Baby teeth with caries in children must be cured. The approach of some parents “They will fall out anyway, there is nothing to torment a child and spend money” – this is a crime against the health of the baby.
Timely treatment of caries of milk teeth is even more important than the treatment of permanent teeth. And that’s why:
- Normal teething of permanent teeth and the formation of bite largely depends on the health and timely change of milk teeth. A full set of milk teeth forms the correct jaw size. If they are destroyed by caries and fall out or are removed prematurely, then the jaw may not be formed properly. It is highly likely to result in the wrong bite in the future or curvature of the teeth, their ugly location. As a result, a child that has not been cured in a tooth of a baby tooth will, at the time of its maturity, be paid with braces at best, and at worst, with staggered teeth and psychological complexes.
- Caries on baby teeth can be complicated by pulpitis and periodontitis, which can cause cysts in the root zone, as well as the germ of a permanent tooth.
- Launched caries is often a cause for ridicule in the children’s team.
- Also, do not forget that the appearance of caries is a sign of violation of the rules of oral hygiene, improper diet or lack of minerals in the diet, and sometimes – a symptom of problems with the immune system. If you ignore these problems at the beginning of your life, then by the middle of his child can go without any healthy teeth at all and with a set of associated diseases.
- With the early removal of chewing milk teeth, the child will not be able to chew food normally. As a result, an insufficiently processed food lump will enter the gastrointestinal tract, which can lead to digestive disorders.
From the practice of the dentist
Often, parents do not even treat serious forms of caries complications, and periodontitis in a child can turn into periostitis, osteomyelitis, abscess, or phlegmon. Moreover, the level of deaths among children from complications of caries is higher than that of adults, since with certain factors that weaken the immune system, the process from pulpitis to abscess and phlegmon in a child can take a few days and even occur during the day.
Therefore, the first thing to do when detecting caries of milk teeth in a child is to contact a pediatric dentist. After the examination, the doctor will tell you how and what teeth will need to be treated, what methods and means for this should be applied and how to make the treatment as comfortable as possible for the child.
Only in very rare cases, caries on milk teeth can really not be treated. The doctor usually makes this decision if the change of teeth in a child has already begun, caries is found on the tooth, which is likely to fall out within six months, and the disease itself is sluggish, chronic. In this case, caries simply will not have time to lead to serious consequences. However, we repeat: this decision can only be made by a professional dentist on the basis of an examination of the child.
The specific features of the treatment of milk teeth
Treatment of caries of primary teeth in children is carried out taking into account the specifics of the structure and life cycle of the teeth themselves.
For example, milk teeth are quickly erased. This is a normal process that must be considered when selecting the material of the seal. If the material is harder than the tooth itself, then after a certain time the filling will begin to protrude beyond the surrounding tissues and prevent the child from chewing.
Typically, glass ionomer cements are used in the treatment of caries on milk teeth. In this case, in addition to the abrasion of the filling, which occurs naturally at the same time as the walls of the tooth adjacent to it, there is an infiltration of fluoride into the tissues surrounding the filling, which, in turn, contributes to their additional mineralization and strengthening.
In addition, children often have bottled and blooming caries, which develop very quickly. While parents have time to notice the disease and bring the child to the doctor, the pathological process can spread to most of the teeth and damage some of them especially badly. As a result, almost all teeth will have to be treated, and this will have to be done in several sessions, and the therapy itself will be very tiring for the child.
Methods of caries treatment at different stages of the disease development
In the early stages of caries development, when only tooth enamel is damaged, it is usually possible to manage with a conservative remineralizing therapy. It does not use a drill: demineralized areas of the teeth are first cleaned, and then treated with special preparations, allowing to restore damaged enamel.
Today, ICON (Aikon) technology is also widely used for the treatment of initial caries: a special composite material is applied to the damaged part of the tooth that fills all the pores resulting from a carious lesion. This material hardens and provides reliable and long-term protection of the treated area from further destruction.
Thanks to ICON caries treatment technology, regular examinations of a child at a dentist are becoming even more relevant. It is much more efficient and easier to treat caries of milk teeth in the early stages without a drill and fillings than to torment a child later in the event of the destruction of enamel and dentin.
However, it should be borne in mind that for cervical defects that are close to the edge of the gums, ICON is limited to use due to too thin and poorly mineralized enamel (dentin cannot be infiltrated with the drugs used). Children under 3 years of age to use the technique is undesirable.
Regular examinations of the teeth in a child can not only reveal hidden carious processes and determine the cariogenic situation in the oral cavity, but also identify for parents a set of necessary rules to preserve the surfaces of the teeth not affected by caries. It is important to begin cleansing already from the appearance of the first baby tooth. It is enough to wipe the tooth with special napkins or use for this purpose a toothbrush-napalechnik.
The first real toothbrush purchased for a child should be:
- With very soft bristles;
- With a small and non-traumatic round head;
- With comfortable grip handle.
Teaching brushing should take place in the form of a game. It should start from