As promised, here is Part 2 of my thoughts on how milk allergies and tooth health can be kind of tricky. In
Part 1, I gave you a summary of some of the precautions I did and didn't take with Miles's teeth early on. Now for Part 2 I would like to give you some tips that I have learned along the way...mostly from the mistakes I have made. I hope these give you some great ideas for building stronger teeth in milk allergy babies and kids.
BRUSH/WIPE BABY TEETH FROM THE START
With the emergence of baby's first tooth, wipe or brush them clean as best you can...especially after meals. Even if you are just breast-feeding, baby's teeth are still exposed to sugars that can weaken teeth.
DON'T SPREAD MOUTH BACTERIA TO BABIES
A fellow milk allergy mom shared this reminder with me. When parents share utensils and food with their kids, kiss babies on the lips, and put their kids' pacifiers in their mouths, they may be transmitting cavity-causing bacteria to their children.
This article says it way better than I can so go take a read if you want more info. :)
CLEAN TEETH IN THE MIDDLE OF THE NIGHT
I don't mean wake your baby for a 3 am brushing. But if you nurse in the middle of the night or find yourself giving meds in the middle of the night (like Tylenol or Benedryl), be sure to wipe/brush your child's teeth before laying them back down. I was not good at this and did a big no-no by giving Graham honey in the middle of the night for coughs...without brushing it off his teeth. This may be a big part of the teeth problems he has now. Now I drag him out of bed to brush his teeth after all middle-of-the-night meds.
TAKE YOUR BABY TO THE DENTIST WITH THE FIRST TEETH
Because your baby is dairy-free, do take your child to the dentist when the first teeth emerge so your dentist can tell you if they are coming in weak or strong, and you can build a relationship there early. If your dentist doesn't want to see one-year-old's, find a dentist who does.
VISIT THE DENTIST EVERY 6 MONTHS
Graham's first dentist visit at age 3 was fine. All teeth looked great. His next appointment should have been six months later, but that fell right at Christmas time. I got busy and didn't get him back in until 10 months from the first appointment. That's when he had 15 cavities. Yes, you read that right, and I'm really embarrassed. Decay on baby teeth can spread quickly so make sure you are taking them every 6 months. I still wonder if we could have prevented some problems if I had taken Graham at Christmas time. Nothing like a good "Mommy Guilt Trip".
BRUSH FOR YOUR KIDS, 2 TIMES A DAY
We brushed for our kids, but that didn't help. Did I mention dairy-free?
Do brush when they wake up and when they go to bed. Try to brush after lunch/sugary snack time. If you don't, get the teeth clean somehow...gum or a crunchy veggie. Or brush with water at least.
We have brushed for Miles up until about now, age 7. He still gets spot checks and occasional help. We still brush for Graham, age 5. Sometimes I let him do the lunchtime brush just to build his skills. Or we let him brush first and then we brush after.
Graham's mouth is SO SMALL! I finally have started lying him back on my lap to see well into his mouth and to make sure I am getting all the right angles. It's not fair the the dentist can see all the problems, and I can't even though I look everyday. So I came up with the new, "dentist position" so I hopefully can catch things easier.
ELECTRIC TOOTHBRUSH
We have found that the boys brush better with electric toothbrushes. So make the investment into these. It will be worth it. My kids love getting toothbrushes at the dentist so we use those as our "out-and-about" toothbrushes. :)
FLUORIDE
This topic is very controversial now. Some people won't let their kids get fluoride. But with our disadvantageous dairy-free diet, I am leaning towards using fluoride as one safety net for strong teeth.
Drink tap water. City waters are fortified with fluoride. My kids drink city water all day long.
Use toothpaste with fluoride. We have used fluoride toothpaste since my kids were toddlers.
Do fluoride swish at home, like ACT. Kids should be about 5-6 before starting and should not swallow ANY of the swish. Make sure they are able to spit all of it out. My boys both started ACT at age 5.
Get treatments at the dentist. This is was a hard one for me because I hate anyone putting anything in Miles's mouth. We started these treatments too late with him (age 6) because I was dragging my feet. The milk ingredient you want to look for in dentistry is Recaldent (tooth whitening) in IM paste. I am also reading about possible nut ingredients in fluoride. ??? But don't write off fluoride because you are scared. Take the time to talk to the dentist, get ingredients lists, and research...then make an informed decision so there's no regrets later. Skipping fluoride blindly like I did may not be the best idea.
Fluoride tabs are a last-resort for boosting fluoride quickly, internally. Our general dentist now recommends this for my boys to "catch up" building strong teeth since we skipped fluoride treatments in-office until ages 4 and 6. Our pediatric dentist isn't so sure. She doesn't recommend using the tablets since too much fluoride can also be bad for teeth.
Fluoride in water, toothpaste, and ACT swish haven't been enough for us. I now wish I had done the fluoride treatments in the dentist office early on. And now I have to decide if the tablets are something we should do. And we will keep doing the in-office treatments after making sure they are safe each time.
USE UNSWEETENED DAIRY-FREE MILK
I did not think about the sugars in soy and almond milk until a couple years ago. My kids loved the vanilla and chocolate milk, and so did I! But even the "Original" versions of those milks contain sugar. Try to start your kids off with the unsweetened milks so they don't acquire a taste for the sugary versions. With proneness to weak teeth, we really have to watch the sugar in our kids' diets.
One great alternative is unsweetened vanilla milks that are dairy-free....for some fun flavor.
HAVE YOUR KIDS DRINK GLASSES OF MILK EVERY DAY
Since our pediatrician told us that daily glasses of dairy milk for kids is overrated and fattening, I didn't worry too much about getting dairy-free milk into my kids every day. I figured I was cooking and baking with it, and they were getting it with cereal sometimes. Plus, dairy-free milk is so expensive. So I didn't push a glass of milk with meals like our parents did. Now I know that the calcium-rich dairy-free milks are essential. I'm trying to get my boys to drink a couple glasses of unsweetened dairy-free milk each day. When they are hungry and want a snack, sometimes a glass of milk does the trick to fill up their bellies and get them some calcium.
GO EASY ON JUICE, EVEN CALCIUM OJ
I remember a dietitian telling us to do calcium enriched orange juice. So in our toddler years, I did quite a bit of OJ. You know, toddlers love juice. And hey, some OJ has added calcium. So why not?! But after some time, I decided to stop the juice just because my kids already ate so much fruit. I really should have stopped the juice because there is so much sugar in it! Yes, the calcium OJ is good for our dairy-free kids. But the sugar attacking their weak teeth makes calcium OJ counter-productive. If I could do it all over again, I would push the glasses of unsweetened dairy-free milk and forego the calcium rich juice.
Even though I let my kids have OJ for a season, I never let my kids drink juice out of a bottle or go to bed with it, despite what the dentist thought at Graham's horrible 3-year-old visit. Did I mention dairy-free? ;)
Juice includes popsicles so be careful with those as well. Get teeth clean after the kids eat them.
EAT CANDY AND SWEETS ONCE, QUICKLY, AND BRUSH
My sister is a dentist, and this was one of the best tips I got from her. Candy, cakes, cookies, chips (all simple carbs) need to be eaten quickly, and teeth need cleaned afterwards. I have boys who love to graze. Suckers while out shopping was a huge life-saver. Miles is a "food saver" who will keep his Teddy Grahams at the table and eat one every hour. But these systems are not good for teeth, especially weaker dairy-free teeth. My sister said to have one time a day, in the afternoon, where the boys can have the craziest, sugary snack their little hearts desire. Let them eat a whole Enjoy Life candy bar, whatever. But they need to eat them up "fairly quickly" and get to brushing. When kids lick on suckers or continually eat carbs all day, the sugar is just sitting and sitting on their teeth, wearing them down slowly and surely.
STICKY TREATS ARE NOT GOOD
In my healthy mom pursuits, I thought 100% whole fruit leathers were the greatest treat in the world for my kids. And sweet Miles, he would lick his for an hour before it was gone. But just like eating candy and simple carbs all day, eating sticky sugar like fruit roll-up's, fruit leathers, fruit snacks, Skittles, Mambas, Star Bursts, jelly beans can be even worse. Obviously, these stick to teeth and eat enamel. Definitely make sure you are brushing after these treats if you decide to even use them. I don't let my kids have the sticky treats anymore unless it's given out at a sports game or by Grandma, lol.
NATURAL SUGARS ARE JUST AS BAD
GUILTY! As we dealt with the cavity drama last year, I told my sister that I don't even give the kids candy much. And I don't use sugar a lot. I was totally into fruit for snacks and using honey and maple syrup for sugar in baking. Yeah, turns out even the healthy sugars break down our teeth. So much for that grand idea.
FOLLOW SUGAR WITH CRUNCHY VEGGIES, GUM, OR BRUSHING
I know it's not feasible to follow every snack with tooth brushing. But do pay attention to what your kids are eating, how long it's taking them, and how you can "clean up their teeth" afterwards. Some say that chewing up crunchy carrots or broccoli (or sugar snap peas in our case) can at least clean some of the sugar off of teeth. Our dentists also recommend chewing gum with xylitol for cavity fighting. For dairy-free people, that means Trident Original gums, Spree gums, and some Glee gums have xylitol. My boys are big fans of this strategy. I have gum in the car for when they have a treat, and we can't brush. Watch the Trident gums, many DO have whitening agents and MILK. You want the
Original flavors.
FLOSS, FLOSS, FLOSS
I once read in a dentist office, "Floss. It cleans 33% of the tooth surfaces in your mouth". True. We got crazy with flossing AFTER the first round of cavities in our kids. The best thing are those flossing picks. The kids can floss themselves with these! I like to supervise to make sure they are doing it right. But most of the time they get it all. My kids actually love flossing. Graham said, "Can I floss two times a day because I really like it".
Personally, I prefer some brands of floss over others. I have tight teeth and need a silky floss. Some break and get stuck in my teeth! I just assume the silky flosses work better for the kids too. So far we haven't had a problem with the powdery coating on floss (could it contain milk)? Sometimes I have Miles rinse the flosser in hot water before flossing just to be sure.
If you have a baby who can't floss themselves, floss for them. I haven't tried this, but I would think the stick flossers would work well on babies, too.
My kids have become floss addicts in the past year. And guess what this year's round of cavities are? FLOSSING CAVITIES, between the teeth. This is where I am completely stumped...except to just blame the dairy-free diet for my kids having weak teeth. Maybe high-calcium and low-sugar this year will help for our next round of dental visits.
PACK FOR TEETH CLEANING
I now have a travel toothbrushes and toothpaste in my purse. I take floss everywhere. I also carry Trident gum along with us. We are more apt to use the gum over tooth-brushing and flossing while we are out. But I like to have all of these tools just in case...
Did you know just brushing with water is better than nothing? Have a water bottle in your car, and you are set.
Also, if I leave the boys with Grandma for a bit, I don't hesitate to hand the toothbrushes off to her or to ask her to give the boys gum after they eat a snack. Everyone around me is starting to learn that I am completely OCD about teeth now. After thousands of dollars and dozens of cavities, can you blame me?!
Stay tuned for Part 3 to our Milk Allergies and Teeth series coming soon.