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Tooth decay in Child

What is tooth decay in children?

Tooth decay is the breakdown, or destruction, of tooth enamel. Enamel is the hard outer surface of a tooth. Tooth decay can lead to cavities (caries). These are holes in the teeth due to bad habits of eating unhealthy food.

 

Reason of tooth decay in a child

Tooth decay is caused by bacteria and other things. It can happen when foods containing carbohydrates (sugars and starches) are left on the teeth. Such foods include milk, soda, raisins, candy, cake, fruit juices, cereals, and bread. Bacteria that normally live in the mouth change these foods, making acids. The combination of bacteria, food, acid, and saliva form a substance called plaque that sticksbetween the teeth. Over time, the acids made by the bacteria eat away at the tooth enamel, causing cavities.

Which children are at risk for tooth decay?

All children have bacteria in their mouth. So every children are at risk for tooth decay. But the following may raise your child’s risk for it:

  • High levels of the bacteria that reason cavities
  • take heavy diet which consume high sugars and starches
  • Small amount of drink water that has limited or no fluoride in it
  • Poor oral hygiene
  • Less saliva flow than normal

 

What are the symptoms of tooth decay in a child?

The following is the common way that teeth develop decay and cavities. But decay may be a bit different for each child.

White spots begin to form on the teeth in areas affected. These spots mean that the enamel is starting to break down. They may lead to early sensitivity in the teeth.

An early cavity appears on the tooth. It has a light brown color.

The cavity becomes deeper. It turns a darker shade of brown to black.

The symptoms of tooth decay and cavities vary from child to child, it much very can happen. Cavities don’t always cause symptoms. Sometimes children don’t know they have one until their dentist finds it. But your child may feel:

Pain in the area around the tooth

Sensitivity to certain foods, such as sweets and hot or cold drinks.

How is tooth decay diagnosed in a child?

Your child’s dentist can usually diagnose tooth decay based on:

  • A complete history of your child
  • An exam of your child’s mouth

Dental X-rays

How is tooth decay treated in a child?

Treatment will depend on your child’s symptoms, age, and general health. It will also depend on how severe the condition is.

In most cases, treatment requires removing the decayed part of the tooth and replacing it with a filling. Fillings are materials placed in teeth to repair damage caused by tooth decay. They are also called restorations. There are different types of fillings:

Direct restorations. These need a single visit to place a filling directly into a prepared hole. These fillings may be made out of silver, fine glass powders, acrylic acids, or resin. They are often tooth-colored.

Indirect restorations. These require 2 or more visits. They include inlays, onlays, veneers, crowns, and bridges. These are constructed with gold, base metal alloys, ceramics, or composites. Many of these materials can look like natural tooth enamel.

How can I help prevent tooth decay in my child?

You can help prevent tooth decay in your child with these simple steps:

Start brushing your child’s teeth as soon as the first one appears. Brush the teeth, tongue, and gums twice a day with a fluoride toothpaste. Or watch as your child brushes his or her teeth.

For children younger than 3 years old, use only a small amount of toothpaste, about the size of a grain of rice. Starting at 3 years old, your child can use a pea-sized amount of toothpaste.

Floss your child’s teeth daily after age 2.

Make sure your child eats a well-balanced diet. Limit snacks that are sticky and high in sugars, such as chips, candy, cookies, and cake.

Prevent the transfer of bacteria from your mouth to your child’s by not sharing eating utensils. Don’t clean your infant’s pacifier with your saliva.

If your child uses a bottle at bedtime, only put water in it. Juice or formula contain sugars that can lead to tooth decay.

Talk with your child’s healthcare provider or dentist about using a fluoride supplement if you live in an area without fluoridated water. Also ask about dental sealants and fluoride varnish. Both are put on the teeth.

Schedule routine dental cleanings and exams for your child every 6 months.

Key points about tooth decay in children

  • Tooth decay is the breakdown of tooth enamel. It can lead to holes in the teeth called cavities.
  • Tooth decay is caused by bacteria in the mouth. These bacteria make a sticky substance called plaque that can eat away at a tooth’s enamel.
  • Poor oral hygiene can raise your child’s risk for tooth decay.
  • A dentist can diagnose tooth decay with an exam and X-rays.
  • Treatment requires removing the decayed part of the tooth and replacing it with a filling.
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Anxiety of my Child in Dental Treatment

How to Lessen Anxiety of my Child in Dental Treatment

DO NOT Relay your Anxiety to your Child

Children are sensitive to their environment and they’re very good at picking up on adults’ apprehension.
So, on your child’s trip to the dentist:

  • Maintain a Positive Attitude
  • Encourage ‘Brave Behavior’
  • Do not Sensitise them. ‘Act as Usual.’
  • Do not Make the appointment a ‘Special Event’
  • Do not Make Visiting a Dentist Look Like a Punishment

Unless the visit is an emergency, take the time to feed your child to avoid hunger meltdowns.

Be a ‘Brave Model’ for Them

Children tend to imitate parents.
If you find your child visibly nervous, you can bring them in to watch your dental visit first. This can help demystify the process and make it predictable and less stressful for them.
You can also:

  • Dress them comfortably
  • Bring a comfort object (Favorited Toy or Blanket)
  • Ask older siblings to stay in the waiting area

 

Kids-Dentist-Jabalpur

Create Child-Friendly Environment

Avoid use of alarming questions like “Does it hurt?” or words like ‘drill’ and ‘needle’.

For young children, use gentle, non-scary language, appropriate to the child’s comprehension level.

Depending on their age, you may use child-friendly language:
Probe: Tooth counter
Gauze: Tooth pillow
Drill: Tooth sweeper
Cavity: Sugar bugs
Injection: Mozzie bite
Anesthetic: Sleepy juice
Syringe: Sleepy juice Spray
Numb: In sleep
Xray: Camera
Suction: Mr thirsty

If Your Child is Anxious about Dental Treatment

Provide them with positive reinforcement:

  • Stay Calm Yourself
  • Be a ‘Passive Observer’
  • Allow the Dentist to Capture your Child’s Full Attention

The dentist will talk about the fact that their mouth will feel so much better once the problem is fixed.

It is stressful for a child if several adults give directions at the same time.
Please stay calm and passive during the treatment.

To make your child feel comfortable, and give them some control, the dentist may allow your child to explore dental instruments.

Passive Parental Presence

Children may fuss during a dental visit but you may be surprised how accepting they can be.

Parents can accompany children in the treatment room however, some children do better when parents stay passive during the treatment.

According to studies, children sense and absorb parents’ anxiety which affects their ability to tolerate treatment.  Passive parental presence does not make a child’s behaviour worse. However, a direct communication between parent and child during treatment may create anxiety for the child.