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Yu jian science popularization | premature extraction of bad deciduous teeth Follow-up problems should be paid attention to

author:Guixi Fusion Media

Sugar Sugar was just 3 years old and began to have tooth decay. Grandparents told her: "Now it is deciduous teeth, you have to change your teeth later, if you can't, you will pull them out first, and then the new teeth will grow out later." "Is it true that as my grandparents said, the tooth extraction problem is solved?" Zhang Shifeng, a stomatologist at the Third People's Hospital of Zhengzhou, reminded that this is not the case.

Yu jian science popularization | premature extraction of bad deciduous teeth Follow-up problems should be paid attention to

Pull out your bad deciduous teeth too soon and watch out for uneven new teeth

Zhang Shifeng believes that the time for children's teeth replacement is regular, and after the deciduous teeth are extracted, new teeth cannot erupt immediately. In general, children's lower anterior teeth replacement time is 6 to 8 years old, the replacement time of upper and lower teeth is 7 to 9 years old, and the replacement time of upper and lower maxillary fangs and hind teeth is 10 to 12 years old.

Premature extraction of caries deciduous teeth will not only affect the child's ability to chew food, the development of the sounding jaw, and the pronunciation, but also lead to the formation of gaps between the teeth. The teeth located in the back row of the mouth due to growth eruption and chewing movement, will form a forward thrust, causing the teeth to tilt forward, resulting in a gap become smaller or even no gap, when the new tooth erupts out because of insufficient space, it can not erupt in the normal direction, the new tooth will erupt in other directions, eventually resulting in crowded or uneven teeth.

Therefore, once a child has tooth decay, it is necessary to go to the hospital for examination and treatment as soon as possible, and the teeth that can be retained should not be extracted prematurely, and only through the correct treatment means, the affected teeth that can be retained can be retained to ensure the normal replacement of deciduous teeth.

Yu jian science popularization | premature extraction of bad deciduous teeth Follow-up problems should be paid attention to

If the deciduous teeth are extracted prematurely, care should be taken to maintain the gap between the teeth

Usually, some deciduous teeth have to be extracted, such as because the inflammation of the baby's deciduous teeth is too serious to be controlled by treatment, and when the inflammation affects the new teeth that have not yet erupted, the deciduous teeth can only be extracted. However, at this time, the gap formed after extraction should be maintained by special means, only in this way can it leave enough space for the new tooth to erupt later to ensure the smooth eruption of the new tooth.

Yu jian science popularization | premature extraction of bad deciduous teeth Follow-up problems should be paid attention to

So how to maintain the gap after tooth extraction? Zhang Shifeng suggested that at this time, you can consider using a gap retainer for the child, the common space retainer has a fixed and movable type, according to the number of premature missing teeth, position, etc., after the doctor's examination, evaluation and design after making.

After wearing the retainer, the first few days of the child will be because of a foreign body in the mouth and not accustomed or adaptable, then it is necessary to remind the child to stick to a period of time, slowly will get used to it; if you do a fixed space keeper, the more sensitive child will also feel a slight pressure on the teeth or a slight swelling and discomfort of the gums, generally can be relieved by itself, such as serious discomfort, should be followed up in time.

Zhang Shifeng reminded that after maintaining the gap, it can not be taken lightly, and parents should also take the child for follow-up consultation regularly in the later stage, and generally conduct a review every 3 months after treatment. At the same time, parents also need to check the state of the child's mouth every day, if the new teeth erupt or the retainer appears loose, shedding and other signs, should be followed up in time for treatment.

Source: Xinhua network client new media platform "Xinhua"

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