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Molarii de 6 ani. Atentie parinti!

bacterii, carii, dantura de lapte, dinti de lapte, medic dentist, periuta de dinti
Dentist.ro | 29.01.2010



Molarul de 6 ani este un dinte definitiv special. Facand o comparatie, el seamana cu un copil care este pe cat de inteligent pe atat de rebel, rasfatat si incapatanat. Molarul de 6 ani, pe cat este de important pe atat este de vulnerabil. Nu intamplator este denumit « copilul rebel » al stomatologiei pediatrice.

Despre acest paradox ar trebui sa fie bine informati parintii, bunicii, educatorii, pediatrii si toti aceia care au in grija copii in preajma varstei de 6 ani mai ales ca el poate erupe si precoce in intervalul de varsta 5-6 ani.

Greseala pe care multi parinti-dealtfel bine intentionati –o fac, este ca, odata erupt,  sa il confunde cu un dinte de lapte, temporar. Reamintim parintilor ca ultimul dinte de lapte erupe cel mai tarziu la 2 ani si 6 luni. La 6 ani incepe deja dentatia mixta prin eruptia primilor dinti definitivi :molarii de 6 ani si incisivii centrali inferiori.

 

Importanta molarilor de 6 ani:


1.    El stabileste si amelioreaza ocluzia dentara (in stomatologie, ocluzia se refera la modul in care dintii de pe arcada superioara si inferioara se suprapun atunci cand gura este inchisa) a « adultului in devenire » atat  in plan vertical cat si in plan orizontal.

2.    Prin pozitia lui strategica pe arcada el este obligat sa suporte cele mai mari presiuni dar pe care doar el are mecanisme sa le disperseze armonios.

3.    Prin eruptia lui timpurie este singurul element de stabilitate in timpul eruptiei mixte.

4.    Pierderea lui timpurie atrage dupa sine instalarea unor dezordini morfologice si functionale in cascada pe toata durata vietii.

 

Vulnerabilitatea si receptivitatea lui la carie :  


1.  Mineralizarea acestui dinte se face in etapele dificile ale dezvoltarii :in momentul  nasterii si postnatal. Orice dezechilibru in primul an de viata se repercuteaza asupra mineralizarii structurilor lui dure.

2.  Maturizarea molarului post-eruptiva se face in conditii dificile- el convietuind cu dintii de lapte care se pregatesc de schimbare si care retentioneaza si defavorizeaza autocuratarea.

3.   Durata eruptiei acestui dinte este foarte lunga-chiar si 1 an din momentul in care    apare de sub mucoasa gingivala- ceea ce favorizeaza depunerea de placa bacteriana pe el.

4.  Relieful- morfologia acestui dinte il dezavantajeaza :are fosete profunde, fisuri adanci, o creasta in diagonala, gropite vestibulare retentive si chiar tuberculi (Carabelli).

5.  Importanta prezentei lui pe arcada dentara face ca efortul lui de a-l mentine sa nu fie niciodata prea mare, iar extractia lui ar trebui rezervata unor cazuri extreme si sa constituie un adevarat « doliu stomatologic ».

6. Toate acestea explica vulnerabilitatea lui prin receptivitatea crescuta la carie ceea ce determina o supraveghere permanenta si o ingrijire mai atenta a dintilor.

Un medic dentist va poate informa despre metodele de prevenire si imunizare a molarului de 6 ani. Despre periuta special conceputa pentru ingrijirea acestui dinte ati stiut ?

 

Dr. Nicoleta Statov

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