Хүүхдийн шүдний эмчилгээ
Children Dentistry available
We now can provide ‘Magic’ instead of Injection, and ‘Water Spray’ instead of drills.
Our special ointment which we paint on and our electronically controlled syringes made the injection painless. With adequate pain control, you will be surprised how the children will let us do whatever is necessary. Please bring in your children before they have pain or hole. A good habit formed early is the best way to prevent caries.
Why Fix Baby Teeth?
There are several reasons to fix baby teeth;
1. Every child’s smile affects their sense of self esteem and confidence in life
2. Primary teeth are important because they help guide proper eruption of the permanent teeth
3. Primary teeth help maintain good nutrition with proper chewing
4. Primary teeth help with the development of speech
5. Untreated baby teeth can affect the development of the permanent teeth
6. Not treating the teeth can result in a patient with severe pain and possibly developing an abscess
An Abscess “Is a collection of pus that has accumulated in a cavity formed within a tissue because of an inflammatory process in response to either an infection process, usually caused by bacteria.” (Wikipedia) An abscess can be very dangerous and lead to swelling and severe pain.
It’s Just A Baby Tooth, Pull it!
Many times we encounter the dilemma, what do we do with baby teeth that have severe decay? Parents are often surprised when they learn that their child has dental decay, “they are baby teeth, can you just pull them?” They question the need to restore primary teeth.
Let’s start by saying that primary teeth or baby teeth serve a very important purpose; to save the space for the permanent teeth. The twenty primary teeth are replaced by twenty permanent teeth. If a baby tooth is lost before the permanent tooth is ready to erupt, adjacent teeth will drift and tip into the empty space. This will cause serious space problems when the permanent tooth is ready to come into the space that is been lost.
The primary teeth must be present to help guide the proper path for eruption of the permanent teeth. The anterior teeth are lost naturally between 5-6 years of age. The eight baby molars aren’t ready to come out until 9-13 years of age. If a primary second molar is lost too early because decay, the permanent molar that erupts at six years of age will have no guide to its proper position. It will drift forward taking the space of the adjacent unerupted permanent tooth and blocking it out.
If a baby tooth has decay your dentist will recommend fillings to prevent spreading of the decay. If the decay is too advanced and the tooth cannot be restored with a filling, the doctor may recommend a stainless steel crown or silver cap. The stainless steel crown provides the tooth with full coverage that is long lasting, until the permanent tooth is ready to erupt.
When the decay travels to the center of the tooth where the nerve and blood vessel lie, a pulpotomy can be performed to remove the decay and nerve. If the infection spreads to the bone and causes an abscess, the tooth will need to be extracted. Soon after the extraction a space maintainer should be fabricated to fit the space. The space maintainer is an appliance that is custom fit to the patient’s mouth and stays in the child’s mouth until the permanent tooth starts to erupt. The appliance itself will prevent the adjacent teeth from drifting or tipping into the space.
Don’t forget to brush to keep that beautiful little smile shining!
In the same way that ice works on a sprained ankle to numb pain and reduce swelling, cold compresses and food soothe sore gums.
Place a wet washcloth in a clean plastic bag and chill it in the refrigerator. (For an extra soothing touch, first soak it in chamomile tea, which has been shown to calm fussy babies and help them sleep.) When you remove the washcloth from the bag, your child will enjoy munching on it because the fabric massages the ridges in her gums while the cold numbs the pain.
Try a refrigerated pacifier or teether. (Don't store the teether in the freezer because when frozen it can get hard enough to damage a baby's gums.)
There are a variety of refrigerated teethers, including some with plastic handles so your baby's hands won't get cold. Liquid-filled teethers work well, but watch for leaks. Firm rubber teething rings are a good alternative. Whichever kind you choose, keep an eye on your baby to make sure she doesn't choke as she gnaws away on it.
If your baby has started solids, offer her chilled (not frozen) fruit in a mesh bag specially designed for that purpose. Or give her a large carrot (not a baby carrot, which is a choking hazard). Hold one end while your baby gnaws on the other.
Teething babies love to feel pressure on their gums because it helps distract their brain from the sensation of teething pain.
If your baby rejects cold items, chewing on a teether at room temperature may do the trick. Some teethers even vibrate. If one type doesn't work for your child, just try another until you find one that helps.
Or give this strategy a go: Gently rub your baby's gums with a clean pinky finger.
Some parents use a topical anesthetic – a numbing gel or cream that you rub on your baby's gums – to relieve teething pain. These are available over the counter in drugstores. However, the U.S. Food and Drug Administration (FDA) warns that topical medications containing benzocaine shouldn't be used on children under 2 without guidance from a doctor.
One risk is that the medication won't stay where you put it. Even if you rub it directly on your baby's gums, she might swallow some of it with her saliva. This can inadvertently numb her throat and interfere with her gag reflex, making it harder for her not to choke.
In rare instances, benzocaine can cause methemoglobinemia, a serious condition in which the amount of oxygen in the blood drops dangerously low.
If nothing is working and your baby needs relief, your doctor might recommend trying an over-the-counter painkiller like acetaminophen. (Note: Don't give new medicines to a baby without first checking with a doctor. Ask the doctor for the proper dosage whenever giving acetaminophen to a child younger than 2.)
For babies at least 6 months old, ibuprofen is an another option for reducing inflammation in your baby's gums. But bear in mind that the drug can irritate the stomach, which may be problematic if your baby's already refusing to eat (which some teething babies do).
Aspirin is off-limits for anyone under 19 years old. Don't give it to your baby or even rub it on her gums. The drug is associated with Reye's syndrome, a rare but potentially life-threatening condition.
Fever, vomiting, and diarrhea aren't normal symptoms of teething. If your baby has a persistent fever, gets worse, or seems sick, call the doctor.
Some parents swear by homeopathic teething drops and tablets. (In homeopathy, an active substance is repeatedly diluted to the point that it's nearly – or entirely – undetectable, then given to the patient. The idea is that even this tiny amount will stimulate healing in the patient's body.)
However, many pediatricians claim that the risks of homeopathic treatments far outweigh any potential benefits. Although the FDA requires homeopathic treatments to meet certain standards for strength, purity, and packaging, they're not rigorously tested for safety and effectiveness the way prescription and over-the-counter medications are.
Before using a homeopathic remedy, discuss it with your child's doctor and check the FDA's list of recalled homeopathic products.