Pediatric Dentistry in Panama

Child dental care from first teeth to adolescence

Pediatric dentistry focuses on the prevention, evaluation and treatment of the oral health of babies, children and adolescents, taking into account the specific needs of each stage of growth and development. At Clínica Dental Champsaur we evaluate the health of teeth and gums, the risk of caries, tooth eruption and dental development, oral habits and any discomfort or problems that may affect your child’s mouth.

Care is adapted to your age, development, level of anxiety and capacity for cooperation.

Is it your first visit or have any concerns about your child’s dental health?

Odontopediatría en Panamá
Prevention from an early age

Teeth monitoring, hygiene and caries risk.

Care according to age

The consultation is adapted to each stage of growth and development.

Milk and permanent teeth

Prevention and treatment according to diagnosis.

Child-friendly care

Communication and management according to age, anxiety and cooperation.

What is pediatric dentistry?

Pediatric Dentistry is the area of dentistry dedicated to taking care of oral health from the first teeth to adolescence.

It includes prevention of caries, evaluation of growth and dental eruption, restorative treatments, care of certain traumas, orientation to parents and caregivers and communication strategies adapted to the child. It also allows to detect early alterations that may require subsequent care of Orthodontics, Endodontics, Surgery or other specialties.

When should this be the first visit to the dentist?

Dental care can begin during the first year of life, ideally since the first tooth appeared.

It is not necessary to wait for the child to have pain or a cavity to perform his first evaluation.

A first visit allows:

Prevention from an early age allows dental development to be accompanied and problems to be detected before they become more complex.

Until what age does pediatric dentistry provide care?

How do we determine if you need root canal treatment?

Before indicating endodontics, it is necessary to determine the origin of the problem and evaluate the condition of the tooth.

The evaluation may include:

  • History of the current problem and symptoms.
  • Clinical examination of the nearby tooth and tissue.
  • Tests to assess the pulp response.
  • Assessment of sensitivity to pressure or percussion.
  • Periapical X-rays to observe roots and structures around the tooth.
  • Additional studies when the complexity of the case requires it.

In certain cases it may be necessary to use three-dimensional images, such as CBCT CBCT scan, when they provide additional information relevant to diagnosis or planning.

CT scan is not routinely necessary for all endodontics patients.

After analyzing the findings, the patient is explained the diagnosis, the alternatives available and the recommended treatment.

When should I take your child to the dentist?

An evaluation may be recommended if:

  • It’ll be your first visit to the dentist.
  • He needs a preventive review.
  • It has, or may have, a cavity.
  • He has dental pain.
  • It fractured or hit a tooth.
  • It has difficulty maintaining good hygiene.
  • Teeth aren’t showing up as expected.
  • He’s lost a temporary tooth before time.
  • She has habits like sucking her finger persistently.
  • There are doubts about his bite or dental development.
  • He’s afraid or anxious to visit the dentist.
  • It needs care adapted by a medical, developmental or behavioral condition.

Prevention and dental care for children

Prevention is one of the most important areas of pediatric dentistry.

The aim is not to perform the same procedure at each visit, but to identify what each child needs according to his age, oral health and individual risk.

1. Evaluation and preventive controls

During the checks, the following may be reviewed:

-Caries.
-Gums.
-Higiene.
-Tooth eruption.
-Development of dentition.
-Bitten.
-Oral habits.
-Existing restorations.
-Risk factors.

2. How often should a child go to the dentist?

There is no identical frequency for everyone.

The interval between controls depends on factors such as the risk of caries, hygiene, age, development, history and treatments performed.

After evaluating your child we will be able to tell you how often it is advisable to carry out your checks.

3. Dental cleaning for children

During the controls we evaluate oral hygiene and perform dental cleaning or prophylaxis when indicated.

Not all children need professional cleaning at each consultation.

The recommendation depends on the state of hygiene, plaque accumulation, individual risk and evaluation findings.

4. Fluorine application

Professional fluoride can be used as part of a strategy to prevent or control caries. Its application depends on the individual risk of the child and does not have to be carried out on all visits.

5. Dental sealants

Sealants are materials that are placed on certain jaws and cracks of molars to help protect areas where plaque can accumulate and caries develop. They can be used in certain temporary or permanent molars when there is an appropriate indication.

Caries in children and milk teeth

Milk teeth may also develop cavities and need treatment.

That a temporary tooth is to be replaced in the future does not mean that a cavity should be ignored.

The treatment decision depends on factors such as:

  • Depth of injury.
  • Age of the child.
  • Tooth condition.
  • Pulp status.
  • Time for your natural replacement.
  • Risk of decay.
  • Possibility to restore the tooth.
  • Patient cooperation.

Therefore, not all childhood cavities are treated in the same way.

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Children's dental restorations

When a tooth decay or trauma causes loss of dental structure, it may be necessary to restore the tooth.

Treatment depends on the size of the injury, its location, and the condition of the tooth.

Depending on the case, the following may be used:

  • Resins.
  • Temporary restorations.
  • Other pediatric restorative materials indicated for treatment.

The evaluation makes it possible to determine which alternative is suitable for each tooth.

Pulpotomy and Pulpectomy in Children

When a deep cavity or trauma affects the pulp — the inner tissue of the tooth — pulp treatment may be necessary.

What is an octopotomy?

Octopotomy is a procedure that can be used on certain teeth when the part of the pulp inside the crown is affected and conditions allow the rest of the pulp tissue to be preserved compatible with treatment.

What is a pulpectomy?

Pulpectomy is used in certain cases when the pulp involvement is more extensive and it is necessary to remove the compromised pulp tissue inside the tooth.

The indication of octopotomy or pulpectomy depends on the diagnosis; not all deep cavities need the same treatment.

Dental trauma and beatings in children

Blows in the mouth are frequent during childhood, but a dental trauma should always be evaluated according to the type of injury and the affected tooth.

The consultation can assess situations such as:

  • Tooth fractured.
  • Offset tooth.
  • Mobility after a hit.
  • Hit without a visible fracture.
  • Gum injuries.
  • Traumatic loss of a tooth.

An important point is that trauma to permanent teeth and milk teeth is not handled the same way.

If your child has hit a tooth, ask for an evaluation to determine the type of injury and the next steps.

Oral Surgery Procedures in Children

Some childhood dental problems may require surgical evaluation.

Procedures that may most often require evaluation in pediatric dentistry include:

  • Temporary tooth extraction when there is a clinical indication.
  • Evaluation and management of supernumerary teeth.
  • Handling of certain retained or impacted teeth.
  • Frenectomy when indicated.
  • Drainage of certain odontogenic infections.

The need for a procedure depends on the age, dental development, diagnosis and complexity of the case.

When treatment exceeds usual dental management, it may be coordinated with Oral or Maxillofacial Surgery.

What if your child is afraid of the dentist?

Fear or dental anxiety are situations that should be taken into account during child care.

A young child, a patient who has had a difficult dental experience, or someone who needs a more complex procedure may require a different approach.

Care can be adapted by considering:

  • Age.
  • Level of development.
  • Temperament.
  • Previous dental experiences.
  • Anxiety level.
  • Capacity for cooperation.
  • Necessary treatment.

Communication and adaptation

Management strategies may include:

  • Age-appropriate communication.
  • Progressive explanation of what will be done.
  • Positive reinforcement.
  • Desensitization.
  • Appropriate involvement of parents or caregivers.

The goal is not simply to get the child “to be taken care of”, but to help him or her receive the necessary treatment and develop a more positive relationship with dental care.

Sedation in pediatric dentistry

Some children may need additional support for certain dental treatments.

Sedation can be evaluated, for example, in patients with:

  • Important dental anxiety.
  • Significant difficulty in cooperating due to age or development.
  • Certain special health needs.
  • Extensive or longer-term treatments.
  • Difficulties in maintaining the necessary cooperation during the procedure.

Not all children need or are candidates for sedation.

Factors such as:

  • Age.
  • Medical history.
  • Development.
  • Anxiety level.
  • Capacity for cooperation.
  • Treatment required.
  • Duration of the procedure.
  • Alternatives available.

Sedation should not be used simply as a substitute for proper evaluation and behavior management.

Dental care for children with special needs

Each child has different needs.

In patients with medical, physical, cognitive, sensory or developmental conditions, the case is first evaluated to determine how to adapt dental care.

This may include children with conditions such as:

  • Down syndrome.
  • Autistic Spectrum Disorder (ASD).
  • ADHD.
  • Cerebral paralysis.
  • Intellectual or developmental disabilities.

Depending on the patient, adjustments may be necessary in:

  • Communication.
  • Duration of the consultation.
  • Root Canal management.
  • Coordination with other professionals.
  • Need for sedation.
  • Environment in which treatment may be performed.

Not all conditions can be handled in the same way, nor can all patients receive any procedure within a conventional dental office.

Therefore, each case is evaluated individually.

When do you need an Orthodontic evaluation?

During growth, alterations such as:

  • Cross bite.
  • Open bite.
  • Lack of space.
  • eruption disturbance.
  • Dental malfeasance.
  • Problems in the development of arcades.

Detecting an alteration does not automatically mean that the child should start Orthodontics at that time.

The need and timing depend on the diagnosis and the stage of development.

When appropriate, the case can be coordinated with the Orthodontics service in Panama of Clínica Dental Champsaur.

Consulte su caso

Clínica Dental Champsaur cuenta con más de 50 años de trayectoria en Panamá y un modelo de atención que integra odontólogos y diferentes especialidades dentro de una misma clínica.

Si durante una consulta infantil se detecta una necesidad adicional, puede coordinarse la evaluación con el área correspondiente.

 

Frequently asked questions about pediatric dentistry

The first visit can be made during the first year of life, ideally since the appearance of the first tooth.

Early care makes it possible to review development, guide parents and establish preventive measures from the outset.

Because temporary teeth can develop cavities, pain, or infection and perform important functions while remaining in the mouth.

Treatment depends on the condition of the tooth, age of the child and approximate time until its natural replacement.

It depends on the risk of cavities, hygiene, age, development and history.

A six-month interval may be frequent, but it is not a universal rule for all children.

Not necessarily.

First, their hygiene and oral health are evaluated to determine what preventive measures they need.

You should request an evaluation to determine what type of injury you suffered.

Management depends on whether the tooth is temporary or permanent and whether there is a fracture, displacement, mobility or loss of the tooth

Care can be adapted through age-appropriate communication, progressive explanation, positive reinforcement and other management strategies.

The form of care depends on the level of anxiety, age, previous experiences and procedure required.

No.

Sedation is considered only when there is an indication after evaluating age, medical history, behavior, anxiety, clinical needs and alternatives available.

These patients should be evaluated individually.

Medical, physical, cognitive or behavioral needs may require changes in communication, length of consultation, behavior management, coordination with other professionals, or sedation assessment.

The aim is to determine the appropriate way to provide care according to the specific needs of each child.

El objetivo es determinar la forma adecuada de realizar la atención según las necesidades específicas de cada niño.

There is no single age.

Some alterations may benefit from intervention during growth, while others require only observation or treatment at a later stage.

The decision must be based on the diagnosis and development of the child.