We Offers excellent services for pediatric & periodental dentists in Pune. We established ourselves as one of the leading dentists for child dental care.
2. Root Canal treatment in children
Root canal treatment means removal of the infected softtissue [pulp] from inside
a tooth, cleaning and disinfecting and filling it with a filling material from the root
tip to the crown of a tooth. The procedure is absolutely safe in children.
Retaining a milk tooth till its normal age of exfoliation is important for the proper
growth and development of the underlying permanent tooth and is also quite
essential for maintaining the space for the erupting larger permanent tooth.
Early removal/ loss/ extraction of a milk tooth can cause shrinkage of space
between teeth, resulting in malalignment of its permanent successor. Hence it is
important to retain all the milk teeth till the age of their natural exfoliation. That is
why a dentist recommends root canal treatment in a milk tooth and advises
removal only when it cannot be saved.
The basic difference between the root canal treatment in a milk tooth and a
permanent tooth is that the filling material in a permanent tooth is permanent
while the one in a milk tooth is resorbable.
3.
4. Space Maintainer
In casea milk tooth has to be extracted earlyâ a dentist may advice to place a
spacemaintainer to prevent the migration of adjacent teeth.
5. Crown over a root canal treated tooth in children
Root Canal Treatment helps to remove infected sof tissue [pulp] from inside a
tooth, besides cleaning, disinfecting and filling it with an inert filling material. The
soft tissues contain blood vessels and nerves, which help to give nourishment to
the teeth. After its removal, the tooth tends to become non-vitaland may become
more brittle, as there is no more nourishment and blood flow within the teeth.
Therefore, a root canal treated tooth is prone to fracture, especially when biting/
chewing hard food. Henceit is necessary to placea crown over a rootcanal treated
tooth.
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7. Fissure Sealants
Fissuresealants are plastic coatings that arepainted on to the grooves of the back
teeth.
Thesealantformsa protectivelayer thatkeepsfood and bacteria fromgetting stuck
in the tiny grooves in the teeth and causing decay.
The process is usually quick and easy taking only a few minutes per tooth.
How long does fissure sealant last?
Sealant usually lastfor many years, butneeds to be checked regularly to makesure
that the seal is intact.
Itcan wear over time, and sometimes needs to be added to or replaced to be sure
that no decay can start underneath it.
8. Fluoride Application in childrens
Fluoride helps prevent toothdecay by makingthe toothmore resistant to acidattacks
fromplaque bacteria andsugars inthe mouth. It also reverses early decay.
Fluoride varnish is a dental treatment that can help prevent tooth decay, slow it
down, or stop it from getting worse. Fluoridevarnish is made with fluoride, a
mineral that can strengthen tooth enamel (outer coating on teeth).
Keep in mind that fluoride varnish treatments cannot completely preventcavities.
Fluoride varnish treatments can best help prevent decay when a child is also
brushing using the right amount of toothpastewith fluoride, flossing regularly,
getting regular dental care, and eating a healthy diet.
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10. Habit Breaking Appliances
Habits that are not desirable are Thumb Sucking, TongueThrusting, Lip Biting, Nail
Biting, mouth breathing and Finger Biting to namea few. Habitbreaking appliances
are made by dentists to break the habits especially in children. If these habits are
allowed to continue, they can resultin Gumdisease, changein position of theteeth
and change in position of the jaws.
Usually children will develop unhealthy habits. These habits usually fade
away as they grow up, if the practice persists after the permanent teeth
have erupted, it can drastically change the growth patterns of the jaw
and can ruin the alignment of the teeth
Children have a very soft bone in their jaw, so if they catch such habits it
can make the soft jaws change its shape according to the force being
applied on it.
So itâs very important to stop these habits by making the child
understand the consequences of continuing such habits. But for some
kids they need some appliance to break the habit.
What are the available appliances ?
We study the habit of child and we make a treatment plan. Here are the
basic treatment option for some of the common oral habits.
11. THUMB SUCKING:-
If your child has a thumb or finger sucking habit that has persisted past the
age of five, and you have been unable to tame it, a more permanent
solution to thumb sucking is an appliance called a fixed palatal crib or a
rake-style appliance.
Appliance:-
12. TONGUE THRUSTING:-
It's the natural swallowing movement of tongue, but some kids take it as a
habit to repeat this movement which will result in the deformity of the
arch. If the pattern doesnât change, however, it can lead to problems
similar to those caused by thumb sucking like problems with tooth
alignment and skeletal development.
13. This is treated with a tongue thrusting habit breaking appliance. This can
be either in the form of the crib, rake, spiky style or beaded.
14. MOUTH BREATHING:-
Normally breathing is through nose, mouth breathing can lead to decrease
in saliva and it makes teeth more prone for caries. One can probably
assume that there may be some kind of psychological disturbance in the
childâs mind. This must be identified and rectified at an earlier stage
whenever possible. Some habits develop due to anatomical deviation. As
blocked nose due to recurrent cold or deviated septum can force the child
from mouth and thus the habit of mouth breathing develops.
Appliance used for treating this is an oral screen. The oral screen prevents
the inhaled air to enter the oral cavity. The oral cavity can also be closed.
15. Emotional cause also leads to bad oral habit, pedodontist will help you find
right cause and etiology and help you with best suitable appliance Treating
the oral habit at an early age is the most effective way to prevent further
dental health problems. Minimum time for a habit to break is 4 months. If
you take the treatments for granted it can cost you not only money but
also your childâs permanent teeth.
16. Perio
Scaling And Polishing
Though it is very routineday to day procedurein our clinic butit is a very important
procedure to be done for our patient who agree with belief that âprevention is
better than cureâ.
Why you Need to clean teeth daily?
Plaque is a thin film of bacteria that continuously forms in your mouth ,covers the
surfaces of your teeth. Plaque forms naturally in your mouth but is very harmfulto
your dental and gum health we recommend regular brushing and flossing of teeth
to removethis plaque layer. Because If plaqueis not removed fromyour teeth and
around the gums, after 48 hrs it eventually hardens into tartar which can cause a
variety of problems in your mouth including cavities and gum infections. Tarter or
say calculus can not be removed by brushing or flossing it require special dental
tools and procedures.
If tartar exists below the gum line, a deep cleaning known as scaling and root
planing also called oral prophylaxis becomes necessary.
17.
18. Curettage
In cases of long standing gum infection, the tissues inside the gum absorb
bacterial toxins and become diseased. In these cases, following anaesthesia, the
diseased gums are scraped away fromthe inside, thus restoring the health of the
gums.
19.
20. Flap surgery/ Gum Surgery
Your teeth are at risk becauseof periodontal disease. Itbegan with the build-up
of plaque and tartar on your teeth, which may have resulted from insufficient
brushing and flossing. Over time, the plaque and tartar have caused loss of the
supporting tissuearound someof your teeth.
When plaque builds up on a tooth, bacteria in the plaque attach the bone around
the tooth as well as the fibres, which connect the tooth to the bone. As fibres and
bone are destroyed, a pocketor spaceforms between the gum and the tooth-an
ideal site for more plaque to build up without proper hygiene, the process may
continue, sometimes withoutsymptoms, until the tooth is endangered.
Why do you need periodontal gum surgery?
This surgicalprocedureis used by the periodontist to smooth/correctdefects and
irregularities in the bone surrounding the diseased teeth with the ultimate goal of
eliminating periodontal pockets.
The recent advances in surgery
Periodontal surgery has evolved with newer techniques and materials advancing
the art and science of dentistry.
REGENERATIONis a presentconcept where the tissues that are lostdue to
periodontal diseaseare reconstructed to a certain extent using newer and
advanced technique.
21. Various methods of regeneration are:
1] Bone Grafts
2] Guided tissue regeneration.
Is flap surgerya permanent cure?
You may be proneto periodontal diseases that require constantand careful
attention. Like other chronic diseases, such as diabetes, hypertension and asthma,
there is no permanent cure. Periodontal surgery helps to control diseaseand
prevents further destruction to the gums and bone, thereby minimizing tooth
loss. Regular check-ups would ensuretooth loss is further minimized.
22.
23. Bone Grafts
When plaque and calculus are not removed the bacteria in the plaque toxins that
can destroy the supporting tissues and bone around the tooth becomes looseand
separates away fromthe tooth resulting in deep areas called pockets. As these
pockets deepen, more gum tissueand bone are destroyed forming deep bone
defects.
Bone grafts are bone substitutes [powder/gels/sponges]etc. which areplaced in
the diseased areas to enhance new bone formation with application of
regenerated techniques.
24. Gingival Recession
Gingival recession, also known as receding gums, is the exposurein the roots of
the teeth caused by a loss of gum tissue and/or retraction of the gingival margin
fromthe crown of the teeth. ... Itmay exist with or without concomitant decrease
in crown-to-rootratio (recession of alveolar bone).
Causes
1] Poor oral hygiene and periodontal diseasecontribute to a gingival recession.
2] Physicalwear of the gums by vigorous tooth brushing or the use of hard
bristles is a further, common cause of receding gums. Over-
brushing causes receding gums even when dental hygiene might otherwisebe
good.
What is the treatment for gingival recession?
Open flap scaling and rootplaning: During this procedure, the dentist or
periodontist (gum doctor) folds back the affected gum tissue, removes the
harmfulbacteria from the pockets, and then snugly secures the gum tissuein
place over the tooth root, thus eliminating the pockets or reducing their size.