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Understanding Your Child's Dental Health

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A Guide to Healthier Smiles for Your Small Child

Learn how to best care for your child’s oral health starting with their first tooth!

“My child’s baby teeth are going to fall out anyway, so why does taking care of them
matter?” If you’ve found yourself asking this question while wrestling with your toddler
during your nightly tooth brushing routine, you’re not alone. Almost half of parents say
getting their child to brush their teeth is “one of the most challenging things” to make
their child do.1 So if caring for your child’s oral health feels like an impossible task, or if
you are unsure why it is necessary in the first place, you will find helpful responses to
each of those points and more in the information below.

Why is pediatric dental health important?


68% of parents believe caring for baby teeth, also known as primary teeth, is not
necessary because they will eventually fall out.2 But it is important to remember that
baby teeth are placeholders for permanent teeth, and the treatment of those baby teeth
will have an impact on your child’s permanent teeth.

In fact, research shows that cavities in baby teeth, also known as early childhood caries,
make those children three times more likely to develop cavities in permanent teeth.3

1 “Delta Dental of Massachusetts Press Releases - Delta Dental Mass,” Delta Dental of Massachusetts,
https://deltadentalma.com/about-us/press-releases/2015/delta-dental-survey-says-parents-have-harder-
time#:~:text=Nearly%20half%20of%20parents%20(45,household%20chores%20(41%20percent).
2Mahesh Ramakrishnan et al., “Evaluation of Knowledge and Attitude of Parents about the Importance of

Maintaining Primary Dentition - a Cross-Sectional Study,” Journal of Family Medicine and Primary Care 8, no. 2
(2019): 414, https://doi.org/10.4103/jfmpc.jfmpc_371_18.
3 Phoebe Pui Ying Lam et al., “Does Early Childhood Caries Increase Caries Development Among School Children

and Adolescents? A Systematic Review and Meta-Analysis,” International Journal of Environmental Research and
Preventing these conditions is imperative; oral health does not simply affect the mouth.
In addition to cavities, poor oral hygiene can contribute to health problems in other
areas of the body such as endocarditis, respiratory conditions, and heart disease. 4

Many parents assume their child’s dental health care begins when their first teeth
appear — in fact, 32% of parents believe children only need dental care once all of their
baby teeth appear.5 However, this is a myth! Dental care for children should begin
before a child’s teeth appear. Dentists recommend wiping your child’s gums twice a day
with a clean cloth to help prevent bacteria that can cause tooth decay from forming.

What causes tooth decay?


Damage to a tooth’s enamel (or the surface of a tooth) is called tooth decay. Tooth decay
is caused by a variety of factors, but generally, tooth decay is caused by acids from
mouth bacteria that damage enamel. These acids are formed by plaque, which is the
result of bad mouth bacteria combining with food. Plaque then uses the sugar and
starches in foods and drinks to create the acid that attacks and destroys enamel. This
process happens in everyone; saliva and fluoride work to repair enamel. However,
consuming excessive amounts of starchy and sugary foods and beverages can lead to an
amount of plaque and acid that your body’s natural defenses cannot overcome. That’s
why proper oral care is important — it is possible to take steps to limit the development
of plaque and to prevent tooth damage and conditions like gum disease. 6

You can improve your child’s oral health one day at a


time.
There are numerous minor steps a parent can take to help improve the oral health of
their child. While parents may find it difficult to encourage children to brush their teeth,
it is paramount to their oral health. Research shows that brushing your child’s teeth
with fluoride toothpaste at least once per day (or preferably, twice per day: once in the
morning and once before bed) can reduce oral health issues like cavities by 50 percent.7
Additionally, mouth bacteria that causes tooth decay begins forming in children as
young as 6 months old, so it is important to follow dentist recommendations and gently
wipe your child’s gums twice daily.

What is a dental home? How do I find one?

Public Health/International Journal of Environmental Research and Public Health 19, no. 20 (October 18, 2022):
13459, https://doi.org/10.3390/ijerph192013459.
4 “Oral Health: A Window to Your Overall Health,” Mayo Clinic, March 14, 2024,

https://www.mayoclinic.org/healthy-lifestyle/adult-health/in-depth/dental/art-20047475.
5Mahesh Ramakrishnan et al., “Evaluation of Knowledge and Attitude of Parents about the Importance of

Maintaining Primary Dentition - a Cross-Sectional Study,” Journal of Family Medicine and Primary Care 8, no. 2
(2019): 414, https://doi.org/10.4103/jfmpc.jfmpc_371_18.
6 National Library of Medicine, “Tooth Decay,” n.d., https://medlineplus.gov/toothdecay.html.
7 Rothen et al., “Oral Hygiene Behaviors and Caries Experience in Northwest Precedent Patients,” Community

Dentistry and Oral Epidemiology 42, no. 6 (April 27, 2014): 526–35, https://doi.org/10.1111/cdoe.12107.
You may have heard of the American Pediatrics Association definition of the “medical
home.” But did you know the American Academy of Pediatric Dentists, along with the
American Academy of Family Physicians, the American College of Physicians, and the
American Osteopathic Association, recommends a dental home for your child?

A dental home is not just where you take your child for preventative and acute dental
care. It is also the ongoing relationship between the dental care providers, the patient,
and the patient’s family.8 The care provided in a dental home should be “comprehensive,
continuous, prevention-based care that is accessible, family-centered, compassionate,
and culturally competent.”9

Providing your child with a dental home is one of the best ways to make sure they are
consistently receiving the best care available.

Conclusion
While caring for your child’s oral health may feel overwhelming, approaching it one day
at a time is all you can do — and it happens to be the most effective way to manage your
child’s health! Remember to consider healthier, less sugary food options, brush your
child’s teeth twice every day, and take your child to the dentist regularly to help improve
and maintain your child’s oral health.
Key Words: Pediatric dental health, child oral health, baby teeth care, early childhood caries, tooth
decay prevention, children's dental care, dental home for children, oral hygiene for kids, fluoride
toothpaste benefits, healthy smiles for kids, preventing cavities in children, importance of primary teeth,
dental care for toddlers, pediatric dentist recommendations, managing child oral health.

8AAPD. Overview, https://www.aapd.org/research/oral-health-policies--recommendations/Dental-Home/.


9Girish Babu and Doddamani, “Dental Home: Patient Centered Dentistry,” Journal of International Society of
Preventive and Community Dentistry 2, no. 1 (2012): 8, https://doi.org/10.4103/2231-0762.103448.
Bibliography

AAPD. Overview. https://www.aapd.org/research/oral-health-policies--

recommendations/Dental-Home/.

Delta Dental of Massachusetts. “Delta Dental of Massachusetts Press Releases - Delta

Dental Mass.” https://deltadentalma.com/about-us/press-releases/2015/delta-

dental-survey-says-parents-have-harder-

time#:~:text=Nearly%20half%20of%20parents%20(45,household%20chores%20(

41%20percent).

Girish Babu, KL, and GM Doddamani. “Dental Home: Patient Centered Dentistry.”

Journal of International Society of Preventive and Community Dentistry 2, no. 1

(2012): 8. https://doi.org/10.4103/2231-0762.103448.

Lam, Phoebe Pui Ying, Helene Chua, Manikandan Ekambaram, Edward Chin Man Lo,

and Cynthia Kar Yung Yiu. “Does Early Childhood Caries Increase Caries

Development Among School Children and Adolescents? A Systematic Review and

Meta-Analysis.” International Journal of Environmental Research and Public

Health/International Journal of Environmental Research and Public Health 19,

no. 20 (October 18, 2022): 13459. https://doi.org/10.3390/ijerph192013459.

Mayo Clinic. “Oral Health: A Window to Your Overall Health,” March 14, 2024.

https://www.mayoclinic.org/healthy-lifestyle/adult-health/in-depth/dental/art-

20047475.

National Library of Medicine. “Tooth Decay,” n.d.

https://medlineplus.gov/toothdecay.html.
Rothen, Marilynn, Joana Cunha‐Cruz, Lingmei Zhou, Lloyd Mancl, Jackie S. Jones, and

Joel Berg. “Oral Hygiene Behaviors and Caries Experience in Northwest Precedent

Patients.” Community Dentistry and Oral Epidemiology 42, no. 6 (April 27, 2014):

526–35. https://doi.org/10.1111/cdoe.12107.

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