False teeth in babies (Pediatric partial dentures)

Tooth loss is commonly associated with older individuals, but it can also occur in babies and young children. While it may seem surprising, there are various reasons why babies may require false teeth.

In babies and young children between the ages of 1 and 8 years, tooth loss can be attributed to several factors. The most common ones being baby bottle tooth decay, gum disease, ectodermal dysplasia, and gastrointestinal reflux.

These conditions can lead to premature tooth loss, necessitating the use of partial dentures or other dental prosthetics to restore oral function and aesthetics.

Common Reasons why Pediatric Partial Dentures

1. Tooth loss due to tooth decay

Tooth decay, often caused by poor oral hygiene practices and excessive sugar consumption, can lead to the early loss of primary teeth in babies. Decay weakens the tooth structure, making them more susceptible to fractures and eventual extraction. When primary teeth are lost prematurely, it can disrupt the alignment and eruption of permanent teeth, emphasizing the need for dentures as a tooth replacement option.

2. Gum disease and its impact on tooth eruption

Gum disease, also known as periodontal disease, can affect babies and young children. In severe cases, it can lead to the loss of teeth due to the destruction of gum tissue and underlying bone. As gum disease progresses, it can hinder the proper eruption of teeth, resulting in gaps and misalignment. Dentures may be necessary to fill the spaces left by missing teeth and promote the normal development of the oral cavity.

3. Ectodermal dysplasia and its genetic influence on teeth

Ectodermal dysplasia is a genetic disorder that affects the development of teeth, hair, sweat glands, and other structures derived from the ectodermal tissue. Children with ectodermal dysplasia often have missing or malformed teeth, which can impact their oral function and aesthetics. Partial dentures are commonly used as an effective treatment option to restore the appearance and functionality of the affected teeth.

4. Gastrointestinal reflux and its correlation to tooth erosion

Gastrointestinal reflux, characterized by the backward flow of stomach acid into the mouth, can result in tooth erosion and decay. The continuous exposure to stomach acid can wear away the enamel, leading to tooth sensitivity, discoloration, and even tooth loss. In severe cases, dentures may be required to replace the damaged or lost teeth and prevent further complications.

By addressing these underlying causes and conditions, pediatric dentures can provide a suitable solution for babies and young children experiencing tooth loss. These dental prosthetics help mitigate the negative effects of early tooth loss and support the healthy growth and development of the oral cavity.

Benefits of Pediatric Partial Dentures

1. Aesthetics and maintaining a natural facial expression

Pediatric partial dentures play a crucial role in maintaining aesthetics and ensuring that children can maintain a natural facial expression. The presence of teeth contributes to the overall appearance of the face, and partial dentures help fill the gaps left by missing teeth, creating a more harmonious and pleasing smile.

2. Support for speech development and communication

Teeth are essential for proper speech development and communication. Missing teeth can affect pronunciation and hinder a child’s ability to express themselves clearly. By replacing missing teeth with partial dentures, children can regain their ability to articulate sounds and words effectively, supporting their speech development and enhancing communication skills.

3. Prevention of dental drift and maintenance of teeth spacing

When a tooth is lost prematurely, the adjacent teeth may start to shift or drift into the empty space. This can lead to misalignment and crowding, which may require orthodontic intervention in the future. Pediatric partial dentures help maintain the spacing between teeth, preventing dental drift and preserving the proper alignment of the remaining teeth.

4. Guidance for the eruption of permanent teeth

The eruption of permanent teeth is a crucial stage in a child’s dental development. Pediatric partial dentures serve as a guide for the eruption of permanent teeth, ensuring that the new teeth align properly and occupy the appropriate space in the dental arch. By providing support and maintaining the space, partial dentures facilitate the healthy growth and development of permanent teeth.

5. Improvement in chewing function and nutritional intake

Missing teeth can significantly impact a child’s ability to chew food properly, leading to difficulties in consuming a nutritious diet. Pediatric partial dentures restore the chewing function, enabling children to bite and chew food effectively. This improvement in chewing function enhances their nutritional intake, supporting their overall growth and development.

The Process of Obtaining Pediatric Partial Dentures

Step 1: Initial examination and mold development

During this examination, the dentist carefully evaluates the child’s oral health, identifies the missing teeth, and assesses the surrounding structures. This evaluation helps determine the appropriate treatment plan and whether pediatric partial dentures are the right option.

If it is determined that pediatric partial dentures are needed, the next step is to develop a mold of the child’s mouth. The dentist takes impressions of the child’s teeth and gums using dental putty or a digital scanning system. This mold serves as the basis for creating custom-crafted partial dentures that fit your child’s unique oral anatomy.

Step 2: Fitting and adjustments for a comfortable fit

Once the mold is obtained, the pediatric partial dentures are fabricated in a dental laboratory. The dentures are designed to match the shape, size, and color of the child’s natural teeth, ensuring a seamless and natural appearance. Once the dentures are ready, the child returns to the dentist for the fitting process.

During the fitting appointment, the dentist carefully places the partial dentures in the child’s mouth and makes any necessary adjustments to ensure a comfortable fit. It is important for the dentures to be properly aligned and balanced to prevent discomfort and irritation to the gums and surrounding tissues.

Step 3: Placement and use of the prosthesis

After the fitting and adjustments, the pediatric partial dentures are ready to be placed in the child’s mouth. The dentist provides detailed instructions on how to insert and remove the dentures, as well as proper cleaning and care techniques. The child and their parents or guardians are educated on the importance of maintaining good oral hygiene and regular dental check-ups to ensure the longevity and effectiveness of the dentures.

The child should wear the pediatric partial dentures as instructed by the dentist, typically during the day or as needed for specific activities such as eating and speaking. It is important to follow the dentist’s recommendations for wearing schedules and remove the dentures at night for cleaning and allowing the gums to rest.

Maintenance and Care for Pediatric Partial Dentures

1. Daily cleaning to remove debris and plaque

To maintain optimal oral health, it is crucial to clean pediatric partial dentures daily. This helps remove food debris, plaque, and bacteria that can accumulate on the denture surfaces. The dentures should be removed from the mouth and carefully cleaned using a soft-bristled toothbrush or denture brush.

2. Recommended cleaning techniques and products

When cleaning pediatric partial dentures, it is important to avoid using regular toothpaste as it can be abrasive and damage the denture material. Instead, a denture toothpaste or cleaning solution or mild soap specifically designed for dentures should be used. The dentures should be gently brushed, paying attention to all surfaces, and rinsed thoroughly to ensure no residue is left behind.

Additionally, it is recommended to soak the dentures in a denture cleansing solution or a mild denture cleaner overnight to remove stubborn stains and maintain their freshness.

3. Seeking professional repairs, adjustments, or replacements

In case of any damage, discomfort, or changes in the fit of the pediatric partial dentures, it is important to seek professional dental care. Dentists have the expertise to repair, adjust, or replace the dentures as needed to ensure optimal function and comfort. Regular dental check-ups are essential to monitor the condition of the dentures and address any issues promptly.

Adjusting to Pediatric Partial Dentures

a. Initial discomfort and the adjustment period

When a child first starts wearing pediatric partial dentures, it is normal to experience some initial discomfort. The presence of a foreign object in the mouth may feel strange and may require an adjustment period. During this time, the child may need to practice speaking, eating, and smiling with the dentures to become accustomed to their presence.

b. Addressing any pain or pressure with dental consultation

While some discomfort is expected during the initial adjustment period, it is important to address any persistent pain or pressure. If the child experiences significant discomfort or irritation from the dentures, it is recommended to consult with the dentist. The dentist can evaluate the fit of the dentures and make any necessary adjustments to alleviate discomfort and ensure a proper fit.

c. Temporary limitations and dietary considerations

During the adjustment period, it is advisable to avoid certain foods that may exert excessive pressure on the dentures or cause damage. Sticky or hard foods, as well as foods that require excessive biting or chewing, should be consumed with caution. The child should gradually introduce a variety of softer and easier-to-chew foods into their diet to facilitate the adaptation to the dentures.

As the child becomes more comfortable with the dentures and gains confidence in their use, they can gradually resume their regular eating habits. It is important to emphasize the importance of maintaining good oral hygiene and regular dental visits to ensure the ongoing success and functionality of the pediatric partial dentures.

Alternatives to False Teeth in Babies

Here are some tooth replacement options for children:

a. Fixed Space Maintainers

  • Lingual holding arch

The lingual holding arch is a type of fixed space maintainer used to replace the lower back teeth in children. It consists of a wire that is affixed to the lingual (inner) side of the teeth. This device helps maintain the space left by the missing tooth, allowing the permanent tooth to erupt properly. The lingual holding arch is a reliable and effective option for preserving the alignment of the teeth and preventing crowding or shifting.

  • Band-and-loop dividers

Band-and-loop dividers are another type of fixed space maintainer commonly used in pediatric dentistry. They are made using stainless steel wire and orthopedic bands. This device is suitable for children who have lost molars in one dental arch. The band-and-loop dividers hold the space for the permanent tooth while allowing it to erupt naturally. The advantage of this maintainer is that it does not impede the eruption process, ensuring proper alignment of the teeth.

  • Distal shoe appliance

The distal shoe appliance is designed to replace the first molar and guide the eruption of the permanent tooth. This maintainer is commonly used when a child loses the first molar at an early age. It is fixed to the adjacent teeth and extends into the space left by the missing tooth, preventing other teeth from shifting into the space. The distal shoe appliance requires careful monitoring by a pediatric dentist to ensure proper function and eruption of the permanent tooth.

  • Transpalatal arch maintainers

Transpalatal arch maintainers are used to replace the upper teeth on either side of the mouth. They consist of a wire that is attached to the molars on both sides, crossing the palate (roof of the mouth). This device helps maintain the space and prevent crowding or shifting of the remaining teeth. Transpalatal arch maintainers are a reliable option for preserving the proper alignment of the upper teeth and facilitating the eruption of permanent teeth.

b. Removable Pediatric Partial Dentures

Partial dentures are dental appliances that are specifically designed for children who have lost one or several teeth. These removable appliances are used to replace missing teeth in the front part of the mouth. They mimic the appearance of natural teeth and blend with the surrounding gum tissue, providing a functional and aesthetic solution for young children.

  • Materials and design

Pediatric partial dentures are typically made of acrylic materials, which are durable and safe for use in the oral cavity. Some pediatric partial dentures may also incorporate metal components for added strength and stability. These dentures are custom-crafted to fit each child’s mouth, ensuring a comfortable and secure fit. The design of pediatric partial dentures is simpler compared to adult dentures, making them more suitable for children.

  • Cost-effectiveness compared to traditional dentures

One of the advantages of pediatric partial dentures is their cost-effectiveness. They tend to be more economical compared to traditional dentures. This affordability factor is beneficial for families seeking teeth replacement options for their children. However, it’s important to note that pediatric partial dentures are designed as temporary solutions until the permanent teeth fully erupt.

  • Considerations for age and responsibility of the child

The suitability of removable pediatric partial dentures depends on the age and responsibility level of the child. Younger children who may be prone to misplacing or losing dentures may not be suitable candidates for this option. On the other hand, older children who can understand the importance of maintaining and caring for the dentures may benefit from the flexibility and convenience of removable partial dentures.

Final Thoughts

Pediatric partial dentures serve as a valuable solution for children with missing teeth. They offer numerous benefits, including aesthetics, speech support, maintenance of teeth spacing, guidance for the eruption of permanent teeth, and improved chewing function. 

By working closely with a pediatric dentist and following proper maintenance and care practices, children can regain their natural smile and enjoy the benefits of restored oral function.

Remember, every child deserves a beautiful and healthy smile. If your child has experienced tooth loss, don’t hesitate to consult with a pediatric dentist to explore the options for false teeth and alternative tooth replacements. Through proper dental care and regular follow-up appointments, your child can embrace a confident and vibrant oral health journey.

Authors

  • Editorial team

    A team comprising oral health care professionals, researchers, and professional Writers, striving to impart you with the knowledge to improve your oral health, and that of your loved ones. 

  • Lilly

    Lilly, aka, Liza Lee, is a passionate community oral health officer and our lead writer. She's not only well-versed in performing a multitude of dental procedures, including preventive, restorative, and cosmetic, but also an avid writer. Driven by the significant oral health burden all around her, Lilly strives to build capacity and promote oral health. She envisions making a lasting impact by advancing research, prevention, and promotion efforts to alleviate oral health disparities. Please share your views and opinions on my posts.

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