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Half of Kentucky’s children have bad teeth
By Paul Brophy
February 24, 2010

It’s a dubious distinction, but Kentucky has one of the worst track records in the United States when it comes to dental health; nearly a third of its residents lose six or more teeth to decay or gum disease.

Perhaps even more troubling is the state of our children’s dental health. One-half of Kentucky’s children have decay in their primary teeth, and 47 percent of children between ages 2 and 4 have untreated dental problems — more than double the national average. It’s a problem that can lead to other health challenges later in life such as gum disease, bone loss, heart disease and stroke.

Fortunately, Kentucky’s leaders are taking note. Gov. Steve Beshear recently announced a three-year, $2.2 million initiative to improve the dental health of children in southern and eastern Kentucky in part by training dentists to enhance dental care for children. This initiative is a major step in the right direction, but there are still many things parents can do today to help their children develop healthful dental habits.

Guidelines to keep teeth healthy

Most parents know how important it is to brush and floss daily, but how can they best pass along this habit to their children? How about making it a morning and evening ritual that the entire family can do together? Children can only benefit by their parents’ example of practicing good oral hygiene. If you’re wondering how early children should start brushing and flossing, dentists recommend parents begin as soon as their child’s first tooth appears.

Tooth decay is caused by a specific type of acid-producing bacteria in the mouth, and these dangerous bacteria can be passed between people. So, decrease your child’s risk of receiving bacteria and developing tooth decay by avoiding sharing food or utensils with others. A balanced diet can also help prevent tooth decay. Encourage children to eat fruits, vegetables and calcium-rich snacks, but limit sugary foods and drinks such as candy and soda.

Another step parents can take is to ask their family dentist about fluoride dental sealants — thin plastic coating that covers chewing surfaces of the molars. Sealants protect the pits and grooves in a child’s teeth to help prevent cavities. They usually last 10 to 15 years and can be applied when your child’s permanent molars come in, which usually occurs around age 6 or 7.

Preparing children for their first visit

A regular checkup is a must, but when should children make that first visit? A child’s first birthday is an excellent time.

The first visit to the dentist could be intimidating for children, but here are some helpful tips. Play “dentist” at home by taking turns looking into each other’s mouths with a flashlight, or read to your child a story about a trip to the dentist. Morning appointments are usually best for children since they are generally more rested and cooperative.

Before the visit, explain to your child exactly what will happen at the dentist’s office, such as how the dentist or hygienist will examine the teeth, gums, tongue, lips and roof of the mouth.

Also, note that the dentist may take X-rays depending on your child’s age and the number of teeth he or she has. X-rays are helpful for both detecting decay and determining whether your child’s permanent teeth are developing normally. Your child’s teeth may also be cleaned during the visit.

All of these measures are important in protecting our children’s teeth. By adopting such healthful habits, we can help our children avoid costly and painful dental and health problems later in life.

Paul Brophy is executive director for UnitedHealthcare Kentucky and Southwest Ohio.

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