Parents, and even older children, can become concerned about tooth development. Wondering when teeth should erupt, and being concerned when the teeth do not appear on schedule, is common. First, you need to remember that each individual is different. Guidelines are just guidelines, but Drs. Cartsos and Zavras and our team at Convivial Dental thought we would pass on this information to help you.

Primary teeth

Children normally have 20 primary or baby teeth. The first two to appear are usually the lower central incisors between six to ten months of age. These fall out between five and seven years of age.

• Two upper central incisors – eight to 12 months
• Two upper lateral incisors – nine to 13 months
• Two upper cuspids or canines – 16 to 22 months
• Two upper first molars – 13 to 19 months
• Two upper second molars – 25 to 33 months
• Two lower lateral incisors – ten to 16 months
• Two lower cuspids or canines – 17 to 23 months
• Two lower first molars – 14 to 18 months
• Two lower second molars – 13 to 31 months

As you can see, all the primary teeth normally have erupted before three years of age, but the timeline can vary by four to six months. Except for the lower central incisors and second molars, upper teeth tend to appear before lower teeth.

Permanent or adult teeth

Adults normally have 32 permanent teeth. However, four of these are wisdom teeth or third molars, which are often removed.

• Two upper central incisors – seven to eight years
• Two upper lateral incisors – eight to nine years
• Two upper cuspids or canines – 11 to 12 years
• Two upper first premolars or bicuspids – ten to 11 years
• Two upper second premolars or bicuspids – ten to 12 years
• Two upper first molars – six to seven years
• Two upper second molars – 12 to 13 years
• Two upper third molars or wisdom teeth – 17 to 21 years
• Two lower central incisors – six to seven years
• Two lower lateral incisors – seven to eight years
• Two lower cuspids or canines – nine to ten years
• Two lower first premolars or bicuspids – ten to 12 years
• Two lower second premolars or bicuspids – 11 to 12 years
• Two lower first molars – six to seven years
• Two lower second molars – 11 to 13 years
• Two lower third molars or wisdom teeth – 17 to 21 years

Please discuss any of your dental concerns during your visit with Drs. Cartsos and Zavras. If there is a problem with tooth development, the earlier we address it, the better the outcome. We specialize in pediatric dentistry and look forward to helping you and your child with all your dental needs. To learn more about tooth eruption, or to schedule an appointment with Drs. Cartsos and Zavras, please give us a call at our convenient Chestnut Hill, Massachusetts office!

At Convivial Dental, there are a few things we want to remind you of when you're on vacation, so that a day with friends and family won’t be spent dealing with an orthodontic emergency. Firstly, we are here for you whether you are in town or out of town on vacation. Give us a call and we may be able to address the problem over the phone. Second, if we are unable to help you fix the problem over the phone, we will help you find an orthodontic practice in your vacation area that can help you.

If you experience problems reaching our office, we suggest going online and searching for orthodontic practices in your area. Most orthodontists will lend a helping hand to another orthodontic patient and get them out of pain or discomfort.

If you have braces, whether they are metal, ceramic, or lingual, Drs. Cartsos and Zavras and our team suggest steering clear of the following foods to avoid broken brackets and/or wire distortion while you are on vacation:

• Chewy, sticky, or gummy food
• Apples, pears and other whole fruits (cut fruit into thin wedges before consuming)
• Bagels and hard rolls
• Bubble gum
• Corn on the cob
• Hard candies
• Hard cookies
• Pretzels
• All varieties of nuts, including peanuts, almonds, and cashews

Finally, if you have clear aligners and you lose your tray, don’t worry! Simply put in either the previous tray or the next tray and contact us as soon as you get home!

Follow these tips and you can have a worry-free vacation!

Concerned parents often ask Drs. Cartsos and Zavras about which kinds of snacks are best for a child's teeth. While most know that candy isn't always the best choice, many parents are confused about which kinds of after-school snacks can actually be beneficial for teeth. Left to their own devices, children might pick the sugary snack that comes in colorful packaging. There are, however, choices that are much better for your child's teeth.

Go Natural

The foods that are best for your children's teeth are also the best for their overall health. Choosing whole foods, such as fruits and vegetables, is always the best option for snacks. Try sticks of celery and let your kids dip it into all-natural peanut butter, or a juicy and crunchy apple cut into wedges.

Lean Proteins

Lean protein, such as chicken breast, fish, turkey, and lean cuts of pork also make good snacking options. For the best overall health, avoid giving your child a lot of lunch meats, because such products are often higher in sodium. However, these proteins are also low in sugar, which is always a preferable choice when it comes to teeth.

Avoid Packaged Foods

Sugars are unhealthy partly because they stick more readily to the surface of the teeth. Even foods that appear to be healthy, such as many brands of granola bars, can in fact be loaded with hidden sugars. Sugar can also be found in higher concentrations in dried fruit, honey, and syrups. The rule is that if a foodstuff has been altered in any way from its original state then there are perhaps better choices.

Beverages

Drinks are another murky area. Parents often presume that fruit juices are an acceptable beverage when in reality many of them are loaded with excessive sugar as well. The best beverages for your child's teeth are water and low-fat milk. Milk has the added benefit of containing calcium, which is highly beneficial for the bone structure that supports the teeth.

An apple a day might keep the doctor away, but it is also a great snack to keep teeth healthy. The next time your children are looking for an after-school snack, guide them toward healthier, low-sugar options that are beneficial to their overall health and their teeth.

As we start our summer, our team at Convivial Dental wants to remind our patients who have completed treatment that it is very important to wear your retainer as prescribed even while away for vacations and summer camps.

If you are away from home and only wearing your retainer at night, here is a helpful tip: after removing and brushing your retainer in the morning, place it back in the case and then put it with your PJ’s or on your pillow. That way you have a reminder to put your retainer back in at night.

Remember, retainers should be worn every night, not just some nights.

We wish you safe travels and adventures this summer!