CHILDREN’S DENTISTRY

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 that can be seen in the early period of caries in a timely manner. They realize the event only when there is unbearable pain, 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 the parent’s attitude determine the habit of brushing teeth. One of the mistakes that mothers often make 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.

A vaccine or drug that can completely prevent cavities has not yet been developed. However, some materials are used today to reduce the number of caries, one of them is; It is the material we call “fissure sealant”. Dental caries usually starts in the grooves called “fissures” on the chewing surfaces of the molars and premolars. With the material we mentioned, the grooves are covered and microbes, food residues, etc. By preventing the leakage of the cavities, the onset of caries is prevented. This procedure can also be applied to permanent molars and premolars that erupt after the age of 6. Another way to prevent caries is to increase the resistance of the teeth against caries. This resistance is gained by applying superficial fluoride to the 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. In addition, an image like the one below causes serious aesthetic problems that no one would want to see in their child. The milk teeth protect the area they cover for the permanent tooth that will replace them and they guide it while the permanent tooth is erupting. When the milk tooth is removed early, this natural place-holding function disappears. Should caries in milk teeth be treated? Untreated primary tooth decay causes pain, bad smell, difficulty in chewing, malnutrition and an ugly appearance. Untreated dental disorders in this period may cause tooth decay, disorder in jaw development and general health problems (from rheumatism to heart diseases) in the future. Therefore, caries in milk teeth should be treated without making the mistake of “new ones will replace it anyway”. Caries in milk teeth; It may cause the child to meet with pain at a very young age and to have some phobias in the future. In addition, these caries can cause very early loss of milk teeth.

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, from which side the blow came, fainting, vomiting, memory loss, etc. after the accident. It will ask whether In line with the information given, the most accurate 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.

Feeding babies with breast milk for at least the first four months will ensure the normal development of soft tissue and muscle functions around the mouth. In cases where breast milk is insufficient, the use of a physiologically capped (palate, cut-ended) bottle is required. Babies should be accustomed to feeding with cups and spoons from the age of 1 year. Bottle feeding can continue until the age of 2 at most. age is allowed. If there is a habit of thumb sucking, the reason for this should be investigated and this habit should be eliminated between the ages of 3 and 6 years. Respiratory problems have a negative effect on the development of the jaw. If there is only mouth breathing, not through the nose (this situation is better understood during sleep), an otolaryngologist should be consulted.

When the baby is 6-8 months old (that is, when the first teeth appear in the mouth), the cleaning process should begin. After breakfast and before going to bed at night, it is appropriate to wipe and clean the teeth (at least the chewing surfaces) with a clean cheesecloth or gauze. It is appropriate to start using a toothbrush after the child’s back teeth erupt (on average 2.5 – 3 years old). It is very difficult to apply a technique for brushing teeth in pre-teen children. The important thing at this age is to give the child the habit of brushing teeth. When brushing, children often brush the visible or easily accessible surfaces of the teeth. However, in order to prevent caries, it is necessary to clean the interfaces and chewing surfaces of the teeth much better. Therefore, it is good for Parents to control after brushing.

Toothbrushes made of soft and nylon bristles, suitable for the child’s mouth size, should be used. Hard brushes are not suitable for use as they will abrade the teeth. Just as you can’t sweep with an old broom, you can’t brush your teeth with an old brush. Brush bristles should be changed as soon as they are worn (Average 6 months). How many times a day should I have my child brush their teeth? Just three minutes of effective brushing is sufficient after breakfast and before going to bed at night. Like every good habit, the habit of brushing teeth will be acquired in childhood.

Stress, aggressive, obsessive or shy personalities, children whose parents grind their teeth are more prone to this habit.

Wear on teeth, grinding noises while sleeping, pain in facial muscles, problems in the jaw joint, headache, tooth wobble and sensitivity.

First of all, it is tried to eliminate the psychological factors that cause teeth grinding.

Thumb sucking is a common habit at a young age. It usually goes away on its own by the age of four. The continuation of the habit at the age of permanent teeth eruption leads to structural disorders in these teeth and palate. The cause of these disorders is the pressure exerted by the finger on the front teeth and palate. The degree of impairment that occurs depends on the duration, frequency, and severity of sucking and the position of the finger during sucking.

The most effective way to prevent thumb sucking is to accustom the child who tends to thumb sucking to the pacifier. The damage caused by the pacifier is less and it can be left more easily. Timing of the treatment is very important. Unless the child himself wants to get rid of this habit, it is impossible for the treatment to be successful. It is psychologically very beneficial for the child to quit before school age in order not to be pressured by the environment and be mocked. The child should be encouraged and rewarded without being pressured, and should be directed positively. professional help is required.

For babies, sucking is the most natural way to relax and feel safe. If the baby has a tendency to thumb sucking, it should be directed to the pacifier immediately. A pacifier is also less harmful than thumb sucking; The pacifier can be given more easily in later ages. The pacifier should be given only when necessary, not for a large part of the day. In order not to cause structural defects, pacifiers with natural breast structure should be selected as much as possible. The strength of the structure of the pacifiers should be checked every day. The size of the pacifier should be suitable for the structure of the mouth.

My baby’s teeth rotted as soon as it erupted. What could be the reason? In babies, it is sometimes observed that brown spots appear on the teeth as soon as they last, or that these teeth break and fall out. In fact, these stains are dental caries and teeth are broken due to caries. The reason for the formation of caries in such an early period is the caries called bottle caries. Breast milk or cow’s milk, which is the most important nutrient in infant nutrition, naturally contains sugar. If the baby sucks breast milk or a bottle before going to bed at night or during sleep, milk accumulates in the mouth and creates a favorable environment for microbes to rot the teeth. For this reason, care should be taken to clean the teeth, especially after night feeding.

Since the treatment of bruises in babies is very difficult, preventive measures should be taken in the early period.

Prevent your baby’s habit of sleeping with a bottle in his mouth at night.

Try to sleep after feeding.

Do not add sweeteners such as sugar, honey and molasses to the milk in the bottle.

Make sure to drink water after the baby is fed.

When the first teeth start to erupt, wipe their teeth with a clean, wet cheesecloth after night and morning feedings.

If the teeth with bottle decay are not treated, they cause pain and become inflamed. Inflamed or aching teeth cause the baby to become restless and disrupt the diet. Inflammation also affects the permanent teeth that will come from below, causing them to become distorted. If these teeth have to be extracted, the child may have speech problems. In addition to the bottle, giving pacifiers dipped in sweeteners such as honey, molasses and jam to silence crying babies is another cause of bottle bruises. In addition, carbohydrate-sugar foods given to the baby to linger after the teeth erupt also cause tooth decay. Instead of such foods, the child should have high nutritional value such as apples and carrots; It is necessary to direct it to foods that help teeth cleaning.

The use of toothpaste is not recommended in infancy and children up to the age of three. The use of toothpaste should be started after the age of three. However, as you can see in the advertisements, 3-5 cm. Not just a chickpea, a paste as big 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 the paste in the brushing process.

Clean around the aching tooth. Gargle with lukewarm salt water and floss any stuck-on food residues. Never put aspirin or similar drugs on the tooth. Give your child a pain reliever you’ve tried before and take him to a dentist as soon as possible.

Put ice on the injured area. If there is bleeding, apply gentle pressure with a clean gauze pad. If the bleeding does not stop within 15 minutes, contact your dentist.

Find the female. Get it without touching the root as much as possible. Milk is the ideal environment to store the tooth until you go to the dentist. Go to your dentist as soon as possible by preserving it in milk in a clean container.

Contact your dentist without wasting any time. Every lost hour after trauma magnifies the damage.

Clean the wound with warm water. Apply a cold compress to that area. Retain any broken tooth fragments, if any.

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