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Many mothers tell us that immediately after the eruption or even during the eruption of the temporary teeth they noticed white spots, spots that then progressively degraded until the complete destruction of the teeth. Yes, temporary teeth are very susceptible to cavities immediately after the teeth eruption. Therefore, the most common age for cavity incidence is between 2-5 years for temporary teeth and in early adolescence for permanent teeth because these teeth are still immature. The maturation of dental structures is a continuous pre-eruptive and posteruptive process, consisting of chemical changes in the enamel – coming with age – until a balance is established with the salivary fluid. While pre-eruptive changes are mediated primarily by local tissue fluids, posteruptive changes are primarily the result of surface interaction and exchanges between enamel apatite and saliva composition. A newly erupted enamel is 10 times more vulnerable than a mature one, but at the same time, it incorporates about 10-20 times more inorganic ions than an adult enamel.
Fig. 1. Severe cavities with the total destruction of the dental crown and complicated with dental gangrene.
Fig. 2. Advanced demineralization of dentin. The non-invasive treatment is still possible.
Fig. 3. White lesions that may be subject to remineralization.
The process of demineralization of enamel begins when the surface of the enamel comes into contact with acids whose pH is below the critical pH of the enamel (pH less than 5.5). These acids result in the loss of calcium and phosphates from the surface and below the enamel surface presents a lesion on the white spot. Fortunately, demineralization, the process of demineralization, is reversible, provided that the acidogenic environment of the oral fluid is neutralized (Roberts and Wright 2009). Unfortunately, few mothers get in time to stop the evolution of demineralization as in Fig. 3. / Many mothers come to the dentist for a consultation, usually in the stage in fig. 1.
Treatment of demineralized surfaces as in Fig. 3 Minimally invasive with two treatment options:
- By changing the diet into a remineralizing one, daily, at home, which has the role of stopping the evolution of incipient lesions but even more to repair/restore them, in a few months – min 6 months – naturally by capturing from food and saliva the lost minerals.
- Or, if non-invasive aesthetic restoration of demineralization in the dental office is desired (in the case of more advanced demineralization as in Fig. 2) – this must be necessarily corroborated and consolidated anyway by changing the diet as above / in a remineralizing diet even before restoration. Otherwise, the restorations will have a very limited prognosis because the oral acidity maintained at the same initial level, dislocates any re-construction be it with the best performing compounds in the world!
Treatment of lesions in fig 1. is possible, but it costs incomparably more, requires control of the root infection plus coronary and root reconstruction with prefabricated crowns under analgesic or without it if the child cooperates in the dental office.
So, mothers, you choose: either early interception of demineralizations as in Fig. 3 (but contact HappyDent Clinic Cluj in time) or expensive and late treatment as the lesions in Fig. 1.
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