Local Dental Care - California Order Of Teeth In Babies

Dental Health Care: Discolored Primary Teeth

Discoloration of the primary (baby) incisors (front teeth) is most often noticed by parents. This discoloration may be extrinsic or intrinsic. Tooth brushing or a professional cleaning can remove extrinsic discolorations or stains. Intrinsic discoloration occurs within the tooth structure.

Some apple juices and grape juice may cause staining. This type of stain can usually be brushed off the teeth at home. If your child has a tendency to stain, try diluting the juice with water. Once the enamel begins to break down, the staining may be more difficult to remove because it is deep down in the tiny holes created by break down of the enamel. This could progress on to decay. If the teeth appear to be a dull, white color in some spots, discontinue juices completely or dilute the juice with water. Juice is twenty times more decay-causing than milk. Juices should be limited to mealtime only.

Liquid and chewable medicines have a high sugar content and most are colored with dye. A light yellow-brown film may cover the teeth. This occurs most often on the bottom front teeth. Bedtime tooth brushing is especially important when your child is taking liquid or chewable medicine. Tetracycline is the only antibiotic that could cause damage to the developing permanent teeth if given before eight years of age.

Iron in chewable or liquid vitamins may cause staining of the grooves of the primary (baby) molars. This is difficult to remove, but overall is harmless.

You must brush your child's teeth until six years of age. Bedtime brushing is the most important time of day. Staining may occur if plaque remains on teeth for a long period of time. Plaque is made up of cells from the inside of the mouth, bacteria, and food residues. Teeth may appear to be discolored, but a thorough brushing may remove this stain. Do not use toothpaste until two years of age. Baking soda toothpaste seems to be best for stain removal.

Bacteria called chromogenic (colored) bacteria may cause a dark green or brown stain on the teeth. This stain is usually along the gum line. These bacteria are harmless and will one day just disappear. We do not know why they grow in some mouths and not others. A professional cleaning is usually necessary to remove this stain.

Intrinsic discoloration cannot be removed by cleaning the teeth. This occurs because the enamel on the primary teeth did not form in the usual manner. This may be inherited from one or both parents. It does not necessarily mean that the primary teeth will be more susceptible to decay or that the permanent teeth will have the same appearance.

Trauma to a primary incisor (front tooth) may cause discoloration. If the blood vessels deep inside the tooth break, the blood may be absorbed into the tiny tubes that travel from the inside of the tooth to the outer enamel layer. This is similar to a black and blue mark on the skin. Enamel is translucent, so you can see the evidence of the damage. This may resolve without treatment, but your pediatric dentist should be consulted. A procedure to remove the tissue from the inside of the tooth (pulpectomy) may be necessary.

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.

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.