Piano Dental Clinic
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Çocuk Diş Hekimliği
What is Pedodontics - Pediatric Dentistry?

Pedodontics is a specialty of dentistry that deals with the oral and dental health of children from birth to the age of 12-13, from birth to the completion of permanent dentition.

The primary purpose of Pedodontics is to treat existing problems and to take preventive measures to prevent these problems from occurring.

Protective practices of pediatric dentistry; Informing about healthy eating and regulating nutritional habits, giving children the habit of oral hygiene and determining child-specific protective programs, protective and stopping orthodontic treatments against the effects of harmful habits (finger sucking, tongue pushing, etc.) on teeth, fluoride and fissure sealants that can be applied to teeth. includes transactions and regular checks.

Treatment applications of pediatric dentistry; Filling treatment of decays in milk and permanent teeth, canal treatment in milk and permanent teeth, tooth extraction, removal of stains and plaques on teeth, treatment of fractures caused by falls and accidents.

İlk Diş Muayenesi
When should the first dental examination be done?

The first dentist examination is recommended by the pedodontist (pediatric dentist) after the first deciduous tooth is removed (usually between 6 months - 1 year old). In this examination; Parents are informed about how to do the dental hygiene and oral care of the baby, explain the dental process, preventive approaches to prevent tooth decay, the limits of the use of bottles and pacifiers, harmful habits such as lip and finger sucking, and the necessity of visiting the dentist.

Meeting the Pedodontist

The first appointment in our clinic includes informing your child about the examination we carry out together and the prescribed treatment, oral hygiene, nutrition and preventive practices.

To what  Should Parents Pay Attention  during The First Examination?

The experience of the child in the first appointment and his trust in the dentist are of great importance in preparing for the situations he may encounter in the future. Before coming to the first dental examination, the child should be prepared for the appointment. The family's role is very important in this process. Before the examination, a good communication should be established with the child and it should be treated as a routine day, since excessive information before the appointment will cause him to worry more, it will reflect more positively on your child.

Do not forget that when children are born, they are unaware of any fears, including the fear of a dentist. Before your child's first dentist appointment, never tell him about your dentist experience and think positively as possible.

Never make sentences like "it won't hurt, you don't need to be afraid" to your child, because this can lead to the thought that your child may hurt.

Your child should not be told that he will need to be pulled or injected if his teeth are not treated, because all these frightening treatments may one day be needed.

Do not say that you will receive gifts to reward your child for having treatments; because this will cause your child to perceive the treatment as a difficult procedure.

  • The period when deciduous teeth are in the mouth coincides with the most active period of growth and development in children. Teeth, which constitute the first step of the digestive system with their cutting and grinding functions, affect nutrition and consequently growth and development.
  • While milk teeth fulfill their chewing function, they also affect the vertical growth of the jaw bones and the development of muscles.
  • Deciduous teeth preserve the places of permanent teeth and guide the permanent teeth to take their correct places in the mouth when the time comes. Milk teeth have a natural placeholder function. This is of great importance in terms of preventing orthodontic problems that may occur in the future.
  • Speech function also begins to develop in children during the period when deciduous teeth begin to erupt in the mouth. Milk teeth play an important role in making sounds correctly.


  • Milk teeth are also aesthetically important. Children may avoid talking and laughing because of very decayed or completely lost teeth. This situation can bring along social and psychological problems. The fact that children who experience their emotions more intensely than adults begin to develop personal self-esteem during this period makes this situation even more important.
When to Start Tooth Brushing in Children?

From the moment the first tooth appears in the oral environment in babies, the teeth should be cleaned regularly after each feeding. A clean, moistened gauze or special finger brushes can be used for this purpose. After feeding at night, water should be given to remove milk and food residues on the tooth surface.

Brushing by the child himself / herself up to the age of 3 is not enough; However, it is beneficial for the child to gain a brushing habit. For this reason, children of this age should be allowed to brush their teeth, but then the parent should clean the hard to reach areas by the child himself. Teeth should be brushed regularly for at least 2 minutes after breakfast and before going to bed at night.

How to Choose a Toothbrush?

When choosing a toothbrush, care should be taken to ensure that the brush is made of soft bristles suitable for the child's age and mouth structure, and that the handle is wide to facilitate control. The toothbrush should be changed every 3-4 months.

When Do Permanent Teeth Grow? What Should Be Considered During This Period?

Permanent teeth begin to appear at the age of 6 in a child. The first permanent teeth are 6-year-old teeth that emerge from the back of the mouth, and are often not noticed by the parents. 6-year-old teeth are at risk of serious decay due to the child not brushing this area, which is difficult to reach. For this reason, protective approaches must be applied by the dentist for 6-year-old teeth.

What is Preventive Dentistry?

The primary goal of pediatric dentistry is to prevent problems from occurring. For this purpose, preventive dentistry;

  • Regular dentist control and monitoring of tooth development
  • Carry out risk analysis and taking necessary precautions
  • To gain the habit of proper and regular tooth brushing
  • To gain proper eating habits
  • Fluorine and fissure sealant applications
  • Mouth guards to prevent trauma
  • Diagnosis and prevention of bad habits (mouth breathing, finger-tongue sucking, nail biting, tongue pushing, etc.)
  • It includes preventive and stopping orthodontic treatment applications.
What is Fluorine Application?

Fluorine is an element found in water and food in nature. It is mostly accumulated in hard tissues such as bones and teeth in our body. Fluorine helps the tooth enamel mature. Fluorine; It is effective in preventing the formation of bacterial plaque as well as increasing the resistance of the tooth to decay.

While fluorine can be administered systemically in tablet or drop form; It can be applied in the form of mouthwash, solution, polish, gel or locally through toothpaste, dental fillings. As a result of the researches, it has been understood that local applications are more effective than systemic applications. It is now preferred to apply locally to the teeth instead of systemically giving fluoride in children.

This application, which does not pose any risk in terms of child health, can be applied in a controlled manner every 3-6 months when deemed appropriate by the dentist.

What is Fissure Sealant?

The indentations on the chewing surfaces of their teeth are called fissures. It is almost impossible for toothbrush bristles to reach these fissure areas, which have an irregular and narrow structure. This structure of the fissures creates an ideal environment for the accumulation of bacteria and plaque, and although children have a regular tooth brushing habit, malase tooth decays occur in these areas that cannot be cleaned and progress rapidly in young teeth.

Fissure sealant application is the process of covering the indentations on the chewing surfaces of the teeth that are applied painlessly in a short time and do not cause any harm to the teeth. By closing these deep fissures on the chewing surfaces, an easier to clean surface is obtained, the bacteria are prevented from reaching that area and the formation of caries is stopped. Fissure sealant applications are controlled by the time recommended by the dentist; It is a very effective protective application that can be repaired when necessary and keeps your child rot free.

What is Baby Bottle Rot?

The type of decay seen in infants and children (0-3 years old), especially in the gingival edges of the upper anterior group teeth, starts in the form of a white spot and progresses in a short time is called early childhood caries or bottle caries. This situation, which is not noticed by the parents in a timely manner, may cause many teeth to be affected in a short time and cause rapid decay and destruction.

The biggest cause of early childhood caries is improper diet. Especially the milk given before going to bed or during sleep accumulates in the mouth and creates a suitable environment for microbes to decay teeth. Therefore, attention should be paid to the cleaning of the teeth, especially after night feeding.

What Should Be Done to Prevent Baby Bottle Decay?
  • When your baby's first tooth comes out, you should visit your dentist as soon as possible.
  • From the moment the first tooth appears in the oral environment in babies, the teeth should be cleaned regularly after each feeding. A clean, moistened gauze or special finger brushes can be used for this purpose.
  • After feeding your baby at night, give water to remove the milk and food residues on the tooth surface. Do not add sugar to your baby's food and milk. Do not give your baby a pacifier with honey, jam and molasses.
  • Stop your baby's habit of falling asleep with a bottle in mouth at night.
  • Take your baby away from the bottle at 12-14 months, after consulting with your doctor. You should teach your baby to drink from the age of one.

The first examination is very important. In this examination; Information is given about how to clean the teeth and mouth care of the baby, explain the dental process, preventive approaches to prevent tooth decay, and the limits of the use of bottles and pacifiers. Make an appointment with a pediatrician as soon as possible after your baby's first tooth comes out.


One of the most distressing situations for children and their families is that the child's tooth is broken, displaced or completely displaced due to dental trauma. In dental traumas, regardless of the shape and size of the trauma, a dentist, if possible a pedodontist should be consulted as soon as possible.

Generally, parents may not care much if there is no serious bleeding after a fall or injury. However, it should not be forgotten that post-traumatic tooth losses are the teeth that are mostly intervened late. Especially in dental traumas that result in tooth displacement and tooth fracture, the time between reaching the dentist from the moment of the incident and the way the broken tooth piece or tooth is brought plays a major role in the success of the treatment. In such a situation, the family should try to be as calm as possible and inform the physician about exactly when, how and where the accident occurred.

The most common form of trauma in children during the deciduous dentition period is the complete dislocation of the teeth or the embedment of the tooth in the jaw bone. Milk teeth that are displaced due to trauma are not placed back in place.

Even if the permanent tooth germ is not damaged by the trauma, the milk tooth can be damaged while trying to put it back. For this reason, milk teeth that are displaced due to trauma should never be placed back in place. Sometimes, as a result of trauma, the tooth can be buried in the bone and the tooth may not be visible in the mouth. Parents may think that the tooth has fallen out but cannot find the tooth. In such a case, the tooth is detected by radiography and regularly monitored, no intervention is made to the tooth. After a while, it is seen that the tooth buried in the jawbone is re-applied into the mouth. In cases where the tooth does not last for a long time, extraction can be applied to eliminate the risk of the tooth being buried. Because the impacted milk tooth may cause the permanent tooth to not continue in the future.

In the permanent dentition period, if the tooth is broken and the broken piece can be found, the broken piece should be put in milk and the dentist should be consulted as soon as possible.

If the permanent tooth is completely out of its place, it can be placed again, but the teeth that are brought to the dentist in the shortest time and under suitable conditions have a chance of success.

Although it is one of the most suitable carrier environments for the child to be brought in the cheek until the tooth removed at the time of the accident and comes to the dentist, this is often not possible with panic at the time of the accident. Therefore, without touching the root of the tooth, it should be washed under running water and put in milk and reached the dentist as soon as possible.


One of the most important tasks of milk teeth is to protect the permanent teeth. Failure to protect the places of the milk teeth lost due to various reasons before the physiological fall time causes some problems in the tooth row. When deciduous teeth are lost in the early period, neighboring teeth move towards the extraction space and cause the distance required for the permanent tooth to be closed. In this case, placeholder application is made to prevent orthodontic problems that may occur. It applies the appropriate placeholder according to the position of the extracted tooth in the mouth and the number of teeth extracted.

General Anesthesia and Sedation

It is not always possible to treat children or disabled individuals with advanced dentist fear and anxiety under clinical conditions. In these cases, all dental treatments can be performed in a single session under sedation or general anesthesia.

Especially the risk of injury that may arise due to the sudden movements of children with extreme anxiety during dental treatment is completely eliminated under sedation or general anesthesia and the quality and success of the treatments are increased.

A child who is decided to have dental treatment under sedation or general anesthesia should be examined by a general anesthesiologist before the procedure and it should be checked whether there is any risk under anesthesia.

The two important issues that parents should pay attention to when deciding to have their children treated under anesthesia are the experience of the dentist and the treatment should be done in fully equipped hospital conditions.