Part II: Oral Care for Your Toddler
This time I’m going to talk about toddler oral care!
As babies grow into toddlers, they often form opinions. Opinions about everything including having their teeth brushed! Having been through this twice now, I have found a few tricks that make the task simpler.
So here is a glimpse into my evening routine with my two little ladies:
Before bed, we brush and floss every night (because brushing before bed is the most important time!). Many people ask me if flossing is even necessary on children. I say ABSOLUTELY! For a couple of reasons, I am a huge advocate of starting the flossing routine with kids as early as you can:
I find that flossing while they are sitting on the counter top or with their head laying in my lap is the easiest. You get the best view and can floss quickly. Another tip I often suggest is letting the little ones use a floss handle on their own. Once they are done or a few minutes has elapsed, I take my turn. Floss handles work great for toddlers, especially if you don’t want to have your fingers bitten! As they grow older, they can practise with string floss. Parents should also help with brushing because at 2 years old toddlers don’t have the dexterity or ability to effectively remove all of the plaque by themselves.
Toothpaste- what should I buy? For the longest time, we just used water. Yes, water! My toddler then became very annoyed and bored with this twice daily routine of brushing. That’s when I added toothpaste! Until your child can spit the toothpaste out and you are confident that he/she is not ingesting any of it, stick to fluoride free toothpaste. The amount of fluoride in toothpaste is in very low concentration, but for little people it can be toxic in larger amounts if they are not spitting it out. Around age 4 is when you can test them to see how well they can spit. Currently, our 2 year old spits out her fluoride free paste as she copies and learns from her older sister who uses fluoridated paste. They each have their own toothpaste though until I am 100% sure Quinn isn’t eating the other half of the paste!
Fluoride Application. Most dental offices offer a fluoride application with a child’s dental visit. Depending on the office and the type of fluoride they offer, a fluoride varnish, foam, gel, or rinse may be given. I am a huge advocate of topical fluoride for kids where suitable.
If parents are having a challenging time getting their child to brush, there is an abundance of plaque on the teeth, and/or many cavities have been diagnosed, an electric toothbrush may be a good option. They are kind of like a “toy” for kids, have a 2 minutes timer built-in, and effectively remove more plaque than a manual brush if they are being used properly. I would recommend rechargeable electric brushes for kids like Oral-B or Sonicare.
Fillings on baby teeth? Hopefully, early on, you have established a healthy diet and stellar brushing and flossing routines so that your child is at lower risk for cavities. If a cavity does occur at a young age, many parents ask if it’s necessary to even have it filled since they’ll be losing it anyways. YES. Adult teeth will start coming in at the age of 6 and end around 13 years of age. This means if a child has a cavity at a young age and doesn’t get it taken care of, he/she may have that decayed tooth until age 13! By this time, infection of the entire tooth and other teeth in the mouth may occur. The child may experience pain and infection could spread. It is very important to have baby teeth filled. Please refer to the permanent chart to find out when your child’s adult teeth will start coming in.
Here are a few tips for keeping your toddler low risk for cavities:
-Diet also plays an important role in cavity formation. If the diet has a lot of sugar in it, then the toddler will be at higher risk to get cavities. Actually, any carbohydrates and sugars can combine with germs in our mouth to create acid which can cause cavities. Sticky carbohydrates like gummy bears, fruit roll ups, caramels etc. are especially bad since they cannot be easily washed away. Hard cheese is an example of a good food for our teeth!
-Does your child drink juice, pop, and milk? If yes, eliminate the pop and juice. It can be given as a treat or on special occasions. Milk can be consumed at mealtime and water in between meals. No food or drinks should be consumed after brushing the teeth at night time.
-Does your child snack frequently? It is better for our teeth to eat a few meals a day opposed to several snacks or small meals throughout the day. This is because our mouths are more acidic for about 30 minutes after eating, meaning cavities can form more easily if we snack frequently.
I hope you have found this post helpful! Please feel free to contact me if you need further information. If I do not have an answer for you, I may know someone who does!
Nicole Sailes is a certified Hypnobabies Instructor with Full Circle Birth Collective. Learn more about Nicole here.
This week on the Full Circle blog, we're going to hear from my friend Vanessa Taylor. Vanessa is a mom of 3 beautiful girls: a 3-year-old singleton and 7-month-old twins! I met Vanessa in a breastfeeding support group about 2 years ago, and we became fast friends because of our similar parenting styles and our goal to learn as much about breastfeeding as possible. I asked her if she would be kind enough to share her story of her twins' birth and exclusively breastfeeding her girls (and a shoutout to postpartum doulas!), and she was nice enough to write this. ~Kelsey
My breastfeeding journey begins with my oldest who is now 3. Long story short, I knew from the second I got pregnant with her that I would breastfeed her. Formula wasn't a choice for me. I would make it work. And we did. Through the cracked and bloody nipples, through the month where I'd pump a little milk to put in a syringe to squirt on my nipple to help her get latched, to endless all night nursing, until I weaned her when I was 3 months pregnant with the twins. I gained confidence in myself and my body regarding breastfeeding. I joined a wonderful breastfeeding group on Facebook, and became semi-obsessed with infant feeding. I read about booby traps, birth, and how to overcome common obstacles. And with the twins, knew I'd breastfeed them, just as sure as I was with my oldest.
One of the first things I thought when the doctor told us "it's doubly fine! It's twins!" was "will I be able to breastfeed them?" Breastfeeding is very important to me so when we learned I was having the least risky type of twins (I have dichorionic (separate placentas) diamniotic (separate sacs) twin girls), I breathed a small sigh of relief. Most doctors will support vaginal delivery with di/di twins if one baby was head down.
My pregnancy was mostly uneventful, but very challenging at the same time. Everything I did during my pregnancy was to grow my babies, and keep them in as long as possible so they wouldn't have to go to the NICU, where a lot of moms' breastfeeding journeys end. I followed Dr. Luke's diet recommendations from the book "When You're Expecting Twins, Triplets, or Quads". She talks about which foods are best to eat in each trimester, how much protein to eat (which is a TON), and how much healthy weight to gain in each trimester. I got a FitBit to keep active. I rested when my body told me to. I credit this book with my girls' very healthy birth weights and my healthy weight gain of 42 pounds. I was very aware that lots of twin moms have c sections, which can affect breastfeeding so I did some yoga to encourage the babies to get head down which my OB said was a requirement for vaginal birth. Baby B turned head down early on but Baby A stayed breech until 35 weeks. She finally turned and I was confident I'd get to birth them vaginally. I knew there was a chance of vaginal birth for the presenting baby and c section for the other baby. I was terrified of a c section.
When I went into labor at 37 weeks 5 days at 3:15AM, we called the babysitter, the doula, and raced to the hospital. 6 hours and no c-section later, I had my babies in my arms. I credit the on call OB for my vaginal birth of the second baby, Everly. She took her sweet time compared to her sister, Harlow, who basically shot out an hour after we got to the hospital. This OB was patient and listened to me when I wanted to try different positions, he didn't rush me, he let me know when I was making progress getting Everly down, and when I wasn't. I even got to breastfeed Harlow between contractions. My husband knew how important it was for me to be able to nurse her within the hour after being born, so he asked the nurse to hand me the baby for skin to skin and some nursing. After almost an hour of not making much progress and a few times where everyone in the room looked very nervous waiting for Everly's heart rate to come back up, I made up my mind that I didn't care if I pooped on the table, I was getting this baby out. As soon as I started pushing like I was pooping, I made better progress. With one last huge push, and me basically ripping my husband's shoulder off, she came out. She was blue, but they assured us she was ok, and then she started screaming. My babies were here! 1 hour and 1 minute apart. I nursed both of them in the operating room immediately after birth (they make you deliver in the OR "just in case"), and neither needed any NICU time. YAY! Harlow was 5 lbs 9 oz and Everly was 6 lbs even. My oldest daughter was 6 lbs 1 oz so these were some good sized babies!
They were great nursers from the beginning. Harlow was a little sleepier in the first 24 hours but the ladies in the breastfeeding group on FB (including Kelsey) assured me that it was OK, and to follow their lead. We were discharged the next day after me insisting, and that's when the fun began! The hospital wanted me to schedule an appointment with their pediatrician for the next day since we were leaving "early", so I did. The babies nursed pretty much non stop until my milk came in late on Day 2. They didn't lose much weight and have been gaining like crazy ever since. I knew it was important for each of them to nurse 10-12 times everyday for the first few weeks, and it turns out, they still nurse 9-10 times even now at 7 months.
After we got home, I called our postpartum doula to schedule when she'd come help us overnight. She came 2-4 nights per week for the first 3 months. I honestly don't know how we would have made it without her. She would bring them to me during the night, help me get them latched, burp and change them, put them back to sleep, and repeat all night long. I tandem nursed only when they were very little. I found it much easier to nurse them one at a time.
For me, nursing twins wasn't much different than nursing a singleton, except we do everything twice. Feed baby, burp baby, change baby, and repeat. With the confidence and knowledge I'd gained with my oldest daughter, it came naturally and easily. I had and have help, so that is truly invaluable in dealing with the daily grind with 3 kids 3 and under. For me, doing a lot of research before babies were born helped tremendously. I knew what was normal, when growth spurts were, and I wasn't intimidated. I trusted my body to provide milk for the babies it grew. And it has! My girls are right around the same size my oldest was at the same ages. Breastfeeding twins is a challenge, but if met head on with support and knowledge, it is absolutely doable!
Kelsey Voelker is a labor doula and lactation educator with Full Circle Birth Collective. Learn more about Kelsey here.
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