Llamamos caries temprana, cuando un niño entre los 3 y los 5 años tiene múltiples caries. La causa de la caries de comienzo temprano se ha atribuido al uso inadecuado del biberón, especialmente por la noche. Sin embargo, los hábitos relacionados con el biberón no son la única causa de esta patología, existen otros factores de riesgo adicionales, por ejemplo: lactancia materna incorrecta y el uso de chupetes con sustancias dulces, por lo que los términos como “caries del biberón”, han sido sustituidos por “caries temprana”.

 

  En niños de corta edad, normalmente está asociada a modos incorrectos en la forma de alimentación, es necesario que cuidemos la alimentación de nuestros pequeños.

Los factores de riesgo son:

Consumo de azúcares a través del biberón, y de otros alimentos con azúcares, como las gominolas, caramelos, pasteles, etc., especialmente si se toman en gran cantidad, y con frecuencia entre las comidas o por la noche antes de ir a dormir. El consumo total de azúcar no es tan importante como la frecuencia de este consumo, especialmente cuando se produce a través del biberón.

 

Esquema de alimentación  inadecuado que se establece a los 12 meses, en cuanto al número de ingestas y su potencial cariogénico, y  se mantiene durante toda la primera infancia y que puede estar ligado al futuro desarrollo de caries.

Higiene inadecuada

Hay que tener en cuenta que en los niños a estas edades, a veces la higiene es deficiente tanto en eficacia como en tiempo real, aumentando el tiempo de permanencia de los restos de alimentos con capacidad para adcidificar la saliva  y favorecer la caries

Aporte de fluor inadecuado.

En los primeros años del niño se están formando los dientes, un aporte de fluor escaso  o excesivo puede causar trastornos en la formación del esmalte que le hagan mas frágil y quebradizo.

Consumo excesivo de bebidas a base de fruta, como los zumos, o bebidas azucaradas o bicarbonatadas

Pueden aumentar la desmineralización debido a los ácidos contenidos en ellas, sobretodo si su consumo se prolonga a lo largo del tiempo y se beben  con sorbos pequeños o se mantienen en la boca antes de tragar.

Consejos para prevenir la caries temprana.:

Evitar el consumo de dulces  e hidratos de carbono de forma  frecuente y prolongada.

Eliminar la lactancia o el biberón o las papillas cuando tengan dientes, el niño debe masticar.

Fomentar los habitos higienicos. Cuando son bebes podemos limpiar con toallitas impreganadas con Xylitol, y cuando tienen dientes debemos acostumbrarles al uso del cepillo y cepillarlos nosotros.

Adecuar el aporte de  flúor en cantidades correctas, adecuadas a la edad y peso del niño. Consulta con tu pediatra o llamanos y podemos ver que fórmula y cantidad son las más indicadas para tu niño.

Recuerda

La caries es un proceso infeccioso y contagioso, hay que evitar  que compartan con otros niños, los cubiertos, chupetes, etc. y evitar que se metan las manos en la boca.

 

[youtube width=”560″ height=”314″]http://www.youtube.com/watch?v=v371wA527Uk[/youtube]

6 comentarios de “CARIES TEMPRANA EN NIÑOS.

  1. Idoia dice:

    La lactancia materna no puede ser incorrecta. Ningún animal produce leche que haga caries en sus crías. La LM no es cariogénica. La LM protege de la caries. Recalcifica el diente (no olvidemos que no hablamos de un alimento sino de un tejido vivo. Se introducen en la boca miles de celulas vivas), dificulta que la Mutans se pegue al diente favoreciento su agregación celular y por lo tanto su eliminación al tragar la saliva.
    Los niños que toman pecho y aún así tienen caries lo hacen a persar de la lactancia materna o no por culpa de la lactancia materna.
    No es necesario limpiar los dientes después de dar el pecho.
    No se puede comparar la LM con otro tipo de alimentación. No existe ningún alimento comparable a la LM puesto que se toma vivo.
    Si hablamos de alimentos industriales (biberón) la cosa es totalmente distinta y es donde el artículo está acertado.

    • Idoia dice:

      Perdón, quería decir:

      Los niños que toman pecho y aún así tienen caries lo hacen a persar de la lactancia materna y no por culpa de la lactancia materna.

    • Jaime dice:

      Popolet5 diciembre, 2012Hola Mareda! Gracias por tu cotinmareo! Si!! es de gran utilidad. Si conoces algfan otro servicio que nos pueda ayudar a todas las mame1s, no dudes en escribirnos!!Saludos!

    • Sulis dice:

      I’m surprised you didn’t metnion anything about the popular Gummy Vitamins that are popular among both parents and kids these days. I blame them, partly, on my son’s first-yr molar cavities that required crowns Obviously, I also was not diligent enough about having him brush immediately after eating those darn things. Gold fish-like snack crackers (not an obvious sweet ) and many cereals like Rice Chex and Kix are also notoriously difficult to remove from molars with deep pits. My son also has a problem with two of his front bottom permanent teeth. They are substantially darker/yellowish-colored (not spotted, but just all-over off-white, unlike his baby teeth which were very bright white) than his other adult tooth (just one so far, on top). I have asked his pediatric dentist if this could be due to too much fluoride but only got a very non-committed vague response about everyone’s teeth being different colored, etc. Those two teeth also get horrible plaque/calcification between them also, that thankfully have not developed cavities, but need to be scraped off by the hygienist every visit. This is despite brushing 2x/day and flossing before bed, and rinsing with an anti-cavity fluoride rinse daily. I also just purchased a Sonicare for Kids brush and both my kids love it (it comes with 2 heads). It has really improved the quality and duration of their brushing and plays a tune, which they enjoy.If there is concern over too much fluoride, why are most dentists and physicians encouraging use of fluoride toothpaste, fluoride rinses, and fluoride paste that they smear on our kids teeth every 6 months??? Plus most communities have fluoridated water, at least in WA (except Spokane and???). I suspect this is why my son’s front two bottom teeth are darker/yellowish colored. I think most kids get plenty of fluoride, and probably too much using today’s multi-pronged approach.As far as anxiety and flossing, I use the flossers with my kids. I don’t like them because they are more plastic in the landfill, but they work well for small mouths. I take my kids to a pediatric dental practice, which is a 40 minute drive from our house, but they LOVE going to the dentist. It’s fun, they show movies or other shows, they have a great no shoes/socks only play area, and they have giant dinosaurs built into the room/building. It’s a hoot and we always start and end each dental visit with the play area. Yes, it’s more inconvenient and my husband thinks we should switch to a local family dentist, but I want my kids to have pleasant memories of the dentist, so feel it’s worth it. Our ped dentist also said that no child should brush his or her own teeth until they are old enough to do laundry perhaps a bit of an exaggeration, but I do agree that many parents might let their kids brush and floss unsupervised or without helping and that leads to poor quality cleaning.Thanks for the excellent discussion on this all-to-important topic.

    • Ayrtone dice:

      I am glad to see this post here, and enjoyed reaindg the comments. As a pediatric dentist I would love to see a second post on that addresses healthy dietary practices in more detail. Many commenters touched on the subject of avoiding sipping on sugary liquids, minimizing sticky foods and even starchy foods that get stuck in the pits of the molars (such as chips and crackers). All of the recommendations that I make to my patients about dietary habits are healthy not only for the teeth, but also for the body. Ad libitum or on demand breast feeding past about 6-8 months can also be a problem for some children. I want to be clear that I am not discouraging breastfeeding past this age, but I am specifically talking about 24/7 use of breastmilk for non-nutritive feeding practice for a child who is also regularly eating solid foods.

  2. Adelia dice:

    Doctors and dentists repaet what they were taught 30 or 40 years ago. They are busy people and apparently have not taken the time to read the research in the last 20 years. Many of us are influenced by over 60 years of use, when we all thought that fluoridation was a very helpful drug to add to the drinking water and force everyone to consume it. In the last 20 years research was published to show it is ineffective for teeth and dangerous to health. See Dr. Paul Connett’s book, The Case Against Fluoride, for 1200 studies (over 80 pages), including 24 (now 36 studies) to show a reduction of IQ in children and a 2006 study by Dr. Elise Bassin, DDS, Harvard University published in a cancer journal to show a fivefold increase in bone cancer in young people who have consumed fluoride in their drinking water.

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