Baby teething symptoms – NHS

When it comes to teething, all babies are different. But your baby will probably get their first tooth some time during their first year.

Find out how to spot when your baby is teething and what order your baby’s teeth are likely to appear in.

When do babies start teething?

Some babies are born with their first teeth. Others start teething before they are 4 months old, and some after 12 months. But most babies start teething at around 6 months.

Teething symptoms

Baby teeth sometimes emerge with no pain or discomfort at all.

At other times, you may notice:

• their gum is sore and red where the tooth is coming through
• they have a mild temperature of 38C
• they have 1 flushed cheek
• they have a rash on their face
• they’re rubbing their ear
• they’re dribbling more than usual
• they’re gnawing and chewing on things a lot
• they’re more fretful than usual
• they’re not sleeping very well

Read tips on how to help your teething baby.

Some people think that teething causes other symptoms, such as diarrhoea, but there’s no evidence to support this.

You know your baby best. Get medical advice if they have any symptoms that are causing you concern. You can call NHS 111 or contact a GP.

Read more about spotting the signs of serious illness in babies and toddlers.

What order do baby teeth appear in?

Here’s a rough guide to how babies’ teeth usually emerge:

• bottom incisors (bottom front teeth) – these are usually the first to come through, usually at around 5 to 7 months
• top incisors (top front teeth) – these tend to come through at about 6 to 8 months
• top lateral incisors (either side of the top front teeth) – these come through at around 9 to 11 months
• bottom lateral incisors (either side of the bottom front teeth) – these come through at around 10 to 12 months
• first molars (back teeth) – these come through at around 12 to 16 months
• canines (towards the back of the mouth) – these come through at around 16 to 20 months
• second molars – these come through at around 20 to 30 months

Most children will have all of their milk teeth by the time they are 2 1/2 years old.

Community content from HealthUnlocked

Page last reviewed: 1 February 2019

Next review due: 1 February 2022

Fluoride for Children: FAQs – HealthyChildren.org

​Fluoride from drinking
water and other sources like toothpaste and mouth rinse can help prevent
tooth decay (dental caries for cavities) and make your child’s teeth stronger.

Here are some common questions parents ask about how fluoride helps protect children’s oral health.

Q: Why do children need fluoride?​

A: Fluoride is a natural mineral that can slow or stop cavities from forming. Bacteria in the mouth combine with sugars and make acid that can harm the outer layer of the tooth (enamel). Fluoride protects teeth from damage and helps rebuild the enamel. Many communities have added fluoride to the tap water to help fight cavities. Children should drink plenty of water and brush with toothpaste that has fluoride in it.

Q: Is fluoridated water safe for my children?

A: Yes. The American Academy of Pediatrics (AAP), the American Dental Association, and the Centers for Disease Control and Prevention agree that
water fluoridation is safe and works to
prevent tooth decay. Community water fluoridation has been shown to reduce tooth decay by 25%.

Q: When should my child start using fluoride toothpaste?

A: The AAP recommends using a “smear” of fluoride toothpaste twice a day when the first tooth appears and until age 3. Once your child has turned 3, a pea-sized amount of fluoride toothpaste can be used.

Q: What if we live in a community where the water is not fluoridated? What can we do?

A: Check with your local water utility agency to
find out if your water has fluoride in it. If it doesn’t or you have well water, ask your pediatrician or dentist if your child is at high risk for cavities. The doctor may recommend you buy fluoridated water or give you a prescription for fluoride drops or tablets for your child.

Q: Should my child get fluoride varnish?

A: Yes.
Fluoride varnish is used to help prevent or slow down tooth decay. Your pediatrician will apply the varnish starting when your baby is 6 months old at
well-child visits. It is painted on the top and sides of each tooth and hardens quickly. Then, it is brushed off after 4 to 12 hours. It is recommended that children have varnish applied 2 to 4 times per year until they are 5 years old.

Q: What should I know about fluoride if I am breastfeeding or using infant formula?

A: When they are younger than 6 months old,
breastfed babies and babies fed infant formula do not need fluoride supplements or formula mixed with water than is fluoridated. It is safe to use fluoridated water to
mix the formula if your baby is younger than 6 months old, but there is a small risk of “fluorosis.” (See more details, below.) Ask your pediatrician or
dentist if you need more advice.

If you prefer not to use fluoridated water with formula before your baby’s first tooth emerges, you can:

Q: What is dental fluorosis, and will fluoridated water mixed with infant formula increase the risk?

A: Fluorosis usually appears as very faint white streaks on the teeth. Often it is only noticeable by a dental expert during an exam. Mild fluorosis is not painful and does not affect the function or health of the teeth.

Although using fluoridated water to prepare infant formula might increase the risk of dental fluorosis, most cases are mild.

Once your child’s adult teeth come in (usually around age 8), the risk of developing fluorosis is over.

More Information

The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.

Teething Tots (for Parents) – Nemours Kidshealth

What Is Teething?

Teething is when teeth first come through a baby’s gums. It can be a frustrating time for babies and their parents. Knowing what to expect during teething and how to make it a little less painful can help.

When Does Teething Start?

While teething can begin as early as 3 months, most likely you’ll see the first tooth start pushing through your baby’s gum line when your little one is between 4 and 7 months old.

The first teeth to appear usually are the two bottom front teeth, also known as the central incisors. They’re usually followed 4 to 8 weeks later by the four front upper teeth (central and lateral incisors). About a month later, the lower lateral incisors (the two teeth flanking the bottom front teeth) will appear.

Next to break through are the first molars (the back teeth used for grinding food), then finally the eyeteeth (the pointy teeth in the upper jaw). Most kids have all 20 of their primary teeth by their third birthday. (If your child’s teeth come in much slower than this, speak to your doctor.)

In some rare cases, kids are born with one or two teeth or have a tooth emerge within the first few weeks of life. Unless the teeth interfere with feeding or are loose enough to pose a choking risk, this is usually not a cause for concern.

What Are the Signs of Teething?

As kids begin teething, they might drool more and want to chew on things. For some babies, teething is painless. Others may have brief periods of irritability, while some may seem cranky for weeks, with crying spells and disrupted sleeping and eating patterns. Teething can be uncomfortable, but if your baby seems very fussy, talk to your doctor.

Although tender and swollen gums could cause your baby’s temperature to be a little higher than normal, teething doesn’t usually cause high fever or diarrhea. If your baby does develop a fever during the teething phase, something else is probably causing the fever and you should contact your doctor.

How Can I Make Teething Easier?

Here are some tips to keep in mind when your baby is teething:

• Gently wipe your baby’s face often with a cloth to remove the drool and prevent rashes from developing.
• Rub your baby’s gums with a clean finger.
• Give your baby something to chew on. Make sure it’s big enough that it can’t be swallowed or choked on and that it can’t break into small pieces. A wet washcloth placed in the freezer for 30 minutes makes a handy teething aid. Be sure to take it out of the freezer before it becomes rock hard — you don’t want to bruise those already swollen gums — and be sure to wash it after each use.

  Rubber teething rings are also good, but avoid ones with liquid inside because they may break or leak. If you use a teething ring, chill it in the refrigerator, but NOT the freezer. Also, never boil to sterilize it — extreme changes in temperature could cause the plastic to get damaged and leak chemicals.

• Teething biscuits and frozen or cold food are only OK for kids who already eat solid foods. Don’t use them if your child has not yet started solids. And make sure to watch your baby to make sure that no pieces break off or pose a choking hazard.
• If your baby seems irritable, ask your doctor if it is OK to give a dose of acetaminophen or ibuprofen (for babies older than 6 months) to ease discomfort.
• Never place an aspirin against the tooth, and don’t rub alcohol on your baby’s gums.
• Never tie a teething ring around a baby’s neck or any other body part — it could get caught on something and strangle the baby.
• Don’t use teething necklaces made of amber. These can lead to strangulation or choking if pieces break off.
• Don’t use teething gels and tablets because they may not be safe for babies.

How Should I Care for My Baby’s Teeth?

The care and cleaning of your baby’s teeth is important for long-term dental health. Even though the first set of teeth will fall out, tooth decay makes them fall out more quickly, leaving gaps before the permanent teeth are ready to come in. The remaining primary teeth may then crowd together to attempt to fill in the gaps, which may cause the permanent teeth to come in crooked and out of place.

Daily dental care should begin even before your baby’s first tooth comes in. Wipe your baby’s gums daily with a clean, damp washcloth or gauze, or brush them gently with a soft, infant-sized toothbrush and water (no toothpaste!).

As soon as the first tooth appears, brush it with water and fluoridated toothpaste, using only a tiny amount.

It’s OK to use a little more toothpaste once a child is old enough to spit it out — usually around age 3. Choose one with fluoride and use only a pea-sized amount or less in younger kids. Don’t let your child swallow the toothpaste or eat it out of the tube because an overdose of fluoride can be harmful to kids.

By the time all your baby’s teeth are in, try to brush them at least twice a day and especially after meals. It’s also important to get kids used to flossing early on. A good time to start flossing is when two teeth start to touch. Talk to your dentist for advice on flossing those tiny teeth. You also can get toddlers interested in the routine by letting them watch and imitate you as you brush and floss.

Another important tip for preventing tooth decay: Don’t let your baby fall asleep with a bottle. The milk or juice can pool in a baby’s mouth and cause tooth decay and plaque.

The American Dental Association (ADA) recommends that kids see a dentist by age 1, or within 6 months after the first tooth appears, to spot any potential problems and advise parents about preventive care.

Teething: Your baby’s first teeth

When do babies start teething?

Most babies get their first tooth when they’re between 6 and 10 months old.

If your baby develops teeth early, she may get her first tooth as soon as 3 months. (Very rarely, a baby’s first tooth is already visible at birth.) In other cases, you may have to wait until she’s a year or older. Whenever your baby’s first tooth makes its appearance, celebrate the milestone by taking pictures and noting the date in your child’s baby book.

Teeth actually start developing while your baby is in the womb and tooth buds form in the gums. Teeth come in over a period of months, and they often appear in this order: the bottom two middle teeth first, then the top two middle ones, then those along the sides and back.

Teeth can erupt one at a time, or several can come through at once. They may not all come in straight, but don’t worry – they usually straighten out over time.

The last teeth to appear (the second molars, at the very back of the mouth on the top and bottom) usually come in around your baby’s second birthday or in the months shortly after. By age 3, your child may have a full set of 20 baby teeth, and they shouldn’t start to fall out until her permanent teeth are ready to come in, usually around age 6.

What are the signs a baby is teething?

Some babies get through teething with no signs at all, but many parents report that their babies do feel some discomfort. Common signs of teething include:

• Irritability or fussiness
• Drooling (which can cause a facial rash)
• Swollen, sensitive gums
• Gnawing or biting
• Refusing to eat
• Trouble sleeping
• Rubbing face and ears

Is it true that teething can cause a fever, diarrhea, or a runny nose?

Some parents say their baby also gets a fever, diarrhea, or a runny nose just before a new tooth arrives, but there’s no scientific proof that teething causes these symptoms. The American Academy of Pediatrics (AAP) says that although a baby’s body temperature may rise very slightly when teething, a true fever (temperature above 100. 4 degrees F) and diarrhea aren’t normal symptoms.

If your child has a fever along with other symptoms such as lack of appetite, vomiting, lethargy, or diarrhea, call her doctor to rule out anything more serious.

How can I help my teething baby feel better?

• Give your child something to chew on, like a firm rubber teething ring or a cold washcloth that you’ve chilled in the refrigerator (not freezer). The AAP and the U.S. Food and Drug Administration (FDA) caution against using teething necklaces because they’re choking and strangulation hazards.
• You can also rub your clean finger gently but firmly over your baby’s sore gums to ease the pain temporarily.
• Offer cold foods if your baby is old enough for solids. For example, he may get some relief from eating yogurt or chilled applesauce.
• Give your baby a frozen bagel or a hard, unsweetened teething biscuit to gnaw on if he’s old enough to eat finger foods. Just keep an eye on him and be mindful of choking.

Is it safe to give my baby pain medication?

If your baby is at least 6 months old and nothing else is helping, your child’s doctor may suggest an infants’ pain reliever. See our dosage charts for acetaminophen and ibuprofen, but be sure to double check the correct dose with your baby’s doctor before giving any pain reliever to a child younger than 2.

Are any pain relievers unsafe to give my baby for teething pain?

The following over-the-counter pain relievers and teething products are considered unsafe to give to your baby or toddler:

• Aspirin: Don’t give your baby aspirin (or even rub it on her gums) to ease teething pain because it can lead to Reye’s syndrome, a rare but potentially life-threatening condition.
• Homeopathic teething tablets and gels: The FDA advises parents not to use these products because of reported seizures, breathing problems, and other side effects in infants and children. Researchers at the FDA are investigating these claims, and some manufacturers have stopped distributing them in the United States, but they’re still available in some stores and online.
• Benzocaine: Don’t use topical gels or medications containing benzocaine. The FDA warns that using teething products can lead to methemoglobinemia, a rare and life-threatening condition in which the amount of oxygen in the blood drops dangerously low.

Learn more:

Your guide to teething month by month

Here we look at the different stages of teething, from when to expect the first symptoms, to when they might be sporting a full set of pearly whites.

This is one area of your baby’s life that you’re allowed to wish away and hurry to get past: teething. After all, who likes seeing their baby in pain? And teething does cause little ones a lot of discomfort (Eisenstadt et al, 2017).

“The first thing to say is teething is a completely normal and, unfortunately, a necessary stage in your baby’s development.”

It usually starts to happen when they’re six to nine months old. Your baby will likely be more unsettled than usual, with excess drool and wanting to chew everything in sight (Harding, 2016). See our article on the signs of teething.

Teething: when does it happen?

Your baby’s milk teeth first teeth start to develop when they’re in the womb (Community Practitioner, 2011). We know, mind-blowing. But the teeth usually pop through the gums during your baby’s first year (Community Practitioner, 2011; American Dental Association, 2018).

That said, some babies are born with their first teeth and others don’t see any come through until after 12 months. As with all things baby, there are no hard and fast rules. By the time your baby’s two and a half to three years old though, they will more than likely have a full set of teeth (Family Lives, 2018).

How many teeth should my baby have and when?

A rough rule of thumb is that the age of your baby in months minus six gives the average number of teeth, up to the age of 2 years (Ashley, 2001). For example a baby hitting their first birthday will have around 12 (months) minus six – so six teeth.

So what exactly is going on in there?

The gums swell and are tender to touch just before a tooth breaks through (Ashley, 2001) and so anything in their mouths could cause additional pain.

You might see their gum start to split slightly to make way for the emerging tooth (Harding, 2016; NHS, 2016). This is actually the cells in the gum over a tooth dying off, creating a path for the tooth to emerge through (Community Practitioner, 2011).

And with the molars (and occasionally the incisors) you can see a blistering on the gum or a smooth bluish swelling ahead of the tooth emerging (Ashley, 2001).

Mind the gap

When the teeth grow, special chemicals are released by the body. This causes part of the gums to separate and allow teeth to grow through. How clever is that? (Harding, 2016; NHS, 2016).

What’s the order that baby teeth appear in?

Here’s a quick, handy chart that tells you roughly when to expect each tooth, though do remember that every child is different (NHS, 2016; NHS Devon, 2018). Generally, you’ll find their teeth erupt in pairs, usually starting with their two bottom teeth – first incisors (Lyttle et al, 2015).

Don’t be alarmed, teething isn’t constant from five to 33 months. In fact, each tooth or pair of teeth should only cause your little one pain for just over a week. In other words, for five days ahead of an appearance – ‘eruption day’ – and three days afterwards (Macknin et al, 2000).

So what can I do to help them through these bouts of teething?

Teething may make them super-grumpy, which is tough on you too. Thankfully, there are some things that can ease their discomfort, such as teething toys, certain foods and even cuddles. You can read more about teething in our range of articles.

“And rest assured that like with every stage, this one will pass. Soon you’ll be on to the daily teeth cleaning battles…”

See our guide to brushing your baby’s teeth here.

Further information

Our support line offers practical and emotional support with feeding your baby and general enquiries for parents, members and volunteers: 0300 330 0700.

You might find attending one of NCT’s Early Days groups helpful as they give you the opportunity to explore different approaches to important parenting issues with a qualified group leader and other new parents in your area.

Make friends with other parents-to-be and new parents in your local area for support and friendship by seeing what NCT activities are happening nearby.

NHS has produced a guide to looking after your baby’s teeth.

NCT has partnered with the British Red Cross to offer courses in baby first aid.

What Causes a Delay in Teething?

When babies are born, they already have most of their teeth under their gums. The first tooth usually begins to erupt by the age of six months, although the exact age can vary from one baby to another. The first two teeth to come in are usually in the bottom middle, followed by the four in the upper middle. Most children have a complete set of 20 baby teeth by the time they turn 3.

Some children do not get their teeth at the same time as their peers. This can be caused by several factors. If a child does not have any teeth by the age of 18 months, he or she should be taken to a pediatric dentist for an evaluation.

Possible Causes of Delayed Tooth Eruption

In some cases, delayed tooth eruption is a trait that runs in the family and can be inherited from either parent. If you or your baby’s other parent got your first tooth later than average, there is a good chance that your baby will too. If you got your teeth late but there were no other associated medical or developmental issues, you probably don’t need to be concerned about your baby. He or she will most likely catch up with no problems.

In other cases, a delay in teething can be a symptom of other health problems. Babies who were born premature or had a low birth weight can get their teeth late and may also have enamel defects. Some genetic conditions, such as amelogenesis imperfecta and regional odontodysplasia, can cause teeth to erupt late and be poorly formed. Delayed tooth eruption can also be a symptom of malnutrition and a deficiency in vitamins or minerals, especially calcium and vitamin D. It could also be associated with Down’s syndrome or a hypoactive thyroid. Hypothyroidism can cause other symptoms, such as weakness, fatigue, headaches, and joint stiffness. The baby may experience delays in walking and talking and may be overweight.

Should You Be Concerned If Your Baby Starts Teething Late?

If your baby gets his or her teeth later than average but has no other medical concerns, you do not need to worry. He or she may need orthodontic work later, however. Baby teeth serve as a guide for permanent teeth. They also help babies chew and get the nutrition they need. Be sure to feed your baby soft foods with all the nutrients he or she needs to be healthy until it is possible to get proper nutrition from solid foods.

In many cases, a delay in teething is not something to be alarmed about, but you should take your child to a dentist if no teeth have emerged by the age of 18 months. The dentist can look for a possible medical cause and discuss your family history. If you are concerned about your baby’s teething schedule or have questions, make an appointment with CT Pediatric Dentistry today.

West Hartford: 860-523-4213
North Windham: 860-456-0506
Unionville: 860-673-3900

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Pediatric Service Articles

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Teething in Babies – Pediatric Dentist in Frisco, TX

Teething in babies is a process that can start as early as 3 months or as late as 14 months with signs and symptoms that can begin 2-3 months before the appearance of the first tooth. The average age for that first tooth is about 6 months, but parents should not worry if their baby experiences teething differently than a previous child or a friend’s baby. Teething in babies depends on different factors, including heredity (when mom or dad began teething) and if your child was born early (preemies typically teeth late).

Teething in Babies: Symptoms, Signs and Eruption Timeline

No matter when teething begins, the teeth typically erupt in pairs and often in a particular order, although if they do appear out of sequence, there is generally no cause for concern.

A general timeline for tooth eruption is:

• 6-10 months: Lower central incisors (2 bottom front teeth)
• 8-12 months: Upper central incisors (2 top front teeth)
• 9-13 months: Upper lateral incisors (on either side of the upper central incisors)
• 10-16 months: Lower lateral incisors (on either side of the lower central incisors)
• 13-19 months: First molars
• 16-23 months: Upper and lower canine teeth (next to the lateral incisors)
• 2 years: Second molars (behind the first molars)

Symptoms of Teething in Babies

The teething process is different for each individual baby, but most babies exhibit at least some of these common teething symptoms:

• Excessive drooling: Babies tend to produce extra saliva when teething, so be sure to have bibs handy.
• Facial rash: Excessive drooling can cause chafing and redness around the mouth and chin. Gently pat the area dry with a bib or soft cloth or use Vaseline or Aquaphor to protect the skin.
• Biting: Babies bite on just about anything to relieve the pressure created by newly erupting teeth. Counterpressure created by gnawing on something alleviates this discomfort.
• Pulling or rubbing the ears: Teething pain in the jaw often transfers to the ear canal due to the shared nerve pathways.
• Irritability, general fussiness, or crying: Just like adults, babies get fussy when they are uncomfortable. The gums often become inflamed as the tooth passes through, especially when the larger molars are coming in. Many babies seem to become accustomed to teething discomfort over time, while some tend to be acutely aware of teething pain throughout the entire process.
• Nighttime wakefulness: Tooth eruption does not stop at the end of the day and, for some children, even seems to be more prominent during nighttime hours. Teething is often the cause of lost sleep for both the child and the parents. Try letting your child settle down on his/her own, or if necessary, soothe your child back to sleep rather than create a habit of nighttime feedings that will be hard to break after teething is complete.
• Change in eating habits: Some babies refuse to eat because the sucking motion from nursing/bottles or the spoon on their gums creates more discomfort. Others may want to eat more because the bottle or spoon creates counterpressure and gives relief. Be patient and try multiple methods of feeding if necessary.
• Increased coughing or gag reflex: The excessive amount of drooling during teething can cause gagging or coughing. As long as your baby is not showing other signs of sickness, you need not be concerned.
• Swollen, red, or puffy gums: Your baby’s gums may appear red and swollen just prior to a tooth erupting. In some instances, especially involving molars, a bluish cyst may present that breaks when the molar pushes through. Some bleeding may occur but is not harmful to your baby.
• Low-grade fever: Doctors are still divided on whether babies can experience fever due to teething, however, if your child does run a low-grade fever while teething, keep a watchful eye out for other symptoms. A fever over 101° or for longer than 3 days is best evaluated by your pediatrician.

Teething Remedies for Babies

If you have a teething baby, you have probably received solicited and unsolicited advice on how to alleviate teething discomfort. Some methods are tried-and-true, while others can actually be harmful to a baby. If you are unsure about using a particular method for teething relief, ask your doctor.

Safe teething remedies for babies include:

• Counterpressure/massage: Teething toys or even your finger can create friction, soothe teething pain, and help break down gum tissue. Be sure not to give your baby anything too hard that could damage incoming teeth.
• Chilled (not frozen) washcloth: The cold temperature helps numb the gums and the thick fabric creates counterpressure which feels good.
• Cold food or drinks: Chilled applesauce, yogurt, or even cold water in a bottle can relieve aching gums. Be sure to supervise your child while eating and do not give large chunks of cold food that can create a choking hazard. Your doctor can advise you on age-appropriate foods that you can use.
• Distraction: Teething is generally a dull, aching pain, and distracting your baby with a special toy or activity can often take his/her mind off of being uncomfortable.
• Extra comfort: Sometimes the hugs and snuggles from mom or dad are just what the doctor ordered. Extra one-on-one time can sometimes be the best remedy for a fussy teething baby.
• Over-the-counter pain relievers: If other methods are unsuccessful, over-the-counter pain medicines usually provide temporary relief for teething. Be sure to consult your doctor if you are unsure of the recommended dose.

Remember, every baby is different, so you may have to try a few methods before you find one that works best for relieving your child’s teething symptoms.

What to Avoid When Your Child is Teething

Some teething remedies found on the internet and other sources, while effective at alleviating teething pain, can actually be dangerous.

DO NOT:

• Rub any type of alcohol on your child’s gums: Rubbing alcohol or tiny amounts of liquors, such as brandy, can be poisonous to babies.
• Give your child extremely hard food (such as toasted bagels or zwieback crackers) or frozen foods (such as bananas or carrots): These can soften and become choking hazards.
• Use amber teething necklaces: Placing anything around a baby’s neck is dangerous and the beads can be a choking hazard if they are pulled off.

Caring for Your Baby’s New Teeth

As your baby’s teeth begin to emerge, it is important to start good oral hygiene right away. It is a good idea to schedule an appointment with your pediatric dentist at the first sign of tooth eruption or by age 1, according to the American Academy of Pediatrics (AAP).

Other tips for taking care of your baby’s new teeth include:

• Use tap water (most contain fluoride) to brush your child’s teeth: Your dentist will advise you on using fluoride toothpaste.
• Do not let your child go to bed with a bottle or sippy cup containing milk, juice, or other sugar-containing drinks: This practice is a main cause of early childhood caries (baby bottle tooth decay).
• Gently brush teeth twice a day with a baby tooth brush
• Give your baby water (once he/she is able to have it) after meals to help wash away residual food

Remember that your baby’s primary teeth, while not permanent, are important to keep healthy. They serve a vital role in your child’s long term dental health. Learn about permanent tooth eruption in children.

At Discovery Kids Pediatric Dentistry, our top priority is helping your child achieve and maintain a cavity-free, healthy smile for life.

If your child’s teeth are emerging and you would like to schedule your baby’s first dental check-up, please contact Dr. Zarmin Lalani and her team at Discovery Kids Pediatric Dentistry Frisco, Texas, by completing an online appointment request or phone 469-365-5437.

90,000 Teething in children: symptoms and complications

Teething in children often raises a lot of questions from parents. As a rule, during teething, babies experience discomfort, which significantly affects the child’s nervous system and makes parents pretty worried. In this article, we will look at the order, symptoms and complications of teething.

Teething in children

In what order do children erupt? As a rule, this is the following order of growth of milk teeth:

1. First two lower central incisors – 6-8 months
2. First two upper central incisors – about 8 months
3. First two upper lateral incisors – 8-12 months
4. First two lower lateral incisors – 10-12 months
5. First four chewing teeth – 14-20 months
6. First four canines – 18-24 months
7. Second four chewing teeth – 2-3 years

Symptoms of teething

What are the symptoms of teething in a one-year-old child? What are the symptoms of teething in children? Typically teething symptoms in children under one year of age include:

• Profuse salivation. It can cause coughing and hoarseness, as well as a rash around the mouth and chin
• Swelling, redness and soreness of the gums
• Itchy gums. Toddlers often try to relieve it by chewing almost anything they can get their hands on
• Decreased or completely absent appetite, as well as refusal to eat
• Temperature rise
• Sleep disorders
• Increased excitability
• Changing chair
• Runny nose

It is important to understand that when teething in children, the symptoms can be different and it is not at all necessary for the child to have everything from the list.Teething symptoms in children after one year are very often similar to those that are present before one year old. Even with teething of molars in children, the symptoms may be similar, but everything, of course, is purely individual.

Complications of teething

It is important to monitor the symptoms of the first teeth eruption in a child in order to predict complications. Complications may include:

• Early teething. The norm is 6 months, but it may be such that the child’s teeth begin to erupt at 2 months
• Teething too late.It is possible that even at 8 months, the child has not yet erupted teeth. The consequence of this situation can be edentulous – this is a complete or partial absence of teeth in the oral cavity
• Wrong line of teething
• Abnormal tooth formation or tooth anomalies
• Anomalies of tooth growth
• Enamel hypoplasia. Represents a lesion of the enamel of the teeth that occurs in children under 10 months of age
• Aphthous ulcers or aphthous stomatitis.It is the process of the appearance in the oral cavity of small purulent ulcers
• Hematoma of the gums. May occur if a blood vessel is damaged

In the INTAN implantation and dentistry centers you can provide a wide range of pediatric dentistry services. All services are provided only by highly qualified dentists with a special approach to children and knowledge of how to carry out the treatment so that the little patient likes it.

Teething in children: a guide for parents

The appearance of the first tooth is another important event in the life of a little man and his parents.The child’s body grows up, gets stronger, soon the baby will begin to try his first complementary foods. What are the norms and symptoms of teething? , what parents need to know so that the process goes smoothly and without stress – this is a new article from Porzelian.

Milk bite

The formation of tooth rudiments in a child begins long before birth, even in the womb.

Normally, the appearance of the first teeth begins at 6-8 months of a baby’s life and ends by 3 years.

Earlier or later eruption is not uncommon today. Each organism is unique, therefore, a shift in the timing of eruption up to 2 months is not a deviation from the norm.

The importance of milk teeth can hardly be overestimated. They are important for the process of chewing, digestion, speech development, and also serve as the basis for the formation of the jaws. Keeping them healthy until they are replaced with permanent teeth is a priority.

The sequence of teething in a child in a special order is laid down by nature itself, and is based on their practical importance for the child.
The sequence of the appearance of milk teeth is as follows:

1. Central incisors
2. Lateral incisors
3. First molars
4. Canine teeth
5. Second molars

Timing of teething

…

The bottom teeth almost always appear first. Less commonly, the first teeth may start growing from the upper jaw, which is also not a violation.

Tip: create a calendar or dental chart, where you note the appearance of each new tooth. With its help, it will be much easier for you and the doctor (pediatrician or dentist) to control the rates of teeth appearance.

Signs of teething

• Redness and swelling of the gums, itching. At this time, as a rule, the baby actively begins to pull fingers and toys into his mouth to “scratch” restless gums;
• The second most common symptom is an increase in body temperature.Parents should not be intimidated by an increase to 38 degrees, within two or three days this is the norm;
• Active salivation;
• Decreased appetite, indigestion. Avoiding food is the body’s way of dealing with stress and avoiding painful pressure on the gums.
• Moodiness and anxiety, poor sleep are all frequent companions of teething.

What are the problems and complications with the appearance of teeth?

• Delayed eruption – prolonged appearance may be due to genetics or the absence of tooth buds.A follow-up examination at a pediatric dentist will help you understand the cause;
• An eruption cyst (hematoma) is a purple spot that eventually transforms into a volumetric formation at the site of the appearance of the tooth. It occurs in cases where the tooth has begun to cut, but cannot overcome the mucous membrane. There may be several reasons, but in any case, you should first contact your dentist for an examination. In most cases, the hematoma goes away on its own after the eruption of the tooth;
• Bite pathology – can manifest itself in the form of a violation of the closing of the teeth, and a violation during the eruption of permanent ones.An orthodontist’s consultation is recommended for children 6 years old.

In addition to the listed complications, parents often turn to complaints that cannot always be directly attributed to teething in a baby, but which are frequent companions of this process. Among them:

Diarrhea during teething

Diarrhea is indirectly related to the very appearance of teeth, however, there is still a connection. Painful sensations with the appearance of teeth push the child to choose more gentle, soft food and refusal from the vegetables, cereals, cereals necessary for the body in complementary foods. Accordingly, the diet lacks fiber, which affects the state of feces. Symptoms are loose stools, bloating, and mucus in the stool.

Diarrhea in a baby is often the culprit for discoloration of feces, which of course worries many parents. Green stool is a consequence of changes in the water content in the intestine and, as a temporary phenomenon, does not pose a health hazard, and in babies under 1 year old it is completely normal.

Vomiting during teething in children

Nausea and vomiting in this case may be a reaction to profuse salivation.In addition, young children try to relieve itchy gums by chewing and pulling objects into their mouths that are not always clean, which can cause infection. This, in turn, causes vomiting.

Teething cough

Another symptom that can disturb parents, along with a runny nose, is also manifested due to increased salivation. Coughing is a natural reaction of a child who still has trouble swallowing.

Vomiting, diarrhea or coughing alone are not direct signs of teething in children. Parents should be attentive to the health of babies, and if any symptoms are alarming, contact a pediatrician and not start self-medication.

Tips for Parents: How to Make Teething Easier

Teething timing is often a real challenge for the whole family. Here are some tips for parents on how to avoid sleepless nights and help your baby cope with pain.

1. Teethers – Teething rings, cooling rings to relieve discomfort.Allows the baby to massage the gums on their own. The teether stimulates blood circulation, relieves discomfort, and also forms the child’s primary teeth brushing skills;
2. Cooling Anesthetic Gel – also helps relieve itching and swelling of the gums;
3. You should be very careful about taking medications and not self-medicate. Taking pain relievers without the appointment of a pediatrician or dentist can harm a child’s health.

Permanent bite

At the age of 5-6 years, permanent teeth are replaced by milk teeth.
Permanent molars or sixth teeth appear first. It is noteworthy that “sixes” do not have dairy predecessors, therefore their appearance often escapes the attention of parents. It is very important to have a dental check-up during this period and to protect the permanent teeth with sealing. The sealant is a white film with fluoride, which reliably protects the tooth surface from plaque accumulation and the formation of caries.

By the age of 8-9, eruption of permanent incisors occurs, and by 10, canines with premolars.The whole process of bite change ends with the appearance of 28 permanent teeth at the age of 12-13 years.

Exception: wisdom teeth, or “eights”, which may erupt after 20 years or not appear at all.

Signs of teething of permanent teeth

Symptoms of the imminent appearance of permanent teeth differ from milk predecessors, and in general it is easier for the child’s body.

• Mobility of the milk tooth – indicates that the root has almost resolved and the tooth will soon fall out;
• Jaw growth – permanent teeth are 2 times larger than milk teeth, and therefore they need more space.Large interdental spaces are the norm and a sure sign of a change in bite;
• The milk tooth has not yet fallen out, but the permanent one is already visible – a common practice. The dentist will determine if an intervention is needed. If a milk tooth “inhibits” the growth of a permanent tooth, then it will be removed.

Tip: turn the process of changing teeth into a game so that the child has only the most positive associations. It could be the familiar “Tooth Fairy” that leaves a reward for a tooth under the pillow or any other hero.

Health for babies and beautiful smiles!

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The appearance of the first tooth | Pampers Russia

One of the most important stages during the first few months of a child’s life is the appearance of the first tooth. It is worth noting that some children do not experience any discomfort at all while their teeth are erupting, while others immediately show the corresponding signs.Watch for signs of teething, such as persistent salivation, for example.

When do children start to cut teeth?

As a rule, teeth are cut between 3 and 12 months. But. in very rare cases (1 in 2000), a child may already have one erupted tooth at birth.

Every child is different, so everyone’s teeth are cut at different speeds. There is one general rule: after the first tooth erupts, about four teeth will appear every six months.These are the first baby teeth of a child, which will be replaced by permanent molars by the age of 6–12.

Most often, the first tooth in children erupts at 4–7 months, and in some even at 12–14 months.

Teething schedule

• 4-7 months. Most likely, the baby’s first teeth will erupt at the age of 4 to 7 months, but sometimes they do not appear until 12-14 months. Typically, the lower anterior teeth, or the central lower incisors, are cut first.Sometimes the first signs of eruption appear as early as 3 months, so do not be surprised if your baby’s first tooth appears at this time.

• 8-12 months. The next pair is the anterior upper teeth, or central upper incisors, as dentists call them. They are cut at the top of the mouth.

• 9-16 months. The next pair are teeth at the edges of the first central teeth, or lateral incisors. Most often they are cut from above.Then the lower lateral incisors appear along the edges from the lower central ones.

• 13-19 months. When a baby is 1 year old, the first molars, or first molars, appear, starting in the upper part of the mouth.

• 16-23 months. Around 16–23 months, the first canines, teeth with pointed tips, appear.

• 23–33 months. At about the age of two or three years, the gaps between the teeth are filled with second molars, they are also second molars.Now your baby has a complete set of 20 baby teeth.

What to do if teeth are not cut according to the schedule

Teething is not a competition, but an individual process for each baby. The child has teeth as the body is ready. So do not worry if your friends’ children already have teething, but your child has not. If you are worried that your child is uncomfortable with cutting teeth, there are tips to help relieve the discomfort.

How to care for a teething child

Remember that children can chew without teeth (gums), so you should always make sure that the child does not choke while eating and do not leave him unattended. Even when all baby teeth have already grown in a child, there is still a danger of choking on certain foods. So foods like grapes or cherry tomatoes should always be cut into quarters (on the long side) before giving to babies.When your child starts to cut his teeth, start accustoming him to solid foods.

Try not to worry. Enjoy every stage of your child’s development. And if you want to know which tooth will appear when, check out the visual teething chart.

when the baby’s teeth begin to cut

The long-awaited appearance of teeth

Calm child – calm mother

Everything in good time

About when babies have their first teeth, what to expect and how to behave correctly during this period, the dentist tells -surgeon, President of the International Dental Association (IDA), Oral-B and Blend-a-med expert Inna Virabova.

The long-awaited appearance of teeth

Parents closely watch how their children grow up. And everyone knows that the appearance of the baby’s first tooth is a real holiday for moms and dads. Many parents of my little patients even gather relatives and arrange a celebration with balls and treats. I share their joy: after all, from that moment on, the child’s life changes – the body is rebuilt, and the digestive organs begin to work in a different way. But there is also a downside – the child is often naughty and sleeps worse.This period is remembered by many parents, describing it with the words “I don’t know what he wants!”. But new teeth cause inconvenience to the baby himself: sometimes they are cut so quickly that parents unexpectedly notice a tooth that has appeared in the oral cavity the next morning during feeding.

Calm Baby – Calm Mom

Parents can now use local pain relievers to ease their baby’s discomfort. The range of products is large, but they all act in the same way: they “freeze” the gum area, “soothing” it for a certain time.But soon the action ends, and the child will start crying again. Therefore, I recommend that the parents of their patients not get carried away with the use of medicines (sometimes the gel has to be applied 5-10 times a day) and use a more harmless and reliable method. One of them is chamomile appliques. You can make this tool yourself: prepare a decoction of chamomile, freeze it in the freezer, and then, wrapping a piece of ice with gauze, apply it where the tooth is being cut. This method is completely harmless to the baby’s body, and parents will not be able to spend money on painkillers.

When a toddler has teething, he tries to scratch his gums and pulls everything into his mouth, including dusty toys, pencils and pens that can hurt you. Dirty objects can upset your child’s gastrointestinal tract or lead to infection. And here it is already difficult to determine why the child is capricious – because of teething or abdominal pain. If you cannot monitor your child continuously, take care of perfect cleanliness in the apartment: wash the floors more often, do not let the child crawl in the corridor, remove sharp objects higher, do not let them into the bathroom unattended (these are standard requirements, but now it is especially important to observe them ).Since the child is now constantly experiencing discomfort, you may not notice the signs of a cold – and the risk of getting sick due to weakened immunity is now especially high.

To relieve your child’s suffering, try feeding them fruits and vegetables. Such foods are quite solid, and it will be pleasant for the baby to chew them – and there are also a lot of vitamins in fruits and vegetables!

There is a time for everything

Sometimes parents start to worry if their children’s peers are already teething, and their baby does not even have an enlarged gum.The timing of teething varies greatly, you should not panic about this. Most often, the incisors, that is, the very front teeth, erupt first, then the first molars are those teeth that take on the entire chewing load. After them, canines appear, and soon second molars. Sometimes the alternation of teeth changes, and this is not considered a pathology. Sometimes the tooth lingers in the jaw altogether. To prevent such a problem, protect the child from injury, include enough solid food in his diet and bring him to the dentist for examination 2 times a year, as soon as the baby’s first milk tooth erupts (this is about 5-6 months).Sometimes teeth are cut late due to heredity, so ask your parents when your teeth started to cut, and also ask your spouse’s parents.

If you are waiting for the first tooth, but it still is not, most likely, your dentist will recommend taking an X-ray, which will show the tooth germ and its position. In such cases, I recommend that you immediately take a general image of the teeth of the upper and lower jaw. This way you can get an image of the entire mouth in one go and eliminate potential complications.The radiation exposure here is minimal and does not pose a danger. For this study, a child with a sensor in his mouth must sit quietly, so it is better to go to take a picture during a changeable bite, when the milk teeth change to permanent ones.

And of course, be careful and do not forget to visit the pediatric dentist!

Stages of teething in newborns

Update date: 07/19/2021

Date of publication: 26.07.2021

Articles written

3

“The appearance of teeth is an important stage in a child’s growing up. The period of teething is different for everyone, for some they appear as early as five months, for some only closer to a year. But whenever this happens, the process of appearance always affects the well-being of the baby: appetite deteriorates, sleep is disturbed, the temperature may rise, while the child, of course, is capricious, starts crying often, “says Elena Nikolaevna Ishchenko, a pediatric dentist at the BabyDent clinic.

It should be noted that a very early or late teething indicates a malfunction of the body. In this case, you need to contact a specialist.

How to understand that the teeth have begun to erupt?

If the baby’s gums are red and swollen, it means that the first tooth will appear soon. To be sure that the discomfort in the gums is not associated with any diseases, you can try “tapping” the future tooth (a few days before it appears, you can already feel it).

The appearance of teeth is inextricably linked with increased salivation and itching of the gums. At this time, you need to especially carefully look after the child, as he pulls everything into his mouth, from toys to bed rods.

As I said earlier, teething symptoms sometimes include fever and loss of appetite. In this case, with weakened immunity, infectious diseases can develop.

What is the order in which teeth appear?

In most babies, teeth begin to erupt at 6 months.The eruption period lasts approximately three months. The lateral incisors appear by 10-12 months. Closer to the year, babies erupt 8 teeth (plus or minus four teeth are not a deviation). If by this time not a single tooth has appeared, it is necessary to consult a specialist and take a panoramic x-ray of the jaws.

The first molars appear at 12-15 months. Canines begin to erupt after 18 months. As a rule, this is the most painful stage, since in the area of ​​the location of these teeth there is a nerve connected to the upper part of the face.

At 2 years of age, each jaw will have approximately 8 teeth. A full set of milk teeth (20 pieces) appears in a child by the age of three. Milk teeth begin to change to molars at the age of 7-9 years.

How to facilitate teething? A few tips:

1. So that the child does not gnaw everything, there are special rubber rings, as well as toys made of silicone and toys with filling, the latter must first be cooled. If nothing is at hand, then you can give the child a chilled terry napkin.You need to cool items in the refrigerator, but not in the freezer.
2. In cases of fever, medications containing paracetamol are given, but only after consulting a doctor. It is strictly forbidden to give the baby aspirin, analgin, or apply pills to the gums.
3. A compress with decoctions of chamomile or oak bark will ease the itching. In no case should you use alcohol-containing preparations for compresses.
4. Massage the gums. Usually, anesthetic gels are used for this, massage with oils (chamomile, clove), honey or pieces of ice wrapped in cotton cloth is possible.
5. Just play. Distract your child more often, talk to him, look at pictures, take walks. Then the teething will be much easier, and not only for the baby, but also for everyone around.

Ischenko Elena Nikolaevna

Pediatric dentist.

Professional in the field of pediatric dentistry.

Show more tips
90,000 Teeth are being cut.How to understand that the child’s first teeth are starting to cut

When do teeth start to cut? This usually happens at the age of 6-8 months, however, there is no strict “should” in this matter. All organisms develop according to their own schedule. The first incisors (always the central lower ones) may appear at 4–5 months, and it happens that the baby begins to acquire teeth only after 10 months, closer to a year. A very important role in this issue is played by heredity (from the mother’s side), the baby’s nutrition (whether he receives enough calcium with breast milk or artificial mixtures), climatic conditions (pediatricians noticed that in hot climates, babies’ teeth erupt earlier).It is believed that gender also matters – boys often lag behind girls.

How to understand that a child is teething?

The symptoms are as follows:

• swollen and reddened gums
• profuse salivation
• sour smell from the mouth
• feeling unwell, moodiness, restless sleep

The kid begins to pull any objects into his mouth.This increases the risk of gastrointestinal upset. Be especially attentive to the cleanliness of toys and other things that the baby can reach to scratch sore gums. Keep small things out of your child’s field of vision that may choke. Often, when a baby is teething, his temperature rises. As a rule, it does not exceed 38 ° C and passes in 1-2 days. If this does not happen, consult a doctor, perhaps it is not about the teeth at all. Especially if a runny nose also began during this period.Such colds must be treated.

# PROMO_BLOCK #

How can I help my child?

1. Massage your baby’s gums. This can be done with your finger (always cleanly washed) or with a special massager in the form of a thimble with bristles (you can buy it at the pharmacy).

2. Buy a teether. It can be plastic or silicone, solid or water-filled. Place the teether in the refrigerator before giving it to your baby.The cold will soothe the itchy gums.

3. Have your toddler nibble on a bite of apple, baby biscuits, or a drier. However, be sure to keep the baby in sight, it may choke.

4. For very painful experiences of tooth growth, seek pharmaceutical remedies. There are special gels that relieve pain. However, they do not work for long, since the medicine is quickly washed off with saliva. Do not use these products often – they can cause an allergic reaction.

5. Breastfeed your baby as often as possible. Breast milk is a natural pain reliever for a baby.

Be affectionate with the child, more often take him on the arms, kiss, calm him down. Distract with games. Try not to get angry or annoyed. The baby is very sensitive to your mood and emotional state. At the end of the article, we want to reassure parents that teething in children is not always painful. Often, adults learn about a baby’s first tooth only when they hear a knock on a spoon.

Dental care for children with Down syndrome

The quality of life of sunny kids depends entirely on their parents, their knowledge and willingness to competently solve emerging difficulties. The oral cavity of these babies has its own characteristics and they must be taken into account when caring for your baby. In this article, we’ll share everything caring parents need to know.

Medical aspects

Phenomena such as an enlarged tongue, low muscle tone and a persistent unwillingness to close the mouth contribute to the retention of food debris and are directly associated with an increased risk of tooth and gum disease.

Mouth breathing reduces the ability of saliva to clean teeth, reducing its protective properties.

The first teeth in our children appear at the age of 12-14 months. Sometimes the eruption is delayed for another year. Permanent teeth can change not from 6 years old, but from 8-9 years old.

Some teeth may not be formed or missing. Teeth and roots may be smaller than usual. Congenital defects of the enamel in the form of white spots and pits are common. In addition, there is a tendency to develop an irregular bite, crowded teeth.

With these points in mind, we understand that plaque is more likely to cause gum disease and tooth decay. Children with Down syndrome are prone to aggressive forms of gum disease, painful inflammatory processes. If left untreated, this leads to deep pockets, loosening of teeth and tooth loss.

In the presence of cardiac pathology, carrying out medical procedures may pose a risk to the child. The dentist needs to be educated about your difficulties so that he can properly prepare the child for the appointment.

And another important aspect is the tendency of sunny babies to inflammatory diseases of the middle ear. Headaches or facial pains can be mistaken for this infection when in fact the disease is in the teeth. Don’t lose sight of this!

A reduced function of the thyroid gland also gives parents a lot of worries. Since this causes delayed teething, weight problems. In the latter case, dietary compliance cannot be overestimated not only for dental health, but also for the whole organism.

The appearance of the first milk tooth

Particular attention to baby’s teeth begins with the appearance of the first milk tooth. Brushing your teeth will not be a headache for you if you turn this important procedure for a lifetime into an interesting and fun action. Removal of plaque, which forms on the teeth every day, should be carried out from early childhood, developing a natural habit.

The knowledge of the child and the advice of a dentist will help you choose a toothbrush for your baby.It should be borne in mind that a regular brush should have soft bristles and a small head. If you prefer an electric toothbrush, relying on its greater efficiency, then you need to take into account the character of the child, because it can be intimidating for children with hearing hypersensitivity.

Secrets of Toothpaste

You cannot afford to buy the first toothpaste you like. The amount of fluoride in the paste matters – children under 6 years old with a reduced content (500 ppm), those who are older use pastes with 1000-1500 ppm fluoride.It is fluoride that strengthens the enamel of the teeth and prevents tooth decay.

Your child may have an increased gag reflex. Therefore, pay attention to non-foaming toothpaste.

On a very beautiful brush, put a magic paste the size of a pea (no more) and start brushing the child’s teeth.

We will take the liberty of giving you some tips for brushing your teeth. Take a position behind the child, tilt his head slightly back. In this position, help him clean all of his teeth.It is very important to conduct each process on a positive wave. You need to brush your teeth in the morning after eating, in the evening before going to bed. The importance of evening cleansing is enormous, as saliva production decreases at night and the risk of disease increases.

In the very process of cleaning, you can also encounter surprises that make it very difficult:

• If your child bites on a brush, let him do it, while you brush your teeth with another.
• A naughty, too loose tongue or tight lips can push the toothbrush out of the mouth.In this case, wrap your index finger with gauze or flannel and use it to hold your lips and tongue.
• To avoid the urge to vomit, start brushing from the front teeth, slowly moving to the side teeth, use a small toothbrush. Take breaks if necessary.

Distractions can be used to make this procedure pleasant for your baby:

• For example: reading stories or nursery rhymes “Let the mouth laugh, so that the tooth bites!”
• While swimming or watching your favorite cartoon.
• Play with the brush in your mouth, constantly changing the cleansing area.

Healthy eating is important

We ask that you carefully consider our nutritional and dietary recommendations. These are key issues and require special treatment. Remember, sugar is the main cause of cavities.

To reduce the risk of dental disease, you can:

• Give the baby the bottle only with the main meal and not as a sedative day or night.If your baby only falls asleep with a bottle, pour only water into it and remove it as soon as the baby is asleep. The addition of sugar or juices to a child’s drink contributes to the development of early dental caries or enamel erosion.
• Make sure your child does not drink sweetened liquids between meals, as sugar encourages the growth of microorganisms in the mouth.
• Offer your child a wide variety of foods and use water to quench their thirst.
• Try to avoid sugar medications.

We go to the doctor

Visits to the pediatric dentist should become the norm from 12-24 months. Ideal if the doctor and your child can become friends. Then preventive examinations every six months will allow to treat carious cavities at an early stage. Professional cleaning will keep your gums healthy. In case of unforeseen difficulties in treatment, you can use general anesthesia (anesthesia).At about the age of 6-8, you should also get acquainted with an orthodontist.