Dental sealants are a resin material usually made of BIS-GMA
without filler particles. It is a flowable resin which hardens with helps of
visible light. It is usually placed on permanent molars and premolars as soon
as a new tooth erupts in the oral cavity. The reason for this is new teeth have
lots of pits and fissure which acts as nidus for bacteria to settle on the
tooth surface of freshly erupted teeth.
To prevent this phenomenon Dental sealants are placed, it is
also called Pit and Fissure sealants.
WHY IS IT MAINLY USED IN CHILDREN?
It is mainly used in children and also highly beneficial in
children because the dental architecture of newly erupted teeth in oral cavity
is different from adult teeth, which are in place for a long time. Main
difference is enamel which is not completely matured in children.
Permanent molar in children have lots of ups and downs
called Pit and Fissures, because of this immature enamel with pronounced pits
and fissures on occlusal surface with added up poor dexterity of child they
both put together it creates a high risk for cavity in the newly erupted
permanent teeth. So dental sealants when placed on these teeth in children
reduces the incidence of dental decay by 80 to 90%.
IS IT PREVENTIVE OPTION OR THERAPEUTIC OPTION?
Dental sealants are
purely preventive option, because it is only helpful in preventing the tooth decay.
Once decay sets inside usually a composite filling material which has different
composition is placed on the tooth. The difference between the resin in the
sealant and filling material is that resin used for filling contains more
filler particles to obtain reduced wear and Tear for increased durability. If
it is therapeutic option to restore part of the tooth with sealant and part
with composite filling then we use the combination of composite filling
material and Dental sealant. This procedure is termed as Preventive Resin
Restoration shortly (PRR).
DOES SEALANTS LAST LIFE LONG?
Since dental sealant
does not have filler particles for better strength, they tend to wear off with
time as the newly erupted teeth slowly start to mature. Complete maturation of
teeth results in diminishing of pits and fissures making a rounded appearance
of the teeth. So this sealant tends to wear off with time. So it is not
sealants last for 2 to 3 years.
WHY IS IT NOT USED IN ADULTS?
It is not used in adults since the preventive ability of the
sealant does not serve the complete purpose in a fully formed teeth of an adult,
dental sealant is not very effective in adults. But it can be placed in adults
with high caries risk patient to reduce the incidence of dental decay.
Bruxism is commonly known as teeth grinding in layman term. It
is a condition in which children tend to grind their teeth most common during the
night time. The grinding of teeth results sometimes in enormous sound which is
like heavy metal cutting wood or steel or timber. This sound results in heavy
disturbance to the person sleeping beside the child. In such scenario it is
always necessary to take guidance from a pediatric dentist as soon as possible.
Bruxism when untreated can result in severe enamel loss, sensitivity to heat
and cold stuffs, sometimes even brushing becomes extremely difficult to the
child. So having discussed the effects of this problem now, I would like to say
how to handle the situation.
WHY IS IT HAPPENENING TO MY CHILD?
When a child with complaint of bruxism lands into a dental
office or if a child enters with some other problem which can also be bruxism,
first and foremost cause to be ruled out is worm infestation in the intestine.
This can be done by deworming medications, commonly used medications are Albendazole,
Mebendazole (Brand name: zentel, mebex). Second most common reason is multiple
cavities in the teeth for which we have rehabilitatory care (Dental filling and
Crowns) should be provided. Third most common reason is improper alignment of
the teeth or jaw growth. If a child does not improve in the problem of the
bruxism after taking care of these factors and the last common factor sited for
teeth grinding in children is stress. In that case we need to evaluate their social
and non-social environment, schooling environment, Peer pressure, wild dreams, hallucinations
in the night time, watching violent videos in the computers before sleep,
aggressive behavior pattern etc.
HOW TO GET THROUGH THIS PROBLEM?
If stress is the causative factor then avoid the factors
initiating stress. Make a peaceful environment to get sleep pattern, parental
counselling should be given. In extreme situations psychiatric counselling and
opinion is needed. After ruling out all these factors, deprogramming of the
brain which is instigating the habitual pattern should be altered. Night guards
are provided either in one or both jaws depending upon the severity of the problem.
It is usually worn for 3 to 6 months in the night. De-programming the brain usually
takes 3 to 6 months to control the habit and change the reflex pattern of the
TAKE HOME MESSAGE TO PARENTS:
Grinding of the teeth is the problem which looks like the tip
of Iceberg but there is a big size ice lying underneath the water. So, early
and effective intervention is mandatory in the situation
Audio-visual distraction in pediatric dental clinic
distractions can be useful in kids do you know how? Children in general always
bubble with energy, their energy always keeps busting because of two reasons,
the eye which sees and ears which hear. So whenever they see or hear something
which they like, their concentration gets focused on that where they tend to
forget the entire world, this concentration results in time-lapse, people
surrounding them (even their parents) and external world. This is not what I
tell or we tell, it is actually scientifically proven by many researchers. What
we are going to do now is applying this concept in the pediatric dental office,
so that the children, who walked into a pediatric dental clinic, are provided
with attractive colors to the eyes and so that they like a place at the first
sight. This is a visual distraction.
A colorful and mind engaging play area is mandatory in every pediatric
dental clinic for visual and mental distraction. There will be a television,
computer, monitor, audiovisual speakers, especially in the dental chair. These
devices when in action during the treatment can provide the audiovisual
distraction. It has also been proved that audiovisual distraction highly
reduces dental anxiety and fear when treatment is carried out. By audiovisual
distraction, the threshold of pain is increased where existing fear and pain
are interconnected, especially in children.
Audio-visual distraction with nitrous oxide
inhalation sedation (NOIS) is highly potent in handling children who are highly
anxious. It is not the question of handling the dental problem as important it
is a question of handling the child with the dental problem which is more important.
methodology of children handling dental problems ensures that they have a very
pleasant experience with the whole process and they will feel highly receptive
and positive for a future dental visit. If they have a positive attitude, in
the future handling them for more severe dental problems would be quick and
NOTE TO PARENTS:
A playful and
colorful environment for the child will look very ordinary for the parents. But
a lot of scientific understanding has gone through in the execution of the
The condition basically
means there is not enough space within the jaw for all the teeth to develop
properly. Children usually have a considerable amount of space between their
teeth as a normal phenomenon so that the developing adult teeth also develop properly.
Thus if your child’s
teeth seem to be overcrowded and crooked due to lack of normal spacing within
their teeth, it is a major concern to be corrected at their right age.
What will be the causes of crowding of teeth in your children?
Oral habits like thumb sucking, finger biting, tongue thrusting etc.
What are all the problems your child will face due to crowding of teeth?
It is not only just an aesthetic problem to your child
It makes your child more difficult to keep their teeth and gums clean
Makes chewing more difficult
Treatment options for crowded teeth…
A dentofacial orthodontist helps
children to solve their crowded teeth problem.
They provide you orthodontic braces
to deal with the crowded teeth and give your child a natural, more attractive
smile and help them to develop healthy teeth, gums and bones.
We love giving your young kids new
Some of our kids treated for crowding
and ended up with a confident smile!!!
Thumb sucking is one of the most common oral habits
seen in children.
What is Thumb sucking?
Thumb sucking is forceful sucking of the thumb in
children which will become an act out of repeated habit
Is Thumb sucking normal?
Thumb sucking is normal up to pre-school age i.e.,
till 2 years.
It becomes abnormal and creates problems to teeth and
jaw if it persists beyond 2 years.
Why your child sucks their thumb?
Till 2 years of life your child performs thumb sucking due to various reasons like :
Beyond 2 years it may be due to :
Feeling of Insecurity
Desire to draw attention
What you think will be the major causes of your child’s
abnormal thumb sucking?
Working Mother– A major cause in today’s metropolitan cities like Chennai, Mumbai etc. Children brought up in the hands of caretaker may have feelings of insecurity that makes the child to suck their thumb.
Other causes include:
Increased number of siblings at home
Late order of birth at home
Low socioeconomic status
What you can notice if your child is thumb sucking for long years?
Thumb and other fingers:
Short finger nail
Short upper lip
Your child will not able to close lips at rest.
Upper front teeth will be forwardly placed
Front teeth bite of the child will be opened
What will be the effect of thumb sucking?
Since the upper front teeth are forwardly placed. It is more common for your child to get teeth injury during play.
Poor esthetic appearance while smiling.
How to prevent?
Since the major reason lies in
psychological insecurity for the child, it is very important to provide a close
emotional union between mother and the baby by proper breast feeding
activities, spending ample amount of time with them and child’s engagement in
various activities like sports.
Use of physiological nipple
Applying neem oil, Asafetida over the digits
Use of Elastic bandages , long-sleeve night gown
Parental counseling and motivation to
child to stop the habit are always better provided by the pediatric dentist you
He / she will also provide habit
breaking appliances based on the extent of habit.
We are responsible
for your child’s better smile!
One of our kid
underwent treatment and ended in everlasting happy smile!!!
If you have brought your child into the dental office for a checkup lately, the dental sealants will become mandatory.
What are dental sealants?
To reduce your child’s risk of tooth decay, we place sealants on permanent molar after they erupt. Sealants acted as a protective coating for the tooth. Because they cover deep grooves and crevices of hard cleaning areas, sealants help children get through the early formative years with fewer cavities.
Does your child have to be numbed?
No. There is no numbing or drilling or anything that
can be potentially scary to your child.
You could describe it as if we are painting the teeth!
How long does it take to apply dental sealants?
It can be done completely in just a few minutes. In most cases, they are just added to your child’s routine examination appointment.
How long sealants do last?
Sealants aren’t permanent, but they can last for several years though. Sometimes sticky foods such as taffy or caramel can pull them off. The sealants will need to be checked at each of your child’s appointment to see if a replacement is needed.
Which teeth get sealants?
In most cases, the dentist seals the “6 year” and “12 year” molars which erupt around those ages, respectively.
It is usually recommended sealing all teeth containing grooves, including front teeth, back teeth, baby teeth and adult teeth.
abuse is a physical/psychological and sexual maltreatment of a child
particularly by a parent or a caregiver.
children around India even today face these kinds of abuse that
affecting them both physically and mentally.
various kinds of abuse, children are facing physical abuse, a
non-accidental act or behaviour causing injury trauma or bodily harm.
Facial injuries are more prevalent in physical child abuse and
account for about 50% of overall body injuries.
can you identify?
child facing facial injury during an abuse, he/she will get their
teeth traumatized/knocking out indicating a blunt trauma at the
discolouration is an indication of repeated trauma.
of healing will be different for each injury, there will be no
uniform healing of all wounds.
of dental injuries in physical abuse”:
of upper/lower jaw-11%
in India, the child is considered as a gift of God, child abuse is
still common especially in remote and tribal areas.
child abuse cases are not reported due to lack of awareness.
laws and NGO’s are working against child abuse in India.
We live in a sports-minded society where millions of kids and children are keen on playing various kinds of sports including athletics. Sporting is a healthy practice but the bitter truth is that it always accompanies injuries where facial and dental injuries are most common among other injuries of the body.
The most possible sports activity your children might get an injury • Bicycling • Athletics • Basketball, volleyball • Badminton, Tennis etc… • Swimming
is the most entertaining sports for children usually during summer
times, and the common dental problems swimmers usually face include,
swimmers who often swim more than 6 hours a week, expose their teeth
to a large amount of chemically exposed water.
water usually contains chemical additives like chlorine leading to
the breakdown of proteins in saliva and thus depositing dark brown
tartar usually on the front teeth.
could be the possible effects on the face and teeth after an
• Abrasions, lacerations on facial skin
Chipping, cracking of the tooth
• Broken tooth
completely knocked out tooth
• Fracture of jaw bones etc…
care is the most important thing to be done to the children met with
Are the parents who are having a look at this are aware
of dental emergency care?
This is a survey fact for parents to
know how bad awareness is among people regarding dental trauma due to
a doctor immediately-16.6%
the wound and then visit the dentist-26%
the wound and take medications for pain-18%
not visiting the dentist -26.6%
PREVENTION OF SPORTS-RELATED FACIAL AND DENTAL INJURIES! • Helmets • Facemasks • Mouth guards
ROLE OF A PEDIATRIC DENTIST IN SPORTS DENTISTRY How a pediatric dentist will help you find a way in case of sports injury to your children? • She/he gives the best counseling to parents regarding the dos and don’ts in sports injury for better prevention • The treatment in emergency cases of injury to your child is always best provided by them.
plays a vitally important role in the world in which we live. Colour
can tilt thinking, modify actions, and cause reactions. On the other
hand, it can irritate or soothe your eyes, raise your blood pressure
or suppress your appetite. If the colour used in the right ways, it
can even save on energy consumption.
IN A PEDIATRIC DENTAL CLINIC
usually scare their children before coming to a dentist as they will
put an injection which tends children to develop subjective fear on
do colours come into play?
are certain psychological findings that some of the colours stabilize
the mood swings in children.
such as yellow and pink have some significant feature on influencing
is a colour of optimism.
stimulates the left brain helping with clear thinking and decision
is used to relax, energize and enhance positive mood.
is a colour of sensitivity.
is associated with tenderness and nurturing while conveying a sense
is used to communicate energy, increase pulse, motivate action, and
PINK COLOURED COAT
CHILDREN FRIENDLY DESIGN
our clinic we have inculcated colour concepts in every aspect such as
doctor’s apron which is usually white but we have a pink coloured
coat to eliminate fear in children
of clinic and equipment has the same theme.