Monday, September 17, 2012

When to start dentist check-ups

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I think the age for when is  best to start dentist visits is one of the most varied in all of parenting advice. You have the experts saying everything from "no later than first birthday" to "start thinking about it at age 3." On Becoming Babywise Book Two suggests you start no later than age one. They actually suggest when the first tooth comes in, but say to get the "well baby dental checkup" in by age one (page 111).

We take our children to a pediatric dentist. He suggests starting at age one. From age one up until three, they clean teeth with a toothbrush, check for possible problems, and do basic evaluations. Our dentist likes by age one so he can spot any possible problems early on. He also likes it so the child gets used to going there. At age three, they move on to real cleanings with the real tools--although if the child is super comfortable, they will start earlier than age three. McKenna was so comfortable at the dentist that they did a "real" cleaning on her at age 2.5. 

Our family practice dentist has a different policy on young children and the dentist. He likes them to come, sit on the chairs and get comfortable with the office. He does not start any real cleanings or check-ups until age three. 

So what do we do? We start at age one. I really don't see a reason not to. We do have dental insurance, so cost is not a factor. I am sure if we had to pay for it I would be a little more hesitant to take the one year old in. But I agree with the idea presented in Babbywise Book Two that they are "well-check" visits. I take my children to their well-check doctor visits even if nothing is wrong with them, so I view the dentist as no different. 

Some reasons for taking by age one include:
  • It makes early detection and prevention possible if there are any problems. "Infants and toddlers woh suffer from decay are more likely to continue to have issues with this disease into their permanent teeth" (page 111).
  • Parents can be informed of possible problems and what to do about it. For Brayden and Kaitlyn, there were no issues. McKenna had a couple of things we needed to watch. In the end, the two things we were watching corrected on their own, but I was glad we had taken her at age one so we could correct them if intervention was needed.
  • Children can get comfortable with the dentist.
  • It follows the "start as you mean to go on" mentality.
Some sources say you can wait until two or even three if you follow general rules. They are:
  • Do not put baby in bed with a bottle of juice or milk.
  • Move baby from bottle to cup.
  • Limit juice and milk intake. Have those at regular meal and snack times and offer water between meals.
  • Do not have night feedings.
  • Clean teeth at home. Toothpaste isn't necessary (and you don't want to use fluoride toothpaste until your child can spit it out and not swallow it). 
Those rules are pretty easy to follow for a Babywise baby. If you follow those rules, you might not need to go to the dentist at age one.

So what do you do? What age do you start the dentist? Why? Do you view dentist visits as a needed habit or something you do more sporadically?

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Katy Hazard said...

My dentist said he starts seeing children at 3, so we waited. He said if we had any problems we could go to a pediatric dentist, but everything seemed fine. My daughter had been to a few of my appointments and we did some prep (videos and dentist "play") before her first check up - she did great!

Emily said...

we started at age 3 for my son...we do not have dental insurance so to us a cost factor is for sure involved! our pediatrician always told us age 3 so we waited...I'm not sure if we'll go sooner or not for our daughter? I for sure see the advantage of starting off so young!!!

Amber said...

My dentist doesn't start seeing kids until age 3 either. But, my 2.5 year old has been complaining about his tooth hurting so we're actually taking him in for his 1st visit tomorrow. There is no way he would have let the dentist look in his mouth before now. He wouldn't let our pedi look in it at his 2 year checkup.

RebekkahGrace said...

Before we got dental insurance, I was planning to take them in sometime around 3. But, when we got some, I decided to go ahead and take the 2 year old to a pediatric dentist. It went fantastic! Then, about a month later, he fell and hurt his front teeth. I was so glad we had already gone, so that the visit to dentist (which included xrays) was not scary in the least!

So, if you have an active little boy, I recommend going early! And, a pediatric dentist makes all the difference.

Brittany W. said...

We started at age one because I read that in the Babywise book and I agreed with it. Our insurance also covers two visits a year so that's what we've been doing since. I was glad I took her in that young bc the dentist actually taught me how to brush her teeth most effectively. I also think it has helped her be more comfortable at a dentist office. :)

Kristy Powers said...

We also have good dental insurance, so that is a factor in our decision. We took our older son when he was between three and four, and he ended up being afraid of dentists for a while. We took our younger son when he was almost two, and now he actually asks to go to the dentist. It remains to be seen if he goes through an afraid stage as well, especially when the "real" work begins, but I am so pleased that he looks forward to dentist visits. :) An issue was spotted early: he will have to have an extra tooth removed when he is older and better able to go through that procedure. So far, I am in favor of earlier visits.

Kristin said...

I just wanted to say thank you, that this post reminded me that I really needed to get my 3 yo to the dentist. 3 was my plan since it doesn't seem totally necessary before that. Today I took her with me to part of my dentist apt so that she could see everything, meet the dentist, and be more comfortable when it's her turn - that was really great and she liked it.

Plowmanators said...

Thank you everyone for your comments!


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