Pediatric dentistry (Dentistry for children)
Treatment of problems
Careful nutrition in children (avoiding sticky and sugary foods as much as possible, to follow healthy eating rules) and proper tooth brushing techniques to protect against bruises is possible. When a bruise occurs, the cause should be determined, and the health of the child’s other teeth should be protected. Children from the very young age (6 months-1 age) by taking the dentist, both the child to meet this environment without fear to come and parents should be able to learn how to keep their children’s health at the highest level.
The caries in the tooth are cleaned and treated with permanent or temporary filling depending on the situation. In some cases, the tooth is too dilapidated to be treated with filler. Such teeth can sometimes be kept in the mouth for a while by being covered with ‘cap’ specially designed for children instead of being drawn. In recent years, colored fillings have been produced for children to like to visit the dentist and dentist.
Children often fall or hit their teeth. As a result, they can cause damage to the anterior teeth and often have problems during the years or often require the dentist. A simple mouthpiece that will be prepared by your dentist prevents damage caused by trauma to the lower part of the face. Especially in football, boxing, skiing, basketball, cycling, rollerblade, surfing, skateboard sports, such as children, the upper jaw teeth mounted on a silicone transparent mouth as a result of a pillow effect of dental traumas, fractures or lips, tongue bites and tears are prevented.
The most common of these injuries are dental injuries. The child without Mouthguard and whose front teeth are struck, either completely blows or breaks depending on the strength of the stroke, or the pulp, the live part of the tooth, is damaged in various degrees. If this damage causes the pulp to die, the color of the tooth becomes discolored and a color extending from light brown to dark gray occurs. Please protect your child’s dental health with a mouthpiece that will be prepared by your dentist.
If the front tooth has completely dislodged:
Go straight to your dentist. If you cannot reach your dentist immediately, soak the gauze with saline from the pharmacy and try to reach it as soon as possible. The best idea is that treatment is started within 1 hour. If the conditions are appropriate, your dentist will replace the dislodged tooth (reimplantation). With a rigorous application and good care, the tooth will remain in your child’s mouth for years.
If one or more of the front teeth have been broken:
Try to find the broken parts and contact your dentist immediately. It is important to keep the parts moist during this time. Serum is ideal for physiological and even saliva. These parts are bonded with very strong agents (bonding) and become more aesthetic and durable than any filler.
If you didn’t find the parts:
If the fractured part is small, a white fill is made in the same color and form as the tooth. Composite fillings have limited oral durability. They change the color by painting with foods such as tea, coffee and coke. They need to be renewed at certain times depending on their eating habits and oral hygiene.
If the fracture is large, the porcelain laminate veneers above the average 17 years of age apply if the tooth covers half or more. Porcelain laminate veneers are both very durable and very aesthetic. They can be described as porcelain leaves adhering to the front surface of the tooth and covering the fracture.
The application of porcelain laminate veneers is not correct since tooth and jaw development is not completed in children under 17 years of age. Again, composite laminae are made to cover the entire anterior surface of the tooth and the fracture. However, there are problems caused by the material and they may need to be renewed after a while since they will change color.
If there are no problems after the impact:
A detailed examination by the dentist should be done and the X-ray should be taken from the relevant area. Even if there is no finding after the examination and X-ray, periapical X-ray is taken again at certain intervals and compared with the old films. The aim here is to determine whether there is a long-term problem in the live part of the tooth. The tooth loses its vigor by changing color even after many years. If such a condition is detected, treatment with canal treatment can prevent complications that can lead to tooth loss.
In some cases, the caries progress to the live section inside of the tooth. An inflammatory condition occurs from the roots of the tooth to the jawbone. The child’s face swells, has severe pain, and it is not true to the child’s health to keep it in the mouth. In this case, the tooth must be removed. In particular, if this is a milk tooth and when the time of riding of the permanent tooth from below is very close, there is no concern. If the riding time of the permanent tooth is not close, a placeholder apparatus should be made instead of the tooth taken.
In a permanent tooth, this decision must be reviewed several times before shooting, and shooting should be considered when there is absolutely nothing left to do. Once the permanent teeth have been removed, if the age of the child is appropriate, immediately start the orthodontic treatment and this gap should be closed with the other teeth and a correct closing relationship between the lower and upper teeth should be provided. When a permanent tooth is left in place, the teeth in the next bow are leaning into this space. The tooth opposite the gap extends into the cavity and the entire balance of the mouth may be disrupted by a tooth.
The bacteria plaque formed on the teeth (whitish, sticky layer of food residues and microorganisms) should be removed and removed by the dentist if it is collected so that it cannot be removed by normal brushing. This process will prevent the formation of problems such as dental caries and bruises that the plaque will cause in the long term. In the same session, the child is informed about the brushing training and protection from caries and is called back to the control.
Nowadays, as in all areas of medicine, dentistry, which we can say without stopping the problem, has gained importance. Preventive dentistry is especially important in children. Since it is effortless, inexpensive and painless, it is preferable that the first encounter with the dentist is related to preventive dentistry.
Complete dental care is only possible with complete information. Hygiene training, including teaching the use of tooth brushing and flossing, reviewing nutritional habits and explaining the importance of oral health, ensures that there is no missing information. This education is important for children as well as for adults.
2-Surface Fluorine Application
Fluoride is a natural mineral that we can take from water or from many foods we eat. It has been found that the inhabitants of the regions with high fluoride levels in their waters had less tooth decay and when the cause was investigated, fluoride made the tooth enamel resistant to decay. Initially, the optimal dose of city water was considered to be fluoridated and applied in some regions, and then this dose was reduced with some side effects.
Recent studies have shown that superficial fluoride applications are more important. It was found that the effect of fluorine tablets taken by the mother during her pregnancy or given to the child from the 6th month was very little. The crystal-forming crystal structure becomes more resistant to acid by the action of fluoride applied to the surface. Thus, it becomes more difficult to roughen and hard to form.
Superficial fluoride applications are a simple, painless process that can be started from the age of 3 and must be repeated every 6 months. It is ideal for the first encounter of the child with the dentist and coming to control with 6 month periods. After a few minutes of this process, fluoride stored on the surface of your child’s teeth will make the teeth much healthier and stronger.
The chewing surfaces of the teeth are recessed. These pits and mounds are called pits and fissures. These areas are quite narrow and usually where the bruises begin. In order to prevent the accumulation of food and microorganisms in these regions and consequently decay, a special fluid filling material is used. First of all, this region is completely cleaned and the fissure sealant is applied to this region. Light hardens and polishes the excess. it is possible to protect against chewing surface caries, which constitute approximately 70% of all bruises. Although it can be used for many years under normal conditions, it is better to control them frequently, especially those who have habits such as ice chewing or tooth grinding.
The first permanent teeth in the mouth of the period is ideal for the application. This is around 6 years old. The other molars also apply to others during their riding times. An important point is that it will be better (within 1-2 years) to make the permanent teeth shortly after they start driving. Because the longer the time the more likely to develop a bruise and fissure sealant instead of filling may be required.
Although it can be used in adults without caries, its use in children is more useful and important. It is absolutely painless and very easy operation.
It is necessary to ensure that the recesses on the surface to be applied to the sealant are completely clean and removed from the bacteria before starting this painless processing. For this purpose, your teeth are cleaned by brushing and dried by a special solution. The enamel layer at the top of the tooth is roughened with the help of a gel and bonding is applied. After the light is cured, the fissure sealant is filled with the help of a brush and the light is cured again. Check the height of the protective polish is applied on. It is a very simple and inexpensive method. It is a painless and effective protective procedure.
Milk teeth, for various reasons (caries or accidents) may be lost early. In such cases, until the permanent tooth from the bottom is ready, the teeth on the side may bend down and close the place where the lost tooth must be protected for the permanent tooth. Even the tooth in the opposite jaw begins to grow. If the development of the early milk tooth is left after the development of these movements occur, the future will lead to permanent teeth. Thus, the permanent tooth can either not drive at all or will develop outside of its normal position.
Even the problems of early loss of a toothpaste are:
- The teeth will be replaced, and there will be some irregularities.
- Chewing will be difficult.
- More serious orthodontic problems will occur.
Some milk teeth should remain in the mouth until the age of 12 years. However, at this age permanent teeth are ready and milk teeth change. It is very difficult for unheated teeth that come out as a baby to come up without problems. Here, this small metal apparatus, called placeholder, is specially prepared according to the child’s mouth and maintains this place until the permanent tooth comes in cases where the milk tooth is lost early. They are prepared either fixed or inward (according to the location of the lost tooth). It is very simple, but it is a very important device for the child’s future oral health.
For maintenance and protection of the placeholder:
- Avoid sticky foods and chewing gum.
- Do not push or twist the placeholder with your tongue or fingers.
- Keep clean using a regular brush and rope.
- Every 6 months, always check.