Taking care of our small patients is one of our priorities because building healthy habits is an investment in future dental health. Finding out the problem on time and accurate treatment of dental problems protect the child from much more serious consequences in young and adult age.

First visit

During the primary examination, a detailed status of the teeth, gums and oral mucosa is made, photographic documentation of available carieses or traumatic injuries, bite abnormalities, gum inflammation, changes in the oral mucosa is done. The necessary manipulations – prophylaxis and/or treatment, are discussed with the parents.

Prophylaxis:

Teaching our small patients how to brush and clean their teeth

We recommend appropriate tooth brush and methods for cleaning of teeth depending on the age and individual needs of the small patient.  

Regular check-ups

The frequency of prophylactic check-ups is determined individually, taking into account the dental health of your child. It is desirable to visit a dentist at least twice a year, because temporary teeth are less resistant to caries because of their lower mineral content. Combined with insufficient cleaning of the teeth, the dental problems develop faster.

Sealants

The application of sealant on the deepest parts on the chewing surface of the first permanent teeth with glass-ionomeric material which releases fluoride (GC Fuji Triage) is the most effective way to prevent them from dental caries. Application of sealant is a prophylactic method and it could be applied only on teeth without caries!

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Before- recently erupted permanent first molar (6-7 years old child)
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After- sealant for protecting permanent first molar of 6-7 years old child

Caries infiltration as treatment of white spots (initial caries)

This method is between prophylaxis (without removal of dental tissues) and treatment with composite fillings (with removal of dental tissues).

Caries infiltration with Icon

Caries infiltration with Icon stops or slows down the development of caries at an early stage as white spots or initial caries. It is effective on both temporary and permanent teeth. This is an innovative treatment method without pain, need of anesthesia or  tissue removal.

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Before- white spots on upper molar
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After caries infiltration white spots disappeared

Dental treatment:

Treatment of caries on milk (baby) and permanent teeth

It is accomplished by removing the carious tissues and restoring the tooth with a filling. The material of the filling is chosen depending on the exact case- glass-ionomeric cement, composite (resin) etc.

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Before- caries of milk tooth
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During the procedure
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After- composite filling on milk (baby) tooth
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The caries of permanent tooth is cleaned
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Composite filling on permanent tooth

Treatment of pulpitis and apical periodontitis of milk (baby) and permanent teeth

When the caries have reached the pulp (connective tissue rich in blood vessels and nerve fibers inside the tooth) and / or periodontium (the tooth surrounding tissues), it is necessary to “devitalize” the temporary tooth. It is done in order to treat the inflammation (pulpitis or apical periodontitis) and to restore the shape, anatomy and function of the temporary tooth until it is exfoliated and replaced by the permanent one. There is a high risk of damaging the germs of the permanent teeth if the temporary ones are left without proper treatment.

The treatment of pulpitis and apical periodontitis of permanent teeth in childhood ensures correct root development of the teeth and their functioning in the already grown child.

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Before- severely destroyed permanent tooth of 10 years old child
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Removal of an old filling
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Composite pre-build-up and access to root canals
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After endodontic retreatment root canals are filled with gutta
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X-rays before and after endodontic retreatment
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Composite filling on permanent tooth of 10 years old child

Treatment of dental trauma in children

This is a very dramatic and stressful situation for both the child and the parents. It requires urgent and adequate professional intervention by the dental team. Depending on the severity of the trauma, the appropriate treatment approach and final restoration is chosen. The traumatized tooth must be checked regularly as the dentist recommends.

Extraction of milk (baby) tooth

In order to maintain the comfort and tranquility of our small patients, we apply local anesthesia if needed (topical or injection application).

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Permanent tooth erupts under the milk (baby) tooth
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Milk tooth is still in the mouth even tough the eruption of permanent tooth starts
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Milk tooth is still not exfoliated