Paediatric Dentistry

A good diet during pregnancy ensures structurally good teeth. In the first six months, wiping the gums with a wet cloth after feeding the baby is sufficient. Once the teeth begin to erupt brushing the teeth with a soft baby brush and a pea sized amount of non-fluoridated tooth paste is essential. When the child reaches a pre-school age (and can spit easily), fluoride toothpaste is recommended.

Cavities are holes that are formed in the teeth. Bacteria present in the mouth along with sugars that coat the teeth cause the release of acids. These acids cause the enamel of the teeth to break down, forming cavities. Cavities, if left unchecked, cause toothaches.

Children who consume large quantities of sugar in the form of chocolates, cakes and cookies are at high risk for getting cavities. Additionally, children with special healthcare needs, premature babies and children with white spots (areas of low calcium deposition) on their teeth are also more prone to cavities/can also have an increased amount of cavities.

• Brush with a fluoride toothpaste twice a day.
• Floss children's teeth once a day.
• Visit your dentist at least twice a year.
• Apply Fluoride treatments twice a year, starting from the mixed dentition phase.
• Apply/Use sealants on the chewing surfaces of permanent back teeth or molars.
• Follow a healthy diet with minimal sugar intake

The first milk tooth is usually lost around age 6 and some primary molars must remain in place until 12 or 13 years of age. Primary teeth are necessary for proper chewing, speech, jaw development and aesthetics. They also aid in forming a path that permanent teeth can follow. Care of the primary teeth is important not only for proper function, but also to avoid unpleasant conditions, such as pain, that result from their neglect.

The chewing surfaces of children’s teeth are most susceptible to cavities. Sealants are adhesive coatings  applied to the tops of teeth to effectively prevent tooth decay. Current research has shown that 4 out of 5 cavities in children, under age 15, develop on the biting surface of back molars. Sealants work by filling in the pits on the chewing surfaces of the teeth. This shuts out food particles that could get caught in the teeth, causing cavities. The application is fast, comfortable and can provide teeth with long lasting protection for years.

Fluorides aid in tooth maturing. They combine with the apatite in the teeth to form fluorapatite which makes the tooth resistant to decay.

Diet has a major effect on children’s teeth. Intake of sugary foods and fermented carbohydrates should be minimized. A diet rich in fresh fruits, vegetables and dairy products should be encouraged. Snacking in-between meals should be controlled. Most importantly, bottle feeding should be discouraged. BOTTLE FEEDING CAUSES MULTIPLE CAVITIES, and the process starts as early as 9 months.

The first 30 minutes after an accident are critical for treating dental trauma. The most important thing is to remain calm.  If a permanent tooth is knocked out, gently rinse it under water(do not scrub). Hold the tooth by the crown rather than the root. If possible, replace the tooth back into the socket. If this is not possible, place the tooth in a glass of milk or salt water and visit the dental clinic immediately. If the tooth is fractured, bring in any pieces you can find.

Thumb or finger sucking is not a problem till the age 4. Between 4-6 years, children should be encouraged to stop sucking their thumb. After age 6, Professional advice is required.

Most children stop sucking habits on their own. Some children may need their parents’ help. When your child is old enough to understand the consequences of thumb-sucking, encourage them to stop by explaining how it affects their teeth. Typically, this advice along with the support from parents, helps most children quit. If all other options fail, your dentist may discuss the use of a fixed appliance to discourage the habit.

As a child grows and matures, there may be indications that your child's teeth may not develop into normal position and biting relationships. Your dentist may recommend  orthodontic treatment for your child, if required.

Athletic mouth protectors are soft plastic mouth guards made specifically for your child's teeth. They protect the teeth, lips, cheeks and tongue from sport related injuries.

Dental X-rays involve minimal risks. Dentists take special precautions to limit  radiation exposure in children. Lead aprons and high-speed films are used to ensure safety and minimize radiation levels/exposure.

Parents should take their children to the dentist regularly, beginning with the eruption of the first tooth. The dentist will recommend a specific program of brushing, flossing, and other treatments for parents to supervise and teach their children. These home treatments, when added to regular dental visits and a balanced diet, will keep your child’s mouth caries free.

Yes! Your child will benefit from a preventive approach that includes effective daily brushing and flossing, moderation of snacking and proper fluoride use. Home care takes just minutes a day and prevents dental problems. Regular professional cleaning, fluoride treatments, and sealants will help prevent issues and detect problems early.