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Here at the pediatric dental office of Dr. Joby Hurst, we take pride in offering our young patients the highest quality of dental care in a kid-friendly environment. We are conveniently located in Birmingham, Alabama and are experienced in providing routine dental care for infants, children, teens and patients with special needs.

Dr. Hurst and his team of friendly professionals work together to provide a positive dental experience that will make your child smile! We promise to work with you and your child personally and create a customized treatment plan to meet your individual needs and desires.

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Early Dental Care

We believe early dental care can promote a lifetime of healthy smiles for your child. We offer a full range of services from routine dental exams and cleanings to fillings, sealants and fluoride treatments that will help ensure that your child grows up with a healthy smile.

Sedation Dentistry

We recognize that for some of our patients, a visit to the dentist makes them a bit nervous.
We offer nitrous oxide sedation for our more apprehensive patients, so they can relax while receiving the dental care that they need.
For those requiring more intensive treatment, Dr. Hurst offers in office anesthesia using Dr. Jeff Plagenhoef.
Dr. Jeff is a board-certified pediatric anesthesiologist with Pediatric Dental Anesthesia Associates.

We appreciate your interest in our practice and encourage you to continue exploring our website to learn more about us. Feel free to contact us to schedule an appointment with Dr. Joby Hurst today!

Pediatric Dental Anesthesia Associates

Blogs and Resources

What Causes Cavities in Children? 10 Risk Factors

Are You Accidentally Increasing Your Child’s Cavity Risk?

February 24, 20267 min read

If you’ve ever looked at your child’s smile and wondered, “Am I doing enough?” you’re not alone.

Many loving, attentive parents are surprised to learn that small, everyday habits can quietly increase a child’s risk for cavities. The reassuring truth? Most of these risks are preventable once you know what to look for.

Let’s walk through what causes cavities, the habits that may be increasing risk, and simple steps you can take starting today.

What Actually Causes Cavities in Children

What Actually Causes Cavities in Children?

Cavities form when bacteria in the mouth feed on sugars and produce acid that weakens tooth enamel. Over time, that acid creates small holes in the tooth.

Here’s how it works:

  1. Natural bacteria live in the mouth.

  2. When your child eats sugar or carbohydrates, bacteria feed on them.

  3. The bacteria produce acid.

  4. The acid weakens enamel.

  5. Repeated acid exposure leads to cavities.

Why Are Baby Teeth More Vulnerable?

Baby teeth have:

  • Thinner enamel

  • Smaller structure

  • Deep grooves in molars

Because the enamel is thinner, decay can spread more quickly than in adult teeth.

And here’s something many parents don’t realize:

It’s not just how much sugar your child eats, it’s how often their teeth are exposed to it.

Frequent snacking or sipping keeps acid levels elevated throughout the day.

Why Do Some Children Get Cavities Even When Parents Try So Hard?

Cavities are influenced by more than effort alone. Some children are naturally more cavity-prone.

Contributing factors include:

  • Genetics and enamel strength

  • Deep grooves in molars

  • Saliva differences

  • Tight spacing between teeth

  • Sensory brushing struggles

  • Hidden sugar exposure

If your child has had a cavity, it does not mean you’ve failed. Cavities are one of the most common childhood health conditions. Awareness simply allows you to adjust and move forward.

10 Common Habits That May Be Increasing Your Child’s Cavity Risk

10 Common Habits That May Be Increasing Your Child’s Cavity Risk

Many cavity risks don’t look like “bad parenting.” They look like normal, everyday routines.

Here are 10 common habits that may quietly increase cavity risk and what to do instead.

1. Letting Kids Sip Juice or Milk Throughout the Day

Frequent sipping exposes teeth to sugar repeatedly, which keeps acid levels high in the mouth. It’s not just what your child drinks — it’s how often they drink it.

Even healthy options like:

  • 100% fruit juice

  • Milk

  • Smoothies

…contain natural sugars that bacteria feed on.

If your child carries a sippy cup around for hours, their teeth may never get a break from acid attacks.

Why frequency matters more than quantity:

Each sip restarts the acid production cycle. When this happens all day, enamel doesn’t have time to recover.

Healthier swap:

  • Serve juice only at meals

  • Offer water between meals

  • Avoid all-day grazing with drinks

Water gives teeth time to rebalance and remineralize.

2. Bedtime Bottles or Sippy Cups (Even with Milk)

At night, saliva production drops significantly. Saliva helps protect teeth, so when it decreases, sugar stays on teeth longer.

If a child falls asleep with:

  • Milk

  • Formula

  • Juice

…the liquid can pool around the teeth for hours.

This can lead to early childhood cavities, especially on the upper front teeth.

Safer bedtime routine:

  • Brush thoroughly before bed.

  • Offer only water afterward.

  • Gradually transition away from bedtime bottles if needed.

Comfort is important but protecting enamel overnight matters too.

3. Brushing Too Quickly (or Missing the Back Teeth)

Many children brush for 20–30 seconds. Effective brushing takes a full two minutes.

Back molars are especially vulnerable because they:

  • Have deep grooves

  • Trap food easily

  • Are harder to see and reach

Children often lack the dexterity to brush thoroughly until about age 7–8.

How to improve brushing quality:

  • Use a two-minute timer or song

  • Help brush at night, even if they brush in the morning

  • Angle the toothbrush toward the gumline

If brushing feels rushed, plaque may remain especially in cavity-prone areas.

4. Skipping Flossing Because “They’re Just Baby Teeth”

Cavities often form between teeth where toothbrush bristles cannot reach.

If your child’s teeth touch, flossing becomes important even in preschool years.

Without flossing:

  • Plaque builds between tight teeth

  • Decay can develop silently

  • Cavities may not be visible until advanced

Make it manageable:

  • Use child-friendly floss picks

  • Floss at night when brushing is done

  • Keep it quick and consistent

It takes less than a minute but protects hidden areas.

 Fluoride Toothpaste

5. Using Too Little (or Too Much) Fluoride Toothpaste

Fluoride strengthens enamel and helps repair early weak spots.

But the amount matters.

Recommended amounts:

  • Under 3 years old: a smear (grain of rice size)

  • Ages 3–6: pea-sized amount

Too little fluoride may not provide enough protection. Too much increases the chance of swallowing excess toothpaste.

When used properly, fluoride toothpaste is safe and highly effective at reducing cavities.

If you’ve ever felt unsure about fluoride, you’re not alone. Clear guidance helps parents feel confident.

6. Frequent Snacking: Even on “Healthy” Foods

Cavities are not just caused by candy.

Sticky carbohydrates like:

  • Crackers

  • Goldfish

  • Granola bars

  • Dried fruit

  • Fruit snacks

…cling to teeth and break down into sugars.

When children snack every hour or two, the mouth stays in a constant acid-producing state.

Helpful shift:

  • Set defined snack times

  • Avoid all-day grazing

  • Offer water after snacks

The goal isn’t restriction. It’s spacing.

7. Not Replacing Toothbrushes Often Enough

Toothbrush bristles wear down over time.

When bristles fray:

  • They don’t clean effectively

  • Plaque removal decreases

  • Bacteria may linger

Replace toothbrushes:

  • Every 3 months

  • After illness

  • When bristles bend outward

A fresh brush makes a noticeable difference in cleaning power.

8. Delaying the First Dental Visit

Some parents wait until age 3 or later for a first dental visit. However, experts recommend a visit by age 1 or within six months of the first tooth.

Early visits:

  • Identify risk factors

  • Provide preventive care

  • Offer personalized guidance

  • Build comfort with the dental environment

Prevention is simpler and often less stressful than treatment.

9. Assuming Baby Teeth Don’t Matter

It’s easy to think, “They’re going to fall out anyway.”

But baby teeth:

  • Guide permanent teeth into position

  • Help with speech development

  • Allow proper chewing

  • Maintain space in the jaw

Losing baby teeth too early due to decay can affect alignment later.

Protecting baby teeth protects the future smile.

10. Avoiding the Dentist Because of Anxiety

Dental anxiety affects many families. Avoiding visits out of fear can allow small concerns to grow.

Modern pediatric dental care focuses on:

  • Gentle communication

  • Kid-friendly explanations

  • Calm environments

  • Gradual trust-building

Some children benefit from additional comfort options when needed.

The goal is not forcing a child through fear, it’s creating positive, confidence-building experiences.

Early positive visits reduce anxiety long term.

Early Warning Signs of Cavities

What Are the Early Warning Signs of Cavities?

Cavities don’t always hurt at first. Watch for:

  • Chalky white spots near the gumline

  • Brown or dark discoloration

  • Sensitivity to hot, cold, or sweets

  • Pain while chewing

  • Persistent bad breath

If something feels “off,” trust your instincts. Early evaluation is always easier than waiting.

How Can You Lower Your Child’s Cavity Risk Starting Today?

Start with simple, consistent habits:

  1. Brush twice daily for two minutes.

  2. Help brush until around age 7–8.

  3. Floss once teeth touch.

  4. Limit grazing and frequent snacking.

  5. Offer water between meals.

  6. Use age-appropriate fluoride toothpaste.

  7. Schedule regular checkups.

Small daily habits make a big difference over time.

When Should You See a Pediatric Dentist?

Schedule a visit:

Prevention-focused visits are typically simple, educational, and reassuring.

The Good News: Most Cavities Are Preventable

You don’t need to be perfect.

You don’t need to eliminate every treat.

You don’t need to win every brushing battle flawlessly.

You just need:

  • Awareness

  • Consistency

  • Support

  • Early guidance

With small, informed adjustments, you can dramatically lower your child’s cavity risk — and help them grow up with a healthy, confident smile.

And that’s something every parent can feel good about.

Ready to Protect Your Child’s Smile?

You don’t have to figure this out alone.

If you’re feeling unsure about your child’s cavity risk or simply want peace of mind a preventive visit can make all the difference. Early guidance helps catch small concerns before they become bigger ones, and it gives your child the chance to build positive, confident dental experiences from the start.

Whether it’s your baby’s first tooth or you’re navigating brushing battles with a busy preschooler, support is available.

Schedule your child’s checkup today and take the next step toward a healthy, happy smile.

Because prevention isn’t about perfection, it’s about partnership.

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