The type of treatment instituted depends on patients and parents motivation towards dental treatment, the extent of the decay and the age and cooperation of the child.
The initial treatment, including:
(1) Provisional restorations.
(2) Diet assessment
(3) Oral hygiene instructions and
(4) Home and professional fluoride treatments.
These should be performed before any comprehensive restorative treatment commences.
1. Provisional Restorations
Caries stabilization with gross excavation of each carious lesion and provisional restorations should be placed in symptom free teeth to minimize the risk of Pulpal exposure and to improve function. It results in the reduction in the number of oral microorganism, which in itself plays an important role in the caries control program.
This procedure also gives the dentist time to take a history and complete tests to determine the cause of rapid destructive process. It will also provide an opportunity to outline a preventive and restorative approach, which will increase the chances of success.
2. Diet Assessment
Parents should be educated to reduce the frequency of sucrose consumption by their child, especially between meals. Parents can be instructed to record the amount and quantities of food and beverages consumed during and between meals.
A series of small changes over a period of time is usually more acceptable to the child and parents and longer lasting.
In Infants, bottle feeding habit should be stopped by gradually decreasing bottle contents with water as well as decreasing amount of added sugar over a 2-3 weeks period.
Tooth brushing is the most widely accepted and used form of oral hygiene. Parents must have a good view of the child’s oral cavity and be able to observe any changes so as to consult the dentist early.
Many 3 to 5 years old children can’t brush their teeth adequately when unsupervised so, it is important to teach children the proper techniques of tooth brushing at different age groups.
Under the age of 8 years: circular scrub (fones technique) After 11-12 years: A sulcular brushing (Bass technique)
Proper brushing technique should be explained to the patients by demonstrating the procedure with articulated models of dental arches and brush
4. Fluoride Treatment:
Both systemic and topical fluoride treatments are useful for preventing dental caries.
Primary dentition: 0-5 Years
Mixed dentition: 5-12 Years
Permanent Dentition: 12 Years Onward
5. Comprehensive Restorative Treatment:
6. Polycarbonate Crowns
Poly carbonate crowns are temporary crowns which can be given as fixed prosthesis to deciduous anterior teeth which will get exfoliated in future.
Contraindication:-These crowns cannot be given in certain situations. They are comparatively soft and are not given in the conditions lke-
Advantages of Polycarbonate Crowns
Disadvantages of Polycarbonate Crowns
Anterior Strip Crown
7. Stainless Steel Crowns For Children
Nursing bottle caries is a significant public health problem, the manifestations of which are of symptomatic importance and has underlying maternal and pediatric problems. It has a debilitating effect on the development, speech, general health and self-esteem of infants.
In addition to behavior related to baby bottle usage, several other risk factors for nursing bottle caries include, race and ethnicity, socioeconomic status, diet and oral hygiene behavior,.
Nursing Bottle Caries occurs most frequently in families living in poverty or in conditions of economic disadvantage in which malnutrition may result in the formation of enamel of lower resistance to caries attack.
Since the condition can begin soon after the primary maxillary incisor erupt, it is essential that parents and all personnel involved in the health and welfare of infants be shown how to recognize its early signs so that appropriate secondary preventive measures can be instituted.
Educational interventions have had weak to modest success and professional and home-based intervention have not been tested sufficiently in young populations.
While there is adequate data to establish that nursing bottle caries a serious problem in disadvantaged communities, the extent of its prevalence in general population is largely uncertain.
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