Early Tooth Development and Chickenpox Vaccine Options for Infants - Pediatrics

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Hello Dr.
Pei: I would like to ask you a few questions...
(1) My niece was born less than a week ago, and it was discovered that she has a tooth already erupted in her lower jaw.
Should this tooth be extracted? Why did this tooth erupt? Will it lead to early cavities? (2) What is the difference between the paid varicella vaccine and the free varicella vaccine? Since there is a free varicella vaccine available, why do some people still choose to pay for the paid varicella vaccine for their babies? Thank you for taking the time to answer my questions...

Xiao Fen, 30~39 year old female. Ask Date: 2008/05/12

Dr. Pei Rensheng reply Pediatrics


Dear Xiao Fen,
Hello!
1.
A small number of infants are born with white teeth in their mouths (especially on the lower jaw) within days of birth.
These are known as natal teeth or neonatal teeth, commonly referred to as "natal teeth." Most of these are premature deciduous teeth, meaning they have erupted before fully developing, so these teeth often feel loose in the gums.
Parents need not panic in such cases; simply take the infant to a dentist for an examination.
If the natal or neonatal teeth cause feeding difficulties (such as injuring the tongue or the mother's nipple), or if there is concern about the infant swallowing the tooth, it may be necessary to extract the tooth.
Be prepared for the possibility of future gaps in the primary teeth.
2.
The cost of the varicella (chickenpox) vaccine is the same whether it is paid for or provided for free.
The difference is that for individuals born before January 1, 2003, the varicella vaccine must be paid for, while those born on or after January 1, 2003, can receive the varicella vaccine for free!
Wishing you health and happiness!
Sincerely,
Dr.
Pei Ren-Sheng
Director of Pediatrics, Taoyuan Hospital, Department of Health

Reply Date: 2008/05/12

More Info


Understanding early tooth development and the options for chickenpox vaccination in infants is crucial for parents and caregivers. Let's address both of your questions in detail.

1. Early Tooth Development: It is indeed unusual but not unheard of for a newborn to have a tooth present at birth, a condition known as "natal teeth." These teeth are often not fully developed and can be loose. In most cases, they do not require extraction unless they pose a risk of aspiration (inhalation into the lungs) or cause discomfort to the infant. The presence of natal teeth can be attributed to genetic factors or developmental anomalies.
As for concerns about early cavities, the risk of dental caries (cavities) is generally low in infants who are breastfed or formula-fed, as long as proper oral hygiene is maintained. However, if the natal tooth is not properly cared for, it could potentially lead to decay. It's essential to consult a pediatric dentist for an evaluation to determine if the tooth needs to be removed or if it can be monitored safely.

2. Chickenpox Vaccine Options: The chickenpox vaccine is available in two forms: the free (publicly funded) vaccine and the private (self-funded) vaccine. The primary difference between the two often lies in the formulation and the age at which they are administered. The publicly funded vaccine is typically given as part of the routine immunization schedule, while the private vaccine may offer additional benefits such as a higher efficacy rate or fewer side effects, depending on the manufacturer.

Parents may choose to pay for the private vaccine for several reasons. Some may prefer the convenience of private clinics, shorter waiting times, or the option to receive the vaccine at an earlier age than what is offered in the public schedule. Additionally, some parents may have concerns about the effectiveness of the public vaccine or may want to ensure that their child receives a specific brand that they believe is superior.

It's also worth noting that the chickenpox vaccine is a live attenuated vaccine, meaning it contains a weakened form of the varicella virus. While both vaccines are effective, the private vaccine may have different recommendations regarding the number of doses or the timing of administration. Parents should discuss with their healthcare provider to understand the best option for their child based on their health history and the local vaccination guidelines.

In conclusion, both early tooth development and vaccination choices are important aspects of pediatric health. It is always advisable to consult with healthcare professionals, such as pediatricians or pediatric dentists, to make informed decisions tailored to the individual needs of the child. Regular check-ups and open communication with healthcare providers can help ensure that children receive the best possible care as they grow.

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