All about eruption of milk teeth.Than to help the child?
The timing of the eruption of the first teeth in a baby can vary slightly.They depend on a number of factors, including heredity( genetics), the region of residence( climatic conditions), peculiarities of pregnancy in the mother, the quality and nature of nutrition, etc. It is believed that the warmer the climate, the sooner the teeth appear, but thisNot an axiom.The general health of the child is of great importance;Due to the diseases transferred at an early age, the terms can "move back".
Note : sometimes a child can already be born with a few teeth, but such cases are extremely rare.Table of contents: Signs of teething in infants Terms and pattern of teething in children What should parents do when a child's teeth are cut?
Signs of teething in infants
What signs can suggest that the baby starts to cut teeth?In the first place - this is restless behavior and sleep disturbance, associated with the discomfort experienced by the child.Often there is a worsening of appetite.It is characteristic that children can refuse to eat during the day, but demand breast at night.
A specific symptom of teething is the biting of the maternal breast and the urge to pull everything into the mouth - thus, the child tries to reduce the itching in the gums.If you look into the baby's mouth, you can find that the gums are red and swollen.In place of the future tooth, a whitish ball is often noticeable.It means that before the appearance of the tooth edge, it did not last very long.
Elevated temperature during teething in children is noted quite often.The first sign is reddened cheeks.A baby can be sluggish at the same time, because he feels a general malaise.It is necessary to put a thermometer to the child and determine whether it is necessary to give an antipyretic.Elevated temperature is a secondary symptom, i.e., not due to the process of tooth appearance itself.Hyperthermia is the body's response to local inflammation.
Diarrhea with teething is also not something out of the ordinary.Diarrhea is caused by a general malaise, the direct consequence of which is the temporary dysfunction of the digestive tract.In addition, the diet is often disrupted by the deterioration( or complete absence) of appetite, and the baby's body is very sensitive to such failures. Important: , when diarrhea occurs, it is absolutely necessary to consult a pediatrician, since this symptom can be accompanied by a number of very serious diseases!In any case, diarrhea is accompanied by more or less pronounced dehydration( loss of fluid), so it is very important to monitor the drinking regime of the child.
It is important to remember that diarrhea and hyperthermia rarely last more than 3 days.If the symptoms persist longer, then, apparently, it's not at all in the teeth.
Often the appearance of teeth accompanies the symptoms of colds.This is due to a decrease in local immunity in the nasopharynx.
Note: should not interfere with the natural course of events and apply "grandmother's methods", such as additional irritation of the gums with a piece of sugar, a spoon handle or bread crust.The passage of the tooth through the bone tissue of the jaw will not accelerate this in any way.The only thing you can achieve in this way is infection in a very sensitive mucosa.In addition, the trauma and the tooth itself can not be ruled out, the solid tissues of which have not yet completely formed.
Timing and pattern of teething in children
Normally, a person's teeth change only once in a lifetime.More precisely - 20 dairy changes to 20 permanent, and the remaining 12 appear only in a permanent bite.A variant of the norm is the absence of third molars, i.e. "eights" or "wisdom teeth".In this case, the adult person in the mouth is not 32, but 28 units.
Note: describes the occurrence of third generation of teeth in people of very venerable age( 90 years and older).
As a rule, the lower central incisors appear first in the baby.This happens at the age of six months, or - 2, or even 3 months later.
Then, at 7-10 months of age, their antagonists erupt, that is, the central upper incisors.
Then comes the turn of the lateral upper and lower incisors, which appear in the majority of 9-10 months, but can erupt and closer to the first birthday, i.e., in a year.
Chewing( the first radical) teeth appear on the upper jaw in a year and a half, and on the bottom - in the interval from 13 to 19 months.
The canines at the top erupt in 16-20 months, and below - at 17-22.
Then in the second to third months the second lower chewing teeth come, and the second upper molars appear last - in 2-3 years.
All terms are some average "average".In modern children, the eruption of the first teeth increasingly begins closer to 8 months.There is an opinion that the later the first tooth appeared, the later the dairy changes to permanent ones.However, direct dependence is not yet revealed, except for cases when it is a general delay in physical development.
Important : until the year the child should have at least one tooth.If this does not happen, you need to undergo a checkup for possible diseases such as rickets( due to ASV15ASD D and calcium deficiency), hypothyroidism( thyroid dysfunction).
In most cases, the teeth of one group are cut in pairs( possibly with a slight lag).There are often cases when 4 teeth appear immediately - for example, incisors immediately on the upper and lower jaw.In such cases, a marked deterioration in the general condition of the crumb is sometimes observed.
The order of dentition may vary slightly.This should not be a cause for concern, there are many options for the norm in this case.
Normally, a baby's bite is fully formed by the age of three.
Note : it is believed that teeth that have erupted with some delay will be healthier, since they will have time to get more minerals while still in the thickness of the jaw.In fact, this is absolutely wrong.Early appearance of teeth does not mean that their enamel will be less strong - it is important to consider such a thing as acceleration.
After all the milk teeth are cut, the intervals between them are often absent, which is perfectly normal.Tremmas and diastemes begin to form on average from the age of 4, when the child's jawbones begin active growth.If such gaps do not form, it threatens that permanent teeth will be crooked, since there will not be enough space for them in the jaw.If the teeth of the permanent bite are uneven( "crowded"), the process of chopping food in the mouth is difficult, which in turn often causes diseases of the organs of the digestive tract.Uneven rows require correction;A child usually needs long-term treatment with an orthodontist.
What should parents do when a child's teeth are cut?
Note: if the teeth for some reason did not appear in the "usual" time - do not rush to sound the alarm.If there is a significant delay due to the presence of common diseases, it will be necessary to eliminate the cause, but in any case, one should not worry ahead of time.
Preparations for teething in a child
Can sedatives be used?Yes, it is possible and necessary!The drugs recommended for babies are certified, and only in exceptional cases( in allergic children) can the development of side effects develop.
Gels "for teething" do not accelerate the process, but have a local anesthetic effect due to the anesthetic - lidocaine included in their composition.In addition, such topical agents contain menthol, which provides cooling to the gums, as well as tasty fillers.
Before starting any medication, consult a pediatrician beforehand.
For toddlers the following tools are recommended:
If you are allergic to lidocaine, you may be advised to use Dr. Baby's drug.
Special paste for the treatment of the oral mucosa Solcoseryl accelerates the healing process of soft tissues.It is indicated if the child has painful sores on the gums.
The use of pain-reducing gels with teething does not require a certain pattern;Use them as necessary, that is, when the baby becomes particularly restless.In this case, it is important not to get involved: it is undesirable to apply drugs on the gums more often 4 times a day.Do not use gels for more than 3-4 consecutive days, because the child may develop drug addiction and the effectiveness of the drug will decrease.
Body temperature rise with teething does not require the use of antipyretic agents.Remember that the teeth do not give a temperature of 39˚-40˚С.
Significant hyperthermia, as well as vomiting, total refusal of food, cramps and suffocation are formidable symptoms that should never be attributed to the appearance of the first teeth.If the baby develops such clinical signs - immediately call a doctor, and do not try to deal with them yourself.
Important question related to teething - vaccination with "climbing" teeth.
Massage for teething in a baby
No drug will accelerate the appearance of the tooth.The only more or less effective means to accelerate the process is a gentle massage of the baby's gums in the area where the tooth should be cut.Mom can do this with a finger.It is important to wash your hands thoroughly with hot water and soap before each similar procedure.Avoid excessive pressure on soft tissue to avoid injury.
The baby can be given a sterilized slightly cooled pacifier.Currently, there are also special devices for sale - teethers with a cooling liquid.
During the teething period, the child may have an unpleasant sour smell from his mouth.Usually it is not very pronounced.The appearance of an unusual smell is due to the decomposition of saliva present in the wound.This should not cause parents special anxiety, but nevertheless it is not out of place to consult a pediatrician.Unpleasant odor is often one of the symptoms of some diseases of the organs of the gastrointestinal tract.
Some possible deviations
A very wide gap can form between the central upper incisors.In most cases, such a deviation is due to the deep location of the special strand - the frenulum.On the recommendation of the orthodontist, the frenum correction may subsequently be required surgically.
The edging on the neck of the tooth( very dark shade) is often a sign of chronic inflammation.
Yellowish or brown staining of the enamel is a pathology known as "tetracycline teeth".It is related to the fact that the mother of the child was taking antibiotics of the tetracycline group during pregnancy.
Yellowish-greenish shade indicates either pathological destruction of red blood cells( erythrocytes), or a serious disturbance of bilirubin metabolism.
The reddish shade may indicate the presence of a severe congenital disease - porphyria.
An abnormal bite( in particular - an open bite) is often formed due to the fact that the baby can not be taught to loosen from a pacifier for a long time.
Teeth congestion can be caused by the small size of the jaw bones.
Other location anomalies result from injuries and metabolic disorders.
If the tooth( or the whole group) stubbornly does not want to appear, it is necessary to see a doctor and perform an x-ray examination of the jaw.In rare cases, there may be an adentia, i.e. a complete absence of dental rudiments.
If you have any questions about dentition in infants, we recommend you watch this program:
Plisov Vladimir, dentist