Molar teeth are climbing in a child 2. The order and symptoms of eruption of molars in children: changing a milk bite to a permanent one

When teething molars, children rarely endure this process painlessly. In most cases, an erupting molar causes a child a lot of trouble and discomfort. This article will tell about how many years the molars climb, as well as what order is observed in this case.

The first molars may erupt at different times. According to experts, molars grow from the age of six months in children. At the same time, they will be dairy, and not permanent (closer to seven years, they will fall out and be replaced by permanent ones).

The timing of the eruption of permanent teeth can be quite different, because it often happens that a baby, even at nine months, does not yet have a single molar. Dentists define this period of delay in the growth of molars in children as normal and justify this phenomenon by purely physiological characteristics of the growing organism.

Girls cut molars a little faster than boys. Rarely delays the eruption of permanent teeth in children such an anomaly as adentia. It can be identified by a pediatric dentist using x-rays. Fortunately, this disease is rare.

Differences between dairy and permanent

Despite the fact that permanent and milk teeth have the same physiological structure, they have a number of significant differences:

Root molars are denser and have a greater opportunity for mineralization. They are also larger in size. Moreover, their length is greater than the width.
Milk molars have a whiter shade of enamel. Permanent ones are usually light yellow in color.
The root of milk molars is always thinner and shorter than that of permanent ones.

Symptoms and signs of eruption

Molar teeth in children, the symptoms of which can develop even a couple of weeks before eruption, can develop at different ages. Traditionally, molars are cut along with the following characteristic signs:

Growth order

The sequence of appearance of root molars is as follows:

Molars erupt first in children.
The central incisors appear second.
Next, lateral incisors appear.
The fangs erupt for a long time.
The penultimate teeth are the second molars and the last are the third molars.

Molars do not always erupt in this sequence. Often this is violated. Dentists do not characterize this phenomenon as a pathology.

The timing of the eruption of permanent molars, as well as their symptoms, is rather blurred. Thus, for example, from five to eight years old, children may develop lower incisors, and from eleven to thirteen years old, upper canines.

Frequent problems

There are the following dental problems that may occur in children with molars:

If even a small piece has broken off, then you need to immediately carry out a correction. Otherwise, the tooth may start to hurt or further collapse. That is why, with the help of a specialist, it is necessary to completely restore the enamel, and, if necessary, install a permanent filling.

It is strictly forbidden to try to loosen, let alone pull out a tooth, on your own. This task is best handled by a dentist who can completely eliminate the observed problem and protect the child from infection. The same prohibition also applies to the independent fight against gum bleeding without medical supervision.

Molar teeth in children, the order of eruption of which is usually the same, require constant medical supervision, because only with a timely identified problem, a specialist will be able to solve it. Otherwise, in the future, the child may suffer from malocclusion and other dental problems.

1. It is important to carefully and regularly care for the oral cavity. At the same time, it is necessary not only to clean the enamel, but also the tongue. Moreover, it is very useful to use special rinsing antibacterial and anti-inflammatory mouthwashes. If the baby does not take good care of his teeth, then this can lead to stomatitis, extensive caries or progressive pulpitis.
2. To strengthen the enamel, it is useful to use special fluoride-containing creams. It is desirable that they are selected by the observing dentist for each child individually.
3. For the prevention of diseases, it is allowed to use a paste with fluorine and calcium.
4. For a general strengthening of the enamel, it is necessary to enrich the child's diet with useful substances and vitamins. It is especially recommended to give children fermented milk products and cottage cheese, which are rich in calcium.
5. Limit the consumption of sweets and foods containing starch as much as possible, since these substances contribute to the destruction of enamel.
6. You should give your child foods with coarse fiber more often, since it cleans the enamel no worse than a regular brush.

It is important for parents to treat the child's teeth carefully, and if they begin to stagger or appear in him, you should immediately contact the dentist. Otherwise, the tooth may begin to hurt, collapse and affect the adjacent healthy enamel.

An adult normally has 28-32 permanent teeth. During life, 20 teeth change once (during the eruption of permanent teeth, temporary (milk) teeth fall out, and the remaining 8-12 teeth do not change, they erupt initially permanent.

Many parents believe that the very first permanent teeth are the lower central incisors after the deciduous central incisors fall out. But it's not. The very first permanent teeth appear a few months before the first tooth falls out - these are the first molars (“sixth teeth” or “sixes”). Therefore, even if your baby has not yet lost a single milk tooth at the age of 6-7 years, this does not mean at all that he no longer has permanent teeth.

There is a special order of eruption and paired eruption of permanent teeth. Eruption pairing means that the teeth of the same name on each half of the jaw erupt simultaneously, for example, 2 lower central incisors.

Teething occurs in a certain sequence, which ensures the formation of the correct bite, and the average terms for the eruption of each tooth are established, taking into account their small natural deviations in one direction or another. And only sharp deviations from the natural timing of teething are considered by the doctor as an anomaly, reflecting the general condition of the child's body, as well as the presence of possible pathological processes.

Sequence of eruption of permanent teeth

The first molars ("sixth teeth") - appear behind the second primary molar immediately permanent at 6-7 years.
Central incisors - replace the fallen central milk incisors.
Lateral incisors - replace the fallen out lateral milk incisors.
The first premolars ("fourth teeth") replace the first primary molars.
Fangs replace lost milk fangs
The second premolars ("fifth teeth") replace the second primary molars.
The second molars ("seventh teeth") appear immediately permanent at 11-13 years of age.
Third molars ("wisdom teeth") appear immediately permanent and can erupt any time after 16 years of age. In many people, wisdom teeth may be completely absent.

The lower teeth erupt earlier than the upper ones. Premolars are a frequent exception.

Molar teeth in children: timing and order of eruption, symptoms, how to help

When children are 5-6 years old, their milk teeth begin to be replaced by molars., and the order of eruption of permanent teeth and the symptoms that occur during this period are the same in almost all babies. However, there are still some differences, so you can and should prepare for such a difficult period.

How are permanent teeth different from milk teeth?

After a change in bite, the rules for caring for the oral cavity also change, since permanent and temporary teeth are very different from each other:

Indigenous are denser, they have a high degree of mineralization.
Milk teeth are much whiter than permanent teeth. The enamel of molars, canines or molars naturally has a light yellow tint.
The pulp (a bundle of nerve endings) in permanent teeth is more developed, because of this, the walls of hard tissue are much thinner.
In a young child, the dentition has a less developed root system; after a change in bite, it becomes more durable.
Even outwardly milk teeth are smaller. The jaw is not yet fully developed in babies, so the standard row on it simply would not fit.
More permanent teeth. In adolescence, sixes begin to form, which young children do not have.

At what age do molars begin to climb in children

Usually the first molars appear in children at the age of 5-6 years., but sometimes the milk lower incisors fall out in four-year-old babies or even in children younger. In pediatric dentistry, the exact timing of the change of the dentition is usually not indicated, since each child is individual. In some, the milk incisors begin to fall out immediately after the complete formation of a temporary bite, while others, even in grades 2–3, still do not have a single permanent tooth.

The last temporary molars are replaced at the age of 12–13 years. The period when the teeth of the six erupt in children does not begin at all until after 14 years. These premolars no longer have milk antecedents.

The order and timing of eruption of molars: table and diagram

First, the child's teeth change in the same way that they are cut in newborns. Only at the age of 14–15 will additional molars grow, which were not present with a temporary bite.

The table below shows the timing of eruption of permanent teeth in children. You should not rely exactly on the indicated age, the period of mixed dentition can pass much faster or drag out.

The age when teeth begin to grow in children may be different, but the order of eruption of permanent teeth is almost always the same as in the table. Only in rare cases does everything happen in a different sequence.

Scheme of eruption of permanent teeth in children:

Symptoms of teething

If you have the following signs, you should prepare for a change of bite:

Temperature during eruption of molars in children

Often the appearance of molars in children is accompanied by a temperature, but it should not rise above 38 °C and stay longer than four days. If the fever lasts longer than a few days, is accompanied by a runny nose (copious and opaque), dry and frequent cough, you need to show the baby to the pediatrician. Such symptoms indicate an infectious disease of the upper respiratory tract, which often develops during teething due to the increasing vulnerability of the body.

How to relieve unpleasant symptoms when teething molars

Toothache is an extremely unpleasant symptom even for an adult, not to mention kids. Teething is accompanied not only by discomfort, but also by general malaise, so it is better to know in advance at what age the molars in children climb and prepare for this period.

How to relieve symptoms:

What problems can arise during the period of changing teeth

There can be many problems when molars climb in children. The most common complications include:

Absence of permanent teeth.
The growth of a permanent tooth before the loss of a temporary one.
Pain in the molar.
Loss of a root tooth.

For each case, dentists have a solution, you just need to detect the problem in time and seek help. The last two phenomena occur due to low mineralization of hard tissue, and such anomalies appear regardless of how old the molars climb.

A new dentition is always very vulnerable in the first few weeks after formation. If little attention is paid to caring for the oral cavity, caries will quickly form on permanent incisors, canines and premolars. Physical impact on hard tissues during this period also leads to a lot of consequences.

Why does a molar tooth not grow for a long time after a baby tooth falls out?

As soon as a child's milk incisor, canine or molar fell out, it is usually already possible to feel the root on the gum. Even if this is not the case, then within a week it should appear. If there is no seal, then the baby tooth fell out too early. Many children loosen their teeth, sometimes the parents themselves take part in pulling them out.

In the worst case, a similar symptom may indicate adentia. Such a pathology is extremely rare, it is caused by a serious violation of mineralization even in prenatal age. Sometimes the disease appears already during life due to infectious diseases. The problem is easily solved by prosthetics.

Another reason for the violation can serve as a physiological delay in tissue growth. The eruption of all permanent teeth with such a pathology ends much later than usual. If the dentist finds a similar defect, he will advise to make a removable denture. If you do not take advice, permanent incisors and canines will grow crooked.

What is the danger of the growth of molars before the loss of milk

Usually, the growth of a molar tooth leads to loosening of the milk tooth, but there are exceptions. It is possible to understand that the bite is changing incorrectly if there are all the signs of eruption that were mentioned earlier, not accompanied by loosening of the milk incisors or canines.

Such a problem with the growth of a permanent tooth can lead to a number of problems:

How to take care of the oral cavity during the period of change of bite

It is necessary to teach the child to care for the oral cavity from an early age. By the period of change of bite, he should already be able to use a brush and paste. During the germination of molars, other recommendations must be observed:

It is better to use pastes with an increased amount of calcium and fluoride.
Make sure your child regularly uses antiseptic mouth rinses.
It is worth limiting the amount of sugar consumed by the child, as it leads to the development of caries. When the molars in children are just being cut and have not yet had time to get stronger, the disease can form in just a few weeks.
Include more fruits, vegetables, and dairy products in your diet. All of them have a positive effect on oral health.
Don't limit your child to hard food, it massages the gums and improves the growth of hard tissue.
Consult with your pediatrician and together with him select a complex with a high content of vitamin D, which improves the absorption of calcium.
Try to show your baby to the dentist for the first time no later than 3-4 years. When the first molars begin to erupt, the child should no longer be afraid of the dental office, since he will have to go to the specialist very often.

You should not let the health of your child's milk teeth take their course, and even more so, you should not ignore it when a permanent bite begins to form.

Molar teeth in children: myths and truth about teething and growth

Most mothers and fathers believe that molars are permanent teeth that replace the milk dentition.

In fact, molars are both temporary and permanent.

The first inhabitants in the oral cavity

Milk teeth are the first to erupt in a child, and their function is to chew and grind food. These are the back teeth, or as they are also called molars, growing at the end of the jaws. There are four of them above and below.

The first large (central) molars ("fours") or first molars first erupt from above, at the age of 13 to 19 months, then on the lower jaw at the age of 14 to 18 months.

The second large (lateral) teeth or second molars appear on the upper jaw at the age of 25 to 33 months, the lower ones erupt at the age of 23 to 31 months.

However, it must be remembered that any child is individual and a number of factors affect teething:

Therefore, you don’t really need to worry if the tooth erupted earlier or a little later than the due date. But it is worth paying attention to the order in which the teeth erupted and fell out, since there is still an approximate order in which the teeth appeared.

Signs of the appearance of molars

The eruption of molars in children is accompanied by unpleasant symptoms. As a rule, it is the first molars that give the child the most trouble.

He experiences pain, becomes capricious and irritable, sleeps poorly, refuses to eat, or vice versa often requires breasts.

The gum at the site of eruption swells and itches, the child tries to tighten everything into his mouth. A special teether can help the child during this period, as well as wiping the gums with a bandage dipped in cool water. As prescribed by the doctor, the gums can be lubricated with an analgesic gel.

Baby teethers

The process of molars eruption usually lasts 2 months, all this time the baby has increased salivation.

To avoid irritation of the skin of the chin, it must be constantly wiped and lubricated with a protective cream. The child may have a fever, loose stools, a runny nose, and a wet cough.

Moreover, the temperature can manifest itself not only during the eruption of the first molars of milk teeth, but also with the appearance of permanent molars, when the child is 9 to 12 years old.

At a high temperature, the doctor may prescribe antipyretic drugs based on Paracetamol or Ibuprofen to the child, which, moreover, will also eliminate the pain syndrome.

How permanent teeth erupt in children - timing and scheme

Dairy VS permanent

Many people think that only a permanent tooth has a root, while a temporary one does not, because of this it easily falls out. This opinion is erroneous, each milk tooth has both a root and nerves, and they have a more complex structure than permanent ones, so they are more difficult to treat.

Temporary teeth are less mineralized, they are smaller in size, have a bluish tint, are softer, their roots are weaker. In addition, there are only 20 of them, while there are 32 permanent ones, if a person has not erupted "wisdom" teeth, then 28.

In milk teeth, a carious cavity can also form, and the child experiences pain. They also need to be treated and preserved until the moment when permanent teeth appear in their place.

When the time comes for the temporary tooth to fall out, its root will resolve, and its crown either falls out by itself, or is quickly and painlessly removed by the doctor.

Permanent indigenous - when do they appear?

A permanent bite begins to appear from 5-6 years to 12-15, usually during this time the message of the dentition comes out, although some wisdom teeth erupt only after 30, and some do not have them at all. They grow in the same order in which they fall out.

This diagram of the eruption of permanent teeth in children is indicative. But the sequence of appearance of teeth in the absence of pathology should be constant.

From the beginning, when the baby is 6-7 years old, the first permanent molars (the “six” molars) will erupt behind the entire milk row. They will appear in a place where milk teeth never grew. Then temporary teeth are replaced by permanent ones, exactly in the same order as they erupted.

First, two incisors are changed on both jaws, then two more. After them, small molars (“fours”) or premolars erupt.

They change when the child is 9 to 11 years old, the second premolars or "fives" should erupt before the age of 12. Until the age of 13, fangs erupt.

Following them, in an empty place at the end of the dentition, the second large molars (“sevens”) erupt. They change until the age of 14.

The last to erupt are the third molars, the "eights" or "wisdom teeth". In some, they appear before the age of 15, in others much later, in others they may not be at all.

What are they like on the inside?

Permanent molars are divided into small (premolars) and large (molars). An adult has 8 small molars, located 4 above and below. Their main function is to crush and crush food.

They appear in place of the fallen milk molars. Premolars combine the features of large molars and canines.

They have the shape of a rectangle, on the chewing surface there are 2 tubercles separated by a fissure. The small molars of the upper jaw are similar in shape, but the first premolar is slightly larger than the second and has 2 roots, while the second has only one root.

The lower premolars are rounded, each of them has 1 root. They differ from each other in size: the first premolar is slightly smaller.

Large molars grow behind the second premolars. There are only 12 of them, 6 pieces on both jaws. The biggest "six". The upper first and second molars have 3 roots, the lower "sixes" and "sevens" have 2 roots.

The structure of the third upper and lower molars (“wisdom teeth”) differs from each other both in shape and in the number of roots. Some don't have them at all. Very rarely, as a rule, among representatives of the eastern equatorial race, additional fourth molars are found.

Out of my head…

If a permanent one has hatched at the site of a temporary tooth, and the milk one is not going to fall out yet, then the doctor will advise you to remove it.

It is undesirable to remove milk teeth ahead of time - this will lead to bite pathology. Therefore, in the presence of caries of temporary teeth, the doctor resorts to conservative treatment. If a child has a permanent molar tooth, the dentist will try to save it.

The indication for the removal of a molar permanent tooth is:

cyst or granuloma;
complete destruction of the dental crown;
inflammation of the root of the tooth and mandibular nerve.

In order for the molars of an adult to be healthy for the rest of his life, you need to properly care for them from the very beginning. So that temporary teeth do not fall out ahead of time, and their crowns do not collapse, it is necessary to limit the amount of sugar in the child's diet.

It is impossible for a child to give him a bottle of sweet water before bedtime, as sugar turns into lactic acid, which destroys the dental crown.

From childhood, you need to teach your baby to brush his teeth in the morning and in the evening. It is very important to clean them before going to bed, because it is at night that intensive reproduction and growth of pathogenic microflora.

It is better, of course, for the child to clean them after the next meal or rinse the mouth. Be sure to visit the dentist every 6 months for a check-up and professional cleaning.

To strengthen tooth enamel, it is desirable to use pastes with calcium and fluorine. In some cases, it may be necessary to apply special fluorine-containing products.

Molar teeth in children and the order in which they erupt are the source of many questions for parents. After all, the symptoms of their appearance are very painful. Any mother is concerned about the question - which ones are climbing now, milk or permanent molars in a child and when molars are cut. It is necessary to know the answer to this question in order to avoid problems with the child's dentition.

First molars

The first molars in children are temporary (milk). Their main mission is grinding and chewing food. They are called molars and are located at the end of a child's jaw. There are 8 molars in total, four at the top and four at the bottom. What time do they show up.

When a child reaches the age of 13 to 19 months, his first molars or a molar with a pair at the top are climbing. On the lower part of the jaw, they erupt at 14 - 18 months.

All children are special and the order of teeth growth may differ due to:

health conditions;
genetic factor;
nutrition;
gender (in boys, they erupt later);
climatic conditions;
mother's condition during childbearing;
term of childbirth.

If the children of acquaintances had teeth earlier, but their child does not yet, this is not a reason for worry. They will definitely cut through.

The first milk molars can erupt as early as six months of age. Of course, the baby will not be able to describe his condition.

The presence of the following symptoms will help clarify this situation:

the baby becomes capricious and whiny;
there is swelling of the gums and the presence of white tubercles;
baby stops eating
saliva is profusely secreted;
the temperature rises;
the baby suffers from indigestion.

Basically, this is how premolars and molars are cut. Which at a certain age are replaced by permanent ones. In adult children, when permanent ones appear, gaps form in place of the milk one, which determines the active growth of the jaw.

Officially, a pair of back teeth is called the first molar and the second molar. They differ from permanent ones in the size and thinness of the enamel, as well as in fragility and a high risk of damage.

The timing and order of eruption of temporary first and second molars can be seen in the table.

It is worth remembering that if the order and timing of the eruption of temporary teeth is violated for no more than 6 months, then this is considered the norm.

Below is a diagram of the eruption of the milk row.

When all the milk teeth have appeared, there is a lull. It is called physiological rest, which lasts up to three years. After the tooth roots are shortened, absorbed. The tooth itself begins to wobble and falls out. In its place, a permanent one grows.

When do permanent molars appear?

Permanent teeth in children have a period of eruption from 5 to 15 years, during which the dentition appears completely. There have been cases when wisdom teeth grew after 30 years.

Parents should carefully monitor the process of eruption of permanent molars, in particular molars. If their appearance has shifted 3 months further, this may be a sign of the presence of some kind of disease. It could be a vitamin deficiency, rickets, or a nutrient metabolism disorder.

Permanent molars in children are formed under temporary. If a child is 7 years old and still has dairy, do not worry that he does not have permanent ones. Just until they are ready to erupt.

The appearance of permanent molars has a certain order. It can be said for sure that if the right incisor appears at the top, then the left will soon appear.

Eruption of permanent teeth

All existing schemes for eruption of the dentition are indicative. The sequence of eruption should be constant, this is in the absence of pathologies. Teeth can grow up to 21 years.

At the age of 6 - 7 years, the child will have the first permanent molars behind the milk row. Molar teeth grow in children in a place where temporary ones did not grow.

After them, two incisors climb on each jaw, followed by two again. When the incisors erupt, the premolars begin to emerge. Their other name is small indigenous. They will be replaced at the age of 9-11 by the second premolars and come out by the age of 12. By 13, fangs should erupt.

Up to 14 years old, in the empty places of the dentition (at the end), a pair of second large molars makes its way. The last to appear are the third molars (wisdom teeth). For someone they appear by the age of 15, for someone later, for someone they are completely absent.

How the molars and the entire dentition grow can be seen in the picture below.

Basically, milk molars are first replaced with permanent ones located on the lower jaw. How long this process will last cannot be precisely determined. The main determining factor is the child's body and its characteristics.

Symptoms of eruption of permanent molars

Molar teeth are cut more painfully and with more pronounced symptoms than milk molars. The child may change behavior for a few days. He becomes whiny, lethargic, too excited and irritable, because the erupting molar causes inconvenience to the baby.

The most basic signs when a child's molars climb:

increase in body temperature. Basically, the tooth temperature does not rise above 38 degrees. With the exception of the presence of a cold during this period;
the appearance of a runny nose. Moreover, the discharge from the nose has a liquid and transparent consistency;
the child has a significant increase in saliva;
there are malfunctions in the digestive system: diarrhea or constipation. This symptom is rare;
the baby does not sleep well and behaves restlessly;
the child complains of sore gums and itching.

You need to know that at the time of teething, the protective function of immunity weakens in a child. To exclude infectious diseases, it is worth visiting a pediatric dentist or pediatrician. Most often, the eruption of permanent molars in children is accompanied by a runny nose. The emerging molar or premolar is a sign of blunting of the symptoms of eruption.

How to help a child

When the baby cries, mom and dad are ready to do everything to alleviate the baby's condition. It is impossible to get rid of accompanying symptoms completely. But it is quite possible to smooth out their sharp action a little.

Steps to help your child:

to relieve itching and pain, you need to lightly massage the gums. This will help the teeth erupt faster. It is necessary to disinfect your hands and rub the inflamed area with your finger;
to relieve pain, you can use dental gels: Holisal, Kamistad, Kalgel, Metrogil Denta and others. But you should use them carefully, not more than 4 times a day. Before use, you must read the instructions and check for allergies to the components of the drug;
if the child's body temperature persists for more than 5 days, you should immediately contact a pediatrician. It's not just about cutting. The doctor will prescribe antipyretics, they are painkillers;
to avoid irritation on the chin, constantly wipe the secreted saliva. It is better to use handkerchiefs made of soft material. Remove moisture by gently blotting the fabric and then smear with a greasy cream.

But, we must remember that self-medication is not always good. Referring to the fact that the child's molars are being cut, one may not notice the course of some disease that has the same symptoms.

The appearance of premolars and molars is quite easy for kids to endure, but this process should be under the control of parents. Temporary teeth should not interfere with the growth of permanent teeth, so sometimes they must be removed.

obligatory visit to the dentist. He will recommend what to do and what medicines to use for pain and temperature;
Never lick your baby's pacifiers or nipples. For an older child, it is necessary to allocate a separate fork and spoons;
adhere to the rules of daily oral hygiene of the child. Children over 1 year of age should brush their teeth daily with soft toothbrushes;
when the baby grows up, you need to teach him how to properly clean the oral cavity;
after eating, teach the child to rinse his mouth and use dental floss;
give your daughter/son more water to prevent dry mouth;
limit the use of foods containing sugar;
for the strength of the enamel, the child must eat nutritious and varied food.

When molars are coming in and at all times, parents should not give the child a sweet drink at night, eat a lot of sweet food, use an unbalanced diet and create contact with the saliva of an adult.

Dentist visit

The eruption of molars in children is an important life stage. The formation of the entire dentition requires careful attention in order to avoid the formation of any pathologies, or to start treatment on time.

As soon as the first permanent molars and premolars appear, you should immediately contact your dentist. He will carry out all the necessary activities and identify all kinds of problems, such as:

irregularity in the formation of the bite of the child;
gum problems;
changes in the enamel structure, problems with its mineralization;
pathological curvature of the dentition;
caries formation.

In adulthood, a person suffers from diseases of the oral cavity, which began in childhood. Therefore, it is necessary to visit the dentist since childhood, so that he can identify problems at the initial stages.

Knowing the timing of the eruption of permanent teeth, as well as their order, parents will be able to explain changes in the child's behavior and help him to endure this difficult stage more easily. And in order for his teeth to be healthy in the future, one must adhere to the rules of oral hygiene and do not forget about regular visits to the dentist.

Since the appearance of milk processes at an early age is often accompanied by pain, the next stage of tooth formation will proceed with similar symptoms. Parents should know when molars usually begin to erupt in children. This period of formation of the child's body is considered one of the most important.

When they appear

The first milk processes in a child, which usually form at 2 years old, number 20. When they are replaced by permanent teeth, they become loose and fall out. Teething is a very important stage for children and their parents. There is no exact date and time for their appearance. This process can be affected by diet, climatic conditions, and the quality of drinking water. There is also a lot of important reason that can affect the change of teeth - heredity.

Some features of the parents may well be transmitted even in the womb. These include both positive and negative factors. If the parents did not have significant health problems and special predispositions that relate to the formation and growth of teeth, then you should not worry about this. If the growth of milk teeth usually takes a period of time from 1 to 3 years, then the growth of molars takes much longer. The first signs of changing teeth to molars appear at the age of 5-6 years, sometimes even later, and this process lasts up to 12-14.

Symptoms

The first characteristic symptom when the molars begin to climb in a child is an increase in the size of the jaw. The fact is that the gaps between the milk processes are usually not very large. When the jaw grows, it prepares for the change of teeth to permanent ones and creates conditions for them.

The size of the molars is always larger than the milk teeth, they need more space for growth and formation. This symptom leads to an increase in the distance between the milk processes, which "spread" in the oral cavity.

In the event that the gap does not increase when the molars begin to climb, some problems may arise. First of all, the child will have more acute pain, and the teeth themselves will grow crooked and break the bite.

After a while, this situation will have to be corrected if parents want their children to have even and healthy teeth. Sometimes they climb at 6-7 years old without causing absolutely no symptoms.

If parents pay attention to the restless state of the child, moodiness, irritable reaction to ordinary things or worsened appetite, these are teething symptoms.

Very often, children react to the second stage of tooth formation in a similar way, as with the growth of milk processes. When the baby has no other diseases, then their behavior will be appropriate.

Increased salivation is already considered an almost obligatory sign. This symptom is not as severe as the first time, but still not an exception.
At the age of 6-7 years, the baby can be taught to wipe his mouth on his own using a handkerchief or sterile wipes. If this is not done, then irritation will appear on the chin and lips. Delicate skin is very susceptible, and saliva contains a wide variety of bacteria.

When a child's molars climb, the inflammatory process again occurs in the gums and mucous membranes. The first signs of reddening of some areas in the oral cavity indicate the beginning of a change in their shift or the presence of a viral infection. To determine the exact cause, it is best to consult a doctor.

After a while, small swellings will begin to appear in the gums - this is the permanent tooth stretching from the inside to replace the milk one. If the children have experienced painful sensations in this case before, that in such a situation they will not keep themselves waiting. Parents should already be prepared for the fact that the child will again have periodic pain in the gums, and have suitable anesthetic drugs. If there is no severe acute pain, then the change is accompanied by a sensation of itching. The kid constantly pulls his hands into his mouth or foreign objects to scratch his gums.

The next signs are disturbed and restless night sleep. The child often wakes up, tosses and turns, or may begin to cry. The reason for the latter are pain sensations.

These symptoms may appear intermittently and are not considered mandatory when permanent teeth erupt in children. If there are also other signs that are given special attention: high body temperature in the baby, cough and diarrhea.

Video "Teeth erupt with temperature"

Priority

The appearance of molars in children has a slightly different sequence, in contrast to milk teeth. First of all, molars appear, which grow behind the second primary molars. Usually they begin to erupt after 6 years in a child.
Then the milk processes are replaced by molars in place of the central incisors. The first gradually loosen and fall out, this is facilitated by the eruption of permanent teeth. They begin to slowly squeeze out milk teeth, again cutting through the surface of the gum from the inside.

After the change of the central incisors, the lateral molars also appear. The formation of incisors can take a period of time from 6 to 9 years.

Indigenous first premolars and second erupt at 10-12, 11-12 years, respectively.
The second molars are usually formed by the age of 13.

The last molars of wisdom are able to start growing at a very different time. Sometimes they grow at 18, and sometimes they may not be at 25. There are cases when such wisdom teeth do not grow at all in a person - this is not considered a pathology, and in such a situation there is nothing to worry about.

If the growth and development of molars begins in some places at the same time or in the wrong sequence, then this is also not a cause for panic and concern. The individual characteristics of the body and the presence in it of the necessary vitamins and minerals can directly affect the growth rate of both milk and molars.

Parents should remember that permanent teeth should not loosen. If such a deviation was found, you should immediately consult a doctor for examination and diagnosis.

Related Symptoms

These intermediate signs of the change of milk processes to molars do not often accompany the process. However, they cannot be ignored. If a child has a fever, a rare cough and loose stools, then this may be like signs of many infectious and acute respiratory diseases. This reaction of the body is caused by the active opposition of the immune system against harmful bacteria.

The high temperature should not last longer than 3-4 days, and the mark on the thermometer should not exceed 38.5 degrees. Since this symptom is periodic, it should not accompany the process with constant hypothermia. If the temperature in children lasts longer than 4 days and does not go astray for a long time, you should consult a doctor and establish the true cause of such an organism reaction.

To date, there are still doctors of the “old school” who will immediately prescribe treatment for a cold or an infectious disease. They believe that teething has nothing to do with fever.

Many parents do not see the connection between teething and coughing. Usually a cough does not appear alone, but is accompanied by a runny nose. The explanation for this is very simple - the fact is that the active blood supply of the respiratory tract and the entire nasal cavity is very closely connected with the gums. At the time when new permanent teeth begin to be cut in the oral cavity and gums, blood circulation increases. Intensive blood circulation also affects the nasal mucosa, because they are nearby. For this reason, the nasal glands begin to produce a large amount of mucus, and children want to blow their nose to clear the airways.

Coughing is caused by the remnants of mucus descending into the lower part of the throat, starting to irritate the upper respiratory tract. Another symptom is diarrhea. Usually it can last several days, no more than 3 times a day. Loose stools are caused by a large amount of infection entering the body due to the fact that the child often takes dirty hands into his mouth or foreign objects. This is also facilitated by abundant salivation, which regularly flushes the intestines.

Diarrhea is not dangerous for the baby if it lasts for a short time. The stool should not have any admixture of blood bodies. Regular monitoring will not be superfluous, especially given the fact that during this period the child has a weakened immune system. Therefore, the probability of adding a new infection and exacerbating all symptoms is quite high.

Video "Indigenous cut through - what to do"

From the video of the Vrach.TV program, you will learn what this process accompanies in the life of a child and how to alleviate his condition.

The time when a child's adult teeth are being cut is one of the most serious and difficult periods of his development. To help the baby survive it without problems, parents need to know what symptoms indicate molars eruption, and how to help the child in this situation.

Molar milk teeth

Milk incisors, as well as permanent ones, have a root.
The rudiments of such dental units are formed in the prenatal period.
When a temporary tooth is replaced by an adult, the old root resolves itself over time.
On the first teeth, the enamel is softer.
Milk teeth are smooth, and their roots are wide, so that there is room for the development of the rudiments of permanent teeth.
Temporary teeth are canines and lateral incisors, central and first molars, premolars. The second molars in four-year-old children are already adults.

When the rudiments of an adult tooth appear, the root of its predecessor weakens, the tooth loosens. If it is not pulled out, then under it you can see the emerging adult tooth. When dairy interferes with it, it can grow abnormally.

The dentition is symmetrical in nature, and the teeth erupt in pairs: on both parts of the dentition, they appear almost simultaneously.

Video: Teething in children - important nuances

Eruption of adult teeth

The rudiments of the first teeth (on average - about 20 units) in infants are formed during the first two years of life. When it comes time to replace them with permanent teeth, the milk teeth loosen and fall out. There are no definite terms for the eruption of molars; many factors can affect the speed: the ecological situation, climate, water quality and diet. Genetic features also play a certain role, some of which make themselves felt even during the formation of the fetus. The impact can be both positive and negative. If the parents have healthy teeth from birth, then there is no need to worry about the teeth of the child. If the first incisors, canines and premolars grow in 3 years, then the permanent ones erupt for a long time. The first symptoms of a change in the dentition can be seen at the age of 5, and it continues until the age of 21, when the third molars appear.

Video: Terms of eruption of permanent teeth

Signs of the formation of permanent teeth

The most characteristic symptom of the formation of adult teeth in childhood is an increase in the size of the jaw. The gaps between the first teeth are small, if the jaw grows, this means that it creates the conditions for new dental units. Adult teeth are larger than temporary teeth, so they require a lot of space. Distances between milk teeth increase. They lose stability and fall out. With any deviations, the teeth will break through with pain, bend, spoil the bite. In order for a child's teeth to grow properly, parents need to control this process.

Permanent teeth can erupt at the age of 6-7 without any symptoms, but most often the child behaves restlessly, is naughty, gets irritated over trifles, and does not eat well. Often, the formation of permanent teeth has the same signs as with the eruption of milk teeth. If some other diseases occur against the background of teething, they can distort the symptoms.

Increased salivation is a very common symptom, although it is no longer as abundant as in infancy, but you can notice the difference. At the age of 6, children can already be taught to wipe their mouths with a napkin, otherwise irritation will appear on the face, since saliva contains many microbes that aggressively affect delicate skin.

During the period of growth of permanent teeth, the gums and mucous membranes become inflamed again. If redness is noticed in the mouth, it is better to show the child to the dentist, who can accurately distinguish the onset of teething from a banal viral infection.

Over time, swelling is observed on the gums - this is an adult tooth breaking through to replace the temporary one. The germination process is painful, parents can alleviate the child's condition with anesthetics.

The pain is replaced by itching. The child pulls things to the mouth to soothe the gums.

A natural symptom will be a deterioration in the quality of sleep. If he is worried about a toothache, the baby will not be able to fall asleep for a long time, often wakes up at night, cries, tosses and turns.

Some children have a fever, cough, upset stool.

These symptoms may appear periodically and do not necessarily have to be present in all children.

Sequence of appearance of adult teeth

Almost all milk teeth that erupted in the first two and a half years, 10 pieces on each half, are replaced by permanent ones. Compared to their predecessors, adult teeth form in a different order.

Table. The sequence of formation of permanent teeth

Name of the tooth	Development timeline	Peculiarities
Lower and then upper molars	This usually occurs in the seventh year of life.	They make their way behind the second primary molars
Indigenous side	In time, it can take three years - from 6 to 9 years	Germinate when the central incisors are already formed
permanent fangs	Normally, this happens at the age of 9-11 years.	Cutting the gum from the inside, they seem to displace milk precursors
First and second adult premolars	Appear at 10-13 years old	Grow instead of central incisors that wobble and fall out
Third molars, better known as wisdom teeth	May erupt at age 18, or at 25, or not erupt at all	Such cases are not considered a deviation from the norm.

If individual teeth grow in a different order in a baby, this is not dangerous. Individual characteristics, deficiency of vitamins and minerals slow down the speed and sequence of the formation of permanent teeth. It is important for parents to know that an adult tooth should not be loose, if there are similar symptoms, this should be a reason for a visit to the dentist.

Associated features

These symptoms are not so often manifested, but they should not be ignored. If the baby has a fever, an incomprehensible cough, diarrhea - this can be both a sign of an infection and a reaction of a weakened body to pathogenic microflora.

During the formation of teeth, the temperature usually lasts 3-4 days to 38.5 ° C. This symptom is irregular, so the fever in children should be periodic. If it lasts for a long time, you need to show the child to the pediatrician. Some doctors believe that the symptoms of a cold have nothing to do with teething and prescribe appropriate treatment for cough and fever.

What does a cough and runny nose have to do with new teeth, adults also do not understand. The gums are directly related to the blood supply to the nose and airways. As teeth form in the mouth, blood flow increases. The nasal mucosa is close, so its glands also begin to produce more mucus, which children try to get rid of. Residual mucus sinks down the throat, irritating the airways and causing coughing.

Another symptom is loose stools with a frequency of no more than 3 times a day. Combing the gums, the baby constantly pulls dirty fingers and the first objects that come across into his mouth. In addition to infection, diarrhea is promoted by increased salivation, constantly washing the intestines. If the stool is short-term, does not contain blood impurities, you can not be afraid for the health of the child. It is necessary to monitor his condition, since with a weakened immune system there is always a risk of attaching an infection that exacerbates all symptoms.

Children's problems of adult teeth

Hardly erupting permanent teeth may already have developmental deviations, and parents should be prepared for this.

Absence of permanent teeth. If all the normal terms have passed, but they still have not appeared, the dentist examines the radiograph, on which you can see the jaw with new teeth. The reasons may be heredity (this is noticeable in the picture) or adentia - the absence of laying the rudiments even in the womb. Sometimes newborn teeth die during inflammation. In such cases, children are given prostheses.
Molar pain. The new tooth does not yet have a normal layer of minerals. Due to weak mineralization, it is easy for a child to pick up caries, and with deep destruction, pulpitis with periodontitis. Toothache in such cases will be accompanied by fever, weakness. Postponing a visit to the dentist threatens to lose an adult tooth. With weak enamel and milk caries, fissure sealing is sometimes recommended - closing the recesses on permanent teeth with a composite material.
Irregular growth of permanent teeth. If the growth of an adult tooth is ahead of the loss of a temporary one, the bite is disturbed. Orthodontic therapy is required, in which the temporary tooth is removed. At home, loosen and remove it is not worth it.
Loss of adult teeth. It happens both with inflammation of the gums, pulpitis, caries, and with general diseases (diabetes mellitus, systemic pathologies of connective tissues). The loss of teeth in the anterior group is a serious problem: in order for the maxillofacial apparatus to form normally, the baby needs temporary prosthetics. When the jaw is fully formed, temporary prostheses are replaced with permanent ones.
Injury to molars. Most modern children are hyperactive, so there is always a risk of mechanical damage to the teeth, especially since they fully mature only a few years after the appearance. With minor fractures and cracks, the volume is increased with a composite material.

Erupting teeth care

When changing teeth, care for them should be especially thorough, because a fallen tooth tears tissue, and when infected, it quickly becomes inflamed. To prevent such problems, you need to:

teach children to brush their teeth regularly, use a scraper and floss, rinse their mouth;
to support the enamel, buy a baby paste with the addition of calcium and fluoride;
to strengthen new teeth and protect them from caries will help proper nutrition with the restriction of sweets and carbohydrates in favor of vegetables, fruits, dairy products;
consult a doctor on the choice of vitamins (vitamin D is especially needed) and gels to improve the mineralization of new teeth;
in case of inflammation, before meeting with the dentist, it is necessary to actively rinse the child's mouth with antiseptics and herbal decoctions.

You can buy rinses for children or prepare herbal teas for this purpose.

Bad habits interfere with the normal growth of adult teeth: sucking fingers or tongue, pacifiers and any objects. Despite the teeth that have fallen out, do not limit the baby in solid food. A piece of apple or carrot massages and strengthens the gums, frees the teeth from plaque.

When is the right time to visit the dentist?

The formation of the dentition requires constant monitoring and competent assistance from the parents to the child in order to notice the pathology in time in case of developmental deviations.

It is good if, when the first permanent teeth appear, the child visits a pediatric dentist for a preventive purpose.

Such a survey will help identify a number of problems:

malocclusion;
gum disease;
inadequate mineralization of enamel;
curvature of the dentition;
milk caries.

Insufficient attention to teeth in childhood is not only excruciating pain, tears and insomnia for the whole family, but also painful treatment and fear of the dentist for life. Therefore, it is important to constantly keep in touch with your doctor and give enough time to the health of children.

The loss of the first teeth is a natural process for all children. And you need to worry only when there are problems with the formation of adult teeth. They can be prevented by controlling eruption from the first tooth. you will find the answer in the link.