Dentist krampf-farsky – faq: milk teeth – teeth

Question:
Can milk teeth fester and swelling (if it were pus) can swell quickly?

Answer:
Yes, milk teeth can fester. I can also explain the rapid subsidence of the severe swelling. Obviously it was a tooth abscess that burst (= fistula), which would explain the rapid decay. (Remote diagnostics are not possible, it would only be one option).

Answer:
As soon as the first milk teeth are there, start carefully and playfully, clean the teeth with a soft brush or cotton swab first.

Personally, I already use minimal toothpaste for my 14-month-old daughter (= barely visible on the brush), but of course she can’t rinse it out yet. Otherwise, I recommend a mild fluoride-containing pasta, not too sweet.

Question:
My 17-month-old daughter broke her front upper teeth due to a fall, which are now turning a little black. Since then, she has not had a bite and I am sure that the broken teeth and gums are causing her pain. In this case, a visit to the dentist would not be advisable?

Answer:
A dental check would make sense. Although it cannot be expected that your daughter will fully participate on the first visit. It is really a matter of cleaning, cleaning, cleaning. Possibly additional fluoridation to avoid further damage. The front teeth can also be sealed with plastic. This requires a lot of patience.

Also: no sweets "Flaschis" and no constant sucking on drinks containing carbohydrates.

Question:
My 23 month old daughter shows up "chipped, light brown spots" on individual teeth. Can this be due to an excessive dose of fluorine (fluorine toothpaste, salt, but no fluorine tablets), as they have so far hardly any sweets or. "Saftflascherl" has got, and therefore tooth decay is unlikely.

Answer:
According to your description, it should be about beginning caries. In principle, this can also be filled in the milk dentition (at "cooperation" of small patients). Further progress can be slowed down by regular fluoridation with concentrated paste at the dentist (only possible with the appropriate cooperation).

Question:
About 1 year ago my 6 year old daughter was given a carious milk tooth. Then the same tooth developed inflammation in the jaw area. The dentist told me that the tooth was dying and drilled a hole in the tooth to allow the pus to drain. Since then, a fistula has formed again and again (on the gums), which bulges outwards and opens after 1-2 days.

Answer:
Just as you describe the condition of your daughter’s milk tooth, it was only left as a placeholder for the permanent tooth. Usually you can’t do anything other than him "open" so that pus and fistula do not form again. For completeness, however, I would like to point out that there are specialists who also perform root canal treatments in the milk dentition (I don’t do it myself, for example).

Answer:
The caries does not go directly to the 2nd teeth, but it can be e.g. Determine individual caries risk using bacteriological tests.

Question:
My 20 month old son lost his right front incisor today due to a fall. Is it possible to provide my son with a denture that can be replaced as the jaw grows. So far I’ve only had something about "placeholder" heard. A cosmetic denture would be better for cosmetic reasons, but I don’t know if there is such a thing for such small children, and if so, you have to treat a small child under general anesthesia?

Answer:
Reinplanting milk teeth is not sensible, since there is a risk of the permanent tooth being damaged by germs. A prosthesis in the front for children is possible, but a purely cosmetic thing, not one "Got to" as a placeholder. It would be different in the posterior region, because you should use the placeholder in the event of tooth loss. I would only recommend general anesthesia for treatments in milk teeth in extreme cases.

Question:
My son is 17 months old and doesn’t want to brush his teeth. He refuses to drink anything unsweetened. I gave honey as an alternative to sugar, but now he got tooth decay. Can I use other sweeteners instead of honey (and if so, which ones?)?

Answer:
I wouldn’t start with sweeteners. Reduce the sweetness of your son’s drinks as much as possible and from now on carry out consistent and thorough brushing of your teeth at home, at least once in the evening, even if this is initially only possible for two.

Answer:
Short anesthesia are only used in exceptional cases when treating the molars. A slow build-up of trust with a dentist who has enough patience for child treatment seems reasonable at all, then small fillings can also be made, which should be carried out as soon as possible for your son in the posterior milk tooth area.

Answer:
Sealing the anterior teeth is unusual. The dentist may be able to clean and then apply fluorine varnish.

Question:
I am still breastfeeding my 27-month-old son, and I suspect that his bad teeth are derived from a lot of breastfeeding, because otherwise he hardly gets anything sweet. Since I have very bad teeth myself, this could also be a reason. Brushing his teeth is not easy for him, and I don’t know how else to help prevent tooth decay on his teeth.

Answer:
I recommend to stop sucking completely at least during the night. Replacement: petting and water bottle. Brushing your teeth early and in the evening, at least in the evening, should be thoroughly cleaned, even if it is difficult. Your child will understand this when it becomes a daily ritual.

Question:
My 2 ½ year old son has badly carious teeth (bottle sucking overnight). The front incisors are rotten down to the gums. Due to a bad experience with a pediatrician, I already see big problems ahead if he has to undergo dental treatment. Could anesthesia be considered as an option for dental treatment and which form of denture restoration is necessary (crowns?).

Answer:
Difficult. Your child needs to be patient with the situation slowly "dentist" get used to. Only when he voluntarily has his teeth examined can a further procedure be discussed. As I said, this is difficult and time-consuming, but definitely worth trying. Treatment under anesthesia is possible in principle in the children’s dental clinic, but it is certainly the last solution. Otherwise, children are treated under local anesthesia.

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