
Families of children with chronic conditions face many challenges. One that often takes a back seat to other pressing needs is the prevention of tooth decay. But although difficult, it still deserves caregivers’ attention because of the dental disease’s potential long-term impact on oral health.
Chronically ill children are often at higher risk for tooth decay, most commonly due to challenges in practicing effective oral hygiene. Some conditions create severe physical, mental or behavioral impairments in children’s ability to brush and floss: for example, they may have a heightened gag reflex to toothpaste in their mouth or they may not be able to physically perform these tasks on their own.
Some children may be taking medications that inhibit salivary flow as a side effect. Saliva is critical for disease prevention because it both neutralizes mouth acid (which can erode tooth enamel) and is a first line of defense against disease-causing bacteria. And a child’s diet, while designed to support treatment of their chronic condition, may conversely not be the best for supporting their dental health.
It’s best if caregivers and their dentists develop a strategy for decay prevention, which should include the following:
- Regular dental visits beginning at Age One. Besides monitoring dental health, dental visits also provide cleanings and other preventive measures like topical fluoride or sealants;
- Brushing and flossing support. Depending on a child’s physical and mental capacities, caregivers (or an older sibling) may need to model brushing and flossing, or perform the tasks for the child;
- Medication and diet changes. If medications are causing dry mouth, caregivers can speak to their physicians about possible alternatives; likewise, they should see if modifications can be made to their diet to better support dental health.
- Boosting salivary flow. It’s especially important with children who have dry mouth to drink more water or use aids (like xylitol gum or candies) to boost salivary flow.
Although it requires extra effort and time to give attention to a chronically ill child’s dental health, it’s well worth it. By working to prevent tooth decay early in life, these children will be more likely to enjoy good dental health in the future.
If you would like more information on dental care for children with special needs, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor article “Managing Tooth Decay in Children with Chronic Diseases.”
Comments:
Find Us
Joseph R. Hendrick, Jr., DDS, PA
Shelby, NC 28150

Request Appointment
Our office has flexible hours to fit your busy schedule
Patient Eductation

Archive:
- 2021
- 2020
- December (5)
- When Crowns and Bridges Are Necessary
- Targeted Tooth Removal Could Aid Treatment for Certain Bite Problems
- Listen to Ellen DeGeneres: Don't Think You Can Get Away Without Flossing!
- Are You Interested in Dental Implants?
- No Time for a Makeover? Try These One-Visit Smile Enhancements Before the Holidays
- 2019
- 2018
- 2017
- 2016
- 2015
- 2014
Tags
- celebrity smiles (66)
- cosmetic dentistry (9)
- orthodontics (12)
- headgear (1)
- Teeth Whitening (6)
- oral health (17)
- oral hygiene (26)
- Gum Disease (15)
- Dental Implants (17)
- thumb sucking (3)
- pediatric dentistry (13)
- dental hygiene (1)
- Clear Aligners (5)
- bridge (1)
- dental implant (5)
- chipped teeth (2)
- pregnancy (1)
- Teeth Cleanings (1)
- bad breath (1)
- retainers (3)
- tooth grinding (1)
- Veneers (3)
- laser dentistry (2)
- crowns (6)
- missing tooth (2)
- braces (14)
- periodontal disease (3)
- oral cancer (3)
- abscessed tooth (1)
- orthodontic treatment (21)
- smile makeover (3)
- dental anxiety (1)
- bacteria (1)
- wisdom teeth (6)
- Bridges (2)
- cracked mouth (1)
- mouthguards (5)
- restorative dentistry (4)
- bonding (1)
- root canal treatment (6)
- nutrition (2)
- Root Canal (3)
- apicoectomy (1)
- fluoride (2)
- tooth decay (6)
- emergency dentistry (1)
- porcelain veneers (4)
- athletic mouthguards (1)
- periodontal (gum) disease (2)
- invisalign (1)
- dental emergency (1)
- dental injury (6)
- teeth grinding (4)
- chipped tooth (4)
- air abrasion (1)
- dental crowns (2)
- dental bridges (1)
- pediatric care (1)
- x-rays (1)
- jaw pain (1)
- teeth wear (1)
- Root Canals (2)
- dry mouth (1)
- antibiotics (1)
- partial denture (1)
- periodontist (1)
- gummy smile (2)
- removable partial denture (1)
- Dental Visits (1)
- tads (1)
- Clear Braces (1)
- frenectomy (1)
- tooth pain (2)
- bone grafting (1)
- sports drinks (1)
- crown lengthening (1)
- dental sealants (1)
- teething (1)
- tooth loss (1)
- pain management (1)
- extraction (1)
- lingual braces (2)
- gum recession (1)
- facial pain (1)
- crown (1)
- toothbrush (1)
- athletic mouthguard (1)
- Oral Cancer Screenings (1)
- dental injuries (3)
- Oral Care (1)
- Routine (1)
- loose tooth (1)
- smoking (1)
- vaping (1)
- dry socket (1)
- sleep apnea (1)
- snoring (1)
- diabetes (1)
- extractions (1)