Infants and Young Children

Dr. Riehl and our team enjoy children and are experts in handling children and babies, making your child’s first visit introduction to dentistry fun! Children are not born with a fear of dentistry, and we want your child to feel comfortable and trusting from the moment they arrive to the final stop off at the treasure chest! Our approach is to use simple words to describe treatment. Children react very well, especially when they know very little prior to their appointment. We know from experience that our choice of words makes dentistry a more enjoyable experience.

A child’s first teeth erupt between the ages of 6-12 months. The American Academy of Pediatric Dentistry suggests a child’s first dental visit occurs by his or her first birthday to care for newly erupted teeth.

Teething

Normally the first tooth erupts between ages 6-12 months. Your child may experience irritability during tooth eruption, as gums can be sore and tender. Rubbing sore gums gently with a clean finger, the back of a cold spoon or a cold, wet cloth helps soothe the gums. Teething rings work well, but avoid teething biscuits – they contain sugar that is not good for baby teeth.

While your baby is teething, it is important to monitor the teeth for signs of baby bottle decay. Examine the teeth, especially on the inside or the tongue side, every two weeks for dull spots (whiter than the tooth surface) or lines. A bottle containing anything other than water and left in an infant’s mouth while sleeping can cause decay. This happens because sugar in the liquid mixes with bacteria in dental plaque, forming acids that attack the tooth enamel. Each time a child drinks liquids containing sugar, acids attack the teeth for about 20 minutes. When awake, saliva carries away the liquid. During sleep, the saliva flow significantly decreases and liquids pool around the child’s teeth for long periods, covering the teeth in acids.

Infant’s New Teeth

The primary, or “baby,” teeth play a crucial role in dental development. Without them, a child cannot chew food properly and has difficulty speaking clearly. Primary teeth are vital to development of the jaws and for guiding the permanent (secondary) teeth into place when they replace the primary teeth around age 6.

Since primary teeth guide the permanent teeth into place, infants with missing primary teeth or infants who prematurely lose primary teeth may require a space maintainer, a device used to hold the natural space open. Without a space maintainer, the teeth can tilt toward the empty space and cause permanent teeth to come in crooked. Missing teeth should always be mentioned to your family dentist. The way your child cares for his/her primary teeth plays a critical role in how he/she treats the permanent teeth. Children and adults are equally susceptible to plaque and gum problems – hence, the need for regular care and dental check-ups.

A Child’s First Dental Visit

A child’s first dental visit should be scheduled around his/her first birthday. The most important part of the visit is getting to know and becoming comfortable with a doctor and his staff. A pleasant, comfortable first visit builds trust and helps put the child at ease during future dental visits.

Why Primary Teeth Are Important

Primary teeth are important for several reasons. Foremost, good teeth allow a child to eat and maintain good nutrition. Healthy teeth allow for clear pronunciation and speech habits. The self-image that healthy teeth give a child is immeasurable. Primary teeth also guide eruption of the permanent teeth.

Good Diet and Healthy Teeth

The teeth, bones and soft tissue of the mouth require a healthy, well-balanced diet. A variety of foods from the five food groups helps minimize (and avoid) cavities and other dental problems. Most snacks that children eat cause cavities, so children should only receive healthy foods like vegetables, low-fat yogurt and cheeses, which promote strong teeth.

Infant Tooth Eruption

A child’s teeth actually start forming before birth. As early as 4 months of age, the primary or “baby” teeth push through the gums – the lower central incisors are first, then the upper central incisors. The remainder of the 20 primary teeth typically erupts by age 3, but the place and order varies.

Permanent teeth begin eruption around age 6, starting with the first molars and lower central incisors (front teeth). This process continues until around age 21. Adults have 28 secondary (permanent) teeth, 32 including the third molars (wisdom teeth).

Thumb Sucking

Please click link for the American Dental Associations latest thumb sucking recommendations. Additionally this link offers great information concerning a healthy mouth through all ages of life.

www.mouthhealthy.org/en/az-topics/t/thumbsucking.aspx