Dr. Shweta Tiwari
Pediatric Dentist

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Tooth decay in kids-Are they preventable?


“Doc, my 4 year old brushes twice a day even then he gets cavities, why?”
It’s a very frequently asked question to us. Yes, we pediatric dentist do recommend brushing twice a day for good oral health, but that’s just not enough. Brushing teeth is only a part of the game, but there are other culprits to decay as well, the four D’s:

  1. Diet type & frequency: Processed packaged tit bits which are regularly used for snacking are one of the major culprits of decay. The flour and oil sticks to the teeth and if not cleaned properly, stay over the surface for a very very long time and acts a fertile ground for oral bacteria to multiply thereby causing tooth decay. Do not allow a frequent snacking. While eating anything the oral cavity produces enzymes for digestion of the food, which makes the teeth weak for some time and then the saliva acts on, making them strong again. Thus, between every meal/snack keep a gap of at least 2 hours. So, for a diet which is healthy as well tasty for your kid, meet your pediatric dentist for a diet counseling session.
  2. Drinks: Carbonated drinks or sodas are a strict no-no. Their acidic content damages the outer layer of teeth, known as enamel, making them sensitive and more prone to caries. Avoid canned juices and drinks. Give them fruits like carrots, apples, oranges etc. instead, which give more nutrition and fiber to your little ones.
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  3. Daily brushing technique: Brushing teeth does not mean toothbrush and toothpaste given to a child, who doesn’t even know how to tie his/her shoelaces!!! It has to be supervised, or for young ones, parents must do it for them. See to it that they brush on all the surfaces of their teeth and just not the visible ones. For kids younger than 8 years of age, use a circular brushing motion, with a fluoridated kids toothpaste. Various studies show that using no more than a smear or rice-size amount of fluoridated toothpaste for children less than three years of age and using no more than a pea-size amount of fluoridated toothpaste is appropriate for children aged three to six. To maximize the benefits, rinsing after brushing should be kept to minimum. Change the toothbrush every three months or after any systemic infection (eg. viral fever). Consult your pediatric dentist regarding usage of dental floss and mouthwash.
  4. Dental fluoride: Fluorides have been shown to be the most beneficial element in preventing tooth decay along with strengthening the outer layer/enamel of teeth. While there are many products that have fluoride, such as toothpaste and mouthwash, fluoride varnish treatment is the most beneficial for your little ones as they give better and faster protection. American Academy of Pediatric Dentists recommend dental fluoride application at three or six monthly interval depending upon decay risk of the child. And as the risk changes over time, the type and frequency of this preventive treatment is adjusted.

So, apply the four D’s in maintaining oral health to get Daily Dazzling teeth for your Dynamic Darlings.