Download - Woodlands Lecture
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Child Oral Health
Dr.(Mrs.) Machila Perera
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TEETHING
NURSING BOTTLE SYNDROME/EARLY
CHILDHOOD CARIESDENTAL CARIES/TOOTH DECAY
ORAL MUCOSAL LESIONS
TRAUMA TO TEETH
MALOCCLUSION
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What type of Diet?
Does a woman loose calcium from teeth
during pregnancy?
Gum diseases & pregnancy Radiographs/x-rays during pregnancy
How to keep the mouth healthy during
pregnancy?
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Eruption of milk teeth often starts at the age
of 6 months.
All 20 milk teeth have erupted by the age of
2yrs. Serial eruption or Multiple eruption
It can appear as ;
1. Reddish gum
2. Swollen gum over the erupting tooth
3. Fluid filled blister
4. Hard texture over the gum
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Teething may also cause following symptoms;
Increased drooling
Restless or decreased sleeping due to gumdiscomfort.
Refusal of food due to soreness of the gum
region.
Fussiness that comes & goes
Bringing the hands into the mouth
Mild rash around the mouth due to irritation
secondary to excessive drooling Mild temperature
Loose motion
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Pain relief/pain killer
Rub the affected gum
Provide safe objects for the baby to chew on,
such as teething rings
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main cause is the baby falling asleep while
breast feeding or bottle feeding.
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The sugary portion of the milk or juice which
stagnates on the tooth surface reacts with
bacteria in the childs mouth causing toothdecay.
This involves mainly the front teeth(anterior
teeth).
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Early stages appear as white chalky marks in the
four upper front teeth.
If left untreated further tooth decay progress
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Tooth decay further progresses until it
become as follows. It may even result dental
abscesses.
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1. Brush/Clean your childs teeth daily.
Do not allow your child to fall asleep with a bottlefilled with milk, juice or any other sugary liquid.
Do not allow your child to sip a bottle with sugaryproducts for long periods as a pacifier.
Try to introduce a bottle of water during naps in thenight, as they are not hungry but thirsty most of thetime.
Use a wet gauze to clean the front teeth after givingmilk(breast feeding/bottle).
Introduce a cup instead of a bottle as soon as theyturn 1yr.
Dental check ups.
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Can involve any tooth.
Main cause is the formation of acid on the
tooth surface that decalcifies the tooth.
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1. RESTORATION (TF,PF,RCT)
2. EXTRACTION
CONTROL SWEETS
PROPER BRUSHING
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APHTHOUS ULCERS :
MUCOCELE: collection of saliva due to trauma to
the minor salivary glands.
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Allergies to medicines: can appear as oral
lesions.
Some viral infections eg: Hand, Foot & mouthdisease manifests mucosal lesions in
children.
All above lesions need to be checked by a
dental surgeon.
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Main causes include accidental falls during
playing, road traffic accidents, etc,
Trauma to teeth can range from a simple crack up
to an avulsion of a tooth.
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Subluxation/loosening of tooth from the bone
socket
Intrusion/tooth displacing further towards the
bone
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Avulsion: Entire tooth has completely displaced
from the socket.
First bleeding must be arrested applying pressure or with ice.
Avulsed tooth should be carried in normal saline, breast milk or
saliva.Go to the hospital ASAP.
Treatment vary according to the type of trauma.
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OTHER MALOCCLUSIONS:
MAIN CAUSES ARE:
1. Thumb sucking
2. Nail biting
3. Prolonged bottle feeding
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1. Prevention of habit : use plasters, boxing
gloves, applying bitter liquids on the fingers
2. Habit breaking appliances
3. Orthodontic treatment
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DIET?
- Balanced diet, which includes calcium, iron,
vitamins,etc..
Loosing calcium from teeth duringpregnancy?
- Its a myth
Gum diseases during pregnancy
- common/ due to hormonal changes
- Disappear after delivery
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Radiographs/ x-rays during pregnancy
- Avoid as much as possible
- Radiation from dental x-rays are very
minimal/ use a lead apron while being
exposed.
How to keep the mouth healthy during
pregnancy?
- Periodic visits to the dentist.
- Proper brushing
- Controlling sweets
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1. Brushing Instructions
- Children require parental supervision during brushing.
- But following points are important to remember.
Correct brush- angulated
- medium bristles Correct brushing technique
- start from a corner
- look at a mirror
Frequency of brushing- twice daily
- 10 mins
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Fluoridated toothpaste advise children to
spit after brushing but not to swallow. As
ingestion of fluoride will end up as fluorosisof teeth.
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2. Control dietary habits
Control sweets
Eat more fruits/vegetables
3. Dental treatment for caries susceptibleareas
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