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Creating good dental hygiene habits early in your child’s life is essential to the health of his or her teeth, even when your infant doesn’t have any. By starting now, you can set the foundation for your son or daughter’s oral health later on in life.

When do I start?

The best time to begin brushing your baby’s teeth is before that first tooth ever comes in. Wipe your little one’s gums gently with a soft washcloth soaked in warm water every day. Not only will this help to get rid of bacteria in the mouth, but it will also familiarize your child with a daily brushing routine.

What do I use?

When your child’s teeth begin to emerge, it’s time to switch to a baby toothbrush. Select one with a big grip for your hand and a small head that’s easy to maneuver in your baby’s mouth.

Your little one won’t need toothpaste until he or she is about a year old; and even then, only a small amount is necessary. Apply an amount the size of a grain of rice and move to a pea-sized amount when your infant is about two years old.

By around six years, your child will probably rinse and spit without your help. At this time, you may introduce a child-friendly fluoride mouthwash.

How do I do it?

Until about age five or six, it’s likely your child will still need your help with brushing teeth. Gently scrub over all the teeth and gums, even where teeth have yet to come in. It may be helpful to explain what you are doing and how you are doing it, so your toddler can learn to brush her or his teeth alone.

Paired with regular visits with Drs. Don and Mindy at our Charleston office, proper hygiene habits instilled in your child early on will set up a good foundation for a healthy mouth in the future.

Your bright smile means you’re happy, and it’s catching! Sharing your smile makes the people around you happy, too! And you can make sure your smile is as bright as it can be by keeping your teeth their cleanest.

Nobody wants food stuck in between their teeth, but cleaning your teeth doesn’t just mean brushing away any leftover bits of food. It also means brushing away the sticky plaque that builds up on your teeth every day. Germs in plaque called bacteria help make cavities, so it’s extra important to brush and floss away all the plaque you can.

When you were younger, a grown-up cleaned your teeth for you. Now that you’re ready to begin brushing and flossing on your own (with some adult help, of course), here are some good habits to start you off right.

Brush the Right Way

• Brush a tooth or two at a time with small brushstrokes and circles. Long back-and-forth brushstrokes miss a lot of plaque. Make sure you brush all the different sides of your teeth, not just the ones which show when you smile. Brush on the inside of your teeth and the tops of your molars (those big teeth in back). Use up-and-down strokes to clean behind your front teeth.
• Tip your toothbrush toward your gums while you brush along the gum line to get the plaque that likes to hide there.
• Don’t scrub your teeth. The tooth enamel that covers and protects our teeth is very strong, but brushing too hard can hurt it. Gentle brushing works!
• And don’t forget to gently brush your tongue for fresh breath.

Take Your Time

• You can’t keep your teeth their cleanest if you don’t spend enough time brushing them! That’s why dentists say it’s best to brush at least twice each day, for two minutes each time you brush.
• It’s hard to guess how long two minutes is, so use a little timer to keep track of the time. If you like music, play a song that lasts two minutes. Or ask a grown-up to time you—and maybe even brush with you!

Use the Right Toothbrush

• You want a brush that is just the right shape and size. A brush which is too big is hard to use—and hard to fit inside your mouth.
• You want a brush with soft bristles. Medium and hard bristles are too hard, and can scrape your enamel and gums. Stay with soft bristles, and your teeth and gums will be healthy and happy.
• Toothbrushes don’t last a very long time because their bristles start to break down after a while. After all, it’s hard work cleaning teeth twice a day every day! So it’s a good idea to change your toothbrush every three or four months, or whenever the bristles start to look a bit scruffy.

Use the Right Toothpaste

• Fluoride toothpaste helps protect your teeth from cavities and makes your enamel even stronger than it already is. There are plenty of fun-flavored fluoride (say that three times fast!) toothpastes to choose from.
• You don’t need too much. Once you’re brushing on your own, a small dab about the size of a pea will do the trick.
• Be sure to spit out the toothpaste after brushing. It’s for cleaning, not swallowing!

Don’t Forget to Floss

• Once you have any teeth that touch each other, you need to floss between them at least once a day. Flossing is the best way to get rid of the plaque that hides between your teeth where your brush just can’t reach.
• Flossing can be a little tricky at first, so you might need some help until you’re able to floss on your own. Drs. Don and Mindy can teach you the best way to floss, and a grown-up at home can help you until you’re ready to floss by yourself.
• There are lots of different kinds of floss. If you’re having trouble flossing, ask our Charleston dental team which kind is best for you.

Every smile is different, and yours is one of a kind. If you have any questions, talk to your pediatric dentist. Dentists don’t just take care of your teeth—they teach you to take care of your teeth, too! Your dentist can show you the very best way to keep your very own smile as bright and healthy as it can be.

Baby teeth come with a built-in expiration date. That charming first smile is meant to make way for a healthy, beautiful adult smile. Unfortunately, before they are ready to make way for permanent teeth, primary teeth can be affected by decay, trauma, or infection—problems which can lead to damage to the pulp within the tooth. If your dentist tells you that your child’s tooth needs specialized endodontic treatment, is treatment really that much better for your child than losing a baby tooth prematurely?

Quite often, the answer is yes!

Baby teeth do much more than serve as temporary stand-ins for adult teeth. They are essential for:

• Biting and chewing—a full set of baby teeth helps your child develop proper chewing, which leads to healthy digestion. And chewing also helps build face and jaw muscles.
• Speech development—primary teeth help guide speech production and pronunciation.
• Spacing—a baby tooth serves as a place holder for the adult tooth waiting to arrive. If a primary tooth is lost too early, the remaining baby teeth may drift from their proper location. This, in turn, can cause overcrowding or misalignment of the permanent teeth when they do erupt.

Baby teeth, like adult teeth, contain living pulp tissue. The pulp chamber inside the crown (the visible part of the tooth) and the root canals (inside each root) hold nerves, blood vessels, and connective tissue. When the pulp is damaged by trauma or infected, a baby tooth can still be saved with endodontic treatment. Endodontic treatment in baby teeth can take two forms.

• “Vital” pulp is pulp that can be saved. Vital pulp therapy uses procedures to deal with damaged pulp inside the crown, or visible part, of the tooth. Pulp therapy can be used on teeth when only the top of the pulp has been affected by decay, limited exposure, infection, or trauma, but the root pulp remains healthy. Specific treatment will depend on the nature of the pulp injury, and a crown will usually be placed over the tooth after treatment to protect it.
• With non-vital pulp, your dentist will probably recommend a traditional root canal procedure. All of the pulp tissue will be removed from inside the crown and the roots, and the pulp chamber and root canals will then be cleaned, disinfected, shaped, and filled. Finally, because the treated tooth will be more fragile, a crown will be used to protect the tooth from further damage.

There can be good reasons for extracting a seriously damaged baby tooth, and there are situations where preserving the tooth is the best and healthiest option for your child. Discuss your options with Drs. Don and Mindy when you visit our Charleston office for the safest, most effective way to treat your child’s compromised tooth.

Children’s baby teeth generally start to fall out when the adult teeth underneath them are ready to arrive. Visits from the Tooth Fairy begin around the age of six, and continue until the last baby molar is gone.

But sometimes, we can’t wait for nature to take its course, and children need a dentist’s assistance to remove a primary tooth before it falls out on its own. Here are some common situations where extracting a baby tooth is best for a child’s present—and future—dental health.

• Serious Decay

Dentists make every effort to save teeth, and this includes baby teeth. A filling or even the baby tooth version of a root canal can be used to save little teeth when a cavity appears.

But severe decay could mean that there’s not enough healthy tooth structure left to fill. Or that bacteria have caused infection inside the tooth. Left untreated, infections can spread to other tissues in the body and can become quite serious. When a primary tooth is seriously decayed or infected, an extraction is often the healthiest choice.

• Trauma

Sometimes a baby tooth will recover on its own if it’s been jarred by an impact. Sometimes an injured tooth can be repaired with treatment. If there’s serious damage, though, a baby tooth is at risk for abscess and infection, and, sometimes, can cause harm to the adult tooth beneath it. In cases like these, an extraction is the safest option.

When an injury causes a broken or dislodged tooth, call Drs. Don and Mindy immediately. Whether the tooth can be saved or should be extracted depends on how serious the injury is and how soon you can get your child to the dentist’s office or the emergency room.

Whenever a child loses a primary tooth early, a pediatric dentist will be on the lookout for potential orthodontic problems. Remaining baby teeth tend to shift to fill any empty spot. Without the proper space to come in, the adult tooth can erupt out of place or at an awkward angle. Drs. Don and Mindy  might recommend a space maintainer to keep baby teeth aligned properly and to make sure the right spot stays open for the permanent tooth when it’s ready to erupt.

We’ve talked about primary teeth which are lost early, but it’s also problematic . . .

• When a Baby Tooth Doesn’t Fall Out

Usually, a wiggly baby tooth is a clue that the adult tooth underneath has started pushing its way up and out. The baby tooth’s root is gradually absorbed as the adult tooth moves into place. Without an intact root to hold it in place, the baby tooth grows looser and looser until it falls out. Now the permanent tooth has the perfect open space ready for its arrival.

But when baby teeth don’t fall out on their own, this can be another source of orthodontic difficulties.

Stubborn baby teeth can mean adult teeth erupt behind them, creating a double row of teeth (colorfully known as “shark teeth”) and risking crowding and misalignment. Or a baby tooth can block an adult tooth from erupting at all. When that baby tooth just isn’t budging, an extraction will create space for the permanent tooth to erupt.

If an extraction is scheduled, consult with Drs. Don and Mindy about these important topics in advance:

• Preparing for the Procedure

A pediatric dentist is an expert not just in caring for little teeth, but in caring for little patients as well. Because extractions can be scary for children, talk to our Charleston dental team to learn how to prepare your child for the procedure in an informative, comforting, and age-appropriate way.

• Sedation Options

A local anesthetic could be all that’s necessary for a simple extraction. If sedation is recommended for an extraction, or if you feel sedation is better for your child’s needs, discuss nitrous oxide, oral medication, and other options with your dentist.

• Aftercare

Whether it’s how to protect the area around the extraction, which foods and drinks are best over the days following, or how to treat pain and swelling, you’ll be given clear instructions by your pediatric dental team to help your child recover comfortably and quickly.

Little teeth can take different paths on their way to the Tooth Fairy. Your pediatric dentist is an expert both in treating children’s dental needs and in making sure their oral development is on schedule. If your dentist has recommended an extraction, it’s because this is the very best way to protect your child’s immediate oral health while ensuring a healthy future adult smile.