The Teeth-ing Troubles
The Child and Oral Health Problems
The anxious child:
Techniques for behaviour management come with experience of treating children over a period of time.
There are various behaviour modification techniques that we follow at Smileoracles’ Multispeciality Dental Centre to make the child friendly to the Dental office and the staff. Its quite natural with the fear of the unknown and being unable to understand the sequence of events during the procedure, the child remains apprehensive.
The techniques we follow to comfort the child:
1.Sedation:Oral and intravenous drugs like midazolam and chloralhydrate can be used.
2.Hypnosis
3.General Anaesthesia
4.Lasers in Dentistry
The Child with toothache:
It is quite natural for a child with toothache to be irritable, uncooperative and not be able to eat comfortably. For children less than 4/5years of age inability to express the discomfort in the oral cavity often aggravates the problem and further makes treatment extensive and complicated.
It is advisable to get periodic dental check up very soon the first tooth erupts.
At Smileoracles’ Multispeciality Dental Centre we take special care to make your child painfree with our specialized team of doctors.
Assisted guidance in other problems associated with Oral cavity:
1.Abnormalities in tooth exfoliation and eruption.
2.Abnormalities of tooth number.
3.Abnormalities of tooth structure
4.Abnormalities of tooth form.
5.Abnormalities of tooth colour.
Extraction Versus restoration of primary teeth:
Despite a welcome reduction in the prevalence of dental decay,the dilemma of whether to restore or extract a primary tooth is still familiar. In making a decision at Smileoracles’ number of factors are considered.
1.Age
2.Medical History: Pulp therapy in medically compromised like heart disease is inappropriate. These are possible sources of recurrent bacteremia. In haemophiliacs, extraction should be avoided IF POSSIBLE.
3.Motivation and cooperation of parents: The parents must understand the benefits of maintaining the child’s primary dentition.Unfortunately, a small proportion of the population still regard a dentist that fills primary teeth with suspicion- after all ,everyone knows that the baby teeth will not stay forever!!
4.Caries rate
5.Pain
6.Extent of the lesion
7.Position of the tooth
8.Presence/absence of permanent successor.
9.Malocclusion
Severe Early Childhood Caries
Cause: Frequent intake of sugary and sticky food stuff.
Nursing Caries/Bottle caries: Frequent consumption of sugar-containing drink especially from a feeding bottle. It is also attributed to prolonged on demand breast feeding, especially at night, from the lactose in breast milk.
Assisted guidance in other problems associated with Oral cavity:
1.Abnormalities in tooth exfoliation and eruption.
2.Abnormalities of tooth number.
3.Abnormalities of tooth structure
4.Abnormalities of tooth form.
5.Abnormalities of tooth colour.
Extraction Versus restoration of primary teeth:
Despite a welcome reduction in the prevalence of dental decay,the dilemma of whether to restore or extract a primary tooth is still familiar. In making a decision at Smileoracles’ number of factors are considered.
1.Age
2.Medical History: Pulp therapy in medically compromised like heart disease is inappropriate. These are possible sources of recurrent bacteremia. In haemophiliacs, extraction should be avoided IF POSSIBLE.
3.Motivation and cooperation of parents: The parents must understand the benefits of maintaining the child’s primary dentition.Unfortunately, a small proportion of the population still regard a dentist that fills primary teeth with suspicion- after all ,everyone knows that the baby teeth will not stay forever!!
4.Caries rate
5.Pain
6.Extent of the lesion
7.Position of the tooth
8.Presence/absence of permanent successor.
9.Malocclusion
Severe Early Childhood Caries
Cause: Frequent intake of sugary and sticky food stuff.
Nursing Caries/Bottle caries: Frequent consumption of sugar-containing drink especially from a feeding bottle. It is also attributed to prolonged on demand breast feeding, especially at night, from the lactose in breast milk.
Rampant Caries: Rapidly progressing caries affecting many teeth in the primary and permanent dentition.
Deep Dental decay involving the pulp/nerve tissue:
Vital and Non-vital Pulp Therapy-
1.Pulpotomy- For infected tissue limited in the coronal portion
2.Pulpectomy-For infected tissue down below the root canals with possibilities of abscess.
Lasers in Paediatric Dentistry:
Biolase- The most promising pain-free dental management with Hard tissue lasers for children.
For further information:
Email: smileoracles@gmail.com
Dr.Sreenita Chowdhury
Vital and Non-vital Pulp Therapy-
1.Pulpotomy- For infected tissue limited in the coronal portion
2.Pulpectomy-For infected tissue down below the root canals with possibilities of abscess.
Lasers in Paediatric Dentistry:
Biolase- The most promising pain-free dental management with Hard tissue lasers for children.
For further information:
Email: smileoracles@gmail.com
Dr.Sreenita Chowdhury
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