What is considered the "normal" eruption of teeth?

Children’s teeth begin forming before birth. As early as 4 months, the first primary, or baby teeth, erupt through the

gums. All 20 of the primary teeth usually appear by age 3, although their pace and order of eruption varies.


UPPER TEETH                                    Primary Erupt (mo)             Permanent Erupt (yr)

Central incisor                                                      8-12                                         7-8      

Lateral incisor                                                       9-13                                         8-9

Canine (cuspid)                                                   16-22                                       11-12

First premolar                                                                                                      10-11

Second premolar                                                                                                  10-12

First molar                                                           13-19                                        6-7

Second molar                                                       25-33                                       12-13

Third molar (wisdom tooth)                                                                               17-21



LOWER TEETH                                    Primary Erupt (mo)              Permanent Erupt (yr)

Central incisor                                                      6-10                                     6-7

Lateral incisor                                                      10-16                                    7-8

Canine (cuspid)                                                   17-23                                     9-10

First premolar                                                                                                   10-12

Second premolar                                                                                               11-12

First molar                                                           14-18                                    6-7

Second molar                                                       23-31                                    11-13

Third molar (wisdom tooth)                                                                               17-21

What should I expect after my child's teeth are worked on (post operative instructions)?


These are general post op instructions for the following procedures. If you are having symptoms that are not covered here or have a dental emergency, please contact the office directly. Do not be worried about calling...we are here for your care and concerns.




1. place a piece of gauze over the extraction site.

2. bite firmly on the gauze for at least 30 minutes. do not chew on it or your lip. change gauze several times at 10-15 minute intervals.

3. a little oozing is not unusual.

4. do not drink through a straw or spit or rinse during the first 24 hours.

and remember never ever smoke!

5. you may brush your teeth and your tongue after the extractions, carefully.

it is normal for minor bleeding to occur for the first 24 hours following surgery.

do not be overly concerned if there is a little blood on the pillow in the morning.



you should start with soft foods for the first evening following the surgery. if the area feels a little better, you can then move on to a normal diet. be careful of chewing on hard foods near the surgical area. do not eat your lip or tongue.

pain & swelling:

it is normal to experience some degree of swelling.

if you do experience swelling, you can place ice over your face for 20-30 minutes at a time during the first 24 hours. this should help to reduce pain and swelling. do not ice after the first 36 hours.

if you feel discomfort, it is recommended that you take an advil or tylenol to ease the pain. if the pain persists, please contact the office.

help to reduce pain and swelling. do not ice after the first 36 hours.




fillings (bonding)


it is best to refrain from eating until the anesthesia has worn off to prevent possibly injury to the lip, tongue or cheek.


sensitivity: sensitivity to hot and cold is to be expected following treatment. the tooth is a live structure and reacts as any other cut in the body.

for the first few days, try to avoid extremely hot or cold foods and beverages. it is normal to have discomfort in the gums around the tooth after the anesthesia wears off. if you feel discomfort in the gum tissue, rinse the area with warm salt water. you can also take an advil or tylenol if the discomfort persists.


home care: it is important to resume regular brushing and flossing immediately. a consistent daily home care routine will increase the longevity of the restoration.


scaling and cleanings

after your scaling or cleaning, it is best to rinse your mouth with warm salt water. one teaspoon salt / 8 oz. water. you should start home care immediately, although you should be extremely gentle with any sensitive treated areas. if you feel discomfort in the gum tissue where you had treatment, an advil or tylenol may be taken to relieve this feeling. the treated areas may be sensitive to hot and cold.

is "tooth whitening" safe?

bleaching procedures are safe and approved by the american dental association. bleaching does not wear away any tooth structure or make a tooth more susceptible to staining.

do all patients who want cosmetic makeovers get the same kind of teeth?

absolutely not! each person has a look they want for themselves and they have facial structure and skin tones that guide us in making individual selections that vary in size, shape, and color for each person.

do i have to get my teeth capped to get rid of spaces between my front teeth?

in most cases capping to correct spaces isn't necessary. today with beautiful, natural looking porcelain veneers (also called porcelain facings) we can easily make dramatic cosmetic changes to remove spaces, fix cracked teeth, do minor tooth straightening, and change the color of your teeth. in many instances, little or no tooth structure needs to be removed to create the smile of your dreams.


if periodontal disease is such a problem, why doesn't it hurt?


this is, unfortunately, a very good question. periodontal problems can become quite serious and extremely advanced without any pain whatsoever. that is why it is so important to be attentive to the warning signs - bleeding gums when brushing and flossing, swollen gums, receded gums, teeth changing position, pus or swelling around gums - to name a few.


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