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Plenty of know-how to make the teeth feel great

Preventative care

Nearly half of all carious defects that are found at the age when children start school already emerged in the first three years of their life. Early childhood cavities are one of the most frequent chronic illnesses during childhood.

For that reason, preventative care is especially important as part of modern pediatric dentistry to prevent cavities. We recommend the first visit after the first primary tooth has broken through, yet at the latest as of the age of 2. During this first check-up, your child’s individual risk of cavities is assessed and we will provide you with recommendations on how to optimally protect your child’s oral health from the start, in order to prevent cavities and misaligned teeth from occurring in the first place. We will also gladly inform you about optimal dental care, using fluorides, a diet that is teeth-friendly and using feeding bottles as well as dealing with pacifiers and thumb-sucking. Furthermore, by means of these regular check-up appointments in a relaxed atmosphere, the children can already develop confidence and will not only get to know us when a treatment does become necessary at some point.

Outlook: On the part of the Federal Association of Pediatric Dentists (BuKiZ) and the German Midwives Association (DHV), among others, there is plan to link the dental early screening tests with the pediatric examinations in the yellow children’s check-up booklet, in order to also optimally treat your children in dental matters.

Prophylaxe

Tooth brushing lessons

Our aim is for each child to have healthy teeth and gums for life. This does not involve magic however. Daily dental care, a healthy diet and regular prophylaxis appointments do the trick. We provide an individual prophylaxis programme for your child. Our specially trained prophylaxis assistants introduce children to dental care in a patient and child-friendly manner. It is important to motivate children to take care of their own oral hygiene and encourage personal responsibility. Correct tooth brushing is fun!

For children older than 6 years of age, every 6 months the teeth are disclosed, the inflammation of the gums is measured and oral hygiene is assessed. Afterwards, children are shown the correct tooth brushing technique and the causes of tooth decay are explained. Tooth enamel is then hardened with a fluoride varnish.

In addition, we offer an advanced, professional prophylaxis programme to all children. This is particularly recommended for:

  • Children with a history of tooth decay
  • Children with an increased risk of tooth decay
  • Children with defective enamel formation
  • Children with an increased risk of endocarditis
  • Disabled children
  • Very anxious children with the aim of desensitisation

For these children, it is recommended that professional tooth cleaning is performed every 3-4 months. These appointments also offer the chance to deal intensively and repeatedly with particular weak points, analyse eating habits, practice using dental floss or optimise fluoride application.

Fissure sealants

The posterior teeth are often characterised by deep pits and furrows (fissures) and are therefore highly susceptible to tooth decay. Food remnants and thus bacteria can lodge in deep fissures and, despite regular cleaning, cannot be reached with a toothbrush. The bacteria produce aggressive acids in these furrows which attack the tooth and cause tooth decay. We can treat the teeth of our young patients with professional fissure sealants which reliably protect the teeth against tooth decay for years.

How do fissure sealants work?

The teeth are cleaned thoroughly with a cleansing gel. A harmless, liquid plastic is then applied to the tooth in a completely dry environment and is hardened with a special UV light. Fissure sealing transforms the unfavourable V-shape of the fissures into a favourable U-shape so that bacteria can no longer accumulate and the tooth can be cleaned quickly and easily with a toothbrush. This simple procedure therefore provides effective protection against tooth decay. Thanks to the fissure sealant, the tooth is not attacked.

For which teeth are fissure sealants suitable?

Large, permanent posterior teeth (molars) Small, permanent posterior teeth (premolars) Primary posterior teeth with deep fissures or in the case of children with a history of tooth decay

At what age are fissure sealants advisable?

The teeth must have completely erupted and the enamel maturation stage must be complete. In addition, the teeth should be sealed in a completely dry environment in order to ensure high quality and durability. Fissure sealing is therefore performed approximately 15-18 months after the crown has erupted.

How often should a sealant be renewed?

How often the fissure sealants should be renewed will depend on the child’s dental care and diet. They should be redone every 4 years on average. In principle, fissure sealants should be checked twice a year.

Fillings

If tooth decay is detected in a child, it must be removed and the must be tooth treated. If teeth affected by decay are left untreated, the tooth decay bacteria spread even further. The holes in individual teeth become deeper and deeper over time and there is a risk that other teeth – including permanent teeth – are infected. In principle, we only use plastic and glass ionomer cement as restoration materials. As parents, you decide together with the dentist which restoration material is the most suitable for your child.

Cement filling (glass ionomer cement)

  • Light yellow in colour
  • Softer than plastic, therefore more wear and tear

Plastic filling (composite/compomer)

  • Tooth-coloured
  • The filling is bonded to the tooth with various adhesives and is therefore stronger and more durable than glass ionomer cement
  • Combination with fissure sealant is possible

Rubber dam – a quality feature of a paediatric dental practice

Our aim is to provide children with the best and most comfortable treatment possible. In this, we ensure that your child is cared for in such a way that no further treatment is required for a long time. The rubber dam (our “umbrella”), for instance, helps us guarantee a high quality of care. It is a rubber sheet which is stretched over the tooth being treated.

Advantages of the rubber dam for your child:

  • By isolating the teeth, they can easily be kept dry, thereby achieving the best possible care
  • Helps reduce gag reflex
  • Protects the tongue, lips and cheeks
  • Prevents choking on fluids
  • Easier to keep the mouth open for a long time due to the tension of the rubber
  • Bad-tasting substances do not come into contact with the tongue or mucosa

Primary teeth crowns

If primary teeth are lost prematurely, this can result in a considerable space deficiency in the permanent dentition. This usually means lengthy and costly orthodontic treatment. Primary teeth crowns allow us to preserve even severely damaged teeth which can no longer be treated with normal fillings and thus prevent loss of space.

When are crowns used?

  • For deep or extensive tooth decay
  • For teeth which have undergone root canal treatment
  • For teeth with an enamel defect
  • For severely damaged permanent teeth as a long-term, temporary solution until a definitive, laboratory made crown can be fitted

Primary teeth crowns have nothing to do with adult crowns, which often require long sessions and taking impressions, high laboratory costs and another appointment for the fitting. Primary teeth crowns are completed in one visit!

Crowns for posterior primary teeth

Stainless steel crowns are used for posterior primary teeth. They are prefabricated silver crowns which maintain the space and chewing function until the permanent teeth come through in their place. Primary teeth crowns will then fall out like normal teeth.

Crowns for anterior primary teeth

Tooth-coloured plastic crowns are used for anterior primary teeth and are bonded to the tooth using special bonding techniques. Particularly in the case of “baby bottle tooth decay”, they are often the only option for treating incisors affected by tooth decay, as fillings no longer bond to these teeth in the majority of cases. The crowns are aesthetically pleasing – you can hardly tell them apart from healthy teeth!

Root canal treatment on primary teeth (primary teeth endodontics)

Tooth decay often progresses more rapidly in children than in adults. In addition, primary teeth are relatively small in comparison to permanent teeth, yet the nerves are relatively large. This means that the nerves of primary teeth quickly become inflamed, even if the cavity only looks comparatively small. The nerves of the teeth are particularly at risk due to decay between teeth. Once tooth decay has progressed to the nerve, root canal treatment is required.
In most cases, partial root canal treatment is sufficient. Full root canal treatment is rarely necessary.

Space maintainers

The posterior primary teeth have an important function as space maintainers for the permanent teeth. If they are lost prematurely, this can disturb the entire development of the jaw. Therefore, fitting a space maintainer is often recommended. It must be decided in each individual case whether a removable or a fixed space maintainer would be more suitable.