Pedia­tric Den­ti­stry

A visit to the pedia­tric den­tist should be fun! Child­ren love new expe­ri­en­ces when they are not asso­cia­ted with fears, stress or even pres­su­re in advan­ce. Most tre­at­ments today are pain­less and short any­way.

Your child is in the best hands at the Kureck prac­ti­ce: Our pedia­tric den­tists have many years of expe­ri­ence in pedia­tric den­ti­stry. They take their time, explain every step in a child-fri­end­ly way and use playful dis­trac­tions — such as hand pup­pets and a video moni­tor on the cei­ling — to ensu­re an all-round rela­xed tre­at­ment expe­ri­ence.

Gela
from Schutz­bar

Chris­tof
Rif­fel

Pedia­tric den­tist Gela von Schutz­bar joins our team in Janu­ary 2026. Her spe­cial­ties include rela­xa­ti­on and seda­ti­on tech­ni­ques, tre­at­ment with laug­hing gas — safe and anxie­ty-free, if neces­sa­ry also under gene­ral anaes­the­tic, tre­at­ment with milk tooth crowns for sever­ely dama­ged tee­th and the tre­at­ment of MIH tee­th (“chalk tee­th”) using gent­le methods. When trea­ting child­ren with spe­cial chal­lenges, Ms. von Schutz­bar reli­es on her many years of expe­ri­ence and her pro­no­un­ced empa­thy.

After many years as a popu­lar and suc­cessful pedia­tric den­tist, Chris­tof Rif­fel will reti­re in Febru­ary 2026.

For you as par­ents, we have some tips on this page on how to prepa­re your child for the den­tist visit – wher­eby less is real­ly more…

The First Time at the Den­tist

To prepa­re your child for their first visit to the den­tist, it is best to do as litt­le as pos­si­ble. The child should have their own unbi­a­sed expe­ri­en­ces with the prac­ti­ce rooms and the fri­end­ly team. Do not reassu­re them about any­thing (“it won’t hurt at all”), becau­se that only makes the child think that some­thing might actual­ly hurt here. If the child asks if it hurts, say that most child­ren say it tick­les a litt­le.

Abo­ve all, do not pro­mi­se any rewards, becau­se that dra­ma­ti­zes the situa­ti­on and puts the child under pres­su­re.

Speak posi­tively about your own den­tal expe­ri­en­ces. (You get super tee­th from it and the den­tist makes sure they stay that way.) The child should be proud of their gre­at tee­th and look for­ward to the expe­ri­ence (“it’s fun, all your tee­th are coun­ted the­re.”)

You are wel­co­me to be pre­sent during the tre­at­ment. But stay in the back­ground as much as pos­si­ble and let the child be the cen­ter of atten­ti­on. The child should con­cen­tra­te on the den­tist in peace and under­stand what he is say­ing. The way Chris­tof Rif­fel speaks to your child alre­a­dy calms and rela­xes them and, if neces­sa­ry, puts them in a light trance (den­tal hyp­no­sis).

Child­ren’s Pro­phy­la­xis

Brushing Tee­th

Is brushing your tee­th neces­sa­ry? Yes. Becau­se a clean tooth does not get sick!

When brushing your tee­th, not only food resi­dues are remo­ved, but abo­ve all the harmful plaque. Plaque con­sists main­ly of bac­te­ria and its meta­bo­lic pro­ducts. The bac­te­ria mul­ti­ply rapidly, attach them­sel­ves to the tee­th as a sti­cky mass and pro­du­ce aggres­si­ve acids. The­se dis­sol­ve the tooth ena­mel, so that caries deve­lo­ps.

Den­tal Floss

… is not neces­sa­ry for baby tee­th, is it? Yes! In many child­ren, the tee­th are very clo­se tog­e­ther. This increa­ses the risk of inter­den­tal caries.

The cont­act point bet­ween clo­se­ly spa­ced tee­th is neither visi­ble to the den­tist nor acces­si­ble to the tooth­brush.

The­r­e­fo­re, den­tal floss is also man­da­to­ry for baby tee­th. The pro­phy­la­xis team at Pra­xis am Kureck will explain the hand­ling to par­ents and child­ren in detail.

Pro­fes­sio­nal Den­tal Clea­ning

Even in our modern times, it is not a mat­ter of cour­se to have healt­hy, caries-free tee­th. Unli­ke 20 or 30 years ago, we don’t just want to eli­mi­na­te caries in your child­ren today, but pre­vent it from deve­lo­ping in the first place. This requi­res a pro­fes­sio­nal indi­vi­du­al pro­phy­la­xis pro­gram.

The young pati­ents are playful­ly intro­du­ced to den­tal care in our den­tal prac­ti­ce, so that they are moti­va­ted for dome­stic oral hygie­ne and take respon­si­bi­li­ty for their tee­th.

Our pre­ven­ti­on pro­gram includes, among other things:

  • Inten­si­ve clea­ning and poli­shing of the tee­th
  • Visua­li­zing dan­ge­rous plaque
  • Har­dening of the tooth ena­mel with fluo­ri­de var­nis­hes
  • Tooth brushing school (demons­tra­ti­on of age-appro­pria­te tooth brushing tech­ni­ques, tips on the use of den­tal floss, infor­ma­ti­on on fluo­ri­de admi­nis­tra­ti­on)
  • Infor­ma­ti­on about the cau­ses and type of caries
  • Nut­ri­tio­nal advice
  • Deter­mi­na­ti­on of the indi­vi­du­al caries risk (her­edi­ty, sali­va tests)

Tre­at­ments

Dia­gno­stics

Every tre­at­ment beg­ins with a tho­rough dia­gno­sis.

The den­tist gets a pic­tu­re of your child and their tee­th. The caries risk is deter­mi­ned, and an indi­vi­du­al tre­at­ment plan is based on it. Nut­ri­ti­on, tooth brushing habits and the use of fluo­ri­de also play a role. If neces­sa­ry, cri­ti­cal are­as are X‑rayed with a digi­tal X‑ray machi­ne with extre­me­ly low expo­sure. This allows a den­tal dise­a­se to be detec­ted befo­re it is visi­ble or even noti­ceable from the out­side.

Seal­ing

All tee­th with deep groo­ves and pits on the che­wing sur­face are par­ti­cu­lar­ly sus­cep­ti­ble to caries. The­se tee­th should be sea­led even in child­ren. A medi­cal­ly harm­less, thin-bodi­ed pla­s­tic is appli­ed to the tooth sur­face under abso­lu­te dry­ness and har­den­ed with a spe­cial lamp. In this way, we give your chil­d’s tee­th effec­ti­ve pro­tec­tion against caries.

The­re are dif­fe­rent types of fil­ling mate­ri­als. We only use pla­s­tics as fil­ling mate­ri­al. Pla­s­tic fil­lings have good adhe­si­on and the­r­e­fo­re a high load-bea­ring capa­ci­ty. They are more dura­ble. The cos­ts for pla­s­tic are not ful­ly cover­ed by the sta­tu­to­ry health insu­rance com­pa­nies.

Pla­ce­hol­der

If a baby tooth has been lost pre­ma­tu­re­ly due to an acci­dent or caries, the resul­ting gap must be kept open for the sub­se­quent tooth. This is done by a pla­ce­hol­der. A fixed pla­ce­hol­der is prac­ti­cal: it is firm­ly cemen­ted in place and only needs to be rein­ser­ted if it loo­sens.

Ner­ve Tre­at­ment

In some cases, caries has atta­cked the ner­ve and the tooth requi­res ner­ve tre­at­ment. We pro­vi­de such tee­th with a child­ren’s crown. Only then do they have a good chan­ce of ful­fil­ling their pla­ce­hol­der func­tion until the natu­ral tooth chan­ge.

Even tee­th with a pro­no­un­ced ena­mel defect are pro­tec­ted with a child­ren’s crown so that they are ful­ly func­tion­al again.

Baby Tooth End­odon­to­lo­gy

Inter­den­tal caries is par­ti­cu­lar­ly dan­ge­rous for deli­ca­te baby tee­th. The baby tooth ner­ve in par­ti­cu­lar can quick­ly beco­me infla­med and die due to caries bac­te­ria, even if the hole still looks small from the out­side. If the ner­ve is also affec­ted in tee­th with deep caries, tre­at­ment is requi­red. In most cases, the dise­a­sed part of the ner­ve must be remo­ved.

Howe­ver, it can also hap­pen that a baby tooth dies. Then a root canal tre­at­ment is neces­sa­ry as with adults. Opti­cal chan­ges in the tooth, a fis­tu­la or an abs­cess are the exter­nal signs. The cau­se of the death of a baby tooth is varied (acci­dent, caries). The tooth must be trea­ted in any case. After each root canal tre­at­ment, the tooth should be pro­vi­ded with a crown.

Insuf­fi­ci­ent or incor­rect tre­at­ment (for exam­p­le, lea­ving or dril­ling open the tooth) can lead to lon­ger-term health dama­ge – for exam­p­le to the per­ma­nent tooth. For a detail­ed exami­na­ti­on, we crea­te a digi­tal X‑ray image in the Pra­xis am Kureck.