Children's Dentistry

Paediatric dental exams are more extensive than just looking at the teeth. The dentist performs a review of the childs health history to determine if there is a need for any special dental care. The examination will note the health and condition of the teeth, gums, soft tissues, head and neck. The dentist also monitors the growth of the jaws and development of the teeth, and evaluates any oral habits, such as thumb sucking. The dentist will use all of these factors to make a diagnosis and create a custom treatment plan and instructions for home care.

The dentist will clean the childs teeth to remove any plaque or calculus. Without treatment, this build up can cause gum disease and tooth decay. The dentist will also treat the teeth with fluoride to strengthen them and make them resistant to tooth decay. Cleanings and fluoride treatments are recommended twice a year to maintain your childs dental health and prevent decay.

Prevention is a vital part of your childs dental care. The dentist will provide instructions and tips on home dental care, such as brushing techniques. The dentist may also provide a list of foods and habits that should be avoided.

Children generally need x-rays more often than adults since their mouths grow and change rapidly. They are also more susceptible to tooth decay. Our dentists can use x-rays to survey erupting teeth, diagnose bone diseases, analyse the extent of an oral injury, or plan orthodontic treatment. Paediatric x-rays allow the dentist to diagnose and treat conditions that cannot be visually detected during an oral examination. If dental problems are identified and treated early, dental care will be less invasive and more affordable.

We are careful to minimise the exposure of your child to radiation. Modern dental equipment is designed to focus the x-ray beam only where needed and filter out unnecessary x-rays. Use of high-speed films and digital x-rays help minimise radiation exposure.
For children with a high risk of tooth decay, we recommend x-ray examinations every twelve months to detect cavities developing between the teeth. Children with a low risk of tooth decay require x-rays less frequently.

Panoramic x-rays may sometimes be necessary to view the child's entire mouth and jaws. It shows any permanent teeth that are missing, abnormal growth, extra teeth or other oral issues. A panoramic x-ray may be scheduled once every 3-5 years or be recommended if there has been physical trauma to the jaw.

At Village Dental we use sealants to help prevent tooth decay. Sealants are made of clear plastic and are applied to the chewing surface area of the tooth. Some teeth tend to have depressions and grooves which are difficult for the child to clean. Sealants are used to fill these depressions to deter tooth decay. Application of the sealant is quick, painless, and can be effective for many years if your child practices good oral hygiene and avoids biting hard objects.

Tooth coloured porcelain fillings are used to repair chipped or decayed teeth anywhere in the mouth. The benefit of tooth coloured fillings is that they are hard to distinguish from the natural teeth colour.

Endodontic or root canal treatment focuses on the pulp of the tooth. The pulp contains nerves and blood vessels that supply nutrients and oxygen to the tooth. Endodontic treatment is performed in order to save the tooth when the pulp gets infected or injured. During treatment, the hollow area inside the tooth is cleaned, disinfected and filled.

When the pulp has been injured by trauma, decay or other causes, endodontic treatment is usually the best way to try to save the tooth. Unless a childs tooth is about to fall out, a dentist may recommend endodontic treatment on a child's primary(baby) tooth. Without treatment, the child will experience pain or discomfort, and infection may result. Early extraction of the primary tooth is usually not advisable because primary teeth are necessary for chewing and for learning proper pronunciation during language development. Also if a baby tooth is extracted too early, neighboring teeth can shift and occupy some of the vacant space making it difficult for the permanent tooth to grow in properly.

Symptoms that indicate a need for endodontic treatment can include toothache, sensitivity to hot and cold, or if the pulp has been exposed from fracture and the child is experiencing sensitivity. The type of endodontic treatment that may be recommended depends on how seriously the pulp is affected, an evaluation of the tooth and the results of an X-ray.

Primary teeth or "baby teeth" play an important role in a child's life for proper chewing, speaking and speech development. Primary teeth also maintain proper spacing for the permanent teeth and help guide the permanent teeth when they finally cut through the gums. So whenever possible, dentists try to preserve the natural baby tooth when treating for decay or damage. However, there are times when it is necessary to remove a baby tooth. Extraction of a tooth may be necessary in the following situations:

• The tooth is too damaged or decayed to be restored
• The tooth fails to loosen and fall out on its own and blocks the adult tooth from emerging
• Teeth need to be removed due to crowding or for orthodontic purposes
• Impacted or un-erupted wisdom teeth

Once a tooth has been removed, neighboring teeth may start to shift, resulting in problems with spacing and growth and development. To avoid these problems, the dentist may place a space maintainer.

Space maintainers are necessary when a primary tooth(baby tooth) has been lost prematurely. A space maintainer holds open the gap where the permanent tooth will come in, and avoids shifting of the neighboring teeth. Space maintainers can be fixed or removable, and they can be unilateral(fixed to one side of the mouth) or bilateral(fixed to both sides of the mouth). For younger patients, fixed space maintainers are usually recommended.

Conscious sedation medications are available for children who need help relaxing at the dental office. Conscious sedation is sometimes needed for those children who are anxious during appointments. Conscious sedation helps increase cooperation and reduces anxiety and discomfort during dental procedures.