As
your child nears age 6, the jaws grow, making room for the permanent teeth. At
the same time, the roots of the primary teeth begin to be absorbed by the
tissue around them, and the permanent teeth under them prepare to erupt.
The
first permanent molars usually erupt between ages five and six, so they are
sometimes called the six-year molars. Because the six-year molars do not
replace any primary teeth they are often mistaken for primary teeth. You should
remember that they are permanent teeth and must be cared for properly if they
are to last throughout your child's lifetime. These molars are especially
important because they determine the shape of the lower part of the face. They
also affect the position and health of the other permanent teeth.
Sometimes
a primary tooth is lost before a permanent tooth beneath it is ready to erupt.
If primary teeth are lost too early, nearby teeth can tip or move into the
vacant space. When the permanent teeth are ready to come into the mouth, there
will not be enough room. As a result, they may erupt out of their proper
position, leading to malocclusion.
To
avoid such future problems, your dentist may recommend using a space maintainer
to reserve space for the permanent tooth. If a primary tooth does not fall out
when it should, your dentist may recommend that it be removed to prevent the
irregular eruption of the permanent tooth.
Your
dentist may recommend that your child use an over-the-counter fluoride
mouthrinse daily after age six. Be sure to instruct and, if necessary,
supervise your child in the use of these mouthrinses. By age 7, your child
should be able to brush alone. Flossing, however, is a more difficult skill to
master. At about age 8, the child should be able to floss his or her own teeth
under your supervision.
Scott C. Peters, D.M.D., LLC
Dentistry for children, adolescents and
patients with special needs
156 Ramapo Valley Road
Mahwah, NJ 07430
(201) 529-9000
