Yes, it is a must! Parents should prepare their child for the visit to the dentist at home (see “Preparing the child for a visit to the dentist”). In the clinic, the child gets to meet the dentist and is introduced to the dental equipment. The procedures and their process are explained. Sometimes more than one visit is necessary to prepare the child psychologically. Visits continue until the child starts to trust the dentist and allows to start tooth treatment.
No. Milk teeth, just like permanent teeth, have roots and innervation (there is pulp inside of the tooth composed of nerve bundles, blood vessels and other cells), therefore local anaesthesia is also necessary for children so they do not feel pain.
Milk tooth filling – when milk tooth is not damaged severely, decayed tooth tissues are removed and the tooth is restored using a restorative material in a single visit. The type of filling material depends of the patient’s oral hygiene and the remaining tooth hard tissues. Children like coloured fillings (e.g., green, blue, pink).
Treatment of complicated tooth decay (pulpotomy) – in a deeper decay of a milk tooth, superficial pulp tissues are damaged, therefore not only the tooth decay, but also the infected part of the pulp (the “nerve”) is removed. Usually the tooth is restored in a single visit.
Milk tooth root canal treatment – when a milk tooth is severely damaged or painful, usually root canals are treated. Milk teeth, just like permanent ones, have roots. Inflamed pulp needs to be removed from the root canals. This treatment is usually performed over two visits. The tooth is restored using a filling material or a crown.
Restoration of milk tooth using a crown – when the tooth is severely decayed, a filling is not sufficient, and the tooth needs to be restored using a crown. Standard stainless steel crowns are used for children, they increase resistance, provide sealing and long-lasting durability.
Milk tooth extraction – this procedure is performed when the tooth is no longer treatable, when the tooth disease (inflammation) endangers the bud of the nearby permanent tooth and its development. Milk tooth may also be extracted when it does not allow for a permanent tooth to erupt.
Sealing is covering the occlusal surface grooves of permanent or milk teeth using a sealing material which flows into the deepest and narrowest crevices, grooves and pits and seals them. It is a preventive measure to protect a newly erupted tooth from decay. The procedure itself is quick and painless, the tooth is only thoroughly cleaned and protective materials are applied.
Fluoride varnish is a special material preventing tooth decay and strengthening tooth enamel. The frequency of fluoride applications depends on severity of tooth decay and patient’s oral hygiene habits.
When patient’s oral hygiene habits are correct and if the filling material is chosen properly, fillings do not fall out.
If the child is uncooperative, pharmacological treatment methods are used (oral sedation, mask sedation, general anaesthesia). Treatment method is determined personally during a consultation.
Friend of your teeth, Amicus Dentis