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Paediatric Dentistry

Children’s Mouth and Teeth Health

Dentist plays a major role in formation of facial beauty and healthy growing development of an individual from childhood to youth periods. Mouth and tooth health enables healthy nutrition and healthy growing of a child but in contrary cases children cannot complete their ideal growth when they are not nurtured in a mouth environment which is full of inflammation, abscess and decays. Sometimes, abscess and inflammations reduce general body resistance and heart, joint, kidneys and other organs of a child and such children may be ill and even hospitalized. This gloomy table upsets the most precious and unprecedented existence of our lives and our families. Enthusiastic, experienced and specialists dentists can help in matters of child mouth health and child mouth tooth health of children and youth between 4-16 age group for not living such upsetting incidences. These dentists present patience and affection to children and families along with their modern dentistry knowledge.
Vast majority (80-90 %) of our children in Turkish society are all the time scared of dentists and clinics in which such applications are conducted. This fear in adults and advanced years age group are in the same rates and eliminating fear is of our primary concern.

Reasons of Dentist Phobia


A- Environmental Factors:
Unconfirmed information of our children from school and its vicinity along with parents
B- False Experiences
Monitoring child in inappropriate conditions in regard with implementations of dentist services and paving the way for children without making any explanation:
1-  Child’s living an experience which he will never forget or he has underwent with dentists who are not harmonious with child’s psychology
2-Paediatric dentistry; Specialists or desirous dentists who have combined affection and patience and have taken this relevant training with location, decoration, music and personnel suitable with children psychology deal with this job.
3-Treatment should never be started in children’s first visit; only getting to know processes, environment and getting to know families and warm and affectionate welcoming should be prepared and they should never be forced for treatments. Treatments and controls to be conducted should be told to children superficially but families should be told in each detail. It must be kept away all behaviours which will cause children to be under fear and they should be played around with object which shall attract their attention and environment should be playful.
4-Sessions should be kept short during treatments because child’s keeping his mouth open without any fear is not long standing. To start these short sessions with the easiest and the most pain-free procedures shall elicit confidence and consolidate relationship which he is maintaining with dentist. In this way, our children will rush to dentist for their own demands.

C- Family Factors

In childhood education, Turkish families enable their children do what they want by scaring them. This method is quite wrong. For example, do not mischief, otherwise dentist will inject you; I will have you extracted your teeth, doctor will inject you and so forth. Transforming relationship of mouth-tooth health and dentist-patient of children into normal conditions lasts hard and long. Sometimes, there are incidences of failure of relationship of dentist-children. Mouth and tooth treatments of these children in these conditions can be provided by being anaesthetized in surgery with very special methods (general anaesthesia) or sedation. This environment is presented as a last resort by families and dentists. After other resorts have not been found and all opportunities have been tried, aim in this method is to organize mouth and tooth health, to get rid of common decays, abscess and inflammation affecting general constitution of body and to finalize treatment without creating psychological permanent fears since child will not remember conducted operations.
Firstly, families should tell their children that what they have witnessed or they have heard unconfirmed information is not related with them specifically by giving right information. Fears which environmental, family and wrong experiences reveal must be based on reasonable basis. These should be explained by dentist in a clear and lovely way because children will be with these dentists in long years and especially between 4-16 years.
Overcoming this fear in children as secondarily:
This can be achieved by efforts of enthusiastic and specialist dentists equipped with location, music, trained personnel, and patient, affectionate and modern dentistry in harmony with individuals.
These are general rules of child’s mouth and tooth health. Even we, as adults, have still fears due to one or few bad memories about aforementioned issues in our past. We cannot count number of sleepless nights by not making it treated and we have difficulty in meals with empty spaces of our teeth which we have extracted or covered without any delay. Or at least we may have one or few fillings in our mouth in which we have been really forced. Our most chewing and digestion problems have turned out to be gastric diseases due to these causes. Families and dentists can solve these problems patiently and successfully within a specific period. 

 
Characteristics of Paediatric Dentist

Differences between child-adult-mature did not use to be scrutinized for dentist treatments up to the latest 10 years in Turkish Society. Matters of enlightening families in both press and Internet environment in this process have driven forward pedodontist (specialist of child teeth treatment) and orthodontists (specialist dealing with correcting bent and crooked teeth and jaws with braces). Besides, all our dentist colleagues have started to guide their patients’ problem in these two specialization branch in this process. Right choice of dentists in these specialization branches of our precious children should be paid attention in this process. Approaching of aforementioned Pedodontics and orthodontics specialists affectionately, availability of personnel having special training in this area and clinical decoration according to children spirits, music and play rooms of children carry vital importance in this respect. Decoration should be ornamented with picture and objects which are appropriate for children spirit.


All children, scared or fearless, should be welcomed with affection, communication models according to their psychological mood should be developed and confidence should be established among dentist-children-family.
Source of fear in scared children must be surely discussed among child-family-dentist and what is needed should be made for eliminating these causes. Making treatment should not be insisted on children who are scared in second and third meetings if necessary in first meeting. Devices should be introduced and it should be transparent. If scared child watches the child who is not scared or has overcome his fear, this will motivate him. Besides, effective confidence shall be provided if treated child tells his experiences to scared child.
Dentist and personnel should focus on child under these conditions; all details of treatment should be explained without creating any fear; all details of procedures and what to do should be told accordingly. These matters express that we care about our children and children get very happy of what has been told. If child keeps asking a question maybe ten times or more, he should be responded with affection and patience. Both pedodontics and orthodontics specialists should be patient and affectionate. Dentists should present their love and interest more intensively when compared with other dentists.
In addition to this, clothing of dentist and personnel should be in harmony with child psychology and it should never present a typical doctor image.

 
                                           Dr. Mehmet Ali Özer


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