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Infants Treatment

Young children can lose primary (baby) teeth and even immature permanent teeth when the pulp, the living tissue inside a tooth, becomes infected. This is often the result of trauma or dental caries (tooth decay) and creates a special problem for the child. The primary teeth provide important guides for the newly developing permanent teeth that will replace them. And injury resulting in loss of young permanent teeth can be even more troublesome, because neither tooth development, nor jaw growth is complete. If teeth are lost prematurely, a malocclusion ("mal" - bad; "occlusion" - bite) can easily result.

Tooth replacement techniques such as partial dentures, bridgework and dental implants cannot easily be used in children while everything is changing and growing so rapidly. "Space maintainers," specially made appliances that can be attached to adjacent teeth or fabricated in a removable "retainer" style, are generally the best choice. Yet many do not restore function, and all require constant monitoring.

For both functional and cosmetic reasons, endodontic ("endo" - inside; "dont" - tooth) or root canal treatment is preferable to tooth loss. It can preserve tooth, jaw and tongue function. It can also prevent speech problems, and abnormal eruption of a permanent successor tooth, or even the loss of a tooth that has no successor.

Tooth eruption process
A Close Look At Tooth Eruption

Baby teeth are lost naturally due to the pressure of the permanent teeth erupting from below. This process is called root resorption. Note the continued development of the permanent crown and root as it erupts. Click to enlarge

What follows is a guide to understanding what to look for in your child and what can be done to save baby teeth until they are ready to be lost naturally. Special endodontic treatment techniques for immature permanent teeth will be covered in a subsequent article. Different Strokes For Younger Folks

Many things are different when dealing with primary teeth versus permanent teeth. Their survival is shorter and more temporary, but while their shapes, structure and functioning are similar to permanent teeth, they too have differences. Treatment of root canal problems is affected by root resorption, the normal process by which the body absorbs the roots of the baby teeth to allow for eruption of the succeeding permanent teeth. This complicates the diagnosis and, therefore, appropriate treatment.

Specialised dental services for children.
1.Treatment of dental decay/cavities in kids.
2.Sealing of newly erupted teeth to prevent tooth decay.
3.Fluoride treatment for prevention of deay.
4.Root Canal treatment for baby teeth.
5.Capping of baby teeth.
6.Treatment for thumb and lip sucking, nail biting habits.
7.Early correction for irregular teeth.
8.Treatment for irregular teeth/braces.
9.Customised preventive program and counseling for each child.
10.Replacement of lost baby tooth.
11.Dental care for special children/differently abled children.
12.Dental treatment for children under anaesthesia.
13.Dental surgeries in children.
14.Teaching Proper method of tooth brushing.
15.Treatment for early loss of baby teeth.

a.Child's first dental visit should be as soon as the first tooth erupts in the oral cavity or before child's first birthday.
b.Start cleansing the infants's tooth/teeth as soon as they erupt with either a washcloth or soft brush (without toothpaste).This will help reduce cavity causing germs!
c.Restrict bottel/breast feeding to normal meal times and not allowing the infant to feed at will or while sleeping. Night time bottle feeding/sippy cup will lead to early dental decay(baby-bottle decay).
d.Caution is indicated in the use of all fluoride-containing products (like fluoride containing tooth-pastes), especially before 2 years of age. Ask your specialist if and in what quantity to use below 2years.
e.Dental decay can be transmitted from mother/caregiver to the child at an early age. Oral hygeine of mother influences oral hygiene of the child!
f.Oral habits like finger/thumb sucking,breathing from mouth, nail/lip biting need to be stopped as they may result in irregular teeth and abnormal growth of face.
g.Brushing with age-appropriate tooth brush and correct method should be started as soon as the first tooth comes(normal age : 7-11 month of age).
h.Non-flouridated tooth paste in very minute quantity ('smear' sized) should be used until 2years of age unless advised otherwise by a pediatric dentis.
i.Non-flouridated tooth paste in very minute quantity ('smear' sized) should be used until 2years of age unless advised otherwise by a pediatric dentis.
j.Consult a Pediatric dentis for prevention of dental trauma, if your child is involved in contact sports (like:football, basketball, skating, etc.)
k.Sealing of chewing surfaces of young permanent molars (6 years and 13 years molars) is advisable for prevention of cavities!
l.Important to have a routing chech-up visit every 6 months from a pediatric dentis.
Prevention is better than cure. Dental Problems In your child can largely be prevented!