For children to acquire trust in their dentist and to adopt healthy habits in oral hygiene, the right approach and adaptation to the environment of the dentist’s office are very important. The first encounter with the dentist is of paramount importance for a child not to develop fear of going to the dentist. This is why it is recommendable that the children first visit the dentist when they are not experiencing any problems, so that they would simply get to know the environment of the office and the very dentist, and to become familiarised with the rules of oral hygiene through proper education.
Parents’ cooperation is necessary because they are a key factor in preparing the child for a visit to the dentist. Paediatric dentistry should provide adequate and opportune information on proper fluoride therapy, fissure sealing, timely replacement of milky teeth and potential malocclusions. Fluoride therapy and polishing can be performed during this first visit.
When is the right time to start with dental hygiene and how to organise it?
Milky teeth (primary teeth) start growing at approximately six months of age. This process lasts until the age of three. Time period of tooth eruption is highly individual and has no impact whatsoever on subsequent proper and healthy growth. By the age of three a child should have in total 20 teeth, so the parents often have the impression that their children’s teeth constantly grow. With the eruption of first teeth, the child should be accustomed to using a tooth brush. So as to prevent swallowing, only when the child has learnt to spit the water out can you introduce tooth paste.
Paediatric dentistry and treating milky teeth
It is very important to maintain milky teeth healthy and complete until their physiological replacement so that speech, swallowing and chewing processes would not be disrupted. Due to premature loss of milky teeth, various anomalies may subsequently appear in growth of permanent teeth, including dental row displacement and orthodontic irregularities. All of this results in various consequences.
Paediatric dentistry and fissure sealing
Indentations on the upper biting surface of the molars used for grinding food are called fissures. In permanent first molars they can be rather deep and their cleaning is very difficult, so they represent spots where dental caries can easily be formed. Fissure sealing is a process that involves placing a thin coating of the sealant that fills the indentations and eliminate potential causes of caries. Sealing is only possible if the teeth are not already infected by caries. This is why we recommend that this procedure be performed during the first year of teeth growth.