Child teeth or Milk teeth are extremely important for the growth and development
of the dentofacial region as well as the entire body. As we all know it
helps in proper chewing and ingestion of food there by maintaining a well balanced
diet & nutrition.
If a cavity is detected on a milk tooth it should be filled and taken care of till
it is exfoliated. Early removal of milk tooth can lead to adjacent teeth moving
to that space and prevent proper growth and eruption of the permanent tooth. It
will also affect the proper bone development in the region.
Certain dental & bone anomalies can be corrected during this age and some can be
corrected only at this stage. Various treatments available for children are
Various advanced materials are available today to fill only the decayed part and
prevent removal of good tooth structure.
This is done in painful cavities where normal fillings can’t be done. The portion
of the pulp or nerve which is infected is removed and medicaments are placed.
In this treatment the entire pulp is removed and alternative materials are placed
Ready made crowns are inserted to severely decayed teeth. It is done in pulp treated
tooth as well as non treated tooth depending on the case.
5. Space maintainers
Space maintainers are used when there is a missing milk tooth or when a tooth is
removed due to infection. The space of the tooth is maintained till the permanent
tooth is erupted using appliances custom prepared in the laboratory. This prevents
the damages caused due to early loss of milk teeth.
6. Flouride Application (preventive)
Flouride if applied at the safe levels are very good in preventing cavities. Flouride
gels are taken in tray and placed it on upper and lower teeth for a few minutes
and it is repeated at a fixed interval. This can prevent dental decay to a great
7. Pit & Fissure sealants (preventive)
The depth and shape of the pits and fissures on the chewing surface of milk teeth
decides the chances of dental decay in back teeth of children. If they are deep
and shallow, there are chances of food and chocolates to get trapped in these fissures
and pits and cause decay. The trapped food materials cannot be cleaned by normal
As a preventive measure, these pits and fissures are sealed using materials like
Glass Ionomers or composites. Once sealed the area is smooth and there will not
be food trapping.