Fluoride Treatments for Toddlers: Safety, Timing, and Dental Care Tips - Dentistry

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Fluoride application for young children


Hello Dr.
Tseng: My baby is now 2 years old.
When he was 1 year and 7 months, he had fluoride treatment at a dental clinic.
After applying fluoride, I found some information online suggesting that it may not be advisable for very young children to receive fluoride treatments due to its potential toxicity.
I would like to ask: 1.
What age do you recommend for children to receive fluoride treatments? Is it sufficient if they can rinse their mouths? 2.
I usually brush his teeth very carefully! There should be no cavities, but recently I noticed a small white spot on the side of his first molar.
What could this be? A cavity? 3.
There are still four primary teeth that have not erupted.
What is the normal timeline for these to come in? Thank you! Additionally, I would like to ask: What dental services are covered by health insurance when we visit the dentist? For example, filling cavities, teeth cleaning? Which services require out-of-pocket expenses (like tooth extraction...)? 2.
Is it recommended for adults to have regular dental cleanings? How often should this be done? What are the pros and cons? Thank you for your response, Dr.
Tseng! I appreciate your help!

Xuan Mami, 20~29 year old female. Ask Date: 2009/08/22

Dr. Zeng Guanghui reply Dentistry


Hello, Miss: Thank you for your inquiry.
Here are my responses and suggestions:
1.
If the child can spit out all the food in their mouth cleanly, it is advisable to apply fluoride, and the same goes for fluoride mouth rinses; as long as they rinse their mouth and spit it out, it is acceptable.

2.
The small white spots on the side of the first molar may be dental plaque, and you can try using a small toothbrush to brush it away.

3.
By around the age of two, all primary teeth, including primary molars, will have erupted.

4.
Dental fillings and cleanings for cavities are recommended for children aged 13 and older.
Root canal treatment is covered by health insurance, while orthodontic appliances are out-of-pocket expenses.

5.
It is advisable to have dental cleanings every six months to maintain periodontal health and remove tartar.

Finally, I wish you peace and happiness!

Reply Date: 2009/08/22

More Info


Fluoride treatments are an important aspect of dental care, especially for young children, as they help to strengthen tooth enamel and prevent cavities. However, there are specific considerations regarding the safety and timing of fluoride treatments for toddlers.

1. Recommended Age for Fluoride Treatments: The American Dental Association (ADA) recommends that children can start receiving fluoride treatments as soon as their first teeth erupt, which typically occurs around six months of age. However, the application of fluoride varnish is often recommended for children who are at higher risk for cavities. For toddlers, the key factor is whether they can cooperate during the procedure and whether they can spit out excess fluoride. Generally, children who are around 2 to 3 years old and can follow instructions about not swallowing toothpaste or fluoride treatments are considered appropriate candidates for fluoride applications.

2. Concerns About Fluoride Toxicity: While fluoride is beneficial for dental health, excessive ingestion can lead to dental fluorosis, which manifests as white spots or streaks on the teeth. The white spot you noticed on your child's first molar could be an early sign of dental fluorosis, but it may also indicate demineralization, which is the initial stage of cavity formation. It is essential to monitor this closely and consult with your pediatric dentist for an accurate diagnosis and appropriate treatment.

3. Eruption of Primary Teeth: The timeline for the eruption of primary teeth can vary significantly among children. Typically, children have all 20 primary teeth by the age of 3. The last four primary molars usually erupt between 2 to 3 years of age. If your child is nearing this age and still has not developed these teeth, it may be worth discussing with your pediatric dentist to ensure everything is progressing normally.

4. Dental Services Covered by Insurance: In terms of dental services covered by health insurance, this can vary by plan. Generally, preventive services such as dental exams, cleanings, and fluoride treatments for children are often covered. However, restorative procedures like fillings or crowns may require co-pays or may not be fully covered. It’s essential to check with your specific insurance provider to understand what services are included.

5. Frequency of Dental Cleanings for Adults: For adults, it is generally recommended to have dental cleanings every six months. Regular cleanings help to remove plaque and tartar buildup, which can lead to gum disease and cavities if left untreated. The benefits of regular dental cleanings include the prevention of dental issues, early detection of potential problems, and maintaining overall oral health. However, some individuals may require more frequent visits based on their dental health and risk factors.

In summary, fluoride treatments can be beneficial for toddlers, especially if they are at risk for cavities. Monitoring your child's dental health and consulting with a pediatric dentist will provide the best guidance tailored to their needs. Regular dental visits and cleanings are essential for maintaining oral health for both children and adults.

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