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Toddlers are notoriously balky about strangers. But their first dental visit should not be cause for fear and tears. Nor should you assume that getting your toddler to Great Smile Dental is going to involve a full-blown tantrum or Mafia-style bribery. “Honey, don’t worry. We’ll go get ice cream after…” sort of defeats the purpose of making that first dental appointment.

These five tips will make your toddler’s trip to see Dr. Janaki Narayanan as fun as a stop at an amusement park.

1. Before you make a dental appointment for your child, take him or her on a ride-along to one of your dental appointments. Let your son or daughter experience the office and get the lay of the land. Toddlers don’t like surprises. But if your little one is already familiar with the big chair that goes up and down, the next time he or she will have no problem taking a seat.

2. About the big dental chair … well, it’s really an amusement park ride. See how it goes up and down? Toddlers love games, and turning the trip to the dentist into a game is among the oldest (and most successful) tricks in the parent playbook.

3. Positive reinforcement is a good thing. That's why Dr. Janaki Narayanan and our staff hand out cool toothbrushes or stickers to children after their appointment. A fun-colored toothbrush with a suction bottom is a good incentive to come back for another cleaning.

4. Timing is everything. Don’t take your child to the dentist an hour before the daily nap. Make the appointment with your child’s schedule in mind. This increases the chances of success.

5. A few days before the scheduled appointment, start reading your toddler bedtimes stories about what happens at the dentist. Dora the Explorer’s Show Me Your Smile, written by Christine Ricci, is a popular dental story that your child might relate to.

Hand-foot-and-mouth disease, or HFMD, is a type of contagious viral illness that causes a rash in the mouth and on the hands and feet of infants and young children, and, while rare, adults. Characterized by sores in the mouth and a rash on the hands and feet, hand-foot-and-mouth disease is most commonly caused by a coxsackievirus, a bacterium that lives in the human digestive tract. HFMD can spread from person to person, typically via unwashed hands.

What are the symptoms of HFMD?

Symptoms of HFMD usually begin with a fever, sore throat, poor appetite, or general malaise. A couple of days after the fever starts, kids may develop painful sores in the mouth. A skin rash characterized by red spots may also develop, usually on the palms of your child’s hands and soles of their feet. It’s important to note some children may only experience a rash while others may only have mouth sores.

Is HFMD serious? Should we be concerned?

Usually not. Nearly all children infected recover anywhere between seven to ten days without medical treatment. Rarely, however, a child can develop viral meningitis and may need to be hospitalized. Other rare complications of HFMD can include encephalitis (brain inflammation), which can be fatal.

How can my child prevent HFMD?

There is no known vaccine to defend your child against HFMD. However, the risk of your child contracting the disease can be reduced by:

• Making sure your child washes his or her hands often
• Thoroughly cleaning objects and surfaces (these include doorknobs and toys)
• Making sure your child avoids close contact with those who are infected

To learn more about hand-foot-and-mouth disease or to schedule an appointment for your child, please give us a call at our Duvall office!

Your infant’s first teeth will begin to appear around six to 12 months of age. You might wonder how important these primary teeth really are. After all, baby teeth are destined to fall out within a few years and be replaced by a full set of permanent teeth. However, baby teeth have important functions, and proper care can set the stage for excellent oral and overall health.

Promote Better Nutrition

The appearance of your baby’s primary teeth around six to 12 months of age coincides with changes in your infant’s nutritional needs. Beginning at six months, exclusive breastfeeding is no longer nutritionally sufficient; this is the age at which you should introduce solid foods.

At six to eight months, when your baby can start to chew, strained or pureed fruits and vegetables are appropriate. As your little one’s teeth grow in and chewing abilities progress through 12 months of age, you can gradually add cereal, bread, cooked meats, and other adult foods to his or her nutritious diet.

Increase the Life Expectancy of Baby Teeth

Although baby teeth are inevitably going to fall out and be replaced by permanent ones, making baby teeth last serves an important role that can have benefits into the future. Baby teeth serve as placeholders for permanent teeth. If they decay and fall out too soon, permanent teeth are more likely to grow in crooked.

How to Take Care of Baby Teeth

Your baby’s primary teeth are already in his or her mouth at birth; they are just invisible because they have not broken through the gums. Since they are already present, your baby can get cavities if you do not practice proper oral hygiene from the beginning.

• Do not let your baby fall asleep with a bottle in his or her mouth.
• Brush your child’s baby teeth twice a day as soon as they come in.
• Floss your child’s teeth as soon as he or she has two teeth that touch.
• Visit Great Smile Dental for your baby’s first checkup when the first tooth arrives.

Flossing is one of the most important parts of your oral care routine. Many patients know they need to do it but find it difficult to fit into their busy lives. Well, here's the good news: flossing once a day is enough if you're doing a good job!

Some patients like to brush before they floss and others like to floss before they brush. Some like to floss in the morning when they have more energy, others like to floss at night so they can go to bed with a clean mouth. Don't get hung up on any of this, the important thing is that you floss and floss effectively no matter when you do it.

Effective flossing contributes to oral health in these ways:

• It reduces the chance of cavities between teeth, since cavities can only form on teeth covered with dental plaque and you're scraping that plaque away when you floss.
• Along with brushing, it reduces the amount of time the plaque is left on your teeth, allowing them to be in a state of healing and remineralization for longer.
• It removes plaque that accumulates at or below the gum line, aiding in the prevention of gum disease.

As you can see, flossing offers many benefits for such a simple and inexpensive technique. So if you're still wondering how much to floss, don't worry about it. Don't mistake the frequency of your flossing with the effectiveness of it. Choose a dental floss that you like and one time during the day when you can floss thoroughly and just do it! If you need more tips on how to floss correctly, ask Dr. Janaki Narayanan or any member of our Duvall team—we'd be glad to help you pick up this healthy habit!