(Pedodontics)
Pedodontics, or pediatric dentistry, deals specifically with the
oral care of children. A Pedodontist, or pediatric dentist, receives
training in child psychology, growth and development. They are an
ideal choice for children with fears or behavioural problems that
make visits to the regular dentist unproductive.
Babies are born with their primary teeth formed underneath
the gums, but they don't start appearing until many months later,
usually between six to seven months after birth; however, there
is considerable variation in the timing.
Tooth-Eruption-Chart
Primary teeth are also called baby teeth,
milk teeth, or first teeth. Baby teeth are very important as place
holds for permanent teeth. There a couple of simple rules that usually
applies to the eruption of
baby
teeth:
• lower teeth usually erupt before upper teeth
• girls teeth usually erupt before boys teeth of the same
age
• teeth usually erupt in pairs
Your child's first baby tooth is another milestone in the growth
of a child. Parents love to celebrate the tiny, yet momentous steps
that pave a child's healthy development. Keeping your child free
of tooth decay is the goal. A little effort may reveal the secrets
how dentists keep their own children cavity free. Pedodontics focuses
heavily on preventative oral care to reduce the risk of future complications
like thumbsucking in the children, thus possibly reducing the risk
of overbite. A Pedodontist may also start interceptive orthodontic
treatment to prepare a child's mouth for future orthodontic work.
By the child is nearly 18 months old, start keeping him from bottles
by this age. Doing so will help prevent Baby Bottle Tooth Decay.
By the time children are three years old, they usually have a full
set of 20 primary teeth. Faulty brushing habits coupled with the
consumption of sticky substances are generally responsible for triggering
dental decay or dental caries in milk teeth.
Permanent teeth usually start to erupt about first grade.
A special note here is that often the first molar, or six-year molar,
erupts before the front tooth. Additionally, the first molar erupts
behind the last baby tooth and does not replace a baby tooth as
occurs for front teeth. Often lower front teeth come in behind,
on the tongue side, and give the appearance for a while as if there
are two rows of teeth.
If baby teeth are lost too early, the other teeth can drift out
of their position and invade the empty space. This might cause permanent
teeth to come in crooked or unable to erupt into the gum, which
leads to malocclusion.
Children suck on things because sucking is one of a baby’s
natural reflexes and as infants get older it serves many purposes.
Since thumbsucking is relaxing, it may help induce sleep. After
the permanent teeth come in, sucking may cause problems with the
proper growth of the mouth and alignment of the teeth. It can also
cause changes in the roof of the mouth. Some aggressive thumbsucking
may cause problems with the baby (primary) teeth. It can also cause
changes in the roof of the mouth.
Pacifiers can affect the teeth essentially the same ways as sucking
fingers and thumbs. However, it is often an easier habit to break.
Tips:
Praise children for not sucking, instead of scolding them when they
are.
• Children often suck their thumbs when feeling insecure or
needing comfort. Focus on correcting the cause of the anxiety and
provide comfort to your child.
• For an older child, involve him or her in choosing the method
of stopping.
• Your dentist can offer encouragement to a child and explain
what could happen to their teeth if they do not stop sucking.
• If the above tips don’t work, remind the child of
their habit by bandaging the thumb or putting a sock on the hand
at night. Your dentist or pediatrician may prescribe a bitter medication
to coat the thumb or the use of a mouth appliance.
Preventive Dentistry
Preventive dentistry is perhaps the singularly most important role
the pediatric dentist can play in your child's life. Beginning dental
visits early is the key to success, as it helps and assists us in
recognizing and warding off potential problems before they become
serious. Child should be thoroughly examined to detect any potential
problem areas, diet counseling, and if necessary, fluoride recommendations
by the dentist.
Dental care - common conditions - 0 to 5 years
Mouth ulcers affect 20 per cent of the population. The natural healing
takes one or two weeks. In the event these are painful and accompanied
by fever, consult the dentist/doctor. Meanwhile, citrus in all forms
should be avoided; take less salty foods; and apply topical anaesthetic.
Herpes is another problem often contracted
by infants. The noticeable symptoms are small clusters of blisters
erupting in the mouth or on gums; yellowish ulcers surrounded by
a red halo; red, swollen gums that bleed when touched; fever, malaise
(feeling unwell) and irritability. It helps to avoid salty foods,
have adequate fluid intake, and more of yoghurts and custards.
Other mouth
lesions infants are affected include
a tooth abscess , measles, eruption cyst, geographic tongue, oral
thrush, cellulitis, mucocele
Children are to be discouraged from eating sugary snacks in between
meals and also consuming unhealthy soft drinks. Fast foods like
burgers and pizzas are also culpable in causing dental decay. Obesity
due to junk food has already been declared a big national problem
in America. It is also recommended that children should use toothpastes
that contain enough amounts of Fluoride.
Baby Bottle Tooth Decay
Another problem that can be spotted early is a condition called
"
baby
bottle tooth decay," which is caused by sugary
substances in breast milk and some juices, which combine with saliva
to form pools inside the baby's mouth. If left untreated, this can
lead to premature decay of your baby's future primary teeth, which
can later hamper the proper formation of permanent teeth.
Putting a baby to bed for a nap or at night with a bottle other
than water can cause serious and rapid tooth decay. Sweet liquid
pools around the child’s teeth giving plaque bacteria an opportunity
to produce acids that attack tooth enamel.
One of the best ways to avoid baby bottle tooth decay is to not
allow your baby to nurse on a bottle while going to sleep. Avoid
dipping pacifiers in sweet substances such as honey, because this
only encourages early decay in the baby's mouth. Encouraging your
young child to drink from a cup as early as possible will also help
stave off the problems associated with baby bottle tooth decay.
Sealants:
Sealants
are resins or plastic materials filled in the little ridges on the
chewing part of child’s teeth, molar and premolars, to protect
and seal the tooth from food and plaque. They are easy to apply
and typically last for several years. Some of these sealants do
release fluoride as well. Children with newly erupted posterior
teeth benefit the most with sealants as these teeth are at the highest
risk of developing pit and fissure caries. Adults also do benefit
from the application of sealants. At some given point of time sealants
worn out particularly chewing on abrasive foods, and the same can
be reapplied.
Fluoride:
Fluoride
is an element, which has been shown to be beneficial to teeth. However,
too little or too much fluoride can be detrimental to the teeth.
Little or no fluoride will not strengthen the teeth to help them
resist cavities. Excessive and inappropriate intake of fluoride
supplements may also contribute to dental fluorosis, which is a
chalky white to even brown discoloration of the permanent teeth.
Fluoride drops and tablets, as well as fluoride-fortified vitamins
should not be given to infants younger than six months of age. After
that time, fluoride treatment should only be given to children after
all of the sources of ingested fluoride have been accounted for
and upon the recommendation of your Pedodontist.
Calcium – children:
Calcium is an important part of the daily diet, especially
for children. It is essential for the growth of strong bones and
teeth. Dietitians and dentists recommend that children should meet
their calcium needs by eating dairy foods and having a well balanced
diet. Severe calcium deficiency can result in diseases like rickets
in children and osteoporosis later in life.
If your child refuses to drink milk, calcium can be obtained from
the following foods:
• Cheese, yoghurt or milk-based custards.
• Sardines and other fish that contain fine bones that can
be eaten.
• Nuts (such as almonds) have moderate amount of calcium and
protein; however nuts are not suitable for very young children.
• Leafy green vegetables such as broccoli, spinach, pumpkin,
etc.
• Some breakfast cereals are fortified with calcium – read the label carefully.
• Some soy drinks are fortified with calcium – read
the label carefully.
Dental X-Rays
Radiographs (X-Rays) are a vital and necessary part of your
child’s dental diagnostic process. Without them, certain dental
conditions can and will be missed.
X-Ray’s detect much more than cavities. For example, X-Rays
may be needed to survey erupting teeth, diagnose bone diseases,
evaluate the results of an injury, or plan orthodontic treatment.
X-Rays allow dentists to diagnose and treat health conditions that
cannot be detected during a clinical examination. If dental problems
are found and treated early, dental care is more comfortable for
your child and more affordable for you.
Women’s Teeth - Calcium is essential during
pregnancy and lactation:
Women
have special needs when it comes to their oral health. That's because
the physical changes they undergo through life-things like menstruation,
pregnancy and childbirth, breast-feeding and menopause-cause many
changes in the body, some harmful to teeth and gums.
During pregnancy and breastfeeding the mother must consume enough
dietary calcium to cover her own needs and those of the growing
baby. If the mother isn't getting enough calcium, the calcium needed
by the developing baby is drawn from the mother's bones. Taking
care of your oral health is essential, and can go a long way to
helping you face the physical changes in your body over the years.
