Early Children's Caries -Asparable Dental Disease in Children, Application of Standards Treatment Algorithms - Mandatory Conditions of the Child. Theories of the development of caries paint a bright picture of the disease, help to understand what caries are dangerous. Article about it.
Content
- Theories explaining the development of caries
- What is dangerous caries?
- Algorithm for the treatment and prevention of caries
The emergence and development of early children's caries brings a small patient not only pain, but also difficulties in chewing, some psychological and speech problems. Features of the emergence of early children's dental caries are in unlimited use of carbohydrates, insufficient, irregular and inefficient oral hygiene.
Caries, in which the teeth begin to collapse — This is an infectious disease, when under the influence of organic acids, which are products of the life of the microorganisms of the oral cavity, there is a defeat of temporary teeth. Dentists note that the defeat of at least one tooth in a child under 3 years old, there is already a manifestation of a disease that requires urgent appeal to the doctor with subsequent therapy and prevention. The main causes of the disease:
- infection of the baby with the mother's oral fluid;
- dental flare in the absence of necessary mechanical cleansing;
- Child food habits with lots of carbohydrates, sugar in beverages and solid food, as well as long-term feeding using bottles;
- Unstability of dentals.
Prevention suggests:
- Warning of the disease in a child by rehanging the oral cavity of a woman before and after delivery;
- Preventing salivary contacts mom and baby;
- Child oral hygiene;
- Compliance with feeding mode.
Theories explaining the development of caries
To identify the causes of the disease doctors sought at all times that it was the basis for creating numerous theories. Currently, the most popular theories of the development of caries are:
- chemical-parasitic, treating carious destruction due to demineralization of solid tooth tissues;
- Biological — It is characterized by a disadvantage of vitamins D and B1, the irregular ratio of calcium salts, phosphorus, fluorine in food, impaired mineral and protein metabolism in enamel and dentine;
- dedicating tooth tissue proteins as a result of their accelerated decay due to hyperthyroidism, tuberculosis, pneumonia, accumulation of acids in the body tissues;
- Opening Shatza—Martin, as a location of a localistic approach;
- Hypothesis of Eggers-Lura and DR.
Relying on these numerous discoveries and approaches to solving the problem, there are current ideas about the disease and «Shard Casey», The interpretative possibility of the occurrence of the disease only under the coincidence of three conditions:
- the presence of a cariesogenic flora;
- consumption of accessible carbohydrates;
- Low resistance enamel.
What is dangerous caries?
80-90% of bacteria include carieselogenic types of bacteria, including Streptococcus Mutans, who has the ability to hit many or almost all the teeth than it is dangerous. Caries and first carious lesions are found on the lifting surface of the incisors of the upper jaw near the edge of the gums in the form of a decalcined area of whitish color, the foci quickly apply, leading to pathological crowns crowns with minimal injury.
Gradually and unnoticed in the process involved other teeth, the fillings will soon fall out, all groups of teeth are affected, including fangs and lower cutters, usually resistant to caries. The teeth are covered with a flaw, saliva becomes sticky and viscous, it is clear that without the treatment of caries can not do. Acute course of illness, fully destroyed crowns of incisors, dead pulp, remnants of roots in jaws — Here is the answer to the question: «Than dangerous?» Caries need endogenous prevention, because the processes of formation and mineralization of teeth begin in the embryonic period of development and continue after its birth in the postnational period of development.
Algorithm for the treatment and prevention of caries
It is important to ensure admission to the body of a sufficient amount of calcium salts, phosphorus, fluorine, trace elements and vitamins. The caries treatment algorithm is carried out according to dental standards, they were approved by the order of the Ministry of Health and Social Development and suggest the following positions:
- cleaning tooth from dental plate;
- Determination of the color of the tooth;
- anesthesia;
- drilling carious fabrics;
- tooth insulation from saliva;
- Medical processing of carious cavity;
- restoration of the contact point between the teeth;
- hydrochlorination of enamel acid;
- Processing dentin and enamel adhesive;
- laying pads under the filling;
- sealing;
- Grinding and polishing.
Further analysis of each position in the caries treatment algorithm to be in the following articles.
