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Pedodontics

Pedodontics
Why are milk teeth so important?
When should the first dental examination be done?
What do we want from you before and after your children’s dental treatment?
When Do Teeth Come Out?
What are the symptoms you will encounter during the teething process?
What are the reasons for delayed eruption of milk teeth?
What are the Causes of Early Loss of Milk Teeth?
What is Preventive Treatment in Pedodontics?
What is Oral Hygiene and Nutrition Education?
What is Fluorine Application? What Does It Do?
What is Pit and Fissure Sealant?
What is a Placeholder?
What Should Parents Pay Attention To To Prevent Caries At An Early Age?
How is a filling done in milk teeth?
What is Amputation?
Is Root Canal Treatment Performed on Milk Tooth?
What is Apexification?
What is frenectomy?
What Should Be Done in Cases of Dental Trauma?

Pedodontics

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.

Why are milk teeth so important?
  • It helps with nutrition.It helps to speak.

    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.

When should the first dental examination be done?

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.

What do we want from you before and after your children's dental treatment?
  • In order to motivate your child before the treatment, “don’t be afraid, it won’t hurt, etc.” Do not use sentences like These sentences cause your child to think that, on the contrary, motivation is a situation to be feared and that it may hurt.Before the treatment, you can tell your child about the experiences you have gained from your own dental treatments, what is done and how it works.

    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.

When Do Teeth Come Out?

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.

What are the symptoms you will encounter during the teething process?
  • Increased saliva (saliva) productionPain and discomfort

    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.

What are the reasons for delayed eruption of milk teeth?
  • The eruption cyst, eruption hematoma, causes bleeding in the capillaries as a result of the pressure exerted on the surrounding tissues while the teeth are erupting. This painless, blue, purple swelling can be distributed by massaging and the eruption of the tooth can be facilitated.Early birth

    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,…)

What are the Causes of Early Loss of Milk Teeth?

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.

What is Preventive Treatment in Pedodontics?
  • Oral hygiene and nutrition educationFluorine application (Application that strengthens the mineral structure of the teeth)

    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.

What is Oral Hygiene and Nutrition Education?

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.

What is Fluorine Application? What Does It Do?

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.

What is Pit and Fissure Sealant?

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.

What is a Placeholder?

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.

What Should Parents Pay Attention To To Prevent Caries At An Early Age?

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

How is a filling done in milk teeth?

After the tooth decay is cleaned, the tooth is reshaped with filling materials suitable for milk teeth.

What is Amputation?

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.

Is Root Canal Treatment Performed on Milk Tooth?

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.

What is Apexification?

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.

What is frenectomy?

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.

What Should Be Done in Cases of Dental Trauma?
  • The dentist should be contacted without delay.If there are fragments of the broken tooth, it should be preserved. It may be possible to glue these parts in place.

    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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