Treatments
Pediatric Dentistry
Prevention
We have professionals specialized in treating children.
This is the branch of dentistry dedicated to treating children. The pediatric dentist is responsible for detecting possible abnormalities in the position of jaws or teeth and providing restorative treatment if necessary. The special needs of primary teeth and growing bones are taken into account.
Restorative treatment primarily consists of treating trauma, using sealants, which consists of lightly filling the grooves and fissures of teeth with minimal removal of dental material to prevent possible cavities, and treating cavities that occur and their consequences.
It is the most common pathology in children aged 7 to 11 years. Trauma usually causes dislocation in primary teeth, and fracture in permanent teeth. In the latter, the most commonly affected teeth are the permanent upper central incisors.
In cases where trauma results in avulsion, a complete detachment of the tooth from the socket, reimplantation is indicated if less than 120 minutes have passed; if more time has passed, the failure rate is 100%. The tooth should be transported in the patient's own mouth, or in the mouth of a family member, in milk or serum. Rubbing or brushing the tooth at any time is strictly contraindicated, as this would prevent the possibility of reimplantation.
Temporary teeth
The following treatments are available:
Indirect veneering. Before performing this procedure, you must be certain that the tooth in question does not present spontaneous or nocturnal pain, that the pain has not lasted more than two weeks, and that the pain is provoked and ceases when the painful stimulus is removed.
Direct veneering. Direct veneering is not usually used on primary teeth due to the risk of failure. The pulp of primary teeth is no longer able to repair the pulpal communication due to the pulp tissue.
Pulpotomy. This is the complete removal of the coronal pulp followed by the application of a filling material in the pulp chamber. This material will serve to:
– Promote healing and thus preserve the vitality of the root pulp.
– Fix the surrounding tissues.
Pulpectomy. This involves the complete removal of the pulp from the coronal chamber, as well as the radicular pulp, before filling the root canals with zinc oxide eugenol. It's important that the filling, in this case zinc oxide eugenol, be resorbable so that there are no problems when the permanent tooth begins to erupt.
Immature permanent teeth
Treatments for immature permanent teeth will be very conservative, unlike those for primary teeth, since these are permanent teeth and, being immature, are easily replaced and very vital.
Pulpotomy
It is indicated in those cases where there is an exposed living pulp and direct pulp protection or direct capping is contraindicated. Therefore, it will be indicated in medium or large pulp exposures and in those where there are symptoms of pulp with irreversible damage, but as long as this damage has not reached the root pulp.
Fixed maintainers
Indications:
1. In cases of loss of a single molar
2. When a crown is also indicated on the tooth to be used as an abutment
3. In uncooperative patients, since these patients will remove removable retainers and will not use them
4. Imminent eruption of several teeth
5. Resin allergy
Removable retainers
Indications:
1. Collaborative patients
2. In cases where masticatory function needs to be restored
3. In cases where an aesthetic function is necessary, for example in the absence of anterior teeth
4. Cases with a high propensity for caries