Pediatric Dental Care at Dipa Hospital
By Dr. Vidhi Shah

Early Childhood Caries

Early childhood caries is a specific form of severe dental caries that affects infants and children 71 months or younger. Any sign of cavity in a child younger than 3 years is termed as severe early childhood caries.

Space Maintainers

A space maintainer is an appliance that is custom-made by a dentist or orthodontist in acrylic or metal material. It can be either removable or cemented in a child's mouth. Its purpose is to keep the space open to allow the permanent tooth to erupt and come into place.

Caps in Milk Molars

Extensively mutilated primary molars with very large cavities are treated with stainless steel crowns. This is also strongly recommended in all molar teeth undergoing root canal treatment.

Tooth colored crowns

• They are more natural appearing and esthetic.
• They are as strong as steel.
• More tissue loving and bio-compatible.
• More acceptable by your children.
• Less maintenance is required.
What material is tooth colored crown?
• This crown is Zirconia based product, strongest ceramic material available today in dental field.
• It is world’s first strategically designed preformed esthetic smart crown.
• We are specially trained dentist in the white pediatric dental crown technology.
What is the crown procedure for children?
• Placed in a single visit and is pain free.
• Tooth is shaped to prepare it for the crown.
• The crown is tried in to check the fit.
• When everything is correct, the crown is cemented into the place.

Habit Breaking Appliance

Oral habit is a symptom with a deep rooted psychological basis that may result in abnormal facial growth.
Commonly seen habits in children:
• Digit/lip sucking
• Lip/nail biting
• Bruxism
• Mouth breathing
• Tongue thrusting
Persistence of this habit can cause teeth to be pushed, create crowding, crooked teeth or bite problems. Many children responds well to counseling while others may require habit breaking appliance to ease them out of the habit.

Deep Bite Correction

Some minor irregularities in tooth arrangement and bite can be treated with simple removable plates. Timely intervention can see good result in month's time.

Natal Teeth & Neonatal Teeth

Natal teeth are teeth that are present above the gumline (have already erupted) at birth, and neonatal teeth are teeth that emerge through the gingiva during the first month of life (the neonatal period).
Natal teeth are usually not well-formed, but they may cause irritation and injury to the infant's tongue when nursing. They are often removed shortly after birth. This is done very often if the tooth is loose because the root is not completely developed and the child runs a risk of "breathing in" the tooth.
About one in every 2,000 newborn infants have natal teeth. Natal teeth are usually the infant's primary teeth (or baby teeth) that have come in early.

Pediatric Restorative Procedures

For all the big and small cavities in primary (milky) teeth, the choice of filling material is tooth colored Cements.

Tongue Tie

Also known as ankyloglossia, is a congenital oral anomaly that may decrease the mobility of tongue tip and is caused by unusually short, thick lingual frenum that connects tongue to the floor of the mouth. It can affect speech, eating and may even interfere in breastfeeding.
Symptoms include difficulty sticking out the tongue past the lower front teeth or lifting it to the upper teeth, although many people have no symptoms.
Treatment usually involves surgical intervention and speech therapy.

Procedures Under General Anesthesia

In younger children (below 5 years), who are uncooperative in dental chair and cannot cope up with dental treatment in dental office, can be treated by undergoing all the procedures under general anesthesia. The major advantage is all the procedures can be finished within single appointment and results are much better has compared to treatment under local anesthesia.