By: Jessica Martinez
Updated: March 19, 2021
Originally Published: May 29, 2020
During a typical dinner of chicken, applesauce, and rice, my six-year-old daughter, Lily, suddenly complained about tooth pain. “I can’t eat this,” she lamented, “My mouth hurts.” Initially, I dismissed her discomfort, thinking she was just trying to avoid the meal for a more exciting activity like playing on her tablet or watching television. It seemed convenient that her complaints coincided with broccoli on her plate, and I figured she was angling for dessert instead. However, when bath time brought her to tears and brushing her teeth resulted in screams, reality hit hard: Lily had a cavity.
A visit to the dentist confirmed my fears—Lily had multiple cavities. I felt a wave of embarrassment wash over me. How could this happen? She brushes her teeth every morning, and I assist her every night. Defensively, I mentioned, “She doesn’t drink much juice, and we limit her to one treat per day.”
However, the dentist explained that some children are naturally more susceptible to cavities due to various factors, including genetics. According to a report from the American Academy of Pediatric Dentistry, around 60% of children in the U.S. experience tooth decay by age five.
What Contributes to Cavities?
So, what contributes to cavities? While inadequate oral hygiene can elevate the risk, all children harbor bacteria in their mouths that can lead to decay. Dr. Rhonda Kalasho, a dentist based in Los Angeles, noted that certain foods, particularly carbohydrates and starches, often become trapped between teeth. The bacteria then feed on these remnants, producing acids that erode tooth enamel and result in decay.
Socioeconomic factors also play a crucial role. As reported by PBS, millions of Americans lack adequate dental insurance, which can prevent access to necessary care. In rural areas, the shortage of dental health professionals exacerbates the issue, leaving many without treatment options.
Genetics is another deciding factor. Dr. Kalasho mentioned that the thickness of enamel and its resistance to decay can be inherited. Research suggests that genetic predisposition accounts for 60% of the likelihood of developing cavities, while the remaining 40% is influenced by dietary habits and oral hygiene practices.
Overcoming Guilt and Moving Forward
Despite this information, I was still overwhelmed with guilt, and Lily was in pain. She clutched her cheek while watching cartoons and winced during meals. The treatment plan outlined by her dentist included two baby root canals—removing the tooth pulp and capping it with a stainless steel crown—along with three fillings across four visits. The mere thought of drills, dental picks, and nitrous oxide was daunting, not to mention the financial burden it would impose.
Ultimately, we chose to proceed with the treatment because untreated cavities could lead to more serious health issues, including potential damage to permanent teeth and even airway complications. With the help of an FSA and good dental insurance, Lily bravely faced her dental appointments.
There is a pervasive stigma regarding childhood cavities, often implying that they arise solely from parental negligence. However, it’s important to recognize the various factors at play. If a child has cavities, it does not reflect a parent’s worth, and acknowledging this can help alleviate some of the burden felt by caregivers.
Preventing Future Cavities
To prevent future cavities, Lily continues her twice-daily brushing routine and uses a fluoride-rich mouthwash designed for children. I assist her with flossing, which can be a challenge, but it’s necessary for her oral health. We also keep a close watch on her diet; Dr. Dobee suggests reducing sugar and acidic foods while increasing fruits and vegetables for better dental health.
Will this guarantee that she’s free from future cavities? Not necessarily. Given her existing cavities, her dentist suspects she may be genetically predisposed to more. Nonetheless, we remain committed to maintaining Lily’s health and happiness, striving to keep her cavity-free. For more insights on health and wellness, check out other posts on our blog, such as this one.
Conclusion
In summary, addressing dental health in children involves more than just brushing; it encompasses genetics, diet, and socioeconomic factors. Understanding these elements can help reduce the stigma surrounding cavities and empower parents to seek the best care for their children.
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