Paedodontics - González Tuñón

PAEDODONTICS

We teach the young to take care of their mouth

A Paediatric Dentist is the one who specialises in the care and maintenance of dental healthcare for infants, children and teenagers.

We recommend a first visit to the dentist when infants are around one, and then revisions every six months after that. This will help them become accustomed to dentists and help to overcome possible phobias, as well as to acquire correct oral hygiene and diet habits, which provide the best means to avoid problems in the future.

Treatments:

  • Fluoride

Fluoride strengths enamel (the external layer of the tooth), helping to prevent tooth decay and repairing early decay through a process of remineralisation.

Forms of fluoride application:

    • Fluoride drops or pills.

    • Fluoride mouthwash.

    • Toothpaste with fluoride.

    • Fluoride gels (professional application).

    • Fluoride varnish (professional application).

  • Fillings

The simplest treatment for decay / cavities is a filling. Fillings consist of eliminating the tissue that is damaged by the decay / cavity (contaminated with bacteria) and restoring the anatomical shape of the tooth itself.

  • Crowns

This is the restoration process that covers the entirety of the crown surface of the tooth. The objective is to keep the tooth, maintain the ability to chew, fill the space, and avoiding the appearance of new cavities or decay on that tooth.

Crowns are put in when, after getting rid of large cavities or areas of decay, there is only a small healthy dental surface remaining, when prevents the placement of a filling because of the increase risk of fracturing, or otherwise when the tooth shows anomalies in its development, broken teeth, etc.

  • Injuries

When there is an injury to the mouth, a visit to the dentist is necessary to diagnose, treat, and provide aftercare to the damaged area. Every injury, even when there is no apparent damage or pain, can although maybe apparently has not produced damage or pain, can have repercussions in the future.

When the injury is to a milk tooth, the consequences can appear not only on the milk tooth (change of colour, mobility, abscesses, etc.) but can also have consequences for permanent teeth in regards to formation, that are closely linked to the milk tooth (yellow-brown coloured spots, irregularities, etc.). These are detected and treated when the definitive tooth is cut (from seven years old, depending on what tooth it is).

When the damage happens to a permanent tooth, then depending on the level of damage, the following treatment will be performed:

  • Fracture of tooth fragments: aesthetic reconstruction.

  • Nerve affectation: root canal therapy and aesthetic reconstruction.

  • Mobility of the tooth: immediate splinting within the first twenty-four hours).

  • Falling out of the tooth: re-implantation and splinting. Urgent treatment should the tooth that has fallen out be a permanent tooth: it is necessary to keep the tooth wet: keep it in a glass with a saline solution, milk or in the mouth itself, but never wrapped in tissues or scarves. Don't touch the tooths root and you should visit the clinic as soon as possible.

Baby bottle tooth decay

This type of tooth decay can happen when infants and toddlers are used to going to sleep with a bottle filled with liquids other than water (milk, juice, etc.), are still suckling, or using a dummy dipped in sugary liquids. This type of decay generally affects infants aged between one and two years old.

The most common symptoms of cavities / decay associated to the use of bottles are:

  • White spots on the teeth.

  • Early development of decay (brown areas).

It is important that there is a systematic cleaning technique in place so there is no surface left unclean. We can start with the front of the teeth, move to the back of the teeth, and finish with the chewing surfaces of the molar teeth, and do not forget to clean the tongue.

  • Pulpotomy / Pulpectomy

Pulpotomy and pulpectomy are treatments that are performed when a cavity is very deep and reaches the nerve. Primary teeth (Milk teeth) also have nerves and can experience the same problems that a permanent tooth does (pain, boils, etc.).

Pulpotomy is the removal of the upper part of the nerve, whilst pulpectomy is the complete removal of the entire nerve. Treating the nerve of a milk molar doesn't interfere with the future permanent molar at all, as each of them have their own nerve.

  • Space Maintainer

It is a device that is placed in the mouth when there is an early loss of one or more milk teeth (due to extraction, trauma, caries, etc.). The objective is to prevent teeth moving to occupy the space of the lost tooth or teeth.

These devices must: maintain the space for the required period of time - until the permanent tooth eruption, not interfere with the process of losing milk teeth, prevent the extrusion of the antagonists, allow permanent tooth eruption and restore the function and the aesthetics of the mouth.

  • Fissure sealants

A fissure sealant is plastic material that covers the chewing surface of the molar and premolar teeth, preventing the entrance of germs and food particles that cause dental cavities.

Molar and premolar teeth are easy victims of cavities because their chewing surfaces have cracks and rough fissures that literally trap the germs in, causing cavities.

These sealants are up to 80% effective as they cover the area that is the most susceptible to decay.

They must be regularly checked as they wear off with chewing and it is sometimes necessary to place a new sealant to maintain their efficacy.

  • Mouthguards

Mouthguards are protective devices made of plastic that are placed in the mouth and must be worn during the practice of contact sports to prevent dental trauma.

Its function is to:

  • Prevent dental fractures.

  • Minimise lacerations to the lips and tongue.

Highlights

For your concern