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.Permanent teeth begin appearing around age 6. This process will continue until approximately age 21.

Oral Health for Children

To help ensure oral health and a lifetime of good oral care habits:

  • Limit children’s sugar intake
  • Make sure children get enough fluoride, either through drinking water or as a treatment at the dentist’s office
  • Teach children how to brush and floss correctly
  • Supervise brushing sessions and help with flossing, which can be a challenge for small hands

Major Obstacles to Children’s Oral Health


“Baby bottle tooth decay”- Wipe gums with gauze or a clean washcloth and water after feeding. When teeth appear, brush daily with a pea-sized amount of fluoride toothpaste- Put child to bed with a bottle of water, not milk or juice
Thumb sucking- Not a concern untl about 4 years of age or when permanent teeth appear; after this time, it could cause dental changes
White spots on teeth- As soon as the first tooth appears (at about 6 months), begin cleaning the child’s teeth daily and schedule a dental appointment


Fear of the dentist- Hold the child in the parent’s lap during the exam
Difficulty creatingan oral care routine- Involve the whole family – brush together at the same time each day to create a good habit


Love of sweets- Give children health snack options, like carrots and other fresh vegetables, plain yogurt, and cheese
Stains from antibiotics- Speak to the pediatrician before any medication is prescribed


Braces- Make sure that teens brush well around braces, using a floss threader to remove all food particles
Oral accidents from sports- Encourage children to wear mouthguards during sports

In our Dental office located in Cinco Ranch, Katy Texas, Dr. Adriana Maria Zaharie, DDS provides information and resources for enhancing the oral and dental health of children. Information on infant oral health, healthy baby teeth, baby’s dental health, caries prevention, caries management, fluoride varnish, preventive dentistry, dental prevention, dental health, anticipatory guidance, oral care, brushing baby teeth, first dental visit, first dental checkup, dental examination of children.The following are key preventive measures to preserve oral health through childhood:Fluoride treatments to strengthen tooth enamel and resist decay. This may include fluoride supplements in areas where drinking water is not optimally fluoridated. Be sure to ask your dentist about supplements to determine if they are needed. Dental sealants to provide a further layer of protection against cavities. Sealants are made of plastic and are bonded to the teeth by the dental team. A fun oral care regimen to help encourage children to brush more regularly. Kid’s Crest® Cavity Protection is a fluoride toothpaste with Sparkle Fun flavor just for kids. And the Oral B® Stages® Kids’ Power Toothbrush makes brushing fun, with popular Disney characters and a patented oscillating Powerhead. Ask your dental professional how these Crest & Oral-B products can help your child:

Kid’s Crest Cavity Protection
Oral=B Stages Kids’ Power Toothbrushes