For your children

Caring for a child is a dynamic process, starting with child’s birth. We become parents without a good practice manual. Raising our children, we rely on our own sense, experience and skills.

Caring for children’s teeth is as important and daily task, as the overall care for the young human body. The teaching of proper attitude towards teeth starts from the very first year of a child’s life. These are the months, when the milk teeth “erupt” and toddlers acquire their first chewing habits.

The proper prophylaxis and care through the years ensures that your children’s teeth will be healthy and beautiful!

Going to the dentist for the first time or what to do before your visit to our Clinic

Make sure to prepare your child for his or her forthcoming visit to the clinic. This is particularly important for children, going to the dentist for the first time. Never tell your child that “it won’t hurt” or “there’s nothing to worry about”!

These words may turn even the bravest young patient into a complete coward. Tell the child where you are taking them and that this is something you are going to do together. If caries treatment is planned, explain in simple words how the doctor would wash-away the tiny black spot with water, he will then wipe it with a cotton bud and fill the hole with plasticine.

The appointment of the child and his parents with the children’s dentist is intended as an introduction, providing awareness of child’s previous dental experience, any previous treatment or treatment attempts, presence or absence of issues, and then we carry out an examination, including taking photos. Both parents are rarely present during consultation. Children are most often accompanied by one parent, or a grandparent. To make sure that the family has at its disposal all the information and advice, regarding their child’s treatment, we send a summary, regarding the issue and our recommendations.

After each visit, we spend some time to specifically comment on the manipulations performed and always explain the purpose of the next visit, even if it is planned to take place in six months.

For your children

Early prophylaxis of dental caries in children

In the recent decades the age threshold of the occurrence of the first dental cavity has dropped sharply.

If children, born in the 1970s and the 1980s, had their first caries at five and a half years of age, those, born in the new millennium and especially in the past 10 years usually get their first caries around the age of three or three and a half years. At this age, treatment of the affected teeth is very difficult, because children’s behaviour makes that rather difficult.

The best advice to parents is regular prophylaxis, good oral hygiene, food culture and organizing a visit to a children’s dentist, as early as within the first year after childbirth.

For your children
For your children
1

Take your child to a dentist within his or her first year. As soon as the first baby teeth erupt, our children’s dentists can say whether or not your child has teeth mineralization issues and if he or she is prone to early caries development, as a result of a deficit in structural microelements, genetic issues or inadequate oral hygiene.

2

Our teeth have no day off, for them every day is a working day. Therefore, we should take proper care of them on a daily basis, from an early stage – from the very moment they appear on our mouths. Don’t overlook the baby teeth! Regular examinations every 6 months will save you and your children long, complex and expensive treatment. Because early prophylaxis is way better than early treatment.

3

Treatment under narcosis/ deep sedation is a treatment method with minimum invasiveness and maximum comfort, both for physically and mentally healthy children with a fear syndrome, irrespective of their age and the number of affected teeth, and for children with central nervous system disorders, Down syndrome, mental retardation, cerebral palsy, hydrocephalus, hyperactive children, children with disorders in the autistic spectre, incl. medically compromised children.

Treatment of children under narcosis

You should read this, before you choose the right dental treatment method for your child, if he or she is scared of dentists, in case of multiple or early caries, comorbidities or specific needs!

Some parents prefer that their children are treated without local or general anaesthesia, and the treatment is performed through force or while holding firmly the child.

I would like to ask such parents – are your willing yourselves to sit in the dental chair and undergo treatment without anaesthesia? Do you think that this would be possible and safe?

And how do you think the forced treatment affects the fragile children’s mentality?

If the child is very young, has multiple caries or if complications from the dental decay have already occurred – pulpitis, periodontitis, fistulae or abscess formations, the sole alternative for a high-quality, durable and most of all – safe treatment, is the treatment under narcosis (deep sedation).

These are the mandatory conditions for a high-quality and safe anaesthesia:

  • the necessary permission documents: licenses, certificates, equipment maintenance contracts;
  • presence of an operating theatre within a specialized surgical unit with a reanimation and waking ward;
  • presence of special equipment in the surgical unit: nasal respiratory device, monitors for all the vital functions, reanimation equipment, specialized lighting etc.;
  • presence of a team – anaesthesiologist-reanimator and anaesthesiologic nurse. This means that the team is available to the patient for 12 hours after the end of treatment.

The additional control of patient’s condition is the key to the safety of treatment.
When you decide to have your child treated under narcosis, you should ask to see the entire equipment and premises in the clinic, to meet the anaesthesiologist-reanimator. Find out where they were trained, what further education they have received. Do not hesitate to ask questions, especially those, related to your health and that of your children!

Treatment under narcosis is safe, when applied and monitored properly!
It can be applied from an early age, if the anaesthesiologist is experienced in working with children!


What is the sequence of the procedures, related to children’s treatment under narcosis at our clinic? You will learn that in the following steps:

1. Consultation with a children’s dentist

Why it is necessary? The first appointment with the child is important, in order to assess the scale of the issue, to obtain detailed information from the parents in any previous treatment attempts or successful treatments, to prepare a priced treatment plan and schedule.

2. Consultation with an anaesthesiologist

Very often we receive calls or emails from parents, who has decided to have their children treated under narcosis in our clinic, asking the following question: What laboratory and other tests are required? Should we do them ourselves or should we come to the clinic!“. You should know that the tests, specialized consultations and analyses are only prescribed by an anaesthesiologist! There are standard tests, but also some additional specialized ones. If your child needs surgery for appendicitis, you would never try to do anaesthesiologist’s job and prepare your child for the surgery yourselves.
Anaesthesiologist’s task is to explain everything you need to know about the anaesthesia, how it prepared, what is possible and what is not, to provide you with detailed information, regarding all documents you need to fill-in before the narcosis itself.

3. What is next?

After you have made the decision to have your child treated under deep sedation, the next step is to make an appointment for the treatment. We prefer to work with children up to the age of 3 in the morning, because it is very difficult for them and their parents to observe the key pre-surgical condition – no food and liquids for 4-6 hours before the intervention. Older children and adult patients can be treated under deep sedation and the afternoons as well, since it is much easier for them to observe the limitation regarding food and liquids.

4. Treatment under narcosis

On the date of the narcosis you should arrive at the clinic at the specified time or 15 minutes earlier. The child will fall asleep in the arms of one of the parents in the pre-surgical unit.
After the child falls asleep, you will wait in the waiting room. Upon completion of the intervention, the dentist, who has carried out the treatment, shall report on the work performed, showing before and after photos, shall visualize the treatment protocols and the performance guarantee. The child awakes in bed, in the recovery room, where he or she is together with his or her parents. Until the child is fully awake, you remain under constant supervision by the anaesthesiologist and anaesthesiologic nurse. When the doctor is convinced that your child’s condition is satisfactory, you can safely go home.

5. You think this is it?

Of course it isn’t! We will meet you in the period between the 10th and the 14th day after the treatment for follow-up examinations and after that every 3-6 months for routine examinations and hygiene assessment. The premedication we use in order to prepare the child and the placement of the peripheral IV catheter, cause a short-term amnesia solely before the narcosis, and that is why children have no bad memories from the preparation for the manipulations and after narcosis they come for the visits without any fear. They also become much more cooperative, because their teeth are magically repaired, and with proper motivation and approach, children are glad to come and get treatment.

You can understand yourselves that there are many important steps, which we follow and which are vital, so that we can follow-up you child and ensure his or her comfort in the future dental treatment.

6. What should we do if we live in a different city or country?

In these cases we request all the X-rays and photos of child’s teeth that you may have (panoramic dental X-rays, regular X-rays, pictures taken with your phone). The dentist analyses the situation and then informs you by phone (using Skype or Viber) warning you that there may be changes to the treatment plan, as well as a change in the planned procedures, as you will be informed accordingly in the course of the narcosis.

For your children
For your children

When do we use treatment under narcosis?

  • for children with Early Childhood Caries (ECC) in the age interval 1 to 3-4 years, when it is difficult to motivate and manage the child;
  • children with multiple and complex cavities (for example – having all 20 milk teeth affected);
  • children with nasal breathing issues (for example adenoids), rendering the normal teeth treatment impossible;
  • children with fear syndrome irrespective of the age and number of affected teeth;
  • children with central nervous system disorders, with impaired intelligence (Down syndrome, mental retardation, cerebral palsy, hydrocephalus);
  • children with comorbidities (epilepsy);
  • hyperactive children;
  • children with autism and autistic disorders;
  • medically compromised children;
  • children with allergic reactions to local anaesthetics, reports of anaphylactic shock or angioedema in the past.

Children’s dental health ruler

We become parents without a good practice manual. Caring for and raising a child is a dynamic process, in which many narrow specialists are involved.

As a clinic, specialized in children’s dentistry, we have developed the so-called dental health ruler, indicating the separate periods in the age between 0 and 18 years, significant for children’s oral health.

In this way, every parent will know what prophylactic procedures or treatments are recommended by children’s dentists for each period of their lives.

Children’s dental health ruler

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