It is a very important investment for the future psychological structure of the children to be introduced to the dentist from the age of 2 when they have no problems. Children who have met the dentist with routine check-ups when there is no pain and ache will comfortably come to the dentist in case of need in the future and have their treatment done. At the same time, the approach of parents is also very important. They should not say frightening words to their children about dentists and dental treatments and should not make frightening approaches to their children. For example, to listen to your words “Look, the doctor comes in like giving you an injection”They should not say the sentences.
Some children may exhibit behaviors such as not sitting in the chair, not opening their mouth, crying and shouting due to anxiety or fear during dental treatment. The methods applied to enable these children to receive dental treatment by increasing their compliance with the physician are called behavioral orientation. Behavior guidance is used to relieve your child’s anxiety and fear about dental treatment. Dental treatment should never be done by forcibly tied hands and arms. In addition to your child’s general and dental health, psychological health is also important to us.
- Some behavior management techniques…
1. Tell-show-do the technique:It is the technique of explaining all the procedures to be done before the examination or treatment in accordance with the age of the child, introducing all the tools and materials to be used.
2. Positive encouragement:It is the verbal appreciation of the child’s positive behaviors during the examination or treatment by the physician.
- 3. Volume Control: It is the difference in the doctor’s tone of voice against the negative behaviors of the child during the examination or treatment. Volume control is not yelling at the child. Its purpose is to gather the attention of the child and to continue the treatment.
Conscious hypnosis or sedation may be required if the behavior manipulation techniques mentioned fail.
- What causes more decay of milk teeth?
- Milk teeth contain more organic matter than normal teeth, so they are more prone to decay, they rot more easily and quickly.
- Children cannot interpret signals such as cold-hot sensitivity and mild pain, which can be seen in the early period of caries, in a timely manner. They realize the event only when the pain is unbearable, in which case it may be too late.
- Children cannot pay as much attention to oral care as adults. The child’s dexterity, curiosity and parent’s attitude determine the tooth brushing habit.
- One of the mistakes that mothers make frequently is to use a pacifier or bottle with sugar, jam, etc. They are given to children by dipping them into foods such as sugary milk and fruit juice between sleep. Thus, the teeth become susceptible to decay due to nutritional irregularities.
- Can cavities be prevented?
A vaccine or drug that can completely prevent cavities has not yet been developed. However, preventive treatments can be applied using some materials to reduce the number of caries.
Preventive treatments are procedures that prevent the formation of dental caries and gum diseases.
1. Fluoride Applications:Fluoride applications, one of the protective processes, are systemic. (taken orally)or topical (acting on teeth) used methods. Systemic fluoride can be taken from water or prescribed by the physician in tablet form. Keep fluoride tablets out of reach of children. In case of excessive use, there may be a picture of poisoning with sweating, nausea, vomiting, muscle contraction. In this case, it is necessary to go to the nearest health institution without wasting time. Topical fluoride products applied in the clinic are products in gel or polish form and are applied to the teeth every 3-6 months by the physician. Before the fluoride is applied to the teeth, the plaque and tartar that accumulates on the teeth and causes gingival disease is removed with appropriate tools and then polished with suitable pastes for the teeth. (polishing) operation may be required. Following the application of fluoride to the teeth, eating/drinking etc. specified by the physician. restrictions must be complied with.
2. Fissure Sealers:Fissure sealing, which is another protective process, is the covering of caries-prone areas on the recessed and protruding surfaces of the teeth with special filling materials.
What is the importance of milk teeth?
The primary task of milk teeth is to ensure the proper nutrition of the child. In addition, the proper development of speech also depends on the presence of milk teeth.
Milk teeth protect the area they cover for the permanent tooth that will replace them and guide it while the permanent tooth is erupting.
When the primary tooth is pulled out early, this natural place-holding function disappears.
- Are they decay in primary teeth should be treated?
Untreated milk tooth decay causes pain, bad smell, difficulty in chewing, malnutrition and ugly appearance. Untreated dental disorders in this period can cause tooth decay, jaw development disorder and general health problems in the future. (from rheumatism to heart ailments) may cause. Therefore, caries in milk teeth, “new ones will come in their place anyway”should be treated without error.
Can root canal treatment be applied to milk teeth?
Yes. Root canal treatment should be applied to primary teeth that cannot be treated with fillings if they have a certain amount of roots.
Dental Injuries in Children
In accidents where teeth are damaged in children, intervention should be made without losing time. Correct diagnosis is very important. For this, your doctor will tell you when and where the accident happened, where the blow came from, fainting, vomiting, memory loss, etc. after the accident. In line with the information given, the most correct treatment will be applied.
Dental injuries in children can sometimes cause the permanent tooth to completely separate from its socket. In this case, you should go to your dentist immediately with the erupted tooth. In the meantime, the tooth should be kept in a glass of milk, if milk is not available, in clean water.
- When Should Children Start Dental Care?
Parents should pay attention to their children’s oral hygiene from the beginning of their first milk teeth eruption. In very young babies, even if the teeth cannot be brushed, some water should be given to the baby’s mouth after meals and the top of the teeth should be wiped with a clean piece of cloth. As the teeth begin to erupt, the child should be given a toothbrush and play with it. After the age of 1, parents can brush their babies’ teeth slowly with small toothbrushes without paste. When dexterity develops, the child should be taught and encouraged to brush their teeth.
Brushing should be done in front of the mirror with one of the parents or siblings. Since it is not possible for children to brush their teeth ideally before the age of 5, when brushing is finished, the parents should check and remove the deposits on the remaining teeth.
- How much toothpaste should be used in children?
The use of toothpaste is not recommended in infancy and children up to the age of three. Toothpaste use should be started after the age of three. But 3-5 cm as you can see in the ads. not, the paste as much as a chickpea will be enough for brushing.
When using toothpaste, any of the fluoride toothpastes can be preferred. The important thing is that the child likes and desires the taste of the chosen paste.
It should not be forgotten that an effective brushing process is more important than paste in the brushing process.