Teething is the cause of occasional worry by parents, occasional fussiness by infants, and just plain curiosity by both! The general guidelines for incoming teeth are as follows: Central incisors usually come in around 6 months of age, lateral incisors around 8 months of age, first molars around 14 months of age, canines around 19 months of age, and second molars around 24 months of age. By 2 1/2 years of age, children should have 20 teeth. Remember to brush them daily! These 20 teeth remain until school age; then, the baby teeth will start to fall out and be replaced by the permanent teeth. Children should start seeing the dentist regularly around 3 years of age.
Since February 21, 2026, no new cases of measles have been reported in NC. The NC DHHS no longer recommends early MMR vaccination for infants 6 to 11 months old since there is no sustained transmission currently. While this is welcome news, vaccination rates have dropped in NC and the US. There will likely be further outbreaks in the future. We can give the MMR dose early to families who want it. This applies to infants 6-11 months who have not gotten a dose yet or kids under 4-5 years who have not gotten their second MMR dose. Two doses of the MMR vaccine are highly effective (97%) at preventing measles infections. At CHCAC, children receive their first dose at 12 months of age and a second dose at 4 years of age, ensuring they are fully protected as soon as possible, in accordance with the most up-to-date AAP recommendations. Some infants aged 6 months to 11 months who travel internationally or in high-prevalence areas may need a dose to protect them; however, they still require the 1-year and 4-year-old doses as well. If you are ever concerned about a possible exposure to measles, please CALL before entering our office. DO NOT ENTER the office. NC DHHS keeps a list of areas with measles exposures here . This is a highly contagious illness, and special precautions must be taken to prevent spread. The virus can be present in the air for 2 hours after an infected person is in the room, and 90% of susceptible patients can be infected. As always, if you have questions, we are here to help make sense of it all!