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Typical teething age: Teething: Order of Appearance – Teething Chart


When Do Babies Start Teething?

Your baby’s first tooth and those adorable toothy grins are milestones you’ll look for and treasure. If you’re wondering when they will appear, it’s good to know that the timing of teething varies widely from baby to baby. Read on to discover when your baby may start teething, the signs and symptoms of teething, how long teething typically lasts, and much more.

When Does Teething Start?

Teething often starts when babies are between 6 and 12 months old, though in some cases those first teeth may appear earlier or even a little later. In some very rare cases newborns may be born with a tooth already erupted, or have a tooth come through in the first few weeks.

Look out for signs of teething, such as tender gums, drooling, or gnawing on a fist or finger, which may indicate that you’ll soon be seeing a tooth emerge.

What if Teething Starts Later Than You Expect?

It’s helpful to remember that growing teeth is not a competitive sport, and that your baby’s teeth will arrive when they are ready. So, don’t be concerned if your friends’ children get teeth before your baby does.

The age range can be quite broad when it comes to teething. Though it’s likely that teething may begin between 6 and 12 months, the first tooth may appear as early as 3 or 4 months or as late as 14 months. Some babies might even be slightly outside of this range on either side. Genetics may play a role in the timing.

Of course, if you’re concerned about your baby’s teeth (or lack thereof) or have any questions about dental care, speak to her healthcare provider or dentist.

Which Teeth Come in First?

Each baby is different, but typically your baby’s two bottom front teeth will come in first, followed by the two top front teeth. We cover when baby teeth typically come in in more detail in our teething timeline below.

How Long Does Teething Last?

The duration of the teething process can vary. At some point between your child’s second and third birthdays, however, your little one will have a full set of 20 primary teeth. This means the total teething period lasts about two years.

If your little one has teething discomfort, know that this will probably come and go. Teething symptoms are typically experienced in the days before a tooth erupts; then the soreness subsides until a new tooth starts to come in.

How Many Baby Teeth Will Appear in Total?

Your little one’s first set of teeth are known as primary or baby teeth. By the time she’s 2 and a half to 3 years old she will have a full set of 20 baby teeth.

When your child is around 6 or 7 years old, the baby teeth will start falling out to make way for her permanent teeth, sometimes called secondary teeth. It takes many years for all 32 secondary teeth to come in, so for a while there your child will have a mix of primary and secondary teeth.

In Summary
  • Your child’s first set of teeth are called baby teeth or primary teeth
  • There’s a wide range of normal for when teething will start
  • Teething often starts between 6 and 12 months
  • Teething usually lasts about two years in total
  • Your baby will likely have a full set of 20 baby teeth by the time she’s between 2 and 3 years old
  • Baby teeth start to fall out when your child is about 6 or 7 years old. They are gradually replaced with adult teeth (secondary teeth)

Signs and Symptoms of Teething

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Sometimes a tooth may appear without any symptoms at all while in other cases symptoms of teething could start about three to four days before the tooth itself is visible.

As the baby teeth grow and break through the gums, teething symptoms can include:

  • Irritability. Your little one might seem a little fussier and may cry more than usual.

  • Disturbed sleep. Teething pain or discomfort may cause your baby to wake up during the night.

  • More drooling. It’s common for a teething baby to drool a lot when teething. Experts say the extra saliva can help soothe the tender gums.

  • Chewing on things. When your baby is teething, she may gnaw on toys, a teething ring, or even her own fingers to help relieve the pressure she feels on her gums. Chewing on something firm helps massage the gums and helps ease any discomfort as the tooth tries to erupt.

  • Sore, swollen gums. The spot where a tooth is coming through may be tender, red, and swollen.

  • Low-grade temperature. During teething, your little one’s temperature may be slightly elevated, but teething is unlikely to cause a fever higher than 101 degrees Fahrenheit. If your baby seems very uncomfortable or has a temperature of at least 101 degrees (or at least 100.4 degrees for a baby under 3 months) , contact your little one’s healthcare provider, who can determine what’s causing the fever.

In Summary

The signs and symptoms of teething can include:

  • Crankiness
  • Crying
  • Disrupted sleep
  • Drooling
  • Chewing on items or fingers
  • Sore, swollen, red gums.

Teething Timeline

When each tooth comes in and in what order varies from child to child, but here’s a general idea of the teething timeline:

Top Teeth

  • Central incisors (the front teeth): 8 to 12 months

  • Lateral incisors (the teeth on either side of the front teeth): 9 to 13 months

  • Canines, or cuspids (the sharp, pointy teeth on either side of the lateral incisors): 16 to 22 months

  • First molars (the back teeth used to grind food): 13 to 19 months

  • Second molars (the back teeth that fill in the last gaps): 25 to 33 months

Bottom Teeth

  • Central incisors (the front teeth): 6 to 10 months

  • Lateral incisors (the teeth on either side of the front teeth): 10 to 16 months

  • Canines, or cuspids (the sharp, pointy teeth on either side of the lateral incisors): 17 to 23 months

  • First molars (the back teeth used to grind food): 14 to 18 months

  • Second molars (the back teeth that fill in the last gaps): 23 to 31 months

How to Soothe Your Teething Baby

Teething can be uncomfortable for some babies, and as there’s no magic technique that works for every child, you may have to experiment to find something that helps your little one feel better. Among the many ways to soothe your teething baby are these two quick ideas:

  • Give a teething ring. Chewing on one of these rings lets your teething baby massage her own gums. Some types can be cooled in the fridge to give extra relief, but don’t put a teething ring in the freezer—this can make it too hard and cold for your little one’s sensitive gums. To keep your little one safe, never tie a teething ring to a string that’s looped around your baby’s neck or clipped to her top.

  • Massage your baby’s gums. Using a clean finger, gently massage your baby’s sore gums.

How to Care for Your Baby’s New Teeth

It’s important to start caring for your baby’s teeth (or tooth) as soon as the first one pokes through. Those baby teeth have to last several years before they’re replaced with adult teeth, and establishing good dental hygiene habits early on will help set your little one up for healthy teeth and gums throughout her life.

Taking steps to prevent cavities and tooth decay in the baby teeth is just as important as it is with adult teeth, because decay in these teeth can affect the permanent teeth that follow and cause other dental problems like pain and infections.

Brushing Your Baby’s Teeth

Regular brushing is an important part of dental care. The key thing at this stage is to gently clean baby teeth twice a day and to get your little one used to the brushing routine.

Here are some guidelines for brushing your baby’s teeth, as well as some tips on teaching your older child how to get the job done, with your help:

  • Brush at least twice a day, always brushing after your child has had anything sugary as well as after the last meal or drink of the day

  • Put a tiny smear of fluoride toothpaste on a soft-bristled toothbrush designed for your baby’s age. Carefully brush each tooth, making sure to reach all the surfaces, including the sides and the inside surface. Once your child is about 2 years old you can start using a pea-sized amount of fluoride toothpaste. You’ll need to teach him how to rinse and spit, rather than swallowing the toothpaste.

  • The direction of the brush stroke doesn’t really matter. The key is to clean each tooth from all angles, making sure you reach the back teeth as well

  • For now you’ll need to brush your baby’s teeth. As he reaches the toddler and preschooler stage, help him begin brush his own teeth, under your close supervision. You’ll need to lend a hand until he’s 7 or 8 years old to ensure those teeth get a thorough clean. Here are some ideas for how to make brushing more fun for both of you.


Your little one’s diet is a big part of dental health. Avoid giving your child sugary drinks like fruit juice and sodas, or sticky sweet snacks like gum, toffee, and sticky caramel. Also, don’t let your baby fall asleep with a bottle or sippy cup of milk, formula, juice, or any other sweet drink, as this can cause the sugary liquid to pool in his mouth and lead to tooth decay.

For more on caring for your baby’s teeth, check out our article on dental care for children.

Dental Checkups

Getting professional care from a dentist is crucial for the healthy development of your child’s teeth, mouth, and gums. Usually, the first dentist visit should take place within about six months of the first tooth poking through or by the time your child is 12 months old, whichever comes first.

Of course, if you have any questions or concerns, you can make an appointment at any time. Your baby’s healthcare provider will also check your baby’s teeth and gums at his regular well-child checkups.

In Summary

To care for your child’s baby teeth

  • Brush your baby’s teeth twice a day
  • Use a soft-bristled brush and a rice-size smear of fluoride toothpaste
  • Schedule the first dental checkup by the time your baby is 12 months old
  • Don’t let your baby fall asleep with a bottle or sippy cup in his mouth
  • Avoid giving your baby sugary drinks or foods, but if you do brush his teeth afterwards.

When to See Your Baby’s Healthcare Provider

If your little one is showing symptoms like fever, irritability, or diarrhea, or any other signs of childhood illness, and you’re not sure whether it’s related to teething or something else, it’s safest to call your healthcare provider so an accurate diagnosis and treatment plan can be made.

You should also contact your baby’s healthcare provider if you’re concerned about how much discomfort your baby is in as a result of teething. The provider may recommend some form of pain relief while also making sure that nothing else is wrong to cause the elevated levels of pain or discomfort. Do not use teething gels to numb the gums, as these are dangerous.

You’ll also want to consult your baby’s healthcare provider or dentist if your baby has a tooth problem or injury, such as a broken or chipped tooth.

Interesting Facts About Baby Teeth

Want to know more about teething and those white-as-can-be baby teeth? Here are some fun facts about your little one’s teeth:

  • On average, about four teeth will poke through every six months during the teething process

  • Girls’ teeth may erupt a little sooner than boys’ teeth

  • The bottom teeth tend to erupt before the same type of tooth on the top

  • Teeth usually erupt in symmetrical pairs; in other words, one tooth on the right side of the jaw and the same type of tooth on the left side of the jaw will poke through at roughly the same time

  • Your child’s primary teeth are smaller and whiter than the permanent teeth that will replace them in a few years’ time

  • From around the age of 4, your child’s face and jaw will begin to grow and change shape, and this will create gaps in his smile as the baby teeth won’t catch up in size. This is completely normal—it’s the mouth’s way of making space for the bigger adult teeth that will follow.

  • Your baby’s secondary teeth will be coming in when he is about 7 or 8 years old. Because it will take a little while before your child has a full set of adult teeth, for several years your child will have a mix of baby and adult teeth.

  • Your baby has 20 primary teeth but will have many more secondary teeth. By the time your child is in his teens or early 20s, he’ll have between 28 and 32 adult teeth.

FAQs at a Glance

  • How do you know if your baby is teething?

    Signs that your baby is teething can include:

    • Being cranky or crying a lot
    • Disrupted sleep
    • Drooling more than usual
    • Chewing or gnawing on an object
    • Tender, red gums where the tooth is coming through.
  • How do you soothe a teething baby?

    Here’s how to soothe your teething baby:

    • Give your baby a teething ring to chew on
    • If your little one’s already eating solids, give some crunchy or textured finger foods like a teething biscuit or give cold food like applesauce or yogurt
    • Massage your baby’s gums with a clean finger
    • Chill a clean cloth in the fridge and give it to your baby to chew on.
  • Can your 3-month-old be teething?

    Most babies cut their first tooth sometime between 6 and 12 months old, but some do start teething earlier, so it may be possible that your baby is teething at 3 months old.

    Check for symptoms of teething like fussiness, excessive drooling, or sore, red gums. If you aren’t sure whether your baby is teething or not, ask your child’s healthcare provider for personalized advice.

  • How early do infants start teething?

    The range is quite broad, but most babies start teething sometime between 6 and 12 months of age. It’s possible that your baby may start teething a little earlier or later than this range.

  • Can 8-week-old babies start teething?

    It may be possible to start teething at 8 weeks, but typically teething starts sometime between 6 and 12 months.

  • What do babies’ gums look like when teething?

    The gums may look red and swollen and may be tender to the touch. Eventually, you may also see a tooth poking through the gumline.

  • When do you start brushing baby teeth?

    Start brushing your baby’s teeth as soon as the first one pokes through. Twice a day, use a soft-bristled toothbrush with a tiny smear of toothpaste to gently clean the entire surface of the tooth.

The Big Picture

Teething can sometimes be a challenging time for your baby and you. Try to keep in mind how important those teeth are, helping your child chew and bite into the nutritious foods that are fueling his growth and development.

If you’re still waiting for that first tooth, know that it will be here soon enough, and more will be on the way. Each new tooth that emerges will make that smile even more adorable than it was before.

Take good care of your baby’s tiny teeth and before you know it the gaps in your little one’s smile will be filled in with some of the cutest, whitest teeth you’ve ever seen!

How we wrote this article

The information in this article is based on the expert advice found in trusted medical and government sources, such as the American Academy of Pediatrics and the American College of Obstetricians and Gynecologists. You can find a full list of sources used for this article below. The content on this page should not replace professional medical advice. Always consult medical professionals for full diagnosis and treatment.

Stages of Teething and Helpful Hints – Kids Dental Online

Although the exact timing of can vary from child to child, babies typically begin teething around 6 months of age. Usually the front bottom two teeth (lower central incisors) emerge first, accompanied by the front top two teeth (upper central incisors). Teething can be a painful and difficult process for both babies and parents, as infants may become especially fussy or cranky while their new teeth emerge. Quintessential signs and symptoms of teething include irritability or fussiness, drooling, chewing on firm solid objects, and sore or sensitive gums. Parents also commonly conclude that teething causes diarrhea and fever, but research has shown this to be untrue. Teething does produce signs and symptoms in the gums and mouth but does not generate constitutional or other extended bodily symptoms. In this baby dental topics article we cover stages of teething and helpful hints. Read more about other pediatric dental topics.

5 Stages of Teething In Children

Teething happens in 5 stages, lasts a significant amount of time, and can be very tough for both parents and infants to endure. Understanding what to expect during this difficult time, however, can help parents ease the discomfort of their baby as well as navigate their way successfully into toddlerhood.

The 5 stages of teething include:

Stage 1: (0-6 months) At birth, babies have a full set of 20 primary teeth in the jawbones beneath their gums. These are frequently referred to as “milk teeth,” because during this stage a baby’s diet usually consists of milk only.

Stage 2: (6-8 months) During this stage, the first teeth emerge. The lower and upper front teeth, the incisors, begin to erupt around 6 months, but signs and symptoms of pain or discomfort may become evident before 6 months. Prior to eruption, the uneven edges of the teeth may push against the gums, and the baby will typically start chewing on toys, hands, or other solid objects. Putting pressure on the gums alleviates pain and provides a distraction for babies, so make sure to give them appropriate chew items to ease their discomfort. There will likely be an obvious increase in drool during this times period, so keeping a small bib on the baby can make it easier to keep his/her chin dry. This will help keep a rash from forming around the baby’s mouth and chin, which can add to the discomfort.

Stage 3: (10-14 months) During this stage, the primary molars begin erupting. These teeth come in the back of the mouth in the lower and upper jaws. This stage is much like stage 2, but parents will notice an even more evident increase in drool, crankiness, and the need to chew on solid objects. During this time period, it is also common for babies to experience a bit of a loss of appetite, fever, and diarrhea. During stage 3, a baby’s sleep schedule may become more sporadic or get “off.” Unfortunately, it is typical for both babies and parents to lose sleep at night during this period of teething. If a baby’s pain seems to become overly severe or the baby seems to experience inordinate discomfort, consult the pediatrician for advised over-the-counter pain remedies.

Stage 4: (16-22 months) During this stage, the canine teeth (between the top and bottom molars and incisors) will surface. The same recommendations for stage 2 and 3 can be implemented during this period to keep the baby as comfortable as possible.

Stage 5: (25-33 months) For some children, this is the most painful stage of teething. During this time, the large molars emerge. These are the biggest teeth, and parents may find their normal soothing techniques are no longer effective. Try different methods to soothe the toddler until something helps. Many parents find it beneficial to give the toddler a hard vegetable to chew on, and this is also healthy. If implementing this method, make sure to keep a close eye on the child at all times to make sure he/she does not choke!

Helpful Hints For Soothing A Teething Baby

Some helpful hints for soothing a baby’s sensitive and sore gums include:

  • Massaging a baby’s gums with a clean finger, damp washcloth, or clean dampened gauze pad. Providing this pressure to the gums can alleviate the baby’s pain.
  • Providing a teething ring made of hard rubber. The liquid filled kind can break as the baby chews.
  • Filling a bottle with water and allowing the baby to suck. Do not fill a bottle with milk or juice specifically to sooth teething. Extended contact with sugary liquids leads to tooth decay.
  • Chilling a washcloth or teething ring for a baby to then chew on can also be very soothing. Do not freeze these items, however. Contact with objects that are too cold can cause harm to the gums and teeth.
  • Giving the baby hard foods that are safe to chew on, if the baby is old enough to eat solid foods as part of his/her diet. Solid vegetables like a peeled and chilled cucumber or carrot can be helpful, but watch the baby closely, as pieces may break off and potentially become choking hazards.
  • Drying the drool to keep the skin from becoming too irritated or a rash from forming. Keeping a clean dry bib or cloth under the baby’s chin can be helpful.
  • Giving the baby over-the-counter remedies may alleviate pain as well. Before giving the baby any medicines, however, ask the pediatrician what is safe and appropriate for the child.

Read more on Infant Dental Topics

At Kids Dental, we offer comprehensive, family-centered pediatric dental care in a child-friendly nurturing environment. If you are looking for a place to call your dental home, please schedule a consultation with one of our pediatric dentists by completing an Online Appointment Request or calling either office.

Plano Office Phone: 972-378-5437
Carrollton Office Phone: 972-394-2140

University of Iowa Stead Family Children’s Hospital

We know how frustrating it can be when your typically happy baby is starting to get teeth: the smiles, coos, and giggles are replaced by drooling, crying, and just overall grumpiness. 

There are ways you can help your little one get through the rough spots, though, making the overall experience more pleasant for both you and your baby.

What do we mean by “teething”?

Most parents refer to “teething” as that time during their child’s first two to three years of life when their first set of teeth start to come up through the gums.

When does teething typically start?

Timing varies for each child, but babies typically start getting their first teeth between 6 and 10 months of age. Some children get them sooner, or later, but they really should have gotten their first tooth by the time they reach 16 months of age.

How long does teething last?

The length of time a child has fussiness due to teething varies, but it can take several years before all 20 teeth come through the gums.

What are some normal reactions to teething?

Children exhibit a variety of symptoms when they’re teething, and all are different, but typically we’d anticipate some redness in their gums, increased drooling or biting on things, as well as overall fussiness or irritability. These things are all normal reactions to teething.

What are some not normal reactions?

If your child has a true fever – generally anything 100.4 degrees or higher – or is vomiting or having diarrhea, those are not typical reactions to teething and may mean there’s something else going on. Contact your child’s primary care provider if you are concerned.

How do you soothe a baby who is teething?

There are several things parents can do to help ease some of the pain of teething for their baby. The easiest thing is to rub or massage your baby’s gums with your clean finger. If the baby is old enough, you can use chilled, but not frozen, teething rings, or give them a clean, wet washcloth that you’ve put in the freezer to chew on. As a last resort, an oral medication, such as acetaminophen or ibuprofen, can be used to help relieve the pain.

What are some products that aren’t safe to use?

We hear a lot about teething necklaces, often made of amber, but we don’t recommend them for several reasons – the beads are small enough that they create a choking hazard, and the necklaces themselves can be a strangulation hazard. There have been cases of children being hurt or dying from these necklaces so they can be dangerous. We also follow FDA guidelines and do not recommend topical gels or teething tablets, because they can have negative side effects, including rare and serious conditions called methemoglobinemia and belladonna toxicity.

Our team is here to help. Same-day appointments are available at all pediatric primary care locations. Call 1-888-573-5437 or visit uichildrens.org/pediatrics for a full list of locations and providers.

Teething – Kids Plus Pediatrics

Teething is the process children go through as their teeth form, grow, and finally erupt through the gums.

The average age for a teething child’s first tooth to erupt is about 7 months old, but that’s highly variable. Sometimes a tooth may be present already at birth, and some kids don’t get their first tooth until well after 12-15 months. There is a genetic component to tooth eruption, so if a child’s older sibling got her teeth early or late, the younger sibling may get his early or late as well.

The order that teeth come in is also highly variable. The most common teeth to come in first are the bottom middle teeth, followed by the top middle teeth, but it can be normal if other teeth come in first. After the front eight teeth erupt, the first molars typically come next, and then the canines (or eye teeth) appear. The second set of molars, the “two year molars,” make their appearance usually after the second birthday, completing the 20 baby teeth. Again, while this is the most common pattern, it is completely normal for all sorts of variations on when teeth come in to occur.

Treatment for Teething

 #1: “My baby is drooling a lot and chewing on everything, they must be teething.”

Not necessarily. Babies start drooling around 3 months, and drool even more as they get older. That happens if they’re teething or not.  Same thing for chewing — babies love to chew on toys, toes, anything they can get their hands on — and they’ll do this at 4-6 months old whether they’re teething or not.

#2:  “Teething causes fevers.”

Teething may make a child a little warm, but it doesn’t cause fevers; much of that is coincidence. At the age children are teething, that’s the same age their maternal antibodies are diminishing, and that they come in contact with lots and lots of germs. So teething or not, kids get sick frequently at that age, which often gets confused with teething.  Also, many experts think that when teeth are coming through, babies are more susceptible to infections, because germs can get through the newly created holes in the gums. Any temperature above 100.5 F is an infection, not teething.

#3: “Teething causes diarrhea.” 

Not necessarily. Because babies are salivating and drooling a lot, their stools are sometimes looser at this age. But true watery diarrhea is typically a sign of something else, not just teething.

#4: “Teeth cut through the gums as they erupt.”

Interestingly, they don’t. The body actually produces hormones that help break down the surface of the gums on top of the teeth, which then creates a hole for the erupting teeth to grow through.

#5: “Frozen teethers are soothing for a baby’s gums.”

Actually, a totally frozen rock hard object will probably be uncomfortable on those tender swollen gums. A nice cold teether will be much better. For example, a wet washcloth placed in the freezer for 15-30 minutes will get nice and cold, but will soften nicely in a baby’s mouth. (Just make sure to use clean washcloths each time!)

If you have other teething questions or concerns, you can always feel free to call the office, or post questions on our Facebook page.

Dr. Albert Wolf, a proud Kids Plus Doc since 2000, is a Senior Partner and Chief Financial Officer of the practice.

Teeth and teething | Ministry of Health NZ

Title: Your Child: Healthy Teeth. Episode 14 of 15.

Title: Renee & Dez’s Whānau

[Shots of Renee and Dez’s home.]

Debbie (voice-over): It’s really important for your child’s first teeth to be looked after, for their own growth and development. They need them for eating, speaking and generally keeping well.

[Interview with Debbie.]

Title: Debbie Jennings, Dental Therapist

Debbie: My name is Debbie. I am a dental therapist with the school dental service in Wellington. I am here today in Dez and Renee’s home, talking to them about how to look after Aidan’s teeth.

[Interview with Renee and Dez.]

Renee: Hello, I’m Renee.

Dez: Hi, I’m Dez. We have a three-year-old son named Aidan.

[Shots of Aidan playing.]

Title: Aidan, 3 years old

Dez (voice-over): He’s a very lively, very bubbly sort of little guy. He’s just your typical three-year-old that runs around a lot, and really enjoys brushing his teeth now.

[Renee brushes Aidan’s teeth. Aidan resists.]

Debbie (voice-over): Baby will get their first tooth at around six months of age. It’s important that we start brushing those teeth as soon as they come through. They will continue teething until around two-and-a-half to three years of age. They will then have twenty teeth.

Renee (voice-over): Aidan’s first teeth started coming in at seven months, so as soon as they came in we started brushing his teeth. It was quite easy for a while, until he got to about a year-and-a-half. Then it was quite difficult for us to brush his teeth. He was quite resistant to a toothbrush. We tried so many different methods.

Debbie (voice-over): It can be quite challenging when they’re little pre-schoolers. Just remember their mouth is really sensitive, and it’s got to be done gently.

Renee (voice-over): Now at three years old, we’re in a routine where we brush his teeth in the morning after breakfast and at night before he goes to bed.

Debbie (voice-over): It’s really important for an adult to brush their child’s teeth until around eight years of age. We need to be doing it for two minutes after breakfast, and especially at bedtime, and that’s to get rid of all the food and the drink we’ve had during the day, so it’s not sitting on our teeth when we sleep. Otherwise the saliva, which you don’t get at night time, can’t wash all those foods off your teeth, and that’s when the food will eat into your teeth, and you’ll end up with holes.

[Renee prepares fruit.]

Debbie (voice-over): As kids are snackers, it’s important we protect and look after their teeth in between meals. We need to be feeding them fresh fruit and vegetables, and healthy alternatives like dairy products or plain crackers.

[Aidan eats an orange.]

Dez (voice-over): We give him healthy snacks as opposed to sugary treats, because that will help in the long term with his teeth, and also his health.

[Renee leads Aidan to the bathroom and helps him brush his teeth.]

Renee (voice-over): On a typical day, after he’s had his breakfast, I will take him into the bathroom. We keep his toothbrush in a special bag, so I take it out, and put the toothpaste on it for him, and give him the toothbrush, and let him play around with it for a little while. And then when he’s done brushing his teeth, I play a special song, which times out two minutes, and then I do a thorough clean of his teeth, brushing his teeth and his tongue. And then when the two minutes is over, the song will stop. Then he’s finished brushing his teeth for the morning. That’s him done.

[Interview with Debbie.]

Debbie: Just remember, their tooth is like a little box, and we need to make sure we get all those surfaces. The top of the teeth, around the sides, the tongue, and also the gums. It’s also important that we use a full-strength toothpaste, but just a little smear, as soon as their teeth start to come through. We don’t lose our last baby tooth until about eleven or twelve years of age, so it’s important to keep them healthy so they can guide the position of the big teeth coming through. I’d really like to encourage you parents to look after your children’s teeth and help them end up with a lifetime of happy, healthy teeth.

Title: Our thanks to the families and health workers who appeared in this video for the Ministry of Health. Find out more about pregnancy and child health on www.health.govt.nz/yourhealth.

When do babies start teething?

Teething is one of those mixed-bag milestones. You anxiously await for baby’s first tooth, and then realize it comes with plenty of drool, sleep disruption and crankiness.

Here’s what you need to know about teething, from tooth timing to symptoms to dental care.


According to Anastasia Williams, a pediatrician at Olde Towne Pediatrics in Manassas, Virginia, parents can generally expect to see the first tiny white chompers poking through between 4- and 7-months-old. (That said, it can also happen earlier or much later.

“It’s a process, and it’s not like babies have read the timelines — I’ve seen children who didn’t get their first two teeth until they were past one year,” Williams says. Although there are some cases where late teething might signal a health issue such as a genetic disorder, as long as your child doesn’t have other health concerns, it’s nothing to stress about.


“The first teeth that emerge in a baby are either her upper or lower front teeth, which are also called the central incisors,” says Christina Johns, a pediatrician and senior medical advisor at PM Pediatrics in Lake Success, New York.

The exact order can vary, but the American Academy of Pediatrics has a teething timeline chart that gives the typical progression. After the two pairs of central incisors, parents might see the lateral incisors (the four teeth that flank them), the first molars, the canines (also called cuspids, which aare the pointy ones) and, finally, second molars. Most children finish cutting teeth between the ages of 2 and 3.


Yes. A “natal tooth,” as it’s called, is simply a baby tooth that’s made an early debut. According to Johns, it’s extremely rare, occuring in about one in every 2000 newborns. “If the tooth is loose at birth, it will likely need to be removed because a baby can choke on it,” she says.


Teething babies are often fussy, especially in the days right before the tooth pokes through, with pain that may seem to be especially bothersome at night. Williams shared a few of the main symptoms she sees.

  1. Drooling
  2. Fist biting
  3. Visible swelling in the gums
  4. Ear pulling: “Babies tend to grab the first thing they encounter in the general area of the mouth and cheek, which is the ear,” says Johns. However, ear pulling is not a sign of any other ear problem. “Some parents also ask me if teething causes ear infections, and the answer is most definitely not,” says Williams.


The short answer: If the fever is higher than 100.4 degrees, you can’t blame teething. “Sometimes with teething we may see very slightly elevated temperatures of say 100 or 100.2, but we don’t consider this a true fever,” says Williams, who adds that a temperature reading of 100.4 or greater warrants at least a call to your doctor, as it’s more likely that your baby has picked up a virus. “A popular saying in pediatrics is ‘the only thing that teething truly causes is teeth,’ which is a simplification because you do also have increased saliva and discomfort, but the spirit is true,” says Johns.


  1. Over the counter pain meds: Both doctors suggest Tylenol for younger babies and ibuprofen for those older than six months. “That pain is real and can wake them—Tylenol really does help and ibuprofen, which lasts up to eight hours, can get them through almost a full night,” says Williams.
  2. Gum massage: Williams suggests simply washing your hands and massaging your baby’s gums.
  3. Chewing/gnawing at frozen things: Johns suggests a frozen wet washcloth or frozen fruit in a mesh feeder bag designed especially for babies. “Anything that is cold and cannot easily break off into a piece that could be a choking hazard will do the trick,” she says. Williams cautions against using liquid filled teething toys because they can leak.


  1. Homeopathic remedies and teething tablets: Doctors are adamant about avoiding these since they aren’t regulated by the Food & Drug Administration (FDA).
  2. Necklaces: Both doctors noted that necklaces, such as amber teething beads, may break and become choking hazards.
  3. Numbing agents: Any teething remedies (such as gels) with numbing agents like lidocaine or benzocaine, which can, according to the Food & Drug Administration, cause as “life-threatening” reactions in infants and young children by reducing the amount of oxygen in the blood.


Although it can feel like it’s going to go on forever, there is an end in sight. According to the American Academy of Pediatrics, children get their final two pairs, the second (or back) molars, sometime between 23 and 33 months, with the lower ones generally coming in first. By age three, your little one should have a complete set of 20 teeth, and kids tend to lose the first baby tooth around age 6.


“Babies should be seen by a pediatric dentist after their first tooth erupts or by 12 months,” says Johns, and then typically every six months. If you’re worried about your little one getting wiggly or anxious, Williams suggests finding a pediatric dentist, who will be especially skilled at dealing with younger kids and can offer fun incentives like videos during the exam and toys at the end.


It’s never too early to start getting your little one used to the idea of having her mouth cleaned. “Even before the first tooth appears, I suggest that parents start by using a clean, wet washcloth to wipe down their baby’s mouth and gums in the morning and before bedtime, and after meals,” says Johns. Once those pearly whites come in, an infant toothbrush and the tiniest dab of fluoride toothpaste (about the size of a grain of rice) is all you need, morning and night.

Once children can be trusted to spit out toothpaste, usually around age 3, you can switch to about a pea-sized drop. “It’s a good idea to supervise until they are at least 6 or 7 so that they are using the proper method and not swallowing the toothpaste,” says Johns.

Another way to prevent cavities is by drinking fluoridated water, which the American Dental Association says can prevent up to 25 percent of cavities in both children and adults. “So many people drink bottled water now, but starting at six months, babies should have a few ounces of filtered tap water each day,” says Williams.

Your Child’s Teeth Journey Timeline

Babies are born with all of their primary teeth below the gum line waiting to make their debut. Once a child’s first tooth comes in, the process of teeth erupting, falling out and erupting once more continues until about the age of 12 or 13 when all of the permanent teeth (aside from the wisdom teeth) are in place. As Brooklyn pediatric dentists, we know parents can get a little stressed about the process and worry whether or not their child’s smile journey is on schedule. All kids are unique and there’s a pretty big range when it comes to the age babies start teething, when kids’ lose teeth and when the permanent teeth come in. The Bitesize gang is here to help with our handy infographic detailing your child’s teeth timeline.

Baby Teeth Timeline

6 to 10 Months

Most kids get their first tooth between six and 10 months of age. If your tiny tot starts later than this, there’s no need to panic. However, the American Academy of Pediatrics suggest parents talk to their pediatric dentist if their child doesn’t have any teeth at 18 months. Which teeth grow in first? While the baby teeth order of eruption can vary slightly, typically the lower central incisors (bottom front teeth) are the first to make an appearance.

8 to 33 Months

The bottom front teeth are most commonly followed by the upper central incisors (top front teeth). Baby teeth tend to erupt in pairs, meaning the tooth on the right will come in around the same time as its partner on the left, usually the bottom teeth first and then the upper teeth next. Between 25 and 33 months of age, the top second molars will join the smile party and your toddler will have a full set of 20 primary teeth.

1 Year

According to the American Academy of Pediatric Dentistry guidelines, little ones should have their first visit to the dentist six months after their first tooth comes in or no later than their first birthday.

6 to 7 Years

As you can see from this helpful baby tooth loss chart, there’s a range for the age primary teeth start falling out. Generally, most kids lose their first baby tooth between six- and seven-years-old.  However, it can happen when they’re a bit younger or older. Teeth usually fall out in the same order they came in with the bottom front teeth being the first to make their way to the Tooth Fairy followed by the top front teeth.

7 to 12 Years

The rest of the baby teeth will usually fall out between the ages of seven and 12. The second molars are generally the last primary teeth to say goodbye. When a tooth first gets wiggly, it can take a few months to come out. It’s best to let the baby tooth fall out on its own when it’s good and ready to avoid causing any damage.

Permanent Teeth Timeline

6 to 7 Years

When do permanent teeth grow in? Between the ages six and seven the first permanent molars commonly erupt. These “six-year molars” aren’t replacing baby teeth and actually come into an empty space. During this timeframe, the lower front teeth (central incisors) also erupt. It varies by kiddo whether they get their molars or their incisors first.

7 to 12 Years

Over the next five years or so, the remaining permanent replacement teeth will erupt, with each one typically coming in right behind the baby tooth that just fell out. You can check out this permanent teeth eruption chart to get a good idea of the timing and order. Usually, the grown-up tooth pushes the baby tooth out as it emerges. However, sometimes, a permanent tooth might be slow to fully erupt. If you don’t see a permanent tooth six months after your child loses their primary tooth, schedule a visit with your pediatric dentist.

12 to 13 Years

Between the ages of 12 and 13, the permanent second molars will erupt. Just like the permanent first molars, these teeth aren’t replacing primary ones, which is why your kiddo will now have 28 teeth instead of 20. Your child’s smile journey is complete unless their wisdom teeth erupt, which doesn’t always happen, in their late teenage or early adult years.

Did You Know?

  • Girls often get their first teeth earlier than boys.
  • You can start brushing your child’s teeth when their first baby tooth comes in and you can begin flossing when any two teeth are touching.
  • Baby teeth are smaller and usually whiter than the permanent teeth.
  • A little after a child’s fourth birthday, their face and jaw will grow to make room for the larger grown-up teeth.
  • If a baby tooth falls out before the permanent tooth underneath it is ready to erupt, it can lead to issues, such as crowding, so a space maintainer might be needed.
  • From ages six to 12, kids have what’s known as “mixed dentition,” which means they have both primary and permanent teeth.
  • Most people get their third molars, nicknamed wisdom teeth, between 17- and 21-years-old.

That’s how your child’s smile takes shape! If you have questions or concerns about your little one’s teeth erupting or falling out, schedule a visit at Bitesize Pediatric Dentistry in Williamsburg or Park Slope. Our Brooklyn pediatric dentists will make sure your child’s oral health and development are on track!

Teething calendar. Consistency of tooth growth and loss in children!

Each age period has its own characteristics of the development of the dental-jaw system, as well as diseases that manifest themselves mainly at a certain age.

For the convenience of information perception, we CONDITIONALLY identified several age periods in the development of the dento-maxillary system and maxillofacial region. We tried to identify the most characteristic features of development for each age period, emerging diseases of the oral cavity and the most acceptable methods of their treatment.

  • from 0 – 3 years. The first teeth and the formation of a milk bite of the teeth;
  • from 3 to 6 years old. Milk bite and first milk teeth falling out;
  • from 6 to 9 years old. Continuation of the change of milk teeth to permanent ones;
  • from 9 to 12 years old. Completion of the change of milk teeth to permanent ones;
  • 12 and older. Completion of the formation of a permanent dentition in children;

Each age period has its own characteristics in the provision of dental care to children.This is the ability to find a psychological approach to the child, and the ability to make the right decision when choosing a particular method and treatment tactics.

Most often, parents ask questions regarding the timing of teething and the physiological change of milk teeth to permanent ones in children. The most common question is: “How many teeth should children have per year, at 2 and 3 years old, etc.?” or “Which tooth is the first?” Especially for your convenience, we have compiled a series of articles “Age features of the development of teeth in children” and wrote the program “Teething calendar” for ease of perception of information by parents who are not specialists in the field of dentistry.

Teething calendar , allows you to see how the teething and loss of milk teeth in children is going on: the sequence and order of eruption and change of milk teeth to permanent (which tooth follows which and which place it takes) the location of the teeth in the dental arch at various stages of development Your baby.

What teeth at what age?

Scheme and table of the timing of teething, location and loss of milk teeth in children

The first tooth in a child erupts at the age of 6-8 months.By the 1st year, the child’s upper and lower milk incisors usually erupt. A full set of deciduous teeth should be formed by the age of 3 years. At the age of 5 – 6 years, the change of milk teeth to permanent (molars) begins. The formation of the bite of permanent teeth is completed at the age of 12-13 years.

The tooth begins to erupt when the crown of the tooth completes its formation inside the jaw. As the eruption proceeds, the formation of the root of the tooth continues. Tooth root formation lasts from 1.5 to 2 years after eruption.

In the relevant sections, you can find out not only “ How many teeth do children have at such and such an age?”, But also learn the features of teething, characteristic of each age. For example, why the gums itch when the first milk teeth erupt, or why the first milk teeth erupt “crookedly”, out of sync. What methods of dental treatment are possible at every age? When do milk teeth begin to change to permanent ones? How and in what sequence do teeth erupt?

For each period, typical problems specific to a given age are indicated and what parents should pay attention to in order to avoid them.For example, before the age of 1.5 years, night feedings are the main cause of tooth decay. It is enough to give up this bad habit (after the 2nd year of life it is already a bad habit, and not a physiological need) and the likelihood of bottle caries will significantly decrease!

Pay attention!

PHOTOS: teeth of a 3-year-old child.

Gaps between milk front teeth at the age of 3 years is the norm. On the front upper teeth, caries in the cervical region of the teeth.

We draw your attention to the fact that the body of each child is strictly individual and there are no “strict terms for teething and loss of teeth”, you can only clearly distinguish the sequence of the appearance of teeth in the mouth. All terms are given with a certain degree of convention (± 2-3 months), based on the most common situation in the practice of dentists. Therefore, do not be alarmed if the number of teeth in your baby’s mouth does not match the tabular data. For more confidence or if you are worried about something, it is recommended to show your baby to a pediatric dentist.

Also, we draw your attention to the fact that all information is provided for informational purposes only.

90,000 When Milk Teeth Appear and Fall Out

An important stage in the development of a child is the appearance of the first milk teeth, and it is difficult to contain the joy looking at his new smile. It also means that it is time to take care of the baby’s teeth. After all, oral health begins with the first tooth.

When do baby teeth appear?

The first baby teeth appear (or “erupt”) at the age of four to eight months, and daily care is required to keep them healthy.Baby teeth are very important for a child’s oral health. They help keep the jaw in the correct position while the permanent teeth grow under the gums. They also create space for permanent teeth to appear. They affect how the child chews, smiles and talks. This means that neglect of caring for baby teeth can have a very bad effect on the condition of the oral cavity and health in general, both in childhood and in adulthood.

Usually, by the age of 3, children already have all 20 milk teeth.However, the development of each child is individual. If you are worried about when your child will have teeth, consult a dentist.

What to do when baby teeth appear?

It is possible that during teething, the child will cry and be capricious more often. This is because teething teeth often cause soreness and tenderness in the gums. These common teething symptoms can be alleviated by simple means, such as rubbing your gums with a clean finger, a damp gauze pad, or using a chilled teething toy (teether).

It also means it’s time to brush your teeth. Caries can begin as soon as the teeth appear. For safety reasons, one of the parents or the caregiver should brush the child’s teeth for the first 24 months. The child can then “help” guide the brush. However, it is highly recommended that the adult continues to brush the child’s teeth until the age of 7.

As soon as your child has teeth, make brushing twice a day as an integral part of his routine, with one of them just before bedtime.Brush your teeth with a little fluoridated toothpaste, such as Oral-B Baby 0-2 Winnie the Pooh, with a baby toothbrush with gentle bristles, such as Oral-B Baby 0-2 Winnie the Pooh, and that’s it. work out. It is unlikely that your little one will be able to spit out the toothpaste at the end of brushing, so just wipe off what remains. Swallowing toothpaste can cause stomach upset or diarrhea. It can also lead to fluorosis – the appearance of white spots on the teeth as a result of excess fluoride in the body.

From the age of 3, your child’s teeth can be brushed with an electric toothbrush, for example, Oral-B 3+ (with characters from “Frozen” or “Star Wars”, but parents must do this.

When should my child visit the dentist?

The child should be seen by the dentist before his or her first birthday. However, this can be done immediately after the first tooth appears. This will not only help keep your baby’s oral health and good habits healthy, but it will also give you the advice you need if you need it.

You can prepare for your first dentist visit by telling your child what will happen in the dentist’s office and sparking interest in the event. Try reading books or watching videos about dentists adapted for children. Practice opening your mouth wide with your child to help the dentist. During the first visit, the dentist will likely seat you in the chair while you hold the baby in your lap. The dentist will look at how the baby’s teeth and jaw are developing, check for caries, and then brush the teeth.

How to maintain the health of milk teeth?

In addition to brushing your teeth twice a day and visiting the dentist regularly, it is important that your child’s diet includes foods that are low in sugar. As in adults, excessive sugar consumption can lead to plaque and tooth decay. It is recommended to give children mainly milk and water, as there is too much sugar in fruit drinks, juices and soda. Try to limit or avoid sugary drinks or snacks before bed.Do not give bottled drinks containing sugar to your child before bed. Give only water at night.

90,000 Supernumerary teeth: types, causes, treatment

Normally, a child grows 20 milk teeth, which eventually change to 32 permanent ones. But there are times when more teeth grow. Such an anomaly is usually called polyodontia or hyperdontia, and extra teeth are called supernumerary units. Such teeth differ from ordinary teeth in their shape and location in the oral cavity.

Danger of supernumerary teeth

First of all, the presence of such teeth affects the appearance of a person, since most often supernumerary teeth grow outside the dentition. This is especially evident when a person laughs and smiles. Sometimes supernumerary teeth can be seen even when a person’s mouth is closed, the lip protrudes unnaturally or the jaw does not close properly. Also, supernumerary teeth can affect a person’s speech, diction may be impaired.

In addition, hyperdontia negatively affects the formation of the bite. With such an anomaly, the dentition can shift and bend. “Extra” teeth can lead to crowding of the dentition, due to which the bite can also be disturbed.

The presence of supernumerary teeth makes it difficult to clean the oral cavity, which can provoke the development of various dental diseases.

Reasons for the growth of supernumerary teeth

The exact reason for the appearance of more teeth has not been established.Scientists suggest that excess units of teeth are the result of poor ecology, the impact on the human body of viral infections, the consumption of alcohol and drugs by expectant mothers.

In most people, hyperdontia is expressed in one supernumerary tooth, 25% of these teeth have several, and, as a rule, they are all located on the same dentition.

Varieties of the disease

Hyperdontia is divided into:

  • Atypical.”Extra” units do not grow in the alveolar holes, and sometimes not even within the oral cavity.
  • False. Delayed loss of deciduous teeth.
  • Typical. Supernumerary teeth grow within the dentition.
  • True. Most often caused by a genetic predisposition, as a result of which the formation of the rudiments of supernumerary teeth is observed.


Signs of additional dental units may vary.Sometimes a baby is already born with such teeth.

If the “extra” tooth grows at an older age, the following symptoms may appear:

  • pain and fever, as with a normal teething in a baby;
  • excessive salivation;
  • edema of the upper respiratory tract;
  • violation of diction, especially with the appearance of supernumerary teeth in the upper palate;
  • rarely indigestion.

Thus, the symptoms of an eruption of a supernumerary tooth are practically the same as with the appearance of an ordinary milk tooth.If you find that a baby has a so-called “extra” tooth, you should immediately seek the advice of a specialist. Self-medication in such a situation will not help in any way.

In order to detect a supernumerary tooth, the dentist only needs to conduct a visual examination of the patient’s oral cavity. If the tooth has not yet erupted, it can be seen with the help of an X-ray examination, with the help of which it is possible not only to visualize the presence of supernumerary teeth, but also to reveal their exact location.If necessary, you can also carry out computed tomography, which will allow you to see the supernumerary tooth from all sides in all planes.


Treatment depends on a number of factors: the location and inclination of the tooth, the influence of the supernumerary tooth on the rest of the dentition, etc.

The supernumerary tooth is removed:

  • if the tooth has erupted in place of the molar;
  • in a situation where a supernumerary tooth affects the formation of a bite;
  • if it has not erupted to the end, and grows under the gum incorrectly, at any inclination.

Quite often, after the extraction of a supernumerary tooth, it is necessary to carry out orthodontic treatment to correct the occlusion or align the dentition.

The whole procedure is performed under local anesthesia, therefore it is practically painless for the patient. The anesthetic is selected based on each specific situation, as well as the general condition of the patient and his age.

After the extraction of the supernumerary tooth, the patient is followed up by a specialist during the first weeks, attending regular check-ups.Also, if necessary, a course of antibiotics may be prescribed by the attending physician.

Subject to all the advice of a specialist, within a few days after removal, a person will be able to return to normal life.

Early Orthodontics, age 6-10 years Limassol

Early orthodontic treatment in children with mixed teething –

Orthodontics at the age of 6-10 years

Some orthodontic problems require early intervention by an orthodontist.The word “early” indicates that the treatment is provided when the patient is in a period of mixed teething (at the same time, the patient has permanent and baby teeth in the mouth). Early intervention does not necessarily preclude the need for future treatment, but guarantees the simplification of any future problem (eg, avoiding the extraction of permanent teeth, avoiding skeletal asymmetry, etc.).

The following circumstances require early intervention:

1) Skeletal disharmony in the anterior and posterior plane of the teeth

Jaw progesterone

When the lower jaw is in front of the upper jaw.

Mandible Stroke / Retrognathism

When the lower jaw is larger in the back compared to the upper jaw

2) Skeletal disharmony – Crossbites

This is a skeletal anomaly in which the teeth of the upper jaw are closed through the teeth of the lower jaw, i.e. they “crucify” (see Fig. 1, 2, 3). This can only affect one side of the jaw, in which the crossbite is called unilateral (see Fig.2) or both sides, so it is called two-sided (see Fig. 3). In addition, there are cases where the entire upper jaw is closed through the lower jaw (see Figure 4).

If the crossbite is not corrected in time, until the end of growth, then it can develop into a severe asymmetry of the skeleton (see Fig. 5).


The main causes of crossbite are heredity and the environment. Environmental reasons include prolonged finger breastfeeding or nipple breastfeeding and oral breathing.

In the case of finger or nipple breastfeeding, something is inserted between the teeth that pushes the tongue away from the palate so that it narrows as it does not support the tongue. This stenosis results in the closure of the upper jaw through the lower jaw and the creation of a crossbite.

Likewise, oral breathing causes a crossbite and when a person breathes in the mouth, the tongue does not touch the palate, but sinks into the lower jaw.

When is the best age to correct a crossbite?

According to research, the best age for correcting such incidents is the age of 6-7 years, because we achieve an absolute skeletal correction, which has a more stable and long-term result.

Correction of crossbite may occur at an older age (up to 16-17 years), but the result is often not an absolute correction of the skeleton, and the tendency to relapse increases with age.

This is due to the fact that at an older age, the medial suture, which is the site of the junction of the two bones that make up the upper jaw at these ages, merges and its opening becomes more difficult.

How is cross bite corrected?

Specific immobile intraoral mechanisms are placed in the maxillary jaw and exert such forces that they open the middle palate so that the jaw closes properly under the mandible.This correction will lead to a correct crossbite and prevent any asymmetry of the face and prevent surgery.

  1. Oral breathing

The big problem is that the growing baby continues to breathe from the mouth and not from the nose. Breathing from the mouth is pathological and in no case should it be considered normal. This is usually due to very large tonsils and meadows, allergic rhinitis, or a crooked nasal septum.

Many times, oral breathing goes unnoticed by both the parents and the pediatrician. Chronic oral breathing negatively affects the growth of the oral jaw system, which creates the typical mask known as the adenoid mask (see photo).

This happens because when we breathe out of the mouth, the tongue, without resting on the palate, nests in the lower jaw (Fig. 1) to open the air duct, resulting in:

  • Opening between front teeth (Open bite – see page 12, picture 2)
  • Stenosis of the upper jaw, as it is not supported by the tongue and the creation of a crossbite (see.Fig 1)

In addition to crossbite, chronic mouth breathing causes a lack of oxygen to the brain, lethargy in a child is seen by the child’s leisurely gaze, a tendency to the outer corner of the eyes, gray circles under the eyes, which are a sign of hypoxia, mild fatigue and decreased performance in sports and in school, as well as a decrease in physical growth, since this situation affects the quality of the child’s sleep and therefore reduces the production of growth hormone. Eliminating the causes that make the baby breathe through the mouth will immediately help eliminate all of the above problems and make the baby easier.

It is good to keep in mind that no orthodontic intervention can have a consistent result if the child continues to breathe through the mouth.

4) Teeth alignment

Early intervention can still help in cases of tooth rolls (frequent teeth) by guiding the growth of permanent teeth to the correct positions in the jaws (Guidance of Eruption).This is done by removing or grinding children’s teeth to create space (see arrows in Figure 2), thereby reducing the intensity and complexity of the problem (for example, avoiding the extraction of permanent teeth) and sometimes even the need for orthodontic treatment.

Otherwise, if we do not intervene, the teeth rise to any ectopic positions, i.e. more or less outside (see Figs 1,3,5), or they turn at a long angle to make the jaw position.

Teeth that grow in this way are not surrounded by the correct thickness of gums and bones, which causes their gums to easily recede from chewing forces and their roots separate.

Even after orthodontic treatment, such gums cannot return to the correct position, and there is always a vulnerability to gum recession in this area (arrows in Figure 6).

5) Skeletal disharmony in the sagittal plan – Open bite

This is a condition in which the front teeth do not touch each other, either due to skeletal origin or by prolonged finger-feeding or oral breathing (seefig. 2 and 5).

If the opening of the bite comes from breastfeeding toe or lingual advancement between the front teeth, then we must use a mechanism to stop the habit (see Fig. 4) and open most often it closes (see Fig. 6).

If the child does not stop this habit in a timely manner and continues after 4 years, every time he swallows, the tongue interferes between the teeth, maintaining and often increasing this opening. This ‘advancement of the tongue when swallowing’ is then recorded in the brain and develops into a habit that is very difficult to stop (see p.Fig. 3).

This makes it difficult to achieve any orthodontic treatment aimed at closing an open bite, as the tongue will push and open the front teeth every time the child swallows (about 1000 times a day).

If oral breathing is the cause, it is necessary to eliminate the cause again in order to solve the problem on your own or to achieve orthodontic treatment. If there is no intervention in the child’s developmental age, then an open bite can develop into a skeletal problem, and the treatment is a combination of surgery and orthodontic treatment.(See Figure on page 13).

90,000 Have a question. About the health of children’s teeth, or How to avoid common mistakes?

International Dentist Day is celebrated annually on March 6th. What is not a reason to talk about how to properly care for the teeth of babies. Indeed, as it turns out in practice, the advice of grandmothers may not always be useful. With the help of Natalya Shakovets, Associate Professor of the Department of Pediatric Dentistry of the Belarusian State Medical University, we will try to figure out what mistakes parents can make out of ignorance.

Can teething justify an excessively high temperature?

Teething is a condition that can affect the entire body of a child. Symptoms are active drooling, itching, fever up to 40 degrees, diarrhea, anxiety, sleep disturbance. If the child has a severe fever and diarrhea, it is imperative to call a doctor. The physician will be able to differentiate whether this is due to an infection or teething.If the child is primarily concerned with itching, teether toys are recommended.

Anesthetic gels can be used. As a rule, they contain lidocaine, an anesthetic that provides superficial anesthesia to the gums. It is worth remembering that such gels can be used no more than five times a day and no more than a week. The drug should be rubbed into the gums 20 minutes before meals. Dear parents, remember that there is no better medicine than care and affection. In this important period for the whole family, you need to be patient and once again stroke, reassure the baby.

Should you worry if your teeth haven’t erupted by 6 months?

There is currently a tendency towards later teething. Most likely, this is due to the fact that the mother took vitamins with calcium during pregnancy. Then the child’s jaw is stronger, it is more difficult for the teeth to erupt. It is not worth sounding the alarm until 12 months of age, you can just show yourself to a pediatric dentist.

Do I need to put pressure on the gums when teething?

During the period of temporary occlusion in young children, this should not be done.At a later age, if a baby’s tooth is prematurely removed, it is recommended to massage the gums so that the teeth erupt faster.

Can I lubricate the teat with honey?

Some mothers lubricate the teat with honey to help a restless baby sleep better. However, in this way they provoke the emergence of, perhaps, a more serious problem. Honey containing fructose destroys tooth enamel. In practice, there were cases when this happened within two months.

Another common mistake that loving mothers unknowingly make is licking a pacifier after falling to the floor.It is important for parents to remember that in this way they transmit to the child cariogenic microorganisms that have accumulated in their mouth. And then the question arises: where did the baby get caries, if he did not eat sweets at all?

Many parents today are giving up pacifiers. However, no one canceled the sucking reflex. Babies replace the pacifier with their fingers. In this case, orthodontists recommend using various elbow pads that will prevent the child from bending his arm and taking his finger into his mouth at night.

If there are gaps between the temporary teeth?

From the age of 4, gaps should appear between the temporary teeth. This suggests that the baby’s jaw is ready for the eruption of permanent teeth. The fact is that the crowns and roots of the latter are wider. If there are gaps between the temporary teeth, then there will be enough space for the permanent ones. If these intervals are not there by the age of 5-6, you should worry.

For the growth of the jaw, the child is recommended to eat hard foods: carrots, apples, bread with a crust, drying.Problems can also be observed due to the fact that the child has mouth breathing. In this case, it is worth contacting a specialist to identify the cause.

Should a child under 6 use baby paste?

The trend has changed literally in the last six months. Previously, children under 6 years old were recommended to use a paste with a fluoride content of up to 500 ppm, children from 6 to 12 – with a fluoride content of 1,000 ppm, and adults – 1450 ppm. According to the modern recommendations of the WHO and leading dental associations, from the moment the first tooth erupts, it is necessary to use a paste with a fluoride content of 1 thousand.ppm.

When brushing the teeth of children under 3 years old, as dentists say, only traces of the paste should be used. That is, only the ends of the bristles need to be lubricated. It is not worth rinsing off the paste, since the active substances in the oral cavity begin to act only after a minute. If you remove the paste immediately after cleaning, as many parents do, you can assume that there was no paste at all.

A small pea of ​​paste is enough for cleaning the teeth of children after 3 years. From the age of 6, children need an “adult” paste (containing 1450 ppm fluoride).

Which paste is better: white or gel?

Paste serves not only for cleansing, but also for prophylaxis and strengthening of teeth. You can brush your teeth simply by brushing with water. But to make them stronger, you can only use a paste that contains fluoride.

If the child has a tendency to build up plaque, especially pigmented plaque, it is better to use a white paste. It is more saturated with abrasive substances. Gelpastes are “tastier”, but they don’t cleanse well.Therefore, they can be used by children who do not have any dental problems.

If you get bad breath?

An odor can occur for several reasons. Either this is a problem of the oral cavity (food can accumulate and decompose at the site of the decayed tooth), or the whole body (for example, some kind of inflammation – sinusitis, sinusitis). In young children, the sinuses are not well developed, so problems with the nose tend to appear later.

In small children, odor is often associated with some kind of gastrointestinal tract problem.If a child has a smell in the morning, it is most often associated with worms. You need to contact your pediatrician. The second reason is the change in the composition of the diet. An increase in the amino acid choline in the diet can be problematic. Choline is found, for example, in cereals and other baby foods.

Children over 6 years old can use mouthwash with antiseptics, zinc ions, which bind unpleasant volatile compounds. We must not forget about cleaning the tongue, it is a niche for the accumulation of microorganisms.

If a child grinds his teeth at night?

Previously, grinding was associated with worms. Recently, psychologists have argued that bruxism (teeth grinding) is the result of increased nervous excitability. It is best to consult a psychologist. Before going to bed, you can use traditional sedatives (valerian, infusions of soothing herbs).

Which is safer for your teeth: grapes or raisins?

Many mothers give their children dried fruits instead of sweets. Of course, they are more useful.However, it should be remembered that dried fruit is a concentrated sugar content. By drying grapes, we convert glucose into concentrated glucose. Plus, raisins stick to the teeth better, stay in the mouth longer, so it is more cariogenic, that is, promotes more active caries formation.

The consistency of the product strongly influences the formation of caries. Among such candies as lollipop, caramel and toffee, the last one will be the most dangerous in this regard. By the way, dark chocolate does not have cariogenic potential at all, because it does not contain sugar.

Juice and compote as a source of vitamins can be given to children no more than once a day with the main meal. Water is better for quenching your thirst.

If a child knocks out a tooth?

If a child knocks out a temporary tooth, you can say goodbye to him. But if an unpleasant situation happened with a permanent one, there is no time to waste. The knocked out tooth should be immediately put in a jar of water or milk (or just a child’s cheek) and within two hours come to the doctor to put it in place.

To the dentist – every six months?

It all depends on the condition of the teeth in the family as a whole and whether the baby himself has problems. Someone is advised to see the dentist every month. For others who do not have any particular problems, it is enough to visit the doctor once every six months. If the child already has several fillings, it is advisable to go to an appointment every three months. This will allow you to control the condition of the teeth and apply fluoride varnish. -0-

90,000 The place of herbal preparations in relieving the symptoms of painful teething | Lukashevich M.G.

The article highlights the place of preparations based on plant extracts in relieving the symptoms of painful teething

All parents are eagerly awaiting the appearance of the child’s first teeth. Timely teething in children is considered one of the indicators of normal development. Teething is a physiological process and does not cause any disturbances in well-being in most children [1]. However, the joy of seeing the first incisor is often overshadowed by restless changes in the baby’s behavior.At the same time, most parents, perceiving the baby’s poor health as inevitable, try to cope with the problem on their own using the Internet or the advice of friends. This does not always help to relieve the child’s well-being, and often can lead to late diagnosis of rather severe conditions that occur under the mask of teething. Correct behavior of parents and competent care of the child during this difficult time for him will help relieve pain and improve the well-being of the baby.

The eruption of deciduous teeth takes about 2 years, although the period of eruption of each tooth itself usually lasts 8-10 days. The most typical undesirable symptoms of teething are increased salivation, swelling and soreness of the gums, and impaired child behavior. These symptoms occur in almost all children and are more of a concern for parents than pediatricians. More complex is the case with general symptoms such as fever, nasal congestion, cough, and abnormal bowel movements.Most parents consider these symptoms to be typical of the teething period and rarely seek medical attention. At the same time, there is a risk of late diagnosis of acute respiratory infections, functional disorders of the gastrointestinal tract, intestinal infections under the mask of teething.

Temperature rise during teething usually does not exceed 38 ° C and lasts no more than 1-2 days. Fever is caused by the release of biologically active substances in the zone of tooth growth, the temperature rises on the eve or on the day of the eruption of a tooth and normalizes on its own shortly after its appearance.Nasal discharge, wet cough (productive, rare, worse in a horizontal position) are associated with increased mucus and saliva accumulation in the upper respiratory tract. These symptoms usually persist for 3-5 days. The appearance of more frequent and liquefied stools is also associated with increased salivation, which stimulates intestinal motility [1-3]. However, clear clinical signs, pathognomonic specifically for teething, are not currently described, and this is hardly possible.Considering that the age of teething coincides with the period of the greatest risk of developing infectious diseases, it is obvious that the diagnosis of teething is made by excluding another pathology.

In order to alleviate the unpleasant symptoms accompanying the physiological and inevitable process of teething, it is necessary to use drugs of both systemic and local action. In particular, when the temperature rises, antipyretics are recommended, preference should be given to antipyretic drugs with a more pronounced anti-inflammatory effect (ibuprofen).In the treatment of rhinitis, preference is given to elimination and irrigation therapy, as an independent method of treatment or in combination with decongestants. When liquefying stools, you can use astringents, tannins, alone or in combination with probiotics. Recently, complex homeopathic preparations have appeared in the pediatrician’s arsenal. Several studies have shown their effectiveness in relieving both general and local manifestations of painful teething.

Local symptoms in the area of ​​teething (itching, soreness, swelling of the gums) are accompanied by anxiety of the child, refusal to eat, and the desire to bite.For their relief, a variety of gels containing local anesthetics, anti-inflammatory drugs, and herbal extracts are used. Anesthetic gels contain lidocaine or benzocaine, which not only increases the risk of developing allergic reactions, but can also cause a slowdown in heart rate, especially when used uncontrollably. Cholisal teething gel has anti-inflammatory properties. The main component of the product is choline salicylate. The composition also includes an antiseptic cetalkonium chloride, the action of which is aimed at destroying viruses, fungi and bacteria in the oral cavity. The preparations of predominantly herbal origin include Baby Doctor First teeth, Pansoral first teeth.

Gel Pansoral first teeth are produced by the French pharmaceutical company Pierre Fabre Medicament. The preparation contains plant extracts of Roman chamomile flowers (Anthemis officinalis), marshmallow root (Althea officinalis), which have an anti-inflammatory, analgesic and softening effect on the gum mucosa.In addition, marshmallow extract forms a protective film on the gums, accelerating the process of their repair.

The aim of this work is to study the efficacy, safety and tolerability of Pansoral gum massage gel first teeth in children with painful teething symptoms. The study included 35 children aged 6 to 12 months who had local painful symptoms accompanying teething – 18 boys and 17 girls. All patients were under the outpatient supervision of the children’s polyclinic department of the city hospital No. 1 named afterON THE. Semashko of Rostov-on-Don in the period from March to August 2016. The criterion for the inclusion of children in the study was the presence of local painful manifestations accompanying teething. Exclusion criteria from the study – temperature above 38 ° C for more than 2 days, allergic reactions to the components of the gels, intake of systemic drugs that facilitate teething. The main group consisted of 20 children who received Pansoral gel first teeth. Mothers applied the gel with a finger, gently massaging, to the painful area in the mouth 1–4 times a day (incl.h. necessarily before bedtime). The comparison group consisted of 15 children of the first year of life, whose mothers used Cholisal gel for teething as a local therapy. The duration of the use of the gels did not exceed 8 days. In addition to the main drug for local therapy, both groups used teethers and care for the skin around the mouth. The effectiveness of both agents was assessed independently by the investigator and mother. Symptoms such as anxiety, sleep disturbance, decreased appetite, urge to bite, drooling, soreness and swelling of the gums were taken into account. Mothers filled out a specially compiled questionnaire, the doctor examined each child on average 3 times – on the 1st, 3rd and 8th day of therapy.

We found positive results of using anti-inflammatory gels in teething in both groups of children. When examined by a pediatrician on the 8th day of treatment, the symptoms of inflammation were arrested in both groups. When analyzing the questionnaires completed by mothers, there was a tendency for a more rapid decrease in the symptoms of gum inflammation (4.6 ± 0.5 days) in the main group compared with the control group (5.3 ± 0.3 days).This was especially true for symptoms such as anxiety of the child, hyperemia and soreness of the gums. We did not observe any undesirable, including allergic, reactions when using Pansoral gel first teeth. All mothers noted the good tolerance of the product and its pleasant organoleptic characteristics. In the comparison group, three children showed increased salivation, which led to irritation of the skin and the appearance of a cough. Two mothers from the comparison group noted a short-term (2–3 min) increase in anxiety immediately after application of the gel, one of them indicated an unpleasant taste of Cholisal gel.To obtain reliable results, it is planned to continue the study with the participation of a larger number of patients.

Thus, the use of a gel based on plant extracts not only facilitates the process of teething, but also avoids undesirable reactions that are possible when using preparations containing anesthetics and anti-inflammatory drugs. Gel for massage of gums Pansoral first teeth is an effective and safe remedy for painful teething in children of the first year of life.


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