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How Do You Treat Gum Disease in Babies?

Published in Baby Oral Health 3 mins read

Unfortunately, babies don't get gum disease (periodontitis) in the same way adults do. The condition referenced in the provided short answer appears to be conflating gum disease with gingivitis, the early stage of gum disease, or teething discomfort. Periodontitis in babies is exceedingly rare and would point to a serious underlying systemic condition. Treating what might appear to be gum disease in a baby focuses on maintaining good oral hygiene and addressing potential causes of inflammation or discomfort. Here's a breakdown:

1. Rule Out and Address Underlying Medical Conditions

True gum disease (periodontitis) in a baby is extremely rare. If a baby has signs of inflamed or bleeding gums, a pediatrician should be consulted to rule out conditions that can cause these symptoms.

2. Addressing Gingivitis and Oral Hygiene

While periodontitis is rare, a baby's gums can become inflamed (gingivitis) due to poor hygiene, infection or teething. The approach involves:

  • Gentle Cleaning: Use a soft, damp cloth or a baby toothbrush to gently clean the baby's gums twice daily, especially after feedings.
  • Avoid Sugary Drinks: Sugary drinks can promote bacterial growth and gum inflammation. Offer water instead.
  • Saline Rinse: A mild saline rinse (consult with a doctor or dentist about the appropriate concentration) can help soothe inflamed gums.
  • Professional Evaluation: Consult a pediatric dentist or your pediatrician if the gum inflammation persists or worsens. They can assess the situation and recommend appropriate treatment.

3. Managing Teething Discomfort

Teething can cause gum inflammation and discomfort. Strategies include:

  • Teething Toys: Offer chilled (not frozen) teething toys for the baby to chew on.
  • Gum Massage: Gently massage the baby's gums with a clean finger.
  • Pain Relief: If the discomfort is significant, consult with your pediatrician about appropriate pain relief options for infants (e.g., infant acetaminophen or ibuprofen - always consult a medical professional for dosing and suitability). Avoid teething gels containing benzocaine, as they can be harmful to infants.

4. Addressing Oral Infections

Oral infections (e.g., thrush) can cause gum inflammation. A doctor can diagnose and prescribe appropriate treatment, such as antifungal medication.

Important Considerations:

  • Never use adult toothpaste on babies, as they may swallow it, and it contains high levels of fluoride, which can be harmful.
  • Do not give honey to babies under 1 year old due to the risk of botulism.
  • Consult with a pediatric dentist or your pediatrician about any concerns regarding your baby's oral health.
  • Avoid topical anesthetic teething products. The FDA recommends against using these products as benzocaine, a local anesthetic in many of these, can cause a serious condition called methemoglobinemia.

In summary, treating what might appear to be gum disease in babies involves diligent oral hygiene, addressing underlying medical conditions or infections, and managing teething discomfort under the guidance of a medical professional. True periodontitis in a baby is a sign of a deeper medical issue and requires thorough investigation.

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