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Question

Question
What are the symptoms of tooth eruption in babies?
Answer

Symptoms of teething may appear 2 to 3 months before teeth erupts. Although those symptoms vary for each child, they include increased salivation, redness or cracks on skin secondary to irritation caused by chronic contact with saliva at location of jaw bone and mouth, cough, restlessness, fever, sleep disorder, unwilling to eat and itchy gums.

Question
When should the first dentist visit be made?
Answer

Dental visits should be started when first tooth erupts, and one should have routine dental visits at semi-annual intervals. Thus, the child gets used to dental visits and cooperates in protective and preventive therapies, if required. Moreover, one would have chance of early diagnosis and treatment for a possible anomaly and/or tooth decay.

Question
Why should deciduous teeth be treated?
Answer

There are totally 20 deciduous teeth and the primary function of those teeth is to ensure chewing and feeding.  Smooth development of speech is also dependent on the presence of deciduous teeth. 

Deciduous teeth conserve the room they cover and guide the permanent teeth while they erupt. When deciduous teeth are extracted early, space-conserving function is eliminated. Therefore, deciduous teeth must be treated to maintain their presence in the mouth cavity until permanent teeth erupt.

Question
What is the difference between amputation and canal treatment?
Answer

Amputation means surgical removal of a part of an organ or a tissue. In the amputation treatment, viability of the rest pulp tissue in canals is maintained by removing the viable tissue (nervous tissue, dental pulp) in a segment that is extending to the orifice of the canal. Pulp tissue is covered with a special material and the tooth is restored. In canal treatment, the pulp tissue infected by microorganism is completely removed, and the tooth is restored by replacing the pulp tissue with special filling material.

Question
What is a retainer? Why is it used?
Answer

Deciduous teeth should be extracted if they are decayed to the extent they cannot be treated. The space left after extraction of deciduous tooth should be conserved until permanent tooth erupts. Therefore, retainers should be placed in spaces left after extraction of deciduous teeth. These apparatuses prevent fall of neighboring teeth. Otherwise, the teeth at the left and right sides of the extracted deciduous teeth move toward and fill in this cavity, where a permanent will erupt.

Question
Does breast milk cause tooth decay?
Answer

Breast milk is a food that is rich in fat, protein and carbohydrates. It contains protective factors of body’s defense mechanism; however, tooth decays can be seen in children, who are frequently breastfed after teething period, due to lactose in breast milk. To prevent formation of cavities in this period, teeth must be wiped and cleaned with clean and damp gauze after breastfeeding at evening.

Question
What is Early Childhood Caries? (Baby Bottle tooth decay)?
Answer

By definition, early childhood caries is the presence of one or more decayed, missing or filled tooth surfaces in any primary tooth in a child 71 months of age or younger. One of the reasons for nighttime bottles causing tooth decay is the pooling of the liquid in baby's mouth (where the milk/juice bathes baby's teeth for long periods of time). Nutrition with carbonhydrattan (free sugar) rich liquids can lead to a severe decay of teeth before the age of two when the first teeth are running.

One of the reason is breastfeeding him/her repeatedly at night and not cleaning his/her teeth afterwards. All these habits cause the milk/juice to pool around the teeth while the child sleeps. This in turn provides an excellent environment for cavity forming bacteria. The onset of decay at early ages can be due to prolonged contact with carbohydrates at these ages.

When the mother takes her to the mouth and gives it to the child, she controls the temperature of the bottle in her mouth, causing the rotting microorganisms in her mouth to pass to the baby. Because these microorganisms are known to hold onto the hard tooth surface, they grow in incredible sizes together with the first teeth, and they are one of the caries-causing causes.

Question
Do the permanent incisors, erupted before fall of deciduous teeth in lower jaw, cause orthodontic disorder?
Answer

Eruption of permanent teeth before fall of incisor deciduous teeth in front part of the lower jaw is one of common problems. After permanent teeth erupt in the mouth cavity, root formation continues and they grow. They move toward the lip due to tongue’s action in this period and this movement causes loosening and fall of deciduous teeth. If deciduous teeth do not loosen despite eruption of permanent teeth, they must be extracted. In both cases, no orthodontic problem is likely to arise unless there is a significant difference between teeth and size of the jaw.

 

Question
Are ache and fever expected conditions during tooth eruption?
Answer

Itching and ache are expected findings during tooth eruption. Child tries to ease those feelings by putting an object in the mouth. Therefore, susceptibility to infection increases due to exposure to more microbes and mild fever can be added to symptoms. If high fever and gingival infection (redness, edema) are noticed, you should better seek medical attention from a pediatrician.

Question
In what cases sedation anesthesia and general anesthesia are used?
Answer

Sedation is preferred for children, who intend to cooperate, but cannot overcome the fear, have gag reflex and need short-lasting treatments. Sedation is an appropriate method only for some children. For example, sedation may pose a risk if the child has an important medical condition. In this case, general anesthesia is a safer method that is induced at operating theater. Sedation is a method that is appropriate for short-lasting (less than 1 hour) procedures without serious pain and for healthy children. General anesthesia is preferred for procedures that will last longer than 1.5 to 2 hours and will likely to cause severe pain. 

Question
Should deciduous teeth be extracted?
Answer

Since deciduous teeth guide eruption of permanent teeth, they must not be extracted early. Early extraction of deciduous teeth causes crooked permanent teeth and disorders in development of the jaw bone. Deciduous teeth must be kept in the mouth until permanent teeth erupt.

Question
What type of tooth brush must be selected for children?
Answer

Soft, nylon bristled tooth brushes that are appropriate for your child’s mouth size must be used. Hard bristled brushes are not suitable, as they erode teeth. Teeth cannot be brushed with an old, worn brush, just like you cannot sweep with an old broom. Brushes must be changed as soon as their bristles are worn (3 to 6 months on average).

Question
What type of tooth paste should be used and what should be the appropriate amount of tooth paste for children?
Answer

Use of tooth paste is not recommended in infants and children until 3 years of age. Use of tooth paste should be started after 3 years of age. However, the amount must not be bigger than a lentil in size, and therefore, it must not be 3 to 5 cm in length on tooth brush as we see on commercials.

Any of the fluoride tooth paste can be preferred when use of tooth paste is started. The important thing is that children like the taste of tooth paste and be willing to brush teeth.

 

Question
What should we do if child’s teeth fall as a result of impact or fall?
Answer

If the tooth that fell off is a deciduous tooth, retainer can be used. If permanent tooth falls without any damage, it must be brought to dentist while sterility of tooth is conserved. Re-implanting the tooth in original place can be tried.

Question
When should children start brushing teeth?
Answer

Children can be introduced with tooth brushes when teething begins (age of 6 months) (without tooth paste). There are special tooth brushes in the market for this period. In this period, the child soothes itchy gums that develop while teeth are erupting.

However, the child should not be left alone while doing this and toothbrushes must be used under supervision of parents. The most effective outcome can be obtained, when mechanical cleaning is performed by grown-ups with no tooth paste. 

Question
What should be done to make children overcome dental phobia?
Answer

Dental visits at semi-annual intervals after age of 2 years will make the child get oriented to the dental office. Since protective measures are taken in those visits, the child will not be hurt and orientation to dental office will be good. Adults should never reflect own dental phobia to the child.

Question
How should children be fed for dental health?
Answer

Foods with well balanced mineral content are required for strong teeth. Milk, yoghurt, cheese, egg and vegetables should be eaten at regular intervals.

Question
How should I motivate my child to make a habit of tooth brushing?
Answer

If you want to motivate your child for oral – dental care, you should also be a good role model. If all family members brush teeth, use dental floss and follow dietary instructions, your children will probably maintain those habits in the future.

 

Question
Can decayed deciduous tooth be treated?
Answer

Similar to permanent teeth, deciduous teeth should be treated. If dental conditions are left untreated at this period, possible future problems are crooked teeth, developmental disorder of jaw bone and general health problems.

Question
What are the things to do in the teething periods of babies?
Answer

Cold drinks or cold foods will also help your baby's water needs and replace the lost fluid with diarrhea or increased saliva. Peaches, apples, yoghurt, chilled in the fridge may be more appealing to your baby than to room heat.

Question
Is thumb sucking or pacifier hazardous for teeth of children?
Answer

If thumb sucking or use of pacifier is maintained for a long time, it may pose negative influence on development of jaw bone. Optimally, your child gets rid of those habits until age of 3 years. If he or she persists sucking thumb or using pacifier after 3, you should seek dental attention.

Question
Does tooth decay spread from mother to the child?
Answer

First, I would like to mention about a false step that had already turned into a tradition in our society. Mothers usually test temperature of food and warm it, if hot, by putting the spoon into her mouth in order to avoid burning child’s mouth, and this approach will certainly spread bacteria that provoke tooth decay from mother to the infant’s mouth.