Dečija i Preventivna Stomatologija Belgrade City Dental

Pediatric and Preventive Dentistry

The first teeth that grow in children are called baby teeth (primary teeth). They begin to emerge when a baby is around 6 months old, and the teething process continues until the age of three. However, every child is different — in some children the first teeth appear before the sixth month, while in others they may not appear until around one year of age. During the first three years, children grow a total of 20 baby teeth.

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In what order do teeth grow in children?

Babies typically get their two lower central incisors first. After some time, the upper incisors begin to come in — four of them — and by one year of age, babies usually have six teeth. A few months later, the remaining teeth start coming in one by one. When the first molars appear, there is a pause in teething, and around the middle of the second year the canines emerge. By the middle of the third year, the remaining molars come through. Of course, every baby is different, so the order in which the teeth grow can vary.

A child's first teeth should be cleaned morning and evening using a damp gauze pad or a special baby toothbrush. Regular use of a toothbrush and children's fluoride toothpaste is recommended from the age of two. Along with maintaining regular oral hygiene, attention should also be paid to treating baby teeth when needed.

Treatment of Baby Teeth

Baby teeth should be treated to prevent the development of chronic infections, to address dental anxiety in children before it takes hold, and to ensure proper digestive function. Considering that the buds of permanent teeth lie beneath the baby teeth, and that baby teeth hold space for the permanent ones, treating baby teeth will not compromise the development of your child's permanent dentition.

A child's first visit to the dentist is extremely important. Children are not born with a fear of dentists — it is something they develop over time — so the first visit should be a positive and pleasant experience. From the moment a child's first baby teeth appear until the age of three is the ideal time for a first dental visit. The dentist will guide you on how to properly maintain oral hygiene and advise on preventive measures. Dental and gum health, oral cavity assessment, jaw development evaluation, and bite check-up are the cornerstones of the first dental examination.

Baby Teeth and Tooth Decay

Tooth decay develops quickly and easily on baby teeth because children's tooth enamel is thin. The sooner you spot decay, the sooner you can help your child — untreated teeth can lead to serious infections or result in tooth extraction.

In babies and young children, the most common form is circular (rampant) decay, better known as baby bottle tooth decay syndrome. It most commonly appears on the upper front teeth and is caused by frequent consumption of sweet liquids from a bottle. If a child falls asleep with a bottle of milk, sweetened water, or juice, the sugars from the liquid begin to settle on the teeth while the child sleeps. Bacteria convert the sugar into acid, which leads to the formation of cavities. Dark spots on the front teeth are a telltale sign of circular decay in children.

To prevent baby bottle tooth decay, avoid giving your child liquids that contain sugar, maintain your child's oral hygiene regularly, do not put them to sleep with sweetened drinks, and visit the dentist regularly.

It is recommended to attend check-up appointments twice a year so that the dentist can detect even the smallest changes. This way, potential problems can be avoided and early loss of baby teeth can be prevented.

Fissure Sealing

An effective method for protecting baby teeth is fissure sealing. It is most commonly used as a preventive measure on the back baby teeth — the first and second primary molars. A fissure is a groove or pit on the tooth surface where bacterial plaque forms and food gets trapped. Fissure sealing is a painless procedure that takes only five minutes. It creates a barrier against harmful external factors and is recommended for both baby and permanent teeth. Sealing a tooth once does not mean it will be permanently resistant to decay, so teeth should still be checked regularly.

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For your child to feel comfortable with the dentist, you need to encourage them and explain that the "tooth doctor" is nothing to be afraid of — so, dear parents, don't hesitate to contact us. We are here to help take care of your children's dental health.