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When should you start cleaning the baby's mouth? 
The baby's gums should be cleaned with fingers from as early an age as early as possible. Once the baby is a few months old, the gums can be cleaned with gauze wrapped on the finger tip, after food.
 
When should children start brushing by themselves?
Children can start brushing by themselves from the age of two years. After they brush, adults should check to make sure the teeth are clean.
 
When should you take the child for the first dental visit?
Children should be taken for the first dental visit at the age of one year. 
The dentist will only examine the mouth. The first visit must be a pleasant one.
Subsequently the child must be taken to the dentist once every six months for regular check ups.

 
What is the Link Between Diabetes and Periodontal Disease?
Diabetic Control. Like other complications of diabetes, gum disease is linked to diabetic control. People with poor blood sugar control get gum disease more often and more severely, and they lose more teeth than do persons with good control. In fact, people whose diabetes is well controlled have no more periodontal disease than persons without diabetes. Children with IDDM (insulin-dependent diabetes mellitus) are also at risk for gum problems. Good diabetic control is the best protection against periodontal disease.
Studies show that controlling blood sugar levels lowers the risk of some complications of diabetes, such as eye and heart disease and nerve damage. Scientists believe many complications, including gum disease, can be prevented with good diabetic control.

 
How Does Periodontal Disease Develop?
Gingivitis. Poor brushing and flossing habits allow dental plaque -- a sticky film of germs -- to build up on teeth. Some of these germs cause gum disease. The gums can become red and swollen and may bleed during toothbrushing or flossing. This is called gingivitis, the first stage of periodontal disease.
Gingivitis can usually be reversed with daily brushing and flossing and regular cleanings by the dentist. If it is not stopped, gingivitis could lead to a more serious type of gum disease called periodontitis.
Periodontitis. Periodontitis is an infection of the tissues that hold the teeth in place. In periodontitis, plaque builds and hardens under the gums. The gums pull away from the teeth, forming "pockets" of infection. The infection leads to loss of the bone that holds the tooth in its socket and might lead to tooth loss.
There are often no warning signs of early periodontitis. Pain, abscess, and loosening of the teeth do not occur until the disease is advanced. Since periodontitis affects more than just the gums, it cannot be controlled with regular brushing and flossing. Periodontitis should be treated by a periodontist (a gum disease specialist) or by a general dentist who has special training in treating gum diseases.

        
The Plates above show radiographic evidence of periodontal disease. A proper dental examination should always include evaluation of the supporting structures.

Are Other Oral Problems Linked to Diabetes?
Dental Cavities. Young people with IDDM have no more tooth decay than do nondiabetic children. In fact, youngsters with IDDM who are careful about their diet and take good care of their teeth often have fewer cavities than other children because they don't eat many foods that contain sugar.
Thrush. Thrush is an infection caused by a fungus that grows in the mouth. People with diabetes are at risk for thrush because the fungus thrives on high glucose levels in saliva. Smoking and wearing dentures (especially when they are worn constantly) can also lead to fungal infection. Medication is available to treat this infection. Good diabetic control, no smoking, and removing and cleaning dentures daily can help prevent thrush.
Dry Mouth. Dry mouth is often a symptom of undetected diabetes and can cause more than just an uncomfortable feeling in your mouth. Dry mouth can cause soreness, ulcers, infections, and tooth decay.
The dryness means that you don't have enough saliva, the mouth's natural protective fluid. Saliva helps control the growth of germs that cause tooth decay and other oral infections. Saliva washes away sticky foods that help form plaque and strengthens teeth with minerals.
One of the major causes of dry mouth is medication. More than 400 over-the-counter and prescription drugs, including medicines for colds, high blood pressure or depression, can cause dry mouth. If you are taking medications, tell your doctor or dentist if your mouth feels dry. You may be able to try a different drug or use an "artificial saliva" to keep your mouth moist.
Good blood glucose control can help prevent or relieve dry mouth caused by diabetes.
 
What Is the Right Way to Brush?
Proper brushing takes at least two minutes - that's right, 120 seconds! Most adults do not come close to brushing that long. To get a feel for the time involved, try using a stopwatch. To properly brush your teeth, use short, gentle strokes, paying extra attention to the gumline, hard-to-reach back teeth, and areas around fillings, crowns or other restoration. Concentrate on thoroughly cleaning each section as follows:
  • Clean the outer surfaces of your upper teeth, then your lower teeth
  • Clean the inner surfaces of your upper teeth, then your lower teeth
  • Clean the chewing surfaces

For fresher breath, be sure to brush your tongue, too

Tilt the brush at a 45° angle against the gumline and sweep or roll the brush away from the gumline. Gently brush the outside, inside and chewing surface of each tooth using short back-and-forth strokes. Gently brush your tongue to remove bacteria and freshen breath

What Type of Toothbrush Should I Use?
Most dental professionals agree that a soft-bristled brush is best for removing plaque and debris from your teeth. Small-headed brushes are also preferable, since they can better reach all areas of the mouth, including hard-to-reach back teeth. For many, a powered toothbrush is a good alternative. It can do a better job of cleaning teeth, particularly for those who have difficulty brushing or who have limited manual dexterity. 
 
How Important Is the Toothpaste I Use?
It is important that you use a toothpaste that's right for you. Today there is a wide variety of toothpaste designed for many conditions, including cavities, gingivitis, tartar, stained teeth and sensitivity. Ask your dentist or hygienist which toothpaste is right for you. 
 
How Often Should I Replace My Toothbrush?
You should replace your toothbrush when it begins to show wear, or every three months, whichever comes first. It is also very important to change toothbrushes after you've had a cold, since the bristles can collect germs that can lead to reinfection.
 
What Is Tooth Sensitivity?
Tooth sensitivity is tooth pain due to a wearing away of the tooth's surface or gum tissue. The most common cause of sensitive teeth in adults is exposed tooth roots due to receding gums. Because these roots are not covered by enamel, thousands of tiny channels leading to the tooth's nerve center (pulp) are exposed. When heat, cold or pressure touches these channels, you feel pain.

Ignoring your sensitive teeth can lead to other oral health problems. This is especially true if the pain causes you to brush poorly, making you vulnerable to tooth decay and gum disease.
 
How Do I Know if I Have Sensitive Teeth?
If you've ever felt a painful sensation in your teeth after drinking or eating hot or cold food and beverages, you've experienced tooth sensitivity. And you're not alone. It's a condition that affects one out of four adults, often coming and going over time.
 
How Do I Treat Sensitive Teeth?
First and foremost, tell your dentist or hygienist.

Sensitive teeth can usually be treated successfully. Your dentist may prescribe a brush-on fluoride gel or a fluoride rinse. You can also try low-abrasion toothpastes with formulations made especially for sensitive teeth. Ask your dentist which anti-sensitivity products are right for you.

Be careful to brush properly or you can cause your teeth to wear away, making them sensitive. Overzealous brushing, the clasp of a partial denture, and braces can also lead to abrasion (loss of tooth surface).

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