About all

What month the baby start teething: Teething in Babies: Symptoms and Remedies

4 Ways to Ease a Teething Baby

When does teething usually start and what are the symptoms?

Most babies start teething between 4-7 months, but some start a little earlier and others a little later and that’s okay. Symptoms will appear before the tooth breaks through, in most cases. They include:

  • Excessive drooling
  • A desire to chew on something hard because pressure helps to alleviate the pain
  • Swollen tender gums
  • Mild irritability, crying, or a low grade fever

Teething does not cause vomiting, diarrhea, inconsolable crying or a temperature above 100.4 degrees F. If your baby has any of these symptoms, call the pediatrician. Actually, treatment for many medical conditions is delayed in babies because the symptoms are written off by parents as teething.

What can I do to support my baby through teething?

  • A few easy things to do include wash your hands, trim your nails, and gently massage swollen their gums. Teething rings made of firm rubber with a slight chill to them can help, but don’t freeze them. That can do more harm than good.
  • If nothing seems to be working call your pediatrician about using over-the-counter pain relievers like Tylenol and Motrin. They’ll tell you if they’re safe for your baby based on your baby’s age and health history, and tell you how much and how often you can give your baby while they’re teething.
  • Avoid gels that you rub on your baby’s gums. They aren’t helpful because teething babies drool quite a bit and the drool can wash away the medication. In addition, it can numb the back of a baby’s throat and interfere with their ability to swallow.
  • Avoid teething tablets. The FDA has issued a warning against Hyland’s teething tablets because they contain belladonna and the amount contained in them is unregulated. They found in lab testing that they contained 16x more belladonna than they should have. Too much can cause harm to a baby.

When should I start to brush my baby’s teeth?

Tooth decay is the most common chronic disease in childhood and it’s preventable. As soon as you see teeth, start brushing with a soft child’s toothbrush. Use a smear of fluoride toothpaste, like the size of a grain of rice.

When should my baby see the dentist for the first time?

A child should see the dentist around their first birthday. This is a chance for parents to ask questions and for the dentist to educate parents about proper oral hygiene. Topics of conversation should include brushing, bottles, juice, and fluoride. They’ll do a basic checkup and introduce the child to the dentist. They try to make it a positive experience so that the child will want to come back.

Top teething truths and tricks you should try

Some little ones breeze through teething, but most are not that lucky. If your six-month-old baby has gone from a content, happy little sleeper and eater, to a generally unhappy one, then chances are she could be teething. If you also notice red and swollen gums and a bump under the skin when touching the gums, then she is probably teething.

On this page you’ll find all our other teething stories: The teething instruction manual

Truth: Teething is an unpredictable process

Although it is rare, some babies are born with a tooth or two. “If they are loose or growing at an unusual angle, they will be removed so that there is no risk of them falling out and being swallowed,” says Dr Miriam Stoppard in her book Complete Baby and Childcare.

Having a child who starts teething as young as four months or one who has no teeth by her first birthday is also rare, but both normal.

As a general rule however, teething starts at around six months. Although the order of eruption can vary, you can generally expect to see the lower two front teeth first, followed by the upper two front teeth.

During your child’s second year (specifically between 15 and 19 months), most of the canine teeth will appear. These are often way more painful than the remainder of the teeth. By three years old, most little ones will have all 20 of their baby teeth.

Must read: The truths about teething

Trick: Easing the pain 

1. Apply a topical gel with local anaesthetic or powder directly to the gums

Consult your clinic sister or paediatrician about what over the counter remedies and pain medications are safe.

2. Giving your baby something to chew on as a soother

  • Teething rings are useful and are available at most baby stores. These and dummies can also be placed in the fridge. Or try giving your baby a clean facecloth that has been folded into a triangle and placed in the freezer for a while.

Once baby is comfortably on solids and starting finger foods, you can offer them:

  • Something cold to gnaw on works wonders on your baby’s sore gums. Frozen pieces of fruit work well.
  • “Chewy food like carrots, raw vegetables and fruit can soothe red swollen gums and will also strengthen jaw muscles,” explains Dr Stoppard. “They strengthen teeth and have a cleansing effect as the fibres within them are shredded during the chewing process.” Teething biscuits.

Tip: When in doubt see your doctor

“The signs of teething can be rather confusing,” says paediatrician Dr Deon Smith. Many parents will agree. Some
children will not have all the necessary symptoms and one day you notice a tooth – seemingly out of the blue.

“Lots of drooling, a runny nose, small loss of appetite, a slight temperature (between 37.4°C and 37.5°C), slightly looser stools and occasionally red spots around the mouth can all be attributed to teething.

“But, when your baby has a temperature of 38°C, has very watery and smelly stools, has an extreme loss of appetite or is vomiting, it is very likely that something else is wrong,” says Dr Smith. In this case, you will need to take your baby to the doctor.

At what age did your baby teeth? Did she struggle or did the teeth just pop out? Send your stories to [email protected] com and we may publish them. 

Also read: 

When do babies start teething? First signs and how to care for baby teeth when they arrive

  • A baby can teeth as early as three months or as late as 12 months old.
  • Once your baby has teeth, wash them with a toddler or finger toothbrush and toothpaste.
  • However, before your baby teeths, you should be washing their gums with a washcloth.

Seeing your baby’s first tooth emerge is an exciting, and adorable milestone. And typically, a baby’s first tooth will come in as early as three months.

But if it doesn’t appear by then, be patient. Every baby is on their own schedule, and the time their teeth come in will differ.

“Kids really vary a lot with when they get teeth, says Gina Posner, MD, board-certified pediatrician at MemorialCare Orange Coast Medical Center.The majority of kids will start getting teeth anywhere between three months and as late as 12 months.

Your baby’s first teeth are usually the bottom front two

The first teeth you’ll likely see pop up are the bottom front two, also known as the central incisors, says Posner.

After that, the top two central incisors will likely grow in next. Then, the lateral incisors, which are the teeth on either side of the two front teeth. After these, surrounding teeth tend to fill in front to back, along with the molars.

This is the most common progression. However, you shouldn’t be concerned if your baby’s teeth are erupting in a different pattern.

“Kids are very, very odd with how they get teeth. It’s very unpredictable,” says Posner. It takes months for the mouth to fill in, and it can take up to age three for all 20 primary teeth to come in, according to the American Academy of Pediatrics.

How to clean your baby’s teeth

As soon as teeth start popping up, it’s time to get started on oral hygiene. “I don’t think it’s ever too soon to start brushing those teeth,” Posner says because babies are susceptible to tooth decay and cavities, just like the rest of us.

Below are three methods for brushing your little one’s pearly whites.

  • Washcloth: Even before your baby has teeth, you should clean the gums by gently running a clean, damp washcloth over them. It’s important to take care of the gums as well as the teeth. The washcloth is a good way to ease the baby into the next steps of teeth brushing, so toothbrushes won’t feel as foreign.
  • Finger toothbrush: There are many options of little brushes you can put on your pointer finger, finger puppet style. Usually, these brushes are made of silicone and are very gentle. Again, you can use these on new teeth and on the gums. “I’d probably say at the very beginning, the finger brush is probably the easiest,” Posner says.
  • Toddler toothbrush: When more teeth have come in and the baby is not so much a baby anymore, it’s time to use a “real” toothbrush with soft bristles. They will eventually be able to hold the brush on their own, but you’ll still need to provide lots of help and guidance.

What toothpaste to use

As soon as you start seeing those teeth, break out the toothpaste. You’ll want to use a toothpaste formulated especially for babies and toddlers, of course.

While some parents are hesitant to give their babies fluoride toothpaste, the general consensus is that a tiny bit of fluoride toothpaste is okay. “Dentists are actually saying to put a tiny grain of rice or smaller size of fluoride toothpaste on, and that amount is safe to swallow,” Posner says.

Once your baby is a little older and is able to spit the toothpaste out, you can use a pea-sized amount.

Luckily, you don’t have to worry about brushing your baby’s teeth after every feeding or meal. According to Posner, “morning and night, twice a day” will do the trick. The American Academy of Pediatric Dentistry also states twice daily brushing will suffice.

Possible risks

If you don’t take good care of your baby’s teeth, they can get severe tooth decay. “There’s something called ‘Baby bottle tooth decay’ and their teeth can just rot out,” says Posner. Luckily, with regular oral hygiene practices, this is preventable.

You’ll also want to be gentle when brushing. Posner says, “You don’t want to brush too hard. You can always mess with the enamel if you’re really scrubbing.”

Insider’s takeaway

You don’t need to take your baby to the dentist as soon as a tooth starts coming in. “By the time they start getting, five, six teeth, it’s time to start taking them to a dentist so they can check and make sure everything looks good,” Posner says.

You should be sure to take them around their first birthday if you haven’t already at that point. If your baby is a year old and doesn’t have any teeth yet, you should certainly bring them in to see what’s going on.

So remember, when your baby’s first tooth comes in, start to get in the habit of a good oral hygiene technique, and you’ll be setting them up for years to come of healthy teeth.

4 tips to help your child break a thumb-sucking habit, according to a pediatrician
How long your newborn baby should sleep, depending on their age
8 tips to help you stop grinding your teeth
How often to bathe a newborn according to pediatricians

Baby Teething | Symptoms and Pain Relief

At a glance

  • Some babies are born with their first teeth

  • Usually teething will start teething at around 3 months old

  • Symptoms include sore gums and heavy drooling

When will my baby go through teething?

Your baby will actually start developing their first teeth whilst they are still in the womb. It’s possible that your baby will be born with their first baby teeth but it’s most common for them to start teething between the ages of 3 months and 12 months old.

Usually it’ll be the bottom front teeth that come through first, followed by the top front teeth and then the incisors and finally the molars. Usually your baby will have all their milk teeth by the age of 2 or 3.

It’s important that as soon as teeth start to show through that they’re being cared for and cleaned thoroughly, this will not only help to avoid any issues with your little one’s teeth, it’ll also help to build a routine for cleaning their teeth in the future.

What are the symptoms of teething?

Teething will affect each baby differently, with some not being too bothered by the process whilst for others it can be quite a painful process. When your baby starts teething you may notice the following symptoms:

  • Gums becoming sore and red as the teeth start to push through
  • One cheek may be flushed on the side the teeth are coming through
  • Upset or irritable
  • Dribbling or heavy drooling
  • Restless and having trouble sleeping
  • Not feeding well

What can I do to alleviate my baby’s teething pain?

Teething can be a long and painful process for your baby but fortunately there are a number of different teething products and solutions to help make the process a little more comfortable:

Teething rings – These rings can be liquid filled or silicon based, and can be put into a fridge before giving to your baby to provide them with something cool to suck and chew on. This will provide relief for their sore gums.

Cool drinks – Giving your baby a cool, sugar-free drink can help to sooth their gums and provide relief. Cool water is usually a good option.

Teething gel – If your baby is in more severe pain, you might want to try a teething gel which can be rubbed onto their gums directly, which may provide temporary numbing and pain relief although there isn’t sufficient research to confirm how effective teething gels are.

Comfort or distract them – Quite often a cuddle or playing with your baby can be enough to distract them from the pain they’re experiencing through teething. They might not feel in the mood to play but it can be a good way to bond with your baby whilst taking their mind off of the pain.

How long will teething last?

There’s no set time frame for when your baby’s first tooth may arrive and for how long they may be experiencing teething for, although generally, once the first few have come through the other’s shouldn’t be as painful for your baby.

If your baby is born with their first tooth it doesn’t necessarily mean they’ll be done teething any quicker than a baby who starts teething a few months after birth, and it’s even possible that they might not start teething until around 12 months old. Generally though, your little one will have their full set of milk teeth through by 2 and a half years old.

90,000 Supervision of a child by specialists from 0 to 18 years

Seeing your baby healthy, vigorous, active, cheerful – isn’t this the dream of all parents? It is necessary to understand that the intensive development and growth of a child, especially in combination with an unfavorable environmental situation, can provoke the development of various deviations in health. Therefore, maintaining and strengthening health is not only daily care and concern, but also providing decent medical care for your child. Doctors-specialists, observing the formation of the body, neuropsychic development, will timely identify the initial stages of changes in the organ system and diseases at an early stage. In accordance with the age of the child, a certain regimen will be prescribed, exercise, nutrition, hardening methods, preventive measures will be recommended, they will provide timely medical assistance and thereby prevent the development of a number of chronic diseases and their exacerbations.

Examination of children in a particular age period is due to the characteristics of the child’s development.

A baby under one year old needs to be examined more often, because any parent knows that during the first year of life, the baby grows by leaps and bounds, gains weight, acquires skills, improves vision and hearing, passes important periods of musculoskeletal development, digestive and other systems, and the foundations of future health are laid in infancy. The baby is examined by specialist doctors at 1. 3, 6, 12 months.


In the first month of life, it is important to exclude congenital pathology of organs and systems, which are fundamental for further growth and development.

During the examination, a pediatric neurologist determines the baby’s reaction to loud sounds, which helps to exclude congenital deafness or hearing loss, examines the condition of the spine, cranial sutures, large and small fontanelles, to exclude spinal defects and intracranial hypertension. Evaluates the neuropsychic development of the child, checking the reflexes and the ability of the child to interact with the outside world, that is, behavioral reactions; unconditioned reflexes of newborns: search, proboscis, sucking – without them, the baby cannot find her mother’s breast and receive milk from it, protective reflexes – to turn her head towards the danger of stopping air access.

The pediatric surgeon, by virtue of his profession, possesses knowledge not only of a surgical profile, but also knowledge in the field of orthopedics and urology. A specialist examines the child for the presence of many diseases: congenital dislocation of the hip, dysplasia (underdevelopment) of the hip joints, congenital muscle torticollis, clubfoot, calcaneal or flat-valgus feet, fractures: skull bones, limbs, collarbones, vertebrae, shoulder dislocation , cephalohematoma, umbilical, inguinal hernia, hernia of the white line of the abdomen.To exclude dysplasia of the hip joints, all children are prescribed an ultrasound examination of the hip joints. Hemangiomas (benign tumor) of various localization are often detected during examination. In infants, the genitals are carefully examined. In young girls, most often in the first month of life, there may be a fusion of the labia (synechiae), since synechiae can cause urinary retention and may require surgery. And what about the boys? Dropsy of the testicle or cryptorchidism may be detected – not descent of one or both testicles into the scrotum (occurs in 10-20% of boys).Look where the opening of the urethra opens. Sometimes it is not located at the top of the glans (it should be), but on the upper or lower surface of the penis (hypospadias or epispadias). This pathology does not cause pain to the baby, but in the future it can be the cause of curvature of the penis and difficulties during sexual activity.

Examination by an ophthalmologist is very important for crumbs, especially premature babies and babies with complications in childbirth or with an unfavorable course of pregnancy.They need to exclude retinopathy. The specialist will examine the fundus of the child, assess the reaction of the pupils to light, exclude blindness and malformations of the lacrimal canals, serious visual acuity disorders. It is normal for newborns to have physiological hyperopia, when the image of objects is focused not on the retina, but behind it. Approximately up to 1 year, doctors consider farsightedness from +3 to +6 diopters to be the norm. In addition, at such an early age, it is possible to timely identify and successfully treat diseases such as glaucoma, cataracts, congenital retinal tumor – retinoblastoma.


At 3 months of age, due to the intensive growth and development of the baby’s musculoskeletal system, manifestations of changes in muscle tone, the upcoming development of new types of movement: coups, sitting down, and then crawling, it is necessary for a pediatric neurologist and orthopedic traumatologist. Often, a neurologist diagnoses movement disorders for the first time at this age.

By this age, the initial manifestations of acquired pathology, in particular post-traumatic torticollis, may appear as a result of damage to the sternoclavicular muscle and the formation of a scar, or an incorrectly fused clavicle fracture; deficiency of vitamin “D” (flattening of the occipital bone, softness and pliability of bones in the fontanelle and sutures, as well as a receding hairline on the back of the head).Traumatologist – an orthopedist monitors the course and treatment of previously identified diseases. Up to 3 months of age, the functions of the hip joints are almost completely restored.

6 months The main purpose of the examination of a pediatric surgeon is to test motor skills and identify signs of metabolic disorders – phosphate-diabetes, rickets. The children are already actively turning over, trying to sit down, the thoracic and lumbar curvature of the spine begins to form. Examines the head, chest for the presence of rickety changes: in the area of ​​transition of the bone part of the ribs to the cartilaginous – thickening – rickety rosary, lateral compression, protrusion of the sternum forward in the form of the keel of a boat.The spine is bent posteriorly, kyphosis is formed. Physiological curves are often enhanced, but with a strong degree, new curvatures appear.

A children’s neurologist assesses the state of muscle tone, physical activity, the development of physical and psychomotor development (humming, babbling, emotions and social behavior) in the presence of a pathology of the nervous system, the dynamics of the course of the disease is monitored.


Examination at 12 months is a summing up of the richest year in a child’s life.So, what specialists look at and what they want to see from your child.

Pediatric surgeon – detects problems of the navel and umbilical ring, malformations of the chest and abdomen, hernias. By this age, there may be spontaneous closure of hernias of the white line of the abdomen, self-healing of dropsy of the testicles in boys. He will pay special attention to the baby if he is registered with a neurologist with PEP (perinatal encephalopathy) or got a note to the pediatrician because of rickets. These children have muscle and ligament weakness.The child actively walks through life – by the handle or already independently. At the same time, the baby’s legs are under serious stress. Therefore, it is important to prevent flat feet and not to allow the so-called equine foot to form, when the baby actually moves on tiptoe without loading the heels. In addition, the appearance of an O or X-shaped curvature of the legs is possible. Particular attention is paid to the examination of the genitals of boys. A boy’s testicles should be in the scrotum. If the testicle does not descend on its own by the year, the baby is prescribed an operation – the testicle is lowered into the scrotum and fixed there.Control over the development of a previously identified pathology – hypospadias or epispadias – is carried out. Watching the removal of the glans penis. Children may have physiological phimosis. With the head closed under the foreskin, the lubricant produced by the sebaceous glands, together with all kinds of bacteria, can cause inflammation of the foreskin and glans (balanoposthitis), which can cause urinary retention or the formation of penile scarring. In the future, the pediatric surgeon will annually monitor the course of the identified surgical diseases.

Otorhinolaryngologist – excludes deafness in a child, congenital narrowness of the nasal passages, malformations of the nose, ears and oral cavity, reveals inflammatory diseases of the nasopharynx. Indeed, due to anatomical features, banal rhinitis leads to swelling of the mucous membrane and an even greater narrowing of the nasal passages, which makes it difficult to breathe through the nose. In this case, the baby becomes restless, capricious, breathes through the mouth, and does not sleep well.

The children’s neurologist sums up the neuropsychic development for the year.Assesses the state of muscle tone and tendon reflexes. How the child’s active and understandable speech is developed, what skills he acquired in a year, how effective was the treatment of the pathology of the nervous system and what is the possible prognosis of the existing disease.

The ophthalmologist examines again. It defines refraction, i.e. optical structure of the eye (farsightedness, myopia, astigmatism) and, if necessary, prescribes appropriate correction in order to prevent deterioration of visual acuity, the possible occurrence of amblyopia (“lazy eye”) and strabismus.Examines the eyes for glaucoma, cataracts, retinoblastoma, retinal dystrophy, optic nerve atrophy.

The baby is examined by a children’s dentist for the first time to monitor the process of eruption of milk teeth and exclude the congenital absence of their bookmarks. He examines the erupted teeth, assesses their condition. Determine the condition of the frenum of the tongue and upper lip. The doctor will tell you about the proper care of the baby’s oral cavity. It is better to take good care of your teeth than to treat them well.

In addition to these specialist doctors, the baby will have a meeting with a child psychiatrist. A child, like a sponge, absorbs information, sounds and emotions from the world around him, and not being able to express his emotions in words, the child reacts to them with psychoemotional reactions, which as a result can result not only in a mental disorder, but also in a full-fledged somatic illness. The task of the psychiatrist is to identify the harbingers of these disorders, to help parents with the formation of the character of a little person.


Big changes are planned in your child’s life – he is going to kindergarten. A new rhythm of the day, an unusual diet, and most importantly – a new environment. This is a real test for the immune system of a little person!

The ear, throat and nose are the gateways for many infections, so it is important to keep them in order, and an otorhinolaryngologist’s examination is very important. A significant part of babies suffer from an increase in adenoids, chronic tonsillitis – it is necessary to determine the indications for their surgical treatment, especially in long-term and often ill children.From 1.5 – 2 years old, the paranasal sinuses begin to form, so a child may have sinusitis with complications of rhinitis. Examines the nose for an acquired curvature of the nasal septum as a result of domestic injuries during games and falls. Determines hearing problems, including due to the presence of sulfur plugs in the external auditory canal.

The ever-increasing physical activity affects the formation of the musculoskeletal system, as well as the development of the musculoskeletal system on the child’s physical activity.The task of the pediatric surgeon is to make sure that there are no flat feet, early curvature of the spine (scoliosis, kyphosis, lordosis). The doctor assesses the dynamics of chest deformity; it is by this age that mild degrees of funnel-shaped curvature can be corrected during treatment. Eliminate the consequences of traumas in children that have specific features. Sprains, dislocations rarely occur due to the elasticity of the ligaments, more often there are fractures in the growth zone, sometimes with a separation. An undiagnosed trauma can lead to impaired growth and deformity of the limb.

The children’s neurologist checks reflexes, coordination, sensitivity, compliance with the child’s age and developmental level. Reveals hyperexcitability and restlessness, enuresis, general speech underdevelopment, various types of stuttering, sleep disturbance problems.

The doctor – obstetrician-gynecologist reveals the features of the child’s sexual development, the correctness of the formation of the genitals and the presence or absence of inflammatory diseases.

Doctor – urologist-andrologist examines the condition of the genitals after surgical treatment, if such was carried out for hyposodia, cryptorchidism; removal of the glans penis – by 3 – 4 years, physiological phimosis disappears; the presence of inflammatory diseases of the genitourinary system.

Before reaching school age, the child spends more and more time at the computer or game consoles. The ophthalmologist assesses the visual acuity and whether it corresponds to the age norm. Corrects refractive errors.

Almost all dental diseases are irreversible. In other words, the carious cavity itself is not restored, and the lost teeth do not grow back. Therefore, when examining the oral cavity, the pediatric dentist finds out if the baby has dental problems – caries, gum disease, stomatitis, malocclusion, curvature of the teeth and whether everything is in order with the development of the maxillofacial apparatus.

General nervousness (irritability, excitability, decreased appetite, motor restlessness, tendency to unreasonable temperature fluctuations), withdrawal, a tendency to aggression and anxiety will be the subject of a child psychiatrist’s proceedings. In addition, the doctor will give advice on how to make the adaptation to the team the least traumatic for the baby.

At the age of 4 and 5, it is necessary to visit a pediatric surgeon. Indeed, by this time, the physiological curves of the spine are fully formed and possible postural disorders.By the age of 5, the arches of the foot have also formed and it is already possible to make or exclude the diagnosis of flat feet with confidence.


6 years is the preparatory year for school. It is important to make sure there are no vision problems. By the age of 6, hyperopia begins to decrease, and what is the visual acuity in general and whether it corresponds to age. Identify color perception anomalies. After all, visual defects delay psycho-motor development (95% of information about the outside world we get thanks to vision).Therefore, it is so important to show your child to an ophthalmologist.

It is assumed that it is necessary to gnaw the granite of science with healthy teeth. Therefore, children need to sanitize the oral cavity: identify teeth affected by caries and carry out treatment, evaluate changes in the occlusion and get advice on how to avoid new problems. A deciduous tooth that is not cured in time can cause complications that lead to damage to the rudiment of a permanent tooth. And if the milk tooth is removed ahead of time and is not immediately replaced by a permanent one, then the child is guaranteed a bite pathology.The nature of the bite affects the articulation of speech.

Deviations in psycho-motor (enuresis, motor disinhibition, or vice versa, excessive slowness in actions, bad habits – pulling clothes, biting nails or lips, blinking, sucking a finger) and somato-vegetative (various pains, excessive sweating, appetite disturbances, sleep problems) development the pediatric neurologist will have to find out when examining the child, and while there is time before entering school, prescribe the appropriate treatment.


At the age of 7 years, the process of learning at school begins and it is necessary to determine the readiness for heavy loads, and, based on the results of the examination by specialist doctors, outline a plan for the school doctor.

Urologist-andrologist and obstetrician-gynecologist-exclude premature puberty, which is usually associated with serious endocrine diseases that require urgent treatment.

Otorhinolaryngologist – eliminates the problems of hearing loss, difficulty in nasal breathing (adenoids, curvature of the nasal septum, hypertrophy of the nasal mucosa, polyps), which lead to rapid fatigability of the student and, as a result, does not cope with the program.

During this period, the child is actively growing. Improper sitting position at the table, obesity, lack of physical activity lead to disruption of the musculoskeletal system. Examining a child, an orthopedic traumatologist identifies the initial stages of posture disorders, curvature of the spine, and he must also determine if there is any pathology in the development of the feet and lower legs.

In the presence of problems of attention and behavior, sleep disturbances, anxiety, nervous tics, headaches, speech disorders, a pediatric neurologist will have to exclude or establish a connection with the pathology of the nervous system and give recommendations on the correct organization of adaptation to school life.

The child psychiatrist uses tests to determine the level of psychological maturity, readiness of the child for school and identify his “weak points”. Readiness for school presupposes: the child has a well-formed student position – the child understands why it is important to study, why it is necessary to overcome difficulties, realizes that learning is not just another game, he is interested in learning new things, he must be able to obey the rules and work according to instructions, must motor skills be developed, on which the writing of the future student depends.At this age, attention deficit hyperactivity disorder (ADHD) is often diagnosed, which can develop within the framework of various disorders – from psycho-traumatic influences, mild organic lesions of the central nervous system to schizophrenia. The early onset of psychocorrectional influences largely determines their effectiveness.

An examination by a pediatric dentist will show if the child has dental problems (tooth decay, gum disease, malocclusion, crooked teeth).

The ophthalmologist evaluates visual acuity, reveals the presence of strabismus, optic nerve atrophy, as a result of the course of diseases of the nervous system.Eliminates inflammatory eye diseases, allergic conjunctivitis, pathology of color perception.

With age, the need to monitor the health status of children does not decrease, but increases. The most pronounced increase in the number of diseases is observed in children aged 7 to 18 years and coincides with the time spent in school. During the school period, the number of children with chronic diseases increased by 20%, the frequency of chronic pathology increases annually and over the past 5 years has increased by one and a half times.Today, every child under the age of 14 has at least two diseases. At school, the load on various systems of the body increases noticeably.

In particular, vision requires special attention. The number of visual impairments (myopia, hyperopia, astigmatism, amblyopia, strabismus) in school-age children has almost doubled. The reason is the excessive use of computers, tablets and cell phones, and at school, the load on the child’s visual apparatus increases significantly.In this connection, visits to an ophthalmologist from the age of 10 should become annual, and especially for children whose family has relatives with visual impairments.

The musculoskeletal system is no less susceptible to the child’s changing regime (sits more, and not always correctly, moves less or vice versa, begins to actively engage in sports). That affects the spine, the risk of its curvature increases, as well as the development of flat feet. From 8 to 14 years old, playing sports can provoke the manifestation of the age-related pathology of Schinz’s disease, manifested by pain in the heels, sometimes swelling. Without treatment, it can take years. At the age of 11-15, the body grows rapidly. Often the muscles cannot cope with the increased load, there is a danger of spinal deformity. At this age, the disease often progresses, which leads to increased scoliosis, deformation of the chest and pelvis, dysfunction of the lungs and heart, and pelvic organs. Also in this age period, adolescents may be concerned about pain in the knee joint, which can be caused by Osgood-Schlatter disease. This is the problem of the growing bone of a teenager.It can pass on its own, or it can leave unpleasant consequences. Sports activities should also be coordinated with a specialist, because some types may be contraindicated in the presence of changes in the musculoskeletal system. Therefore, at the age of 10, a visit to a traumatologist – orthopedist suggests itself.

Preventive examination of the dentist at 10 and 14 years old will reveal and promptly correct the pathology of the bite. With the eruption of the first permanent tooth, a changeable bite begins, which is a higher degree of development and differentiation of the masticatory apparatus, which lasts up to 14 years. During the formation of a changeable bite, the most intensive growth of the jaw bones also occurs. In addition, starting from adolescence (14 years), an annual examination with oral cavity sanitation (treatment of caries, periodontal disease, detection of dental canal cysts, removal of tartar deposits) will preserve teeth for long years.

For 10 years, it is worth planning an examination by an obstetrician-gynecologist for a girl and an urologist-andrologist for a boy. At this stage, it is important to make sure how correctly the female and male phenotypes are formed, respectively.How secondary sex characteristics begin to develop. A child turns into a teenager through puberty.

Every girl comes to this world to continue the human race. From the age of 12, the period of the formation of menstrual function begins. Unfortunately, the reproductive health of our girls has been deteriorating from generation to generation. According to statistics, every fifth girl has a disrupted menstrual cycle, and 20% have chronic inflammatory diseases. The early sexual life of girls does not have the best effect on the reproductive organs. To identify signs of impaired puberty, preventive examinations of an obstetrician-gynecologist are called upon at the age of 12, and annually starting from the age of 14.

Exactly for both girls and boys, regular examinations of the urologist-andrologist at the age of 14, 15, 16, 17 are necessary in order to control puberty and early detection of inflammatory changes in the genital organs (orchitis, urethritis).

By the age of 10, many problems have accumulated that, at first glance, are not related to the endocrine system: weight disorders – both its deficiency and excess, stunting from peers or excessively rapid growth, inconsistency in the sequence of the appearance of secondary sexual characteristics with age norms, increased emotional excitability, especially in girls (tearfulness, even aggression), tremor of the hands, enlargement of the eyeballs, the appearance of a difference in pressure – decreased diastolic and increased systolic (pulse), thin, delicate, even dry skin, it turns out that the reason for such violations lies in the disruption of the pituitary gland, adrenal glands , thyroid gland. Improper nutrition: foods containing trans fats (cookies, chips) and an excess of sweets, and today’s youth prefers just such food, which causes overweight, obesity, leads to a violation of fat metabolism, and then carbohydrate metabolism and the development of diabetes. Insufficient physical activity and even an unnecessarily long stay at the computer at an early age can provoke the development of thyroid diseases such as autoimmune thyroiditis. In addition, it is necessary to check the bone age.If the growth zones closed at the age of 14-15, it means that the child will no longer grow, and this is an unfavorable sign. Thus, examination by a pediatric endocrinologist is extremely important at 10,15,16,17 years.

In connection with the changing information, social environment and psychological stress on the student, for the timely diagnosis of mental illness and their timely treatment, it is necessary to examine children by a child (at 10 years old) and then by a teenage psychiatrist. At primary school age (8-12 years), developmental delays are clearly manifested – speech, motor, intellectual development, behavioral reactions cannot be corrected by methods of psychological and pedagogical influence – the child is pugnacious, overly aggressive, “uncontrollable” and poses a danger to other children and ( or) oneself or becomes withdrawn, uncommunicative, the rate of development of skills and memory sharply decreases.The appearance of daytime or nighttime incontinence of urine or feces (in the absence of spinal cord injury and urological diseases), persistent recurring fears in the daytime and at night, sleepwalking, sleep-talk are possible. At the age of 14-15, or even earlier, it is possible to become involved in alcohol and (or) drug addiction. During this period, manifestations of behavioral disorders are possible (aggressiveness, cruelty, a tendency to leave and vagrancy, suicidal statements, hatred of loved ones, isolation), stubborn restriction of food intake with a desire to lose weight, a painful attitude towards a real minor physical disability (excessive fixation on it), excessive one-sided hobbies, which are given most of the time to the detriment of study and communication. A child who at least once spoke about suicide is subject to immediate examination by a psychiatrist and long-term observation.

Finally, no health problem will bypass the pediatrician. It is the pediatrician who witnesses how the child grows and changes. Even in the first year of life, when the pediatrician weighs the baby, measures the height, checks the neuropsychic development for age, monitors the correct feeding and introduction of complementary foods, issues a permit for preventive vaccinations and gives recommendations for hardening the baby and care.It is in this year that close contact with the pediatrician arises, and the closer this contact is, the better for the child’s health. Reception of narrow specialists is usually limited only to the examination of a specific organ or system. And only a pediatrician is able to “combine” the results of these examinations into a complete picture. Carrying out monthly in the first year, and in the future annual examinations of children, he will be the first to identify deviations in the state of health: congenital anomalies of organs and systems, latent current diseases, inconsistency of physical and neuropsychic development with age norms, manifestation of acute diseases and vitamin deficiency states. He will timely carry out diagnostic measures that are needed specifically for your boy or girl. If indicated, he will send the child for consultation to any specialist: allergist, cardiologist, endocrinologist, gastroenterologist, immunologist.

So, is it worth neglecting preventive examinations when it comes to the health of your child? The answer is obvious. And when the doctors confirm that your child is well developed intellectually, is quite active and cheerful, and most importantly – healthy, you will feel that the health and well-being of your baby is in your hands and you are doing everything right.

Teething in children – Family dentist

The appearance of deciduous (temporary) teeth, and their further change to permanent (molar) teeth, are important stages of a child’s physical development. Therefore, the baby’s teeth are the object of close attention of both parents and doctors who are observing the child.

There are certain average statistical terms for the eruption of milk and permanent teeth, which doctors usually focus on (Fig. 1, fig. 4). However, do not forget that each child is individual, and many factors affect the appearance of teeth: the gender of the child (girls have teeth a little earlier than boys), the general health of the baby, the climate, the baby’s nutrition, the course of the mother’s pregnancy, how long pregnancy, the baby was born, hereditary diseases of the baby and even how the parents’ teeth erupted. Therefore, do not worry if the tooth appears a little earlier or later than the due date. However, you should pay attention to the order of appearance and change of teeth, i.e.There is also an approximate order of teething – which teeth should appear first, and which ones usually appear last.

Milk teeth

Milk teeth begin to appear in children, usually at the age of 6–8 months (Fig. 1). But there are times when the first teeth erupt as early as 3 months or vice versa are not shown until 11 months. If the deviations from the “norm” are insignificant, let them not cause you anxiety, but if the baby is more than a year old and has no teeth yet, you need to consult a doctor for examination.

Fig. 1. Approximate terms of eruption and loss of milk teeth.

Teeth usually appear in the following order (Fig. 2):

  • Central (first) incisors – first lower, then upper;
  • Lateral incisors (second) incisors – first upper, then lower;
  • First molars (first large molars) – first upper, then lower;
  • Canines – upper first, then lower;
  • Second molars (second large molars) – first lower, then upper.

This order is also indicative and often changes. But, as a rule, teething is “symmetrical”, i.e. if the lower central incisors have erupted, then the upper central incisors should soon appear, and so on.

Fig. 2. The approximate order of the appearance of milk teeth (the numbers indicate the ordinal numbers of the teeth, that is, by what count they usually appear).

There is a formula by which, based on the age of the child, you can determine how many milk teeth he should already have. This formula is valid only up to 2 years. It looks like this:

Number of milk teeth = Child’s age (months) – 4

For example, a child at 10 months should have approximately 6 teeth, and a child at 16 months should have 12 teeth, and so on (Fig. 3).

It is believed that by the age of 3 a child should have all 20 primary teeth.

Fig. 3. Correspondence of age and number of primary teeth in a child.

In all children, teeth are cut in completely different ways: for some, the process of teeth is painless and does not affect the well-being of the baby in any way, while for others it is rather difficult.Many children become restless and moody during teething, their appetite decreases and their sleep is disturbed. Often, against the background of teething, a child develops profuse salivation, inflammation of the gums, fever, a mild runny nose, wet cough or diarrhea. To facilitate teething, it is recommended to give the child special rubber rings or toys for developing the gums, and in case of severe gum pain, use special pain-relieving gels that the doctor will recommend.

Permanent teeth

The process of changing milk teeth to permanent ones is very interesting. Some time before the loss of a milk tooth, its root begins to dissolve (root resorption occurs), and the tooth begins to wobble. The more the root is absorbed, the more the tooth sways. Eventually, it falls out on its own or is removed by the dentist. Simultaneously with the resorption of the roots of the milk tooth, the permanent tooth grows slowly.

Fig. 4. Approximate terms of eruption of permanent (molar) teeth.

The scheme of eruption of permanent teeth is also only indicative (Fig. 4). But the sequence of this process should normally be certain. The first permanent molars (“sixes”) appear at the age of 6-7 years. They erupt behind all temporary teeth, in an “empty” place, where there was no milk tooth before. Further, the change of milk teeth to permanent ones occurs in the same order in which milk teeth appeared. The incisors begin to stagger and change – first, two on the upper and lower jaw (6–8 years old), and then two more (7–9 years old). After this, the premolars are changed. The change of the first premolars (“fours”) falls on the age of 9-11 years, then the second premolars (“fives”) should change before the age of 12. Up to 13 years of age, canines are replaced. Behind them, at the age of 14 years, second molars (“sevens”) appear, which they also cut in empty places behind the last available teeth. The last to appear are the third molars, the so-called wisdom teeth (“eights”). This can happen from the age of 15 to late old age, or it may not happen at all (in recent years, the absence of the rudiments of “wisdom” teeth is increasingly common).

Summarizing all of the above, I would like to draw your attention to the fact that you should carefully monitor the appearance and change of teeth in a child. It is important to pay attention not only to when and in what sequence milk and permanent teeth erupt in a child, but also to where and in what position they are (so as not to develop malocclusion in the child). It is best for this to regularly visit a pediatric dentist for a preventive examination. In addition, one should not forget about caring for the baby’s teeth and the rules of oral hygiene.Be sure to brush your child’s teeth immediately after they erupt. It is wrong to think that if a baby is breastfed, then he does not need to brush his milk teeth. There are special devices and methods for cleaning the baby’s oral cavity, which the dentist can tell in detail about.

When teeth are cut

What time do the teeth start to be cut?

The age of the appearance of the first teeth is individual for each child, and the question “how many months do teeth are cut?” Cannot be answered unequivocally.What time the teeth are cut depends on genetic characteristics (when the parents’ teeth erupted), and on the nature of the diet, and even on the climate.

Rarely, but there are times when teeth are cut at 2 months. Usually, the first teeth are cut at 5 months, and by the year the child already has about eight teeth: four on the bottom and four on the top. But a delay in erupting up to six months is considered natural. Modern dentists consider it unimportant from how many months the teeth are cut: the time of the appearance of the first teeth has nothing to do with their subsequent state.

Teething: Symptoms

Each infant has its own way of handling climbing teeth. Some children have digestive upset when teeth begin to appear in the lower jaw, and fever when in the upper jaw.

It would seem that the body reacts too violently to such a natural process as teething: the symptoms can really resemble an incipient disease. But the pain that accompanies this “happy” event is so strong that adults would not have endured it better.Before it “appears to the world”, the tooth must grow through the bone tissue and gingival mucosa. The main symptoms of teething include: redness and swelling of the gums; increased salivation; the child’s desire to keep something in his mouth all the time, to gnaw and bite toys; loss of appetite; vomit; tearfulness; temperature increase; restless sleep; constipation or diarrhea; nasal congestion, cough; diathesis.

Teeth are cut: how to make the process easier and faster?

Unfortunately, it is impossible to speed up the teething process.A gentle massage of the gums can slightly help teething and reduce discomfort, which must be performed with your fingers very carefully so as not to injure the baby’s gums. You can treat the baby’s gums with dental gels with anesthetic effect, for example, Kamistad-Baby.

2 133 tg.1 920 tg.


Into notes

This gel is easy to use and suitable for very young children, it can be used even if teeth are teething at 4 months. It contains chamomile and lidocaine. It also has antibacterial and anti-inflammatory effects.

If there are signs that the first teeth are being cut, you should buy teether toys for your baby: plastic or rubber, which will be comfortable to hold in your hand.

Some parents respond to any manifestation of the disease and alarming symptoms: the child is teething! The phrase “teeth are being cut” is becoming a universal explanation for a runny nose, fever, or restless sleep in a child under one year old.But when teeth are being cut, the signs can coincide with the symptoms of infectious diseases or neurological disorders, so each situation should be considered separately. The best thing to do if teeth are teething, fever, diarrhea, rash, especially over several days, is to show the child to the doctor.

90,000 Pediatric dentist recommendations. | Dentistry “FaberDent”

In the summer, we often send our children to their grandmothers at the dacha, in the village and pioneer camps, where naturally we can no longer control both the child’s lifestyle and his proper nutrition, and oral hygiene.

In the summer, children have more temptations: the sun, air and water stimulate them to outdoor games, sometimes it is impossible to get a child out of the water even to bask a little in the sun. Hot weather and high energy expenditures give him thirst and increased appetite.

At such moments, there is an increased use of harmful products in the form of lemonade and bakery products, which, of course, adversely affects oral hygiene, the accumulation of soft dental plaque, which, under the action of microorganisms, is split and converted into acids, which leads to the prosperity of the carious process in not yet matured, weak structure of tooth enamel.

By about five years of age, a child has 20 deciduous teeth in the oral cavity.

Each milk tooth performs certain functions and retains space for the subsequent correct eruption of a permanent tooth.

The bone tissue of the child’s jaws has growth zones, therefore, the physiological growth of the jaw occurs due to the presence of healthy deciduous and permanent teeth.

The anatomical structure of milk teeth has its own numerous features and differs from the structure of permanent ones.

In milk teeth, the neurovascular bundle (pulp cavity of the tooth – “nerve”) takes up more volume than in permanent teeth, the dentinal tubules in dentin are very short and wide, therefore the carious process begins imperceptibly and quickly passes from one stage to another, which leads to:

– early extraction of milk teeth,

– inhibition of jaw growth,

– incorrect eruption of permanent teeth (their displacement),

– to the need for further occlusion correction – orthodontic treatment.

I would like to warn parents that at 5.5-6.5 years old, the child begins to eruption of permanent teeth – these are the sixth molars (“sixes”). There are four of them, they are cut alternately behind the very last milk teeth, one on the right and on the left on the lower and upper jaws.

Parents often miss this moment, thinking that all these teeth are milk teeth, and they do not need to be treated, since they will soon fall out anyway. Of course, this is the deepest delusion!

The eruption of permanent teeth is longer than that of milk teeth, the teeth are the very last in the dentition, a part of the tooth behind is covered by the gum for a long time.Since the process of formation and maturation of the structure of the teeth begins from 7-8 weeks of pregnancy and continues even after the eruption of permanent teeth for four years, “six” need proper care and prevention of caries.

Any unfavorable factors lead to an increase in the risk of developing a carious process.

These factors include:

– poor oral hygiene,

– errors in the nutrition of the child,

– excessive consumption of carbohydrate foods (flour products) and sugary drinks (lemonade),

– various infectious diseases during the mother’s pregnancy,

– diseases of a child during early childhood,

– the presence of diseases of the gastrointestinal tract, endocrine system, etc.,

After the eruption of the tooth, the enamel is not yet ripe, weak and its maturation occurs gradually and alternately in each area of ​​the tooth.

The sixth molars have well-defined tubercles and natural depressions, which are called fissures. Often the fissures (blind pits) are covered by the gum. They accumulate a large amount of food debris, sweets, dental plaque. Between the immature tooth enamel and dental plaque, a favorable environment is formed for the development of the carious process.

Sometimes the acute course of caries in a child remains invisible to the parents and the child himself, since the carious cavity is light, closed with food debris and is not visually determined at the initial stage.And it is detected only by a pediatric dentist using a special dental instrument during probing.

At the age of 7 – 8 years, the central milk teeth are replaced with permanent ones.
At about 9 years old, the eruption of permanent premolars occurs, which will replace the milk ones of the same name and take their place in front of the sixth molars.

Before the children leave for the summer holidays, it is advisable to show the child to a pediatric dentist 1. 5-2 months in advance for the purpose of examination, diagnosis and prevention of caries development.

Modern medicine has been ahead of our children for a long time and it is more important to prevent the development of the disease than to treat its complications later.

Currently, there are various types of caries prophylaxis: including “sealing” – sealing the fissures of permanent teeth, which consists in cleaning these fissures with special instruments and filling the blind pits with therapeutic and prophylactic material that releases fluoride in the tooth tissue, which prevents the accumulation of dental plaque and caries formation.

Hygienic cleaning of teeth is carried out in a dental clinic with special means, followed by remineralizing therapy, which provides a long-term flow of fluorides into the enamel due to the safe concentration and filling of free microspaces in the enamel structure. This helps to strengthen the enamel and prevents microorganisms from attaching to the teeth.

Children at any age should be monitored, encouraged and stimulated, especially for issues related to regular brushing (oral care).

Children do not like to brush their teeth and it is important to interest the child in some pleasant and new things:

– buy him an hourglass, to guide the duration of brushing your teeth,

– Purchase a new toothbrush and a new tasty toothpaste appropriate for the child’s age,

– to show a child, by his own example, how to brush his teeth correctly.

You can also monitor the effectiveness of brushing your teeth using plaque indicators.Plaque indicators are sold in pharmacies, in the form of tablets, and when chewed, they stain the plaque in bright pink, so you can show your child that the teeth are not brushed well and needs to be brushed again.
Dear parents, if you have any questions, we are glad to meet you!

We wish you and your children a pleasant summer holiday!

90,000 Molars in children – the order and timing of the eruption of permanent teeth, at what age they change

Changing teeth in children is a common occurrence during the development of the body.In most cases, molars in children appear without any problems. However, there are a number of nuances that need to be closely monitored in order to avoid complications and possible unpleasant consequences.

Milk and molars in children

Many people think that there is no difference between permanent and temporary teeth, but this is not the case. So, how to tell a deciduous tooth from a molar tooth? At a minimum, their number differs (dairy – 20, permanent, as a rule, 32).Temporary teeth are lighter in color, while permanent teeth are naturally more yellow. The indigenous ones also significantly exceed the dairy ones in size – it is quite easy to visually distinguish them. Here are the most frequently asked questions by netizens about this topic.

  1. Do children have molars? Of course, there is, and at a certain moment they begin to actively erupt.
  2. How many molars do children have? From 28 to 32 (the maximum set appears after all eights appear).
  3. Which molars appear first in a child? As a rule, the central lower incisor is cut first.
  4. What time do children’s molars “climb”? Usually, the renewal of the dentition begins after 6-7 years, but there is no strict framework.
  5. Do molars fall out in children? By themselves – no, as a result of injuries and diseases – yes.
  6. What are the risks of extracting a molar in children? No matter how trite it may sound, its loss.And yes, the new one won’t grow. Everything is like in adults.
  7. What if a child has yellow molars? Permanent teeth are more yellowish than temporary teeth. Plaque on the molars of a child is normal, but in no case should hygiene be neglected.
  8. What if my child has black molars? When teething, milk teeth may have a black color (the so-called Priestley plaque, or pigment bacteria).However, this does not happen with molars. If they are black, go to the dentist immediately.
  9. What if the child does not have molars? This happens, but very rarely. Fortunately, with modern technologies of implantation and prosthetics, the problem can be solved.
  10. Is it normal for a child to have crooked molars? Urgently contact an orthodontist: in childhood it is much easier and faster to correct the bite than in an adult.
  11. Which teeth in children change to molars? All twenty, plus new molars.

See also: Children’s gum disease.

Molars in children: eruption symptoms

  • High temperature. When molars are erupting in children, the body temperature can rise, usually no higher than 38 degrees.
  • Itching and pain at the site of the molar tooth.Various gels and ointments, as well as gum massage will help relieve children of unpleasant sensations.
  • Increased salivation and runny nose.


The growth of molars in children, especially at the initial stage, leads to a weakening of the immune system. Take vitamins and do not forget about preventive visits to the dentist.

When are the molars of a child cut?

Most parents are interested in the question, at what age do molars in children begin to erupt? The first rudiments are formed in the fifth month of pregnancy.The exact timing of their appearance is not determined and depends on the individual characteristics of the organism. Nevertheless, an approximate scheme for the eruption of molars in children exists. If the appearance of a permanent tooth is delayed for more than six months from the extreme threshold (especially after the loss of a milk tooth), consult a specialist. The doctor will take control of the process and be able to identify complications.

Diagram of the growth of molars in children

In most cases, a permanent tooth appears 3 to 5 months after the temporary loss.The order of eruption of molars is in many ways similar to the appearance of milk teeth. The first molars in children are the central lower incisors. The upper permanent teeth develop later than the lower ones when viewed in pairs.

Complications of eruption

  • Delayed appearance of permanent teeth. This may be due to genetic characteristics, immune system problems and a number of other diseases.
  • Uneven dentition and other malocclusion.
  • Hypertension. A child’s molar tooth (or teeth) grows in the second row. Hyperdentia, or overcompleteness of teeth is a rather rare phenomenon, however, it requires the intervention of a dentist to eliminate the risk of malocclusion in a child.

Common problems with molars in children

Care instructions

Molars in children require even more thorough care than in adults.Fragile enamel is much more susceptible to the effects of carious bacteria and the external environment, and the love of sweet and carbonated drinks does not add strength to it. When children have a permanent bite, parents need to take special control of oral hygiene and diet (at least until the age of 14-15, when the teenager himself begins to realize the importance of dental health). In general, there are no difficulties here: in order to keep children’s teeth strong and healthy, you need to follow a few basic points.

  • Daily hygiene. Brush your teeth at least twice a day, use dental floss and special rinses.
  • Correct diet. Limit the consumption of sweets and carbohydrates.
  • Preventive visits to the dentist at least every six months. If necessary, fluoridation and sealing of molars in children (the so-called sealing of fissures).
  • Do not forget to wear a protective mouthguard when active games and sports.

Verified pediatric dentistry in Moscow

90,000 A child’s teeth are teething: Pediatric Dentist Tips | Child health | Health

The main thing is to follow the advice given to parents Candidate of Medical Sciences, leading dentist of the Mother and Child clinic Irina Chalova .

– Irina Vladimirovna, please tell us what happens in the child’s body when his first teeth begin to erupt, and what is the reason for his poor health during this period?

Usually, the first milk teeth in babies begin to erupt at the age of 5-6 months, however, these periods may shift, depending on the hereditary predisposition and a number of other factors.Teeth during teething injure the gums, the baby experiences discomfort – he wants to “gnaw” something. At this time, babies begin to actively salivate, loose stools, a slight increase in temperature, irritation of the skin around the mouth (including from constant wiping of saliva with napkins) may occur. All this is the reason for the child’s frequent awakenings at night, screaming and crying, which, of course, worries the parents.

– What should the parents of the “little nibbles” do to somehow make their life easier in this difficult time?

Today, various gum teething toys are widespread, designed just for the child to chew them.However, I would recommend that parents not get too carried away with such devices and carefully monitor how much time the baby spends on this activity. Since the roots of milk teeth are small, and when teething the very first teeth, they have nothing to rely on, so to speak, since the neighboring ones have not yet grown, the baby can simply damage his tooth by accidentally pressing too hard on it. You can use teethers every 3-4 hours, after washing them with clean water.

To eliminate inflammation and relieve pain, it is necessary to use an agent that has both anti-inflammatory and analgesic effects.

For example, the drug “Kamistad” has antimicrobial, anti-inflammatory and local anesthetic effects. The anesthetic included in the drug contributes to the rapid and long-term reduction of pain – which will significantly reduce the overall discomfort of the baby. The tincture of chamomile flowers contained in the preparation has anti-inflammatory and antiseptic properties. Kamistad is available in the form of a gel, which is very convenient for use in children. The gel is applied to the gums with light massaging movements 3 times a day.The use of “Kamistad” allows you to facilitate the period of teething.

– You mentioned that a child can damage his own teeth. Are there any “golden rules” for parents, following which you can provide your child with the correct bite? After all, although milk teeth are temporary, everyone wants their baby to have a beautiful smile.

In fact, it’s not even about beauty, although this is an important factor, I understand. Often, unevenly grown teeth prevent a child from chewing normally, and, therefore, from eating right.At the same time, they can injure the gums, causing inflammation and delivering a lot of discomfort to the baby. Therefore, of course, parents should know a few basic rules about what can and cannot be done when their child’s teeth begin to cut.

Firstly, when the very first tooth appears in a child, be sure to consult a dentist for advice and periodically bring the baby for an examination during the period of eruption and the formation of a milk bite. So, in case of improper growth, you can correct the position of the teeth in time.

Secondly, as I already said, you should not get carried away with teethers for gums, but approach them responsibly. The teether should not be too soft or hard, it should not contain non-food dyes, it should be made of a material that is strong enough so that a child cannot tear a piece from it and inadvertently swallow it.

Well, and, thirdly, to avoid the appearance of caries, take proper care of the first teeth: wipe them with special cleansing wipes or use silicone finger brushes.And later, carefully choose the toothpaste and brush with which you brush your child’s teeth – pay attention to the special mark on the recommended age on the packaging, make sure that the bristles of the toothbrush are not too stiff and do not injure the child’s sensitive gums. If possible, brush your baby’s teeth twice a day (in the morning – after breakfast, in the evening – after dinner), thereby accustoming the child to this procedure. From the beginning of the complementary feeding period, when, in addition to breast milk, you begin to introduce the child to “adult food” (cereals, vegetables, fruit and meat purees), make sure that he receives enough calcium and vitamins that help strengthen teeth and tooth enamel.

See also:

90,000 Section 2 theoretical foundations of pediatric dentistry and selected issues of related disciplines

001. The pulp is formed

a) from the mesenchyme of the dental sac

b) from the dental papilla mesenchyme

c) from epithelial tissue forming the inner layer of the enamel organ

g) from epithelial tissue forming the outer layer of the enamel organ

e) from the anterior half of the epithelial plate

002.Dentin forming

a) from the mesenchyme of the dental sac

b) from the dental papilla mesenchyme

c) from epithelial tissue forming the inner layer of the enamel organ

g) from epithelial tissue forming the outer layer of the enamel organ

e) from the anterior half of the epithelial plate

003. Tooth root cement is formed

a) from the mesenchyme of the dental sac

b) from the dental papilla mesenchyme

c) from epithelial tissue forming the upper layer of the enamel organ

g) from the anterior half of the epithelial plate

e) from the epithelial vagina

004.Periodontium formed

a) from the mesenchyme of the dental sac

b) from the dental papilla mesenchyme

c) from epithelial tissue forming the outer layer of the enamel organ

g) from epithelial tissue forming the inner layer of the enamel organ

e) from the anterior half of the epithelial plate

005. Tooth enamel is formed

a) from the mesenchyme of the dental sac

b) from the dental papilla mesenchyme

c) from epithelial cells forming the inner layer of the enamel organ

g) from epithelial tissue forming the outer layer of the enamel organ

006.Nasmit’s shell formed

a) from the mesenchyme of the dental sac

b) from the dental papilla mesenchyme

c) from epithelial tissue forming the inner layer of the enamel organ

g) from epithelial tissue forming the outer layer of the enamel organ

007. Mineralization of teeth starts

a) at 2-3 months of uterine life

b) at 4-5 months of uterine life

c) at 6-7 months of uterine life

g) at 7-8 months of uterine life

e) at 8-9 months of uterine life

008.Mineralization of 52,62,72,82 teeth starts

a) at 3-4 months of uterine life

b) at 4-4.5 months of uterine life

c) at 5-6 months of uterine life

g) at 6-7 months of uterine life

e) at 8-9 months of uterine life

009. Mineralization; 55,65,75,85 teeth starts

a) at the 3rd month of uterine life

b) in the 5th month of uterine life

c) at the 6th month of uterine life

g) at the 7th month of uterine life

e) at the 8th month of uterine life

010.Mineralization of 54,64,74,84 teeth starts

a) at the 3rd month of uterine life

b) at the 5th month of uterine life

c) at the 6th month of uterine life

g) at the 7th month of uterine life

e) at the 8th month of uterine life

011. Teeth 51,61,71,81 erupted

a) at 4-5 months of a child’s life

b) at 5-6 months of a child’s life

c) at 6-8 months of the child’s life

g) at 9-10 months of a child’s life

e) at 11-12 months of a child’s life

012.Teeth 52,62,72,82 erupt

a) at 2-5 months of a child’s life

b) at 6-12 months of a child’s life

c) at 7-8 months of the child’s life

g) at 12-17 months of a child’s life

e) at 17-20 months of the child’s life

013. Teeth 53,63,73,83 erupt

a) at 8-10 months of a child’s life

b) at 10-12 months of a child’s life

c) at 12-15 months of a child’s life

g) at 16-20 months of the child’s life

e) at 17-19 months of the child’s life

014.Teeth 54,64,74,84 erupt

a) at 9-12 months of a child’s life

b) at 12-16 months of the child’s life

c) at 17-20 months of a child’s life

g) at 10-15 months of a child’s life

e) at 11-13 months of the child’s life

015. Teeth 55,65,75,85 are erupting

a) at 9-10 months of a child’s life

b) at 10-12 months of a child’s life

c) at 12-18 months of a child’s life

g) at 18-20 months of a child’s life

e) at 20-30 months of the child’s life

016.Root formation of teeth ends

a) at the age of a child 1.5 years

b) at the age of a child 2-2.5 years old

c) at the age of a child 3 years old

g) at the age of a child 4 years old

e) at the age of a child 5 years old

017. The formation of the roots of 52,62,72,82 teeth ends

a) at the age of the child 2 years

b) at the age of a child 3 years old

c) at the age of a child 4 years old

g) at the age of a child 5 years old

e) at the age of a child 6 years old

018.Root formation of teeth ends

a) at the age of a child 2-3 years old

b) at the age of a child 3-3.5 years

c) at the age of a child 3-4 years old

g) at the age of a child 4-5 years old

e) at the age of a child 5-5.5 years old

019. The formation of roots of 54,64,74,84 teeth ends

a) at the age of a child 2-3 years old

b) at the age of a child 3-4 years old

c) at the age of a child 4-5 years old

g) at the age of a child 5-6 years old

e) at the age of a child 6-7 years old

020.Root formation of 55,65,75,85 teeth ends

a) at the age of a child 3 years old

b) at the age of 4 years old

c) at the age of a child 5 years old

g) at the age of a child 6 years old

e) at the age of a child 7 years old

021. Terms of maximum root resorption teeth

a) at the age of a child 3-3.5 years

b) at the age of a child 4-4.5 years

c) at the age of a child 5-5.5 years

g) at the age of a child 5.5-6.5 years

e) at the age of a child 6.5-7 years

022. Terms of maximum root resorption teeth

a) at the age of a child 3-4 years old

b) at the age of a child 4-5 years old

c) at the age of a child 5-6 years old

g) at the age of a child 5.5-7 years old

e) at the age of a child 8 years old

023. Terms of minimum root resorption teeth

a) at the age of a child 5-6 years old

b) at the age of a child 6-7 years old

c) at the age of a child 8.5-9 years

g) at the age of a child 10-11 years old

e) at the age of a child 11-12 years old

024. Dates of maximum root resorption 54,64,74,84 teeth

a) at the age of a child 7 years old

b) at the age of a child 8 years old

c) at the age of a child 9 years old

g) at the age of a child 10 years old

e) at the age of a child 11 years old

025. Dates of maximum root resorption 55,65,75,85 teeth

a) at the age of a child 6-7 years old

b) at the age of a child 8-8.5 years

c) at the age of a child 9-9.5 years old

g) at the age of a child 9-10 years old

e) at the age of a child 10-11 years old

026. What type of root resorption of primary teeth is physiological?

a) I – uniform resorption of all roots

b) II – resorption with a predominance of the process in the area of ​​one root

c) III – resorption with a predominance of the process in the area of ​​root bifurcation

g) resorption of roots as a result of chronic inflammation of periodontal tissues

e) I, II, III types of root resorption

027.What is the type of root resorption of deciduous teeth in chronic inflammation of periodontitis?

a) uniform resorption of all roots

b) resorption with predominance in the area of ​​one root

c) resorption with a predominance of the process in the area of ​​biofurcation

d) pathological type of resorption

e) physiological type of resorption

028. Specify the time of laying the primordia of permanent teeth

a) at the 1st month of uterine life

b) at 5-6 months of uterine life

c) at 5-6 months of a child’s life

g) in the 2nd year of a child’s life

e) for the 4-5 year of a child’s life

029.Mineralization of 16,26,36,46 teeth starts

a) at the 5th month of uterine life

b) at 3-4 months of the child’s life

c) at the end of the antenatal period

g) at the age of a child 1-1.5 years

e) at the age of 2-2.5 years

030. Mineralization of 11,21,31,41 teeth starts

a) at the 8th month of uterine life

b) at the birth of a child

c) in the 5th month of the child’s life

g) in the 1st year of a child’s life

e) in the 2nd year of a child’s life

031.Mineralization of 15,25,35,45 teeth starts

a) at the 6th month of uterine life

b) in the 1st year of the child’s life

c) for 2-2.5 years of the child’s life

g) at the age of a child 3 years old

e) at the age of a child 4 years old

032. Mineralization of 17,27,37,47 teeth starts

a) at the 7th month of uterine life

b) at the age of a child 1-1.5 years old

c) at the age of a child 1.5-2.5 years

g) at the age of a child 2.5-3 years

e) at the age of a child 3-4 years old

033. Teeth 11,21,31,41 erupted

a) at the age of a child 5-6 years old

b) at the age of a child 6-7 years old

c) at the age of a child 6-8 years old

g) at the age of a child 8 years old

e) at the age of a child 9 years old

034. Teeth 12,22,32,42 are erupting

a) at the age of a child 5-6 years old

b) at the age of a child 5-7 years old

c) at the age of a child 6-8 years old

g) at the age of a child 8 years old

e) at the age of a child 9 years old

035.Teeth 13,23,33,43 erupt

a) at the age of a child 5-7 years old

b) at the age of a child 7-9 years old

c) at the age of a child 7-11 years old

g) at the age of a child 8-12 years old

e) at the age of a child 9-10 years old

036. Teeth 14,15,24,25,34,35,44,45 erupt

a) at the age of a child 5-7 years old

b) at the age of a child 7-11 years old

c) at the age of a child 8-10 years old

g) at the age of a child 8-12 years old

e) at the age of a child 9-13 years old

037.Teeth 16,26,36,46 erupt

a) at the age of a child 5-7 years old

b) at the age of a child 7-9 years old

c) at the age of a child 7-11 years old

g) at the age of a child 8-10 years old

e) at the age of a child 8-12 years old

038. Teeth 17,27,37,47 are erupting

a) at the age of a child 7-9 years old

b) at the age of a child 8-11 years old

c) at the age of a child 9-13 years old

g) at the age of a child 10-12 years old

e) at the age of a child 11-14 years old

039.Root formation of 11,21,31,41 teeth ends

a) at the age of 8-9 years

b) at the age of 9-10 years

c) at the age of 10-12 years

g) at the age of 10-13 years

e) at the age of 11-12 years

040. Formation of horses 12,22,32,42 teeth ends

a) at the age of a child 8-10 years old

b) at the age of a child 9-10 years old

c) at the age of a child 10-11 years old

g) at the age of a child 11-12 years old

e) at the age of a child 12-13 years old

041.Root formation of 13,23,33,43 teeth ends

a) at the age of a child 9-10 years old

b) at the age of a child 10-12 years old

c) at the age of a child 12-14 years old

g) at the age of a child 13-15 years old

e) at the age of a child 15-16 years old

042. The formation of roots of 14,24,34,44 teeth ends

a) at the age of a child 9-10 years old

b) at the age of a child 10-11 years old

c) at the age of a child 11-12 years old

g) at the age of a child 12 years old

e) at the age of a child 13-14 years old

043.Root formation of 15,25,35,45 teeth ends

a) at the age of a child 9-10 years old

b) at the age of a child 10-11 years old

c) at the age of a child 11-12 years old

g) at the age of a child 12-13 years old

e) at the age of a child 14 years old

044. The formation of roots of 16,26,36,46 teeth ends

a) at the age of a child 9-10 years old

b) at the age of a child 10-11 years old

c) at the age of a child 12 years old

g) at the age of a child 13 years old

e) at the age of a child 14 years old

045.Root formation of 17,27,37,47 teeth ends

a) at the age of a child 9 years old

b) at the age of a child 10 years old

c) at the age of a child 13 years old

g) at the age of a child 14 years old

e) at the age of a child 15 years old

046. To reduce the complex of negative reactions of the child’s body to treatment at the dentist, the following measures must be taken

a) during the manipulation, parents must be present

b) consultation of a neurologist

c) mobilization of the child’s volitional efforts to increase the level of motivation for treatment

g) establishing psychological contact with a child

e) individually selectable

047.To relieve the psychoemotional stress of a child in a polyclinic,

a) sleeping pills

b) tranquilizers of the diazepam series

c) narcotic drugs

g) painkillers

e) not applicable

048. When removing a temporary tooth in the stage of significant root resorption gives sufficient anesthesia

a) conduction anesthesia

b) application anesthesia

c) inhalation anesthesia

g) infiltration anesthesia

e) intraosseous anesthesia

049.What is the most frequent indication for the use of local injection anesthesia in pediatric therapeutic dentistry

a) uncomplicated caries

b) curettage of periodontal pockets

c) chronic periodontitis

g) chronic pulpitis

e) acute trauma of the tooth with damage to the pulp

050. Epinephrine solution in anesthetic solution for children under 3 years old

a) do not add

b) add 2 drops of adrenaline solution to 5 ml of anesthetic solution

c) add 2 drops of adrenaline solution per 10 ml of anesthetic solution

g) add 1 drop of adrenaline solution to 5 ml of anesthetic solution

e) add 1 drop of adrenaline solution per 10 ml of anesthetic

051.What is the optimal location of the end of the injection needle during conduction anesthesia at the mandibular foramen in children?

a) it is imperative to advance the end of the injection needle into the mandibular opening

b) the accuracy of the needle end to the orifice of the hole is required

c) an anesthetic solution can be injected into the tissue surrounding the opening

g), you can enter an anesthetic solution 2 cm anterior to the mandibular opening

e) this method of anesthesia is not applied

052.Tactics in relation to carrying out tuberous anesthesia when removing temporary chewing teeth

a) it is obligatory to carry out

b) not required

c) combine tuberal anesthesia with local infiltration

g) is the method of choice

e) does not have significant advantages over local infiltration

053. The best anesthetic for periostotomy in case of a purulent inflammatory process is

a) trimecaine 1%

b) novocaine 2% with the addition of adrenaline

c) novocaine 2% without adrenaline addition

g) lidocaine 2% with the addition of adrenaline

e) novocaine 1% with the addition of adrenaline

054.The maximum dose (permissible) novocaine 2% for a child 5 years old

a) 1 ml

b) 2 ml

c) 5 ml

g) 10 ml

e) 20 ml

055. The advantages of trimecaine over novocaine

a) stronger anesthetic

b) sedation

c) less pronounced allergic properties

g) the effect is faster

e) all of the above

056.The possibility of fainting in a patient is not affected

a) the child came on an empty stomach

b) long waiting in line

c) restless behavior of other patients

g) the severity of the doctor

e) not named

057. In the treatment of fainting, the main thing is

a) administration of suprastin

b) the introduction of agents that stimulate cardiac activity

c) horizontal position of the patient

d) horizontal position of the patient and reflex stimulation of respiration and blood circulation

e) not named

058.The defect in the technique of mandibular anesthesia can be attributed to

a) neuritis of the facial nerve

b) alveolitis in the zone of the extracted tooth

c) inflammatory contracture of the pterygoid muscles

g) hematoma in the area of ​​the mental opening

e) none of the listed

059. The method of intraosseous anesthesia is

a) anesthetic solution is administered only by electrophoresis

b) into the base of the gingival papilla

c) perforating the bone in the periapical region

g) not used in children

e) the place of injection of the solution into the bone does not matter

060.More rational methods of anesthesia when opening abscesses and phlegmon of the maxillofacial region in children are

a) local anesthesia conduction

b) local infiltration anesthesia with premedication

c) intubation anesthesia

g) mask inhalation anesthesia

e) application anesthesia with premedication

061. A contraindication to the use of anesthesia for the rehabilitation of the oral cavity in a polyclinic may be

a) age up to 3 years

b) the presence of an acute respiratory disease

c) allergy to local anesthetics

g) the child has Down’s disease

e) not named

062.What is the most effective method of anesthesia for vital extirpation of the pulp 43,42,41,31,32,33

a) infiltration anesthesia

b) application anesthesia

c) conduction anesthesia

g) conduction-infiltration anesthesia

e) none of the named

063. What is the most frequent indication for the use of local injection anesthesia in pediatric therapeutic dentistry?

a) uncomplicated caries

b) treatment of pulpitis

c) for acute and exacerbated chronic periodontitis

g) when removing dental deposits

e) curettage of periodontal pockets

064.An indication for the use of application anesthesia in therapeutic dentistry cannot be

a) treatment of pathological periodontal pockets

b) preparation of hard tissues of permanent teeth

c) treatment of diseases of the oral mucosa

g) anesthesia of the injection needle site

e) in case of damage to the oral mucosa

065. Specify the prevention of allergic complications of local injection anesthesia

a) proper preparation and storage of local anesthetics

b) carrying out a color test according to Lukomsky

c) interaction in the work of the medical staff

g) strict adherence to the method of local injection anesthesia

e) thorough clarification of the allergic analysis

066.The positive properties of lidocaine are

a) induce a fast-onset deep and prolonged anesthesia

b) do not cause significant changes in pulse, blood pressure, respiration

c) compatibility with sulfonamides, narcotic substances, antibiotics

g) low toxicity

e) all of the above

067. What is the most rational method of pain relief to remove 36 for chronic periodontitis

a) electrical anesthesia

b) general anesthesia

c) application anesthesia

g) conduction anesthesia

e) acupuncture

068.When removing molars of the upper jaw in children, it is most advisable to

a) conduction anesthesia

b) infiltration anesthesia with a syringe

c) general anesthesia

g) application anesthesia

e) acupuncture

069. The growth of jaw roots in children occurs

a) evenly over the years

b) the most active: at 1-3 years old, 6-8 years old, 13-15 years old

c) most active: 3-5 years, 10-12 years

g) the most active up to the year

e) most active after 15 years

070.In newborns, the rudiments of teeth in the upper jaw are

a) in the gingival roller

b) in the alveolar process

c) adjoin the bottom of the orbit

g) the incisors have already cut through

e) absent

071. The following anatomical features are characteristic of the children’s jaw bones

a) spongy substance predominates over compact, weakly mineralized, richly vascularized

b) the compact layer predominates over the spongy layer, well mineralized, weakly vascularized

c) the compact layer predominates over the spongy layer, weakly vascularized and mineralized

g) spongy substance predominates, well mineralized

e) compact and spongy substances are represented equally

072.Healing of the bones of the sky occurs

a) in the first year of life

b) in the first trimester of pregnancy

c) in the second trimester of pregnancy

g) in the third trimester of pregnancy

e) never grows together

073. Odontogenic inflammatory processes are more common in children

a) after 10 years

b) in 1-3 years

c) at 6-8 years

) at 3-5 years

d) at 10-12 years old

074.Temporary teeth in children have

a) large pulp chamber, wide canals

b) large pulp chamber, narrow channels

c) a small pulp chamber, wide canals and a large apical foramen

d) the pulp chamber is not formed

e) small pulp chamber, narrow canals and narrow apical foramen

075. The development of the detoxification function of the liver and kidneys occurs

a) by 1 year

b) by 3-4 years

c) by 6-8 years

g) by 10 years

e) after 15 years

076.Immunological reactivity in a newborn

a) high in term, low in premature

b) low in term term, high in premature term

c) in both full-term and premature babies high

g) in both full-term and premature infants low

e) in newborns there is no immunological reactivity

077. The barrier capacity of the lymphatic system in children ends

a) by the neonatal period

b) formed by the year

c) ends formation after 15 years

g) is formed by the age of 7

e) formed by 10 years

078.Exposure of pulp diathermocoagulation with the method of vital extirpation

a) 3-4 s

b) 6-7 sec

c) 60 sec

g) 20 s

e) 1 min 20 sec

079. A reasonable physiotherapeutic method for exacerbation after filling the canal in the presence of edema, hyperemia is

a) hydrotherapy

b) microwaves

c) UHF

g) electrophoresis of novocaine

e) radiation of a helium-neon laser

080.In case of caries, the most appropriate

a) electrophoresis

b) total ultraviolet irradiation


g) microwaves

e) darsenval

081. When treating the so-called residual or root pulpitis in a tooth with poorly permeable root canals, it is better to use

a) diathermocoagulation

b) in-channel UHF

c) iodine electrophoresis (10% tincture)

g) electrophoresis of trypsin

e) fluctuation

082.UHF therapy is indicated for the following diseases

a) with caries

b) with chronic periodontitis

c) for defect of teeth

g) for acute periodontitis

e) for chronic pulpitis

083. Medicinal substances are introduced

a) from the positive pole

b) from a pole having the same charge with the drug ion

c) from a pole having a charge opposite to the ion of the medicinal substance

g) from the negative pole

e) from any pole

084.Electrophoresis is

a) the use of electric current for therapeutic purposes

b) application of high frequency electric current for therapeutic purposes

c) introduction of medicinal substances into tissues by means of current

g) introduction of medicinal substances into tissues by means of light radiation

e) administration of medicinal substances using an ultrasound apparatus

085. Hydrophilic gasket should

a) protect the skin from burns

b) promote an even distribution of current

c) reduce the DC resistance of the fabric

g) reduce tissue heating

e) reduce the irritating effect of alternating current

086.Galvanization in dentistry is

a) therapeutic use of direct electric current of high voltage

b) use with a therapeutic purpose of alternating electric current of high voltage

c) use for therapeutic purposes of direct electric current of low voltage and small strength

g) the use of light for therapeutic purposes

e) use for therapeutic purposes of impulse current of low voltage and frequency

087.The physiological effect of direct current on living tissues is due to

a) movement of ions, violation of the ionic conjuncture of tissues

b) heating tissues due to the formation of a significant amount of fuel

V) by the irritating effect of current

g) by exposure to direct current on lymphatic and blood vessels

e) by acting on nerve receptors