108 HAWAII PARENT January/February 2025 blue-colored skin and lips, shortness of breath, fatigue, and headache,” Dr. Diep illuminates. “Homeopathic teething tablets are also not recommended by AAP,” Dr. Diep says. What should parents do when the first tooth does appear? Parents can start oral hygiene habits as early as the first tooth appears! “Start with simply wiping the teeth with a clean washcloth to get baby used to having their teeth cleaned,” Dr. Diep advises. “After that, parents can start brushing their children’s teeth twice per day using a fluoridecontaining toothpaste. For babies and infants, the amount of toothpaste generally recommended on the toothbrush is the size of a grain of rice,” Dr. Diep continues. “Once children reach age three, they can use a pea-sized amount of toothpaste like adults.” “Some kids want to brush by themselves, and it’s okay to let them at first,” says Dr. Diep. “But parents should typically help at the end to ensure that the teeth are clean. It is most important to clean before bedtime to prevent cavities.” “Make teeth brushing part of children’s daily routine,” Dr. Diep encourages. “Parents can even brush as a family to show children that brushing is normal.” When should parents see a doctor about teething? Second guessing when to bring a child to the doctor can be a frequent internal conflict, especially surrounding something as normal as teething. However, Dr. Diep advises bringing your child to the doctor if any of the following symptoms occur: high fever (might be a viral infection), vomiting, diarrhea, decreased oral intake, or decreased number of wet diapers. Also regularly seeing a pediatrician can assist in keeping your child healthy – including their smile. “Dentists and even some pediatrician offices can help with oral hygiene by applying fluoride to prevent cavities,” Dr. Diep explains. “There are also multivitamins with fluoride or fluoride drops that can be prescribed for babies and children to take.” “Fortunately, most children make it through teething without any serious problems!” Dr. Diep concludes. For any questions about teething, parents should always ask their pediatrician or dentist. If you would like to speak more with Dr. Diep, call 808-945-9955 or email pediatrics@doctordiep.com. “For babies and infants, the amount of toothpaste recommended is the size of a grain of rice.” According to the American Academy of Pediatric Dentistry and Hawaii Dental Service, a child should go to the dentist when the first tooth appears, or at age 12 months, whichever comes first. Parents can expect the following at a child’s first dentist appointment: • A basic visual examination of the teeth and mouth • Tips and coaching about how parents can care for the child’s teeth at home • Advice to prevent cavities with a healthy diet and lifestyle For more helpful dental care tips and other important information, visit HawaiiDentalService.com/DentistbyOne. First Dentist Visit
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