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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 Drs. Coombs, Holmes, and Johnson and our team at South Hill Pediatric 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 Drs. Coombs, Holmes, and Johnson. 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 Drs. Coombs, Holmes, and Johnson, please give us a call at our convenient Spokane, WA office!

Even before a baby is born, those tiny baby teeth are already forming. Expectant mothers can help ensure that their children’s baby teeth will be strong and healthy by getting the recommended amounts of proteins, vitamins, and minerals in their prenatal diets.

But a mother can’t “eat for two” to make sure her child’s adult teeth are healthy—children’s permanent teeth begin real growth and development only after birth. What can we do to encourage strong permanent teeth as our children grow and develop? Here are four important building blocks parents can use to lay a healthy foundation for their children’s grown-up smiles.

Serve a Tooth-Healthy Diet

The same vitamins and minerals that help create baby teeth are essential for creating healthy adult teeth. Tooth enamel, the hardest substance in the body, is almost completely made up of calcium phosphate minerals.  A diet which provides the recommended amounts of calcium and phosphorus helps your child’s body grow strong enamel. And don’t forget vitamin D, which our bodies need to absorb calcium and phosphorus.

A tooth-healthy diet should include several servings of foods which provide calcium, such as dairy products (milk, yogurt, cheese), dark leafy vegetables, and fortified juices, cereals and tofu. Phosphorus can be found in proteins like meat, fish, and poultry, as well as beans, nuts, dairy, and whole grains. Egg yolks and fatty fish are natural sources of vitamin D, and it’s easily available in fortified foods such as cow’s milk, soy milk, cereals, and orange juice.

Use the Right Amount of Fluoride

Fluoride is called “Nature’s cavity fighter” for a reason. Fluoride reduces the risk of cavities and helps strengthen tooth enamel. Drs. Coombs, Holmes, and Johnson can offer invaluable advice on when to start and how to use fluoride toothpaste to protect your child’s baby teeth and developing adult teeth.

Can there be too much of this good thing? While fluoride is a safe and effective way to protect teeth in normal, recommended amounts, too much fluoride can lead to fluorosis. This condition can cause cosmetic changes in the enamel of permanent teeth, from almost invisible lighter spots to darker spots and streaking.

How to make sure your child gets the right amount of fluoride?

For children under the age of three, use a dab of toothpaste no larger than a grain of rice. Ask Drs. Coombs, Holmes, and Johnson if fluoride toothpaste is recommended.

Young children can’t always understand the idea of spitting and rinsing after brushing, so children between the ages of three and six should use only a pea-sized dab of fluoride toothpaste, and need you there to make sure they spit and rinse afterward.

Ask us about local water fluoride levels if you have any concerns about using tap water for drinking or for mixing formula, keep fluoride toothpastes and other products out of the reach of children, monitor your children while they brush, and always check with us before giving your child a fluoride rinse or supplement.

Help Your Child Retire Harmful Thumb Sucking and Pacifier Habits

Your child might self-comfort with the help of a pacifier or thumb sucking, which can be a valuable soothing habit. But it’s important to talk to Drs. Coombs, Holmes, and Johnson to see just how long this soothing habit should last. Around the age of four, aggressive thumb or pacifier sucking can lead to problems for permanent teeth.

Vigorous sucking can cause protruding upper front teeth. Aggressive sucking can lead to changes in the shape of your child’s palate and jaw. Open bite malocclusions, where the upper and lower teeth are unable to meet, and overbites, where the upper teeth overlap the lower teeth more than they should, can also be the result of lengthy and forceful thumb sucking.

Take Care of Baby Teeth

Baby teeth are important! They bite and chew food, and they work with the tongue to help your child learn to pronounce words properly. And there’s one more important reason to make sure primary teeth stay healthy: they serve as the place holders which guide permanent teeth into their proper spots.

When a baby tooth is lost too early, due to decay or injury, the teeth on either side can drift into the empty space, preventing a permanent tooth from erupting where it needs to. Any misalignment or crowding which results may require orthodontic treatment in the future.

Call our Spokane, WA office if your child unexpectedly loses a baby tooth. There may be no cause for concern, or, if there’s a potential problem, an appliance called a “space maintainer,” which keeps the baby teeth from shifting out of place, can be fabricated especially for your child.

Your child’s adult teeth are being formed now. Work with us to make sure the building blocks of present and future dental health are in place. You’re giving your child the foundation for a lifetime of beautiful, grown-up smiles!

It’s that time of year again—Halloween! Carving pumpkins. Creating costumes. And, of course, collecting candy.

But some of the candies in that collection aren’t much of a treat for your teeth. When you’re deciding on the perfect pieces to choose from the candy cauldron, here are some tricks from South Hill Pediatric Dentistry to identify the ones that can be more frightful than delightful for your tooth enamel:   

• Is it Chewy or Sticky?

Any sticky or chewy candy—caramels, taffy, licorice, gummy anything—is candy that also sticks to your teeth. And it really sticks in between your teeth, where it’s harder to brush away.

The problem? Bacteria in plaque love sugar, and sticky candies provide them with hours of sugary feasting. Bacteria use this sugar to make acids, and acids cause weak spots in tooth enamel. These weak spots will get bigger over time as the bacteria keep on attacking your enamel, and that’s how you can end up with a cavity. Less sugar that spends less time on your teeth = fewer cavities!

• Is it Sour?

Sour candies get that intense, lip-puckering taste because they’re so acidic. What’s wrong with acids? Just like the acids made by bacteria, acids in food attack our tooth enamel, too.

Sour candies are hard on your teeth all by themselves. When you eat a candy that’s both sour (acidic) and gummy (sticky), all coated in sugar, that’s triple trouble!

• Is it Hard or Crunchy?

Some kids like hard candies like lollipops and fruity drops because they last a long time. But that’s the problem. All that time a hard candy rolls around in your mouth is time spent bathing your teeth with sugar.

Thinking of shortening your sugar exposure by chewing hard candies? Also a bad idea! Crunching into a piece of hard candy can chip or crack a tooth and even damage fillings.

Luckily, there are healthier trick-or-treating choices if you know what to look for. 

• Soft Candies and Chocolates

A chocolate bar, a peanut butter cup, mint patties, and other soft candies won’t stick around on your teeth the same way chewy or hard candies do. No sour acids, either. And because dark chocolate has less sugar than lighter chocolates, it’s an even healthier choice.

• Sugar-Free Gum

This treat is not only sugarless, but chewing it helps us make more saliva. Saliva washes away sugary food particles and helps lower the amount of acids in the mouth. You can get the same results with sugar-free lollipops or hard candies—just don’t crunch down on them.

No need to skip the trick-or-treating this year. Occasional sugary or acidic treats can be balanced out with daily brushing and flossing, a healthy diet, and regular visits to our Spokane, WA office for exams and cleanings. When you do enjoy a treat that’s sugary or acidic, there are tricks to help you keep your smile healthy and cavity-free.

• Eat a treat or two with your meals instead of snacking through the day. You won’t be exposing your teeth to sugar for hours at a time, which means bacteria and acids won’t be haunting your enamel all day long.
• Drink water. If you eat your candy with an acidic soda or juice, you’re getting sugar + sugar + acids. That’s a scary recipe when it comes to healthy teeth! Water helps wash away sugar and acids—and, if you have fluoridated water in your community, you’ll be getting a bit of fluoride to strengthen your enamel, too.
• Halloween is no time to ghost your toothbrush and floss. Be extra careful to brush and clean between your teeth after eating sweets.

Any questions? Talk to Drs. Coombs, Holmes, and Johnson to learn the best ways to keep your smile looking boo-tiful all year long!

Drs. Coombs, Holmes, and Johnson and our team know how overwhelming it can be to pick the right dental products for your children. When you visit the dental aisle at the grocery store, you see too many options to choose from. We want to help you make an informed decision based on your son or daughter’s needs.

First, you should consider your child’s age and where he or she is in terms of development. Most kids are unable to floss properly until around 12 years of age because of the necessary dexterity. If your youngster is under 12 years old, make sure to assist with flossing every night.

Another option is to use flossers for children. This will make the exercise a bit easier for your little one, because flossers have different-sized handles to fit all ages of hands.

When you’re looking for a child’s toothbrush, the head should be a little bigger than the top portion of your son or daughter’s thumb. If a toothbrush is too big, it won’t be able to reach small areas in the mouth properly. Battery-powered toothbrushes are also recommended because they improve overall brushing quality for both adults and children.

If your child is too young to spit, he or she should use toothpaste without fluoride. Small children tend to swallow toothpaste, even when they don’t intend to. Try looking for a toothpaste that has xylitol listed as the first ingredient. This is a natural sweetener that is beneficial to teeth.

You should also try to identify a flavor that appeals to your child. Same as adults, children like to brush more if they enjoy the flavor that lingers in their mouth after brushing.

It’s smart to look at the ingredients in a toothpaste for the benefits your child needs. Some toothpastes contain sodium fluoride, which fights effectively against cavities. If your child has a sweet tooth, or has already had a cavity, we recommend buying a toothpaste with this ingredient.

Stannous fluoride is another popular ingredient that discourages cavities and includes anti-bacterial properties. You should also watch for the ingredient triclosan, which also suppresses bacteria. These ingredients are both recommend for children who have a high risk for cavities.

Anti-sensitivity toothpaste should also be easy to find in the dental aisle of the store. It contains potassium nitrate to help with sore gums and teeth.

If you’re still unsure which dental products your child should be using, contact our Spokane, WA office. Once we have general information about your child and his or her dental health, we can guide you in the right direction.

When it comes to picking the right toothbrush, toothpaste, floss, and mouthwash for your child, South Hill Pediatric Dentistry is always here to help.