Decay of milk teeth is mostly caused by inappropriate oral care and malnutrition. Many believe that milk teeth need no fillings, since they are shedded anyway.
This is not true!
The proper treatment of milk teeth is just as important as that of permanent teeth, Treatment is particularly important because many milk teeth are replaced by permanent dentition as late as the age 10-11. Decayed milk teeth may also damage nearby permanent teeth.
We use glass ionomer or composite as restoration material. Generally the parents decide on the restoration material they want for their child through guidance from a dentist who advises the best optimal material in the childs situation.
Characteristics of a cement restoration (glass ionomer cement)
- Clear and light yellow in colour
- Softer compared to composite restorations
- The State Insurance will cover the entire costs
Composite and Compomer restorations
- Has a high loading capacity>> High durability
- Polishable> smoother compared to cement restorations
- he state Insurance does not cover all the costs.
Caries can cause the pulp of the teeth to be infected rather rapidly ending in pulp death, even when the cavitations seem small to the naked eye. Inter-proximal caries are especially dangerous for the dainty milk teeth because the pulpal tissues lie superficially. In a deep carious lesion during caries excavation if pulp exposure occurs, pulpotomy or pulpectomy should be carried out depending on the situation.
Nevertheless it can also occur that a primary tooth becomes non-vital. Then an endodontic treatment almost identical to adult endodontics is performed. Clinical signs of a non-vital tooth would be a fistula or an abscess in relation to the non-vital tooth. The reasons for a tooth to become non-vital are manifold, but every non-vital tooth deserves to be treated. When a tooth is endodontically treated it should be crowned. Insufficient or wrong treatment in the long run could lead to health problems. For an accurate examination, a dental radiograph is required.
Possible aetiological factors for a non-vital tooth:
- Accidents >> even the accident or fall was some time ago
- Caries >> even a visibly small cavity could cause a pulpal infection
- Approximal caries >> primary teeth are more vulnerable to approximal caries
Possible consequences of an insufficient treatment
- Possible damage to the permanent tooth germ
- Deteriorating bodily health due to permanent bacterial overflow
- Appears as an acute emergency due to weak defence (abscess)
Stainless Steel Crown
The Stainless Steel Crowns are pre-fabricated silver crowns specially made for primary molar teeth. They maintain the chewing function until the permanent teeth erupt.
With the help of these tooth-coloured crowns, we can offer your child a natural radiant smile! This crown has the same functions as the SSC but with the added advantage of being aesthetically pleasant.
Crowns for anterior teeth.
The aetiology of caries in toddlers is the regular use of pacifiers and the prolonged use of a feeding-bottle. Their teeth are usually so severely carious that the only treatment possible is either to extract or to fit crowns.
The anterior teeth crowns with acrylic facing, they are very resistant and aesthetically and aesthetically appealing. Even by deep carious cavitations on anterior teeth or when an endodontic treatment is necessary, tooth-coloured crowns are the best choice.
Another possibility available for anterior teeth caries are strip-crowns. These are tiny little plastic pre-formed caps that are used to form the crown. The strip-crowns are filled with composite and like a filling the remnant of the crown is restored.appealing. Even by deep carious cavitations on anterior teeth or when an endodontic treatment is necessary, tooth-coloured crowns are the best choice.
The primary molars have an important function of maintaining the space for the permanent teeth. If there is early loss of primary teeth, the development of the entire chewing function is disturbed. That is why we recommend the use of »space maintainers« in such cases. Whether a »removable« or a fixed »space maintainer« is used should be decided according to the individual circumstances.
Fixed space maintainer
Can be cemented >> Dislodged space maintainers can be re-cemented.
Removable space Maintainer
Should not be used for less than 14 hours >> Should also be used at all times, as well as at night and even during vacation.
Sometimes children lose more than just one of their teeth due to a fall or accident, sickness or caries and it is very important that the child's diet intake remains as before. Delicate composite paediatric prostheses can be constructed to help the child regain chewing and biting functions. So even children without real teeth can bite, chew and smile freely.