Let’s talk teeth!


Today I’m excited to talk with my friend Dr. Lindsay Essenmacher about caring for my kiddos’ teeth.

baby brushing teeth

I met Lindsay when we were both pre-dental students at UNM. Lindsay later moved to San Francisco to attend University of the Pacific and earn her DDS. A few years later I moved out to the San Francisco Area (not for dental school though).  Apparently I like following Lindsay around, since after completing her DDS, she moved back to Albuquerque to attend the Advanced General Dentistry Residency at UNM… and now I’m back in Albuquerque too!  Lindsay currently owns her own practice here in Albuquerque, Essenmacher Family Dental.

R: I know you are both a mom and a general dentist. Do you think wearing both of those hats changes either the way you care for your children’s teeth, or the way you treat children in your dental practice?

L: Definitely! Because I have young children, I know firsthand the struggles that parents go through to care for their children’s teeth. I know how difficult it is to limit snacks and juice, to wrestle a two-year-old to brush his teeth, or to endure the pains of teething babies. I also know what techniques have or haven’t worked for my kids, so I am able to share those experiences with my patients.

R: What are your thoughts regarding whether kids should see a special pediatric dentist or their family’s general dentist?

L: I think it is a very personal decision that needs to be made based on the preferences of the parents and the personality of the child. If your child is relatively cooperative in the dental chair and needs minimal dental work, then taking them to your family’s general dentist may be a great choice. If you would like to gauge your dentist’s skill level with kids, here are some questions you could ask:

  1.  What age do you see kids? (If your dentist says they won’t see children under 5, they probably aren’t a very kid-oriented office.)
  2. What percentage of your patients are children?
  3.  Do you perform all pediatric procedures in the office, or do you refer some things out?

If you decide you’d rather take your children to a pediatric dentist, I would recommend getting referrals from your general dentist and other parents that can share their experiences and help you make the right decision. In general, the biggest advantages of pediatric offices are the kid-friendly environments, and the creative techniques used to help kids get through their appointment.

R: How do you recommend caring for children’s teeth at home? Fluoride toothpaste, or training toothpaste? When is it important to start flossing?

Lindsay Essenmacher, DDS
Shea Frame Photography

L: The ADA recently revised their recommendation regarding fluoridated toothpaste for young children. The new 2014 guidelines recommend using a tiny smear of fluoride toothpaste as soon as the teeth erupt. I follow this guideline for my own children, although it’s important to remember to store the fluoride toothpaste out of reach of young children! In terms of flossing, I begin introducing it as part of the routine as soon as the child has several teeth touching, usually around a year. We start with the small handheld flossers, since it is nearly impossible to fit an adult’s hands inside a tiny mouth. I begin to pay particular attention to flossing once all the baby teeth have come in, because I want to make sure I remove the food that gets stuck between the back teeth.

R: Especially in the early toddler stage, my children have never been very compliant when it comes to tooth brushing and I’ve been known to strong arm a screaming child to get their teeth brushed (and admittedly it’s actually pretty easy to brush when they’re screaming, since they’re mouths are wide open!). Do you have any tips on how to peacefully get the job done?

L: I talk to parents about this quite frequently, as it is a very common frustration! There are two important points to make here. First, even if your little one hates it, we want our kids to learn at a young age that cleaning our teeth is important and needs to get done, and they aren’t going to get out of it. Secondly, we should do our best as parents to make it a fun and positive experience. We need to avoid negativity around it by saying things like “if you don’t brush, you’ll have to go to the dentist and get your teeth drilled!” One suggestion is to give them something they only get to play with during tooth brushing. If a cell phone is that special item, play a short video that can distract them while you’re cleaning their teeth. At our house, we sing a silly version of the ABCs. Another great tip is to satisfy their need for autonomy by letting them be involved in picking out their own toothbrush and toothpaste flavor, or letting them rinse the brush with water when you’re done!

Thanks Lindsay! Tomorrow I’ll have one more question for Dr. Essenmacher about fluoride, and then I’ll be talking about the water fluoridation situation here in Albuquerque.


  1. Thanks Rebecca. Great information! I Cant wait to hear about the fluoride issues. I have some talking cat app downloaded on our I pad and that seems to help with the kids now…because this cat brushes his teeth and there is a timer. The kids know when to start and stop…and they earn points…However sometimes I still get the wining and complaining. 😉

  2. We forgot our boys toothbrushes when we travelled for Christmas so my husband bought them “electric” spiderman toothbrushes and let them pick their toothpaste. It has made a COMPLETE difference in the process. They love it! Or at least don’t fight it anymore. Great info!!

    • That’s a GREAT idea! I haven’t looked into the research personally, but I know I’ve heard dental professionals say that electric toothbrushes usually do a better job… Especially for those who lack dexterity like the young and old.

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