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Why do childrens teeth decay?<\/h4>\nWhy do childrens teeth decay?<\/h4>\nMilk teeth\u00a0 compared to permanent teeth contain more organic matrix,because of thatthey tend to decayfaster and easier.<\/p>\n
Children mostly can not interprete the early signs of tooth decay like hot and cold sensitivity or the slight pain on time.Unfortunately they\u00a0become aware of the fact when they have enourmous pain a when it is too late.<\/p>\n
Children can not take care of their oral hygiene like adults. It is the childs maual skills, his curiosity and their parents attitude which determines the brushing habbit of the child.<\/p>\n
Especially the biggest mistake some moms do is to dip the soother and the baby bottles tip into sugar,jam etc. and\u00a0 to \u00a0feed their babies during sleep with milk with sugar or juice which they easily get accustomed to. This irregularity in nutrition makes teeth more prone to decay.<\/p>\n
Till now no vaccine or pill have been developed. But some materials trying to deminish the number of carious teeth are nowadays on the market,one of them is the fissure sealent <\/strong>.Caries often start at the\u00a0 little grooves of the chewing surfaces which we call fissures. By applying those sealents on those grooves we manage to isolate food ,microrganisms from those surfaces. This procedure is done after the first primary permanent molars and then the premolars erupt beginning with the age of 6.<\/p>\n Another way to prevent caries is to srenghten the teeth against caries by appliying topical fluor , which makes the teeth stronger and more caries resistant.<\/p>\n Do we need to treat the primary milk teeth?<\/strong><\/span><\/p>\n Milk teeth that are not treated cause pain,bad odor,chewing difficulties,nutrition problems and bad appearance<\/strong>.Teeth that are not treated\u00a0 in this period may cause some systemic diseases like heart rheumatism and eventually by early extractions orthodontic problems may also be encountered. That’s why without saying “anyway they will fall off and new teeth will come” milk teeth need to be treated.<\/p>\n In Pedodontics there are 2 approaches<\/strong><\/span><\/p>\n I.Treatment Approach<\/p>\n II.Preventive Approach<\/p>\n At children caries is a problem which you widely find.Brushing habbit that could not be acquired or the unremovable bacterial plaque cause caries at children.These are either treated with temporary or permanent fillings.For highly damaged teeth instead of pulling it out a milk tooth crown is done to prevent early extraction.<\/p>\n Fracture<\/strong><\/p>\n Dental traumas are the most common\u00a0 problems in such accidents. During some sport activities or after falls dental fractures may happen due to traumas in the face or mouth region. Depending on how strong the trauma the tooth may either partially or totally fracture or it may also\u00a0 be avulsed.Subsequently there may be some damage in the pulp<\/strong> of the tooth which may lead also to pulpal death.In this situation the tooth may discolour in the long run.For situations like that especially for children who are doing sports mouth guards<\/strong> can be fabricated ,which helps a lot to reduce the damage during the accidents to a great extent. Children doing sports should be advised to wear the the plastic generally tranparent sleeves<\/strong> over their teeth before they start to exercise.<\/p>\n Trauma<\/strong><\/p>\n If the front tooth and\/or teeth have avulsed or fractured<\/strong><\/p>\n Please by wetting a clean gauze with your saliva put your total tooth or its fragment or fragments\u00a0and go \u00a0directly to your doctor.If you can’t go immeadetely wet your gauze with saline solution that you get from a pharmacy and try to reach out\u00a0 a doctor. The most ideat time to start the treatment is within 1\u00a0 hour. If the situation is available either he will reimplant the tooth back in place or bond the fragment with a special tecnique\u00a0 to its original place. With a meticilous application and a proper oral hygine thereafter the child is going to maintain his tooth for lifelong.<\/p>\n What if the broken fragmeny gets lost?<\/span><\/strong><\/p>\n If the fragment is small <\/strong>, then a composite filling matching color and shape is done.Composite fillings durability in the mouth are limited,they easiliy get stained by coke tea,coffee etc and need to be eather after some time\u00a0 repolished\u00a0or sometimes they may need to be redone according oral hygiene and food\u00a0and beverage consumption habbits.<\/p>\n If the fragment is larger<\/strong>, then if it makes up half or more than a half of the tooth structure and if the patient is older than 17<\/strong> laminate veneers are indicated. Porcelain laminates are thin shell like restorations which are esthetic and durable restorative solutions.<\/p>\n For people younger than 17\u00a0<\/strong>the porcelain laminates are not indicated since the grow of the teeth and jaw have not been completed. In those situations\u00a0 composite laminates can be done without forgettig the discoloration problem.<\/p>\n What if after trauma everything seems normal?<\/strong><\/p>\n Definately a thoroughly exam and radipologic exams are to be made.\u00a0If after clinical and radiological examination there is no evidence\u00a0periodical x-rays have to be taken and compared to the old ones.\u00a0 By doing it\u00a0\u00a0 a possible change in the radigrafic view\u00a0 of the pulpal tissue may be detected. In some\u00a0cases the pulpal change goes along with discoloration which should be treated immeadetely with root canal therapy to avoid complications that may lead to the loss of the tooth.<\/p>\n In some cases caries reaches the pulp of he milk tooth<\/strong> and through the canals of the root the inflamation spreads to the bone. The kids face starts swelling accompanied by a strong pain. In those sitations it is not wise to keep the tooth for the sake of the kids health. These teeth are extracted. Especially if it is a primary milk tooth and time is almost up for the permanent tooth to erupt\u00a0 doesnt matter, but if the permanent tooth needs more time to erupt a space maintainer has to be done in order to prevent any orthodontic problems that may appear.<\/p>\n If something like that happens to a permanent tooth<\/strong>\u00a0 every other option has to be looked upon and if there is nothing else to be done extraction has to be considered. If the age of the child permits\u00a0 right after the extraction orthodontics has to be applied to close the space and to avoid furder maloclusions. If let untreated the teeth adjecent to the extracted tooth start migrating to the space and the tooth occluding with it\u00a0 start migration to the opposing arch\u00a0s o that we now face amalocclusion\u00a0Kal\u0131c\u0131 bir di\u015fte ise \u00e7ekim i\u015fleminden \u00f6nce bu karar defalarca g\u00f6zden ge\u00e7irilmeli ve ger\u00e7ekten yap\u0131lacak hi\u00e7bir \u015fey kalmad\u0131\u011f\u0131 durumlarda \u00e7ekim d\u00fc\u015f\u00fcn\u00fclmelidir. Daimi di\u015fler \u00e7ekildikten sonra, \u00e7ocu\u011fun ya\u015f\u0131 uygun ise hemen ortodontik tedaviye ba\u015flanarak bu bo\u015fluk di\u011fer di\u015flerle kapat\u0131lmal\u0131 ve alt-\u00fcst di\u015fler aras\u0131nda do\u011fru bir kapan\u0131\u015f ili\u015fkisi sa\u011flanmal\u0131d\u0131r. \u00c7ekilmi\u015f bir daimi di\u015fin yeri \u00f6ylece b\u0131rak\u0131ld\u0131\u011f\u0131nda yandaki di\u015fler bu bo\u015flu\u011fa do\u011fru e\u011filirler. Bo\u015flu\u011fun kar\u015f\u0131s\u0131ndaki di\u015f bo\u015flu\u011fa uzar ve bir di\u015f y\u00fcz\u00fcnden a\u011fz\u0131n b\u00fct\u00fcn dengesi bozulabilir.<\/p>\n Cleaning<\/strong><\/p>\n The plaque accumulation should be cleaned out by the dentist if it is no longer possible to get rid of it by regular toothbrushing, which will also eliminate the risk of the plaque to transform into tartar\u00a0or cause \u00a0caries. At the same appointment oral hygiene instructions and\u00a0 caries protection informations should be given to the kid\u00a0 and a control appointment should be arranged.<\/p>\n Today dentistry is much more focused in preventive approaches compared to the past. Preventive dentistryplays a ver important role especially at children. Since the applications in the field of preventive dentistry are noninvasiv,nonpainful easily done and cheap it is\u00a0prefered that childrens first encountering with the dentists is through preventive dentistry applications.<\/p>\n To accomplish a proper oral hygiene requires a porper knowledge about it.Starting from tooth brushing techniques and dental floss usage\u00a0 to nutrition habbits evaluation and last but not the least containing the brief instructions about the whole oral hygiene concept is a pachage that has to be delivered to the patient. This instructions should also be taken into consideration by adults and not only by children..<\/p>\n 2. Topical Fluor application<\/strong><\/p>\n Fluoride\u00a0 is a natural mineral that we take from the drinking water and many other foods. For many years investigators tried to figure out the reason for quantitatively less decay ratios in different areas and found out that areas where drinking water was highly flouridated people there have better decay indices compared to other locations with lesser flourid content. This made them conclude that fluoride makes enamel more resistant to decay.At first it was thought\u00a0 to optimally flouridate the whole city water system and executed in some areas\u00a0but \u00a0later it turned out to cause other\u00a0 side effects and it was\u00a0 abondened and the fluorid ratio was decreased.<\/p>\n 3. Fissure Sealant<\/strong><\/p>\n The occlusal surfaces of the molar teeth are not flat, there are tiny grooves and\u00a0 mounds which we call pits and fissures. These areas are exremely narrow and\u00a0 since food get stuck\u00a0at those areas decays usually start from there.In order to prevent caries by further food\u00a0and microorganism\u00a0accumulalation\u00a0a flowable filling material is used to cover these spaces. Fist the surface is cleaned and then the fissure sealent is applied\u00a0and light activated,excess is removed and eventually it is polished. With sealants %70 of the occlusal surface decays can be eleminated. Although they stay intact for\u00a0 a long time they\u00a0 frequently have to be reevaluated especially at people with bad habbits\u00a0such as \u00a0bruxig \u00a0or chewing ice. The most ideal time for the sealent application is right after the \u00a0eruption of the permanent molars.,which take place around 6 years of age. After\u00a0 the other molar and premolar teeth erupt the application is done for them as well. It is better to have the sealent done within in 1-2 year\u00a0 after the eruption.Because as long as the procedure is delayed the chance of caries goes high\u00a0and\u00a0 instead of sealents filing hve to be applied. It can also be applied toadults but the revenue you get from children is higher and is more profitable. It tis absolutely very simple and painless. procedure.<\/p>\n How is it done?<\/strong><\/p>\n Before the application of the sealent the surfaces have to thoroughly cleaned and all plaque has to be removed. For that purpose teeth are\u00a0brushed with special solutions and then dried. Afterwards the enamel is roughened with a gel and then a bonding agent is applied,lightactivated.As the last step the sealent is applied with abrush to make sure it infiltrates in the fissures and tthe again lightactivated. Later\u00a0 the bite is checked\u00a0 and the varnish is covered on the top.<\/p>\n Due to trauma or decay sometimes the milk teeth are lost early and the neighbouring teeth start migrating to the space left before the permanent tooth is ready erupt in the primary tooths position and close that space. As a matter of fact the occluding tooth may start moving to the opposite arch as well. If the situation is left untreated it may lead to maloclusions where permanent teeth can not find space to errupt and crowding or more severe orthodontic problems develop..<\/p>\n Problems that may come up even at the loss of one milk tooth:<\/p>\n Some milk teeth are supposed to say till 12 years of age. Generally with 12 years all permanent teeth exept the wisdom teeth are supposed to erupt. Milk teeth that erupted during\u00a0 babyhood are difficult to maintainwithout any problem till 12 years of age. That is why the little metallic device is fabricated according the kids mouth and keeps the space left by the early lost of the primary tooth\u00a0 until the permanent tooths eruption time.These\u00a0devices can be fixed or removable depending on the case.<\/p>\n How can we take care of the space maintainer?<\/strong><\/em><\/p>\n Why do childrens teeth decay? Milk teeth\u00a0 compared to permanent teeth contain more organic matrix,because of thatthey tend to decayfaster and easier. Children mostly can not interprete the early signs of tooth decay like hot and cold sensitivity or the…<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[12],"tags":[],"post_series":[],"_links":{"self":[{"href":"https:\/\/www.sidident.com\/en\/wp-json\/wp\/v2\/posts\/547"}],"collection":[{"href":"https:\/\/www.sidident.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.sidident.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.sidident.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.sidident.com\/en\/wp-json\/wp\/v2\/comments?post=547"}],"version-history":[{"count":1,"href":"https:\/\/www.sidident.com\/en\/wp-json\/wp\/v2\/posts\/547\/revisions"}],"predecessor-version":[{"id":548,"href":"https:\/\/www.sidident.com\/en\/wp-json\/wp\/v2\/posts\/547\/revisions\/548"}],"wp:attachment":[{"href":"https:\/\/www.sidident.com\/en\/wp-json\/wp\/v2\/media?parent=547"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.sidident.com\/en\/wp-json\/wp\/v2\/categories?post=547"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.sidident.com\/en\/wp-json\/wp\/v2\/tags?post=547"},{"taxonomy":"post_series","embeddable":true,"href":"https:\/\/www.sidident.com\/en\/wp-json\/wp\/v2\/post_series?post=547"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}![\"\"](\"http:\/\/www.sidident.com\/dentist-in-bodrum-site-images\/dis_fircalama.jpg\")
Can caries formation be prevented?<\/strong><\/span><\/p>\n![\"\"](\"http:\/\/www.sidident.com\/dentist-in-bodrum-site-images\/3D305003.jpg\")
Caries<\/strong><\/p>\n![\"\"](\"http:\/\/www.sidident.com\/dentist-in-bodrum-site-images\/teens_OP_3D_05.gif\")
At accidents where childrens teeth are damaged without loosing time an itervention has to be planned.Children very frequently fall or hit. As a result of it they may\u00a0damage\u00a0 their front teeth that consequently will make them very uncomfortable for the coming years\u00a0 and let them visit the the dentist very frequently.It is important to diagnose the problem correctly. According the anemnesis\u00a0 the adequate treatment is going to be performed.<\/p>\n![\"\"](\"http:\/\/www.sidident.com\/dentist-in-bodrum-site-images\/missing_teeth_girl_291x233.jpg\")
Extraction<\/strong><\/p>\nII. Preventive Approaches<\/h5>\n
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1. Hygiene Instructions<\/strong><\/p>\n![\"\"](\"http:\/\/www.sidident.com\/dentist-in-bodrum-site-images\/varnish.jpg\")
In recent years the studies have shown that topical fluoride applications are more important and that flouride tablets the pregnant women\u00a0 and the the newborns take\u00a0after 6 monts of age are not as usefull as it was thought to be. Enamels crystallike \u00a0structure after topically fluoride application gets more resistant against acids\u00a0 so that\u00a0it \u00a0barely gets rough and the decay formation is more difficult to take place. Topical fluoride applications can be started with the age of 3 and subsequently every 6 months the application has to\u00a0 be repeated.\u00a0 It is a very easy and and\u00a0painless application.Fluoride that is stored on the tooth surfaces will make teeth healthier and stronger.<\/p>\n![](\"http:\/\/www.sidident.com\/dentist-in-bodrum-site-images\/tooth-before-dental-sealants.jpg\")
\u00a0![](\"http:\/\/www.sidident.com\/dentist-in-bodrum-site-images\/tooth-after-dental-sealants.jpg\")
<\/p>\n![\"\"](\"http:\/\/www.sidident.com\/dentist-in-bodrum-site-images\/bandloop1.jpg\")
4. Space Maintainer<\/strong><\/p>\n\n
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Oral Hygiene at Babies<\/h4>\n
![\"\"](\"http:\/\/www.sidident.com\/dentist-in-bodrum-site-images\/biberonlubebek.jpg\")
Breastfeeding the babies for at least 6 months\u00a0 will help soft tissue and muscle functions in the oral region to develop normally. When breastfeeding can not be done special baby bootles supporting oral tissues anatomically have to be used.The babies are supposed to be accustomed to use\u00a0 normal cups and spoons from 1 year on.Babybottles can be used latest till 2 years of age.Thumbsucking and soothers should not allowed after 2-2.5 years of age.If the thumbsucking continues the underlying reasons have tobe found out and managed to be quited\u00a0 latest till 3-6 years of ages. One last thing that has to be underlined is wrong inhalation.Children who are only mouth breathers may have problems with jaw developments and it often happens during sleep.If this is the case an ear nose and throat\u00a0 specialist has to take care of the situation.<\/p>\n
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