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Dental Care After Pregnancy

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Newborns And Kids

Nothing makes parents happier than witnessing their children’s teethless smiles.

Your infant, on the other hand, has 20 unerupted teeth in his or her jaws. At roughly 6 months, these baby teeth break through the gums, helping to set the tone for future smiles by preserving jaw space for adult teeth.

The IDA suggests that you send your children to their first dental appointment as soon as your paediatrician allows it if you discover something unusual in their mouth.

Concerns Unique To Newborns

The most joyous moment in a couple’s life is holding their newborn baby. With this newfound happiness comes newfound parental obligations. Parents are concerned about their children’s health, and the dental health of their children is an important element of their general well-being.

Even if a newborn appears to be toothless, IDA recommended that you visit the dentist as soon as the paediatrician allows it. There are a few dental anomalies that can be seen in babies.

Some of the problems that are particular to babies are as follows:

Cleft Lip / Cleft Palate is a condition in which one or both lips are missing.

Cleft lip is a facial and oral birth condition in which the upper lips do not seal together before birth and remain separated. Cleft palate is a term used to describe identical cracks in the roof of the mouth. During the development of a foetus, both cleft lip and palate can occur alone or together in the same child. It could be related to a combination of hereditary factors and maternal environmental exposures during pregnancy.

Cleft lip and palate, in addition to changing the appearance of the face, can cause a range of problems, including:

  • Difficulty eating
  • Speech difficulties
  • Ear infections
  • Teeth that are misaligned

Both cleft lip and palate can be repaired with surgery performed between the ages of three and six months. The number of procedures needed is determined by the severity of the problem. Although modest clefting of the palate may be undetected at first, these birth abnormalities are diagnosed at delivery.

If a cleft is detected, the IDA recommends consulting your doctor and dentist for a physical examination and further information about treatment options. To enhance active feeding, infants with cleft lip and palate should be fed using a Pigeon system bottle. The baby must, however, suck a little harder. The Pigeon system bottle includes a one-way valve that prevents milk from returning to the bottle after being sucked through.

Breastfeeding is still possible, however it is recommended that you get advice from a lactation educator first.


Those who have a child with a cleft lip or palate are more likely to have more children with the condition. Answers may be found through genetic counselling or testing.

During pregnancy, it is recommended that you stay away from alcohol and drugs. Folic acid supplements, on the other hand, can aid if used regularly during the first month before conception and during the early months of pregnancy.

Surgical procedures can be used to fix a cleft lip and palate. Depending on the severity of the disease, a cleft lip usually necessitates one or two procedures. By the time a newborn is three months old, the first surgery is usually done.

Cleft palate, on the other hand, necessitates many procedures spread out over an 18-year period. When the baby is between 6 months and a year old, the first operation is performed. This procedure develops a functioning palate, which helps to reduce the likelihood of fluid buildup in the middle ear. It also helps the teeth and facial bones develop properly.

Children with cleft palates may require a bone graft to fill in the upper gum line in some circumstances. Bone grafting supports permanent teeth and aids in the stabilisation of the upper jaw and is performed when the child is around 8 years old. Around 20% of children with a cleft palate require additional surgery to improve their speech. Braces are frequently required to correct teeth once the permanent teeth have emerged.

To improve the overall appearance of the lip and nose, many procedures are frequently recommended and performed. Surgery may also be indicated to close the gap between the patient’s mouth and nose, improve breathing, and stabilise and realign the jaw. After adolescence, when the face structure has fully matured, the scars left by the initial surgery are only operated on.

Concerns Unique To Kids

There’s nothing more infectious than a young child’s laughter, regardless of what they’re laughing at. Starting with the “Terrible Twos,” this is the age group that is perhaps the most difficult to manage as a parent. This is the period during which a child’s identity is formed in connection to its surroundings and people. Because good and negative habits are most easily picked up in this age group, parents must be particularly vigilant.

Teething is also at this time, which most parents consider to be a nightmare. When a child first learns to walk, falls, and then walks again. A time for going to playschool and learning to communicate. All of these significant first-time experiences take place in this age group.

When a youngster loses a tooth too early, the permanent teeth may press into the vacant space, preventing the growth of other adult teeth as they emerge. This causes crooked or crowded teeth. Infants are always at risk of tooth decay, therefore they should practise better oral hygiene to safeguard their teeth in the future. Parents should take their children to the dentist after their first birthday and at regular intervals thereafter, according to the IDA.

The First Stroke

When your child is roughly six months old, he or she is at risk for tooth decay. ‘Baby Bottle Tooth Decay’ is a term used to describe the decay that develops in newborns and toddlers’ top front teeth. There’s a potential, though, that other teeth will be damaged as well. In fact, dental decay in infants and toddlers is so severe that their teeth are unable to be preserved and must be pulled.

The good news is that tooth decay can be avoided in most cases. By the time they are three years old, most children have a full set of 20 main teeth, and as they grow, their jaws expand, making room for new teeth.

Keeping Your Child’s Teeth Clean

Cleaning your baby’s mouth in the first few days after delivery is crucial. Wipe the gums with a clean washcloth or damp gauze pad to do this. Tooth decay can strike as soon as the teeth develop. Brush your child’s teeth with a child-size toothbrush and water. In most situations, your child’s first four front teeth appear around the age of six months. In other situations, the first tooth does not show for another 12 to 14 months.

Brush the teeth of youngsters above the age of two using a pea-sized dollop of fluoride toothpaste. Make certain they spit the toothpaste out. (If you plan to use fluoride toothpaste before the age of two, see your child’s dentist or physician.) Continue brushing your child’s teeth twice a day using a child-size toothbrush and a pea-sized amount of fluoride toothpaste until you’re certain that your youngster can brush on his or her own, according to the IDA. You should start flossing your child’s teeth when they have two teeth that contact. Visit your dentist today to learn how to brush your baby’s teeth properly.

Brush your children’s teeth using pea-sized flouride-based toothpaste if they are over the age of two. If your child is under the age of two, you can contact your child’s dentist for advice on the best toothpaste for him or her. Brush your child’s teeth until he or she is comfortable brushing them alone, according to the IDA.


Teeth do not form until about six months after birth, so most babies do not have visible teeth. All 20 baby teeth will eventually push through the gums throughout the first few years, and by the age of three, most children will have their entire set of teeth. The front side teeth usually appear within the first six months, but it might take up to 14 months in some situations. This stage can be distressing for babies, as they become restless, irritable, and sleepless, as well as losing their food or drooling excessively.

Mild fever, diarrhoea, and rashes, on the other hand, are not indications of a teething baby. If your child has diarrhoea or a fever, you should seek medical attention right once. When your child’s first teeth develop, his or her gums may be sensitive or irritated. Rub your child’s gums gently with a clean finger, a cool spoon, or a wet gauze pad to calm them down. You can also get your youngster a clean teething ring to chew on. A pacifier may also be recommended by your dentist or paediatrician.

Because benzocaine products are not suited for children under the age of two, the IDA advises parents to seek medical advice before purchasing such items for their children. Parents should take their child to the dentist for an initial checkup after the first tooth appears, but only after the child has reached the age of one year.

Pacifiers: Because babies have a strong sucking reflex, most parents use pacifiers to keep their babies comfortable while also giving themselves a break from continual parenting. Pacifiers have numerous advantages, which is why they are frequently recommended for new mothers.

We’ll take a look at a few of the advantages of utilising pacifiers:

Sudden Infant Death Syndrome (SIDS) prevention: SIDS, also known as Sudden Infant Death Syndrome, can cause serious health problems. The use of pacifiers can help your baby enjoy a good night’s sleep. It is not advisable, however, to place the pacifier back in the baby’s mouth once he or she has fallen asleep.

Comfort: Pacifiers are typically used to soothe a cranky baby. As a result, parents should keep a pacifier on hand at all times to comfort their weeping or colicky infant.

Suck Reflex: Pacifiers aid in the suck reflex’s satisfaction. The baby is prevented from sucking his or her own thumb.

Is it really necessary to use a pacifier?

Increases Ear Infections: According to a study published in the journal Pediatrics, pacifiers can increase ear infections by 40%. According to the article, excessive pacifier sucking can cause Acute Otitis Media (AOM).

If pacifiers are administered too early and frequently, a baby may become confused between the mother’s nipple and a pacifier.

Pacifier Dependent: Similarly, parents may misinterpret a baby’s need for a pacifier when the baby actually need nutrition-based sucking for food.

Developing Tooth and Speaking Conditions: Consistently sucking pacifiers might affect tooth alignment and delay speech.

The IDA advises against using pacifiers that have been dipped in honey, sugar, juice, or sweetened drinks because this might cause tooth disease. Cavity-causing bacteria can also transfer from the mother’s or caregiver’s saliva to the infant’s mouth, causing tooth decay. Consult your dentist for more information on whether or not you should use a pacifier.

Concerns Unique To Children

Space Maintainers

Your child’s baby teeth may fall out before the permanent tooth emerges in some cases. The purpose of space maintainers is to “save space” for the permanent teeth that will erupt in the future. Space maintainers are composed of stainless steel and are fitted in such a way that the permanent tooth can erupt with ample space. When numerous permanent teeth erupt at the same space, there may not be enough space for them all, hence space maintainers are used to fill in the gaps created by the missing tooth. Removeable space maintainers can be glued on either side of the mouth’s teeth.

Space maintainers can be classified into three categories:

The band and loop maintainer is made of stainless steel and is secured in place by a crown on the tooth adjacent to the vacant space. The band or crown has a wire loop attached to it that sticks out and keeps space in the location of the missing tooth and where the permanent tooth will erupt in the future.

When teeth in the rear of the mouth, especially in the lower jaw, are missing, low wire space maintainers, also known as lingual arch, are utilised.
When a youngster loses a baby tooth just in front of a molar teeth that hasn’t fully developed, a distal shoe appliance is utilised to keep the space. The gum is inserted with the space maintainer.

Dentists may have difficulty installing space maintainers in some circumstances because children, particularly those with respiratory problems or those who are very young, may refuse to participate during the procedure. Installing the space maintainers is critical since they can break or be improperly installed, causing additional problems.

Fissure Sealants

Cavities can cause a variety of dental issues, particularly in youngsters, thus parents must instil proper oral hygiene habits in their children at a young age. Because they operate as barriers to cavity-prone areas, fissure sealants are a superior way to protect your child’s teeth against cavities. The sealant is placed to the chewing surface of the tooth, as well as deeper pits and grooves on occasion. 

The procedure is simple and painless. The sealant acts as a barrier, preventing deterioration on the tooth’s surface. Because many of the teeth at the rear of the mouth have deep cracks, brushing is tough. Food particles and germs become lodged in the crevices, causing tooth decay. Fissure sealants fill in the cracks and fissures in your teeth, preventing food particles and bacteria from getting deeper and causing tooth decay. Fissure sealants are non-invasive and can be reapplied as needed.

Process of Using Fissure Sealants

Before applying the sealant, it’s critical to inspect the fissures. The dental practitioner then cleans the tooth surface before applying a particular solution to it. The coating is applied in a systematic manner, without the need for injections or drillings, making the entire sealing procedure painless.

When Is It Appropriate to Perform It?

Permanent back molars are usually cemented by the time a child reaches the age of six. As a result, as new molars sprout, they are also sealed, reducing the risk of tooth decay.

Is there a need for special care?

Fissure sealants don’t require special maintenance, but that doesn’t imply you shouldn’t wash your teeth. Brushing teeth with a proper toothbrush and fluoride-based toothpaste should be done on a frequent basis. The IDA advises that you see your dentist on a regular basis to keep track of any other permanent teeth that require treatment.

Emergency Dental Care

Accidents can happen anywhere, at any time, and you may not be able to predict when they will happen, but you can absolutely save your child’s teeth if you act quickly. When your child needs a dental checkup or treatment, it is recommended that you visit your dentist right away.

Bitten Tongue or Lip

Bitten lips or tongue can cause further bleeding, so rinse them gently with water and apply a cold compress to the damaged region, such as a cool wet towel.

In-between-the-Teeth Objects

To remove things lodged in between the teeth, dental floss is usually recommended. When cleaning up food particles, avoid using metal, plastic, or sharp objects.

Tooth that has been knocked out

You should see a dentist right once if your child’s tooth has been knocked out. If you can locate the knocked-out tooth, you must locate it and thoroughly rinse it with water (no soap water). Within 15- 20 minutes, try re-inserting the tooth into the socket and holding it in place with a clean towel/gauze, then contact your dentist.

Loose Tooth is a condition that occurs when a tooth becomes loose.

A loose tooth requires emergency medical attention, so visit a dentist before your child swallows it.

Toothache is a frequent complaint among youngsters, and many of them suffer from tooth pain. The first step is to clean your mouth with warm water and examine your teeth for anything lodged between them. To reduce pain, apply a cold compress. Topical pain relievers might harm the gums, so don’t give them to your child. Examine your tooth at the dentist.

Broken Jaw

Fractured jaws must be treated with extreme caution, and your child’s broken jaw should be examined by a dentist. To minimise edoema, start with a cold compress. In the vast majority of cases, it is the outcome of a potentially fatal brain injury.

Milk Bottle Syndrome

Milk bottle syndrome, also known as Baby Bottle Tooth Erode, Baby Bottle Syndrome, or Early Childhood Caries, is a disorder in which an infant child’s baby teeth decay quickly as a result of sugary beverage ingestion. Sugary beverages frequently come into contact with the top front teeth, causing decay. The majority of the time, parents are advised that they must wait till their child is older to receive proper treatment since the child is too young. All of this, however, is untrue, and you should ensure that your child has baby teeth, which are necessary for chewing food and maintaining a good grin.

Tooth decay is a serious problem that needs to be addressed right away. Babies usually fall asleep while being fed by bottle or breast. Around the front teeth, the sugary liquid remains. Sugars are converted to acid by bacteria in the mouth, which causes tooth decay. Bottles of newborn formula, milk, or juice, a pacifier dipped in honey, or breast milk are all common sources of high-sugar fluids.

How Can Milk Bottle Syndrome Be Prevented?

  • Make sure your child brushes his or her teeth on a regular basis.
  • Never let your child sleep with a bottle of milk, juice, or infant formula in his or her mouth.
  • Don’t let your child drink too much milk or juice from a bottle.

When your child is thirsty, give him or her simple water.

  • Make sure your youngster gets the flouride he or she needs to keep their teeth healthy.
  • Seek advice from your dentist and schedule frequent dental visits.

Flouride Needs

Flouride is naturally present in all water sources including oceans, rivers and lakes. It’s also in municipal tap water, toothpastes, and mouthwash. Tooth decay may be a problem for many toddlers and infants who do not get enough flouride, as flouride aids in the resistance and repair of compromised tooth enamel. As a result, children who drink bottled water may not get enough flouride because bottled water does not contain it. To ensure that your community tap water contains flouride, contact your local and state health departments, as well as your water supplier.

The IDA recommends that you discuss your child’s flouride requirements with his or her dentist. If the community-tap water is not flouridated, your dentist may offer a flouride supplement. Excess flouridation, on the other hand, can be dangerous and lead to a condition known as flourosis. Rather than being mislead by marketing, ask your dentist for the correct information.


Enamel flourosis is a condition that affects the appearance of your teeth. It is commonly misconstrued as a sickness. Enamel flourosis usually manifests itself as barely visible faint white streaks or lines on the enamel, with no effect on the function of your teeth. In other circumstances, the effect is so minor that it can only be seen by a dental professional during an examination. It happens when teeth are developing beneath the gums. They are unable to produce enamel flourosis once they have broken through the gums.

How Can You Lower Your Chances of Getting Enamel Flourosis?

Enamel flourosis can be avoided by not allowing youngsters to use flouride-containing items such as toothpaste. Parents should clean their children’s teeth with a modest amount of flouride toothpaste if their children are under the age of three. Brush your teeth twice a day, or as suggested by your dentist. Adults should also monitor the amount of toothpaste used by youngsters to ensure that they are not using too much flouride toothpaste. This will also prevent children from swallowing toothpaste while brushing their teeth.

Recent research also suggests that using flouridated water to re-constitute infant formula on occasion has no effect on the risk of enamel flourosis. Drinking flouridated water can help prevent dental decay in children and adults, but in a tiny number of cases, it can also cause enamel flourosis.

According to the IDA, you should inspect your child’s mouth on a regular basis and visit a dentist if you notice anything unusual. Because prevention is the best policy, early detection can assist your child in receiving the finest treatment possible as soon as feasible.

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