How to apply dentistry to children
The first purpose of Pedodontics is to establish a healthy and interactive communication. The first sessions are complemented by an informative chat about only introductions and oral care. In the following sessions, the treatment of pediatric patients is continued with the equipment, elements and explain-apply technique suitable for child psychology.
Our pedodontists are able to perform all dentistry treatments, such as periodontal treatment, filling and tooth extraction according to the needs of children. All oral and dental health problems and preventive treatments are performed by pedodontists during the period from infancy to young adulthood.
Our pedodontists also require special attention; They have the knowledge and experience of solving oral and dental health problems of disabled individuals and preventive treatment is also very important in pediatric dentistry as in all areas.
What is preventive treatment?
Having your child under regular physician control ensures that he has healthy teeth for a lifetime, gaining the right tooth brushing and nutritional habit.
In dental health, milk teeth are also very important. Well-preserved milk teeth rot and cause pain. When it is lost early, it causes permanent teeth to be perenniated.
For this reason, it is best to start checking your child’s milk teeth from the time it came out. Tooth decay can be avoided by means of preservatives such as fluoride application and fissure (insulation fillings). At the same time, the orthodontic problems affecting the appearance of the mouth and face are easily solved by early intervention and will contribute to the fact that your child is a confident happy individual.
The new therapeutic approaches of preventive dentistry are aimed at treating existing diseases as well as preventing these diseases from occurring. In this context, preventive dentistry;
• Good nutrition habits
• Quality Home Care
Can prevent a number of ailments without occurring. Besides
• Will suffer less
• will see shorter and simpler treatments
• It will cost less
• Will be more comfortable
• You will be able to laugh more comfortably.
Preventive dentistry starts work at an early age, so it is more aimed at children.
Fluorine applications: Due to topical fluorine applications applied by the dentist in the clinic, there is a decrease in the amount of tooth decay. These applications are possible with fluoride gel, solution and a number of dental materials.
Periodic checks: Control appointments of patients enrolled with computerized monitoring system can be easily performed without interruption. Thanks to these routine checks (usually once every 6 months) both oral hygiene monitoring can be performed and possible problems are still in the initial stage. The last point of the diagnosis of premature decay is the detection of the laser and the decay. This device is capable of distinguishing even cavities that cannot be seen by X-rays or visible, and is very successful compared with conventional examination methods. In addition, the panoramic X-rays taken before examination on the first date also contribute greatly to early diagnosis.
Fissures: Fissure covers are preventative treatment that aims to protect the tooth against decay from the decay. Studies have shown that 90% of cavities are developed on the chewing surfaces of large molars, with large molars not yet fully calcified in the first months seen in the mouth (they are not hardened) and are prone to decay. With the fissure covers, the indentation and protrusions on the chewed surfaces of these teeth are filled, and therefore the risk of decay development can be prevented greatly. In particular, these treatments are very necessary in patients with familial decay.
Placeholders: For any reason, it is called a placeholder for moving or stationary appliances that are made to protect the place of early lost milk teeth. Early loss of milk teeth causes a number of developmental problems as well as function and aesthetic difficulties. Milk teeth are guided to the permanent teeth that will last if they are lost prematurely, the permanent teeth are going to run in a random way and the crowding is going to occur. Therefore, the development and decay of the first school children in a mixed-tooth period without neglecting periodic checks should be kept very tight.
Balanced nutrition: Balanced nutrition has to do with bruises directly. Balanced nutrition means taking the necessary foods for growth and development. What is the type of food received and how often should it be taken? Children’s nutritional habits should be followed and what often the child eats. Not consuming foods rich in carbohydrates with main meals and consuming such nutrients (cakes, potatoes, chips, chocolate, sugar, biscuits) at intermediate meals will provide a very important benefit in terms of rotten development. For example A pack of chocolates is less harmful than eating the whole package at once, instead of having lunch at 5 times with a 1-hour break.
Oral and dental health recommendations for children
In children, the period of teething can be examined to cover 3 different periods:
1) 0-6 Age: Milk tooth sequence Period:
Although the teeth of the milk can be variable, the average of 6 months after the first start of the lower anterior region starts to drive and can change again, although approximately 3 years old is completed. In this period, a total of 20 (10 lower, 10 in the upper jaw) The female female is symmetrically settled.
2) 6-12 Age: Mixed teething period:
At the same time, both the milk molars and the cutter continuous teeth are seen in the mouth is the age range. Over time, the milk molars leave their place in small molars and switch to continuous teething period.
3) 12 years and after: continuous teething period:
This period is the period in which the teeth are completely dropped and the teeth are constantly in the mouth and the balance between teeth and contacts are formed.
In order to have healthy teeth starting from infancy during the period of the Milk tooth series, it is necessary to comply with the proper nutrition forms and avoid the special type of bruise called “Bottle decay”. The milk teeth are important for the correct extraction of sound and letters in the speech function which will begin in this period, as well as appearance, biting and eating functions. The milk teeth are also the determinants of the direction of a placeholder and riding in the jaws for permanent teeth that will come to their place. Therefore, tooth extraction during the period of the milk tooth sequence should be considered as a last resort treatment alternative.
If adequate oral hygiene attempts are not provided in children with tooth decay in their mouth in the early period, it has been determined that the decay risk is higher in the period of continuous teething in advanced ages. Early milk female shots can lead to nutritional disorders and weight loss in the child. However, it can change the riding periods of permanent teeth and prevent them from settling correctly. Therefore, “placeholder Aparey” should be applied to protect the places needed for continuous teeth after the early milk tooth shots.
In the period of growth and development, especially in children with systemic diseases (heart disease, asthma, kidney disease, problems with blood values… etc.) The provision of oral and dental health is of greater importance, the decay in the mouth It is important to note that any infection caused by the cause may be vital in these cases.
Nutrition in childhood is of great importance in terms of growth and development starting from infancy. In Infantia, especially in the period of feeding the bottle with the bottle of honey, molasses, jam or biscuits containing foods such as milk or fruit juice is the most important factors that increase the risk of decay. Instead of these foods, giving only milk or water to the bottle will be a more protective approach for the formation of decay. This carbohydrate content can accelerate the formation of caries by creating acid attacks in the oral environment as a result of the use of foods containing this type of sugar in order to facilitate the fall asleep before sleep.
In this period, the “balanced nutrition” concept and “dental care” are the first points to be considered in terms of oral and dental health. For balanced nutrition, it is necessary to use equal proportion of all food groups and not to consume carbohydrate foods that are known to be particularly rotten, except for the main meals. Sweetened foods or chips, such as crackers, and foods that are glued on the teeth, and the food adhering to the tooth are metabolized within the time until our child tooth brushing, as well as contributing to the preparation of the rotten initiator environment are. In the period of feeding the baby bottle of fruit juice, molasses milk, honey milk, biscuit milk or any liquid that contains carbohydrates in general (especially during sleep) to protect our baby from bottle cavities at that time Will. Finally, before sleep, brushing the teeth with the help of the mother at least a clean tube or gauze with the surface of the teeth cleaned, if it can not be done in the latest water should be given.
One of the preventive importance of tooth decay is fluor applications. Fluorid, by entering the structure of the enamel in the formation phase of the tooth germ, changes the structure chemically and physically, and as a result, the dissolving of the enamel in the acid environment decreases. Therefore, fluoridine, such as vitamins and minerals, should be taken systematically in the development. However, it is argued that fluoride is more important and effective in terms of its local effect, called “topical effect”, after the use of fluoride and the tooth reduction effect in adults.
The biggest risk of using Fluorid tablets is the yellow-brown staining of the tooth enamel according to the amount of fluoride taken, called “Dental Fluorozis”. In the studies, it was determined that mothers who took fluoride tablets during pregnancy did not differ from their children as a resistance to decay.
Nowadays, fluoride applications that are applied by dentists and/or at home are more frequent in clinical and practice. These applications can be carried out with agents such as toothpastes, gels, mouthwashes, solutions, varnishes and foams. In these applications, the goal is to prevent the development of decay and reverse the process. In particular, fluoride gel applications with a high rate of decay frequency and 2 times per year applications with a decrease in the incidence of decay is indicated. Fluoridli mouthwash and toothpastes, which can be applied to individuals at home, are the ideal preventive application methods. Fluoridli toothpastes should be used with caution as the risk of ingested by children. It is stated that the standard concentration of toothpastes (1000 ppm and above) are suitable for use in children with high risk group. In the period between 6 months-2 years and 500 ppm low concentration of toothpastes should be preferred. In particular, small children should be careful with the help of parents or the brushing of the teeth in their supervision.
Tooth brushing techniques
Tooth brushing is important in the process of bacteria plaque and food residues dense areas are good and effective cleaning. For this, the toothbrush should be approached to the tooth at an angle of 45, and it should follow a circular line with oval movements on the anterior surface of the tooth. This movement should be applied on all the front surfaces of the upper and lower teeth. Then, the small and large molars (chewing surfaces) with a chewable surface should be cleaned completely from the food’s residual with sweeping movement. The inner surfaces of the teeth, especially the anterior areas are narrow, the brush should be brushed upright in the back of the upper and lower anterior teeth.
Tooth brushing positions
This process should be made easy and quick when you are brushing your child’s teeth correctly. Supporting the child’s head, the language of the fingers with the help of the elation, your position of vision and your dexterity is important during tooth brushing.
On the chair: by crossing the back of the chair, the child’s head should be brushed by the arm or by supporting the body. While the child is sitting in a chair, the parent can also perform the same operation by sitting in a chair in the back.
Sitting trough: While the child is sitting on the ground, the parent can brush the teeth so that the child can gently lean his head towards your knees, sitting behind a chair. In the meantime, a pillow to be placed under the child’s head will facilitate the process.
The harmonious relationship and cooperation between children, parents and dentists is important in ensuring oral and dental health during childhood. In children with disabilities, chronic illness or in need of special attention, this situation is gaining more importance. Nowadays, steps are taken to protect oral and dental health with preventive approaches developed in dentistry. The fissure covers and Fluor applications applied by dentists are carried out effectively in the prevention of decay and the dissemination of protective applications is being studied.