Pediatric dentistry.

 

We are concerned about your child’s total health care. Good oral health is an important part of total health. Establishing us as your child’s dental home provides us the opportunity to implement preventive dental health habits that keep a child free from dental/oral disease. We focus on prevention, early detection and treatment of dental diseases, and keep current on the latest advances in dentistry for children.

Pleasant visits to the dental office promote the establishment of trust and confidence in your child that will last a lifetime. Our goal, along with our staff, is to help all children feel good about visiting the dentist and teach them how to

care for their teeth. 

 

Preventive.

Soon after an infant is born, a physician or nurse practitioner thoroughly

examines his or her body, including the mouth. Most of the time a baby’s gums,

tongue and soft palate are normally developed and ready for action. But

sometimes there are harmless variations that may surprise some parents, such as

natal and neonatal teeth.

Anoter thing, that parients must care about it is thumb sucking. 

And, for sure, it is important to prevent caries. It is the same important and for

permanent teeth, and for milk teeth also.

 

To prevent caries, it can help fluorid.

Water fluoridation at ppm (mg F per litre) reduces caries by 50%.

Main advantages are systemic and topical effect;

Milk with 2.5–7ppm F has been tried successfully.

Salt is cheap and effective for rural communities in developing countries where

water fluoridation is not feasible.

 

Professionally applied fluorides.

Overall, caries d of 20–40%.

Gels or foams applied in trays are still popular in some parts of the world.

Rinsing solutions C/I in children <7yrs.

The concentration depends upon the frequency of use: 0.2% fortnightly/weekly or 0.05% daily.

 

Toothpastes. 

• Fluoride. Most toothpastes contain sodium monofluoro-phosphate &/or NaF, in concentrations of 000–500ppm (i.e. –.5mg per cm of paste). Caries reductions of 5% (in fluoridated areas) to 30% (in non-fluoridated 

 areas) are reported. Low-dose formulations for children <7yrs containing <500ppm are available, to decrease risk of mottling, but such low concentrations are unlikely to be effective at significantly reducing caries.

• anticalculus agents, e.g. sodium pyrophosphate, can decrease calculus formation by 50%.

• De-sensitizing agents, e.g. 0% strontium or potassium chloride, or .4% formaldehyde.

• antibacterial agents, e.g. triclosan.

 Recommendation:

• Brush with a >000ppm fluoride toothpaste.

>3yrs and those at i risk of developing caries use 350–500ppm fluoride toothpaste.

• Children <3yrs of age should use a ‘smear’ and >3yrs a small pea-size blob (<0.3mL) of toothpaste.

• Spit out well, but do not rinse, after brushing.

• Brushing with fluoride toothpaste should start as soon as the first teeth erupt (about 6 months of age). Parents should supervise brushing up to at least 7yrs of age to avoid over-ingestion of toothpaste and ensure adequate plaque removal.

 

Fissure sealants.

Pits and fissures provide a sheltered niche for bacterial proliferation.

Toothbrush bristles are too wide to fit into these areas, making complete plaque

removal impossible. A fissure sealant is a material that provides an impervious

barrier to the fissure system to prevent the development of caries.