Prevention for Early Childhood Caries

Good dietary habits

• No more than six regular meals a day should be allowed. After 2 years of age, only let your child eat three meals per day and take sufficient amount of food during each meal. One snack is allowed in between meals if your child feels hungry.
• Do not let toddlers sleep with a bottle in their mouth.
• Try to use a cup instead of a bottle for feeding when the toddler is 12 months old.

Appropriately clean the child’s mouth everyday

• Starting from the baby’s birth, parents should use gauze, cotton, or towel moistened with drinking water to clean the baby’s mouth.
• Wipe the front teeth when they are erupted.
• Use a soft-bristled toothbrush to brush the teeth daily when the deciduous molars are erupted.
• If the child knows how to spit out water, you can let him brush with children’s fluoride toothpaste (a pea sized blob) every morning and before bed at night. Every night after the child brushes, parents should supplement his/her brushing.

Regular dental check-up annually

A child should have his/her first oral check-up six months after he/she has his/her first tooth or when he/she is one year old. After that, parents should bring their children for regular dental check-up at least once per year.

Reference information: www.bjdental.com

It is not intended as medical advice to any specific person. If you have any need for personal advice or have any questions regarding your health, please consult your Dentist for diagnosis and treatment.

   

Causes and progression of gum disease

Causes

Development of gum disease is due to the presence of dental plaque that adhered to the tooth surface. If the oral hygiene is poor, dental plaque will accumulate along the gingival margin. The bacteria from the dental plaque release toxins that irritate the periodontal tissues (tissues surrounding a tooth) including the gums, periodontal membrane, jaw bone, etc., leading to development of gum disease


Process

 If dental plaque has accumulated for a period of time, the gingival margin will be inflamed leading to mild gum disease (gingivitis). If the body defense system is not good with impaired healing capacity, the periodontal tissues including the gums, periodontal membrane and jaw bone, etc., will be further damaged and gradually develop severe gum disease (periodontitis).






Gingivitis (mild gum disease)

When the teeth are not cleaned thoroughly, dental plaque accumulates at the gingival margin and interdental surface. The bacteria from the dental plaque secret toxins that irritate the gum, leading to inflammation and formation of gingivitis. The dental plaque can be calcified by the saliva to form calculus. The rough surface of the calculus further traps more dental plaque. The gum continuously inflamed and may even develop severe periodontal disease.







Periodontitis (severe gum disease)
 
When the oral hygiene is persistently poor, the periodontal tissues will be continuously under inflammation and destruction. The gum becomes detached from the root surface, such that a tiny space called periodontal pocket will be formed. Food debris, dental plaque and calculus will accumulate more easily inside the periodontal pocket, leading to more severe destruction of tissues, gradually develop periodontitis. There may be pus exudating from the periodontal pocket and leading to formation of abscess. Eventually the gum and the supporting bone will recede, and the root will be exposed that increase the chance of getting root decay.





When the inflammation and destruction are getting worse, the periodontal tissues like the gum and supporting bone will be badly destroyed and receded. The tooth loses its support and becomes mobile and drifted. Finally it may even come out by itself.

Reference information: www.bjdental.com, www.toothclub.gov.hk/

It is not intended as medical advice to any specific person. If you have any need for personal advice or have any questions regarding your health, please consult your Dentist for diagnosis and treatment.