Special Aspects of Children’s Treatment

By Dr. Vishaal Bhat on Friday 28 December 2007 with 0 comments



Pedostomatology is a complex field that includes all branches of stomatology - restorative, prosthetic, surgical stomatology and periodontology. All these branches possess special approaches for treatment of children which are determined by a somatic and psychological development of a child. A proper treatment should always be based and respect a stage of development of little patients.

Children’s age means the period between the birth of child and finishing the elementary school attendance. It can be divided into the following periods: newborn baby (the 1st month of life), nursling (till the end of the 1st year), toddler (1 to 3 years), preschool age (3 to 6 years), school age (6 to 15 years), and youngsters (15 - 18 years). Each age has its specific diseases, and for each age group, an attention has to be paid to the stage of development of the organism, especially to that of jaws and teeth, during the therapy.

Newborn baby age. It is very rare that a dentist meets patients of this age. Typical diseases include developmental anomalies (clefts, cysts, dentes praelactei etc.).

Nursing age. Dentists seldom meet children of this age in their offices as well. Rarely, a decay may occur on freshly erupted incisor teeth. Cariousness at this age is caused by the developmental defect of hard dental tissues composition and by an inappropriate diet (sweet drinks at night, a pacifier with honey).

Toddler age. At this age, dental decay of molars and incisors may already develop more frequently. The most common reasons for visiting a dentist are, however, injuries of the milk dentition.

Preschool age. Dental caries and its complications, as well as teeth injuries are the most frequent problems. Teeth loss due to caries or injuries are treated prosthetically. Of the periodontal diseases, cheilitis or various forms of gingivitis may be encountered. Gingivostomatitis herpetica is a typical disease of this period.

School age. Children of this age already have a mixed dentition. Attention should be paid to the first permanent molars that are very susceptible to decay. Again, the most frequent stomatologic problems of this age is caries and its complications and injuries of the frontal section permanent teeth. Lost teeth are replaced by prosthetic means. The incidence of gingivitis is higher. Some anatomical deviations (attachment of the lip’s frenulum) may be corrected surgically. This age period is the most suitable one for the orthodontic therapy. The dentition changes and jaws grow at this age.

Youngsters' age. Stomatologic therapy at this age does not differ from the therapy of adults, just prosthetics and surgical therapy include some special characteristics. Cariousness gets higher incidence rate at this age, as well as inflammation of gums and oral mucous membranes. Gingivostomatitis ulcerosa is a typical disease.

The importance of the temporary teeth.

The main function of the temporary dentition is the food mastication. If the temporary teeth are destroyed, the digestive system suffers and the healthy development of an organism may be affected. Periosteal inflammation and lymph nodes possibly caused by milk teeth may be a life threatening situation for a young person. Untreated caries causes a bad breath. Temporary dentition’s periapical changes may damage the permanent dentition. Premature loss of milk teeth leads to shifts of permanent teeth and often disturbs an occlusion plane, resulting at some orthodontic anomalies. In addition, frequent painful procedures are reflected by a child’s mind and form his/her negative relation to dental therapy. Missing teeth affect a proper pronunciation, and an esthetic aspect should not be neglected, too.

Category: Pedodontics Notes

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