What is Early Childhood Caries (Baby Bottle Caries)? How is it treated?

From the moment the first teeth appear during breastfeeding, babies' teeth must be cleaned after feeding. 6-12. The first teeth begin to emerge between months and during this period, the teeth can be cleaned with the help of a clean cloth.

With the emergence of the back teeth, that is, between 12-18 months, your teeth should be cleaned using a brush. Applying fluoride toothpaste along with the use of a brush prevents tooth decay. However, since children before the age of 5 cannot spit out the toothpaste, it is very important to use toothpaste the size of a grain of rice to prevent the toothpaste from being swallowed and to clean the paste with a clean wet cloth after brushing.

During night breastfeeding, it is very important to prevent the milk from remaining on the teeth and causing cavities. A few sips of water should be given at the end of breastfeeding.

It is important to consult with a pediatric dentist so that this information, which is very easy to apply, can reach expectant mothers and mothers with babies under 1 year old. For this reason, be sure to introduce your child to the pediatric dentist before the age of 1.

If dental cleaning is ignored during breastfeeding or bottle use during the period when milk teeth are just emerging, stains begin to appear on the teeth very quickly. However, it should not be forgotten that these spots are the first stage of decay. In other words, a pediatric dentist should be consulted for all stains on the teeth that cannot be removed by brushing. Because in the initial stages, the treatment for the onset of caries before fractures occur on the tooth surface is fluoride application and regular brushing, while in the later stages (when fractures begin to appear in the tooth), filling/root canal treatment must be performed.

Especially in the upper front teeth, breastfeeding or bottle use. Caries that occur during the period (called baby bottle caries) cause aesthetic concerns as well as speech and swallowing problems in children. Breaking the upper front teeth and disrupting the closure of the teeth in the front area affects the pronunciation of some letters and words, and also causes the tongue to be placed between the teeth, causing the swallowing seen in newborn babies to continue and disrupting the dental closure. Also, milk teeth do not appear at the age of 6-7. He starts peeing, but all the milk teeth change and are replaced by permanent teeth between the ages of 13-14. Therefore, decay in milk teeth means decay in newly emerged permanent teeth. Unfortunately, as many parents believe, changing rotten baby teeth does not mean replacing them with clean, healthy teeth like pearls. Caries is an infectious disease, and a decay in one tooth means that all our teeth are at risk of decay.

For all these reasons mentioned above, treatment of decay in milk teeth is very important. However, major breaks in teeth reduce treatment options. Especially in the front teeth, if more than half of the tooth is lost due to decay, it may cause the filled teeth to break during biting and cause repeated treatments. In such a case, it would be an unrealistic expectation for children between the ages of 2-5 to have treatment for the same tooth by sitting in the dentist's chair more than once. As a more effective, longer-lasting and more aesthetic treatment option, the application of zircon crowns on primary front and back teeth saves the family and the child from long and difficult treatment processes. Applying the right treatment with the right materials by the right physician means completing the dental treatment process, which often becomes annoying, with ease.

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