| |
Teething
Normally the first tooth erupts between ages six to twelve months. Gums
may be sore, tender and sometimes irritable until the age of three due
to the eruption of the baby teeth. Rubbing sore gums gently with a clean
finger, the back of a cold spoon or a cold, wet cloth helps soothe the
gums. Teething rings works well, but avoid teething biscuits—they
contain sugar that is not good for baby teeth.
While your baby is teething, it is important to monitor the teeth for
signs of baby bottle decay. Examine the teeth, especially on the inside
or the tongue side every two weeks for dull spots (whiter than the tooth
surface) or lines. A bottle containing anything other than water and
left in an infant’s mouth while sleeping can cause decay. This
happens because sugar in the liquid mixes with bacteria in dental plaque,
forming acids that attack the tooth enamel. Each time a child drinks
liquids containing sugar, acids attack the teeth for about 20 minutes.
When awake, saliva carries away the liquid. During sleep, the saliva
flow significantly decreases and liquids pool around the child’s
teeth for long periods, covering the teeth in acids.
Infant’s New Teeth
The primary, or “baby,” teeth play a crucial role in dental
development. Without them, a child cannot chew food properly and has
difficulty speaking clearly. Primary teeth are vital to development
of the jaws and for guiding the permanent (secondary) teeth into place
when they replace the primary teeth around age six.
Since primary teeth guide the permanent teeth into place, infants with
missing primary teeth, or infants who prematurely lose primary teeth
may require a space maintainer, a device used to hold the natural space
open. Without a maintainer, the teeth can tilt toward the empty space
and cause permanent teeth to come in crooked. Missing teeth should always
be mentioned to your family dentist. The way your child cares for his/her
primary teeth plays a critical role in how he/she treats the permanent
teeth. Children and adults are equally susceptible to plaque and gum
problems—hence the need for regular care and dental checkups.
A Child’s First Dental Visit
A child’s first dental visit should be scheduled around his/her
first birthday. The most important part of the visit is getting to know
and becoming comfortable with a doctor and his staff. A pleasant, comfortable
first visit builds trust and helps put the child at ease during future
dental visits. If possible, allow the child to sit in a parent’s
lap in the exam room. Children should be encouraged to discuss any fears
or anxiety they feel.
Good Diet and Healthy Teeth
The teeth, bones and soft tissue of the mouth require a healthy, well-balanced
diet. A variety of foods from the five food groups helps minimize (and
avoid) cavities and other dental problems. Most snacks that children
eat cause cavities, so children should only receive healthy foods like
vegetables, low-fat yogurt and cheeses which promote strong teeth.
Infant Tooth Eruption
A child’s teeth actually start forming before birth. As early
as four months of age, the primary or “baby” teeth push
through the gums—the lower central incisors are first, then the
upper central incisors. The remainder of the twenty primary teeth typically
erupts by age three, but the place and order varies.
Permanent teeth begin eruption around age six, starting with the first
molars and lower central incisors. This process continues until around
age twenty-one. Adults have 28 secondary (permanent) teeth—32
including the third molars (wisdom teeth).
Preventing Baby Bottle Tooth Decay
Tooth decay in infants can be minimized or totally prevented by not
allowing sleeping infants to breast or bottle-feed. Infants that need
a bottle to comfortably fall asleep should be given a water-filled bottle
or a pacifier. Our office is dedicated to fighting baby bottle tooth
decay. Let us know if you notice any signs of decay or anything unusual
in your child’s mouth.
|
|