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    The biggest mistake parents make with their kids' teeth (plus, 4 pressing dental questions answered)

    My five-year old sprang out of the car with a karate kick and huge smile. It was not what I expected considering the seat he'd soon be sitting in.

    "I'm just so excited to go to the dentist!" He was squealing. I had to check (twice) to be sure I wasn't dreaming the whole scene up. He was genuinely happy to have his teeth cleaned.

    OK, to be honest, he was mostly thrilled to dig through the big prize box and bring home a few more army guys. But the lure of plastic toys was still balanced by his hope that he'd get a new toothbrush and could ask the dentist if his nighttime teeth-grinding has eased up at all.

    He's very invested in the brushing and the grinding, and I credit his dentist for assuring him that he's a big enough kid to handle some of the responsibilities of taking care of his teeth. And since he loves his dentist (and also that prize box) so much, that means he's very invested in being an A+ dental student before he even starts Kindergarten.

    That also means I can overlook the (sigh) awkwardness of flossing the goldfish cracker remains from between his teeth on occasion and just take credit for my kid treating his check-ups like they're a trip to Disney not the dentist. My work here is done. At least for another six months.

    I culled questions my other mama friends have about how to take better care of their kids' teeth (and help them learn to take care of their own) and asked Dr. Grace Yum to give us all a lesson in better dental practices. Here's her advice for all of our itty bitty teeth concerns.

    • What are the biggest mistakes parents make in caring for their kids' teeth? The biggest mistake that many parents make is that they wait too long to take their kids to a pediatric dentist. The American Academy of Pediatric Dentistry (AAPD) recommends that kids see the dentist by no later than the age of one, or when they get their first tooth, whichever is sooner. Doing this helps prevent cavities and can decrease other health risks. Also, many parents don't realize that fewer than 3% of all dentists are true certified pediatric dentists. Pediatric dentists receive years of special training that other dentists don't get. Even dentists who say they treat kids are often not certified pediatric dentists.


    • Help! My kid is a teeth grinder. How big of a problem is this really? Interestingly, 90% of children grind their teeth. There really is no magic answer about why this happens. But not to worry -- the good news is that most children do not complain of pain due to grinding and usually grow out if it. However, if your child complains of pain due to grinding or begins to damage his or her teeth due to grinding, the pediatric dentist will definitely spot this and be able to help by recommending a custom solution other than a night guard. Pedodontists do recommend night guards for kids because their teeth are always changing and also because it can dislodge in the middle of the night and compromise the airway.

    • Do I need to floss my child's teeth? Really? Flossing a 3 year old may sound silly, but actually, you really need to do it if you want to help your kids stay healthy! Even very young children who have small or no spaces between their teeth can easily develop cavities. Plaque builds up and food that is stuck between teeth can cause decay and gingivitis. So, the answer is yes, you should see a pediatric dentists and start flossing your children's teeth, typically starting around the age of 3!

    • At what age should I start worrying about braces? You may be seeing more and more young children in braces these days and wonder why that is. The reason: more and more specialists are recommending early, preventative, temporary braces for younger kids. It is essentially an intermediate step to try to correct problems as early as possible. That kind of treatment is a case by case basis, and not necessary for all children. Your pediatric dentist or orthodontist can help evaluate your child's needs.


    • Is it OK for my child to use adult toothpaste? I recommend adult toothpaste for kids who can actually spit in the sink, usually starting at around age 4. But if your child is still swallowing most of the paste, then it is safer to stick with training toothpaste. Training toothpaste is missing the fluoride mineral that strengthens enamel, but if swallowed in large amounts can cause problems. if swallowed in bulk, it can be toxic. Most young children can still get their dosage of fluoride through drinking water, if your drinking water is fluorinated.

    • I'm afraid of the dentist. How can I be sure I don't pass that fear on to my child? The best way to keep dental visits positive is to reassure your child that going to the dentist is fun. As you may have found, kids usually take a cue from their parents. Unfortunately, some parents unwittingly transfer their fears, whatever they may be, onto their kids. So if you are scared of the dentist, don't tell your child that! Bottom line -- we have found that the most successful visits for kids occur when parents tell them how easy the appointment is and that getting their teeth brushed can be fun!


    Meet our expert:
    Grace Yum, DDS, has become one of the most high-profile pediatric dentists in Chicago. She has appeared on NBC Chicago, at, Whole Foods Markets, and at lots of leading Chicago schools and mommy groups to share her expertise on good nutrition and healthy smiles. Dr. Yum is currently on staff to perform surgeries at Children's Memorial Hospital, where she received her pediatric training. During her education, Dr. Yum earned her Bachelor of Arts from Northwestern University. She was then awarded her doctorate from the University of Maryland, home of the first dental school in the world.





     

    15 comments

    • Erin  •  2 years 0 months ago
      It is fluoridated water, not fluorinated.
    • k8blujay  •  2 years 0 months ago
      How do we find out if a dentist is a certified pediatric dentist?
    • Cloudberry33  •  2 years 0 months ago
      I have worked in the dental field for 20+ years and am also a mom. To prime a child for the first dental visit tell the child the dentist is going to count and clean their teeth! There are many good introductory books in the library: Dora the Explorer Goes to the Dentist, Bernstain Bear, Little Critter, etc go to the dentist. Check them out from the library and read them in advance of the child's first visit. You can also practice counting their teeth with a Qtip.

      Another huge thing is that parents are inconsistent with brushing the child's teeth EVERY night before bedtime . Cavity bugs cause more trouble when the child is sleeping, because the salivary flow rate decreases and the child swallows less, therefore not naturally clearing away harmful bacteria as during the day. It is absolutely important to go to sleep with a clean mouth. I absolutely hate to see 2 year olds with cavities in 12 of their 16 teeth. Yes, I see it a lot : -(
    • Arely  •  2 years 0 months ago
      Actually pediatric dentists are trained to deal with kids, unlike some general dentists. It's better to take your kids to a pediatric dentist since they are better equipped to deal with children's needs. I understand that some gen. dentists are good with kids , but not all are. I work at a dental office and trust me when I tell you, some kids are not that easy to handle. We actually refer kids to Dr. Yum's office from time to time and we've gotten nothing but praises for her work and her ability to work with children( and no, I'm not getting paid for this comment).
    • Melissa  •  2 years 0 months ago
      The pediatric dentist thing is BS. My father-in-law is a family dentist and has been taking care of kids for 30 years. "Prediatric" dentists biggest advantage is they will drug kids and we won't. Ocaasionally that may be needed but otherwise it's a gimmick. A good (key here being "good") family dentist is just as qualified as a pediatric. If you like your dentist - and you should, if you don't keep looking - take your kid there.
    • Marty6092  •  2 years 0 months ago
      Actually there was a recent report out about how parents pass on their mouth germs to their children. If you are prone to cavities then you definitely want to take your child to the dentist and maintain good oral hygiene for your child and yourself.
    • Carrie  •  2 years 0 months ago
      SamanthaH the fact that you find it acceptable to use physical retraint techniques on a child scares the heck out of me and raises a red flag that tells me you aren't ready to work anywhere near children. As an adult I still have a hard time going to the dentist because I had a bad experience as a child where I was just threatened with being restrained. Had the worthless dentist actually listened to me that day he would have known that I had a very bad day and being nice to me would have worked better than threatening to strap me down. To this day I don't trust dentists. So please never, ever, ever advocate restraining a child, that is cruel and aweful and traumatic.
    • Elle  •  2 years 0 months ago
      Why on earth would you take an infant to a dentist? They barely even have teeth. Infants do not get cavities.
    • Marcia  •  2 years 0 months ago
      My kids see the most amazing pediatric dentist. They have since they were two. Two of my guys needed some fillings over the years and neither one of them had a clue they were given a shot to numb them. They just had a great time with Dr K. I wish Dr K could be MY dentist!
    • A Yahoo! User  •  2 years 0 months ago
      I used to pay dental insurance claims, and I will tell you that infants definitely do get cavities. I've seen the pictures and x-rays. People feed their kids a lot more sugar these days, and many parents leave milk bottles in their babies' mouths, or put them to sleep with a bottle or sippy cup of milk, which can cause the teeth to rot.

      Poor oral hygiene can lead to serious health problems. Poor oral hygiene can cause gingivitis, which leads to periodontal disease (aka gum disease: red, inflamed, bleeding gums). The plaque grows underneath the gums, leading to a breakdown of the jawbone, causing loose teeth, and eventually the loss of those teeth. Not having teeth can cause some major digestive problems. But most importantly, the bacteria that get into the bloodstream from gum disease are also a contributing factor in strokes, heart disease, and can make diabetes worse in affected individuals.

      However, I never heard of taking an infant to a dentist, unless they have cavities or an injury to a tooth. My daughter's pediatrician recommended we wait to take her to a dentist when she got all her teeth in, or until she was 3 years old.
    • Mom of dancers  •  2 years 0 months ago
      My children always went to a pediatric dentist. They have never been drugged. I wish I would have been able to go to one rather than the butchers my father sent us to.
      And for the person who wonders what the point is of taking a child to a dentist is--It's so they will have healthy teethand have overall good health. It's hard to eat properly if your teeth are botherinf you. Plus, Healthy baby teeth help to ensure healthy permanent teeth.
    • Fall  •  2 years 0 months ago
      I am completly against restraining a child or adult at the dentist. I hate the dentist. Kids get scared and sometimes just need to know whats going on. I had all my molars capped when I was little and then fillings when I lost my baby teeth. I don't remember one nice dentist in that whole time. One even took me in a locked room to use gas on me. I freaked out, they wouldn't let my dad in so he literally kicked the door open, picked me up and we left. From then on he never left me alone at the dentist. I have seen an orthodontist. I bit him. He was hurting me and wouldn't listen when I told him. I didn't hurt him, just made a point that just cause you can't feel the pain doesn't mean it's not real. Last time I saw a dentist I was an adult and they were rude and dismissive. My kids are going to the dentist soon, its one my dad and siblings use. He is supposed to be really nice and gentle. I hope my kids will like the dentist better than I do. Also dental health can be inherited just like hair color and height.
    • SamanthaH  •  2 years 0 months ago
      Melissa,
      As a dental student I have to partly disagree with you. Pediatric dentists get two years more education dealing just with kids and special needs individuals. They learn advanced techniques for behavior management, not just sedation. For example the pedodontist might use physical restraint techniques. I am in the pediatric rotation right now. I will not be a pediatric dentist but will see children as a general dentist and refer the hard cases to the pedodontist! What I do agree with you on is that the general dentist can be as good as a pedodontist in managing children with normal behavior and development. Not all general dentists enjoy or are good at working with kids though. I do. I have had kids who love coming to see me and who don't feel their injections. It is not due to sedation, though, just technique.
    • JN  •  2 years 0 months ago
      I dont get taking a child to a dentist for teeth that fall out anyways. Not trying to be a smartA, just wondering what the point is.
    • Heather  •  2 years 0 months ago
      Actually, I started taking my son to the dentist when he was 5 mos old. He got his first two teeth in at 4 mos but just wanted to get him used to the idea of see a dentist. The first time that I ever went to a dentist was when I was 5 yrs old. I have been scared of the dentist ever since. I have really bad anxiety when I get there. When I had my son I wanted to show him at an early age that there is no reason for him to be scared. I am very picky of brushing his teeth and teaching him to take care of his teeth and health. He will be 2 in 4mos. but his favorite time of the morning is when me, his dad and him get to brush our teeth together. Learning for children starts when they are born and it is important that we start teaching them good habits at an early age. But I'm a first-time mom, what do I know.

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