Are My Child’s Baby Teeth on Schedule?

May 31st, 2019

 

Your darling three-month old is crying and fussy—can she be teething already? Or, your happy baby boy has just celebrated his first birthday—with only one tooth in that beautiful, gummy smile. Is this normal? Probably! While baby teeth do typically erupt (come in) in the same order for all babies, and around the same time, there is still a lot of flexibility in the time it takes for a full, healthy smile to develop.

Baby teeth actually form before your baby is born, and those 20 teeth are there under the gums waiting to come out and shine. And even though there are no firm and fast dates for each of these primary teeth to erupt, it’s helpful to have a general overview of typical teething patterns so you know what to look forward to.

Incisors

These little teeth create a charming baby smile, and, if your finger has been in the wrong place at the wrong time, a very sharp one as well! That is because these tiny incisors are made to bite into foods. You might notice this when you introduce solid foods, even if the majority of your child’s “chewing” is done with her back gums. These teeth are the earliest to arrive.

  • Six to ten months old: The lower central incisors (bottom front teeth) are often the first to come in.

  • Eight to 12 months old: The upper incisors (8-12 months) are the next to show.

  • Nine to 13 months old: The upper lateral incisors on each side of the front teeth arrive.

  • Ten to 16 months old: The lower lateral incisors appear.

First Molars

Because these are larger teeth, babies often experience another bout of teething pain at this time. The large flat surface of each molar helps your child to chew and grind food, so he can handle a wider variety of foods and develop his chewing skills.

  • 13 to 19 months old: You can generally expect to see the upper first molars arrive.

  • 14 to 18 months old: The lower first molars appear.

Canines (Cuspids)

Fitting between the first molars and the incisors, the strong, pointed shape of the canine teeth allows your child to grip food and break it apart more easily.

  • 16 to 22 months old: The upper two canines make their way into the space between the incisors and the first molars.

  • 17 to 23 months old: The two lower canines appear.

Second Molars

By the age of three, most children have a full set of baby teeth.

  • 23 to 31 months old: The second pair of bottom molars start erupting—you are in the home stretch!

  • 25 to 33 months old: The upper second molars come in—completing that beautiful set of 20 teeth!

Baby teeth are extremely important, as our will tell you when you visit our office. They help your child eat and chew, develop face and jaw muscles, assist proper speech formation, and provide space for the adult teeth to come in properly. Now that your child’s smile is complete, keep providing him with the same care and attention you have been giving those little teeth since the arrival of the very first incisor.

It seems that so much of new parenthood is scheduling—when to feed her, when to put her to bed, how many hours between naps. But we soon find out that every baby is not on the same schedule, and the same is true for the arrival of their teeth. We should see your baby when that first tooth comes in, or by his or her first birthday. And if you ever have concerns at any time about your child’s teething schedule or teething delays, always feel free to give us a call.

Pediatric Dentistry Q&A

May 16th, 2019

Today, our team thought we would answer some of the most frequent questions about pediatric dentistry and oral health we hear from parents.

What constitutes a “healthy, balanced diet” for my child?

A healthy, balanced diet contains all the nutrients your child needs to grow, including one serving each of fruits and vegetables, breads and cereals, milk and dairy products, and meat, fish and eggs per day. Make sure your child limits snacking in between meals and limits how frequently they consume food or beverages that contain sugar, which is known to cause tooth decay. Besides pastries, cookies, and candy, sugars are usually found in processed foods such as crackers, cereals, and soda, as well as in condiments like ketchup.

Should my kid give up all foods that contain sugar?

Absolutely not, we simply recommend choosing and serving sugars sparingly. A food with sugar is safer for teeth if it is eaten with a meal, not as a snack. When your child chews during his or her meal, the saliva produced helps neutralize the acids that are found in sugary and starchy foods. Foods that are not easily washed away from your child’s teeth by saliva, water, or milk have more cavity-causing potential.

What causes cavities?

Many types of bacteria live in our mouths—some good, some bad. When these bacteria come into contact with sugary foods left behind on your child’s teeth after eating, acids are produced. These acids then attack the enamel, and eventually eat through the enamel and create holes in the teeth, which our team call cavities, or caries.

How can I help my child avoid cavities?

This is a great question that we hear a lot. Make sure that your child brushes his teeth twice a day with fluoride toothpaste. Flossing daily is also important, as flossing can reach spots between the teeth that brushing simply can’t. And finally, we encourage you to schedule regular appointments with us so that we can check the state of your child’s teeth and gums, as well as provide a professional cleaning to protect him or her from cavities and gum disease.

What is the best way to clean my baby’s teeth?

We recommend you clean your baby’s gums after feedings with a damp, soft washcloth. This is even before your baby’s first tooth appears. As soon as his or her first tooth does appear, you may begin using a toothbrush with soft bristles and a small head. You can most likely find a toothbrush designed for infants at your local drugstore or ask us for one during your next visit.

What should I do if my child has a toothache?

First, we recommend rinsing the irritated area with warm salt water and placing a cold compress on his or her face if it is swollen. If you have any at home, give your child acetaminophen for any pain, rather than placing aspirin on the affected teeth or gums. Finally, give us a call as soon as possible to schedule an appointment.

We hope that helps! Please give us a call if you have any questions or ask us next time you visit our office for your child’s appointment! If you have any other questions, or would like to schedule an appointment, we would love to hear from you.

 

A Parent’s Guide to Choosing the Best Toothpaste

April 25th, 2019

Tooth decay is the most common childhood disease, with more than 16 million children suffering from it each year. Oral disease also leads to just over 51 million school hours lost every school year. You can help prevent your child from getting cavities by getting them toothpaste that works for their smile. Here’s what to look for when buying toothpaste for your children.  

Look for… 

The ADA Seal of Approval

Look for the American Dental Association’s seal of approval when buying any dental or oral care products. The seal will be easily viewable on the box. The ADA’s stringent testing procedures help ensure that you’re buying a useful product that actually works.  

Fluoride 

For more than half a century, the ADA has recommended using toothpaste containing fluoride to prevent cavities. Fluoridated toothpaste does an excellent job of cleaning teeth, but make sure that your child spits all of it out and rinses their mouth thoroughly after brushing since ingesting excessive fluoride can lead to a condition called fluorosis.  

Avoid Abrasives 

Mild abrasives remove debris and residual surface stains from teeth, but they can also remove enamel. Avoid whitening toothpastes for your children that contain abrasives like: calcium carbonate, dehydrated silica gels, hydrated aluminum oxides, magnesium carbonate, and silicates.  

Enjoyable Flavors 

Your goal is to get your child to brush twice per day for two minutes each time. A lot of children find that mint or other traditionally flavored toothpastes are too “spicy” for them. You can find flavors that aren’t too harsh on their sensitive palates. Children’s toothpaste often comes in fun flavors like berry and bubblegum, and sometimes features some of their favorite cartoon characters or superheroes on the container.  

Begin a Good Cleaning Routine Early 

Just because your toddler doesn’t have teeth doesn’t mean you shouldn’t clean their mouth! You can clean toddler’s gums with a clean, damp cloth by gently running away residual food. By doing this, you are actually improving the health of the baby teeth that will soon erupt, and familiarizing them with oral care early in their life. 

Does Your Child Brush Twice per Day? 

To prevent cavities and tooth decay, your child should be brushing twice per day for two minutes at a time, and floss once per day. If they are complaining of sensitive or painful teeth, then visit our office for further evaluation. Our team will check their mouth for signs of tooth and provide them with a treatment plan that will get them a healthy smile that lasts a lifetime.

Which Sports Guard is Right for My Child?

April 11th, 2019

Dental injuries account for nearly 20% of all sports related injuries. Did you know that your child is 60 times more likely to sustain damage to their teeth when they aren’t wearing a mouth guard? Here’s what you need to know about mouth guards, and how to select the one that is best for your child.

How Do Mouth Guards Work?

Mouth guards – sometimes called mouth protectors – work by helping cushion a blow to the face, and minimizing the risk of broken teeth, or lacerating a lip, tongue or cheek. Did you know that the CDC estimates that more than 3 million teeth are knocked out at youth sporting events? Mouth guards work to prevent tooth loss and other facial injuries.

What Kind of Mouth Guards Work Best?

There are a variety of mouth guards available today, and some are more effective than others.

Stock Mouth Guards

The most inexpensive, and least effective mouth guards are stock mouth guards. Stock mouth guards can be very bulky and ill-fitting, and they can make breathing very difficult. You can find them at most major sporting goods stores for very reasonable prices. We advise getting these if your child is in a sport with less contact, but for contact intensive sports like football or hockey, a better fitting model will protect their teeth much more effectively.

Boil and Bite Sports Guards

The middle-of-the-road option in both price and quality is the boil and bite mouth guard. Boil and bite guards are made of rubber composites that become malleable when heated. When you buy one of these, they are packaged as “U” shaped pieces of rubber without indentation. After you boil it (read the manufacturer’s instructions before boiling) you child firmly bites into the guard so that it molds to fit her teeth. Boil and bite guards can be found at many major sporting goods stores, and they provide sufficient enough protection for high contact sports.

Custom Made Mouth Guards

The best fitting and most effective mouth guards are custom-made mouth guards, which can be made for your child by a dentist that offers the service. Custom mouth guards are available in multiple materials and affords them a mouth protector that is completely personalized to fit their teeth. Custom mouth guards fit the best and provide the most advanced protection.  

Which Sports Require Mouth Guards?

The American Dental Association recommends wearing custom mouth guards for these popular sports: basketball, boxing, field hockey, football, ice hockey, lacrosse, martial arts, racquetball, roller hockey, rugby, skateboarding, skiing, soccer, volleyball, water polo and wrestling, among others. This is just a recommendation by the ADA. If you’re unsure about whether or not your child is required to wear a mouth guard, consult the rules of the sport.

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