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This is Williams Dental Associates Pedodontics - Children's Dentistry page
You need to upgrade your Flash Player
If you would like to view the menu please either turn on javascript in your browser or
download the latest
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Pedodontics
( Children's Dentistry )
Deciduous
(baby) teeth are different from permanent teeth not
only in their size but also in their anatomy. Deciduous
teeth have larger pulp chambers, shorter and more curved
roots, more curved crowns and a thinner enamel coating
than permanent teeth. It is for these reasons as well as
their short life span that they may be restored
differently from permanent teeth.
Deciduous teeth tend to develop decays easier and
faster, but diet may have a direct effect on that. Basic
cavities are treated in the same fashion in the early
stages as permanent teeth. If the baby teeth have a
short life span remaining the dentist may decide to
temporary fill the teeth to maintain a healthy chewing
function and space for the permanent teeth to erupt. In
some instances the decay front may have extended as far
as the pulp ( nerve ) chamber. In the case of permanent
teeth this is an inevitable root canal. In the case of
deciduous teeth, because of their high regeneration
coefficient ( large nerve size allowing better healing
ability ) one of the following procedures may be
performed:
Pulpotomy:The superficial affected
nerve is removed with a sterile diamond bur and
medications are placed over the nerve with an
intermediate restorative material. In some cases
the permanent restoration may be placed.
Pulpectomy:
The entire nerve in the pulp chamber is removed
and the remaining nerve in the canals is medicated
and sealed. The tooth is then restored.
Apexification:This procedure is done
on newly erupted permanent teeth of children. The
entire pulp chamber along with the nerve inside
the canals of the roots are removed. Since it can
take 2-3 years before the root formation is
complete from the time teeth erupt, the newly
forming teeth may not have gone through full
formation of their roots and its apex. In order to
facilitate root apex formation the roots are
filled with Calcium Hydroxide, which over time are
replaced with dentine and cementum, the natural
root constituents.
Extraction:
If the nerve of the deciduous tooth is damaged to
the point that an abscess has formed under the
tooth, extraction may be the only option. the
reason is to protect the permanent underlying
tooth from any damage caused by the infection. In
certain instances if the process of eruption of
the permanent tooth is not within the near future,
a space maintainer may be used after extraction.
This device prevents the adjacent teeth from
moving into the area where the permanent tooth is
to erupt into.
Tooth Development
Children
generally develop their teeth before birth.
Eruption starts at about six months, usually
with the appearance of the lower incisors,
and is complete by about two-and-a-half
years.