Keep Your Child’s Teeth Healthy from the Start!

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Keep Your Child’s Teeth Healthy from the Start
The Kohl’s Cares Dental Outreach Program has teamed up with Children’s Hospital Foundation and

Tegwyn Brickhouse, DDS, PhD, a pediatric dentist at Children’s Hospital of Richmond at VCU, to share some tips on how to provide proper dental care for your child at any stage.

From gums to the first tooth

Dental care begins even before you child has teeth. Parents should use a soft, wet washcloth to care
for and clean a child’s gums. Some companies even make finger washcloths specifically designed for
infants. Parents can expect to see a first tooth, typically in the lower front, at 4-9 months of age. During
this time, infants will want to chew on anything and everything. To help the teething process, try non-
medicinal methods first, which include giving the child something clean and safe to chew on, like a
teething ring. If plastics are of a concern to parents, give the child a clean cloth or burp rag to chew.
Wet the cloth, squeeze out the excess water and throw it in the refrigerator or freezer as the chill will
help relieve the irritation. For safety and to prevent choking, ensure that your baby is chewing on age-

appropriate items without small parts.

Brushing should begin with the first tooth. A small soft-bristled brush is fine to use without toothpaste.
Check the package to determine which size is right for your child based on their age.
“If your child can spit well and understands not to swallow the toothpaste, a small “schmear” of
toothpaste can be used during brushing starting at age 2,” says Dr. Brickhouse. “However, do not use

the large “swoosh” shown on most toothpaste commercials, as it can be too much for tiny mouths.”

Even when your child is old enough to brush on his own, supervise the process to ensure the job is
thorough and offer any needed assistance. A child’s first visit dental visit should be within six months of
getting their first tooth. Dr. Brickhouse says that this is a common mistake parents make,
“Many parents think their child does not need to go to the dentist until age 3, but taking your child to
the dentist early can provide preventive care and guidance to keep a child from needing more serious
dental care in the future,” says Dr. Brickhouse. “Preventative dental care starts by getting your child to

the dentist at a young age.”

Your dentist will determine how often your child should have dental check-ups and educate you on the
best care for your child’s oral hygiene based on family history and your child’s unique needs. Talking to

children about dental health at a young age can help prevent fear of the dentist’s office.

Fluoride and flossing

Bottled and filtered water have become popular causing kids miss out on the benefits of the fluoride
found in most tap water. When your child reaches 6 months, check your water for fluoride; if you find
there is fluoride in your water, give your child tap water to help strengthen and protect their teeth. If
your water does not contain fluoride, talk to your dentist about fluoride treatments, including fluoride

varnish which can be applied by a dentist to help prevent tooth decay.

Children should be introduced to the practice of flossing when they begin to grow teeth that touch,
typically molars. Dr. Brickhouse suggests using a flossing stick, called a flosser, which makes it much

easier for parents to floss their child’s teeth.

Pacifiers and thumb sucking

Children should be weaned from both a pacifier and thumb sucking by age 3. If your child is having
trouble breaking the habit, think of an alternative such as gifting the pacifier to a new baby, putting
mittens or socks on his or her hands at bedtime or even using a habit appliance cemented in the child’s

mouth to prevent thumb use.

Speaking to your child’s dentist or pediatrician can help with alternative methods if your child is having trouble weaning from this habit. Thumb sucking can affect teeth alignment and cause other dental problems. As soon as permanent teeth start coming in, thumb sucking can affect the upper jaw and bite, in addition to causing other issues.

The Tooth Fairy

Children start to lose baby teeth and have their first visit from the Tooth Fairy around age 6 when baby
teeth start to make way for permanent adult teeth. In case you’re wondering, it is safe for children to
wiggle out loose teeth using their tongue or a clean finger. However, there should be very little blood
when a child pulls a loose tooth that is ready to come out. Don’t forget to encourage your kids to put the

tooth under their pillow if the Tooth Fairy makes visits to your house!

Visit the Kohl’s Cares Dental Outreach Program website at www.kohlsdental.org for more tips, printable

materials, and an interactive dental quiz for your child to test what he or she knows about healthy teeth.

This content originally appeared on the Advancing Children’s Health blog by Children’s Hospital of
Richmond at VCU. www.advancingchildrenshealth.com.
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