Symptoms and treatment of caries in children

Children caries is a fairly common condition. It is no good to take it carelessly, a four-year old child who developed the disorder is likely to suffer its impact on permanent teeth that are to replace the milk ones. Dental decay is usually found in children age 2-3 years, but there have been cases of the ailment detected in younger babies. It is considered to be an insidious condition that affects dentition tissues and damages its inner structure to probably cause a cyst.

What causes dental decay?

Child’s oral health depends on the disorders suffered and medicines taken by their would-be mother during pregnancy. The first trimester is the time when dental buds (possibly already spoiled) are formed.

Long-lasting bottle-feeding or dummy use provides a reason no less compelling for the disease especially when the child falls asleep with either in the mouth. It is a common case of hygiene rules violation that invariably leads to bacteria growth. This way the front teeth are mainly exposed, with the decay affecting their overall surface.

When the child has a sweet tooth, a large amount of carbohydrates contacts enamel to accelerate the process. Most often children aged 3 develop enamel breakdown when parents let them have chocolate bars or other snacks rich in sugar between regular meals.

Symptoms and types of caries

Whether management of caries in children is successful depends on the stage the issue was found. Thus, the earlier the detection, the faster and more efficient the therapy. Types of dental lesions are as follows:

  1. Early stage (fissural dental decay) is diagnosed when there are spots slightly different in colour from the whole enamel surface. They come in different shapes and sizes, and cause no pain. Then, they turn darker, so brown areas are observed.
  2. Children caries photoSurface caries occurs when only enamel is damaged. Dental inner structure is not yet affected; however, with sensitivity to temperature extremes, sweet and sour foods, this stage requires treatment and filling.
  3. Medium caries hits not just the outer part but dentin as well and faults for the pain much stronger when eating or drinking hot and cold. With the naked eye you can recognize deep cavity.
  4. Pronounced caries is rather dangerous for it affects nearly the entire dentin through and seeks deeper, exposing the pulp to high risk and ready to provoke cyst of a primary dentition. This case invariably asks for immediate dentist check-up and restorative procedures.

How to treat dental caries of primary teeth?

No doubt, you are to see your doctor as soon the first symptom of milk tooth decay is detected. Healthy baby teeth serve as a promise of undamaged permanent ones. If you noticed caries in the child age 6, there is no use in waiting for the diseased tooth to fall out on its own. You should take your baby to the doctor to let them decide whether to remove or treat it.

There are several treatment options depending on the stage of enamel lesion.

  • caries in children photoStaining with silver salt aka argentation. This technique is mostly used to address early stage of the disease. It is safe, cheap, and painless. Argentation involves coating the dens with a thin layer of silver particles. It halts bacterial growth to arrest the decay until permanent dentition is to replace milk one. Essential drawback of the mechanism concerns aesthetics: the dens is no longer white.
  • Ozone therapy. The newest technology does not cause pain nor injure dental tissues. A special silicone bowl is used to pour ozone onto the affected area to disinfect it at once. After the procedure, fluoride, calcium, and phosphorus solution is used to varnish the dens.

The above options are of no use to target pronounced caries. Drastic measures are to be resorted:

  1. sealing
  2. depophoresis
  3. preparation

Tender children’s enamel requires more benign material than that of an adult. Their filings are made of glass-ionomer and silicophosphate cements. Modern dentistry offers coloured fillings with fluoride sequins to attract children into the dental room. The principle gradually adds to tooth remineralization.

To stop harmful bacteria progressing in hard-to-reach places, scientists come up with depophoresis. The way provides neither pain nor harm, and the cavity is treated with copper hydroxide and calcium mixture.

Preparation is quick and injury-free. It employs air blowing and drilling of damaged patch. When the area is clear, the doctor seals it.


caries in the child photoTo avoid children caries, it is necessary to adhere to the set of actions including proper dieting, food habits, and oral care. Once the first incisor appears parents should buy baby toothpaste and toothbrush. They are to use these items to remove plaque around primary dentition on a daily basis.

After weaning, make sure to provide foods containing daily amount of calcium, such as fermented milk products: yogurt, cheese, cottage cheese, etc.

Often the infectious process develops rapidly among children age 9 due to poor oral care. For the solution, see your dentist or hygienist twice a year for a regular check-up and every 3 months when there are conditions to address. Professional removal of tartar diminishes the risk of the decay drastically.

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