Children start to remove their first milk tooth at about 6 months. In the period until the permanent teeth take their place in the mouth (6-13 years), the task of the milk teeth is great.
It is a placeholder for permanent teeth.
It guides them in the eruption of permanent teeth.
It directs the growth of the jaw arch where permanent teeth will be placed.
The World Health Organization (WHO) and the American Association of Pediatric Dentists recommend that the first dental examination be performed after the first tooth erupts (usually between 6 months and 1 year of age). Parents seem to have the impression that the first dental examination is early. The goal here is not treatment. It is your child’s getting used to the dentist, the dental chair, and getting to know the tools to be used during the treatment. In this way, he will be more comfortable when he comes for treatment.
When convincing him to go to the dentist, do not use sentences that will cause him to be afraid. (If your tooth is rotten, the doctor gives an injection, pulls your tooth, etc.)
Before going to the dentist, don’t make promises to your child about what the doctor will do. (“He will just take care of his tooth.”, “He won’t pull out.”, “He won’t needle.” etc.)
Do not promise your child rewards for the post-appointment. Rewarding causes your child to perceive the process as difficult.
Come to appointments with your parents. It will be better motivated.
Unless told otherwise, make sure to be full when coming to appointments.
During the treatment, “Are you tired?”, “Does it hurt?” Do not ask questions that will demotivate you, such as
During the treatment “5 min. Failed.”, “Count to 10.” Do not use time-indicating sentences such as: When the treatment is not finished, his confidence will be shaken.
Children get bored quickly with treatments and get tired quickly. The number of sessions is more than adults. Therefore, do not insist on the doctor to perform more procedures. Leave the decision to your child and their doctor.
The eruption of milk teeth starts from the 6th month and continues until the 30th month. Approximately every 6 months, a group of milk teeth erupt. In some babies, the teeth may be in the mouth at birth, or they may have teeth erupting in the first 30 days. As long as it does not disturb the mother during breastfeeding, nothing needs to be done. After the age of 6, permanent teeth begin to show themselves in the mouth. After this age group, permanent teeth and milk teeth are found together in the mouth until about 13 years old.
Redness and swelling of the gums
Redness, itching in the cheek and chin area
Bite
Insomnia
Anorexia
ear tugging
It should be noted that these symptoms will vary from baby to baby. In some babies, fever, diarrhea, and body rashes are also observed during the teething process.
It has not yet been proven that these symptoms are related to teething. Since these symptoms may also belong to another disease, it is useful to consult your doctor.
low birth weight
Heredity
Vitamin D deficiency
Exposure of mother or child to X-rays during pregnancy
Systemic diseases (down syndrome, ectodermal dysplasia,…)
Endocrine disorders (hypothyroidism,…)
Apart from a trauma to the primary tooth or tooth decay, early loss of milk teeth usually develops due to a systemic disease. (Hypophosphatasia, Papillon le fevre, Histiocytosis group X diseases, Neutropenia, Leukemia, Diabetes,…)
Some habits acquired during childhood negatively affect the development of the mouth and jaw, and the positioning of the teeth. These habits should be abandoned in childhood. You can also get help from the dentist in this regard.
These habits are:
finger sucking
tongue thrust
Bottle and pacifier sucking
Nail biting
mouth breathing
biting various objects
grinding and clenching teeth
Keeping food in mouth without swallowing
All sucking habits are normal until the age of two. Usually, these habits are spontaneously abandoned. Changes in the positions of the teeth and disorders in jaw development occur after irresistible habits.
Pit and fissure sealant (Protective filling)
Placeholders are the treatments and examinations performed with the aim of keeping the teeth healthy for many years by gaining oral and dental care habits in childhood. Because it is painless and simple procedures, meeting with a dentist is very useful in overcoming dentist phobia.
It includes the importance and teaching of correct and effective brushing, the use of dental floss and its importance. When we acquire these habits at a young age, we will have a healthy mouth throughout our lives.
It is often difficult as parents to control our children’s eating habits. Children listen to their teachers and doctors more. For this reason, the task of explaining the foods that cause caries in the teeth and limiting the consumption of these foods falls to the dentist.
These trainings, which take place in the atmosphere of conversation, will also play a positive role in getting your child used to the dentist.
Fluorine ions accumulate mostly in hard tissues such as bones and teeth in the body. It strengthens the teeth against acids that cause caries by increasing the calcification of tooth enamel. Thus, it creates a caries preventive effect. It is a topical application, that is, an application method applied to the tooth surface. Fluoride is applied to the teeth with the help of gels, fluorine polishes, fluorine mouthwashes, and fluorine-containing toothpastes. In order to attract the attention of children, the forms applied by dentists are flavored with various aromas. According to the caries risk determination as a result of the dentist examination, this process should be repeated in 3-6 month periods.
Recesses on tooth surfaces are called pits and fissures. These areas are very suitable areas for bacteria to shelter and food to be compressed. As a result, they are areas prone to decay. These areas are covered before the formation of caries in the teeth, preventing the formation of caries. Since it is a preventive treatment, it can be applied to everyone.
In case of premature loss of primary teeth for any reason, removable or fixed appliances made to keep the permanent teeth in their normal positions are called placeholders. If the cavity of the extracted primary tooth is not preserved, the teeth in front and behind the cavity will fill it. The new permanent tooth will not be able to come out in the position it should be, and crowding will occur in the teeth. It may even be possible for a permanent tooth to remain impacted.
If the permanent tooth is very soon to erupt,
If there is more than enough room for the permanent tooth to erupt,
If there is not enough room for the permanent tooth to erupt,
If the gap of the lost tooth for orthodontic purposes is desired to be filled by neighboring teeth,
If there is any pathology in the eruption path of the permanent tooth, there is no need to make a placeholder.
From pregnancy onwards, the mother should pay attention to oral care.
In order to prevent the transmission of bacteria from mother to child, the contact of the pacifier and spoon used during the feeding of the baby to the mother’s mouth should be avoided.
After feeding the baby should drink water last.
From the moment the first teeth erupt, the teeth should be cleaned with a wet cheesecloth.
Prevent your baby from sleeping with a bottle at night.
Do not add foods that increase caries formation such as sugar, honey, molasses to the bottle.
The dental adventure, which started with the eruption of milk teeth in the 6th month, is now a lifelong journey. An approach that replaces milk teeth with a new one can cause serious problems in your child:
Waking up with pain at night, crowding in permanent teeth, missing teeth, disorders in jaw development, etc.
Treatment methods that can be applied to milk teeth and children are as follows:
Filling
amputation
Root canal treatment
Apexification
stainless steel crowns
Tooth extraction
frenectomy
After the tooth decay is cleaned, the tooth is reshaped with filling materials suitable for milk teeth.
It is the process of removing the pulp tissue affected by the decayed part and leaving the healthy pulp in the root part while cleaning the caries in primary teeth where the caries is very close to the pulp of the tooth (the part where the nerves and blood vessels are). It is filled with suitable materials.
Root canal treatment is applied in cases where the caries is very deep or in infected teeth that have lost their vitality due to trauma. Root canal treatment can also be performed on milk teeth, the choice of filling material will make the difference.
If the pulp loses its vitality before the root development is completed for any reason (trauma, infection) in permanent teeth, it is the process of directing the closure of the opening at the root tip together with the root canal treatment. The treatment process includes dressings made every 3 months. Complete closure takes place between 6 months and 2 years.
As a result of the connective tissue between the teeth in the anterior region being longer than necessary, a gap remains between these teeth after the upper anterior permanent teeth come out. The shortening of this tissue is called maxillary labial frenectomy. This should be done after the upper permanent canine teeth have erupted (approximately 12 years of age).
Dental trauma is the most common problem after dental caries in children. Dental trauma is most commonly caused by falls, school accidents, sports accidents, traffic accidents and fights.
Trauma result:
Tooth and root fracture, crack
shaking of the tooth
Complete dislocation of the tooth
embedding of the tooth
Changing the position of the tooth
Injury of surrounding soft tissue
Fractures and cracks may occur in the jawbone.
In cases where the tooth is completely dislodged; The tooth should be found and stored in saliva, milk or physiological saline until it touches the root surface as much as possible and goes to the dentist. If the conditions are suitable, the tooth can be placed back in the mouth and kept in the mouth.
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