At the age of six months, the first tooth breaks through in most babies, at the latest with two and a half years, all twenty deciduous teeth are visible. Milk teeth are important - they allow the chewing of solid food, promote proper speech, hold the place for the permanent teeth and are important for the mental development of the child.
Caries falls due to prophylactic measures
According to a German oral health study, the number of caries-infected permanent teeth in children has dropped significantly in recent years thanks to improved prophylactic measures such as fissure sealing. However, it is still the case that inadequate care of the deciduous teeth or the frequent use of caries-inducing drinks in nipple bottles attack and destroy the deciduous dentition.
Have milk tooth caries treated
If individual teeth or the deciduous dentition are carious, a quick restoration is essential. "This prevents tooth decay from spreading, " explains Drs. Dietmar Oesterreich, proDente expert and dentist. "In addition, possible unpleasant sequelae are excluded and the caries risk for the permanent dentition is reduced, " Dr. Austria continues.
Heavily destroyed milk teeth require a high technical effort. Parents should remember that children are not always ready for such extensive treatments. In addition, other diagnostic measures such as X-rays of children's teeth are not always easy to perform.
Filling or crown?
The possibility of remediation depends on the degree of destruction of the deciduous tooth. "If the damage is small to medium in size, plastic fillings are usually used, " reports Dr. med. Austria from his practical experience. The reliable filling technique, however, requires some time and requires the good cooperation and patience of the little patient. If the tooth is severely damaged, in many cases only a prefabricated steel crown is used, which is produced under local anesthesia. It is used primarily for the molar teeth.
Ran to the root
Deeply destroyed teeth often require endodontic treatment in the deciduous dentition. It is advisable if the nerve of the tooth is attacked and the tooth is not yet subject to the physiological change of teeth in the foreseeable future. Under local anesthesia, a part or the nerve is completely removed from the tooth and replaced by a filling. Such extensive treatments are only performed if it is ensured that the germ of the permanent tooth is not damaged.
Last means: pulling the tooth
Only when the dentist is convinced that a restoration does not make sense after a detailed diagnosis and assessment, he will advise the parents of the child to premature extraction of the defective tooth. "In some cases, even premature extraction is indicated, for example if the deciduous tooth prevents the breakthrough of the permanent tooth, or if orthodontic treatment is planned, " Austria.
But it may also be that a corresponding gap holder or a child prosthesis must ensure the necessary space of the permanent teeth. Modern dentistry also offers numerous options for the little ones to restore their oral health. But it is best that they are not used at all.
Because every procedure involves incriminating measures for the affected children: x-rays, local anesthesia, possibly even general anesthesia. Therefore, parents should attach great importance to the regular care of the deciduous teeth and a healthy diet from the beginning.