Children's Teething Time

- Teething can begins around 3 months old but typically begins when your child is 6 to 7 months old.

- Signs And Symptoms:
- Excessive drooling
- Irritability
- Gumming or biting
- Appearance of a rash around the mouth, or on the face
- Decrease in appetite
- Excessive crying
- Loss of appetite
- Feverish
- Changes in bowel movements

- Management:
- Help ease the pain of teething by using a clean, cool washcloth to gently massage the gums.
- Offer the child a cool teething ring or a teething biscuit, if that is appropriate for the age of the child.

- Always supervise your child when using a teething biscuit because of the potential choking hazard.
- Talk to your doctor or dentist before using over-the-counter pain reducers or desensitizing gel.

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Early Childhood Cavities (ECC)

- More commonly known as "baby bottle tooth decay" is a condition that affects children up to the age of three, or as long as they remain using a bottle. 

- Although rare, ECC may indicate the potential risk for severe tooth decay when the child develops his adult teeth.

- Causes:
1- Sugars and carbohydrates in the child's diet Beverages that contain sugar such as milk, infant formula, fruit juice, or any other liquid that contain or is sweetened with sugar.
2- Bacteria transferred from the caregiver to the child.
3- The frequency of feedings
4- Allowing a child to fall asleep with bottle that contains any liquid other than pure water.

- Prevention:
1- Offering a pacifier rather than a bottle during naps and bed time
2- Speak with your dentist for advice on how to expose your child to fluoride,

- NOTES:
1- if it is not available through your water supply.
Fluoride is recommended by the American Dental Association to strengthen teeth, which may prevent tooth decay.
2- If using a bottle during periods of sleep, fill the bottle with only pure water.

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Basics Of Paedodontics

In Branch Of Paedodontics:
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* If You're going to deal with children in your dental clinic, After studying different behaviors you shall meet, After gaining the talent of how to prepare for anaesthesia, And Different ART & SCIENCES regarding Children in dental clinic, Now You're ready to know These Nomenclature ..

(( PULPOTOMY , PULPECTOMY, Apexogenesis, Apexification, EXTRACTION, Stainless Steel Crowns, Orthodontics, Orthognathic Surgeries ))

*Let's start With Pulpotomy -&- Pulpectomy ..

- PULPOTOMY:

Is the process of extirpation of the diseased coronal pulp tissues after placement of medication that will allow Fixation Or Mummification of the remaining healthy pulp structure.

Materials Used:-High&Low speed contra angle hand piece, Large round carbide or diamond burs, fissure burs, Excavator, Cotton, Formocresol (Or Calcium hydroxide).
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- {{Indication}}

1-In Permenant teeth only in first visit of root canal treatment procedure.

2- In Deciduous teeth As a temporary management till eruption of permenant successors.

3-Minimally Inflamed pulp Of deciduous teeth.

4-Absence of any evidence of pulp necrosis.
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-{{Procedure}} ...

1-Use round burs to access into the primary pulp.

2-Use Spoon Excavators Or Low speed round burs to remove inflamed coronal pulp tissues.

3-Be Sure that all inflamed pulp tissues are removed and use the sign of (No More bleeding from pulp chamber).

4- Use Piece of Cotton with 5% Formocresol to (FIX) Or (MUMMIFY) exposed pulp tissues.

5-After few minutes(If you're going to make single visit pulpotomy) remove that piece of cotton, be sure that there's no bleeding,Put a layer of non Re-Inforced Zinc-Oxide Eugenol, use a good base material (Glass ionomer, Zinc phosphate) Followed by a proper Permenant Restoration. (Composite, Amalgam, Some Dentists use ketac Silver).

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- Pulpectomy:

* Very similar to pulpotomy except that part of radicular pulp tissue is being removed .. This is performed when

*There is irreversable pulpitis, Pulp Necrosis, hyperemic pulp.

*{{Procedure}}

1- Remove coronal pulp tissues as mentioned in pulpotomy procedure

2- Use hand files to remove the inflamed pulp inside the canal.

3- Fill the canals with Zinc-oxide Eugenol, Then Use a good base material, Followed by permenant restoration.

4- Use Stainless Steel Crown if required.

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---->To Be Continued<----

Authored, Published, Edited By; World Of Dentistry TEAM

Picture Taken From .. A-CaMERON Handbook Pf Pediatric Dentistry