General topics

The pediatric dentist has an extra two to three years of specialized training after dental school, and is dedicated to the oral health of children from infancy to adolescence. The very young, preadolescents and teenagers all need different approaches in dealing with their behavior, guiding their growth and dental development, and helping to avoid future dental problems. The pediatric dentist is the best qualified to meet these needs.
It is very important to maintain the health of the primary teeth. Unattended cavities can and often lead to problems affecting permanent developing teeth. Primary teeth or milk teeth are important for (1) chewing and proper feeding, (2) providing space for permanent teeth and guiding them in the correct position, and (3) allowing normal development of bones and muscles Of the mandible. Primary teeth also affect the development of speech and add to an attractive appearance. While the front 4 teeth last up to 6-7 years of age, the posterior teeth (canines and molars) are not replaced until 10-13 years.
Children’s teeth begin to form before birth. As early as 4 months, the first primary (or milk) eruption through the gums are the lower central incisors, followed closely by the upper central incisors. Although the 20 teeth usually appear at age 3, the rhythm and order of their eruption varies.

The permanent teeth begin to appear around the 6 years, from the first molars and inferior central incisors. This process continues until approximately 21 years.Adults have 28 permanent teeth, or up to 32, including third molars (or wisdom teeth).

Toothache: Clean the affected tooth area. Rinse mouth with warm water or floss to dislodge any food that may be affected. If pain persists, contact your child’s dentist. Do not put aspirin or heat on the gums or sore teeth. If the face is swollen, apply cold compresses and contact your dentist immediately.

Tongue Cut or bite, lip or cheek: Apply ice to injured areas to help control swelling. If there is bleeding, apply firm but gentle pressure with a gauze or cloth. If bleeding can not be controlled by simple pressure, call a doctor or visit a hospital emergency room.

Permanent tooth fall: If possible, find the tooth. Handle the crown, not the root. You can rinse the tooth with only water. DO NOT clean with soap, rub or manipulate the tooth unnecessarily. Inspect the tooth for fractures. If it is sound, try to reinsert it into the socket. Have the patient hold the tooth in place by biting into a gauze. If you can not reinsert the tooth, transport the tooth into a cup containing the patient’s saliva or milk. If the patient is old enough, the tooth can also be carried in the patient’s mouth (next to the cheek). The patient should see a dentist IMMEDIATELY! Time is a critical factor in saving the tooth.

Falling from a baby tooth: Contact your pediatric dentist during business hours. This is usually not an emergency, and in most cases, no treatment is needed.

Chipping or Permanent Fractured Tooth: Contact your pediatric dentist immediately. Rapid action can save the tooth, prevent infection and reduce the need for extensive dental treatment. Rinse mouth with water and apply cold compresses to reduce swelling. If possible, look for and save the fragments of broken tooth and take them with you to the dentist.

Chipped or fractured baby fork: Contact your pediatric dentist.

Severe head injury: Take your child to the nearest hospital emergency room.

Possible broken or fractured jaw: Keep your jaw moving and take your child to the nearest hospital emergency room.

A serious form of caries among young children is caries from the bottle. This condition is caused by frequent and long exposures of the baby’s teeth to liquids containing sugar. These liquids include milk (including breast milk), formula, fruit juice, and other sweetened beverages. Placing a baby in bed to nap or at night with a bottle other than water can cause severe and rapid decay . Sweet liquid pools around the child’s teeth giving plaque bacteria an opportunity to produce acids that attack the tooth enamel. If you have to give your baby a bottle like a bedtime quilt, it should contain only water. If your child is not going to sleep without the bottle and his usual drink, gradually dilute the contents of the bottle with water for a period of two to three weeks.

After each meal, clean the baby’s gums and teeth with a wipe or gauze wet pad to remove plaque. The easiest way to do this is to sit down, place the child’s head on his or her lap or sit the child on a dresser or on the floor. Whatever position you use, make sure you can see it in your child’s mouth easily.

Baby cups should be used as a tool for training the bottle to a glass and should be suspended for the first birthday. If your child uses a training cup throughout the day, fill the training cup with only water (except at meals). By filling the training cup with liquids containing sugar (including milk, fruit juice, sports drinks, etc.) and allowing a child to drink from it throughout the day, it absorbs the child’s teeth in the bacteria of Causing cavity.

Prevention

Good Diet = Healthy Teeth

Healthy eating habits lead to healthy teeth. Like the rest of the body, the teeth, bones and soft tissues of the mouth need a well-balanced diet. Children should eat a variety of foods from the top five food groups. Most snacks that children eat can lead to cavities. The more frequently a child snacks, the greater the chance for tooth decay. How long does the food stay in the mouth also plays a role. For example, candies and breath mints remain in the mouth for a long time, which causes acid attacks already on the tooth enamel. If your child should snack, choose nutritious foods like vegetables, low-fat yogurt, and low-fat cheese that are healthier and better for children’s teeth.

Good oral hygiene eliminates bacteria and left over food particles that combine to create cavities. For babies, use a damp gauze or clean cloth to clean the plaque from the teeth and gums. Avoid putting your child to bed with a bottle full of water that is nothing. See “Baby Caries Bottle” for more information.

For older children, brush your teeth at least twice a day. Also, look at the number of snacks that contain sugar you give your children.
The American Academy of Pediatric Dentistry recommends visits every six months to the pediatric dentist, beginning on the first birthday of your child. Routine visits will begin your child in a lifetime of good dental health.

Your pediatric dentist may also recommend protective sealants or fluoride home treatments for your child. Sealants can be applied to your child’s molars to prevent tooth decay to clean surfaces.

Fluoride is an element, which has been shown to be beneficial for teeth. However, too little or too much fluoride can be harmful to your teeth. Little or no fluoride will not strengthen your teeth to help resist cavities. Excess intake of fluoride in preschool children can lead to dental fluorosis, which is a white chalk color to even brown discoloration of the permanent teeth. Many children often have more fluoride than their parents realize. Being aware of a child’s possible sources of fluoride may help parents avoid the possibility of dental fluorosis.

Some of these sources are:
• Excessive fluoride toothpaste at an early age.
• Inadequate use of fluoride supplements.
• hidden sources of fluoride in the child’s diet.
Two and three year olds may not be able to cough up sputum containing fluoride when brushing. As a result, these young people may ingest an excessive amount of fluoride during brushing of teeth. Intake of toothpaste during this critical period of development of permanent teeth is the major risk factor in the development of fluorosis.
Excessive and inadequate consumption of fluoride supplements may also contribute to fluorosis. Fluoride drops and tablets as well as fortified fluoride vitamins should not be given to infants under six months of age. After that time, fluoride supplements should only be given to children after all sources of fluoride ingested have been counted and on the recommendation of their pediatrician or pediatric dentist.
Certain foods contain high levels of fluoride, especially powdered infant formula, soy infant formula, infant dry cereal, spinach cream and baby chicken products. Please read the label or contact the manufacturer. Some beverages also contain high levels of fluoride, especially decaffeinated teas, white grape juices, and juice drinks made in fluoridated cities.
Parents can take the following steps to reduce the risk of fluorosis in their child’s teeth:
• Use a toothbrush cleaner on the toothbrush of very young children.
• Place only a pea drop of children’s toothpaste on the brush when brushing.
• Account for all sources of fluoride taken before you request fluoride supplements from your doctor or pediatric dentist.
• Avoid giving any fluoride-containing supplement to children until they are at least 6 months old.
• Get fluoride test results in drinking water before giving fluoride supplements to your child (check with local water companies).

When a child begins to participate in organized recreational and sports activities, injuries may occur. A properly guarded mouth guard or protective mouth is an important piece of athletic equipment that can help protect your child’s smile, and should be used during any activity that may lead to a blow to the face or mouth .
Mouthguards help prevent broken teeth and lesions on the lips, tongue, face, or jaw. An appropriately fitted mouth guard will stay in place while your child takes it, making it easy for them to talk and breathe.
Ask your pediatric dentist about custom and shop at the mouth guards shop.