# Presentation: 154266

## 
Cómo prevenir las caries asociadas con el uso 
del biberón

																																				1

- Cómo prevenir las caries asociadas con el uso
- del biberón
- 																																				1

**Notes:**
Preventing baby bottle tooth decay is important for all babies and children.

## ¿Por qué  son importantes los dientes de leche? 2

-  **para guardar el espacio para los dientes permanentes**
- ** ****¡para comer!**
**para hablar normalmente**
**para tener una sonrisa sana**
**para el autoestima ****	****	**

## Ejemplos de caries por uso del biberón 3

-   leve 		   moderada 	       grave

**Notes:**
Here are three different examples of baby bottle tooth decay.  The mild case has some decay in between the front teeth.  The other two views have obvious decay.

## Las caries por el uso del biberón pueden ser... 4
 ¡ dolorosas para el niño!

 $$ costosas, si es necesario realizar una cirugía para colocar platinos en los dientes

 un efecto negativo para la autoimagen del niño

******* ***¡ ***dolorosas*** para el niño!
**** $$ costosas, si es necesario realizar una cirugía para colocar platinos en los dientes
****** ****un **efecto negativo para la autoimagen del niño

**Notes:**
Baby Bottle Tooth Decay (BBTD) can painful for the child and traumatic if surgery is required to cap teeth.  Surgery to cap teeth is expensive and requires a one day stay in a hospital.  Protect your child from preventable decay and help them have good looking teeth so they can feel good about themselves! 

## La buena noticia es que... 5

**¡****puede prevenirse totalmente****!**
**	****	**
**	****	****	****	****	****	****	****	****	**

## 	¿Cómo? 	 6				

- No permita que el niño se duerma con un biberón o
-     vaso de tapadera con fórmula o leche
- No use biberones con soporte
- No ponga en el biberón otros líquidos que no sean fórmula, agua natural ó leche de pecho.
- No permita que el niño tenga el biberón todo el día

**Notes:**
So how do we prevent BBTD? (read info from slide)  Following these simple rules can reduce pooling of decay encouraging liquids like milk in the mouth.  Once we fall asleep the swallowing reflex and saliva production are reduced.  Any liquid other than water will sit in the mouth and bathe the teeth for hours letting decay begin. This also applies to breastfeeding. Letting a baby stay latched on for hours can help start tooth decay in the same manner as a bottle used in bed.      weaning by 12-14 months therefore doesn’t ever learn to carry bottle 
 Another side benefit to no bottles or cups of milk in bed is a reduction in ear infections.  When baby relaxes and goes to sleep the milk may actually enter the middle ear and cause an infection. 

## Otra cosa importante...7

- quitarle el biberón entre los 12 y
-    14 meses
- ofrescale al niño/a una taza a partir
-    de los 6 meses

**Notes:**
It is also important to wean from the bottle around 12 months and start giving your baby a cup to use and practice with around 6 months.  The cup can be empty or have a very small amount of water or formula in it for baby to practice with.  Also assist your baby with the cup so he gets used drinking from something else besides a bottle.  Drinking from cup is very different than sucking from a bottle or breastfeeding. (Show example of sippy cup here.)

## ¿Cómo limpio los dientes de mi bebé?

## 										9

limpie las encías con una toallita para bebés húmeda

primer diente, use un cepillo de dientes suave para bebés

¡hágalo con suavidad!

 no es necesario usar pasta dental

- limpie las encías con una toallita para bebés húmeda
- primer diente, use un cepillo de dientes suave para bebés
- ¡hágalo con suavidad!
-  no es necesario usar pasta dental

**Notes:**
Before first teeth erupt, gums can be wiped with a damp baby washcloth.  When first teeth come in use a small, soft child’s  

Before teeth come in you can get baby ready for tooth care by wiping the gums with a soft, thin cloth like a baby wash cloth.
Then when the teeth come in, usually between the third and seventh months, teeth should be brushed twice a day.  You don’t have to use toothpaste, wetting the toothbrush with water will work fine. (If question is asked about using toothpaste, recommend to not use toothpaste until an age when child learns to spit out toothpaste and not swallow it.  Then only use a pea sized amount.)   

## ¿Cuándo debo comenzar? 10

- cuanto antes mejor
- definitivamente debe comenzar cuando sale el primer diente si quiere prevenir las caries
- primer diente, aproximadamente entre los
-    3 y 7 meses

## ¿Qué alimentos aumentan el riesgo de tener caries? 11 	

- ¡espere como mínimo un año antes de darle estos alimentos a su bebé!
- Todo tipo de caramelos (dulces) o paletas
- bocadillos de “fruta” chiclosa
- piel de frutas/enrollados de fruta
- galletas/pasteles
- rodajas de queso procesado
- frutas secas o pasas
- bizcochos para la dentición
- refrescos (sodas)

**Notes:**
There are some foods that are important to try to stay away from for at least until your baby is one year of age if possible!  The foods listed here are high in sugar and can stick to the teeth making decay more likely.  An example of processed cheese slice would be individually wrapped cheese slices that are called “Kraft singles” or “Velveeta singles”.

## ¡Fluoruro para dientes fuertes! 12

- La Academia Americana de Pediatría recomienda que:
- Antes de los 6 meses, no hace falta suplemento de fluoruro
- Después de los 6 meses, beber agua de la llave si contiene fluoruro
- Si el agua no contiene fluoruro, pídale suplementos de fluoruro a su médico

**Notes:**
Fluoride also plays a part in reducing the occurrence of BBTD and is needed in the diet for strong teeth and bones.  Babies under 6 months of age do not need fluoride supplementation.  Babies 6 months and older need fluoride in diet which is usually supplied by drinking tap water or making formula with tap water.  Find out if your water is fluoridated by calling the local water authority.  If your water is not fluoridated, ask your doctor for a fluoride supplement. 

## ¡El exceso de 

fluoruro

es perjudicial

para los dientes!
								13

**fluoruro**
**  **
**es perjudicial**
**para los dientes!**
**	****	****	****	****	****	****	****	****13**

**Notes:**
Too much fluoride is damaging to teeth.  It can cause white spots in teeth and cause pitting putting the child at risk for decay.  So do not give a fluoride supplement to your baby if your water is fluoridated.  If you have doubts about fluoride levels in your water, call the local water authority.  If you use well water, take your water to the local Health Department lab to be checked for fluoride concentration.  Then check with your doctor to see if supplementation is necessary.  Also be careful about fluoridated tooth paste use.  Use a very small amount to make sure the child is not swallowing excess fluoride or buy toothpaste that does not contain fluoride or just use water to brush.  If using fluoridated toothpaste, be sure to put it out of reach to protect child from eating it and getting too much fluoride!

## Cómo cuidar los dientes... 14

**comience desde temprano**
**sea constante**
**déle el ejemplo a su niño**
**cepíllese los dientes junto con su niño**
**cepille los dientes de su niño/limpie las encías**
**¡deje que su niño le cepille los dientes a usted!**
**	****	****	****	****	****	****	****	****	**

**Notes:**
Good tooth care consists of introducing your baby to mouth care early by starting before teeth erupt and setting a good example for your child as she grows.  Brush your child’s teeth for her and as she gets older let her practice brushing your teeth as well as her own.  Letting your child see you brushing your teeth sets a good example.  Be consistent about brushing. Children like routines.  Brush at the same times each day.  For example in the morning, brush right after breakfast and in the evening brush right after dinner so your child will know when she is expected to brush her teeth.

## ¿Cómo hago para que deje el biberón? 15(para bebés de 12 meses de edad o más)

- Déle un biberón menos cada 3-5 días.
- Llene el biberón sólo con agua y coloque la leche en una taza.  Haga que el niño elija entre la taza y el biberón.
- ¡Fije una fecha para quitar el biberón y cúmplala!
- A partir de ese día déle líquidos sólo en taza.

## ¿Qué pasa con el amamantamiento? 16 

******Está bien seguir dándole el pecho después de los 12 meses**
****** ****No deje que el bebé se prenda al pecho por largos períodos, especialmente durante la noche**
**También debe usar taza**
**	****	****	****	****	****	****	****	****	**

## ¿Problemas para dormir ahora que el biberón ya no está en la cuna?...				 17 		

**Pruebe...con música**
**	****	****	****...****meciendo al bebé**
**	****	****	****...****con un chupete**
**	****	****	****...****leyendo un cuento**
**	****	****	****...****con móviles musicales**
**	****	****	****...****con objetos de consuelo****	**

## 
 primera visita al dentista 18 
entre los 2 y 3 años de edad
calme los temores y prepare el terreno para las visitas regulares al dentista.

-  primera visita al dentista 18
- entre los 2 y 3 años de edad
- calme los temores y prepare el terreno para las visitas regulares al dentista.

**Notes:**
To start good habits for a lifetime, your child’s first trip to the dentist should be between 1 and 2 years of age.  Trip can be just for child to observe mom or dad getting teeth checked or cleaned.  This can help alleviate fears and make dentist visits easier on everyone.

## 

¿Preguntas?

									23

- ¿Preguntas?
- 									23

**Notes:**
Are there any questions? 

## 
Review

- Review

## ¡Gracias 
por venir a la 
clase de hoy!

**por venir a la **
**clase de hoy!**