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Delay Colonization
Dental caries is an infectious process. Therefore, delaying bacterial colonization of a child’s mouth will also delay the development of dental caries. This can be achieved through improved parental oral hygiene and the decrease of bacterial transmission, both of which can be encouraged by physicians.

Modifying the dental flora of the primary caregiver can significantly affect a child’s caries risk. In the policy statement "Oral Health Risk Assessment Timing and Establishment of the Dental Home", the American Academy of Pediatrics recommends the following anticipatory guidance for new and prospective parents before and during the colonization process. Parents should be encouraged to:
 
Brush their teeth at least twice daily with a fluoridated toothpaste, as well as floss daily.
 
Rinse nightly with an over-the-counter chlorhexidine-based fluoridated mouth rinse.
 
Visit a dentist for a cleaning and have all dental disease treated.
 
Consume fruit juices only at meals and avoid all carbonated beverages for the first 30 months of an infant’s life.
 
Drink fluoridated water.
 
Use
Xylitol: A crystalline alcohol C5H12O5 that is a derivative of xylose, used as a sweetener.
Xylitol chewing gum 4 times per day to reduce the number of bacteria in the mouth and decrease the rate of transmission to children.

Parents can decrease transmission of oral bacteria to children by minimizing the passage of saliva in the following ways:
 
Do not allow children to place fingers into their mouth.
 
Avoid sharing utensils or toothbrushes.
 
Do not taste an infant’s food or drink and then place that food into his or her mouth.
 
Avoid “cleaning” a dropped pacifier with their saliva.
 
 
Dental caries is an infectious process, so delaying bacterial colonization will delay caries development.
 
Because modifying the primary caregiver's dental flora can significantly affect a child’s caries risk, physicians should promote improved parental oral hygiene.
 
Anticipatory guidance includes recommending that parents brush their teeth twice daily with a fluoridated toothpaste, as well as floss daily.
 
Parents can decrease transmission of oral bacteria to children by minimizing the passage of saliva.
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