Local Dental Care - Tips For Teething Babies

Stainless Steel Dental Crowns For Children's Molars

Primary (baby) molars with extensive decay, malformed enamel, advanced wear due to grinding, a missing replacement tooth, pulpotomy, or fracture may require coverage with a stainless steel crown in order to provide a durable restoration (filling).

Primary molars are shaped differently than permanent molars. Large amalgam (silver fillings) are not recommended for use in primary molars because they often fracture or crack. A fractured filling may not be evident until it falls out or until the tooth shows signs of abscess (infection). If a filling does fracture, decay may travel to the center of the tooth where the nerve and blood vessels lie. If the infection is caught early enough, a pulpotomy (described later) can be performed. If abscess has occurred, the tooth will often need to be extracted (removed). Early loss of a primary molar can create multiple other problems. Primary molars, and in particular first primary molars with decay on more than one surface, will have the benefit of a much more durable and reliable restoration with a stainless steel crown.

dental crowns. Not only are they more expensive, but the color match and the fit may not be as good. Tooth-colored crowns may appear to be bulky and the acrylic facings can fracture off, leaving exposed metal.

A primary molar may be restored with a stainless steel crown during one appointment. The decay is removed, the tooth is shaped for a crown, the appropriate size crown is selected, and the crown is cemented. The crown must be brushed when brushing the other teeth. Sticky foods such as caramels and taffy can pull the crown off. If this should occur, your pediatric dentist can usually replace the same crown in a few minutes.

A pulpotomy is necessary if bacteria have entered the area deep inside the crown of the tooth because of decay or fracture. This area is called the pulp chamber. It contains nerves, blood vessels, and other tissues that are necessary for the tooth to be healthy. A pulpotomy removes the unhealthy tissues only in the crown portion of the tooth. The nerves, blood supply, and tissues in the root(s) are not removed. If the bacteria are not removed, the tooth will abscess. A medicated filling is placed in the pulp chamber after the infected tissues are removed. A stainless steel crown should be placed in order to provide support for the walls of the tooth.

The tooth is once again healthy and in most cases will last until the Tooth Fairy says it's time to go!

by Jane A. Soxman, DDS

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.

Child Dental Health and Baby Teeth Care

Your family dentist is treating the babies of Baby Boomers now, lots and lots of them! But the new generation can expect entirely different child dental health experiences than Mom and Dad remember. Fluorides and sealants have virtually eliminated the rampant tooth decay problems of the early '50s. For Baby Boomer's Babies, cavity prevention should be, well, a piece of cake.

Teething: Baby teeth do grown-up duty

Primary teeth work hard. Those 20 teeth pave the way for permanent teeth. If they're lost prematurely, replacement teeth can crop up in unexpected, and unhealthy, places. Keep every tooth you can in that young noggin.

Boys being boys

Boys, young and old, have written the book on knocked-out teeth. If it's not a skateboard accident, it's falling off fences. But since girls are participating in sports more frequently now, statistics are expected to equalize. Good argument for a mouth guard.

Glad to meet you, Doc

That all-important first visit to the pedodontist (pediatric dentist) should come early on. The family dentist needs a little time to gain trust, so he or she would rather see a child at a young age, before he or she needs to see a drill because of cavities.

What can a parent do when the baby's brand new?

Get your child used to the feeling of clean teeth. Child dental care should begin in babyhood before teething begins by gently rubbing the teeth and gums with a pad of gauze after every feeding. This is when positive dental health attitudes begin. And never put your baby to bed with a bottle full of milk. Cavities can develop even before a child's teeth have erupted from what is known as baby bottle tooth decay.

The Tooth Fairy, bull or bear market?

What's the going rate for a lost baby tooth? In an informal survey, the highest reward for a tooth under the pillow was $5.00, reflecting a very good year for the child! More commonly, the payment ranges from 25¢ to a dollar. A youngster who banks all his money from the tooth fairy can put away $5-$20 for a rainy day.

Hey, Dude, rad braces!

Who ever thought braces could be a fashion statement? Check it out: retainers now come in neon and glow-in-the-dark colors, and elastics can be had in Monster Purple and Slime Green. Allllriiiiiight.

Barnyard pediatric dentistry

Lucky for us it's the 21st century. Dental folklore in the mid-1800's proposed this treatment for growing youngsters: "To make the teeth of children grow hastily, take the brain of a hen and rub the gums therewith." If nothing else, there was fried chicken for Sunday dinner, anyway.

Different strokes

A study of tooth brushing techniques in groups of children aged 7 through 11 shows definite styles of brushing, according to age. Younger children use long, exuberant, not-too-effective strokes (parents must help!) and fewer of them; older kids use more pressure and more frequent, shorter strokes. Just remember what every pediatric dentist will tell you: the key to good child dental health is practice, practice, practice.

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.