Category: Dental Treatment

Category: Dental Treatment

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

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.


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 PHYSICAL GROWTH PERTAINING TO TEETH

Tooth eruption, shedding and development of jaws bones is recognized as an aspect of overall human physical growth and development.

HOW IS IT RELATED?

Developmental milestones are physical skills seen in infants and children as they grow and develop. Thus there are such fixed milestones in children at different ages indicating the right growth of the child. This can be best understood by the ‘growth spurts’ of your child.

There are various factors that affect the growth of your child and creates a deviation from the normal growth spurts which also greatly, in turn, affects the tooth and jaw development of your child.

HOW IMPORTANT MUCH IT IS?

Pertaining to your child’s oral health TEETHING is also one of the main first stepping milestones of his/her overall development.

Teething is a process by which infant’s first teeth erupt.

Some of the conditions you should aware of the importance of overall physical growth and development pertaining to teeth:

1. Down’s syndrome- Condition with Intellectual deficiency.

Dental issues: Increased risk of dental caries and loosening of baby teeth eventually making it fall.

And the teeth look small in size compared to normal tooth size.

1. Ectodermal dysplasia-Condition was common in children with Dry skin and sparse hair.

Dental issues: Missing teeth, jaw bones malformed.

There are also several conditions causing early loss of baby teeth in children:

1. Diseases of bone

2. Diseases of metabolism like juvenile diabetes

3. Hormonal imbalances related to pituitary and thyroid hormones.

Thus there are various physical growth and developmental disturbances which are present from birth and acquired through lifetime most commonly affecting the dental development of children

Referral to a pediatrician for diagnosing and treating the underlying systemic disease is essential for successful dental management.


Parental Awareness In Paediatric Dentistry

Oral health in children plays a vital role as it lays down the foundation for healthy adult teeth. Maintenance of oral hygiene should start before the first tooth erupts, and parents play a very important role in influencing their children’s oral health.

PARENTAL ATTITUDE TOWARDS CHILD’S ORAL HEALTH

The parents with proper oral health knowledge and attitude are likely to positively influence their children’s oral health.

For example, if parents brush twice a day in front of their children they will be spontaneously encouraged to brush twice daily.

PARENTS IGNORANCE

Most of the parents are unaware of the consequences of the dental issues of their child that is ignored commonly.

Children with poor oral hygiene develop early childhood caries which is the most serious and expensive ill health condition if ignored.

WHY THEY IGNORING?

Parents usually have a thought that the baby teeth with caries will anyways fall and new teeth will erupt. They are unaware of the causes, the preventive care and treatments of early childhood caries and consequences if left untreated and their child’s health becomes compromised at the end.

Not only with regards to early childhood caries, but children are also developing misaligned teeth and improper placement of jaws in their later years of age due to ignorance in childhood. Most of the teens are having a lack of confidence and facing lots of struggles due to poor dental esthetic appearances as it becomes late for treatment at that stage.

When parents really concern and rush to a hospital if their children suffer from flu and other medical illness, this is to bring awareness among them that the dental issues can also be a major cause for compromised medical conditions.

A parent’s knowledge about their kid’s oral health and its importance and awareness are present but are insufficient.

Your child’s oral health is the basic foundation of his/her overall good health!!!