12-24 months

the Teeth

  • The canines (eye teeth) and first molars usually grow in this year.

  • The molars can be more uncomfortable to grow in and take a little longer than the front teeth.

  • Same teething strategies apply - give cold teething rings/toys and cold wash clothes to chew on.

  • If the discomfort is disrupting sleep, over the counter pain medication (tylenol, ibuprofen) can be given according the dosing chart (check with your pediatrician or pediatric dentist first).

  • OraJel is still not recommended in children due to potential adverse reactions.

Diet

  • Your child may transition away from breast milk/formula during this stage.

  • As you introduce foods, keep them healthy and low in sugar.

  • When it comes to sugar and teeth - it’s not how much sugar you give, it’s how often you give it.

    • If you give your child something sugary, keep it with a meal or on a special occasion.

  • Do not make refined sugary foods common. Do not keep them in your house.

  • Unless advised by your pediatrician, do not give you child any liquids except for milk and water.

  • No Juice. No Soda. No Sugared Beverages.

Hygiene

  • Continue to brush the teeth daily for about 15-30 seconds.

    • If you want to use a fluoridated toothpaste, use only a rice-grain size amount.

    • If adjacent teeth are touching and behavior allows, now is a good time to slowly introduce flossing.

  • Make it a fun activity. Try to brush all of the tooth surfaces the best you can. You may have to do this in quick 3-5 second intervals.

  • Some parents like to brush in the morning, others prefer at night, and some find it works best while your child is busy with an activity.

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