A Child’s First Dental
Visit Should Occur
Before Birth
by Trisha O’Hehir, RDH, MS
Editorial Director, Hygienetown
By the time I was five years old, all my deciduous molars
were decayed and painful. A trip to the dentist provided no
pain relief. The dentist told my mother that the cavities were
in baby teeth that didn’t need to be repaired. He thought he
was giving us good news, but the pain remained. When asked
to pull the teeth to relieve the pain, he simply shrugged off the
idea saying that these teeth didn’t need to be pulled as they
would eventually fall out by themselves. To control the pain he
said, “That’s simple, just have her chew Aspirgum!” And so
the toothaches continued. I cried from the pain, but was given
Aspirgum. Of course Aspirgum contained sugar, providing
nutrition to the bacteria causing the problems!
Xylitol wasn’t available when I was born, but children
today still suffer the pain of unprevented tooth decay. Now,
after 40 years of xylitol research, the evidence is clear that
caries can be prevented and early lesions reversed through the
daily use of xylitol. In fact, xylitol use should begin before the
teeth erupt, to establish a healthy oral flora. Backing up one
more step, mothers need a healthy oral flora before their
babies are born as they are their baby’s primary source of oral
bacteria through kissing, sharing food and even “cleaning” a
pacifier that falls on the floor.
Based on these findings, a baby’s first dental visit should
occur before they’re born. Moms using xylitol are less likely to
pass on Strep mutans to their babies. To effectively prevent
tooth decay, it must begin before birth with the mother and
continue with the child through tooth eruption, both primary
and permanent.
If only my mother had xylitol when I was an infant, I
wouldn’t have the mouthful of dental restorations I have
today. We can’t change the past, but we can definitely change
the future.
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