PEDODONTİCS

Fluoride application: It is a protective application that can be applied from the age of 3. Fluoride material, which can be applied to milk and permanent teeth, strengthens tooth enamel against cavities. However, fluoride material alone cannot prevent dross; It should be supported with a non-caking diet and regular brushing.

Fissure sealant: It is a protective application applied to the teeth. It is especially applied to the grooves on the chewing surfaces of the small and large molars in the back of the mouth. This material, which prevents food residues from settling in these grooves, does not allow dregs to be made. However, if regular brushing is not done, the formation of cavities is inevitable.

Composite restoration: When cavities or tissue loss occur in teeth, these tissues must be reconstructed with a material. After cleaning the bruised or diseased tissue, the tooth is restored using a white composite restoration material that is similar to the natural color of the tooth. Good brushing should be continued even after the composite restoration has been made. Since there is still natural dental tissue around the material, the risk of caries development continues. This treatment option is successfully applied to milk and permanent teeth.

Capping: If the bruised lesion is close to the dental border but has not reached yet, capping treatment can be performed. However, at the same time, no pain or abscess should have been observed in the tooth. After the cavity is cleaned, a tissue-friendly material that will not disturb and protect the tooth nerve is placed and a composite restoration is made on it. This treatment option is not applied to milk teeth, it is only applied to permanent teeth.

Pulpotomy (amputation): This treatment is only suitable for milk teeth. It is applied in deep cavities where pain and infection have not yet started, but a part of the tooth border is affected. The most affected part of the nervous tissue is removed and a tissue-friendly material is placed on the remaining nerve tissue in the root region, and then composite restoration is applied. In some cases, if the natural tooth tissue loss is too much, it may be necessary to make a stainless steel crown.

Pulpectomy (root canal treatment): When the nerve of the milk and permanent teeth is irreversibly affected by caries or becomes inflamed, the nerve must be removed completely. It is also an intervention performed in some cases where trauma occurs. In cases where infection, pain and swelling are observed, antibiotic use may be required before the procedure. After the nerve in the root is removed, a tissue-friendly material is placed and a composite restoration or stainless steel crown is made according to tissue loss. More than one session is required for root canal treatment and tooth restoration.

Tooth extraction: Milk or permanent teeth that cannot be treated due to infection, trauma, excessive tissue loss are extracted. In some cases, teeth are extracted due to orthodontic needs.

Placeholder: Special placeholders need to be made for some pediatric patients as a result of early loss of primary teeth. Neighboring teeth can move towards the extraction region, causing the extraction gap to be closed, and the eruption of the permanent tooth can be difficult or even prevented. The purpose of placeholders is to prevent possible loss of space, to minimize the need for orthodontic treatment, and to preserve speech and chewing functions.

Stainless steel crown: Stainless steel crown can be applied when there is too much tissue loss in milk teeth that cannot be treated with composite restoration material. However, if necessary, pulpotomy and pulpectomy procedures should be performed before this application. The application of a stainless steel crown prevents the reduction of the vertical dimension, allowing the chewing function to be preserved or restored.