We have always told our families that a child’s mouth can be cleaned even before the first tooth erupts by gently wiping the child’s gums with a soft, damp cloth. As soon as that first tooth pop out, it should be brushed with a soft, small toothbrush and start a life-long good habit! Now, the American Dental Association recommends that a tiny bit of fluoride toothpaste be applied to that toothbrush to clean that first tooth! Read on…..
ADA Uses Fluoride Toothpaste to Fight High Cavity Rate in Children
CHICAGO, Feb. 10, 2014 — To fight cavities in children, the American Dental Association’s (ADA) Council on Scientific Affairs (CSA) is updating its guidance to caregivers that they should brush their children’s teeth with fluoride toothpaste as soon as the first tooth comes in. This new guidance expands the use of fluoride toothpaste for young children.
To help prevent children’s tooth decay, the CSA recommends that caregivers use a smear of fluoride toothpaste (or an amount about the size of a grain of rice) for children younger than 3 years old and a pea-size amount of fluoride toothpaste for children 3 to 6 years old.
“For half a century, the ADA has recommended that patients use fluoride toothpaste to prevent cavities, and a review of scientific research shows that this holds true for all ages,” said Edmond L. Truelove, D.D.S., chair of the Council on Scientific Affairs. “Approximately 25 percent of children have or had cavities before entering kindergarten, so it’s important to provide guidance to caregivers on the appropriate use of fluoride toothpaste to help prevent their children from developing cavities.”
Dental decay is the most common chronic childhood disease with more than 16 million children suffering from untreated tooth decay in the U.S, according to the U.S. Centers for Disease Control. Oral disease causes children to miss 51 million school hours and their parents to lose 25 million work hours annually. Additionally, oral disease disproportionately affects children from low-income families and these children have almost twice the number of decayed teeth that have not been treated by a dentist as compared to others in the general population.
CSA previously recommended using water to brush the teeth of children younger than 2 years old and to brush the teeth of children 2 to 6 years old with a pea-size amount of fluoride toothpaste. CSA updated the ADA’s guidance based on a review of scientific evidence.
The report, “Fluoride toothpaste use for young children,” and the results of the systematic review, “Fluoride toothpaste efficacy and safety in children younger than 6 years,” are published in the February 2014 issue of The Journal of the American Dental Association.
The new guidance is intended to provide children with the full benefit of cavity protection while limiting their risk of developing fluorosis, which is a mild discoloration of teeth usually appearing as faint lines. Based on a systematic review of the evidence, CSA concluded that using just a “smear” of toothpaste for children younger than 3 years old and a pea-size amount for children 3 to 6 years helps prevent cavities and is less likely to cause fluorosis. Children should spit out toothpaste as soon as they are old enough to do so.
The ADA encourages caregivers to take their child to the dentist when the first tooth appears or no later than the child’s first birthday.