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What a milestone! The transition from bottle to sippy cup is one of baby’s first steps toward toddler independence. And like all first journeys, some helpful guideposts come in handy. That’s why Dr. Parulkar and our team have several recommendations to help you navigate this transition, making sure your baby’s dental health is protected along the way.

Choosing a Sippy Cup

Sippy cups are often a parent’s first choice for this big step in baby’s development. While sippy cups offer a variety of child-safe materials, lively colors, and comfortable handle options, the feature of interest from a dental perspective is lid design.

Sippy cups curb spills because their lids don’t allow liquids to flow out freely, ensuring that drinks make it into baby’s mouth instead of onto furniture or floor. Cup lids might incorporate:

• Built-in straws
• A drinking edge around the rim of the cup which seals when your child isn’t drinking
• Soft spouts
• Hard spouts
• Spouts with valves to prevent liquids from leaking out. (Spouts with valves work like a nipple, which means baby is sucking instead of sipping.)

Which design is best? For short periods, any of these designs can work for you. Over long periods, spouted cups could have the same effects as prolonged thumb-sucking and pacifier use, potentially affecting a child’s tongue positioning, tooth alignment, bite, and speech development. Your dentist will be able to suggest which cups are best for your child’s dental health both short and long term.

What to Put in a Sippy Cup

Once your baby has begun drinking from a cup, it should only hold tooth-friendly drinks.

• Pediatricians generally recommend breast milk and/or formula until your child is 12 months old. You can switch to regular milk (or a healthy milk alternative) once your child is a year old with your doctor’s okay.
• Water can be introduced when your pediatrician thinks your child is ready, usually around the age of six months.
• Because even natural fruit juices have lots of sugar, dentists and pediatricians suggest giving your baby small amounts only—or feed your child fruit instead!
• Skip the sugared drinks, sports drinks, caffeinated drinks, and sodas. They aren’t healthy for little bodies or little teeth.

Help Prevent Tooth Decay

Just like adults, babies can suffer tooth decay, too—and for the same reasons. The bacteria in plaque use the sugars found in our diets to create acids, and acids erode tooth enamel.

When a toddler totes a sippy cup around all day, even filled with healthy drinks, those baby teeth are constantly exposed to the natural sugars found in breast milk, formula, and, for older children, milk. Drinks with more or added sugars, such as juices or sweetened drinks, cause more damage to tooth enamel. Use a sippy cup wisely:

• Offer the cup with meals and snacks, when increased saliva production can help wash away sugars and neutralize the acids which cause cavities.
• Offer water between meals.
• Don’t let your baby take a sippy cup to bed. Some spill-proof cups are designed to be sucked like bottles, and, like bottles, sugary liquids can pool in babies’ mouths as they sleep.
• Get into a tooth-cleaning routine as soon as your child’s teeth start to arrive.

And, while we’re talking about healthy teeth, please don’t let your child toddle around with a sippy cup. A fall while drinking can injure a baby’s mouth and teeth.

Partner with Your Child’s Dentist

The journey from baby to toddler can seem overwhelming sometimes for both you and your child, but you have expert help available! It's a good idea to make a first dental appointment at our Lewis Center, OH office sometime between the appearance of the first baby tooth and your child’s first birthday. This initial visit is an opportunity for Dr. Parulkar to:

• Check your child’s overall dental health and development.
• Look for signs of early decay.
• Talk about proactive dental care, including how and when to clean your child’s teeth.
• Answer questions about how you can support your child’s dental health, including the advantages and disadvantages of sippy cups.

Used properly, sippy cups can be a helpful transition on your child’s journey from bottle to cup, and from baby-who-relies-on-you-for-everything to take-charge-toddler. Dr. Parulkar and our team are an ideal guide as you and your child chart this path together.

You found the perfect toothbrush! The bristles are soft, to avoid irritating your delicate gum tissue. The angle of the bristles is perfect for removing plaque. The handle is durable and comfortable when you spend at least two minutes brushing in the morning and two at night. Why, you love this toothbrush and you’ll never let it go… for the next three or four months.

The life of a toothbrush is naturally a short one. Dr. Parulkar and our team recommend replacement every three to four months because the bristles become frayed and worn with daily use. They cannot clean as effectively when the bristles begin to break down, and, depending on your brushing style, may wear out even more rapidly. (Children will probably need to replace toothbrushes at least every three months.) But even in the short time you have your toothbrush, there are ways to keep it ready for healthy brushing.

• Don’t share. While sharing is normally a virtue, sharing toothbrushes can lead to an increased risk of infections, especially for those with compromised immune systems or existing infectious diseases. Similarly, keep different brushes separate when drying to avoid cross-contamination.
• Rinse thoroughly after brushing. Make sure to remove any toothpaste or debris left after you brush.
• Store the brush upright. Air-drying is the preferred way to dry your brush, as covering the brush or keeping it in a closed container can promote the growth of bacteria more easily.

There are several products on the market that promise to sanitize your brush. The verdict is still out on its success, but if you or someone in your home has a compromised immune system, call our Lewis Center, OH office to see if it might be worth your while to check them out.

Even though your toothbrush won’t be with you long, make its stay as effective and hygienic as possible. And if you find a brush you love—stock up!

Children are born with a set of primary teeth – 20 to be exact – that help them learn to chew and speak, and develop enough space in the jaw for the permanent teeth that will appear several years later. Kids are especially susceptible to decay, which can cause pain and tooth loss – a problem that could interfere with oral development. As a parent, it is important that you take proactive steps to keep your child’s teeth as healthy as possible.

Bottles and “Sippie Cups”

One of the biggest culprits of childhood tooth decay is poor diet. This begins as early as a few months old, when children are often allowed to go to bed with bottles and “sippie cups” of milk or juice. The sugars in these beverages – even natural sugars – can steadily decay the teeth.

Dr. Parulkar and our staff suggest serving children milk and juice only at meal times, and limiting juice intake to just a few ounces per day. If your child becomes thirsty between meals or likes to go to bed with a bottle, serve water during these times.

Hygiene

As a parent, you can establish healthy dental habits long before your child’s first tooth erupts. Start by gently wiping your baby’s gums with a clean wash cloth during the first months of life. By age one, graduate to an appropriately sized toothbrush with fluoridated toothpaste, and brush at least twice a day.

Dental Visits

Dental visits should start young and continue on a regular basis throughout your child's life. Dr. Parulkar and our staff recommend parents bring their children to Delaware Pediatric Dentistry for the first time no later than the child’s first birthday. Initial visits concentrate on parental education, while later visits may include thorough cleanings and fluoride treatments as your child grows.

For more information about keeping your child’s teeth cavity-free, contact our Lewis Center, OH office to schedule a dental consultation and checkup.

It’s a busy time of year. Book lists! Supplies! New clothes! (How did they outgrow those shoes already?) And while you’re preparing your family’s list of back-to-school necessities, here are a few essential reminders to help your child begin the school year with a healthy smile.

• Review

It never hurts to review the basics before the start of the school year, and that holds true for dental care as well! Make sure your child is brushing two minutes twice a day, and using floss or another interdental tool to clean between the teeth. If his toothbrush has been in use since the end of the last school year, it’s probably time to replace it. Bristles are at their best for about three months—after that, they become frayed and worn, and can’t remove plaque as effectively.

• School Supplies for Braces Wearers

If your child is going to school with braces for the first time, send her off with the tools she needs. A travel-sized toothbrush and tube of toothpaste are perfect for a quick brushing after lunch, while dental floss and a threader or dental picks will take care of any after-lunch particles lurking in brackets and wires. Orthodontic wax is a great product to have on hand if a wire or bracket is causing irritation. If your child uses clear aligners or a retainer, make sure a protective case is always close by, ready to use every time the appliance is removed. And it’s a good idea to include the number of your dentist and orthodontist in her contacts in case of emergency.

• Exams

If your school requires a dental exam before the start of classes, be sure to make your appointment at our Lewis Center, OH office now! Regular checkups with Dr. Parulkar are vital for preventing small problems from becoming bigger ones, and a professional cleaning will remove the plaque even careful brushing can miss.

A positive, confident start can set the tone for the academic year, so your homework might include monitoring summer reading, providing required supplies, and making sure your child is well-rested and ready to go. You can also help your child to a positive, confident start by monitoring brushing habits, providing the necessary tools for appliance-wearers, and making sure your child is up-to-date with dental exams and cleanings. Because entering the classroom with a beaming, healthy smile—that’s an A+ way to begin the school year!