Tooth Decay is one among the world’s most common
health problem seen in children and adults. If tooth decay is not treated they
might affect deeper layers of your tooth structure which leads to severe pain,
infection and finally tooth loss. Major causes for tooth decay develops by
eating sugary, sticky food and beverages. The more sugar consumed, the more
acid attacks the tooth leading to decay. Plaque formation is another major
factor of tooth decay. When sugar combines with plaque, it weakens the tooth
layer causing decay. Each time we consume sugary snacks our tooth is more prone
Second factor is poor oral hygiene. It allows
plaque formation which attacks the enamel of tooth eventually causing hole in
mouth is another cause for tooth decay. Food tends to stick to your teeth can
increase risk for cavities. As decay progresses we start getting pain which is
the common symptom for decay, hole or pits can be noticed in the affected
tooth. Most serious symptom is swelling and pus in and around the tooth.
To prevent decay, first step is to maintain good
Oral hygiene. Limit your intake of sugary food and drinks. Rinse your mouth
with mouthwash which helps in removing food that is lodged in between your teeth.
Visit your dentist twice a year for routine examination.
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.
common viral infection of gums called “Acute
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.
maltreatment is physical/psychological or / and sexualmaltreatment/neglect of a child
especially 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 facing physical abuse, a non-accidental act or behavior causing
injury trauma or bodily harm, Facialinjuries
are more prevalent in physical child abuse and accounts for about 50% of overall body injuries.
How can you identify?
child facing facial injury during an abuse, he/she will get their teethtraumatized/knockingout indicating a blunttraumaatthesite.
is an indication of repeatedtrauma.
Stages of healing will be different
for each injuries, there will be no uniform healing of all wounds.
of dental injuries in physical abuse”:
Fracture of upper/lower jaw-11%
Though in India, child is considered as 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.
discolouration as a result of trauma/injury is most common among
your kid’s teeth get injured at a considerable level, that will
involve the pulp of the tooth, and usually greyish/brownish
discolouration of the baby tooth occurs several days after injury
which is due to the main reason of ignorance.
discolouration often goes unnoticed and leads to loss of baby tooth
and creating a problem for the eruption of adult teeth.
So it is mandatory to undergo pulp therapy for the injured baby tooth and restore it with tooth coloured crown with your pediatric dentist.
AVULSION OF TOOTH
avulsion is the most common scenario that occurs soon after the
injury where the tooth is completely knocked out from your kid’s
What should you do when your kid’s tooth was knocked out?
Your pediatric dentist will restore the injured tooth by appropriate pulp therapy and crown placement.
kid’s teeth can become chipped, cracked, broken into pieces and
knocked out completely as a result of minor/major injuries.
often knock out their front tooth during fall/injury, this is because
the upper jaw for the kids are quietly placed forward compared to the
upper jaw of adults. This makes the upper front tooth of the kids to
become more prominent and forwardly placed making it easy for the
TOOTH CHIPPING is one of the types of tooth trauma common in children.
Tooth chipping is a complete/incomplete crack to the baby tooth (most commonly front tooth),that may involve chipping only a part of the tooth, commonly involving the lower third of the kid’s front tooth.
child may not feel any pain or he/she might have mild sensitivity
later. But this gives really a bad esthetic appearance to your kid
while he/she smiles,
hence, it has to be treated with your pediatric dentist to restore
your child’s beautiful smile.
In this case a small restoration of the baby tooth can be done if just a part of enamel has been chipped off, or if considerable tooth loss has taken place your pediatric dentist will restore it with tooth colored crown.
Tooth decay in infants and toddlers is referred to as baby bottle tooth decay or nursing bottle caries.Though the name suggests it is caused exclusively by bottle feeding, it can occur in breast infants too if the correct technique of feeding is not followed. This type of decay typically affects upper front teeth though other teeth may be affected too.
Childhood Teeth Decay Stages
What causes BABY BOTTLE TOOTH DECAY?
The cause of this characteristic pattern of decay are sweetened liquids or those with natural sugars (like milk, formula, and fruit juice) being in prolonged contact with an infant’s teeth for a long time. Bacteria in the mouth grow rapidly on this sugar and make acids that attack the teeth and destroy it completely over time.
One common risk factor is the frequent, prolonged exposure of the baby’s teeth to drinks that contain sugar. Tooth decay can occur when the baby is put to bed with a bottle or when a bottle is used as a pacifier for a fussy baby.
If baby bottle tooth decay is left untreated, pain and infection can occur which may result in abscess formation and even need hospitalization to treat the infection. If teeth are taken out early without precautions to maintain their space,the child may develop poor eating habits, speech problems, crooked teeth, and damaged adult teeth.