Children's Dentistry in Durham, NC
Here at the office of Thomas Clifton, DDS, our Durham dentist and his team believe that proper early dental care for children can get your child started off on the right foot toward a lifetime of excellent oral health. Dr. Clifton's primary goal is to help your child achieve and maintain optimal oral health by using advances in dental techniques and technologies and by keeping your child's dental visits frequent and regular. Whether your child is in need of a general check-up or you are interested in sedation dentistry, we know that approaching dentistry for your child can be intimidating. In order to help you understand the world of children's dentistry and know what to do in certain situations, we offer information and advice for parents below.
Normally the first tooth erupts between ages 6 to 12 months. Gums are sore, tender and sometimes irritable until the age of 3. Rubbing sore gums gently with a clean finger, the back of a cold spoon or a cold, wet cloth helps soothe the gums. Teething rings work well, but avoid teething biscuits—they contain sugar that is not good for baby teeth.
While your baby is teething, it is important to monitor the teeth for signs of baby bottle decay. Examine the teeth, especially on the inside or the tongue side, every two weeks for dull spots (whiter than the tooth surface) or lines. A bottle containing anything other than water and left in an infant's mouth while sleeping can cause decay. This happens because sugar in the liquid mixes with bacteria in dental plaque, forming acids that attack the tooth enamel. Each time a child drinks liquids containing sugar, acids attack the teeth for about 20 minutes. When awake, saliva carries away the liquid. During sleep, the saliva flow significantly decreases and liquids pool around the child's teeth for long periods, covering the teeth in acids.
Infant's New Teeth
The primary, or “baby,” teeth play a crucial role in dental development. Without them, a child cannot chew food properly and has difficulty speaking clearly. Primary teeth are vital to development of the jaws and for guiding the permanent (secondary) teeth into place when they replace the primary teeth around age 6.
Since primary teeth guide the permanent teeth into place, infants with missing primary teeth or infants who prematurely lose primary teeth may require a space maintainer, a device used to hold the natural space open. Without a maintainer, the teeth can tilt toward the empty space and cause permanent teeth to come in crooked. Missing teeth should always be mentioned to our Durham family dentist. The way your child cares for his/her primary teeth plays a critical role in how he/she treats the permanent teeth. Children and adults are equally susceptible to plaque and gum problems—hence, the need for regular care and dental checkups.
A Child's First Dental Visit
A child's first dental visit should be scheduled around his/her first birthday. The most important part of the visit is getting to know and becoming comfortable with our Durham dentist and his staff. A pleasant, comfortable first visit builds trust and helps put the child at ease during future dental visits. If possible, allow the child to sit in a parent's lap in the exam room. Children should be encouraged to discuss any fears or anxiety they feel.
Why Primary Teeth Are Important
Primary teeth are important for several reasons. Foremost, good teeth allow a child to eat and maintain good nutrition. Healthy teeth allow for clear pronunciation and speech habits. The self-image that healthy teeth give a child is immeasurable. Primary teeth also guide eruption of the permanent teeth.
Good Diet and Healthy Teeth
The teeth, bones and soft tissue of the mouth require a healthy, well-balanced diet. A variety of foods from the five food groups help minimize (and avoid) cavities and other dental problems. Most snacks that children eat cause cavities, so children should only receive healthy foods like:
- Low-fat yogurt
- Cheeses, which promote strong teeth
Infant Tooth Eruption
A child's teeth actually start forming before birth. As early as 4 months of age, the primary or “baby” teeth push through the gums—the lower central incisors are first, then the upper central incisors. The remainder of the 20 primary teeth typically erupt by age 3, but the place and order varies.
Permanent teeth begin eruption around age 6, starting with the first molars and lower central incisors. This process continues until around age 21. Adults have 28 secondary (permanent) teeth—32 including the third molars (wisdom teeth).
Preventing Baby Bottle Tooth Decay
Tooth decay in infants can be minimized or totally prevented by not allowing sleeping infants to breast or bottle-feed. Infants that need a bottle to comfortably fall asleep should be given a water-filled bottle or a pacifier. Our Durham dentistry office is dedicated to fighting baby bottle tooth decay. Let us know if you notice any signs of decay or anything unusual in your child's mouth.
If you have more questions regarding early dental care or the types of dental services that we offer for children and adolescents, please contact us at our Durham, NC family dentistry office today. You can also use the Appointment Request form on our website to request your child's first visit time. A member of our team will contact you shortly to schedule the appointment with you. We offer comprehensive pediatric dentistry for patients and families throughout the greater Durham, NC area. Thank you, and we look forward to helping your child toward a lifetime of healthy smiles!