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Pedodontics (Pediatric Dentistry)

In childhood, tooth caries may develop in milk teeth due to insufficiency of oral – dental care, like permanent teeth. Sometimes, due to external factors such as falls, hits, fractures in the milk teeth may occur and treatment is needed.

Preventive dentistry applications are of great importance in the dental treatment of children. Since preventive dentistry is painless, short-term and do not create dentist phobia; children are recommended to use preventive dentistry in their first encounter with the dentist.

The preventive dentistry applications in our clinic are as follows::

Oral Hygiene Training and Nutrition Regulation Teaching tooth brushing  andflossing , reviewing nutritional habits and hygiene education, which includes explaining the importance of oral and dental health, is important for children as well as for adults. 

Determining the Caries Risk Group
Using various techniques, caries risk groups of children are identified and the susceptibility of their tooth decay is determined. 
The aim is to identify and correct the factors that cause tooth decay rather than treat it.

Application of Fissure
Sealant Tooth decay usually starts on the gutters of the chewing surfaces of molars and premolars, which are called “fissures ” . 
The fissure sealants form a surface in the teeth which reduces the adhesion of nutrients and facilitates brushing. Thus, microbes and food residues in that area is prevented from infiltration and prevent the start of caries. This procedure should be applied to all newly formed molars and premolars before the beginning of caries.

Fluor Application
Fluor strengthens tooth enamel to protect the tooth against acid attacks and helps prevent tooth decay.
Superficial fluorine application is a protective method that can only be applied by dentists. There are various forms for children such as gel, mouthwash, varnish and various flavors such as strawberry, apricot and orange.

Fluor should be administered regularly at intervals of 3 or 6 months in accordance with the pediatric risk group of the child patient.

What is Tooth Mousse?
It is a water-based, sugar-free, externally applied cream that prevents the formation of caries by providing intra-oral acid balance. It is recommended against caries formation beacause of its content of casein which is the lactoprotein, calcium and phosphate ions.

What is Placeholder Application?
Decayed milk teeth that cannot be treated, should be removed from the mouth. Since the gap formed because of the tooth extracted will be filled by a permanent tooth after a while, that space should be preserved. For this purpose, the gaps of the extracted teeth must be treated with the apparatus named placeholder . Otherwise, the teeth to the left and right of the gap slide into the cavity of the extracted milk tooth and cover the place where the permanent tooth will continue. In later years, long and costly treatments may be required to correct the dental line. However, the application time and cost of a small placeholder is insignificant than the others.

Mouth habits that may disrupt chin development in children

Thumb-teat sucking
All sucking habits are normal until two years of age and are usually quitted spontaneously. Continuous suction habit until four years of age can cause persistent deformations in teeth and jaws and should be stopped as soon as possible.

The finger placed between the front incisors causes the upper front teeth to bend forward and the teeth to part away, while the lower front incisors are positioned backwards. When the child is 7-8 years old, a special apparatus called habit breaker may be applied.

Mouth Breathing
Respiratory problems have a negative effect on chin development. If there is only the state of breathing through the mouth (it is better understood during sleep), rather than through the nose, an otorhinolaryngologist should be consulted. Continuous breathing through the mouth causes both orthodontic problems and also an increase in dental caries due to dry mouth.