01

Complete Oral Care Routine

Achieve whole mouth clean with our complete oral care routine

Between dental visits, protect your mouth with 3 easy steps

Tooth decay affects 57% of children ages 6-11 and 96% of the adult population, with 21% of adults having a history of moderate or severe gum problems. Maintaining a healthy mouth goes beyond just brushing.

It is important to establish a complete oral care routine between dental visits, including brushing twice daily, flossing, and rinsing to help keep your whole mouth healthy and clean.

Is there anything missing from your oral health care routine?

Brush
Hold your toothbrush at a 45-degree angle to your gum line. Gently brush across the entire tooth for 2 minutes, spending 30 seconds on each corner of your mouth. Don’t forget to brush your tongue!

Children under age 6 should be supervised during brushing and only use a small amount of toothpaste (a portion the size of a green pea).

Parents should consult a healthcare professional to determine whether children under age 3 are at risk of developing tooth decay. If the risk exists, the child’s teeth should be brushed by an adult using a minimal amount of fluoridated toothpaste (a portion the size of a grain of rice).

Floss
Brushing alone only reaches 25% of your mouth. To go places your toothbrush can’t floss gently around each tooth two to three times.

Rinse
For a whole-mouth clean, swish with an oral rinse for 30 seconds twice daily.

This step ensures that you reach nearly 100% of your mouth, eliminating the bacteria that hide in places brushing and flossing can’t reach causing bad breath, plaque, and gingivitis.

Check-in with the experts

Regular dental visits are an essential part of your oral health. Not only do your teeth and gums benefit from a professional cleaning, but dentists can catch small problems early by detecting the signs of tooth decay and gum disease.

The Canadian Dental Association recommends consulting your dentist about how often you need to be seen to maintain optimal oral health. The frequency may change throughout life and your dentist will determine what schedule meets your individual needs.

Many Canadians do not have dental benefits and do not receive regular professional dental care.

The connection between oral health and overall health

Your mouth is an entryway to the body and part of your overall health. Between dental visits, keep your mouth clean with a good hygiene routine.

Good oral hygiene helps prevent tooth decay and inflammation in your gums that can become serious.

An unhealthy build-up of bacteria in the mouth will lead to gingival inflammation and periodontal (gum) disease. An unhealthy buildup of oral bacteria and the inflammation associated with gum disease can affect your bloodstream, increasing your risk of other diseases. A healthy mouth can reduce your risk of other health conditions like heart and respiratory diseases, cancer, and diabetes.

Source: Canada Dental Association

02

Cleaning Teeth

young children are not able to clean their teeth. As a parent, you must do it for them when they are very young and do it with them, as they get older.

When your child can write (not print) his or her name, your child is ready to do a good job brushing. You should check to make sure your child does a good job.

You should start cleaning your child’s mouth even before your child has teeth. It gets both you and your child into the habit of keeping the mouth clean, and it gives baby (or primary) teeth a clean place to come into. The goal is to wipe all parts of the gums and teeth.

Here’s how to do it:

  • Lie your baby in a comfortable place.
  • Make sure you can see into your baby’s mouth.
  • Use a soft baby brush or wrap your finger in a clean, damp washcloth. Then, brush or wipe your baby’s gums and teeth.
  • Do not use toothpaste until your child has teeth.

How to Brush

Step 1
Hold the toothbrush at a 45-degree angle to the teeth. Point the bristles to where the gums and teeth meet.

Step 2
Use gentle circles. Do not scrub. Clean every surface of every tooth. For the front teeth, use the “toe” or front part of the brush. The key word is gentle. You can hurt the gums by brushing too hard.

Toothbrushes

The best kind of brush is soft, with rounded bristles. It should be the right size for your child’s mouth. You will need to buy a new toothbrush at least every 3 or 4 months.

Children can be hard on toothbrushes. If the bristles get bent or worn down, they will not do a good job, and may hurt your child’s gums.

Toothpaste

Make sure the toothpaste has fluoride. Check the box or tube for the symbol of the Canadian Dental Association. This symbol means the toothpaste has fluoride. Use only a bit of toothpaste and make sure your child spits it out.

As excessive swallowing of toothpaste by young children may result in dental fluorosis, children under 6 years of age should be supervised during brushing and only use a small amount of toothpaste.

Children under 3 years of age should have their teeth brushed by an adult. The use of fluoridated toothpaste in this age group is determined by the level of risk. Parents should consult a health professional to determine whether a child up to 3 years of age is at risk of developing tooth decay. If such a risk exists, the child’s teeth should be brushed by an adult using a minimal amount (a portion the size of a grain of rice) of fluoridated toothpaste. Use of fluoridated toothpaste in a small amount has been determined to achieve a balance between the benefits of fluoride and the risk of developing fluorosis. If the child is considered to be at low risk, the teeth should be brushed by an adult using a toothbrush moistened only with water.

Children from 3 to 6 years of age should be assisted by an adult in brushing their teeth. Only a small amount (a portion the size of a green pea) of fluoridated toothpaste should be used.

How to Floss

Step 1
Take a piece of floss about as long as your child’s arm. Wrap it around your middle fingers, leaving about 2 inches between the hands. Use your index fingers to guide the floss between the teeth.

Step 2
Slide the floss between the teeth and wrap it into a “C” shape. It should wrap around the base of the tooth, where the tooth meets the gum.

Step 3
Wipe the tooth from bottom to top 2 or 3 times or more, until it is squeaky clean.
Be sure you floss both sides of each tooth, and don’t forget the backs of the last molars.
Move to a new part of the floss as you move from tooth to tooth. After flossing, roll it up in a tiny ball and put it in the garbage. Never flush floss down the toilet.

Should my child always brush right before bed?

Yes. If you don’t get rid of the germs (bacteria) and sugars that cause cavities, they have all night to do their dirty work. Plus, when your child is asleep, he or she does not produce as much spit (or saliva). Saliva helps keep the mouth clean. So brushing at bedtime is very important.

Source: Canada Dental Association

03

Nutrition for Children

 When your child eats or drinks sugars, the germs (bacteria) in your child’s mouth mix with the sugars to make a mild acid. This acid attacks the hard outer layer of teeth (also called enamel). It can make holes (or cavities) in the teeth.

The damage that sugars do depends on how much sugar goes into the mouth and how long it stays in the mouth.

Any kind of sugar will mix with germs in the mouth. Natural sugars can have the same effect on teeth as white (or refined) sugar out of the bag! Many healthy foods contain natural sugars. Milk contains natural sugar.

If you put your child to bed with a bottle of milk, the milk stays in the mouth for a long time. This may cause cavities. Unsweetened fruit juice may have no added sugar, but fruit juice has natural sugars in it. If your child is always sipping juice between meals, the teeth are being coated in sugars over and over again.

Water is the best drink to have between meals. Starchy foods, like teething biscuits, break down to make sugars. If these kinds of food stay in your child’s mouth long enough, they will make the acid that can cause cavities. Your job is to clean your child’s teeth, not to stop your child from having milk, juice, bread or noodles. Your child needs these foods to stay healthy.

Read the labels of the packaged food you buy. By law, every ingredient in packaged food is listed by weight. So if a sugar is listed first, you know that there is more sugar than anything else.

These are sugars you can look for on labels: corn sweeteners; corn syrup; dextrose; fructose; glucose; honey; maple syrup; molasses and sucrose.

Also, check to see if liquid medicines (such as cough syrup) have sugars. Ask your doctor or pharmacist to give you sugar-free medicines.

Snacks

Growing children need and like snacks. Here are some smart ways to give snacks:

Limit the number of times a day your child eats or drinks sugars. If your child sips juice or pop while playing, he or she will have sugars in the mouth over and over again. Water is the best drink to have between meals.

Do not give your child sugar-rich foods that stay in the mouth for a long time like gum with sugar in it, suckers (or lollipops) and other hard candy. Stay away from soft, sticky sweets that get stuck in the mouth such as toffee, raisins and rolled-up fruit snacks or fruit leather.

Keep good snacks handy where your child can get them. Have carrot sticks or cheese cubes on the bottom shelf of the fridge. Children like small things like small boxes of cereal, small fruits and vegetables, and small packs of nuts or seeds (provided they are safe for your child). Keep them in a low cupboard. To keep your child from asking for sweets, do not buy them. If they are not in the house, you can’t give them out. If you do serve sweets, limit them to meals. When your child is eating a meal, there is more saliva in the mouth. This helps to wash away the sugars.

04

Your Child’s First Visit

The Canadian Dental Association recommends the assessment of infants, by a dentist, within 6 months of the eruption of the first tooth or by one year of age. The goal is to have your child visit the dentist before there is a problem with his or her teeth. In most cases, a dental exam every six months will let your child’s dentist catch small problems early.

Here are 3 reasons to take your child for dental exams:

  • You can find out if the cleaning you do at home is working.
  • Your dentist can find problems right away and fix them.
  • Your child can learn that going to the dentist helps prevent problems.

Your dentist may want to take X-rays. X-rays show decay between the teeth. They will also show if teeth are coming in the way they should. Your child’s dentist may also talk to you about fluoride.

Once your child has permanent molars, your dentist may suggest sealing them to protect them from cavities. A sealant is a kind of plastic that is put on the chewing surface of the molars. The plastic seals the tooth and makes it less likely to trap food and germs.

When your child goes for a dental exam, your dentist can tell you if crooked or crowded teeth may cause problems. In many cases, crooked teeth straighten out as the child’s jaw grows and the rest of the teeth come in.

If they do not straighten out, your child may have a bite problem (also known as malocclusion). This can cause problems with eating and with teeth cleaning. It can also affect your child’s looks and make him or her feel out of place.

Your dentist can suggest ways to treat this, or refer your child to an orthodontist. An orthodontist is a dental specialist with 2 to 3 years of extra university training in this area.

The dentist says my child needs a filling in a baby tooth. Since the tooth is going to fall out, why bother?

Some primary (or baby) teeth will be in your child’s mouth until age 12. The tooth that needs to be fixed may be one of those.

Broken teeth or teeth that are infected can hurt your child’s health and the way your child feels about him or herself.

To do a filling, the dentist removes the decay and “fills” the hole with metal, plastic or other material. A filling can be a cheap and easy way to fix a problem that could be painful and cost more later because it stops decay from spreading deeper into the tooth.

If a filling is not done and decay spreads, the tooth may need to be pulled out. If this happens, your child may need a space maintainer to hold space for the permanent tooth.

When a baby (or primary) tooth is missing, the teeth on each side may move into the space. They can block the permanent tooth from coming in. To hold the space, your dentist may put a plastic or metal space maintainer on the teeth on each side of the space, to keep the teeth from moving in.

05

The Importance of Oral Health Care for your Child

The Canadian Dental Association recommends the assessment of infants, by a dentist, within 6 months of the eruption of the first tooth or by one year of age. The goal is to have your child visit the dentist before there is a problem with his or her teeth. In most cases, a dental exam every six months will let your child’s dentist catch small problems early.

Here are 3 reasons to take your child for dental exams:

  • You can find out if the cleaning you do at home is working.
  • Your dentist can find problems right away and fix them.
  • Your child can learn that going to the dentist helps prevent problems.

Your dentist may want to take X-rays. X-rays show decay between the teeth. They will also show if teeth are coming in the way they should. Your child’s dentist may also talk to you about fluoride.

Once your child has permanent molars, your dentist may suggest sealing them to protect them from cavities. A sealant is a kind of plastic that is put on the chewing surface of the molars. The plastic seals the tooth and makes it less likely to trap food and germs.

When your child goes for a dental exam, your dentist can tell you if crooked or crowded teeth may cause problems. In many cases, crooked teeth straighten out as the child’s jaw grows and the rest of the teeth come in.

If they do not straighten out, your child may have a bite problem (also known as malocclusion). This can cause problems with eating and with teeth cleaning. It can also affect your child’s looks and make him or her feel out of place.

Your dentist can suggest ways to treat this, or refer your child to an orthodontist. An orthodontist is a dental specialist with 2 to 3 years of extra university training in this area.

The dentist says my child needs a filling in a baby tooth. Since the tooth is going to fall out, why bother?

Some primary (or baby) teeth will be in your child’s mouth until age 12. The tooth that needs to be fixed may be one of those.

Broken teeth or teeth that are infected can hurt your child’s health and the way your child feels about him or herself.

To do a filling, the dentist removes the decay and “fills” the hole with metal, plastic or other material. A filling can be a cheap and easy way to fix a problem that could be painful and cost more later because it stops decay from spreading deeper into the tooth.

If a filling is not done and decay spreads, the tooth may need to be pulled out. If this happens, your child may need a space maintainer to hold space for the permanent tooth.

When a baby (or primary) tooth is missing, the teeth on each side may move into the space. They can block the permanent tooth from coming in. To hold the space, your dentist may put a plastic or metal space maintainer on the teeth on each side of the space, to keep the teeth from moving in.