Do children's cavities need treatment?

Written by Li Bao Hua
Dentistry
Updated on October 24, 2024
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Whether children's dental caries need treatment may require taking X-rays of the teeth, or it can be judged based on the child's age. If a child around seven or eight years old has decay in the front teeth, these teeth can soon be replaced, and treatment may not be necessary. However, if the molars at the back, which are replaced at around twelve or thirteen years of age, are decayed, then it is necessary to treat these early by removing the decay and filling the teeth. Otherwise, bacteria may further infect the dental nerves, causing pain. If children's dental caries are not timely treated, it can also affect chewing. During childhood, the jawbone undergoes significant development. If the chewing function is impaired, it can affect the development of the jawbone, hence early treatment of children's dental caries is essential.

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Written by Li Bao Hua
Dentistry
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Do cavities have worms in them?

Cavities do not contain worms; they are caused by bacterial infections and are a type of infectious disease. Cavities are also known as dental caries, and many people mistakenly believe they are caused by worms chewing on the teeth, but this is not the case. Cavities occur when bacterial infections attack the hard tissues of the teeth, leading to destructive dental diseases. It is also a chronic infectious disease. Cavities are caused by bacterial factors, meaning bacteria are the initial factor in their development. Bacteria can use glucose to produce lactic acid, causing demineralization of the teeth and thus forming cavities. If one brushes their teeth and rinses their mouth immediately after eating to control dental plaque, the development of cavities can be controlled or slowed. If not controlled in time, cavities may further lead to pulpitis.

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Written by Li Bao Hua
Dentistry
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How to treat a cavity that has decayed to the root of the tooth?

For a tooth decayed to the root, it is first necessary to take an X-ray of the tooth. If the X-ray shows that the root still has some salvage value, the tooth can be preserved through root canal treatment after controlling the inflammation. If the decay has reached the tip of the root and the root has no salvage value, the tooth needs to be extracted soon after controlling the inflammation. After the tooth is extracted, it is necessary to get a dental prosthesis as soon as possible depending on the condition of the tooth. If the prosthesis is not done in time, the tooth above may elongate, and the teeth on either side may tilt towards the gap, potentially leading to the loss of space over time.

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Written by Li Cui
Dentistry
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If cavities that do not have holes are not filled, how will they develop?

In such cases, it is recommended that patients seek timely treatment at a dental clinic. Generally, the treatment might involve cleaning the area around the cavity. If the cavity is deep but not painful, a temporary filling with zinc oxide eugenol may be used. If there is no pain after about a week, a permanent filling can be placed, and root canal therapy may not be necessary. Specifically, it is best to go to the hospital for an X-ray to examine the condition properly. If there is food impaction in the teeth, it might indicate the presence of cavities. It is advisable for the patient to undergo some examinations to fill these cavities. Considering the sensitivity of the teeth, active treatment should be pursued.

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Written by Fang Xiao
Dentistry
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What should I do if my tooth hurts the day after getting a cavity filled?

Toothache the day after grinding a cavity-ridden tooth may be due to the cavity being deep and close to the pulp chamber. The pain could be caused by not placing a protective pulp material at the bottom of the cavity during the dental filling. It is recommended to remove the filling material and then place a layer of protective pulp material at the bottom of the cavity, and to observe further. The pain experienced the day after grinding may be due to injury during the grinding process or from exposure to very cold or hot substances, which can stimulate the nerves and cause pain. It could also be due to improper handling during the procedure. If the pain is mild and does not affect eating, it generally is not a serious problem. However, if the pain is severe, it is advisable to visit the dental department of a regular hospital for a re-examination. During treatment, avoid spicy, irritating, and very hard foods, and eat more fresh vegetables and fruits.

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Written by Tong Peng
Pediatrics
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Should a baby's decayed front teeth be filled?

Children's front teeth cavities require filling treatment, because if the front teeth are extensively damaged, it not only affects eating and appearance but also impacts the child's psychological development. Therefore, if a child's tooth color is abnormal, it is advisable to visit a hospital for fluoride treatment as soon as possible, which is beneficial for mineralization on the tooth surface. However, if cavities have developed in the front teeth, filling treatment is needed, otherwise it will progressively worsen, affecting the child's normal eating habits. Generally, children under three years of age have poor cooperation and cannot undergo routine outpatient treatment, so it is crucial to strengthen oral hygiene care in daily life.