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Tooth Crown

Paediatric Dentistry

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All that a Parent needs to know !

Child is nature’s most beautiful creation. They need tender love and Care to blossom in a healthy way.When we talk about a child’s overall health , Dental health plays a very vital role. What your child eats in a day shapes his overall growth. For a healthy and balanced diet, it is extremely important that the child has a healthy Oral and dental environment.

Paediatric Dentistry is a specialised branch of dentistry, that deals specifically with Dental Care & Treatment for children from Birth to Adolescence.

We at our centre have a compassionate team of Pediatric Dentists, who believe that children should be dealt with utmost kindness and empathy during their dental visits.Our purpose is not only to relieve your child from the dental discomfort, but also to make sure that he/she leaves our premises with a Positive Attitude taking away pleasant memories and with a willingness to comeback with a smile in future.

The Changing Trends

In the older times, Children's Dental health was never taken seriously, as the parents and other elder family members believed that preservation and care of something that would eventually fall off in a few years is of no great value.

This was extremely sad , as children even if suffered from infections and abscesses were not taken to a dentist.There was a lack of dental awareness amongst common people and also a lot of myths surrounded dental treatment back then.

The current trend however has undergone tremendous transition as parents are now more vigilant and active when it comes to their child’s overall health, including his/her Oro-Dental Health. In the current scenario , it has become even more important that the parents and caretakers pay full attention to the child’s dental health as the dietary pattern and habits have undergone enormous change in the past few years.

There has been a deterioration in our Diet which now mainly comprises refined, sticky and non fibrous food items, unlike in the older times where the majority of the diet was highly fibrous and self cleansing. Also, kids nowadays snack junk food frequently between the meals.The current transition in our feeding habits demands a meticulous oral hygiene regimen to be followed along with frequent and regular visits to a Paediatric Dentist.So, the awareness for Dental care has increased but the dietary habits have deteriorated.

When should you start brushing your child’s teeth ??

Parents and Caretakers usually think that active tooth brushing should be started only once all the teeth of the child have erupted in the oral cavity. A Child attains his complete set of baby teeth by the age of 2-3 yrs .

It's sad that in most of the parts of the world, the parents do practically nothing before that age group as far as oral and dental hygiene is concerned. They literally wait for all the teeth to appear and settle in before commencing tooth brushing and cleaning.

As we all know that an infant relies mostly on milk till the age of 8-9 months and posts that on semisolid not fibrous food items that are easy to chew with their newly erupted baby teeth. Adopting no oral hygiene at all from Birth to 3 yrs ,exposes these kids to an immense risk of Early Childhood Caries which can be extremely harmful affecting the child’s overall health and well being eventually.

A lot of parents are surprised to know that the Suitable age to start cleaning the child’s Oral Cavity is about Right after birth. We know that no teeth have erupted by that time, but when we talk about oral hygiene, teeth are not the only parts of the mouth that need cleaning.

When a child feeds exclusively on milk which has an active cariogenic sugar called lactose,a thin layer of this sugar keeps getting deposited on the gum pads of these infants which should ideally be cleaned at regular intervals , at least once a day with a wet soft piece of clean cloth or wet gauge piece wrapped around the forefinger of mother or the caregiver.
This however should be done in an extremely gentle manner without hurting or annoying the child at all.

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Teething starts in 6-8 months of age in infants and in general this is the age when you can switch from Gauge cleaning to actually using a baby Toothbrush which again is in the form of a Finger toothbrush worn on the forefinger of the caretakers and gently done targeting only the erupted 1 or 2 teeth.

Every effort should be taken to avoid impinging the bristles of the newly introduced Fingerbrush on the child’s gum pad . Parents, sometimes in a tendency to rush up the whole procedure of brushing , accidently & unknowingly hurt the soft tissue of the child, making the overall experience extremely unpleasant for him. Use of a toothpaste can be avoided at this very initial stage as the child would swallow whatever is being introduced at this time.

We, at our centre, conduct Parents Counselling Sessions wherein the parents are taught to properly conduct oral hygiene practices for their kids as a routine.Our Pediatric Dentists answer all your doubts and queries related to your Child’s Dental Care.

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The First Dental Visit for your child

A lot of parents are usually in a dilemma as to when they should first take their child to a Paediatric Dentist. Most people think and believe that they should wait for the entire tooth set to completely erupt. Even worse, that few think that they should only visit a Pediatric dentist in case the child complains of any dental pain or till they see a decayed tooth.
Unfortunately, Since time and ages,Dentistry has been closely associated with pain and discomfort. This is well established deep inside most of us and we somehow don’t want our children to be going through that experience.Dentistry has immensely evolved and surely for the better. Owing to the advancements in equipment and technology,it's no more a traumatic and painful experience.

Moreover, Paediatric Dentists are highly trained and skilled professionals, who are extremely efficient in dealing with your child’s oral and dental issues. They are trained to deal with child’s psychology and manage their fears accordingly inside a dental office.
The first Dental visit of your child should be immediately after his/her first tooth erupts in the oral cavity. It's important that you visit a paediatric dentist with your child because a specialist will not only check for caries or decays ( cavities as called by most of the parents), but also would examine the overall oral tissues like your child’s tissues of inner cheek area, tongue, palate , lips , uvula ( tonsillar area), floor of the mouth etc.

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The ambience of our Centre is designed to provide your child with a soothing visual experience.Our Pediatric Dentists generally don’t initiate the treatment in the 1st visit itself,but this visit is just to :

  • Familiarize the child patient with the environment of the clinic, the Dental staff, the equipment to be used in the patient during his consequent visits.
  • The patient is allowed to touch & play with the Dental Chair under the staff’s supervision.
  • This is aimed at developing a bond of trust between the Pediatric Dentist and the child and creates an atmosphere of ease.
  • During 1st Dental Visit ,, Oral Cavity of the Infant is screened for :

  • Abnormality in the size,texture of tongue. Redness, inflammation or enlargements on any oral soft tissue.
  • Any Congenital anomalies which are certain defects present right from the time of birth which may go unnoticed by the parents or the hospital staff.
  • Developmental anomalies which usually develop over the course of time after birth as the child grows.
  • Nutritional defects or pathologies which are the result of inadequate nutritional intake of one or the other component of your Diet.
    Any Abnormal findings are conveyed and thoroughly discussed with the parents.An early detection and diagnosis of any oro-dental abnormality prevents its more harmful long term effects in future.
  • As far as the teeth are concerned, parents might not always be able to look and detect the incipient caries , which are dental decays or more specifically dental decalcifications which appear as mild white chalky lesions and not as brown or black spots or cavities.
    These decalcified or hypomineralized spots on teeth are known as Incipient caries could be remineralised and halted there and then, only and only if they are diagnosed and addressed at very early stages.
    This simply means that a regular follow-up with your Paediatric Dentist is mandatory after every 6 months to be able to detect such lesions and treat them at the earliest.
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    WHAT ARE NURSING BOTTLE CARIES & TREATMENT :

    Nursing bottle caries is a form of tooth decay which is caused by children sleeping with bottles in their mouth overnight or for a few hours at a stretch.
    This is also called Baby bottle or Nursing bottle Syndrome. It is caused when a child goes to bed with a bottle filled with milk or juice--anything except water. It usually affects children between the ages of one and two years. Breastfed infants who fall asleep while breastfeeding are also at risk.

    SIGNS & SYMPTOMS :

    The following are the most common signs and symptoms of nursing caries:

  • White spots on the teeth
  • Early development of cavities (brown areas on the tooth that lead to tooth destruction)


  • HOW TO PREVENT NURSING BOTTLE CARIES :

    The following are suggestions to help prevent nursing caries:

  • Do not allow your child to go to bed with a bottle filled with anything but water.
  • Wean your child from the bottle in a timely manner.
  • Begin good early mouth care of the gums and teeth.
  • Give fluoride supplementation, as recommended by your child's doctor.
  • Have early dental visits for your child.


  • HOW TO PREVENT NURSING BOTTLE CARIES :

    The following are suggestions to help prevent nursing caries:

  • Do not allow your child to go to bed with a bottle filled with anything but water.
  • Wean your child from the bottle in a timely manner.
  • Begin good early mouth care of the gums and teeth.
  • Give fluoride supplementation, as recommended by your child's doctor.
  • Have early dental visits for your child.
  • WHAT IS FLUORIDE TREATMENT ?

    Fluoride varnish is a dental treatment that can help prevent tooth decay, slow it down, or stop it from getting worse. Fluoride varnish is made with fluoride, a mineral that can strengthen tooth enamel (outer coating on teeth).
    Keep in mind that fluoride varnish treatments cannot completely prevent cavities. Fluoride varnish treatments can best help prevent decay when a child is also brushing using the right amount of toothpaste with fluoride, flossing regularly, getting regular dental care, and eating a healthy diet.

    IS FLUORIDE VARNISH SAFE FOR MY CHILD ?

    Fluoride varnish is safe and used by Paediatric dentists all over the world to help prevent tooth decay in children. Only a small amount is used, and hardly any fluoride is swallowed. It is quickly applied and hardens. Then it is brushed off after 4 to 12 hours.
    It does not hurt when the varnish is applied. However, young children may still cry before or during the procedure. Fortunately, brushing on the varnish takes only a few minutes. Also, applying the varnish may be easier when a child is crying because his mouth will be slightly open. You may be asked to hold your child in your lap while you are placed knee-to-knee with the person applying the varnish.



    HOW DO I KNOW MY CHILD NEEDS IT OR NOT ?

    As a parent, you might not even be able to know all by yourself regarding whether your child needs fluoride treatment or not. Fluoride strengthens your teeth enamel so ideally most children are suitable candidates for active in office fluoride therapy, however a lot of parts in india have high fluoride content in water and this may reflect in your child's teeth as fluoride stains , so your paediatric dentist will best tell you whether your child actually needs fluoride or not. Which implies that a visit to a pediatric dentist is a must to know this.



    FLUORIDATED TOOTHPASTE GUIDELINES :


    TREATMENT OF NURSING CARIES :

    Every preventive measure is taken to cease the process of rapid tooth structure damage caused due to nursing bottle caries , but still if that happens, it leads to mass destruction of walls of teeth . Restorations and fillings can then no longer provide a stable long term solution to the child patient and more often we have to go for full coverage restorations also known as Strip Crowns.

    Strip Crowns are transparent plastic moulds that are used to restore the shape of the primary tooth back to its original form. Our Paediatric Dentists provide you with this Esthetic and Long Lasting treatment option that offers painless restoration of the lost tooth structure in kids.

    Another option for Aesthetic anterior crowns is Zirconia Crowns , which are again tooth coloured crowns which cover the tooth surface as a whole. These crowns shed off along with the primary tooth they are cemented on, not affecting the eruption of the underlying permanent tooth .

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    Why should I get RCT for my child’s Baby tooth, It will fall anyways in a few years ??

    In case of deep decays in primary teeth, pain and swelling causes great discomfort to the child. We advise Pulpectomy (RCT) of the Primary tooth.
    It is important to save the baby tooth with RCT as this persistent infection would otherwise travel down and infect the underlying permanent tooth bud causing damage to it as well.
    Also if we plan to prematurely extract the primary tooth in order to avoid pulpectomy (RCT),it would cause the adjacent teeth to migrate or tilt in the extraction space,leading to loss of space that was retained for the underlying permanent successor.

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    Rct In Children , just like adults, are followed by a crown, which can either be a pre-formed stainless steel crown or a preformed Zirconia crown.


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    Habit Breaking appliances

    A lot of children since birth acquire oral habits that have deleterious effects on dentition and oral structures. These could be :

  • Thumb Sucking (Digital sucking)
  • Tongue Thrusting
  • Mouth Breathing
  • Nail Biting
  • Lip Sucking (Lip biting)
  • These habits cause malalignment of teeth and facial deformations which need comprehensive orthodontic (Braces) Treatment and in worse cases Orthognathic Surgeries(Surgeries to correct facial deformities).

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    How can A Paediatric Dentist Help You ??

    Several oral appliances can be given to intervene these habits and stop their consequences. These appliances can be fixed or removable depending upon the patient's cooperation.
    Apart from giving appliances and monitoring them from time to time, Our paediatric Dentist would also counsell your child in a positive manner , motivate them to wear the appliances and explain to them how it would help them in the long run.


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    What If my child is Extremely Anxious and fearful to go to the dentist ??

    Dental fear and anxiety is a common problem in pediatric patients. Children are not little adults; they differ physically, psychologically, and emotionally.


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    As parents we agree, it's not a pleasant experience to see your child crying on the dental chair and struggling every minute to escape the dental procedure. Also you know the procedure is inevitable and is for his own good. What is the solution then ?

    The Answer is Sedation. Your child can be sedated orally by administering some sedative agent through Drinks or Through Nitrous Oxide Gas( also known as the Laughing Gas) using a gas mask on the nose. Our Pediatric dentists are well trained and certified to carry out sedation procedures . These procedures are relatively safe and are carried out for short duration treatment procedures like a single filling, RCT or a tooth extraction.

    How Sedation Works ??

    Sedation does not completely put your child to sleep, which means the child will be well aware of his surroundings but still more relaxed, calm and inactive to interfere in the procedure.

    All the vitals are monitored during the entire sedation procedure and the child can be discharged immediately as soon as the procedure ends and the effects of sedation wears off which usually takes an hour. You can talk to our Pediatric Dental team to know more about the sedation.

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    MYTHS ABOUT PAEDIATRIC DENTISTRY (WHAT NOT TO DO OR EXPECT IN YOUR CHILD’S DENTAL VISIT)

  • I will take my child to a paediatric Dentistry only when a problem (pain) arises : WRONG ; visit as soon as the 1st few teeth erupt.
  • Baby Teeth don’t need treatment, as they will shed off : WRONG ; It's important to retain baby teeth healthy till they shed off naturally.
  • Dentists would be too scary for my Child : WRONG ; The Pediatric Dentists are specialised to handle your kid with love and care.
  • RCT would be very painful for my child: WRONG ; RCT is carried out under Local anaesthesia and is not painful at all.
  • My child’s health would deteriorate after Dental procedure : WRONG ; It will in fact relieve your child’s pain & swelling.
  • Don't use the words injection, pain , drill, fear in front of your child.
  • Don’t force your paediatric dentist to finish off the complete procedure in a single long visit.
  • DOs in a Paediatric Dental Visit ( what to expect ) :

  • Do refer to the dentist as uncle/aunt who is going to help the child get rid of pain in the tooth.(& not as a doctor)
  • Trust your paediatric dentist and let him interact with your fearful child to council him through the treatment.
  • Don’t explain the procedure to your child before it begins, let your paediatric dentist do it for him with his right choice of words.
  • Cooperate & allow your dentist when he/she raises voice on your child to control the temper tantrums.
  • Praise your child for his positive attitude after the procedure is over.( even if he has been cranky throughout the procedure).

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    Help make dental hygiene fun for your kids with these tips:

  • Let children help choose their own toothbrush. They can pick one that has a favorite color or character.
  • Let children help choose toothpaste. They can pick their favorite flavour. Read books or watch videos that talk about dental hygiene.
  • Use a timer to make sure kids brush their teeth for 2 minutes. Or play their favorite song to help keep track of time.
  • Try and accompany the child during Toothbrushing so that they get fun in copying you.
  • Reward children for good oral care. Do not give them food or sugary treats. Offer something healthy or simple instead, like apple slices or a gold star.
  • Plan a fun activity following your child’s dentist visit & praise them for their good behaviour during the dental procedure.

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    Kids are the future of tomorrow, and a nation with healthy kids is surely a developing nation. Until the time Kids attain maturity and take charge of their own well being, the oral & Dental health of kids is the combined responsibility of the parents as well as their Paediatric Dentists.
    Do not self diagnose or cure the dental ailments of your kids at home. A child’s Oral cavity is highly exposed to all kinds of foods and ph challenges and thus it needs constant monitoring, screening and follow-ups. Any disease or pathology that is in its initial stages today , if unattended can reach dangerous potentials in the coming future. A combined effort from parents and the Paediatric Dentists can instill positive behaviour within the child in regards to his dental hygiene. Let's help them become healthy and responsible citizens .Let's prepare them for a better tomorrow !!

    Hai Dent has modern, hi-tech and multi-speciality dental clinics across Mumbai and Delhi NCR(Gurgaon). Our focus is to provide quality and comfortable dental care services to all patients hence we have a team of highly experienced and specialized dentists with quintessential skills. Our clinic infrastructure includes the Latest Dental & sterilization equipment to offer high standards of hygiene in dental procedures.

    • Corporate Office Address:
    • 514, Tulsiani Chamber,
    • Nariman Point, Mumbai,
    • Maharashtra 400021

    • Opening Hours:
    • Monday      : 10 a.m.- 8 p.m.
    • Tuesday     : 10 a.m.- 8 p.m.
    • Wednesday : 10 a.m.- 8 p.m.
    • Thursday     : 10 a.m.- 8 p.m.
    • Friday          : 10 a.m.- 8 p.m.
    • Saturday     : 10 a.m.- 8 p.m.
    • Sunday       : 10 a.m.- 8 p.m.
    • Phone: +91 9867 399611
    • Email: haident.india@gmail.com