Pedodonty

When babies were born almost all primary teeth are formed under the gums even if they are not visible. Some of these teeth can be seen until the baby is 6 months old. This process can vary for babies but this is a normal situation. Usually the first teeth appear in infants are lower front teeth. After this, the other teeth slowly begin to take place on both sides of the jaws. There should be 20 primary teeth in their mouths when babies are 36 months old. These teeth are typically line up with space. These gaps help to keep enough places for permanent teeth because of the size difference between permanent  teeth and primary teeth. On the other hand, these gaps also make easier the cleaning of the baby’s teeth.

Even they are temporary, primary teeth are as important as permanent teeth. This helps the children biting and chewing food, makes the children look sympathetic, helping to speak correctly and also primary teeth guiding fort he permanent teeth for the right places while maintaining the necessary space for them. Because of that the primary teeth should be well taken care of. When 4 teeth on the upper or lower jaw are aligned side by side, they should be brushed twice a day with a soft brush. As the children will swallow the toothpaste instead of spitting, the toothpastes developed for them should be used but not larger than a chickpea and brushed only with water. Toothless parts should be wiped with a soaked gauze. When the teeth touch each other then the gaps should be clean with floss once a day.

Baby bottle tooth decay is decay that can quickly destroy the baby’s teeth. The contact of baby teeth with sugary and carbohydrate liquids such as fruit juice, milk leads this situation. They lead to the formation of cavities on the teeth by increasing the rate of bacteria in the mouth. It is very important what and how often the baby drinks. They usually start at the back of the teeth, which are not easily visible points. The baby should not be allowed to sleep with a bottle and use it as a pacifier in order to prevent this situation.  Mostly the upper front teeth are damaged by such decays. Baby bottle decays may occur if there are bacteria called Streptococcus Mutans in the baby’s mouth. This bacterium is a common species and passes from mother to infant between 6-31 months. It is very important for the mother to pay attention to her dental health to prevent this condition. The baby should be kept away from the baby bottle at 12-24 months of age and should be introduced to the cup, the baby’s pacifier should not be dip in sugar or sugar liquids, no sugar added in baby’s food, the cleaning of teeth and gums should not be neglected, dentist appointment should be done after the first tooth and  sufficient amount of floride should be obtained.

When the children reach the age of 6-7 years, their primary teeth are fallen out and their permanent teeth comes. This process may differ in every child. The point to be considered here is not the timing, but the symmetry and order of the teeth. When children reach 13 years of age, most of the permanent teeth are placed in the mouth. 3rd Large molars appear  between 17-21 years of age. However, some people may not develop these teeth at all. Although these teeth often develop, sometimes they cannot continue and remain buried because they are not in the right position or there is no space in the mouth.

    • You can use small nugget of toothpaste on on the soft toothbrush.
    • You should teach your child how to spit out foams to avoid swallowing the toothpaste.
    • You should also start to floss when your child’s two teeth are in the touching position. Children can have the ability to use floss on their own when they are 9 years old. It is possible to reach the points with the use of dental floss where the toothbrush can not reach and so teeth are protected from cavities.
    • You can contact your dentist or pediatrician to see if your child is getting enough fluoride.

You may think that filling the primary tooth is unnecessary because of the permanent tooth that will replace it. However, primary teeth are not only important for appearance, but also for the normal development of chewing and speaking. Primary teeth also guide the permanent teeth to take their own positions.

Besides of that the tooth decay is an infection.  If your child has decayed tooth, there is an infection in his/her body that may affect his/her overall health.

Primary teeth are restored with filler or crown according to the amount of remaining healthy tooth structure.

The filling of the primary tooth does not make it difficult for the permanent tooth to pop up.

The fillings for the children are not different from those in adults. However, the construction and alignment of the crown is quite different. Crowns are completed on a single appointment fort he children.

Young children may experience difficulty in dental treatment. However, a dentist who has experience in this age group will have a positive effect on the child. First, the topical anesthetic (gel or ointment) is used to numb the gum and the inside of the cheek. When the area is in numbed, the anesthetic is injected then the tooth and the related area are numbed for a while.

Rotary tool or laser is used to remove the tooth tissue to give the necessary shape for tooth filling. Local anesthesia is not required when laser is used for this procedure. When the composite filler is ready to be placed, the surface of the tooth is roughened with acid and the filling is adhered to the tooth surface. The filling is placed in thin layers in the tooth and hardened with its special light. Then the filling is smoothed and polished.

One of the questions that parents have in mind is when they should first take their children to a dental examination.

According to the American Academy of Pedodontology, the short answer to this question is it should be when reached at the age of one. The American Academy of Pediatric Dentistry recommends a 1-year-old pedodontic examination for children at risk in early childhood caries.

The points that parents should be aware of  at the examination of age 1;

How to deal with the baby’s or toddler’s mouth

Proper fluoride use for children

Habits like sucking fingers

Ways to protect from trauma and mouth and face accidents

Ways to protect from trauma, mouth and face accidents

Teething and developmental milestones

They should focus on the relationship between nutrition and oral health.

After the first examination, the dentist will recommend a schedule for the examinations to be followed. In the past, dentists used to offer six-month checks. Today, dentists adjust the frequency of examinations  according to the children’s  personal needs and risks.