Below are common questions and our answers about the best way to care for children's teeth.
When should I schedule my child's first visit to the dentist?
We recommend that you make an appointment for your child to meet us as soon as he or she gets his first tooth. The American Academy of Pediatric Dentistry recommends that children be seen within six months after their first tooth erupts, or at one year of age, whichever comes first. Bringing your child in at an early age ensures that there will be fewer reasons to be apprehensive in the future!
How is a pediatric dentist different from other dentists?
All dental specialists (pediatric dentists, orthodontists, oral surgeons, and others) begin by completing dental school, then continue their education with several years of additional specialized training. During training in the field of pediatric dentistry, Dr. Iseman gained extensive knowledge and experience in treating infants, children, and adolescents. Pediatric dentists enjoy working with children, and bring to each patient our expertise in childhood development and behavior. Because our office is geared toward young visitors, you'll find that our staff, as well as our office design, decorations, and activities all work together to provide an especially friendly and comfortable environment for children.
What happens during my child's first visit to the dentist?
The first visit is usually short and simple. In most cases, we focus on getting to know your child and giving you some basic information about dental care. The doctor will check your child's teeth for placement and health, and will look for any potential problems with the gums and jaw. If necessary, we may do a bit of cleaning. We will also answer any questions you have about how to care for your child's teeth as they develop, and provide you with materials containing helpful tips that you can refer to at home. The goal is to initiate you and your child into our office family so that you both become more and more comfortable with us as we continue with periodic visits as your child grows.
How can I prepare my child for his first dental appointment?
The best preparation for your child's first visit to our office is maintaining a positive attitude. Children pick up on their caregivers apprehensions, and if you make negative comments about trips to the dentist you can be sure that your child will fear an unpleasant experience and act accordingly. Show your child the pictures of the office and staff on the website. Let your child know that it's important to keep his teeth and gums healthy, and that the doctor will help him do that. Remember that your dentist is specially trained to handle fears and anxiety, and our staff excels at putting children at ease during treatment.
How often should my child visit the dentist?
Dr. Iseman recommends scheduling checkups every six months. Depending on the circumstances of your child's oral health, we may recommend more frequent visits.
Baby teeth aren't permanent. Why do they need special care?
Although they don't last as long as permanent teeth, your child's first teeth play an important role in his or her development. While they're in place, these primary teeth help your little one speak, smile, and chew properly. They also hold space in the jaw for permanent teeth. If a child loses a tooth too early (due to damage or decay) nearby teeth may encroach on that space, which can result in crooked or misplaced permanent teeth. Also, your child's general health is affected by the oral health of the teeth and gums.
What's the best way to clean my baby's teeth?
Even before your baby's first tooth appears, we recommend you clean his gums after feedings with a damp, soft washcloth. As soon as his first tooth appears, you should start using a toothbrush. Choose a toothbrush with soft bristles and a small head. You most likely can find a toothbrush designed for infants at your local drugstore.
At what age is it appropriate to use toothpaste to clean my child's teeth?
Once your child has a few teeth, you can start using toothpaste on the brush. Use only a tiny amount for each cleaning, and be sure to choose toothpaste without fluoride for children under two (or until you visit with us at the child's first appointment) because too much fluoride can be dangerous for very young children. Teach your child to rinse and spit out toothpaste after brushing. Children naturally want to swallow toothpaste after brushing, and swallowing too much fluoride toothpaste can cause teeth to stain. You should brush your child's teeth for him until he is ready to take on that responsibility himself, which usually happens by age six or seven. As a general rule, if your child cannot write in cursive and tie his own shoes, he still needs parental guidance with brushing.
What causes cavities?
Certain types of bacteria live in our mouths. When these bacteria come into contact with sugary foods left behind on our teeth after eating, acids are produced. These acids attack the enamel on the exterior of the teeth, eventually eating through the enamel and creating holes in the teeth, which we call cavities.
How can I help my child avoid cavities?
Be sure that your child brushes his teeth at least twice a day with fluoride toothpaste. Flossing daily is also important, because flossing can reach spots between the teeth that brushing can't. Avoid sugary foods and drinks, limit snacking, and maintain a healthy diet. And finally, make regular appointments so that Dr. Iseman can check the health of your child's teeth and provide professional cleanings.
Does my child need dental sealants?
Sealants cover the pits and fissures in teeth that are difficult to brush and therefore susceptible to decay. Dr. Iseman recommend sealants as a safe, simple way to help your child avoid cavities, especially for molars, which are hardest to reach. Sealants can be done on both permanent and baby teeth, but most often they are initially done on the child's first permanent molars that erupt around the age of 6.
My child plays sports. How can I protect his teeth?
Even children's sports involve contact, and Dr. Iseman recommends mouthguards for children active in sports. If your little one plays baseball, soccer, or other sports, ask us about having a custom-fitted mouthguard made to protect his teeth, lips, cheeks, and gums.
What should I do if my child sucks his thumb?
Many children suck their thumbs or fingers as infants, and most grow out of it by the age of four, without causing any permanent damage to their teeth. If your child continues sucking after permanent teeth erupt, or if he sucks aggressively, let us know and we can check to see if any problems may arise from the habit.
When should my child have dental X-rays taken?
Dr. Iseman recommends taking first X-rays around the age of two or three, unless the need arises sooner. The first set consists of simple pictures of the upper front and lower front teeth, which familiarizes your child with the process. Once the baby teeth in back are touching one another, then regular bitewing X-rays are recommended. Because primary teeth enamel is thinner than permanent teeth, Dr. Iseman recommends bitewing X-rays at 6-month intervals. If your child is at a high risk of dental problems, we may suggest having X-rays taken at more frequent intervals. Dr. Iseman also recommends periodic growth and development X-rays (panoramic) at 3-year intervals beginning around the age of 7.
Does it hurt to lose a tooth?
Losing teeth is a right of passage. Some kids handle it better than others--and some parents handle it better than others too! Some discomfort is expected in the tooth exfoliation process but if it is too difficult for you or your child to remove a loose baby tooth, we are here to help!
How many times a day should you brush your teeth?
Young people should brush their teeth for at least two minutes, two times per day. The most important time to brush teeth is prior to going to bed. For children age 7 and younger that are assisted by their parent, it may not take as long. Particularly with children age 3 and under it will take no longer than 1 minute to adequately brush their teeth.