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Maternal and Child Health Bureau logoA Health Professionals Guide to Pediatric Oral Health Management
HomeModuleModule 1: An Introduction to Infants' and Young Children's Oral HealthModule 2: Managing Infants' and Young Children's Oral HealthModule 3: Oral Conditions and AbnormalitiesModule 4: Prevention of Oral DiseaseModule 5: Non-Nutritive Sucking HabitsModule 6: Oral InjuryModule 7: Infants and Young Children with Special Health Care NeedsContentsGlossaryEvaluationHelp
Module 2: Managing Infants' and Young Children's Oral Health
Module Contents
Overview
2.1 Oral Development

Tooth Eruption and Loss
Teething
Malocclusion
2.2 Interview and Risk Assessment

During & After Pregnancy
During Infancy
During Early Childhood
2.3 Oral Screening
2.4 Behavior Management
2.5 Oral Examination
2.6 Anticipatory Guidance

For Pregnant Women,
New Mothers, or Other Intimate Caregivers
For Parents of Infants

For Parents of
Young Children

(current page)
2.7 The Dental Home
Key Points
Post-Test
References
Additional Resources



2.6 Anticipatory Guidance, continued

Anticipatory Guidance to Share with Parents of Young Children

  • If the child has not yet been to a dentist, make an appointment for the child’s first dental visit, thereby establishing a dental home.

  • After the initial dental visit, make the next appointment for the child according to the schedule recommended by the dentist, based on the child’s individual needs or susceptibility to disease.

  • For children with special health care needs, make appointments for more frequent dental visits based on the child’s individual needs or susceptibility to disease. Obtain special oral health equipment (e.g., a mouth prop) to brush the child’s teeth.

  • For children under age 2, brush the teeth with plain water twice a day (after breakfast and before bed). For children at increased risk for tooth decay, consult with a dentist or physician about brushing the teeth with a pea-sized amount (small smear) of fluoridated toothpaste.

  • For children ages 2 and above, brush the teeth with no more than a pea-sized amount (small smear) of fluoridated toothpaste twice a day (after breakfast and before bed). Make sure the child spits out the toothpaste after brushing but does not rinse with water. The small amount of fluoridated toothpaste that remains in the mouth helps prevent tooth decay.

  • For effective plaque removal, make sure that a parent brushes the child’s teeth. Because brushing requires good fine motor control, young children cannot clean their teeth without parental help. After children acquire fine motor skills (e.g., the ability to tie their shoelaces), typically by age 7 or 8, they can clean their teeth effectively but should be supervised by a parent.

  • Become familiar with the normal appearance of your child’s gums and teeth so that problems can be identified if they occur. Check the child’s gums and teeth about once a month.

  • Give the child fluoride supplements only as prescribed by a dentist or physician, based on the risk of developing tooth decay and the known level of fluoride in the child’s drinking water.

  • Discuss with a dentist or other qualified health professional the need to apply fluoride topically (via varnishes, gels, foams), which renews the high levels of fluoride in the outer layer of the tooth enamel. Topical fluoride may be especially effective for children at high risk for tooth decay because they have a history of decay, are not exposed to fluoridated water, snack frequently on foods containing sugar, or have a medical problem that decreases their resistance to decay.

  • Discuss with a dentist or other qualified health professional the need to apply dental sealants (thin plastic coatings applied to pits and fissures on the chewing surfaces of the teeth) to prevent tooth decay by creating a physical barrier against dental plaque. Dental sealants should be applied shortly after the back teeth erupt.

  • If the child has sore gums caused by tooth eruption, give the child a clean teething ring, cool spoon, or cold wet washcloth. Other options include giving the child a chilled teething ring or simply rubbing the child’s gums with a clean finger.

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logo: U.S. Dept. of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau