Baby Bottle Tooth Decay

Early Childhood Caries or Baby Bottle Tooth Decay

Even though they are temporary, your child’s baby teeth are important, and are still susceptible to cavities. Tooth decay in infants and toddlers is often referred to as ‘Baby Bottle Tooth Decay’, or ‘Early Childhood Caries’. Children need strong, healthy teeth to chew their food, speak and have a good-looking smile. Their first teeth also help make sure their adult teeth come in correctly. These primary teeth hold space for permanent teeth to erupt and contribute greatly to a child’s self esteem.

It’s important to start infants off with good oral care to help protect their teeth for decades to come. Being parents, one need to realize that a baby’s teeth are at risk for decay as soon as they appear in the mouth. By the time the cavities are large enough for you to see, it may be too late to save the child’s teeth.
What is early childhood caries?
Early childhood caries (ECC), also referred to as baby bottle tooth decay, is a condition that can destroy the teeth of an infant or young child. It is a severe form of decay in the primary (baby) teeth due to prolonged and frequent exposure to sugary liquids such as formula, milk, breast milk, juice, and sodas.

 

ecc2

ecc3

 

What causes early childhood caries?
Plaque is a thin, sticky film of bacteria that continually forms on everyone’s teeth and gums – even babies. The bacteria found in plaque use sugars to produce acid. After frequent, repeated acid attacks, tooth decay can occur. It’s not just what children drink, but how often and how long their teeth are exposed to decay-causing acids.
If a child goes to bed with a bottle of juice, milk, or formula, there is a chance that their teeth can decay. That’s called Early Childhood Caries (ECC). It can be very painful and sometimes surgery is needed to fix the harm caused by ECC. Your child can get the germs that cause tooth decay or gum disease from anyone who has these problems. Baby Bottle Tooth Decay most often occurs in the upper front teeth, but other teeth may also be affected.
There are many factors which can cause tooth decay. One common cause is the frequent, prolonged exposure of the baby’s teeth to drinks that contain sugar. Tooth decay can occur when the baby is put to bed with a bottle, or when a bottle is used as a pacifier for a fussy baby.
Tooth decay is a disease that can begin with cavity-causing bacteria being passed from the mother (or primary caregiver) to the infant. These bacteria are passed through the saliva. When the mother puts the baby’s feeding spoon in her mouth, or cleans a pacifier in her mouth, the bacteria can be passed to the baby.I f your infant or toddler does not receive an adequate amount of fluoride, they may also have an increased risk for tooth decay. The good news is that decay is preventable.

ecc4

Symptoms of more severe decay include:
• Brown or black spots on the teeth
• Bleeding or swollen gums
• Fever, swelling or irritability, which could indicate infection
• Bad breath
If your child shows any of these symptoms, it’s imperative to see a dentist as soon as possible. If decay spreads, your child could face extensive restoration treatments and even tooth loss.

ecc5

 

How to keep baby safe from ECC?

Wipe your baby’s gums and teeth with a soft damp cloth after feeding, before bedtime, and at naptime. Don’t let your child take formula, milk, juice, sugar-water, or food to bed. If your child must take a bottle to bed, fill it only with water. Water can’t harm teeth the way other drinks and food can. You and your dentist: partners to protect your child. Gently lift your child’s upper lip and look for white or dark spots on their teeth. If you see these spots on their teeth, make an appointment with your child’s dentist right away. If your child does not have a dentist, ask your doctor for the name of a dentist who will see young children.
Preventing Baby Bottle Tooth Decay
• Try not to share saliva with the baby through common use of feeding spoons or licking pacifiers. After each feeding, wipe your child’s gums with a clean, damp gauze pad or washcloth.
• When your child’s teeth come in, brush them gently with a child-size toothbrush and a smear (or grain of rice sized amount) of fluoride toothpaste until the age of 3.
• Brush the teeth with a pea-sized amount of fluoride toothpaste from the ages of 3 to 6.
• Supervise brushing until your child can be counted on to spit and not swallow toothpaste—usually not before he or she is 6 or 7.
• Place only formula, milk or breast milk in bottles. Avoid filling the bottle with liquids such as sugar water, juice or soft drinks.
• Infants should finish their bedtime and nap time bottles before going to bed.
• If your child uses a pacifier, provide one that is clean—don’t dip it in sugar or honey.
• Encourage your child to drink from a cup by his/her first birthday.
• Encourage healthy eating habits.
• When your child’s first tooth appears, talk to your dentist about scheduling the first dental visit. Treat the first dental visit as you would a well-baby checkup with the child’s physician.
• Remember: starting early is the key to a lifetime of good dental health.
• Foods containing proteins and fats cannot be utilized by bacteria to produce acids. They tend to increase the ph levels and neutralize the acids that may have been produced eg seeds and nuts, raw vegetables and fruits.
• Parental tooth cleaning, especially with a very small amount of fluoridated dentifrice, is helpful when accomplished at least once a day. Twice a day is even better.
• A counseling approach, providing the parent with choices has been found effective. The sugar substitute xylitol has been found to be effective at reducing levels of harmful micro-organisms in the mouth, and has recently been promoted as a cavity reducing agent in the form of disposable wipes.

x

y
c

z

 

The Importance of Treatment for Baby Bottle Tooth Decay

It’s a common misconception that the premature loss of baby teeth isn’t a problem. After all, these teeth are going to fall out anyway, so why worry if they fall out earlier than scheduled?
In fact, there are many reasons to be concerned about the premature loss of baby teeth.
The permanent teeth — which will serve your child into adulthood — are present in the jawbone from your baby’s early years. The baby teeth act as a placeholder for the permanent teeth. If they are lost prematurely, the spacing of the permanent teeth can be affected. Premature loss of baby teeth can lead to misaligned permanent teeth along with other issues that could require extensive orthodontic treatment. Tooth loss can also make it difficult for your child to eat a healthy, nutritious diet. It can also affect his or her ability to speak properly. Proper diction requires the presence of front teeth, so premature tooth loss could lead to a need for future speech therapy.
Bad hygiene habits could follow your child into adolescence and adulthood. The best way to ensure ongoing dental health as your child matures is to be sure that he or she learns good oral hygiene from the beginning. The best approach to baby bottle tooth decay is prevention. If your child does experience early childhood dental caries, you and your child’s dentist can work together to determine the best treatment options.

v

b

Sedation in Dentistry

At The Dental Specialists, we offer a number of options to help you find relief from dental anxiety, including oral sedation and intravenous (IV) sedation. We prioritize your comfort by using reliable methods of sedation dentistry in our hospital.

Our high standards of service and clinical expertise, and the environment in which we work, all reflect the best of modern dentistry.

We offer a prompt service for emergency cases, such as severe pain, swelling or trauma. To take advantage of this service, please call us on +91 99594 48800. Where possible we will see your patient on the same day or the following day for emergency care.

In a single session under sedation, different procedures including restorations, pulp therapies, extractions, preventive procedures and a lot of other dental treatments can be done. The quality of dental care is much better with general anesthesia for the reason that the dentist can perform treatment for the patient  without having to constantly adjust for the patient’s movement and without having to prepare and encourage the patient.

 

Oral Sedation Dentistry at the Dental Specialists

Some patients experience fear regarding dental procedures. Oral conscious sedation is an effective option in sedation in dentistry because it works well for most patients.

Sedation is one modality that makes sure that the patient received effective pain control. It is more convenient and time saving than treatment in office setting.
Benefits of Oral Conscious Sedation

Easy administration – tablet form

Effectiveness and the ability to have successful, longer appointments

A good option for those with fear of injections/needles.

Well-tolerated by the majority of our patients

Little to no memory of your treatment

 

Benefits of Nitrous Oxide Sedation

Rapid onset which means that the sedative effects are felt quickly

Reduces gag reflex

Has few-to-no after effects


Intravenous sedation

Intravenous sedation is very effective for creating a calm state in anxious dental patients who might also have some kind of phobia regarding dental treatment. One of its benefits is that it creates little to no memory of the dental procedure after the treatment and is a popular choice for patients with anxiety. Patients who have IV sedation require a companion to bring them to and from their dental appointment and to stay with them afterward.

The IV is inserted and an anti-anxiety sedative is administered by a doctor qualified to administer it.

The onset is rapid and the patient experiences a state of conscious relaxation with little or no memory of the experience.

Patient is able to communicate, allowing the dental team to confirm the state of the sedation.

Pulse and oxygen levels are monitored throughout the procedure for patient safety.

Most patients are “awake” with little or no memory of the event.

The procedure is always supervised by dental professionals trained in IV sedation.

Please feel free to talk to one of our professionals at The Dental Specialists regarding sedation in dentistry or any other procedure you may have a question about.

 

Pre-Operative Care
The following instructions are general guidelines. Follow the instructions you received during your pre-op consultation as they will be more specific to your needs.

No food or water 8 hours prior to your appointment.

Do not drink any alcohol.

Inform us of any prescription drugs you are taking.
Post-Operative Care

Patient cannot drive for 24 hours after sedation

Do not operate any hazardous devices for 24 hours

A responsible adult should be with the sedated patient for several hours after the appointment until the effects for the medication has worn off. This amount of time varies from person to person.

Patient can eat and drink as soon as they would like and doing this will likely ‘wake them up’ faster than if they did not.

Patient should drink fluids as soon as they are able to.

Patient may be drowsy after they leave our office. They may also seem alert. Attend to both alert and drowsy people the same.

Always assist the patient when they are walking.

Call us if you have any questions or difficulties. If you feel that your symptoms need a physician, you can go to the closest emergency room immediately.

 

Dental Medicine

Today the world is more focused and diverted towards the specialization.  Dentistry is one such field with many specializations. If you are aware about different dental specialists, it helps to know which type of dentist can help you most efficiently. A simple example will help you to have a better understanding: we go to orthopedist for bone problems or defects and not to a cardiologist because both are doctors. An orthopedist have specialization in bones related problems and a cardiologist is a heart surgeon . Similarly, Dentistry is a field of Medicine which has 9 specializations.

What are the different specialties in Dentistry?

  1. Prosthodontics

 

Prosthodontists are the specialists who deals with the treatment of missing teeth .They replaces the missing teeth by fabricating the artificial prosthesis which replicates the natural teeth .The replaced teeth are made such that they fulfills the  aesthetical and fuctional requirement. They make sure that the mastivatory forces are evenly distributed to prevent traumatic occlusion. The missing tooth or teeth are replaced by different measures ; it can be removable or fixed depending upon the health of supporting structures i.e gums , alveolar bone and the adjacent teeth.. If the supporting structures are not strong enough we go for removable prosthesis. This removable prosthesis can be inserted by oneself. It has to cleaned daily for proper hygiene. These prosthesis gets their strength via metallic framework attached to it. The fixed prosthesis includes bridges or implants. The bridges or crowns can be metal ceramic or zirconia crowns depending on the requirement. Sometimes for preparing a crown we need to do intentional root cal treatment to avoid any hypersensitivity of teeth. Another prosthetic approach to tooth replacement is the dental implants , which is a surgical intervention. Dental implants are the titanium screws which are drilled into the alveolar bone to serve as anchors for the tooth to be replaced.the implants are now accepted world wide as it does not involves root canal treatments of adjacent teeth for support.the implants can even be loaded immediately and thus it also fulfills the aesthetical requirement by not revealing the missing tooth .. Implantology is now developing to a field by itself.

 

2.Periodontics

Periodontics is the branch  of dentistry that deals with Gum disease : its causes  and treatments. If you have bleeding gums then you need to visit to pereiodontist without delay as this could be the early sign of any gum disease. Gums constitutes the major part of oral health. Unhealthy gums lead to several dental problems and also its associated with some other health issues like diabetes  or heart diseases. Any defect in the gums and its adjoining structures results in early loss of teeth. Plaque and calculus are the deposits which gets  accumulated along the gum line and irritates and inflames the gingiva. This results in gum  diseases  like gingivitis and periodontitis.  Further more any gum recession or bone recessions are uplifted by doing flap surgeries which are undertaken by the periodontist. Periodontal treatment includes the cleaning of the plaque deposits and calculus with the hand instruments or ultrasonic scalers. Bony and gum defects are treated by raising the gingival flaps and deep cleaning or (curettage) ; to remove the granulomatous or necrosed  tissue. Mobile teeth may be splinted together for support and stabilization during the healing process.

 

3.Pediatric Dentistry

Pediatric dentistry is a field that deals with treatments for kids and teens. It is recommended by the American dental academy that an infant’s first visit to the dental clinic should be made till his/her first birthday .Children have their primary or milk teeth till the age of 13 years. The problems related to the primary set of dentition is taken by pedodontist. Teens have the mixed dentition that includes both primary and permanent dentition.Kids and teens have special type of problems which are treated by specialist .pediatric practice not only deals with treatment but also prevention from dacay by educating both parents and the children. If the milk tooth sheds before time the space has to be maintained for the future permanent tooth. This space is maintained by using space maintainers. Its very important to guide the correct eruption of teeth to avoid the malocclusion and the subsequent trauma due to occlusion. If your kids have problems related to cavities or tooth fracture then they need to visit the pedodontist to treat it by fillings or rct or pit and fissure sealants.

 

4. Endodontics

When the tooth becomes infected or the decay involves the pulp it has to be treated by a root canal treatment which is done by an endodontist. The pulp is the innermost layer of the teeth comprising of blood vessels and nerves. When this pulp gets infected it causes extruciating pain. It can also be effecting the periapical region. Endodontist also helps you to design your smile and thus enhancing the cosmetic appearance. They can give strength to your tooth by builing the lost structure of your tooth .

 

5.Oral and MaxillofacialSurgery
This branch of dentistry involves dealing with surgical interventions. The problems that require surgical treatments are done by an oral surgeon. The problems associated with your temporo mandibular joint or any jaw deformities are taken by this specialist. Cleft lip or palate cases are resolved by the surgeon providing you a better life. The most common problems associated with erupting wisdom tooth or impacted wisdom tooth due to lack of space in the jaws are treated by removing that tooth surgically by oral surgeon .The tooth can be impacted horizontally or vertically and has to be carefully removed preserving the vital structures .Emergency treatments like accidental trauma , fracture of maxilla or mandible or removal of any cyst or tumour is also undertaken by an oral sugeon.

 

6. Orthodontics

Orthodontics is the branchy that deals with the study and diagnosis, detection ad prevention of the malocclusion. Malocclusion conditions are best treated by orthodontist .Malocclusion occurs due to discrepancy in tooth to jaw relationship. It can be either dental or skeletal problem or both. Faulty occlusions like deep bite ,proclined teeth or crowded teeth has to be treated at the earliest to prevent traumatic stress to the teeth and the tissues. Faulty habits like bruxism (grinding of teeth) ,thumb sucking or tongue thrust also deviate the occlusion from the normal condition. .the orthodontist corrects all the above defects or problems by special clips and appliances and also does the surgical intervention if required.

 

7. Oral Pathology

This field is concerned with the study and diagnosis of any pathology or lesion of oral tissues.this is a non cliniucal field od dentistry. It explains the cause of the pathology and its treatment.these pathologies have the ability to cause the alterations of the structure and their function. Oral disease is diagnosed by microscopic studies , sputum test or the biopsies taken by excising or incising the affected tissue. The oral pathologist, who usually works in the laboratory of a hospital, serves the patient only indirectly via consultation with the general phycisian or dentist.

 

8. Oral and Maxillofacial Radiology

This is the field of dentistry that deals with the study of the x rays of the oral tissues and all the oral structures .x rays are important way of diagnosis ; it helps diagnosing pulpal infection or periodontal infection .further more they are also helpful in the detection of the bony defects or any cyst or tumour.

 

9.Public Health Dentistry

This field relates to the study material comprising of the data linked with the public health. It explains the rate or growth of any dental disease in the particular area.it explains the prevention and control of dental diseases and educating people about the dental health and its importance, through organized community efforts and standardized data.. It offers career areas in dental public health and clinical research.