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What a milestone! The transition from bottle to sippy cup is one of baby’s first steps toward toddler independence. And like all first journeys, some helpful guideposts come in handy. That’s why Drs. Paul Pasternack, Chara Pasternack, and Christine Biondi and our team have several recommendations to help you navigate this transition, making sure your baby’s dental health is protected along the way.

Choosing a Sippy Cup

Sippy cups are often a parent’s first choice for this big step in baby’s development. While sippy cups offer a variety of child-safe materials, lively colors, and comfortable handle options, the feature of interest from a dental perspective is lid design.

Sippy cups curb spills because their lids don’t allow liquids to flow out freely, ensuring that drinks make it into baby’s mouth instead of onto furniture or floor. Cup lids might incorporate:

• Built-in straws
• A drinking edge around the rim of the cup which seals when your child isn’t drinking
• Soft spouts
• Hard spouts
• Spouts with valves to prevent liquids from leaking out. (Spouts with valves work like a nipple, which means baby is sucking instead of sipping.)

Which design is best? For short periods, any of these designs can work for you. Over long periods, spouted cups could have the same effects as prolonged thumb-sucking and pacifier use, potentially affecting a child’s tongue positioning, tooth alignment, bite, and speech development. Your dentist will be able to suggest which cups are best for your child’s dental health both short and long term.

What to Put in a Sippy Cup

Once your baby has begun drinking from a cup, it should only hold tooth-friendly drinks.

• Pediatricians generally recommend breast milk and/or formula until your child is 12 months old. You can switch to regular milk (or a healthy milk alternative) once your child is a year old with your doctor’s okay.
• Water can be introduced when your pediatrician thinks your child is ready, usually around the age of six months.
• Because even natural fruit juices have lots of sugar, dentists and pediatricians suggest giving your baby small amounts only—or feed your child fruit instead!
• Skip the sugared drinks, sports drinks, caffeinated drinks, and sodas. They aren’t healthy for little bodies or little teeth.

Help Prevent Tooth Decay

Just like adults, babies can suffer tooth decay, too—and for the same reasons. The bacteria in plaque use the sugars found in our diets to create acids, and acids erode tooth enamel.

When a toddler totes a sippy cup around all day, even filled with healthy drinks, those baby teeth are constantly exposed to the natural sugars found in breast milk, formula, and, for older children, milk. Drinks with more or added sugars, such as juices or sweetened drinks, cause more damage to tooth enamel. Use a sippy cup wisely:

• Offer the cup with meals and snacks, when increased saliva production can help wash away sugars and neutralize the acids which cause cavities.
• Offer water between meals.
• Don’t let your baby take a sippy cup to bed. Some spill-proof cups are designed to be sucked like bottles, and, like bottles, sugary liquids can pool in babies’ mouths as they sleep.
• Get into a tooth-cleaning routine as soon as your child’s teeth start to arrive.

And, while we’re talking about healthy teeth, please don’t let your child toddle around with a sippy cup. A fall while drinking can injure a baby’s mouth and teeth.

Partner with Your Child’s Dentist

The journey from baby to toddler can seem overwhelming sometimes for both you and your child, but you have expert help available! It's a good idea to make a first dental appointment at our Vorhees office sometime between the appearance of the first baby tooth and your child’s first birthday. This initial visit is an opportunity for Drs. Paul Pasternack, Chara Pasternack, and Christine Biondi to:

• Check your child’s overall dental health and development.
• Look for signs of early decay.
• Talk about proactive dental care, including how and when to clean your child’s teeth.
• Answer questions about how you can support your child’s dental health, including the advantages and disadvantages of sippy cups.

Used properly, sippy cups can be a helpful transition on your child’s journey from bottle to cup, and from baby-who-relies-on-you-for-everything to take-charge-toddler. Drs. Paul Pasternack, Chara Pasternack, and Christine Biondi and our team are an ideal guide as you and your child chart this path together.

Want to make Halloween a bit less frightening? Just a bit less, mind you! After all, Halloween wouldn’t be Halloween without ghosts, witches, skeletons, and the whole ghoulish crew.

But while the eerily unexpected is half the fun of Halloween in Vorhees, unexpected dental problems are no fun at all. That’s why we’ve come up with some fiendishly clever ideas to help your child enjoy Halloween treats without tricky consequences.

Beware These Bites

You don’t need a crystal ball to decide which treats are the most sinister for your family’s dental health—hard, sticky, and sour candies are frightful choices for good reason.

• Hard candies, jawbreakers, lollipops, candied apples, and other candies with hard surfaces take a long time to dissolve in the mouth, exposing teeth to sugar over a longer period. Even worse, children may be tempted to bite down on them, which can lead to chipped and cracked teeth.
• Sticky and chewy candies like gummies, candy corn, jellybeans, caramels, and fruit chews stick to enamel and between the teeth, again exposing teeth to more sugar over a longer period.
• Sour candies, whether they take the form of hard candy, gummies, chews, or straws, are especially bad for tooth enamel. Candies are sour because of their acidity, and acids erode enamel strength. Weak spots on the tooth surface are the first stage of cavity development.

Avoid Unnerving Orthodontic Events

If your child wears braces, eating the wrong treats can have haunting results. Chewy foods can pull a bracket right off a tooth. Hard and crunchy foods break wires and brackets. Sticky foods pull on braces and can be hard to brush away. Damaged braces mean extra trips to the orthodontist for repair, and can even delay treatment if the damage is significant and you can’t see your child’s orthodontist right away. Eek!

Instead, talk to Drs. Paul Pasternack, Chara Pasternack, and Christine Biondi about which foods are safe options for kids with braces. Treats like peanut butter cups, mint patties, soft chocolate bars without nuts, and other braces-friendly options will let your child enjoy a sweet Halloween night without braces-frightful consequences.

For those family members with aligners, reinforce your orthodontist’s instructions. Remove aligners before eating to prevent warping, bending, and cracking. Only drink water while wearing aligners. And, of course, be sure to bring their protective case for any outings. Halloween night’s no fun if those aligners have *disappeared* at the end of the evening.

Timely Treating

We can’t wave a wand to vanish cavities, so prevention is key. When your family enjoys holiday treats (or any desserts), it’s good idea to eat them in moderation and with a meal. This way, the teeth are exposed to sugars and acids over a limited period. And, as you eat, saliva production increases, which helps neutralize destructive acids and wash away food particles before they can harm enamel.

Water Works Like Magic!

Water has many bewitching qualities.

• Healthy hydration supports healthy oral tissues and saliva production.
• Water contains no sugars or acids which can damage enamel.
• Drinking water is a great choice when a family member wears braces, because water helps wash food particles from brackets and wires when brushing isn’t possible.
• Water is the only good beverage choice when someone in the family has aligners. Sugary and acidic beverages which collect in the trays bathe the teeth in those sugars and acids. Some darker drinks can stain aligners—and teeth!

Vanishing Food Particles and Plaque

Halloween is meant to be extra. And brushing and flossing are extra important this time of year to make sticky, sugary food particles and plaque disappear ASAP.

Make sure your child brushes for two minutes at least twice each day and flosses once a day to prevent extra Halloween sugars from lurking around teeth and gums. In fact, it’s a good idea to brush soon after any sugary treat to deprive cavity-causing bacteria of their favorite source of nourishment.

Proactive dental care isn’t magic. Communication and effort are all it takes! Talk to your pediatric dental team at Pasternack Pediatric Dental about the best way to celebrate Halloween without conjuring up problems for your child’s teeth and gums. After all, the best part of Halloween is the boo-tiful, healthy smiles which come with every “Trick or Treat!”

First word, first step, first day of school—these firsts are milestones every parent celebrates. And one of the earliest and most precious milestones is your baby’s first real smile! 

Keep that smile beaming and healthy from infancy to young adulthood with the help of dental milestones. These breakthrough events mark significant stages in oral development, and are a great guide to understanding, protecting, and supporting your child’s path to adult oral health.

• First Tooth

The first tooth often arrives around the age of six months. And this is the time to start cavity prevention, with twice daily gentle brushing with a soft-bristled, child-sized toothbrush. Talk to Drs. Paul Pasternack, Chara Pasternack, and Christine Biondi or your child's pediatrician to learn how and when to brush and how much and what kind of toothpaste to use.

By the age of three, toddlers typically have all of their 20 baby teeth, and these little teeth are essential to children’s health. They help kids chew and eat, assist speech development and pronunciation, and act as placeholders so adult teeth can erupt in the proper place. Keep your child’s baby teeth their healthiest by partnering with the dental team at Pasternack Pediatric Dental in Vorhees.

• First Visit to the Dentist

Once that first tooth has come in, or around age one, it’s time to bring your little one to the dentist for a first visit. Your pediatric dentist will do a careful exam to see if your child’s teeth and jaws are developing as they should, check the health of the teeth, and answer your questions about brushing, flossing, toothpaste, teething, pacifiers, thumb-sucking, or any other concerns. 

Why choose a pediatric dentist? Your pediatric dental team are experts at creating a “dental home,” a welcoming place which provides comforting continuity and specialized, child-oriented preventative care and treatment from infancy through the teen years.

• First Lost Tooth/First Permanent Tooth

Around age six, most children start to lose baby teeth, typically in the order in which they arrived. Losing a baby tooth is a big step for children, and might be a bit scary. You can celebrate this milestone with a visit from the Tooth Fairy, or a certificate, or a new toothbrush in your child’s favorite color. 

And as the permanent teeth come in, continue to encourage twice daily brushing and flossing, and consider proactive treatment with dental sealants. Even when children have learned to brush properly, and brush twice each day, it can be hard for kids to remove all the plaque and food particles from the grooved chewing surfaces on top of molars. That’s why molars are much more vulnerable to decay than any other teeth. 

Around the time your child’s first permanent molars erupt, the team at Pasternack Pediatric Dental might suggest sealants. Sealants protect the chewing surfaces of the molars from food particle and plaque buildup. This safe and invisible protective coating, usually a plastic resin, is applied in the office and typically lasts from three to five years. 

• First Orthodontic Visit

Pediatric dentists and orthodontists recommend an orthodontic examination by age seven (or earlier, if you have any concerns). At this point, children have a mix of primary and permanent teeth, allowing an orthodontist to assess tooth spacing and alignment and the way the jaws fit together. 

Your orthodontist might find no issues with your child’s teeth or bite. Or, perhaps, follow-up appointments might be scheduled to determine if and when future treatment is advisable. Sometimes, because some problems can be treated more easily when your child is young, early intervention with a fixed or removeable appliance is recommended right away. 

Having an orthodontic plan in place helps ensure that children benefit from the most effective and timely treatment at any stage of their development.

• Orthodontic Treatment

Orthodontic treatment commonly begins in early adolescence (ten to 14) when most or all of the permanent teeth have erupted. The facial and jaw bones are still growing in preteens and young teens, which makes it easier to reposition teeth and guide jaw alignment.

More treatment options are available than ever before—and today’s braces, clear aligners, smaller and more comfortable appliances, and even 3D technology make treating malocclusions and misalignments more efficient than ever before.

A healthy bite and properly aligned teeth are a foundation of lasting oral health. Orthodontic treatment helps prevent decay, gum disease, jaw pain, and even early tooth loss. And, of course, the value of your child’s increased self-confidence is impossible to overestimate!

• Wisdom Teeth

Wisdom teeth, or third molars, generally start to erupt in the late teens or early twenties and often have a harmful effect on oral health.

Erupting or impacted wisdom teeth can push neighboring teeth out of position, damage adjacent tooth roots, and cause inflammation and infection in gum and bone around the wisdom tooth. For these reasons, preventative extraction is often recommended. 

If your teen shows any symptoms of erupting or impacted wisdom teeth—irritated, swollen, or bleeding gums, bad breath, jaw pain or swelling—a visit to the dentist is in order.

As parents, you do your best to guide your child’s journey from infancy to healthy adulthood. Each dental milestone marks a new stage in your child’s oral health journey, and new ways for you to encourage and protect that oral health. Use these milestones to set your child up for a lifetime of good dental habits—and a lifetime of healthy smiles!

Halitosis is the scientific name for bad breath. It is one of the most common oral concerns, and it affects a large percentage of the population, including children. Having bad breath can be embarrassing and a nuisance. When considering what to do about halitosis, the team at Pasternack Pediatric Dental highlights that you need to focus on the cause, rather than just masking the problem.

Children commonly have bad breath because of an upper respiratory infection. This includes a common cold, postnasal drip, or allergies. When this is the case, treatment may be complicated if one or more of these issues is chronic.

Another cause of halitosis in children is a condition with their teeth or gums. Just as in adults, gum disease has a distinctive malodor. The quality of brushing and flossing in children directly influences the presence of gum disease. If there is a large untreated cavity, there will be a strong smell causing bad breath. Both of these issues need professional attention, including a visit to the dentist.

Tonsillitis can also cause halitosis in children. It happens because of a constricted airway, resulting in mouth breathing. Mouth breathing is a concern because of how much it dries the tissue in the mouth. This makes any bacterial infection in the mouth worse and causes an increased potency within the bacteria in the mouth.

Treatment of halitosis is as varied as the causes listed above. Beware of ingredients in products that mask bad breath. Sucking on a mint on a regular basis will cause more harm than good because of potential decay. Chew sugarless gum and mints.

If you have any other questions, feel free to call us at Pasternack Pediatric Dental or ask Drs. Paul Pasternack, Chara Pasternack, and Christine Biondi during your next appointment!