Caries causes destruction of teeth and if left untreated, it results in abscess, which also causes pain and infection. After removing the decayed and weakened parts of the tooth, the dentist fills the tooth with tooth-colored filling materials. With the filling, the teeth become functional again, the aesthetic defect caused by the decayed teeth is eliminated, and the feeding of the child becomes easier. By ensuring that the filled primary tooth functions until the time of replacement, the position of the permanent tooth that will come from below is preserved, and therefore, possible tooth crowding can be prevented.
After removing the decayed and weakened parts of the tooth, capping can be applied to protect the pulp tissue and maintain the vitality of the tooth in cases where it is very close to the pulp (in some cases, a special filling material is temporarily placed in the tooth and permanent filling can be done within 3 weeks-6 months or later).
Amputation (half canal)
It is a form of treatment that aims to remove the crown pulp tissue of the tooth with special tools and to keep the root pulp of the tooth healthy.
It is the treatment associated with the tissues in the root part of the tooth in order to prevent tooth loss. It is aimed to remove the infected tissue in the root canals and to fill the canals with drugs compatible with physiological root resorption.
If the infection in the tooth is too advanced to be treated, extraction is often the best way to prevent further spread of the infection. As a result of not pulling a tooth that needs extraction, these teeth can cause pain, swelling and even bone loss in the jaws. Infected milk teeth that are not extracted can also damage the permanent teeth coming from below.
Apexogenesis or apexification treatments are applied to young permanent teeth whose root tip is not closed due to carious infection or trauma.
With the treatment, the vitality of the tooth nerve is preserved and the root development of the tooth continues naturally. This treatment lasts until root development is completed with clinical and radiographic examinations to be made in periodic controls. The patient's sensitivity to hot and cold decreases and disappears during the apexogenesis treatment. In line with the response of the child to the treatment, the treatment plan may turn into apexification treatment.
If the young permanent tooth, which has not completed its root development, loses its vitality due to caries, infection or trauma, apexification treatment is applied in order to complete root development. In this treatment, the continuation of root development is ensured by sending tooth and tissue-friendly substances to the root canals. After apexification treatments, complaints such as pain and swelling in the teeth disappear. During these treatments, local anesthesia is applied to the teeth. Apexification treatments are treatments that require regular control for a long time. In these control sessions, the materials placed in the tooth are renewed if necessary. Pain and swelling may occur. If necessary, medications such as painkillers and antibiotics can be prescribed. Disinfectant drugs can be used during treatment. Root canal treatment is applied to the tooth that has completed the root tip development as a result of the dressings.
Fluoride is an element that prevents tooth decay and strengthens the structure of teeth. Fluoride is found in toothpastes as well as in some nutrients. However, because children often neglect to brush their teeth, they do not get enough fluoride to make their teeth resistant to caries. In order to prevent this situation, "superficial fluoride" applications are made.
Superficial fluoride application is especially applied to children whose teeth are prone to decay. In this way, a sufficient amount of fluoride is deposited on the teeth and the structure of the teeth is strengthened, making them resistant to caries.
Fissure Sealant (tooth grafting) Applications
The chewing surfaces of the teeth are indented. These pits and mounds are called pits and fissures. These areas are very narrow and are often where cavities start due to the inability to clear the jam. A special fluid filling material is used in order to prevent the accumulation of food and microorganisms in these areas and accordingly caries. First of all, this area is completely cleaned and the fluid filling, which we call fissure filling, is applied to this area. It is hardened with light and polished by correcting the excesses.
Thanks to this process, it is possible to be protected from chewing surface caries. Although it can be used for many years under normal conditions, it is beneficial to check it frequently, especially in those who have habits such as ice chewing or teeth grinding.
The period when the first permanent teeth appear in the mouth is ideal for application. This is around 6 years old. It is also applied to the others during the eruption of other molars.
Although it can be applied to adults without caries, its use in children is more beneficial and important.
Milk teeth fall out as a result of the melting of their roots due to the pressure of the permanent teeth from below. But sometimes milk teeth can be lost prematurely as a result of an impact or due to caries. When the primary tooth is lost early, the teeth on both sides bend towards the extraction space, the teeth on the opposite jaw extend towards this space. Thus, as a result of the early loss of the primary tooth, the necessary distance for the permanent tooth to come from below is lost, and crowding occurs in the permanent teeth.
In early loss of primary teeth, appliances called placeholders are used to protect the place of the permanent tooth from below. Placeholders keep the adjacent teeth stable by preventing them from moving into the extraction space. Thus, crowding in permanent teeth is prevented. Placeholders are passive appliances, they do not apply force to the teeth.
Placeholders are applied in two ways, fixed and movable. Fixed placeholders are used in the absence of a single tooth. As the name suggests, it is fixed, the patient cannot remove it. Movable placeholders are used in the absence of more than one primary tooth. The patient can put on and take off the appliance.
Regulation of Nutritional Habit
According to the nutritional habits of the child, the pedodontist makes a plan to protect from caries by creating a program jointly with the family. Identify the mistakes made during child feeding.
Children often fall or crash. As a result of this, a simple mouthpiece, which will damage their front teeth and disturb them for years, prevents the damage caused by a trauma to the lower part of the face. Especially in children who play sports such as football, boxing, skiing, basketball, cycling, skating, surfing and skateboarding, dental traumas, fractures or lip, tongue biting and tearing are prevented as a result of the cushioning effect of a silicone transparent mouthpiece placed on the upper jaw teeth.