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

Modern methods of diagnostics and dental treatment at "K+31"

Our doctors

Shcherbakova Valentina Frantsevna
Experience 30 years
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Shcherbakova
Valentina Frantsevna
Head of the Department of Dentistry, dentist
Elfimova Natalya Vladimirovna
Experience 12 years
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Elfimova
Natalya Vladimirovna
Head of the dental department, dentist-surgeon, implantologist
Cherkasov Alexei Andreevich
Experience 18 years
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Alexei Andreevich
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Bogdashin Sergey Vladislavovich
Experience 25 years
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Sergey Vladislavovich
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Artyomov Yanislav Alexandrovich
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Yanislav Alexandrovich
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Samoilova Nana Nugzarovna
Experience 13 years
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Nana Nugzarovna
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Ivashkevich Sergei Georgievich
Experience 30 years
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Ivashkevich
Sergei Georgievich
Dentist-surgeon, implantologist
Podshekoldina Elena Nikolaevna
Experience 16 years
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Podshekoldina
Elena Nikolaevna
Dentist Therapist
Matevosyan David Aramovich
Experience 11 years
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Matevosyan
David Aramovich
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Samartseva Natalya Victorovna
Experience 19 years
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Natalya Victorovna
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Eloev Arthur Tamerlanovich
Experience 13 years
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Eloev
Arthur Tamerlanovich
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Vataev Vladislav Olegovych
Experience 16 years
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Vladislav Olegovych
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Pivovarova Natalya Sergeevna
Experience 9 years
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Pivovarova
Natalya Sergeevna
Dentist, hygienist
Bagaev Omar Makhachevich
Experience 19 years
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Bagaev
Omar Makhachevich
Dentist-therapist, pediatric
Zakharyan Georgy Karenovich
Experience 16 years
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Zakharyan
Georgy Karenovich
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Kuznetsova Larisa Nikolaevna
Experience 28 years
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Larisa Nikolaevna
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Sukhareva Darima Tsyrenovna
Experience 10 years
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Darima Tsyrenovna
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Grigoryeva Regina Bogdanovna
Experience 23 years
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Grigoryeva
Regina Bogdanovna
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Melkumyan Ivan Mikhailovich
Experience 5 years
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Melkumyan
Ivan Mikhailovich
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Golubev Vitaly Viktorovich
Experience 23 years
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Vitaly Viktorovich
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Pavliy Yulia Vitalievna
Experience 14 years
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Yulia Vitalievna
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Najaryan Liana Artyomovna
Experience 5 years
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Najaryan
Liana Artyomovna
Dentist-surgeon, implantologist
Sharifov Eldar Rasimovich
Experience 6 years
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Eldar Rasimovich
Dentist-therapist
Sanikidze Nino Nugzarovna
Experience 13 years
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Sanikidze
Nino Nugzarovna
Dentist Orthodontist
Ibragimova Olesya Kayinbekovna
Experience 17 years
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Ibragimova
Olesya Kayinbekovna
Dentist-therapist, microscopist
Sahakyan Arpine Argishtovna
Experience 8 years
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Sahakyan
Arpine Argishtovna
Dentist, pediatric dentist
Geraskina Inna Igorevna
Experience 10 years
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Geraskina
Inna Igorevna
Orthodontist
Nikolaeva Irina Yuryevna
Experience 30 years
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Nikolaeva
Irina Yuryevna
Dentist surgeon, periodontist
Avdeeva (Sokolova) Anastasia Eduardovna
Experience 11 years
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Avdeeva (Sokolova)
Anastasia Eduardovna
Dentist, pediatric
Shapran Sergey Olegovich
Experience 9 years
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Shapran
Sergey Olegovich
Dentist-surgeon
Lebedeva Natalia Mikhailovna
Experience 5 years
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Lebedeva
Natalia Mikhailovna
Orthodontist
Ozerova Elena Valerievna
Experience 23 years
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Ozerova
Elena Valerievna
Dentist
Lebedeva
Taisia Mikhailovna
Dentist-therapist, pediatric dentist
Ponomarchuk Anastasia Sergeevna
Experience 6 years
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Ponomarchuk
Anastasia Sergeevna
Dentist-surgeon, periodontist
Gulyutkin Alexander Mikhailovich
Experience 5 years
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Gulyutkin
Alexander Mikhailovich
Dentist-therapist
Mitroshenkov Pavel Nikolaevich
Experience 40 years
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Mitroshenkov
Pavel Nikolaevich
Maxillofacial surgeon
Dergunova Anna Olegovna
Experience 10 years
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Dergunova
Anna Olegovna
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Pavlovskaya Evgeniya Olegovna
Experience 12 years
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Pavlovskaya
Evgeniya Olegovna
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Shchepetina Anastasia Yurievna
Experience 5 years
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Shchepetina
Anastasia Yurievna
Orthodontist
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Reviews 10

Yanislav Aleksandrovich was recommended to me by a friend and I have never regretted working with him! He explained and answered all my questions methodically and thoroughly, treated my caries with a light professional hand and did a cleaning. I will definitely recommend him to anyone who is looking for a general dentist and wants to take good care of their teeth again. Yanislav Aleksandrovich is a great professional and a good person)
14.09.2025
Dmitry
Yanislav Aleksandrovich is a wonderful specialist! It's always not scary at the reception, calm and even a little funny. He will calmly tell and show everything, quickly and efficiently cure, and refer you where necessary. Thank you for your work))
14.09.2025
E. Zoya Alekseevna
I am very pleased with the examination by Natalia Sergeevna. She explained in detail how to perform oral hygiene, clearly and understandably. I will definitely come back
13.09.2025
M. Valeria Alexandrovna
The best doctor! Explained everything, did everything carefully, surgeon from God!
13.09.2025
M. Ksenia Alexandrovna
I have already visited the wonderful Natalia Sergeevna many times. An excellent specialist, everything is always very neat and precise. Very attentive and caring, after the appointment she asks several times about how you feel. The clinic management should encourage such employees :))
11.09.2025
K. Ivan Alekseevich
Good day! I had a complex, multi-faceted treatment with Elena Nikolaevna. I am very delighted with the specialist's work and would like to share my positive impressions! Elena Nikolaevna is a very competent and experienced dentist, with a large set of professional skills and competencies. Thanks to this, the complex treatment was painless and as effective as possible. I would also like to note the high level of care for the patient and the focus on his comfort. Elena Nikolaevna is always in a good mood, friendly and looks great, it is very interesting and pleasant to talk to her. Many thanks to Elena Nikolaevna for her work, and to the K31 clinic for having such high-level specialists!
11.09.2025
Z. Daniil Gennadievich
Thanks to Eldar Rasimovich! Attentive, sensitive, a professional in his field!
09.09.2025
P. Alexander Nikolaevich
Professional and well-coordinated work of the doctor and assistant. Thank you
09.09.2025
K. Galina Mikhailovna
Very good doctor, thank her very much
09.09.2025
J. Dmitry Igorevich
Delighted with the doctor! The most comfortable appointment in my entire history of visiting dentists in different clinics.
09.09.2025
K. Victoria Alexandrovna
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Почему К+31?
К + 31 — full-cycle multidisciplinary medical centers, including the possibility of providing medical services of European quality level.
К + 31 — are leading doctors and diagnostics using high-tech equipment from world manufacturers (Karl Storz, Olympus, Siemens, Toshiba, Bausch&Lomb, Technolas, Zeiss, Topcon).
К + 31 — is ethical. The staff of K+31 clinics maintain open relationships with patients and partners. An individual approach to each patient is the basis of our service standards.
К + 31 — is modernity. On call 24/7: call center operators will answer your questions at any time and book you an appointment with doctors. Contact us by phone, through the feedback form on the website and WhatsApp.

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K+31 on Lobachevskogo

st. Lobachevskogo, 42/4

+7 499 999-31-31

Subway
1
11
Prospect Vernadsky Station
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Lobachevsky, we pass the first barrier (security post of the City Clinical Hospital No. 31), turn right at the second barrier (security post K+31)
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Mon-Fri: 08:00 – 21:00
Saturday: 09:00 – 19:00
Sunday: 09:00 – 18:00
K+31 Petrovskie Vorota

1st Kolobovsky pereulok, 4

74999993131

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9
Tsvetnoy Bulvar
10
Trubnaya
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Moving along Petrovsky Boulevard, turn onto st. Petrovka, right after - on the 1st Kolobovsky per. Municipal parking
Opening hours
Mon-Fri: 08:00 – 21:00
Sat-Sun: 09:00 – 19:00
K+31 West

Orshanskaya, 16/2; Ak. Pavlova, 22

74999993131

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3
Molodezhnaya
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Moving along Orshanskaya street, we turn to the barrier with the guard post K+31. You do not need to order a pass, they will open it for you
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Sat-Sun: 09:00 – 18:00
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