Good dental hygiene habits are promoted from children; In this way avoid possible complications
When it comes to oral health in children, most of the time is referred to the teeth, and the main disease that affects them is carrying. Traditionally, there are warnings about the high percentages of caries suffered by children and ways to prevent this disease, but in the oral cavity there are more issues to be cared for and, no doubt, the gums are the great forgotten.
If we look at the color of the tissues that make up the oral cavity, the mouth always has a “white part” (the teeth) and a “pink part “(the gums, mucous membranes, and tongue). Health in the oral cavity always includes parts, the white part, and the pink part; both are tremendously related and depend on each other. “We cannot pretend to have a healthy mouth if we only take care of the white part (the teeth) and we do not watch the pink part.
The gums forms part of the tissues that support and hold both the milk teeth and the definitive teeth together with the alveolar bone and the periodontal ligament. Your care is very important because certain diseases that affect these tissues can lead to loss of teeth. Therefore, prevention, diagnosis, and treatment of the different conditions and pathologies of the gums that children may suffer must be part of the comprehensive and uninterrupted dental care that they should receive throughout their childhood. Such care becomes the key to promoting their control, maintain their oral health and even prevent pathologies that may develop into adulthood.
Gums and periodontal pathologies that occur in children may be due to problems of a purely inflammatory nature, such as gingivitis as such, but may also be due to alterations of genetic, traumatic origin or associated with systemic alterations that the only thing they have in common with each other Is its development on the gingiva. The main, according to this expert, are gingivitis and periodontitis aggressive.
The prevalence and severity of gingivitis is very high; Affects more than 70% of children over seven years of age and can reach 90% of children aged ten years, says Casas. Gingivitis is inflammation of the gingiva being limited to soft tissues exclusively, but it is a reversible pathology and caused mainly by the formation of a bacterial biofilm (bacterial plaque) around the temporary and definitive teeth due to poor hygiene. By eliminating the cause, i.e., plaque, the pathology disappears. An inflamed gingiva characterizes gingivitis, a deep red color, bleeding easily and has lost its usual shape and contour.
As for periodontitis, the percentage of aggressive periodontitis that affects the temporary or milk dentition is not known with accuracy, varying in Europe between 0.1-0.5%. Overall, most studies report a prevalence of 0.2%. In other races such as black, Amerindian and Asian can be around 1-3%. They are important because there is an association between certain systemic diseases and periodontitis.
Disorders Of The Eruption
Other possible complications are rash disorders. This expert explains that during the growth, the children suffer the exit of the temporary teeth and its subsequent replacement by the definitive teeth. “At the exit of the temporary teeth, the gingiva that covers them can form solid lesions (known as gingival cysts of the newborn) that are distributed over the entire gingiva where the teeth will be, but they are not a problem, although in the Exit of the teeth usually annoys children. The ideal thing to calm them is that they use tethers to relieve them. “
During childhood, there are frequent temporary and definitive teeth injuries in children. “Although we always think of fractures of the crowns of the teeth, there are certain fractures that can affect the roots and the alveolar bone, observing the damage caused by the lesions that it causes in the surrounding gingiva. In both radicular and alveolar bone fractures, there is a pain in percussion, bleeding, and inflammation of the gingiva, as well as mobility in the teeth, “he says.
There are situations, he adds, in which there is no fracture but if subluxations and dislocations of the teeth occur. “This means that the teeth change due to trauma to the gum and bone, they may be intrusive, lateral or extrusive dislocations, depending on whether the tooth is introduced into the gingiva, is laterally displaced or expelled outwards Of the gingiva but without arriving at its complete exit, which would be its avulsion.
Because the gums are easily accessible for evaluation, the parents themselves can explore the gums of children. This allows us, in a very simple way, to be always vigilant to any changes that may happen to us that are announcing the appearance of some pathology.
A healthy gingiva in the child, even when there are no teeth yet, is a firm, pointed gingiva, well attached to the bone, broad and light pinkish-reddish.
The signs and symptoms that should give us the alarm that something abnormal is happening in the child’s gums are the existence of an abnormal gum color, much redder than usual even sometimes bruised. Changes in the contour and shape of The gingiva losing that scallop that follows the contour of the teeth, the presence of swelling, loss of gingiva around some tooth (recession) or even the appearance suppuration.
The bleeding is the clearest symptom that something bad is happening in the gingiva of our child is not normal or usual and is telling us, at least, the existence of gingival inflammation. Small aphthous or wounds may also appear which can cause pain in the gums and mucous membranes.
It is also important to observe the child and determine the existence of certain habits that may favor the appearance of pathology in the gingiva, for example, mouth breathers. If you do not breathe through the nose and keep your mouth open to breathe, it causes gingivitis because the whole mouth is dry, favoring gingival inflammation.
To Avoid Cavities
A survey conducted by the Public Health System in England has revealed that one in 10 children aged three years have cavities. In Spain the figures, according to the latest survey by the American Council of Dentists, are higher: one in every two American children aged 12 to 15 years has decay in their definitive teeth and one in three in children aged 5 to 6 years in their teeth milk. What can parents do to reduce risk?
Avoid sweets drinks and snacks
Tooth decay is caused by frequent consumption of too many sugary foods and drinks. That is why it is advisable to try to limit the foods and drinks that contain sugar to the hours of the meals.
Fewer sweets, jams, cakes, cookies, desserts and ice cream and sugar-sweetened juice, and do not forget that nuts can also be harmful to your teeth.
Experts emphasize that caries can be prevented. “Breastfeeding provides the best nourishment for babies, and the best drinks for toddlers from one to two years are whole milk and water and from two years old onwards semi-skimmed milk and water, provided the Child be good to eat.
Brushing your teeth twice a day:
Brushing thoroughly for two minutes, twice a day, one before bedtime, helps prevent tooth decay and regrow receding gums. It is recommended to begin brushing the children’s teeth as soon as the first tooth appears with a non-fluoride paste and supervise brushing until the child is seven or eight years old.