Pediatric Preventative Oral Care

Preventative oral care for children includes two key components: professional care at the pediatric dentist’s office and consistent care at home. Even though infant and toddler cavities have become increasingly common, proper preventative strategies can eliminate most risks.

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Professional Dental Care

The goal of preventative care is to evaluate and preserve the health of your child’s teeth. The American Dental Association (ADA) recommends children begin “well-baby” dental checkups around twelve months, with follow-up visits generally every six months unless otherwise instructed.

What the Pediatric Dentist Does

  • Examines teeth for early signs of decay.
  • Monitors orthodontic concerns and jaw development.
  • Provides guidance and resources for parents.
  • Uses tools such as topical fluoride and dental sealants to reduce risk of dental problems.

During a routine visit:

  • Teeth are professionally cleaned and examined.
  • Topical fluoride may be applied to protect enamel.
  • Brushing and flossing techniques are demonstrated.
  • Dietary guidance and strategies for thumb-sucking or pacifier cessation are provided.

When molars emerge (usually ages 2–3), dental sealants may be applied to cover hard-to-reach fissures, sealing out bacteria, food particles, and acid. Sealants can last months or years depending on the child’s oral habits.

Preventative Care at Home

Home care goes beyond brushing and flossing. Key components include:

Diet

Provide a well-balanced diet and limit sugary snacks. Sugars feed bacteria that produce acids, eroding enamel, gums, and bone. Offer non-sugary alternatives like celery, carrots, or low-fat yogurt, and space out snack times.

Oral Habits

Thumb sucking and pacifier use can misalign teeth. Choose orthodontically correct pacifiers if needed. Your pediatric dentist can provide strategies or appliances to help stop thumb sucking.

General Hygiene

Avoid sharing utensils or cleaning pacifiers by mouth, as this transfers bacteria. Rinse toys and pacifiers with warm water instead.

Sippy Cups

Sippy cups are useful for transitioning from bottles but should not contain sugary liquids. Limit sippy cup use by ages 12–14 months or when the child can use a regular cup.

Brushing

Brush teeth at least twice daily with a soft-bristled brush and a pea-sized amount of ADA-approved toothpaste. Parents should assist until the child is about seven years old. Fluoride-free toothpaste is recommended for children under two.

Flossing

Floss between teeth where cavities are more likely to form. The pediatric dentist can demonstrate correct techniques and make flossing fun for children.

Fluoride

Fluoride prevents mineral loss and promotes remineralization. Balance is key: too much fluoride causes fluorosis (white spots), too little increases decay risk. Your pediatric dentist can evaluate fluoride intake and recommend supplements if needed.

If you have questions or concerns about your child’s oral care, contact your pediatric dentist for guidance.