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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 4: Prevention of Oral Disease
Module Contents
Overview
4.1 Oral Hygiene
4.2 Fluoride
Systemic Fluoride
Topical Fluoride
4.3 Nutrition
The Role of Food in
Oral Health
Anticipatory Guidance (current page)
Key Points
Post-Test
References
Additional Resources



4.3 Nutrition, continued

Anticipatory Guidance

The following points from Bright Futures in Practice: Oral Health and Bright Futures in Practice: Nutrition offer anticipatory guidance to share with parents about infant and early childhood feeding.[2], [8]

Anticipatory Guidance to Share with Pregnant Women, New Mothers, or Other Intimate Caregivers

  • Eat healthy foods during planned meals and snacks, and limit eating (grazing) in between.

  • Eat fruit, vegetables, grain products (especially whole grain), and dairy products (milk, cheese, cottage cheese, and unsweetened yogurt).

  • Eat foods containing sugar at mealtimes only, and limit the amount. Frequent consumption of foods high in sugar, such as candy, cookies, cake, and sweetened beverages (e.g., fruit drinks, soda), and fruit juice increases the risk for tooth decay. In addition, frequent consumption of foods that easily adhere to the tooth surface, such as dried fruit, fruit roll-ups, and candy, increases the risk for tooth decay. When checking for sugar, look beyond the sugar bowl and candy dish. A variety of foods contain one or more types of sugar, and all types of sugars can promote tooth decay.

  • Choose fruit rather than fruit juice to meet the recommended daily fruit intake. Drink fruit juice at mealtimes only, if at all.

  • Avoid carbonated beverages during pregnancy and for the first 30 months of the infant's life.

  • Drink fluoridated water (via a community fluoridated water source) to prevent tooth decay; for families that prefer bottled water, drink a brand in which fluoride is added at a concentration of approximately 0.7 to 1.2 mg/L (ppm).

  • Once the infant is born, to prevent transmission of bacteria that cause tooth decay from the parent (especially the mother) via saliva to the infant, avoid testing the temperature of the bottle with the mouth, sharing utensils (e.g., spoons), or cleaning a pacifier or bottle nipple with saliva.
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