蛀牙、龋齿、地包天……儿童常见口腔问题规范解答!

「导读」儿童牙齿的发育,分为乳牙阶段和恒牙阶段。乳牙萌出通常在6个月至3岁之间,恒牙萌出开始于6岁,一直持续到青少年12岁左右。

儿童牙齿的发育,分为乳牙阶段和恒牙阶段。乳牙萌出通常在6个月至3岁之间,恒牙萌出开始于6岁,一直持续到青少年12岁左右。

乳牙萌出平均年龄:

8月:下颌中切牙

10月:上颌中切牙

11月:上颌侧切牙

13月:下颌侧切牙

16月:上颌第一乳磨牙、下颌第一乳磨牙

19月:上颌尖牙

20月:下颌尖牙

27月:下颌第二乳磨牙

29个月:下颌第二乳磨牙

恒牙萌出平均年龄:

6-7岁:第一恒磨牙和中切牙

7-9岁:侧切牙

9-11岁:第一前磨牙

10-13岁:尖牙、第二前磨牙

12岁左右:第二恒磨牙

乳牙过早脱落怎么办?

宝宝乳牙过早脱落,可能会导致恒牙牙弓长度减小,咬合加深可能成“龅牙”,影响颌骨正常发育,增加牙列拥挤、牙齿错位或埋伏以及牙弓不对称的机会,严重的还会造成牙颌畸形,影响到宝宝的容貌。

乳牙一直不掉怎么办?

通常情况下,滞留的乳牙要尽早拔除。宝宝乳牙滞留会引起恒牙萌出的方向和位置异常,甚至无法萌出。

但如果恒牙不能正常萌出,或者有恒牙缺失的情况,建议暂时保留乳牙。

注意

现在孩子饮食过于精细,牙齿没有得到充分的咀嚼锻炼,所以在换牙期间要给宝宝多吃一些粗粮、坚果等食物,加强咀嚼锻炼,促进乳牙牙根的生长发育。

牙齿出现白斑怎么办?

许多家长有时会发现宝宝的牙齿上有白点、白斑,这种情况通常有两类原因。

1.宝宝的牙齿受到外力冲击,正好撞到的部位会产生白垩色的斑点,这种情况不影响换牙,无需特殊处理。

2.宝宝牙齿表面没有清洁干净,例如奶渍等色素的残留,导致牙齿脱矿,即为口腔中矿物质的流失,这种情况可能会引起龋齿(即蛀牙),要多多关注,及时就医。

在换牙期间,乳牙出现蛀牙是否要治疗?

事实上,一旦发现蛀牙,一定要尽快治疗,因为儿童的乳牙很薄,一旦发生龋坏会很快扩散开,不仅给孩子带来痛苦、影响进食,严重的蛀牙还可能导致乳牙早失、恒牙易位,甚至会造成颌骨发育异常,从而影响全身的健康发育。

所以,千万不要抱有侥幸心理。

宝宝出现地包天,该怎么办?

如果宝宝出现「地包天」的症状,也就是下牙包住上牙,应该尽快治疗。

3-4 岁左右就要开始矫正,以免妨碍颌骨的发育,如果错过了黄金治疗时间,长大后矫正难度会更大,甚至可能需要手术才能有效改善。

小朋友几岁可以开始矫正?

儿童的黄金矫正年龄是12岁,但如果出现「地包天」情况的话建议越早越好,3-4岁就可以开始矫正了。

口呼吸对儿童发育有什么影响?

长期口呼吸会导致门牙向前倾斜,更容易出现牙列错乱、龅牙、咬合不良等情况,久而久之,还会影响到面部颌骨的发育,从而影响面容。

除了“变丑”,口呼吸还能让人“变笨”,常用口呼吸会降低智力,鼻子不通气,易造成头部缺血缺氧,脑部发育的供氧不足。

温馨提示

如有以上症状 请及时就医

我院口腔科在南充市率先开展了低龄儿童口腔门诊,为0-16岁儿童提供专业口腔护理服务,科室现有副主任医师1人,口腔科医师2人,护师1人,技术精湛,竭诚为广大患儿的口腔健康保驾护航。

邓纪恩

副主任医师

党总支委员、副院长

四川省社区口腔医疗专业委员会委员

南充市口腔医学专业委员会副主任委员

国家执业资格医师考官

南充市口腔质控专家组成员

我院低龄儿童口腔门诊创始人

国家口腔健康基地推广大使

张泽兵

口腔科主治医师

从事口腔临床工作二十余年

擅长:牙体,牙髓,根尖周疾病的诊治;各类牙列缺失的固定与活动修复等。

郭应同

口腔科医师

多次荣获年度“优秀医师”

2023年取得中国牙病防治基金会健康口腔推广大使资格

擅长:各种牙体牙髓疾病的诊治、牙体修复、各类阻生牙的拔除、儿童各类龋病、牙体缺损、缺失的诊治。

李丹萍

护师

从事口腔护理工作10年

取得特种设备R1操作证书

熟练掌握四手操作、技术常规操作,及口腔专业知识。

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article------>{"id":212,"cid":42,"subCid":null,"title":"蛀牙、龋齿、地包天……儿童常见口腔问题规范解答!","shortTitle":"","tagId":"","attr":"","articleView":"","source":"","author":"","description":"儿童牙齿的发育,分为乳牙阶段和恒牙阶段。乳牙萌出通常在6个月至3岁之间,恒牙萌出开始于6岁,一直持续到青少年12岁左右。","img":"/public/uploads/default/2025/04/09/1744161118301_source_738fb024-b2b1-41ee-907d-1b6f0b030e07.png","content":"<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<p>儿童牙齿的发育,分为乳牙阶段和恒牙阶段。乳牙萌出通常在6个月至3岁之间,恒牙萌出开始于6岁,一直持续到青少年12岁左右。</p>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n<p> </p>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<p>乳牙萌出平均年龄:</p>\n<p>8月:下颌中切牙</p>\n<p>10月:上颌中切牙</p>\n<p>11月:上颌侧切牙</p>\n<p>13月:下颌侧切牙</p>\n<p>16月:上颌第一乳磨牙、下颌第一乳磨牙</p>\n<p>19月:上颌尖牙 </p>\n<p>20月:下颌尖牙</p>\n<p>27月:下颌第二乳磨牙</p>\n<p>29个月:下颌第二乳磨牙</p>\n<p> </p>\n<p>恒牙萌出平均年龄:</p>\n<p>6-7岁:第一恒磨牙和中切牙</p>\n<p>7-9岁:侧切牙</p>\n<p>9-11岁:第一前磨牙</p>\n<p>10-13岁:尖牙、第二前磨牙</p>\n<p>12岁左右:第二恒磨牙</p>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n<section>\n<p> </p>\n</section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<p>乳牙过早脱落怎么办?</p>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n</section>\n</section>\n<section></section>\n</section>\n</section>\n<section>\n<p>宝宝乳牙过早脱落,可能会导致恒牙牙弓长度减小,咬合加深可能成&ldquo;龅牙&rdquo;,影响颌骨正常发育,增加牙列拥挤、牙齿错位或埋伏以及牙弓不对称的机会,严重的还会造成牙颌畸形,影响到宝宝的容貌。</p>\n</section>\n<section>\n<section>\n<section>\n<p> </p>\n</section>\n</section>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<p>乳牙一直不掉怎么办?</p>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n<section></section>\n</section>\n</section>\n<section>\n<p>通常情况下,滞留的乳牙要尽早拔除。宝宝乳牙滞留会引起恒牙萌出的方向和位置异常,甚至无法萌出。</p>\n<p>但如果恒牙不能正常萌出,或者有恒牙缺失的情况,建议暂时保留乳牙。</p>\n</section>\n<section>\n<section>\n<section>\n<section>\n<p>注意</p>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section></section>\n</section>\n<section>\n<section></section>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n<section>\n<p>现在孩子饮食过于精细,牙齿没有得到充分的咀嚼锻炼,所以在换牙期间要给宝宝多吃一些粗粮、坚果等食物,加强咀嚼锻炼,促进乳牙牙根的生长发育。</p>\n<p> </p>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<p>牙齿出现白斑怎么办?</p>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n<section>\n<section>\n<p>许多家长有时会发现宝宝的牙齿上有白点、白斑,这种情况通常有两类原因。</p>\n</section>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<p>1.宝宝的牙齿受到外力冲击,正好撞到的部位会产生白垩色的斑点,这种情况不影响换牙,无需特殊处理。</p>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<p>2.宝宝牙齿表面没有清洁干净,例如奶渍等色素的残留,导致牙齿脱矿,即为口腔中矿物质的流失,这种情况可能会引起龋齿(即蛀牙),要多多关注,及时就医。</p>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n<section></section>\n</section>\n</section>\n<section></section>\n</section>\n</section>\n<section>\n<p> </p>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<p>在换牙期间,乳牙出现蛀牙是否要治疗?</p>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n</section>\n<section>\n<section>\n<p>事实上,一旦发现蛀牙,一定要尽快治疗,因为儿童的乳牙很薄,一旦发生龋坏会很快扩散开,不仅给孩子带来痛苦、影响进食,严重的蛀牙还可能导致乳牙早失、恒牙易位,甚至会造成颌骨发育异常,从而影响全身的健康发育。</p>\n<p>所以,千万不要抱有侥幸心理。</p>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<p>宝宝出现地包天,该怎么办?</p>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section>\n<p>如果宝宝出现「地包天」的症状,也就是下牙包住上牙,应该尽快治疗。</p>\n<p>3-4 岁左右就要开始矫正,以免妨碍颌骨的发育,如果错过了黄金治疗时间,长大后矫正难度会更大,甚至可能需要手术才能有效改善。</p>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<p>小朋友几岁可以开始矫正?</p>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section>\n<p>儿童的黄金矫正年龄是12岁,但如果出现「地包天」情况的话建议越早越好,3-4岁就可以开始矫正了。</p>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<p>口呼吸对儿童发育有什么影响?</p>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section>\n<p>长期口呼吸会导致门牙向前倾斜,更容易出现牙列错乱、龅牙、咬合不良等情况,久而久之,还会影响到面部颌骨的发育,从而影响面容。</p>\n<p>除了&ldquo;变丑&rdquo;,口呼吸还能让人&ldquo;变笨&rdquo;,常用口呼吸会降低智力,鼻子不通气,易造成头部缺血缺氧,脑部发育的供氧不足。</p>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n</section>\n</section>\n</section>\n<section>\n<p> </p>\n</section>\n<section>\n<section>\n<section>\n<section>\n<p>温馨提示</p>\n<p>如有以上症状 请及时就医</p>\n</section>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section>\n<p>我院口腔科在南充市率先开展了低龄儿童口腔门诊,为0-16岁儿童提供专业口腔护理服务,科室现有副主任医师1人,口腔科医师2人,护师1人,技术精湛,竭诚为广大患儿的口腔健康保驾护航。</p>\n<p> </p>\n</section>\n</section>\n<section>\n<section><img src=\"/public/uploads/default/2025/04/09/1744161252405_source_mceclip8.png\"></section>\n</section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<p>邓纪恩</p>\n</section>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n<section>\n<section>\n<p>副主任医师</p>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n<section>\n<section>\n<p>党总支委员、副院长</p>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n<section>\n<section>\n<p>四川省社区口腔医疗专业委员会委员</p>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n<section>\n<section>\n<p>南充市口腔医学专业委员会副主任委员</p>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n<section>\n<section>\n<p>国家执业资格医师考官</p>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n<section>\n<section>\n<p>南充市口腔质控专家组成员</p>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n<section>\n<section>\n<p>我院低龄儿童口腔门诊创始人</p>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n<section>\n<section>\n<p>国家口腔健康基地推广大使</p>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n<section>\n<section><img src=\"/public/uploads/default/2025/04/09/1744161268256_source_mceclip9.png\"></section>\n</section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<p>张泽兵</p>\n</section>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n<section>\n<section>\n<p>口腔科主治医师</p>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n<section>\n<section>\n<p>从事口腔临床工作二十余年</p>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n<section>\n<section>\n<p>擅长:牙体,牙髓,根尖周疾病的诊治;各类牙列缺失的固定与活动修复等。</p>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n<section>\n<section><img src=\"/public/uploads/default/2025/04/09/1744161512781_source_mceclip10.png\"></section>\n</section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<p>郭应同</p>\n</section>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n<section>\n<section>\n<p>口腔科医师</p>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n<section>\n<section>\n<p>多次荣获年度&ldquo;优秀医师&rdquo;</p>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n<section>\n<section>\n<p>2023年取得中国牙病防治基金会健康口腔推广大使资格</p>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n<section>\n<section>\n<p>擅长:各种牙体牙髓疾病的诊治、牙体修复、各类阻生牙的拔除、儿童各类龋病、牙体缺损、缺失的诊治。</p>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n<section>\n<section><img src=\"/public/uploads/default/2025/04/09/1744161529346_source_mceclip11.png\"></section>\n</section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<p>李丹萍</p>\n</section>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n<section>\n<section>\n<p>护师</p>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n<section>\n<section>\n<p>从事口腔护理工作10年</p>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n<section>\n<section>\n<p>取得特种设备R1操作证书</p>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n<section>\n<section>\n<p>熟练掌握四手操作、技术常规操作,及口腔专业知识。</p>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n<section>\n<section>\n<p>地址:南充市顺庆区华康西路98号</p>\n<p style=\"text-align: center;\">接诊时间</p>\n<p style=\"text-align: center;\">上午8:00-12:00</p>\n<p style=\"text-align: center;\">下午1:30-5:00</p>\n<p style=\"text-align: center;\">咨询热线</p>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<section></section>\n</section>\n</section>\n</section>\n</section>\n<section>\n<section>\n<section>\n<section>\n<section>\n<p style=\"text-align: center;\">13388226603(张医生)</p>\n<p style=\"text-align: center;\">15881785186(郭医生)</p>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n</section>\n<p> </p>\n<p> </p>","status":0,"pv":443,"link":"","createdAt":"2024-01-27T06:52:21.000Z","updatedAt":"2026-01-08T17:26:31.000Z","bigfile":[],"simpleintroduce":"","sortId":0,"field":{},"tags":[]}

article.tags------>[]

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