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Milk Matters for Your Child's Healthy Mouth
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Dear Parent,
You’ve probably heard a lot about the
importance of calcium for children’s growing bones. But calcium is also important for
your child’s healthy mouth. Calcium helps keep the teeth, gums, and jawbones healthy.
Milk and other dairy foods are excellent sources of calcium. We hope this booklet will
help you learn more about calcium and about how to include milk and other calcium-rich
foods in your child’s diet.

Lawrence Tabak, D.D.S., Ph.D.
Director, National Institute of Dental and Craniofacial Research
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Duane Alexander, M.D.
Director, National Institute of Child Health and Human Development
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U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES
Public Health Service
National Institutes of Health
National Institute of Dental and Craniofacial Research
National Institute of Child Health and Human Development
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That’s because milk and other dairy foods
(foods made with milk) are very good sources of calcium.

- Calcium is a mineral that helps make teeth strong and healthy. Even
before baby teeth and adult teeth come in, they need calcium. And after teeth come in,
they continue to take in calcium so they can develop fully.
- Calcium makes gums healthy. Getting enough calcium as a young adult may
help prevent gum disease later in life.
- Calcium makes jawbones strong and healthy too. Jawbones need to be
strong — they hold the teeth in place!

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Bones grow most during the childhood and teenage years.
By eating and drinking foods with calcium, children and teens can build up
calcium-rich bones for now and for when they are adults. This calcium helps keep bones
strong and may prevent them from getting fragile and breaking later in life.

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HOW MUCH CALCIUM DOES MY CHILD NEED?*
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Age
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Calcium needed each day
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1-3 years |
500 milligrams (mg) |
4-8 years |
800 milligrams |
| 9-18 years |
1,300 milligrams |
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*According to the Dietary Reference Intakes for Calcium, National Academy of Sciences, 1997
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Where can kids get calcium?

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Milk and other dairy foods, like cheese and yogurt, are very good sources of calcium. One 8-ounce
glass of milk has about 300 milligrams of calcium. Just a few glasses can go a long way
toward giving kids the calcium they need each day. Milk also has other vitamins and
minerals that are good for teeth and bones. The vitamin D in milk helps the body absorb
calcium.
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Can everyone drink milk?
Some people get an upset stomach if they drink milk or eat dairy products. This
may be (but is not always) a sign of lactose intolerance. Lactose is the sugar found in
milk and dairy foods. When lactose is not digested it may cause an upset stomach,
bloating, diarrhea, and gas. Lactose intolerance is not common in young children. It is
much less of a problem if milk or dairy foods are taken with meals. Talk to your
pediatrician if you think your child might have trouble digesting milk and dairy foods.
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What kind of milk is best?*

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Babies under one year old should have breast milk or formula with iron added.
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Children ages one to two should drink whole milk.
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Food Nutrition Labels

Food labels can tell you how much calcium is in one serving of a food. Look at the %
Daily Value next to the calcium number on the food label.
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Try to eat and drink foods with 20% or more Daily Value
of calcium (like milk). These foods are good sources of calcium.
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A food with 5% Daily Value or less has just a little calcium.
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For most adults, 100% Daily Value = 1,000 milligrams of
calcium — but children ages 9-18 need extra calcium, or
130% of the Daily Value. This age group needs 1,300 milligrams, an additional 300
milligrams of calcium each day. That means one extra 8-ounce glass of milk or extra
servings of another calcium-rich food.
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Some healthy foods and their calcium content*

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Food
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Serving Size
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Amount of calcium (in milligrams)
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% Daily Value of
calcium on food label
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| Plain yogurt, fat-free |
1 cup |
450 |
45% |
| American cheese |
2 ounces |
350 |
35% |
| Ricotta cheese |
½ cup |
337 |
30% |
| Yogurt with fruit |
1 cup |
315 |
30% |
| Cheddar cheese |
1½ ounces |
306 |
30% |
Milk (fat-free,
low-fat, or whole) |
1 cup |
300 |
30% |
Orange juice
with added calcium |
1 cup |
300 |
30% |
Soy milk
with calcium added |
1 cup |
250-300 |
25-30% |
| Cheese pizza |
1 slice |
220 |
20% |
| Macaroni and cheese |
½ cup |
180 |
18% |
Collards
frozen, boiled |
½ cup,
chopped |
179 |
17% |
| Chocolate pudding |
½ cup |
153 |
15% |
| Frozen yogurt |
½ cup |
118 |
10% |
| Tortilla, corn |
3 tortillas |
132 |
10% |
| Broccoli, cooked |
1 cup |
90 |
9% |
* Calcium content varies depending on ingredients for many foods. Check the food
labels when you select items to see exactly how much calcium they have.
% Daily Values have been rounded.
Sources for Calcium Food Table: American Dietetic Association's Complete Food and Nutrition
Guide, 1996; Bowes and Church's Food Values of Portions Commonly Used, 1998
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How can I help my children get enough calcium for healthy teeth and bones?


- Serve calcium-rich foods with meals and snacks (see ideas on next page).
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Make sure you drink milk and eat dairy
foods. Children learn by watching their parents.
How else can I help my child have a healthy mouth?

Besides teaching your children to drink milk and eat other calcium-rich foods, you can:
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Teach your children to brush with fluoride toothpaste. Fluoride
is another mineral that makes teeth healthy. It protects teeth from decay and helps heal
early decay. (Young children should use only a tiny drop of fluoride toothpaste.)
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Ask your own dentist or physician if there is fluoride in
the drinking water of your town or city. If there is not fluoride in your water, talk to
your dentist or physician about fluoride tablets or drops for your child.
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CALCIUM FOR A HEALTHY MOUTH!
Meal and Snack Ideas
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Pour low-fat or fat-free milk over your breakfast cereal
Have a cup of low-fat or fat-free yogurt
Drink a glass of calcium-fortified orange juice
Add low-fat or fat-free milk instead of water to oatmeal and hot cereal

Add low-fat or fat-free milk instead of water to tomato soup
Add cheese to a sandwich
Have a glass of low-fat, fat-free, or soy milk with calcium added, instead of soda
Make mini-pizzas or macaroni and cheese

Try flavored milk like chocolate or strawberry
Have a frozen yogurt
Try some pudding made with low-fat or fat-free milk
Make a "smoothie" with fruit, ice and low-fat or fat-free milk
Dip fruits and vegetables into low-fat or fat-free yogurt.

Make a salad with dark green, leafy vegetables
Serve broccoli with dinner
Top salads, soups, and stews with low-fat shredded cheese
Have a glass of low-fat, fat-free, or soy milk with calcium added
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Sources include: American Dietetic Association's Complete Food and Nutrition Guide, 1996
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Milk Matters/NICHD Information Resource Center (IRC)
P.O. Box 3006
Rockville, MD 20847
Phone: 1-800-370-2943
Fax: 301-496-7101
E-mail:
NICHDInformationResourceCenter@mail.nih.gov
Web address:
www.nichd.nih.gov/milkmatters
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National Institute
of Dental and
Craniofacial Research
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National Institute
of Child Health and
Human Development
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U.S. DEPARTMENT OF HEALTH AND HUMAN
SERVICES
Public Health Service
National Institutes of Health
NIH Publication No. 01-4523
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Oral Health & Wellness Content provided by NIH
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