PAEDIATRIC DENTISTRY (PEDODONTICS) AND PROTECTIVE MEDICINE, englobes:
- The factors affecting the development and calcification of milk teeth in the baby’s prenatal life
- Factors affecting tooth repulsion a after birth,
- Permanent teeth development-calcification and maintenance,
- The caries of children and their permanent teeth and their treatment methods,
- Methods of protecting children’s oral health,The relationship between oral and dental findings and systemic diseases in pediatric patients,
- Preventive dentistry,Dental traumas and their treatment
- Preventive medicine and dental treatment in mentally disabled children,
- Necessary applications meant to prevents problems occuring in the future due to early loss of milk teeth,
RECOMMENDATIONS FOR ORAL HEALTH CARE AMONG CHILDREN
In children, periods of dentition can be examined to cover 3 different periods:
1) 0-6 years: Milk teeth sequence period:
Although the milk teeth may be variable, they start to merge at the beginning in the lower anterior area after an average of 6 months, and they are completed at about 3 years of age. In this period, a total of 20 (10 lower, 10 upper jaw) milk teeth symmetrically took place.
2) 6-12 years:Mixed dentition period:
It is the age range where both the molar teeth and the cutting teeth are seen in the mouth at the same time. Over time, the milk molars leave their place to the molar teeth, and they switch into permanent dentition.
3) 12 years and after: Permanent dentition period:
This period is the period when the milk teeth completely fell and the permanent teeth take their place in the mouth and the balance between the teeth and the formation of contacts.
Your child’s first teeth are called milk teeth. These teeth are very important because they help the child to chew and improve his / her speech. Milk teeth also serve to protect the location of permanent teeth underneath them. Preservation of the health of the teeth prevents the need for orthodontic treatment in the future. Most importantly, the role of a beautiful and healthy smile in the development of your child’s self-confidence. Failure to treat problems with milk teeth can lead to major problems.
BABY BOTTLE TEETH DECAY
The most common problem among Infants and young children are the bottle teeth caries. These decays are formed by sugar and sweets contained in milk, food, fruit juices, after a long contact to teeth. The child who falls asleep with sugar content liquids is at risk. Because, during sleep, the saliva increases and spreads the sugar all over the mouth. The teeth are also affected by the caries as a result of acid produced by decay-causing bacterias using this saccharose. Your child’s teeth should be checked regularly and brown spots with a sign of caries must be followed. Regular tooth brushing should be started immediately after the first tooth is removed. However, it is more appropriate to wipe regularly the mouth with the help of a gauze,even before the teeth come to emerge. The simplest way to prevent bottle decay is to prevent the child from sleeping with a bottle or a bottle containing sweet food.
Usually finger sucking is a harmless habit in children under the age of 5 years , but it is a problem if it continues after the first permanent teeth after the age of 6 years. The jawbone is very soft and flexible until the age of 8 years. The pressure of the finger during the finger sucking affects the development of the sensitive jaw and pushes the lower teeth forward while pushing the front teeth backward. If the child cannot give up this habit, you can set up a reward-penalty system in the first place. You can punish when the fingers are sucked and reward when they are not. If this method is not working, contact your dentist. Your dentist will make an appliance that will cut this bad habit in a few days.
TREATMENTS APPLIED TO CHILDREN:
Topical Fluor Application
Fluor should be applied to reduce tooth decay in children. the Fluor that infiltrates the structure of the tooth enamel layer, renders it very sensitive to the formation of caries.
In foreign countries, the tooth decay among children is prevented by adding fluorine substance to the drinking water. In turkey, since such application is not of use, it was seen necessary to administer it to our children in some other ways. The teeth that bear the highest risk of decay in children are the teeth of six years. It can also be applied to the small molar teeth if deemed necessary.
Fluoride is an element that prevents the decay of the teeth and strengthens their structure Fluoride is also found in certain nutrients such as in toothpastes. However, children often do not take enough fluoride to gain resistance to caries because they neglect to brush their teeth. Topical fluoride applications are made to compensate for this.Topical fluoride application is a method which can be applied only by dentists. Thus, sufficient amount of fluoride is placed on the teeth and the structure of the teeth is strengthened to become resistant to decay.Topical fluoride administration can be effective only if done every 6 months. For this, your children should go to the dentist regularly every 6 months.
Fissure sealers are the preventive treatment that aims to protect the female against decay without developing caries. Studies show that 90% of the caries develop on the chewing surfaces of the molar teeth. In the first months when the molar teeth are seen in the mouth, they are not fully calcified (hardened) and they are prone to decay. The risk of development can be prevented to a great extent. with fissure sealers,the intrusions and protrusions in chewing surfaces are filled to prevent the food accumulation and consequently, the huge risk of carie development. These treatments are very necessary, especially in individuals who are prone to caries
We call placeholder the movable or fixed apparatus meant protecting the location of the milk teeth lost for any reason.al problems. The precocious loss of milk teeth causes functional and esthetic problems beside multiple development issues. The milk teeth function as guide to the permanent teeth that shall come to replace them; if they are lost prematurely, the permanent teeth will emerge randomly and the irregularities will occur. Therefore, development and caries follow-up in elementary school children during mixed dentition period should be kept very tight without neglecting periodic controls.
Filling application is decided for decay lesions occurred in milk teeth , and the treatment method is determined according to the loss of tissue due to the depth of caries and the age of decay. The teeth can be restored with fillers. Permanent teeth can be restored with crowns according to various fillers depending on indication.
Root Canal Treatment
When the tooth tissue loses its vitality, it can cause pain and swelling. The loss of vitality of the tooth can occur as a result of tooth decay or trauma to the tooth. Advanced caries or discoloration of the teeth are signs of infection. Infection can be seen in the milk teeth, but also in permanent teeth. It may be necessary to use antibiotics before treatment. Depending on the condition of the case, canal treatment or tooth extraction can be performed.