Treatment of primary and molar teeth

Some parents neglect the treatment of their children's baby teeth, thinking that they will soon fall out and the problem will solve itself. However, this is the wrong approach. Untreated caries in primary teeth can lead to serious dental and oral problems. Regular visits to the pediatric dentist can help identify and treat problems early, just as often as adults do. At the K+31 clinic in Moscow, children can undergo treatment of primary and molar teeth. We employ qualified and experienced dentists, whose goal is to preserve dental units as much as possible, even with extensive lesions. Tooth extraction is considered as a last resort. In this article we will look at the age at which children’s teeth are treated and what methods are used.
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Why is it important to treat baby teeth?

Treatment of baby teeth should begin as soon as they appear. At an early age, when children consume little sweets, the risk of developing caries is low. At 3-5 years of age, the amount of sugar consumed increases, and oral hygiene is often not maintained properly, so the likelihood of dental problems increases.

At the age of 5-6 years, the replacement of baby teeth with permanent ones begins. This process is usually completed by age 14. If baby teeth are not treated, caries and other diseases can lead to their early loss and even harm future permanent teeth. In addition, if left untreated, difficulties arise in diction and chewing food, and the digestion process is disrupted.

Why is it important to treat baby teeth?

Causes of dental diseases in children

  • Poor oral hygiene
  • Prolonged use of a nipple on a bottle, especially when the baby falls asleep with it in his mouth
  • Transmission of pathogens from parents to children, for example, when using shared utensils
  • Genetic predisposition to diseases of teeth and gums
  • Excessive consumption of sweets and drinks
  • Insufficient intake of calcium and fluoride from food

Prevention of dental diseases

To prevent caries in children, it is recommended to breastfeed until the age of one, daily brushing of teeth, and limiting the consumption of sweets until the age of three. It is also important to visit the pediatric dentist 1-2 times a year.

To strengthen your teeth, it is recommended to add dairy products to your diet. They contain calcium, which is beneficial for tooth enamel. It is also worth including vegetables, fruits and fish in the menu. They contain magnesium, phosphorus, fluorine and many vitamins that are important for the prevention of periodontal disease.

Treatment methods for dental diseases in children

How children with caries are treated

Baby teeth are especially susceptible to tooth decay due to their thin enamel. In the initial stages of the disease, dental drilling is not required. It is enough to polish and use a remineralizing paste. Advanced caries requires deeper intervention. A pediatric dentist performs a tooth filling with a photopolymer composite or glass ionomer cement under general anesthesia or sedation. Depending on the patient’s health, the patient may require consultations with highly specialized specialists - a therapist, a cardiologist, an endocrinologist.

How are baby teeth treated in children with pulpitis

Pulpitis is inflammation of the inside of the tooth, including the nerve and soft tissue. It occurs due to the following reasons:

  • Untreated caries
  • Tooth injury
  • Errors in the treatment of caries, especially in children with thin dentin, which can lead to pulp exposure
  • Infectious diseases, as a result of which the infection enters the tooth through the bloodstream

Pulpitis in children is less common than in adults, but requires serious treatment. Ignoring the problem leads to chronic inflammation, early tooth loss and infection of the developing permanent tooth.

Modern dentistry offers several methods of dental treatment for children with pulpitis:

  • Classical devital amputation. Doctors use a special paste to destroy the nerve, then remove the pulp and fill the tooth
  • Vital amputation. Only the affected part of the nerve is removed. An antiseptic is applied to the remaining part, after which the tooth is filled. This method is considered more complex and does not exclude re-inflammation
  • Vital pulp extirpation. Under anesthesia, the inflamed pulp is completely removed, after which the pulp chamber is filled with a special paste. This is an effective but expensive method

Doctors often prefer to simply remove the tooth affected by pulpitis. This is faster and cheaper, but carries the risk of displacement of adjacent teeth and malocclusion, especially if the permanent tooth does not appear soon. To avoid these problems, it is important to treat caries in a timely manner, preventing the development of pulpitis.

Treatment of gingivitis in children

Gingivitis is an inflammatory disease of the gums that does not violate the integrity of the periodontal junction. Most often, for the treatment of baby teeth in children with gingivitis, doctors recommend the following measures:

  • Professional teeth cleaning. Can be performed manually or using ultrasound. Effectively removes soft plaque and tartar
  • Removal of low-quality restorations and orthodontic devices. Incorrectly installed structures contribute to the development of gingivitis
  • Treatment of caries. This is necessary to eliminate possible foci of infection
  • Removal of irreparable roots. Sometimes it is necessary to extract teeth that cannot be restored and cause inflammation
  • Use of antiseptics for mouth rinses. Antiseptic solutions, such as Miramistin or Chlorhexidine, are used to reduce the number of bacteria in the mouth
  • Use of broad-spectrum antibiotics. In case of bacterial gingivitis, antibiotics are prescribed: Erythromycin, Amoxicillin, Metronidazole, Ciprofloxacin. It is important to strictly follow the recommendations for dosage and duration of use
  • Local application of gels and ointments. Metrogyl Denta, Asepta, Troxevasin, Cholisal contain antiseptic, analgesic and anti-inflammatory components. They improve the condition of the gums and have an anti-inflammatory effect
  • Saline solutions for rinsing. Solutions prepared at home with salt, iodine and soda have an antiseptic effect and eliminate discomfort

In case of hormonal disorders, additional studies are carried out, based on the results of which doctors prescribe glucocorticosteroids. It is important to visit the dentist regularly to monitor the condition of the disease and adjust treatment.

Parodontitis therapy in children

When choosing a treatment regimen, doctors take into account the stage of periodontitis and the characteristics of its course. To eliminate the inflammatory process, the following methods are used:

  • Professional teeth cleaning from plaque
  • Treatment of caries
  • Bite correction with braces
  • Use of medicinal applications
  • Cleaning periodontal pockets and interdental spaces (in difficult cases)
  • Strengthening the immune system with the help of immunomodulating drugs, vitamin and mineral complexes
  • Antibiotic therapy in the presence of a bacterial infection

In addition to medical procedures, gum massage plays an important role, stimulating blood circulation. Dentists explain in detail to parents how to perform this procedure at home.

Physiotherapy procedures - darsonvalization and laser therapy - are useful for rapid tissue restoration. In cases of severe gum damage where deep pockets form, surgery may be required.

Important! Regular oral care helps prevent periodontitis. It involves thoroughly brushing your teeth every day with a toothpaste containing antibacterial ingredients, using dental floss to clean between teeth, and using antiseptic rinses for complete oral hygiene.

As far as nutrition is concerned, foods containing antioxidants and omega-3 fatty acids are beneficial for the prevention of periodontitis. It is worth including fermented milk products in your child’s diet to maintain healthy oral microflora. You should also add nuts and seeds, rich in healthy fats, and green vegetables, such as spinach and broccoli. They contain vitamins and minerals essential for healthy gums.

The use of anesthesia in pediatric dentistry

The use of anesthesia and sedation in the treatment of primary teeth in children is often justified and even recommended. It is important to understand the difference between these methods:

  • Sedation helps calm the child and reduce anxiety before the procedure. For this purpose, doctors use safe means, for example, nitrous oxide. It does not anesthetize, but only relaxes the baby
  • Anesthesia. Involves complete immersion of the child in sleep during treatment. For this purpose, drugs such as sevoran (through a breathing mask) and propofol (intravenously) are used. They do not have a negative effect on the child’s nervous system

Treatment of children's teeth under anesthesia is recommended in the following cases:

  • Difficulties in establishing contact between the doctor and the child
  • The child has a strong fear of dental procedures
  • Upcoming complex or multiple interventions, for example, removal of several teeth or treatment of deep caries

For preschoolers and primary schoolchildren, staying in a dental chair for a long time can be difficult. Pediatric dentistry with anesthesia allows you to carry out the necessary procedures without discomfort and pain.

The use of anesthesia in pediatric dentistry
Our doctors
Shcherbakova
Valentina Frantsevna
Head of the Department of Dentistry, dentist
Egorova
Natalya Vasilevna
Head of the Department of Dentistry, dentist-therapist
Elfimova
Natalya Vladimirovna
Head of the dental department, dentist-surgeon, implantologist
Cherkasov
Alexei Andreevich
Dentist-surgeon, implantologist, therapist
Samoilova
Nana Nugzarovna
Dentist-therapist, microscope
Ivashkevich
Sergei Georgievich
Dentist-surgeon, implantologist
Samartseva
Natalya Victorovna
Dentist-surgeon, implantologist, therapist
Korneeva
Evgeniya Sergeevna
Dentist-surgeon, periodontist
Bagaev
Omar Makhachevich
Dentist-therapist, pediatric
Grigoryeva
Regina Bogdanovna
Dentist-therapist, endodontist
Najaryan
Liana Artyomovna
Dentist-surgeon, implantologist
Kholina
Evgenia Nikolaevna
Dentist-therapist, pediatric
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Children's dentistry Pediatric dentistry under anesthesia AirFlow teeth cleaning Treatment of caries of milk and permanent teeth Crowns for baby teeth Removing a baby tooth Dental remotherapy in children Plastic frenulum of the tongue
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