FLOURIDE TABLETS FOR KIDS

  

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The Peadiatric Dentistry Blogpost, drew a lot of interest.

And once again it is my Mommy panel who had a flurry of questions. So one mother wanted to know: "Should my child be taking fluoride tablets or not?"

 

FLUORIDE

 

I wrote a post on Fluoride two months ago. But here is a recap.

Fluoride is the ingredient in toothpaste that strengthens teeth and prevents cavities from forming. It is also a mineral that occurs in some natural water sources and certain foods, such as fish, salt and milk. So Fluoride plays an important role in healthy tooth development and cavity prevention.

 

Fluoride combats tooth decay in two ways:

 

1. It is incorporated into the structure of developing teeth when it is ingested.
2. It protects teeth when it comes in contact with the surface of the teeth.

 

KIDS FLUORIDE NEEDS

 

So how much fluoride do kids' need?

In general, kids under the age of 6 months do not need fluoride supplements. If you live in non-fluoridated area, your doctor or dentist may prescribe fluoride drops, tablets or vitamins after your baby is 6 months old. The dosage depends on how much fluoride naturally occurs in the water and your child's age. Only kids living in non-fluoridated areas or those who drink only non-fluoridated water should receive supplements.

 

Fluoride in SA

South Africa’s water supplies are not fluoridated. In Cape Town, the levels of fluoride in the water are much lower than the optimal level required to prevent the formation of cavities.
In such cases where fluoride levels in the drinking water are low, fluoride supplements can be of value. These supplements are an effective way of reducing the incidence of cavities in children who are at high risk.

In Cape Town, the recommended dosages would be as follows:

• 0 to 6 months: none


• 6 months to 3 years: 0.25mg


• 3 to 6 years: 0.5mg


• 6 to 12 years: 1 mg

Zymafluor: 4 drops = 1 tablet = 0.25mg
Listerfluor: 5 drops = 0.25mg
It is better for the child to suck or chew the tablet instead of swallowing it. In young children, however, the tablet should be finely crushed and dissolved in water. The longer the tablet is in contact with the teeth, the more beneficial the effect.

Fluoride drops would be the better option in very young children, as they are unable to chew or swallow tablets. There is always a possibility of overdosage  with these supplements and with this there is a risk of developing fluorosis of the permanent teeth. Parental supervision is therefore assential.



CONCLUSION

My personal opinion on this whole question is that fluoride supplement should ideally be prescribed to children who are at a high risk of tooth getting decay. And only if the primary drinking water has a low fluoride concentration. The decision to prescribe supplements is based on the child's individual need. I would advise mother's to consult a dentist first, before giving their children fluoride supplements.
I'm sure this article have been of some help. Don't forget to fill out a comment or any other questions you may have in the space below.

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PEADIATRIC DENTISTRY

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After coming to grips with the last post on teething (excuse the pun); here is a question from the Mommy panel.
"Why did my dentist suggest that I take my 3year old to a peadiatric dentist?"

While a General Dentist will help a child receive the necessary dental care, it will not be as beneficial or specific as a Peadiatric Dentist. One major difference between a General and Peadiatric Dentist is that a Peadiatric Dentist goes through specialized training to treat dental issues within infants, children and patients in their early teens. 

Peadiatric Dentistry deals with the oral health of children from infancy to the teen years.
Peadiatric Dentists have the qualifications and experience to care for a child's teeth, mouth and gums throughout the various stages of childhood.


EDUCATION

Peadiatric Dentists have completed at least:

• Five years of dental school;
• One year of community service;
• An additional year of postgraduate training in dentistry for infants, children, teenagers and children with special needs;
• An additional year in a postgraduate residency program, which may result in a certificate or master's degree in Peadiatric Dentistry.

TYPES OF TREATMENT PROVIDED BY PEADIATRIC DENTISTS

Peadiatric dentists provide comprehensive oralcare that includes the following:

• Infant oral health exams, which include risk assessment for caries in mother and child
• Preventive dental care including cleaning and fluoride treatments, as well as nutrition and diet recommendations
• Habit counseling (for example, pacifier use and thumb sucking)
• Early assessment and treatment for straightening teeth and correcting an improper bite (orthodontics)
• Repair of tooth cavities or defects
• Diagnosis of oral conditions associated with diseases such as diabetes, congenital heart defect, asthma, hay fever, and attention deficit/ hyperactivity disorder
• Management of gum diseases and conditions including ulcers, short frenulae, mucoceles, and pediatric periodontal disease
• Care for dental injuries (for example, fractured, displaced, or knocked-out teeth)

THE BEST ORAL HEALTH CARE FOR CHILDREN

Children are not just small adults. They are not always able to be patient and cooperative during a dental exam. Pediatric dentists know how to examine and treat children in ways that make them comfortable. In addition, pediatric dentists use specially designed equipment in offices that are arranged and decorated with children in mind.

When your Peadiatrician suggests that your child receives a dental exam, try to find a Peadiatric Dentist in your vicinity.

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TEETHING

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When do babies start teething?

This is a question I often hear.
Most babies sprout the first tooth when they're between 4 and 7 months old. An early developer may get the first tooth as early as 3 months, while it may take a late bloomer until the end of the first year. Even longer.




Baby teething is a rite of passage for every little one and involves the movement of teeth in and through the gums. Therefore, it's no surprise that it can be very painful for them, and in turn, stressful for the parents. To help you out, I have compiled a quick guide of what to expect from a little teether. Not all babies have all the teething symptoms, but see if you can recognise any of these.....

TEETHING SYMPTOMS

• Excessive drooling
• Biting more than usual -on anything from plastic spoons, to toys, to Mommy's breast
• Fussier than usual -especially at night
• Disturbances in sleep patterns
• Fever, rashes, cough and diarrhoea
• Decreased appetite
• Pulling on ears, rubbing of chin and cheeks
• Loss of appetite

So clearly not a fun time for everybody involved in this growth process. 
But in the meantime, we don't have to be victims. There are some great things we can do to comfort the baby who is teething.

TEETHING REMEDIES

•  Rub a clean finger gently but firmly over your baby's sore gums to ease the pain temporarily
• Give your baby something to chew on, like a firm rubber teething ring
• Silicone teething rings are a safe choice. But they must be made of silicone, rather than latex or plastic.
• Wooden teethers can be used as an alternative to silicone and rubber. What works for one baby may not be right for the next.
• Amber teething necklaces. The idea is that baby’s body heat triggers the baltic amber to release an oil that contains succinic acid, a natural anti-inflammatory. Whether it works is still up for debate.
• Babies who are old enough for solids, may get some relief from eating cold foods, such as yoghurt or apple sauce. 
• Babies who can chew on finger foods, can start to gnaw on hard, unsweetened teething biscuits. Just keep an eye on them and be mindful of choking. 

Is it safe to give pain medication?
Some doctors may want to describe infant's ibuprofen or acetaminophen (for babies 6 months and older).
However, before giving any pain reliever to a child younger than 2, ask about correct dosages. And be very certain about allergies and potential side-effects.

*Unsafe pain relievers to give to a baby: 

• Aspirin   -can cause Reye's syndrome; a rare but potentially life-threatening condition.
• Homeopathic teething gels and tablets   -too little research has been done about potential side-effects of these remedies. 
• Benzocaine     -found in topical gels and medications. 

Some little ones breeze through teething, but most are not that lucky.  
And for many parents the signs of teething can be rather confusing. It may be challenging  to wrap their heads around what to do and how to get through this milestone development.
If you are such a parent, I hope this article is of help to you and your baby.

If you enjoyed reading this post, leave a comment, suggestion or question in the space below. 

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DENTAL CARE FOR YOUR PETS..

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The past weeks has been all about toothbrushing and how to maintain good oral hygiene. This topic is fascinating to a lot of people in my circle of friends. I have found myself having to field a lot of questions during our weekly meetings. At church, over lunch, at the gym, etc..
Especially the mothers in my friend circle, have approached me for advice on their children's oral hygiene. 

But this past week, an unusual topic cropped up with my Wednesday, Supper Club meeting.
A lot of the guests have cats and dogs. And they introduced this subject of how to care for the teeth of their domestic pets. When I get questions like these; I will most often refer to a veterinarian; because that is their speciality. 
However, I am told that a visit to the Vet can be very expensive. So I will attempt to help as best I can with tips on homecare.


Pet Dental Care 

I consulted a Veterinarian who assured me that taking care of a pet's teeth is as important as looking after our own teeth.
They are also prone to developing gum infections and disease from plaque bacteria.
This can be a serious issue as they grow older. Bacteria and toxins attack the tooth, bone, gum and connective tissue around the tooth, which can lead to serious infection and the tooth falling out.
So taking care of your pets teeth will not only lead to a healthier pet, but also help you avoid expensive dental bills.

And remember, dogs can have bad breath for a variety of health reasons so don't' dismiss a foul smell as plain old "doggy breath".



Tell-tale sign of problems

Any dental problems can be picked-up during the Vet's check-up, but here are some things to look out for:

• Yellow and brown tartar deposits on the gum line;
• Difficulty eating;
• Swollen and bleeding gums;
• Bad breath 

TOOTHBRUSHING


So how to take care of your dog's teeth? Well, in much the same way as you take care of your own; regular brushing, a good diet and the occasional check-up. Brushing will be easier if you begin while they are still young, although a dog of any age will eventually get used to it.
Don't use toothpaste designed for people, dogs become distressed by the foam and it might upset their stomachs. There are pastes specially designed for pets that are safer and they will like the taste much better.
Depending on the size of your dog's teeth and mouth you may be able to use a regular toothbrush. There are however, specially designed brushes that fit on your finger to make brushing easier. Ask your vet what he or she would recommend.

TIPS FOR MAKING IT EASIER

To get your dog or cat used to having their teeth brushed; start with plenty of reassurance to calm him down. Let him have a tiny taste of the toothpaste then gently massage hit teeth to get him used to the sensation.
He might not like it at first, but be patient, you'll get there in the end.

Brush in a circular motion, paying particular attention to where the tooth meets the gum. Then, when you're almost finished, brush vertically towards the inside of his mouth to clear any plaque you've dislodged.
You should brush your dog's teeth at least once a week but once a day is best.

ALTERNATIVES TO TOOTHBRUSHING


There are specially formulated dog foods and dog treats that can reduce tartar and avoid the onset of periodontal disease.
This is the simplest way of making sure your dog gets some form of 'brushing' each day.
Talk to your vet to see if they have a particular food or method they prefer. Remember though, that keeping your dog's teeth in good condition is essential for his overall health.

 CONCLUSIONS

Caring for your pet's teeth can prevent other health problems, saving you tons of money over the long term.
If you have any questions or concerns, you should always visit or call your veterinarian - they are your best resource to ensure the health and well-being of your pets. 

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DIFFERENT TYPES OF TOOTHBRUSHES -Part 3

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Today's third instalment of the different types of toothbrushes will cover the other types of toothbrushes on the market. Part 1 and Part 2 explained the electrical and manual toothbrush; but there are more specialized toothbrushes that dentists recommend to their patients. 

As a complement to the regular toothbrush, there are special devices to make cleaning easier. 

INTERDENTAL BRUSHES

An interdental brush is a small brush specially designed for cleaning between your teeth, where a regular toothbrush does not reach. It can also be used by people with spaces between to clean those interdental spaces. In addition to your regular daily toothbrushing, using an interdental brush every day, is an easy and efficient method to keep your gums and teeth fresh and healthy. Cleaning with an interdental brush prevents gum inflammation, cavities and bad breath.

The brush resembles a tiny bottle brush.  All interdental brushes have a plastic coated wire and comes in differing sizes.

IMPLANT BRUSHES

Patients who have dental implants, thorough oral hygiene is necessary to prevent disease and inflammation around the implants. Implant brushes will help to clean around implanted teeth. 

The implant brush has an extra narrow head for easy cleaning of implants from the outside.

This slim brush head reaches even very narrow areas. 

An angled neck makes it easier to clean the implant abutments from the inside.

Soft, end-rounded filaments ensure a gentle clean.

DENTURE BRUSHES

Specially designed for people with dentures. These brushes are used  to clean dentures thoroughly and quickly. 

The brush has a thicker handle that is contoured for easy gripping; while cleaning and brushing dentures. It is a double-headed brush fro better and more thorough cleaning.

The bristles are made of a very high-quality, durable nylon to ensure longevity and effectiveness. Denture brush bristles will normally be harder than the average, medium toothbrush used by non-denture wearers. 

KIDDIES TOOTHBRUSHES

Parents are encouraged to start brushing their child's teeth as soon as the first tooth has erupted. The best way to introduce oral hygiene is to make it seem like fun. Some children love it from the start, while others will put up resistance. 

Kiddies toothbrushes also come in all kinds of fun designs and sizes. 

Here are some of the things to pay attention to when taking your child toothbrush shopping:

• Children's toothbrushes should always have soft bristles; because it's all they need to properly clean their teeth.
• Cartoon characters and great colours are one of the best things to exploit, when trying to get children to try new things.
• So of these toothbrushes have big, fat handles for an easy grip. However, those handles may prove to be too much for some children to hold. So a thinner handle that fit comfortably in their hands might work best.

Very often a child's first toothbrush will be a finger toothbrush.  Finger toothbrushes look like small finger puppets that you can put on the end of a finger. They are extra soft, looks and feels like a toy that they get to play with. It work best for babies and children with only a few teeth. The parent should be the one to begin brushing their teeth with the finger puppet, and then let them take over when they become comfortable. 

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DIFFERENT TYPES OF TOOTHBRUSHES -Part 1

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Last week's Blogpost covered a very interesting subject; i.e THE HISTORY OF TOOTHBRUSHING.
And I would like to build on that topic by discussing the different types of toothbrushes currently on the market.
So in today's Blogpost, I will answer all of your questions about the best toothbrush for your teeth, review each type of toothbrush and go over its pros and cons.

In January 2003, the toothbrush was selected as the number one invention Americans could not live without. 




To encourage good dental hygiene and to help you make sure that you're using a new, effective brush that hasn't been worn down or matted with use, most dentists give their patients new toothbrushes at every cleaning.
However, is the toothbrush your dentist gave you really the best for your dental and oral health needs? How can you tell which brush is right for you?

TYPES OF TOOTHBRUSHES

Manufacturers have come up with many different types of toothbrushes. There are two broad classifications of toothbrushes: manual and elecric.
Before you even get to electric toothbrushes, the manual ones will offer you very many types.

MANUAL TOOTHBRUSHES

Manual toothbrushes are operated by hand. 

Classifications of manual brushes are based on:

1. Hardness  - The hardness of the bristles varies, and this is very important to check                            when buying a toothbrush. 
           Soft:     For most people, a soft toothbrush is recommended since it is easier                             on the gums and teeth. 
          Medium: Medium types are good enough for people with average dental                                      conditions.                     
         Hard:     Hard bristle toothbrushes are quite difficult to find on the market now                             because of the increasing preference for softer alternatives. The                                   hard bristles are likely to cause gum recession, lesions, and                                           bleeding, depending on how much force you use when cleaning your                             teeth.                                                                                                                                                         
2. Shape of head -Toothbrush heads can either be conventional or diamond shaped.                                                                                                                                              DIAMOND-SHAPED     
   
                               Diamond shaped toothbrushes have narrow                                  tips. This shape allows the bristles to get to                                    the back and sides of your molars.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     ------------------------------                                                                                                                                                                                                            CONVENTIONAL-SHAPED                      
   
                                                                                             Conventional toothbrush heads are larger than diamond shaped brushes. Very large heads could pose a challenge when cleaning the molars and premolars.                      
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
3. Bristle Pattern -Dental associations have set standards for the design of toothbrush                               bristles. For example, the bristles can't be made with sharp edges.                                 The bristles should also not fall off under normal use.                                                                                                                                                                                                                                                                                                                                 
4. Handle design -Handles for toothbrushes vary from basic to quite complex designs.                               Manufacturers are free to come up with creative handle design.                                     Choosing the design should mostly be based on whatever you find                                 convenient and comfortable.                                                                                             The handle should be thin enough to fit into your mouth and in your                               hand. 

There is much more information about toothbrushes that you may find useful.

However, that is what I will leave you with for today. And in my next Blogpost, I talk more about the other types of toothbrushes that are on the market.

TIP: It is important to change your toothbrush after every three months for proper dental 

        health. In case the bristles begin to show signs of wear and tear before the three 

        months, you should replace  the toothbrush sooner. You can try different shapes and 

        sizes to find a brush feel that most comfortable in your mouth.

                                           

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DIFFERENT TYPES OF TOOTHBRUSHES -Part 2

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The last Blogpost was very popular with readers.
And this post is a continuation that give some more information. Today I will talk about the electric toothbrushes.
A manual toothbrush works well if  you are a diligent brusher, but more and more people are opting for electric toothbrushes. 

I know it's Friday; but do pay attention...😊

ELECTRIC TOOTHBRUSHES

Also known as powered toothbrushes, these tools offer greater levels of convenience to users at all times. The brush makes quick motions that don't require the input of the user. The movement can be back and forth oscillations or rotations. Those that use the oscillatory motions require users to move the brush from tooth to tooth as they brush their teeth. Electric toothbrushes that use vibrating motions are used just like traditional alternatives. The only difference is that the brush makes the back and forth movements for you. Vibrating brushes are usually more expensive than rotating options.

Electric toothbrushes are usually controlled by motors. You don't need to buy a new electric toothbrush often. Instead, you should simply replace the brush head. As in the case of manual toothbrushes; this should be done evey three months for optimal outcomes. 

Powered toothbrushes do have to be recharged, since they run on electricity. And their battery lives vary.

If you intend to travel with your toothbrush, you should remember to carry it's charger too.

Powered toothbrushes can offer you greater convenience. They can be used to time your brushing sessions and sense how much pressure you are using. To reduce the discomfort of the vibrations, you can go for brushes with soft grip handles.

TIP: 

Dentists and manufacturers come up with great ideas and designs for toothbrushes. These are meant to make toothbrushing simpler, more comfortable and convenient.
But always remember to replace your toothbrush as soon as the bristles start to wear.
And you should always select the most comfortable and efficient toothbrush.