Pedodontics

One of the most important functions of milk teeth is to protect the permanent teeth underneath them until they erupt. The eruption of milk teeth and the eruption of permanent teeth is a very sensitive process and a wrong intervention in this process can cause serious orthodontic problems in the future. For this reason, it is very important to protect the milk teeth, to prevent caries, and to protect their position in case of early loss, especially in terms of dental aesthetics.

What is Early Milk Tooth Loss?

milk teeth; It can be lost earlier than it should be due to reasons such as infection, excessively progressive caries, tooth root resorption, insufficient breast milk intake, genetic factors, wrong bottle and pacifier use, thumb sucking. Since these losses may cause many orthodontic problems in the coming years, the necessity of using placeholders is frequently mentioned by the experts.

What is a Placeholder?

Placeholders are assistive devices that can be fixed or movable to replace milk teeth lost before eruption. Placeholders are made to prevent the slipping of the teeth adjacent to the gap of the lost teeth and the elongation of the tooth corresponding to the upper or lower opposite. Thus, tooth decay, mouth closing disorders, speech and chewing functions are regulated.

Is a Placeholder Necessary for Every Milk Tooth Loss?

If the root formation in the permanent tooth under the prematurely lost milk tooth is past half, a placeholder may not be needed. Again, depending on the closing relationship, there may be situations where the dentist does not consider the placeholder necessary.

How to Make a Placeholder

The placeholder device is prepared in the orthodontic laboratories with the approval of the dentist, in accordance with the personal and intraoral dimensions of the person.

What are the Types of Placeholders?

There are two types of placeholders that are chosen according to the age and personal characteristics of the child: Movable, removable placeholders and fixed placeholders.

Movable placeholders are removable appliances. They are used in older children who can take responsibility for this. Movable placeholders are devices made from an acrylic material in harmony with the mouth, by taking the size of the child’s mouth in the clinic. It is preferred when there are spaces larger than a single tooth and there are missing teeth on both sides of the jaw. It can be worn all day long, and can be removed during meals if desired.

Fixed placeholders are designed according to the measurements taken and adhered to the tooth. It is fixed, but can be removed under the control of the dentist. It is removed when it is determined that the permanent tooth has started to erupt during the dentist controls. The use of fixed placeholders is preferred in cases where there is a one-sided missing tooth and the child’s age is small. In addition, temporary dental prostheses are used instead of placeholders in cases where teeth are not formed due to syndromes such as ectodermal dysplasia (an inherited developmental disorder) or in large losses that progress to the anterior teeth such as trauma.

Placeholders do not adversely affect the child’s jaw development. However, as the jaw structure of the growing child will also grow and develop, placeholders may lose their harmony with the mouth after a while. In this case, the measurement must be taken and re-done.

What are the Considerations When Using Placeholders?

  • Children who use placeholders should pay attention to their mouth and teeth cleaning. Otherwise, the food accumulating around this appliance may form new bruises.
  • If problems such as mouth sores occur when first used, a physician should be consulted immediately.
  • It is important to use it regularly every day. In case of interruption of use, the compatibility of the appliance with the mouth may be interrupted.
  • It should be removed before sleeping, cleaned and kept in water. If it stays dry for a long time, it loses its harmony with the mouth.

Early loss of milk teeth is a health problem that should not be neglected, as it can lead to serious orthodontic problems in the future. Parents who encounter such a situation should take their child to the dentist as soon as possible.

Mothers may think they are doing the right thing by giving their babies a bottle before a nap or at night to help them relax and fall asleep faster. However, this behavior means that if the bottle is filled with a different liquid other than water, you are predisposing to common dental cavities in your baby, called bottle decay or early childhood caries.

Although temporary, your child’s milk teeth are important and more susceptible to decay than permanent teeth. Your children need strong and healthy teeth to chew food, speak and have a good-looking smile. Their first teeth also help their adult teeth erupt properly. In order to protect children’s teeth for many years, it is essential to provide them with good oral care and to educate them on this issue.

What is Baby Bottle Caries?

Bottle decay is the decay of your baby’s first teeth as a result of bottle feeding. these bruises; It occurs as a result of your baby staying on his teeth for a long time without cleaning after giving a bottle of sugary drinks such as fruit juice, milk or formula. A bottle can help your baby fall asleep; however, this is extremely harmful for oral and dental health. Because the bacteria in the mouth feed on the uncleaned food residues in the mouth and secrete acidic substances that cause tooth decay.

What Causes Baby Bottle Caries?

Baby bottle caries is mostly seen on the upper front teeth, but other teeth are often affected by the caries. There are many factors that can cause tooth decay in babies and young children. Among these, the most common cause is frequent and prolonged exposure of the baby’s teeth to sugar-containing beverages. Bottle rot occurs when a baby is given a bottle frequently to put them to sleep or to calm them down.

Tooth decay in infants and young children is a disease that can begin with the transmission of cavity-causing bacteria from the mother (or primary caregiver) to the infant. This bacterium is transmitted from the saliva to the baby. If the mother puts the baby’s feeding spoon in her mouth or cleans the pacifier in her mouth, the related bacteria can be passed on to the baby.

What Can Be Done to Prevent Baby Bottle Caries?

Giving up the bottle feeding behavior while putting your baby to sleep will be an important step to prevent bruises. It is necessary to stay away from using a common spoon with your baby or cleaning the pacifier in your mouth. Some of the other measures that can be taken are;

  • Wiping your child’s gums with a clean, damp gauze pad after each feeding will help remove food residue from the mouth.
  • After your child’s milk teeth have erupted, their tongue should be gently brushed using a child’s toothbrush, using a lentil-sized amount of baby toothpaste.
  • Between the ages of 3-6, their teeth should be brushed with a pea-sized amount of toothpaste, again using a soft children’s toothbrush.
  • Before going to sleep, babies should finish their bottles and clean their gums or teeth.
  • Getting your children used to drinking from a glass as soon as possible will have a positive effect.
  • • When your child’s first tooth appears, it’s helpful to schedule regular dental visits with your dentist.

It should be kept in mind that starting dental care early is the key to good dental health.

How long do bottle rot treatments take?

The duration of treatment is determined by the Pedodontist according to the condition of the caries. It is necessary to consult a Pedodontist when caries begin to form.

How to Treat Baby Bottle Rot?

Treatment depends on your child’s age and the characteristics of the caries. Early diagnosis of a dental problem makes cosmetic easier. White spots on the surface of a tooth are an early sign of bottle decay. At this stage, it may be effective to apply oral fluoride therapy or topical fluoride varnish to remineralize all teeth. Again, at this stage, you can stop the progression of caries with a diet away from sugary foods and drinks.

If rot is detected in the later stages, fluoride treatments are no longer sufficient. In this case, applications such as filling, amputation or root canal treatment are necessary.

The grooves called fissures on the chewing surfaces of the posterior teeth are risky formations for dental caries. The cleaning function in saliva is insufficient for the grooves, namely fissures, in the molars. The bristle diameters of the toothbrush are also often insufficient to clean the fissures. It is known that 88% of the caries of school-age children are caused by these fissures. Fissure sealant application is frequently recommended and applied by dentists to prevent cavities in children.

What is Fissure Sealant Application?

Fissure sealant application, also known as dental grafting, is a preventive dentistry application that consists of covering the recesses and grooves on the chewing surfaces of the molars with a fluid filling material.

What is the Purpose of Fissure Sealant Application?

The purpose of the fissure sealant application is to prevent the caries-friendly grooves and cavities in the posterior teeth from being filled with food particles, to make the surface easy to brush, and thus to minimize the risk of caries.

How is Fissure Sealant Application Made?

This application, which prevents the decay of the teeth of school-age children, can take place very quickly depending on the condition of the tooth. First of all, teeth are cleaned with special cleaning devices. Afterwards, the tooth surface is washed with a special material in preparation for the use of fissure sealant. The thin, transparent and liquid fissure sealant material is applied in such a way that it is completely placed in the grooves, pits and recesses of the tooth. The process may take 1 to 2 minutes for each tooth. A special light is shined on the tooth surface, which is covered with fissure sealing liquid material, and the material is hardened. The procedure is so fast, simple and painless.

To Whom Fissure Application Can Be Made?

Fissure sealant application can be applied to any child whose primary teeth have been erupted. This corresponds to 3 years old. Fissure application can be applied to every child aged 3 years and above.

Does Fissure Sealant Application Require Anesthesia?

No pain or ache is felt during and after the application. Therefore, there is no need for anesthesia. Since it does not have any complications, it can be easily applied to young children. However, since the mouth must remain dry during the procedure, a study should be done in cooperation with the child.

How Long Does Fissure Sealant Application Last?

Fissure sealant maintains its protection until deciduous teeth fall. This process does not need to be repeated. However, in some special cases, problems such as wear and breakage may occur. Fissure sealant can be renewed if such a situation is detected during regular physician controls.

Are Fissure Sealers the Final Solution for Dental Caries?

Fissure sealant is a supportive treatment to prevent dental caries. Combining this treatment with other hygiene applications such as flour increases the success rate of the application. In addition to the fissure sealant, taking care of daily oral care will also support the treatment.

On Which Teeth Is Fissure Sealant Applied?

It is performed only on the chewing surfaces of molars by specialist dentists.

Is Fissure Sealant Application Harmful to Child Health?

Fissure sealant application has no known harm. The fissure fluid used does not contain substances that will adversely affect children’s health.

Can Fissure Sealant Be Applied to Adult Teeth?

It is a treatment method that can also be applied to adults when the dentist deems it necessary.

What is the Difference Between Tooth Filling and Fissure Sealant Application?

Fissure application is aimed at preventing cavities by filling the grooves, recesses and protrusions that have not yet formed bruises but have a high risk of cavities. Filling is a procedure applied to teeth that have begun to decay and whose enamel has been destroyed.

How long does Fissure Sealant Treatment take?

Fissure Sealant application can be done in a single session, as well as the times are usually determined by the Pedodontists after the examination.

Is It Possible Even If Fissure Sealant Application Is Not Made?

If this application is not made, the surfaces suitable for caries formation in the back teeth of the child are in danger. This process results in the decay of the molars, which are the last milk teeth to shed.

Fluoride is a natural mineral that helps build strong teeth and prevent cavities. It supports healthy tooth enamel and fights bacteria that damage teeth and gums. It restores lost minerals to tooth enamel and prevents harmful bacteria from accumulating in the mouth.

Fluoride applications have been one of the most basic oral health treatments all over the world for many years. Fluoride administration is particularly helpful if the risk of developing dental caries is high.

How is Fluoride Application Made?

Fluoride applications can be considered in two ways as topical applications applied directly to the tooth without swallowing, and systemic applications with water/dietary supplements. However, studies have shown that topical applications are much more effective.

The substances applied to the teeth during fluoride applications contain much more fluoride than the toothpaste. Dentists apply professional fluoride treatments in the form of highly concentrated rinses, foams, gels or varnishes. Treatment can be done topically by painting the tooth with a brush or rinsing with a mouthwash. The application is quite simple and can be completed in just a few minutes. You may be asked to refrain from eating or drinking after treatment, usually for 30 minutes, so that the fluoride can be fully absorbed by the teeth.

What is Fluoride Varnish?

Fluoride varnish is a dental cosmetic that prevents, slows or helps prevent tooth decay. The varnish application is made with fluoride, a mineral that can strengthen tooth enamel. Although fluoride varnish applications are protective, they may not prevent dental caries 100%. With practice, brushing using the right amount of toothpaste, flossing regularly, getting regular dental care, and eating a healthy diet can help prevent decay.

What are the Advantages of Fluorid Application?

Fluoride works by restoring tooth surfaces where bacteria have eroded tooth enamel. It can also inhibit the growth of harmful oral bacteria. Thanks to fluoride applications, even if your dentist cannot remove the decay, it creates a stronger outer surface on your teeth and prevents tooth decay from penetrating into the deeper parts of the teeth.

When to Apply Fluoride to Children?

If your child is under the age of 3, professional fluoride application cannot be done and it is recommended to brush their teeth only with close supervision. The toothpaste should cover less than half of the bristles or be no larger than a grain of rice. In order to support dental health and prevent caries, local fluoride applications can be made with regular physician controls from the age of 3 years.

Is Fluoride Application Harmful?

Fluoride applications provide benefits to both children and adults in significant terms of dental health. Major studies have found that children and adolescents who have been on fluoride therapy for one year are 43 percent less likely to suffer from tooth decay.

Fluoride application applied by specialist physicians is completely safe for human health. The Fluor Status Report published by the Turkish Dentists Association in 2016 revealed that the Fluorid applications made by dentists are not at a dose that will harm human health and are completely safe.

How Long Does Fluoride Application Take?

Fluorid application is an application that ends in a single session. However, the net time is determined after the examination of the Pedodontist Physicians.

Is Fluoride Application Safe?

Fluoride varnish application is safe. Only a small amount of fluoride is used in the application and is not swallowed during application. The varnish is applied quickly and hardens quickly on the tooth. Brushing can be done 4 to 12 hours after the application. Some fluoride varnishes can temporarily change the color of teeth for a short time. However, immediately after brushing the fluoride varnish, the teeth return to their normal color.

Fluoride varnish applications performed at our clinic are completely safe and used by dentists and doctors around the world to help prevent tooth decay.

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Private Göktürk Yalın Oral and Dental Health Center, with its 4 founding partner dentists, Identity Sağlık Hizmetleri A.Ş. started its activities in December 2020.

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