Caring for Your Infant's Teeth

By Dr. Anna Chukhman

Last month, we discussed the effects pregnancy has on your teeth. Now we'll turn our attention to the oral care of your little bundle of joy. Although you'll have lots to learn about taking care of your infant - everything from the right formula to the perfect bedtime procedure - your infant's gums and soon-to-emerge teeth will become part of your parental concern as well.

Your baby's first teeth will begin to develop about three month into your pregnancy. The healthier your diet is, the greater the chance that your newborn's teeth and gums with be healthy too. Begin cleaning your baby's mouth during the first few days after birth. Wipe your baby's gums with a clean gauze pad or a damp washcloth after each feeding to remove plaque and residual food that can harm erupting teeth. Ask your dentist, hygienist or pediatrician to show you the best way to do this. When your child's teeth begin to erupt, brush them gently with a child's size, soft-bristled toothbrush and water (toothpaste is used for children two and older).

If a baby is put to bed with a bottle containing milk (even breast milk), formula, juice or any liquid containing fermentable carbohydrates (like soda), the sugar in the drink and the bacteria in your baby's mouth can interact to form an acid that attacks the enamel in your baby's teeth and may cause what is commonly known as baby bottle tooth decay. A child's teeth are susceptible to decay as soon as they begin to erupt.

To prevent tooth decay, infants should finish their bedtime and naptime bottle before going to bed. If your baby insists on a bedtime bottle, fill it with water instead. Infants should be weaned from the bottle at 12 to 14 months of age. Consumption of juices from a bottle should be avoided. When juices are offered, they should be from a cup. If you use a pacifier, use a clean one. Never give a baby a pacifier dipped in sugar or honey.

Try to schedule your child's first dental visit sometime between the eruption of the first primary tooth and one year of age. Your dentist will check your child's teeth, gums and jaw; educate you about proper teeth-cleaning techniques; and provide guidance for the prevention of dental disease. After your child's first birthday, begin regular dental check-ups for "smile" insurance.