Caring for your child's first teeth
Your child’s first teeth (baby teeth) will help them to eat and speak well. Looking after their baby teeth helps make sure their adult teeth come through healthy and strong.
Title: Your Child: Healthy Teeth. Episode 14 of 15.
Title: Renee & Dez’s Whānau
[Shots of Renee and Dez’s home.]
Debbie (voice-over): It's really important for your child's first teeth to be looked after, for their own growth and development. They need them for eating, speaking and generally keeping well.
[Interview with Debbie.]
Title: Debbie Jennings, Dental Therapist
Debbie: My name is Debbie. I am a dental therapist with the school dental service in Wellington. I am here today in Dez and Renee's home, talking to them about how to look after Aidan's teeth.
[Interview with Renee and Dez.]
Renee: Hello, I'm Renee.
Dez: Hi, I'm Dez. We have a three-year-old son named Aidan.
[Shots of Aidan playing.]
Title: Aidan, 3 years old
Dez (voice-over): He's a very lively, very bubbly sort of little guy. He's just your typical three-year-old that runs around a lot, and really enjoys brushing his teeth now.
[Renee brushes Aidan’s teeth. Aidan resists.]
Debbie (voice-over): Baby will get their first tooth at around six months of age. It's important that we start brushing those teeth as soon as they come through. They will continue teething until around two-and-a-half to three years of age. They will then have twenty teeth.
Renee (voice-over): Aidan's first teeth started coming in at seven months, so as soon as they came in we started brushing his teeth. It was quite easy for a while, until he got to about a year-and-a-half. Then it was quite difficult for us to brush his teeth. He was quite resistant to a toothbrush. We tried so many different methods.
Debbie (voice-over): It can be quite challenging when they're little pre-schoolers. Just remember their mouth is really sensitive, and it's got to be done gently.
Renee (voice-over): Now at three years old, we're in a routine where we brush his teeth in the morning after breakfast and at night before he goes to bed.
Debbie (voice-over): It's really important for an adult to brush their child's teeth until around eight years of age. We need to be doing it for two minutes after breakfast, and especially at bedtime, and that's to get rid of all the food and the drink we've had during the day, so it's not sitting on our teeth when we sleep. Otherwise the saliva, which you don't get at night time, can't wash all those foods off your teeth, and that's when the food will eat into your teeth, and you’ll end up with holes.
[Renee prepares fruit.]
Debbie (voice-over): As kids are snackers, it's important we protect and look after their teeth in between meals. We need to be feeding them fresh fruit and vegetables, and healthy alternatives like dairy products or plain crackers.
[Aidan eats an orange.]
Dez (voice-over): We give him healthy snacks as opposed to sugary treats, because that will help in the long term with his teeth, and also his health.
[Renee leads Aidan to the bathroom and helps him brush his teeth.]
Renee (voice-over): On a typical day, after he's had his breakfast, I will take him into the bathroom. We keep his toothbrush in a special bag, so I take it out, and put the toothpaste on it for him, and give him the toothbrush, and let him play around with it for a little while. And then when he's done brushing his teeth, I play a special song, which times out two minutes, and then I do a thorough clean of his teeth, brushing his teeth and his tongue. And then when the two minutes is over, the song will stop. Then he's finished brushing his teeth for the morning. That’s him done.
[Interview with Debbie.]
Debbie: Just remember, their tooth is like a little box, and we need to make sure we get all those surfaces. The top of the teeth, around the sides, the tongue, and also the gums. It's also important that we use a full-strength toothpaste, but just a little smear, as soon as their teeth start to come through. We don't lose our last baby tooth until about eleven or twelve years of age, so it's important to keep them healthy so they can guide the position of the big teeth coming through. I'd really like to encourage you parents to look after your children's teeth and help them end up with a lifetime of happy, healthy teeth.
Brush twice a day
As soon as your baby’s teeth start to show, start brushing twice a day. One brushing should be at night before your pēpi (baby) goes to bed. Use a small, soft brush and a half-pea sized amount of family fluoride toothpaste. For tamariki (children) 6 years old and over, use a pea-sized amount.
Once your pēpi is over 1 year old, brush their teeth for 2 minutes. Brush all around the inside surfaces, where the teeth meet the gums, and also the top chewing surfaces. Brush on the front of their teeth, all around the outside surfaces, and close to the gums.
Teach your child to spit out the leftover toothpaste after brushing. Do not rinse with water. A small amount of fluoride toothpaste left around the teeth will help to protect them.
You may find it easier to stand behind them and tilt their head back as you brush or lie their head on your lap.
As they get older it is a good idea to let them try using their toothbrush after you have cleaned their teeth for them. Tamariki need help to clean their teeth until they are around 8 or 9 years old.
More tips on brushing is available on the New Zealand Dental Association website.
Infants and toddlers — New Zealand Dental Association (external link)
Use fluoride toothpaste
Fluoride makes teeth stronger and reduces tooth decay (holes).
The recommendation is to use:
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a half-pea sized amount of fluoride toothpaste for children up to and including 5 years old
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a pea-sized amount of fluoride toothpaste for children 6 years old and over.
We recommend you use toothpastes that have at least 1,000 parts per million (PPM) of fluoride, twice a day. To check your toothpaste before you buy, look for packaging labels that says it contains at least:
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0.221% sodium fluoride, or
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0.76% sodium monofluorophosphate.
Get free oral health care
Your pēpi (baby) is eligible for free checkups from an oral health service. It is important to enrol them with the service as early as possible, so you can arrange the first checkup. To enrol with a service or to make an appointment phone them on 0800 825 583 (0800 TALK TEETH ).
Regular checkups increase the chances of finding and treating any tooth decay early. Your dental or oral health therapist will tell you how often your tamariki should have a checkup.
Lift the lip every month
Lift your child’s top lip once a month to check inside their mouth. It is a quick and easy way to see if tooth decay (holes) is present.
The New Zealand Dental Association has information on how to lift the lip, tooth decay, and what to look for.
Common dental problems — New Zealand Dental Association (external link)
If you are worried about your baby’s teeth:
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talk with your Well Child Tamariki Ora nurse
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contact your healthcare provider
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call your community oral health service on 0800 825 583 (0800 TALK TEETH ).
Choose healthy foods and drinks
For drinks milk and water are best. Only these should be in babies bottles or sipper cups.
Do not put your pēpi (baby) to bed with a bottle. Going to sleep with a bottle of milk, a warm chocolate drink, or juice will start to cause tooth decay. If they want to suck on something to settle themselves, it is better to use a dummy with no sweetener.
Around 6 months is a good time to prepare your pēpi for drinking from a cup. Start with water in a sipper cup — you will find it much easier to wean from the breast or bottle later.
Introducing solids
Your baby may be ready to start eating solid food at around six months of age. To protect your baby’s teeth, choose healthy foods and drinks. Sweet drinks, foods, and fruit juices can cause tooth decay. They can also cause your baby to develop a taste for sweet foods.
As they get older, to protect their teeth, give them sugar free snacks. This includes fruit and fresh vegetables.
Food and drinks for healthy teeth — Ministry of Health (external link)