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What a milestone! The transition from bottle to sippy cup is one of baby’s first steps toward toddler independence. And like all first journeys, some helpful guideposts come in handy. That’s why Dr. Diane Colter and our team have several recommendations to help you navigate this transition, making sure your baby’s dental health is protected along the way.

Choosing a Sippy Cup

Sippy cups are often a parent’s first choice for this big step in baby’s development. While sippy cups offer a variety of child-safe materials, lively colors, and comfortable handle options, the feature of interest from a dental perspective is lid design.

Sippy cups curb spills because their lids don’t allow liquids to flow out freely, ensuring that drinks make it into baby’s mouth instead of onto furniture or floor. Cup lids might incorporate:

• Built-in straws
• A drinking edge around the rim of the cup which seals when your child isn’t drinking
• Soft spouts
• Hard spouts
• Spouts with valves to prevent liquids from leaking out. (Spouts with valves work like a nipple, which means baby is sucking instead of sipping.)

Which design is best? For short periods, any of these designs can work for you. Over long periods, spouted cups could have the same effects as prolonged thumb-sucking and pacifier use, potentially affecting a child’s tongue positioning, tooth alignment, bite, and speech development. Your dentist will be able to suggest which cups are best for your child’s dental health both short and long term.

What to Put in a Sippy Cup

Once your baby has begun drinking from a cup, it should only hold tooth-friendly drinks.

• Pediatricians generally recommend breast milk and/or formula until your child is 12 months old. You can switch to regular milk (or a healthy milk alternative) once your child is a year old with your doctor’s okay.
• Water can be introduced when your pediatrician thinks your child is ready, usually around the age of six months.
• Because even natural fruit juices have lots of sugar, dentists and pediatricians suggest giving your baby small amounts only—or feed your child fruit instead!
• Skip the sugared drinks, sports drinks, caffeinated drinks, and sodas. They aren’t healthy for little bodies or little teeth.

Help Prevent Tooth Decay

Just like adults, babies can suffer tooth decay, too—and for the same reasons. The bacteria in plaque use the sugars found in our diets to create acids, and acids erode tooth enamel.

When a toddler totes a sippy cup around all day, even filled with healthy drinks, those baby teeth are constantly exposed to the natural sugars found in breast milk, formula, and, for older children, milk. Drinks with more or added sugars, such as juices or sweetened drinks, cause more damage to tooth enamel. Use a sippy cup wisely:

• Offer the cup with meals and snacks, when increased saliva production can help wash away sugars and neutralize the acids which cause cavities.
• Offer water between meals.
• Don’t let your baby take a sippy cup to bed. Some spill-proof cups are designed to be sucked like bottles, and, like bottles, sugary liquids can pool in babies’ mouths as they sleep.
• Get into a tooth-cleaning routine as soon as your child’s teeth start to arrive.

And, while we’re talking about healthy teeth, please don’t let your child toddle around with a sippy cup. A fall while drinking can injure a baby’s mouth and teeth.

Partner with Your Child’s Dentist

The journey from baby to toddler can seem overwhelming sometimes for both you and your child, but you have expert help available! It's a good idea to make a first dental appointment at our Dallas office sometime between the appearance of the first baby tooth and your child’s first birthday. This initial visit is an opportunity for Dr. Diane Colter to:

• Check your child’s overall dental health and development.
• Look for signs of early decay.
• Talk about proactive dental care, including how and when to clean your child’s teeth.
• Answer questions about how you can support your child’s dental health, including the advantages and disadvantages of sippy cups.

Used properly, sippy cups can be a helpful transition on your child’s journey from bottle to cup, and from baby-who-relies-on-you-for-everything to take-charge-toddler. Dr. Diane Colter and our team are an ideal guide as you and your child chart this path together.

Depending on how long the thumb sucking or constant pacifier use continues, and how aggressively the child sucks a thumb or the pacifier, it can indeed be an oral health issue. Generally speaking, most children outgrow these behaviors or are able to be weaned off them successfully sometime between ages two and four. When children wean off the behaviors in this age range, long-term damage is unlikely.

Why Kids Suck Their Thumb or Pacifier

Both of these habits are actually a form of self soothing that your child likely uses when he or she is very upset, or feeling stressed, confused, frustrated, or unable to properly express the emotions. If your son or daughters is a regular thumb sucker, or the child wants to use the pacifier almost constantly, it is best to try to taper off these habits at a young age.

If your child continues to suck a thumb or request a pacifier consistently after leaving toddler-hood, this could be a source of concern, and it should be addressed with Dr. Diane Colter and our staff. We will be able to evaluate your child's mouth to look for any signs of damage such as palate changes or teeth shifting.

Say Goodbye to Old Habits

In the event that your child is quite reluctant to give up a pacifier or thumb-sucking habit, there are a few things you can do to discourage these behaviors.

• When you notice that your child is not using a pacifier or sucking a thumb, offer effusive praise. This type of positive reinforcement can be much more effective than scolding the child.
• Consider instituting a reward system for giving up the habit. If the child goes a certain amount of time without this behavior, award him or her for being such a “big kid.”
• Employ the help of older siblings or relatives that your child admires. When a child’s role model says that he or she stopped sucking thumbs at a certain age, your child is likely to try to emulate that.

The best brushing routine for parent and child is two minutes of gentle brushing in the morning and two in the evening. But if the longest four minutes of your day are spent helping your child brush and floss, here are some suggestions for making that time fly.

Options!

Children’s brushes come in a wonderful variety of colors, patterns, and shapes. Allow your child to choose a favorite the next time you go shopping for dental supplies. Just make sure to choose a soft bristle brush with a head designed for small mouths. And since toothbrushes generally wear out after three months, your child will have plenty of opportunities to pick and choose! You might also explore the many flavors of children’s toothpaste to find the one that your child finds most appealing, and let your young brusher squeeze out a dab on that new brush.

Reward Daily Brushing

You don’t have to go to great lengths to make your son or daughter feel rewarded for a job well done. Allowing children to pick out a story for you to read or posting colorful stickers on a calendar sheet will encourage them to get into the habit of brushing.

Two-Minute Countdown

Time seems to go faster when we’re having fun. Your child might enjoy listening to songs or stories for the two minutes of brushing time. You can make your own playlist, invent a story starring your child, or make use of one of the dental apps that offer children’s music, videos, and stories in perfect two-minute segments.

Do It Together

Spend these two minutes twice a day with your child. You will be doing all the brushing at first, of course, but as your children get older, brush your teeth along with them. You can model proper brushing techniques for cleaning teeth, gums and tongue, and even let your child have a chance to brush your teeth for a change.

Don’t Forget Checkups!

Scheduling checkups and professional cleanings at our Dallas office is vital to maintaining your child’s oral health. And, if your son or daughter is keeping up with good hygiene at home, these visits should be a breeze!

The habits your child develops now will be the foundation for a lifetime of oral health. Make these four minutes a day count. And if you can create ways to make them fun, those four minutes will fly by for both of you!

Creating good dental hygiene habits early in your child’s life is essential to the health of his or her teeth, even when your infant doesn’t have any. By starting now, you can set the foundation for your son or daughter’s oral health later on in life.

When do I start?

The best time to begin brushing your baby’s teeth is before that first tooth ever comes in. Wipe your little one’s gums gently with a soft washcloth soaked in warm water every day. Not only will this help to get rid of bacteria in the mouth, but it will also familiarize your child with a daily brushing routine.

What do I use?

When your child’s teeth begin to emerge, it’s time to switch to a baby toothbrush. Select one with a big grip for your hand and a small head that’s easy to maneuver in your baby’s mouth.

Your little one won’t need toothpaste until he or she is about a year old; and even then, only a small amount is necessary. Apply an amount the size of a grain of rice and move to a pea-sized amount when your infant is about two years old.

By around six years, your child will probably rinse and spit without your help. At this time, you may introduce a child-friendly fluoride mouthwash.

How do I do it?

Until about age five or six, it’s likely your child will still need your help with brushing teeth. Gently scrub over all the teeth and gums, even where teeth have yet to come in. It may be helpful to explain what you are doing and how you are doing it, so your toddler can learn to brush her or his teeth alone.

Paired with regular visits with Dr. Diane Colter at our Dallas office, proper hygiene habits instilled in your child early on will set up a good foundation for a healthy mouth in the future.