Scientific Article

Professional Oral Hygiene Should Start Even Before the First Tooth Appears

Dr. Debora Schlieter, DMD & Sabrina Dogan


Does oral hygiene start with the 1st tooth?” This is probably the question most frequently asked by our patients.

No. Ideally, in our experience, oral care should start before the first tooth appears. There are currently very few studies that show this. However, from our practical experience we can give a number of sound reasons why an early start is so important.

We would like to describe how these recommendations can be playfully and practically put to use as needed at home.

In keeping with the motto “practice makes perfect”, parents and caregivers can find a set time of day to perform a daily oral hygiene ritual in a familiar, at-home environment. We recommend in the evening, such as after feeding or bathing the baby. Choose a specific time that corresponds to when the baby is in a positive mood. The inside of the mouth and the palate can be carefully wiped clean using a fingertip toothbrush, the Oral Care Rabbit or a clean, soft cloth. This can be performed with the child lying down on the changing table or a crawling blanket. The cleaning motions for inside the mouth can be equated with light stroking but they still remove milk or bits of porridge from the gums and dental ridges. The experience remains positive for both the adult and the baby while the regular, recurring sequence will strengthen the process.

One conceivably inappropriate time to start with dental care would be during the acute phase of teething. This is the period during which the teeth erupt and first become visible in the child’s mouth. This development phase is usually accompanied by restlessness, increased salivation, pain, or even fever and can be rather negative for both the parents and child. Nevertheless, it is possible to have some “positive remedies” during this phase. Here, teethers (i.e., with cooling function), mini-teethers for on the go, cooling sticks, chilled or dampened cloths and dental care trainers can provide relief. As needed, the use of specially selected oral care aids together, or under supervision is fun. In addition, the personal bond is strengthened. A foundation of trust relating to the sensitive “oral cavity” can be successfully established.

Once the first milk teeth are visible inside the mouth, dental care and brushing can be started with the help of a suitable learning toothbrush. The hand toothbrush should have a small, rounded brush head and come with very soft, rounded bristles arranged in small bundles. An ergonomically shaped, non-slip handle made of a pleasant material makes it easier to use. Your trusted dentist can personally advise you and your child during a dental visit. 

Reception

with friendly furnishings in light pastels.

Waiting room

with a corner for playing, colouring and reading.

Hallway to the treatment room:

ceiling design with colour changing balloon lamps as child-friendly elements

Treatment room:

treatment chair (dental treatment unit) perfect for holding small children.

First Visit to the Dentist: Practice Ambiance and Word Choice Are Important

If you try to see the dentist's office through the eyes of a small child, you will quickly realise what can be associated with the first trip to the dentist. The first dental visit should take place between 2 and 3 years of age in a playful manner.
Interior decor, lighting, smells, the greeting by the dental team, the hallway to the treatment room and many other impressions have an effect on our “little guests”. That makes it all the more important for the dental team to make this “special first visit” as pleasant as possible.
A child-friendly choice of words is preferable. Therefore, negative words and unpleasant specialty vocabulary should not be used in connection with a visit to the dentist.
"That’s not bad" - "That’s great
"That doesn’t hurt" - "That was great"
"Treatment chair" - "Throne "
"Examination" - Count teeth together
"Drill" - "Tickle brush "
"Injection" - "Sleeping drops"
A visit to the dentist should always be viewed as a positive experience so the motivation to see the dentist will remain.

Dr. Debora Schlieter, DMD

Paediatric Dentist

Dr Debora Schlieter, DMD was a long-term research associate at Heidelberg University Hospital. Areas of focus: Dental treatment of anxious patients, children and adolescents as well as physically and mentally impaired patients.

Sabrina Dogan

Dental Hygienist

Sabrina Dogan works in a private dental practice in Mauer bei Heidelberg (Germany). In addition to her work she is an author and speaker on the topic of Prophylaxis in dental practice.