A.Oral health expert
Many children have erupted permanent teeth without the baby teeth falling out first. The cause could be varied but it is difficult to pinpoint. In these cases the baby teeth are usually removed. Later at the age of 10-12 if the permanent teeth are still crooked, braces may be needed.
A dentist is qualified to do everythinf an oral hygienist can do. Fissure sealants are a preventive measure to prevent decay of permanent teeth.
Children need fluoride in their toothpaste for the healthy development of their teeth I would not recommend toothpaste without fluoride
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