The child’s first visit is important for several reasons. In many instances, it is the child’s first experience with dentistry; in some cases, the child has had a previous unpleasant experience. Emergency problems will be dealt with first; if your child is in pain we will do our best to alleviate it. If there are no emergencies, we will examine your child’s mouth (lips, cheeks, tongue, floor of the mouth, tonsil area, hard and soft palate), check the growth and development of the head, check the teeth and gums. The child will receive a thorough cleaning, topical fluoride treatment and we will take such x-ray films as are necessary.
Children’s teeth begin forming before birth. Your child may begin erupting teeth as early as four months old. The first baby teeth to erupt are usually the lower front teeth (central incisors). Next you will probably see the upper front teeth. Your child will most likely have all twenty primary teeth by age three. Please keep in mind the pace and order of tooth eruption varies.
Most adults have 28 permanent teeth, or up to 32. This depends on the development of the jaw bones to make room for wisdom teeth (third molars) to fully erupt and be useful. Often, as wisdom teeth try to erupt, they create crowding because the jaw bones are not large enough to accommodate them. This may lead to positioning problems when your child is older. To prevent avoidable orthodontic problems, Dr. Sonia Giordano may recommend early removal of wisdom teeth.