Early Dental Health

Why Good Dental Health is Important

Innumerable studies and research have concluded on the importance of starting children early in their lives with good dental hygiene and oral care. According to research, the most common chronic childhood disease in America is tooth decay, affecting 50 percent of first-graders and 80 percent of 17-year-olds. Early treatment prevents problems affecting a child’s health, well-being, self-image and overall achievement.

The National Institute of Dental & Craniofacial Research estimates that children will miss 52 million hours of school each year due to oral health problems and about 12.5 million days of restricted activity every year from dental symptoms. Because there is such a significant loss in their academic performance, the Surgeon General has made children’s oral health a priority.

Parents are responsible for ensuring their children practice good dental hygiene. Parents must introduce proper oral care early in a child's life—as early as infancy. The American Dental Hygiene Association states that a good oral hygiene routine for children includes:

  • Thoroughly cleaning your infant’s gums after each feeding with a water-soaked infant cloth. This stimulates the gum tissue and removes food.
  • Gently brushing your baby’s erupted teeth with a small, soft-bristled toothbrush moistened with water. No toothpaste is necessary for babies.
  • Teaching your child at age 2 or 3 about proper brushing techniques with a small, soft-bristled toothbrush and a pea-sized amount of fluoridated toothpaste and later teaching them brushing and gentle flossing until 7 or 8 years old.
  • Regular visits with their dentist to check for cavities and for possible developmental problems.
  • Encouraging your child to discuss any fears they may have about oral health visits, but not mentioning words like “pain” or “hurt,” since this may instill the possibility of pain in the child’s thought process. The emphasis is on keeping the dental visit a positive one.
  • Determining if the water supply that serves your home is fluoridated; if not, discussing supplement options with your dentist.
  • Asking your dentist about sealant applications to protect your child’s teeth-chewing surfaces and about bottle tooth decay, which occurs when teeth are frequently exposed to sugared liquids.


Normally the first tooth erupts between ages 6 to 12 months.  Gums are sore, tender and sometimes irritable until the age of 3.  Rubbing sore gums gently with a clean finger, the back of a cold spoon or a cold wet cloth helps soothe the gums.  Teething rings work well, but avoid teething biscuits--they contain sugar that is not good for baby teeth.
While your baby is teething, it is important to monitor the teeth for signs of baby bottle decay.  Examine the teeth, especially on the inside or the tongue side, every two weeks for dull spots (whiter than the tooth surface) or lines.  A bottle containing anything other than water and left in an infant’s mouth while sleeping can cause decay.  This happens because sugar in the liquid mixes with bacteria in dental plaque, forming acids that attack the tooth enamel.  Each time a child drinks liquids containing sugar, acids attack the teeth for about 20 minutes.  When awake, saliva carries away the liquid.  During sleep, the saliva flow significantly decreases and liquids pool around the child’s teeth for long periods, covering the teeth in acids.

Infant’s New Teeth

The primary or “baby” teeth play a crucial role in dental development.  Without them, a child cannot chew food properly and has difficulty speaking clearly.  Primary teeth are vital to development of the jaws and for guiding the permanent (secondary) teeth into place when they replace the primary teeth around age 6.
Since primary teeth guide the permanent teeth into place, infants with missing primary teeth or infants who prematurely lose primary teeth may require a space maintainer, a device used to hold the natural space open.  Without a maintainer, the teeth can tilt toward the empty space and cause permanent teeth to come in crooked.  Missing teeth should always be mentioned to your dentist.  The way you care for your child’s primary teeth plays a critical role in how he/she treats the permanent teeth.  Children and adults are equally susceptible to plaque and gum problems--hence, the need for regular care and dental checkups.

A Child’s First Dental Visit

A child’s first dental visit should be scheduled around his/her first birthday or after the first tooth erupts, which ever comes sooner.  The most important part of the visit is getting to know and becoming comfortable with the doctor and the staff.  A pleasant, comfortable first visit builds trust and helps put the child at ease during future dental visits.

Why Primary Teeth Are Important

Primary teeth are important for several reasons.  Foremost, good teeth allow a child to eat and maintain good nutrition.  Healthy teeth allow for clear pronunciation and speech habits.  The self-image that healthy teeth give a child is immeasurable.  Primary teeth also guide eruption of the permanent teeth.

Good Diet and Healthy Teeth

The teeth, bones and soft tissue of the mouth require a healthy well-balanced diet.  A variety of food from the five food groups helps minimize (and avoid) cavities and other dental problems.  Most snacks that children eat cause cavities, so children should only receive healthy foods like vegetables, low-fat yogurt and cheeses, which promote strong teeth.

Infant Tooth Eruption

A child’s teeth actually start forming before birth.  As early as 4 months of age, the primary or “baby” teeth push through the gums--the lower central incisors are first, then the upper central incisors.  The remainder of the 20 primary teeth typically erupts by age 3, but the place and order varies.
Permanent teeth begin eruption around age 6, starting with the first molars and lower central incisors.  This process continues until around age 21.  Adults have 28 secondary (permanent) teeth--32 including the third molars (wisdoms teeth).

Preventing Baby Bottle Tooth Decay

Tooth decay in infants can be minimized or totally prevented by not allowing sleeping infants to breast or bottle-feed.  Infants that need a bottle to comfortably fall asleep should be given a water-filled bottle or a pacifier.  Our office is dedicated to fighting baby bottle tooth decay.  Let us know if you notice any signs of decay or anything unusual in your child’s mouth.