The dentist says my child needs a filling in a baby tooth. Since the tooth is going to fall out, why bother?
Some people think that primary teeth are not important because they will eventually fall out to make room for adult teeth. On the contrary, primary teeth "hold" space in the jaw for the permanent teeth. They help the child to chew, which is essential for a healthy diet. They help the child learn to pronounce words and give structure to the face. Decay in the primary teeth can cause pain and can harm the erupting permanent teeth that are still growing inside the gums. Even though they're not visible until the child is about six years old, the permanent teeth begin to develop tooth enamel as early as three to four months after birth. Disease can spread to the hidden permanent teeth. If primary teeth are lost prematurely, the emerging adult teeth may shift, resulting in an irregular bite that could require additional treatment. If primary teeth are kept healthy until they're ready to fall out on their own, there is a better chance of the adult teeth erupting in normal alignment.
How does fluoride help my child's teeth?
Cavities were once a fact of life. Now, with fluoride, this has changed dramatically, and it is possible for your child to grow up without cavities. Fluoride is a natural element that is safe and effective when used appropriately. When used correctly, fluoride is very effective in preventing and even reversing the early signs of dental decay. It works in several ways, including making your child's teeth stronger against acid attacks, repairing damaged tooth structure, and affecting the actual bacteria that cause cavities.
At our dental office during a cleaning and everyday at home while brushing with a fluoridated toothpaste, fluoride is topically applied to your child's teeth. This makes your child's teeth stronger and more cavity resistant by strengthening the enamel surface. Toothpastes, fluoride rinses, and in-office applications all work together to prevent dental disease.
What is Pit and fissure sealant?How they prevent cavities in children’s teeth?
Teeth have natural dips or grooves in them, known as pits and fissures. It’s all very groovy in one sense, but when it comes to keeping your children’s teeth clean and free of cavities, pits and fissures aren’t groovy at all.
Pits and fissures house bacteria and other substances which can cause tooth decay in children, and these grooves can’t always be properly cleaned with a normal toothbrush. Pit and fissure sealants are used which can fill and seal the grooves in children’s teeth and prevent bacteria getting in. They make teeth easier to clean and reduce the risk a child will experience tooth decay.
When root canal treatment is done for milk teeth?
- Deep caries has penetrated to the nerve (pulp).
- The tooth has died as the result of an accident.
During root treatment - naturally under anesthetic - the entire affected dental nerve (pulp) is removed and the root canal enlarged, cleaned and filled with special root cement.
If the caries has already reached the nerve, but the nerve is still healthy (no inflammation, no pain), it is generally sufficient for milk teeth to remove the upper part of the dental nerve (crown pulp). The remaining nerve in the roots is covered with a medicated filling and remains vital, i.e. is not killed. This procedure is known as pulpotomy.
Milk molars are ideally fitted with a milk tooth crown after root canal treatment for protection, in order to prevent them from breaking.
Why are space maintainers needed?
When a baby (or primary) tooth is missing, the teeth on each side may move into the space. They can block the permanent tooth from coming in. To hold the space, your dentist may put a plastic or metal space maintainer on the teeth on each side of the space, to keep the teeth from moving in.The space maintainer is removable or fixed device designed to hold the space for permanent teeth.