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Dental Caries In Children

AMBULATORY CARE:

Dental caries

are also called cavities. Cavities are caused by bacteria. The bacteria mix with carbohydrates from foods and create acids. The acids break down areas of enamel, which covers the outside of a tooth. This creates a small hole in the tooth called a cavity.

Common symptoms include the following:

Your child may not have any symptoms if the dental caries have just started to form. When the dental caries reach deeper parts of your child's tooth, he or she may have pain. The pain may get worse when your child chews or eats hot or cold foods.

Seek care immediately if:

  • Your child has severe pain.
  • Your child has swelling in his or her jaw or cheek.

Contact your child's healthcare provider if:

  • Your child has a fever.
  • Your child's tooth pain gets worse.
  • You have questions or concerns about your child's condition or care.

Treatment for your child's dental caries

may include the following:

  • Fluoride treatments may be given to prevent more decay. Your child may be given fluoride treatments during dental visits, or he or she may use products with fluoride at home. Fluoride can be found in the form of a mouth rinse or gel. Your child's dentist will tell you what kind of fluoride to buy and how to use it.
  • A filling may be placed in your child's tooth after the decayed portion is removed. The filling may help to protect your child's tooth from more decay.

Prevent dental caries:

  • Help your child brush his or her teeth.
    • A child younger than 3 years needs to have his or her teeth brushed twice a day. Brush your child's teeth with a children's toothbrush and water. Your child's healthcare provider may recommend that you brush his or her teeth with a small smear of toothpaste with fluoride. Make sure your child spits all of the toothpaste out. Before your child's teeth come in, clean his or her gums and mouth with a soft cloth or infant toothbrush once a day.
    • A child older than 3 years needs to have his or her teeth brushed with fluoride toothpaste twice a day. You should also floss your child's teeth once a day. Help your child brush his or her teeth for at least 2 minutes. For children between 3 and 5 years of age, apply a pea-sized amount of toothpaste on the toothbrush. Make sure your child spits all of the toothpaste out. He or she does not need to rinse his or her mouth with water. The small amount of toothpaste that stays in your child's mouth can help prevent cavities.
  • Bring your child to the dentist twice a year. Your child should start seeing a dentist at 1 year of age. A dentist can find and treat problems early. This may help prevent dental caries. The dentist can give your child a fluoride treatment to help prevent cavities.
  • Do not put your child to bed or nap time with a bottle. Breast milk, formula, and juice contain sugars. If your child falls asleep with a bottle, these liquids can sit in his or her mouth and cause cavities. Instead, hold your child while you feed him or her and then put him or her down to sleep.
  • Provide healthy foods and drinks to your child. Choose foods and drinks that are low in sugar. Read food labels to help you choose foods that are low in sugar. Limit candy, cookies, and soda. Do not dip a child's pacifier in sugar, syrup, or any other sweetened liquid.

Follow up with your child's healthcare provider as directed:

Write down your questions so you remember to ask them during your child's visits.

© 2017 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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