It is advisable for parents to make biannual dental appointments for children, beginning approximately six months after the first tooth emerges. Routinely the first full exam and cleaning is done between 2 1/2 to 3 years of age.
These two important yearly visits allow our dentist to monitor new developments in the child’s mouth, evaluate changes in the condition of teeth and gums, and continue to advise parents on good oral care strategies.
Your dentist may schedule additional visits for children who are particularly susceptible to tooth decay or who show early signs of orthodontic problems.
What is the purpose of dental checkups?
First, your dentist aims to provide a “good dental home” for the child. If a dental emergency does arise, parents can take the child for treatment at a familiar, comfortable location.
Second, your dentist keeps meticulous records of the child’s ongoing dental health and jaw development. In general, painful dental conditions do not arise overnight. If your dentist understands the child’s dental health history, it becomes easier to anticipate future issues and intervene before they arise.
Third, your dentist is able to educate parents and children during the visit. Sometimes your dentist wants to introduce one or several factors to enhance tooth health - for example, sealants, fluoride supplements, or xylitol. Other times, the dentist asks parents to change the child’s dietary or oral behavior - for example, reducing sugar in the child’s diet, removing an intraoral piercing, or even transitioning the child from sippy cups to adult-sized drinking glasses.
Finally, dental X-rays are often the only way to identify tiny cavities in primary (baby) teeth. Though the child may not be feeling any pain, left unchecked, these tiny cavities can rapidly turn into large cavities, tooth decay, and eventually, childhood periodontal disease. Dental X-rays are only used when the pediatric dentist suspects cavities or orthodontic irregularities.
Are checkups necessary if my child has healthy teeth?
The condition of a child’s teeth can change fairly rapidly. Even if the child’s teeth were evaluated as healthy just six months prior, changes in diet or oral habits (for example, thumb sucking) can quickly render them vulnerable to decay or misalignment.
In addition to visual examinations, the dentist provides thorough dental cleanings during each visit. These cleanings eradicate the plaque and debris that can build up between teeth and in other hard to reach places. Though a good home-care routine is especially important, these professional cleanings provide an additional tool to keep smiles healthy.
The dentist is also able to monitor the child’s fluoride levels during routine visits. Oftentimes, a topical fluoride gel or varnish is applied to teeth after the cleaning. Topical fluoride remineralizes the teeth and staunches mineral loss, protecting tooth enamel from oral acid attacks. Some children are also given take-home fluoride supplements (especially those residing in areas where fluoride is not routinely added to the community water supply).
Finally, the dentist may apply dental sealants to the child’s back teeth (molars). This impenetrable liquid plastic substance is brushed onto the molars to seal out harmful debris, bacteria, and acid. Sealants can last months or years depending on the child's diet, habits (such as grinding) and brushing routines.
If you have questions or concerns about when to schedule your child’s dental checkups please contact our office.