First molar
Hello Doctor: My daughter is seven years old and has already lost three of her primary teeth, but her first permanent molars have not erupted yet.
Is this normal? Also, what is the best time for children to receive fluoride treatments? Thank you!
Xiao Ru, 30~39 year old female. Ask Date: 2007/05/22
Dr. Yang Hui reply Dentistry
Hello, Xiao Ru: The first molar typically erupts between the ages of 5 and 6.
However, some individuals may experience a slower eruption.
You can count from the central incisors; the sixth tooth is the first molar.
If it hasn't erupted by age 6, you might consider getting an X-ray to check if there are teeth that have not yet emerged from the bone.
The National Health Insurance Administration provides free fluoride treatments once every six months for children under 5 years old.
Generally, fluoride treatments can also be applied when new teeth erupt at ages 6, 9, and 13.
There is no specific "best time" for this.
Maintaining good oral hygiene through thorough brushing and regular check-ups is the best method for oral health care.
Reply Date: 2007/05/22
More Info
When it comes to the eruption of first molars in children, it's important to understand the typical timeline and variations that can occur. Generally, the first molars, also known as the "six-year molars," typically erupt around the age of six, although this can vary from child to child. Some children may experience this eruption a bit earlier or later, and it is not uncommon for some children to have their first molars come in as late as seven or eight years old.
In your case, since your daughter is seven years old and has already lost three of her primary teeth, it is reasonable to expect that her first molars should be erupting soon. However, if they have not yet appeared, it may simply be a matter of timing. Children develop at different rates, and dental development is no exception. Factors such as genetics, nutrition, and overall health can influence the timing of tooth eruption.
If your daughter is otherwise healthy and her dental development is progressing normally, there is likely no cause for concern. However, if you notice any signs of discomfort, swelling, or other unusual symptoms, it would be wise to consult with a pediatric dentist. They can assess her dental development and ensure that everything is on track.
As for fluoride treatments, the best time to start applying fluoride varnish is typically when the first teeth erupt, which can be as early as six months of age. Regular fluoride treatments can help strengthen the enamel of the teeth and prevent cavities. The American Dental Association recommends that children receive fluoride treatments every six months, especially if they are at higher risk for dental caries.
In addition to professional fluoride treatments, you can also help protect your daughter's teeth by ensuring she uses fluoride toothpaste as soon as she is able to brush her teeth effectively. Supervise her brushing to ensure she uses the right amount of toothpaste (a pea-sized amount is usually recommended for children) and encourage her to spit it out rather than swallow it.
It's also essential to maintain a balanced diet that is low in sugary snacks and drinks, as these can contribute to tooth decay. Encourage your daughter to drink plenty of water, especially fluoridated water, and to eat a variety of fruits, vegetables, and whole grains to support her overall dental health.
In summary, while it is typical for first molars to erupt around the age of six, variations in timing are normal. If you have any concerns about your daughter's dental development, consulting a pediatric dentist can provide peace of mind and guidance. Additionally, starting fluoride treatments early and maintaining good oral hygiene practices will help ensure her teeth remain healthy as she continues to grow.
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