Healthy Living in the North

Oral Health Month: Caring for the health of our children’s teeth!

Spirit the caribou entering fluoride varnish clinic

Brenda and her colleagues offer free dental assessments and fluoride varnish applications to children ages 0-6.

Most adults realize having strong, healthy teeth is important. But did you know that having healthy baby teeth is just as important? Childhood tooth decay may result in pain and infection. Pain impacts your child’s ability to chew, sleep, and concentrate at school. Active decay also increases the risk of cavities in adult (permanent) teeth.

The good news is childhood decay is very preventable, but it does require a few good daily habits such as daily brushing with a fluoride toothpaste and healthy feeding practices.

My Northern Health regional dental program colleagues and I work to educate parents and caregivers to prevent decay in children’s teeth. We offer oral health instruction, feeding tips, and fluoride varnish applications. We want to teach the public how the systemic use of water fluoridation improves the dental health of a community. Finally, we teach community partners and other health care providers prevention strategies to ensure that good dental messaging is being presented by all sorts of different people and different professions involved in the care of our children. Our partners are nurses, early childhood care providers, and parent groups – and our education helps to ensure that they have accurate dental messages to provide to their community.

For many families in our region, it isn’t always easy to access a dentist’s office. My colleagues and I in Northern Health’s dental program aim to encourage a family’s relationship with a dentist and support the parent or parents to make changes that can reduce the risk of tooth decay for their child. We offer free dental assessments and fluoride varnish applications to children ages 0-6. The fluoride varnish helps to stop or lessen tooth decay and is used by Northern Health to reduce the rate of childhood cavities.

Since joining the dental team in the spring of 2016, I have come to realize how great the needs concerning early childhood caries are. From 2010-2014, for example, 1,504 children in northern B.C. required treatment in hospital operating rooms for dental work. This is three times higher than the provincial average and uses valuable hospital time and resources.

I provide fluoride varnish clinics two times a month at the Terrace Health Unit and once a month at the Kitimat Health Centre. Come see me! In addition, I am available to do clinics at other locations and provide education for parent groups and caregivers. My greatest reward is being able to offer encouragement to those who need it, providing advice on changing a habit, or having a reluctant child get to the point where they can have a complete exam and any necessary dental work done in a dental office instead of in the hospital!

I hope that by sharing what I’ve learned and what I do with the dental team, I will motivate parents and those involved with caring for our children to value children’s dental health. Modelling good behaviours and providing daily brushing with a fluoride toothpaste can result in better dental and oral health for children.

Brenda Roseboom

About Brenda Roseboom

Brenda was born and raised in Terrace. She has worked in the community first as a certified dental assistant and then as a hygienist. After being in private practice for many years, she joined the Northern Health dental team in May of 2016. Brenda enjoys gardening, quilting, and many other crafting hobbies. The beauty of B.C. continues to amaze her and keeps her rooted in the north.

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A lifetime of healthy smiles

Did you know that tooth decay is the third most common disease in Canada? And that four in 1000 children require dental treatment in hospital operating rooms? Not only that, but dental caries (cavities) interferes with a child’s ability to eat, sleep and thrive.

The good news is that dental caries is a preventable disease! Simple changes to you and your child’s diet and dental health behaviour can have a great impact on the development of a healthy mouth and a bright smile. Oral Health Month is a great time to start these changes!

Display with food photos

There are some foods that seem to protect against tooth decay, including hard cheeses like cheddar and mozzarella, nuts, meats, fish, poultry, and eggs.

What can you do?

  • Take care of your own dental needs. Decay-causing bacteria can be spread from person to person so brush and floss daily and have the dentist remove active decay. Limit passing bacteria to infants by not sharing toothbrushes or cutlery and by not licking soothers to clean them.
  • Once teeth appear, brush your child’s teeth twice daily with a rice-sized amount of fluoride toothpaste. Don’t rush your brush! Starting at one point, slowly work your way around the entire mouth until the fronts, backs, and chewing surfaces of both the upper and lower teeth are done – this will take you three to five minutes.
  • At least once a month, lift your child’s lip to check for newly erupted teeth and white or brown spots on the teeth.
  • Teach your child to drink from a regular, lidless cup. Offer plain water instead of other liquids for thirst between meals. Limit acidic drinks like pop and fruit beverages.
  • A balanced diet is crucial to the development and maintenance of healthy teeth and gums. Choose a variety of healthy foods that do not stick to teeth. There are some foods that seem to protect against tooth decay, including hard cheeses like cheddar and mozzarella, nuts, meats, fish, poultry, and eggs.
  • Start regular dental visits at age one or after teeth start appearing. Refer children with signs of dental decay to dental staff at your local health unit. Public health dental staff offer free counseling and fluoride varnish treatments.

For more information, visit the BC Dental Association or HealthLink BC.


Look for this article – along with several other stories about child health – in the upcoming (Summer 2016) issue of Healthier You magazine!

 

Shirley Gray

About Shirley Gray

Shirley is the Team Lead for Dental Programs at Northern Health. She moved to Terrace for a two year position as a Dental Hygienist and has stayed for 27 years! She feels it's a privilege to live and work in the North. She loved teaching children and has been mistaken for the tooth fairy! She is not magic like the tooth fairy, but she is proud to lead a real team of preventive dental specialists in the North who work hard to ensure children keep their teeth healthy for a lifetime.

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Oral Health Month: Healthy smiles for your family

Smiling child

Keep your family’s smiles bright! Registered dental hygienist Kelly has tips to ensure a lifetime of healthy smiles.

Good oral health is something we all try to work on every day as a healthy mouth contributes to overall good health. But, at certain times of the year, the choices we make are even more important to our dental health. April is Oral Health Month in Canada and it’s a great time to think about your family’s smiles!

For many families, last week included a special visit from the Easter Bunny. It’s common for a child’s Easter basket to be filled with chocolate and candy. As a registered dental hygienist, my role is to help prevent tooth decay in children, so I’m always conscious of the effects these traditions have on children’s mouths.

Baby teeth are very important and need to be well cared for; primary teeth can remain in a child’s mouth until the age of 12. They help with chewing, speech, and allow the proper spaces for the adult teeth to come in.

It is important to know that sugars turn to acids in the mouth. If your child is eating candy throughout the day, numerous acid attacks are happening in the mouth. Constant sugar/acid exposure can wear down enamel and lead to dental decay. If untreated, this can cause pain, infection, and problems with eating and sleeping for the child. Decay is preventable and can be avoided.

You can help your children avoid getting cavities by limiting the amount of sugar they consume. If treats are offered, it’s best they are given at meal time when there is more saliva to help maintain an optimum pH level in the mouth. It’s also a good idea to avoid sticky, chewy candy as it is harder to remove from tooth surfaces and it tends to stay in the mouth longer, leaving your child vulnerable to decay.

Some other tips to help prevent childhood cavities include:

  • Offer a variety of healthy choices, including fresh fruits and vegetables, cheese, and nuts.
  • Limit sugar intake in snacks and drinks. Water is the best choice for thirst as fruit juices and pop have a very high sugar content.
  • Brush your child’s teeth with a pea size amount of fluoride toothpaste two times per day (morning and before bed). Introduce flossing to your oral hygiene routine.
  • At times like Easter, offer alternatives to candy like stickers, tattoos, pencils, toys, or sugar free gum.
  • See your dentist regularly.
Kelly Esopenko

About Kelly Esopenko

Kelly is a registered dental hygienist working with Population & Public Health. Kelly has been a dental hygienist for over 20 years and has worked in a variety of clinical settings. She joined Northern Health in 2012 and works with a wide range of clients promoting good oral health practices. Kelly is married with two children. In her free time, she enjoys spending time with family and friends, walking her dogs, and cheering on her children in their various sporting activities.

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Begin dental care early!

Young child at dentist's office.

Baby teeth are important for jaw development, chewing, speech development, and spacing. Mouth care for children starts sooner than you may realize!

April is National Oral Health Month and is a great time to think about teeth and our children’s teeth!

Baby teeth are important for:

  • Jaw development – chewing stimulates proper jaw growth.
  • Chewing – food broken down makes digestion easier.
  • Speech development – properly aligned teeth aid in speech.
  • Spacing – baby teeth guide permanent teeth into proper position. Children start to lose their baby teeth around 6 years of age and all the way up until around 14 years of age.

Mouth care for children starts sooner than you may realize

Tooth decay can start as soon as baby teeth appear (around 6-12 months of age). Young children are not able to clean their own teeth. As a parent, you must do it for them when they are very young and do it with them as they get older. Brush your child’s teeth morning and night with a rice-sized amount of fluoride toothpaste.

Canadian Dental Association guidelines for toothpaste amount.

Brush morning and night with a small amount of fluoride toothpaste. For children under 3, a rice-sized amount of toothpaste is sufficient. For children 3 and older, aim for a pea-sized amount.

Visits to your dentist

The Canadian Dental Association recommends your child’s first visit to be “within 6 months of the eruption of the first tooth or by one year of age.”

What is early childhood tooth decay?

Early childhood tooth decay is the main cause of tooth decay for children under the age of 4. It is a serious disease that can destroy teeth but it can be prevented!

  • Brush your baby’s teeth morning and night with a rice-sized amount of fluoride toothpaste.
  • Avoid letting your baby drink from a sip cup or bottle constantly throughout the day.
  • Never put baby to bed with a bottle as they may fall asleep with milk or juice still in their mouth.
  • Lift your child’s lip once a month to check teeth for chalky, dull white spots or lines which are early signs of tooth decay (cavities). Catch small problems early.
  • Drink water for thirst between regular meals and snacks.
  • Choose healthy foods.
  • Visit your dental office regularly. Catch small problems early – before they become big problems.

For more information, visit the Canadian Dental Association’s Dental Care for Children page.

 

Brenda Matsen

About Brenda Matsen

Born and raised in B.C., Brenda completed her diploma in dental hygiene in 1987, moved back to northern B.C. to work, raised her four sons in Prince George and, in 2009, obtained her BHSc. Brenda is the manager of the Northern Health Dental Program and has been with Northern Health since 2002. She is passionate about making a difference and appreciates the "can do" attitude of fellow northerners. When not at work, Brenda can be found enjoying the great outdoors in a variety of activities with her husband and Vizslas, throughout all our beautiful seasons.

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Protect your smile

Canadian Dental Association guidelines for toothpaste amount.

Brush in the morning and at night with a small amount of fluoride toothpaste. For children under 3, a rice-sized amount of toothpaste is sufficient. For children 3 and older, aim for a pea-sized amount.

According to the Canadian Dental Association, good dental health “contributes positively to your physical, mental and social well-being and to the enjoyment of life’s possibilities, by allowing you to speak, eat and socialize unhindered by pain, discomfort or embarrassment.”

Unfortunately, poor dental health can be found at all ages and socioeconomic levels. In children, tooth decay is the most common infectious disease and is five times more common than asthma and seven times more common than hay fever. Tooth decay is preventable and National Oral Health Month is a great time to learn more about this condition.

What are cavities?

Cavities, or tooth decay, happen when the hard outside layer of a tooth (enamel) has been eaten away or demineralized by acids, forming a hole in the tooth.

Where do the acids that attack teeth come from?

Specific cavity-causing bacteria in our mouths make acids by using the sugars in foods that we eat. Some acids also come straight from foods like juice and pop. Every time we eat something that has sugars or acids, our teeth are attacked or broken down by these acids for about 20 minutes, but this acid attack can be even longer if we choose sticky foods that are able to stay on our teeth. Fluoride in toothpaste, water, or rinses works to protect our teeth against acid attacks no matter what age we are.

How can I protect my teeth from acid attacks?

  • Avoid acidic foods and drinks like pop, juice, iced tea, lemonade, and energy drinks. Drink water for thirst instead.
  • Avoid constant snacking or “grazing.”
  • Choose a variety of healthy foods and snacks every day.
  • Limit how often you choose foods with added sugar.
  • Brush your teeth in the morning and at night with small amount of fluoride toothpaste.
  • When you can’t brush right after a meal or snack, help dilute acids and sugars by rinsing with water or chewing sugarless gum.
  • See your dental office regularly, approximately every six months. Tooth decay and more serious oral cancers often do not show signs or symptoms until they’re big problems. Early detection is critical so aim to catch small problems early, before they become big problems!
Brenda Matsen

About Brenda Matsen

Born and raised in B.C., Brenda completed her diploma in dental hygiene in 1987, moved back to northern B.C. to work, raised her four sons in Prince George and, in 2009, obtained her BHSc. Brenda is the manager of the Northern Health Dental Program and has been with Northern Health since 2002. She is passionate about making a difference and appreciates the "can do" attitude of fellow northerners. When not at work, Brenda can be found enjoying the great outdoors in a variety of activities with her husband and Vizslas, throughout all our beautiful seasons.

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