Baby Bottle Tooth Decay

You can help prevent your baby from getting cavities or developing what is called baby bottle tooth decay or early childhood caries, by beginning an oral hygiene routine within the first few days after birth. Start by cleaning your baby’s mouth by wiping the gums with a clean gauze pad. This helps remove plaque that can harm erupting teeth. When your child’s teeth begin to come in, brush them gently with a child’s size toothbrush and a small amount of fluoride toothpaste, about the size of a grain of rice. For bottle feedings, place only formula, milk or breast milk inside and avoid using sugary beverages such as juice or soda. Infants should finish their bedtime and naptime bottle before going to bed.

Dental Emergencies

Accidents can happen anywhere, anytime. Knowing how to handle a dental emergency can mean the difference between saving and losing your child’s permanent tooth. For all dental emergencies, it is important to take your child to the dentist or an emergency room as soon as possible.

Here are some tips if your child experiences a common dental emergency:

  • For a knocked-out tooth, keep it moist at all times. If you can, try placing the tooth back in the socket without touching the root. If that is not possible, place it in between your child’s cheek and gum, or in milk. Call your dentist right away. 
  • For a cracked tooth, immediately rinse the mouth with warm water to clean the area. Put cold compresses on the face to keep any swelling down.
  • If your child bites his tongue or lip, clean the area gently and apply a cold compress.
  • For toothaches, rinse the mouth with warm water to clean it out. Gently use dental floss to remove any food caught between the teeth. Do not put aspirin on the aching tooth or gum tissues.
  • For objects stuck in the mouth, try to gently remove with floss but do not try to remove it with sharp or pointed instruments.

Thumb Sucking

Sucking is a natural reflex and infants and young children may suck on thumbs, fingers, pacifiers and other objects. It may help them relax or make them feel safe or happy. Most children stop sucking by age 4. If your child continues to thumb suck  after the permanent teeth have come in, it can cause problems with tooth alignment and your child’s bite. The frequency, duration and intensity of a habit will determine whether or not dental problems may result. Children who rest their thumbs passively in their mouths are less likely to have difficulty than those who vigorously suck their thumbs. If you are worried about your child’s sucking habits, talk to our pediatric dentists or consult your child’s pediatrician.

Space Maintainers

Space maintainers help “hold space” for permanent teeth. Your child may need one if he or she loses a baby tooth prematurely before the permanent tooth is ready to erupt. If a primary tooth is lost too early, adult teeth can erupt into the empty space instead of where they should be. When more adult teeth are ready to come into the mouth, there may not be enough room for them because of the lost space. To prevent this from happening, our pediatric dentists may recommend a space maintainer to hold open the space left by the missing tooth.

Dental Sealants

Sealants are a fast and easy way of protecting your child’s teeth that act as barriers to cavity-prone areas. They are usually applied to the chewing surfaces of back teeth and sometimes used to cover deep pits and grooves. Sealing a tooth is fast and there is virtually no discomfort. As long as the sealant remains intact, the tooth surface will be protected from decay. Sealants hold up well under the force of normal chewing but may have to be reapplied if needed. Both primary and permanent teeth can benefit from sealants. Ask our pediatric dentists if sealants will help your child.

Mouth Guards

Mouth guards can help protect your child from a dental emergency. They should be worn whenever your child is participating in sports and recreational activities. Mouth guards cushion blows that would otherwise cause broken teeth, injuries to the lips and face and sometimes even jaw fractures. If your child participates in such pastimes, ask your dentist about custom-fitted mouth protectors.


Malocclusion, or bad bites, are a condition in which the teeth are crowded, crooked, out of alignment or the jaws do not meet properly. This may become particularly noticeable between the ages of 6 and 12 when a child’s permanent teeth are coming in. If not treated early, a bad bite can make it difficult to keep teeth and gums clean where teeth are crooked or crowded, increasing the risk for cavities and gum disease.

Bad bites can also:

  • Affect proper development of the jaws.
  • Make the protruding teeth at risk for chips and fractures.
  • Affect eating and speaking.
  • Make some teeth more likely to wear abnormally or faster than those that are properly aligned.

Anesthesia and Sedation

Our pediatric dentists might recommend that your child is administered anesthesia or sedation to relax them in order to safely complete some dental procedures.

General Anesthesia

There are circumstances where a child’s treatment needs, anxiety levels and or fears exceed what is safe to be conducted in the office setting with other behavior guidance modifications. In these circumstances, it is the standard of care to treat a patient under a general anesthesia setting. Dr. Derrick Cantu and Dr. Christi Wengler are board certified pediatric dentists who have active hospital privileges. If this is the mode of treatment that is necessary, your child will be treated at a Methodist outpatient facility or hospital depending on his or her medical history.

During general anesthesia treatment, the anesthesia is administered by a medical anesthesiologist and a staff of registered nurses and anesthesia technologists. In most cases, you and your patient will be released home the same day as the procedure. It is extremely important that at the dental appointment you provide a complete and updated medical history so we can make preparations to make this visit as safe and comfortable for you and your children as possible. Drs. Cantu and Wengler will be happy to discuss any questions over general anesthesia during your dental appointment. A general anesthesia consult can also be requested to have an undisturbed discussion without any distractions if desired.

Schedule An Appointment

Please feel free to call Pediatric Dentistry of San Antonio at 210-680-7841 if you have any questions about our pediatric dental care in San Antonio, Texas, or if you want to schedule your child’s appointment. We look forward to meeting you soon!