Frequently Asked Questions

Early childhood caries (ECC) is a type of tooth decay that affects young children, typically those under the age of six. ECC is caused by frequent and prolonged exposure of a child's teeth to sugary foods and drinks. The decay often begins in the upper front teeth and can quickly spread to other teeth. ECC can be prevented early on by establishing good oral hygiene habits and limiting a child's consumption of sugary foods and drinks.

The signs and symptoms of early childhood caries (ECC) may include white spots on the teeth, discoloration or staining of the teeth, sensitivity or pain in the teeth, and visible cavities or holes in the teeth. In more advanced cases, children may experience swelling or bleeding of the gums, bad breath, and difficulty eating or speaking.

There are several ways to prevent early childhood caries:

• Avoid giving your child sugary or sticky foods and drinks, especially before bedtime.
• Establish a daily routine of brushing your child's teeth with fluoride toothpaste and flossing.
• Consider dental sealants and fluoride treatments as recommended by your pediatric dentist.
• Schedule regular dental checkups for your child, starting at age 1 or within 6 months of the first tooth erupting.
• Ensure that your child receives an adequate amount of fluoride, whether through fluoridated water or supplements if necessary.

Breastfeeding itself does not cause early childhood caries (ECC). However, if a baby is frequently and consistently allowed to nurse on demand during the night, this may increase the risk of ECC. It is important to wipe the baby's gums and teeth with a clean, damp cloth after each feeding and to avoid giving the baby sugary drinks or foods.

The American Academy of Pediatric Dentistry recommends that children should visit the dentist by their first birthday or within six months after their first tooth appears, whichever comes first. This early visit allows the dentist to check for potential problems and guide oral care for infants. After the first visit, regular dental checkups should be scheduled every six months unless the dentist recommends otherwise.

Bruxism in children, or teeth grinding, can be caused by a variety of factors, including stress, anxiety, and a misaligned bite. Other possible causes may include certain medications or medical conditions, such as cerebral palsy. It's important to consult with a dentist or healthcare professional if you suspect your child is experiencing bruxism.

There are a few signs that your child may be grinding their teeth at night, including complaints of jaw pain or headaches in the morning, difficulty sleeping, tooth sensitivity, and worn-down or chipped teeth. If you notice any of these symptoms, it's best to schedule a dental checkup for your child to assess if they have bruxism and discuss possible treatment options.

It is possible that a child may outgrow teeth grinding, but it is not guaranteed. Some children may continue to grind their teeth into adulthood. It is important to address teeth grinding with your child's dentist to determine the best course of action and prevent potential long-term damage to the teeth and jaw.

Parafunctional habits refer to repetitive movements or actions that are not a part of normal oral function, such as teeth grinding, clenching, tongue thrusting, and thumbsucking. These habits can cause various dental problems, such as wear and tear on teeth, misalignment of teeth, jaw pain, and muscle soreness. In particular, thumbsucking can cause changes in the alignment of teeth and the development of the jaws, which may require orthodontic treatment to correct. It's important to address parafunctional habits in children early on to prevent potential dental issues from developing.

Parents can do a few things to help their child stop their parafunctional habits. For thumbsucking, positive reinforcement and rewards for not doing it can be effective. Additionally, offering comfort items like a stuffed animal or blanket can provide a substitute for the thumb.

For teeth grinding, a mouth guard or splint can be worn at night to prevent damage to the teeth. In more severe cases, behavioral therapy or counseling may be necessary. Consulting with a pediatric dentist can provide more personalized recommendations for your child.

The American Dental Association recommends brushing your child's teeth at least twice daily with fluoride toothpaste. This should be done for two minutes each time, ensuring that all surfaces of the teeth are thoroughly cleaned. It is also important to supervise your child's brushing until they are able to brush effectively on their own, which is usually around age 8.

When it comes to choosing a toothbrush for your child, it is recommended to use a soft-bristled brush with a small head. This will help to clean all areas of their mouth, including hard-to-reach areas. Electric or battery-operated toothbrushes can also be effective, as they often have small heads and rotating bristles to help remove plaque. It is important to choose a toothbrush with age-appropriate features and to replace the toothbrush every 3-4 months, or sooner if the bristles become frayed.

When selecting toothpaste for your child, it is important to choose one that contains fluoride to help prevent cavities. It is also important to choose a toothpaste with a flavor your child likes to encourage them to brush regularly. If your child has specific dental needs, such as sensitivity or braces, your dentist may recommend specialized toothpaste.

The American Dental Association recommends using fluoride toothpaste in an amount of no more than a smear for children under 3 years old and a pea-sized amount for children between 3-6 years old.

Children should have a dental check-up every six months to ensure their teeth and gums are healthy and catch any problems early. However, your child's dentist may recommend more frequent visits if your child is at a higher risk of developing dental problems.