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P u r v i V. S h a h MS Nutrition, DDS, Pediatric Dentist Diplomate, American Board of Pediatric Dentistry |
| 361 Village Square Lane, Suite 100, Castle Rock, CO 80108 |
| (303) 663 3388 |
| Send mail to webmaster@pediatricdenticare.com with comments about this website Copyright © 2006 pediatric denticare, p.c. |
Dr. Shah provides dental care for the children of Douglas County, Arapahoe County, Jefferson County and the
Greater Denver Metro Area. Children from many areas surrounding Castle Rock, Colorado come to Dr. Shah's
practice, including Castle Pines, Centennial, Cherry Hills Village, Denver, Elizabeth, Englewood, Franktown,
Greenwood Village, Highlands Ranch, Larkspur, Littleton, Lone Tree, Monument, Parker and Sedalia.
Dr. Shah also provides pediatric dental care for children in her practice at The Children's Hospital, Denver, The Sky
Ridge Medical Center in Lone Tree, Colorado and at the Medical Center of Aurora.
Greater Denver Metro Area. Children from many areas surrounding Castle Rock, Colorado come to Dr. Shah's
practice, including Castle Pines, Centennial, Cherry Hills Village, Denver, Elizabeth, Englewood, Franktown,
Greenwood Village, Highlands Ranch, Larkspur, Littleton, Lone Tree, Monument, Parker and Sedalia.
Dr. Shah also provides pediatric dental care for children in her practice at The Children's Hospital, Denver, The Sky
Ridge Medical Center in Lone Tree, Colorado and at the Medical Center of Aurora.
| Primary Teeth (Baby Teeth) |
| The sequence of appearance of the permanent teeth |
As each of the primary teeth is lost naturally, it is replaced by a permanent tooth. Heredity
plays a major role in determining the schedule. The figure above presents the typical case.
Permanent central incisors (1): 5 to 9 years of age
Permanent lateral incisors (2): 6 to 10 years of age
Permanent canine teeth (3): 8.5 to 14 years of age
First premolars (or bicuspids) (4): 9 to 14 years of age
Second premolars (or bicuspids) (5): 10 to 15 years of age
Permanent first molars (6): 5 to 8 years of age
Permanent second molars (7): 10 to 15 years of age
Third molars (8): 17 to 25 years of age
plays a major role in determining the schedule. The figure above presents the typical case.
Permanent central incisors (1): 5 to 9 years of age
Permanent lateral incisors (2): 6 to 10 years of age
Permanent canine teeth (3): 8.5 to 14 years of age
First premolars (or bicuspids) (4): 9 to 14 years of age
Second premolars (or bicuspids) (5): 10 to 15 years of age
Permanent first molars (6): 5 to 8 years of age
Permanent second molars (7): 10 to 15 years of age
Third molars (8): 17 to 25 years of age
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The primary teeth begin their
development when the fetus is five
weeks old, but do not appear in the
mouth until the lower central incisors
erupt at approximately six months of
age. The normal ages of eruption vary
greatly from child to child, although the
sequence in which the teeth erupt
does not.
For example, the lower central incisors
may appear as early as two months of
age or as late as 12 months.
Occasionally a lower incisor may be in
place at birth.
The primary teeth are of major
importance to the child's appearance,
chewing ability and eventual health of
their permanent teeth!
development when the fetus is five
weeks old, but do not appear in the
mouth until the lower central incisors
erupt at approximately six months of
age. The normal ages of eruption vary
greatly from child to child, although the
sequence in which the teeth erupt
does not.
For example, the lower central incisors
may appear as early as two months of
age or as late as 12 months.
Occasionally a lower incisor may be in
place at birth.
The primary teeth are of major
importance to the child's appearance,
chewing ability and eventual health of
their permanent teeth!
| The Sequence of Appearance of the Primary Teeth |
Every child should have 20 primary teeth, four each of the five kinds. All 20 of the primary
teeth are usually in place by the time the child is three years old. They generally appear as
follows (See the figure above):
Primary central incisors (a): 4 to 14 months of age
Primary lateral incisors (b): 8 to 18 months of age
Primary canine teeth (c): 14 to 24 months of age
Primary first molars (d): 10 to 24 months of age
Primary second molars (e): 20 to 26 months of age
teeth are usually in place by the time the child is three years old. They generally appear as
follows (See the figure above):
Primary central incisors (a): 4 to 14 months of age
Primary lateral incisors (b): 8 to 18 months of age
Primary canine teeth (c): 14 to 24 months of age
Primary first molars (d): 10 to 24 months of age
Primary second molars (e): 20 to 26 months of age
Ideally, although not always, the first
permanent molars are the first of the
permanent teeth to appear. Often
mistaken by parents for primary teeth,
these teeth, frequently called the
"six-year molars", may emerge as
early as four years of age or as late as
late as nine and a half years. They
appear behind the second primary
molars; they do not replace them.
At about the same time that these
molars are erupting, the lower primary
incisors are loosening, in preparation
for their loss and replacement by the
lower permanent incisors.
Pay special attention to maintaining
the health of the four first permanent
molars, which because of their large
size and location in the mouth are of
major importance to your child's
chewing ability and critical to the
development of the face and the jaws
permanent molars are the first of the
permanent teeth to appear. Often
mistaken by parents for primary teeth,
these teeth, frequently called the
"six-year molars", may emerge as
early as four years of age or as late as
late as nine and a half years. They
appear behind the second primary
molars; they do not replace them.
At about the same time that these
molars are erupting, the lower primary
incisors are loosening, in preparation
for their loss and replacement by the
lower permanent incisors.
Pay special attention to maintaining
the health of the four first permanent
molars, which because of their large
size and location in the mouth are of
major importance to your child's
chewing ability and critical to the
development of the face and the jaws
| Permanent Teeth |
Healthy gums are essential for healthy growth and development of teeth and continued oral health. An effective
program of preventive dental care is the best assurance that your child will have a lifetime of excellent oral health!
Gum (periodontal) disease can be prevented by taking the most important step of cleaning your child's teeth daily.
The first stage of gum disease, called gingivitis, occurs in almost all children, so you should not assume that gum
disease cannot occur in your child. Regular visits to our clinic is helpful in controlling gingivitis.
Dr. Shah can show you how to prevent gum disease by teaching both you and your child on how to brush and floss
your child's teeth. Brushing does only half the job, flossing completes it. Your child should not be expected to master
these skills before they are eight years old. They will need your help to clean their teeth properly.
program of preventive dental care is the best assurance that your child will have a lifetime of excellent oral health!
Gum (periodontal) disease can be prevented by taking the most important step of cleaning your child's teeth daily.
The first stage of gum disease, called gingivitis, occurs in almost all children, so you should not assume that gum
disease cannot occur in your child. Regular visits to our clinic is helpful in controlling gingivitis.
Dr. Shah can show you how to prevent gum disease by teaching both you and your child on how to brush and floss
your child's teeth. Brushing does only half the job, flossing completes it. Your child should not be expected to master
these skills before they are eight years old. They will need your help to clean their teeth properly.
| Healthy Gums |
What is Gum Disease?
Gum disease starts as a simple
inflammation, and if neglected, can
eventually destroy the bone that
supports the teeth in the jaws.
Don't be misled. Although infection is
present, there is seldom any pain.
Gum disease starts as a simple
inflammation, and if neglected, can
eventually destroy the bone that
supports the teeth in the jaws.
Don't be misled. Although infection is
present, there is seldom any pain.
Cause of Gum Disease
Gum disease is caused by plaque, a
thin, sticky film that forms daily on the
teeth. If it is not removed by daily
brushing and flossing, food particles
and many kinds of bacteria mixed with
plaque will cause gum disease.
Gum disease is caused by plaque, a
thin, sticky film that forms daily on the
teeth. If it is not removed by daily
brushing and flossing, food particles
and many kinds of bacteria mixed with
plaque will cause gum disease.
Signs of Gum Disease
In the first stage of gum disease,
inflammation and some bleeding of the
gums occur. An advanced form of gum
disease is periodontitis, which to the
eye resembles gingivitis, except that
some loss of the bone has occurred.
Bone loss in this stage can be
detected only with the help of an X-ray.
In the first stage of gum disease,
inflammation and some bleeding of the
gums occur. An advanced form of gum
disease is periodontitis, which to the
eye resembles gingivitis, except that
some loss of the bone has occurred.
Bone loss in this stage can be
detected only with the help of an X-ray.
Plaque is more easily formed and stubbornly retained in the conditions and circumstances listed below:
- Emergence (eruption) of the teeth.
- Mouth breathing causes gum tissue to become abnormally dry and easily irritated.
- Crooked teeth (maloccllusion).
- Oral habits, such as thubmsucking.
- Improper brushing habits.
- Diseases, such as chicken pox, herpes and canker sores. These diseases are, in part, associated with
gingivitis because they are painful, particularly when the teeth are brushed. - Some medications. Always inform us of any medications your child may be taking.
Your child's diet is very important in maintaining the healthy condition of their teeth and gums. Teeth and gums
require the same adequate nutrition needed by the rest of the body to stay healthy. Food that cannot be removed
by the saliva and the mouth's normal cleaning actions should be avoided, unless the teeth are brushed immediately.
require the same adequate nutrition needed by the rest of the body to stay healthy. Food that cannot be removed
by the saliva and the mouth's normal cleaning actions should be avoided, unless the teeth are brushed immediately.
| Common Conditions that can Cause Plaque to Form |
| The Importance of Proper Diet |