Paediatric dentistry


Oral health is an integral part of the overall health of a child. Paediatric dentistry is a specialty that deals with the preventive and therapeutic dental care of children and adolescents.

The main objective for dental treatment is to encourage the child to form a positive attitude towards treatment. Getting their cooperation and trust can create a good dental atmosphere ensuring that the child has a good experience, thus forming a basis for positive interactions with the odontologist and the dental team in the future.

The Spanish Society of Paediatric Dentistry (www.odontologiapediatrica.com) recommends that the infant’s first visit is made when the first twenty pieces of the primary dentition have erupted, at about 3 years old.

In this first visit, the paediatric dentist will examine the child’s teeth, gums and jaw, checking if there are any problems. In addition, parents will receive information about a non-cariogenic diet, oral hygiene, and the handling of certain oral habits like thumb sucking and dummies.

Strategic points and early guidance for infant oral health:

1. Breastfeeding:
  • Encourage breastfeeding up until 6 months old.
  • If the child falls asleep while being fed, clean their teeth before bedtime.
2. Bottle feeding:
  • Use only as a method for artificial formula.
  • Do not add any sugar or sweetener.
  • Discourage the bottle at night after the first day’s eruptions.
  • If the child falls asleep while being fed, clean their teeth before bedtime.
  • The bottle should be phased out after 12 months and definitively when the molars erupt.
3. Use of dummies:
  • Should be progressively withdrawn after 12 months old and definitively when 2 years old.
4. Bacterial Transmission:
  • Discourage certain habits such as sharing utensils with the baby, cleaning the dummy with saliva, blowing on food or kissing on the lips.
5. Cariogenic Food:
  • Avoid all sources of fermentable sugars, especially during the first 2 years of life.
  • Be aware and avoid the use of ‘hidden sugars’ and sugars which have a sticky consistency.
  • Avoid sugary foods between meals.
6. Oral Hygiene:
  • Must be done by the parents until the child is able to do it by themself (6-8 years).
  • Before the eruption of the first teeth, begin with oral hygiene, at least once a day, preferably after each feeding of milk, using a wet gauze.
  • After the eruption of the first teeth, start to clean once a day with a silicone thimble, or an infant’s toothbrush without toothpaste.
  • After the eruption of the first molars, use an infant toothbrush.
  • Use floss only when there is contact between the teeth.
  • Do not use any toothpaste with fluoride until 2-3 years due to risk of fluorosis.
  • Use toothpaste with 500ppm fluoride in children aged 2-3 years old.
  • Use an amount equivalent to the size of a pea.
  • Use toothpaste with higher fluoride concentrations in children older than 7 years.
7. Use of Fluoride
  • Depending on the level of risk, age and fluoride concentration in daily drinking water, the paediatric dentist and / or paediatrician will decide on the systemic dose of fluoride.
  • The dentist and paediatrician must decide on the frequency of visits, depending on the risk of decay.
8. Dentist Visits
  • The infant must have its first visit to the dentist when the first 20 ‘baby teeth’ have erupted.

The most prevalent problems regarding preschool children’s oral health care are decay, dental trauma effects, and alterations in dental growth and development.

Tooth decay is currently the most common chronic disease in childhood and can have serious implications for the child’s general health, such as pain, and facial infections that may require emergency treatment. Also children with early childhood decay have an increased risk of new decay in their permanent teeth.

The accidental injury of teeth is perhaps one of the most dramatic accidents that can happen to an individual and their frequency in the dental clinic is growing. In paediatric dentistry, it is even more evident, given that the incidence of these types of dental injuries are more likely to occur in childhood and adolescence.

Treatment may be multiple, from eliminating the pain, protecting the pulp or nerve of the tooth (pulp capping), removal of the nerve (pulpotomy), the reconstruction and reinforcement of the damaged tooth by placing a metal crown on it, or relocation of the teeth that have left the bone during a trauma (reintroduction).


Before 5 years of age, most jaw growth problems can de diagnosed. An early treatment with temporary orthodontics can increase the probability of a complete correction, reducing treatment time with permanent orthodontics in later years and preventing the progression to more serious malocclusions.

In this sense, Clinica Kranion’s paediatric dental team is based on the principles of Neuro-Occlusal Rehabilitation (www.infomed.es/cirno) with the aim of creating proper masticatory functions as the basis of a correct and harmonious growth of the orofacial structures. Widening the upper jaw amplifies the airway, corrects the development of the jaw, provides more space for the tongue and increases air flow to the throat, preventing mouth breathing and avoiding the onset of disease in the ears, nose and throat.

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Our specialists

Dra. Eugenia Prario Massimino

Dra. Eugenia Prario Massimino

  • Licenciada en Odontología por la Universitat de València.
  • Postgrado en Odontopediatría dirigido por Dra. Gatón.
  • Máster en Odontopediatría por la Universitat de València.
  • Curso de Equilibrado Oclusal y Funcional en Rehabilitación Neuro-Oclusal.
  • Miembro de la Sociedad Española de Odontopediatría SEOP.
Contact CLÍNICA KRANION
Calle Callosa del Segura, 1 Entlo
03005 Alicante

+34 965 124 365
atencionpaciente@clinicakranion.com