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PAEDITRIC DENTISTRY

Paeditric Dentistry

Medicinal Fluoride filling


These are the improved biomaterials which are compatible with the tooth biology. Glass ionomer fillings are the best medicinal fillings in modern dentistry. They bond extremely well with the tooth structure to form an integral part of tooth. Therapeutic value of glass ionomer filling is because of fluoride release over a time which is a potential antidecay agent.

Pit and Fissure sealants


Human teeth especially premolars and molars presents irregular biting or chewing surface. Pits and Fissures (grooves) on biting surface help in proper breakdown of food but they are also difficult area for brush bristle to reach down. It is primarily observed that 90% of the cavities on chewing surface start in pit and fissure area and spread further. Therefore, it is essential to prevent dental decay by sealing those areas with a resinous sealing material called ‘PIT AND FISSURE SEALANTS.’
It is a painless, small procedure which requires negligible or no drilling, hence easily accepted even by kids. Many clinical studies have reported 70% reduction in decay of teeth surfaces sealed with Pit and Fissure sealants.

Fluoride application


It is found that 9 out of 10 children fall prey to dental decay. Improper dietary habits, insufficient hygiene maintenance and eating lot of sticky food stuffs like chocolates, biscuits, chips have contributed a lot to dental caries or decay.
Newly erupted teeth are not completely matured enough to fight bacterial attack in oral cavity. Such teeth are primarily attacked by bacteria leading to dental decay. Fluoride application helps in strengthening of outer covering of tooth (Enamel) by remineralisation process. This fluoridated remineralised tissues is more resistant to the acids produced by bacteria and further decay process. Generally fluoride application is done in age groups of 3, 7, 11 and 13 years. However age group may vary according to the dentition status of particular child.

Root canal treatment for milk tooth


Root canal treatment for milk tooth differs from adult tooth. A small amount of local anesthesia may or may not require depending on the status of tooth. Whole procedure of root canal treatment can be finished within 1-2 sittings.
Whenever a milk tooth can not be saved with dental filling, it is mandatory to salvage the condition with the help of root canal treatment procedure. Early loss of milk tooth leads to impaired chewing, unaesthetic appearance and very importantly drifting of adjacent tooth in extraction space. Such a drifted tooth creates difficulty in eruption of underlying permanent tooth which leads to malalignment of permanent dentition. That is how saving a tooth with root canal treatment is of utmost importance to stop the cascade of malignment in permanent dentition.

Habit breaking appliances


Abnormal childhood habits will certainly lead to aesthetic and functional problems in adulthood. We offer habit breaking solution for following habits.
Bruxism : Abnormal grinding of teeth especially at night.
Thumb sucking at the age more than 3 years.
Mouth breathing.
Nail- biting.

Tooth space maintainer


A tooth space maintainer is an appliance that is custom made by a dentist in acrylic or metal material. It can be either removable or cemented in a child’s mouth. Its purpose is to keep the extraction space open till the time permanent tooth erupt and come into that place.
Natural milk tooth is a best tooth space maintainer in the world. But, certain dental decay conditions demand removal of diseased tooth. This extraction space should be kept reserved for underlying permanent tooth otherwise adjacent teeth may drift into the extraction space and create difficulty in eruption of underlying permanent tooth which lead to malalignement of permanent dentition. A timely fabricated space maintainer can definitely stop the cascade of malalignement in permanent dentition.

Extraction of tooth


A caring, warm approach of dentist can definitely change the negative approach of child to a dental extraction into positive one. Topical anesthesia in the form of gel or spray is applied to reduce the pricking pain of injecting needle ,then small amount of local anesthesia is injected. After confirmation of anesthesia, extraction procedure is carried out.

Teeth cleaning and polishing


It is painless procedure performed to remove local irritants such as plaque and calculus from tooth surface to maintain the health of teeth and gums.

Orthodontic assessment and myofunctional appliance


Each individual should get orthodontic assessment done at the age of 6yrs. It offers a viable alternative to traditional orthodontic methods.
A myofunctional appliance is an appliance that produces all or parts of its effect by altering the position of mandible/maxilla in conjunction with forces generated by muscular activity of orofacial muscles. It restricts or redirect the growth of upper and lower jaw; and allows nature to establish harmonious relationship between two jaws.
Advantages of myofunctional appliances

  • Elimination of abnormal muscle function.
  • Treatment can be initiated at early age.
  • Psychological disturbances avoided.
  • Less chair side time.
  • Frequency of patient visit is reduced.
  • Probable surgery required in adult age can be avoided.
  • Do not interfere with oral hygiene maintenance.
  • Worn during night so good patient acceptance.

Regular dental checkup and guidelines


First dental visit for a child should be done at the age of 6 months when his / her first tooth erupts. Regular dental check up at the interval of 6 months can definitely avoid extensive dental procedures and helps to maintain proper oral health. Your dentist will provide definitive guidelines according to your oral health status.