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Child
Dentistry
(Pedodontie)
A Visit To Your Dentist
A visit to the
dentist should be pleasant and beneficial. Establishing a relationship
with your dentist and his or her staff will help to make your visits to
the office more pleasant and comfortable. By
getting to know the people who you are working with, will make asking
questions about your mouth easier and thereby help to remove some of the
fears you may have associated with going to the dentist. When your
dentist speaks to you about the condition of your mouth and recommends
treatment to you, feel free to ask questions about the type of work,
what is involved and what the outcome should be. The more you know about
your mouth, the more involved you can be in the care and maintenance of
your mouth. Since you will have the greatest amount of contact with the
dental staff, get to know the rest of the dental team.
The staff is trained
to assist the Dentist. A hygienist may clean and polish your teeth and
instruct you in proper home care. If you have any problems or questions
the hygienist will alert the doctor for you. The office staff is
responsible for the appointments, billing and insurance. They are well
versed in these areas and are usually able to answer any questions you
may have about such matters. Together with your dentist you can keep
your smile healthy and happy.
Teething
Babies are as
individual in their teething as they are in everything else they do.
It’s not uncommon for some babies to drool for weeks before their first
tooth comes in. For others, teeth just seem to appear without much fuss
at all. Quite often a baby will have sore or tender gums and that tends
to make them irritable. To help soothe any sore spots, gently rub them
with a clean finger or the back of a small, cold spoon. Teething rings
also work well. Try and avoid teething biscuits since many of them
contain sugar and shouldn’t be offered.
Some parents worry
that their child’s teething is either to early or too late. There is
absolutely no link between when the child’s teeth come in and how strong
the teeth will be. Most babies begin to get primary teeth after the age
of four months, usually six to nine months. The timing of teeth is
genetic, and late-teething parents are likely to have late-teething
children.
Be sure to examine
all of your baby’s teeth especially on the inside or the tongue side
every two weeks for dull whiter spots or lines. These can be signs of
nursing bottle decay. If a bottle is left in an infants mouth for a long
period of time and it contains anything but water, decay can occur more
rapidly. Sugar in the liquid mixes with bacteria in the dental plaque to
form acids that attack tooth enamel. Each time your child drinks liquids
containing sugar, acids attack the teeth for at least 20 minutes. When
children are awake, their saliva tends to carry away the liquid. But
during sleep the saliva flow decreases and these liquids pool around the
child’s teeth for long periods bathing the teeth in acids. If your baby
needs a bottle for comfort before falling asleep, fill the bottle with
plain water. Regardless of your child's age, if you notice anything
unusual in your baby’s mouth, seek dental care immediately.
Loosing Baby Teeth 
The process by which a child looses their baby teeth is a
simple one. At about age six the roots of the baby teeth begin to
dissolve, as this happens the teeth begin to get loose. A baby tooth may
wiggle about for quite a while before the tooth actually falls out.
Gentle coaxing by pushing on the tooth is not harmful, however, be sure
that your child does not put excess pressure on the tooth with his
tongue. It is not abnormal for the permanent tooth to make an appearance
with the baby tooth still in the mouth. If however, the baby tooth does
NOT fall out soon after the permanent tooth breaks through, notify your
dentist. An over retained baby tooth may interfere with the normal
development of the adult tooth.
Baby teeth are
also responsible for guiding the permanent teeth into their proper
position in the jaw. If a baby tooth is lost prematurely due to an
accident or decay it is important that the space be held open. Usually
this is done with a little device called a space maintainer. If this
space is not held open, the tooth underneath may have problems growing
in later on. Baby teeth generally come out when they are ready, without
any complications. Notify your dentist of any problems or questions.
Thumbsucking
Sucking is a
normal reflex of a baby. Simply put, it relaxes and comforts them. The
need for sucking usually comes to an end between the age of two or three.
But for some, prolonged and vigorous sucking after the age of four can
cause problems with normal dental development. If you are concerned your
child’s sucking may cause dental problems, visit your dentist and
discuss the matter. He or she can tell you the best method for weaning
your child from the habit.
Alll About Our Teeth 
We are born with two
sets of teeth, primary or first and secondary or permanent. The primary
teeth are also called deciduous, as are trees, which lose their leaves
every fall. Deciduous teeth begin to appear at about six to eight months.
20 teeth make a complete set and all are in by age three. The three-year
molar is the last to appear. The permanent teeth start to grow at about
age six and all are present except the wisdom teeth between the ages of
twelve to fourteen. The twelve-year molars are the lasts to grow in,
until the wisdom teeth start to break through from age 17 on.
Including wisdom teeth our permanent teeth number 32.
Few people however have room for all 32 teeth, which is why wisdom teeth
may need to be removed. The front teeth are called incisors; the
eyeteeth are referred to as canines; side teeth as premolars or
bicuspids and back teeth as molars. Since our second set of teeth is the
set we are supposed to keep for the rest of our lives, it is important
that they be given proper care. Regular and thorough brushing and
flossing as well as routine check ups by your dentist will do much to
safeguard your smile.
Mammalons
Each anterior tooth
grows from tooth buds. These three tooth buds fuse to form our permanent
teeth. Anterior teeth have three points on them when they first erupt.
These points are called the Mammalons. Within one or two years the
points of the Mammalons wear away, but the internal structure is still
present.
Your Child’s New Teeth
Even
though your child’s first teeth are replaced by a permanent set, they
play a very important role in your baby’s dental development. When your
child is born, all 20 of the primary teeth, which will appear over the
next two years, are already present in your baby’s jaws. These teeth are
almost fully developed but will remain hidden under the gums until the
front teeth begin to emerge at about six or seven months. Teething will
continue on and off for about two years. Around age six the permanent
teeth begin to appear and teething will continue on and off until about
age twelve. At that point all the permanent teeth with the exception of
the wisdom teeth are present.
Even though baby teeth
will be replaced by the permanent teeth, they are crucial to the jaw
development and positioning of the permanent teeth of your child.
Because the baby teeth are responsible for guiding the permanent teeth
into their proper place in the mouth, baby teeth that are missing or
prematurely lost may need to have their natural space held open, usually
by a little device called a space maintainer. Any missing teeth should
be brought to the attention of your dentist. How your child cares for
his baby teeth will play an important role in how he treats his second
and final set. Children’s teeth get plaque just as adult teeth do;
therefore they need to be cleaned just as permanent teeth. Because
children’s mouths accumulate plaque just like adult teeth, their gums
are also susceptible to the gum problems plaque can cause. Bleeding gums
need to be cared for. Notify your dentist if your child’s gums bleed
when he or she brushes.
Diet also plays as an
important role in the dental health of a child as it does an adult. Your
child’s teeth should be cleaned daily and sweets and starchy foods kept
to a minimum. Also, try to avoid having your child sleep with a bottle
with milk, formula or fruit juice, you run the risk of "nursing bottle
mouth" – a dental condition that destroys your child’s teeth through
early, serious decay. Sugar in these liquids mixes with the bacteria in
the dental plaque in the mouth to from acids that attack tooth enamel.
Each time your child drinks liquids containing sugar, the acids attack
the teeth for at least 20 minutes. When the child is awake, their saliva
tends to carry away the liquid. During sleep, the saliva flow decreases
and these liquids pool around the child’s teeth for long periods,
bathing the teeth in acid. Don’t think that a pacifier dipped in honey
or sugar is beneficial either – this will damage the teeth just as easy.
Best advice, if your child needs a bottle at bedtime, fill the bottle
with plain water. Any discoloration on your child’s teeth should be
brought to the attention of your dentist for his or her evaluation.
Your child’s first
visit to the dentist should be a pleasant experience and should be
before age 2, definitely before all 20 teeth are in the mouth. You can
do much to prepare your child for his first visit, and help him or her
to look forward to this new experience. . Children visiting the dentist
for the first time are full of questions. Entertain your child’s
curiosity by talking about the upcoming visit. Don’t mention needles or
"that it won’t hurt" - this may frighten your child. You can tell your
child the dentist will count their teeth to see how many there are and
maybe take some pictures of their teeth as well. Your dental office may
have a book you can read to your child about the first visit to the
dentist, if not the library has a lot of information about this subject
matter. Proper care of your child’s’ teeth will avoid problems in the
future and help to keep your child’s’ smile bright and healthy.
This Document
is Taken from
http://www.dental.am/eng/dental/oral.php
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