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    My baby and me a wonderful team

    Tips for Oral Care

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    o m

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    O r a l c a r e r i g h t f r o m

    t h e b e g i n n i n g

    Oral care for your unborn baby starts during pregnancy. The first

    tooth begins to mineralise in the fourth month of pregnancy.

    Pregnancy causes hormonal changes that affect not only the mother-

    to-be, but also the unborn child. Saliva, for example, contains more

    acid and makes tooth enamel more sensitive. The mother's teeth are

    particularly prone to caries.

    The same is valid for your baby's milk teeth. Therefore, thorough oral

    care and a healthy diet are very important during pregnancy for

    mother and baby.

    It is important to remember that Periodontal (gum) Disease in preg-

    nant women can sometimes contribute to premature birth, further

    emphasising the significance of good oral hygiene during pregnancy.

    Oral care right from the

    beginning

    TIP

    Oral care during pregnancy is very impor- tant. Clean your teeth at least twice a day and schedule two appointments for a

    check-up with your dentist .

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    Dental hygiene before

    eruption of the first tooth

    T i p s f o r b r e a s t f e e d i n g

    For most people oral care simply means brushing the teeth. Even

    before the first tooth appears oral care is important. Clean your

    baby's gums after breastfeeding or bottlefeeding using a soft cloth, a

    cotton swab, or a cotton ball. This way you not only remove bacteria

    but you also gently massage the gums of your child. You can start

    doing this during the first month after delivery.

    Special needs children may be at

    greater risk for oral disease because

    of the altered diet and feeding pat-

    terns, and frequently needed sweet-

    ened medication. This is why it is

    essential to adopt a careful oral

    hygiene routine from the eruption of

    the first tooth. From the sixth month

    on to approximately the age of 2.5

    years your child gets 20 milk teeth

    that usually come through in pairs at

    different stages. The complete set of

    milk teeth contains four incisors, two

    cuspids, and four molars in the upper and lower jaw. Usually the two

    bottom front teeth appear first, with the molars coming in last.

    D e n t a l h y g i e n e b

    e f o r e e r u p t i o n o f

    t h e

    f i r s t

    t o o t h

    HOW?Put your baby on the changing table or, if yourchild is older, take him or her on your lap whilecleaning his or her teeth.

    TIP

    The MAM Oral Care Rabbit is a teething cloth that makes dental hygiene very easy.Simply slip your finger into one of the ears this makes it easier to reach and clean each part of your babys mouth. The soft microfibers clean and gently massage the gums.

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    Some babies are born with a tooth already in place but usually

    teeth appear at about 6 months old.

    When your child is rubbing his or her gums, wants to chew

    and suck on everything, has flushed cheeks and a little

    temperature, is rubbing his or her ears, is irritable and

    does not sleep, it is very likely that the first tooth is erupting.

    These symptoms usually appear four days before

    eruption of the tooth and last up to one week. If

    your baby shows symptoms of a real illness (e.g. very

    high temperature for a longer period) please see

    your paediatrician.

    The first tooth is

    erupting!

    mambaby.com

    T h e f i r s t

    t o o t h i s

    e r u p t i n g !

    07

    TIPFind nice things for your child to chew on such as a MAM teether filled with liquid or a cold cloth. You can also ease the pain by massaging the gums (e.g. the soft, massaging part of the MAM Massaging Brush gently cleans gums and may ease teething discomfort), giving a lot of liquid to your child and giving him or her pain-relieving medication from the pharmacy .

    Find more information on MAM teethers atwww.mambaby.com under > The Products >Teethers

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    Oral care from the first tooth on helps fight bacteria causing

    tooth decay.

    Your baby's first tooth is not only a special event for mothers and

    fathers, but also one for bacteria causing tooth decay. Healthy milk

    teeth are the basis for your child's dental health and therefore, should

    be cleaned with as much attention as permanent teeth.

    Choosing the right brush is very important. It should have a long non-

    slippery handle that allows you to practice brushing the teeth togeth-

    er with your child. Soft bristles with rounded heads prevent harming

    your babys tender gums and tooth enamel. Do not use natural bris-

    tles as they are hollow, retain moisture and trap bacteria that would

    be reintroduced each time

    the child brushes. Also,

    bristles should be round-

    ed to effectively make

    them able to reach and

    clean each part of the oral

    cavity.

    For children under 2 years

    old, it is not recommended

    to use toothpaste. After

    that age, you can use a

    pea-size amount of tooth-

    paste containing fluoride.

    The first tooth has

    erupted!

    T h e f i r s t

    t o o t h h a s e r u p t e d !

    TIPThe MAM Learn To Brush Set has been developed in coopera- tion with dentists. It helps your child get used to the right clean-

    ing technique from the begin- ning. The short, extra-soft bris- tles with rounded heads provide optimal cleaning and the extra- long handle allows your baby to brush along with you.

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    It is extremely important to brush your baby's teeth daily! Plaque

    will begin to form as soon as the first tooth appears. Plaque is athin film of bacteria, which constantly forms on all teeth. By

    brushing the teeth regularly the formation of caries can be pre-

    vented.

    Let your baby sit on your lap or put him or her on the changing table.

    Stand behind your child and tilt his or her head back. If necessary,

    open the mouth gently with your fingers while you are cleaning theteeth alone or together with your child. Or, let your child first clean

    their teeth and then re-brush. At the beginning the tech-

    nique is not that important. It is more important to

    get the child used to cleaning their teeth reg-

    ularly and carefully.

    Brushing teeth together

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    B r u s h i n g t e e t h t o

    g e t h e r

    09

    TIPStart at one side and brush tooth after tooth. Brush the masticatory surfaces first, then the outer spaces and fin- ish up with all the inner surfaces. Use a circular scrub- bing technique with the bristles of the toothbrush aiming

    down where the tooth and gum meet as this is the place where plaque is preferentially formed. Hold the brush vertically and use gentle up-and-down strokes with the tip of the brush. To prevent accidents and injuries, never leave your child unattended with toothbrush.

    Find more tips on the right brushing techniqueat www.mambaby.com under > The Products >Oral Care

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    Motivation is everythingCleaning the teeth is a daily ritual that your child should get used

    to. While cleaning, count the movements each part of the oralcavity should be cleaned at least 10 times.

    Like getting dressed or brushing the hair, brushing the teeth is part

    of the daily routine. Link both activities together, so that it is easier for

    your child to remember them.

    Be a role model ! Your child will enjoy using a toothbrush much more

    when mom, dad, and his or her brothers and sisters are also using

    one.

    A "brushing-the-teeth-song" that lasts at least one to two minutes

    can also be very motivating.

    Make a "tooth-brushing-calendar" on which you put a funny stick-

    er each time after having brushed their teeth. This way it is much

    more fun for your baby to use a toothbrush twice a day.

    Invent stories around toothbrushing. Try to chase little scary devils

    using the toothbrush. You can also name your babys teeth and invent

    stories using these characters. Imitate voices of animals or voices of

    your childs favorite toy. You can also use a hand puppet that is hold-

    ing the toothbrush.

    In various stores you can look for other games, stories, and songsthat can help motivate your child to continue cleaning their teeth

    twice daily.

    Find more tips at www.mambaby.comunder > The Products > Oral Care @

    M o t i v a t i o n i s e v e r y t h i n g

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    Baby teeth will begin to be replaced by permanent teeth from

    around age 6. It is very important to take good care of these firstteeth.

    If your babys milk teeth are affected by caries, his or her permanent

    teeth are also endangered. Therefore, dental hygiene right from the

    beginning is very important to keep your childs permanent teeth

    healthy. Milk teeth are not only

    important for chewing, they arealso important for learning how to

    speak clearly. When your child is

    approximately 6 months old, his

    or her motor functions are devel-

    oped enough to imitate what

    adults are doing including

    brushing their teeth. Supportyour childs natural urge to imi-

    tate you, but pay attention to

    buying the right toothbrush specifically designed for children. Let

    your child brush the teeth, but always re-brush your baby does not

    yet know how important the right technique is. Up to the age of six to

    eight years old, your child does not have the ability to clean their

    teeth in a way that he or she reaches each part of the oralcavity. Therefore, you should help your child. Stand

    behind your child and tilt his or her head back ,

    this way you can easily reach every

    tooth. Never leave your child unat-

    tended while he or she is cleaning

    a toothbrush is not a toy!

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    L e t b a b y d o i t

    TIPMAM's "First Brush" has short, extra-soft bristles with rounded heads that provide optimal cleaning without harming babies tender gums or tooth enamel.

    Let baby do it

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    Question and answerIf baby refuses to brush their teeth

    Sooner or later the moment will come when your child refuses to

    clean their teeth. Your child becomes more independent and wants to

    find out if it is really necessary to brush their teeth. Treat your child

    with love and respect but be firm and insist on the daily ritual of oral

    care. This way you avoid daily discussions about toothbrushing.

    How often do I have to brush my child's teeth?

    Brush your childs teeth at least twice a day in the morning and just

    before bed. After lunch you should at least remove food leftovers

    from their teeth and clean teeth after every sugary snack.

    The most important is to clean teeth in the evening, before going to

    bed, as production of saliva reduces during the night and saliva is thenatural enemy of caries.

    To check if your child properly cleans his or her teeth you can use

    plaque locator tablets that demonstrate where you are missing

    plaque ask your paediatrician or check at your local pharmacy.

    Q u e s t i o n a n d a n s w e r

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    Tooth decay is an often underestimated disease regular tooth-

    brushing helps prevent it.

    Plaque is a colorless, sticky film of bacteria that is constantly form-

    ing on the teeth and, left to build up, is one of the main causes of

    tooth decay and gum disease. Toothbrushing destroys this "film"

    and prevents the formation of caries. Saliva is as important as clean-

    ing the teeth. Saliva contains a lot of minerals that strengthen teeth

    and neutralize the acid that is formed when we eat or drink some-thing. Sucking, chewing, smelling, and tasting stimulate production

    of saliva.

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    H o w t o

    k e e p t e e t h h e a l t h y

    TIPDo not use the same cutlery ("pretasting"), do not "clean" your babys pacifier with your sali- va, and do not share toothbrushes between members of the family because this way you not only transmit bacteria but also a lot of other infections. Avoid exchange of saliva

    between you and your baby and pay attention to your own dental hygiene.

    How to keep teeth healthy

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    A healthy diet Apart from regular dental hygiene a healthy diet is very important

    for healthy teeth.

    From the sixth month on the baby is able to drink 100 % fruit juice.

    You should always give it to your child in a cup and never in a bottle.

    Never put your child to bed with a bottle, even if it only contains

    water. Because saliva production is reduced during the night, teeth

    are more prone to demineralisation if you drink liquid before going

    to bed, you reduce the natural production of saliva. Instead of givingyour baby a bottle you can calm him or her by using a pacifier.

    A h e a l t h y d i e t

    TIPYour child should be able to drink out of a cup when he or she is one year old. At the age of 12 to 14 months your child should not use a bottle anymore.

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    Although we all know that sweets harm the teeth, your child does not

    have to be deprived of them entirely. . You should just follow some rules:

    Allow your child only to have sweets if he or she cleans

    their teeth afterwards.

    Avoid sweets that slowly melt in the mouth (e.g. can-

    dies, lollipops).

    Reduce the number of times your child has sugary

    foods during the day, for example, by just serving them

    at mealtimes.

    Pay attention to the fact that yogurt, some drinks, and

    medication (e.g. cough-syrup) may also contain sugar.

    Sucking on the bottle or the cup containing sweet drinks

    can also cause caries never let your child have the bot-

    tle or cup for too long.

    15

    S w e e t s ? Y e s , b u t

    f o l l o w t h e r u l e s !

    TIPWhen your child is craving sweets, give him or her fruits instead of sweets or cake. This way your child not only gets important vitamins,but he or she also gets used to the fact that there are naturally sweet foods too.

    Sweets? Yes, but follow

    the rules!

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    Be sure that your child gets enough fluoride. Fluoride protects

    teeth against caries, strengthens tooth enamel and helps preventcavities from forming.

    A mother's breast milk does not contain any fluoride after eruption

    of the first tooth you should discuss fluoride supplementation with

    your dentist in the form of food containing them, or tablets, as they

    should not be using toothpaste until the age of 2.

    With bottle food the amount of fluoride varies depending on if it is

    ready for use or if it has to be dissolved in water.

    Because many parents opt to use filtered water for babies and tod-

    dlers a lot of children do not get enough fluoride. Ask your local

    waterworks for detailed information on how much fluoride your drink-

    ing water contains and talk to your dentist or your paediatrician abouthow to supply your child with additional fluoride.

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    F l u o r i d e

    Fluoride

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    A t t h e d e n t i s t

    Regular check-ups at the dentist are part of oral care get your

    child used to dentist visits as soon as possible.

    Do not paint a scary picture of the dentist before even seeing him

    you should not threaten your child ("If you dont brush your teeth, the

    doctor will have to use the drill"). Explain to your child that teeth have

    to be cleaned once they are filthy, the same as you wash your hands

    when they are filthy. Do not make empty promises ("I am sure it will

    not hurt") this will make it difficult for your child to gain comfort inthe idea of going to the dentist for check-ups.

    During your first visit, the dentist will ask you questions about your

    child's daily routine. He will then examine if there are any cavities,

    and will inform you of the impor-

    tant dental care measures that

    should be taken. Finally, he willset up a future appointment.

    Support your child during this

    short exam by taking him or her on

    your lap, this way your child feels protected. If he or she starts crying

    anyway, dont worry. This is a normal reaction.

    Ask family members, friends, colleagues at work, or your paediatr-

    cian to help you find the right dentist for you and your child. Maybe

    they can recommend a dentist who is good with children.

    At the dentist

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    TIPDont forget to set up an appoint-

    ment at the dentist for yourself.

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    UPPER JAW

    LOWER JAW

    This tooth erupted:

    This tooth erupted:

    This tooth erupted:

    This tooth erupted:

    This tooth erupted:

    This tooth erupted:

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    This tooth erupted:

    This tooth erupted:

    This tooth erupted:

    This tooth erupted:

    This tooth erupted:

    This tooth erupted:

    This tooth erupted:

    This tooth erupted:

    This tooth erupted:

    This tooth erupted:

    This tooth erupted:

    This tooth erupted:

    This tooth erupted:

    Teething diary

    T e e t h i n g d i a r y

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    For more information, please visit www.mambaby.com106 Corporate Park Drive, Suite 409

    White Plains, NY 10604, 1-866-949-1174

    Please remember that this brochure is written ingeneralised terms. Please discuss details

    with your paediatrician.