At what age do babies get teeth. Sleepless nights and endless whims: about the timing of teething in babies and ways to alleviate discomfort. Rules to follow

At what age do boys teeth cut? How painful and long is such a process? These are the constant questions of new parents. The answer depends on the anatomical features of the baby's body. The first months of his life pass quietly. After the appearance of whitish bulges on the gums, everything changes: teeth begin to cut. The process of formation of the milk dentition is completed by the age of three.

The period when the first tooth is cut is individual. Its appearance is influenced by:

heredity;
nutritional features (the amount of calcium entering the growing body plays a role);
climatic conditions of life (children in hot climates experience teething earlier);
gender of the baby (girls have their first tooth earlier than boys).

Pediatricians are unanimous: the lower incisors begin to crawl out first in children (they are located on the lower gum in the middle). Sometimes signs of eruption appear in other areas of the gum.

How to notice the appearance of teething symptoms? In most cases, this immediately affects the condition and behavior of the child:

with the growth of 1 tooth, the gums become very red and swollen;
pain may appear;
symptoms include increased salivation and coughing;
there is a sour smell from the mouth, which is provoked by the decomposition of the elements of the mucosa;
cheeks swell from a tooth;
the baby begins to pull everything into his mouth to scratch the inflamed gums;
teeth explain irritability and tearfulness.

Experts say that the beginning of teething is a strong shock, a blow to the body. Therefore, symptoms may include:

rash on the gums in the form of red bubbles with liquid;
hyperthermia due to inflammation of the gums (signs will appear and disappear within 3 days);
diarrhea due to foreign objects in the mouth;
anorexia, as a sign of sore gums;
sleep disturbance;
runny nose and cough.

High fever is one of the signs

Anna Losyakova
Dentist-orthodontist
If a tooth crawls out for a long time and provokes a poor condition of the baby for a long time, this is an occasion to consult a doctor. Examination will rule out other pathology. After all, it often happens that the baby is really sick and the symptoms are not associated with teething.
The video simulated the process:
Dates and scheme of appearance

There is a certain order and time frame for teething. This is when the first teeth appear:
The first 4 center teeth will erupt by 7-10 months.
The next 4 incisors will appear by the first birthday. If the child is a girl, the process develops earlier.
The first molar erupts after a year.
Canines will appear in the second half of the second year of life.
The second root will grow by the third year.

What time do teething start? In most cases, the approximate eruption pattern looks like this (in months):
lower central incisors - 6–7;
upper central incisors - 8–9;
lower lateral - 11–13;
upper first molars - 12–15;
molar teeth begin to cut - 12–15;
fangs - 18–20;
second molars - 20–30.

Schedule by month
Anna Losyakova
Dentist-orthodontist
In pediatrics and pediatric dentistry, there is no such pathology if the teeth begin to climb earlier or later. There was a period when late eruption was considered a sign of rickets or calcium deficiency in the body. But modern doctors do not confirm the theory. But, in any case, the appearance of milk teeth correlates with the periods described above.
Reasons for late eruption

There are a number of pathologies that late eruption may indicate:
the first teeth climb late with infectious diseases, metabolic disorders or problems with the intestines;
they can appear at an earlier age with endocrine disorders;
if the first teeth are cut outside the gums, then this is a sign of the wrong position of the axis of the tooth.

If the tooth begins to appear earlier or later than the due date, then only a detailed examination can confirm or refute the pathology. For example, if a one-year-old child has no teeth, you should go to the dentist. If swollen gums are detected, their external stimulation will be required. A gum massage is usually sufficient.
Anna Losyakova
Dentist-orthodontist
When does the dentition erupt if there are no tooth germs? In such cases, a diagnosis of adentia is made. Or vice versa, it happens that 2.3 or even 4 teeth grow at the same time. Such a load is usually difficult for babies, but is a normal condition.
How to help a baby

Eruption is a complex, sometimes very painful process. During this period, children become as tearful and sensitive as possible, they painfully react to everything that surrounds them. You can smooth out this period by paying more attention to the baby. Parents are required to:
take the baby in your arms more often;
gently talk to the baby, sing to him, tell tales;
distract with bright toys, games;
Avoid raising your voice in front of your baby.

During the period when the teeth erupt, the child may need additional breastfeeding. And it's not about the greater need for milk. Contact with the mother's breast calms the baby, reduces his irritability and tearfulness. Therefore, for several days you can breastfeed as often as the baby asks.
Anna Losyakova
Dentist-orthodontist
When teeth begin to cut in children, the gums itch unbearably. So they put everything they can into their mouths. Often, favorite toys are used. But there are special teethers that are made from safe materials. With him, the baby will survive this acute period easily.
Different types of cutters
You can’t scold the crumbs for this. In such cases, you need to carefully monitor that the child puts only safe objects in his mouth. They should not have sharp corners, small parts that can be bitten off. Many parents practice the use of a cold spoon, pacifier, or even do with drying.
There are a number of folk recipes for getting rid of discomfort when teeth are climbing. These include:
Cold. It has long been known that chilled things relieve soreness and soothe the gums. You can cool the pacifier or spoon and give it to the child.
Massage. It is necessary to wet a small gauze in peroxide or in chamomile broth. They wipe the place where the tooth began to erupt.
You can use honey. They should wipe their gums, as honey is great for soothing and soothing irritation.
Soda solution. Unpleasant sensations can be reduced by wiping the inflamed area with a solution of soda.

Be sure to carefully wipe the saliva that accumulates around the mouth. If vomiting or diarrhea occurs, you need to switch to pureed food and give more liquid.
The video provides tips to help relieve a child's anxiety during this difficult period:
It is important to take good care of your baby's mouth. Milk teeth are extremely delicate and vulnerable. Therefore, the carious process occurs rather quickly and rapidly progresses with improper or insufficient care. According to experts, it is necessary to start caring for the oral cavity from the moment the first milk tooth appears.
How to properly care for your teeth and the whole mouth correctly? There are recommendations, including the following:
up to 1–1.5 years of life, the crumbs need to treat the surface of the bone element with a silicone brush;
from the age of one and a half years, the child should already use his brush;
From the age of 2, you need to teach your baby to rinse his teeth after a meal.

Silicone brush for first teeth
That's all. Now you know how many months the first teeth and babies climb and what affects the time of their appearance.

The question of how many months the first tooth will erupt in a beloved baby worries all family members. Moms and dads are excitedly waiting for this moment, they can't wait to give their little one his personal silver spoon - a gift "for the first tooth."
Some crumbs begin to "please" their parents from 3-4 months, while others remain without teeth for up to a year, thereby causing great anxiety among loved ones.
At what age should babies get their first teeth? What factors affect the speed of their eruption, and what are the deviations from the norm?

All drugs that are mentioned in the article are indicated for informational purposes and are described based on the instructions for use. Some of them are homeopathic. The action of homeopathic is not proven!

To date, experts call the age of 6 months the norm for the appearance of the first teeth in children. It is believed that by the year the baby should have at least 8 teeth, and at two years to acquire 20 teeth.
However, no matter what age the baby’s teeth begin to climb, they must all erupt in a certain sequence.

The sequence of appearance of teeth in children according to Canadian scientists

Teething order:

First, the lower and upper incisors “peck” (6-10 months).
Then the second lateral upper and lower incisors appear (9-12 months).
The first large molars (upper, lower row) appear at the age of 1-1.5 years.
At about 16-20 months, the upper ones begin to climb, then the lower ones.
The eruption scheme is completed by the second lower (at 20-33 months) and upper (at 24-26 months) molars.

According to dentists, a full row of 20 milk teeth should be preserved until the age of 5-6 years, i.e. until the moment when instead of them they will be ready to appear.
Due to the fact that the body of each child is individual, there are often cases when the sequence and time frame of the appearance of the first teeth deviate from the norm. Most often this is due to genetic characteristics.
Non-standard situations include the following cases:

A baby is born with one or more natal teeth (a phenomenon more common in girls than boys).
The teeth "did not hatch" in a baby up to 12 months.
The opposite situation: early teething, when a baby at 1.5 years old has a full row of teeth (In this case, parents need to stock up on endurance and patience to organize).

The birth of a child with natal teeth, as well as teething before 4 months of age, experts explain as follows:

high intake of calcium and vitamin D in the body of a pregnant woman;
the use of certain drugs in the 1st trimester;
state of the environment;
pathology of pregnancy and genetic predisposition;
maternal endocrine disorders.

The main factors that can delay the appearance of teeth are:

heredity;
the birth of a child prematurely;
malnutrition of the baby;
lack of vitamins and minerals in the diet;
weak immune system;
underactive thyroid gland;
jaundice;
allergies to foods that contain protein and calcium.

Symptoms associated with teething

The symptoms that occur when the first teeth appear can either coincide or differ; may be absent altogether or disturb the baby all at once.

Inflammatory process in the gum, in the place where the tooth "climbs".
(The gum changes color - it becomes red or burgundy, swells and causes pain when touched.)
Restless state of the baby. (Sleep disturbance. Frequent crying..)
The desire of the child to scratch the gums. (The baby pulls surrounding objects into his mouth, does not release the nipple.)
Lack of appetite. (During this period, parents need to organize fractional and nutritious meals for their child, offer warm drinks more often.)
Increase in body temperature. (This phenomenon occurs due to the production of a large amount of biologically active substances at the site of the appearance of the tooth. In case of hyperthermia, a pediatrician should be consulted so that he can exclude the presence of infectious diseases in the baby that are not related to the appearance of teeth.)
Nausea and vomiting. (May be due to high fever or excessive salivation.)
Stool disorder (This symptom is due to increased salivation: the baby swallows a large amount of saliva, thereby accelerating intestinal motility. The norm is loose stools without blood impurities 2-3 times a day for 1-2 days. In order to be sure that the baby did not “pick up” the rotavirus, it is advisable for parents to show the child to a specialist.)
Runny nose. (During the appearance of teeth, the glands of the nasal cavity actively produce clear and liquid mucus. As a rule, the “tooth runny nose” is not long-lasting (2-3 days) and not abundant. There is no need to treat it. However, parents need to constantly remove the mucus with an aspirator and rinse the nose baby.)
Moist cough. (This symptom is also explained by increased salivation, the accumulation of a large amount of saliva in the crumbs throat)

In order for parents to be sure that all of the above symptoms are a reaction to the appearance of teeth, it is best to consult a doctor who can correctly determine the diagnosis and give useful recommendations.

Help a child

In order for the process of teething to give babies less anxiety and pain, parents can use a number of techniques:

When a child is teething, it is very important to show attention and care for your little miracle. Indeed, at this moment, his well-being can greatly deteriorate: from soreness and inflammation of the gums to an increase in body temperature. Dantinorm Baby will help to cope with all the negative companions that accompany teething. In this case, the protection will be continuous due to the duration of the action of one dose of the drug up to 8 hours. Thus, only three doses of the drug per day will return the child to a sound and healthy sleep, he will again begin to feel calm, comfortable and completely safe!

All of the above methods are aimed at alleviating the condition of the baby. But the best medicine for the baby will be the gentle care and attentive attitude of the parents, their affectionate hugs and warm words. The child should feel that in difficult moments for him, dad and mom will always be there and will always be able to help.

School of Dr. Komarovsky

In the video, Dr. Komarovsky will tell you what to do to parents when their children begin to cut their first teeth.

The timing of teething can characterize both the biological and passport age of the child. The process and timing of teething depend not only on inherited genetic parameters, that is, how they erupted from mom and dad, and even from ancestors in the seventh generation. The timing of teething can be influenced by external and internal factors. For example: climatic conditions, the nature of nutrition, the quality of drinking water and more. In this regard, in different regions, the timing of eruption of permanent teeth in children varies. The hotter the climate, the earlier the teeth usually erupt. Although this is also not an axiom.

Milk teeth usually begin to erupt at 6-8 months. A one-year-old baby usually celebrates his first birthday with four upper and lower incisors in his mouth. By the age of two, the first milk molars and canines erupt. The second milk molars appear after another six months. The full formation of the milk dentition is usually completed at three years. In total, by the age of three, the child should grow all 20 milk teeth.

What if your baby has not yet erupted a single tooth by 9 months? First of all, do not worry ahead of time. The delay in the eruption of temporary teeth within 6 months is considered by dentists to be quite natural. At the same time, in boys, as a rule, teeth erupt later than in girls.

Start by carefully examining the baby's gums: it is very likely that they look swollen and reddened, or, on the contrary, the gum is thin and pale, and under it the edge of the tooth is palpable and even visible. In order to speed up teething, buy special ring toys - teething stimulants. A light massage of the gums with a clean finger is also useful. Pressure on the gums facilitates and accelerates teething, and cold reduces discomfort.

Violation of the timing of teething can be caused by a general growth retardation against the background of a number of diseases of the child, primarily with rickets. Check with your pediatrician: your baby may need vitamins or calcium supplements to maintain normal mineral metabolism.

In rare cases, children have adentia - the absence of rudiments of teeth. So if the baby is already more than a year old, and his teeth have not yet begun to erupt, you should seek the advice of a dentist. You can check the presence of tooth germs using an x-ray. X-ray exposure can be unsafe for a child's body, so this study should be carried out only if necessary and as prescribed by a doctor. Today it is possible to reduce the harmful effects of X-rays by taking a picture using a radiovisiograph. Such equipment is usually available in every modernly equipped dental clinic.

Symptoms of teething in a child.

How can you tell if your child is already cutting their first tooth? Symptoms of teething of the first teeth in a child are reddened, inflamed gums, burning cheeks and, possibly, an already swollen white ball, from which a tooth is about to appear. True, he can keep himself waiting. Before being outside, the tooth must first pass through the bone tissue that surrounds it, and then through the gum mucosa.

Do I need to somehow help teething? You should not interfere in the natural course of events, because nature has provided that children's teeth are born on their own, without special efforts from the outside and additional devices. No need to irritate the baby's gums by scratching them with a piece of sugar or a spoon handle, as was done before. So you can damage the delicate milk teeth and infect the jaw bone. Be careful with bagels, bread crusts, bagels: their crumbs can get stuck in the airways.

A person changes 20 teeth once during his life, and the remaining 12 teeth do not change, they are cut through initially permanent (molars).

Teething.
The first (medial) lower incisors - 6-9 months.
The first (medial) upper incisors - 7-10 months.
The second (lateral) upper incisors - 9-12 months.
The second (lateral) lower incisors - 9-12 months.
The first upper molars - 12-18 months.
The first lower molars - 13-19 months.
Upper canines - 16-20 months.
Lower fangs - 17-22 months.
The second lower molars - 20-33 months.
The second upper molars - 24-36 months.

These tables are approximate. According to statistics, the first tooth in modern babies, on average, appears only at 8 and a half months. Thus, the timing of eruption of the remaining teeth is shifted. Dentists believe that the later the first tooth erupted, the later the loss of milk teeth will begin, and this is undoubtedly good. However, up to a year, the baby should still have at least one tooth, otherwise, the causes should be looked for in any diseases, for example, in rickets. The first tooth can be paired with the second, and so is the case with subsequent teeth. It happens that the crumbs immediately go to 4 teeth. Naturally, such a "massive" growth of teeth affects the timing of eruption. The situation is also uncertain with the order of the appearance of teeth, you simply cannot influence this, so “do not worry in vain”, because everything goes as nature intended.

Until the age of three, all milk teeth erupt in a child, which by the age of 5 begin to gradually be replaced by permanent ones.

There are 20 milk teeth in total: each jaw has 4 incisors (4 central teeth), 2 canines (third from the center or "eye") and 4 molars (fourth and fifth from the center "chewing" teeth).

By the age of 10-12, there are 28 teeth.

An adult normally has 28-32 permanent teeth: each jaw has 4 incisors, 2 canines, 4 premolars and 4-6 molars. The development of the third molar (“wisdom tooth”) may not occur at all, with congenital adentia of the third molars, which is also considered the norm. Another situation is also possible: the “wisdom” tooth is laid in the thickness of the jaw, but does not erupt due to an incorrect position or lack of space in the jaw. This situation occurs very often.

After the eruption of all milk teeth, there are no tremas (slots, gaps) between them, which is the norm. But as the jaw grows, gaps between the milk teeth should appear before changing the milk teeth to the permanent ones. This process is necessary because the permanent teeth are larger than the milk teeth and if gaps are not formed, the permanent teeth do not fit in the jaw and the child gets "crooked" permanent teeth.

In parallel with the formation of gaps between temporary teeth, there is a "resorption" of the roots of milk teeth, after which the teeth alternately loosen and fall out. Now there is even a fashion to buy a box of gold or silver to store the first teeth.

There is no general opinion about the normal timing of teething, since scientific studies by different authors were carried out in different regions and in different years of the last and our century.

The child is teething. If it hurts a lot...

Teething may be accompanied by increased excitability: the child becomes restless, capricious, often wakes up crying at night, may refuse to eat. At the same time, the baby drags any object into the mouth, as chewing reduces the itching of irritated gums. The secretion of saliva is sharply increased, which, flowing out of the mouth, can cause skin irritation. Often, a limited area of redness or a rash appears on the cheek from the side of the erupting tooth. The child's temperature may rise to subfebrile values (within 37.8 °). However, fever does not necessarily accompany teething.

What remedies relieve pain? The simplest is cold. Cold relieves pain and reduces swelling. If this does not help, you can use a dental gel or ointment containing anti-inflammatory and painkillers to lubricate the gums. If necessary, you can give the child an anesthetic drug. Any medications should only be used as directed by a physician.

Against the background of teething, one or another infection may develop. Therefore, if your baby has symptoms such as nausea, vomiting, earache, diarrhea, cough, rash, persistent loss of appetite or high temperature, you should consult a doctor.

What to do if teeth erupt at the wrong time?

To do nothing. There is no clear concept of “cut through late”, or rather, “teething terms” are relative generally accepted terms, and not strict data. These terms are determined by average values and depend on neonatal (how the birth went) indicators, physical constitution, individual characteristics of the baby, etc. "So no matter what period the teeth erupt, this period is normal for this child. By the way, the same applies to the eruption of permanent teeth and wisdom teeth. Only in rare cases of obvious pathologies, the timing of eruption can really be abnormal.

The later teeth erupt, the healthier they are?

Unfortunately, this is not the case - the timing of teething and their "quality" are in no way connected.

What sedatives can be used in children with teething? Do these drugs affect the eruption process?

These drugs do not affect the eruption process in any way. All of them have been clinically tested and naturally have no side effects.

The only limitation is allergic children, but there are special sedatives for them. Almost all of these gels contain lidocaine and excipients (menthol for cooling, flavors and astringents). You can recommend the following drugs:

Dentinox
Kalgel - it is sweet, you should not use it for diathesis.
Kamistad is very effective, but should be used sparingly.
Mundizal
Holisal
"Solcoseryl" dental paste (available for external use, do not confuse) - especially effective if there are bleeding wounds or painful sores.
Dr. Baby - Allergic to Lidocaine

How often can soothing gels be applied?

Soothing gels do not need to be used according to a specific regimen (such as antibiotics). It hurts - smear, it doesn't hurt - don't smear. But especially do not get carried away, it is better not to use more than 3-4 times a day and more than 3 days in a row.

How to speed up teething?

Not medically. A method proven over the years is a gentle massage of the gums. With a clean finger, gently massage the gums and the child will feel better, and the tooth will erupt a little faster. Just do not press hard, do not injure. Usually they give the child a cold spoon to suck on, but it is better to keep the pacifier in the refrigerator for a while and give it to the child. There are special teethers with coolant. Place in the refrigerator. Then give the child a bite. But not for long.

Can there be a smell from the mouth during teething and what is it connected with?

During teething, the mucous membrane is partially decomposed (lysis). Salivary enzymes play an active role in this. As you know, the amount of saliva during teething increases. This is due to the process of lysis. In this case, the viscosity, color and smell of saliva can really change. In addition, saliva contains weak antibacterial substances that prevent infection of the wound formed during teething. Their active influence can also change the normal properties of saliva. A certain amount of blood also enters the oral cavity, during the decomposition of which a sourish (metallic) smell can also occur.

What to do if the temperature rises sharply during teething?

A slight increase in temperature during teething is normal. But she won't be 39-40. If the temperature is very high, some kind of infection is to blame, and not directly the teeth.
Caution: Teething should not cause high fever, diarrhea, vomiting, complete loss of appetite, convulsions and suffocation. If you experience these symptoms, even if you think they are related to your teeth, see your doctor. It is also not recommended to give the child an antipyretic and anesthetic (syrup, suppositories) without consulting a doctor and at a body temperature below 38.5 C.

How can children distinguish between an increase in temperature during teething and an increase in temperature for some other reason? How long can fever last during teething?

Everything is individual, but basically hyperthermia and diarrhea are only secondary signs of teething. For a very small organism, this is a severe physiological fracture. Now, most pediatricians and physiologists recognize that fever during teething is most likely a reaction to inflammation of the oral mucosa. At the site of the exit of the teeth, irritation is formed, often a wound (from friction and due to lysis), it is not uncommon for the wound to become infected. So the temperature increase is not caused by the mechanism of tooth formation itself, but with complications. One of the arguments in favor of this opinion is that during the eruption of permanent teeth, despite the similarity of histological and physiological changes, there are almost no such symptoms.

The occurrence of symptoms of a cold and diarrhea is explained by a sharp change in diet and diet, permanent foreign objects in the mouth and a violation of the microflora, as well as a weakening of local immunity in the nasopharynx.

From this we can conclude that if the fever and loose stools continue for too long (more than 72 hours), then the reason is most likely not teething.

Possible features of teeth in children at the stage of teething:

Widening spaces between teeth. It may reflect increased growth of the jaws and is regarded as a normal condition during the transition period from milk teeth to permanent teeth. A wide gap between the anterior incisors in the upper jaw is usually associated with a deep-lying frenulum of the upper jaw. The orthodontist determines the tactics of observation and treatment of a wide gap between the teeth.

A blackish edging on the neck of the tooth may be due to the use of soluble iron preparations or a chronic inflammatory process (deposition of bacteria of the leptotrichia group);

Yellowish-brown staining of the teeth is more often associated with the use of antibiotics by the mother in the second half of pregnancy or by the child during the period of tooth formation.

Yellowish-greenish staining develops with severe disorders of bilirubin metabolism and hemolytic (erythrocyte destruction) conditions;

Reddish staining of tooth enamel is characteristic of a congenital disorder of pigment metabolism - porphyrin. This disease is called porphyria;

Anomalies of bite occur due to uneven growth of the jaws, due to prolonged sucking of the nipples;
Anomalies in the location of the teeth occur for constitutional reasons (small size of the jaw), due to injuries, with congenital disorders of connective tissue metabolism, with tumors of the alveolar process of the jaw.

The absence of teeth up to 1 year is extremely rarely associated with adentia - the absence of their rudiments. You can check the presence of tooth germs using a special radiovisiography method prescribed by a pediatric dentist.

Atypical situations during teething in a child

Timely, in a certain sequence, the growth of teeth indicates the normal development of the baby's body. This is a physiological process and it is in direct connection with the general health of the child. But consider some atypical situations that can indirectly indicate the presence of pathology. However, only indirectly. Once again, we will make a reservation that only a thorough study can confirm or refute these assumptions.

1) Delayed eruption (more than 1-2 months from the norm) may be due to rickets, infectious disease, prolonged bowel dysfunction and changes in metabolism.
2) Earlier teething (earlier 1-2 months before the norm) - may indicate endocrine disorders.
3) Violation of the sequence, the absence of one or another tooth can also be the result of some anomalies in the health of the child (there are isolated cases when even the rudiments of teeth are missing) or be the result of diseases suffered by the mother during pregnancy.
4) Eruption of a tooth outside the arch of the dentition can be caused by an incorrect position of the axis of the tooth (horizontal or oblique).
5) Incorrect formation of the tooth itself - size, shape, position, color, lack of enamel coating, etc. The reasons for these phenomena should be analyzed by a specialist.
6) The appearance of teeth before birth. Such situations are extremely rare. Such teeth prevent the child from sucking the mother's breast, they are usually removed.

Here are some things to remember when teething:

Regularly rub the baby's face with a special towel to remove saliva and prevent irritation on the skin, it is better not to rub, but gently pat the saliva so as not to cause irritation around the mouth.
Place a clean, flat cloth under your baby's head to absorb dripping saliva. When the napkin gets wet, you don't have to change the sheet.

Give your child something to chew on. Make sure it's large enough so your child won't swallow it or chew it into small pieces. A damp washcloth placed in the freezer for 30 minutes can be a good solution, just remember to wash it after each use. Special teething rings, which are sold in pharmacies, are also effective. If you are using rings, do not freeze them to stone to avoid damage to weak gums. Never tie a teething ring around your child's neck to avoid getting tangled in the ribbon. Gently massage your child's gums with a clean finger.

Never put aspirin or other tablets on your teeth, or rub alcohol-based solutions on your gums.
If your child is not feeling well, pediatric paracetamol may help. BUT FIRST OF ALL, CONSULT YOUR DOCTOR!

Once your teeth are in, you need to take care of them. A child up to 1-1.5 years old can brush their teeth once a day with a special brush made of soft plastic (put on mother's finger). At the same time, it is convenient to put the baby on your knees, with your back to you. An older kid can buy the first children's toothbrush in a convenient size, with durable bristles. At this age, children imitate adults with pleasure, and the ritual of morning and evening brushing their teeth is easily fixed. It is clear that the baby is still playing brushing his teeth, and while the mother is cleaning them - it is most convenient to stand behind the baby in front of the mirror. From the age of two, you can teach your baby to rinse his mouth with water (it would be nice to do this every time after eating) and use children's toothpaste. You may need to try several brands of toothpaste before a new taste suits your baby.

Among other measures for the prevention of caries (deciduous teeth are more fragile than permanent ones, and are affected in a shorter time!) - control over the amount of sweets in the child's diet and the absence of sweet drinks (juices, sweet water) at night and at night.

The first time you need to show your child to the dentist in a year. However, if something is bothering you - disturbed teething, darkening of the tooth, stains on it, bad breath - contact your doctor as soon as possible. The health of milk teeth is the key to the proper formation and health of permanent teeth.

How to prevent caries

1. Do not lick the nipple or try the baby's food with a baby spoon. So you protect the baby's mouth from the bacteria that are contained in the saliva of an adult.
2. If possible, reduce the amount of sugar in the children's diet. Offer water or natural juice instead of sweetened drinks, and never give sugary drinks as a bedtime sleep aid.
3. Teach a one-year-old baby to drink a few sips of water after eating, and after two years to rinse his mouth after eating.
4. Take your child to the dentist regularly. The first time this can be done in two years. If problems arose earlier, do not delay going to the doctor. Check your child's teeth at least once every six months.
5. Try to prevent injury to your teeth. With damaged enamel, they are destroyed faster.
Strengthen your baby's teeth with a healthy menu. Include in the child's daily diet 10-20 g of hard cheese, a few tablespoons of seaweed, 5-6 raisins, 1-2 dried apricots, green and black tea (rich in fluorine).
6. The child should brush his teeth after every meal or at least twice a day, including before bedtime.

Did your teeth erupt? It's time to clean

Immediately after eruption, a child's teeth are exposed to aggressive environmental influences. Microbes settle on the teeth, forming a film of plaque. Acids are actively produced in plaque. Under their influence, the enamel of milk teeth is easily destroyed, and a carious cavity is formed.

Acid production is especially active in the presence of sugar. Therefore, the reason for the development of caries in the first years of life is often an early transition to artificial feeding, especially if the child sucks sweet milk formulas or juices from a horn for a long time.

Start regular oral care before teething. Using a moistened sanitary napkin, dressed on a clean finger, gently wipe the mucous membrane of the cheeks and gums. Recently erupted incisors are also initially wiped with a napkin.

In the second year of life, it's time to start using a toothbrush. Today there are special toothbrushes on sale - they are small and have extra soft bristles. I can, for example, advise the brush "My first Colgate". Funny bright toys decorating the handle of this brush will form a positive attitude towards brushing your child's teeth.

Up to two years of age, we recommend that parents brush their baby's teeth with just a damp toothbrush. From the age of two, you can start using toothpaste. It is best if it is a paste containing fluorine. However, it should be remembered that a small child tends to swallow toothpaste during brushing, so it is better to use children's toothpastes with a reduced fluoride content until the age of 6 years. For a single brushing, it is enough to use a small amount of fluoride toothpaste - the size of a pea.

The risk of early development of caries is increased with insufficient fluoride content in drinking water. This situation takes place, for example, in Moscow and St. Petersburg. Children from 2 to 14 years old need to compensate for the daily intake of fluorine in the body. The recommended daily dose of sodium fluoride tablets or drops should be determined by your child's pediatrician or pediatric dentist.

Nurofen

Gels

Any mother is looking forward to the first tooth of her little one, so it is interesting for almost all parents to know in what order the milk teeth will erupt. In addition, knowledge about how teeth climb is also important for assessing the correct development of a baby, because, having noticed some violations, dental problems can be prevented in time.

Teething rules

Babies' teeth usually come in pairs. When a mother notices one new tooth in a baby, she needs to wait for his eponymous "brother" to appear in the near future. It happens that the crumbs cut 2 or 4 teeth at the same time.
In most children, teeth first erupt in the lower jaw. For example, the lower central incisors appear first, and then the same teeth at the top. The same situation occurs with molars and canines, and only the lateral incisors climb differently (they first cut through at the top).
The approximate number of teeth at a certain age is calculated on the basis of the following formula: "the age of the baby in months minus four." She suggests that on average, at 6 months, children have two teeth, and by 24 months of life - all twenty teeth.

The opinion of Dr. Komarovsky about the first teeth and all the problems that arise due to their appearance, see the video:

Symptoms

Although teething is a physiological and natural process, it still burdens the child's body, causing discomfort and such manifestations:

Increased secretion of saliva.
Decreased appetite up to the complete refusal of food.
Tendency to take things into the mouth and gnaw on them, because of itching in the gums.
The appearance of swelling, redness and swelling at the site of eruption.
Capriciousness and irritability due to pain and itching.
A disturbed dream.

In some babies, other symptoms are added to such symptoms:

Increased body temperature (in most cases within + 37 + 37.5 ° C).
Runny nose and cough due to excess saliva.
Slight liquefaction of feces.
Skin irritations on the chin and chest.

Which teeth appear first?

The very first tooth that "pecks" in a baby is called an incisor. In most of the little ones, it appears on the lower jaw, after which another incisor is shown quite quickly nearby. Such teeth are distinguished by narrow crowns and are designed for biting off food. Most often, they erupt at the age of 6-8 months, although in some toddlers the first incisor begins to knock on a spoon at 3-4 months, and some mothers have to wait for the first tooth to appear only by the age of one year.

Eruption sequence

Although the order of appearance of milk teeth is only approximate and may differ for each individual child, parents should focus on the following sequence:

The first teeth in most children, as we noted above, are central incisors, called "ones" for their position in the dentition.
They are then supplemented side cutters, which are called "doubles".
After the incisors comes the time of appearance first molars, which in the dentition go "fours".
The next step is eruption of canines between lateral incisors and first molars so they are called triplets.
The last among the milk teeth are the “five”, which dentists call second molars.

The average time for the appearance of milk teeth in the table

The process of eruption of each new milk tooth in different children takes place individually, however, if you look at the order and time of the appearance of the first teeth in most children, you can notice the average terms that parents and pediatricians are guided by. Here is a table that shows the average time for the appearance of teeth, taking into account the sequence of their eruption:

In most children, the last milk teeth "hatch" by the age of 2-2.5 years.

When do milk teeth fall out?

The average terms of loss of milk teeth will be as follows:

The central incisors begin to wobble and fall out at 6-8 years of age.
Loss of lateral incisors is observed in children 7-8 years old.
The period of loss of the first molars is 9-11 years.
Canine teeth most often fall out between the ages of 9 and 12.
The second molars stagger and fall out at 10-12 years of age.

An orthodontist, Ph.D. Svetlana Nikolaevna Vakhney:

Eruption of permanent teeth

The first among the permanent teeth of a child to appear are “sixes”, that is, teeth that are located in the dentition immediately after the second milk molars. They are called first molars, and milk molars are replaced by teeth called premolars. The first permanent molars erupt in children aged 6-7 years, and this happens, as a rule, before the first milk teeth fall out.

At the age of 6 or 7 years, central incisors appear on the lower jaw.
At the age of 7-8 years, the central incisors erupt in the child and on the upper jaw.
The lower "twos" also erupt at the age of 7-8 years.
Lateral incisors at the top are cut at 8-9 years.
On the lower jaw, fangs grow at 9-10 years.
The upper fangs appear in children of 11-12 years of age.
The appearance of the first premolars in the upper jaw is observed on average at 10-11 years.
The period of eruption of the first lower premolars is 10-12 years.
The second premolars at the top are cut in children aged 10 to 12 years, and in the lower jaw - at 11-12 years of age.
The second molars come out at the bottom at 11-13 years.
The eruption of the second molars in the upper jaw is noted at the age of 12-13.
The third molars both at the top and on the lower jaw are cut at the age of over 17 years.

Possible problems with eruption

The main problems that occur during teething are violation of the timing of their appearance, as well as in the wrong sequence. In addition, since the appearance of new teeth lowers the immunity of the child, the crumbs may develop:

Caries
Stomatitis
Abscess (pharyngeal)

When teething in a child, the gum mucosa is damaged and aseptic (i.e., "microbial") inflammation occurs, which causes fever, diarrhea, sleep disturbance and appetite of the baby. At the same time, as a result of damage, the gums become more vulnerable to infection and the occurrence of septic (i.e., "microbial") inflammation, which can complicate the already difficult period of teething. Conventional drugs for the treatment of inflammation of the oral mucosa are not always convenient for use in young children. You should choose a drug intended for use in children. For example, Holisal ® has proven itself well. When applied topically, it has a triple action of helping to relieve pain and inflammation as well as acting on viruses, fungi and bacteria. The gel-based adhesive base helps retain active ingredients on the mucosa, prolonging their action¹. It is important to be careful when using in children under one year old and consult a doctor first.

Why can eruption be delayed?

If the baby has not yet had a single milk tooth by the age of one, it is worth showing the child to the doctor and find out the reasons for this situation. They may include:

Influence of a hereditary factor. If mom, dad or other close relatives teeth erupted later than average, then the situation will be the same for the crumbs.
calcium deficiency, which also provokes rickets.
Lack of hormones produced by the thyroid gland.
Problems with digestion and absorption of nutrients.
Absence of tooth buds.
Prematurity of the child.
Development of an infectious disease.

Advice to parents on what to do and how to behave during teething is given by the Union of Pediatricians of Russia:

Gaps between teeth

Milk teeth appearing in a child under 3 years old can be asymmetrically located or with gaps between them. This is a variant of the norm, if the entire dentition has not yet erupted. As soon as it is fully formed, due to active chewing, all teeth will fall into place. Further, by the age of 6-7, when the change of milk teeth begins, gaps will again appear between the teeth, since the size of the permanent teeth is much larger. The appearance of such gaps should not bother parents.

A child is a great joy for parents. Together with them, he experiences all his main moments of life - the first words, the first steps. Parents should monitor the development of the child, teach him, help him. An important stage in life, both for the baby and for his entire family, is the eruption of the first milk teeth. The appearance of the first teeth is a very important process, and parents should help the baby during this period of his life.

Parents, get ready! Soon your child will start biting.

Tooth development is a long-term process

The laying of milk teeth occurs in the womb. Then the rudiments of milk teeth are formed.

According to studies by Ukrainian scientists in 2013, in order for the child not to develop caries in the future, the mother during pregnancy must ensure that a large amount of fluoride enters the body. Fluorine is rich in sea and river fish.

If mom does not eat fish or during pregnancy the body does not perceive it, then sodium fluoride can be purchased at the pharmacy. It contains fluorine in high concentration and does not harm the health of the child and mother.

River fish should be one of the favorite dishes of the expectant mother.

However, before using any drug during pregnancy, be sure to consult your doctor.

The order of appearance and subsequent change of teeth in a child

I do not promise you a quiet life!

The very first teeth in a baby appear at the age of six months. This is a rather unpleasant and painful process for the baby, so it will be difficult for parents not to notice it. In some children, teeth may appear earlier or later - from 4 to 9 months of life.

At what age teeth appear depends on the course of pregnancy, the health of the baby and environmental factors.

The incisors appear first - the front teeth, after them - the canines and molars. Children have only 20 milk teeth: 4 incisors on the lower and upper jaws, 2 protruding canines and 4 molars each. Unlike adults, a child does not have premolars (adults have 8) and “wisdom teeth”. The well-known Ukrainian pediatrician Yevgeny Olegovich Komarovsky gives the following terms for the appearance of the first milk teeth:

The lower central incisors appear at 6 months.
Upper central incisors erupt at 8 months.
Upper lateral incisors (two incisors on the sides of the first central incisors) at 10 months.
Lower lateral incisors - at 12 months.
The first molars appear at 12 - 15 months.
Fangs appear no earlier than 17 months, they can erupt at 20.
The second molars are the last to appear - by the end of the 2nd year of life.

When all the first teeth of a child erupt, there are usually no gaps between them. This is absolutely normal and correct. But as the child develops, mainly before the start of the change of teeth to permanent ones and in the process of increasing the jaw, small gaps begin to appear. This is a rather important process, because the molars are always larger in size than the milk teeth.

Just a few years and a stupid kid will turn into a charming lady.

If physiological gaps between the teeth are not formed, the teeth cannot fully germinate and partially remain in the jaw. As a result of this child crooked permanent teeth are formed. While normal gaps appear between the teeth, the roots of the first teeth begin to “resolve” and the teeth become loose. After that, milk teeth gradually fall out.

A kid who is just starting to walk cannot yet report on his condition, cannot say what worries him and where it hurts. Very often, colds in young children are accompanied by bouts of coughing. How to cope with unpleasant symptoms and tell our article.

Don't sleep at night? Does your husband have difficulty getting up and is often late for work? Does the child cry for days on end? How to be and what to do? These questions have been asked by mothers of small children for many years. The advice of doctors and experienced mothers has been published on how to quickly and effortlessly put the baby to sleep.

Signs indicating a possible appearance of teeth

Throughout the period of the appearance of milk teeth, the baby's state of health changes. This manifests itself in the form of various symptoms. Symptoms precede the eruption of each new tooth, but they may vary from child to child. And even one child may have some symptoms during the eruption of the incisors, and completely different ones during the eruption of the canines and molars. This is due to the development of the body and the nervous system of the child. The first signs may develop a month before the appearance of the first tooth.

The first and most important symptom swelling and inflammation of the gums. When touching the gum, the baby feels pain and reacts with a strong cry, indignation and crying.
Real men endure pain with a smile on their face.
Closer to the time of teething, the child feels pain not only when touching the gums - the gums begin to hurt constantly. The child may wake up at night in pain and scream.
Because of the constant feeling of pain child loses appetite and interest in food. During this period, you need to force the child to eat - he needs energy.
Excessive salivation is one of the first symptoms that a child is teething.
Practically All children have a fever. For some, this is not very pronounced - maybe only 37.2 ° C. But in some children, the temperature rises above 38 ° C. Most often this is observed at night. Even if parents know that the temperature increase is associated only with the eruption of milk teeth, it is imperative to call the pediatrician and go to the hospital. Temperatures above 38˚C are dangerous for the life of a small child!
If your child has a high temperature, see a doctor immediately!
The child begins to pull various objects into his mouth and tries to gnaw them.. This helps his tooth "break" through the gum. At the moment, there are a large number of teethers - special toys that children can gnaw on. They prepare the gum for the appearance of the tooth.
The well-known pediatric dentist Chizhevsky Ivan Vladimirovich advises giving children biscuit cookies instead of rodents. The child does not eat it, but simply “grinds” the gum about it. At the same time, it is softer and the gum is less injured. When a piece of cookie falls, the child can be given another one, and the rodent, after falling to the floor, must be boiled without fail, and then allowed to cool. Otherwise, the child risks introducing an infection into the oral cavity.
In some children, when teeth appear, symptoms of general intoxication- Nausea, vomiting, diarrhea.
The appearance of the first teeth may be accompanied by a runny nose. Because of this, parents do not immediately understand what is happening to their child.
Oh, how tired I am. It would rather be over.

Many children develop a small white line on the gum, on which "smart" parents tap with a teaspoon and get a soft booming sound. According to the rules of grandmothers, a silver spoon is used. In fact, a thin white line is a protrusion from the gums of the tooth. And hitting the line with any spoon or any other object, parents severely injure the gum, tooth and cause a lot of pain to the child. So it's not worth doing.

The temptation is great, but control yourself!

When there is a great desire to know that a child will soon have a tooth, it is best to contact a pediatric dentist.

Did you know that it helps the release of gases in a newborn, relieves spasms of smooth muscles, improves digestion and has an antimicrobial effect. You can use it from 2 weeks of age. Dill tincture is also useful for nursing mothers.

Finger games are one of the most effective means of developing motor skills in young children. Developed motor skills are a guarantee of the normal intellectual and physical development of the child. For more information follow this link.

It will be useful for young mothers, which tells in detail about the role of the fontanel for the child's body and about the time when the soft crown should drag on.

What to do when teething?

For a child, the appearance of the first teeth is a huge stress. He still does not understand what is happening to him and why it hurts. Every parent thinks about how to help a child.

Who, if not dad, will cheer up the baby.

The child needs to be distracted. Children during this period are prone to whims and frequent mood swings. It is necessary to switch the attention of the child from the feeling of discomfort. To do this, you can play with him, throw him up, tell him something and teach him to speak.

With older children, you can walk and arrange active games in the fresh air. A person receives 90% of information through a visual analyzer, if you turn on cartoons for a child or show bright, colorful pictures, this will attract his attention for a while.

Why don't we start building?

Another way to calm a child is to occupy his hands. You can purchase a children's large Rubik's cube or a designer with large details. At the same time, the child not only focuses on the toy, but also develops fine motor skills of the fingers.

Mom and dad must definitely take the child in their arms, caress, stroke the head, cradle. It is especially important to do this at night when the child is most restless. The kid should feel that he is not alone, that his parents are nearby, they take care of him.

At night, you can put the child not in his crib, but with mom and dad. So the child will sleep more peacefully. The child needs to be given pain medication. You can buy them only with the permission of your pediatrician and pediatric dentist. Otherwise, the medicine can adversely affect the child's body.

You should immediately prepare for the fact that painkillers will not be able to completely eliminate the pain, the child will still feel it. But the pain will be less pronounced.

Sleeping with your beloved mom is the best medicine.

It is best to use ointments - they begin to act faster than syrups, which still need to be absorbed in the gastrointestinal tract. In addition, the concentration of the active drug in the ointment is higher (a smaller dose of the drug is required to achieve the desired effect).

When the child begins to act up, it must be applied to the chest. During this period, he can eat less, but more often.

We actively help the teeth to crawl out.

The child needs to be given something to gnaw - this prepares the gums and speeds up the process of tooth formation. After a year, you can arrange a congratulation for the child on the purchase of a new toy or a beautiful ball for each new tooth.

When a baby is teething, it is difficult for everyone - both the child and the parents. But parents should provide the child with maximum support and care. Then the baby will more easily endure this period and will grow up happy.