24-36 months
the Teeth
The second molars usually grow in this year.
The second molars can be the most uncomfortable to grow in and take a little more time.
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 is probably transitioning to a diet similar to your own.
Try to keep your diet healthy and low in sugar - your children mimic what the see.
When giving your child carbohydrates - try to limit refined sugars and sticky carbohydrates (gummies, crackers, etc.) to mealtimes.
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 a “treat” of 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.
Juice or sugared beverages may be recommended when your child is sick, that is OK.
Other than that, unless advised otherwise - No Juice. No Soda. No Sugar Sweetened Beverages.
Hygiene
Continue to brush the teeth daily for about 30-60 seconds.
If you want to use a fluoridated toothpaste, use only a rice-grain size amount.
Molars are likely contact each other now - try to floss between them a few times a week.
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.
This age can be very challenging. Do the best you can.
If it’s very difficult to brush the teeth, really limit sugar and carbohydrate frequency in the diet.
