Caries in children: milk tooth caries

More and more often, children start having deciduous caries as early as the age of two. The main reason for this are sugary drinks - especially teas, fruit juices and soft drinks of all kinds, the infants with the baby bottle or drinking cups are served day and night. Starting with the upper deciduous teeth, this drinking habit can lead to the complete destruction of all deciduous teeth. With the frequent consumption of fruit juices this process runs particularly fast, because the fruit acids attack the tooth surface very fast. On this roughened surface, the caries-causing bacteria can adhere favorably and form acid from the sugar of the fruit juice, which causes the caries.

Tooth decay is often recognized too late

Since the parents usually do not perceive or do not know the early stages of the tooth changes in the form of roughness, whitish and brownish discolorations, they usually seek a dentist much too late with their child.

However, the dental treatment is extremely stressful for the little patient, as children up to the age of three or four years of their developmental status are not yet able to grasp the necessary intervention. In this respect, treatment is often only possible under anesthesia. This is not only labor intensive and costly, but also represents a medical risk for infants, which must be clarified in preliminary investigations.

If the caries is well advanced, or if purulent processes have already developed, then milk teeth must be removed. To restore the chewing and speech function, to avoid malocclusions and mental stress is often a denture already required in preschool age.

Cause are mainly sugary ready drinks

The problem of childhood caries is known in all industrialized countries. The frequency is between 5 and 20%, whereby an increase in recent years has been observed, especially in the new federal states, due to the rich supply of ready-to-use sugar-containing drinks.

However, early childhood tooth decay can be avoided if the parents offer the child a thirst quencher and soothing unsweetened tea, still water, milk and malt coffee in the baby bottle. Consuming sugar-containing foods and drinks is not an option if they are served at the three main meals. Because of the large caries risk in infants, sweet snacks are strictly to be rejected.

Prevent tooth decay in children

After the first teeth have broken through, they should be brushed once a day with a fluoride-containing toothpaste (at most one pea-sized portion), at best in the evening before bedtime. This happens twice a day after the second year of life.

In addition, it is recommended that infants be introduced to the dentist for the first time at the latest after the first year of life so that early stages of the deciduous caries can be identified in good time and treated in an uncomplicated manner. In contrast, the pediatric medical check-ups are not sufficient, as they are primarily aimed at the prevention of mental and physical developmental damage and less on dental disease.

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