Pedodontics, also spelled paedodontics, dental specialty that deals with the care of children’s teeth. The pedodontist is extensively concerned with prevention, which includes instruction in proper diet, use of fluoride, and practice of oral hygiene. The pedodontist’s routine practice deals basically with caries (tooth decay) but includes influencing tooth alignment. Lengthy treatment may be required to correct incipient abnormalities in tooth position. Braces or other correctional devices may be used. Here some of the treatments we can use in our need please go through it.
* Milk Tooth Filling
One of the common dental treatments to protect baby teeth is milk tooth filling. It may be surprising to consider the need for this procedure since baby teeth will eventually fall out anyway. However, there are several reasons why this treatment is important.
First, milk teeth serve as the guide or placeholder for the permanent teeth. When a baby tooth is removed or lost before the permanent tooth is ready to come out, the adjacent teeth may move into the space occupied by the lost tooth. What this means is that the permanent tooth, when it’s supposed to come out, won’t be able to because another tooth is blocking its way.
Second, milk teeth play a big role in the correct development of speech patterns. Milk teeth that have been damaged by tooth decay can cause problems like lisps or whistling especially when the damage affects the front teeth.
Third, milk teeth are obviously needed for chewing food and are thus crucial for children to receive proper nutrition. Knowing the reasons why a milk tooth filling is important may guide parents into accepting this treatment instead of just deciding to remove the tooth before it’s ready to fall out or before the permanent tooth is ready to come out.
* Pulpectomy For Kids
Pulpectomy in primary teeth. Pulpectomy is the complete removal of all pulpal tissue from the tooth. Pulpectomy can only be considered for primary teeth that have intact roots. Any evidence of root resorption is an indication for extraction.
- Pulpotomy – If the pulp root remains unaffected by injury or decay, meaning that the problem is isolated in the pulp tip, the pediatric dentist may leave the healthy part alone and only remove the affected pulp and surrounding tooth decay. The resulting gap is then filled with a biocompatible, therapeutic material, which prevents infection and soothes the pulp root. Most commonly, a crown is placed on the tooth after treatment. The crown strengthens the tooth structure, minimizing the risk of future fractures. Pulpotomy treatment is extremely versatile. It can be performed as a standalone treatment on baby teeth and growing permanent teeth, or as the initial step in a full root canal treatment.
- Pulpectomy – In the case of severe tooth decay or trauma, the entire tooth pulp (including the root canals) may be affected. In these circumstances, the pediatric dentist must remove the pulp, cleanse the root canals, and then pack the area with biocompatible material. This usually takes several office visits.
In general, reabsorbable material is used to fill primary teeth, and non-reabsorbable material is used to fill permanent teeth. Either way, the final treatment step is to place a crown on the tooth to add strength and provide structural support. The crown can be disguised with a natural-colored covering, if the child prefers.
* Stainless Steel Crown
Stainless steel crowns can help to protect primary (baby) teeth. They are metal crowns that are made from stainless steel and contain nickel and chrome. They are used to treat molars (back teeth) that have either decayed or not formed properly. The crowns are pre-made and come in a range of sizes.
Stainless steel crowns are prefabricated crowns that are used on permanent teeth primarily as a temporary measure. The crown protects the tooth or filling while a permanent crown is made from another material. For children, a stainless-steel crown is commonly used to fit over a primary tooth that's been prepared to fit it. The crown covers the entire tooth and protects it from further decay. When the primary tooth comes out to make room for the permanent tooth, the crown comes out naturally with it. In general, stainless steel crowns are used for children's teeth because they don't require multiple dental visits to put in place and so are more cost- effective than custom-made crowns and prophylactic dental care needed to protect a tooth without a crown.
* Space Maintainers
A space maintainer is an appliance that is custom-made by a dentist or orthodontist in acrylic or metal material. It can be either removable or cemented in a child's mouth. Its purpose is to keep the space open to allow the permanent tooth to erupt and come into place. Baby teeth are important to the development of the teeth, jaw bones and muscles and help to guide permanent teeth into position when the baby teeth are lost.
If a space is not maintained, then teeth can shift into the open space and orthodontic treatment may be required. Not every child who loses a baby tooth early or to dental decay requires a space maintainer; however, a professional consultation with your dentist or orthodontist should be conducted to determine if using a space maintainer is needed. There are two types of space maintainers for children, removable and fixed.
Removable: - Removable space maintainers are similar to orthodontic appliances and are usually made of acrylic. In some cases, an artificial tooth may be used to fill a space that must remain open for the un-erupted tooth.
Fixed: - there are four different kinds of fixed space maintainers: unilateral, crown and loop, distal shoe and lingual.