Brushing and flossing - never too early to start Published Feb. 24, 2010 By Capt. Jeremy A. Bruner 52nd Dental Squadron SPANGDAHLEM AIR BASE, Germany -- Because many people's diet include fast food, soda and candy it is no wonder children still come to the dentist with cavities that need attention. Even with routine cleanings, fluoride treatments and sealants, we as dental professionals cannot prevent dental disease. A large part of the responsibility lies with the parents and the children themselves, with implementation of proper home care. Good oral hygiene is something that should start a few days after birth. A simple wiping of your child's gums with a washcloth after each meal begins establishing good habits. This also prepares them for eventual visits to a dentist as they become accustomed to someone cleaning their mouth. As teeth begin to erupt, start using a toothbrush to remove the plaque that may accumulate during the day. Plaque houses bacteria that causes tooth decay. As the child becomes older, allow them to accept more responsibility for their oral hygiene while supervising the new routine. One idea is to let them brush their own teeth and then follow up by brushing their teeth correctly. The intention is for the child to develop the mentality that brushing their teeth is fun and important, and not a chore. Additionally, it is essential they perform the task correctly. A pea-sized amount of fluoridated toothpaste is sufficient. Toothbrush bristles should be placed so they come in contact with both the tooth surface and the gum simultaneously. Gently brush the teeth using small circular strokes until all surfaces have been cleaned. Next, you should always brush the tongue to remove odor-producing bacteria and debris that cause bad breath. It is critical to rinse and spit out the toothpaste as swallowing toothpaste on a consistent basis can lead to a condition known as fluorosis. A thorough cleaning should take two minutes and be accomplished twice a day. It is important to use a toothbrush with soft bristles because a hard-bristled toothbrush will cause gum recession. A worn-out toothbrush does not clean teeth properly and should be replaced at least every three months. Additionally, encourage daily flossing to effectively clean between teeth where a toothbrush cannot reach. Children mirror the actions of others. A parent's enthusiasm with brushing their own teeth will go a long way to encourage children to do the same.