Treatment FAQ

when should my toddler get their 1st flouride treatment

by Prof. Henri McCullough Jr. Published 3 years ago Updated 2 years ago

A: The AAP recommends using a "smear" of fluoride toothpaste twice a day when the first tooth appears and until age 3. Once your child has turned 3, a pea-sized amount of fluoride toothpaste can be used.Nov 30, 2020

Should a 2 year old get fluoride treatment?

"In addition, we are recommending that infants and children should have fluoride varnish applied to their teeth when baby teeth appear, and that primary care clinicians can do that," said task force chairman Dr. Michael LeFevre. "That should be a part of routine well-child care," he added.May 6, 2014

At what age do fluoride treatments start?

Fluoride varnish can be used on babies from the time that they have their first tooth (around six months of age). Fluoride varnish has been used to prevent cavities in children in Europe for more than 25 years. It is approved by the FDA and is supported by the American Dental Association.

Do toddlers need fluoride supplements?

In general, kids under the age of 6 months do not need fluoride supplements. After that, your doctor or dentist may prescribe fluoride supplements if: You live in an area that does not have fluoride in the water. Your child drinks only bottled water.

Should my 1 year old use fluoride toothpaste?

Fluoride toothpaste is recommended for babies and toddlers by the American Academy of Pediatrics, the American Association of Pediatric Dentistry, and the American Dental Association.

How often should Toddlers get fluoride treatment?

Once your child has a tooth, your doctor may recommend that your child receive fluoride varnish treatments in the pediatrician's office to help prevent tooth decay. This can be done 2 to 4 times per year. The number of treatments depends on how likely it is that your child may get a cavity.May 15, 2015

How much fluoride is too much for toddlers?

– the concentration of fluoride in drinking water is less than 0.3 ppm; – the child does not brush his or her teeth (or have them brushed by a parent or guardian) at least twice a day; and.
...
TABLE 2.
Age of childFluoride concentration
<0.3 ppm>0.3 ppm
>3 to 6 years0.5 mg/dayNone
>6 years1.00 mg/dayNone
2 more rows

Is the fluoride treatment worth it?

Yes! Not only does fluoride prevent decay, it can also reduce root hypersensitivity such as cold sensitivity and sensitivity during dental cleanings, which can be common with gum recession.Jul 7, 2020

What are the cons of fluoride?

The cons of fluoride

Certain studies have shown that fluoride may contribute to weakening the bones and maybe even the joint's connective tissues. Fluoride also causes a condition known as fluorosis, which causes tooth discoloration.

Are fluoride vitamins necessary?

Fluoride supplements are not necessary if the fluoride content in the water supply is greater than 0.6 parts per million. If your water supply changes, check with your doctor or dentist to determine if extra fluoride is still necessary. If you miss a dose, take it as soon as you remember.

When should you use fluoride varnish?

Child and Teen Checkups (C&TC) requirements

Fluoride varnish application is now required at all C&TC visits, starting at the eruption of the first tooth or no later than 12 months of age, and continuing through 5 years of age. This can be done as often as 4 times per year in the clinic setting.

Why you shouldn't use fluoride toothpaste?

Swallowing fluoride toothpaste can lead to fluorosis, which interferes with the development of tooth enamel and can result in white streaks on the teeth, and gastrointestinal problems if the amount is large enough.May 10, 2020

Can I use fluoride toothpaste on toddler?

Fluoride toothpaste is generally safe and recommended for both children and adults. But it's important to use it correctly, especially for babies and young children. If you're worried about the safety of fluoride, there are plenty of fluoride-free options available.

Why do kids need toothpaste?

Some mouthwash and toothpaste products made for kids contain fluoride to help lower the risk of tooth decay. Using the recommended amount of toothpaste to clean your children’s teeth helps ensure that they’re getting as much protection as possible from cavities.

Can kids get fluoride?

Your children can get fluoride at the dentist’s office. Dentists can give kids fluoride treatments that coat their teeth to help strengthen their enamel. With these treatments and regular brushing with fluoride toothpaste, your children should have a significantly lower chance of having cavities.

Who believes parents should be asking their primary care doctor to coat their children's teeth with fluoride?

LeFevre believes parents should be asking their primary care doctor to coat their children's teeth with fluoride.

Who is the director of pediatric dental at Miami Children's Hospital?

Dr. Rosie Roldan, director of the Pediatric Dental Center at Miami Children's Hospital, said these recommendations are fine as long as they are part of overall dental care, which includes referrals to a dentist.

Do preschoolers go to the dentist?

Most doctors incorrectly assume that children are seeing a dentist, LeFevre said. "The problem is that three out of four preschool-aged kids do not visit a dentist," he added.

Is fluoride varnish good for children?

Tooth decay is a significant health problem for children, LeFevre noted. "Applying fluoride varnish is something that primary care clinicians can do. It's not complicated and this is a way primary care physicians can help the dentist in terms of preventing tooth decay," he said.

How to minimize fluorosis in children?

To minimize the risk of visible fluorosis, teach your children to spit, not swallow toothpaste or mouthwash/rinse after use. Talk to your dentist about any questions or concerns you may have and about which dental products are right for your child.

How does fluoride work?

Here’s how fluoride works. Your mouth contains bacteria that feed on the sugars in the foods we eat and the beverages we drink. This produces acid that can wear away the hard, outer shell of your tooth (enamel). This can lead to cavities.

How to keep a baby's mouth clean?

To keep your baby’s mouth as clean as possible, use a soft cloth to wipe his or her gums clean from the start. Once those first teeth start coming through the gums, begin brushing them with a soft, child-sized toothbrush (my daughter loved her Elmo toothbrush) and a tiny smear of fluoride toothpaste about the size of a grain of rice and minimizes the amount your child swallows. This will help spread the fluoride onto teeth without your child swallowing too much, since he or she can’t really spit yet. Once your child becomes better at spitting (about age 3), use a pea-sized amount of toothpaste and have your child spit after brushing. Keep helping your child brush until at least age five or six. It may be a team effort until then (it is at our home!), but keep doing the final brushing just to be sure all the “sugar bugs” are gone. Stickers help!

What is the best way to treat a child's tooth?

A fluoride treatment is quick and painless. Your dentist will paint a thin layer of fluoride varnish on your child’s teeth. Fluoride varnish is a sticky yellow or orange substance that often has a pleasant taste. The varnish application is fast and sets quickly.

When does fluorosis occur?

Dental fluorosis happens before age 8 and is caused by getting too much fluoride when teeth are forming below the gums and before they appear in the mouth. It is mostly a cosmetic issue with no negative health effects.

How many people have fluorosis?

It is estimated that less than 1 in 4 people between the ages of 6-49 have fluorosis, which most often can only be seen by a dental professional. Less than 2% of people are categorized as having anything more than mild fluorosis, which looks like small white spots on the teeth. To minimize the risk of visible fluorosis, teach your children to spit, not swallow toothpaste or mouthwash/rinse after use. Talk to your dentist about any questions or concerns you may have and about which dental products are right for your child.

Does fluoride cause weight gain?

Sugary drinks also contribute to weight gain, where water with fluoride is calorie-free. Something else to keep in mind is that fluoride is natural. It is an element found at some level in all natural water sources.

Why is fluoride used in tooth decay?

Fluoride is an effective way to prevent and even reverse the early signs of tooth decay. It makes the tooth structure stronger, so teeth are more resistant to acid attacks.

Why do kids spit out toothpaste?

The ADA recommends that children spit out the toothpaste after it’s applied to their teeth to avoid developing fluorosis, a condition that results in a tooth’s enamel changing color due to too much fluoride exposure. Of course, this is easier said than done with a small child.

Can you use fluoride toothpaste with toddlers?

If you are still in doubt, be sure to ask your dentist at your next checkup. Your dentist will examine your child’s teeth and take into consideration environmental factors before making an informed decision about whether you should begin using fluoride toothpaste with your toddler.

Why is fluoride important for teeth?

Fluoride protects teeth from damage and helps rebuild the enamel. Many communities have added fluoride to the tap water to help fight cavities. Children should drink plenty of water and brush with toothpaste that has fluoride in it.

How long does it take for fluoride varnish to harden?

It is painted on the top and sides of each tooth and hardens quickly. Then, it is brushed off after 4 to 12 hours.

Does fluoride help with tooth decay?

Fluoride from drinking water and other sources like toothpaste and mouth rinse can help prevent tooth decay (dental caries for cavities) and make your child's teeth stronger. Here are some common questions parents ask about how fluoride helps protect children's oral health. Q: Why do children need fluoride?

When to mix formula with water?

A: When they are younger than 6 months old, breastfed babies and babies fed infant formula do not need fluoride supplements or formula mixed with water than is fluoridated. It is safe to use fluoridated water to mix the formula if your baby is younger than 6 months old, but there is a small risk of "fluorosis.".

Can you use fluoride with formula?

If you prefer not to use fluoridated water with formula before your baby's first tooth emerges, you can: Use bottled or purified water that has no fluoride with the formula. Use ready-to-feed formula that does not need water to be added.

Is the information contained on this Web site a substitute for the medical care and advice of your pediatrician?

The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.

Is it bad to have fluorosis in your teeth?

Mild fluorosis is not painful and does not affect the function or health of the teeth. Although using fluoridated water to prepare infant formula might increase the risk of dental fluorosis, most cases are mild. Once your child's adult teeth come in (usually around age 8), the risk of developing fluorosis is over.

How old do you have to be to use fluoride toothpaste?

Fluoride toothpaste the size of a pea is recommended for children ages 3 to 6 years old. You should watch children to ensure they spit toothpaste out while brushing.

What is the purpose of fluoride?

Fluoride is a natural mineral that prevents cavities. It restores minerals to tooth enamel and prevents harmful bacteria from building up in the mouth. Overdosing on fluoride can cause negative complications.

Why is fluoride important for teeth?

Tooth enamel is the outer protective layer of each tooth. Fluoride is especially helpful if you’re at high risk of developing dental caries, or cavities.

How does fluoride work?

Fluoride works by restoring minerals to tooth surfaces where bacteria may have eroded the enamel. It can also inhibit the growth of harmful oral bacteria and further prevent cavities.

How old should a child be to brush their teeth?

If your child is under 3 years old, they should only brush their teeth with close supervision. Apply only a thin layer of fluoride toothpaste to their toothbrush. The toothpaste should cover less than half of the bristles or be no bigger than a grain of rice.

How much does insurance cover for fluoride?

Insurance usually covers fluoride treatments at the dentist for children. Adults, however, may pay $10 to $30 out of pocket, or more. Always ask your dentist about costs before treatment.

What is the best source of fluoride?

dry mouth, or decreased saliva. weak enamel. Common sources of dietary fluoride include: tea. water. food cooked in water. fish eaten with their bones. infant formula. Optimal fluoride intake comes from food, water, and supplements.

Dental Health with Fluoride

  • To keep your teeth healthy, it’s important to include fluoride in your daily oral hygiene routine. For many people, fluoride is added to their drinking water by their communities. In addition, people also use toothpaste that contains fluoride. Both of these methods are effective ways to apply fluoride to your teeth. However, your dentist may suggest a dental fluoride treatment option if yo…
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Procedure

  • While there are over-the-counter (OTC) fluoride treatments for adults and children, your dentist may suggest an in-office fluoride treatment. These include:2 1. Fluoride mouth rinsesare a concentrated solution that you swish in your mouth and around your teeth as directed, typically once a day or weekly. 2. Fluoride supplements are available as a tablet or lozenge and are consu…
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Cost

  • The cost for a dental fluoride treatment varies based on the type, but they typically start at around $25.4If you have dental insurance, your policy may cover certain dental fluoride treatments. It’s important to discuss these treatments with your insurance provider before you get one at the dentist's office.
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How Much Fluoride Is needed?

  • For healthy teeth, brush twice a day with fluoride toothpaste. Most toothpaste has a range of 1,000–1,500 parts per million (ppm) of fluoride.5 Parents with children younger than 2 should consult with their healthcare provider, pediatrician, or dentist before starting a fluoride toothpaste. However, when your child cuts their first tooth, the Ameri...
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Benefits

  • Fluoride is essential for a healthy mouth and teeth. The benefits of fluoride include building strong teeth, protecting tooth enamel, and fighting tooth decay. Fluoride also reduces the amount of acid on your teeth caused by bacteria.7
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Side Effects

  • Like many other minerals, fluoride can be toxic if you consume it in high doses. However, if you brush your teeth twice a day with fluoride toothpaste, the amount of it is too small to present a risk. If your dentist prescribes additional fluoride treatments, it’s important to use them as directed. Children ages 8 and younger are at risk for developing dental fluorosis, or discoloratio…
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Summary

  • Good dental hygiene includes fluoride in your toothpaste and/or drinking water to help prevent tooth decay. If necessary, your dentist may recommend additional dental fluoride treatments. These treatments are a quick and easy way to help ward off tooth decay and gum disease. To keep your teeth healthy, it's important to brush your teeth twice a day with a fluoride toothpaste.
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A Word from Verywell

  • Brushing your teeth with fluoride toothpaste twice a day goes a long way in keeping your teeth healthy and strong. Be sure to get a dental cleaning and checkup at least once a year, and speak with the dentist about fluoride treatments.
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