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Children’s oral health differs from the needs of adults in many ways. It’s vital for you to understand what your child needs to keep his or her teeth healthy. Dr. Maryam Azadpur and our team are here to answer your questions to set you and your little one up for success.

In-home dental care should start as soon as your baby show signs of developing that first tooth. At around age one or two, bring your son or daughter to our Simsbury, CT office. Dr. Maryam Azadpur will examine your child’s tooth development and gum health.

The initial appointment will focus on getting your youngster familiar with our office and comfortable with our staff. We will go over several general matters during that first visit:

• Inspect for signs of decay or other tooth or gum problems
• Check for gum disease or cavities
• Examine your child’s bite and possible misalignment
• Clean the teeth, and apply fluoride if your child is old enough
• Talk with parents about proper oral health
• Give you tips for brushing and flossing your little one’s teeth
• Answer any questions you may have about caring for your son or daughter’s teeth

Once your child is old enough for the first dental visit, you should schedule regular cleanings every six months. Call our Simsbury, CT location if you have any conflicts or questions.

Your baby’s first smiles are precious—and you want to make sure those precious smiles are as healthy as they are beautiful. One of the most important ways to protect your child’s dental health is by preventing early childhood caries, or cavities.

You might be thinking, “Tooth decay? Babies?” Yes, babies and toddlers can get cavities, too. Studies suggest that over a quarter of children between the ages of two and five already have some form of tooth decay.

The bacteria that cause tooth decay are passed from person to person. Cavity-causing bacteria use the sugar and starches in our diets to produce acids—acids which attack the tooth’s enamel, breaking down its hard mineral structure until cavities form. Because baby teeth have thinner enamel coatings than adult teeth, they are especially vulnerable to tooth decay.

You can start your child on the path to a lifetime of healthy smiles by being proactive about cavity prevention during your baby’s first 12 months.

• Don’t Share Bacteria

Because cavity-causing oral bacteria are transmitted from person to person, doctors and dentists suggest that you don’t share a spoon with your baby, or put a pacifier in your mouth to clean it. And it’s a good idea to rinse toys used by other children with clean water before giving them to your child.

• Keep Bottles Out of Bed

Babies generally need a feeding before bedtime to ensure that they get all the nutrition their growing bodies need. But when a young child sleeps with a bottle, liquids pool in the mouth, exposing tiny teeth to these liquids throughout the night and preventing the natural flow of saliva from washing food particles away.

Bring your child’s happy day to a close with a lullaby, a bedtime story, a good night kiss, or whatever makes your baby feel comforted and loved—and take the bottle with you when you tiptoe out of the room.

• Avoid Sugary Drinks

How do parents make sure their babies get the nutrition they need without giving cavity-causing bacteria the fuel they need? With a healthy diet. Breast milk and formula have healthy nutrients, carbs, and sugars which are necessary for baby’s growth and development. Sugar water, sweet juices, and sodas—don’t.

Added sugars provide a feast for cavity-causing bacteria, and the more your child is exposed to them throughout the day, the greater the risk of tooth decay. Talk to Dr. Maryam Azadpur for the healthiest drinks for your baby’s bottle or sippy cup.

• Clean Baby’s Teeth and Gums

Dentists recommend cleaning your baby’s gums even before teeth begin to arrive. After washing your hands, using a clean, damp, soft cloth or gauze pad to gently wipe the gum surfaces to remove bacteria and food.

As soon as the first tooth appears, it’s time to start gentle brushing. Use a baby-sized toothbrush to gently clean the erupting teeth once in the morning and once after the last feeding of the day. And as soon as two baby teeth touch, it’s time to talk about flossing.

Not sure about baby-friendly tooth care products, toothpastes, and techniques? Talk to Dr. Maryam Azadpur! Learn about cleaning little gums, baby-size brushes, when to begin using fluoride toothpaste and how much toothpaste to use, when to brush, and when to start flossing.

• Establish a Dental Home for Your Child

The ideal time for your child’s first visit to our Simsbury, CT office is sometime between the appearance of your child’s first tooth and your child’s first birthday. It’s a gentle way to introduce your baby to the dental team who will be caring for those little smiles for many years to come.

During that first visit, your child’s dentist will check tooth and jaw development. There will be a child-friendly examination to look for plaque buildup or any signs of early decay, such as white spots on tooth enamel. You can talk about any concerns you might have and learn the best ways to prevent tooth decay with proactive dental care for healthy teeth and gums.

Why are we so concerned about baby teeth? Decayed teeth can cause pain and self-consciousness. And more, those tiny teeth have big responsibilities. Baby teeth influence your child’s speech development. They promote healthy eating and chewing habits. Baby teeth serve as placeholders to make sure that your child’s adult teeth will be able to erupt just where they should.

Your baby’s first smiles are precious. And when you’re proactive with early dental care, you’re preparing your child for a lifetime of healthy smiles.

Many parents worry that their children’s teeth are not falling out on time. A lot of concerned parents want to know: When will my child lose his or her first baby tooth? At what age should the last tooth fall out? Is there a specific order in which the teeth are lost?

Dr. Maryam Azadpur and our team explain that a child's 20 baby teeth (primary teeth) typically come in by age three and begin to loosen and fall out on their own to make room for permanent teeth, which usually appear by the time your child is six. It is important to know that timing may vary, and girls typically lose their baby teeth earlier than boys. The last baby teeth will likely fall out by the time your child is 13.

So, which teeth do children lose first? Baby teeth tend to fall out in the order in which they came, which means the lower center incisors are usually the first to go when your child is between six and seven years old. The next teeth your child will lose are his or her top center pair, also called the upper central incisors.

It’s important to note that if a child loses a baby tooth early as a result of decay or an unforeseen accident, his or her permanent tooth may erupt early and potentially come in crooked due to limited space. If your child suffers an injury or has tooth decay, we encourage you to give us a call to set up an appointment with Dr. Maryam Azadpur.

While we know some children couldn’t be more excited to lose their baby teeth, we know others are anxious about this childhood milestone. When your child starts to lose teeth, our team at Simsbury Pediatric & Adolescent Dentistry encourages you to stress the importance of proper dental care on a daily basis.

Remember to:

• Remind your child to brush his or her teeth at least twice a day. Supervise and offer assistance as needed.
• Help your child floss his or her teeth at bedtime.
• Limit eating and drinking between meals and at bedtime, especially sugary treats and drinks, such as candy and soda.
• Schedule regular dental visits for your child every six months.
• Ask about the use of fluoride treatments and dental sealants to help prevent tooth decay.

To learn more about baby teeth, or to schedule your child's next visit with Dr. Maryam Azadpur at our Simsbury, CT office, please give us a call today!

Parents, and even older children, can become concerned about tooth development. Wondering when teeth should erupt, and being concerned when the teeth do not appear on schedule, is common. First, you need to remember that each individual is different. Guidelines are just guidelines, but Dr. Maryam Azadpur and our team at Simsbury Pediatric & Adolescent Dentistry thought we would pass on this information to help you.

Primary teeth

Children normally have 20 primary or baby teeth. The first two to appear are usually the lower central incisors between six to ten months of age. These fall out between five and seven years of age.

• Two upper central incisors – eight to 12 months
• Two upper lateral incisors – nine to 13 months
• Two upper cuspids or canines – 16 to 22 months
• Two upper first molars – 13 to 19 months
• Two upper second molars – 25 to 33 months
• Two lower lateral incisors – ten to 16 months
• Two lower cuspids or canines – 17 to 23 months
• Two lower first molars – 14 to 18 months
• Two lower second molars – 13 to 31 months

As you can see, all the primary teeth normally have erupted before three years of age, but the timeline can vary by four to six months. Except for the lower central incisors and second molars, upper teeth tend to appear before lower teeth.

Permanent or adult teeth

Adults normally have 32 permanent teeth. However, four of these are wisdom teeth or third molars, which are often removed.

• Two upper central incisors – seven to eight years
• Two upper lateral incisors – eight to nine years
• Two upper cuspids or canines – 11 to 12 years
• Two upper first premolars or bicuspids – ten to 11 years
• Two upper second premolars or bicuspids – ten to 12 years
• Two upper first molars – six to seven years
• Two upper second molars – 12 to 13 years
• Two upper third molars or wisdom teeth – 17 to 21 years
• Two lower central incisors – six to seven years
• Two lower lateral incisors – seven to eight years
• Two lower cuspids or canines – nine to ten years
• Two lower first premolars or bicuspids – ten to 12 years
• Two lower second premolars or bicuspids – 11 to 12 years
• Two lower first molars – six to seven years
• Two lower second molars – 11 to 13 years
• Two lower third molars or wisdom teeth – 17 to 21 years

Please discuss any of your dental concerns during your visit with Dr. Maryam Azadpur. If there is a problem with tooth development, the earlier we address it, the better the outcome. We specialize in pediatric dentistry and look forward to helping you and your child with all your dental needs. To learn more about tooth eruption, or to schedule an appointment with Dr. Maryam Azadpur, please give us a call at our convenient Simsbury, CT office!