(205) 419-7444 2490 Pelham Pkwy, Pelham, AL 35124

Ages & Stages of Oral Health

The need for proper dental care spans a lifetime — beginning with mom’s oral hygiene during the prenatal period. So from before birth to adulthood, great dental care leads to a healthier life. Here at Shelby Pediatric Dentistry, we take seriously our commitment to providing the best dental care to our patients and educating both children and parents on the importance of oral hygiene throughout all seasons of life.

Mom’s Oral Health

The increase in hormones during pregnancy can cause “pregnancy gingivitis” and, if not treated, can lead to gum disease, which is associated with preterm birth and preeclampsia. Studies have also shown that babies can be infected with bacteria from their mothers’ saliva even before they have teeth. This bacteria increases the likelihood of your little one getting cavities. So, if you’re a mom, or plan to become one soon, remember that excellent at-home brushing and flossing coupled with professional dental cleanings can reduce birth complications, minimize the risk of cavities in your baby, and improve overall health in both you and your baby!

Ages 0–2

Although babies have the beginnings of their first teeth before they are born, teeth don’t begin erupting until around 6–8 months old. Good oral hygiene is important, even before your baby has teeth. Begin by wiping baby’s gums with gauze or a soft cloth after feedings. When the first tooth makes its appearance, begin brushing with a soft-bristled baby toothbrush and a small “smear” of fluoride-containing toothpaste twice a day. As your child grows, continue to use fluoride toothpaste according to the directions listed on the product. Another important factor in avoiding cavities in the early years is to never put your baby to bed with a bottle. The natural sugars from milk, juice, and even breast milk can cause severe tooth decay if left on the teeth for extended periods.
We recommend scheduling your child’s initial visit to our office after the first tooth erupts and no later than the first birthday, so we can work together to maintain optimal oral health for your little one. We have lots of tips to discuss with you to make sure we get your loved one off to the best start!

Ages 3-5

Your child should have all 20 primary (baby) teeth around age 3. Studies show that more than 40% of children will have cavities before kindergarten. To help prevent cavities, ensure that your little one stops using a bottle or sippy cup by age 1, uses fluoride toothpaste, and doesn’t eat too many snacks between meals (especially sticky foods like fruit snacks or candy). Pediatricians and the AAPD recommend children consume no more than 4–6oz of juice daily. Though it can be easier said than done, it is important that your child stops sucking fingers or a pacifier by age 3 to prevent problems with his or her bite and facial development. If this is a struggle, don’t worry, we can help! Finally, though children may want to brush their own teeth at this stage, always make sure to end a brushing session with adult assistance to make sure all surfaces have been cleaned. We recommend supervision while brushing teeth until age 10.

Ages 6-11

This is the tooth fairy stage of oral development, so get your wallet ready! Around age 6, your child will begin to lose primary teeth in the front and gain permanent teeth in the front and back. Once the teeth start to touch, you should begin flossing your child’s teeth regularly. Children typically don’t brush along the gumline or the back teeth, so pay special attention to these problem areas. However, almost 90% of cavities in permanent molars occur in the grooves. Dental sealants, a thin, white coating placed over these high-risk areas, are a great way to protect from decay. During these years, dental injuries are very common, due to increased activity in sports. Ask our team about mouthguards to protect your child’s teeth.

Ages 12-18

At 12 or 13 years of age, most kids have lost all of their baby teeth and have gained a full set of 28 permanent teeth (not including the 4 wisdom teeth). Cavities are more common in the teen years than any other time of life, due to the increase in freedom, which often leads to poor diet choices and lack of oral hygiene practices. As self-awareness increases, children may also notice if they have crooked or discolored teeth. Our understanding and highly qualified team is happy to discuss options for both braces and whitening.
As an important preventative measure, we will take a panoramic x-ray of your child’s jaws to monitor the development of wisdom teeth. If necessary, we will refer your child to a skilled oral surgeon to remove these molars before they cause any damage to surrounding teeth. Be sure to let our office know if your child is experiencing any pain from wisdom teeth.

From the first birthday through the transition to a regular dentist in the teen years, we take your child’s oral health seriously and are committed to doing our very best to maintain a happy, healthy smile!

My Child Grinds Their Teeth…

Grinding Teeth

Grinding Teeth

Shelby Pediatric Dentistry is starting a new blog! In this blog, we will feature news in the world of pediatric dentistry and answer questions frequently asked by parents. If you have any questions for Dr. Baxter, please post them on our Facebook page or in the blog comments below.

Frequently asked question:

Is it ok that my child grinds his / her teeth?

Our parents ask us many variations of this question, but the answers are all the same. Often, a parent notices their child grinding his or her teeth at night while sleeping. This can sound similar to “nails on a chalkboard” and can be disruptive to sleep habits for the parent or the child. Typically, nighttime grinding will cause no real harm to the child but can cause sleepless nights for the parent if they are co-sleeping or in the same room. Daytime grinding is an easier habit to break, but it can still be difficult to change for the young child who doesn’t even realize he is doing it.

How can you know if your child is grinding his or her teeth? If you hear a noise at night like two teeth rubbing together, that would be your biggest clue! If the baby teeth look very worn or are flat on top, then the chances are good that you have a grinder. There could also be tenderness or tightness in the jaw after waking up from sleep.

Some studies have noted that children with enlarged tonsils have disruptive sleep habits, wake frequently from sleep, and grind their teeth. These same studies have also noted a higher incidence of ADD/ADHD in these children. If your child does grind their teeth significantly at night, have your pediatrician or pediatric dentist check their teeth for wear, and check their tonsils to see if they are enlarged. This may be something to discuss with your pediatrician if your child does have larger than normal tonsils.

So what should you do if your child is grinding his or her teeth? First, try to determine when it is happening and if there are any triggers (food, stress, etc.). Some people notice increased tooth grinding with gluten or dairy, or with increased stress from school, peers, or changing home situations. Next, alert your dentist at your next dental health visit to see if it is causing any real harm to the teeth. Most of the time, there is no need to intervene, and the child will grow out of it. Once the child has all of his or her permanent teeth (around age 12), a dentist can make a night guard for the child to use at nighttime so they grind the plastic instead of their teeth. Before all the permanent teeth erupt, short of providing some kind of stress reduction, or identifying triggers, the only treatment would be to provide the child with medication to stop the grinding. In almost all cases, this would not be recommended unless the child had other special needs and was grinding all of the time. If the teeth are severely worn, a filling or crowns may be needed, and sometimes a baby tooth root canal would be needed if the nerve of the tooth is exposed.

The good news is that most kids outgrow tooth grinding by age 12, and it is significantly less by age 6-9.