Pediatric dentistry is the dental specialty that is responsible for preventing, diagnosing and treating diseases of dental origin in child patient.
Because of the similarity of temporary and permanent teeth, any disease affecting the dentition can have a negative impact on permanent teeth and must be treated by a dentist.
Hygiene and prevention:
Although the children may not detect any abnormal trait in their teeth, it is advisable to visit the dentist to carry out a check out on their hygiene standards and to detect any pathology in the early stages.
Most of the children (and adults) perform hygiene techniques in an incorrect way. The dentist should teach them how to do it properly, products to use and whether they should be supervised / helped by an adult.
Sometimes you can detect the signs of early caries in a consultation, which may be reversible and / or controlled with good hygiene technique and application of fluoride gels in the consultation without the need for more invasive treatment phases.
When the hygiene technique is incorrect, bacterial plaque builds up and can calcify (become hard) into tartar, making it impossible to remove with standard techniques. On those occasions, the dentist will perform a dental cleaning or ultrasonic tartar removal to remove tartar. It is a noninvasive procedure to tooth enamel and rarely need dental anesthesia.
Dental caries in primary teeth should always be treated because it can cause infections, abscesses (boils), loss of space for the permanent teeth or irreversible alterations in permanent teeth.
When cavities are detected by the dentist and the child has no symptoms, usually they can be treated with a seal or dental filling. This treatment consists in removing part of the tooth having dental cavities under anesthesia and filling the resulting cavity with a filling material. The most commonly used materials are silver amalgam (silver fillings) and composites (white fillings).
If during removal of dental caries we access the pulp (tooth nerve) the treatment to be performed most of the time will be a pulpotomy, which involves the removal of part of the nerve of the tooth to prevent this tooth pain afterwards. After pulpotomy we will have to fill the cavity with a coping or metal sheath.
In more advanced degrees of decay, the child may need tooth extraction on dental anesthesia. As prescribed by the dentist, maybe after extraction it is necessary to use a space maintainer to prevent the extracted tooth gap closes and hinder the eruption of permanent substitute.
Children may have habits that can be harmful to the dentition or the development of permanent teeth (pacifier sucking, finger sucking, tongue thrusting , etc. ) . The dentist will warn of which are harmful and at what age should be eradicated, providing tips and techniques to avoid adverse impacts.
When teeth are arranged in an incorrect position, we can sometimes make early interceptive orthodontic treatments. Sometimes, early orthodontic treatment apparatus avoid treatment or surgery in the future, or do these more simple, short and inexpensive treatments.
Fear of the dentist:
The child who has never visited the dentist usually has some degree of fear of the unknown, that dentists are used to manage and control this. Most of the time the fear of the dentist has been transmitted by their families , by their bad experiences or perceptions ( ” I do not like going to the dentist “, “It hurt at the dentist ” ) or threat ( ” if you eat a lot of sweets , if you do not brush your teeth , you have to go to the dentist ” ) .
It is important not to associate negativity with visiting the dentist or usde as a threat or punishment, but as a part of your routine. It is therefore important that the child goes to periodic review so that, in addition to controlling the appearance of pathology, will forge a relationship with the dentist and accept queries as part of their daily lives.
Our pediatric dentistry specialist, Dr. Eva Gómez, will be pleased to attend you.