Paediatric Dentistry

In paediatric dentistry the real work begins before any treatment. How the first appointment goes shapes a child’s relationship with dentistry for the next twenty years. That is why we often do nothing at all on the first visit — we simply get acquainted.

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First visitWhen the first tooth erupts, or age 1

Visit length20–30 min, kept short

RecallEvery 6 months

Ortho screeningAt age 7

"They fall out anyway" is not true

Baby teeth are not only for chewing; they hold space for the permanent teeth forming beneath. When a molar is lost early the neighbouring teeth drift into the gap and the permanent tooth has nowhere to erupt — which later presents as crowding.

So we fit space maintainers where teeth are lost early; we have seen many cases where a simple appliance reduced the orthodontic work needed later. Decay in a baby tooth is treated for the same reason: it hurts, it disrupts eating and it can affect the permanent tooth bud underneath.

Preventive measures

A fissure sealant is a flowable material placed in the deep grooves of the chewing surfaces of back teeth. It is painless, needs no anaesthetic, takes a few minutes, and closes off the site where decay most often starts. It is most effective applied as soon as the permanent molars erupt.

Fluoride varnish increases enamel resistance to acid attack and is repeated every six months. Neither is treatment — both exist so that treatment is not needed, and that is the most valuable part of paediatric dentistry.

08 — Process

The process

01Introduction

Chair, mirror and light are introduced; often nothing is done.

02Examination

Decay, eruption sequence and bite are assessed.

03Prevention

Fissure sealants and fluoride varnish are applied.

04Treatment if needed

Fillings, pulpotomy or space maintainers — in short visits.

05Six-month recall

Eruption monitoring and early orthodontic screening.

Related services

Child protection package
Paediatric examination
Sealants & fluoride
Pulpectomy of primary teeth
Prefabricated / strip crowns
Space maintainers — fixed / removable

A treatment plan and its costing are prepared individually after examination.

11 — FAQ

Common questions

When the first tooth appears, or by their first birthday at the latest. That appointment is usually not about treatment; it covers diet, bottle habits, brushing and fluoride. A child who meets the dentist early comes back without fear when something is wrong — that is the real gain.

Telling us in advance makes our job easier. With anxious children we give the whole first visit over to getting acquainted and leave treatment to the second or third. Please avoid promising "it won’t hurt" — once a child’s trust is lost it takes a long time to rebuild.

Yes. Left alone it causes pain and abscess, the child avoids chewing, and sleep and nutrition suffer. More importantly, infection at the root tip can damage the enamel of the permanent tooth developing underneath. Treated early it is usually a single-visit filling.

Around age seven. By then the permanent incisors and first molars are erupting, and jaw relationship and space shortage become visible. Early assessment does not always mean early treatment — in most cases we simply monitor. But for problems such as a crossbite, early intervention saves a great deal of work later.

05 — Team