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Changing milk teeth to permanent teeth in children. All about the change of milk teeth

10.10.2020

When the teeth of the youngest member of the family begin to fall out, it is always very exciting for parents. The process is quite protracted and is usually accompanied by inflammation, discomfort, nervousness. To make adults feel calmer, a special scheme has been created for changing teeth in children.

Mother nature knowingly conceived the process of changing a set of teeth. As you know, the first teeth begin to germinate in children at the age of six months to nine months. Meanwhile, denser food is introduced into the baby's menu. The jaw is still rather poorly developed, so the first teeth are much smaller in size. In the photo of the child's jaw before changing milk teeth, it can be seen that it is already fully formed and milk specimens cannot take on the entire chewing load, so the body is already completely ready to accept the entire root set.

Photo of a child's jaw before changing milk teeth

The procedure for changing milk teeth to permanent

Many adults mistakenly believe that the transition process begins when the baby's first tooth falls out, but this usually happens even before they begin to fall out. At the age of four, molars erupt in children, and they will already be permanent. From this time, the process of changing teeth begins.

At this point, the tooth roots begin to actively dissolve, which lasts for about two years. The baby's teeth begin to actively loosen, and when the molars appear, they are completely eliminated.

The scheme for replacing milk teeth with permanent ones is approximately the same as the process of their eruption. It all starts with the front incisors, then gradually the teeth change in the upper row. Then it's up to the lateral incisors, first molars, canines and second molars. It is unrealistic to accurately indicate the age of the loss of a particular tooth, everything happens individually. Some doctors say that girls this process begins much earlier than in boys.

The period of changing milk teeth to permanent ones in children is quite long, but sometimes everything does not go according to the rules, and the child needs additional consultation with a doctor.

Violations are said to occur when the process of shedding began before the age of six. It happens due to pathologies. oral cavity or intentional loosening. When a tooth falls out at the wrong time, a free zone appears in the mouth, where new permanent specimens will move over time. This means that there will simply not be enough space for a permanent set, causing the teeth to grow crooked.

Scheme of the growth of milk teeth

If this happens, you need to contact an orthodontist and apply a prosthetic method to compensate for violations of the rows to prevent displacement of other teeth and prevent bite problems.

It often happens that the root specimens are already growing with might and main, and their old counterparts will not fall out in any way. This contributes to curvature and dysplasia, the appearance of problems with the rows. Visit a dentist to get rid of this problem.

Also, one of the versions of late replacement is a situation in which permanent teeth do not appear on time, while milk teeth can both crumble and remain in place.

This may be due to:

  • physiological disorders, if the teeth are formed correctly, but develop much more slowly;
  • in case of adentia, if the child did not have the correct formation or they died during inflammatory processes;
  • if the teeth are formed correctly, but have an incorrect position in the bone tissue.

Only a dentist can determine the true cause of the problem after a thorough examination, which will show how well the teeth are formed. If developmental anomalies have been detected, children are given temporary prosthetics at the time of growth of the jaw tissue. When the child grows up, he will need to install permanent prostheses.

What to look out for

The most active process of changing teeth becomes from seven to eleven years. Adults should supervise replacement and growth to reduce the appearance of curves. It is necessary to carefully monitor the enamel, which is especially vulnerable in children. The kid should regularly monitor oral hygiene, follow all the recommendations of the dentist, remove plaque and food debris.

The most active process of changing teeth in children from seven to eleven years old

The diet should be controlled. Food should be rich in all useful components. The doctor will help to reveal the main principles of this problem, suggest effective supplements, help make a diet.

Visit your dentist regularly, at least every six months, for a professional look at your mouth.

Adults should control that their children do not put their hands in their mouths and do not touch the wounds. Otherwise, the child will bring an infection, which can lead to an inflammatory process. If the baby suffers from severe discomfort, it is necessary to go to a specialist for professional removal.

Use special gels that have an antiseptic effect. You can purchase them at any pharmacy.

The tooth grows crooked what measures to take

If the order of changing teeth in children is violated, this can lead to a number of problems. Many parents very often face such a phenomenon when the teeth of children grow crooked and oblique. As a rule, the general retarded development of the baby is to blame. Usually, the jaw of such children grows very slowly and there is simply no room left for the indigenous brothers, so they have no choice but to grow crooked and askew.

The process should not start before five years. If this happens, you should definitely visit the dentist. Perhaps the child has caries or other pathologies. If the teeth do not start to fall out before the age of seven, you should also consult a doctor.

Often the cause of this phenomenon is the bad habits of the child. Among them may be the habit of sucking the tongue or third-party objects. Parents are responsible for preventing this or weaning the child from this habit. If at the age of five years your child still does not have dental gaps, then you need to take the baby to the dentist.

If your child's teeth haven't started to fall out by the age of 7, you should see a dentist.

Some parents ask the doctor for an extraction when the tooth has just begun to loosen. But there is no need for such manipulation, since the process of change occurs naturally and painlessly. Of course, it is not pleasant and uncomfortable, but all this can be experienced.

There are situations when the help of a specialist is really needed:

  • location. Sometimes dairy specimens can interfere with the emergence of new ones. If you do not get rid of the problem in time, there is a possibility of incorrect formation;
  • inflammatory processes. You are forced to say goodbye to a milk tooth in the doctor's office if he called inflammatory process oral cavity;
  • strong pain. If the problem delivers severe pain child, he screams and cries constantly, no need to wait for the problem to be solved by itself. Much better to apply for medical care. Doctors can do a lot more at this stage. When native specimens begin to grow, it will be too late. Do not be upset prematurely: most often the process is not accompanied by complications.

First tooth fell out how to be

So, the time has come to change dairy to permanent. How to be and what measures to take when the first tooth fell out?

Do not be afraid of the blood that comes out of the wound. This is not scary and not dangerous for the health of the baby. Do not worry and take the following measures.

Create a sterile gauze swab and place it in your baby's mouth. The blood will stop flowing in five minutes. If this does not happen after ten minutes, then you should immediately go to the doctor.

After the removal manipulation, you need to control that your child does not eat or drink anything for two hours. Exclude from the menu all bitter dishes, spicy and salty. This can lead to severe irritation and discomfort.

Often adults begin to rinse their child's mouth with peroxide. It is worth noting that this is also what doctors do do not advise. It is better to use a salt solution for this. Just add to warm water two tablespoons of salt and a few drops of iodine. Stir vigorously and cool to optimum temperature.

How to take care of your mouth

In addition to the hygiene measures familiar to all, during this period it is necessary to focus on nutritional features. Try to fill the child's diet with dairy products, that is, calcium. Among other things, add vitamin complexes and minerals.

Make sure that the baby does not damage his gums during the cleaning process. Otherwise, severe inflammation may occur.

At the age of three, the child already has all 20 milk teeth in his mouth. Some of the kids can boast of such an achievement at 2 years old, someone at 2.5, but very rarely the process of teething drags on longer than the indicated age. After all the milk teeth have come out, a calm period begins - painful, and often it happens just like that, teething is over.

But already by the age of five, five and a half years, a new period begins: milk teeth are loosened to give way to permanent ones, the so-called indigenous ones. And there are more of them than milk ones - plus two pairs of chewing dental units grow in the child's mouth, in total 28 teeth, already permanent, will appear by the age of 12-13.

And those “wisdom teeth” will erupt later. Although far from all people they grow: the last four can forever remain as the rudiments of dental units in the gums.

When to expect a change of teeth in a child

The teeth begin to change at the age of 5-6, it is at this age that the first molars erupt. From the age of five, the roots of the front incisors begin to dissolve in the baby, and then, a little later, the roots of the lateral incisors. And somewhere in 6-7 years, the first molars change. These changes take two years.

Table. Scheme of changing milk teeth

AgeWhat dental units are changingProcess Features
6-7 years old

First the teeth fall out mandible, then the top
7-8 years old

By this age, simultaneously with the loss of the central incisors, the child will grow six (lateral molar)
10-12 years old

Threes fall out by the age of 10, and by about 12 permanent fangs will appear
9-11 years old

The first molars fall out and are replaced by permanent first premolars.
10-12 years old

In place of the fallen second molar, the fifth permanent teeth erupt
11-13 years old

First they cut through on the lower jaw, and then on the upper
18-22 years old

Not everyone grows

It turns out that the change of teeth lasts a long time, several years. And not everyone does this strictly according to the norm. Most children under the age of 13 have had all their milk teeth replaced, and only then do wisdom teeth begin (or do not begin) to grow. But it may happen that 28 permanent teeth will appear in a child only by the age of 16-17.

Why does a person change teeth at all

Any age-related changes are logical, have a strict explanation. Nature and evolution wisely provide physiological factors requiring changes in the body. A person is born without teeth at all - he does not need them, since for the first months of his life he eats only liquid food, mother's milk. But already before birth, teeth begin to form in the jaw of the fetus.

The first milk teeth appear in an infant at the age of six months (maybe a little earlier or a little later): at this time he is ready to chew solid food. Chewing teeth grow by 2-2.5 years, by 3 years the baby has all the milk teeth in the mouth.

But as a person grows older, the size of his jaw grows. In childhood, only 20 teeth fit in it, and by the age of 15, for example, a child needs 28-32 teeth to fully chew food. It is also worth understanding that the grown milk dental units do not increase in size, the distance between them simply increases.

How do the roots of children's teeth dissolve?

When the period of change of milk teeth to permanent ones comes, the first ones partially begin to dissolve. An important process starts from the top of the root, and then moves on to other parts of the dental unit. The densest part baby tooth, called a crown, is simply replaced by a permanent tooth growing right under it, and falls out by itself.

Features of the dental change process:

  • at three years and later, small gaps appear between the baby's milk teeth, they are called diastemas, and three are formed between the canines and the first molars;
  • the gaps may differ in size, they grow with age, and reach their limit by the time the milk teeth fall out;
  • the reason for the formation of gaps is directly the growth of the child's jaw, therefore these gaps ensure the normal development of the jaws;
  • if there are no gaps, this is a violation of the development and growth of the jaws.

Are gaps between teeth normal in children?

Permanent teeth, meanwhile, are hidden in special connecting capsules. During the eruption period, they move directly under the roots of the first, milk teeth. All this can be seen on orthopantograms (the so-called panoramic shots) children 7-11 years old.

Do milk teeth need to be removed?

Dentists resort to the removal of milk teeth in very rare cases. Even severe caries damage is not an indication for removal. A milk tooth performs a number of functions, therefore it must perform its work in full, up to the moment of change to a permanent one.

However, if severe inflammation is associated with the damaged milk tooth, the tooth will have to be extracted. Sometimes extraction (removal) of a child's milk tooth is required if it inhibits the growth of a permanent one. Or the permanent dental unit has already erupted, and the milk unit will not fall out in any way - then it has to be removed.

If the milk tooth is removed ahead of time, the free space will be occupied by neighboring dental units. It turns out that the milk tooth saves space for the permanent tooth, that is, it is responsible for the norms of formation and growth of already permanent teeth. And if, for one reason or another, a milk tooth is removed, problems with the eruption of a permanent one are not ruled out.

A prematurely lost milk tooth is a unit that was removed more than a year before the eruption of an already permanent unit. This is fraught with not only the wrong bite. Missing teeth negatively affect the natural development of the jaw, and this is already a threat of deformation of the entire dentition. Therefore, doctors advise keeping milk teeth permanent until they are replaced.

If the milk teeth are lost due to trauma, there is a children's prosthesis. This is a necessary measure: it is important that the entire dentition does not move, and the subsequent eruption of permanent teeth is physiological and absolutely normal.

Causes of misalignment of permanent teeth

Sometimes you can notice that the growing permanent incisors are not very nicely located. This is explained by the fact that during their growth, the teeth simply lacked space. That is, there were no special, anatomically necessary gaps between the predecessors of these teeth.

But the reason for the growth of crooked teeth may lie not only in this. Bad habits of the child will also affect the aesthetics of the smile. This is a pencil in the mouth, and biting off nails, and the habit of biting the inside of the cheek.

Do not take any corrective action on your own. Only the intervention of a specialist can correct the situation. As soon as a defect is found, take the child to the dentist.

Tips for parents: what to do so that the change of teeth of the child is healthy and successful

There is nothing more important than oral hygiene, which the baby should be familiar with from the very beginning. early childhood. Of course, the list of mandatory dental care includes the formation of a healthy eating behavior. If parents doubt the choice of paste and brush for the baby, then you can find answers to all questions at a consultation with a dentist.

Tips for parents:

  • during the years of changing teeth, the children's menu must necessarily include foods with vitamin D and, of course, calcium;

  • when the teeth change, the child should eat enough solid food - and these are carrots, radishes, apples, it is very important that the teeth are strengthened and cleaned in the most natural way too;

  • do not be afraid to see the gaps between the teeth of a five-six-year-old baby - the jaw is growing, and these gaps are necessary for the healthy growth of permanent teeth;

    The gap between the teeth in a child is not a reason to panic

  • do not let the carious lesion become the enemy of the child's teeth - reconsider your attitude to sweets, control the process of brushing your teeth, examine your child's teeth regularly (caries is easy to deal with at an early stage);

  • if the tooth is very loose, it interferes with the child, then you can pull it out at home - you need to clasp the tooth with a fragment of sterile gauze, then shake it in different directions, pull it up and down a little (but if it doesn’t help, consult a doctor);

  • do not forget about the averageness of all norms - small deviations from the timing of the change of teeth do not mean that something is wrong with your child;
  • timely detect the curvature of permanent teeth during growth, immediately contact a pediatric orthodontist.

Do not rush nature - a tooth can stagger for a long time before it falls out and gives way to a permanent one. If the child does not interfere in any way, then nothing needs to be done. Do not look for defects where they simply do not exist: the first two teeth that have changed may seem crooked to parents. But this is an erroneous view, until the neighboring ones change, it is premature to talk about curvature. True, strong defects are noticeable, they require urgent intervention by a specialist.

What is fissure sealing

It is impossible not to mention such a popular modern dental service as fissure sealing. It concerns precisely the change of teeth, and they make it for permanent chewing teeth that have changed, and for milk teeth too.

A fissure is a cut in the chewing surface of a molar tooth. The cut is deep or not very dissecting the enamel of the dental unit. Fissure is translated from Latin - a gap. But such a gap is dangerous because it can anticipate caries. The slit-like shape of the recess contributes to the accumulation of food debris in it, which then rot, become the bait of pathogenic bacteria.

Completely level the surface chewing tooth it is impossible - this contradicts the very anatomy of the unit. But it is possible to fill such a “gully” in the tooth only partially with a substance that will prevent caries from hitting the tooth.

Only healthy fissures are sealed, if caries has already appeared, then first you need to clean the tooth to healthy tissues. It is desirable to seal milk chewing teeth.

How is the sealing of milk teeth

  1. The surface of the tooth is first cleaned of plaque, then dried and freed from saliva.
  2. The fissures themselves are treated with a special solution of phosphoric acid.
  3. After washing the recesses with distilled water, they are filled with liquid sealant.
  4. With the help of a special light-curing lamp, the sealant material is cured.
  5. Then the excess sealant is removed, the "sealed" tooth is polished.

This procedure is completely painless, it takes at least 5, maximum 45 minutes. In this way, the treated tooth is protected from carious lesions for 5-10 years. It turns out that children's teeth will be under reliable protection until they are replaced with permanent ones. Permanent dental units can also be sealed in this way. This method is harmless, modern, highly effective.

Dental health is a huge contribution to the health of the body as a whole. Children's teeth are the responsibility of parents. It is important not only to teach a child to care for teeth, to form a culture of nutrition, negative attitude to bad habits. It is also necessary to give the concept of a timely visit to the doctor, a child from an early age should adequately relate to a visit to the dentist. And it depends on the frequency of trips to the doctor.

If every six months a child visits a dentist (preferably has his own permanent doctor), his fear of the dental office will disappear. And he will continue to come to the doctor in the future with any problem or without it at all, just for prevention. Then all pathologies, diseases will be detected as early as possible, and, therefore, corrected and cured quickly and easily.

The process of changing milk teeth to permanent ones is a good reason to visit the dentist more often. Parents themselves will be calmer if such an important process is under the control of a specialist.

Successful decisions and healthy teeth for you and your children!

Video - Change of milk teeth in children

The process of changing milk teeth in a child always worries parents. The change takes a long time, often accompanied by inflammatory processes, painful sensations, permanent teeth can grow crooked. To make parents feel calmer, a special table has been created, which indicates the growth pattern of molars, and the age at which they will appear in the baby.

Dairy products are laid on 4-6 weeks of embryogenesis ( intrauterine development). But the permanent ones are formed much later - during the first months of a child's life. That is why in the case artificial feeding Your child's diet should be high in calcium. It is calcium that forms the enamel and the entire dental organ.

The appearance of the first teeth classically falls on a period of six months to a year. The order in which a child's teeth appear is as follows: first the central incisors appear from below, then from above, after which the lower and upper flanks, followed by the first molars, followed by the canines, and last in order, the second molars. There is the term "dental formula" - the number of teeth in children is normal: two incisors, two molars, a canine, and there are no premolars. We multiply this data by four - and we get the number of non-permanent teeth in the norm.

The photo shows a diagram of the appearance of teeth:

Do not worry if the order or time of eruption of the first teeth is disturbed, the process proceeds in children very individually. The most important thing to consider is that the first ones erupt up to a year, otherwise visit the dentist.

Temporary teeth in babies are prone to caries, it is imperative to monitor the health of the teeth, because the infection of the milk tooth can lead to damage to the permanent one. The reason lies in the fact that the permanent teeth in the jaw are located too close to the root of the temporary. Noticing dark spots on the enamel of your child, hurry to the doctor.

Replacement of teeth

The beginning of the process of replacing teeth usually falls on the child's first trip to school - the first fall out at the age of six or seven years. The order of change almost completely coincides with the order of eruption, the only exceptions are fangs - they are replaced later than all the others, at the age of about thirteen years. Before falling out, the first molars sprout - but there is no change, just the jaw grows and the teeth grow in their proper place. Behind the canines, second molars will grow, and last of all, “wisdom teeth”, third molars, will appear - usually between 18 and 25 years old.

Despite the frightening appearance of the process, it is quite physiological, and children do not experience pain. But it is necessary to monitor the state of the oral cavity, because if inflammation develops during the change of teeth, the infection should be treated.

There is no need to try to help by pulling out baby teeth. The tooth falls out on its own from the moment the mechanism that dissolves the roots of the tooth is activated in the body in children. It is worth contacting a dentist only when the permanent has already begun to grow, and the temporary has not yet fallen out, since the temporary will interfere with the correct growth of the root.

A small amount of bleeding occurs from a tooth falling out.. It used to be recommended to rinse your mouth with a hydrogen peroxide solution, but capillary bleeding itself is not significant. If desired, rinse your mouth with a solution of soda with a drop of iodine, as a prevention of infection of the wound.

Teeth grow unevenly - what to do?

It happens that children's teeth do not grow correctly. First of all, it is worth understanding the reason for such a violation. There are the following options:

  • The child has habits of sucking his thumb, chewing on pens and pencils.
  • The baby's jaw grows more slowly than the replacement process takes place.

In the first case, wean your precious child from such habits. Otherwise, it will form malocclusion, and the smile will subsequently look unaesthetic.

In the absence of bad habits, the matter is rather in the growth of the bones of the facial skull, it is recommended to consult a dentist, but after changing the entire dentition, in order to correct the bite and make a beautiful smile. Exist various systems corrections that any qualified doctor will acquaint you with.

Care

In addition to the standard hygiene procedures(this includes brushing the teeth and mouth), during the replacement of teeth in children, special attention should be paid to the diet. Include fermented milk products, cheese, that is, everything enriched with calcium in the children's diet. It is advisable to strengthen the diet with a complex of minerals and vitamins, thanks to which the teeth will be provided with strong enamel.

During hygienic cleaning do not be too zealous, the child should not hurt the gums. Otherwise, an inflammatory process may develop, leading to pain and difficulties as a result of the eruption of permanent teeth.

Now you know the mechanism for replacing milk teeth. Following all recommendations and proper care children grow even and beautiful molars, and their smile will always delight you.

This article talks in detail about children's milk teeth, about typical problems and methods for solving them.

In all people, teeth are divided into three types, each of which performs its function:

  1. Incisors - responsible for biting off food;
  2. Fangs - hold and tear off food;
  3. Molars and premolars - grind food.

- These are the first teeth that appear between the ages of 8 months and 3 years. As a rule, in order to determine how many teeth a child should have, they take away from the age in months - 4. That is, at 6 months there should be two teeth, etc.

The milk tooth consists of the same parts as the permanent ones:

  • Crown- the visible part of the tooth, located above the gum. The main difference is that crowns are smaller than molars. The crowns are wider and lower than those of the indigenous ones. Since crowns have a lower degree of mineralization, respectively, milk teeth are more susceptible to caries.
  • Neck The part of a tooth located between the crown and the root. In temporary teeth, it is much narrower.
  • Root- with the help of it, the tooth is held in the recess of the gums, called the alveolus. Milk teeth have roots, contrary to popular myth. The number of roots different types teeth are different. The roots of milk teeth are thinner and shorter. Before replacement, the roots of milk teeth dissolve. This article contains the answer to the question,.
  • Enamel- the hardest tissue of the body, covers the crown, in temporary teeth it is about two times less than in molars.
  • Dentine- porous tissue, located directly under the enamel.
  • Pulpconnective tissue, which is located in the center of the tooth, it contains blood vessels and nerve endings. In milk teeth, the pulp occupies more space than in molars. Because the hard tissues thinner, then with the defeat of caries or other infections, milk teeth are destroyed faster.

Temporary teeth are whiter in color. And on the incisors, the tubercles are less noticeably developed. The rudiments of the molars are located under the milk teeth, which are landmarks for them.

How is the change of teeth

  • Replacement of temporary teeth with permanent ones occurs gradually and begins with the formation of gaps between the teeth. The jaw increases in size and the distance between the crowns increases. In fact, at the moment when the child has the third molars, this is about 4 years old, preparations for the change of teeth begin.
  • In general, a person has 8-12 teeth, which do not change, but immediately cut through as constants. The change occurs within 7-9 years. The body prepares itself for replacement. The roots of temporary teeth gradually dissolve, and therefore the tooth begins to stagger, since nothing holds it anymore, and when only the crown remains, it falls out altogether.
  • Teeth usually change in sequence in which they are cut. The main thing for parents is not to panic, the child does not experience any pain. Deterioration of well-being is a very rare case, and this happens due to inflammation of the gums.

How many milk teeth do children have

Milk teeth begin to appear at 6-8 months. This is because, in addition to milk, more solid food appears in the diet. The incisors appear first, first the central ones, then the lateral ones. But the formation of teeth occurs as early as the 5th month of pregnancy, and by the ninth month there are already the rudiments of all teeth, including permanent ones.

By the age of two, the baby has fangs, the first molars a little earlier by 1.5 years. The second molars are the last to erupt, by about 2.5 years.

By the age of 2, a child has 20 milk teeth, and not 32 as in adults:

  • Incisors - 4 above and 4 below;
  • Fangs - 2 on each jaw;
  • Molars - 8 pieces.

Procedure for changing teeth

Teeth begin to change at about 6 years old, but each child has their own timing, so you should not panic ahead of time. Teeth begin to change after the growth of the molars, they appear when there is enough space in the jaw.

Here are the approximate timing of the change of all teeth:


All teeth can change in 5-8 years, it depends on many factors:

  • Food;
  • Genotype;
  • Gender of the child, girls usually change earlier than boys.

If the shift sequence is different, this is not a cause for concern. And already in adulthood, “wisdom teeth” erupt.

A situation may occur in which the roots of milk teeth do not dissolve, and then they do not fall out, but remain even in their adult state. This usually happens if there is no rudiment of permanent teeth under temporary teeth, since it is they that provoke the beginning of a change in the dentition.

What if the teeth fell out prematurely?

There are several reasons why a baby tooth may fall out prematurely.

Before the due date, this is before the child reaches 5 years of age:

  • An injury in which a tooth can simply be knocked out.
  • Tumor.
  • Pressure from adjacent teeth.
  • Incorrect bite structure.
  • Extraction of a tooth as indicated by a dentist (if it is completely destroyed and cannot be restored).
  • Infections before 6 years of age.
  • Pathologies during childbearing.
  • The child himself can prematurely loosen the tooth

If the milk tooth falls out earlier, it threatens that neighboring teeth will shift in his direction, and as a result, this will lead to serious bite defects. Often the cause can be caries, which is triggered because of the belief that care is not required for temporary teeth.

It is worth paying attention: if a molar appears in place of a fallen tooth, then this is the norm, you should not worry and early loss is not a deviation. But, if nothing appears in the place of the fallen tooth, you should contact your dentist.

It is even possible to assign special devices to save space for the molar. In general, it is believed that the later the change of teeth begins, the better. But this process should begin no later than 8 years, otherwise be sure to contact a specialist.

Dental care during shift

If the teeth are temporary, this does not mean that they do not need care. A child should be able to use a brush from early childhood, for this you need to purchase a brush with soft bristles. Teeth should be brushed under the supervision of an adult, so as not to injure the gums.

Milk teeth are more susceptible to caries and decay faster, so you need to monitor oral hygiene! The paste should be chosen for children, it has a special composition and does not have coarse abrasive substances that can damage thin enamel.

The main rules for caring for your teeth during a shift:

  1. Rinse your mouth after every meal clean water, you can use special decoctions (for example, chamomile).
  2. Taking vitamins and minerals.
  3. Carefully monitor the growth of teeth and their condition, if necessary, contact the dentist.
  4. Since the fissures (natural cavities between the tubercles of the teeth) are deeper in milk teeth, some experts advise filling them with a special compound so that food particles do not get in and caries can be avoided. Such a procedure is called.
  5. Provide proper nutrition, namely:
    • Vitamin D (eggs, butter, milk).
    • Calcium (milk and dairy products).
    • Phosphorus (cheese and seafood).
    • Eliminate sweets or severely limit.
    • Give solid food, it promotes the resorption of the roots.

When baby teeth fall out

Regarding the age of tooth loss, it is worth noting that the figures are very approximate. After the appearance at the age of 4 molars, which are immediately root, preparation for the change of teeth begins. At about 6 years of age, the incisors change, usually the lower ones first. The whole process of change ends by the age of 13-14.

But the body of each child is individual, and in addition to the early one, a later loss may also occur. If the child is over 16 years old, and the teeth have not yet fallen out, this is a reason to contact the dentist.

The main reasons for late fallout are:

  • Eating disorder.
  • chronic infections.
  • Frequent stress.
  • Lack of trace elements in the body.
  • Failures during the mother's pregnancy, as a result of which the rudiments of molars did not appear.
  • Dyspepsia.

What teeth are changing

An adult has 32 teeth in a set:

  • Incisors - 4 on each jaw.
  • Fangs - 2 at the top and 2 at the bottom.
  • Molars - 6 on top and bottom.
  • Premolars - 4 pairs.

Sometimes, if “wisdom teeth” do not erupt, a person has only 28 teeth. Of this set, only 20 teeth change, the rest immediately appear as the main ones. Change incisors, canines, and 4 pairs of molars.

When Medical Assistance May Be Needed

The process of changing teeth is natural and usually goes without problems. Parents should show their child to the dentist every six months to avoid problems in the future. If caries is noticed at the stage of the beginning of enamel destruction, then the tooth will not have to be removed, and this is very important. Early removal of a temporary tooth can lead to problems with molars.

When you need the help of a dentist or pediatrician:

  • If the gums are swollen and itchy.
  • When a milk tooth interferes with an already erupted molar (if you do not consult a dentist, a permanent tooth can grow crookedly).
  • If the milk ones fell out, but the root ones did not appear.
  • If the milk tooth has darkened, crumbles or has spots on it.
  • After falling out, the wound bleeds for more than 10-15 minutes, there may be problems with blood clotting.
  • Temperature, feeling unwell during a tooth change.
  • If a loose tooth does not fall out, but it interferes greatly, for example, there is.

After a tooth has fallen out, you need to give the child a cotton swab or a sterile piece of gauze so that he bites it. On the day when the tooth fell out, you should not give anything sour, salty, hot, and generally irritating to the gums. The first two hours, regardless of whether the dentist pulled out a tooth or he himself fell out, you can’t eat until the wound closes to avoid infection.

What if teeth grow crooked

First, let's look at the reasons.

Crooked milk teeth can be due to:

In this case, be sure to go to the dentist, if necessary, he will prescribe treatment.

If crooked teeth are already growing, it can also be corrected, for this you also need to contact a specialist in time. To align the teeth, braces, special devices made of metal or ceramics are used. The latter look prettier and less noticeable, so children are more likely to agree to wear them.

With the curvature of the teeth, it is important to go to the dentist as early as possible, if the process is delayed, then a crooked smile can remain for life.

Braces are of two types:

  1. Removable, used up to 8 years, made of silicone. They usually dress up at night.
  2. Fixed, for permanent wear, used at an older age.

To sum up, we will give some tips that will be useful to all parents:

  • Take care of your child's teeth from the moment they appear.
  • Visit the dentist twice a year.
  • Be careful with sweets, this is a direct path to caries.
  • Come up with a pleasant fairy tale so that the change of teeth does not cause negative emotions in the child.
  • Wean your baby off the bottle and pacifier as early as possible, and keep your baby biting.
  • Any darkening of the enamel and stains on the teeth is a reason to go to the dentist, regardless of the fact that the teeth are temporary. The health of permanents depends on their health.
  • Follow bad habits otherwise the teeth may grow crooked.
  • The diet should have enough vitamins and minerals, if they are not enough, take vitamin-mineral complexes.
  • Remember, this is a natural process and there is nothing terrible or difficult about it.
  • What is a paste and a brush a child should understand from the age of two.

And then your child will delight you with a white-toothed smile!


From the moment when a child’s first milk tooth fell out, many parents have doubts: is this happening on time, is the permanent tooth erupting for a long time after the milk tooth falls out, is the change of milk teeth “in the wrong order” a signal of serious violations in the body of their child, etc. What are the approximate age periods and the correct pattern of loss and change of milk teeth in children? What problems can parents face and how to solve them? About everything - in order.

Which order is correct?

Usually the change of teeth in children begins at the age of about six years, and ends by eleven. During this time, all 20 milk teeth should be replaced. By the age of 14, the child also has 8 permanent molars.

At the age of 6-7 years, with the correct change, the front lower central teeth - incisors fall out, at 7-8 the lateral incisors change. By the age of 9-10, the first lower molars should be replaced, at 10-12 years - the second molars and canines.

The latter often cause problems: due to the fact that the jaw should already be practically formed by age, the canines may not have enough space, and they begin to grow crookedly, forcing parents to turn to orthodontists to correct the bite.

If you imagine the process of changing teeth visually, in the form of a table, it will look like this.

Baby teethBeginning of root resorptionRoot resorption periodLoss of milk teeth (age, years)
Central incisors (upper and lower)From 5 years old2 years6-7
Lateral incisors (upper and lower)From 6 years old2 years7-8
Small molars (upper and lower)From 7 years old3 years8-10
Fangs (upper and lower)From 8 years old3 years9-11
Large molars (upper and lower)From 7 years old3 years11-13

However, one should not think that the child's body is a programmed machine. Quite often there are individual deviations from the framework established by specialists: the process can start a little earlier or later. In this case, it is important to visit a pediatrician and a dentist. If they don't reveal serious reasons for unrest, it means that the child’s body has its own limits, and they are also normal.

Sometimes the initial period of tooth replacement can provoke slight increase child's body temperature. This is not common, but at the stage of tooth loss and growth, the temperature should not be attributed only to a cold: perhaps this is the body's reaction to the growth of new teeth.

Often, the child complains of pain in the gums. To relieve it, as well as to ensure the sanitation of the oral cavity at this time, the same ointments or gels that are used when teething milk teeth will help.

Possible problems

The process of replacing milk teeth with permanent ones does not always go smoothly, sometimes there are certain deviations that cause concern for parents.

  • Wrong shift order. Contrary to all norms, teeth sometimes change "as they want." The cutter may not fall out first (or the upper one instead of the lower one), the fallout can go in any order. What to do in such cases? There may be several reasons. For example, neurological problems in a child, other health problems, or simply individual characteristics of the body. Only pediatricians and dentists, who need to go to an appointment, can dispel anxiety.
  • The permanent tooth grows in the second row, because the milk one has not yet fallen out in its place. Most often this is due to the wrong diet. If a child has a sparing diet associated with gastrointestinal problems, if he eats only soft, mashed food due to painful carious processes, then the jaws do not receive enough load, in which the roots of milk teeth will dissolve in time. Therefore, it is necessary to constantly monitor the health of the baby's teeth, and not be guided by the opinion that milk teeth, in the end, should fall out - why should they be treated. But if a problem is found, you should immediately visit the dentist to remove this tooth and symmetrical with it (for example, the second incisor or second canine). Usually this feature does not require further correction, the bite is still able to level out.
  • New teeth grow crookedly, as if "overfilling" the mouth. The reason is the same here: the jaws did not receive the proper load. It is normal if at the age of 4-5 years the teeth become rare. This means that the jaws grow properly, providing room for new, larger teeth. Otherwise, a correction will be required, which the orthodontist will prescribe. Or a child in early age milk teeth were removed (due to the same imaginary inexpediency of their treatment) and the jaws had already decreased in size by the time the new teeth grew, compensating for the emptiness.

The old one fell out, but the new one is still missing?

This is another fairly common deviation that occurs when replacing teeth. One, two, three months pass, but there is still no tooth. Parents inevitably begin to worry, come up with the most unthinkable reasons, get scared themselves, passing on their anxieties to the child.

If there is no tooth, and the gum is swollen and painful, then the reason is that it simply cannot cut through its tissues. This happens when there is a lack of calcium in the child's body, when the tooth grows weak, it is difficult for him to break through the thickness of the gums. A dentist can help him by dissecting the gum tissue. But if there are no signs early eruption, you should think about the causes and ways to eliminate them. For example, to delay the appearance of permanent teeth can:

  • rickets suffered in childhood;
  • infectious diseases;
  • serious jaw injuries;
  • metabolic disorders (for example, those caused by diabetes parents).

The main reason is the absence of the rudiments of permanent teeth. They are still deposited intrauterine development, it is impossible to influence this process in any way. You can detect the absence of rudiments using a conventional x-ray. Therefore, if the doctor prescribes this examination, it is impossible to refuse it in any case: the harm from the procedure is much less than from possible diseases, which cause a delay in the change of teeth. To find out in such a situation in time is the main task. After all, hidden ailments can affect not only the bite and self-esteem of the child, but also his health in general.

When the absence of buds is detected, children are usually given braces to maintain the correct development of the jaws. Further, the problem can be solved only by prosthetics. It is carried out not earlier than the age of 18, when the formation of the jaw bones is completed.

Why is the change happening late?

Sometimes a different situation occurs: milk teeth are in no hurry to fall out, and new ones are in no hurry to replace them. If at the age of 7 years the child does not begin the process of replacing milk teeth with permanent ones, we can talk about late eruption. What reasons can cause it?

  • hereditary predisposition. Sometimes this delay is caused precisely genetically. If it took place among relatives, then the child will most likely be found. There is no pathology in this.
  • Lack of calcium in the body. Because of this, there are not enough resources for the formation of dental tissues. During the shift, it is especially important to ensure that the diet of children is varied and balanced. It is necessary that it contains enough foods that contain calcium and promote its absorption.
  • Launched caries. This disease can move from a milk tooth to a permanent one, causing a delay in its development. In addition, most often a new one grows not only later, but also curved.
  • Frequent stress, weakening the nervous and immune system child.
  • A small load on the gums and jaws (soft food), in which the body decides that there is no need for new teeth yet.
  • Infectious diseases. In this case, the solution to the problem will be, first of all, strengthening the immunity of the child. This may take up to six months. When the situation improves, the body will be able to cope on its own, and new teeth, although later than expected, will still appear. They have every chance to grow strong and healthy.

How to avoid possible problems?

In many cases, problems with delayed teething or malocclusion in a child can be avoided by taking the right measures. First of all, these are the following aspects of caring for the health of the child.

  • Proper oral care. Children during this period must brush their teeth at least twice a day, with frequent use of sweets, use liquids to rinse the mouth. It is better if this happens under the supervision of adults, as children tend to shirk hygiene procedures due to banal childish laziness.
  • Mandatory full sanitation of the oral cavity. If the child has caries, periodontal disease or other dental problems, they must be addressed in a timely manner, because in the future this will affect the timing and quality of eruption. also in timely treatment need tonsillitis, stomatitis and other diseases in which the microflora of the oral cavity is disturbed.
  • Maximum preservation of milk teeth. Thoughtless removal of them at the slightest sign of caries leads to a decrease in the size of the jaw, and it should, on the contrary, grow during this period. Hence - the wrong bite and the need for orthopedic correction.
  • Proper nutrition. Be sure to include in the diet of solid foods (meat, fresh fruits and vegetables, nuts), creating a sufficient jaw load. The abundance of products with calcium content will help the teeth to form in due time, grow strong and strong.
  • Timely examinations to identify possible problems with health (infections, metabolic disorders).
  • Timely treatment received jaw injuries.

By the way, the formation of a bite should begin even during the growth of milk teeth. The first thing parents need to do is wean their child off the pacifier. Otherwise, the jaws will be forced to work incorrectly, and the teeth will grow at the wrong angle. This is not only ugly, but also fraught with other problems. For example, improper chewing of food can provoke diseases of the stomach or intestines.

If your child has a delay in the change of milk teeth, you need to provide him with maximum psychological support. Explain that his problem can be solved, that for this it is very important to follow all the doctor's instructions, then everything will work out soon. Otherwise, the child is provided with new experiences. And the extra stress will only exacerbate the problem.

Straight, strong, beautiful teeth with the right bite are not just aesthetically pleasing. This, among other things, is a guarantee that the food will be properly prepared for further digestion. And from here - the prevention of many troubles associated specifically with digestion. In addition, dental diseases can provoke chronic diseases nasopharynx (since pathogenic microflora constantly develops in the oral cavity), inflammation of nearby lymph nodes, etc.

The tips given here will help parents provide their child not only with a timely change of teeth and a beautiful smile, but also with the correct bite, digestive health, respiratory systems. And proper oral hygiene habits will help keep them healthy.