The physical examination during the child's tooth replacement period requires checking the development of teeth. Dental development examination helps evaluate whether the order, position, and morphology of deciduous tooth loss and permanent tooth eruption are normal, and timely detect problems such as abnormal tooth arrangement, dental caries, and incomplete enamel development.

1. Monitoring of replacement of primary and permanent teeth
By observing the degree of looseness of primary teeth and the position of permanent tooth germ through oral examination and X-ray, it is determined whether there is retention of primary teeth or delayed eruption of permanent teeth. If the deciduous teeth do not fall off on time, it may lead to the misalignment and eruption of permanent teeth, and the remaining deciduous teeth should be removed according to the situation.
2. Assessment of dental arrangement
Check the arrangement of permanent teeth after eruption, and detect early malocclusion such as tooth crowding and retrognathia. 7-9 years old is the golden period for functional orthodontic treatment, and early intervention can reduce the difficulty of later orthodontic treatment.
3. Dental caries risk screening
Newly sprouted permanent teeth with deep grooves are prone to food residue retention, and it is necessary to check the sealing of the grooves of permanent molars such as sixth instar teeth. Fluoride coating or preventive resin filling can be used to reduce the probability of dental caries.

4. Enamel development examination
Observe the color and hardness of permanent tooth enamel to identify incomplete enamel development or poor mineralization. Enamel defects may be caused by factors such as high fever and malnutrition in infants and young children, and require strengthened oral hygiene and local remineralization treatment.
5. Oral habit survey
evaluates whether there are bad habits such as finger sucking and oral breathing, which may lead to problems such as jaw opening and dental arch narrowing. Parents need to help their children quit bad habits and, if necessary, cooperate with muscle function training devices for correction.

It is recommended to have an oral examination every 3-6 months, brush your teeth with fluoride toothpaste daily, and use dental floss for cleaning. Limit high sugar diet intake and avoid carbonated drinks from eroding tooth enamel. If abnormal eruption of permanent teeth or severe malocclusion is found, timely referral to a pediatric dental or orthodontic specialist should be made. Regular check ups can effectively prevent common problems during tooth replacement and ensure the healthy development of permanent dentition.
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