Category: Dental Treatment

Category: Dental Treatment

Space Regaining

Space Regaining

Space maintenance is pretty straightforward. But what can be done in case it has been many years since extraction of milk teeth and space “loss” has already occurred?

That is when we “regain the space”. Why? Because we do not want the permanent teeth to erupt crookedly!

“If braces are anyway needed, why should we go through all this earlier? Can’t we correct it in one go?”..This is another question normally asked by parents. You have to understand, the main aim is to reduce the severity and duration of orthodontic treatment later. Also, we are trying to bypass crowding and avoid extraction of permanent teeth while fixing braces, which may otherwise be required.

The designs are similar to space maintainers, except a spring or screw may be inserted to open up space

How much time should these be worn? Depends on amount of space needed to “regain”. Your dentist will generally start fixed treatment with braces soon after this step.

Contact your nearest clinic today for more information!

Medium for Re-implanting tooth

Medium for Re-implanting tooth

When a tooth completely comes out of socket it is called AVULSION of tooth. In this scenario the golden time to reach a nearby dentist is 60 minutes.

Never clean the tooth or root with a scrubber or tooth brush

Never carry the tooth dry or in a box wrapped of paper

Preferable mode of carrying the tooth are regular milk (not hot), tender coconut water, patients saliva, HBSS, cotton, lens solution, in patients own mouth saliva, placing it back in the tooth socket etc.

If these above instructions are followed then success rate for re-implanting the dislodged tooth is very high.

For more details visit

How safe are the full mouth X-Rays?

How safe are the full mouth X-Rays?

In the last post, we had seen the uses of full mouth X ray called Orthopantomogram (OPG).

The benefits are more, agreed, but what about the safety? So let us go back to basic mathematics here:

Imagine a child is having cavities at 4 different places in the mouth. With a basic intra oral film, we can see a maximum of two /three teeth properly in a particular area. That means if cavities are there in four completely different places, we have to take 4 separate films. Meaning 4 times we have to expose the child to X Rays.

Instead is it not better to take a single large film with single dose to see all the areas in the mouth?

That being said, dental Xrays make up just 1/10th of the environmental radiation a person is exposed to on a daily basis..

In addition, the child is draped with a lead apron and collar for extra protection.

In conclusion, an OPG is completely safe. And completely required, if the full mouth is to be seen at one go.

Kidz ‘N’ Teenz introduces the world’s smallest OPG machine to address the patient’s time and travel issues. We are upgrading to provide all treatment in house!

Management of immature roots (roots with open apex in children)

In children aged 6-9 years, it is very critical when it comes to trauma in the front teeth especially, to know outcome of their problem at later date.

Reason cited is that front teeth erupt at age of 6-7 years or 7-8 years, but root completion of teeth happens after 3 years, that is 9-10 years.

In this window period of 6-10 years if any trauma occurs to pulp of tooth or any trauma occurring without breakage of pulp, it can be managed by a 2 stage process called Apexification or Apexogenesis.

First followed by root canal treatment and later is an intermediate process usually done with help of MTA at the level where fracture has happened.

The advantage of MTA is that it aids in helping roots to grow so that the root canal can be carried out effectively.

To know more about tooth trauma visit

Sequelae of tooth trauma

Sequelae of tooth trauma    

Sequelae in layman term mean the after effects of the incident. In our scenario, it implies the after effects of dental trauma of teeth. What happens after incident of trauma has occurred. After effects of fall immediately would be some blunt injury to tooth or broken part for which we do splinting or replace broken part by means of a filling. Point to be noted by the public is that the problem is not rectified immediately, but only momentary treatment is done at that point of time e.g. chipping of tooth.


There is a process which can be initiated after this trauma, which is nerve damage or pulpal damage or blood vessel damage to a particular tooth


Each tooth internally has a chamber called PULP which actually provides life for tooth. It is like heart to the body. When the trauma or fall occurs this pulp also can get injured. This injury is not seen immediately in most of the situations. It happens in due course of time. For some people it takes days, for some it takes months, for many situations it takes many years. The only visible change that a common man sees is change in color of the tooth.

Color can change either to dark yellow or grayish white, blackish grey etc.

Most important point to be noted is that even though color change happens, the tooth doesn’t cause pain immediately. May be over a period of time it can provide a small low grade discomfort to the person which is ignored most often. When a person comes for a dental consultation a good dentist will elicit and provide needed solution for this problem.

Most of the time considering there is no symptoms or signs of the problem, the person having this issue will ignore the treatment getting done, sitting lack of time, no pain or not believing the dentist.

There will be a moment in his life, when the immune levels come down due to some viral infection. At that point of time this problem will also get activated causing localized swelling, severe pain, discomfort etc.

At this moment when we take an x-ray or elicit the vitality (life of tooth), we are able to assess the root canal and it is severely damaged due to fall or a hit at his/her earlier age. So the dentist gives option of multiple visit for root canal treatment, periapical enucleation (episiotomy).

Sometimes even extraction (removal of tooth) is an option.

So never take trauma to permanent tooth very lightly.

For more details about tooth trauma check out –


Reasons for crowding of teeth?

There are many causes for malignment of teeth but the major cause of crowding of teeth is due to abnormal muscular pressure from the lips, tongue and other poor habits of children. These habits includes, Mouth breathing, sucking of thumb, feeding bottle, sucking of lips, tongue thrusting, nail biting etc.

Why use Myobrace?

If the crowding of teeth is due to one of the above mentioned reasons then myobrace is best treatment of choice. Waiting for all permanent teeth to begin treatment with braces can unfortunately lead to irreversible damage of teeth, and also the child’s overall health and development.

Myobrace is a myofunctional appliance used for natural way of aligning the tooth.

It acts by balancing the muscular pressure to its ideal requirement and inhibiting the deleterious oral habit thereby balancing the jaw growth and the alignment of teeth is indirectly manipulated by these myofunctional forces (muscular pressure).

So that we can avoid the use of braces, if the problem is found out at its earlier stages.

What is the correct age of using Myobrace?

How does the Myobrace work?

As mentioned earlier muscular pressure is balanced by the use of Myobrace along with some exercise like training the tongue to rest in the roof, making the mouth breathing kids to breathe through nose, preventing thumb sucking etc. These not only correct the malignment but also improve the facial development.

In addition to this some problems like Sleep apnea, teeth grinding, night wetting etc can also be treated under proper consultation from your paediatric dentist.

How long Myobrace should be worn?

Myobrace should be for 1-2 hours initially for 3 days as the children has to get accustomed to it. Then followed by wearing it throughout the night for 6months to 1 year.

How to get Myobrace?

Myobraces which is made in silicon rubber comes in pre-fabricated sizes. Which are available in various sizes according to children jaw size. No need to make measurement for manufacturing the customized myobrace. There are 4 stages in the treatment of myobrace. Myobrace comes in kids attractive colours but customized colors are not available.                                                                                                     

What is the cost of Myobrace?

Cost varies depending upon the stage of myobrace to be used. But the cost of treatment with myobrace is five times cheaper than the conventional orthodontic treatment with braces.

Can all the tooth alignment be treated with Myobrace?

No, not all the dental correction can be made with myobrace. Depending upon the conditions of the jaw growth and dental alignment myobrace indication may vary.

Visit your paediatric dentist who is the certified person for making correct choice of treatment to avoid the braces at the later stage.

Chin Cap

Chin Cap

An orthodontic chin cap is an extra oral appliance which is used when patients have an excess growth lower jaw growth or deficient upper jaw growth that exhibits short lower facial height.

Chin cap therapy is typically recommended in younger patient with the goal of restricting the growth of lower jaw or redirect the natural growth in desirable direction.

How the chin cap works?

It has been shown that chin cap redirects the lower jaw growth, rotates the lower jaw backwards, retards the growth and remodels the lower jaw. Thus it increases the lower facial height.

Usually the appliance is worn for 10-12 hours per day for several months to few years.

Chin cap is attached to an elastic band that usually fits over the head and put a moderate force on the lower jaw to help the restrict its growth. The upper jaw is allowed to grow at its normal rate and out space the growth of lower jaw. This helps realign the jaws and face into more harmonious growth.

Is It Necessary To Do Root Canal In Milktooth?

Is It Necessary To Do Root Canal In Milktooth?

Root canal is not only necessary for baby tooth; it is one of the most common procedure too. Root canal is the only way to save the natural tooth that has been infected by removing the pulp (inner most structure of tooth).

The most common doubt of parents are like what is the point in saving milk tooth which will eventually fall out by their own?

The infection in the teeth comes with unbearable pain for children and also it will lead to many complications when it is unattended.

The premature loss of milk tooth will affect child’s daily life routine functions like chewing which will affect the nutritional level of baby and speech development which affect the confidence of baby which is more important during their growth period, also it can lead to other issues with permanent teeth which will eventually come in the place of these baby teeth.

Milk teeth also help as a place holder for permanent teeth and all at same time. So, if there is gap forms prematurely, the other teeth will drift to this position to fill it. So saving the milk teeth by root canal with cap will help the baby to overcome the problems and also important like saving the permanent teeth.

Dental Sealants

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.


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%.


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).


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.


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.


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.


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.


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