There’s nothing better to bring happiness than a child’s smile.< span id = "more-15804" >
that smile white, sometimes missing a tooth, sometimes missing more, but always a smile of a child.
the smile is an important component for establishing social relations.
many people don’t smile because they have poor oral health or because they are not satisfied with the aesthetics of the smile. Oral health care is important to the recovery of so many social relationships as affective.
children are developing beings, which are constantly learning in human relations. Thus, when the smile of a child is compromised, your self-esteem is changed, generating marks on your personality.
Though currently, several preventive measures are available and the prevalence of caries disease appears to be decreasing, it is still common to observe the occurrence of dental caries and rapid progression in the infant population, due to frequent and prolonged use of bottle-feeding and lack of oral hygiene. Dental trauma and bad occlusions are also rather frequent.
the development of carious lesions, which lead to the destruction of the deciduous teeth, still represents one of the most complex clinical situations for professionals.
The etiological factors of caries in deciduous teeth are the same of the general population. However, the lack of manual dexterity of children causes parents to be responsible for the correct oral hygiene, which sometimes does not occur.
the lack of these guidelines may lead to a deficiency in oral health, causing injuries to tooth decay, bad breath, gum inflammations and, consequently, the early loss of deciduous tooth.
the early loss of deciduous teeth can create negative influences, changing the appearance of the child and produce a behavioral change. Children being repelled, motives of jokes or vicious nicknames, suffering the bullying so famous. Occurring actions that can mess with the self-esteem, smile less, put your hand over your mouth to disguise, discourage the coexistence with others, affecting its development and emotional training.
Hence, the importance of the pediatric dentist to work with parents very early on, aware and motivating your child in your oral hygiene and explaining the problems that entail the early loss of teeth, showing the importance of appreciating the aesthetic factor of deciduous teeth, preserving the psychological factor, not only for children, but also from their parents.
when performing an aesthetic rehabilitation in children, pediatric dentist has the challenge to not only return to dental function, but also avoid emotional disorders, improve the quality of life and return the smile relaxed.
there are several treatment options for deciduous teeth destroyed or lost, like steel or polycarbonate crowns, crowns of acetate, aesthetic veneers, bridges or removable, used as a temporary measure.
steel crowns were often used in pediatric dentistry for being an easy technique and resistant to masticatory efforts. The polycarbonate crowns did not present good resistance to abrasion. Being both not much used in recent times, due to impaired aesthetics and the evolution of bond strength and aesthetic materials.
acetate crowns were developed due to faults of polycarbonate crowns, being widely used in teeth destroyed or fractured. The acetate crowns provide an immediate improvement in aesthetics, providing strength and durability.
esthetic facet, made of porcelain or composite resin, is also a widely used treatment when the change of color of the dental element, due to the amelogenesis imperfecta, dentinogenesis imperfecta, trauma, blood loss, Pulpal necrosis and etc. The entire tooth is covered by the vestibular, returning the aesthetics, acceptance and comfort for the patient.
In deciduous teeth with great loss of previous coronary structure, can make crowns with radicular detent pin, i.e. one pin short metallic or fiberglass, which does not interfere in tooth eruption permanent successor. Are time-consuming procedures and depends on the cooperation of the patient.
prosthetics, whether they are fixed or removable, prevent the malocclusion, restoring the masticatory function and returning the oral and psychological balance quickly to the child, thus minimizing the disturbances caused by concern about aesthetics, not forgetting that these jobs should have a periodicity in the consultations and always install devices to track the growth of dental
.
Between the types of most commonly used prosthesis in Pediatric Dentistry, is removable prosthesis, clinically listed as maintainer of space, in addition to restoring aesthetics and occlusal function. Are indicated when it occurs early loss of deciduous teeth and requires the maintenance of space.
the fixed prosthesis, adhesive type, facilitates its use due to reduction or absence of pleural preparations on teeth, preserving the dental structures. These prostheses can be used to establish the aesthetics, keep the space and improve function, being often cemented in only one tooth, in order not to compromise the craniofacial development of the child.
the total prosthesis can be used in the event of widespread acute caries, committing all teeth prematurely or in case of total anadontia. This prosthesis, when properly indicated, should cause the patient report to periodic consultations, due to the growth and permanent teeth eruption.
so it’s up to the professional, choose the best treatment option. The pediatric dentist will be the educator, fitness. It’s hard work, long and requires patience, but with love and affection, can contribute positively to the growth of the child, not only physically, but emotionally. Healthy children are healthy adults.
Danielle
Matee Vieira Specialist in cosmetic dentistry. Specialist in Dentistry. Specialist in patients with special needs. Master in health sciences. PhD student in dental clinics by Ṣo Leopoldo Mandic Campinas РРSP.
