Primary Teeth Eruption Time

The primary teeth begin their development when the fetus is five weeks old. The first teeth to erupt are the lower central incisors at approximately six months of age. The normal ages of eruption vary greatly from child to child. The sequence of eruption usually does not vary.

The primary teeth are of major importance to the child’s appearance, chewing ability, and eventual health of his or her permanent teeth.

Permanent Teeth Eruption Time

Usually the first permanent Molars erupt first. These teeth are frequently referred to as the “six year molars”. They may erupt as early as five years of age and as late as nine and a half years. They erupt behind the second primary molars.

The permanent molars should receive dental sealants to prevent decay.
 

At about the same time that these molars are erupting, the lower primary incisors are being shed and replaced by the permanent incisors.

Formation of Cavities

Help prevent cavities by brushing and flossing three times daily.

For additional information see Diet and Snacking at the AAPD web site or contact Dr. Azar.

Baby Bottle Tooth Decay

• Counseling Includes:
• Eliminate liquids containing sugar during bedtime.
• Encourage oral hygiene.
• Discourage at-will feedings.
• Discourage use of sweeteners on pacifiers.

Pacifier Use and Safety

• If possible, never introduce the use of a pacifier to your infant.
• Use only a sturdy, one piece, non-toxic, flexible pacifier.
• Never attach around a child’s neck.
• Discourage the use of sweeteners.
• Replace the pacifier when worn.

For additional information contact Dr. Azar.

Fluorosis

• May result from the child swallowing an excessive amount of fluoride.
• Use non fluoridated toothpastes until your child can spit out toothpaste.
• Use toothpaste with supervision until the age of six.
• For young children a pea sized amount is recommended.

For additional information see Enamel Fluorosis at the AAPD web site or contact Dr. Azar.

Space Maintenance

If a primary tooth is lost prematurely, the space must be maintained to allow the proper eruption of the permanent teeth. For additional information see Space Maintenance at the AAPD web site or contact Dr. Azar.

Unilateral & Bilateral Space Maintainers

Sealants

Dr. Azar uses different preventive measures in treating your child, including application of sealants on teeth with deep grooves. Sealants can prevent and reduce caries formation by sealing the pits, fissures and grooves of the chewing surface, preventing the accumulation of bacteria or food.

For additional information see Sealants at the AAPD web site or contact Dr. Azar.

Thumb and Pacifier Habits

For additional information see Thumb, Finger, and Pacifier Habits at the AAPD web site or contact Dr. Azar.

Harmful oral habits can have an undesirable effect on Primary teeth, Permanent teeth, speech and growth of the upper and lower jaws.

Tips for parents

• Encourage your child to stop a habit as soon as possible, preferably no later than age two.
• Do not use punishment or hot/spicy sauce to make your child quit their oral habit