Children’s oral health
In order to prevent problems in the future, children must start to be aware of oral care. We can´t forget that although baby teeth will be replaced by permanent teeth, they can damage permanent teeth and cause teeth alignment and position problems.
Pediatric dentistry is a branch of Dentistry which studies and promotes children´s oral health and whose main goal is the maintenance of healthy teeth until young patients become adults.
For this reason, we must give an early diagnosis and perform preventive treatments:
- Tooth brushing techniques.
- Dental sealants.
- Apexifications with calcium hydroxide.
- Interceptive orthodontics.
Dr. Aleksandra Penkala
Bachelor´s degree in Dentistry at the Medical University of Warsaw. Specialist in Pediatric Dentistry and rotary root canal therapy using microscope.
Children´s Dental Care Plan – Regional Government of Andalusia.
Our clinic takes part in the Children´s Dental Care Plan of the Regional Government of Andalusia as a top dental clinic. Through this plan, you can have access to multiple treatments free of charge, which are focused on the early education, prevention and treatment to maintain or achieve the desired oral health.
Frequently asked questions
At age 2 or 3, when your child should already have all the baby teeth. At age 6, his/her first permanent molar tooth will appear. At that moment, we recommend that your child see our orthodontist in case it was necessary to modify the growth of his/her jaws or create space for the rest of the permanent teeth. We would still be on time.
Dental restorations: They are the traditional filling treatments.
Pulpotomies and Pulpectomies: They are treatments performed when the decay has extended deep into the tooth reaching the tooth´s nerve. It would be the equivalent of a root canal treatment in adults, although the technique is completely different.
Fluoride therapies: They consist in the application of high concentrations of topical fluoride to strengthen the tooth enamel and make it more resistant to tooth decays.
Space Maintainers: When a baby tooth can´t be fixed and has to be extracted, we can use a space maintainer to prevent the adjacent teeth from moving, making possible the correct eruption of the permanent tooth.
It is very common to think that baby teeth don´t need to be repaired because they will fall out after several years.
If the tooth is going to fall out naturally very soon, we can choose not to repair it on some occasions. This will always be decided by her/his dentist. But if this is still some way from happening, it is necessary to repair it since this can lead to premature loss of the tooth. If this happens, the adjacent teeth will move towards the toothless gap, making the correct eruption of the permanent tooth impossible. All this can lead to the need for an orthodontics treatment that probably was not necessary before.
When his/her first tooth comes in, what usually happens when your child is 6 months old, you should clean them with a water-soaked small brush or gauze until your child is 2-3 years old. At this age, your child can take the brush and, with the help of your hand, follow the correct brushing movement.
At age 6, your child should brush his/her teeth by him/herself, and an adult should check them subsequently in order to confirm that his/her teeth are clean. Children must learn since early childhood to create habits and take responsibilities about their oral hygiene and, once acquired, they will maintain that habit for the whole life.
Before age 6, your child should use children´s toothpaste. These toothpastes have less fluoride, so reducing the risk of fluorosis in case of accidental intake.
At age 6, he/she can start using mouth washes and topical fluoride, along with toothpastes for adults.
Fluoride toothpastes are not recommended for children who don´t know how to split the toothpaste out (generally, under 2 years of age) due to the risk of an excessive intake of fluoride and the resulting appearance of fluorosis in permanent teeth.
Just in the case of children at high risk of decay, the pediatric dentist will consider if it is necessary to use fluoride toothpaste at this age.
Trauma to baby teeth can cause malformations or abnormalities of permanent teeth eruption or impaction, reason why, if this happens, your child should see a pediatric dentist who can treat them properly as soon as possible.
Trauma to baby teeth are frequently accompanied by soft tissue lesions, wounds on the lips or frenulum generally, which can cause significant bleeding. If this is the case, the pediatric dentist recommends:
- Cleaning the area with water.
- Applying pressure with a sterile gauze.
- Going to see a pediatric dentist.
As it occurs with any trauma to other part of the body, resting is also necessary in case of trauma to teeth. Teeth should be at rest for two weeks, following a soft diet and avoiding the use of pacifier or baby´s bottle.
After suffering a bump to a baby tooth, it is necessary to perform periodical x-rays. Since although it doesn´t happen initially, subsequent complications could arise in the course of the time, such as a necrotic baby tooth. We will have suspicion of this necrosis if there are abscesses, fistulas, change of color (black tooth).
If some of these signs appears, you should report to the Pediatric Dentist´s office as soon as possible.