Dealing with Tartar in Your 18-Month-Old: What Parents Should Know - Dentistry

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Dental calculus in a one-and-a-half-year-old baby?


Hello, doctor.
I would like to ask about my baby who is currently one and a half years old.
All of his teeth have fully erupted, and today when I helped him brush his teeth (previously he was just playing with the toothbrush), I noticed that there was a white substance on his teeth and gums that resembled tartar in adults.
I couldn't remove it with my fingernail, and after brushing with a toothbrush, his gums bled.
Is this situation serious? What should I do? Should I take him to see a doctor? (A pediatric dentist in Hsinchu said he is too young and is unwilling to see him, according to the nurse.) Thank you.

wendy, 30~39 year old female. Ask Date: 2005/09/02

Dr. Yang Hui reply Dentistry


1.
Your baby's condition may be a phenomenon known as enamel hypoplasia.
2.
As for the bleeding after brushing, it could be due to inadequate cleaning.
Once cleaned properly, there should be no more bleeding.
3.
The phenomenon of enamel hypoplasia can only be managed by maintaining good oral hygiene to prevent cavities.
Additionally, a visit to the dentist for observation is recommended; if cavities are present, they should be filled.

Reply Date: 2005/09/02

More Info


Dealing with tartar buildup in an 18-month-old child can be concerning for parents, especially when it comes to their dental health. It’s great that you are attentive to your child's oral hygiene at such a young age. Here’s a comprehensive overview of what you should know and do regarding this situation.


Understanding Tartar and Its Implications
Tartar, also known as calculus, is a hardened form of dental plaque that can form on teeth if plaque is not removed through regular brushing and flossing. In young children, tartar can develop due to various factors, including diet, oral hygiene practices, and the natural development of their teeth and gums. The presence of white deposits on your child's teeth may indicate the beginning stages of tartar buildup.


Signs of Tartar Buildup
1. White Deposits: As you’ve noticed, the white substance on your child’s teeth could be tartar or plaque.
2. Bleeding Gums: If your child’s gums are bleeding when you brush their teeth, this could be a sign of gingivitis, which is inflammation of the gums often caused by plaque buildup.

3. Discomfort: If your child seems to be in pain or discomfort when brushing, it’s essential to address this promptly.


Recommended Actions
1. Consult a Pediatric Dentist: Even if the local pediatric dentist is hesitant to see very young children, it’s crucial to find a dental professional who specializes in pediatric dentistry. They have the expertise to handle young patients and can provide a thorough examination and cleaning. If necessary, they may recommend a gentle cleaning under sedation if the child is too anxious or uncooperative.

2. Regular Dental Checkups: The American Academy of Pediatric Dentistry recommends that children have their first dental visit by their first birthday or within six months after their first tooth erupts. Regular checkups can help monitor dental health and prevent issues before they become serious.

3. Proper Oral Hygiene: Continue to brush your child’s teeth twice a day with a soft-bristled toothbrush and a small amount of fluoride toothpaste (about the size of a grain of rice). Make sure to brush gently to avoid causing bleeding. You can also encourage your child to participate in brushing, but you should supervise and assist to ensure thorough cleaning.

4. Dietary Considerations: Pay attention to your child’s diet. Limit sugary snacks and drinks, as these can contribute to plaque buildup. Encourage healthy snacks like fruits and vegetables, which can help promote better oral health.

5. Fluoride Treatments: Depending on your child’s dental health, a pediatric dentist may recommend fluoride treatments to help strengthen the enamel and prevent cavities.

6. Monitor for Changes: Keep an eye on your child’s oral health. If you notice any worsening of the condition, such as increased bleeding, swelling of the gums, or persistent discomfort, seek dental care immediately.


Conclusion
While it can be alarming to discover tartar buildup and bleeding gums in your young child, taking proactive steps can help manage the situation effectively. Consulting with a pediatric dentist is essential, as they can provide tailored advice and treatment options. Maintaining good oral hygiene practices at home and ensuring regular dental visits will set a solid foundation for your child's dental health as they grow. Remember, early intervention is key in preventing more serious dental issues in the future.

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