From the first week or so of toothbrushing. |
Our favorite baby book (Baby 411) will remind you that one really should start wiping down a newborn's mouth after every meal and switch to a toothbrush as soon as they get their first tooth. I suppose I just reminded you of that too, but also, it's more-or-less as realistic as when your dentist tells you to floss after every meal (or the even more laughable advice to floss your kid's teeth after every meal)... So let's get real...
We added toothbrushing to the bedtime routine at around 14 months, when our child could reliably climb up the stool, stand in front of the sink, and do something that approximated the motor control consistent with tooth brushing.
So, When Do I start Taking my Child to the Dentist?
- 1. Someone can check for unlikely, but important medical issues regarding her teeth.
- 2. It gives your child a "dental home" in case you do have some urgent/acute need later on.
- 3. It helps your child acclimate to a strange (and often scary) environment. Because very little needs to happen medically on the first few visits, it allows time to see (and hear) the equipment and doctors and everything else. We picked a pediatric dental practice which has been amazing. She has a great time and has been surprisingly compliant with all of their requests.
Toothbrushing Routine
Yeah, talking a toddler into toothbrushing, even with the promise of something that tastes like "Bubble Fruit," is not easy. For a while we got away with with making up relevant verses to "If you're happy and you know it." (If you're happy and you know it get on the step stool... if you're happy and you know it brush your back teeth... And now you know how your parents went from the normal people of their 20s into the crazy people you know today.) When that stopped working, we started to make nightly use of our Time Timer, setting 5 minutes for toothbrushing at the risk of losing a bedtime story. This strategy, learned from 1-2-3- Magic, generally works well enough that we're not messing with it for now. Perhaps someday we'll write up the whole bedtime routine for those interested.
Children's Toothbrushes
To make things a bit easier and fun for her, we went with the Baby Banana Toddler Toothbrush. It's made of silicone so it's ok for teething kids to chew on, and, of course, looks like a banana. We went through a couple of these as her chewing eventually began to take a toll on the bristles. After her 2.5 year dentist's appointment, we officially switched to the regular style (kid-sized) toothbrush she picked out there.Obviously after letting her have some fun chewing on the brush, we'd do some actual brushing on her behalf, but the practice is paying off. At 2.75 years, she now does something that's pretty darn close to brushing her own teeth with some follow-up from Mom or Dad.
Kid's Toothpaste and Fluoride
Now what to put on the brush? If you're like me, you have vague memories of very sweet "Children's toothpaste" one could smear everywhere and was OK for kids to swallow as it had no fluoride. Those products still exist, but the latest recommendations from the AAPD suggests all kids use fluoridated toothpaste from the beginning. Of course, fluoride is still not great to swallow so the official guidance is to use a "smear" or "single grain of rice's" worth of toothpaste for kids under 3.That said, we're still using a children's fluoridated toothpaste for the sweet flavor (and slightly higher fluoride content per volume). One smear at a time, it's taking us quite a while to get through the tube. In fact, we're still using the first one we bought a year and a half ago. I'm pretty sure we picked whatever sounded like the least disgusting flavor available at the CVS we stopped by, but for what it's worth, we have the Colgate Kids oddly-titled Bubble Fruit flavor.
Avoiding Anti-Science
- 1. I realized I could not trust BabyGizmo as they apparently uncritically passed along manufacturer-speak, leaving us with one fewer source of reasonable information on baby gear.
- 2. Our previous one-way love affair with Grounded Parents became two-way as they published an article on the topic. Since then, I've been lucky enough to guest post my own rant there too.
In any case, find a dentist, listen to the folks at the AAPD, find some ways to make it a fun part of your nightly bedtime, and toothbrushing won't be at all like pulling teeth </dadhumor>.