Dental therapies to be implemented on the child are identified with the term pedodontics. Only apparently these therapies may seem similar to those implemented on the adult, in fact the child presents very special clinical aspects due to the presence of baby dentition, the relative frequency of traumatic events, the need for various therapeutic strategies during the changing phase.
Additionally, the young patient should be introduced and persuaded to dental therapies in a very gentle way, because if he negatively identifies the dentist figure, he will present a life-long personality with odontophobia (fear of undergoing dental care).
Therefore, the first therapeutic maneuvers on the young patient should be performed after explaining the various activities to the child and having emotionally involved him, but above all therapies should be practiced without the young patient experiencing pain, using adequate anesthetic infiltration, and in a peaceful and relaxed environment.
The operating techniques are slightly different from those used on the adult as well because restorations on baby teeth require a lower duration, and because it tends to simplify the methods in order to reduce the time of the therapies due to the low degree of collaboration of the young patient. It is wrong to think that milk teeth, as deciduous, can be easily extracted even before the normal exchange phase.
In some cases, premature teeth extraction does not create problems for complicated tooth exchange mechanisms. In other cases, deciduous tooth extraction too long before the permanent tooth eruption creates, by moving contiguous teeth, lack of space for the tooth that will have to come out and therefore difficulty in its eruption. As a result, in some situations it will be necessary to safely extract a slightly decayed tooth because this act will not interfere with the eruption of the underlying teeth, in other cases it will be necessary to try to save a deciduous tooth with even more caries, since it is in a strategic position for the complicated mechanisms and timing of proper permanent teeth eruption. Finally, since the child, especially if it is very lively, is often subject to trauma to the front teeth, great care should be given to the therapeutic strategies that allow the recovery of teeth which, due to trauma, are also recovered by replanting techniques spilled from the alveoli.
Aware of the importance of the first approach of the young patient with dental therapies, we pay special attention to the psychological aspect and use the most sophisticated techniques to perform painstaking treatments.
