Kinder Tandheelkunde

Pediatric Dentistry

Deciduous teeth begin to erupt in the 6th month, and eruption is completed in the 24th-30th months. The children’s oral care should be made by the parents from the beginning of eruption. Because baby bottle caries can be seen in the children at early ages. Therefore, first dentist visit should be made at the age of 1. When the deciduous teeth are completed, there are 20 deciduous teeth in the mouth. These teeth fulfill the child’s proper nutrition and speaking functions as well as acting as place holder for the permanent teeth to come from the bottom. If the deciduous teeth are lost at an early period, then this early place holding function disappears and dental crowding may occur in the future. Therefore, caries in deciduous teeth should certainly be treated, and the child should get accustomed to the clinical environment by visiting the dentist every 6 months regularly.

In cases where there is premature loss of deciduous teeth, the space required for permanent teeth is protected by making removable or fixed place holders. Permanent dentition starts from the age of six. During this period, first molars erupt. They are mostly assumed as deciduous teeth, and are not given due importance by the parents.

In order to prevent caries in permanent teeth, the recesses and protrusions on the chewing surface of the tooth, which are usually the starting place of caries, are covered with tooth-colored fluid substances. This process is called fissure sealant application. With this application, the caries-forming foods such as chocolate and sweet are prevented to hold on the tooth and cause caries. And another preservative application is topical fluoride application. This application is very effective in prevention of caries and enhancement of dental structure. Especially, as it is hard to provide regular tooth brushing habits in children, a regular fluoride application every 3 months can increase resistance to caries.

And another problem encountered in children is injuries as a result of trauma (impact). If the tooth has completely dislocated due to trauma; the dislocated tooth should be found, the tooth root should not be touched as much as possible, and the tooth should be kept in milk until visiting the dentist. It should be delivered to the dentist in milk in a clean container as soon as possible. Every lost minute, hour is important. If treatment is started within an hour, the dentist will replace the tooth (reimplantation), and the tooth can remain in the child’s mouth for many years with a careful application and a good care.

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