Sunday, February 28, 2021

The 13-year-old girl’s mouth is rotten to the dentist: prevention should start from childhood! -Instant News-Free Health


The dentist reminded that the prevention of dental caries should start from an early age. The characters in the picture have nothing to do with this article. (Data photo)

Text/Zhuang Lijuan

One day our outpatient clinic came to a very well-behaved 13-year-old girl. After the intern examined her oral cavity and X-rays, she found very serious tooth decay in her mouth. The intern rushed to me nervously and told me, “What to do! Little girl, none of the teeth are intact. Every one is decayed. At least 10 teeth become rotten roots and need to be extracted. At least 6 permanent teeth need root canal treatment. The remaining teeth may have to try It can be filled, otherwise it will be wrapped with braces!”

Asked how children and their parents usually take care of their children’s teeth, and found that the parents are very busy at work and rarely take their children to see the teeth in the dental clinic. The children themselves do not really brush their teeth with dental floss, which has caused very serious full-mouth caries. The gum in the left lower molar area was swollen and the face was also swollen. Nowadays, interventional treatment has become very difficult. How to reconstruct function and beauty, and take into account the growth of facial jaw bone and alveolar bone, has become very complicated.

The rate of dental caries in children increases rapidly with age, more than half of 4 years old have dental caries

However, dental caries is the most common oral disease in children. According to a survey conducted by the Ministry of Health and Welfare in 2018, the caries rate of 1-year-old children in China is 2.31% (the average number of deciduous teeth and filled teeth (dft=0.06)), and the caries rate of 2-year-old children is 14.68. % (Dft=0.51), the caries rate of 3-year-old children was 42.70% (dft=1.81), the caries rate of 4-year-old children was 56.66% (dft=2.73), the caries rate of 5-year-old children was 65.43% (dft=3.44) With the increase of age, the dental caries rate and the average number of dental caries and filled particles will increase rapidly.

Moreover, children with tooth decay experience are 60% more likely to have tooth decay in the future than children without tooth decay experience. Once tooth decay starts, if proper treatment and prevention are not given in time, and oral hygiene habits are improved, they will enter the malignancy of rapid expansion of tooth decay During the cycle, the number of decayed tooth surfaces continues to increase, causing children to have toothache or chewing difficulty and unsightly, and become a nightmare for children, parents and dentists.

Decalcification is irreversible if it has time to damage the tooth

The process of dental caries starts from the initial mild decalcification. At this time, if fluoride can be supplemented and cleansing is strengthened, there is a chance that the slight decalcification process can be reversed, but once the tooth quality is lost, it becomes an “irreversible” process. Gradually become larger and larger cavities, so trying to preserve the intact tooth texture is the most effective way to prevent the occurrence of dental caries!

The functions of teeth, including biting, speaking, and seeing:

1. Maintain normal occlusal and chewing function: tooth decay will affect children’s occlusion and chewing, which in turn affects eating and causes difficulty in intake of nutrition.

2. Pronunciation: If the tooth quality is damaged due to severe tooth decay, especially in the incisor area, it may not be able to make the correct labial and dental sounds, which may cause air leakage in speech.

3. Beauty: If there are obvious large cavities in the anterior tooth area, it will affect the beautiful smile and may also damage the child’s self-confidence. In addition, severe posterior tooth decay will cause the teeth to fail to perform their normal chewing function, and the development of chewing muscles will be limited, affecting the development of the face shape.

Four essential factors for dental caries are indispensable

Teeth have such an important function, how to prevent tooth decay? First of all, we need to know that there are 4 major factors that cause tooth decay: teeth, bacteria that cause tooth decay (plaque), food, and time. To cause tooth decay, four factors must exist at the same time.

We can take some preventive measures against these 4 factors:

1. Reduce the amount of “dental plaque”: keep the mouth and teeth clean, such as brushing and flossing.

2. Reduce the “time” of food staying on the teeth to ferment: Keep the mouth and teeth clean, such as brushing and flossing.

3. Reduce the “food” you like to eat dental plaque: the right choice of food and the concept of the right diet.

4. Enhance the ability of “teeth” to resist dental caries: the use of fluoride and gap sealing.

In view of the fact that the prevention of dental caries should be started from an early age, Chang Gung Memorial Hospital has planned the oral health care plan for school children from 2020 and produced lively health education videos. The Minister of Health and Welfare Department Chen Shizhong was specially invited to take the role of the doctor in the film and personally teach the children how to use it correctly. Dental floss, a separate oral hygiene education kit, and arrange for a dentist to walk into the campus to teach children to brush their teeth and use dental floss, to develop the habit of cleaning teeth from an early age, and jointly promote the oral health of the children.

(The author is the director of the Department of Pediatric Dentistry, North Campus, Chang Gung Memorial Hospital)

The dentist reminded that the prevention of dental caries should start from an early age. The characters in the picture have nothing to do with this article. (Data photo)

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