Local Dental Care - Pediatric Dentistry Questions

Dental Care and Baby Teeth, Something To Smile About

Your child's first baby tooth is another milestone in the growth of a child. Parents love to celebrate the tiny, yet momentous steps that pave a child's healthy development.

Babies are born with their primary teeth formed underneath the gums, but they don't start appearing until many months later, usually between six to seven months after birth; however, there is considerable variation in the timing. By the time children are three years old, they usually have a full set of 20 primary teeth

Around age six, your child's jaws begin growing to make room for the permanent teeth. The roots of the teeth anchor them in the bone. As the permanent teeth start to push their way to the surface, the roots of the baby teeth dissolve completely and then the teeth fall out (exfoliate). Eventually, the roots of each baby tooth lose their anchoring power and are nudged out.

Each baby tooth should be replaced by a permanent tooth. The growth that occurs in the back of the jaws creates space for the additional 12 permanent molars.

When Should Children's Dental Care Begin?

Children's dental care should begin within just a few days after birth. Right after each feeding, wipe your baby's gums and inside of the cheeks, roof of the mouth and tongue with a clean damp washcloth or wet gauze pad to remove plaque, the sticky film containing decay-causing bacteria.

As soon as teeth begin erupting through the gums, continue proper dental care by brushing them with a soft-bristled brush. Do not use toothpaste. Regularly check your baby's teeth for any changes. If you notice any white or stained areas, see a pediatric dentist. Around the age of three when each baby tooth has erupted, dental care can continue as you begin flossing your child's teeth (if there is no space between the teeth).

Never let your child fall asleep at naptime or bedtime with a bottle of anything other than water! Milk, fruit juice, formula, or sweetened liquids contain sugars and can cause cavities and make dental care more difficult.

Each Baby tooth is important to your growing child's long-term dental care and oral health. Dental care is simple, yet essential, for a happy, healthy smile.

Since Each Baby Tooth Will Fall Out Anyway, Why Is It Important To Care For Them?

The primary teeth pave the way for your child's permanent teeth. They serve as the foundation for a healthy mouth and gums and proper positioning of permanent teeth.

The primary teeth help children to chew easily, speak clearly and put a great looking smile on their faces. They also provide structure to help shape their faces. If a baby tooth becomes broken or decayed and are left untreated, that can affect your child's erupting permanent teeth, cause them pain and even contribute to other health problems.

Primary teeth serve as natural space maintainers, holding the space open until the permanent teeth are ready to take their place. If baby teeth are lost too early, the other teeth can drift out of their position and invade the empty space. This might cause permanent teeth to come in crooked or unable to erupt into the gum, which leads to malocclusion.

It also can cause a permanent tooth to erupt prematurely, which isn't good for your child's long-term dental health. Be sure to seek dental care if a baby tooth is lost too early.

by Brian J. Gray, DDS, MAGD, FICO

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.

Tooth Care: Space Maintainers

What happens when a primary (baby) tooth is lost too early? An appliance called a space maintainer will be recommended by your pediatric dentist. The area of the mouth and the age of the child will determine the need for and type of space maintainer.

The primary teeth save the space for the permanent teeth. The 20 primary teeth are replaced by 20 permanent teeth. The six-year molars, twelve-year molars, and wisdom teeth will erupt (come in) in the back of the jaw. The bone will begin to grow around five years of age to make room for these teeth. If a primary tooth is lost before the permanent tooth is ready to erupt, other teeth will drift or tip into the empty space. This may block out the spot for the permanent tooth that replaces the primary tooth. The space maintainer will hold the teeth in their proper position.

Primary teeth may be lost early because of decay, crowding, injury, or improper eruption of the permanent teeth. Most space loss occurs during the first six weeks after the loss of the tooth. This may continue over the next six months. A space maintainer should be placed before this loss occurs. Sometimes, space loss cannot be avoided and your dentist can only attempt to preserve the remaining space.

There are many types of space maintainers, but two are most often used. The band and loop is used to hold the space for one tooth. The lingual arch is used to hold the space for two or more teeth that have been lost from both sides of the jaw.

If a primary molar is prematurely lost and the six-year molar has not yet erupted (come in), the parent must watch closely for the eruption of the six-year molar. This is very important because the six-year molar will rapidly tip or drift forward causing space loss. The teeth that replace the first and second primary molars ordinarily do not erupt until between nine and eleven years of age. The six-year molar must be partially erupted to make the space maintainer for early loss of a second primary molar.

Space maintainers are usually made with orthodontic bands and wires. Two appointments are necessary. During the first dental appointment, an orthodontic band is fitted on the tooth next to the space. An impression is taken. Next, the band is removed from the tooth and placed in the impression. A mold of the teeth is made with the band on the tooth. A laboratory will custom make an appliance to exactly fit the space. During the second appointment, the appliance is cemented in place.

The space maintainer is not removed until the permanent tooth begins to erupt. The parent must be sure to tell the dentist when the permanent tooth is erupting. If the space maintainer is not removed at the proper time, the permanent tooth may come in improperly. Your dentist will inform you of the age when your child's permanent tooth will likely appear. Early tooth loss may cause the permanent tooth to be delayed in its eruption or to erupt earlier than expected.

by Jane A. Soxman, DDS

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.