caries in children A hole is in the milk tooth
Teeth brush protects against tooth decay. The zahn disease should also be treated in children’s teeth to protect the permanent dentition.Photo: dpa
On September 25 is the day of dental health. Almost every second child in Germany already has caries before the schooling. If the teeth are collected before they fall off by themselves, they also burden the immune system.
Freiburg – Every five years, the German Association for youth dental care examinations for by children and adolescents. The current figures make you listen. Despite ever better medical care, also in the area of dental medicine, still about 46 percent of all children in the basic school age still have caries.
“We often see in examinations at the kindergarten that three-year-olds have holes in their teeth,” says Stefanie Feierabend. The dentist at the Freiburg University Clinic warns against underestimating caries in children. “Caries of daughters must be treated,” she says.
Earlier, it was often said that broken teeth in the milk bite can remain unconscious in the mouth until the teeth fail. “This is fundamentally wrong,” says Feierabend. “Tooth holes are bacterial herds.” Untreated caries lead to children being more likely to suffer from infectious diseases. “It simply puts a strain on the ” says Stefanie Feierabend.
Attractiveness of the face affects mental development
However, if a physician pulls teeth at an early age – such as a two-year-old child – this can lead to impairments in the function of the masticatory function and delay the breakthrough of the subsequent teeth.” The aesthetics nowadays also an important aspect in small children. “The attractiveness of the face has an influence on the psychological development of the child,” says Feierabend.
If the bacteria-infected tooth can no longer be saved, however, only one thing helps: the tooth must go out. “This is the worst case of early-stage caries,” says Feierabend. The problem is that “milk teeth migrate when there are gaps between them,” says the doctor. This means less space for the subsequent teeth. “Often the permanent teeth do not get out until the age of twelve or 13 years. If the milk-tooth was drawn during a three-year-old child, ten years are to be bridged between them. ”
Time enough for the remaining milk teeth to move unfavorably in the jaw, or out of lack of space not to grow out of the jaw. In the worst case, experts say, this could lead to the child’s entire jaw growth being impaired.
But it is not just caries that cause gaps in children’s teeth. Even an anterior tooth trauma – an accident in which the patient loses teeth in the front jaw area – is very frequent. “50 per cent of children up to six years of age have an accident in which a tooth is lost”, says Zahnärztin Feierabend.
“If the teeth are already lost, one can insert removable or fixed gaps”
If it is only a tooth, it usually has no major impact. It is different when several teeth are lost by accident or caries. Then must be treated. “If the teeth are already lost, one can insert removable or fixed
over by the health insurance company. When children are fighting against the removable version, a gauntlet firmly anchored in the dentition helps. These can, however, affect oral hygiene.
In the individual case, the parents should discuss the correct procedure with the appropriate says Feierabend. In the case of very large gaps, the use of a child prosthesis can often be necessary even in the dairy bite. It is important to observe the growth of the child. Prostheses have to be adapted over and over again.