Nurturing Little Smiles: A Guide to Infant Oral Care

As new parents, you may find yourselves filled with excitement as you anticipate your infant’s milestones: their first steps, first words, and undoubtedly, their first tooth! However, it’s essential to understand that oral care should begin even before those tiny pearly whites make their grand debut. Proper oral hygiene during the early months can significantly impact your child’s dental health for years to come. In this blog, we’ll explore how to care for an infant’s mouth before teeth emerge, how to navigate the teething phase, the importance of early oral care, and the early warning signs of dental issues.

 

 

 

Oral Care Before Teeth Erupt

 

The Canadian Academy of Pediatric Dentistry suggests that your child’s oral care should start even before their first teeth appear. Typically, babies don’t begin to get their milk teeth or primary teeth, until about six to nine months of age. These first teeth are crucial as they help your child learn to eat and speak and assist in the proper alignment of their adult teeth.

 

 

Why Oral Care Before Tooth Development is Important

 

Bacteria Management: Your baby’s mouth may harbor bacteria even before their teeth emerge. Cleaning their gums can help establish a healthy oral environment and reduce the risk of cavities as teeth develop.

 

Fostering Habits: Early care establishes a routine, meaning that your little one will be more accustomed to having their mouth cleaned when their teeth do come in.

 

How to Care for Gums

 

Use a Soft Cloth: Take a clean, damp washcloth or gauze and gently wipe your baby’s gums and newly emerging teeth after feeding. If the teeth have erupted enough, you may also start using an infant toothbrush to clean those teeth, and have your baby get familiar with the feeling of “brushing”.

 

No Toothpaste: Do not use toothpaste until your child has more teeth, and never put them to bed with fluids other than water, as sugary liquids (including breast milk) can lead to tooth decay.

 

Gentle Pressure: Apply gently pressure and wipe both the front and the back of the gums, ensuring you cover all areas.

 

“Milk Coma”: If your baby falls asleep while feeding, it’s important to brush their teeth, or clean their teeth and gums with a damp washcloth before putting them down to minimize sugar exposure during the night.

 

 

Navigating the Teething Phase

 

Teeth is a significant milestone in your baby’s life, but it can also come with discomfort. Here are some helpful insights to navigate this stage:

 

 

Signs of Teething

    • Increased drooling
    • Crankiness or irritability
    • Chewing on objects or their fists
    • Swollen or tender gums

 

Caring for Your Teething Infant

 

Gum Massage: Use a clean finger to gently massage your baby’s gums, providing relief from discomfort.

 

Teething Aids: Invest in safe teething toys. Look for options that are soft, BPA-free, easy to clean, and easy for babies to grasp.

 

Cold Relief: You can put a clean, damp washcloth in the refrigerator for a few minutes and let your baby chew on it for soothing relief.

 

Important Reminder:  Be careful not to transmit the bacteria that can cause cavities to your baby. Avoid kissing your baby on the mouth – aim for the cheeks and forehead! Also, refrain from sharing utensils and toothbrushes, and don’t blow on their food.

 

 

Health Drink Choices

 

After your baby reaches six months of age, you can start offering small amounts of breast milk, infant formula, or water between meals, ensuring drinks are consumed in one sitting. Avoid sugary beverages (including fruit juices); water is your best option for quenching your child’s thirst, apart from breast milk. By age one, help your baby transition to an open-lid cup instead of a bottle.

 

Early Signs of Dental Issues

 

While it’s natural for babies to be fussy during teething, some symptoms can indicate dental issues. Be on the lookout for:

 

 

Discolouration: Dark spots or white patches on teeth can indicate early decay or enamel issues.

 

Swollen Gums: Red or swollen gums that last beyond the initial teething phase may suggest infection or other dental problems.

 

Persistent Fussiness: If your baby seems unusually agitated or in pain, it’s critical to consult your pediatric dentist.

 

Difficulty Eating: If your infant suddenly refuses to eat or drink due to discomfort, it could be a sign of dental issues.

 

 

When to Seek Help?

 

If you notice any of the above symptoms, or if you have concerns about your infant’s oral health, don’t hesitate to consult with your pediatrician or pediatric dentist. They can provide guidance and, if necessary, a thorough examination.

 

Baby’s First Visit – Make it Fun!

 

A baby’s first visit to the dentist should happen by their first birthday, or when the first teeth appear. To prepare for this significant milestone:

 

Play “Dentist”: Try playing dentist at home. Count your child’s teeth and then switch roles, allowing them to count yours. Make the activity enjoyable and explain that this is similar to what the dentist will do.

 

Treat the Appointment as Routine: Establish the dentist visit as a normal part of life to help your child feel comfortable.

 

Share Important Information: Inform your dentist about any special needs or medical problems, such as allergies, bleeding disorders, and mention any sensory triggers for neurodivergent children.

 

Bring Comfort Items: Ask your dentist if your child can bring their favourite toy along to the appointment for extra reassurance and comfort.

 

 

Conclusion

Caring for your infant’s oral health sets the foundation for a lifetime of good dental habits. By adopting a routine that prioritizes gum care, navigating the challenges of teething with care, and being vigilant for early warning signs of dental issues, you can ensure your little one has a healthy start to their journey with teeth.

Remember, it is not normal to lose baby teeth too early! Baby teeth are essential for eating, speaking, and holding space for adult teeth. A healthy mouth is a happy mouth, and fostering good oral hygiene now will pay off in a lifetime of bright, healthy smiles! Don’t forget to consult with an oral health professional within six months of your child’s first tooth coming in or by age one to learn about your child’s risk of developing tooth decay. Your baby’s smile is worth it!

 

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Chris Weichenthal CDAII

With over two decades of dedicated experience in the dental field, Chris brings a wealth of dental knowledge and expertise to maxill. She’s had the privilege of collaborating with a diverse range of dental specialists, honing her expertise in various facets of oral healthcare. Her true passion however lies in patient education. She derives immense satisfaction from empowering patients with the knowledge they need to make informed decisions about their oral health. Chris is continuously driven to evolve and share her extensive dental knowledge, and remains committed to nurturing the future of dentistry, fostering a legacy of informed practitioners who prioritize patient well-being and excellence in oral healthcare.

 

References:

  1. Tips for kids - Ontario Dental Association. (2024b, August 1). Ontario Dental Association. https://www.oda.ca/oral-health-basics/care-disease-prevention/tips-for-kids/
  2. Public Health Agency of Canada. (2018, August 28). Oral health tips for children aged 0–3. Canada.ca. https://www.canada.ca/en/public-health/topics/oral-health/oral-health-tips-for-children-aged-0-3.html
  3. Oral health for children. (2024, July 25). Canada.ca. https://www.canada.ca/en/public-health/topics/oral-health/caring-your-teeth-mouth/children.html#a1