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My child has a permanent tooth coming in when the baby has not fallen out. Is this a problem?

This is usually not a problem. It is very common in the lower front teeth. The baby tooth will eventually fall out on its own. The only time it’s a problem is when the baby tooth stays in place for years. In that case, it may need removed.


What kind of toothpaste should my child be using?

Our office policy to use the guidelines from the American Dental Association (ADA). We suggest a fluoride toothpaste starting when the first tooth comes in. From 0-3 years old, a smear of toothpaste no larger than a grain of rice should be used. At that age it is expected that your child will swallow the toothpaste. From 3-6 years old, fluoride toothpaste no larger than a pea should be used. After 6 years old, an adult portion of toothpaste can be used. In the US, adult and child toothpaste contain the same amount of fluoride. The child toothpaste generally comes in flavors other than mint. Be cautious of purchasing “training toothpaste” as this is often not fluoridated and may be of minimal benefit.

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