Why are Some Children Prone to Tooth Decay?
Tooth decay risk affects treatment plan
Although the principle of treating teeth is “treat whichever is problematic (sounds reasonable)”, in fact, the teeth in the mouth will affect each other: the front and rear teeth will affect each other, and the upper and lower teeth will affect each other. Tooth is actually a complex structure that is independent and traction with each other.
In addition to the mutual influence in the oral environment, the behavior of the human body will also affect the oral environment, eating, drinking, brushing, etc. The links are linked to each other, from the microscopic single tooth condition to the macroscopic overall human body behavior. In order to develop a good dental treatment plan, taking all these conditions into consideration.
So Ruyi and Yingluo’s treatment plans are different because they have different risk of tooth decay!
Then this involves another problem: how to assess the child’s risk of tooth decay? At present, it is still recommended to focus on the judgment of doctors. The American Academy of Pediatric Dentistry (AAPD) has listed some judgment standards since 2006, and the latest version is 2014. Please see the simple Chinese translation below.
Behaviors with high risk of tooth decay
Tooth decay is caused by bacteria, and tooth decay bacteria are transmitted to children from parents or carers who take care of children. Therefore, if the parents themselves have tooth decay, the children may be infected and the risk of tooth decay will increase.
However, some parents in the lower and middle levels of society may have a hard life in normal life. It is already great to be able to raise their children. They may not have extra energy to take care of their children’s oral hygiene. Therefore, although they are cruel, their socioeconomic status is relatively high. Low parents are also a risk factor that makes children more prone to tooth decay.
Tooth decay has nothing to do with how much you eat. What is more relevant is that you eat “several times” a day. In addition to regular meals, regular snacks will also increase the risk of tooth decay. What is eating too often? The standard for AAPD is to eat more than 3 sugary snacks or beverages in addition to meals a day, even if the risk factor of tooth decay is high.
Then there is milk to sleep, which does not exist before there are teeth (of course there is no tooth decay without teeth). But after having teeth, sleeping with milk is actually one of the reasons why children often have (severe) tooth decay. Drinking milk or drinking sugary drinks to fall asleep is also a high-risk behavior for tooth decay.
Some children have special medical needs, such as physical and mental disabilities that make it impossible for patients to brush their teeth at all. They can only rely on their parents to brush their teeth, which makes parents more concerned about oral cleaning than ordinary children. There is a moderate increase in the risk of tooth decay for those who need extra care for oral hygiene.
Protective factors to reduce the risk of tooth decay
There are factors that increase the risk, and of course there are some factors that reduce the risk. The most important thing is the use of fluoride. Is fluorine coating effective? Nowadays, the dentist community generally believes that moderate use is effective in preventing tooth decay.
There are many ways to use fluoride, such as adding fluoride to drinking water, supplementing fluoride (such as using fluoride mouthwash and fluoride tablets), applying fluoride to dentists, and brushing teeth with fluoride toothpaste.
Regular dental check-ups can allow children’s dentists to apply fluoride to their children. It can also clarify some parents’ doubts about the cleaning and care of their children’s oral cavity. It is recommended that children should be taken to see the first dentist in their lives after teething and before one year old. Up.
Finding these things when looking at the teeth represents danger
The assessment of the risk of tooth decay by these usual habits such as eating and cleaning can only be said to be risky, but it does not mean that it will happen. The most accurate risk assessment factor is actually to go back to the tooth itself. If the young patient really has tooth decay, it means that his risk of tooth decay will be relatively high.
How many cavities are needed to be considered a higher risk of cavities? According to the AAPD standard, children under 5 years old, as long as there is a tooth decay in the mouth, or a filled tooth, or an extracted tooth, it is considered a high risk factor for tooth decay!
In addition to tooth decay, decalcification on the surface of the tooth, which represents fast tooth decay, or the tooth itself is more sensitive to damage due to poor development, are all high risk factors for tooth decay.
Tooth decay is caused by bacteria, and there are many kinds of bacteria in the mouth. Some will make your teeth decay, some will make you get periodontal disease, and some will produce melanin to make your teeth look black. The common tooth decay bacteria is Mutans Streptococci. If the content of this tooth decay bacteria in the mouth is higher, the child is more prone to tooth decay.
And if you see plaque accumulation on the teeth when you check your teeth, because plaque is not something that will accumulate immediately after eating, it means that you may not be very clean for a while, so you can see dental bacteria when you check the teeth Plaque accumulation also means that the teeth may not be cleaned very well, which is considered a moderate risk factor for tooth decay.
The final judgment is still on “people”
After comparing these checklists, Ruyi has 4 high-risk factors, 1 medium-risk factor, and 2 low-risk factors, while Yingluo may have 1 high-risk factor, 1 medium-risk factor, and 4 low-risk factors, so Ruyi’s risk of tooth decay is lower than Yingluo’s. Yingluo’s dental treatment plan can be conservative, while Ruyi’s treatment plan can be positive.
However, the checklist is dead, and the actual situation is much more complicated, so AAPD also said that in fact, doctors can determine certain risk factors based on the results of dental examinations, which may be particularly important to judge the patient’s overall risk of tooth decay. For example, some people have super thick accumulation of dental plaque. Even if he is regularly applying fluoride, the doctor may still believe that he is a child with a high risk of tooth decay.
In addition, although the dentist has formulated a set of treatment recommendations based on the child’s risk of tooth decay, the determination of the treatment plan can only be determined after the parents and the doctor reach a consensus. If the treatment plan is not the best, see the doctor-child-parent How to reach consensus with each other. When treating tooth decay, dentists must not only consider the condition of the teeth, but also the condition of the “person” who owns the teeth, so that they will not lose sight of the small things and forget the basics.
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