Kids are special and their dental problems are also special. They need to be handled differently. The kids are generally scared of the dental parafernalia and therefore, it is most important to make the kids comfortable and remove the fear from their minds. Children suffer from different kind dental problems at various stages of childhood. While during the infancy, it is dental caries and rampant caries and thumb sucking habits which is most common, in mixed dentition phase, Crowding of teeth, Dental caries, Loss of teeth and resultant space loss, fractures of teeth due to accidents are more common. We at Beautiful Smiles – Centre for Dental Excellence strive to treat all kids with compassion and care so that children learn to take care of their teeth throughout their life. Our approach towards children is more of Preventive rather than curative. We recommend that the kids are brought for their first dental consultation as soon as all the milk teeth have erupted.
Following treatments are provided for kids at our centre.
Whenever teeth are affected by dental caries, fillings are the most common restorative procedure. The decayed area is cleaned and resultant cavity is filled with either amalgam, Glass Ionomer or composit filling material.
Silver (amalgam) fillings:
Silver fillings have been used reliably for many years. Typically, silver fillings are placed on back teeth (molars). They are an economical way of providing a lasting restoration for most cavities. The material is specially formulated to withstand years of chewing pressure.
GOLD inlay or onlay :
A gold inlay or onlay is used when the cavity is too big for a silver filling, but isn’t so big that a crown is required. An inlay is a filling within the cusp tips of the tooth. Onlays (also known as overlays) will overlay one or more cusps in order to protect and strengthen the tooth
White fillings are an alternative to silver (amalgam) fillings. White fillings are made of a strong / Glass Ionomer that is matched to the surrounding tooth color. In the past, white fillings were placed only on front teeth, but recently a stronger more durable material has been developed that can withstand the chewing pressure of back teeth.
Pulpectomy and Pulpotomy:
Whenever the carious process has reached the pulp and the tooth has become painful, It is treated with help of pulectomy or pulpotomy procedures to retain the tooth till the normal time of shedding. In these procedures the pulp of the tooth is either removed fully or partially and the tooth is restored artificially.
Pit and Fissure Sealants:
This is a preventive procedure and is performed whenever the child is noticed with deep pits and fissures in the teeth especially permanent teeth. These deep pits and fissures are blocked with the help of sealants.
Flourides are known to get adsorb on the teeth surface when applied topically and make teeth resistant to carious attack. Kid patients with high incidence of caries are given topical flouride applications to make their teeth caries resistant.
Braces (Orthodontic Treatment)
Orthodontic treatment in children are in three stages. It is mostly assumed that the child should be brought to the Orthdontist only after all the permanent teeth have erupted. This is not correct. We in our centre recommend that the child be brought for his/her orthodontic consultation as soon as first permanent tooth is about to erupt. The child is examined for any anticipated orthodontic problem and advised accordingly to prevent the problem from occuring. This is Preventive Stage. Retention and planned extraction of milk teeth, correction of oral habits and breathing and toning exercises are some of the preventive measures.Then comes the Interceptive Stage in which some corrective measures are taken so that the orthodontic treatment is prevented. Space maintainers and functional appliances are some of the interceptive treatments. Lastly, the Corrective Stage where the braces are fixed to correct the established orthodontic problem.
Some most common orthodontic problems
Protruding Teeth – one of the most common dental problems
Crowding and Spacings– a narrow jaw may mean there is not enough room for your teeth, resulting in crowding. Conversely, some patients have significant gaps between their teeth.
Asymmetry – particularly when the centre lines of the upper and lower front teeth do not match, perhaps because the teeth have drifted or the position of the jaw has shifted.
A deep bite – when your upper teeth cover the lower teeth too much
A reverse bite – when your upper teeth bite inside the lower teeth
An open bite – when your front teeth remain apart when your back teeth meet; the tongue is often still visible between the upper and lower front teeth.
Impacted teeth – in some patients, secondary teeth come through in the wrong position or do not erupt at all. Orthodontic treatment can help bring these teeth into the correct position.