- using positive terms: "You may now …"
- by explaining the individual steps to suit the child
- by creating a relaxed atmosphere
- by keeping physical contact with the child during treatment
- by praising and encouraging
with nitrous oxide
In order to give children a normal relationship with a visit to the dentist, we rely on targeted preventive care (prophylaxis) and on pain-free and gentle treatment. The children have positive experiences at the dentist. These in turn give motivation for beautiful and healthy teeth.
At the first appointment, you and your child have the opportunity to get to know our practice and us and thus build trust. After the dental diagnosis and assessment of your child’s willingness to treat, the individual therapy and further care are planned together in a detailed consultation. We rely on your help! A promising treatment is only possible through good cooperation between you and the practice team.
Tips: How to support your child
- Let us know about your child’s special features!
This way we can optimally adapt to your child.
- Do not express your own negative dentist experience!
Your fear could spread to your child.
- Avoid negations!
"It doesn’t hurt" means for the child "It could hurt".
- Please let us guide your child!
Children cannot listen to two adults at the same time.
- Let your child answer!
The child should be the focus.
- Do not promise reward gifts before the practice visit!
It could put additional pressure on your child.
- Praise your child after treatment!
It strengthens self-confidence to master new situations.
If your child has already had dental experience that you would like to talk to us about beforehand, please contact our team with confidence.
Dental health from the start!
Prophylaxis means prevention and forms the basis of our concept. This is the only way to keep your teeth healthy in the long term.
Daily dental care, healthy eating and regular prophylaxis appointments are sufficient. Our goal is to provide every child with healthy teeth and gums for life.
- Toothbrush school
We have an individual prophylaxis program that caters to the needs of children in their respective ages. It is important to motivate the children for oral hygiene and to strengthen personal responsibility. Because brushing your teeth is fun! And a clean tooth does not get tooth decay! Brushing your teeth should start from the first tooth.
In our toothbrush school, children learn the right toothbrush technique:
Every six months, the plaque on the teeth is stained and the degree of inflammation of the gums is measured. Then the children will be shown the correct tooth brushing technique and the causes of caries development. Finally, the tooth enamel is hardened with fluoride varnish. For children older than 6 years, the costs are fully covered by the statutory health insurance twice a year.
- PZR (professional teeth cleaning) for children
With special instruments, brushes and, if necessary, with the Airflow, hidden bacterial deposits and tooth discoloration, which cannot be achieved even with careful cleaning at home, are quickly and painlessly removed with fruity-tasting polishing pastes. With this tooth cleaning we also train the children for any necessary treatment situations, after which the teeth are polished and hardened by local fluoridation to make them strong and resistant to caries.
Depending on the individual situation, we recommend professional tooth cleaning once or several times a year in order to protect and maintain the teeth in the long term.
- Fissure sealing sealing – a proven precautionary measure!
There are deep furrows and dimples (so-called fissures) on the occlusal surfaces of the molars, which are very difficult to clean with a toothbrush. If this is ascertained during a check or if a child is at high risk of caries, the furrows can be closed with a special light-curing plastic varnish to prevent the formation of caries in these dimples. The first permanent molars are usually sealed, who break through at about 6 years of age. Sometimes, however, seals are also useful for milk teeth. However, only the occlusal surfaces of the back teeth can be sealed, all so-called "smooth surfaces", i.e. the side surfaces of the teeth and the incisors cannot be sealed.
- Fluoridation and protective varnishes
What do fluorides do??
Fluoride makes the teeth resistant to acid attacks by the bacteria! Caries always has many causes. Bacteria turn sugar into an acid that attacks the tooth. If the bacteria deposits are removed, a repair takes place via the saliva. Fluoride hardens the enamel and beginning tooth damage can mineralize again. "Holes" only form when this repair is subject to attack. Fluorides support this repair mechanism by penetrating the outer layer of the tooth, the enamel, and thus better protecting it from acid attacks (e.g. from fruit juices). They harden and strengthen the tooth enamel. They also have an antibacterial effect (e.g. fluoride varnish). We are happy to advise parents on which form of fluoride intake makes the most sense for their child.
- nutrition counseling
Eating and drinking habits have a major impact on the health of your child’s teeth. The healthier the little ones eat, the lower the risk of caries. However, food is often misjudged. Sweet and acidic children’s juices are the main cause of damage to the milk teeth. Our prophylaxis assistant explains to you and your children the dangers of various foods and gives tips for a healthy, tooth-friendly diet
Especially in the treatment of children, the effort to reduce radiation exposure using the latest X-ray techniques is the responsibility of every practitioner. For this reason, we work with a digital X-ray machine in our practice. This computer-aided procedure is up to 90% reduced in radiation.
When does X-ray make sense??
- 1 x per year, bitewing to detect interdental caries (from 3 years)
- 2 times a year in caries-active children
The earlier tooth decay is treated, the less the damage.
The DIAGNOdent laser device is our "caries detective", which can detect caries early and reliably. By "scanning" the tooth surface (fissures of the molars) even the smallest caries defects can be detected – completely painlessly and without any radiation exposure. The red light of the DIAGNOdent is reflected by carious teeth, returned, evaluated and documented. Is the critical limit reached (caries = values > 30), can be treated in time to keep the filling as small as possible.
Caries risk determination
The caries risk is caused by a wide variety of factors and their interaction. Eating and drinking habits, cleaning habits, fluoride intake, tight teeth position and their surface properties (deep furrows) can be the causes of the development of caries.
An exact determination of the individual caries risk of our little patients makes an optimal caries prevention (prophylaxis) possible.
In order to determine the risk of caries, we have the possibility to determine the oral hygiene status in the toothbrush school or to carry out a saliva test. This provides information about whether your child is at risk of caries by measuring the amount of acid-neutralizing saliva or the number of lactobacilli and mutans streptococci.
Lots of lactobacilli > means high sugar consumption
Many streptococci > means a lot of caries (caries is an infectious disease caused by streptococcal mutans bacteria!)
In order to keep the treatment as pleasant as possible, our specially trained practice team guides you sensitively and safely through the treatment and, depending on the upcoming dental treatment and willingness to cooperate with the (small) patient, selects the most suitable method to minimize negative impressions to keep.
The following treatment methods are available:
• conduct and hypnosis
The visit to the dentist should be as pleasant as possible for both your child and you as a parent. To do this, we work with behavior management and child hypnosis, among other things. This serves to distract the child from the actual treatment and to create a positive feeling.
When children are completely immersed in their play and fantasy world, they are in a trance-like state. It is similar in hypnosis. In order to achieve this trance-like state, we tell stories, conjure up or show funny children’s comics on our ceiling monitors so that the child forgets everything around them and is continued with their attention from the dental treatment.
Only positive terms are used during the treatment: the teeth are brushed or tickled and may “fall asleep” beforehand with the help of colored dream balls so that they do not notice anything.
Please support us by adhering to our terms and letting us guide your child during treatment. Our goal is to make your child happy to come back.
• Local anesthetic
Local anesthesia of the tooth to be treated is necessary for many interventions to ensure painless treatment. That is why we apply a fruit-tasting gel (surface anesthetic) – our “tooth jam” – to the appropriate place, and thus take away the sharp puncture pain from your child. Now the anesthetic – our “sleeping water” – can be infiltrated at the insensitized area. After a short time, the teeth and lips feel numb – “the teeth are asleep”.
Sedation can be recommended for young, uncooperative or anxious children and for unpleasant interventions.
It is carried out under the supervision of our experienced anesthesiologists and is absolutely harmless. The sedative – our “magic juice” – is a medication that calms your child, makes it a little tired, sometimes funny, and greatly reduces anxiety. As a rule, the little patient can no longer remember the dental treatment afterwards, and this means that no negative dentist experience can be memorized. As with anesthesia, the child must be sober.
Blue dream – nothing noticed!
For some children, anesthesia is the best way to do dental restoration. Especially in the case of very small children with extensive destruction of the deciduous teeth (bottle caries) and in the case of children unwilling to treatment with many very severely destroyed teeth, tooth restoration in a session with intubation anesthesia makes sense due to a lack of cooperation. After a detailed preliminary examination by a pediatrician and a consultation with one of our experienced anesthesiologists, we carry out these treatments in our specially equipped practice rooms.
The child must be fasting on the day of treatment. Approximately half an hour before the anesthetist initiates the actual anesthesia, an anxiolytic calming juice is given. The parents only leave the operating room when they are asleep. The anesthetist and an anesthesia nurse look after the little patient throughout the anesthetic. After the procedure, the child, accompanied by his parents, comes to the recovery room, where he can sleep comfortably until the anesthetist releases him after 1 to 2 hours.
In general, all teeth are optimally treated during anesthesia treatment, in order to free the child from the need for treatment for as long as possible and to avoid the need for a second intervention.
We mainly carry out the following dental treatments:
• Cement and plastic fillings
If caries is discovered in a child, the caries must be removed and the tooth cared for. If you leave carious teeth, the caries bacteria spread more and more. The carious defect on the individual teeth becomes deeper over time and there is a risk that other teeth – including those that remain – will be infected.
We generally only use plastic and glass ionomer cement as filling materials. Since a milk tooth filling sometimes has to last a very long time, a high-quality filling material should be preferred. (Example: with a 4-year-old child, the filling should last for 8 years, since the tooth only fails at around 12 years). Together with the dentist, you as the parent decide which filling material is best suited for your child.
- light yellow color
- softer than plastic, therefore higher wear
- All costs are covered by the statutory health insurance
- tooth color
- the filling is “glued” into the tooth by various bonding agents, making it more stable and durable than glass ionomer cement.
- Combination with sealing possible
- Costs are borne proportionately by the statutory health insurance
• Children’s crowns
If a deciduous tooth is too badly destroyed by caries, you can sometimes save it with a crown, just like in adults. These children’s crowns are prefabricated crowns made of surgical steel, which are fitted onto the milk molars and thus maintain the important chewing and placeholder function in the milk dentition. They are much cheaper than adult crowns. Their silver color sometimes takes some getting used to for parents, but the children are usually very proud of their “knight’s teeth” or “princess crowns”.
• Root canal treatment
The nerve of a milk tooth is much larger than that of a permanent tooth. On some teeth, e.g. the lower penultimate molar, the nerve is only about 1.5 mm from the tooth surface. Nevertheless, such teeth can be saved – with milk tooth root treatment. This happens so quickly that your child usually does not notice anything. Often, the teeth must then be restored with a milk tooth crown.
• Gap / placeholder (KFO)
Gap holders are made if milk teeth are lost prematurely so that no space is lost. If, for example, a tooth needs to be removed, a gap tooth should be made that keeps the space for the permanent teeth open.
Above all, milk molars should be replaced with a gap holder, as there is a risk that the back teeth will move further forward and thus take up the space for the remaining teeth. Lengthy orthodontic treatments can be avoided.
There are gap holders that can be removed by you or by the child yourself. Removable gap holders can also be made with teeth if the upper incisors have been lost due to an accident or caries, for example. This way your child will have a nice smile until the new teeth finally come.
Orthodontic treatment may later become necessary due to malposition or malformation of the jaw or premature loss of the milk teeth. We regularly check the development of the jaw and the position of the teeth and, if necessary, refer your child to a specialist in orthodontics in good time.
This becomes important in the so-called “mixed dentition”. The change of teeth begins around 5-6 years, when the first incisors fail and the first permanent molars come behind the last milk tooth. Your child only loses the last milk tooth at around 12 years old.
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