Tips for Managing Dental Care in Toddlers: Overcoming Fear and Resistance - Dentistry

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Pediatric dentistry related?


Hello, my daughter is currently 2 years and 4 months old.
She has never seen a dentist and has not had fluoride treatments.
Previously, she was willing to open her mouth for me to brush her teeth, but recently she has suddenly refused to do so, which has been very concerning for me.
I managed to take a look at her teeth while she was crying, and I didn't notice anything unusual, but she just won't let me brush her teeth.
Could this be related to the change in toothpaste, causing her to feel resistant? Or could there be an issue with her teeth? We originally used a non-fluoride toothpaste containing xylitol, but now we are using a low-fluoride toothpaste.
When I took her to the doctor for a cold, she was also reluctant to let the doctor look in her mouth, and she tends to swallow the toothpaste.
Additionally, during the visit, she likes to move around a lot and is quite strong, so it often takes several people to hold her down, which makes me hesitant to take her to the dentist.

For children of this age, how do dentists typically conduct examinations? If we, as parents, take her to the dentist, how can we assist her? Thank you!

Rou, 40~49 year old female. Ask Date: 2020/04/08

Dr. Qiu Qiongyao reply Dentistry


Dear Ms.
Rou,
Regarding your inquiry, here are the responses:
1.
It is common for children to reject a new flavor of toothpaste if they do not like the taste or texture.
It is advisable to switch back to the original toothpaste that she accepts.
2.
If there are any oral issues, it is important to take her to a dentist for an examination.
3.
When children have a cold and are feeling unwell, their willingness to cooperate during a dental visit may not be very good.
If there is a risk of swallowing toothpaste, it is not recommended to use it.
Instead, you can clean her mouth with warm salt water first.
The Hualien Hospital of the Ministry of Health and Welfare cares about your health.

Reply Date: 2020/04/08

More Info


Managing dental care for toddlers can be a challenging task, especially when they exhibit fear or resistance to dental hygiene practices. It's common for young children to go through phases where they are reluctant to open their mouths for brushing or dental examinations. Here are some tips and strategies to help you manage your daughter's dental care effectively while overcoming her fear and resistance.


1. Create a Positive Environment
Children often respond better to dental care when the environment is welcoming and non-threatening. You can create a positive atmosphere by:
- Using Fun Tools: Let her choose a toothbrush with her favorite character or a colorful design. This can make brushing feel more like a fun activity rather than a chore.

- Incorporating Play: Use role-playing games where you pretend to be the dentist or let her play with a doll or stuffed animal while you demonstrate brushing. This can help her understand what to expect during a dental visit.


2. Establish a Routine
Consistency is key in helping children feel comfortable with dental care. Establish a daily routine that includes:
- Brushing Together: Brush your teeth at the same time as her. This not only sets a good example but also makes her feel included.

- Timing: Choose a time when she is calm and happy, such as after a bath or before bedtime, to introduce brushing.


3. Use Positive Reinforcement
Encouragement and rewards can motivate your daughter to cooperate with dental care:
- Praise and Encouragement: Celebrate her efforts, even if she only opens her mouth a little. Positive reinforcement can build her confidence.

- Reward System: Consider a sticker chart where she earns a sticker for each successful brushing session, leading to a small reward after a certain number of stickers.


4. Addressing Fear of the Dentist
If she is apprehensive about visiting the dentist, you can help her feel more comfortable by:
- Pre-Visit Preparation: Talk about what will happen at the dentist's office in a positive light. You can read books or watch videos about dental visits to familiarize her with the process.

- Choosing the Right Dentist: Look for a pediatric dentist who specializes in treating young children. They often have techniques and tools to make the experience more enjoyable for kids.


5. Monitor Dental Health
While it’s important to encourage brushing, also keep an eye on her dental health:
- Check for Issues: If you notice any discoloration, swelling, or unusual behavior (like excessive crying when brushing), it may indicate a dental issue that needs professional attention.

- Fluoride Use: Since you mentioned switching to a low-fluoride toothpaste, ensure that it is appropriate for her age. Consult with your pediatric dentist about the best toothpaste options for her.


6. Involve Her in the Process
Encourage your daughter to take an active role in her dental care:
- Let Her Choose: Allow her to pick her toothbrush and toothpaste. Giving her a sense of control can reduce resistance.

- Teach Proper Techniques: As she becomes more comfortable, teach her how to brush her teeth properly. Use simple language and demonstrate the technique.


7. Seek Professional Help
If her resistance continues or worsens, it might be beneficial to consult a pediatric dentist. They can provide guidance tailored to her specific needs and may offer strategies to ease her anxiety.


Conclusion
Managing dental care for toddlers requires patience, creativity, and understanding. By creating a positive environment, establishing a routine, using positive reinforcement, and addressing fears, you can help your daughter develop a healthy attitude towards dental hygiene. Remember, regular dental check-ups are essential for early detection of any potential issues, so finding a supportive dental professional is crucial. With time and encouragement, your daughter can learn to embrace dental care as a normal and positive part of her daily routine.

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