The first teeth of a child erupt when the child is aged between 3-16 months old; normally it occurs at the age of 6 months in most children. The first teeth that come out are the two bottom front teeth (Lower Incisors) and this will be followed by four upper teeth (Upper Incisors). br>
The exact timing of the first tooth eruption is mainly dependent on genetics; this means that if there is a family history wherein the children get their first teeth late then your child also might get its teeth late.
Normally children start shedding their first teeth (milk teeth) at the age of six to seven years; when the child reaches the age of 11-13 years the process of shedding the teeth is completed. The last teeth that are shed are the 2nd molars.
You can start cleaning the teeth of your child immediately after it erupts; use a moist washcloth to wipe and clean the teeth. You could start using a soft toothbrush once the child gets more teeth. You must use either fluoride toothpaste or non-fluoride toothpaste of pea-size quantity until the child learns to spit out the paste. The child’s teeth could get stained if you use too much fluoride.
Earlier recommendation of the AAP was that the child has to be taken to the dentist at the age of three years. Of late this has been changed to 6 months after the eruption of the first tooth or before the child’s first birthday. This is mainly because it has been found that many children have cavities before they start going to kindergarten. The following are the benefits for taking the child for early dental examination:
The smile of the child will be protected not only for the present but also for the future.
You will get educated about your child’s oral health and also his/ her dental hygiene.
Children having stained teeth, crowding/ abnormal tooth development, susceptible for cavity development, thumb sucking habit and bruxism might get benefited.
The answer to this is yes. In order to prevent the occurrence of cavities it is necessary for all children above six months of age to take supplemental fluoride. Normally most of the children get this fluoride from their drinking water if they take water from the water supplied by the local water supply board. Well water, filtered and bottled water do not normally contain fluorides although there could be exceptions. br>
It is good for your child to have sufficient fluorides from drinking water than getting it from additional fluoride drops or supplements. Fluoride in excess quantities might result in the child developing fluorosis which will result in permanent white to brown discoloration of the enamel of the teeth. If the child is given fluoride drops and also getting fluorides from his diet the chances of the child getting fluorosis is higher. Consult your pediatrician or pedodontist before giving your child fluoride supplements.
The staining can occur because of intrinsic staining caused by fluorosis, blood and bile pigments, inherited defects of dentin and enamel, trauma and medications such as tetracycline; extrinsic staining could occur from bacteria and food stains.
The back teeth are normally difficult to clean and are more likely to develop cavities; dental sealants are normally applied to these teeth to protect the grooves and pits of these teeth. The sealants form a barrier against plaque and other substances. You should apply sealants to the 1st and 2nd permanent molars and appropriate premolars after they erupt.