Children’s Dentistry

Treatment of Deciduous Teeth Lesions.

Dental treatment of young people can have long lasting effects. If dental care is painful and unpleasant, as these patients grow into adults, they will tend to only attend when if pain. As all dentists know, at this stage, restorative care tends to be more difficult and more extensive. The use of ozone (Abu-Salem OT et al, 2003) and mineral releasing glass ionomers can play a significant role in the dental management of these patients. As confidence in the treatment by the patient and parents or guardians is gained, so the compliance with important oral hygiene message will be increased.

Where caries is found, it is simple to treat and the application of, for example, FujiVII (GC Japan) will supply long-term fluorine and mineral release, as well as preventing ingress of food debris and re-establishment of the acid-niche environment. Treatment is simple, fast (the average ozone time for practitioners using the Ozident® dental ozone unit is 30 seconds) and involves little preparatory work. The loose debris is first cleaned away, until a leathery base is reached. This can be done with hand instruments. Ozone is applied, the lesion wetted with a remineralising wash and then the glass ionomer can be applied. This modified ART technique has been reported by Holmes (Holmes J, 2004).

Allied to this ozone has been used in the treatment on deciduous molar teeth with hopeless prognoses as a result of caries. In some parts of the UK and USA it is upsetting to find so many children at 3 and 4 years of age with gross decay. For these patients the usual outcome is a general anesthetic and extraction. These lesions are treated with ozone and have found that the majority of children are co-operative and actually enjoy the experience. What has been found of great interest is that the toothache in young children has been reduced and even abolished after ozone treatment, with much relief for the parents. Ozone treatment seems to be an excellent palliative treatment for such youngsters.

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