Let’s start with a curiosity. Who said the newborn is completely split? Sometimes, albeit rarely, as soon as the child has come to the world he already has a dentone, who makes a fine show in the front of the mouth. It is called “Christmas” tooth and is formed in advance, already in the uterus. We are obviously talking about a case to tell. More generally, in general, i milk teeth they appear towards the six months of life. The first to develop are almost always the lower incisors, then the lateral incisors. The first molar develops at one year, at eighteen months the canine and towards the two years the second molar. At three years The formation of the deciduous dentition is completed. But be careful: the milk teeth must be followed carefully. And above all they always need Tailor -made checks for the present and future health of the mouth and dentition.
Caries lurking
Sometimes you don’t think about it. But the early loss of milk teeth It can have consequences on the development of the teeth. The deciduous tooth that has a root not yet reabsorbed must remain where it is because it serves to maintain the space necessary for the new definitive tooth that will emerge later. If the milk tooth is missing too early, the risk of a not perfect alignment of the definitive teeth is concrete. With a Impact also on the economic front. In fact, it may happen that children with less than ten years forced to bring a orthodontic appliance They have to do it because they lost a dairy dentino too soon. The Caries to the milk dentition Furthermore double The probability of subsequent dental disorders preparing for gingival problems or caries on the definitive teeth.
In short, let’s not forget that caries and plaque can make their appearance in dairy teeth. And that it is necessary to play in advance. Really already in pregnancy The woman should take care of theoral hygienebecause if he has caries after birth he can “transmit” them to his son. If in the mouth of the mother proliferates the bacterial flora that causes caries, in fact, this can have passed to the child through contact with saliva from the first days of life: while waiting and breastfeeding is therefore important Make sure you have a healthy mouth.
A good rule of hygiene that seven out of ten mothers forget is then the Cleaning of the baby gums With a gauze soaked in water before even the teeth have sprung up. Both the gums and the milk teeth must in fact be regularly cleaned, after each meal. Too many do not know it: there is therefore a great need to increase the awareness of the importance of oral hygiene in children.
When and what to check
At the completion of the first year of the child’s life, a first dental examination reveals possible caries on milk teeth, allows to prevent the onset of the consequences of possible dental changes and set up correct oral hygiene.
Around 5-6 years the child begins to change his milk teeth: analyze the small patient in this important phase of transformation, characterized by the first coexistence of milk teeth and permanent teeth, allows an ‘predictive analysis of evolution of its dental development, without overexporting it to numerous and frequent visits. This allows the orthodontist to evaluate the real existence of a problem to be monitored and correct and above all of plan a treatment which reduces visits to the studio: it is essential to proceed with an individual program, studied on the specific needs of the single child, and which defines in advance when this must begin and how much it is appropriate that it lasts. This analysis must take place no later than 7 years of lifeaccording to the main international guidelines, including the American Association of Orthodonders, a point of reference for the scientific community of the sector.
Among the bad habits to correctand which may have consequences on the health of the adult, still today indicates in particular the‘protracted use of the pacifier That recent studies demonstrate can have repercussions on dental occlusion, contributing to the establishment of dental, skeletal and functional problems.
Watch out for habits
The problem of dental malocclusions must be addressed early. And it can be prevented considering that in some cases these problems are observed as a result of incorrect behavior (sucking of the finger, pacifier or toy) or following particular anatomical situations or even functional alterations as happens for problems that involve the upper airways (hypertrophic adenoids, deviation of the nasal septum, allergic diathesis with hypertrophy of the nasal mucous membranes and turbinates).
There prevention in pediatric age It contributes to the identification of any problems, which with the involvement of the most suitable specialist (speech therapist, otorino-flaring, allergist, maxillofacial surgeon, pediatrician) allows you to solve the problem with its very first events, with a substantial impact on the health of the individual and a reduction of the costs necessary instead to intervene in adulthood.
According to experts, it is essential to keep in mind any causal and predisposing factors. But it is always necessary to remind parents and health workers the indication a Suspend the sucking of the pacifier starting from the two years of age and on possible dental and skeletal risks deriving from its last use in predisposed subjects.
The problem of dental infrastus: what to do
Difficulty in chewing, delay in the exchange of the teeth in particular of the molasses, asymmetries of the dental arches in the already advanced cases: they are the main alarm signals Findable in daily life, which can reveal, in children, a case of dental infrastor that prevented the fall of the milk teeth to give way to permanent teeth.
It is a phenomenon that according to a recent study published by the international scientific journal Medicine of the Lithuanian University of Health Sciences (Luhs) concerns about a third of the population and which if underestimated can lead to the need to intervene surgically To correct skeletal alterations of dental arches, due to the uncontrolled progression of the phenomenon. Instead, if intercepted, especially when it occurs early, before the public growth peak, the problem can be controlled and managed.
What happens in these situations? A milk tooth, but also a permanent tooth, can undergo a gradual lowering of its position with respect to neighboring teeth.
As Eica Barina, president of Facexp explains
“The causes are still unknown but it is assumed that some dental elements suffer a process of ankylosis, that is, of the merger of the root with the surrounding bone, due to local factors, such as a trauma, an infection, or a genetic predisposition. The union between the tooth and the bone creates a sort of ‘bone’ inertia ‘that prevents the vertical movement of the tooth in response to the growth of its sinking with respect to the chewing plane of the other teeth “.
As soon as the problem has been identified, it is necessary to keep its progression under medical supervision: in slight cases the tooth can be reconstructed with filling materials, to keep it aligned on the chewing plane, while in the most severe cases it must be promptly extracted, to avoid complications, such as the obstacle to the growth of the permanent tooth underlying and the blockage of the vertical development of the maxillary arch at the interested party.
“Multidisciplinary collaboration is essential among all the different medical figures who may have the opportunity to intercept the phenomenon in the child, such as the pediatrician, the dentist, the otorino-laryngology, the speech therapist in close collaboration with the figure of the orthodontist”
Report the expert.
