HEALTHY EATING TO PROMOTE STRONG TEETH IN CHILDREN

The foods children eat directly affect the status of their dental health long term. One of the best things a parent can do for their kids’ teeth, outside of promoting proper oral hygiene habits, is teaching them to make nutritional and health advancing dietary choices. Foods that are high in carbohydrates, starches, and sugars can cause dental decay and have a negative impact on dental health when consumed in immoderate amounts or when left on the teeth too long after eating. Fostering a healthy and well balanced diet for children from an early age helps form habits that result in a lifetime of strong teeth and overall better health.

Making Nutritional Choices For Healthy Teeth and Gums

  In addition to brushing their teeth twice a day and flossing once daily, kids should consume a well-balanced and nutritional diet, to not only promote overall health but also help build a strong healthy smile.

        Some tips for helping kids make nutritional choices to keep their teeth healthier and cleaner: • Lean meats, nuts, and proteins—These are a good source of protein for children and help strengthen tooth enamel. Consider turkey, chicken, and white fish as good examples of lean meats. Nuts are a great healthy snack and a quick source of energy for kids. Low sugar peanut butters are good snack options as well.

Fruits and vegetables—Fruits and veggies are a good snack alternative to foods rich in carbohydrates. Fruits and vegetables with high water content like melons, pears, celery, and cucumbers are especially good for dental hygiene and actually help clean the teeth. Eating crunchy, raw fruits and vegetables every day helps remove some substances thatadhere to the surface of the teeth when eating, as well as promote overall health. • Cheese and low-fat dairy products—Aged cheeses like cheddar, swiss, and monterey jack help generate the flow of saliva, which aids in removing food particles from the teeth. Offer these as a snack or as part of a child’s lunch. Low-fat dairy products like skim milk and yogurt can also promote oral health. • Unsweetened foods—Buying unsweetened foods helps decrease the amount of sugar to potentially cause decay in your child’s mouth. • Calcium Sources—Strong sources of calcium are crucial to your child’s bones and for building strong teeth. Low-fat milks, cheese, yogurt, and broccoli are good sources of calcium. • Water instead of sugary juices or soda—Sodas, juices, and even milk can contain large amounts of sugar that can cause dental decay. Limit the amount of sugary drinks a child consumes and get your child in the habit of primarily drinking water. Water in general helps wash the teeth. Also, never put a baby to bed with a bottle of milk or juice! • Xylitol-sweetened or sugar free gum—If your child chews gum make sure it is sugar free or sweetened with Xylitol. Xylitol actually decreases bacteria in the mouth, and the action of chewing supports saliva flow, which helps wash away food particles from the teeth.   

HEAVY METALS FOUND IN POPULAR FRUIT JUICES

Nearly half of 45 fruit juices tested had elevated levels of heavy metals, which can pose health risks for children and adults, Consumer Reports has found.

The report, released Wednesday, says that even small amounts of juice might hold risks.

"In some cases, drinking just 4 ounces a day — or half a cup — is enough to raise concern," James Dickerson, PhD, chief scientific officer for CR, says in the report.

If anything, the results simply reinforce existing concerns about fruit juices.

"I don't think we need to say you can't give your kids any juice," says Steven Abrams, MD, a professor of pediatrics at Dell Medical School, University of Texas at Austin. But, he says, "juice is not a product that is intrinsically healthy for children." He co-authored the American Academy of Pediatrics' guidelines on juice, which set limits by age.

Meanwhile, juice producers say the report needlessly alarms consumers.

How Was the Testing Done?

Consumer Reports experts tested 45 juices made by 24 brands, including well-known and lesser-known brands such as Gerber, Minute Maid, Mott's, Great Value from Walmart, Clover Valley from Dollar General, and Big Win from Rite Aid. Those tested included organic products, too, as well as store brands from Whole Foods and Trader Joe's.

In the report, 24 products are listed as ''better alternatives."

Still, all but one of the juices in the Consumer Reports tests had inorganic arsenic levels below the FDA’s proposed limit of 10 parts per billion, and 58% had levels below CR’s recommended cutoff of 3 ppb. Trader Joe's Fresh Pressed Apple Juice was the only product above the 10 ppb threshold. CR says its tests found three samples averaged 15.4 ppb.

There is no scientific evidence indicating that the presence of trace levels of heavy metals in juice has caused any negative health outcomes among individuals at any life stage.Patricia Faison, technical director of the Juice Products Association

What Are the Health Risks From Heavy Metals?

Depending on how much and how long the exposure is, heavy metals can pose risks to children and adults. Risks include a lower IQ, behavior problems such as attention deficit hyperactivity disorder, type 2 diabetes, and cancer, among many other health issues, CR says.

Experts worry about accumulated heavy metals not from only juice, but other sources. They are found not only in food and drink, but throughout the environment; plants absorb the heavy metals from contaminated soil and water, CR says.

What Does This Mean for Children and Adults?

The best advice about serving juice to children is to limit it, says Abrams, who is also director of the Dell Pediatric Research Institute. Broaden their choices, he adds. "Don't use only apple or orange."

Among the misconceptions among parents, he says, is that organic juices are lower in heavy metals. Not true, he says. "Families should not assume that choosing the organic label guarantees being free of toxins."

He also discourages serving children juice from juice boxes or pouches. "Kids will tend to sip on it, and they get a lot of juice sitting on their teeth [risking cavities]. It's convenient, I get that. But I think they tend to drink more."

What Do the Juice Manufacturers Say?

In a statement, Patricia Faison, technical director of the Juice Products Association, an industry group, accused Consumer Reports of raising unnecessary concern.

"There is no scientific evidence indicating that the presence of trace levels of heavy metals in juice has caused any negative health outcomes among individuals at any life stage," she says.

"The juice industry is committed to providing safe, high-quality nutritious juice that meets or exceeds regulations established by the U.S. Food and Drug Administration (FDA) for food safety."

Producers of juice also conduct their own testing, Faison says.

Gerber also responded, saying in part: "At Gerber, we always go the extra mile to provide high-quality and safe nutrition for little ones. When it comes to our juice, this means regular testing of our ingredients, water and finished juices, working closely with our farmers to reduce and limit contaminants, and using some of the most precise analytical equipment and test methods available."

Sources:

Consumer Reports: "Arsenic and Lead Are In Your Fruit Juice: What You Need to Know."

Patricia Faison, technical director, Juice Products Association.

Cathy Dunn, spokesperson, Nestle.

Steven Abrams, MD, professor of pediatrics, Dell Medical School, University of Texas at Austin; director, Dell Pediatric Research Institute.

American Academy of Pediatrics: "Fruit Juice in Infants, Children, and Adolescents: Current Recommendations."

They focused on levels of cadmium, lead, mercury, and inorganic arsenic, saying that these elements pose some of the greatest risks and that research has found they are common in food and drink. The juices tested were apple, fruit blends, grape, and pear.

The new testing was done as a follow-up to a study in 2011, when CR found elevated levels of inorganic arsenic and lead in apple and grape juices. The new evaluation was done to see if there's been improvement, to test other juices, and to test for other heavy metals.

What Are the Major Findings?

Overall, CR says, heavy metal levels in fruit juices have declined since their last testing. But in the new report, every juice contained at least one of the four metals tested, and 47%, or 21, had concerning levels of cadmium, inorganic arsenic, and/or lead. None had concerning levels of mercury. Other major conclusions:

• Seven of the 21 had enough heavy metals to potentially harm children who drink a half-cup or more a day, and nine of the 21 held risks for kids drinking a cup or more a day.
• Ten of the juices posed a risk to adults, too: Five were potentially hazardous at a half-cup or more a day, and five at a cup or more a day.
• The highest heavy metal levels were in grape juice and juice blends.
• Organic juices did not have lower heavy metal levels than non-organic.
• 
  
  In the report, 24 products are listed as ''better alternatives."

  Still, all but one of the juices in the Consumer Reports tests had inorganic arsenic levels below the FDA’s proposed limit of 10 parts per billion, and 58% had levels below CR’s recommended cutoff of 3 ppb. Trader Joe's Fresh Pressed Apple Juice was the only product above the 10 ppb threshold. CR says its tests found three samples averaged 15.4 ppb.

  There is no scientific evidence indicating that the presence of trace levels of heavy metals in juice has caused any negative health outcomes among individuals at any life stage.Patricia Faison, technical director of the Juice Products Association

  What Are the Health Risks From Heavy Metals?

  Depending on how much and how long the exposure is, heavy metals can pose risks to children and adults. Risks include a lower IQ, behavior problems such as attention deficit hyperactivity disorder, type 2 diabetes, and cancer, among many other health issues, CR says.

  Experts worry about accumulated heavy metals not from only juice, but other sources. They are found not only in food and drink, but throughout the environment; plants absorb the heavy metals from contaminated soil and water, CR says.

  What Does This Mean for Children and Adults?

  The best advice about serving juice to children is to limit it, says Abrams, who is also director of the Dell Pediatric Research Institute. Broaden their choices, he adds. "Don't use only apple or orange."

  Among the misconceptions among parents, he says, is that organic juices are lower in heavy metals. Not true, he says. "Families should not assume that choosing the organic label guarantees being free of toxins."

  He also discourages serving children juice from juice boxes or pouches. "Kids will tend to sip on it, and they get a lot of juice sitting on their teeth [risking cavities]. It's convenient, I get that. But I think they tend to drink more."

  What Do the Juice Manufacturers Say?

  In a statement, Patricia Faison, technical director of the Juice Products Association, an industry group, accused Consumer Reports of raising unnecessary concern.

  "There is no scientific evidence indicating that the presence of trace levels of heavy metals in juice has caused any negative health outcomes among individuals at any life stage," she says.

  "The juice industry is committed to providing safe, high-quality nutritious juice that meets or exceeds regulations established by the U.S. Food and Drug Administration (FDA) for food safety."

  Producers of juice also conduct their own testing, Faison says.

  Gerber also responded, saying in part: "At Gerber, we always go the extra mile to provide high-quality and safe nutrition for little ones. When it comes to our juice, this means regular testing of our ingredients, water and finished juices, working closely with our farmers to reduce and limit contaminants, and using some of the most precise analytical equipment and test methods available."

  Sources:

  Consumer Reports: "Arsenic and Lead Are In Your Fruit Juice: What You Need to Know."

  Patricia Faison, technical director, Juice Products Association.

  Cathy Dunn, spokesperson, Nestle.

  Steven Abrams, MD, professor of pediatrics, Dell Medical School, University of Texas at Austin; director, Dell Pediatric Research Institute.

  American Academy of Pediatrics: "Fruit Juice in Infants, Children, and Adolescents: Current Recommendations."

ORAL HYGIENE FOR BABIES AND TODDLERS

Training children to prioritize and practice good oral hygiene habits early can result in a healthy smile that lasts a lifetime. Even as the very first baby teeth begin to erupt through the gums around 6 to 8 months of age, the infant’s state of oral health has the potential to affect their future adult smile.

RISK OF DECAY STARTS EARLY.

The risk for decay increases as soon as the child’s first baby teeth appear. Some infants experience such severe tooth decay, that their teeth are unable to be repaired and must be extracted. This usually occurs when a baby is in the habit of being put to sleep with a bottle. Typically, the upper front teeth are most affected but decay can occur in other teeth as well.
When a baby tooth is lost prematurely due to accidents or oral decay, among other reasons, crowding and spatial problems can occur with the eventual eruption of the permanent teeth. The healthier the primary set of teeth stays, the less risk exists for the permanent teeth to “come in” incorrectly or experience decay. Consequently, prioritizing an infant’s oral health from the beginning can aid in preserving a healthy smile for decades.

TOOTH DECAY IS PREVENTABLE.MONTHS 

Tooth decay is preventable through practicing good oral hygiene and visiting the dentist regularly and as recommended! It is recommended that parents take their child to the Pediatric Dentist within 6 months of the eruption of their first tooth and no later than their first birthday. The Pediatric Dentist will advise the parents on how to care for their baby’s mouth, check for decay, and inform them of any possible problems.

CLEANING YOUR INFANT OR TODDLERS TEETH.

Oral hygiene practices change and increase with age so here are some tips to caring for your child’s dental heath from birth through toddlerhood.
BIRTH TO 6-MONTHS:
Dental hygiene begins at birth. Implementing healthy habits from the start can make all the difference in reducing and preventing tooth decay in infants and kids. Clean an infant’s gums lightly after every feeding with a moistened washcloth or damp clean gauze pad. Never put a baby to sleep with a bottle, prop a bottle in a baby’s mouth, or let a baby feed “at will.” As dental decay is a communicable and infectious disease, try not to ever test the temperature of a bottle with your mouth. Also keep from sharing utensils or washing a pacifier or bottle nipple by putting it in your mouth. Sticking to these practices helps stop the spreading of bacterium that generate tooth decay.
6 TO 12 MONTHS :
Usually the first tooth erupts through the gums between 6 and 8 months of age. Practicing increased healthy habits from the moment teeth begin to appear, once again, reduces and prevents the chance for tooth decay. After feeding, continue to clean the infant’s gums with a wet washcloth or clean damp gauze pad. As the infant begins to eat more solid foods and is able to drink from a cup, start weaning the baby from the bottle one step at a time. Usually by 12 to 14 months, babies can drink from a cup, so it is a good idea to start slowly offering them cups of water or juice instead of a bottle at that time. At this point, do not allow the baby to walk

 around carrying his/her bottle, and practice healthy habits by restricting the amount of sweet food and beverages the child consumes.
It is also important to know what the normal appearance of a child’s gums and teeth look like. Regularly check for new small white or brown spots on the child’s teeth, which may indicate tooth decay. If any questionable or strange looking spots of this sort appear, contact the Pediatric Dentist for an appointment immediately. Schedule the child’s first dental appointment at this stage, as it is recommended for a child to be examined by a Pediatric Dentist no later than the first birthday.
12 TO 18 MONTHS:
By one year of age, a child should undergo an oral examination by a Pediatric Dentist. At this stage, brush a child’s teeth for them twice a day with plain water. Keep checking regularly for suspiciou


s white or brown spots on the teeth, which can denote tooth decay, and make an appointment with the Pediatric Dentist immediately if any such spot are noticed. Also continue to avoid spreading decay causing germs to the child by refraining from any practices that might transmit saliva, such as drink sharing.

18- MONTHS TO 5-YEARS :

At 24 months, start brushing the child’s teeth twice a day with a pea-sized amount of fluoridated toothpaste. Make sure that the child does not swallow any of the toothpaste, and teach him/her to spit all of it out after brushing. Begin teaching the child how to brush his/her own teeth, but typically children need help until they possess the hand coordination to sufficiently brush their own teeth. Children should be capable of brushing without supervision around age 6 or 7. By 30 months, most of the primary (baby) teeth should be in, and by 3 years old toddlers should no longer be using their pacifiers and/or sucking their thumbs. If a child is over the age of 3 and regularly still uses a pacifier or sucks his/her thumb consult the Pediatric Dentist. At this point, the child should be visiting the Pediatric Dentist for regular checkups. Also remember to continue to check for suspicious white or brown spots on the teeth, which
may indicate tooth decay. Anytime uncharacteristic or suspicious spots appear in a child’s mouth, dentist should be contacted.white or brown spots on the teeth, which can denote tooth decay, and make an appointment with the Pediatric Dentist immediately if any such spot are noticed. Also continue to avoid spreading decay causing germs to the child by refraining from any practices that might transmit saliva, such as drink sharing.
18 months-5 years:
At 24 months, start brushing the child’s teeth twice a day with a pea-sized amount of fluoridated toothpaste. Make sure that the child does not swallow any of the toothpaste, and teach him/her to spit all of it out after brushing. Begin teaching the child how to brush his/her own teeth, but typically children need help until they possess the hand coordination to sufficiently brush their own teeth. Children should be capable of brushing without supervision around age 6 or 7. By 30 months, most of the primary (baby) teeth should be in, and by 3 years old toddlers should no longer be using their pacifiers and/or sucking their thumbs. If a child is over the age of 3 and regularly still uses a pacifier or sucks his/her thumb consult the Pediatric Dentist. At this point, the child should be visiting the Pediatric Dentist for regular checkups. Also remember to continue to check for suspicious white or brown spots on the teeth, which

 may indicate tooth decay. Anytime uncharacteristic or suspicious spots appear in a child’s mouth, the dentist should be contacted.