Prenatal Dental Care
The hormonal changes during pregnancy can directly affect the oral cavity of the pregnant woman, who may present, for example, a predisposition to gum disease and the development of cavities and erosion (acidity that causes tooth enamel wear) due to frequent throwing-up episodes. Hence, the importance of periodic cleaning and the application of fluoride during this period. Moms are made aware of the importance of breastfeeding and receive all the guidance on the choice of pacifiers, types of nipples, bottles, teethers and accessories for baby hygiene, such as finger cots and specific toothpastes. As they are going through a moment of great awareness in their life due to the magic that surrounds maternity, it is an ideal phase to educate the moms.
The Age of the 1st Consultation
With the eruption of the first teeth, at around the age of 6 months, THE FIRST VISIT TO THE PEDIATRIC DENTIST is already recommended. Towards prevention, every effort is made to avoid cavities and other ailments or cure them at an early stage, preventing major damage to the teeth, which justifies the importance of an early approach, where our goal is ZERO DECAY, i.e., to offer all conditions for the development of a healthy dentition reaching adulthood without a history of cavities. This contact from early on is important from the point of view of oral health and the psychological aspect, because the sooner the child gets familiarized with the dentistry environment, the greater its acceptance of and cooperation with the consultations. Why wait for a situation of pain to arise, where this first contact will cause the child to associate the dentist to suffering, leaving traumas that will accompany it into adulthood?
Going to the dentist always appears among the strongest fears of the population. A fact that is currently no longer acceptable, but quite understandable when we look at the procedures of the past. As in all areas / professions, so also in dentistry, current techniques, efficiency of anesthetics and modern equipment among other improvements, provide for comfort in the dentist's chair. However, getting to change these outdated ideas and competing with the media that daily insists on associating the dentist to suffering, is a constant struggle. It is up to the practitioner to care about his patient's well-being and always offer the best treatment options. To control this phobia and improve patient’s cooperation providing the much-desired experience of comfort, we have some special methods and techniques available.
Extrinsic tooth staining of blackish pigmentation is often related to the use of drugs containing iron, cariostatics or tobacco. However, chromogenic bacteria, such as those of the melaninogenic Prevotella species, have been related to the black pigmentation of the dental biofilm. Apart from the cosmetics, the removal of these stains is aimed at maintaining the oral health as this bacterial species presents significant collagenolytic activity.Clinically, children with black stains, resulting from the activity of these chromogenic microorganisms, present low prevalence of cavities. The pigment responsible for the black coloration is a insoluble ferric compound, as a result of the interaction between bacterial products and saliva. This pigmentation is difficult to remove with brushing at home alone, it is necessary to see a dentist to perform professional prophylaxis using mechanical methods such as scraping, ultrasound or bicarbonate jet for its removal. There is a concern about excessive wear of the enamel as there is a tendency for recurrence. It is suggested that the dentist be visited for cleaning every 3 months or when the pigmentations begin to appear.
Since its intrauterine life, from the fetal period onwards, the human being instinctively sucks the tongue, the lips and the fingers so that, at the moment of birth, the suction function is fully developed. The oral organ, by way of sucking, is extremely important to the newly born child. It is through the mouth that the child survives, nourishing itself and interacting with the environment around him, satisfying itself emotionally. Children suck their fingers under various circumstances: when falling asleep, while sleeping, when cross or frustrated, and also when hungry, during stressful situations or when they are in a bad mood, restless and know that they need to calm down, or even when they are not satisfied after breastfeeding.