Silvering of teeth in children is a method of impregnating silver onto caries-affected areas of the tooth. The use of silver solution leads to compaction of tooth tissues softened by caries (enamel and dentin), as well as to their disinfection from cariogenic microflora. As a result, caries is suspended in development.
Silvering of teeth for children is usually carried out only at the age of 2-3 years. This is due to the fact that at this age the child still does not give the doctor a normal treatment for a carious tooth. With children older than 3-3.5 years, as a rule, it is already possible to agree and carry out normal treatment of the tooth with the production of a seal (everything will depend on the ability and desire of the pediatric dentist to find contact with the child).
Silvering teeth: photo
Children up to 3 years old develop caries very quickly and also painlessly. Most often caries at this age are affected -
- front surfaces of the central incisors (in the cervical area),
- chewing surfaces of fourth teeth.
Caries in children under 3 years of age is usually circular, i.e. covers the entire cervical area (Figure 4-5). If caries occurs before the year, then by 2.5 years the crown of the tooth simply breaks off. In the projection of the roots of such teeth, over time, gums appear on the gums (Fig. 6) or fistulas with purulent discharge open, which indicates a chronic purulent process in the apex of the roots of these teeth (24stoma.ru).
Silvering teeth: the pros and cons
In general, this method has no advantages at all, but often it is the only method that can be applied in children of the youngest age. Silvering is a temporary method: it does not treat the tooth, but only gives a delay in the development of caries, for a short period of time.
Silvering can be quite effective only if the baby's parents are turning when the child has caries in the stage of white spot (this is the initial stage of caries). In this case, caries looks like white chalky spots on the enamel surface, and without disturbing its surface integrity (Fig.X).
Further white spots can be transformed -
- to dark spots (it is caries in the dark spot stage),
- surface caries (when only the surface layer of enamel is destroyed, without penetration of caries into the dentin under the enamel),
- medium caries (caries penetrates the entire depth of enamel + strikes dentin),
- and further, if the latter is not treated - in pulpitis and periodontitis.
So, if silvering teeth can be effective:
1) when a child has caries is in the stage of white or dark spots, i.e. when the integrity of the enamel is not broken,
2) or if caries is still within the thickness of the enamel layer (without penetration into the dentin).
But even in this case, the treatment of the affected teeth should be carried out not once, but 3-6 times a year (up to a change of a temporary tooth to a permanent one, or until the moment when the child allows this tooth to be treated normally). It should be borne in mind the following: in the presence of white spots on the enamel, silvering can be carried out, although it is possible, but still not necessary, because This stage of caries is best treated with a remineralizing therapy (we will talk about it below) + good hygiene.
- If instead of white spots the child has real carious defects -
if carious defects penetrate dentin (dentin is a layer of tooth tissue located under a thin layer of enamel), then silvering in general is an almost useless method in this case. Dentin (especially in children) is very loose and soft, and therefore caries spreads in it very quickly. Therefore, with an average caries, it is necessary to carry out its silvering every month, but even in this case there is no guarantee that caries will not turn into pulpitis.
If a child is small for the complete treatment of a tooth by filling it, silver impregnation of the tooth should be used only as a temporary tool that allows you to "caricature" caries until the child turns 3 years old and he can give it a full treat. Moreover, the technology for the treatment of dental caries in children under 3 years old and older children may differ greatly from each other.
- The possibility of chemical burns pulp -
Silvering of milk teeth with opened dentin (especially with medium cavities) can lead to chemical burn of the tooth pulp and the development of pulpitis. This is due to the fact that chemicals can easily penetrate into the nerve in the tooth, if only a thin layer of caries-free tooth tissue separating the bottom of the carious cavity from the nerve remains. With the development of pulpitis, the tooth will certainly begin to hurt. Therefore, the doctor should be able to choose the correct time for applying the silver solution to the tooth so that the solution does not penetrate too deep.
- Discoloration of teeth, subjected to silvering -
Silvering leads to a change in the color of the treated teeth: if the teeth are processed with preparations of Russian or Belarusian origin, then the treated areas will then be black, which is very ugly.
A lesser discoloration is provided by the Japanese-made drug "Saforide" (Saforaid, fig.10). In this case, the treated areas will be light gray. In addition, the drug contains silver in the form of "silver fluoride", which is more effective for strengthening the tooth.
The cost of silvering teeth -
Silvering teeth - the price for processing one tooth will be from 100 to 500 rubles, which will depend on the selected drug. In private clinics, treatment with a Russian-made drug will cost an average of 200 rubles, and a Japanese-made drug "Saforide" will cost about 400-500 rubles.
In the children's dental clinic at the place of residence you can be provided with this service free of charge, but again only with preparations of Russian or Belarusian origin.
Alternative to silvering milk teeth -
The choice of alternatives is not great. This is either remineralization or deep fluoridation.
1. Remineralizing therapy -
The goal of remineralizing therapy is to saturate the weakened areas of enamel with minerals (primarily calcium). Remineralizing gels can be used to process teeth both at the dentist’s office and at home, but it must be borne in mind that the main condition for the effectiveness of therapy is clean teeth. If hygiene remains the same and mild bacterial plaque and / or hard tartar is present on the teeth, the effectiveness of this therapy tends to zero.
Indications for use of the course of remineralization therapy -
- caries in the form of white chalky spots on the enamel surface,
- warning of new foci of caries.
It is preferable to do this therapy at a dentist’s appointment, since Before applying the gel, the doctor always cleans the teeth with polishing brushes and toothpaste, which increases the penetration of calcium, and more concentrated and effective preparations are possible in the dental office than those that can be used at home.
Remineralizing therapy is carried out by the course until the disappearance of the chalky spots, and therefore the duration of the course is not clearly defined. An example of a remineralizing gel for home use is ROCS gel (manufactured in Russia) -
Variants of the gel can be with strawberry or fruit flavors. The gel contains active ingredients -
- calcium glycerophosphate,
- xylitol (normalizes acidity in the oral cavity).
In parallel with the use of such a gel, it is important to use a children's toothpaste with fluorine content (either sodium fluoride, or even better - aminofluoride). It is necessary that calcium is fixed in the tooth enamel, and not washed out quickly from there. Under the link above you can choose such a paste for a younger child (safe dosages of fluoride for children 1-3 years old - from 250 to 500 ppm).
Important: To do remineralization therapy for carious lesions that go beyond the enamel layer (i.e., penetrating into the dentin) is pointless for treating such lesions. It will be useful only with caries in the stage of white spots, and for the prevention of caries on other, still healthy teeth. Those. if your child already has a typical average caries, then he has already shown the filling of the tooth, and only in the worst case - silvering.
2. Deep tooth fluoridation -
The purpose of deep fluoridation is to saturate the weakened areas of enamel with fluorine in order to reduce the leaching of calcium from the tooth enamel, as well as to increase the hardness of the tooth enamel. It is noted that deep fluoridation is effective not only with white chalky spots, but also with superficial caries. Penetrating deep into the enamel, fluorine kills cariogenic microorganisms and strengthens tooth tissues.
The effectiveness of fluoridation depends largely on the dosage of fluoride in the preparation. Statistics show that at high concentrations of fluoride, the consolidation of caries softened enamel occurs in 84% of patients.
Indications for deep fluoridation -
- caries in the form of white chalky spots on the enamel surface,
- surface caries within the enamel thickness,
- warning of new foci of caries.
Fluoridation is definitely only needed at a dentist’s appointment, since The concentration of professional fluoridation agents is very high (about 20,000 ppm), and the use of such preparations should be carried out only by a dentist.
- If your child has caries in the form of white spots (Fig. 13) -
feel free to do remineralization therapy + be sure to use fluoride toothpaste. It is even better if, after a course of remineralization, you make the child a deep fluoridation. Silvering is only for lazy parents, but you can do it.
- If a child has surface caries within the enamel layer (Figure 14) -
first of all, deep fluoridation is shown, however, if you carry out a course of remineralizing therapy before that, it will be fine. Silvering is also here only for lazy parents, but it can also be done.
- With an average caries (fig.15) -
If the child gives something to do in the mouth, then it is best to properly fill the teeth. By experience, we can say that normal dentists cope with the treatment of teeth in children, even from 2 years. The main thing that the child is not scared before that.
If the child does not do anything, then silvering with an average caries is possible (with a big stretch), and will delay the development of pulpitis. It is only necessary to bear in mind that when silvering such teeth, pulpitis can develop in the event of a chemical burn of the pulp.
Causes of early childhood caries -
The reasons for the development of early childhood caries can be objective - related to the physiological and anatomical features of temporary teeth, as well as to the factors that parents are undoubtedly to blame (and in our opinion, also staff of women's clinics who do not want or cannot teach parents properly care for the child’s teeth).
- Weak mineralization of temporary tooth enamel -
The enamel of temporary teeth is very porous, weakly saturated with minerals (primarily calcium), and therefore such enamel is more susceptible to destruction by cariogenic microorganisms than the more mineralized enamel of older children and adults. This feature of the enamel structure makes all of the following factors even more damaging to children's teeth.
To support children's enamel in the fight against caries, to strengthen it - there are special methods for the prevention of children's caries:
→ fluoridation of tooth enamel,
→ method of sealing fissure chewing teeth,
→ And of course, proper hygiene, the right diet and the right choice of toothpaste.
- Poor oral hygiene -
Unfortunately, modern children have almost no chance of healthy teeth ... When you are a dentist, you can see what is happening with the parents of children in the oral cavity. Therefore, it is difficult to expect that the child will have healthy teeth, especially against the background of a catastrophic amount of sweet liquids that they give to the child.
It is very important to know: from what age parents need to brush the child's teeth, exactly how to brush the teeth of young children, how to choose pastes and brushes ... Our separate article is devoted to this and many other issues
→ "Oral hygiene of young children"
- Infection of a child with cariogenic bacteria -
when you try a child's food, licking his spoon, thus you infect the child's oral cavity with pathogenic cariogenic microflora. It is necessary to understand that a child is born with a sterile oral cavity, and early caries is connected including the behavior of parents (who have a lot of tartar in the mouth, plaque), and they kiss the child on the lips or lick his spoon.
- Improper feeding baby -
feeding on demand, night feeding with sugary liquids, having a child constantly in the bed with bottles with sweet liquids (which he drinks on his own), leads to early generalized caries. The so-called "bottle caries" is especially common in low-income families, where children are left to themselves, and the bottle is always in their bed so that they can drink themselves without disturbing their parents. We hope that our article: Silvering teeth for children reviews - proved to be useful to you!
Author: dentist Kamensky K.V., 19 years experience.