It is vital that you are well informed from the beginning when it comes to your baby’s oral care. Although the first teeth that enter are temporary, they can still develop infections and cavities. Very often, a mother transfers the bacteria that causes caries in her child.
Understanding the correct way to approach oral care at each stage of a baby’s development will help you provide the best possible oral care for your baby. The cavities of early childhood can be particularly difficult and begin very soon after a tooth erupts. The cavities can develop on smooth surfaces and progress rapidly, having a lasting negative effect on your child’s teeth. All babies should have a child oral exam from one of our pediatric dentists by the time they reach six months.
This first test will evaluate the baby’s risk of developing any type of oral disease, including his risk of developing tooth decay. Education about oral health care for children will be provided and fluoride exposure will also be evaluated. Primary caregivers can transmit these organisms to their children, resulting in the colonization of MS from the child’s oral cavity.
There is a direct relationship between the levels of MS and adult caregivers and the prevalence of dental caries in their children. Factors that influence colonization include frequent sugar exposure in babies and habits that allow salivary transfer from mothers to babies. Maternal factors, such as high levels of multiple sclerosis, poor oral hygiene, low socioeconomic status and frequent snacks increase the risk of bacterial transmission to their babies. Babies have tried high levels of MS even before the eruption of their first tooth. Therefore, it is essential to consider a child oral care program in the context of a mother-child or dyad couple, which includes the care and integral treatment of maternal perinatal oral health.
Dental professionals have begun to recognize the fundamental role a mother plays in ensuring the oral health of her child. Improving the oral health of pregnant women by reducing the levels of pathogenic bacteria in their own mouths can delay the acquisition of oral bacteria in their children and delay the development of caries in early childhood. Restoring carious lesions alone is not enough to reduce the mother’s risk of transmitting cariogenic bacteria to her offspring. An effective perinatal program must institute a long-term maternal strategy, before and after delivery, to reduce maternal levels of multiple sclerosis and lactobacilli through therapeutic interventions and advice on lifestyle modifications. Unfortunately, pregnant women often do not receive medical care and oral education in a timely manner. Many women do not know that they should seek dental care during pregnancy and for many others who do, they often find dentists who are not willing to provide dental care during pregnancy. New mothers are more likely to be receptive to ideas that would improve their children’s oral health, and both dental providers and obstetricians have a great opportunity to educate mothers about changes that could improve their children’s oral health. In 2010, the CDA Foundation published evidence based on health professionals on oral health for pregnant and lactating women, which indicate that perinatal oral health care is not only safe but necessary for the oral and general health of the patient.
pregnant mother, but also for her baby. In light of the importance of perinatal oral health to prevent early childhood caries and the need to intervene early for the mother and child in a “parallel double track” of treatment and disease prevention management, collaborations are encouraged and associations among all health professionals to early and timely oral health care and referrals for pregnant women. The American Academy of Pediatrics has focused on improving the oral health of children through its Oral Health Initiative and the Pediatric Dentistry and Oral Health Section (aap.org/oralhealth). Through these efforts, pediatricians are educating themselves more about oral health and their role in disease prevention and referral to a dental home. However, many still do not know the current oral health recommendations of the AAP and more work is needed to disseminate this policy and raise awareness.
Efforts to raise awareness about the incorporation of oral health assessments in the control visits are crucial since pediatricians often see children at an average of up to six times before 2 years. Babies and parents can benefit from early oral health visits for children and the early establishment of a dental home. Oral health visits for children should include evaluation of carries risks, individualized preventive strategies, and anticipatory guidance. The periodic supervision of the care intervals (periodicity) should be determined according to each patient’s risk of illness and include “care routes” appropriate for the age and risk of the disease process.
Babies and young children should not be expected to cooperate during an oral examination. Crying and movement are appropriate behaviors for the developmental age of young children. Explaining the expected behaviors to parents before, during and after child care visits can help dispel any fears or concerns they may have.There is a simple six-step protocol for a child oral care visit:Caries risk assessment;Correct position of the child (knee to knee examination);Age-appropriate tooth brushing prophylaxis;Clinical examination of the oral cavity and the child’s dentition; Fluoride varnish treatment; Assignment of risks, anticipated guidance, self-management objectives and advice.Caries risk assessment An individualized risk assessment of an infant or toddler to develop caries serves as the basis for health care providers and parents/caregivers to identify and understand the child’s CCS risk factors. The specific information obtained from a systematic evaluation of caries risk guides the dentist in the decision-making process for treatment and preventive protocols for children who already suffer from diseases and those considered at risk.
To obtain optimal results, the caries risk assessment should be carried out as soon as possible, and preferably, before the beginning of the disease process. Given that caries in the primary dentition is a strong predictor of caries in the permanent dentition, the evaluation of caries risk and the therapeutic management of the disease is crucial, as is the subsequent follow-up. The risk factors are determined from an interview with the father and from a clinical evaluation of the child. More details, where indicators of diseases based on evidence, biological risk factors and preventive factors are described.