Ep 8. How to take the best care of your child’s teeth

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Ep 8. Your child’s bright white smile! How to take the best care of your child’s teeth

How to take the best care of your child’s teeth.

In this episode I draw on my experience from the last 10 years working as a Private Dentist in London. You’ll hear all about when to start brushing your babies teeth, how to brush, when to visit the dentist and what kinds of foods are good for their teeth and which ones to avoid!

Season 1 Ep 8

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hi mama you’re listening to the mama

podcast it’s sumayya here the co-founder

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of mama ME app

mama me is the first app to exclusively

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connect mothers

across the middle east connect with

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like-minded mamas and create lifelong

friendships

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at mama we are all about connecting

mamas to empower women

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so let’s join together and make this

mission a reality

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in this week’s episode we are going back

to my roots and we are talking all about

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teeth so i’m bringing you my last 10

years of knowledge and experience

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on how to get your children to have nice

white bright smiles

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i’ve asked my friend nadya to join me on

this one to get stuck

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writing nadia thank you so much

for joining me today because we’re

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talking all about

teeth how long have we been talking

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about teeth now we’ve known each other

for about 15 years

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yeah 2006 so it’s a long time we’ve been

uh thinking about teeth

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it’s a small area of the body but it

really

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takes a lot of thinking so if we um

talk about maybe when to first take a

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child to the dentist

and also at what age they should start

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brushing their teeth i think that’s

important

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so the uk guidance is that

it should be from really as young as

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possible

and and definitely from as soon as the

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first

tooth erupts so maybe you can give me

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the insight into what the advice is for

the

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uh i mean unfortunately actually there’s

no formal advice on these things so it’s

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very much up to it’s a patient-led

system here and unfortunately depends on

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your dentist as well to give you that

information it’s not very publicly

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uh known that you know people should be

taking their kids to the dentist at the

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young age they just

bring them when there’s a problem so

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yeah i definitely reiterate what you’ve

said

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to take the children as soon as possible

to the dentist it gets them used to the

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environment it makes them comfortable

there

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they get to see a friendly face it

builds a rapport but

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also as definitely as soon as you see a

tooth in that mouth you need to take

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them to the dentist so that

your dentist can start monitoring their

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dental health um

because it is very important even though

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we have this system in the uk

you’d be surprised how many children

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actually still have dental problems

so you can imagine where maybe there’s

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not such a straight system

you really as a parent have to guide

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these things and think about these

things yourself

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from a mum’s perspective i think um the

first six months are

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probably the time when you’re still

getting to know your child and still

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getting into a routine

and and most children want or most

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babies won’t get their first tooth till

around the six month

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age so if you feel like you’re still out

of sorts and you still can’t get to the

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dentist in those first six months

not to worry but six months or at least

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when you first see that tooth

do make that effort to go in and and

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have it checked and it may be that the

dentist can’t do much

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they probably won’t even be able to look

into the mouth but like nadia’s

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mentioned

it’s mainly the fact that you’re getting

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the child used to the environment

and um you know building that

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relationship with the dentist

yeah i mean it just really helps it

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makes them less scared when they’re

older as well if you suddenly take them

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at the age of

four or five they’re just going to be

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like who is this person in a masking

gloves it can be

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a little bit intimidating so definitely

as young as possible

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some moms i’ve seen here just actually

bring their kids along

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when it’s their own appointment and

they’re just like can you have a look

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even that’s better than nothing

i absolutely agree and you’ll get

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personalized advice as well which

is so as soon as that tooth appears

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brush it

for sure as soon as the tooth appears

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from my perspective as a mom

you can get a lot of these little

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gadgets that um you can put on your

finger that feels a bit like a

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toothbrush and you can brush the gums

really really great to start with that

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because as even though the tooth’s not

there one you’re dislodging any bacteria

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that’s building up the milk obviously

creates a residue on their gums and

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their tongue so yes they won’t have

cavities because they don’t have

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teeth but it really gets them used to

somebody cleaning inside their mouth and

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some like you know their mouth being

cleaned

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um and something being inside the mouth

as soon as they can start grasping which

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is around the age of three months

give them a toothbrush to hold my

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daughter would have a whole um have a

toothbrush

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at the age of three months and she would

just play with it of course she’s not

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doing anything with it she’s just

chewing on the end

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yeah but that’s a great way to get them

used to having a toothbrush brushing

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their teeth

and it doesn’t i mean ideally when

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you’re brushing your teeth is the best

time to give it to them so you’re

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they’re modeling but um

yeah absolutely as soon as you can let

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them play with it even if it’s in the

middle of the day just give them a

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toothbrush to play with

and definitely get that thing that goes

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on your finger or you could

you don’t necessarily have to have the

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thing that fits onto the thing i don’t

even know what it’s called you know what

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it’s called nadia

no i’m not actually i i don’t think it

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has a formal name to be honest they’re

just like

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finger tooth brush aren’t they but yeah

so it’s just like a silicone toothbrush

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that you slide your finger into

so you can put your finger into the

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mouth but it’s got like very soft

silicone type bristle things on the end

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um or bumps some of them have just bumps

so that you’re just literally massaging

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the gums

it helps when they’re teething as well

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when you’re feeling it can be quite

comforting to do that

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yeah so if like maybe that um or even if

you don’t want to use that and you don’t

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want to invest in that just get a

children’s toothbrush

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um it really doesn’t matter the type of

toothbrush that you should i mean

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you can get different children’s

toothbrushes a lot of people come in

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with the really really soft ones

personally i’m not the biggest fan of

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those i don’t think they actually remove

plaque that well

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so even for a child a young child i

would say at least

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i would say a medium firmness toothbrush

so with yes so medium or soft

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some of it depends on the brand very

much so it depends on the brand

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because um some brands soft bristle

toothbrush

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is very very soft i do like the soft

bristle

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brush because maybe because i’m a

slightly heavy-handed so i know that if

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i’m brushing my daughter’s teeth i don’t

want to like

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traumatize her gums at the same time i

still want to be able to clean so i

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think it very much depends on the person

and this is something where you’d be

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able to discuss it with your dentist

because your dentist will be able to see

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the type of brushing technique and how

well you are brushing so that’s

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where we spoke about earlier about

personalized as a guide

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just to try and help figure out like

what sort of um

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brusher you are for yourself for your

kids as well just take a toothbrush

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and massage your skin because your skin

over

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the back of your hand actually has the

very similar texture

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and composition to where your soft

tissues are attached to your bone in

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your mouth

so just massage over there and see how

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much it’s moving if your skin is

actually moving around a lot then you’re

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probably quite heavy-handed and for you

that softer toothbrush is better

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if you’re finding it’s not moving that

much then you could go to a medium one

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but as a general rule if your bristles

are splaying

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a lot so for example they look like a

little hedgehog by the time you finish

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brushing your teeth

then yeah you’re definitely heavy-handed

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so you need to be a little bit more

gentle

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just think of it like massaging a sports

car you wouldn’t put a wire brush to it

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you would you know gently massage it

same thing with your with your gums and

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your teeth because you don’t want to rub

them away once

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once it’s gone it’s gone so just be very

gentle yeah i agree that’s a great

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analogy thanks daddy

this is something that we see a lot in

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the dental practice

where parents will come in with a

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children’s toothbrush and they’ve either

got an

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adult sized toothbrush or a really large

head

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um and if you now look at the a lot of

the electric toothbrushes

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you’ll see that the the heads of the

toothbrushes are very small

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and so even for an adult the smaller the

head the better because you can actually

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get to certain areas

much better so don’t think that the

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bigger toothbrush is going to do better

the smaller toothbrushes or the smaller

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head toothbrushes are much better and

cleaner

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yeah definitely because um just to

reiterate um as you said it just gets to

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all those areas a lot better so for

example

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you want to get all the way right to the

back so for those areas if you’ve got a

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very big toothbrush it’s very very

difficult

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another thing that i find actually helps

is to not open your mouth too much when

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you are brushing your child’s mouth

so don’t ask them to stretch the mouth

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open really wide because all you’re

doing is flexing all those

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really tight muscles around their cheek

and then just getting in your way

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just ask them to open their mouth just

enough for you to get your toothbrush in

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there

you are going to know your child’s mouth

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very well you will be able to figure out

where you need to brush

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but the less open that mouth is the

easier it is for you to get into there

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they’re not going to gag as much their

tongue and their

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cheeks aren’t going to fight against you

as much so it’s just more comfortable

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for you

and your child when to brush their teeth

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first thing in the morning before

breakfast

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and if they’re brushing after breakfast

then they need to be waiting at least

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20 minutes yeah all of our food is

actually contain

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certain amount of acid so it softens the

enamel and the dentine of our teeth so

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you don’t want to be scrubbing onto that

again it’s the same analogy with the

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with the car right

if you’re going to put acid onto there

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it’s going to make the car paint more

porous

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then you’re going to brush on it even

with something soft it’s going to wear

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away

that paint so again same thing with your

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teeth

you have to give it some time for your

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saliva to buffer the action of

all those harsh acids that are in our

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food so it can be easier to brush first

thing actually in the morning as well

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especially if you’re

a working mom it’s really hard to where

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do you find that extra 20 years to wait

we don’t all have that time you know

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unless you can find something else to do

in that time brush

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brush the hair of something else which

will take 20 minutes but yeah definitely

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better if you can

first thing in the morning otherwise

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after eating do wait 20 minutes even

after drinking something acidic which

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we would definitely say is a no-no but

sometimes it happens so yeah

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do wait 20 minutes at least and then

last thing at night so there should be

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no food or drink intake in between

brushing

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and bedtime and other than water yeah

absolutely the one thing that i will

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point out here

is that a lot of children at a very

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young age will drink milk

either to fall asleep or they’ll drink

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milk very close to falling asleep

and of course like looking at this from

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a realistic perspective

the advice that i started to give after

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i had my daughter

definitely changed because you really

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truly understand what a parent has to go

through

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um do one get a child to sleep

um so you know of course we understand

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that that’s

definitely a thing especially when

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they’re younger um

and so it’s acceptable just make sure

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you are still brushing twice a day so

brush before

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milk if milk is the last thing they’re

doing before they’re falling asleep

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but as they get a little bit older

that’s something we need to work towards

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getting them out of that habit so

you know slowly try and bring their milk

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time a little bit forward so they’re not

falling asleep drinking milk

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um it’s that pooling of the milk on the

on the teeth

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over time will start causing cavities

now if it’s just in the first six months

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in the first

year then we’ve got fluoride in the

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toothpaste

we’re brushing regularly we’re going to

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monitor what we’re having during the day

so they’re not having frequent sugary

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snacks

the impact that we’ll have long term on

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their teeth health

and cavities is very low so i wouldn’t

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worry about it as a mom

but at the same time be aware that you

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know if this continues on for five

six seven years then yes they will it

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will start to cause cavities so

be realistic with when we start to get

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them out of that habit

obviously we’re not here to preach but

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yes if at a certain point you can

prevent giving milk lasting at night

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time and just make sure they just brush

their teeth

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and then nothing to eat or drink apart

from water it is much better in the long

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run

for their teeth the way i did it

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personally was

um we would give my daughter

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milk 30 minutes before she was due to

sleep so we would know that she was full

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um and then obviously she would then

brush her teeth

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um before we read the books and then

we’d read books and then she’d go to bed

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so i think that worked for us um

but obviously everyone’s schedule is

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slightly different and it’s it’s

whatever suits you and whatever works

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but just be aware and mindful of

of how the milk does impact overnight um

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a lot of children a young age will also

drink milk overnight as well

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so um i mean babies will drink milk

overnight so

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um of course this is something they’ll

grow out of anyway and i’m sure most

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moms will

be working towards getting the child to

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stop drinking milk in the night because

that means they have to wake up too but

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that and if it’s happening for a very

long time in their in their childhood

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then again that can have an impact also

that is a short-term issue but it is

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better to try and avoid it becoming

something that is a

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little bit more long-term just for your

own ease as well

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when or how to get child to brush is

usually the question we get asked

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the most in dental practices and i’m

sure nadia you’ve probably got the same

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question too

yeah not something that is fun it’s just

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something that we have to do and

especially because you have to do it

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every day they’re like oh but i did it

yesterday

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so obviously it does help like you said

when they’re modeling you

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if you’re doing it as well make it into

a fun activity that’s what i always used

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to tell my patients

put on your favorite song if you think

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about the average length of a song right

it’s about three minutes

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brush to your favorite song you can both

stand there and hum along right

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and you can just brush your teeth make

an activity out of it so that it’s a

0:13:15.760,0:13:19.279

bonding experience for both of you

you’re interacting and they’re copying

0:13:19.279,0:13:22.639

you as well

you can get fun little egg time as well

0:13:22.639,0:13:25.120

which egg timers which help with the

time

0:13:25.120,0:13:29.040

i mean but i prefer the like singing

along aspect of it because it makes it

0:13:29.040,0:13:31.440

into something fun makes it into

something

0:13:31.440,0:13:36.160

enjoyable um gimmicks can help as well

you know with kids electric toothbrushes

0:13:36.160,0:13:39.600

with these flashing lights and

all of that or with their favorite

0:13:39.600,0:13:42.320

characters on them paw patrol or

whatever it is

0:13:42.320,0:13:46.320

these things actually really help with

children and it just gets them into

0:13:46.320,0:13:51.040

doing something which is unfortunately

a boring everyday chore but if you can

0:13:51.040,0:13:54.160

bring some sort of activity into it it

really helps

0:13:54.160,0:13:58.320

um please if possible do try and observe

their toothbrushing till around the age

0:13:58.320,0:14:01.680

of seven we would definitely advise

that parents should if they’re not

0:14:01.680,0:14:05.920

actively doing it themselves which

i i would advise that you try if you can

0:14:05.920,0:14:08.959

but otherwise at least observe what

they’re doing until the age of seven

0:14:08.959,0:14:12.959

because you really want to make sure

that those initial baby teeth

0:14:12.959,0:14:16.240

that will later on fall out and then

they’ll be

0:14:16.240,0:14:19.199

blazed by the adult teeth you want to

make sure that they have a good

0:14:19.199,0:14:22.880

foundation because our baby teeth guide

the adult teeth into the right place

0:14:22.880,0:14:26.240

they act as a path

so you want to protect both both are

0:14:26.240,0:14:29.120

important it’s not just that our adult

teeth are more important

0:14:29.120,0:14:33.279

they’re both important so yeah make it

into a fun activity sing along have a

0:14:33.279,0:14:36.160

little dance

just make it fun yeah i totally agree

0:14:36.160,0:14:41.519

with that so the activities really help

and there’s also some apps that you can

0:14:41.519,0:14:45.519

get so orob

have released an app which um has a two

0:14:45.519,0:14:49.040

minute timer and

the as you brush so the idea is as you

0:14:49.040,0:14:53.120

brush the

puzzle um becomes exposed so

0:14:53.120,0:14:57.120

it’s a new picture every day so the

child gets to see the picture

0:14:57.120,0:15:00.800

becoming exposed the biggest thing that

i can say from

0:15:00.800,0:15:03.920

the perspective of being a dentist under

mom is that

0:15:03.920,0:15:07.440

modeling has the biggest biggest impact

so

0:15:07.440,0:15:10.880

um i find that sometimes my daughter

will say no i don’t want to brush but if

0:15:10.880,0:15:13.680

she sees me brushing

then she’ll want to brush because she

0:15:13.680,0:15:17.120

sees me doing it so that does have a

huge impact

0:15:17.120,0:15:20.639

another thing that does help is starting

them at a young age so the younger you

0:15:20.639,0:15:24.160

start brushing

the more it will become part of routine

0:15:24.160,0:15:26.240

and the norm

so it’s something they expect to do

0:15:26.240,0:15:29.360

every day um

if this means that you know you’ve got a

0:15:29.360,0:15:34.160

slightly older child and you didn’t

introduce it at younger age just um the

0:15:34.160,0:15:37.040

things that nadia

mentioned really do help so having a

0:15:37.040,0:15:39.680

song to sing along to whilst you’re

doing it

0:15:39.680,0:15:43.279

and let the child choose the song you

know let them choose which song it will

0:15:43.279,0:15:46.720

be on that day

and things like that can really help but

0:15:46.720,0:15:49.680

like you say it’s just making it

like the flavor of toothpaste helps

0:15:49.680,0:15:53.040

because adult toothpaste for a child

that can be really offensive right the

0:15:53.040,0:15:57.360

minty taste even sometimes

we find them too strong so you can get

0:15:57.360,0:16:00.320

um

toothpaste which have a very mild taste

0:16:00.320,0:16:03.440

so i think there’s the toothpaste

available it should be available on

0:16:03.440,0:16:07.040

amazon ae

or noon it’s called nurse aid so it has

0:16:07.040,0:16:10.240

a really really mild taste it has

the correct amount of fluoride as well

0:16:10.240,0:16:14.480

but it’s a really gentle

um mild toothpaste the flavor is not too

0:16:14.480,0:16:17.040

offensive and then

you know if they want to copy you you

0:16:17.040,0:16:21.360

can slowly start introducing your

toothpaste to for them to get the flavor

0:16:21.360,0:16:24.560

as well

but uh having good a nice tasting

0:16:24.560,0:16:27.600

toothpaste help as well and

i think that brings us nicely on to

0:16:27.600,0:16:32.480

actually fluoride toothpaste right

fluoride is incredibly important for

0:16:32.480,0:16:36.480

your teeth

yeah absolutely i mean for a child of

0:16:36.480,0:16:40.000

less than three years old you want a

smear of toothpaste

0:16:40.000,0:16:44.880

um now when we say yes smear we

literally mean

0:16:44.880,0:16:48.079

like along the center of that small

toothbrush head just a smear of

0:16:48.079,0:16:52.160

toothpaste it’s a very thin layer

when they’re a bit older three to six

0:16:52.160,0:16:56.480

year olds then you want a pea sized blob

so an average pea we’re not talking

0:16:56.480,0:16:59.759

about big fat

you know marrow peas we’re talking about

0:16:59.759,0:17:02.160

a small garden piece so it’s a very

small amount

0:17:02.160,0:17:05.839

and actually out here in the uae the

water is not fluoridated

0:17:05.839,0:17:09.520

in the uk we actually in some areas we

have fluoridated water

0:17:09.520,0:17:14.319

so even with that we find that children

still have problem with their teeth so

0:17:14.319,0:17:17.919

out here you don’t have fluoridated

water the amount of fluoride that should

0:17:17.919,0:17:22.240

be in the toothpaste

so just as a rule of thumb it’s just

0:17:22.240,0:17:24.000

easy

i mean you can check on the back of your

0:17:24.000,0:17:27.039

toothpaste tube that will tell you how

much fluoride is in it

0:17:27.039,0:17:29.919

now there can be different types of

fluoride so sometimes they can split

0:17:29.919,0:17:33.120

that amount

uh over two or three ingredients but

0:17:33.120,0:17:37.840

when when you combine that figure

try to make sure it contains

0:17:37.840,0:17:42.480

approximately 1

350 parts per million of fluoride up to

0:17:42.480,0:17:46.320

1

500 parts per million of fluoride so on

0:17:46.320,0:17:50.640

average it’s generally 1450 but try and

make sure it’s within

0:17:50.640,0:17:54.480

within that region and you have to be a

little bit careful sometimes with

0:17:54.480,0:17:57.360

children’s toothpaste i’ve seen some

which actually don’t have enough

0:17:57.360,0:18:01.440

fluoride

so do be aware of that own massive side

0:18:01.440,0:18:05.200

effects

at all so what i generally say is

0:18:05.200,0:18:09.919

as soon as you start using toothpaste

use adult toothpaste and use a smear

0:18:09.919,0:18:13.039

um and that way you know that they’re

getting the right amount of fluoride

0:18:13.039,0:18:16.720

like nadia mentioned earlier you can get

toothpaste that aren’t as strong in

0:18:16.720,0:18:20.240

terms of their minty taste

the other downside to using a children’s

0:18:20.240,0:18:24.559

toothpaste is that they get used to this

very mild or

0:18:24.559,0:18:28.480

flavor reverse or their fruit flavors

and the problem with that is then they

0:18:28.480,0:18:31.039

get to the

age of six when or seven when they need

0:18:31.039,0:18:34.400

to start moving to an adult toothpaste

and they really struggle with that with

0:18:34.400,0:18:37.520

the taste because they’ve just never

they haven’t used it for six or seven

0:18:37.520,0:18:40.000

years so it’s

i think it’s actually better just to

0:18:40.000,0:18:44.240

start them very early

from an adult toothpaste and another

0:18:44.240,0:18:47.039

thing

to just point out is if you do not want

0:18:47.039,0:18:49.679

to use fluoride then that is a personal

choice

0:18:49.679,0:18:53.600

um we of course when you’re going to see

your dentist your dentist will have the

0:18:53.600,0:18:57.760

discussion about you with you about this

but if you choose not to then it’s even

0:18:57.760,0:19:02.880

more important that you see your dentist

regularly because those early signs of

0:19:02.880,0:19:06.240

cavities and decay

needs to be picked up before it becomes

0:19:06.240,0:19:10.960

a huge problem yes

and like you said if you’re against uh

0:19:10.960,0:19:14.640

fluoride then do let your dentist

be aware of these things as well because

0:19:14.640,0:19:19.360

sometimes offer

um to put fluoride varnish on your

0:19:19.360,0:19:22.640

child’s teeth

or sealants which also contain fluoride

0:19:22.640,0:19:25.679

so it’s important for them to know

what are your preferences and things as

0:19:25.679,0:19:30.160

well now cavities form not

just because we don’t brush our teeth

0:19:30.160,0:19:34.000

but cavities can form because of the

types of foods that we eat as well

0:19:34.000,0:19:38.400

now everybody thinks of sugar as sweets

and chocolates

0:19:38.400,0:19:42.240

um but there are so many foods that

actually have

0:19:42.240,0:19:46.799

sugar in them or have a form of sugar

that can impact your teeth

0:19:46.799,0:19:51.280

in negative way these this is what we

call hidden sugars

0:19:51.280,0:19:54.559

yeah i mean they’re in everything right

actually there’s

0:19:54.559,0:19:58.000

just basically there’s sugar in all our

foods so it’s not only

0:19:58.000,0:20:01.280

um it’s not only how many times a day

you’re eating

0:20:01.280,0:20:04.640

it’s what you’re eating as well they

make a really big difference in

0:20:04.640,0:20:08.000

the thing that is most surprising to

parents is fruit

0:20:08.000,0:20:11.919

actually so fruit has a lot of sugar in

and especially

0:20:11.919,0:20:16.640

dried fruit so we often and

i’m sure you’ll have seen this amaya

0:20:16.640,0:20:21.039

that children walk in with a

little packet of um raisins in their

0:20:21.039,0:20:24.400

hand or something like that and

they’re massively sticky aren’t they not

0:20:24.400,0:20:28.320

only do they stick to your children’s

teeth so you’ve got a lot more

0:20:28.320,0:20:33.120

um sugars available for those bacteria

to be um

0:20:33.120,0:20:37.200

eating on but also it’s just packed full

of sugar

0:20:37.200,0:20:41.360

and you don’t realize it’s a it’s quite

a harmful food so it’s much better to

0:20:41.360,0:20:43.520

have

with your main meal straight after or

0:20:43.520,0:20:45.919

before your main meal right yeah so

fruit

0:20:45.919,0:20:49.919

is definitely one of the biggest ones

because of course

0:20:49.919,0:20:53.600

you know fruits and vegetables are good

for you and so people

0:20:53.600,0:20:59.679

and parents opt to give their children

fruit as a snack um but being high in

0:20:59.679,0:21:03.919

sugar it can really

impact your teeth so like you said um

0:21:03.919,0:21:09.679

try and give them at meal times instead

of in between meals and then to try and

0:21:09.679,0:21:14.880

limit the sugary foods between meals so

we’re trying to stick to sugar-free or

0:21:14.880,0:21:18.559

things that are very low in sugar or

less available sugar

0:21:18.559,0:21:23.120

for your teeth in between meals so this

can get quite complicated

0:21:23.120,0:21:26.640

in terms of the biology and how it all

works but

0:21:26.640,0:21:29.679

all types of food will have some level

of sugar

0:21:29.679,0:21:33.360

now whether that’s a sugar that’s

available to your teeth to digest and

0:21:33.360,0:21:37.840

form into a cavity or that other forms

of sugar which is where

0:21:37.840,0:21:41.760

it gets into your tummy and then is

digested ideally you want to be giving

0:21:41.760,0:21:44.720

them foods

where the food is actually being

0:21:44.720,0:21:47.679

digested in the tummy and not

necessarily on their teeth and that will

0:21:47.679,0:21:52.720

limit the the chances that they can

or they will get cut cavities so some

0:21:52.720,0:21:59.520

examples of this type of food is nuts

cheese yogurt milk

0:21:59.520,0:22:05.120

um avocados it’s like an easy snack

carrot and hummus cucumber cucumber and

0:22:05.120,0:22:08.000

hummus sticks cucumber and hammer sticks

is another good one

0:22:08.000,0:22:14.640

um generally the thing to think of is if

the food is high in fat generally it’s

0:22:14.640,0:22:19.440

low in sugar

that’s a very general rule but

0:22:19.440,0:22:24.960

that’s generally what you’ll find the

other thing to be aware of is crisps

0:22:24.960,0:22:28.480

are sugary they add sugar to crisps a

lot of crisps

0:22:28.480,0:22:32.080

they’re now very child you can find some

brands that are actually child

0:22:32.080,0:22:35.600

friendly read the back of the pack make

sure they’re not adding sugar to the

0:22:35.600,0:22:37.840

pack if you look at a general sort of

adult

0:22:37.840,0:22:42.000

crisp packet or chips if you want to use

the american term

0:22:42.000,0:22:45.520

it will have sugar added there’s a lot

of hidden sugar in a lot of foods where

0:22:45.520,0:22:48.960

we would

we would expect it not to have sugar if

0:22:48.960,0:22:52.400

you actually read the pack there will be

sugar added to those foods

0:22:52.400,0:22:56.559

now we’re not saying don’t give your

children snacks of course children need

0:22:56.559,0:23:00.720

snacks they they survive of eating

little and often

0:23:00.720,0:23:05.679

so it’s your three main meals plus one

other sugary snack a day so you may

0:23:05.679,0:23:09.360

still use fruit

as a sugary snack so you might have your

0:23:09.360,0:23:12.320

breakfast

a fruit snack in the middle of the day

0:23:12.320,0:23:14.720

in the middle of the morning sorry and

then your lunch

0:23:14.720,0:23:18.720

then one other snack in the afternoon

might be cheese or yogurt and then in

0:23:18.720,0:23:22.640

the evening your dinner

and ideally that would be the ideal

0:23:22.640,0:23:27.360

spread of meals for a child

and that would range from like as soon

0:23:27.360,0:23:31.600

as they start eating

up until sort of adult really

0:23:31.600,0:23:37.200

we say four sugary attacks a day yeah

i mean it’s exactly it’s not only what

0:23:37.200,0:23:40.400

you’re eating so as you said

pretty much everything has got a certain

0:23:40.400,0:23:44.400

amount of sugar but obviously we cannot

stop eating or drinking that would be

0:23:44.400,0:23:48.559

completely opposite unhealthy as well

but we can limit what we’re eating and

0:23:48.559,0:23:52.799

the number of times a day

so for example if you do want to have

0:23:52.799,0:23:55.679

something

extra a little bit sweet and maybe you

0:23:55.679,0:23:58.159

don’t want to give it to your child at

snack time

0:23:58.159,0:24:02.000

give it just before after the main meal

because then it’s not as harmful to your

0:24:02.000,0:24:04.080

teeth you’re already actually eating

your main

0:24:04.080,0:24:07.600

meal so that slightly different sugar at

that point is not

0:24:07.600,0:24:11.440

as harmful we obviously wouldn’t avoid

that we wouldn’t advise this at every

0:24:11.440,0:24:13.679

meal time

but once in a while there’s nothing

0:24:13.679,0:24:17.760

wrong in that because obviously

you know you do need to have variation

0:24:17.760,0:24:21.600

in the diet it is

good to have um lots of different things

0:24:21.600,0:24:25.039

in the diet and it makes it easier for

yourself and the child

0:24:25.039,0:24:28.400

but yes try and limit the to the five

times a day

0:24:28.400,0:24:32.000

and drinks as well do be careful of

drinks sort of

0:24:32.000,0:24:38.240

squash juices

um carted drinks you really want to

0:24:38.240,0:24:43.440

avoid anything like this

i would advise sort of even until the

0:24:43.440,0:24:47.279

child is six years old avoid these

things if you can keep it to milk and

0:24:47.279,0:24:51.919

water it would be much better because

these actually have a lot of added sugar

0:24:51.919,0:24:55.840

yeah something to point out there so

natural fruit juice so if it’s

0:24:55.840,0:24:59.600

if it’s a blend of fruits that have just

been cold pressed

0:24:59.600,0:25:02.880

that’s still got sugar the sugars are

released as soon as the

0:25:02.880,0:25:07.440

the fruit is blended so even if they

haven’t added sugar there is still sugar

0:25:07.440,0:25:10.400

in that drink

the other thing to add is a lot of

0:25:10.400,0:25:14.559

marketing on

um fruit juices for children

0:25:14.559,0:25:19.200

says no added sugar that literally means

that they haven’t added any sugar to it

0:25:19.200,0:25:22.000

that doesn’t mean there’s no sugar in

the actual item itself

0:25:22.000,0:25:25.039

so there will be some naturally

occurring sugars in those as well

0:25:25.039,0:25:28.480

so i agree with you there so try and

limit them to meal times

0:25:28.480,0:25:33.360

only so i would say water only between

meals or milk if this if the child is

0:25:33.360,0:25:37.520

still drinking milk

and if you’re going to give them juice

0:25:37.520,0:25:41.120

or you want them to have a juice then at

meal times is the best time for them to

0:25:41.120,0:25:43.679

have it

now most people think that dentists are

0:25:43.679,0:25:47.360

really against sugar and snacks and

dessert and cakes

0:25:47.360,0:25:50.320

look there’s a time and place and as a

parent you decide whether you want your

0:25:50.320,0:25:53.679

child to have those things or not

we’re not here to say don’t give them

0:25:53.679,0:25:56.640

those things we’re just saying

just choose the right times to give

0:25:56.640,0:25:58.799

those things so give it after their

meals

0:25:58.799,0:26:02.559

don’t wait 30 40 minutes an hour after

their meal let them have it straight

0:26:02.559,0:26:05.600

after the meal as a dessert

that’s going to do less damage to their

0:26:05.600,0:26:11.440

teeth than if you let them

have like cakes as snacks or sweets as

0:26:11.440,0:26:14.480

snacks

so just we’re not here to preach and say

0:26:14.480,0:26:18.240

don’t give them sugar at all that’s a

personal choice as a parent

0:26:18.240,0:26:22.159

whether your child eats sugar or not is

up to you but just having them at

0:26:22.159,0:26:25.520

certain times in the day will definitely

cause less damage to their teeth

0:26:25.520,0:26:28.799

than if they were snacking on these

things throughout the day yes

0:26:28.799,0:26:33.120

and i mean if you’re going to give juice

which think carefully about it juice or

0:26:33.120,0:26:37.600

smoothies

try and limit to your portion about like

0:26:37.600,0:26:43.760

should be 150 mls is about one portion

try to limit that to just once a day

0:26:43.760,0:26:47.120

and um the other thing that just popped

into my head

0:26:47.120,0:26:50.559

while we’re talking about sugars

sugar-free medicines if your child is on

0:26:50.559,0:26:54.960

any medication please ask

your doctor or dentist to prescribe the

0:26:54.960,0:26:57.840

sugar-free version because they

generally are available

0:26:57.840,0:27:01.120

so sugar-free version is massively

helpful great job for remembering that

0:27:01.120,0:27:05.360

an idea because cal poly

and neurofen are like two things that we

0:27:05.360,0:27:07.760

use

um quite frequently especially when the

0:27:07.760,0:27:10.799

children are teething or when they’re

unwell especially when they’re young

0:27:10.799,0:27:13.279

because

they get sick quite a lot it reminded me

0:27:13.279,0:27:16.480

of honey as well honey

obviously it’s a it’s good for your

0:27:16.480,0:27:19.440

health and things like that

but again try and keep it to the main

0:27:19.440,0:27:22.159

meals and don’t necessarily sometimes we

see

0:27:22.159,0:27:27.520

um kids who would come into clinics

um with the dummy in the mouth or the

0:27:27.520,0:27:31.919

pacifiers it’s sometimes also called

you’d see people dipping it into honey

0:27:31.919,0:27:36.240

so just be careful of that because

it’s again very very sticky and it has a

0:27:36.240,0:27:40.480

lot of sugar yes it’s a natural

sugar do be careful of that try and keep

0:27:40.480,0:27:42.000

it with the main meals if they’re going

to happen

0:27:42.000,0:27:46.320

yeah just one thing to point out there

so a child is under one honey is not

0:27:46.320,0:27:49.600

recommended anyway because it can cause

botulism

0:27:49.600,0:27:54.080

so we are going on quite a long time

with teeth and you can see that you know

0:27:54.080,0:27:57.520

there’s a lot more to

um looking after teeth um than you may

0:27:57.520,0:28:01.360

have first imagined

we’re just gonna end this with briefly

0:28:01.360,0:28:07.679

with beakers cups bottles and dummies

as a brief overview this is probably and

0:28:07.679,0:28:11.440

actually is a topic in itself so we

won’t go into too much detail and we’ll

0:28:11.440,0:28:14.720

probably cover this as a separate

podcast in itself

0:28:14.720,0:28:19.200

but just to give you an overview the

advice is that

0:28:19.200,0:28:24.399

a dummy and a bottle source anything

that has a sucking motion

0:28:24.399,0:28:30.320

should be stopped by the age of one

now this is the advice i know it’s way

0:28:30.320,0:28:35.440

more difficult in practice

than it is in theory

0:28:35.440,0:28:39.919

but that’s the advice and so it’s good

to know what the gold standard should be

0:28:39.919,0:28:43.039

um and so you can make that decision of

whether

0:28:43.039,0:28:46.640

like you know it just should hopefully

will encourage you to move away from

0:28:46.640,0:28:50.480

that

sooner rather than later and

0:28:50.480,0:28:54.000

i’m sure an idea will explain why in a

second

0:28:54.000,0:28:58.000

having more experience in orthodontics

she’ll be able to tell you more detail

0:28:58.000,0:29:02.000

as to why when your child is sucking

from the pacifier the dummy

0:29:02.000,0:29:05.039

bottle it creates a suction motion right

and

0:29:05.039,0:29:08.559

that can obviously as your child is

growing their

0:29:08.559,0:29:12.399

facial structure is forming their jaw

bones

0:29:12.399,0:29:15.760

both top and bottom which are two

separate entities they’re forming

0:29:15.760,0:29:21.440

so it can almost um force your bone

and your teeth to go in a certain

0:29:21.440,0:29:24.880

direction

which means afterwards it can lead to

0:29:24.880,0:29:30.159

complications and

possibly they might need to wear braces

0:29:30.159,0:29:32.720

sometimes you can get slightly more

severe cases which

0:29:32.720,0:29:36.080

require slightly more invasive

treatments so if

0:29:36.080,0:29:39.679

if possible it’s better to avoid these

things um

0:29:39.679,0:29:44.960

i mean i would say that after six months

try if you’re if your child is using a

0:29:44.960,0:29:49.679

bottle after six months

try to move over to a free-flowing cup

0:29:49.679,0:29:54.240

it’s it’s much better and definitely

like you said discourage bottle feeding

0:29:54.240,0:29:56.799

from

12 months onwards it it’s quite

0:29:56.799,0:30:00.880

important because

we’re really forming at that stage you

0:30:00.880,0:30:04.399

you want to prevent problems later as

well i know it can be a lot easier at

0:30:04.399,0:30:07.520

this stage to just go with it

but honestly the problems that you can

0:30:07.520,0:30:11.200

face afterwards are much more severe and

significant so if you could just avoid

0:30:11.200,0:30:14.480

it in the first place

it’s much easier yeah that’s the same

0:30:14.480,0:30:16.880

with thumb sucking as well so that can

have a

0:30:16.880,0:30:20.320

similar impact it’s much more difficult

to get a child to stop

0:30:20.320,0:30:23.679

thumb sucking and we find that often

children will be

0:30:23.679,0:30:26.960

a much older age before they can stop

doing that

0:30:26.960,0:30:31.200

now i know some babies just start thumb

sucking without a sort of

0:30:31.200,0:30:34.399

it’s not an intervention by the parent

usually it’s often something that the

0:30:34.399,0:30:37.760

child does to self-settle

so if that happens speak to your dentist

0:30:37.760,0:30:42.480

they’ll give you advice on to

as to how to sort of discourage that

0:30:42.480,0:30:47.840

habit and maybe um help

support you in trying to stop that habit

0:30:47.840,0:30:50.000

there are things that you can buy on the

market that will

0:30:50.000,0:30:54.080

help but again that’s very sort of

specific to the individual

0:30:54.080,0:30:58.640

and it’s best to discuss that with the

dentist or with your regular dentist

0:30:58.640,0:31:02.000

another thing i’d like to point out is

we’re not saying that you can’t give

0:31:02.000,0:31:05.519

your child milk

it’s the actual the fact that you’d be

0:31:05.519,0:31:08.799

using a bottle

um to give them a milk so it’s the

0:31:08.799,0:31:13.039

sucking motion that causes the problem

we’re not really talking about milk here

0:31:13.039,0:31:17.360

um and so

yeah with with if they are drinking from

0:31:17.360,0:31:20.960

a bottle itself and not breastfeeding so

if they’re drinking from a bottle

0:31:20.960,0:31:28.000

then um you can buy these sort of um

transition bottles so the company nuk

0:31:28.000,0:31:32.960

nook um does a good transition bottle so

it’s been designed so that it

0:31:32.960,0:31:37.200

transitions them away from the sucking

motion into a free-flowing cup now often

0:31:37.200,0:31:40.399

what we find is children are very good

at drinking things like water from a

0:31:40.399,0:31:44.320

free-flowing beaker

or cup but then they really struggle to

0:31:44.320,0:31:47.760

drink milk from those kinds of things

just because i guess they’ve

0:31:47.760,0:31:51.039

created an affinity to a bottle or

they’ve created

0:31:51.039,0:31:54.880

they’ve associated the sucking motion

milk with the sucking motion

0:31:54.880,0:31:59.039

so it is more difficult in theory i mean

in practice sorry than in theory

0:31:59.039,0:32:02.640

so i do sort of understand where parents

will be struggling

0:32:02.640,0:32:06.480

with this and there’s not much in terms

of what we can do other than just try

0:32:06.480,0:32:09.200

and encourage

the change in habits and the sooner or

0:32:09.200,0:32:12.159

the earlier you can do it

the quicker your child will actually

0:32:12.159,0:32:15.679

transition into

the new habit because the the longer

0:32:15.679,0:32:19.279

they’ve been doing it the harder it will

be for them to transition out of

0:32:19.279,0:32:22.799

and that also just finally reminds me of

the fact that

0:32:22.799,0:32:26.640

water should be from so you can get

beakers which are free flowing

0:32:26.640,0:32:30.880

which means that if you tip the beaker

upside down the water should just

0:32:30.880,0:32:35.039

fall out that’s what you want anything

that stops the water from flowing out so

0:32:35.039,0:32:40.399

these non-spill

beakers that you can buy non-spill cups

0:32:40.399,0:32:44.880

are generally not free-flowing so

that will mean that your child will have

0:32:44.880,0:32:49.039

to suck to drink

um and again long-term use of a sucking

0:32:49.039,0:32:51.440

motion can

impact and also you just want them to

0:32:51.440,0:32:55.360

get used to a free-flowing cup

because the quicker they get used to

0:32:55.360,0:32:58.720

drinking from a cup

the easier it will be for you as well

0:32:58.720,0:33:01.760

yeah absolutely

i think that’s pretty much everything

0:33:01.760,0:33:06.159

i’ve just got yeah

totally i think um we didn’t really

0:33:06.159,0:33:11.360

touch on teething so much

and i think it may be good just to run

0:33:11.360,0:33:14.320

over that

for a few minutes before you need to

0:33:14.320,0:33:19.440

dash off yeah i mean

um that’s a you’ll have experience

0:33:19.440,0:33:24.080

as a mum regarding this my experience is

more from sort of a dental point of view

0:33:24.080,0:33:26.559

but obviously it can be quite

uncomfortable for the children you see

0:33:26.559,0:33:28.240

them

come into the clinic and they’ve got

0:33:28.240,0:33:31.679

their little red cheeks and they’re

salivating not sleeping as well

0:33:31.679,0:33:35.120

so that can be quite comfortable

uncomfortable but um

0:33:35.120,0:33:39.120

any sort of i use i do actually see a

lot of people at that point rubbing

0:33:39.120,0:33:41.440

honey and things over their children’s

gums

0:33:41.440,0:33:46.320

because that taste is it’s also a

distraction you can get special sort of

0:33:46.320,0:33:50.399

um toys and things like that which they

can have a little chew on

0:33:50.399,0:33:53.519

that just helps sort of it’s like

pressing onto

0:33:53.519,0:33:57.440

a bruise really sometimes it can ease

that discomfort in the short term

0:33:57.440,0:34:01.039

and i think it goes along the same sort

of psychology when when they apply

0:34:01.039,0:34:04.799

pressure to that area it can just give a

little bit of momentary relief

0:34:04.799,0:34:08.960

you can get medicated things as well

that you can apply on there which some

0:34:08.960,0:34:12.159

people i suppose

have found helpful but again try and

0:34:12.159,0:34:16.800

find um

a sugar-free um alternative did you find

0:34:16.800,0:34:19.520

with your daughter as well that any of

those actually helped

0:34:19.520,0:34:23.440

so what my experience with seeing

children in clinic and then

0:34:23.440,0:34:27.359

obviously friends that have had children

as well is that it does really vary from

0:34:27.359,0:34:31.440

child’s child as to how much

discomfort they will feel with teething

0:34:31.440,0:34:34.960

so some children will go through

teething and not have any

0:34:34.960,0:34:38.399

or the parents will not notice they

won’t notice much at all and then other

0:34:38.399,0:34:41.599

parents will have a lot of discomfort

or their child will have a lot of

0:34:41.599,0:34:44.240

discomfort with teething and my daughter

was

0:34:44.240,0:34:48.720

on definitely the other end where she

had quite a lot of discomfort with it so

0:34:48.720,0:34:52.480

the teething powders help it is very

temporary so you

0:34:52.480,0:34:56.399

what i found really helped was giving

using the teething powders just before

0:34:56.399,0:34:59.200

meal times

so it soothes the gums a little bit and

0:34:59.200,0:35:02.720

it just helps with

feeding so often children will go off

0:35:02.720,0:35:06.079

food when they’re teething

and it’s quite common for them not to

0:35:06.079,0:35:09.440

eat very well when they’re teething

that’s very very common in children it

0:35:09.440,0:35:13.200

happens when they’re

sick as well or when they’re going to

0:35:13.200,0:35:16.480

become sick so sometimes you might have

a couple of days of them not eating well

0:35:16.480,0:35:19.280

you just don’t know why

it’s often because they’re either going

0:35:19.280,0:35:23.920

to the teething or something

in terms of a bug might be coming up um

0:35:23.920,0:35:26.000

and so

healing powders really helped just

0:35:26.000,0:35:30.160

before meals and the other thing was on

the days that there was quite a lot of

0:35:30.160,0:35:34.240

discomfort

cal poly neurofen definitely for us some

0:35:34.240,0:35:39.440

children don’t need it

but really the painkiller was required

0:35:39.440,0:35:42.480

for us so we

tried not to give it too often and this

0:35:42.480,0:35:45.760

was more from a personal perspective

we generally used to give it just before

0:35:45.760,0:35:48.560

bed so she was a bit more comfortable

when she was going to sleep

0:35:48.560,0:35:51.760

um but again if you need to use it

during the day i guess that’s up to you

0:35:51.760,0:35:55.839

whether you want to use it

um carrot sticks or carrots are great

0:35:55.839,0:35:58.640

for chewing on

and because they’re quite hard and again

0:35:58.640,0:36:03.280

it can massage the gums

and some children like the teething toys

0:36:03.280,0:36:06.079

other children don’t so it’s a case of

just trying them

0:36:06.079,0:36:09.440

we tried about 15 20 teething toys she

didn’t like

0:36:09.440,0:36:13.280

any of them and the other thing that

really helps

0:36:13.280,0:36:17.440

is ice lollies or and i don’t mean the

ice lollies that you can buy

0:36:17.440,0:36:20.560

from the supermarket i mean making your

own at home so just freeze

0:36:20.560,0:36:23.680

some yogurt as well sometimes that helps

i’ve seen yeah

0:36:23.680,0:36:27.839

yeah freeze some yogurt freeze some milk

as well as an alternative so anything

0:36:27.839,0:36:31.839

that’s like sort of frozen

and but good for your baby will be great

0:36:31.839,0:36:34.960

for their gums because it will just

massage and cool the gums so it just has

0:36:34.960,0:36:37.200

that cooling effect which will help as

well

0:36:37.200,0:36:40.800

um so all of those things are things

that you can try the last thing that

0:36:40.800,0:36:44.240

comes to mind is you can buy ambisol and

ambersol

0:36:44.240,0:36:50.800

is a topical local anaesthetic it is

really good for numbing the gums but be

0:36:50.800,0:36:55.599

be aware that it is a local anesthetic

so you’re applying an anesthetic to

0:36:55.599,0:36:59.520

their gum so it will numb their gums and

it will settle the pain

0:36:59.520,0:37:03.520

it’s short term in that it’ll last about

30 to 40 minutes

0:37:03.520,0:37:07.280

but it is a local anesthetic so use it

sparingly and use it

0:37:07.280,0:37:11.440

only when and if yeah and if you want to

obviously get advice from your dentist

0:37:11.440,0:37:14.320

on how to apply it

where to apply it that that can

0:37:14.320,0:37:16.640

sometimes be helpful as well you could

take it long

0:37:16.640,0:37:19.839

to with you to the dentist and they

could actually apply it once so that you

0:37:19.839,0:37:22.240

can see

because like you said you don’t want to

0:37:22.240,0:37:26.000

be applying too much of that

um they will be licking it off as well

0:37:26.000,0:37:30.079

so they’re going to have a bit of a num

tongue for a little while

0:37:30.079,0:37:35.359

yeah totally so um nadia not the most

exciting topic to talk about i’m sure

0:37:35.359,0:37:40.960

you’ll agree

yeah very important and i hope it’s been

0:37:40.960,0:37:44.880

useful for the listeners and i hope

um it can really help and encourage them

0:37:44.880,0:37:48.800

to make some

changes or just to make changes and just

0:37:48.800,0:37:51.839

to help

guide them

0:37:58.800,0:38:02.320

don’t forget to share our episode if you

think it’s going to help one of your

0:38:02.320,0:38:05.599

other mama friends

and if you share it on instagram don’t

0:38:05.599,0:38:19.839

forget to tag us at

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0:38:32.880,0:38:34.960

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