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.
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!
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.
last post, we had seen the uses of full mouth X ray called Orthopantomogram (OPG).
benefits are more, agreed, but what about the safety? So let us go back to
basic mathematics here:
a child is having cavities at 4different 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.
is it not better to take a single large film with single dose to see all the
areas in the mouth?
being said, dental Xrays make up just 1/10th of the
environmental radiation a person is exposed to on a daily basis..
addition, the child is draped with a lead apron and collar for extra
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!
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.
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
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.
change either to dark yellow or grayish white, blackish grey etc.
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.
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.
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).
even extraction (removal of tooth) is an option.
take trauma to permanent tooth very lightly.
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?
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.
is a myofunctional appliance used for natural way of aligning the tooth.
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
we can avoid the use of braces, if the problem is found out at its earlier
What is the correct age of using Myobrace?
How does the Myobrace work?
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.
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?
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?
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?
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?
all the dental correction can be made with myobrace. Depending upon the
conditions of the jaw growth and dental alignment myobrace indication may vary.
your paediatric dentist who is the certified person for making correct choice
of treatment to avoid the braces at the later stage.
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.
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
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
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 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