So, the first, the most frequently question addressed to the children’s dentist is about the age at which cleaning of milk teeth shall start. The opinion that it is necessary to do this from the moment of eruption of the first milk tooth (this is about the seventh – eighth months) is absolutely justified. Naturally, babies at such an early age cannot brush their teeth on their own and therefore parents shall have to do it for them. It is recommended to brush child’s teeth twice a day with a soft brush, with a minimum amount of baby toothpaste.
The first visit to the children’s dentist shall necessarily occur not when something hurts your baby, as the stress of the discomfort of pain is aggravated by the fear of the forthcoming manipulation. And when the child does not have any problems, and the caring parents, having prepared a gift beforehand, bring the baby to a preventive examination, after which the physician-dentist smiling solemnly hands to the child a gift for good, exemplary behaviour at the reception and will shortly debrief the parents about the moments to which the parents shall better pay attention for this charming baby and what problems there are at the moment, at the same time will make friends with the child.
Many problems are associated with improper bite in children, early caries, gum disease, which is called ‚from childhood’. If you give the children the right nipple (and it is better not to give it at all), you can avoid persistent disturbance of bite in children provided you avoid feeding the child with excessively sweetened juices, hence you can avoid the so-called ‘bottle caries’. Nothing so duly replaces feeding from bottle, like natural feeding. If the young miracle has a persistent habit of sucking a finger or gnawing the nails, then the pediatrician and the dentist can jointly work with you to develop a strategy of literally getting rid of bad habit without resorting to persuasion or daddy’s belt. Often, parents do not notice worsening of nasal breathing, explaining this by constant colds. This leads to children constantly breathing with open mouth, which is also able to break the right bite in children. The dentist will note this and will help again with advice. If the child has a short frenum of the tongue or lip, then the correct positioning of the teeth in the teeth alignment can be disturbed as well as the diction, making occupations with the speech therapist an urgent necessity. In the clinic, at an early age, it is possible to effectively correct the short frenum and in an overwhelming number of cases the speech therapist will not be needed.
A special role in children’s dentistry is played by prevention of caries and its complications. There is a profoundly mistaken opinion that treating caries in milk teeth is not as relevant as treating the permanent ones. This circumstance causes deep indignation among children’s dentists. First, in case of early loss of milk teeth, the bite will inevitably be broken. Secondly, the complications can be so dangerous that they can easily lead the child to hospital bed with completely bad diagnoses – abscess and phlegmon. This is a preventive sealing of fissures and fluoridation of teeth.
It is absolutely clear that caries is easier and more correct to avoid than treating the appeared caries, especially in children. But if it could not be avoided, the early detection of caries at a stage at which intervention is minimal and very fast will help the children’s dentist, the child’s parents and the young miracle to avoid significant time, financial and emotional costs. Early diagnosis of caries is possible if the child regularly visits the dentist twice a year, where the physician, using all possible methods, finds the hiding dental enemy.
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