Since our origins we have taken special care to paediatric patients oral health. We treat children at all ages, with special emphasis in prevention. Moreover, our orthodontic team is trained and regularly attends children both for skeletal (bone) malocclussion and dental misalignment. In case a children is to need orthodontic treatment, it is important to try follow the patient to start the treatment in the most adequate moment, in order to optimize the result and minimize treatment time. Frequently they need different treatment phases, sometime with years in between, to take advantage of the growing stages. Our team is especially aware of caries risk in certain children. Although caries incidence has been reduced in the general population, some patients have high number of caries lesions. It is very important to strictly control and follow this high risk patients to minimize caries lesions and preserve the oral health.
Dental care must start soon. It is important to check children’s teeth since they are 4 or 5 years all, provided nothing is perceived before. Temporal molars must be kept until 10 to 13 years, and loosing them too soon might affect permanent tooth underneath. In case of loss, it might be necessary to place a space retainer to avoid neighbour teeth invading the space where other teeth will later erupt. Only exceptionally we need sedation or drugs to control anxiety in children at the dentist. Dental treatment is not traumatic for them. Children are excellent patients, who tolerate very weell the treatments, probably better than most adults. They only need to receive good explanation of what is to be done and to see how it will be/is done (“tell, show, do”).