CHILD DENTAL CARE
Treating children in dentistry is based on understanding
the Childs psychology. The actual dental procedures
are the same or even simpler than treating adults.
The key is to make the child respond to the dentist
in a relaxed environment to minimize the fear
a child has from the dentist.
Wrapping & holding children down is an out
dated practice and is found to produce many problems:
• Raise the alertness and fear of the child patient
towards the dentist.
• The child becomes ignorant towards his/her dental
health due the psychological trauma induced.
• As the child grows into an adult the fear of
going to the dentist remains preventing the
patient to seek dental treatment even in extreme
cases.
The key to child dental treatment is to prepare
and accommodate the child to receive dental treatment
by introducing the child to the dental office,
equipment and materials used by the dentist. This
may require more than one visit depending on the
child. A common mistake that occurs time &
time again is that the parents pressurize the
dentist to treat their child due to time restraints
and unwillingness of the parents to revisit the
dentist.
Parents play an important role in the dental treatment
of the child. Many people would wonder how? Well,
this starts even before visiting the dentist.
What explaining to the child that he/she is going to
do at the dentist prepares the child, parents must not threaten the
child with the dentist and explain in simple terms
that the child understands about what is going to happen
at the dental clinic.
For example: “We are going to see our dentist
tomorrow to count your teeth and take pictures
of your teeth. He might even give you a present
for being a good patient. Me & your father
visited the dentists it was really fun...etc”
and
You must not mention horror stories or negative
words that might put negative ideas in the child's
mind, otherwise the child will be afraid of going
and will expect the worst.
For example: ”If you don't eat we will take you
to the dentist…”
Not all children can be treated in the normal
dental setup and may require special environment
for treatment like: General anesthesia or sedation.
However the dentist would prefer to keep these
options as a last resort.
Monitor your child dental care through regulars
supervised brushing and topical fluoride application
which can be done at the dental office (gels &
sealants).
Tooth Brushing
All children need to brush their teeth at least
two times a day. At night before bedtime, and in the
morning after breakfast. By disturbing and removing
the plaque formation twice a day, parents can
minimize or eliminate their children's potential for
decay. For younger children a parent should brush
their teeth using a pea-sized amount of toothpaste.
As the child gets older and you see they have the
dexterity and patience to properly take care of
their teeth, you may give over the task. But do
periodically monitor their care. Toothbrushes should
be the proper size, smaller is better than bigger,
and always use a soft nylon brush in a circular
manner. This will prevent toothbrush abrasion,
excessive wear of the enamel at the gum line. Also a
toothbrush should be replaced when it is worn,
bristles splayed, or after more serious colds,
infection, Strep throat, etc.
Infants - teeth should be wiped off with a
gauze or washcloth with minimal toothpaste.
Toddlers - parents should brush their teeth
twice a day with a very small amount of toothpaste.
They should be encouraged to take some
responsibility and "help" brush.
3-6 year olds - let them brush, supervise
them, and do the final brushing to make sure all
surfaces of the teeth are cleaned. Also you need to
floss their teeth as they get older as the posterior
teeth get closer and tighter over time. Make sure
they can rinse their mouth so toothpaste doesn't get
swallowed.
6 and older - continue supervision until you
are sure they can brush and floss properly.
In general, make brushing fun and a game for young
children. Brushing away the pasta, crackers, etc.,
gives them the understanding that brushing is to
remove food from the teeth.
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