With the gradual improvement of living standards, people’s awareness of oral health care is also increasing, which makes the promotion and education of oral health care an important part of our daily work. To develop good oral hygiene habits and have a beautiful and healthy teeth, we must start from childhood and strengthen education in school and family education.
In recent years, under the guidance and leadership of the department, I participated in a number of elementary school, kindergartens, oral health promotion and education activities, to teachers, parents and students taught some basic knowledge of oral diseases and oral health care methods, and for the clinical parents raised in the children’s oral problems made a specific answer, now made a summary for your reference.
1.Why some children’s teeth are always stuffed, and there are small black holes on some teeth, are they decayed? Can they be filled?
A: In the milk teeth, there is a “physiological gap”, which is usually called “tooth gap”. The size of the physiological gap is related to the size of the baby teeth and the development of the jaw bone.
If the food embedded in the gap is not removed in time, the bacteria in the mouth will use the food residues to produce acid through fermentation, which will lead to caries (commonly known as “tooth decay”) in the milk teeth on both sides of the gap, and also cause unclean gingivitis, manifested as red and swollen gums, children The child cries, refuses to eat, and even has low fever. Therefore, parents should make their children develop the habit of rinsing their mouths after eating, and if there are still food inclusions, parents should learn how to floss and clean them up. If a child is found to have chipped teeth or a small black hole, he or she should visit the dentist for timely treatment.
2.Why do some children often have “dental blisters”?
A: In clinical work, most of what parents refer to as “dental blisters” are small abscesses that grow on the gums. These small abscesses are often caused by severe caries in the milk teeth, resulting in inflammation of the pulp tissue and eventually developing into periapical inflammation of the tooth roots. These small abscesses can break down on their own and can recur if the affected tooth is not treated thoroughly. In addition to affecting the function of the affected tooth, pulpitis and periapical inflammation in milk teeth can also affect the child’s ability to eat. Prolonged inflammation also affects the shape and eruption of the inherited tooth germ (the corresponding permanent tooth that has not yet erupted).
It is worth reminding that after the age of 3 years, children’s immunity increases and the risk of disease decreases compared to infancy, but post-infectious allergic diseases (i.e., allergic diseases) begin to appear. Such as asthma, glomerulonephritis, allergic purpura, etc . The periapical inflammation caused by dental caries is often the foci of infection causing these diseases.
3.Some children have some yellow and black spots on the front incisors, how to brush them off, what are they?
A: These yellow and black spots on the teeth are often food pigments attached to the tooth surface, because they are not cleaned in time and deposited, sometimes not easy to be brushed off. This can be solved by ultrasonic cleaning or surface polishing cleaning method at the oral clinic.
4.What is the best way to prevent tooth decay?
A: It can be achieved by strengthening daily oral hygiene care and necessary interventions. The most practical method of daily oral hygiene care is tooth brushing. The brushing methods we generally recommend are the pasteurization method and the rotary brushing method. Brushing time should be at least 3 minutes twice a day, especially before bedtime.
The necessary intervention is the “gash sealant”. The purpose of “sulcus closure” is to seal the caries-prone parts of the maxillofacial sulcus and buccolingual sulcus of the milk molars and permanent molars with sealant to prevent caries. For deep sulcus, poor self-cleaning effect, especially the probe can be inserted or stuck (including suspicious caries). The patient’s other teeth, especially the opposite side of the same name teeth have caries or have the tendency to have caries.
5.How should children brush their teeth?
A: We generally recommend the use of pasteurization and rotary brushing method.
The Bartholomew brushing method: Because it can effectively clean the teeth and gum sulcus and prevent plaque accumulation, so it is also recommended for adults to use this method. Brush the outer side of the upper and lower row of teeth first, tilt the toothbrush 45. towards the root tip, place it at the gum edge, press it gently and let the bristles enter the gum sulcus; move the toothbrush back and forth in groups of 2-3 teeth, chattering at least 10 times, then move to the next group of 2-3 teeth, paying attention to overlapping placement;. Then brush the inner side of the teeth and repeat the above action; when brushing the lingual and palatal sides of the incisors, the toothbrush should be placed vertically, with moderate force from the gums to the crown, and pointing and entering the gingival sulcus; finally, brush the chewing surface, placing the toothbrush on the chewing surface and moving it back and forth.
The circular brushing method: Because of its easy operation, the circular method is the easiest for young children to learn and master. Brushing: To enter between the teeth and the cheek when the mouth is closed, the bristles lightly touch the gingival area of the maxillary last molar and drag from the maxillary gingiva to the mandibular gingiva with a faster, wider circular motion and little pressure. Anterior incisal edge to incisal edge contact, make continuous circular quivering, lingual side and palatal side need to quiver back and forth from the maxillary arch to the mandibular arch.
6.What should I do if my child accidentally bites the tongue?
A: First of all, we should distinguish whether it is a lip bite or a tongue bite. Since the tongue is rich in blood circulation, it is easy to cause excessive blood loss if not treated in time. Once the wound is infected, it will also cause swelling of the tongue and even the throat and neck, compressing the airway and causing breathing difficulties. In contrast, lip trauma can often stop bleeding on its own.
Then the bleeding is stopped: contain clean, cool boiled water, but do not gargle, because if gargle off the blood clot in the mouth but make the bleeding more powerful. Quickly take it to the nearest hospital for treatment.
Care: After being treated by the doctor, parents should pay attention to the care of the child’s wound, such as suture loosening or wound redness, swelling, pus, or even fever, should promptly go to the hospital for follow-up to avoid accidents.
7.What should parents pay attention to after the child’s tooth extraction?
A: Cotton should be bitten tightly for 20-30 minutes after tooth extraction; no brushing, no rinsing, no spitting all day long; food should be cooled before eating, soft food; if you feel the odor in the mouth you can drink more water; avoid licking and sucking the extraction wound with the tongue.
8.Some students can’t speak clearly, is it because the tongue tie is too short? Do you need to do surgery?
A: Children do not always speak clearly because the tongue tie is too short, it may be due to the inability to bite and pronounce words when learning to speak. There are certain characteristics of short tongue ligament.
1.Limited tongue extension;
2.The tip of the tongue is in a “W” shape when extending the tongue;
3.The tongue tie is thick, thick, short or thin, short.
It is generally believed that correction of thicker tongue ties should be performed at the age of 1-2 years when children learn to speak. If the tongue tie is found to be too short in infancy and is of the thin film type, it is best to perform it before 6 months of age. However, some of these short lingual ligaments can be corrected by themselves during the developmental process, so if parents find that their child has a short lingual ligament, they can first have a professional determine whether surgery is needed.
Oral problems in children not only affect the aesthetics and pronunciation, but more importantly, affect the digestion and nutrient absorption of children by reducing the chewing ability of teeth, which hinders the growth and development of children. Raise the awareness of teachers, parents and children’s oral health care and the ability of self oral health care, prevent the occurrence of oral diseases, so that children have healthy and beautiful teeth, strong and healthy body!