Do I need to treat decay on deciduous teeth

Caries on baby teeth – is it necessary to treat? On the one hand, baby teeth are temporary elements that change as permanent as a child grows up. But on the other hand, caries is a container for the accumulation of various pathogenic microorganisms that can provoke a variety of serious diseases.

The problem of decay of deciduous teethNaturally, the second argument outweighs the doubts and indicates the need for timely action. It should be borne in mind that treatment at the initial stage of pathology greatly simplifies the treatment process.

The essence of pathology

Terms of teething and loss of primary teethIn the general case, caries is a dental pathology characterized by the destruction of the enamel protective coating and the formation of an open channel in the tooth with access to its surface. The pathogenic process in the carious cavity is associated with the accumulation and activation of various bacteria, most often cariogenic bacteria Actinomyces naeslundii.

In order for them to begin a destructive effect, favorable conditions must be created in the dental tissues when bacteria multiply rapidly, turning carbohydrates into acid, which provokes the leaching of fluorine and calcium from the structure of tissues. If the pathology is not interrupted on time, then microorganisms rush deeper and deeper.

The carious process on milk teeth can be observed in a child as early as 2-3 years of age (an earlier pathology is also recorded). Most often, caries affects temporary maxillary incisors and chewing patches of molars. At the same time, both congenital and external factors, as well as abnormalities in the maternal body transmitted through milk, can cause childhood dental disease.

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Causes of the disease

Genetic predisposition - the cause of childhood cariesInfant caries can cause a variety of effects. The most common reason is to ignore the basic rules of oral hygiene and overuse of confectionery and other sweets. It is the formation of sucrose, glucose and fructose that contributes to the destruction of the enamel layer. If a large amount of carbohydrates enters the oral cavity, the saliva acidity sharply increases (the pH drops to 4, i.e., almost 1.5 times), and this effect is intensified by food debris if it is not removed from the space between the teeth.

A number of other causes of the disease can be noted:

  1. Mouth-to-mouth infection from adults by kissing a child and using tableware after an adult.
  2. Genetic and congenital predisposition: smoking, malnutrition and illness of a woman during pregnancy at the stage of formation of the tooth structure in the fetus are especially influential.
  3. The influence of factors that worsen the process of mineralization of the bone structure of the tooth at the end of its formation (up to 2 years): chronic diseases, medications, food, changes in the composition of saliva. During this period, the child has an increased tendency to carious processes.
  4. “Bottle caries”: usually affects the front teeth when they are exposed for too long to the nipple of the bottle filled with a sweet liquid. Especially harmful are cases when the baby falls asleep with such a bottle, and her nipple remains in her mouth.
  5. Diseases of a nursing woman: infectious and endocrine diseases, hypertension, rheumatism, toxic lesions.
  6. Own diseases of the child, especially of an infectious nature.

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Pathology development

Caries patternCaries on baby teeth in a child, depending on the depth of the lesion, is divided into the following types: initial, superficial, medium and deep type. The initial stage is characterized by the accumulation of aggressive components and bacteria on the tooth surface and is manifested by a noticeable white spot on the enamel. Further development of the process leads to its darkening (brown or black), while the pathology becomes chronic. There is no pain syndrome yet. It is at this stage that treatment should begin, and then carious destruction will be stopped.

The surface variety is the next stage in the development of the disease, when the destruction does not extend beyond the enamel layer. Pain occurs when exposed to acidic or sweet foods. Further progression of the process leads to secondary caries when it affects part of the dentin. Pain occurs when ingested cold, hot, salty, or sugary foods. Finally, the lack of treatment leads to the spread of the lesion to most of the dentin.

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Treatment of childhood caries

The benefits of vitamins to strengthen teethWith carious destruction of the milk tooth in a child, treatment should be carried out, first of all, in order to eliminate the chronic focus of infection, which can provoke various diseases in the internal organs. In addition, the presence of frequent pain should not be allowed, which negatively affects the psychological state of the child. Another thing is that some parents prefer tooth extraction to rule out further problems. However, premature removal of the incisor before the formation of the main tooth leads to a deterioration in the quality of chewing, which affects the digestive system and may cause incorrect further germination of the main teeth (ugly teeth).

Thus, the question of the appropriateness of treating milk teeth, dentists recommend resolving unequivocally – be sure to treat. The treatment itself depends on the stage of development of the process. It may be limited to therapy in the form of the appointment of vitamins A, B, C and D, as well as drugs containing sodium fluoride. Naturally, the most important condition is optimal oral hygiene using therapeutic toothpaste and special fluids. Treatment of an advanced disease includes methods such as remineralization of the coating and filling.

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Superficial treatment

Doctor consultation on caries treatmentIf the destructive process remains within the enamel layer, then the tooth separation method is often used. It includes grinding the surface to mechanically clean the external foci of infection and the subsequent application of a protective high-strength layer. The so-called remineralization of the external tooth layer is carried out by a special composition, for example fluoride.

During such a procedure, the internal tissues of the tooth are not affected (the drill is not used). A white or darkened surface stain is cleaned off using a special tool for the finest grinding. Then the tooth surface is impregnated with durable artificial enamel.

High reliability is confirmed by Icon composition, which provides long-term protection of fabrics. This method of treatment allows you to eliminate superficial caries without anesthesia.

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Tooth filling

With the penetration of carious destruction into the deep tissues, treatment is carried out by filling the formed channel. The methodology of the procedure is chosen by the dentist taking into account the degree of damage, the presence of the inflammatory process. Directly filling is performed with a preventive filling composition, which has a less aesthetic appearance than for adults. This choice is determined by the temporary nature of the fillings – until the growth of the main tooth. This material allows you to carry out the entire operation faster and at lower cost.

An important element of treatment is the choice of anesthetic drug, which is especially important given the age of the patient.

To increase the effectiveness of anesthesia, a premedication method is often used when, before the administration of an anesthetic (25-40 minutes before surgery), a medicine with a calming effect is laid in the channel. In the treatment of advanced forms of the disease and in the operation of infants, general anesthesia is sometimes used.

Caries on baby teeth is not such a simple disease as it seems. It is able to significantly affect the health of the child. It is necessary to treat it, and treatment should be carried out in the very early stages of the disease.


Ivan Ivanov


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