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Expert Q&A
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| By Fred S. Ferguson, D.D.S. Pediatric Dentist | ||
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My 2 year old son seldom lets me brush his teeth. I'm concerned about cavities since he eats a lot of dried fruit as well as a wide variety of other foods. Do you have any ideas as to how I can brush his teeth? Should he be going to the dentist now? He would need pre-meds because he also has a heart murmur, so I don't want to take him to the dentist unless absolutely necessary.
You mention several "risk factors" that could add up to significant health problems for your child.
Daily oral hygiene, bacterial plaque removal, must become part of the routine if you want dental health for your child. Try to make it fun and approach it positively. Some parents do it in the tub or brush to favorite kids music. Most songs are about 3 minutes -- which is the proper length of time to brush.
The number one cause of hospitalization for children with heart defects IS dental infection. All the more reason to be vigilant with sound preventive care including daily hygiene and semi-annual pediatric dental care starting at 12 months. Antibiotic premedication recommended by the American Heart Assn, is easily accomplished and should not pose a deterrent to regular care. Pediatric dentists are specially trained to managed children with congenital heart defects and is routine in their offices.
The American Academy of Pediatric Dentistry (aapd.org) recommends "First Visit by First Birthday" so that kids may grow up cavity free and comfortable in the pediatric dental office.
The National Institute of Health study states 4 of 5 cavities in 5 year olds started by age 3. These can be eliminated with infant preventive visits. Waiting until it's "really necessary" is usually starting off when pain or infection necessitates an emergency visit and treatment of an acute condition -- far from the ideal way to initiate a child's first experience at the dentist.
Contact your local pediatric dentist to start your child on the road to a lifetime of good dental health!
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