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Your darling three-month old is crying and fussy—can she be teething already? Or, your happy baby boy has just celebrated his first birthday—with only one tooth in that beautiful, gummy smile. Is this normal? Probably! While baby teeth do typically erupt (come in) in the same order for all babies, and around the same time, there is still a lot of flexibility in the time it takes for a full, healthy smile to develop.

Baby teeth actually form before your baby is born, and those 20 teeth are there under the gums waiting to come out and shine. And even though there are no firm and fast dates for each of these primary teeth to erupt, it’s helpful to have a general overview of typical teething patterns so you know what to look forward to.

Incisors

These little teeth create a charming baby smile, and, if your finger has been in the wrong place at the wrong time, a very sharp one as well! That is because these tiny incisors are made to bite into foods. You might notice this when you introduce solid foods, even if the majority of your child’s “chewing” is done with her back gums. These teeth are the earliest to arrive.

• Six to ten months old: The lower central incisors (bottom front teeth) are often the first to come in.
• Eight to 12 months old: The upper incisors (8-12 months) are the next to show.
• Nine to 13 months old: The upper lateral incisors on each side of the front teeth arrive.
• Ten to 16 months old: The lower lateral incisors appear.

First Molars

Because these are larger teeth, babies often experience another bout of teething pain at this time. The large flat surface of each molar helps your child to chew and grind food, so he can handle a wider variety of foods and develop his chewing skills.

• 13 to 19 months old: You can generally expect to see the upper first molars arrive.
• 14 to 18 months old: The lower first molars appear.

Canines (Cuspids)

Fitting between the first molars and the incisors, the strong, pointed shape of the canine teeth allows your child to grip food and break it apart more easily.

• 16 to 22 months old: The upper two canines make their way into the space between the incisors and the first molars.
• 17 to 23 months old: The two lower canines appear.

Second Molars

By the age of three, most children have a full set of baby teeth.

• 23 to 31 months old: The second pair of bottom molars start erupting—you are in the home stretch!
• 25 to 33 months old: The upper second molars come in—completing that beautiful set of 20 teeth!

Baby teeth are extremely important, as Dr. Ghenta will tell you when you visit our Dartmouth, MA office. They help your child eat and chew, develop face and jaw muscles, assist proper speech formation, and provide space for the adult teeth to come in properly. Now that your child’s smile is complete, keep providing him with the same care and attention you have been giving those little teeth since the arrival of the very first incisor.

It seems that so much of new parenthood is scheduling—when to feed her, when to put her to bed, how many hours between naps. But we soon find out that every baby is not on the same schedule, and the same is true for the arrival of their teeth. We should see your baby when that first tooth comes in, or by his or her first birthday. And if you ever have concerns at any time about your child’s teething schedule or teething delays, always feel free to give us a call.

The use of mini dental implants (MDIs) is on the rise. MDIs are about the diameter of a toothpick (1.8 to 2.9 millimeters with lengths between ten to 18 millimeters) and are primarily used to secure loose upper or lower dentures or partial dentures.

MDIs are particularly useful for patients who suffer from osteoporosis or otherwise aren't well enough to get the bone grafts sometimes required by traditional dental implants. Their diminutive size also allows them to replace smaller teeth where the placement of a dental implant isn't feasible or called for.

Some of the benefits of MDIs include:

• The procedure is quicker and less invasive – Since MDIs don’t require the cutting of gum tissue or sutures, Dr. Ghenta can place the implant quickly, resulting in a shorter healing process. MDIs go directly through the gum tissue and into the jawbone.

• Lower cost – MDIs run in the range of $500 to $1500, whereas traditional dental implants can cost around $4,000.

• Less risk of surgical error – Since MDIs don't go as deep into the tissue or jawbone, there is less risk of surgical error, like hitting a nerve or sinus cavity.

• Can be used in thinner areas of the jawbone – Since MDIs don't require as much gum tissue or jawbone, they can be used in thinner areas of the jawbone, where a traditional dental implant would require a bone graft.

Although there are many advantages to MDIs, they aren't for everyone or every situation. There are some drawbacks, especially when it comes to their durability and stability. MDIs also haven't been studied nearly as much as dental implants.

Whatever your situation, it's best to speak with Dr. Ghenta about your options, and whether an MDI or a dental implant would work best for your specific case. Schedule an appointment at our Dartmouth, MA office to learn more.

Congratulations! You’re getting married! Wow! It’s your twentieth reunion! New job? Great news! No matter the occasion, large or small, you want to celebrate it with your whitest, brightest smile. How can Dr. Ghenta help? In a number of ways!

Professional Whitening

Because teeth are porous, over time substances in food, beverages, and tobacco products can stain the surface of the teeth. This is called extrinsic staining. If this is your concern, having your teeth whitened professionally is the fastest, most effective, and longest-lasting method of achieving your brightest smile.

We’ll examine your teeth to make sure that there are no pre-existing conditions such as cavities or gum disease that should be treated before whitening. We will use a gel with a higher concentration of whitening ingredients than over-the-counter products, protect your gums, and monitor the entire process. If you want to whiten at home, talk to us during your visit to our Dartmouth, MA office about custom mouthpieces and professional whitening gels for precise application and safe, effective results.

Intrinsic Stains

Intrinsic stains are below the surface of the tooth, and harder to remove. These stains might be the result of an injury to the tooth or exposure to a medication like tetracycline while the tooth is forming.

While some whitening systems and professional whiteners can improve intrinsic staining if it is not too severe, normally bonding or veneers are better options. We can use color matching to make sure bonding or veneers are indistinguishable from your natural teeth. And do consider a professional whitening first, so we can match your dental work to your whitest natural smile!

Treating Existing Dental Work

Again, when you are considering porcelain veneers or crowns, composite veneers, or tooth bonding, choose the color that works best for your whitest natural smile, because these materials cannot be whitened like natural teeth. If you have dental work already in place that you would like to brighten, both composite and porcelain dental work can be polished to remove surface stains. If the color is simply not a good match for your natural teeth any more, replacement of your dental work is an option we can discuss.

There are plenty of good reasons to get your teeth whitened—Weddings! Reunions! New jobs!—but the best reason of all is giving you the healthy, confidant smile you’ve always wanted. And that’s something to celebrate!

Getting a dental implant is a surgical procedure and everyone’s pain tolerance level is different. Therefore, what one person may perceive as pain is only a slight discomfort for another person. The general consensus about pain and dental implants is that the majority of people feel discomfort, not pain.

A dental implant is a complex procedure. Let’s take a look at what may cause discomfort:

• Some people may find that having the IV put in is uncomfortable, especially if the healthcare worker has to try more than once. If you have a fear of needles or if you have anxiety about the procedure, we can prescribe a sedative, which you take before you arrive.
• Of course, during the dental implant surgery, you will be asleep. Therefore, you will not feel any pain or discomfort at all.
• When you awake from the surgery, your mouth should still be numb. In many cases, we can give you a “block” – it is basically a 24-hour pain medication, so you will not feel any pain or discomfort at all.
• We will also provide you with a prescription for a strong pain killer, and you will most likely sleep while you are taking them. If you are still in pain, do not take more than is prescribed without calling us first. You will need someone to stay with you for 24 hours after the surgery, and they will be instructed on how to give you any prescription medication. The anesthesia tends to make people a bit loopy and forgetful the first 24 hours.
• After the first 24 hours you may feel some discomfort. The most important thing you can do is take your pain medication regularly, whether you are taking the prescription medication or an over-the-counter pain reliever such as Tylenol or Advil.
• You should not need pain medication for more than the first few days.

Most people do say there mouth is sore and they have to be careful what they eat, so it’s best to stick to soft foods. If you have any additional questions, please contact our Dartmouth, MA office and speak with Dr. Ghenta.