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Your infant’s first teeth will begin to appear around six to 12 months of age. You might wonder how important these primary teeth really are. After all, baby teeth are destined to fall out within a few years and be replaced by a full set of permanent teeth. However, baby teeth have important functions, and proper care can set the stage for excellent oral and overall health.

Promote Better Nutrition

The appearance of your baby’s primary teeth around six to 12 months of age coincides with changes in your infant’s nutritional needs. Beginning at six months, exclusive breastfeeding is no longer nutritionally sufficient; this is the age at which you should introduce solid foods.

At six to eight months, when your baby can start to chew, strained or pureed fruits and vegetables are appropriate. As your little one’s teeth grow in and chewing abilities progress through 12 months of age, you can gradually add cereal, bread, cooked meats, and other adult foods to his or her nutritious diet.

Increase the Life Expectancy of Baby Teeth

Although baby teeth are inevitably going to fall out and be replaced by permanent ones, making baby teeth last serves an important role that can have benefits into the future. Baby teeth serve as placeholders for permanent teeth. If they decay and fall out too soon, permanent teeth are more likely to grow in crooked.

How to Take Care of Baby Teeth

Your baby’s primary teeth are already in his or her mouth at birth; they are just invisible because they have not broken through the gums. Since they are already present, your baby can get cavities if you do not practice proper oral hygiene from the beginning.

• Do not let your baby fall asleep with a bottle in his or her mouth.
• Brush your child’s baby teeth twice a day as soon as they come in.
• Floss your child’s teeth as soon as he or she has two teeth that touch.
• Visit Pasternack Pediatric Dental for your baby’s first checkup when the first tooth arrives.

There are many different types of dental specialties out there, so how do you know when you should see a general dentist (your regular dentist), and when you should seek the help of a dentist with specialized training? This article covers the basic differences between a pediatric dentist and a family or general dentist, and why it may be beneficial to find a specialized doctor to work with your children’s teeth.

What is a pediatric dentist?

All dentists, regardless of which specialty they practice, attend a four-year dental school for either a Doctor of Dental Surgery (DDS) or a Doctor of Dental Medicine (DMD) degree. Once they have completed the initial degree program, some dentists choose to proceed to additional training in an area of dental specialty. Pediatric dentistry is one of those specialties.

A pediatric dentist will study the development of teeth from infancy through the teen years. Babies, toddlers, school-age children, and teenagers experience different growth phases and have different needs for their oral health care from adults. A dentist with post-graduate training in this specialty can often provide a more comprehensive approach to treatment to meet those needs.

Specialized Needs Pediatric Dentists Can Address

Starting with the first teeth that grow in your child’s mouth (usually around six months of age), you need to begin caring for your child’s teeth. However, it’s not as simple as just doing the same things you do for your adult teeth, because children have specific needs and may have concerns and issues that you do not face for your oral health care as an adult.

There are several concerns unique to younger dental patients. Beginning with babies, parents need to be aware of the specific oral care required for children. For example, babies who drink from bottles can develop baby bottle tooth decay if parents do not properly clean their teeth. Young children may develop a habit of sucking their thumb, which can contribute to poor oral hygiene. Children who have trouble with teeth grinding may need specialized care. And children have specific dietary needs that serve their need to develop strong teeth and gums.

All these concerns can be addressed by a pediatric dentist with specialized knowledge of childhood oral health and teeth development. General dentists often know some of this information, but without the specialized training they may not be able to provide the care that is geared toward the needs of your children. In addition, pediatric dentists will often have a practice that is built entirely with children in mind, with décor, staff, and other elements that can help put children at ease when it’s time to visit the dentist.

If you have young children, consider our pediatric dentistry office. At Pasternack Pediatric Dental, our specialized care for young patients features a caregiver with the knowledge and training to provide your children with the best possible care.

Our team at Pasternack Pediatric Dental knows that every parent loves to hear his or her child say, "no cavities!" when leaving our office. Let's talk about why primary (baby) teeth get cavities, what you can do to help prevent them, and what Drs. Paul Pasternack, Chara Pasternack, and Christine Biondi can do if your child gets a cavity. It's a team effort!

Prevention is Key

A well-balanced diet high in protein, vitamins, and minerals (especially calcium and phosphorous) is an important part of cavity prevention. The American Academy of Pediatric Dentistry (AAPD) states that children should eat healthy snacks like cheese, vegetables, and yogurt, and drink milk. Limit hard candy and carbonated beverages, which have acid and can cause tooth decay. Also, do not put children to bed with a bottle of milk, formula, or juice because sugary fluids pool around the teeth and gums, which promotes decay.

In addition to limiting sweets and scheduling regular visits at our Vorhees office, make sure your child flosses once a day and brushes his or her teeth twice a day with a pea-sized amount of fluoride toothpaste. A good rule of thumb is if children can tie their shoelace, then they should be able to brush their teeth without help. The American Dental Association (ADA) recommends the following basic brushing techniques:

• Place the toothbrush at a 45-degree angle to the gums.
• Move the brush back and forth gently in short strokes
• Brush the outer surfaces, inside surfaces and chewing surfaces of all teeth.
• To clean the inside surface of the front teeth, tilt the brush vertically and make several up-and-down strokes.
• Brush your tongue to remove bacteria and keep your breath fresh.

These tips will greatly increase cavity prevention; however, if your child gets a cavity, it will not heal on its own and must be fixed. Drs. Paul Pasternack, Chara Pasternack, and Christine Biondi will remove the decayed part of the tooth and fill the hole where the decay was. You may wonder why it's important to fill baby teeth if they're going to fall out eventually. Baby teeth hold space for permanent teeth to grow in. If one is lost, teeth may shift and prevent a permanent tooth from growing in. In addition, a decayed tooth can become abscessed and cause pain. No fun!

Let’s work together to help your child develop good oral health habits that last a lifetime. Please contact our office if you have any questions about your child's diet or cavity prevention.

September is National Childhood Injury Prevention Month, and Drs. Paul Pasternack, Chara Pasternack, and Christine Biondi and our team at Pasternack Pediatric Dental are excited to share some tips to keep your child safe. Childhood is a time when dental injuries are common. Even a simple fall on the playground at recess can lead to a lost or broken tooth. What can you do as a parent to protect your child’s teeth in addition to his or her head and bones? These tips will help you prevent mouth and dental injuries to your kids.

First, use common sense when your children play sports. An estimated 13 to 39 percent of oral-facial injuries occur when children are playing sports. Make sure your child wears a face guard, mouthguard, and helmet as appropriate. Contact sports, such as football, require this gear, so insist that it gets worn.

Next, teach your children not to walk or run with things in their mouths. This is particularly difficult for toddlers and preschoolers, who love to explore the world orally. Insist that items are removed from the mouth whenever the child is in motion, and try to redirect the child to softer items for oral stimulation.

For small children, be careful when you put a spoon or fork in the mouth. While this won’t damage teeth, it can damage the delicate skin between the lips and gums or under the tongue. Allow your child to direct his or her own feeding; never shove a spoon in your child’s mouth if he or she is not interested, to avoid this type of injury.

Finally, make sure your children are seen regularly by Drs. Paul Pasternack, Chara Pasternack, and Christine Biondi. Regular dental checkups will keep the teeth clean, strong, and healthy, and limit the risk of injuries.

If your child is injured in spite of your best efforts, contact our Vorhees office right away. Quick action may be able to save a missing tooth, and a quick response on your part will limit the long-term effects of the injury.