Have you been told that your toddler needs a root canal procedure? Do you feel that extraction would be a better and quicker option for them? Then you are at the right place. Root canal treatment in kids is a minor surgical procedure that involves the removal of the infected and inflamed pulp (central core of your tooth consisting of connective tissue, nerves, and blood vessels), replacing it with a resorbable, biocompatible material, and restoring it with a dental crown (1).

Root canal treatment is always considered the best alternative to extractions. This is because preserving baby teeth can help retain the foundation needed for the proper eruption of permanent teeth. Premature loss of baby teeth can result in dental problems like improper permanent tooth eruption, and crowding. This informative blog focuses on the need for root canal treatment for kids and how safe it is. So keep scrolling!

Why Does Your Kid Need a Root Canal?

Every kid is different with different oral health needs. They have unique dental morphology and sequence of eruption. Toddlers are prone to tooth decay due to poor oral hygiene, and unhealthy eating habits. Moreover being highly active they may also be prone to injuries resulting in dental trauma. Tooth decay and trauma can ultimately result in cavities, infection, and pus discharging abscess formation if not taken care of on time (2).

Persistent infection can result in pain, discomfort, tenderness, redness, and pus discharge that can be daunting. Dentists may recommend root canal treatment when other treatment options like medications and regular dental fillings fail. A root canal treatment is more beneficial than tooth extraction any day! Premature tooth loss can lead to the loss of adequate space for the eruption of permanent teeth, resulting in development problems in kids.

The following signs and symptoms suggest the need for root canal treatment in toddlers (3)-

• Extreme tooth pain
• Increased sensitivity to hot and cold foods
• Swollen and inflamed gums
• Trouble chewing
• Discolored tooth
• Bad breath (halitosis)
• Fever
• Loss of appetite
• Trouble sleeping
• Lethargy

3 Things to Know About The Root Canal Procedure For Kids

Every parent would be nervous and anxious when their toddler would need extensive dental procedure like a root canal. It is common to have several queries going on in your mind to ensure the entire procedure goes on smoothly without much discomfort to the toddler. Here are three things you must know about root canal procedures for kids-

1. Kid Will be Given Anesthesia

Root canal procedure is always performed under local anesthesia. This is because your toddler would already be suffering from tooth pain and sensitivity which makes them less cooperative. To help them cooperate and ease their pain further, they will be given a local anesthesia spray or shot (4).

2. They Will Need Dental Crown

Since root canal treatment involves the removal of the entire inflamed pulp, the tooth becomes hollow and weak. Such teeth would be susceptible to fracture. Thus, root canal-treated teeth must be restored with suitable dental crowns (5).

3. Procedure Will Take 30 to 60 minutes

Root canal treatment is an extensive procedure which may take around 30 to 60 minutes. This depends on the extent of infection and how well your toddler cooperates. So be well prepared to spend a little extra time until the procedure is completed (6).

Does Your Toddler Require Root Canal?

Whether or not your toddler requires a root canal is determined by the pediatric dentist depending on their individual oral health condition. Your kid may require a root canal if other management approaches like painkillers, and dental fillings fail to provide relief. Tooth decay or trauma with pulp involvement can cause a cascade of painful symptoms which makes a root canal treatment mandatory.

With advanced technology in the form of rotary instruments, and dentist expertise, you can safely opt for root canal treatment for your toddler rather than extractions (7). Root canal treatment can greatly preserve your toddler’s primary teeth and prevent future dental development problems like misalignments.

Look no further when it comes to the integrity and vitality of your toddler’s oral health. There is no need to be apprehensive about getting root canal for them. Their pediatric dentist is the best judge to determine if root canals will benefit your toddler. With advanced technology and the dentist’s expertise, root canals are considered safe for your toddlers. If you notice any painful symptoms consult a pediatric dentist right away!

FAQ’s

1. Is it Normal to do a Root Canal on Baby Teeth?

Yes, it is normal to do a root canal on baby teeth. This procedure may be needed to save extensively decayed and damaged baby teeth, and restore oral form and function. Root canal treatment for baby teeth may also help prevent unwanted extractions and premature loss of baby teeth that may negatively impact the eruption of permanent teeth.

2. What Are The Dangers of Root Canals in Children?

The main risk of performing a root canal in children is their age. Their teeth may not be as resilient as adult teeth and kids may not be aware of what’s going on with them, which may lead to anxiety and fear. Furthermore, the use of root canal filling material may sometimes damage the surrounding tissues leading to bruising and swelling.

3. What is The Youngest Age For a Root Canal?

Root canal treatment can be done at any age. There is no age limit for performing root canal procedures since it is needed whenever the teeth are severely damaged or decayed, irrespective of age. However, toddlers as young as 3 years old can also get a root canal treatment if needed.

References

1. Pratheebha C, Gayathri R, Veeraraghavan VP, Kavitha S. Knowledge, awareness, and perception on root canal treatment among South Indian population – A survey. J Adv Pharm Technol Res. 2022 Nov;13(Suppl 1):S302-S307. – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9836173/
2. Popoola BO, Ayebameru OE, Olanloye OM. ENDODONTIC TREATMENT IN CHILDREN: A FIVE-YEAR RETROSPECTIVE STUDY OF CASES SEEN AT THE UNIVERSITY COLLEGE HOSPITAL, IBADAN, NIGERIA – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6580413/
3. Asgary S, Eghbal MJ. Challenging the Misnomer of Irreversible Pulpitis and Deliberating the Urgent Need for Reclassification of Pulpal Diseases Based on the Efficacy of Vital Pulp Therapies: An Overview of Systematic Reviews – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10565994/
4. Erdogan O, Casey SM, Ruparel NB, Sigurdsson A. Bupivacaine for Root Canal Treatment – Practitioner Behaviors and Patient Perspectives: Survey Studies. Local Reg Anesth. 2022 Feb 3;15:11-21 – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8820451/
5. The Use of Dental Crowns for Endodontically Treated Teeth: A Review of the Clinical Effectiveness, Cost-effectiveness and Guidelines [Internet]. Ottawa (ON): Canadian Agency for Drugs and Technologies in Health; 2015 May 13. – https://www.ncbi.nlm.nih.gov/books/NBK304710/
6. Londhe SM, Garge HG. Single Visit Root Canal Treatment. Med J Armed Forces India. 2007 Jul;63(3):273-4 – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4922381/
7. Casaña Ruiz MD, Martínez LM, Miralles EG. Update in the Diagnosis and Treatment of Root Canal Therapy in Temporary Dentition through Different Rotatory Systems: A Systematic Review. Diagnostics (Basel). 2022 Nov 13;12(11):2775 – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9689064/

Your toddler is now 27 months old. It has been 3 months since you celebrated their birthday and it already feels like a lot of time has passed since then. If you look back on videos from the birthday and compare them to your toddler now, you can see how much their movements and skills have improved. You will also notice the new toddler milestones they attained in the last few weeks.

What new toddler milestones will your little one attain in the coming weeks? Will they learn fast or will they slow down? Should you do more activities or engage them more to aid in their development or should you just encourage free play? Very confusing right? Don’t worry, just read on and we will guide you about the various toddler milestones and how to help in the coming weeks.

Developmental Milestones For 27-Month-Old Toddler

Some developmental toddler milestones you can expect from your 27-month-old are-

Speaking Skills

• Toddlers can speak more clearly now
• Their pronunciations and sentence formations get better with frequent conversations and communication
• Some will also use alternate words to convey their message if you don’t understand what they are telling you
• If you don’t understand their pronunciations or what they are referring to, they will find creative ways to express what they intend to
• It is a good time to teach more words to your toddler
• You can teach new words in more than one language

Copy Others

• Toddlers at this age understand they have to do or talk like their peers or elders in the family
• They will observe very closely and copy what others around them are doing
• They also tend to copy actions they see regularly, even if it is not taught to them explicitly. Be careful about what you expose them to
• Ensure what they see on the screen, in the books, or hear is all child-safe content

Physical Development

• Your toddler can now jump in one place and also jump from one spot to another
• They can go up or down the stairs using one step at a time (placing both feet on each step)
• Some may try to use one foot on each step like the adults around them. Most toddlers can now use an open cup to drink without spilling much  
• Just ensure you don’t give them big or full cups as it will be difficult for them 

Becomes Shy

• Many toddlers will become shy and start hiding
• It can be a new person or someone they have not met in a while
• Communicating with them can make the toddler feel very anxious
• While some toddlers might just smile and hide behind a parent, some might just be unresponsive and not make eye contact
• Their socializing skills are developing and they need time and patience

Impulsive Behavior

• Toddlers tend to get very impulsive at this age
• They might suddenly throw an item or even hit or push their sibling or peer
• Some toddlers will repeat such actions despite you repeatedly asking them not to do so
• Their brains are still developing and they are yet to master impulse control

Solo Play

• Many toddlers may like to play by themselves even in the presence of company
• They will like to sit and play in a room with other adults or kids around, but won’t actively play with others. They just need the presence but not the participation
• They are in the process of understanding their toys and their actions in their own way and will not like the company of other toddlers or to be interrupted
• This is an important cognitive development and nothing to worry about

Growth Chart For a 27-Month-Old Toddler

An average 27-month-old height and weight will be as follows-

Girls

Weight – 9.6 – 15.4 Kg
Height- 81.9 – 94.6 cm

Boys

Weight – 10.2 – 15.9 Kg
Height- 83.5 – 95.7 cm

(This chart is just an indication and these parameters may vary from one toddler to another)

Tips to Boost Your 27-Month-Old’s Development

Here are some tips for parents to aid their 27-month-old’s development in attaining their toddler milestones-

1. Direct Teaching

Opt for direct teaching rather than teaching using media. Many play schools and parents use educational videos to teach toddlers songs, letters, numbers, etc. Teaching them in person will have a stronger impact than passive learning from screens (1).

2. Support a Shy Toddler

If your toddler is suddenly feeling shy and is not talking or exhibiting skills in front of others like before, just let them be. If they are not ready to answer questions directed at them, step in and answer for them instead of forcing them to answer. Respect their emotions.

3. Respect Body Boundaries

If your toddler does not want to hug or touch someone, don’t force them. Never force your toddler to hug or kiss someone or sit on someone’s lap. If they don’t want to do it, respect and acknowledge their body boundaries. This will help them grow into confident individuals who understand safe and unsafe limits when it comes to their physical selves.

4. Regular Conversations

Keep talking to your toddler about their day, your day, their experiences, feelings, etc.

Health And Care of Your Toddler

Here are some ways to effectively take care of your growing toddler’s health to help them attain those toddler milestones-

• Use a good moisturizer to protect your toddler’s skin from harsh weather and small scrapes or scratching
• Toddlers are faster and taller now. They can hurt their head under the tables or other furniture quite frequently. Give them a gentle but firm massage on the injured spot to prevent the bump from getting bigger
• Refrain from using very cold ice packs for extended periods of time on your toddler’s head or ears. The cold temperature can hurt them

Some Useful Tips For Your Toddler

Here are some tips to help both parents and toddlers attain important toddler milestones efficiently-

• Ask your toddler leading questions about their friends or games they play, to understand how they are processing the information and experience
• If your toddler is having a hard time accepting a “no”, give them time to cope with the rejection. Don’t try to distract, threaten, or bribe them into hiding their emotions
• Explain what you see using simple words they can understand and use. Explain how bright the sun is, how pink the flower is, or how happy the dog looks. This helps them compare, understand, and express better
• In case of meal refusals, add fruits and vegetables to the snack and increase the quantity of the snack. Sometimes, your toddler might just try to test limits by defying you
• If your toddler is sick with the flu or common cold, keep them home. It can be tough to manage a sick toddler at home but it is not right to send a sick kid to school or playgroup

Toddlers grow much faster than we expect and learn many skills quite easily. While some skills can be tricky for them to master. Most toddlers are better at some skills than others. Encouraging them to keep trying the tricky ones and appreciating their efforts can give them the confidence and the push to keep trying till they succeed.

FAQ’s

1. How Many Words Should a 27-Month-Old Say?

A 27-month-old toddler should comfortably use more than 50 words. Some toddlers can even use up to 100 words. Toddlers at this age should also speak simple sentences with two or three words in them.

2. What Happens at a 27-Month Check?

The doctor will check the toddler’s weight to see the rate of weight gain, will visually gauge if their height is within the expected range, and also check their teeth. The doctor may casually strike up a conversation to see how well the toddler can understand, respond, and pronounce words. This will help them identify any developmental delays if any.

3. Is it Normal For a 27-Month-Old to Not Talk?

No, it is not normal for a 27-month-old toddler to not talk. Most of them can talk comfortably. If your toddler is able to understand everything but is unable to respond using words, it could indicate a speech delay. Consult your pediatrician and a speech therapist if necessary for advice on the next course of action.

4. What Are The Gross Motor Skills of a 27-Month-Old?

At 27 months, toddlers should be comfortably walking, running, climbing up and down the stairs without much help, jumping from one spot to another, and also jumping a little in the same spot. They can hold and throw a ball, run after a ball, and catch it too. They can also hold one toy in one hand and use the other hand to do something else. Both hands can work independently.

References

1. Don’t Try This at Home: Toddlers’ Imitation of New Skills from People on Video – [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2610533/]

Have you seen those little hands at work? Have you noticed how those tiny hands of your toddlers are ready to grab anything within their reach and explore everything by digging their fingers into them? Playdough is one thing almost all toddlers will love to play with. If you are wondering why you should let your toddler play with playdough, just observe what happens when you let them handle it.

Playdough is the perfect option that lets you get some time away from your toddler as it is bound to keep them busy at least for a few minutes. The squishing, rolling, and molding of the dough into shapes can help strengthen those fingers and keep that active brain occupied for a while (1a). Have you ever wondered if playdough is safe and suitable for your toddler? Then read on to get all your answers.

What is Playdough?

Playdough is a soft substance that looks and feels a lot like clay. It comes in various colors and some have fragrances too. Kids use them to make models, or just play with them like they would play with clay.

Since playdough is a man made substance, it is free of all the dirt and toxins clay or dirt would generally carry. They are also made of a particular consistency that enables toddlers to use them without additional water or any type of liquid to keep them soft and malleable.

Different companies produce playdough under different names. Though the names are different, the purpose and consistency are the same.

When And How to Introduce Playdough to Toddlers?

If you check the playdough packs, it shows the recommended age as 3+. So, it is not appropriate for very young toddlers. You may let your toddler over 2 years of age use playdough under your supervision (1b).

Playdough from the stores can be easy to use and access but poses certain risks like any other toy. The harder variants are suitable for older children – mostly 5 years and up. These can not only be harder but can be a choking hazard too.

If your toddler does not show any interest in playdough, you can try giving it to them after a few months. You can try giving them different colors of playdough or molds to use. You can even give them cutters and other tools to use with it.

Different toddlers have different interests. If your toddler does not show interest in creative play, it is okay. Just give them time and let them explore the playdough in their own way. Do not force them to play with it, as it can become counterproductive and create an aversion towards playdough.

Is it Safe For a Toddler to Play With Playdough?

Yes, playdough is perfectly safe for toddlers to play with as long as they don’t mouth them. If your toddler is having allergic reactions to the store-bought playdough, you can try a different brand or make some at home. Here are some tips to ensure safety when your toddler is playing with playdough-

• Ensure they do not put any into their mouth, nostrils, or even ears
• Watch out for allergic reactions and stop them from playing with it, in case of any reactions
• Give your toddler a break after they play with the playdough for a while. Long hours of playing can not only hurt their fingers but can cause an addiction too
• If your toddler still does not understand instructions or follow them, delay introducing playdough for a few more months
• Always watch your toddler when they are playing with playdough. They just need a few seconds to put it into their mouth or nose

Top 8 Benefits of Playing With Playdough

If you are still not sure playdough is the right fit for your toddler, here are some advantages you cannot miss-

1. Helps to Develop Fine Motor Skills

The constant pinching and squishing of the playdough requires your toddler to bend and flex their fingers multiple times. It helps strengthen the fingers and improve their fine motor skills (2).

2. Enhances Hand-Eye Coordination

Making models and shapes with the playdough improves their hand-eye coordination (3). As your toddler progresses to make more complicated shapes using more than one color, the coordination improves.

3. Helps in Emotional Regulation

Playdough serves as a sensory play as toddlers get to touch and feel a different texture. Sensorial play helps in emotional regulation (4). When your toddler is anxious, upset, or nervous about seeing new people, they can focus all their emotions on the playdough. It can help calm them down.

4. Encourages Creativity And Imagination

The playdough shaping has no limits. Toddlers can make imaginary shapes or try to recreate some shapes. They can let their imaginations loose and get creative with their modeling (5a).

[Read : Simple, Creative Activities For Toddlers]

5. Improves Social Skills

Playing playdough with other toddlers or even adults can improve your toddler’s social skills (6). They will learn to share, communicate, ask for other colors, etc. All these help improve their social interactions through play.

6. Promotes Open-Ended Playtime

Since there is no definite end to playing with playdough, it encourages open-ended playtime (5b). A toddler can play with it for any amount of time. Initially, your toddler might not spend more than a few minutes with their playdough. However, the more the shapes they learn to make or the more imaginative they get, you will see them spending more time with it.

7. Aids in Multi-Sensory Learning

When playing with playdough, toddlers will use their sense of sight, touch, and imagination. They will understand how to shape the material and what will happen when they hold it too tight or too loose. This aids in multi-sensory learning (7). Such lessons are not only interesting but are long-lasting too.

8. Helps Numbers And Vocabulary Development

Toddlers can learn to count using playdough shapes. You can roll them into balls and group them by colors, sort by size, etc. It can be an effective way to learn colors, numbers, as well as new words (8).

[Read : Activities and Games For Toddlers to Teach Numbers]

How to Make Homemade Playdough For Your Toddler?

Are you worried about the toxins used in store-made playdough? If you don’t want your toddler playing with the chemicals used in playdough, you can make them yourself at home. Here is a fool-proof recipe you can put together in just a few minutes-

Ingredients

All-purpose flour – 8 Tbsp
Warm water – 60ml
Salt – 2 Tbsp
Vegetable oil – 1 Tbsp
Food coloring – Your choice

How to Make

• Mix the dry ingredients and wet ingredients in 2 separate bowls
• Now add the wet ingredients mixture to the dry ingredients and work the dough
• Knead the dough for a few minutes until soft and lump-free
• Make similar batches using different colors and store them in separate plastic air-tight bags
• Refrigerate it until use, to extend the life of the playdough
• Periodically discard the hard bits of the playdough to ensure your toddler has soft and malleable playdough to use

Playdough is an inexpensive, easily available item for toddlers to play with. It can offer multiple benefits for toddlers of different ages. With a little supervision and some guidance, you can increase the benefits your toddler can get from their interaction with playdough. You can get creative and come up with different activities to do with the playdough. Since it does not involve any screen time, it can be a safe option for kids of different age groups.

FAQ’s

1. When Should Kids Start Playing With Playdough?

Kids can start playing with playdough when they are about 2 years or older. If they understand instructions, are out of the mouthing stage, and show interest in playing with their hands, they are ready to explore playdough.

2. Is Playdough a Sensory Activity?

Yes, playdough encourages a toddler to use their hands and fingers to squish, smash, and roll the playdough. It stimulates their senses, thus making it a sensorial activity.

References

1. Written by Jill Mays, January 8, 2014 – https://themotorstory.org/2014/01/08/play-dough-for-hand-strengthening/
2. Darizal, Darizal & Sutapa, Panggung & Suhartini, Bernadeta & Sabillah, Muhamad & Annasai, Faza. (2023). The Effect of Playdough Play on Early Childhood Fine Motor Improvement in Yogyakarta National Kindergarten. International Journal of Multidisciplinary Research and Analysis. 06. 10.47191/ijmra/v6-i3-04. – https://shorturl.at/p0w0S
3. inkmeo.com – https://www.inkmeo.com/blogs/toddler-development/the-importance-of-hand-eye-coordination
4. American Psychological Association (APA) – https://www.apa.org/topics/parenting/emotion-regulation
5. Raising Children Network – https://raisingchildren.net.au/toddlers/play-learning/play-toddler-development/imagining-play-toddlers
6. United Nations International School of Hanoi (UNIS Hanoi) – https://www.unishanoi.org/about/calendar-news-and-publications/post-default/~board/news/post/social-development-in-early-childhood
7. Brightwheel – https://mybrightwheel.com/blog/multisensory-learning
8. Negen J, Sarnecka BW. Number-concept acquisition and general vocabulary development. Child Dev. 2012 Nov;83(6):2019-27. doi: 10.1111/j.1467-8624.2012.01815.x. Epub 2012 Jul 16. PMID: 22803603; PMCID: PMC3488126. – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3488126/

Read Also: Top 10 Easy Sensory Activities for Toddlers

It is important to ensure optimal oral care for your toddlers right from a young age. Doing so builds a strong foundation for their permanent teeth in the future. As a parent, you play a crucial role in shaping your kid’s attitude toward oral health. Maintaining good oral hygiene and health should be an important consideration for every parent as a toddler’s teeth are more prone to cavities and decay than adults. That’s why you should take your toddler to a pediatric dentist as soon as they turn 6 months to 1-year-old.

Pediatric dentistry consists of trained dental professionals who focus on addressing the unique dental needs of toddlers, children, and teenagers (1). Early dental consultations are crucial for setting a foundation of good oral hygiene practices and preventing dental issues. As a parent you always want the best clothes, toys, and accessories, so why lag behind in oral care? In this article, we will explore some basic tips to help you find the best pediatric dentist. So buckle up and read on.

8 Tips For Finding Best Pediatric Dentist

As parents, it is your sole responsibility to take care of your toddler’s teeth by imbibing good oral habits in them (2). And this responsibility becomes more essential in toddlers which makes you wonder which pediatric dentist to approach. You must make a wise decision in choosing a dentist. Given below are some tips to consider while choosing the best emergency pediatric dentist-

1. Ask Friends And Family For Recommendations

Asking parents you know in the same area helps find a good pediatric dentist for your toddler’s oral needs. You can take recommendations from people you trust such as friends and your extended family. This helps you narrow down the right pediatric dentist (3a).

2. Do Your Research

Being a tech-savvy parent you may have all the resources to conduct a thorough research online to find the best pediatric dentist. Online portals and reviews can help you streamline your search (3b).

3. Look For Experience And Credentials

The experience and expertise matter when you choose a pediatric dentist. It requires years of experience and skills to handle toddlers and children for a positive outcome and optimal results. Look for the qualifications and other experience credentials before opting for the right pediatric dentist (4).

4. Read Reviews

Patient and parent reviews about a dentist can have a positive outlook. Check if the pediatric dentist has a relaxing and calming atmosphere to help deal with toddlers and children to ease their anxiety and fear. The way the dentist handles kids must be different with good verbal communication.

5. Visit Their Offices

You can visit several dental clinics to assess and evaluate their setups to determine if they offer compassionate care and good patient compliance. Dealing with and handling kids’ dental fears is of utmost importance to determine if they can cooperate during dental procedures (3c).

6. Consider Location And Convenience

Location plays a crucial role, especially during times of emergencies. Getting your toddler to the pediatric dentist on time helps prevent further damage or deterioration. Traveling long distances with kids to visit the dentist can be extremely cumbersome. Thus, be cautious to choose a pediatric dentist nearby for convenience (3d).

[Read : When to Take Your Toddler to an Emergency Pediatric Dentist?]

7. Check if They Are Available For Emergency Needs

Getting a dental appointment at the last minute, especially during dental emergencies is what makes your toddler’s dentist unique and the best. Check their availability since their absence might hamper the trust your toddler builds toward them.

8. Evaluate Their Communication Skills

An experienced and reputed pediatric dentist is one who has good communication skills especially when it comes to convincing toddlers for dental procedures. Evaluate the dentist’s talking skills if they are able to resonate with your toddler in the easiest and simplest way. This makes your kid share their feelings and fears to the dentist clearly without hesitation (3e).

Choosing the best pediatric dentist for your toddler is a challenging decision, especially when you have so many options around you. Though you may have several dentists at your service, choosing a pediatric dentist makes sense since these are specially trained dental professionals to handle toddlers, children, and teenagers. Toddlers are prone to dental problems like tooth decay and trauma due to being super active and having unhealthy eating habits. It is crucial to find the best dentist for them to inculcate good oral hygiene habits from a young age. This forms a strong pillar for future permanent teeth.

[Read : Preventive Dental Care in Toddlers]

FAQ’s

1. How Can I Help my Child Go to The Dentist?

As a parent, you can help make dental visits comfortable and fun for your kid. This is possible by choosing the right pediatric dentist who understands the needs and expectations of your child. Also, instilling a sense of positivity can set a good example for them and your kid will stop worrying about future dental visits.

2. How to Prepare a 2-Year-Old For a Dentist?

Kids may be apprehensive about visiting a dentist, but as a parent, you can help prepare your 2-year-old for a dentist. You can adapt to positive reinforcement theory by offering them a gift post-visit, and explaining to them about the dentist to familiarize them with the doctor and the procedure. Make them understand the importance of optimal oral care and the need to visit a dentist regularly.

References

1. Shah S. Paediatric dentistry- novel evolvement. Ann Med Surg (Lond). 2017 Dec 14;25:21-29– https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5758834/
2. Sowmiya Sree RA, Louis CJ, Eagappan AS, Srinivasan D, Natarajan D, Dhanalakshmi V. Effectiveness of Parental Participation in a Dental Health Program on the Oral Health Status of 8-10-year-old School Children – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9983581/
3. Kochar SP, Madhu PP, Reche AR, Kale BK. Factors Influencing Parents’ Decision in Choosing a Pediatric Dentist. Cureus– [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10636123/
4. Kakti A, Bin Salamah RA, Zaid Alhamdan F, Ayed Alanazi B, Dawood Alghomlas B, Al Saleh AA, Abdullah Alhasmi A. Factors for choosing a pediatric dentist in Saudi Arabia– https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10895523/

Read Also: 7 Tips for Helping Your Child Feel Comfortable at the Dentist’s Office

Oral health is an integral part of the overall health of toddlers. Dental caries is a common oral problem among toddlers. The prevalence remains greater than 23% among kids 2 to 5 years of age (1a), and 52% among kids 6 to 8 years (1b). As a parent, you would always want the best for your toddler, which includes good oral health. Good oral health in toddlers involves healthy teeth and gums which are important for a beautiful smile and overall well-being.

Taking care of primary teeth is equally important since these baby teeth act as a cornerstone for the eruption of permanent teeth in the future. Healthy primary teeth pave the way for healthy permanent or adult teeth (2). Teaching your toddlers good oral habits from a young age can set them on a path to a lifetime of having healthy teeth and gums. In this comprehensive blog, we will explore the top five tips to maintain good oral health in toddlers.

Tips to Maintain Oral Health in Toddlers

Good oral hygiene is essential to have healthy teeth and gums in toddlers. Primary or baby teeth are essential since they help the kids to talk, smile, and eat. Moreover, they also act as placeholders for the permanent teeth. If they are damaged and fall out too quickly, the lost tooth can cause the remaining teeth to shift into undesirable positions. This causes the permanent teeth to come out crooked (3).  Here is a list of the top five useful tips to maintain oral health in toddlers:

1. Let Them Build a Rapport With The Dentist

Picking up the right dentist for your toddler is the key to successful dental outcomes. This also helps them overcome challenges like dental fear and anxiety. Find a trained pediatric dentist and let your toddler get familiar with them. Building a rapport with the dentist is essential for a smooth and calm working environment (4). Let your dentist do all the explaining in the most simple way to reassure your toddler about the importance of regular checkups and good oral hygiene practices.

[Read : 7 Tips for Helping Your Child Feel Comfortable at the Dentist’s Office]

2. Keep it Fun

You do not have to make regular brushing and flossing boring. Make things fun for your toddler through the following tips:

• Play some good music (related to brushing teeth) to pep up your kid.
• Reward your toddler with small gifts or goodies whenever they brush their teeth. Earning such rewards will make them continue brushing and make it a habit.
• Be sure to track their progress and encourage them to continue it through positive reinforcement (5).
• Be creative and tell them some fun stories everyday about brushing. This will engage your toddler’s imagination while they brush and floss.

3. Make it a Routine

Inculcate good oral hygiene practices like regular brushing and flossing in their daily routine. This should begin from an early age which must be consistent (6). Explain to them in simple language the importance of these hygiene practices in improving oral health in toddlers and how they can impart a beautiful smile.

4. Set a Good Example

Show your toddler by demonstrating the right brushing and flossing techniques. Set an example for your toddler by taking care of your teeth in front of them. Physical demonstration makes a lasting impact on them and the idea of good oral health will sink in more easily (7).

5. Opt For Good Food Choices

Eating right is another crucial aspect of oral health in toddlers. Consuming a teeth-friendly diet that includes fresh fruits, vegetables, dairy products (milk, cheese), lean meats, and whole grains is essential for optimal oral health. These offer all the essential nutrients needed for healthy teeth and gums.  Refrain from excess sugar intake by avoiding sodas, pastries, candies, and sticky foods that can increase their risk of dental decay and gum disease due to plaque build-up. Also, increase the intake of water to help flush out harmful toxins from the toddler’s mouth (8).

As a parent, you must take the sole responsibility for good oral health in toddlers. Taking care of primary teeth at a young age helps them continue healthy habits as they grow into an adult. By using different techniques like indulging toddlers in fun activities, positive reinforcement, and creative storytelling, you can make oral care routines exciting and engaging for your kids. With patience, perseverance, and having definite oral care goals in mind, you can help impart a healthy, and beautiful smile to your toddlers for years to come.

[Read : Top 5 Eating And Drinking Tips For Toddler’s Oral Health]

FAQ’s

1. How to Maintain Good Oral Health in Kids?

You can help maintain good oral health in kids by inculcating good oral habits in them like brushing and flossing twice daily, using fluoride toothpaste, encouraging them to consume a healthy diet, refraining from having excess sugary foods and drinks, and taking them to a dentist every once in six months.

2. What Causes Poor Oral Health in Children?

There are several reasons for poor oral health in children such as poor eating habits (excess sugar intake), improper brushing and flossing habits, and lastly, failure to use fluorides. Sometimes genetics also plays a pivotal role in poor oral health in children.

3. What Are The Most Common Oral Habits in Children?

The most common oral habits in children are thumb sucking, mouth breathing, pacifier use, nail and pencil biting, tongue thrusting, lip biting, and bruxism (grinding the teeth and clenching the jaw).

References

1. National Institute of Dental and Craniofacial Research (NIDCR) – https://www.nidcr.nih.gov/research/data-statistics/dental-caries/children
2. Vittoba Setty J, Srinivasan I. Knowledge and Awareness of Primary Teeth and Their Importance among Parents in Bengaluru City, India. Int J Clin Pediatr Dent. 2016 Jan-Mar;9(1):56-61. doi: 10.5005/jp-journals-10005-1334. Epub 2016 Apr 22. PMID: 27274157; PMCID: PMC4890064. – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4890064/
3. Spodzieja K, Olczak-Kowalczyk D. Premature Loss of Deciduous Teeth as a Symptom of Systemic Disease: A Narrative Literature Review. Int J Environ Res Public Health. 2022 Mar 13;19(6):3386. doi: 10.3390/ijerph19063386. PMID: 35329073; PMCID: PMC8953685. – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8953685/
4. Alsarheed M. Children’s Perception of Their Dentists. Eur J Dent. 2011 Apr;5(2):186-90. PMID: 21494387; PMCID: PMC3075993. – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3075993/
5. de Jong-Lenters M, L’Hoir M, Polak E, Duijster D. Promoting parenting strategies to improve tooth brushing in children: design of a non-randomised cluster-controlled trial. BMC Oral Health. 2019 Sep 6;19(1):210. doi: 10.1186/s12903-019-0902-6. PMID: 31492121; PMCID: PMC6731582. – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6731582/
6. Tadin A, Poljak Guberina R, Domazet J, Gavic L. Oral Hygiene Practices and Oral Health Knowledge among Students in Split, Croatia. Healthcare (Basel). 2022 Feb 21;10(2):406. doi: 10.3390/healthcare10020406. PMID: 35207018; PMCID: PMC8872387. – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8872387/
7. Kaushik M, Sood S. A Systematic Review of Parents’ Knowledge of Children’s Oral Health. Cureus. 2023 Jul 6;15(7):e41485. doi: 10.7759/cureus.41485. PMID: 37551253; PMCID: PMC10404335. – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10404335/
8. Tungare S, Paranjpe AG. Diet and Nutrition to Prevent Dental Problems. [Updated 2023 Jul 10]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. – https://www.ncbi.nlm.nih.gov/books/NBK534248/

Read Also: Preventive Dental Care in Toddlers

Dental care in toddlers is crucial for promoting ideal oral health. It comprises good oral hygiene practices and regular dental visits. As a parent, implementing preventive dental care in toddlers is important. Their oral health should be your priority. There is a popular myth that baby or primary teeth fall out so it is not essential to care for them. But this is not true. Baby teeth are important too since they pave the way for healthy and strong adult teeth. Proper baby teeth alignment holds the permanent tooth bud in place and prevents future dental issues.

Preventive dental care in toddlers is important to safeguard the integrity of baby teeth. It also helps avoid dental problems like tooth decay, gum disease, bad breath, and crooked and crowded teeth. Here is a comprehensive guide to preventive dental care in toddlers, its benefits, types of preventive treatments, and important tips to follow at home.

What is Meant by Preventive Dental Care?

Preventive dental care is a group of essential dental practices (teeth cleaning, fluoride treatment, sealants, and so on), regular dental visits, and important oral tips to follow at home. This is equally important for both adults and kids. Preventive dental care paves the way for healthy and strong teeth by preventing the onset or curbing the progression of oral health problems (1).

Preventive dental care for toddlers is of utmost importance since this is the right age to inculcate good oral habits in them that may help in the long run. Taking care of primary teeth from a young age can pave the way for healthy permanent teeth that last for a lifetime. This aids in the improvement of oral health and wellness (2).

How Does Preventive Dental Care Benefit Toddlers?

Preventive dental care in toddlers has many benefits. These include-

1. Reduces The Risk of Tooth Decay

Preventive dental care helps eliminate plaque and bacteria that are the prime culprits of oral problems like tooth decay. They secrete by-products and acids that erode the superficial layer of the tooth (enamel) (3).

2. Preserves Tooth Enamel

Enamel is the protective, hard, outermost layer of the tooth. Preventive dental care will keep the enamel healthy, and strong by protecting it from plaque, calculus, and bacteria.

3. Fights Gum Disease

Dental plaque and bacteria can create havoc in the oral cavity by producing harmful toxins that may erode the enamel and the gums. Preventive dental care services can successfully eliminate plaque using special ultrasonic instruments and keep the gums healthy.

4. Manages Bad Breath

Preventive dental care practices like teeth cleaning can eliminate plaque bacteria and the by-products produced by them. This can greatly improve the breath by treating halitosis (bad breath).

Top 4 Important Preventive Dental Treatments in Toddlers

Here are some of the common and effective preventive dental treatments in toddlers performed by a pediatric dentist-

1. Dental Sealants

Dental sealants are translucent resin materials that are applied to your toddler’s teeth. The sealant flows and fills deep grooves in your kid’s teeth where bacteria normally build up. The sealants harden when applied and seal the tooth surface from plaque, bacteria, and food debris. This process can significantly reduce their risk of developing tooth decay and cavities (4).

2. Fluoride Treatment

Fluorides are trace elements that help remineralize the enamel layer and strengthen it. The fluoride solution is coated on the occlusal surfaces of the toddler’s teeth which acts as a protective shield against decay and cavities. This keeps the baby and permanent teeth strong and healthy (5).

3. Teeth Cleanings

Teeth cleanings are routine dental procedures performed to eliminate plaque, calculus, bacteria, and food debris. Special ultrasonic instruments are used by pediatric dentists to clean and polish the teeth and gums. These treatments can reduce your toddler’s risk of tooth decay and gum disease (6).

4. Space Maintainers

Space maintainers are specialized dental appliances made of plastic or metal. These are tailored to your kid’s mouth and fit inside comfortably. The space maintainer holds the space created by premature tooth loss, to guide the permanent tooth eruption in the correct place. This is the most convenient and cheaper solution for preventing teeth crowding than extensive orthodontic treatments in the future (7).

Preventive Dental Care Measures And Tips to Follow at Home

As a parent, you must consider yourself to be their role model to set an example for good oral hygiene at home. Your kid will understand how important their oral health is. The following preventive care measures help in promoting your toddler’s oral health at home-

1. Demonstrate Teeth Brushing And Rewarding

Brush your teeth with your kids. Ensure you make brushing time a joyful activity and remember to reward them for keeping their teeth clean. This may be a great bonding time with your toddler and teach them proper brushing techniques.

2. Guide Them While Brushing Their Teeth

Help your toddler brush their teeth since they may have difficulty doing it independently. Teach them to hold the brush properly and clean their teeth (8).

3. Educate Them About The Importance of Flossing

Flossing is often neglected, especially for younger kids. Explain to them the importance of flossing once a day in simple words. Flossing has several preventive benefits.

4. Give Them a Healthy Diet

Sugary foods can erode the tooth enamel and result in tooth decay and prominent cavities. Avoid giving your toddler unhealthy foods and explain to them the importance of consuming essential nutrients to keep their teeth strong. Opt for a well-balanced nutritious diet that includes leafy greens and foods high in vitamin C to help promote healthier teeth and gums. Also, offer your toddler plenty of hydration since it helps flush out bacteria and food debris keeping their teeth clean (9).

5. Visit a Dentist Regularly

Take your toddler to the dentist regularly at least once in six months for dental checkups. These oral examinations can be beneficial to detect problems at an early stage as well as halt the progression of any existing oral problem.

Preventive dental care in toddlers is crucial since it helps prevent oral problems like tooth decay, gum disease, malocclusion, malalignment, and bad breath. Regular dental visits and preventive treatments additionally aid in detecting dental problems at an early stage and halt their progression. Overall, these procedures improve oral health in toddlers and significantly enhance their quality of life. As a parent, ensure that you imbibe good oral hygiene practices in them that can last a lifetime. Visit a pediatric dentist regularly.

FAQ’s

1. What is The Ideal Time to Take my Toddler to a Dentist?

It is advisable to take your kid within six months of the first tooth erupting or by 12 months at the latest. Taking your kid to a dentist at a younger age can be beneficial in the long run and help promote oral health in them.

2. How Often Should I Take My Toddler to The Dentist?

Experts recommend taking your toddler to the dentist every 6 months. This significantly helps detect oral problems early and curb them. Regular dental visits also aid in preventing oral health issues in kids.

3. Why do Baby Teeth Require Special Dental Care?

Baby teeth hold great significance since they hold space for permanent teeth. Thus it is essential to take special dental care of primary or baby teeth since they lay a strong foundation for permanent dentition. Any disease or damage to baby teeth can pass on the infection to the underlying permanent tooth buds, harming the adult teeth as well.

4. How is a Pediatric Dentist Different From Other Dentists?

Pediatric dentists are different from general dentists. Pediatric dentists are specially trained in child psychology and behavior management techniques to help ease fear in children and create a positive experience and environment for them. Whereas a general dentist treats children and adults with not much expertise in handling young kids.

References

1. Okunev I, Tranby EP, Jacob M, Diep VK, Kelly A, Heaton LJ, Frantsve-Hawley J. The impact of underutilization of preventive dental care by adult Medicaid participants. J Public Health Dent. 2022 Jan;82(1):88-98 – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9303757/
2. Bhaskar V, McGraw KA, Divaris K. The importance of preventive dental visits from a young age: systematic review and current perspectives. Clin Cosmet Investig Dent. 2014 Mar 20;6:21-7 – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3964025/
3. Askelson NM, Chi DL, Hanson JD, Ortiz CN, Momany ET, Kuthy RA, Damiano P. Preventive Dental Care Utilization For Preschool-Aged Children in Medicaid: Parents’ Perceptions and Experiences With Medicaid Dentists – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9595101/
4. Condò R, Cioffi A, Riccio A, Totino M, Condò SG, Cerroni L. Sealants in dentistry: a systematic review of the literature. Oral Implantol  – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3982302/
5. Jullien S. Prophylaxis of caries with fluoride for children under five years. BMC Pediatr. 2021 Sep 8;21(Suppl 1):351 – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8424787/
6. Guha Biswas P, Mohan A, Kandaswamy E. Treatment of Periodontitis Affecting Human Primary Teeth-A Systematic Review. Dent J (Basel). 2023 Jul 14;11(7):171—https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10378644/
7. Luca MM, Popa M, Watz CG, Pinzaru I, Draghici GA, Mihali CV, Dehelean CA, Buzatu R, Szuhanek C. Space Maintainers Used in Pediatric Dentistry: An Insight of Their Biosecurity Profile by Applying In Vitro Methods. Materials (Basel). 2021 Oct 19;14(20):6215 – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8541494/
8. de Jong-Lenters M, L’Hoir M, Polak E, Duijster D. Promoting parenting strategies to improve tooth brushing in children: design of a non-randomised cluster-controlled trial. BMC Oral Health. 2019 Sep 6;19(1):210. – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6731582/
9. Scardina GA, Messina P. Good oral health and diet. J Biomed Biotechnol. 2012;2012:720692. – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3272860/

An emergency is a situation that happens all of a sudden, requiring immediate care and attention. Emergencies can occur even in dentistry when situations negatively impact the welfare of your teeth, gums, and other orofacial structures. As a parent, knowing how to handle dental emergencies in your toddlers is important. Being aware of when to seek immediate care from a pediatric dentist can make a significant difference in your toddler’s oral health.

A toddler’s oral health should be your top priority since their teeth lay a strong foundation for future permanent dentition. Dental emergencies like toothache, knocked out teeth, and fractured teeth in toddlers can be daunting and negatively impact their overall health and well-being (1a). In this article, we will explore when to take your toddler to an emergency pediatric dentist, and the benefits of visiting a pediatric dentist.

When to Take Your Toddler to an Emergency Pediatric Dentist?

A pediatric dentist is a dental specialist trained to diagnose and treat diseases of the oral cavity in infants, children, and teenagers (2). Below are the situations that make it necessary for you to take your toddler to an emergency pediatric dentist-

1. Severe Toothache

Increased tooth sensitivity and pain are common among toddlers due to a wide variety of reasons like decay, gum disease, and trauma (1b). When home remedies like salt water gargling do not help, it is important to take your toddler to an emergency pediatric dentist since extreme tooth pain is considered a dental emergency.

2. Fractured or Broken Tooth

Toddlers are always engaged in a lot of physical activities and are prone to dental trauma. There may be a fear of hurting or breaking their bone too which requires an immediate visit to the emergency pediatric dentist.

3. Avulsed Tooth

An avulsed tooth is a condition when the tooth is completely knocked out of the socket, usually due to trauma (3). As a parent, you must know how to manage a knocked-out tooth by keeping it in a moist medium like milk until you reach the emergency department as soon as possible. Quick action can save your toddler’s tooth.

4. Abscess or Swelling

An abscessed tooth or infection is always a cause of concern and is considered a dental emergency in toddlers. This may be accompanied by fever and extreme pain (4). Seek immediate emergency care to prevent the infection from spreading.

5. Bleeding Gums

Extreme bleeding from the gums and mouth after trauma requires immediate emergency care (5). The pediatric dentist will assess the condition and provide the necessary treatment.

6. Head Injury

Toddlers being super active are prone to injuries that can have a forceful impact causing injury to their heads. Head injuries can be serious, requiring emergency pediatric care.

Benefits of an Emergency Pediatric Dentist

Not all dentists are specially trained to handle toddlers and children. Dentists require a different approach while dealing with them due to tantrums and all the drama they create. Thus, pediatric dentists often look after toddlers, children, and teens. They play a pivotal role in kid’s oral health and wellness due to the following benefits-

• Pediatric dentists have specialized training to handle toddlers and children and understand their unique dental needs (6)
• They can easily help kids overcome their fear and anxiety by being friendly. They also offer a calm and comfortable environment to alleviate anxiety and be able to cooperate with the dentists during dental procedures
• They offer additional guidance to parents and kids about the need for a healthy diet and teach them proper oral hygiene practices
• Emergency pediatric dentists are well-equipped to handle dental emergencies involving toddlers
• They understand the urgency of dental emergencies and always prioritize your kid’s oral health and well-being

Toddlers can encounter dental emergencies like severe tooth pain, abscesses, fractured teeth, bleeding gums, and head injury. As a parent, you must know what dental situations are considered as an emergency and how to manage them. It is critical to seek immediate emergency care for toddlers with a pediatric dentist to prevent further damage and deterioration. Pediatric dentists are specialized dental professionals who are trained to diagnose and treat diseases related to the oral cavity in toddlers, children, and teenagers. They are well equipped to handle tantrums and dental anxiety and fear in them.

FAQ’s

1. What is The Oldest Age to See a Pediatric Dentist?

A pediatric dentist is a specialized dental professional that deals with the diagnosis and treatment of oral issues in infants, children, and teenagers. According to the American Academy of Pediatric Dentistry (AAPD), the oldest age to see a pediatric dentist is 18-19 years.

2. Is it Normal For a 4-Year-Old to Have a Toothache?

Yes, it is normal for a 4-year-old to have a toothache. Tooth pain is usually a result of oral problems like tooth decay, gum disease, or dental trauma. Kids as early as 2-4 years old are prone to toothache due to poor oral hygiene and unhealthy eating habits.

3. Is it Bad if I Don’t Take my Kid to The Dentist Ever?

Yes, it is bad if you don’t take your kid to the dentist. Your kid’s teeth are as important as other organs in their body. A child’s oral health is important and parents should not neglect it. Thus, it is essential to take your kid to the dentist once or twice a year depending on oral health conditions and needs.

References

1. Garispe A, Sorensen C, Sorensen JR. Saint Agnes Medical Center (Fresno CA), Dental Emergencies. [Updated 2022 Dec 7] – https://www.ncbi.nlm.nih.gov/books/NBK589664/
2. Shah S. Paediatric dentistry- novel evolvement. Ann Med Surg (Lond). 2017 Dec – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5758834/
3. Salarić I, Tikvica Medojević D, Baždarić K, Kern J, Miličević A, Đanić P, Biočić J, Macan D. Primary School Teachers’ Knowledge on Tooth Avulsion. Acta Stomatol Croat. 2021 Mar;55(1):28-36. – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8033624/
4. Srivastava VK. Prevalence of Abscesses Associated with Carious Primary Teeth in Preschool Children and its Association with Age, Gender, Location, and Parent’s Education and Social Class: An Observational Study. Int J Clin Pediatr Dent. 2022 May-Jun;15(3):287-292 – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9357539/
5. Elleray E, Brizuela M, Pepper T. Trauma to the Primary Dentition. University of Manchester, International University Of Catalunya (UIC),  St George’s Hospital [Updated 2023 Jun 1]– https://www.ncbi.nlm.nih.gov/books/NBK580475/
6. Cagetti MG, Campus G. The Future of Pediatric Dentistry Is Now. Children (Basel). 2023 Jan 3;10(1):97.– https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9856634/

Healthy teeth and gums are crucial to your child’s overall health. Tooth decay is one of the most prevalent dental issues suffered by millions globally. However, among them, children are considered to be more prone to tooth decay due to poor oral hygiene, prolonged bottle feeding, and unhealthy eating habits. Fortunately, modern dentistry offers a wide range of preventive measures that can be adopted to prevent the onset or halt the progression of tooth decay in kids. One such trending and revolutionary preventive measure is fluoride treatment for kids.

What is fluoride treatment for kids? Does it prevent tooth decay in kids? Well, read this informative blog to get answers to all your queries. We will discuss everything about fluorides, their benefits, and the mode of administration for children to help improve their oral health. Improved oral health from the beginning helps pave the way for a strong foundation laid for permanent dentition.

What is Fluoride?

Fluoride is an essential trace element that occurs naturally in rocks, plants, oceans, and groundwater. In dentistry, dentists use fluorides to strengthen the teeth and reduce the risk of cavities (1). It can be added to either your dental products like varnish and toothpaste or into the community drinking water.

Why is Fluoride Important?

Fluoride is an essential mineral that helps prevent tooth decay or can even reverse early tooth decay to halt its progression. When kids eat or drink, the oral bacteria feed on the sugars and starches. This releases harmful toxins, acids, and other by-products that can erode the enamel layer of the tooth. This is the hard, outermost layer of the tooth which when breaks down, decay and cavities occur.

Fluoride possesses the ability to penetrate the enamel, making it stronger and more resistant to acid attacks. It promotes remineralization (minerals get redeposited into the enamel after the acids strip them away) (2a). Furthermore, fluoride can easily incorporate itself into the developing permanent teeth buds as well, making them less prone to cavities.

Fluoride can effectively hinder acid production and prevent cavities in people of all ages. According to the Centers for Disease Control and Prevention (CDC), drinking fluoridated water can decrease cavities by approximately 25% in kids and adults (3).

Is Fluoride Safe For Kids?

Yes, fluoride is safe for kids and it has been endorsed by several health organizations like the American Dental Association to the World Health Organization, for decades (4). However, care should be taken to incorporate fluorides in the correct dose.

Getting too much fluoride in early childhood can lead to fluorosis (resulting in white spots or pitting of the enamel) (5). Therefore it is essential to discuss with a pediatric dentist to determine the correct amount of fluoride and the apt mode of administration to keep your children’s teeth strong.

What is Fluoride Treatment For Kids And How Does it Work?

A fluoride treatment can be in the form of a varnish, gel, or foam. Fluorides in the form of a gel or foam are loaded into special trays which your child bites and holds in place for a few minutes.

However, currently, dentists are opting for fluoride varnish since it is more convenient and easy to use for kids. The dentists simply apply a layer of varnish on the teeth surfaces. The varnish hardens immediately when it comes into contact with saliva. This poses a lower risk of swallowing or ingesting the fluoride. This should be followed by proper post-procedure care wherein kids must refrain from eating or drinking anything for half an hour after the treatment, and six hours before brushing their teeth.

Benefits of Dental Fluoride Treatments For Children

Fluoride has proven to be effective for optimal oral health in people of all ages since it offers several benefits. Some of the compelling benefits of dental fluoride for kids include the following-

1. Strengthens Enamel

The bacteria in the mouth may combine with the sugars from the food and drinks consumed to form harmful acids. This can weaken the enamel and erode it. Fluorides help stop demineralization and encourage tooth remineralization by helping the enamel absorb calcium and phosphate. This makes the enamel layer strong and resistant to acids and other toxins (2b).

2. Preserves Primary Teeth

Since fluorides aid in the remineralization of the enamel layer, they can successfully prevent, halt, or reverse tooth decay. This greatly prevents the premature loss of primary teeth and helps in the proper alignment of permanent teeth when they erupt (6).

3. Regulates Bacteria

While some oral bacteria are beneficial, having too much can also be a cause of concern. It is considered to be the prime cause of tooth decay and gum disease. Fluorides harm the bacteria and regulate their amount in your child’s mouth to reduce the risk of cavity formation (7a).

4. Saves Money

Fluorides can prevent tooth decay. Thus, it decreases your child’s chances of needing restorative dental procedures. This greatly reduces your cost.

5. Safe

When fluoride is used appropriately by a skilled and well-trained pediatric dentist, it is considered safe by several medical and health organizations. Your child’s pediatric dentist can determine the amount of fluoride required based on your child’s oral health needs. This can prevent fluorosis in the long run.

What Are The Other Sources of Fluoride?

Apart from a fluoride treatment, your child can get fluoride from other useful and effective resources. These include-

• Fluoridated water
• Fluoride toothpaste (the size of a grain of rice for children below 2 years, and pea-sized for ages between 3 and 6)
• Fluoride mouthwash (2c)
• Slow-release fluoride beads (7b)

When Should Kids Get Fluoride Treatments?

Even though your kids may be getting their dose of fluoride from community water, toothpaste, and mouthwashes, they need to get fluoride treatment. It is recommended to get these treatments twice a year unless your child has a particularly high risk for tooth decay (7c). Fluoride treatment should be continued until at least the age of 16.

Fluoride is a naturally occurring mineral that plays a crucial role in maintaining or improving oral health, especially in children. It successfully aids in remineralization of the enamel to prevent, halt, or reverse tooth decay in people of all age groups. When administered in moderate doses fluoride can do wonders for the oral health of your child. It paves the way for a strong foundation laid for the eruption of healthy permanent teeth. Discuss with the pediatric dentist about the dose that your child requires to help prevent cavities.

FAQ’s

1. How Can I Treat my Child For Fluoride at Home?

You can use fluoride at home for your child in two methods. One is fluoride toothpaste which is recommended for children over the age of 2 years. Fluoride toothpaste should be used in the amount of the size of a rice grain. Second, it can be used as a prescription dental product containing fluoride.

2. What Are The Side Effects of Fluoride in Children?

Usually, fluorides are safe for children over the age of 2 years. However, increased use of fluoride leads to the risk of indigestion (especially toothpastes) which can lead to side effects like white spots on the teeth surfaces. This condition is known as dental fluorosis. If not addressed early it can affect the developing bones in children.

3. What Age Can a Patient Get Fluoride Treatment?

Earlier the ideal age for fluoride treatment was over the age of 2 years. However, the American Academy of Pediatric Dentistry (AAPD) advises children between the ages of 6 months to 16 years can have some form of fluoride treatment or fluoride application through toothpaste. It is best to consult your child’s dentist to determine if your child is an ideal candidate for fluoride treatment.

4. Why is Fluoride Important to my Child’s Dental Health?

Children are more prone to tooth decay due to poor oral hygiene and unhealthy eating habits. Fluorides play a key role in preventing the occurrence of decay or halting the disease progression by making the enamel more resistant to the action of acids and toxins produced by oral bacteria.

References

1. Tenuta LM, Cury JA. Fluoride: its role in dentistry. Braz Oral Res. 2010;24 Suppl 1:9-17 – https://pubmed.ncbi.nlm.nih.gov/20857070/
2. Mankar N, Kumbhare S, Nikhade P, Mahapatra J, Agrawal P. Role of Fluoride in Dentistry: A Narrative Review. Cureus. 2023 Dec 21;15(12):e50884. – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10799546/
3. U.S Centers For Disease Control And Prevention, Community Water Fluoridation – https://www.cdc.gov/fluoridation/index.html
4. National Institute Of Health. Fluoride – https://ods.od.nih.gov/factsheets/Fluoride-HealthProfessional/
5. DenBesten P, Li W. Chronic fluoride toxicity: dental fluorosis. Monogr Oral Sci. 2011;22:81-96 – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3433161/
6. Ramakrishnan M, Banu S, Ningthoujam S, Samuel VA. Evaluation of knowledge and attitude of parents about the importance of maintaining primary dentition – A cross-sectional study. J Family Med Prim Care. 2019 Feb;8(2):414-418 – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6436316/
7. Nassar Y, Brizuela M. The Role of Fluoride on Caries Prevention. [Updated 2023 Mar 19]. – https://www.ncbi.nlm.nih.gov/books/NBK587342/

As a parent, you know the importance of oral health and wellness to keep your toddlers healthy as they grow. This includes protecting their teeth and other soft tissues from injuries and trauma, especially during sports. Of all the sports-related injuries that occur, 20% involve dental injuries (1). Toddlers are prone to injuries since they are hyperactive and always on the go. Furthermore, many parents choose to keep their toddlers involved in some kind of sports right from a young age. Sports can put them at an increased risk of dental injuries. Also, some toddlers may develop a habit of teeth grinding (often as a sign of coping with stress).

Mouthguards are effective dental appliances that help protect the teeth and gums in toddlers from any kind of injury or damage to the teeth due to excess teeth grinding (2). This article will explore in-depth about mouthguards, when they are needed, and their potential benefits. So read on!

What is a Mouthguard?

A mouthguard, also known as a mouth protector, is a customized dental device made up of a flexible material, worn over teeth during athletic activities to protect them from damage. They provide a cushioning effect to the teeth and soft tissues from being damaged due to orthodontic devices, and other appliances from physical contact and blows. Mouthguards are effective barrier-like devices placed between the teeth, cheek, and other soft tissues like lips and tongue to help reduce the risk of soft tissue damage (3).

When is it Required?

A mouthguard may be required during the following activities:

1. During Sports or Physical Activities

High-intensity physical activities like skating, or martial arts, can increase the risk of dental injuries that can be prevented by wearing a mouthguard (4).

2. If Suffering From Bruxism

Bruxism is a dental condition characterized by involuntary clenching of the jaw or grinding of the teeth. You may need to wear mouthguards (preferably a nightguard) to prevent damage to the teeth (5).

3. During Sleep Disorders

Sleep disorders like sleep apnea can negatively impact oral health. Though these disorders are uncommon in toddlers, can lead to mouth breathing and dry mouth. This may increase the risk of tooth decay and gum disease. Mouthguards can help alleviate these discomforts (6).

4. If One Has History of Dental Injuries

If someone has a history of frequent dental injuries due to weakened enamel, dentist may recommend them to wear mouthguards.

Benefits of Mouthguard For Kids

Mouthguards are effective appliances that offer several potential benefits for your kid’s dental health and overall well-being. Here is a list of some key benefits of mouthguards for kids:

1. Prevents Dental Injuries

Mouthguards can successfully protect your toddler’s teeth, gums, and mouth from injuries during physical activities. Pain and teeth sensitivity due to bruxism can also be managed through mouthguards.

2. Improves Quality of Sleep

Mouthguards can help alleviate the pain and discomfort caused by bruxism and help your toddler sleep more comfortably and peacefully.

3. Reduces Headache And Jaw Pain

Tension headaches caused by repeated teeth grinding and jaw clenching can be successfully reduced using mouthguards.

4. Are Custom-made

Mouthguards are customizable appliances that can successfully fit your child’s mouth shape. This provides maximum protection and comfort.

5. Easy to Wear And Maintain

Mouthguards are easy to wear by your toddler and usually require only basic maintenance through cleaning and proper storage.

Can a Toddler Wear a Mouthguard?

Yes, like adults, toddlers can also wear a mouthguard especially if they are involved in high-contact sports like football, soccer, skating, or martial arts. Mouthguards can also benefit your toddler suffering from bruxism. However, consult a pediatric dentist to help determine if mouthguards are the right choice for your toddler’s individual oral needs (7).

When Does a Toddler Need a Mouthguard?

Just like adults, toddlers are recommended to use mouthguards if they are involved in high-impact sports like skating, martial arts, or football. A mouthguard is also needed if your toddler suffers from bruxism and sleep disorders.

Disadvantages of Mouthguard

Although mouthguards offer numerous benefits, there are some potential disadvantages that you must be aware of:

• Discomfort– It can be uncomfortable to wear a mouthguard, especially during the first time. It may take some time to get adjusted to the appliance.
• Speech Difficulty– Mouthguards can make it difficult to speak clearly or properly, especially at first. This can be problematic for young toddlers who are still developing their speech skills.
• Mouth Irritation– Mouthguards can irritate your soft tissues like gums, causing soreness, especially if it doesn’t fit properly.
• Expensive– Customized mouthguards can be expensive, especially if they require frequent replacement due to wear and tear.

Consult a pediatric dentist if you think your toddler needs a mouthguard. These appliances may be required for several reasons such as during contact sports, or conditions like bruxism. Protecting your toddler’s tiny pearly whites is essential to safeguard the health of their permanent teeth in the future.

FAQ’s

1. Can Kids Sleep With a Mouthguard?

Generally, it is safe for kids to wear a mouthguard when sleeping. Such appliances are known as nightguards.

2. What is The Risk of Mouthguards?

If you fail to clean and sanitize the mouthguards you are at an increased risk of developing bacterial infection leading to tooth decay and gum disease. The bacteria may build up and destroy the tooth minerals and soft tissues.

3. How Many Hours Can a Child Wear a Mouthguard?

This depends on the reason for which you need a mouthguard. If you need one to protect the teeth during contact sports, then one should wear it only during practices and games. If one needs a mouthguard to treat teeth grinding, or sleep apnea, it can be worn every night while sleeping.

References

1. Antipovienė A, Narbutaitė J, Virtanen JI. Traumatic Dental Injuries, Treatment, and Complications in Children and Adolescents: A Register-Based Study. Eur J Dent. 2021 Jul;15(3):557-562. doi: 10.1055/s-0041-1723066. Epub 2021 Feb 3. PMID: 33535246; PMCID: PMC8382465. – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8382465/
2. Shore E, O’Connell AC. Assessment of mouthguards worn by Irish children playing contact sports: an observational cross-sectional cohort study. Eur Arch Paediatr Dent. 2023 Feb;24(1):125-132. doi: 10.1007/s40368-022-00763-1. Epub 2022 Nov 17. PMID: 36394781; PMCID: PMC9669524. – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9669524/
3. Dhillon BS, Sood N, Sood N, Sah N, Arora D, Mahendra A. Guarding the precious smile: incidence and prevention of injury in sports: a review. J Int Oral Health. 2014 Jul;6(4):104-7. PMID: 25214744; PMCID: PMC4148563. – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4148563/
4. Nowjack-Raymer RE, Gift HC. Use of mouthguards and headgear in organized sports by school-aged children. Public Health Rep. 1996 Jan-Feb;111(1):82-6. PMID: 8610199; PMCID: PMC1381748. – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1381748/
5. Danielle Pacheco, Staff Writer, Dr. Anis Rehman, Internal Medicine Physician – https://www.sleepfoundation.org/bruxism/teeth-grinding-children
6. Sutherland K, Vanderveken OM, Tsuda H, Marklund M, Gagnadoux F, Kushida CA, Cistulli PA. Oral appliance treatment for obstructive sleep apnea: an update. J Clin Sleep Med. 2014 Feb 15;10(2):215-27. doi: 10.5664/jcsm.3460. PMID: 24533007; PMCID: PMC3899326. – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3899326/
7. Bastian NE, Heaton LJ, Capote RT, Wan Q, Riedy CA, Ramsay DS. Mouthguards during orthodontic treatment: Perspectives of orthodontists and a survey of orthodontic patients playing school-sponsored basketball and football. Am J Orthod Dentofacial Orthop. 2020 Apr;157(4):516-525.e2. doi: 10.1016/j.ajodo.2019.04.034. PMID: 32241358; PMCID: PMC7537672. – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7537672/

It is always a priceless moment for parents when their tiny tots take their first step. Eventually, your little babies will become toddlers, learning to walk, run, and explore the world. Walking properly requires a lot of skills, like balance and coordination. They are busy throughout the day doing activities like moving from standing to sitting and vice versa. This helps in strengthening their growing muscles.

As kids learn to master the art of walking, you may have noticed them tiptoeing occasionally. Toe walking in toddlers is a pretty common habit, and they eventually outgrow this phase. Persistence of toe walking beyond a certain age calls for certain neurological as well as motor assessments. Read along more to find out more about certain other reasons for toe walking.

What is Toe Walking?

Toe walking is a pattern of walking mostly seen in toddlers, where they walk on their toes or the balls of their feet instead of the normal heel-to-toe stride. In this type of walking, there is no contact between the heels and the ground. It is quite commonly seen in kids who begin walking. Most toddlers outgrow it by the age of two years. Persistence of toe walking beyond toddlerhood might indicate a medical or neurological condition. The prevalence of toe walking in normally developing kids at age 5.5 years is 2%. In toddlers with developmental delays and other neurological issues, it is around 41% (1).

Causes of Toe Walking in Toddlers

Most of the time, toddlers continue to walk on their toes out of habit that develops when they learn to walk. This by itself should not be a concern if your little one is developing normally otherwise. But sometimes, toe walking can be a sign of certain conditions like-

1. Short Achilles Tendon

The Achilles tendon is the tendon that connects the muscles in the back of the calf to the heel bone. It can be a little short in a few toddlers, preventing the heel from touching the ground properly.

2. Muscular Dystrophy

Muscular dystrophy is a disorder causing progressive weakening and loss of muscle mass. It is a genetic disorder and can result in toe walking. Although, the diagnosis usually occurs before the toddler starts to walk (2).

3. Cerebral Palsy

Cerebral palsy is a neurological condition affecting the posture and ability to move. So an abnormal development of a part of the brain can affect the muscle tone resulting in toe walking (3).

4. Autism

Autism is a developmental disorder causing difficulty in communicating or interacting with others. Many times, toe walking is seen in toddlers with autism spectrum disorders. Most of the time toe walking in autism is sensory related as toddlers with autism have a dysfunctional vestibular system that takes care of motion and spatial orientation. In addition to it, many autistic kids avoid contact with ground as much as possible due to contact refusal (4).

5. A Spinal Cord Abnormality

Sometimes a few conditions of the spinal cord like spina bifida or tethered cord syndrome can cause nerve damage leading to toe walking (5).

However, many times the reason for toe walking is unknown.

Symptoms of Toe Walking in Toddlers

The most noticeable symptom is when your toddler walks on the ball of their feet or in their toes. There are a few other symptoms that should not be missed. They are-

• Frequent falls
• Issues in maintaining balance and coordination
• Altered gait due to improper contact of heels to the ground
• Difficulty in wearing shoes
• Difficulty in participating in sports activities
• Pain or discomfort in the foot
• Difficulty in heel walking
• Tightness around the ankles and in the calf muscles

How is Toe Walking Diagnosed?

Diagnosing toe walking in toddlers depends mostly upon the clinical history and thorough physical examination. Your toddler’s healthcare provider will assess the gait or pattern of walking of your little one. An EMG or electromyography is a test for measuring electrical activity in the nerves and muscles. A thorough assessment of a toddler’s legs and feet is essential for the diagnosis. All joints of the lower limbs are assessed to look for any limitations in the range of motion.

A general neurological examination is also essential to rule out any problems with the nervous system, possibly, cerebral palsy or autism. This assessment is carried out to check for your toddler’s reflexes along with testing the muscle strength. A test is also done to check for sensations in the feet and legs.

Treatment Options For Toe Walking

Most of the toddlers outgrow toe walking. So mostly it is a wait and watch situation with frequent health checkups. But, if this condition persists or a diagnosis has been made of any physical reason causing toe walking, then treatment becomes necessary. If there is any issue with the muscles or tendons of the legs, then the treatment includes-

• Physical Therapy This includes various exercises to strengthen the weak muscles of the legs. Gentle stretching of the feet is also done to help with gait improvement.
• Splints or Leg Braces This helps in the correction of the gait. Leg braces are worn by the kid, and they help keep the foot at a 90-degree angle. This helps in stretching and lengthening the tendons and calf muscles when they walk throughout the day.
• Casting This helps in proper alignment of the toes to the shin with the use of below-the-knee casts.
• Botulinum Toxin A Injection They allow stretching of the calf muscles to promote normal walking (6).
• Surgery This is the last resort, if all the other conservative methods fail. It is necessary if there are any issues with the Achilles tendon or the calf muscles. It is considered the most effective treatment of idiopathic toe walkers (7).

Understanding and knowing the causes and symptoms of toe walking in toddlers can be really helpful for early detection. This will ensure an early intervention and can be life changing for your little one. By addressing this condition earlier and with the help of a good support team, you can give your toddler a better quality of life.

FAQ’s

1. Is it Normal For a Toddler to Walk on Tiptoes?

It is quite common for toddlers to walk on their tiptoes until the age of two years. Toddlers do this when they are beginning to walk, and they eventually outgrow this condition. Most of them do it out of habit but persistence of toe walking for 4-5 years requires medical attention.

2. Is Tiptoe Walking a Sign of ADHD or Autism?

Yes, toe walking can be one of the signs of autism or ADHD. Many researches show that toe walking is very common in kids with autism spectrum disorder. Although not all kids with autism exhibit toe walking and not all kids who do tiptoe walking are autistic.

3. When Should I Worry About Toe Walking?

If your toddler is still walking on tiptoes beyond the age of two years, then it can signal a medical condition. You need to get your kid thoroughly examined for any issues with the tendons or muscles of the legs or any neurological issue.

4. Is Toe Walking Abnormal?

No, most of the time, toe walking is absolutely normal when toddlers begin to start walking. A lot of kids eventually outgrow toe walking, but if it persists, then it indicates an abnormality and might require medical attention.

References

1. Ruzbarsky JJ, Scher D, Dodwell E. Toe walking: causes, epidemiology, assessment, and treatment. Curr Opin Pediatr. 2016 Feb;28(1):40-6. doi: 10.1097/MOP.0000000000000302. PMID: 26709689. – https://pubmed.ncbi.nlm.nih.gov/26709689/
2. Sadjadpour K. Duchenne Muscular Dystrophy. JAMA. 1975;234(4):382. doi:10.1001/jama.1975.03260170018010 – https://jamanetwork.com/journals/jama/article-abstract/341607
3. Lisa H. Shulman, Debra A. Sala, Mary Lynn Y. Chu, Patricia R. McCaul, Bonnie J. Sandler,
   Developmental implications of idiopathic toe walking, The Journal of Pediatrics, Volume 130, Issue 4, 1997, Pages 541-546, ISSN 0022-3476, https://doi.org/10.1016/S0022-3476(97)70236-1. – https://www.sciencedirect.com/science/article/pii/S0022347697702361
4. Manfredi F, Riefoli F, Coviello M, Dibello D. The Management of Toe Walking in Children with Autism Spectrum Disorder: “Cast and Go”. Children (Basel). 2022 Sep 27;9(10):1477. doi: 10.3390/children9101477. PMID: 36291413; PMCID: PMC9600566. – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9600566/
5. Holmes, Gregory L., and Peter M. Bingham, ‘Walking on Tiptoes’, Pediatric Neurology, 2 edn, What Do I Do Now (New York, 2016; online edn, Oxford Academic, 1 May 2016), https://doi.org/10.1093/med/9780190601508.003.0027, accessed 11 July 2024. – https://academic.oup.com/book/27923/chapter-abstract/204868447?redirectedFrom=fulltext&login=false
6. Engström P, Gutierrez-Farewik EM, Bartonek Å, Tedroff K, Orefelt C, Haglund-Åkerlind Y. Does botulinum toxin A improve the walking pattern in children with idiopathic toe-walking? Journal of Children’s Orthopaedics. 2010;4(4):301-308. – https://journals.sagepub.com/doi/full/10.1007/s11832-010-0263-9
7. McMulkin ML, Baird GO, Caskey PM, Ferguson RL. Comprehensive outcomes of surgically treated idiopathic toe walkers. J Pediatr Orthop. 2006 Sep-Oct;26(5):606-11. doi: 10.1097/01.bpo.0000230334.80910.0c. PMID: 16932099. – https://pubmed.ncbi.nlm.nih.gov/16932099/