Your child won't keep his or her first teeth forever, but that doesn't mean those tiny pearly whites don't need conscientious care. Maintaining your child's dental health now will provide health benefits well into adulthood, as primary (baby) teeth serve some extremely important functions.
For one thing, primary teeth serve as guides for the eruption of permanent (adult) teeth, holding the space into which these new teeth will erupt. The crowns (tops) of the permanent teeth actually push against the roots of the baby teeth, causing them to resorb, or melt away. In this way, the adult teeth can take their proper place.
What's more, your child's primary teeth will be there for most of childhood, helping your child to bite, chew and speak. For the first six or so years, he or she will be relying on primary teeth exclusively to perform these important functions. Until around age 12, your child will have a mix of primary and permanent teeth. You will want to make sure those teeth stay healthy and are lost naturally — when it's time.
Your Child's First Teeth
Your child's 20 baby teeth will begin to appear usually between six and nine months, though in some cases it may start as early as three months or as late as twelve months. The two lower front teeth tend to erupt first, followed by the two upper ones, these teeth are called the central incisors. Then the neighboring teeth called lateral incisors will erupt too. The first molars come in next, followed by the canines (eyeteeth). And finally, the last teeth to erupt are the two-year molars. Sometimes your baby can experience teething discomfort during this process. If so, there are courses of action to help make your child more comfortable.
Your infant's gums should be gently wiped after each feeding with a water-soaked gauze pad or damp washcloth. As soon as the first tooth erupts, establish a daily brushing routine with a small, soft-bristled toothbrush and no more than a thin smear of fluoridated toothpaste. Your child may need your help with this important task until about the age of 6.
Your Child's First Dental Appointment
The American Academy of Pediatric Dentistry recommends that your child see a dentist by his/her first birthday, or as early as the first tooth erupts. Though this may sound early, learning proper pediatric oral hygiene techniques, checking for cavities, and watching for developmental problems is extremely important.
There are a number of forms of tooth decay that can affect babies and small children. Early Childhood Caries (tooth decay) can develop rapidly, progressing from the hard, outer enamel layer of a tooth into the softer, inner dentin in six months or less.
Most of all, it's important for your child to have a positive experience at the dental office as he/she will be a regular visitor for years to come.
Pediatric Dental Treatments
There are a variety of dental treatments offered to prevent tooth decay in children, or to save or repair teeth when necessary. They include:
Topical Fluoride — Fluoride incorporates into the enamel of teeth, making it harder and more resistant to decay. Although there is a small amount of fluoride in toothpastes and in some drinking water supplies, a higher concentration can be applied professionally to your child's teeth for maximum protection.
Dental Sealants — A plastic coating can be applied at the dental office to prevent cavities by sealing the little grooves on the chewing surfaces of back teeth known as “pits and fissures.” These little crevices become the perfect environments for decay-causing bacteria. Immature tooth enamel is more permeable and therefore less resistant to tooth decay. Dental sealants are easy to apply and provide years of protection (Watch Dental Sealant Video).
Root Canal Treatment — Perhaps you have had a root canal treatment yourself, to save an injured or severely decayed tooth. Well, sometimes children need root canals, too. In children these are called pulpotomies or pulpectomies. As mentioned above, baby teeth are important guides to the permanent teeth that are already forming beneath your child's gums. Therefore, saving them from premature loss can help prevent a malocclusion (“mal” – bad; “occlusion” – bite) that requires orthodontic treatment.
Bonding — Chips and minor fractures to front teeth — common childhood occurrences — can be repaired with tooth-colored bonding materials. These lifelike resins made of plastic and glass can be used on baby teeth as well as permanent teeth and last until the youngster has completed facial growth (Watch Bonding Video).
By around age 7, most malocclusions have become evident. Interceptive orthodontic treatment around this time can help direct proper tooth positioning and/or jaw growth, eliminating or simplifying the need for later treatment. There are many orthodontic problems that can be detected early and are examples of why a trained professional should evaluate your child during his/her growth and development.
Sports & Your Child's Teeth
If your child is active in sports, a custom-made mouthguard is a highly recommended safeguard. According to the American Dental Association, an athlete is 60 times more likely to suffer dental harm when not wearing one of these protective devices. A custom mouthguard is made specifically for your child using a model of his or her teeth. This will offer greater protection than an off-the-shelf model. It's an investment that pays off highly in the form of reduced pain, suffering — and dental expenses down the road!
Dentistry and Oral Health for Children Dear Doctor magazine brings you this wide-ranging overview of milestones and transitions in your child's dental development. Learn how to protect your children from tooth decay, dental injuries, and unhealthy habits while getting them started on the road to a lifetime of oral health and general well-being... Read Article
Pregnancy & Oral Health Pregnancy is generally thought of as the time when a woman strives to be particularly aware of the need for better health. Many women, though, may not be aware of the link that exists between their oral health and their systemic (general) health, as well as the impact this can have on a developing child. Learn about how to care for yourself and your baby... Read Article
How to Help Your Child Develop the Best Habits for Oral Health Proper oral health habits are easy to learn — and lead to behaviors that result in lifelong dental health. And the time to begin is as soon as your child's first baby teeth appear. From toothbrushing for your toddler to helping your teenager stay away from tobacco, Dear Doctor magazine offers the most important tips for healthy habit formation through childhood and beyond... Read Article
Top 10 Oral Health Tips for Children There's no need to wait until your baby actually has teeth to lay the foundations for good oral or general health. In fact, good nutrition and oral hygiene can start right away. It is up to you to develop the routines that will help protect your child from tooth decay and other oral health problems. So let's get started... Read Article
Your first appointment is an exciting time! It's a chance for you to learn about the treatments and services that can help give you the best smile possible. It all starts with the initial consultation.
You should plan to spend at least an hour at the first visit. That's to ensure that no one has to rush, and that you get plenty of time to ask any questions you may have. You will meet one of the receptionists or patient coordinators, who will take some information from you and bring you through the office. Then it's time for some diagnostic work and an exam.
Making a Plan
A big part of the first visit is to determine what treatment is necessary to correct any problems found — and whether to begin now, or wait until a later time. The procedure starts by taking a set of regular photographs of the teeth in their present state. Next, a series of radiographic (X-ray) images will be taken. These show what's going on underneath the gums: the position and growth of bones and joints, and the teeth that are still below the gum line.
In some cases, an impression (mold) of the teeth is also taken to create an exact replica of the bite. This helps reveal exactly what the problem is and how best to treat it. The impression is made by biting down on some soft putty-like material for a few moments; then it's removed.
After that, it's time for the exam. Besides looking in the mouth, we you may be asked questions, such as whether the jaws make noise when the mouth is opening or closing, or if there are any problems chewing or swallowing. Taken together, this information will yield a proper diagnosis so a treatment plan can be finalized at the first visit.
Discussing Your Treatment Options
Following the exam, you may be told that things are just fine — or, treatment may be recommended. It might begin right away or at a later time, depending on the developmental stage of the teeth and jaws. Many times, you'll be advised to return for periodic checkups until it's time to start.
Whether you're starting now or later, the first visit is the best time to ask questions about the process. Topics to discuss include treatment choices, what to expect at the different stages of the process, and any of the following:
- Can orthodontic treatment benefit me (or my child)?
- What general procedures will be used to correct the problem?
- Are any options available (or recommended) for my treatment?
- Should I get treatment now, or is it better to wait?
- Will tooth extraction be necessary?
- How much does treatment cost? Are payment plans available?
- How long do you expect treatment should take?
When you leave the office, you should have a better understanding of how you can get the best possible smile.
Early Orthodontic Evaluation Early detection of orthodontic problems in young children may make it easier to correct those problems in the long run. Waiting until all of the permanent (adult) teeth have come in, or until facial growth is nearly complete, may make correction of some problems more difficult or even impossible. An early childhood orthodontic evaluation can yield excellent results... Read Article
The Magic of Orthodontics Proper alignment of the teeth is basic to “Smile Design.” Their position dictates how they work together and affects the way you look and smile. Only orthodontic treatment can move teeth into the right position. Simply put, when things look right, they probably are right. Learn the basics of smile analysis and design and whether the magic of orthodontics will work for you... Read Article