Bad breath in toddlers
The American Academy of Pediatric Dentistry recommends waiting until your child is at least 2 to use fluoridated toothpaste, and then no more than a pea-size amount, That's because ingesting fluoride can cause white spots on your child's teeth when he gets older. Also, most children who live in areas with fluoridated water will get more than enough fluoride from drinking tap water or from eating food cooked in tap water. If you want to use toothpaste, you can try a mild-tasting children's formula without fluoride, or even baking soda. Poor dental hygiene with tartar buildup, gingivitis, or a dental abscess could also cause bad breath. Ask his pediatrician to inspect his teeth and gums. If the pediatrician finds any problems, I would recommend an evaluation by a pediatric dentist.
Things to be done at first
If the bad breath persists, mention your concerns to his pediatrician, who can rule out other causes. The first thing the doctor will probably check is your toddler's nose, to see whether your child has a foreign body, such as a piece of food or small toy, lodged in one of his nostrils. The only symptom may be breath odor or persistent nasal discharge. A sinus infection or respiratory infection such as bronchitis can also cause bad breath. The odor may be caused by inflammation of the pharynx or of the tonsils. Even if the tonsils aren't inflamed, they may have food and debris trapped in their many crevices. Your child's doctor can check for this debris, which is usually white, during a throat exam. If this is the problem, it will resolve itself once the debris is removed. Lastly, some children with gastro esophageal reflux, or regurgitation of their food, have a foul breath odor. However, if this were the culprit your toddler would almost certainly be experiencing other symptoms, such as discomfort after eating.
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