Children don’t need to brush their teeth until they have all their adult teeth

Okay, so I’ve been reading a lot online and talking to some other parents at the park, and I’m starting to think maybe we’re overdoing it with the teeth brushing. My little one, Leo, is only 5, and he HATES brushing. It’s a total battle every morning and night. Honestly, his baby teeth are going to fall out anyway, right? Why bother with all the fuss?

I mean, surely it’s not that important to brush these temporary teeth religiously. Isn’t it more important to focus on when his permanent teeth come in? Then, we can really get serious about brushing and flossing to protect those teeth for life. Am I wrong in thinking this? Are we just creating unnecessary stress for everyone by forcing him to brush when it feels like it doesn’t even matter? I’m looking for some reassurance, or maybe a reality check if I’m completely off base!

Answer

This statement is incorrect and potentially harmful to a child’s dental health. Children absolutely need to brush their teeth long before they have all their adult teeth. In fact, oral hygiene should begin even before the first tooth erupts.

Here’s a detailed explanation:

Why Early Oral Hygiene is Crucial:

• Preventing Early Childhood Caries (ECC): ECC, also known as baby bottle tooth decay or nursing bottle caries, is a severe form of tooth decay that affects infants and young children. It’s caused by frequent and prolonged exposure of a child’s teeth to sugary liquids (milk, formula, juice). Bacteria in the mouth feed on these sugars, producing acids that attack the tooth enamel. ECC can lead to pain, difficulty eating, speech problems, and the need for extensive dental treatment, including extractions. Beginning oral hygiene early helps to remove bacteria and sugar, preventing ECC.
• Establishing Good Oral Hygiene Habits: Starting early creates a foundation for lifelong oral health. Children who learn to brush regularly as toddlers are more likely to continue the habit into adulthood. Consistent brushing reinforces the importance of dental care.
• Gum Health: Brushing not only cleans teeth, but it also stimulates and cleans the gums. Healthy gums are essential for supporting both baby teeth and the permanent teeth that will eventually replace them. Inflammation of the gums (gingivitis) can occur even in young children if plaque is not removed regularly.
• Preparing for Permanent Teeth: Baby teeth act as placeholders for permanent teeth. If a baby tooth is lost prematurely due to decay, the surrounding teeth can shift, potentially causing crowding or misalignment of the permanent teeth. Maintaining the health of baby teeth ensures proper spacing for the adult teeth to erupt correctly.
• Reducing Bacterial Load: The mouth is a breeding ground for bacteria. Reducing the overall bacterial load in a child’s mouth through regular brushing helps prevent infections and can even impact overall health. Oral bacteria have been linked to other health issues.
• Fluoride Exposure: Toothpaste contains fluoride, a mineral that strengthens tooth enamel and makes it more resistant to acid attacks. Regular brushing with fluoride toothpaste helps protect teeth from decay.

When to Start Oral Hygiene:

• Before the First Tooth: Even before the first tooth erupts (usually around 6 months of age), parents should gently wipe their baby’s gums with a soft, damp cloth or gauze after feedings. This removes milk residue and bacteria.
• As Soon as the First Tooth Appears: Once the first tooth emerges, parents should start brushing it twice a day with a soft-bristled toothbrush designed for infants and a smear (rice grain-sized amount) of fluoride toothpaste.
• Around Age 3: When a child is around 3 years old, parents can increase the amount of fluoride toothpaste to a pea-sized amount. At this age, the child can start learning to brush their own teeth under parental supervision. However, parents should still assist with brushing to ensure all surfaces of the teeth are cleaned thoroughly.

Key Recommendations:

• Brush teeth twice a day (morning and before bed) with fluoride toothpaste.
• Use a soft-bristled toothbrush.
• Supervise children while brushing until they are at least 7 or 8 years old.
• Limit sugary snacks and drinks.
• Schedule regular dental checkups starting when the first tooth erupts or by age 1.
• Consult with a dentist or pediatrician regarding fluoride supplementation if necessary.

In Summary: Waiting until all adult teeth have erupted to begin brushing is a recipe for dental problems. Early and consistent oral hygiene is essential for preventing decay, establishing good habits, and ensuring a lifetime of healthy teeth.