Baby's Oral Health Needs
Oral gratification starts at birth. An infant becomes aware of his or her environment through oral contact. Physical and emotional development is stimulated through the mouth. Breast and bottle-feeding satisfies the sucking instinct. The movements strengthen the musculature. Nutritional needs are met through a well-nourished nursing mother or commercial formulas.
Concerns about oral health care begin, for the most part, when the first tooth erupts. The average age for the first lower central to erupt is six months. Parents should begin cleansing the mouth with a soft damp washcloth. Gently wipe the teeth, gums, cheeks, hard palate, and tongue for the removal of residual milk or food. It is not recommended to use fluoridated toothpaste until the age of 18 months. An infant has a strong sucking reflex and will only swallow the toothpaste. After 18 months a small pea-sized amount of toothpaste can be applied to a child's soft toothbrush. Flossing can be done when the first and second molars erupt, between the ages of 12 and 24 months. The molars are usually the only teeth that are in contact with one another. Many flossing devices that can assist in performing this procedure are available. Oral hygiene can be done once a day until your child begins solids. At that time, twice a day is recommended.
Daily nutritional habits can have an effect on the health of primary teeth. Placing a baby in bed with a bottle of milk or juice increases the risk of Baby Bottle Syndrome. Rampant decay is the primary characteristic found in Baby Bottle Syndrome. Examine the teeth closely for decay. Consult your dentist or a pediatric dentist about any concerns. If you must give any drink at all when the baby is put to bed, a bottle of water is advised.
Ask about the need for fluoride supplements. Breast milk and pasteurized milk contain minimal amounts of fluoride. Most ready-to-feed commercial formulas contain adequate levels of fluoride. When using a concentrate or powder formula that requires mixing, be aware that fluoride is added to most community water supplies. Contact local health departments for exact levels. Fluoride is important for maintaining healthy primary teeth, as well as for the development of permanent teeth. Unless a problem arises earlier, the first visit to the dentist should occur at age three.