Keeping your young kids' teeth nice and clean can be challenging — not least because tiny ones probably won't understand why it's so important to stick a brush with less-than-pleasant tasting paste in their mouth twice a day. Nonetheless, habits formed early in life will stick with a child forever.
Here's what you need to know about oral hygiene and caries prevention in children with milk teeth.

Yes, Milk Teeth Matter!
Your child’s deciduous teeth (milk teeth, primary teeth) will start erupting at around six months of age, while the first permanent teeth will start to come in when your child is about six years old. Some people hold the (rather uninformed) opinion that, since deciduous teeth are going to be replaced anyway, it may not be so important to take care of them.
These "temporary" teeth are actually much more prone to decay than permanent ones and also play an important role in the proper development of the jaw. The primary teeth are smaller and less mineralized, and thus much easier for decay causing micro-organisms to destroy. The roots of these teeth also serve as a guide for the erupting permanent successors to follow in the same direction. Finally, decayed or removed milk teeth will interfere with varied and healthy nutrition.
Brush Your Child’s Teeth For Them
Infants of course require their teeth to be physically brushed by their parents. Use a soft toothbrush with a small amount of tooth paste. If you are worried about your child ingesting the toothpaste, you can avoid it completely. As your baby becomes a toddler and starts wanting to do everything by themselves, it's tempting to hand them the toothbrush. Careful: it's highly unlikely they'll follow instructions and brush their teeth as well as you could. Don't hand this important task over to your child too soon.
Once the child is able to brush on his or her own teeth, practice brushing together. Watching you do the same thing helps reinforce the habit, makes it a game of sorts and you can keep an eye on the child ensuring proper time and technique is being followed for oral hygiene.
Ban The Bottle
A lot of babies get into the habit of sleeping with a nursing bottle in their mouth. The sweetened milk used inside the bottle is a perfect substrate for the growth of micro-organisms. A typical pattern of decay known "baby bottle caries" is seen in babies who have this habit. It involves almost all the lower front teeth since this is where the milk pools.
Periodic Inspection
A simple visual inspection of your child’s teeth is extremely helpful, allowing you to catch the decay as soon as it begins. Waiting for the child to complain of pain or sensitivity is a bad idea, since most of the tooth structure has already been destroyed by the time pain sets in.
READ A Parents' Guide To Losing Baby Teeth
More Tips To Prevent Tooth Decay In Children
Avoid Snacks Between Meals, And Rinse After Eating
Every time we eat something, the pH of our oral cavity drops due to the production of acids from the sugars in the food. The longer this pH remains acidic, the more likely it is the child will develop caries.
The simple habit of rinsing out your mouth with water after eating helps remove any pieces of food that get stuck between the teeth, removes the sticky layer of sugar from the teeth and helps bring the pH back up to normal. This is something that should be taught to children from a young age.

Pit And Fissure Sealants
This is an excellent option for children who have demonstrated a tendency to develop caries early in life, children who are suffering from a condition that makes it difficult to maintain optimum oral hygiene or have morphological characteristics that make it likely for them to develop caries.
The process of application is also quite simple, requiring only a few minutes and without the need for any sort of anesthesia. It is just due to a lack of awareness that more people do not get this treatment done.
Xylitol Chewing Gum
There are a number of commercially available chewing gums that have xylitol as the sweetener in them. This does not get metabolized by the decay organisms and hence does not produce the acid which lowers the pH of the oral cavity. It also helps in raising the level of pH back to normal levels after a meal or a snack.
Regular Scaling Appointments
It is imperative that children get used to visiting the dentist and the inherent fear of the dental office be removed. A scaling (teeth cleaning) appointment is probably one of the most harmless things you can get done at the dental office. There is no pain or discomfort associated with it.
READ Dealing with Teething Pain: Remedies for Babies
This is also the best possible thing that you can do to prevent decay. Even after brushing properly and trying to maintain strict oral hygiene, some amount of plaque and calculus keeps getting accumulated on the surface of the teeth. Once this accumulation has taken place, it cannot be removed by your brush and requires a professional cleaning.
Conclusion
Preventing dental decay through these simple tips is much more preferable than getting extractions or root canals done. It is also a lot less expensive. It is often the lack of knowledge rather than a lack of will that leads to the development of poor oral hygiene. Nothing too fancy or complicated is required to be done. The teeth need to be cleaned regularly, and anything that puts the teeth at risk needs to be eliminated.
- Photo courtesy of makelessnoise via Flickr: www.flickr.com/photos/makelessnoise/3610103532
- Photo courtesy of Andy Hay via Flickr: www.flickr.com/photos/andyhay/222932647
- 1. http://www.colgate.com/en/us/oc/oral-health/life-stages/childrens-oral-care/article/sw-281474979276435
- 2. http://www.webmd.com/oral-health/tc/preventing-tooth-decay-in-young-children-topic-overview
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