When do babies typically start teething. How many teeth do infants have. Can babies be born with teeth. What order do baby teeth come in. When should you start brushing your baby’s teeth. When do baby teeth fall out.

The Timeline of Baby Tooth Development

Understanding the process of baby tooth development is crucial for new parents. Teeth formation begins as early as 6 weeks into pregnancy, with most infants developing their first visible tooth between 3 months and one year of age. By age 3, children typically have a full set of 20 primary teeth.

When do permanent teeth start to form? Surprisingly, the development of adult teeth begins around 6 months of age, hidden beneath the gums. This process actually helps push out the baby teeth as they emerge.

Normal Variations in Teething Timelines

Is there a standard baby teeth schedule? Not exactly. The timeline for tooth eruption can vary significantly from child to child. While some babies may show their first tooth at 3 months, others might not have any visible teeth until their first birthday. Both scenarios are considered normal.

When should parents be concerned about delayed teething? If no teeth have appeared by 15 months, it’s advisable to consult a pediatrician or dentist. This doesn’t necessarily indicate a problem, but it’s a good time for a professional evaluation.

The Fascinating World of Baby Teeth

How many teeth do babies have in total? Infants develop 20 primary teeth – 10 on the top and 10 on the bottom. This is typically 12 fewer than the average adult mouth.

Do baby teeth have roots? Yes, they do. As baby teeth fall out, their roots are reabsorbed into the surrounding gum tissue, making way for permanent teeth. In some cases, if a baby tooth root doesn’t reabsorb naturally, a visit to a pediatric dentist may be necessary.

The Unusual Phenomenon of Natal Teeth

Can babies be born with teeth? While rare, some infants are born with one or two teeth, a condition known as “natal teeth.” This occurs in approximately 1 out of every 2,000 to 3,000 births.

Are natal teeth a cause for concern? While most babies born with teeth don’t experience significant issues, it’s important to have them evaluated by a pediatric dentist. Natal teeth are often underdeveloped and may have weak roots, which can lead to various complications:

• Feeding difficulties
• Tongue irritation or injury
• Discomfort for nursing mothers
• Potential choking hazard
• Risk of early decay
• Possible overcrowding of teeth later on
• Higher likelihood of cavities due to underdeveloped enamel

The Sequence of Baby Tooth Eruption

What order do baby teeth typically come in? While there can be variations, most babies follow a predictable pattern:

1. Bottom central incisors (front teeth)
2. Top central incisors
3. Top lateral incisors (teeth next to the front teeth)
4. Bottom lateral incisors
5. First molars (back teeth)
6. Canines (pointed teeth)
7. Second molars

Is it normal for teeth to come in out of order? Yes, some variation in the eruption sequence is common and usually not a cause for concern. However, if you have any doubts, consult with a pediatric dentist.

Recognizing the Signs of Teething

How can parents tell if their baby is teething? Common signs include:

• Increased drooling
• Swollen or tender gums
• Irritability or fussiness
• Difficulty sleeping
• Loss of appetite
• Rubbing cheeks or pulling ears
• Mild temperature elevation (but not a true fever)

Are there any misconceptions about teething symptoms? Yes, contrary to popular belief, high fevers, diarrhea, and severe diaper rash are not typically associated with teething. If your baby experiences these symptoms, it’s best to consult a pediatrician as they may indicate other health issues.

Caring for Your Baby’s Oral Health

When should you start caring for your baby’s gums? Oral care should begin even before the first tooth appears. Gently wiping your baby’s gums with a soft, damp cloth after feedings can help prevent bacteria buildup and prepare your baby for future tooth brushing.

Introducing Tooth Brushing

When should you start brushing your baby’s teeth? Begin brushing as soon as the first tooth emerges. Use a soft-bristled, infant-sized toothbrush and a rice-grain sized amount of fluoride toothpaste.

How often should you brush your baby’s teeth? Aim to brush twice daily – once in the morning and once before bedtime. This helps establish a good oral hygiene routine early on.

The First Dental Visit

When should babies have their first dental checkup? The American Academy of Pediatric Dentistry recommends scheduling the first dental visit by the first birthday or within six months after the first tooth appears, whichever comes first.

What happens during a baby’s first dental visit? The dentist will examine your baby’s mouth, discuss proper oral hygiene techniques, and address any concerns you might have about your child’s oral development.

The Transition to Permanent Teeth

When do baby teeth start falling out? Most children begin losing their primary teeth around age 6, but this can vary. The process of losing baby teeth and gaining permanent teeth typically continues until around age 12.

What’s the typical order for losing baby teeth? Generally, teeth fall out in the same order they came in. The bottom front teeth are usually the first to go, followed by the top front teeth.

The Importance of Baby Teeth

Why are baby teeth important if they’re going to fall out anyway? Primary teeth play crucial roles in a child’s development:

• They help with proper chewing and digestion
• They aid in speech development
• They maintain space for permanent teeth
• They contribute to facial structure and appearance

How can parents ensure their child’s baby teeth stay healthy? Regular brushing, limiting sugary foods and drinks, and scheduling regular dental check-ups are key to maintaining healthy primary teeth.

Common Concerns and Myths About Baby Teeth

Are gaps between baby teeth normal? Yes, spaces between baby teeth are often normal and can even be beneficial. These gaps may provide room for larger permanent teeth to come in properly aligned.

Can thumb-sucking or pacifier use affect baby teeth? Prolonged thumb-sucking or pacifier use beyond age 3 can potentially affect tooth alignment and jaw development. If you’re concerned, consult with a pediatric dentist for guidance.

Addressing Dental Anxieties

How can parents help reduce their child’s fear of the dentist? Start dental visits early, maintain a positive attitude about dental care, and consider choosing a pediatric dentist who specializes in treating young children.

Are there ways to make tooth brushing more enjoyable for toddlers? Try making it a fun family activity, use toothbrushes with favorite characters, or play tooth-brushing songs to time the activity.

Nutrition and Dental Health in Infants

How does diet affect baby teeth development? A balanced diet rich in calcium, phosphorus, and vitamin D is crucial for healthy tooth development. Breast milk and formula provide these essential nutrients for infants.

When should parents be concerned about baby bottle tooth decay? This condition can occur when babies are put to bed with bottles containing milk, formula, or juice. To prevent it, avoid letting your baby fall asleep with a bottle and begin teaching them to drink from a cup around 6 months of age.

The Role of Fluoride

Is fluoride important for baby teeth? Yes, fluoride helps strengthen tooth enamel and prevent decay. Most communities have fluoridated water, but if yours doesn’t, talk to your pediatrician about fluoride supplements.

When should fluoride toothpaste be introduced? The American Dental Association recommends using a smear of fluoride toothpaste (about the size of a grain of rice) as soon as the first tooth appears, increasing to a pea-sized amount at age 3.

Addressing Dental Emergencies in Infants

What should parents do if a baby tooth is knocked out? While it’s not necessary to replant a knocked-out baby tooth, it’s important to have a dentist examine the area to ensure no damage was done to the developing permanent tooth underneath.

How can parents handle teething pain? Gently rubbing your baby’s gums with a clean finger, providing a cold teething ring, or using over-the-counter pain relievers (as recommended by your pediatrician) can help alleviate discomfort.

Recognizing Dental Problems

What are signs of potential dental issues in babies? Watch for symptoms such as:

• White spots or lines on the teeth
• Brown or black spots on the teeth
• Swollen or bleeding gums
• Sensitivity to hot or cold
• Persistent bad breath

If you notice any of these signs, it’s best to consult with a pediatric dentist promptly.

Understanding baby tooth development and proper oral care is crucial for every parent. By starting good dental habits early and addressing concerns promptly, you can help ensure your child develops a healthy, beautiful smile that lasts a lifetime. Remember, each child’s dental journey is unique, so don’t hesitate to consult with dental professionals for personalized advice and care.

When Do Babies Get Teeth?

During those first few months and years of life, one by one (or two by two), baby teeth will start breaking through. While this is an exciting milestone, it can lead to some curious questions. For starters, when do babies get teeth? How many baby teeth typically appear—and in what order? Can babies be born with teeth? And, finally, when do baby teeth fall out? Rest assured, we turned to experts to get all the answers you’re looking for. Keep reading to learn everything you need to know about baby teeth.

In this article:
When do baby teeth come in?
Can babies be born with teeth?
What order do baby teeth come in?
Baby teeth chart
When do babies start teething?
How to care for baby’s gums before teeth erupt
When to start brushing baby’s teeth
When do babies start seeing a dentist?
When do baby teeth fall out?

When Do Baby Teeth Come In?

First things first: When do babies get teeth? According to Danette Ocegueda, a registered dental hygienist and a professional education manager with Philips Oral Healthcare, most babies begin to develop baby teeth while in utero. In fact, teeth begin to form as early as 6 weeks during pregnancy, according to Johns Hopkins Medicine. Babies start to develop their permanent adult teeth under the gums around the time they’re 6 months—this is also when you might notice baby’s first tooth coming in, as the development of the permanent teeth will start to push out baby teeth.

That said, there’s no set baby teeth schedule; the timeline for when baby teeth start to come in will vary significantly from child to child. Anytime between 3 months to one year is considered normal. “This process continues throughout childhood,” Ocegueda explains. But “usually [kids] have their full mouth of baby teeth by 3 years old,” adds Ashley Lerman, DDS, a board-certified pediatric dentist at Firstgrin. If baby teeth don’t sprout by the 15-month mark, you should reach out to your pediatrician or dentist, advises Monica Cipes, DMD, MSD, the founder of Cipes Pediatric Dentistry in West Hartford, Connecticut. Although there’s a range of variability, this is a good time to check in to make sure everything is okay.

How many baby teeth do kids have?

It’s a common question: How many teeth do babies have? The answer is 20 (10 on top and 10 on the bottom), says Denise Scott, MD, an Oklahoma-based pediatrician and expert with JustAnswer. This is on average 12 teeth fewer than what baby will have in adulthood.

Do baby teeth have roots?

Yes, baby teeth do have roots. As baby teeth fall out, the roots are reabsorbed into the surrounding gum tissue, Lerman says. This helps make way for adult teeth coming in. If for some reason, the root of a baby tooth fails to reabsorb naturally, you’ll want to visit a pediatric dentist for some guidance and potential treatment.

Can Babies Be Born With Teeth?

Wondering if babies can be born with teeth? The answer is yes—it’s a condition called “natal teeth.” (Conversely, baby teeth that come in a few months after birth are referred to as “milk,” primary or neonatal teeth.) “[These] are just early eruptions of teeth that’ll erupt in the mouth naturally later on. Usually they’re not extra teeth (however this can happen in rare cases),” Lerman explains, adding that they tend to fall out naturally the way regular baby teeth do. Plus, if baby is born with teeth, there’s usually only one or two of them, Scott adds. Wondering how common it is to have a baby born with teeth? Not very—natal teeth only occur in approximately 1 out of every 2,000 to 3,000 births.

Most babies born with teeth don’t experience significant issues, Lerman notes, but parents should still have baby evaluated by a pediatric dentist. Unlike regular baby teeth, natal teeth are usually underdeveloped and more likely to have weak roots, since they attach to the gum by soft tissue, Ocegueda explains. If baby is born with teeth, they may need to be removed, as they can pose a series of issues, including:

• Feeding difficulties
• Irritation, injury or ulcerations to baby’s tongue due to friction while nursing
• Discomfort for the nursing mom or injury to the nipple
• Risk of a choking hazard if a tooth breaks loose and is swallowed or inhaled by baby
• Potential early decay of natal teeth, if they’re not well formed
• Overcrowding of the teeth later on
• Possible cavities, as natal teeth have abnormal and underdeveloped enamel

Lerman recommends getting the opinion of a pediatric dentist, as they can best help you decide the best course of action or treatment, if needed.

What Order Do Baby Teeth Come In?

Baby teeth usually erupt in a predictable order, but keep in mind that just as babies will get their teeth in at different times, the order of baby teeth can also vary. The first baby teeth that come in are usually the two bottom front teeth (called central incisors), followed by the two top front teeth (called upper central incisors). Next are the lateral incisors (which are on either side of the front teeth) on both the upper and lower gum lines. After these, Lerman and Scott say the first four molars (bottom and top teeth next to the canines) will erupt, followed by the four canine teeth and, finally, the second four molar teeth (at the back of the mouth). Again, it’s important to remember that while this is often the predictable pattern you can expect, the actual baby teeth order can vary.

Baby Teeth Chart

The baby teeth chart below gives you a pretty good idea of what you can expect when it comes to baby teeth coming in and falling out. Keep in mind, however, that according to experts, there’s a significant range for when and how this will happen. Reach out to your pediatrician if baby’s teeth aren’t coming in as expected or if you have questions or concerns.

Image: The Bump, Zouls | Shutterstock

When Do Babies Start Teething?

Babies usually start teething around 4 to 5 months, but this can happen as early as 3 months or even after 6 months, Lerman says. Scott adds that, while babies may begin teething early on, their first tooth may not appear until they’re between 6 and 12 months old. While some babies may not present any bothersome teething symptoms, others may experience drooling or even a low-grade fever. (Read more about when babies start teething, symptoms to look out for and ways to help them find relief.)

How to Care for Baby’s Gums Before Teeth Erupt

It’s important to care for baby gums before teeth erupt, as “oral care begins before the first tooth appears,” Ocegueda says. Experts recommend using a wet washcloth, damp gauze, infant gum brush or a soft baby toothbrush to gently clean the gums. This is important because “residual sugars in breast milk and formula may spur bacteria growth,” Ocegueda explains. Lerman also recommends gently wiping baby’s gums after feedings to get rid of any milk residue. What’s more, brushing baby’s gums before teeth erupt can help soothe teething pain, as well as encourage baby teeth to come in more readily.

When to Start Brushing Baby’s Teeth

You’re already caring for baby’s gums, but you also start brushing their teeth as soon as you see them start to pop up. “Plaque can begin building on the tooth surface and potentially cause decay—even on baby teeth,” Ocegueda says. Plus, baby teeth inform the structure of the jaw and speech development, so it’s important to establish and maintain good oral hygiene for baby at a young age. The habit also gets baby comfortable with the routine and helps desensitize them to the feeling of something brushing their mouth, Lerman says. Use a soft baby toothbrush and water to start brushing baby’s teeth. Learn more about how to brush baby’s teeth here.

When Do Babies Start Seeing the Dentist?

According to Lerman, children should see a dentist by their first birthday or within six months of their first baby tooth coming in—whichever happens first. From there, they should have two routine checkups a year. “Starting an oral care routine early is crucial to promoting healthy habits for a lifetime,” Ocegueda emphasizes. (Learn more about baby’s first dental visit here.)

When Do Baby Teeth Fall Out?

Much like baby teeth coming in, the timing for when baby teeth fall out will differ from child to child. Typically, the tooth fairy’s first visit comes around age 5 or 6, but it may occur as early as 4 or as late as 7. Usually, teeth are lost in the order they came in, as baby teeth falling out makes room for permanent teeth to come in. “When an adult tooth is coming in, it comes in under the baby tooth it’s replacing,” Cipes explains. But it’s normal for some adult teeth to come in from behind the baby teeth as well. If baby teeth are still around when the adult teeth start to emerge, check in with your dentist to make sure everything is growing properly. The timing of when baby teeth fall out can also vary based on genetics and other factors, Lerman adds. “Some kids may not have an adult tooth underneath the baby tooth to replace it,” she says. “That’s part of the reason why it’s important to have early visits with a dentist to keep an eye on growth and development, as well as overall oral health.” Children usually lose all their baby teeth by the time they’re 12 or 13.

Watching a baby tooth come in can be a painfully slow but, nevertheless, exciting event for you and your little one. Set your kiddo up for success by teaching them good oral hygiene and healthy habits as soon as you see that first little tooth poking through baby’s gummy smile.

About the experts:

Monica Cipes, DMD, MSD, is a pediatric dentist with over 30 years of experience and a private practice, Cipes Pediatric Dentistry, located in West Hartford, Connecticut. She received her dental degree and specialty certification in pediatric dentistry from the University of Connecticut School of Dental Medicine, as well as a master’s degree in dental science from University of Connecticut’s Department of Behavioral Sciences. She also serves as a faculty member at the University of Connecticut School of Dentistry.

Ashley Lerman, DDS, is a board-certified pediatric dentist and the founder of Firstgrin, which provides personalized oral care boxes to help caregivers focus on dental health from a young age. She received her bachelor’s degree from the Rensselaer Polytechnic Institute and earned her doctorate of dental surgery from Columbia University College of Dental Medicine.

Denise Scott, MD, is a pediatrician with JustAnswer and a pediatric endocrinologist based in Oklahoma with over 30 years of experience. Certified in culinary medicine, Scott also runs the blog Feed Future Health and is the author of Feed Your Child’s Future Health: Prevent Disease before it Starts. She received her medical degree from the University of Texas Medical Branch and completed her residency at the University of Oklahoma Health Sciences Center, with a fellowship at the National Institutes of Health.

Danette Ocegueda is a registered dental hygienist with over 30 years of experience, as well as a professional education manager with Philips Oral Healthcare. She earned her master’s degree in dental hygiene education from University of Missouri-Kansas City.

Please note: The Bump and the materials and information it contains are not intended to, and do not constitute, medical or other health advice or diagnosis and should not be used as such. You should always consult with a qualified physician or health professional about your specific circumstances.

Plus, more from The Bump:

The Best Teething Toys for Babies

The Truth About the Safety of Amber Teething Necklaces

What to Know About Teething Tablets

When Will My Child’s Baby Teeth Grow In?

Your child was born with 20 teeth lying just beneath his or her tiny gums. While no parent is in a hurry to watch (or hear) their child begin the teething process, it’s natural to worry if teeth take longer than usual to make their appearance.

When do baby teeth erupt?

A child’s baby teeth arrive on their own schedule. That schedule has nothing to do with when his or her parents’ teeth first erupted when they were infants. Neither does it have anything to do with when her siblings’ teeth first erupted. The timing of teeth’s first eruption varies from child to child.

Having said that, the most common time for a baby’s teeth to break through their gums is by the age of six or seven months. Don’t be concerned if you’ve passed the seven-month mark and are still waiting. The first appearance of teeth generally falls within a range from three months at the short end to eighteen months at the upper end.

The arrival of teeth at the early or late end of that range doesn’t indicate a problem. It’s just an example of the normal variations from person to person and infant to infant.

Should you be concerned about the delayed arrival of baby teeth?

There are things that can cause the arrival of your child’s first teeth to be delayed: the teeth may be positioned abnormally; there may be extra teeth present; teeth may be missing; gums may be unusually thick, or eruption may be stalled by an especially dense jaw bone.

If your child’s first tooth has not emerged, but he or she is not yet 18 months old, there is no reason to be alarmed. Once the eruption of the first tooth falls outside the common range — at the 18-month point — a pediatric dentist near you will investigate potential explanations for the delay. What will they do? Your child’s dentist will likely take a panoramic X-ray of your child’s mouth and jaws to rule out any common or concerning causes for delayed eruption.

The causes are generally not serious at a child’s young age, but can sometimes lead to orthodontic issues later in life. A children’s dentist will want to identify any issues at the earliest possible age, so that can intervene efficiently to minimize future challenges.

When should your child go to the dentist for the first time?

The American Academy of Pediatric Dentists recommends that a baby see a pediatric dentist soon after their first tooth emerges but no later than their first birthday. That guideline means that parents will be able to ask questions about any delayed eruptions within just a few months of when teeth most commonly arise, and well before the 18-month mark when the delay begins to be unusual.

Apart from being a moment to ask questions about the timing of your baby’s first teeth, seeing your pediatric dentist before your baby’s first birthday may even save you some money. According to a study, children who see a dentist before turning one year old save their parents 40% in dental costs in the first five years of their life.

Here’s the bottom line. When it comes to the arrival of baby teeth, be ready for them anytime after three months. Start to expect them around seven months. Don’t begin to worry until about the 18-month mark. But long before you get to that point, take your child to a pediatric dentist near you. Together, you’ll be able to talk through any concerns, identify any issues, and take any necessary steps to ensure a lifetime of healthy teeth.

Uneven teeth in children, what to do if the child’s teeth grow unevenly

Content:

1. Why the position of the teeth is disturbed
2. Can a crooked tooth fit into place
3. Consequences of crooked teeth in children
4. When should I go to the dentist?
5. Apparatus for correcting uneven teeth
6. Prevention Tips

Uneven teeth in children are not only an aesthetic defect. Unfortunately, dental problems can lead to serious consequences. These include: eating disorders due to improperly chewed food, dysarthria, caries. Due to the uneven arrangement of units in the dentition, plaque accumulates on the enamel due to insufficient hygiene. This leads to the multiplication of pathogenic bacteria, which provokes the formation of caries. That is why you should take good care of your teeth from an early age. My child has uneven teeth, what should I do? You need to visit a pediatric dentist at least twice a year for a preventive examination. Recommended ages are children over 3 years of age.

Why teeth are out of alignment

Why do teeth grow unevenly? There are several reasons, the main ones are listed below.

• Hereditary predisposition. If parents or other close relatives have the first problems with their teeth already in childhood, the risk of acquiring an uneven row of teeth increases significantly.
• Deficiency of calcium, phosphorus and other nutrients in the body. The cause can be both alimentary insufficiency and disorders of the digestive tract.
• Pathology arising in the antenatal period. Due to excess or lack of amniotic fluid, entanglement of the umbilical cord, the influence of teratogenic drugs, birth defects appear.
• Diseases of the upper respiratory tract, leading to changes in the function of external respiration.

Factors such as irrational and malnutrition, pathology of the growth of the jaw and dental apparatus also influence. All this leads to the fact that the child’s teeth grow unevenly.

Can a crooked tooth snap into place

The main question is whether the structure of the teeth changes over time? Can crooked teeth in childhood cause malocclusion in the future? It is impossible to answer the questions posed definitively. The fact is that under the influence of the above reasons for the formation of uneven teeth, the structure of the molars changes. A wide gap is formed between the teeth or they grow close to each other. The child has uneven teeth: what to do? For starters, don’t panic. In childhood, there is an active growth of the dental apparatus. It is in the period up to 18 years that they are most sensitive to the treatment. At the first suspicion of the formation of uneven teeth, you should immediately seek advice from a pediatric dentist.

Consequences of crooked teeth in children

Due to the fact that the child’s teeth grow unevenly, many problems can appear in the future. The fact is that the speech apparatus is formed quite early. From the first months, the child learns to speak correctly, to pronounce individual letters and even words. If the baby has problems with teeth, they will immediately manifest themselves from the first years. The first and most common complaint is a smile. The child will be ashamed of his smile due to the incorrect position of the teeth. In addition, due to the dense dentition, the quality of hygiene procedures is reduced. In some cases, additional flossing may be necessary after every meal. If a child’s front teeth grow unevenly, headaches may even appear. Also a common occurrence is pain in the neck. This pathology occurs due to excessive stress in the temporomandibular apparatus.

When should I go to the dentist?

What to do if the tooth grows unevenly? The only correct answer is to seek help from specialists in a dental clinic where children’s doctors receive. At least twice a year should be examined to monitor the dynamics of the process.
You should go to the dentist if your child has misaligned teeth. After a conversation and diagnostic measures, the dentist will be able to give an accurate answer. For treatment, special devices may be needed, which should be worn for a long time. Mouth guards, braces, trainers and other devices for changing malocclusion will help to cope with the problem.

Devices for correcting uneven teeth

There are several reliable and effective methods for correcting an overbite in children. They differ from each other in some respects. To choose the best option, you should talk to a pediatric dentist who treats children’s teeth. Trainers and removable plates. They can be used from an early age. The recommended age is 4-6 years old. At the same time, it is necessary to wear daily trainers, often they are put on at night. A significant difference is that the device is removable.

Aligners. They start wearing them from the age of 16. With them you need to walk constantly and take off only during meals. Braces. They are placed mainly on persons over 18 years of age. They need to be worn for a long time, on average about two years.

Prevention Tips

How to prevent the formation of an uneven bite? There are some tips:

• provide the child with proper and rational nutrition according to age from the first years of life;
• closely monitor the child’s health;
• prevent the formation of bad habits, such as constant chewing on one side or thumb sucking;
• daily to carry out thorough oral hygiene.

It should also be noted that already when the child reaches 1 year old, he should be weaned from the nipple. The fact is that with mechanical action, the structure of the front teeth in a child changes. The pacifier can be replaced with special vestibular plates that repeat the anatomical features of the structure of the child’s teeth.

Expert advice required!

What to do if the tooth grows unevenly? Ask for help from specialists from the dentistry “Dr. Keller”. Dentists with great experience will help you choose the right treatment tactics. An individual approach to each patient, a reverent and attentive attitude towards children, affordable prices are the main advantages of Doctor Keller dentistry.

Literature

1. Duggal, Monty Pediatric Dentistry / Monty Duggal, Angus Cameron, Jack Tumba. – M.: Tarkomm, 2015. – 118 p.
2. Kominek, J. Pediatric Dentistry / J. Kominek, J. Toman, E. Rozkovtsova. – M.: State publishing house of medical literature, 2010. – 512 p.
3. Yanushevich, O.O. Pediatric dentistry / O.O. Yanushevich. – M.: GEOTAR-Media, 2017. – 702 p.

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Eruption of milk teeth in children

The appearance of the first teeth in children raises a lot of questions from parents:

• When do milk teeth erupt in children?
• In what order are the teeth erupted?
• Which teething symptoms are normal and which are abnormal?
• How to help a child?
• What to do if something goes wrong, as described elsewhere?

We will try to answer most of the popular questions on this topic in this article.

Terms of eruption of milk teeth in children

First of all, it must be said that although there are average statistics, the terms of teething in Samara are very individual. In some cases, babies are born with lower incisors, while others do not have a single tooth in their mouths for up to a year. Neither one nor the other option does not say that something is wrong with the child.

Scheme teething milk bite.

Usually the lower central incisors appear first, followed by the upper ones, after which the lateral incisors come out (also, first the lower ones, then the upper ones). Further in order, the first molars, the second molars, and the canines erupt last (also first the lower teeth, then the upper ones). There is such a thing as the “principle of pairing” usually symmetrical teeth erupt in approximately one period.

Factors affecting the timing

• Genetics (at what age did the first teeth appear in parents, grandparents).
• Climatic conditions (according to statistics, people from hot countries get teeth earlier than people from temperate climates and northern regions).
• Conditions for the course of pregnancy and childbirth (the laying of the rudiments of teeth depends on this, and hence the timing of their appearance).
• Baby’s health condition in the first months of life (sometimes severe diseases at an early age can cause a delay in teething).
• The nature of the nutrition of mother and child.
• The quality of the water that the mother drinks during pregnancy and lactation and the child after birth.

All these factors affect the growth and development of the child, the formation of bone tissue and teeth, and hence the timing of their eruption. There are children who already at the age of 7-8 have all their permanent teeth, and there are adults who have half of their teeth left in milk. Neither the first nor the second option is cause for panic. In most cases, the timing of teething does not depend on our actions in any way, and we cannot influence them, therefore, it remains only to observe and only consult a doctor if there are significant deviations from the average values.

These procedures and deadlines are not binding. It happens that the sequence is violated, it happens that not two teeth grow at the same time, but four at once – this is not a sign of some kind of pathology.

Terms of changing milk teeth to permanent ones

Terms of changing milk teeth are given in the table below. At the age of 4-5 years, the roots of milk teeth begin to dissolve, and permanent ones begin to emerge in their place, and from the age of 6-7 years, the child has a so-called “changeable bite” – some of the teeth still remain milk, and some are already permanent. This period is also individual. On average, by the age of 12, a child should have 28 permanent teeth erupted, but for someone this process will end at 9years, and for someone at 15 – this is also not a reason for panic.

Symptoms

Before you can see a tooth in your mouth, it must go through the jaw bone, periosteum, cut through the gum, and only then you will see the first corner of the tooth. Naturally, this process cannot go unnoticed by the body.

Children often have the following symptoms:

• Mood swings and poor sleep (the child is naughty, his behavior changes).
• Possible loss of appetite.
• The child puts everything in his mouth and constantly tries to “nibble” something.
• Slight temperature increase possible.
• Increased salivation (saliva becomes more, it can flow out of the mouth)
• If you look into the mouth, you can see redness and swelling of the gums in the area where the tooth will soon appear. The gums are inflamed, it can be painful when touched (the child will be nervous when you touch these areas), or, on the contrary, “itch” – then the child begins to bite his chest while feeding and pull everything into his mouth.
• There may be a change in breath odour.

How to help a child

Nature does not provide any help, and no matter what you do or not, teeth will still erupt. But if a child is very worried about his teeth, he refuses to eat, he has a temperature or he is constantly naughty, we can alleviate his condition a little.

What can be done to make the process of teething more comfortable for the baby:

• The smallest (3-6 months) babies still cannot somehow alleviate their condition, and we can guess that they are teething by changing the nature of sucking at the breast or nipples. The child’s gums “itch” and we can do a soft massage with a clean finger or special massage nozzles (also put on the finger).
• Older kids are already starting to put toys in their mouths and chew them – the child should be provided with large (so that he cannot swallow or chew) objects that are comfortable for biting. Pharmacies and children’s stores sell special silicone toys that can be preliminarily kept in the refrigerator (not in the freezer!) and given to the child. Biting on such a cool object will provide massage and pain relief.
• If the pain in the gums is such that the child refuses to eat, special pain relief gels can be used. With a clean finger, we rub the gel into the gum, and after a minute the analgesic effect begins. You can feed the child, give him a gum massage. It is important to remember that anesthetic gels are chemicals and you should not get carried away with them. Use only when absolutely necessary. There are a huge number of gels, ask the pharmacist for an anesthetic gel for children.
• If you have a fever, you should consult your doctor about antipyretic drugs. An increase in temperature is due to the fact that at the site of tooth eruption, a section of the mucosa is dissolved, a wound appears at this place, which can become infected and an increase in temperature is a normal response to such inflammation. Usually the temperature rises to 37 – 37.5 degrees and does not last 1-2 days.
• If a child has diarrhea (due to constant contact with foreign objects, licking of toys, as well as changes in diet), then you should also consult a doctor.

Symptoms such as nausea, vomiting, diarrhea, loss of appetite, convulsions, choking, fever over 38 degrees are not normal during teething. If the child has any more severe changes in the state of health, then you need to urgently consult a doctor and look for the cause.

What you should pay attention to

Although the timing of eruption of milk teeth in children is individual, but before the year the child should already have at least one tooth.