Does my child need a space maintainer?

Has your child moved a tooth at an early age? Was a baby tooth extracted due to tooth decay? You may need to use a space maintainer to help protect your dental health. Many young children are treated with this technique to conserve the space between one tooth and another and thus do not crowd them or that the tooth that is to come does not find it difficult.

A space maintainer is an appliance made of acrylic or metallic material and can be removable or fixed with cement in your child’s mouth. Its purpose is to keep the space open to allow the permanent tooth to erupt and for it to reach its place. Milk teeth are the guide par excellence for permanent teeth, that is, for them to find their position. If a space is not maintained, then the teeth can move into the open space and this is when orthodontics comes in.

It is important to note that not all children who lose baby teeth prematurely need a space maintainer. During the consultation with the dentist it will be indicated if it is necessary to use it and the father will be given all the necessary information to comply with this treatment.

Among the reasons why your child could use a space maintainer are: avoid crowding in previous sectors due to loss of space, maintain the correct tooth eruption guide, allow the child to have a good bite, maintain the basic functions of Teething in case of multiple losses and avoid the appearance of bad oral habits.

The maintainers of removable spaces are similar to orthodontic appliances and can be removed before sleep. The fixed ones will always be in place until the tooth has grasped the path to exit completely.

Four interesting facts about teeth whitening

Teeth whitening is a professional procedure that uses technologies at the level of intrinsic or extrinsic stains that serves to improve the appearance of the teeth. This aesthetic treatment can be taken both in the clinic and in the home, as long as it has been approved by your primary dentist.


Intrinsic stains are fostered below the enamel. It is usually produced by the consumption of medications.

The extrinsic ones are those that are performed on the outside of the denture. The foods that generate it are those that have preservatives.

Feeding Habits

Doctors indicates that foods with very high positive and negative charges, deteriorate the enamel of the teeth, being difficult to eliminate completely with traditional washing. Products that have neutral pH are ideal to prevent staining. Meats, fruits and vegetables are some examples, however if they have suffered any chemical alteration it is preferable to avoid their consumption.


Teeth whitening should be done every 365 days, as long as the dentist has approved the procedure again. It should be noted that if the lapse of time is not respected, the teeth run the risk of suffering wear, reaching the point of not being able to protect themselves automatically.

Change of routine

When your denture goes through this procedure, it is recommended to avoid certain habits that harm the bleaching. If you drink coffee or wine too soon, it will turn yellow again, but this time it will be harder to hide the spots.

Food for healthy teeth and gums

The health of our teeth and gums depends on our diet. In addition to calcium and vitamin D, other minerals and vitamins play an essential role for teeth and gums: phosphorus, fluoride, vitamin A, B and C.

These nutrients are indispensable in the diet of all ages to get a healthy mouth and a beautiful smile

Food is a determining factor in our general health. Logically, it also influences the state of our oral health.

There are nutrients whose participation in the formation and health of the teeth and gums is fundamental; among them are calcium, phosphorus, fluorine, vitamin D, vitamin A and vitamins of group B. Milk and milk products are a group of foods that are an excellent source of most of these elements: calcium, phosphorus, and vitamins A, D, and B.

Nutrients for healthy teeth and gums

Calcium It is an essential element in the formation of bones and teeth. 99% of the calcium in our body is found in them. The remaining 1% is in the blood, extracellular fluid and adipose tissue. Calcium is necessary for the transmission of nerve impulses, for muscle contraction, for blood coagulation and for the functioning of the heart and maintenance of blood pressure. It also prevents the formation of colon tumors and the formation of kidney stones.

An average amount of 1,000 mg of calcium per day is recommended. The main source of calcium in the daily diet is milk and its derivatives. There are other foods that contain calcium: cereals, vegetables or dark green vegetables, nuts, beans and especially small fish that can be eaten with spines such as sardines or smallmouths.

Phosphorus: It is the second most abundant mineral in the body. It constitutes the structure of bones and teeth next to calcium. Among other functions, it contributes to maintaining the activity of the muscular system and the acid-base balance of the organism.

It is found in foods of animal origin such as milk and its derivatives, eggs, fish and also in foods of vegetable origin such as legumes, nuts or zucchini.

Fluoride: Taken orally is especially useful in the stages of life in which teeth are forming. It reinforces the structure of the dental enamel, protects against caries and demineralizes the enamel. An excess of dose can alter the dental structure causing what is known as fluorosis is.

It is found in waters at various concentrations according to the geographical region and in foods such as tea. In smaller quantities in other foods of vegetable origin: tomatoes, beans, lentils, cherries, potatoes. In animals: mackerel, sardine, cow liver, fresh fish.

Vitamin D: It facilitates the absorption of calcium and phosphorus.

It is found in oily fish, liver oil fish, margarine, eggs, milk and dairy products. A part of this vitamin is formed in the skin by the sun’s rays, hence the importance of exposing ourselves to the moderate sun, especially children (they are in dental and bone formation) and the elderly (decreases absorption capacity digestive of vitamin D contributed by food).

Vitamin C: Involved in the synthesis of collagen in the gums and the rest of the body. In addition, it intervenes in the formation of cartilage, tendons, bones and teeth, favoring the adequate formation of osteoid material and the function of osteoblasts. On the other hand, vitamin C protects the integrity of blood vessels, maintaining its proper permeability, which at the level of the periodontium protects against bacterial attacks.

It is found in fruits known as citrus fruits (orange, lemon, tangerine, and grapefruit), kiwi, fresh soybeans, tomatoes, green pepper, lettuce, potato, cauliflower.

Vitamin A: Involved in the formation and development of bones and teeth, prevents infections and has antioxidant and anticancer function. Its deficit produces alteration of the structure of bones and teeth and resection of the mucous membranes, which increases the predisposition to caries and infections.

It is found in foods of animal origin such as blue fish, liver, egg yolk, butter, cheese, and whole or enriched milk. It is also found in foods of vegetable origin such as apricot, melon, carrot, mango, peach, spinach, Brussels sprouts, tomato, meddlers.

Vitamin B

Vitamin B2: found in milk, cheese, eggs, liver, legumes, green vegetables and brewer’s yeast. Its deficit produces glossaries (inflammation of the tongue), angular stomatitis (fissures or cracks in the skin that radiate from the corners of the mouth and sometimes to the buckle mucosa) and cheilosis of the lips (painful fissures in the upper and lower lips).

Niacin: found in the liver, lean meats, cereals, legumes and brewer’s yeast. It seems to have an important role in the prevention of periodontitis. Its administration improves glossies (inflammation of the tongue) and atrophic tongue.

 Vitamin B12: found in meats, organ meats, eggs, fish and dairy products. Improves glossaries. It seems that correcting vitamin B12 deficiency improves periodontitis.

External tooth whitening

The external tooth whitening is now one of the aesthetic resources simpler and conservatives. Although it is called external, what you are trying to bleach is dentin. The crown of the tooth in its structure is formed by enamel (outermost part), dentin (intermediate layer) and dental pulp (internal structure). The enamel has no color, it is translucent like glass. The dentin is what really gives us tooth color.


We must know that the internal intrinsic color of the dentin is determined genetically, it is therefore an innate characteristic of each of us, as is the color of our skin. They can have an infinite variety of color range within the target (orange-yellow, gray-greenish, gray-pink or reddish-brown) and within each of these groups, different gradations of intensity. The professional will have to determine that base color, since it is not modified by any whitening, what can be achieved is a clarification to a greater or lesser extent of that base color.

To explain it in a simple way, we are always talking about whitening the base color that is located inside the tooth, since external stains, such as those of tobacco or other stains on the surface of the tooth, can be easily eliminated with a oral cleaning together with tartar and plaque. Do not confuse enamel stains by external agents with the intrinsic coloration of the tooth, which is why oral cleansing and whitening are two different dental procedures.


Before initiating a treatment of this type, the case should be studied so as not to give false expectations. To say also that the intensity of the whitening will depend on each patient and their age (being younger, better response) and that in general they respond well to almost all teeth, even in many cases the tetracycline’s (with brown or gray stripes). In these last ones the mentioned bands do not disappear, but they will only be clarified. Never with a whitening will disappear. Bleaching is not like “clear” or painting a wall.

The external teeth whitening will be done without anesthesia to be able to perceive the sensitivities, since it is in fact the tooth that is going to indicate to us where we can whiten, it is worthless to have a white tooth if we remain hypersensitive. If during the procedure the sensitivities are many, we will have to stop and continue in another session, or stop there definitely the treatment because the tooth does not allow us to go further.

At the end of the treatment and the next day the teeth can and do tend to be slightly sensitive as well as the surrounding gum, sometimes even requiring the taking of painkillers on the day of treatment, but we have to say that these discomforts, if any, will be transient and of low intensity if the correct protocols are followed.


Once the whitening is done, in a few days the teeth will continue to bleach and the final color obtained will remain that way for about 2 to 7 years, depending on each patient. Even if it loses intensity after these years, the color will never be like that of the beginning. In the event that you recidivism a little, it will be enough to make a reminder session shorter than the initial one. In the indicated cases a whitening paste can be used as reinforcement during a season. Always under professional control.


Current whitening techniques are based on the use of two products, carbide peroxide (ambulatory tics) and hydrogen peroxide (tcs in clinic). These products are capable (by activation by heat and / or special light) of releasing O2 molecules that can be “filtered” through the enamel of the teeth (surface tissue) to reach the dentinal tubules. There are approximately 15,000 dentinal tubules / mm2. Thus, the tissue underneath the enamel (dentin) that gives color to the teeth undergoes whitening, giving the impression that the enamel is whiter.

Enemies of oral health

Knowing the enemies of oral health will be of great help when it comes to avoiding certain foods, practices or behaviors that may call into question proper oral health. Through this article we will know the reasons why it is harmful to consume sugary products or those erroneous practices related to oral hygiene. Do not miss it!

Enemies of oral health | Identify them

We started by talking about sugar as one of the great enemies for oral health. But … Why is its consumption harmful? It is important to know that both sugar and carbohydrates have the ability to create the acid that causes tooth decay, for this reason if we consume food such as candy, bread or pasta and we do not brush our teeth then we allow these food residues to start to decompose causing the creation of the acid that will attack the enamel, meaning in this way the beginning of decay.

Regarding oral hygiene, we must point out some elements or behaviors that are not beneficial for the health of our mouth and an example of this comes from the hand of hard bristle brushes since not only cause excessive wear of the enamel if not that they can also damage the gums.

On the other hand we must talk about the importance of the correct frequency of tooth brushing (between 2 and 3 brushing a day) since if we do not reach this figure we run the risk of suffering from all kinds of oral diseases such as caries or pathologies. of periodontal character. However, if we exceed this figure it is likely that we will develop dental fluorosis, a pathology that appears due to a slight intoxication due to excessive use and manifested through white spots on the enamel that will affect the patient’s dental aesthetics.

We must also talk about different habits that affect oral health and within these categories we can mention biting your nails, opening cans of soda with your teeth or squeezing and grinding your teeth, a habit that is known as bruxism and that It causes all kinds of dental problems such as the possibility of suffering dental fractures.

It is clear that we are facing a wide variety of enemies that we should avoid if we want to maintain a proper oral health. Similarly, it is vitally important to practice a correct routine in terms of oral hygiene as well as we must visit the dentist periodically to undergo routine checks in order to check the good condition of our teeth and other oral tissues.