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High-risk children typically need more intensive treatment. This may include early restorative work to repair and address any existing decay to prevent further deterioration of the teeth. Since ECC affects children under the age of 5 years, dental treatments under general anesthesia may be necessary in select cases. [ 14 ]
No treatment; when dental caries are detected in deciduous teeth some clinicians may choose to leave the tooth to monitor progression and wait for further caries progression until doing an invasive procedure. Alternatively, the clinician may choose to leave caries as the tooth may be likely to exfoliate soon, dependent on the child's age. [33]
Topical fluorides are fluoride-containing drugs indicated in prevention and treatment of dental caries, particularly in children's primary dentitions. [1] The dental-protecting property of topical fluoride can be attributed to multiple mechanisms of action, including the promotion of remineralization of decalcified enamel, the inhibition of the cariogenic microbial metabolism in dental plaque ...
Fluoride toothpaste, with concentrations of 1000 ppm and above, reduces the risk of dental caries in school-aged children and adolescents. [10] As primary teeth are being developed, the ingestion of fluoride causes the teeth to form stronger and more resistant to cavities, although this increases the risk of dental fluorosis.
Atraumatic restorative treatment (ART) [1] is a method for cleaning out tooth decay (dental caries) from teeth using only hand instruments (dental hatchet and spoon-excavator) and placing a filling. It does not use rotary dental instruments ( dental drills ) to prepare the tooth and can be performed in settings with no access to dental equipment.
Treating a mother's dental caries may decrease the risk in her children by decreasing the number of certain bacteria she may spread to them. [4] Screening can result in earlier detection. [ 6 ] Depending on the extent of destruction, various treatments can be used to restore the tooth to proper function, or the tooth may be removed . [ 6 ]
Back teeth showing fissure system. Dental caries is an upset of the balance between loss and gain of minerals from a tooth surface. [3] The loss of minerals from the teeth occurs from the bacteria within the mouth, fermenting foods and producing acids, whereas the tooth gains minerals from our saliva and fluoride that is present within the mouth. [3]
A common one used amongst children with caries is a preformed metal crown (PMC). This type of crown is pressed over a decayed tooth without any preparation, local anaesthetic or caries removal, also termed the Hall technique. Studies have shown that more dental practitioners prefer conventional fillings as opposed to PMC’s.