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Your baby’s first smiles are precious—and you want to make sure those precious smiles are as healthy as they are beautiful. One of the most important ways to protect your child’s dental health is by preventing early childhood caries, or cavities.

You might be thinking, “Tooth decay? Babies?” Yes, babies and toddlers can get cavities, too. Studies suggest that over a quarter of children between the ages of two and five already have some form of tooth decay.

The bacteria that cause tooth decay are passed from person to person. Cavity-causing bacteria use the sugar and starches in our diets to produce acids—acids which attack the tooth’s enamel, breaking down its hard mineral structure until cavities form. Because baby teeth have thinner enamel coatings than adult teeth, they are especially vulnerable to tooth decay.

You can start your child on the path to a lifetime of healthy smiles by being proactive about cavity prevention during your baby’s first 12 months.

• Don’t Share Bacteria

Because cavity-causing oral bacteria are transmitted from person to person, doctors and dentists suggest that you don’t share a spoon with your baby, or put a pacifier in your mouth to clean it. And it’s a good idea to rinse toys used by other children with clean water before giving them to your child.

• Keep Bottles Out of Bed

Babies generally need a feeding before bedtime to ensure that they get all the nutrition their growing bodies need. But when a young child sleeps with a bottle, liquids pool in the mouth, exposing tiny teeth to these liquids throughout the night and preventing the natural flow of saliva from washing food particles away.

Bring your child’s happy day to a close with a lullaby, a bedtime story, a good night kiss, or whatever makes your baby feel comforted and loved—and take the bottle with you when you tiptoe out of the room.

• Avoid Sugary Drinks

How do parents make sure their babies get the nutrition they need without giving cavity-causing bacteria the fuel they need? With a healthy diet. Breast milk and formula have healthy nutrients, carbs, and sugars which are necessary for baby’s growth and development. Sugar water, sweet juices, and sodas—don’t.

Added sugars provide a feast for cavity-causing bacteria, and the more your child is exposed to them throughout the day, the greater the risk of tooth decay. Talk to Dr. Milillo, and Dr. Saldivar for the healthiest drinks for your baby’s bottle or sippy cup.

• Clean Baby’s Teeth and Gums

Dentists recommend cleaning your baby’s gums even before teeth begin to arrive. After washing your hands, using a clean, damp, soft cloth or gauze pad to gently wipe the gum surfaces to remove bacteria and food.

As soon as the first tooth appears, it’s time to start gentle brushing. Use a baby-sized toothbrush to gently clean the erupting teeth once in the morning and once after the last feeding of the day. And as soon as two baby teeth touch, it’s time to talk about flossing.

Not sure about baby-friendly tooth care products, toothpastes, and techniques? Talk to Dr. Milillo, and Dr. Saldivar! Learn about cleaning little gums, baby-size brushes, when to begin using fluoride toothpaste and how much toothpaste to use, when to brush, and when to start flossing.

• Establish a Dental Home for Your Child

The ideal time for your child’s first visit to our West Chester, Pennsylvania office is sometime between the appearance of your child’s first tooth and your child’s first birthday. It’s a gentle way to introduce your baby to the dental team who will be caring for those little smiles for many years to come.

During that first visit, your child’s dentist will check tooth and jaw development. There will be a child-friendly examination to look for plaque buildup or any signs of early decay, such as white spots on tooth enamel. You can talk about any concerns you might have and learn the best ways to prevent tooth decay with proactive dental care for healthy teeth and gums.

Why are we so concerned about baby teeth? Decayed teeth can cause pain and self-consciousness. And more, those tiny teeth have big responsibilities. Baby teeth influence your child’s speech development. They promote healthy eating and chewing habits. Baby teeth serve as placeholders to make sure that your child’s adult teeth will be able to erupt just where they should.

Your baby’s first smiles are precious. And when you’re proactive with early dental care, you’re preparing your child for a lifetime of healthy smiles.

Scientists have discovered tooth decay in specimens that are more than 15,000 years old. The ancients once thought that cavities were caused by something called “tooth worms” … Eew! They didn’t exist, of course, but how else could humans explain the holes that cavities make in teeth?

The appearance of cavities on a widespread basis is often traced to the rise of farming. The new diet filled with grains and carbs made our mouths a haven for cavity-causing bacteria. As we added more sugar to our diets, our teeth got worse.

The “tooth worm” idea didn’t completely disappear until the 1700s when scientists finally began to understand the process of dental caries. Once that part of the puzzle was solved, they began focusing on filling existing cavities and preventing new ones.

Dental Fillings Come of Age

Many different materials, including beeswax, cork, aluminum, tin, and even asbestos, have been used to fill the holes caused by dental decay. Sometime in the mid-1800s, however, dentists began to use metal fillings such as gold, platinum, silver and lead amalgams.

The amalgam we use today is mixed from liquid mercury, silver, tin, copper, zinc, and other metals, but some patients still like the look of a gold filling. Newer options include composite-resin fillings, which are made from a tooth-colored mixture of plastic resin and finely ground glass-like or quartz particles that form a durable and discreet filling. Porcelain or ceramic fillings are natural in color, but more resistant to staining.

Dr. Milillo, and Dr. Saldivar can help decide which filling is best for you, based on cost as well as your dental and lifestyle needs. You may not have “tooth worms,” but if you have cavities, contact our West Chester, Pennsylvania office so we can take the proper action to protect the health of your mouth.

Dr. Milillo, and Dr. Saldivar and our team at Water's Edge Dental hear this question all the time. Millions of people have dental crowns that artificially restore the chewing surface of a tooth. Also known as caps, these restorations surround the entire portion of the tooth that is above the gum line. Crowns are custom fabricated to match the color, shape, and size of other teeth and are visually undetectable to others. Several types of materials can be used to create crowns, including stainless steel, resin, metal alloys, porcelain fused to metal, or ceramic. When properly cared for and accurately fit, crowns can stay in place for a decade or more.

There are many reasons to get a dental crown, including:

• To restore a broken or cracked tooth
• To protect a tooth after a root canal
• To restore a severely decayed tooth
• To help anchor a dental bridge
• To complete a dental implant
• To protect a tooth that is at high risk for developing decay
• For cosmetic purposes

Getting a dental crown

The process of getting a dental crown begins at our West Chester, Pennsylvania office. X-rays are used to ensure the teeth are healthy enough to receive a crown. If the roots and surrounding bone are in satisfactory condition, the tooth will be numbed, filed, and reshaped in preparation for the crown. If the tooth root is not healthy, a root canal may be necessary first.

After the tooth is prepared, a special paste is placed over the upper and lower teeth to make impressions. These impressions serve as blueprints for the dental laboratory responsible for making the crown. They also help ensure the position of the new crown will not negatively affect a patient’s bite. The prepared tooth is protected by a temporary crown while the permanent one is made. When ready, the permanent crown replaces the temporary crown and is cemented in place.

To learn more about crowns, or to schedule an appointment with Dr. Milillo, and Dr. Saldivar, please give us a call at our convenient West Chester, Pennsylvania office!

The dog days of summer are upon us, and what better time for Dr. Milillo, and Dr. Saldivar and our team to ask our patients about their summer!

Whether you visited our nation’s capital, went on a camping trip, or just stayed in West Chester, Pennsylvania and relaxed, we want to know how you’re all spending your summer! Please feel free to share your summer plans and experiences with us below or on our Facebook page as summer rolls on!