Dental treatment in children: whether to treat milk teeth
Somehow, to this day, the question arises whether it is possible to treat teeth in children? Not only possible, but even necessary. Some moms think that since milk teeth, then do not worry, they will come out anyway. Actually, not so harmless as it seems. Delayed treatment of children’s teeth, can lead to serious consequences.
Why you need to treat teeth in children
Why treat baby teeth if they will still change to new and pretty. The milk teeth differ from permanent by its structure of fabrics and form. They have larger channels, they are shorter and more curved. The tooth is also small, accordingly, the tooth nerve will be closer than DC. The dentinal tubules have a baby tooth wide. When there is a carious process, it can quickly deepen. The infection rapidly spreading via the tubules to the nerve. You won’t even notice how a small black hole will be large and the child will suffer from pain. And if you came to nerve, then to the roots and bone in the neighborhood. There the infection will pass even faster if not in time to seek help. In children and bone and soft tissue more friable, so the risk of abscesses and phlegmons of the above. And that’s not all. If the permanent tooth germ is formed, the infection can and to get there, and a tooth grow already affected. Therefore, the question of whether to treat milk teeth if should automatically disappear.
How to treat teeth in children
Once it has been decided that we need to treat milk teeth, move on to how to do it in certain situations. Modern dentistry has made the dental treatment of children is more affordable and comfortable. Nowadays, anesthesia is carried out to all, even to a child. But if the anesthesia is for the first time, parents give direction and anaesthetics for tests to detect the presence of an allergic reaction. Only after receiving results it is possible to perform anesthesia. But before the first injection to numb the gum application method. Today a lot of tools with different fruit flavors. Child is choose the most thin needle, so he wouldn’t feel any pain.
The main task is to convince the child that the tooth to treat is just necessary and that there is nothing to worry. It is necessary to psychologically prepare before going to the clinic.
To explain, if not to treat then it will be even harder, you cannot have a favorite candy. It is desirable, if a child is naughty the first visit to make informative. Let him quietly get acquainted with the office chair installation. Use bormashenko and to show that it’s just the sound of this. A ride on the chair, to give something to touch. This will help him behave more confidently. He will know that the dentist office isn’t so bad.
Treatment of caries
Tooth decay starts and develops very quickly, especially if the fissures are deep. If he has only just begun, found in the stage of spots, it is necessary to conduct remineralizing therapy. It lasts about ten sessions, and is application of drugs to strengthen tooth enamel.
If this method fails, then resort to the silvering. This method will help for sure, but it has a lack. Cured tooth darkens, acquiring a grey shade. And this color will be as long as the tooth doesn’t fall out. The permanent tooth is not treated in this way.
If the carious process has gone deeper, without drilling and filling is not enough. In children, cavities are more common saped. Superficial, middle and deep caries are subject to the same treatment as in permanent dentition.
In all cases the cavity is drilled with is treated with antiseptic solutions and sealed. Only the deep, to the bottom of the applied treatment material with calcium to strengthen. For a baby tooth began to produce colored plombochki. They can be sequined. It is very convenient for the doctor. He will know that sealed a temporary tooth on. The child interesting to have such a seal.
Treatment of pulpitis in temporary dentition
Treatment of deciduous teeth in children with the defeat of the tooth nerve is carried out with the prior extermination of the pulp. This step is optional.
- In the first visit under anesthesia reveal the tooth cavity, and there put ARSENICAL paste.
- Tooth close to the time of the dentine-paste.
- Arsenic can be left for a maximum of a couple of days. Otherwise it may develop ARSENICAL periodontitis.
It is necessary to explain to her that when will the anesthesia is to act arsenic the tooth may be a little cheer. You can give painkillers. If the pain becomes unbearable strong, there will be some changes, be sure to inform your doctor.
If everything is OK, then in that day when appointment the nerve is removed, canals are cleaned, expand, antiseptics washed, dried and sealed. Definitely need to control the quality of endodontic treatment. This is necessary in order to prevent further spread of infection. Then sealed the cavity.
There are cases when the channels too crooked and impossible to clean. How to treat your teeth in such situations? These channels can be treated by means of resorcinol. After devitalization of the dental nerve in the mouth and in the channel as possible make the resorcinol-formalin mixture. She needs to leave for a few days under a temporary filling. Then, on the same place already applied the paste. Then the tooth is sealed with permanent material. After blending of the mixture may be aching pain, but they pass.
Periodontitis in children
Periodontitis is when the infection reaches apical openings of the roots. Given that channels the milk teeth are short and wide and occurs very often. For the child not what to eat, it is impossible for him even to touch the patient’s body. Perhaps even the gum is swollen, person may be asymmetric. In this case, the first visit is necessary to reveal the tooth. Again anesthesia. Cavity dissect, expose, remove the remains of the nerve. The root canals are completely clean, extend, not only the wall and the hole. This is done in order to purulent contents had the opportunity to go. Channels are thoroughly rinsed.
The child let go with an open tooth while not decreasing the symptoms of inflammation. The mother should explain what is necessary to close the hole with a cotton ball before a meal, and then immediately remove it and rinse the soda-salt solution with the addition of a few drops of iodine. On the next visit the canals again thoroughly washed and sealed with temporary material with calcium for a few weeks. Then replace it with a permanent filling. In cases when the channels are impassable and it is impossible to remove the pain symptom, have the tooth removed.
Ruined tooth — what to do
There are situations when it affects the front teeth. There are small cavities on the sides, and on both sides of the crown. And so gradually destroyed coronal part. You need to treat milk teeth of children in this situation. When the crown is completely destroyed, it makes no sense to restore it. Because the child will not be able to comply with the required recommendations and the filling is constantly falling out. It’s impossible for him to explain what the mouth can not hold hard objects to bite on these teeth coarse meal. If such teeth do not hurt and do not bother you, then leave them under surveillance. But if there is an inflammatory process and the child they bring pain, then the tooth is removed.
Treatment of permanent teeth in children
For permanent teeth need more serious care. To treat teeth in children with mixed dentition all is also mandatory and necessary. Because they have no substitutions. If not to save them, you have to resort to prosthetics. In the stage of caries spots can be treated only by ramaraja. If one course does not help, repeat after some time. Watching him. The main thing is to stop the process, let the stain becomes smaller, it is important not to become greater. Treatment of caries, we already know how is. No difference, except for the materials used.
Pulpitis of permanent teeth in a child
There are treatment depends primarily formed from the root to the end or not. If the tooth body is fully formed, it is treated the same way as in adult patients. Remove the pulp canals are cleaned, washed and sealed. In this situation, sometimes you have to put the arsenic, but it happens and without cost. Again, we need to check the quality of obturation of root canals using the snapshot.
With regard to unformed roots, the situation is a little different. Dental treatments for children in this case, it requires a very serious approach. Because of the treatment depends the future of this body. You have to process the channels mechanical medication strictly to the level of their formation. To go beyond that, you should not. Need to fill a temporary material with a calcium content. Wait until the roots are fully formed. During this period it is necessary every six months to do the x-ray. If all is well, then the tooth is sealed as permanent.
Periodontitis is treated the same way. The tooth remains open will not go out until the inflammatory process. Sealed with a temporary filling, and then as usual. Similarly, the unformed roots, waiting for their complete formation.
As everywhere, as always, when it comes to the oral cavity, first and foremost, personal hygiene.
Should the child immediately be accustomed to clean teeth after meals. Until the moment when he will begin to understand immediately after the eruption of the first tooth you need to clean it mom. Today is a special silicone fingertips, which on one hand have stubble, or bumps to scratch the gums.
It is necessary to give more foods containing calcium and fluoride. To monitor the quality of drinking water. Do not give sweets between meals.
Eliminate all the candy, they leave a great patina. Except that after they immediately brush your teeth. To give more fresh fruits and especially vegetables. They help to cleanse itself from the plaque. Teeth children be sure to treat and the sooner you apply, the better.