Pediatric dentistry

For children

What is pediatric dentistry?

Pediatric dentistry is the branch of dentistry in charge of treating children. The pediatric dentist is in charge of checking and treating children, as well as detecting possible abnormal teeth and jaw position, for letting then the orthodontist know.
The pediatric dentistry is the speciality that serves as an introduction for children into this world. For this reason, the dentist are specialists ready both for solving dental problems and explaining, treating and helping kids , which is essential so that children feel good and confortable in the dental office.
At Gross Dentistas we have a doctor specialised in treating children. Come and meet us

Types of Visits

There are three types of visits to the dentist depending on the circumstances:

The emergencies in pediatric dentistry comprise pain in the teeth which normally occur due to pulp problems (tooth nerve), trauma, bacterial or viral infections

Don't wait any longer

Contact with doctor Concha Gross and tell her your case. We will advise you on the orthodontics that best suits you

    Most common treatments

    Hereafter we will show the most common treatments that are carried out for the dental health of children:

    Fluoridation

    This treatment consist of cleaning the surface of the teeth, removing the bacterial plaque and afterwards administrating fluoride that helps to the remineralisation of the teeth. Additionally, we reinforce the routine of oral higiene with the child so that they keep it at home.

    Normally we perform the fluoridation in the first visits, as it is a simple treatment and we help the child to get used to the office and so they learn that at the dentist it can be fun too.

    Frequent questions about fluoridation

    After the eruption of the first permanent tooth, the fluoridation is carried out, although we can also clean before the baby teeth in a simpler way and teach the parents how to clean the teeth at home

    Care

    The only thing you have to take into account is that the child can’t eat or drink anything in the next 20-30 min. to allow fluoride to take effect completely.

    Fillings

    This is a treatment carried out for removing cavities and for reconstructing the tooth to recover its aesthetics, occlusion and fuctionality.
    Once the child is used to the pediatric dentist and to the office, the necessary fillings will be carried out, as it is much easier to treat them when the child is already accustomed and is confortable. Unless it is strictly necessary to carry out the filling in the first visit because the patient comes with pain, it is always preferable to wait to the following visits for performing more invasive treatments.

    Frequent questions about fillings

    It is very important to treat baby teeth, since cavities in children advance more quickly due to their size and porosity. It is easier for cavities in children to reach the nerve, which can result in greater problems in the future, such as pain and the impossibility of fixing them, which leads to the extraction of the tooth.

    Care

    If these have been carried out with anesthesia, it is advisable not to eat anything until the anesthesia wears off to prevent the patient from biting themselves, since they will have no feeling in that area.

    Pulp treatments

    This is the treatment of the primary teeth nerve. There are two main treatments:

    Pulpotomy
    Removal of the coronal pulp (nerve) leaving the root pulp intact.

    Pulpectomy
    Total removal of the pulp, both the coronal and root pulp.

    Pulp treatments have priority over other treatments, since the child will probably come with pain or an infection that need to be treated as soon as possible.
    Pulpotomies are carried out in a single session, as only a part of the nerve is removed. After this, the filling is performed to completely seal the tooth.
    Pulpectomies are normally carried out in 2-3 sessions, depending on the degree of infection, since it is necessary to wash it with special products to get rid of all bacteria and prevent the infection from appearing again.

    Frequent questions about pulp treatments

    It depends on the nerve injury.
    If the child has already an infection, a pulpectomy will be carried out, since the nerve is already completely affected.

    Care

    As well as for the fillings, patients should be careful not to bite themselves due to the effect of anesthesia. Also, if a temporary material has been placed as a filling between sessions, eating chewing gum or sticky food should be avoided to prevent the temporary filling from falling off. Still if the filling falls out, this can be easily replaced.

    Trauma

    The treatment will depend on the type of damage. The most important thing is to visit your odontologist as soon as you can or to phone them so that they can tell you the procedure to follow. Unfortunately, trauma happen very often to children, since it is very common to fall down playing at home or at school, or to get hit with a ball or any object that can damage the teeth.
    Trauma will always be treated first, since it is an emergency visit, which has to be treated as soon as possible.

    We can differentiate among various types of trauma depending on the severity of the same and which will need different treatments: tooth avulsion (losing completely the baby or the primary tooth), movement or fracture. In any case, the trauma will need to be examined by a pediatric dentist and they will weigh whether the tooth can be replanted or the facture can be repaired (which can be in the crown or in the root).

    Every trauma and its consequent treatment will have a degree of success depending not only on the severity of the case, but also on the time needed for carrying out the treatment.

    Frequent questions about trauma

    Probably, even if they don’t remember it, the child may have got hit long time ago, causing damage to their nerve, which has little by little been dying leading to an infection that comes out like that little pimple. In such cases, a pulpectomy is necessary.
    (It may also be due to a large cavity that is affecting the tooth nerve and it’s causing it)

    Care

    After any trauma, a check-up and evaluation by the dentist and subsequent control of the child are necessary, since it can happen that the tooth nerve is affected although it is not visible to the eye and this could cause problems in the future

    Extractions

    It consists of the extraction of the temporary or permanent tooth if necessary. Either because of the impossibility of reconstructing it, because its roots are not long enough for the tooth to be treated and conserved, or because this is the treatment planned by the pediatric dentist together with the orthodontist.
    It will be carried out in one single visit, as quickly as possible and with no pain.

    Frequent questions about extractions

    Everything will depend on when the doctor expects the final tooth to come out. If we leave the space of the baby tooth for a long time, the teeth on the sides will occupy that space left. This could be a problem when the final tooth comes out, as there will be no longer any room for it. In these cases, it is very important to put a space maintainer. It is a very simple device. It is attached to one of the teeth next to the gap and helps to keep it as long as necessary. We will only have to take an impression of the mouth and then, the customised device is made in the laboratory. Without pain or discomfort for the child, the doctor will place it very quickly.

    Care

    After a tooth extraction, you have to take care to avoid bitting yourself and eating until the effect of anesthesia wears off.
    It is advisable to take cold food that day. We recommend to eat some ice-cream —We all love ice-cream, don’t we?
    The child will have to prepare and clean the tooth so that everything is ready when the tooth fairy comes,

    whom we will let it know when the patient is ready and the tooth can be taken

    FQA

    The ideal scenario would be to bring them as soon as the baby tooth comes out in order to explain hygiene techniques to the parents. Like this, the child gets used to the office and meets our doctor. Thus, it will be easier to determine the treatments they may need in the future and also we can diagnose any abnormality early.

    Should you have any question, please do not hesitate to contact us anytime

    We will get back to you as soon as possible.

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