healthy happy teeth Guide for babies and toddlers Foundation Walter Fuchs

Transcription

1 & healthy happy teeth Guide for babies and toddlers Foundation Walter Fuchs

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3 Congratulations to the birth of your child! Both the foundation Walter Fuchs and the UZB-Schulzahnklinik (dental school clinic) are very happy with you. Since 96, the aim of the foundation Walter Fuchs is among other things to avoid caries. As a result, it takes care that you also, dear parents, will get support over decisions regarding your child s nutrition and dental hygiene. For this very reason, the foundation Walter Fuchs has written the present guide in cooperation with the UZB-Children s Community Dental Service. In its text have also been included recommendations by other institutions that are supporting families over issues on health and development. With the very best wishes to you and to your child Foundation Walter Fuchs c/o Dr. Christian Haas St. Jakobs-Strasse 7, 45 Basel The foundation board: Dr. Rudolf Grüninger, president Dr. Christian Haas, manager Karin Schenk UZB-Schulzahnklinik St. Alban-Vorstadt, 4 Basel

4 Breastfeeding and baby bottle The first six months In these first months of life breastfeeding is also the best form of nutrition from a dental point of view. Who can choose between baby s bottle and breastfeeding should prefer breastfeeding. What goes into the baby bottle Please fill up the baby bottle only with baby food, water or with unsweetened tea. Start of mush food It is from the fourth month on that milk can also be given as addition to mush food in the bottle at least until the baby will have learnt to drink from a cup. Recommendation by Swiss, Austrian and German food companies With the start of mush food the child should with every solid or mushed food meal get used to drinking water. 4

5 From years on children should drink from cups or bottles Please look out for large openings. Drinking from bottles does affect how swallowing and talking will develop, by which the intake of minerals into the tooth enamel will be influenced in a positive way. If openings of drinking systems are too small, essential minerals will be washed away. The latter is also true for drinking when oneis on the move. 5

6 Sucking and dummy (pacifier) Sucking calms down In particular on small babies has sucking a calming factor. Parents love and affection is indispensable for both bonding and the sense of security. To what should you pay attention when your baby sucks its thumb Babies who suck their thumbs may satisfy their need for sucking, but take caution: The sucking of the thumb may lead, for instance, to a rearward displacement of the lower jaw. Taking gently the thumb out of the mouth will help with the weaning process. Promoting of the first attempts at speaking When your baby makes its first attempts at speaking make sure that its dummy not obstruct it in doing so. As an early stage of learning to speak, from the eight week on, babies are able to utter real sounds. Please employ the dummy deliberately for instance during the day in case the child is restless. 6

7 When better not to use the dummy (pacifier) Do not use the dummy if the children are awake and healthy. Frequently using the dummy presses the lower jaw downwards. As a result, the upper molars lack support through a toothing during swallowing. The masseters of the cheeks are pressing on the upper molars resulting into an incorrect position of the jaws. In that case, the frontal teeth take more frequently an incorrect form of the jaws. In this way, the frontal teeth may lose their function. Instead of biting off food, the tongue slips through the open gap. The dummy period ends at the age of In theory at least. The weaning process should run both step-by-step and carefully. 7

8 Bacteria and teeth Out of, germs are growing: in ½ hour, germs in hour 4, germs in hours 6, germs in hours 64, germs in 4 hours,56, germs In a few hours, the teeth will be covered with bacteria Bacteria are so strongly multiplying in from 4 to 6 hours that the complete tooth will be covered with. As not all bacteria are good for teeth, we recommend to clean one s teeth regularly that is times cleaning per day and the teeth will stay healthy. 8

9 Cleaning in the morning with toothbrush Cleaning at noon with toothbrush Cleaning in the evening with toothbrush and toothpaste In the first year of life: Already now times per day gentle teeth cleaning. Use altogether per day only a pea-sized amount of children s toothpaste with fluoride. You may also use times per day a toothpaste, if you are each time only using a smear of toothpaste. Teeth cleaning should be fun from the beginning! Cleaning in the morning with toothbrush and toothpaste Cleaning at noon with toothbrush Cleaning in the evening with toothbrush and toothpaste From the first birthday on: Use now altogether per day times a pea-sized amount of children s toothpaste with fluoride. Cleaning in the morning with toothbrush and toothpaste Cleaning at noon with toothbrush and toothpaste Cleaning in the evening with toothbrush and toothpaste From the second birthday on: Use now altogether day times a pea-sized amount of children s toothpaste with fluoride. 9

10 Teeth cleaning starts The first milk teeth do appear in the age of between 4 and months With regard to the exact moment there are however big differences in the eruption of the first teeth. Which is wholly normal and there is no reason for worrying. When the first teeth do peak out, teeth cleaning will start. Children s toothpaste should contain fluoride Fluoride will be built into the tooth enamel making the milk teeth more resistant. That is why the children s toothpaste of your choice up to the sixth year of life should contain 5 ppm of fluoride. By the way, fluoride is also increasing the resistance of your teeth. Milk teeth have a long life At around the age of years, all the milk teeth will have erupted. A set of milk teeth is made up of teeth. The first teeth will change from the age of 6 years on. The last milk teeth, which are usually the molars, will drop at the age of around years.

11 Set of teeth the course of growth complete Chewing surfaces Teeth in of teeth For copying: Brush first your teeth with your toothbrush. Very simple: If your child is to open its mouth, open just yours. Eruption Introduction to tooth cleaning Your facial expression counts as it is transferring your feelings. Your child imitates both your facial play and your gestures. That is why positive facial play makes teeth cleaning easier. In order to reach during the growth of teeth all teeth surfaces with the toothbrush, you should tilt the toothbrush. Please do always clean crosswise. Put brush horizontally on teeth moving crosswise. As long as the teeth are not yet edging to each other, please do also clean these surfaces and harden with toothpaste. Inner surfaces Exterior surfaces

12 Look out for sugar Sugar is causing caries Honey, table sugar, brown sugar, sugar candy, fruit sugar, milk sugar, all sorts of sugar are also feeding bacteria that are causing caries. Children that are often taking sweets and drinks containing sugar are enhancing growth of these bacteria, from which results an imbalance that is causing caries and with it holes in the teeth. Does sugar help with sleeping? No! Exactly the opposite. Under increasing sugar offer, sugar is very quickly broken down from the blood and absorbed into the cells. The blood-sugar level drops and the children tend to wake up again. Which is dangerous, because a bottle with a drink containing sugar is now again given resulting into a vicious circle.

13 Basic rules of a healthy teeth-related nutrition Chewing active nutrition Whole grain bread, fruit or for instance hard cheese are enhancing the natural protection mechanism in the mouth. T IP P Being a model Every nutrition behavior is both learnt and imitated. The proper food choice Your interest in the focused food choice is the key to success. In Basel there are manifold consultation bodies at your disposal that will like to help you along. More on Adhering daily to basic rules Hence, exceptions as going to the autumn fair, Christmas or other holiday periods are not harmful to the health nor to the teeth.

14 Drinks Our behaviors from childhood determine our whole life If we get used to drinking sugar-free drinks, this is the best protection against caries, overweight or diabetes. Watch out, these drinks do contain a lot of sugar In juices, cola or ice tea the amounts of sugar and acidity are enormous. Which is harmful to the teeth. Please chew fruit Chewing of fruit results into acidities being balanced though the saliva. In this way, the amount of sugar is also considerably reduced and, moreover, it is even more easily digestible. Low in sugar up to the rd year of life In general avoiding of sweet drinks is no problem up to the age of years. From the third birthday on a juice drink or a soft drink is a welcome change at celebrations or at special events. 4

15 Water, tee infusion without sugar Please avoid all sweet drinks as ice tea, juice and cola 5

16 Eating of fruit Fruit is part of the nutrition program The first fruit may be for instance an apple. Apples are helpful with digestion problems. It can be introduced another new fruit as soon as the first fruit has been well tolerated. Chewing is good for language development and digestion Chewing is training both the tongue and the facial muscles. Both is very important for the development of language. Moreover, chewing is stimulating salivation. An essential condition that the food can be well split and digested. Chewing of fruit for a good feeling of satiety Fruit should be chewed and not drunk. Thus a good feeling of satiety does develop, which, moreover, will avoid overweight in the future. 6

17 Recommended are times per day fruit and times per day vegetable Please avoid fruit sucker and squeezing bag with fruit puree 7

18 Toddlers and the dentist From years of age on twice per year to the dentist Regular visits to the dentist do lead to a good teeth health. Watch out for caries Just at the early children s age there is a form of caries, which is quickly destroying the whole set of teeth. At a very early stage the latter can be successfully treated with little effort, without that a general anaesthetic is necessary. Early detection is important for your child Any malformations of jaws that are due to habit and may negatively affect the develop ment of language also show up early. Focused recommendations do help with correction, which in this age in general can succeed quickly. In addition, it is possible to assess at this age the quality of the tooth structure. Where appropriate there are care programs by specialists and for at home on disposal. 8

19 Use the cost-free examination In Basel-Stadt and Baselland, the dental examination of your child is carried out free of charge. Prerequisite is presentation of the voucher notebook. Ask for it your pediatrician or the parent counselling of Basel-Stadt. The examination free of charge will take place at a SSO dentist or in the UZB dental school clinic at the age of, und 4 years. Voucher as a gift The voucher notebook is offered by the foundation Walter Fuchs, the Swiss Dental Association of both Basel and by the UZB dental school clinic. 9

20 As a competence center for dental medicine the UZB is supporting children, parents and dentists. Any questions on the treatment of children will be answered under both interdisciplinary and university cooperation. Contact address UZB Dr. med. dent. Cornelia Filippi Leiterin Prophylaxe UZB Schulzahnklinik St. Alban Vorstadt CH-4 Basel Tel.: cornelia.filippi@uzb.ch web: uzb.ch The project is co-supported by: SSO Basel-Stadt and SSO Baselland, Parent Counselling of Basel-Stadt, HEKS/Vitalina, UKBB Early Promotion, Department of Education of Basel-Stadt Centre for Early Promotion and KID Early Promotion Basel.