 1 out of 4 children between 5 and 11 years have at least one decayed tooth left untreated.
• Thirteen percent of adolescents between 12 and 19 years have at least one decayed tooth left untreated.

Importance of Early Childhood Dental Visits
The earlier children started going to a pediatric dentist, the healthier their teeth and mouth will be throughout their lives. Doing early dental visits help prevent tooth decay and cavities – conditions that can lead to pain, loss of appetite and other medical issues. Children with healthy teeth learn to speak clearly, chew their food thoroughly and smile with confidence!

The American Academy of Pediatric recommended that every child must visit a dentist at the age of 1. This visit also teaches caregivers and parents how to take good care of the child’s teeth and help keep them cavity-free.
For instance, pediatric dentists often see numerous children with tooth decay due to falling asleep with a bottle of juice or milk.

Your pediatric dentist can teach the parent or caregiver why it causes cavities, why is it important to introduce drinking from a cup once they approach their first birthday and the proper way of brushing young teeth.

Your dentist can also explain why you need to stop on-demand bedtime feeding once your child’s first tooth emerges.

Another reason why early childhood dental visit is important is that your pediatric dentist can provide treatment procedure that can help prevent decay and cavities. Your children’s dentist may apply dental sealants to the chewing surfaces of the molars to prevent tooth decay. Studies show that sealants can reduce decay of permanent molars by about 81%. Flouride varnish is also another preventive dental treatment that is painted on the teeth to prevent decay.

What Parents Should Do
It is important to bring your child to his/her dentist by age 1 for checkup, as advised by the American Academy of Pediatrics. Consult your pediatrician or pediatric dentist about applying fluoride varnish as soon as first tooth appears as well as dental sealants.

If you are living in a community that has water not fluoridated, consult your dentist if your child needs fluoride supplements in the form of tablets, drops or lozenges.

Every time you are drinking or eating sugary foods, you are exposing your teeth under acid attack for up to one hour. That is due to the sugar reacting with the bacteria present in plaque, producing harmful acid.

Aside from sugar foods, acidic foods and drinks can also be as harmful. Acid dissolves or erodes the tooth enamel, revealing the dentine or the inner layer of the tooth. This causes tooth sensitivity and can be unsightly to look at.

What is Tooth Decay?
Tooth decay is a damage to the teeth that leads to fillings or worse, extraction. It occurs when sugar reacts to the bacteria in plaque and forms the acid that destroys the protective layer of the teeth. When this happens, the enamel could break down, creating a cavity or hole into the dentine.




What are the foods that can cause tooth decay?
Any sugary foods can cause tooth decay. And sugar comes in different forms. Ingredients that end in ‘ose’ are all sugars – e.g. fructose, glucose and sucrose. These sugars are potentially harm your teeth.

Most processed foods contain sugar and the higher it is listed in the ingredients list, the more sugar the product contains. Make sure you read the label when shopping for food.

Moreover, when reading product labels, take note that the tag ‘no added sugar’ doesn’t mean that the product contain zero sugar. It only means that no additional sugar has been added. Hence, these products may still contain sugar like those listed above. Sugar may also be listed as ‘carbohydrates. Be sure to ask your pediatric dentist if you are unsure.

How do sugars harm your teeth?
Our mouth is home to different bacteria and some of them form a sticky substance called plaque on your teeth’s surface. Bacteria on the plaque loves gobbling up the sweet stuff and convert it to acid. The acids are strong enough to melt the hard enamel covering your teeth. That is how cavities starts to form.

It is best to limit sugar intake to reduce acid production of bacteria that dissolves enamel.


Snacking Tips to Help Prevent Tooth Decay
Before you start nibbling on a snack, check your options. Is it packed with sugar? If so, then think again; maybe there are some other that are good for your teeth. Keep in mind that some types of sweets can be more damaging than others.

For instance, chewy or gooey sweets takes a lot more time to break down and they can even stick to your teeth. Sticky snacks remains in your mouth longer than those that can easily be chewed and swallowed.
Consider your frequency of snacking. Do you munch on sugary treats several times a day, or do you limit yourself with just a dessert after dinner?

Every time you eat sugar, damaging acids are produced in your mouth. This acid continues to damage your teeth for 20 minutes before they start to be neutralized. Hence, the more you eat sugary snacks, the more you’re feeding the bacteria that cause tooth decay.

If you want to eat sweets, it is better if you eat them after a main meal instead of nibbling all throughout the day. When eating sweets or any meal, be sure to brush your teeth with a fluoride-enriched toothpaste.

What is Fluoride?
Fluoride is the ionic form of the element fluorine, a naturally-occurring substance. When combined with other elements like sodium, fluoride ions form a compound called sodium fluoride, which is the active ingredient in many toothpaste.

Fluoride works in many ways to prevent tooth cavities and decay. For children, it is important for tooth development because fluoride combines into the crystals forming the enamel, which is the hard outer layer of the teeth. Development of the enamel happens in children up to the age of 8, when the teeth is growing under the gums. Fluoride in the enamel makes the teeth resistant to demineralization.

How Does Fluoride Protect Your Child’s Dental Health?
Fluoride has many caries-protective actions. When applied topically, it has been found that low levels of fluoride in saliva and plaque prevent demineralization of tooth enamel and boost enamel by replacing nutrients. Fluoride also prevents development of dental cavities by inhibiting the activity of cariogenic bacteria – the specific bacteria that causes caries.

Certain types of bacteria in our oral cavity break down the carbs we eat and along the process, they produce acid which causes lowering of pH in the mouth. When this happens, the enamels begins to break down and release minerals such as phosphate, calcium and fluoride (this is called demineralization).

If there is sufficient fluoride available on the teeth’s surface, it will alleviate the process before tooth decay occurs. In fact, it can remineralize tiny areas affected by decay. Such cycles of remineralisation and demineralization continue all throughout the life of a healthy tooth.

Aside from tooth remineralisation and remodelling, fluoride also protects the teeth with its direct antibacterial effect. When fluoride ions enters the bacterial cells, they inhibit the enzyme responsible for the production of acid.

On the other hand, high levels of fluoride, particularly those applied as varnishes or topical gels, provide a temporary covering of calcium fluoride-like element on the surface of the enamel.

Fluoride that is swallowed, such in the case of dietary supplements and fluoridated water, may provide benefits on erupted teeth. Fluoride supplementation is effective in lowering prevalence of caries and must be considered for kids who are at high risk of dental caries because of drinking fluoride-deficient water.

How Much Fluoride Do Kids Need?
The amount of fluoride will be based on the child’s age. Sufficient levels of ingested fluoride are usually obtained through dietary sources, particularly if the child is living in a place with fluoridated water. However, children below the age of 2 must not receive any form of topical fluoride as they have the tendency to swallow them.

Between the ages of 2 and 6, children must use toothpaste that contains children’s strength amount of fluoride. Brushing must also be supervised by the parents to make sure they will only use a pea-size amount and then spit it out when finished.

Brushing twice a day is important. It will not only get rid of dental plaque, it will also make sure that the teeth are protected to fluoride. Topical fluoride sources such as gels, rinses and varnishes but be sure to consult your pediatric dentist first to know if these are suitable for your child.