Saturday 26 July 2014

Child Dental Health

Child DENTAL HEALTH

Despite tremendous advancements in dental care and treatment over the past 50 years, dental caries (tooth decay) remains a serious issue for our nation’s children. It is important for parents to instill good oral health habits in their children at a young age by first equipping themselves with the latest insights about oral care, treatment options and recommendations

Parents are a child's first teacher in life and play a significant role in maintaining his or her overall health. Providing oral health education to mothers and families is essential to teaching children healthy habits and preventing early childhood tooth decay.

With all of the challenges that new parents face, they may not think much about the link between their child's oral health and overall health. In fact, an understanding of oral hygiene can help parents to prevent tooth decay—the single most common chronic childhood disease in teeth—and to create a lifetime of healthy habits for their child.

IMPORTANCE OF CHILD ORAL HEALTH

1.Healthy teeth and gums are important as your child grows to help them develop good speech, healthy eating habits and good social skills.

2.Cavities are the most common chronic disease of early childhood.

3.Oral diseases are infectious, often painful and expensive to treat.

Poor oral health has been linked to diabetes, heart disease and other long-term health problems in adults.

 THE MOUTH

A smile is the facial expression that most engages others. With the help of the teeth — which provide structural support for the face muscles, the mouth also forms a frown and other expressions that show on your face.

The mouth:
Plays a key role in the digestive system.

The mouth — especially the teeth, lips, and tongue — is essential for speech.

The tongue, which allows us to taste,

The tongue also helps form words when we speak.

The lips that line the outside of the mouth both help hold food in while we chew and pronounce words when we talk.

The hardest substances in the body, the teeth are also necessary for chewing

Here's how each aspect of the mouth and teeth plays an important role in our daily lives.

TEETH
Teeth vary in size, shape and their location in the jaws. These differences enable teeth to work together to help you chew, speak and smile. They also help give your face its shape and form. The Tooth is made of 2 parts. The Crown that is visible in the mouth and the Root that lies in the jaw bone which is not seen. Let us see what makes up a tooth:

Enamel. Hard calcified tissue covering the dentin in the crown of tooth.

Dentin.That part of the tooth that is beneath enamel and cementum. When dentin loses its protective covering (enamel), it causes sensitivity.

Gums (also called gingiva.) Soft tissues that cover and protect the roots of your teeth and cover teeth that have not yet erupted.

Pulp Chamber.The space occupied by the pulp—the soft tissue at the center of your teeth containing nerves, blood vessels and connective tissue.

Jawbone (Alveolar Bone.) The part of the jaw that surrounds the roots of the teeth.

Cementum. Hard connective tissue covering the tooth root, giving attachment to the periodontal ligament.
Periodontal Ligament. A system of collagenous connective tissue fibers that connect the root of a tooth to its socket.

Conditions:-
Dental Diseases
Plaque

Tooth Decay

Gum Disease

Mouth Disorders

Malocclusion

Habits

Bad Breath

Dry Mouth

by,

DR.RENJU T GEORGE,
PALARIVATTOM,
COCHIN-682025.KERALA, INDIA

Wednesday 9 July 2014

ROOT CANAL TREATMENT/ RCT
Endodontic therapy or root canal therapy is a sequence of treatment for the infected pulp of a tooth which results in the elimination of infection and the protection of the decontaminated tooth from future microbial invasion. The innermost layer of tooth is the pulp which provides nutrients, blood supply and nerves to the tooth; it runs like a thread down through the roots. When the pulp is diseased or injured, mostly due to dental decay or a fracture, the tooth needs to be saved.

The most common causes of pulp damage or death are:
 A cracked tooth
A deep cavity
An injury to a tooth, such as a severe knock to the tooth, either recent or in the past.

Endodontic therapy involves the removal of these structures, the subsequent shaping, cleaning, and decontamination of the hollows with small files and irrigating solutions and the obturation (filling) of the decontaminated canals with an inert filling such as gutta-percha and typically eugenol-based cement.
 In order to retain the tooth in the oral cavity root canal treatment is done that would otherwise be lost. After the dentist removes the pulp, the root canal is cleaned and sealed off to protect it. Then your dentist places a crown or a cap over the tooth to make it stronger.
Most of the cases root canal treatment is a relatively simple procedure with little or no discomfort involving one or three visits.Best of all , it can save your tooth and your smile.
Once the pulp is infected or dead, if left untreated, pus can build up at the root tip in the jawbone, forming an abscess. An abscess can destroy the bone surrounding the tooth and cause pain.

INDICATIONS

Dental caries or decay involving pulp

Fracture involving pulp

Intentional root canal treatment is indicated in the following cases,
Severe periodontal problem
grossly attrited tooth
Fixed replacement of missing tooth like bridges

TREATMENT PROCEDURE

First, an opening is made through the crown of the tooth in to the pulp chamber, after giving local anesthesia.

The pulp is then removed and the root canals are cleaned and shaped to a form that can be filled.

The pulp is removed, and the root canals are cleaned, enlarged and shaped.

Medications may be put in to the pulp chamber and root canals to help get rid of germs and prevent infection
A temporary filling will be placed in the crown opening to protect the tooth between dental visits. Your dentist may leave the tooth open for a few days to drain. You might also be given medicines to help control infection that may spread beyond the tooth.

The pulp chamber and root canals are filled and sealed.

The temporary filling is removed and the pulp chamber and root canal s are cleaned and filled.

In the final step, a crown or cap is usually placed over the tooth.

 How Long Will the Restored Tooth Last?

Your treated and restored tooth/teeth can last a lifetime with proper care. Because tooth decay can still occur in treated teeth, good oral hygiene and regular dental exams are necessary to prevent further problems.

As there is no longer a pulp keeping the tooth alive, root-treated teeth can become brittle and are more prone to fracture. This is an important consideration when deciding whether to crown or fill a tooth after root canal treatment.

To determine the success or failure of root canal treatment, the most relied-upon method is to compare new X-rays with those taken prior to treatment. This comparison will show whether bone continues to be lost or is being regenerated. As long as the roots of a tooth are nourished by the tissues around it, your tooth will remain healthy.

DR.RENJU T GEORGE,
SIGNAL DENTAL SPECIALTY CLINIC,
OPP. BSNL TELEPHONE EXCHANGE,
KALAVATHU ROAD, PALARIVATTOM,
COCHIN-682025.KERALA, INDIA.