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In the Spotlight

By Lee Philips M.D.
PersonalMD.com Advisory Board

Molars & Canines?

Molars:

A tooth with a rounded or flattened surface adapted for grinding; specifically

: one of the mammalian teeth behind the incisors and canines sometimes including the premolars but more exactly restricted to the three posterior pairs in each human jaw on each side which are not preceded by milk teeth.

Canines:

A conical pointed tooth; especially : one situated between the lateral incisor and the first premolar.

For many parents, the appearance of the first tooth is an important milestone in their baby's development. Teething in infants and toddlers is perfectly normal. Somewhere between 3 and 6 months you will notice your child's first tooth pushing the half a centimeter through the gum. Babies actually form the first set of teeth before birth. The primary teeth are inside the jaw just beneath the gums.

The two bottom front teeth usually appear first, followed by the four upper front teeth. The lateral incisors, next to the front teeth, appear next. At about 15 months of age, back teeth used for grinding food, the first molars appear. Next, the pointy eyeteeth or canines appear in the space next to the incisors. Finally, the second molars erupt. A new tooth will appear every 4-8 weeks until by the age of 3 all 20 primary teeth are present, which means there will be a lot of teething!

Teething occurs in spurts so infants will have both good and bad days. Whenever your child does begin teething, he or she may have increased drooling and the desire to chew on things. The gums around the new teeth are often swollen and may be sore for a few days. When the tooth finally breaks the surface there may be a small amount of blood on the gums. Many simple remedies are available to soothe the aching gums. To help the baby's discomfort massage the gums where the teeth are erupting with your finger. Giving your baby something to cold to chew on can be helpful. In addition, the pressure seems to soothe the gums.

Babies often get relief from a teething ring, a frozen washcloth, a frozen banana or popsicle. Ice acts as a local anesthetic by directly numbing the baby's gums. Wiping the drool off of your baby's face often will prevent rashes from occurring. Mild irritability and low grade fever are common responses to teething pain in young children. A common belief is that teething causes a high fever. A fever over 101 degrees should be evaluated by a doctor. When discomfort is at its worst, an infant dose of acetaminophen or ibuprofen may lessen pain. Consult your pediatrician before giving your baby any medication and if there is a high fever present.

How to Take Care of your Teeth

Good oral health is important for your total well-being.

The condition of the tissues and structures of your mouth affect your general physical condition, ability to chew and speak, appearance, and personal relations.

To prevent tooth decay and gum disease, it is important to see your dentist regularly. Also, it is essential that you know how to keep your teeth clean.

Proper brushing and flossing techniques are important. During your next dental visit, ask your dentist or hygienist to show you proper brushing technique.
Learn More....

Don't they just fall out anyway?

Even though, the first set of teeth are not permanent your child's baby teeth are important. The first thing we often notice about a person is there smile. Children need strong, healthy teeth to chew their food and to develop jaw bones and muscles. The teeth are also important in helping your baby learn to talk. Dental care should begin as soon as your child's first tooth appears. Teeth can begin to decay soon after they first appear in the mouth. Clean the teeth as they erupt, using a damp washcloth to wipe the teeth after feeding. Around 18 months, your child may be ready to learn to brush his teeth. Decay occurs when bacteria in the mouth combine with sugars that are present in the diet, producing acids that attack the teeth.

Both breast milk and formula contain sugar which pool in the mouth causing tooth decay. To prevent cavities, never let your child fall asleep with a bottle, either at nap time or bedtime. By the time decay is noticed, it may be too late to save the teeth. Tooth decay can cause a child to lose a tooth too soon, leaving gaps before the permanent teeth are ready to come in. Baby teeth should not fall out until around age six. The remaining primary teeth may shift in an attempt to fill in the gaps. When it is time for the permanent teeth there might not be enough room to come in. Without proper spacing the permanent teeth will be crowded and out of place.

ORAL FIXATIONS

It's a normal desire and need for children to suck their thumbs, or a pacifier. Some infants even suck their thumb before they are born. Babies derive considerable satisfaction from sucking during their first year of life. Most children, as they develop, will outgrow their need to suck. If your child continues sucking after the age of 6, or you notice changes in the shape of your child's mouth or teeth consult your dentist.

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