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When it comes to repairing teeth affected by Early Childhood Caries, the extent of tooth decay will guide the choice of treatment. For moderate to severe decay, stainless steel crowns are a common option. These crowns are ready-made and can be tailored to fit over a child's primary molar. The crowns are then fixed in place to restore the tooth.
The general aim is to provide dental assistance to 0-3-year-old children, through an educative-preventive oral health program directed to parents and children comprising the diagnosis, prevention, treatment, and control of the most common clinical situations at this age range (dental caries, dental trauma, alterations of tooth development, etc.).
Early childhood caries (ECC), also known as "baby bottle caries," "baby bottle tooth decay" or "bottle rot," is a pattern of decay found in young children with their deciduous (baby) teeth. This must include the presence of at least one carious lesion on a primary tooth in a child under the age of 6 years. [94]
However some recommend that they be removed as the tooth can cut or amputate the tip of the tongue. They should be left in the mouth as long as possible to decrease the likelihood of removing permanent tooth buds with the natal tooth. [9] They should also not be removed if the infant has hypoprothrombinemia. [9]
In young children, the pain from a carious lesion can be quite distressing and restorative treatment can cause an early dental anxiety to develop. [26] Dental anxiety has knock-on effects for both dental professionals and patients. Treatment planning and therefore treatment success can be compromised.
The delay in eruption has been suggested as the reason for the apparent difference in decay among the youngest children. Fluoride ingestion during tooth development can lead to a permanent condition known as fluorosis with varying levels of severity, the result of fluoride's interference with the normal osteoblast development. [56] [57] [58 ...
The two main classification systems are described below. Others include the tooth surface fluorosis index (Horowitz et al. 1984), which combines Deans index and the TF index; and the fluorosis risk index (Pendrys 1990), which is intended to define the time at which fluoride exposure occurs, and relates fluorosis risk with tooth development stage.
One of the consequences may be an adult tooth intercepting with a baby tooth, causing premature loss or wrong positioning. This can be due to either the absence of neighboring teeth acting as a guide during eruption or the lack of space in the jaw for them to erupt into because of malocclusion.