No. 1: Should I treat decayed milk teeth?
It must be treated in time. Many people think that it doesn’t matter whether to treat or not if the milk teeth are to be replaced, but in fact it doesn’t. The reasons are as follows.
1.Before the permanent teeth erupt, children’s feeding and nutrition absorption depend on the milk teeth, otherwise it will affect the growth and development;
2, if the child chews unilaterally for a long time because of one side of the dental disease, in such a growth spurt, it is easy to form an asymmetrical facial shape, and may lead to joint disease later;
3.At this time, the permanent teeth are developing, if the infection of milk tooth decay is serious, it may involve the permanent tooth embryo and form malformation of teeth;
4. When the child’s health condition is not good, the infection of teeth may cause regional infection or even spread to the whole body.
No. 2: Do young children need to brush their teeth too?
Oral hygiene should start at an early age. Young children should also brush their teeth, starting from the time when the milk teeth erupt. Also, parents should clean the baby’s mouth and maintain hygiene even before the baby teeth come in.
No. 3: What is a gum closure? What are the benefits?
If you look closely, you will see many fine grooves on the occlusal surface of the posterior teeth, which are called sulci. If the sulcus is deep, it is easy to get caries, especially for children who have poor oral hygiene. In order to reduce the occurrence of sulcus caries, doctors use dental materials (often photosensitive materials) to seal the tooth sulcus, which is called sulcus closure. Closure can reduce the occurrence of caries when children have not yet developed good oral hygiene habits, but it is not a substitute for tooth brushing.
4th：When is the best time to do the closure?
The milk molar is generally closed at the age of 3, the first molar is generally closed at the age of 6-7, and the second molar is generally closed at the age of 12-13. Personally, I think: 1, the closure should be limited to children with deep pockets and poor brushing; 2, parents should educate children to brush their teeth properly, and should not rely too much on the closure of pockets, for example, if a 12-13 year old child still brushes his teeth poorly, it is a personal reason.
No. 5: Is it normal for children to have a lot of gaps in their teeth?
It is a growth gap. It is normal.
The child’s alveolar bone grows gradually, while the size of the baby teeth remains the same, so there is a growth gap. When the child changes teeth, the growth gap will be utilized because the permanent teeth are larger than the baby teeth.
No. 6: What should I do if my child breaks an incisor?
Visit the doctor in the shortest time possible, time will be an important factor in determining the outcome of treatment. Patients are usually accompanied by periodontal trauma and pulp damage in addition to fractured teeth, and the doctor will treat the patient according to the patient’s condition by adjusting and protecting the pulp.
No. 7: I found an abscess on the gum where the root of the tooth is located and something often comes out, what is it?
It is usually an inflammation of the corresponding tooth root, clinically known as chronic apical inflammation. Long-term inflammation of the root destroys the alveolar bone and forms a fistula from the root tip to the gum, from which the inflammatory secretions flow out, and the ‘abscess’ is the mouth of the fistula. It is necessary to take pictures and do root canal treatment.
No. 8: I have a severe toothache, should I kill the nerve? How exactly do I treat it?
There are three general types of toothache.
1.Pain from hot and cold stimulation, pain from embedded food, no pain soon after the stimulation is removed, this is usually tooth decay, treatment is mainly to protect the nerve;
2.In addition to hot and cold stimulation pain, there is also spontaneous pain, especially night pain, which is pulpitis, this kind of nerve can not be preserved, we must kill the nerve and do root canal treatment;
3, there is no hot and cold stimulation pain, there is biting pain, feel the tooth elongated, is apical inflammation, the nerve has necrosis, to do root canal treatment
No. 9: What do you mean by root canal treatment?
The interior of the tooth is a cavity structure, including the pulp chamber and root canal, in which is the dental nerve. Toothache is usually caused by inflammation or necrosis of the nerve. Root canal treatment is a treatment method to remove the inflamed or necrotic nerve, and after cleaning and disinfection, the root canal and pulp cavity are filled tightly with filling material to prevent re-infection.
No. 10: What is the difference between root canal treatment and dry pulp treatment?
For the inflamed nerve, there are two general treatment methods, one is root canal treatment, in which the nerve is removed and the root canal is filled, and the treatment is complete; the other method is called dry pulp treatment, in which the nerve is killed and not taken out, and then dried up and left in it, obviously this treatment is not complete.
No. 11: What should I do if I have a tooth that has had a root canal but still has a fistula?
If a fistula has been formed for a long time in a tooth with chronic apical infection, the fistula may not heal on its own after root canal treatment, so a minor apical surgery is needed to remove the fistula.
No. 12: Can I get a root canal for a baby tooth?
If you have apical infection in a baby tooth, you will need a root canal if you have a long time before tooth replacement.
No. 13: I have a severe toothache, what medication should I take?
Toothache is different from other pain formation causes, mainly due to the nerve of the tooth, oral pain relieving and anti-inflammatory medicine is usually ineffective, it needs to be examined by the doctor and treated accordingly so that the pressure in the pulp cavity of the tooth or the pressure in the root tip can be relieved to stop the pain.
No. 14: I am having root canal treatment, the doctor just sealed the medicine (or root filling), and I feel some swelling and pain after I go home, does it matter?
It is normal to feel a little bit sore and swollen. If the swelling and pain continue and tend to get worse, please follow up as soon as possible for necessary treatment.
The 15th：I have toothache (kind of consultation)?
1.Pain of deep caries: pain of hot and cold stimulation, pain of embedded food mainly, no pain soon after the stimulation is removed;
2.Pulpitis: In addition to the pain of hot and cold stimulation is intense and lasts long, there is also spontaneous pain, especially the night pain is its characteristic;
3, apical inflammation: hot and cold stimulation does not hurt, bite food pain, feel the tooth elongated;
4, wisdom tooth pericoronitis: posterior tooth area swelling pain, intensify when opening and closing the mouth, the mouth can have a salty taste, severe hemifacial lower swelling, mouth opening is limited.
No. 16: How long can a tooth be filled without losing it?
Whether a cavity is filled firmly or not is related to the size and shape of the cavity. A small cavity may be filled for more than ten years without falling out, but if it is a larger cavity with an open shape, it may also fall out in a few days. When a small hole is repeatedly mended several times, the hole becomes larger and larger, and it falls off faster and faster. If it always falls out, I am afraid that the shape of the cavity is too poor and the remaining tooth cannot be fixed, so it is recommended to do a good crown set. Generally it depends on the pathology.