Brushing My Child’s Teeth: How Can I Help?

By: Amy Requa, MSN, CRNP

Did you know that October is National Dental Hygiene Month? It’s actually good timing, especially since children will be chowing down on their fair share of candy this weekend! The extra candy gives us an even better reason to think more about brushing teeth! Many parents of young children ask: “What is the best method for brushing my child’s teeth?” Well, often a picture is worth a thousand words, so here are a few photographs of different positions and methods that parents and caregivers can use to help young children with toothbrushing!  

Photos courtesy of Joanna Douglass, BDS, DDS

In the photo on the left, the adult sits in a chair while brushing the child’s teeth from behind. The child stands and leans back on the caregiver’s lap, using the adult’s legs for balance. See how the adult carefully stabilizes the child’s head, gently lifting or lightly pressing the lips away from the teeth with one hand, while brushing the teeth with the other? This actually makes it much easier for the adult to brush all surfaces of the teeth while the child still feels secure and won’t squirm away. Looking down at the child’s mouth from behind makes the child’s teeth more accessible to the brush, especially at the gum line where sticky plaque is most likely to build up in that space between the teeth and the gums. The plaque is the build up of sticky germs mixing with food/drink on all the surfaces of the teeth. Plaque eventually breaks down tooth enamel if it is allowed to stay on the teeth. The plaque on the surfaces of the teeth needs to be brushed away twice a day: in the morning and at night, right before your child goes to bed.

In the photo on the right, this toddler is allowed to stand up, probably on the couch, while the mom holds the child’s hands during brushing. After all, who says you have to brush your child’s teeth standing in front of the sink in the bathroom? You don’t! Use a very small amount of fluoride toothpaste and your child does not need to spit it out, so you can brush your child’s teeth anywhere in your home, maybe when your child is sitting in her highchair, playing in the bathtub, or joining you on the couch. 

Here are the most current guidelines from the American Dental Association: 

• For children younger than 3 years, caregivers should begin brushing children’s teeth, with a soft child-sized toothbrush, as soon as teeth begin to come into the mouth. Use a fluoride toothpaste in an amount no more than a smear or the size of a grain of rice. 
• Brush teeth thoroughly twice per day (morning and night) or as directed by a dentist or physician. 
• For children 3 to 6 years of age, caregivers should apply no more than a pea-sized amount of fluoride toothpaste to the soft toothbrush.  
• Adults should assist with toothbrushing until age 7 or 8.
• Replace toothbrushes when bristles appear worn (usually after 3-6 months)

How old were your children when you started to brush their teeth? Did they enjoy it? Have any tips to share on how you brushed their teeth?

References: 

Fluoride toothpaste efficacy and safety in children younger than 6 years: A systematic review. J. Timothy 
Wright, Nicholas Hanson, Helen Ristic, Clifford W. Whall, Cameron G. Estrich and Ronald R. Zentz, JADA 2014; 145(2):182-189. 

Fluoride Toothpaste Use for Young Children, American Dental Association Council on Scientific Affairs, JADA 2014; 145(2):190-191. 

About the Author: Amy Requa, MSN, CRNP, CPNP-PC, is a board certified Pediatric Nurse Practitioner. She has 20 years of experience in public health nursing, maternal and child health, family and community health promotion and has extensive health expertise in oral health, childhood obesity prevention and child nutrition. Click here to learn more about Amy.

You’re Invited! Participate in Nickelodeon’s Worldwide Day of Play

By: Christine Cox, The Choosy Mommy

Choosy Kids is honored to have been asked by Nickelodeon to be a part of their 13th annual Worldwide Day of Play (#WWDoP). I really had no clue what this was when we were first introduced to it, but the concept is wonderful and I am excited to invite you to participate with us!

Nickelodeon’s #WWDoP is an entire day committed to the celebration of physical fitness and active play. As part of the company’s health and wellness messaging and outreach to kids, Nickelodeon goes completely dark on #WWDoP (September 26), suspending their programming on all of their channels -even shutting down their websites globally to reinforce one simple message about physical activity and healthy living: get up, get out and go play!

This is a perfect fit for Choosy Kids because we promote this all of the time and encourage parents, care givers and teachers to get children up and moving, exercising and eating right on a daily basis!

This year, #WWDoP is taking place on Saturday, September, 26. On and around this day, Nickelodeon supporters across the world will celebrate play by hosting their own #WWDoP events. Choosy will be making special classroom visits to friends in his home state of WV during the week of September 21-24 and will make a video showcasing just how much fun it is to move and dance, especially to Choosy Kids songs!

Choosy wants you to participate too so we are also going to have a nationwide dance party! We will all be dancing to our favorite Choosy music and you can do the same! If you are new to Choosy music, you can download our song of the month, Empty Space Club, for free!

Show us your moves by sharing any photos or media with Choosy Kids on Facebook or Twitter (#ChoosyPlay) so we can showcase your support for the #WWDoP theme of celebrating physical activity. If social media isn’t a medium for which you communicate, please feel free to send any video, pictures and information to info@choosykids.com.

Choosy’s dance party is more than just fun; it’s an exciting way to help promote active play and teach about healthy habits. Our health mascot and “Health Hero” Choosy, encourages young children to have fun while moving and dancing to his music. We hope that preschools and families all around the country can participate indoors or outdoors in our nationwide dance party.  Let’s take this opportunity to reinforce and demonstrate to our children that music can help us stay active during playtime, reinforce healthy habits, and have fun with family or friends while elevating moods and heart rates!

Have fun with your dance party, share it with us, and be sure to check out other #WWDoP events in a city near you!

About the Author: Christine Cox is the blog master and The Choosy Mommy for Choosy Kids. She has always had a passion for writing and is honored to contribute her work to this blog. Most of her writing inspiration comes from her daughter, Capri, who is fun-loving and full of energy, and newborn son Cam. Click here to learn more about Christine.

Ready…Set…It's Time for School!

By: Molly Luke, Early Intervention Specialized Instruction Teacher, Montgomery County Intermediate Unit, Norristown, PA

Been to TARGET lately? They've been getting me ready for school since the 4^th of July! Yes, families...it's that time of year to start stocking up on markers, new back-packs and back-to-school clothing sales! But is your child REALLY ready for school? Is your young child confident to start the year? That's what it's all about…confidence. Your child might not be the 4 year-old valedictorian, but you need to ask yourself if your child can walk into the classroom feeling empowered and eager.

As a teacher of 10 years (mostly preschool age) and a mom of a two year old, here is a list of MUST DO's to think about in preparation for that first day. (lists are in no particular order!)

As a teacher of 10 years (mostly preschool age) and a mom of a two year old, here is a list of MUST DO's to think about in preparation for that first day. (lists are in no particular order!)

Age newborn to 3: Child Care kids

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Pre-School Kids

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In summary, I hope the above was a good helpful list to get you back to school. Just one thing to leave you on…please do not ask your child "what happened at school today?" This is an open-ended question and it is hard for a child to answer. Try and narrow it down to make your child feel that you care, and brush up on what really is going on in school. i.e. How was gym class today? Who did you play with on the playground? How did your presentation go? Was the test hard? This way, you will get a little more information when you narrow down the topic. And hopefully you won't get the classic "nothing" response, because your child will be impressed that you remembered something specific about the day. Besides, reverse the situation…do you want to tell them about your typical work day- UGH, NO! But maybe you did have a conference, presentation, out-of-the-ordinary event that would make it worthwhile to share. Enjoy your back to school milestones!

PS - Take our back to school survey for a chance to win great prizes! 

About the Author: Hello! I have been teaching for about 10 years now, ages Pre-K through 8th grade…needless to say, I am a life-long learner and always looking for new thing to challenge my body and brain to do in a classroom! Outside of the classroom, family comes first! My husband Dan, baby Marshall and basset hound Penelope enjoy my naturally caffeinated personality on a regular basis. The whole family enjoys traveling, and I personally have a goal of visiting all 7 continents! 2 more to go! 

First Comes Brushing, Then Comes Flossing!

By: Amy Requa, MSN, CRNP

We have all heard about the key elements to excellent oral health and hygiene for young children: brushing their teeth twice a day, before bed and after breakfast, with a smear of fluoride toothpaste on a soft child-sized toothbrush; providing tooth-healthy drinks, such as water, instead of sugary beverages; flossing between teeth as soon as you see that they are touching each other; and taking your child for regular check-ups starting when the first tooth erupts. We’ve discussed creating good brushing habits with your children and starting regular check-ups when their first tooth appears, but what happens after they have been seen by the dentist and are on the way to mastering daily dental routines? 

On one of our recent posts, a mom mentioned that her little one likes to dip his/her toothbrush into a cup of mouthwash and rinse with that. It got me thinking, as I am sure many children would love to do that. What does it do to their teeth/mouth? Is it safe? 

The instructions on the label of mouthwashes is that children under six should not use the product. This is likely due to the fact that many, but not all, mouthwashes have a form of alcohol in their liquid and it is not safe to be swallowed in large amounts. This is something you will want to discuss with your child’s dentist. There’s no need to wait for your child’s next dental visit, just pick up the phone and call your dentist and ask for current recommendations! 

Also, it is important to understand that any ingredient that limits our normal production of saliva will actually be counterproductive and can even lead to more decay of our teeth. Saliva is very beneficial because it has a buffering effect on the “acid attack,” composed of acid waste products that are created when the bacteria in our mouths digest sugars and carbohydrates.

If your children are anxious to start copying your mouth washing techniques, my suggestion is to teach them how to floss instead. Flossing between two teeth that are touching is helpful because it breaks down the build-up of plaque between the teeth, which is essential to do because the toothbrush bristles cannot get in-between the teeth that are tightly spaced. It is important to help children with flossing because they do not have the manual dexterity to floss by themselves until they can write cursive. Be sure to move the floss gently under the gum line, where the germs causing decay are more likely to grow because that is where it’s dark and warm. The gum line is also where there are leftover food particles hanging out (which the germs love to eat). Flossing between our own teeth and our child’s teeth on a daily basis will disrupt the plaque traps and prevent the germs from building up. By demonstrating flossing between our own teeth on a daily basis, our children will want to copy us. 

The manufactured “flossers” for children are very helpful because they are easier to grasp for small fingers and they fit into small mouths more easily, plus they are colorful and animated looking! 

Have your children tried flossing? What age did they start? Remember to check out Choosy Kids CD and DVD collection for brushing songs and videos!

About the Author: Amy Requa, MSN, CRNP, CPNP-PC, is a board certified Pediatric Nurse Practitioner. She has 20 years of experience in public health nursing, maternal and child health, family and community health promotion and has extensive health expertise in oral health, childhood obesity prevention and child nutrition. Click here to learn more about Amy.

10 Unique Foods My Toddler Eats!

By: Christine Cox (aka - The Choosy Mommy)

Many toddlers are what parents call picky eaters but I like to refer to my daughter as a choosy eater. Ever since I introduced her to Choosy, she now tells me to be choosy about what I eat. Some days it backfires (I really wanted that cookie the other day) and other days it is a nice reminder. But let’s be real…whether she is picky or choosy, she is still deciding what her and I eat…mostly her.

There are many times where I put food on her plate and she won’t touch it. But there are more times that she sees something that her dad is eating and she wants to try it. I will tell you that she has my husband’s pallet in that she prefers salty, spicy and sour over sweet. I love my sweets! So at least she knows who will lead her to the foods that she will love….DADDY!

Which leads me to my discussion about ten unique foods that my toddler eats. Maybe your child has unique tastes too? This is no way means your toddler HASN’T tried these foods, but these are just some things that my husband and I are really surprised that she likes. I’ve noticed that when I say I like something, she does become more open to trying, so maybe give this new Choosy Kids song, Yum Yum Yummy, a listen and sing it when trying something new!

1. Green Olives – This one isn’t so weird in that I do know some kids that like olives but she will just eat them as a snack. I HATE olives, no matter the color, but her dad also loves them.
2. Banana Peppers – Another snack food that her and her dad share a love for. The smell…uhg, it gets me every time but she loves them!
3. Wasabi Peas – Now this one really threw me for a loop. Daddy was eating them one evening and she decided to give one a try. At first I was a bit nervous because I figured, whoa, too spicy, but she ended up eating a handful (not at one time!)
4. Oil and Vinegar dressing on Sweet Butter lettuce – Otherwise known as ensalada verde in our family. This is a gem as it is a pretty low calorie dressing. It is a so simple in that you just sprinkle some extra virgin olive oil and white wine vinegar over your lettuce. A little salt to taste.
5. Pickled Cauliflower – This was a shocker to myself when my toddler came home from Grandma’s with this new favorite!
6. Frozen Waffles – This one might not be so different, but at least we aren’t drenching the waffle in butter and syrup. Just a plain, frozen waffle!
7. Soy Sauce – She loves rice and won-ton soup, but give her a dish of soy sauce and she’ll dip anything in it to try!
8. Pepperoni – Again, maybe not so different but many toddlers find this to be too spicy.
9. Green Onions – She will dip her green onions in salt and eat 3 or 4 of them!!
10. Tuna – I just mix a can of tuna with mayo and onion and make a sandwich out of it. She’s loved this for as long as I can remember.

Let me know if your child has tried or even likes any of these foods. Please post if you have a food you think my toddler would love. We are always willing to try new things (well, daddy will have to try it first I suppose).

About the Author: Christine Cox is the blog master and Choosy Mommy for Choosy Kids. She has always had a passion for writing and is honored to contribute her work to this blog. Most of her writing inspiration comes from her daughter, Capri, who is fun-loving and full of energy. Click here to learn more about Christine.

Gardening for Good

By: Kerry McKenzie

Research has shown that kids who are involved in growing and making their own food are more likely to try different foods and eat healthier.  And digging in the dirt is only half of the fun when it comes to gardening!  Getting dirty is so good for you!  Recent research has proven that there are health benefits to digging in the dirt.  There is a particular strain of bacterium in the soil that has been found to trigger the release of a chemical in your body called serotonin, which is called the “happy chemical” because it elevates your mood and decreases anxiety.  And on top of that, this little bacterium has been found to keep your brain healthy and possibly even treat cancer and other diseases. Contact with soil, through gardening or other means, is beneficial!  Now there's a great reason to get outside and garden for good and get your kids involved too!

You don’t need to have a green thumb to get started or even any plant knowledge. Kids can learn as they GROW! All you really need is a yard to dig in or a space to put a few containers. You can even reuse an old sandbox (remove the bottom) and turn it into a raised bed garden or keep the container that last night’s rotisserie chicken dinner was in and put some dirt and seeds in there.   

When planting in pots or an old sandbox, purchasing potting soil in bags is a good choice.  Keep in mind that plants need sunlight and water to grow, so plan your garden in a sunny spot that will catch rain or is easy for you to hand water with a watering can or hose.  If you want to plant your garden in the ground, remove all of the grass and rocks before you start. Tilling or breaking up the soil will help when you are putting the plants in the ground.

Involve your children in deciding which fruits or vegetables to plant as this may gain extra attention when gardening. Make sure to try some new fruits and veggies, like Okra!  I like to plant seedlings so the kids can watch them grow from the very beginning. You can buy seedlings at any home and garden store.  Gently place the seedlings in little holes, cover with a thin layer of dirt and drizzle with some water.

It's important to plant your garden at the right time, and the key is knowing when your area will see its last spring frost. You may lose your warm weather crops if you put them in the ground too soon. Search the Old Farmer’s Almanac freeze chart in your area! 

The next part is amazing!  Water, fertilize with old leaves, pick out the weeds and watch your plants grow. Before you know it you will have fruit and vegetables to pick and eat!  It’s that simple! And it’s fun!

What kind of fruits and veggies do your children like to watch grow? Share your growing tips with us in the comment section!

About the Author: Kerry McKenzie, B.A., M.S., has been working in education for more than 13 years. She is a Certified Health Coach, a 500 level (E-RYT500) yoga teacher and specializes in early childhood motor development. She has a passion for working with expecting moms, babies, toddlers and preschool age children and their caregivers at Greenville Health Systems pediatric clinic, child care centers and in the community. Click here to learn more about Kerry.

Be a Choosy Role Model with Fruits and Veggies: Give a Smoothie a Try

By: Christine Cox (aka Choosy Mom)

Some days it is tough getting your child to sit down and eat a meal, let alone a healthy and nutritious meal with the right amount of fruit and veggies. We’ve all been there. I spend an hour making a healthy dinner with my daughter attached to my leg screaming because she is “starving”. I really do feel great because I know she is going to get the right amount of fruits/veggies/meats, whatever it is that I am making, when she eats her meal. And finally, the meal is ready to eat and she decides she’s not starving anymore and runs off to play. I sit down at the table and just stare at my plate. It looks great and is healthy, but now my child, who was so hungry an hour ago, isn’t willing to take even just one bite.

It is hard to teach young children about time because when they are “starving” they want food NOW and not in an hour when it is ready. So what is a parent to do when hunger strikes?

Sometimes offering a drink is best! And if your child has been a picky eater, maybe a baby and me fruit and veggie smoothie would be a choosy choice! It won’t fill them up, but it will ensure they get a great serving of fruits and veggies!

To find out what amounts of fruits and veggies a child should be having, I’ve turned to Choosemyplate.gov. I have also found that the parent or care taker has to be a food role model. So if you make something that you don’t like, chances are your child may not like it too! But trust me, the smoothie recipe below was a winner for everyone in my house!

Thank goodness for Aimee Kleer-Gonzalez and her blog, BargainBites or I wouldn’t have ever tried, or thought to combine fruits and veggies, in a smoothie! Give this quick drink a try when dinner isn’t ready yet or even as a breakfast drink!

Baby and Me Smoothie #1 

What You Need:
1 cup Spinach
4 Strawberries (or 1 bananna or 1/2 cup frozen mangoes)
3/4 cup Plain Greek Yogurt **
1/2 cup Juice (Orange, Pear, Banana, Morning Blend, and Pineapple all work well)
1 tbsp Chia Seeds
1 cup Frozen Peaches

A short and simple list (that you can make up and change)!

To make the smoothie, just add these ingredients to the blender and blend!

It took my child a little while to decide that she liked it, but in the end, it was a winner! "Yummy, yummy in her tummy" is what I constantly heard after she took a drink! We made this for breakfast and she not only drank her smoothie, but continued to eat her breakfast as well. It wasn’t filling but it ensured she got some fruits and veggies in her diet!

Choosy would love this smoothie since it is green and nutritious! What other smoothies do you think Choosy would like? Share your recipe with us and we will be sure to give them a try! 

About the Author: Christine Cox is the blog master for Choosy Kids. She has always had a passion for writing and is honored to contribute her work to this blog. Most of her writing inspiration comes from her daughter, Capri, who is fun-loving and full of energy. Click here to learn more about Christine.

Family Meals for Healthy Kids

By: Heather Dyson

We've all heard the saying, “a family that plays together, stays together,” but it also true that a family that eats together, stays healthy together! Studies show that kids who regularly sit down to meals with their parent(s) even as few as 3 times a week have better eating habits, do better in school and develop healthier social skills than kids who rarely have a family meal. Kids who eat with their family tend to eat a wider variety of food, mostly because they see others at the table eating different foods, including those pesky vegetables. The benefits of eating with our kids reach far beyond food, though. Sitting down to a meal encourages conversation, a rare opportunity for parents to hear what is going on in their children’s world. Frequent family meals are also associated with lower rates of smoking, alcohol and drug use among middle and high school aged kids. All from something as simple as sharing a meal!

If conflicting schedules make daily family dinners impossible, no need to worry! There are 21 meals each week, which means 21 opportunities for sharing a meal with your kids. Remember: you are only aiming for at least 3! Extracurricular activities got you running in the evenings? Focus on the weekends to share a family brunch. Try dedicating one morning a week to get up 15 minutes earlier to have a bowl of cereal with your youngster. Or plan one evening a week where the family can make a simple meal together, so mom or dad isn't solo in the kitchen while everyone roams off with their plates. A family pizza night is quick and easy and can be healthy if you make your own. Purchase pre-made whole grain crust, seasoned tomato or pasta sauce, mozzarella cheese, turkey pepperoni and pre-chopped veggies for a meal that can be put together in minutes and cooked in even less time! Or try something new like these pizza sauces! At the ball field 4 nights a week? Pack sandwiches, raw veggies, fruit, baked chips and bottled water to eat as a picnic after practice.

Getting into the habit of eating family meals while your children are young will make the transition easier as they get older. Just be sure to keep it a priority and remember you don’t have to be perfect and sit down to a fancy meal every night. Kids will cherish and benefit from simply sharing any meal with the most important people in their lives!

About the Author: Heather Dyson is a Licensed and Registered Dietitian who currently focuses on counseling patients with a variety of health situations, and in ages ranging from infancy to elderly. Click here to learn more about Heather.