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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.

Safety of Dental X-ray in Children

Safety of Dental X-ray in Children

All types of dental x-rays used in modern dentistry are now in digital mode. Normal x-ray radiation is about 1/10th of what is used in regular conventional x-rays.

So it is very safe to expose dental x-rays for children. Protective layer like lead apron and thyroid collar makes it even safer.

Commonly used x-ray is small x-rays called IOPA and the large x-ray is called OPG (Orthopantomograph).

Bite wing is a type of x-ray used to detect cavity in between the teeth.  


Even in normal children, complete evaluation of teeth and surrounding structure is mandatory at the age of six years to evaluate progress of teeth eruption, falling of teeth, pressure of permanent tooth inside the oral cavity, any future alignment issues, cavity problems, any extra teeth apart from the regular 32 teeth, absence of permanent toothy, any different type of growth or swelling inside the bone should be a evaluated.

This is a mandatory protocol in western countries like US, UK and Australia.



In the present buzzy life, the importance of parents role in developing good oral health of the children is often neglected or minimal quality is time is being spent for educating and motivating the kids for good oral hygiene. Changes in the dietary pattern have already made an adverse effect in the oral health of upcoming generation. Frequent exposures to the sugar containing food, either packed or homemade is becoming unavoidable. So parent’s role in the child oral health is mandatory.

Educational points for parents

Child teeth start developing at the first six months. So a good healthy diet is necessary for proper growth.

Next the first permanent tooth erupts at the age of 6, which is the ideal age for a check up to your paediatric dentist? Making a visit once to paediatric dentist marks the milestone in the good oral care of child.

During 6-12 years, the milk teeth will fall and the permanent tooth will start erupting so this is a crucial age for monitoring the dental chart for teeth eruption. Visiting your paediatric dentist 6 months once will ensure the proper oral health care.

Here are some simple tips to guide your children oral health.                           


Be an example

Instead of asking children to brush twice, make them accompany with parents while they brush in day and night time. This has a significant memory impact on the children. They tend to follow it for rest of their life time.

Tell, show, do

It is a simple technique as the name implies. Tell them how to brush, show them brushing and do along with them. Flossing can be done after the age of 12.

Digital media

In todays world everything is available in the digital media such as animated brushing technique and flossing technique etc. A visual experience makes them get more involved.


 Making the children aware of the adverse effects of poor oral heath such as early childhood caries, gum diseases will make them realize the maintenance of good oral health.

Paediatric dental visit

A consultation from your paediatric dentist will always give you the knowledge of proper brushing & flossing technique. Every child teeth has a story to tell. Paediatric dentist will make a complete check up on your child’s oral health.

Cost versus benefit ratio of preventive versus therapeutic care in pediatric dentistry stands at 1:40. So every one rupee spent at preventive assessment helps a long way in avoiding therapeutic care at the cost of forty rupees.

So, it is our Kidz ‘n’ Teenz duty to bring awareness to the public.

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.

Space Maintainers

Space Maintainers

A primary tooth is sometimes lost prematurely because of injury or tooth decay. If that happens before the permanent tooth is fully developed and ready to emerge; the nearby teeth can shift or “tip” into the space formerly occupied by the primary tooth. When the permanent tooth tries to grow into the spot, there may not be enough room. The new teeth may be unerupt or emerge lopsided, leading to crooked teeth.

A space maintainer holds the space left by a primary tooth until the permanent teeth is ready to emerge. Generally it is the device that is permanently cemented in the mouth. The paediatric dentist will later remove the spacer once the permanent tooth is in its proper position.

Different types of space maintainers are used for children are:

1. Band and loop space maintainers

2. Lingual arch space maintainers for lower teeth

3. Nance arch holding appliance etc.,

The type of space maintainers for that particular tooth or teeth is at the discretion of the pediatric dentist to decide.

Parental role in children’s oral health

Parental role in children’s oral health

One of the most important things we adults can do for young children is to model the kind of person we would like them to be – Carol B Hillman

Oral health is an integral part of the general health. Oral diseases are the most common and wide spread problem throughout the world, among that dental caries is the biggest one. Oral health related habits are established in early life.

The role of parent during child’s earliest years is a biggest influence in shaping their personality.

Child upbringing is one of the most formidable tasks of parents such as tooth brushing habits are important which will influence in their young age. So, promoting the knowledge and attitude about oral health maintenance in adults are very important, because this will influence the oral health of children at early age.

Most of the parents tend to ignore their children’s dental problem because the primary teeth will be replaced by permanent teeth and also because they are unaware of the causes of Early Childhood Caries and their treatment. So, parent’s contribution in this will lead to increased preventive dental care, which children will receive at home and use of professional dental care.

Parents have to use playful motivation to enhance their child’s brushing. Till six years it is advisable to parents to re-brush those areas which are hard to clean. At the age around 6, children are able to brush their own and can use proper technique. Although child can do, still it is advisable to the parents to continue their supervising in regular brushing.

Gum diseases in Children

Common gum diseases seen in children is CHRONIC GINGIVITIS, because of soft deposit accumulation called plaque, especially in young children less than 5 years. In older children more than 6 years hard deposits called calculus is evident in lower front teeth as the new permanent teeth starts erupting it results in gum bleeding. Plaque deposits help in forming dental cavities in children especially between the two teeth. Calculus deposit results in chronic gingivitis which requires scaling of the teeth. There is an attachment called frenum in upper jaw front teeth. If this attachment is placed very high it can spoil the arrangement of the newly erupting front teeth. This is called high frenal attachment resulting in midline diastema (gap between upper front teeth) in this situation dental procedure called “Frenectomy” with the help of laser it is carried out for teeth arrangement.

The common viral infection of gums called “Acute herpetic gingivostomatitis” which occurs in toddlers and young school boys. This infection makes the child vulnerable to deteriorating general health for 5-7 days. There is another bacterial infection of gums called ANUG which is pure fusospirochete bacterial infection. This also presents a similar suffering like acute herpetic Gingivostomatitis. Children does not suffer from gum pocket formation like adults because the gum architecture and surrounding bony architecture is different from that of adults. Other common gum diseases in children are Vitamin C Deficiency, Scurvy, Swimmers Calculus, Juvenile Periodontitis, Papillon Lefevre syndrome, Hand foot and mouth disease and Apthous ulcer which again is commonly found in children.

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