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PEDODONTICS

The dental treatment of young patients often represents a situation of anxiety and concern on the part of the young patient’s parents, given the difficulty in obtaining the necessary collaboration.
To overcome the fear of the dentist, prevention is extremely important through proper education in oral and food hygiene, as well as reassuring their children in taking them to our clinic, where they will find competent doctors in the treatment of children.

To avoid the formation of cavities it is important that children brush their teeth 3 times a day, and in any case after each meal, and above all fruit juices or sugary drinks should be avoided before going to sleep, because sugar sticks to the teeth. that if they are not brushed immediately, the risk of caries increases, even of permanent teeth. It is essential to know that even deciduous teeth must be treated if decayed, because they can lead the child to have severe pain especially at night, which will make you sleep little.
The first checkup of a child must be done at the age of 4 or 5 at the dentist, but in any case it is important that the parents themselves check them in the mouth, and if they see teeth with stains, or with holes it is better to take them for a first visit. It must be said that before the age of 5 it is difficult for a child to collaborate and allow his teeth to be treated by a dentist, so up to the age of 5 prevention is essential, therefore avoiding to eat too many sweets and sugary foods, such as candies, fruit juices. ,etc.
In the first visit, our dentists, in addition to verifying that there are no decayed teeth, will also check the occlusion (the correct closing ratio between the arches), and possibly recommend the orthodontic appliance suitable for your child.

We therefore recommend that children brush their teeth as soon as the first lower incisors come out, then when the child is over three years old, start teaching him to brush them himself (in any case always under the supervision of an adult).
In children, problems of incorrect chewing or reverse bite or facial asymmetry, or dental crowding can be corrected conservatively.
We remind you that incorrect occlusion can lead to adulthood to have serious periodontal problems, caries, and pain in the stomatognathic system, so it is always good to intervene with orthodontic appliances in school age if malocclusions or dental affection have been diagnosed.

The importance of taking care of baby teeth

The dental treatment of young patients often represents a situation of anxiety and concern on the part of the young patient’s parents, given the difficulty in obtaining the necessary collaboration. To overcome the fear of the dentist, prevention is extremely important through proper education in oral and food hygiene, as well as reassuring their children in taking them to our clinic, where they will find competent doctors in the treatment of children.
Deciduous teeth, are bound to fall out and be replaced by permanent teeth. This does not mean that their care should be neglected. It is very important to prevent and treat caries in young patients for two reasons:

The structure of deciduous teeth is more fragile, therefore these teeth are more easily attacked by caries, causing infections and pain;
the early loss of a deciduous tooth can cause problems with correct alignment and occlusion, and also the lack of space for the permanent teeth that can remain included, that is, not erupting in the arch but remaining inside the bone.

Caries: in addition to sweets, the lack of prevention is also a cause.

Caries is one of the most common dental diseases among children today. The data show that at the age of four one in five children suffer from it, while at the age of 12 the problem affects one in two children. The majority of children do not undergo any pre-school dental examination and one in five undergoes orthodontic treatment because they lost a deciduous tooth that was not promptly treated too soon, also due to caries. There is a clear need for greater prevention from an early age, to prevent the development of tooth-related diseases even in subsequent years.
Your child’s first visit is free
This is why we have dedicated, trained and experienced dentists in the care of children who will be able to give all the indications for effective prevention, as well as perform specific treatments (sealings, fluoride prophylaxis etc.), directly at the Dental GB clinic in Tirana of Doctor Giovanni Bona in a peaceful and welcoming environment.

Sealing of grooves and cracks

The groove and fissure sealings are mechanical fillings that are carried out to correct the anomalies of the dental enamel present in the chewing surfaces of the molars, premolars and, in some cases, on the palatal surface of the anterior teeth, preventing bacterial plaque from entering them.

Why do the sealing

Because children usually fail to brush well, above all, the molars and premolars and in the furrows and crevices food residues and bacteria can deposit, which favor the formation of caries.

How to seal

1. isolate the tooth by using the dam, that is a colored latex sheet necessary to isolate the tooth or by means of cotton rolls;
2. an etching gel based on 37% orthophosphoric acid is applied to the tooth which increases the surface roughness to ensure greater adhesion of the sealing product;
3. the sealing is carried out using a fluid composite resin which is applied in the grooves of the teeth by means of a dispenser or a special brush. The resin is white or transparent and from fluid it is transformed into solid thanks to the use of a light-curing lamp.

Indications

Seals are recommended from the age of six (age of eruption of the first permanent molars). The other teeth can be sealed from time to time which are usually born between the ages of eleven and fourteen.

How long does the protective effect last

The seals last a few years. The dentist will have to check them periodically to verify that they are always unaltered and therefore effective, because they can wear out.

Fluoroprophylaxis

A fundamental aspect analyzed by the experts is the use of fluoride for the prevention of caries and its application protocols.
The reduction in the prevalence of caries among children and adolescents in the industrialized world has been achieved thanks to topical fluoroprophylaxis, in which fluoride is supplied by toothpastes or mouthwashes, commonly used at home, with a dosage however difficult to evaluate. For this reason, surely, the most effective and controlled is the topical application system of high concentration fluoride, which is carried out in the dental office.
In this procedure, the professional will apply a gel containing a high concentration of fluoride directly to the teeth, constantly monitoring the entire process.
Fluorine is a mineral that promotes the formation of an enamel that is more resistant to the acid attack of bacterial plaque and which, if taken once the tooth has formed, protects it. It should be noted that an excessive intake of fluoride during the period of enamel formation can cause dental fluorosis or a condition in which the enamel is altered, generating discoloration and developmental defects.

Effects of fluoride in the period of tooth enamel formation

The fluoride prevents the formation of carious cavities by promoting the remineralization of the enamel.
The professional topical applications of fluoride should generally be started around 6 years and carried out every 3 months for the first year and every 6 months for the second year using, in the meantime, a fluoride toothpaste.
In conclusion, the use of the toothbrush and the correct oral hygiene maneuvers are considered essential for the removal of bacterial plaque and, when associated with fluorinated toothpaste, represent the highest measure for the prevention of caries.

How to brush your child's teeth in 8 simple steps:

Prepare your child’s toothbrush with a quantity of toothpaste defined ” pea size ” (a quantity the size of a lentil) How many years has it been possible to use toothpaste? Speaking of fluoride toothpastes, it is recommended to use it from 6 months in pea-size without making it swallow but instructing the child to spit it out while rinsing the mouth.

Have some lukewarm water ready to brush his teeth and rinse his mouth

Start brushing his teeth from the back of his mouth.

Slowly move to the front of your mouth.

Brush his teeth in circular motions tending to go from the gums towards the surface of the tooth and not vice versa.

Finished with your teeth now, brush the inside of your cheeks to remove food particles.

Also brush the top of your mouth to remove plaque.

Finally, brush your tongue, but only going as far as your child doesn’t mind.

Advice

Always remember to go slowly;
brushing too quickly would bother your child and / or hurt his gums.
Brushing in circular motions helps to remove food particles better.
Clean the molars well, on which the remains of food tend to stop.
Never use very cold water to brush the teeth of small children.
Brush your child’s teeth after every meal (or at least twice a day).

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