Treatment of Early childhood caries


Early childhood caries: Baby Bottle Syndrome or Early Childhood Caries is an aggressive infection that affects the primary teeth. Being very early in childhood, it spreads quickly and can spread to all teeth.

Treatment of Early childhood caries
Treatment of Early childhood caries

In the early stages, carious lesions often go unnoticed, as they occur in the form of spots or white lines near the gum, in particular on the tongue. Parents discover that their child has caries only when there is a cavity and a change in tooth color (towards brown or black).
Sometimes the destruction is so rapid that the parents think the teeth grow.

Early childhood caries: The causes

Several factors can cause cavities in children, but diet and oral hygiene are essential elements.

After each meal, food debris remains stuck on the teeth. If they are not removed by brushing, the bacteria in the mouth will transform the sugars of this debris into acids that attack the enamel of the teeth.

This is why parents must quickly teach the principles of oral hygiene to their child and integrate them into the daily routine.

Factors that can promote caries in a baby

• Let it sleep with a bottle or a container of juice, sweetened drink or milk.
• Offer her a suck soaked in a sweet product.
• Give it sugary foods throughout the day.
• Breastfeed on demand at night, without teeth being cleaned before bedtime.
• Do not clean your teeth regularly.
Minimize the spread of bacteria by saliva between family members and the child, in particular by avoiding taking mouthfuls of food with the spoon of the latter or to clean his pacifier by putting it in his mouth.

Early childhood caries or Bottle syndrome

Characterized by the early onset of severe caries (around the age of 3/4 years on average), bottle syndrome, due to careless use of sugary bottles, is probably the most dangerous health threat Dental care of young children. The simplest to fight, no doubt also.

Limit sugar intake

Whether it is a fruit juice, a sweetened herbal tea or even a simple bottle of milk without added sugar, the danger to young teeth is, in fact, considerable. Firstly because these beverages are rich in carbohydrates, directly responsible for the production of acids by dental plaque, and therefore highly cariogenic.

Then, what amplifies the process is the frequency and timing of these catches. During periods of rest, in fact, the salivation, reduced, can assure its anti-caries role as efficiently as during the watch. The action of cariogenic products is, therefore, more rapidly destructive. To banish, therefore, nocturnal bottles and other siesta bottles …, all those in the fact that give rise to prolonged catches, in a state of relaxation.The bottle, used immoderately, can cause serious dental problems.

The danger of early caries

Another harmful habit is the “bottle-cuddly toy,” which is handed to the baby then the young child as soon as it emits the slightest grunt or expresses its dissatisfaction. The child is thus found almost all day with a sweet liquid in the mouth. However, the relationship between the frequency of ingestion of a cariogenic product and the intensity of the decay is no longer to be demonstrated. When teeth are always immersed in an environment conducive to acid attacks, responsible for the demineralization of enamel, saliva can not perform its compensatory action either. The phases of demineralization of the carious phenomenon predominate the aspects of remineralization. The pH of the dental plaque drops. We enter a vicious circle difficult to stop.

As a result, dark lesions (so-called “creeping” caries) and very new dental tissue (mainly upper incisors and then temporary canines and molars, in the most advanced cases) revealed under the microscope even when they are not yet detectable Clinically. With the pain that accompanies them, particularly painful for the very young child who does not know how to locate precisely and can express them only by crying, anger, and other behavioral disorders …

Stop extension of lesion

The more the mineral deficit increases (in the absence of natural remineralisation or by the addition of fluoride, for example), the wider the lesion. At first, the dental surface, demineralized, takes on a chalky appearance. Fragile, it then let’s penetrate the aggressive elements, and it is the appearance of brownish stains. Next phase, the surface collapses.

This results in extraction, usually in series, with multiple problems: persistence of sucking and swallowing at an age where mastication should take over, the continued existence of oral respiration as well Which leads to bone and orthodontic disorders), liquid or semi-fluid diet and thus food imbalances, gastroenteric disorders, and growth problems. However, also defects in pronunciation, aesthetic disturbances, complex, and academic difficulties sometimes.The ultimate solution remains the apparatus, necessary until the appearance of the last teeth, at times also threatened, in this environment of “policies” …

Despite the possibility of taking charge of these cavities, it is nevertheless heartbreaking to get there, while the process is so simple to stop. With a minimum of rigor (to resist the ease of the bottle that does not solve everything), the balance of food (the least deficiency can be harmful to oral health) and dental hygiene (regular teeth brushing).

Tips for snacks

• Soft bars, dried fruits, and even natural juices also contain sugar. Be sure to limit the consumption of sugary drinks to one per day. The frequency of ingestion of these products is as important a factor to monitor their sugar content.
• Dilute the concentrated juices with water to reduce the amount of sugar.
• Prefer non-sticky and unsweetened snacks, such as cheese, vegetables, and fresh fruit.

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