Author: sajith varghese

Author: sajith varghese

Dental Sealants

Dental Sealants

WHAT ARE DENTAL SEALANTS?

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 everlasting

Average dental 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.


ARE YOU HEARING A DISTURBING SOUND BESIDE YOUR CHILD WHILE SLEEPING?

BRUXISM IN CHILDREN

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 brain.

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

OUR DENTAL PROBLEMS ARE BIGGER THAN WE IMAGINE!!

“NO GRINDING-BETTER TEETH”
“MORE GRINDING-NO TEETH”


Audio-visual distraction in pediatric dental clinic

Audio-visual distraction in pediatric dental clinic    

Even 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.

This combined 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 easy.

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 whole process.


CROWDING OF TEETH IN CHILDREN

What does crowding of teeth mean?

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?

  1. Hereditary factors
  2. Oral habits like thumb sucking, finger biting, tongue thrusting etc.

What are all the problems your child will face due to crowding of teeth?

  1. It is not only just an aesthetic problem to your child
  2. It makes your child more difficult to keep their teeth and gums clean
  3. Dental caries
  4. Gum disease
  5. Makes chewing more difficult
  6. Speech difficulties
  7. Bad breath

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 confidence.

Some of our kids treated for crowding and ended up with a confident smile!!!


THUMB SUCKING

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 :

  1. Hunger
  2. Feeding problems
  3. Teething, etc.

Beyond 2 years it may be due to :

  1. Feeling of Insecurity
  2. Desire to draw attention
  3. Anxiety, fear

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:

  1. Increased number of siblings at home
  2. Late order of birth at home
  3. Low socioeconomic status

What you can notice if your child is thumb sucking for long years?

Thumb and other fingers:

  1. Reddened
  2. Clean chapped
  3. Short finger nail

Lips:

  1. Short upper lip
  2. Your child will not able to close lips at rest.

Teeth:

  1. Upper front teeth will be forwardly placed
  2. Front teeth bite of the child will be opened

What will be the effect of thumb sucking?

  1. Since the upper front teeth are forwardly placed. It is more common for your child to get teeth injury during play.
  2. 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.

Treatment considerations:

  1. Use of physiological nipple
  2. Applying neem oil, Asafetida over the digits
  3. 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 visit.

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!!!


FAQs YOU NEED TO KNOW ABOUT DENTAL SEALANTS FOR YOUR CHILD

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.


NATAL AND NEONATAL TEETH

What are natal and neonatal teeth?

Natal teeth: Teeth that are present during birth are called natal teeth.

Neonatal teeth: Teeth that erupt during the neonatal period (from birth till 30 days) called neonatal teeth.

Why these natal and neonatal teeth appear in your child? What could be the possible causes?

• Infection

• Malnutrition

• Vitamin deficiency

• Your child with a high temperature at birth

How the natal and neonatal teeth appear like?

• Conical in shape

• Yellowish-brown in colour

What teeth of your child can mostly be natal or neonatal teeth?

The lower front tooth of your child is most commonly involved.

Treatment Options:

• The natal and neonatal teeth are usually the normal complement of dentition.

Usually, the mother faces painful breastfeeding, hence bottling of milk suggested in these cases.

• If the tooth is mobile and if your child is at risk of aspiration pediatric dentist usually recommend for the removal of the teeth.

Duringremoval

After removal


CHILD ABUSE AND TOOTH TRAUMA

Child abuse is a physical/psychological and sexual maltreatment of a child particularly by a parent or a caregiver.

Various children around India even today face these kinds of abuse that affecting them both physically and mentally.

Among 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.

How can you identify?

  • A child facing facial injury during an abuse, he/she will get their teeth traumatized/knocking out indicating a blunt trauma at the site.
  • Tooth discolouration is an indication of repeated trauma.
  • Stages of healing will be different for each injury, there will be no uniform healing of all wounds.

Prevelence of dental injuries in physical abuse”:

Fractured teeth-32%

Fracture of upper/lower jaw-11%

Though in India, the child is considered as a gift of God, child abuse is still common especially in remote and tribal areas.

However, child abuse cases are not reported due to lack of awareness.

Various laws and NGO’s are working against child abuse in India.

STOP CHILD ABUSE!!! LET THE CHILD SMILE BIG!!!


SPORTS DENTISTRY

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

Swimming is the most entertaining sports for children usually during summer times, and the common dental problems swimmers usually face include,

  • Athlete’s swimmers who often swim more than 6 hours a week, expose their teeth to a large amount of chemically exposed water.
  • Pool 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.

What could be the possible effects on the face and teeth after an injury?
• Abrasions, lacerations on facial skin
• Chipping, cracking of the tooth
• Broken tooth
• completely knocked out tooth

• Fracture of jaw bones etc…

Emergency care is the most important thing to be done to the children met with sports.
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 sports,

  • Visit a doctor immediately-16.6%
  • Clean the wound and then visit the dentist-26%
  • Clean the wound and take medications for pain-18%
  • Children 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.


IMPORTANCE OF COLOURS IN PEDIATRIC DENTAL CLINIC

Colour 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.

COLOURS IN A PEDIATRIC DENTAL CLINIC

Parents usually scare their children before coming to a dentist as they will put an injection which tends children to develop subjective fear on the dentist.

How do colours come into play?

There are certain psychological findings that some of the colours stabilize the mood swings in children.

Colours such as yellow and pink have some significant feature on influencing one’s mind.

Yellow

  • This is a colour of optimism.
  • It stimulates the left brain helping with clear thinking and decision making.
  • It is used to relax, energize and enhance positive mood.

Pink

  • It is a colour of sensitivity.
  • It is associated with tenderness and nurturing while conveying a sense of safety.
  • It is used to communicate energy, increase pulse, motivate action, and encourage creativity.

PINK COLOURED COAT

CHILDREN FRIENDLY DESIGN

In 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

Infrastructure of clinic and equipment has the same theme.

DENTAL CHAIRS

COLOR THEMED INSTRUMENTS