Repair for the milk tooth

Repair for the milk tooth

At six months, the first tooth breaks through in most babies; by age two and a half, all twenty milk teeth are visible. Milk teeth are important – they allow solid food to be chewed, promote proper speech formation, hold space for permanent teeth and are essential for the child’s psychological development.

Cases of caries are falling thanks to prophylactic measures.

According to a German oral health study, caries-affected permanent teeth in children have fallen significantly in recent years thanks to improved prophylactic measures such as fissure sealing. However, inadequate care of the milk teeth or the frequent use of caries-causing drinks in teat bottles attack and destroy the milk teeth.


Treat milk tooth caries.

If individual or deciduous teeth are carious, quick rehabilitation is necessary. “This prevents tooth decay from spreading,” explains Dr. Dietmar Oesterreich, proDente expert and dentist. “Also, possible unpleasant consequences are excluded, and the risk of caries for the permanent teeth is reduced,” says Dr. Austria further.

Heavily damaged milk teeth require a high level of technical effort. Parents should remember that children are only sometimes ready for such extensive treatments. In addition, further diagnostic measures such as X-rays of children’s teeth are only sometimes easy to carry out.

Is it filling or crown?

The possibility of rehabilitation depends on the degree of destruction of the milk tooth. “If the damage is small to medium-sized, plastic fillings are usually used,” reports Dr. Austria from his practical experience. However, the reliable filling technique requires some time and a little patient’s cooperation and patience. Only a ready-made steel crown made under local anaesthesia can help if the tooth is severely damaged. It is primarily used for the milk molars.


Get to the root.

In the case of deeply damaged teeth, endodontic treatment in the deciduous dentition is often necessary. It is advisable if the tooth’s nerve is damaged and the tooth is not yet subject to the physiological change of teeth in the foreseeable future. Part or even the nerve is completely removed from the tooth under local anaesthetic and replaced with a filling. Such extensive treatments are only carried out if it is guaranteed that the germ of the permanent tooth will not be damaged.

Last resort: pulling the tooth

Only when the dentist, after making a precise diagnosis and taking the findings, is convinced that restoration does not make sense will he advise the child’s parents to extract the defective tooth prematurely. “In some cases, early extraction is even indicated, for example, if the milk tooth prevents the permanent tooth from erupting or if orthodontic treatment is planned,” says Dr. Austria.

However, it can also be the case that an appropriate space maintainer or a children’s prosthesis has to provide the necessary space for the permanent teeth. Modern dentistry offers numerous opportunities, even for the youngest, to restore oral health. But it is best not to use them in the first place.

Because every intervention is associated with stressful measures for the affected children: X-rays, local anaesthesia, and possibly even general anaesthesia, parents should therefore attach great importance to the regular care of milk teeth and a tooth-healthy diet right from the start.

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