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Expert Q&A:
Is it normal for a 3-month-old to have four teeth?

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Linda Jonides
Answered by Linda Jonides R.N., C.P.N.P.
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"I have worked as a pediatric nurse practitioner (P.N.P.) for over 30 years," says Linda Jonides. "I continue to thoroughly enjoy forming new relationships with parents and newborns and working with them through infancy, childhood, and adolescence."

Linda Jonides is a pediatric nurse practitioner in a private pediatric practice in Ann Arbor, Michigan. She received her Diploma in Nursing and Certificate as a Pediatric Nurse Practitioner from The Johns Hopkins Hospital. She is a past recipient of the Michigan PNP of the Year Award. She has a B.S. in Nursing from Eastern Michigan University. She has published articles and lectured on childhood obesity, infant colic, role of the P.N.P., growth and development issues, and infectious diseases. She was an author of "Clinical Insights Column," published biannually in the Journal of Pediatric Health Care for nine years. Jonides is past president of NAPNAP. Currently, she is a steering group work member of NAPNAP's HEAT (healthy eating and activity together) project. One outcome of this group's work is the clinical practice guideline, "Identifying and Preventing Overweight in Childhood," that was published as a supplement to the March/April '06 issue of the Journal of Pediatric Health Care.

Ms. Jonides has been married to John, a university professor, since 1971.
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Question


Is it normal for a 3-month-old to have four teeth?

Answer


Teeth eruption is quite variable and may be influenced by heredity. So you might check to see if anyone remembers if any other family members developed teeth early. The average age the first teeth (which are usually the central incisors) come through is 6 to 8 months. But occasionally a tooth or two can be present at birth. These are actually an additional set of teeth, sometimes called milk teeth.

It's a good idea to start cleaning the teeth as soon as they appear. Use a clean soft cloth or a small brush. If any tooth is very loose or fragile, it may need to be pulled.
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