Holes in baby teeth – tooth decay in children

Caries is a disease that causes tooth decay. If the child regularly get their teeth carefully brushed and do not eat sweet snacks too often, you can prevent tooth decay.

Milk teeth are particularly susceptible to tooth decay because they are thinner than the adult teeth. Despite the fact that the child will lose their milk teeth, it is important to take care of them.


The symptoms of tooth decay are usually not until it has gone so far that the child has an infection of the tooth and aches. Then it is difficult to cook. It is good if the child comes to the controls dentistry call to, because then caries detected in time.

The first visible sign of tooth decay is called kritk aries or enamel caries. In children there kritk aries often maxillary incisors white and sometimes raucous stripe along the gumline.

The same superficial caries may exist between the teeth, but where you can not see the change with the naked eye. This is partly why the dentist X-ray the teeth. With the help of X-rays see the dentist damage to the tooth surfaces that are not visible otherwise. The dentist can also see how far into the tooth that a hole has been reached.

This superficial caries damage gives no trouble, and can heal itself if it improves the child’s eating habits , brushing teeth clean and give the child fluoride supplements by, for example, fluoride toothpaste and fluoride tablets.

Deeper injuries can cause problems

A caries can spread inside the tooth fixed entrance aperture is small tooth tuggyta or just below the contact area between the teeth. Once it has spread enough and the baby chew on something hard as possible “ceiling” in the hole apart. Then it may appear that the child suddenly has got a big hole, though the attack, in fact, been going a long time without it has been labeled something.

When caries has reached into the dentin, it has generally gone so far that the dentist must prepare the tooth with a filling or sanding the damaged part of the tooth.

If the hole is not repaired, the child may have pain when chewing, especially when it eats something sweet or cold. Finally, the child can get real toothache with swelling and was around the tooth. Then the tooth nerve is infected and died. The infection has spread to the jawbone and there is a risk that even the predisposition to the permanent tooth may damage visible when it arrives. Such a damaged tooth must be removed.

An infected oropharyngeal general behavior. The pain may make the child does not want or can eat, so maybe the baby is not gaining weight properly. The child may also have difficulty sleeping.

When should we seek medical care?

Contact dentist if you notice that the child seems to have a tooth ache, swollen and sore around the tooth, have difficulty chewing or if you see white spots on the teeth. The earlier the child gets treatment, the easier it is to fix teeth.

How do we reduce the risk of holes?

Regular brushing with fluoride toothpaste and better eating habits makes superficial holes can heal and the child will not get the new holes. That itself prevent tooth decay is always the best treatment.

  • The most important self-treatment for caries is to
  • brush your teeth morning and night with fluoride toothpaste
  • let the teeth rest between meals and throughout the night
  • drink water between meals
  • be mindful of new teeth in the back because they are extra sensitive.

Start brush when the first tooth will

A new tooth is particularly fragile and sensitive to caries. When the first teeth start to come up, it’s time for the child to become familiar with the toothbrush in a soft and playful way. As soon as the first teeth come should any adult teeth brushing with fluoride toothpaste on the child twice a day, morning and evening.

Brushing should be done carefully so that the teeth are clean and gums are kept healthy and do not bleed when you brush. Toothbrushing in the evening is most important, then get your teeth sleep when the baby sleeps. The toothbrush should be small and have very soft bristles.

Maxillary incisors can easily holes along the gumline. Therefore it is important to keep away the lip so that it looks good and access to brush special there.

Clean in the mouth overnight

Nattmål or bottle with something other than pure water when the baby to sleep increases the risk of tooth decay. The food remains all night because of the saliva, lips, cheeks and tongue self-cleaning of the teeth stay in sleep. Should the child go to sleep right after the meal so it is good to clean the mouth with a soft toothbrush and fluoride toothpaste the baby sleeps.

Children under three, and sometimes even children with funktionsnersättning, have poorer self-cleaning in the mouth. They need help to finish the meal with drinking water.

Recognize six teeth

When the first cheek tooth comes it’s time to start brushing on a more systematic way. The new molars are usually bumpy and is difficult to access, so that they are hard to brush properly clean. Six-year tooth is that of all the permanent teeth which usually gets deep caries and usually need treatment. A good rule is to look far back in the mouth from the age of five, to six teeth detected and thus brushing early. You can always contact the dentist for a visit to be added earlier if you suspect a hole in a tooth.

Bacteria and sugar form acid

Almost all children and adults have bacteria in the mouth that can cause tooth decay. The bacteria will be more in the mouth if the child does not brush their teeth regularly and frequently eat sweet snacks.

The child’s milk teeth are affected more quickly by bacteria, because the teeth are thinner than the adult teeth that come later. This means that the distance to the dentine and tooth nerve is shorter, it gets faster infection and make milk tooth more difficult to cook.

In order to be able to get a needed caries bacteria deposits on the tooth surface and sugar. The bacteria form acid from the soluble carbohydrates such as sugar. The acid dissolves the enamel and the process may take place undisturbed formed a hole. Sheep tooth resting saliva can neutralize the acid and restore the tooth surface. Brushing your teeth clean of bacteria coating also stops the decay process.

When you’ve got a hole in the tooth, other bacteria grow inside the hole. Thus, bacteria and acid work up to the tooth nerve. In the end you get a toothache due to nerves and blood vessels in the pulp becomes irritated.

Children can get tooth decay bacteria by their parents

Children can get tooth decay bacteria from adults in the environment that has very caries bacteria. The child is infected and the risk increases to get cavities early in age. Therefore, it is good for children’s teeth that even the adults in their care of their teeth in a good way.

Surveys and studies

From the age of three, but mostly from the one or two years of age, all children visiting Dental Clinic and then called to regular dental visits . Up until the age of 19 children are entitled to free dental care, even in a private dentists. In some counties and regions are given free care even for older youth.

How does the survey work?

Caries Study is usually done by a dentist or dental hygienist. A dental assistant can make a dental health examination, and if anything is to be called a dentist.

When the tooth made dry with compressed air the examined with a mirror. It is done to examine the changes in tooth color or transparency that can reveal that the tooth is not great. Caries can have a very small entrance into the tooth and then spread out inside the tooth crown. To know if the tooth is healthy and pits in the tooth tuggyta is hard dentist or hygienist uses a thin, pointed instrument called a probe.

For early detection of tooth decay between teeth and also kariesangreppets propagation inside the dental crown used X-ray. The first X-ray images are usually taken at about age five or when the milk teeth are in contact with each other. Have the child when no signs of caries can usually go two or three years before the next X-ray is taken.


When there is already a hole in the tooth, the dentist do a repair. How it is done depends on the child’s age and ability to cooperate. Together with the child and the adult puts dentistry a treatment plan. In the case of very young children often try to make a temporary repair that prevents the hole gets bigger.

Most children over three years generally manage to have their teeth repaired. It is good if the child can get on acclimatization and practice different elements for the planned treatment. If the child is still anxious, or if the treatment is so urgent that it can not wait for the child to be inskolat, there are tools that nitrous oxide, tranquilizers, or in some cases general anesthesia.

No plastic fillings

Milk Teeth Front teeth usually are not repaired with filling without sanded so that the toothbrush access to clean. Milk teeth further back repaired usually with a so-called glass ionomer cement.

Glass ionomer cements contain no hazardous materials, but can be enhanced with a little plastic. Glass ionomer fluoride binds to itself and thus can strengthen tooth surfaces around the caries. Moreover capable glasjonomercementet in a good way the changes taking place in the child’s mouth as it grows. The material is a bit softer and wears down to fit in a child’s mouth.

The dentist selects the filling materials according to how big the hole is and where it sits. The experience of the filling material used today is good and given milk teeth relatively short life they can manage well. Milk Molars are important for bite up to about the age of ten.

Sometimes it is best to pull the tooth

One of the milk teeth tasks is to keep the space for the permanent tooth that will come after. Especially milk molars may have significance for the bite, and therefore avoids the dentist to pull them out unless it is necessary. Sometimes it can be that a milk molar no longer has significance for the bite. If it has a big hole dentist may opt to remove the tooth instead of cooking it.

Milk teeth that have holes that went in to the tooth nerve pulled almost always out. If it has formed around the root was always pulled the tooth out that the infection will not spread.

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