OptiSmile Podcast Episode 90: Baby Teeth Big Future - What Parents Must Know From age 0 to age 3

Intro

In this episode of Save Your Money, Save Your Teeth, Eon Engelbrecht and Dr Clifford Yudelman focus on the critical first three years of life.

Many parents believe baby teeth are "temporary" and therefore less important, but Dr Yudelman explains why this is a dangerous myth.

From the "Three Bs" of bottle decay to the truth about fruit juice and dummies, this episode provides a science-backed roadmap for raising cavity-free kids.

10 Questions with Dr Clifford Yudelman

1. Why do baby teeth matter if they just fall out anyway? Baby teeth guide jaw growth, aid speech, and allow for proper chewing. Most importantly, they set the foundation for adult teeth; early decay in baby teeth is a strong predictor of dental problems later in life.

2. When should parents start brushing their baby's teeth? Mouth care starts at birth by wiping gums with a clean washcloth. As soon as the first tooth appears, brush twice daily with a tiny smear of age-appropriate toothpaste.

3. What are the "Three Bs" that cause tooth decay? Bottles, Breastfeeding, and Bedtime. The issue is sugar exposure during sleep (even from milk or formula) when saliva flow drops, allowing bacteria to produce acid for hours.

4. What does the evidence say about dummies and thumb sucking? These habits are generally acceptable for the first few years but should stop between age two and three. Continuing beyond this age can narrow the palate and push front teeth forward, leading to orthodontic issues.

5. How can parents use fluoride safely for toddlers? Use a tiny amount of age-appropriate toothpaste (labelled 0–3 years). Avoid adult toothpaste, as swallowing too much fluoride can cause fluorosis (white or brown spots) on developing adult teeth.

6. When should a child have their first dental visit? The recommendation is by age one, or within six months of the first tooth erupting. Early visits reduce fear and allow the dentist to guide parents on diet and hygiene before problems start.

7. What are the red flags parents should never ignore? Watch for white chalky spots, brown stains, bleeding gums, bad breath, or a child avoiding chewing on one side. These are signs of early decay or infection requiring immediate attention.

8. What is the truth about fruit juice and "healthy" snacks? Juice is highly acidic and sugary, even with "no sugar added" labels, and should be avoided. Frequent snacking (even on dried fruit) keeps teeth under constant acid attack. Water and whole fruits are much better options.

9. How can parents prevent their child from fearing the dentist? Start visits early so the environment is familiar. Never use the dentist as a threat (e.g., "If you don't brush, he'll pull your teeth") and avoid talking negatively about injections or pain in front of the child.

10. What are the top money-saving tips for ages 0–3? Brush twice daily from the first tooth, never put a child to bed with a bottle, offer water between meals to limit snacking, visit the dentist by age one, and stop dummy use by age three.

Outro

Dr Yudelman emphasizes that a great dental foundation in the first three years shapes a child's health for life. By following these simple, low-cost habits—like wiping gums and ditching the bedtime bottle—parents can ensure their children grow up with healthy, confident smiles.

Further Resources (Ep 90)

• Paediatric Dentistry at OptiSmile: https://optismile.co.za/dental-solutions/paediatric-dentist/
• Pregnancy & Dental Health (Essential for 0-3s): https://optismile.co.za/blog/pregnancy-and-dental-health/
• OptiSmile Podcast Series: https://optismile.co.za/podcasts/
• OptiSmile YouTube Channel: https://www.youtube.com/@OptismileZa-dentist-cape-town

Contact OptiSmile: https://optismile.co.za/contact-us/

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Disclaimer: The content provided in this podcast, "Save Your Money Save Your Teeth" on Medical Mondays, is for informational and educational purposes only. It is not intended to serve as dental or medical advice. The insights and opinions expressed by Dr. Clifford Yudelman and any guests are designed to foster a better understanding of dental health, preventive measures, and general well-being, but should not be interpreted as professional dental or medical recommendations. Dr. Clifford Yudelman does not diagnose, treat, or offer prevention strategies for any health conditions directly through this podcast. This platform is not a substitute for the personalized care and advice provided by a licensed dental or healthcare professional. We strongly encourage our listeners to consult with their own dental care providers to address individual dental health needs and concerns. The information shared here aims to empower listeners with knowledge about dental health but must not be used as a basis for making health-related decisions without professional guidance. Your dental care provider is the best source of advice about your dental and overall health. Please always seek the advice of your dentist or other qualified health professionals regarding any questions or concerns about your dental health.