Donna Brogan, RDH, BS, discusses the importance of first teeth and what impact first dental visits can have on the oral health of a child:
Many dental professionals are under the erroneous impression that a child should see a dentist by their 3rd birthday; this guideline is outdated. The American Academy of Pediatric Dentists recommends infants see a pediatric dentist when the first tooth appears, or no later than his/her first birthday. At this visit, the child’s risk will be determined and proper recall length will be established. Factors such as diet, fluoride exposure and parents’ dental health will be researched. The parents will also receive education in developmental milestones, the importance of baby teeth, diet, and oral habits and the child will likely receive a fluoride varnish treatment.
Most parents are unaware that cavities are a transmissible disease and can be passed to the infant. If the mother or father have had a cavity in the last two years they have a bacterial imbalance and are likely to pass the harmful oral bacteria on to the child. This is just one of several reasons I share with parents that U.S. Preventive Services Task Force (USPSTF) “recommends that primary care clinicians apply fluoride varnish to the primary teeth of all infants and children starting at the age of primary tooth eruption… Research shows that providing fluoride varnish at 6 months instead of waiting until 24 months significantly reduced caries exposure and restorative costs.”1
The health of baby teeth is important for many reasons. Decay and loss of baby teeth can lead to pain, difficulty chewing or speaking, problems with social interaction and self-esteem issues. They also aid in forming a path of eruption that permanent teeth follow. According to the CDC, “Tooth decay is one of the most common chronic conditions of childhood in the United States. About 1 of 5 (20%) children aged 5 to 11 years have at least one untreated decayed tooth.” 2
Cavities can spread easily due to the enamel being thinner on primary teeth. When this happens, children will experience pain due to the pulp becoming infected and in some cases this can cause facial infections. When teeth are extracted, teeth tend to shift resulting in ortho complications because of limited space for permanent teeth to erupt.
As a result, I tell my patients’ parents that prevention matters! Preventive treatments are based on what is in the best interest of the patient. According to the AAPD, children at moderate caries risk should receive a professional fluoride treatment at least every 6 months; those with high caries risk should receive greater frequency of professional fluoride applications (ie, every 3-6 months).3 We know that caries is a preventable disease. Research shows that fluoride varnish can prevent about one-third of decay in the primary teeth.” 2
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To learn more about Prevention for Life®, our program to combat caries at any age (even in babies!) with the appropriate risk assessment tools to help you gain patient (and parent) acceptance, visit our dedicated prevention-focused website!
For more information on these or any of the Centrix line of products, visit www.centrixdental.com or call 800.235-5862 to speak to a product specialist.
1. www.uspreventiveservicestaskforce.org
2. www.cdc.gov/OralHealth/children_adults/child.htm
3. https://www.aapd.org/resources/parent/
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