Ambiri amafunitsitsa kudziwa kuti katsamba kali ndi mano komanso kuti mano amasintha.
Zitsamba zimabereka popanda mano. Ndiye pa 2-4 sabata pali zovuta. Nkhungu zimawonekera chachiwiri. Izi zimachitika pa masabata 3-4. Otsiriza amatha kupyola mu premolars. Pafupifupi, ng'ombe imakula mano 26.
Kusintha mano m'maakati
Pamene mano a amphaka amasintha, sitidziwa zizindikiro za kusintha. Ndili ndi miyezi isanu ndi umodzi, mano a ana amatha ndipo mano osatha amakula m'malo awo. Pa nthawiyi, ndikofunika kuyang'anitsitsa chikhalidwe cha mkamwa. Ngati mano a mwana amamasulidwa, amachotsedwa, ngati mano otukuka pakamwa amatsogolera kuluma kolakwika. Pali kuvulala kwa ziwalo zofewa za pakamwa, periontitis. Miyala imayamba kuikidwa pa mano. Choyamba, miyala imakhala ngati mphutsi yachikasu, ndipo kenako, ngati sichichotsedwe, imalepheretsa kudya. Manyowa amatsitsimula mano 30 okhazikika. Kusintha kwa mano kumatsirizidwa ndi mwezi wa 7. Mbali iliyonse ya katsamba imakula 6 incisors, 2 canines, 5 premolars ndi 2 miyala iliyonse.
Pa kusintha kwa mano, n'zosatheka katemera amphaka .
2 nthawi pachaka zimalangiziridwa kuti dokotala wam'mazinyo akuyang'anitsitsa pakamwa panu. Nthawi yomwe yakhazikitsanso kachilombo kamene imateteza matenda. Mavuto a mano mumphaka amayamba chifukwa chosowa chakudya cholakwika chifukwa cha kusowa kwa chiwindi. Amphaka amafunika kupereka nyama mu zidutswa zazikulu, chakudya chouma . Mukawona kuti katsamba kamodzi kamakamwa kapena kakhala ndi masiketi ambiri, pali fungo losasangalatsa kapena lakumwa magazi, izi ndi zizindikiro za matenda a m'kamwa, zomwe zikutanthauza kuti nkofunika kutengera chinyama kuchipatala chowona zanyama. Kuchiza kwa chinyama kuchipatala cha zinyama kumachitidwa pansi pa anesthesia. Dokotala amachotsa miyala, amachiza matenda omwe amapezeka, monga stomatitis, caries, pulpitis ndi ena.