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FAQ:  Pediatric - Children's Dentistry



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Question:
We adopted a 15 month old from Russia. She will be 2 in March. She has 16 teeth in already with no problems other than ear infections. She has brown stains on her four front teeth. She does not go to sleep with a bottle. She does drink juice and milk but we brush her teeth before bed. We brush her teeth twice a day regularly.

When do permanent teeth develop? Is it during pregnancy or after birth? We feel that the discoloration might be because of lack of nutrition from the birth mother. Do you think that her permanent teeth will not be discolored now that we are giving her the proper nutrition? ...Christine

Answer:
Christine, all of primary/baby teeth develop in utero and most of the permanent teeth develop in the 3rd trimester. (not the 2nd and 3rd molars). The staining on her front teeth may be carious or it may just be stained. The best thing to do is to have your pediatric dentist check/examine her teeth to make sure that they are not carious/cavities.

I would not be worried about her permanent teeth because it sounds like you are doing the correct oral hygiene at home by brushing her teeth and not allowing her to sleep with a bottle. As long as her primary/baby teeth are restored, if they are carious, then her permanent teeth will not be affected. Also, her permanent teeth will erupt/come in when she is 6-7 years of age.

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