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jueves, 4 de marzo de 2021

How to Manage a Pediatric Patient with Oral Ulcers

Frenectomy

Oral ulcers is a circumscribed lesion with a yellowish-white appearance and it is common to find this type of lesion in the oral cavity of a child. These ulcers can be present for different reasons, such as: due to an accident, or when immunity is compromised.

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The symptoms are diverse, it can appear: irritation, itching, even fever and general malaise. Treatment is necessary to prevent these injuries from causing greater discomfort to communicate and eat.

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We share an interesting article on the management of oral ulcers in pediatric patients, where the symptoms and treatments that are required are discussed.

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📌 Read and download the article :

👉 "How to Manage a Pediatric Patient with Oral Ulcers" 👈

Author: Eric T. Stoopler, DMD, FDS RCSEd; Ghada Al Zamel, DDS - J Can Dent Assoc 2014;80:e9

📌 Watch video 1 "Mouth Ulcers (Canker Sores) in Children - Causes, Symptoms & Treatment"


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📌 Watch video 2 "Mouth Ulcers in Children Treatment & Causes"


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miércoles, 3 de marzo de 2021

8 interesting facts about the Wisdom Tooth

Oral Surgery

The presence of the third molars causes great fear and discomfort to the patient. The wisdom tooth must be removed to prevent a series of consequences such as: food accumulation, pericoronitis, caries, inflammation of the gums, etc.

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Wisdom teeth generate a lot of anxiety and questions in the patient, and it is necessary for the professional to answer each of them in order to generate calm and confidence in the patient.

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We share an article that answers the most frequent questions that a patient asks before undergoing removal of wisdom teeth.

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👉READ FULL ARTICLE HERE👈


Souce : chippewavalleyfamily.org
Author : Dr. Kari Peper


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jueves, 13 de agosto de 2020

Bruxism: A medical or dental issue?

Bruxism

Bruxism is a parafunctional habit characterized by teeth grinding or clenching, usually at night. This activity generates a series of problems in the teeth, chewing muscles and jaw joint.

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Bruxism is often seen in the dental office and is listed as the “third most common form of sleep disorders after sleep talking and snoring.” This parafunctional habit (or parasomnia in medical terms) of grinding or gnashing the teeth and clenching the jaw has two different subdisorders—awake (diurnal) bruxism and sleep (nocturnal) bruxism—and is encompassed by a complex web of supposed causes and variables.

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Sleep bruxism (SB) exists in 8% to 31.4% of the population, while awake bruxism has a higher prevalence exhibited in 22.1% to 31% of the general population.

Unfortunately, both conditions have the same deleterious effects on the patient’s mouth and jaw, causing a cascade of destructive symptoms in the mouth, head, and neck. The parafunctional activities of bruxism cause hypersensitivity in teeth, headaches, painful muscles of the jaw and temporomandibular joint (TMJ), occlusal wear, and often, damage dental restorations, even dental implants.

Oral Medicine


Indeed, 13% of failed implants are attributed to bruxism, making recognition of the disorder essential before commencing implantation work.

Without question, bruxism is a constant symptom in the dental office, at least in its presenting symptoms. However, there is more to this complex and perplexing disorder than meets the eye, as any dental professional who has been in the field for more than a few years can tell you. Beyond the local effects, the syndrome is correlated with a host of other medical and lifestyle issues. This leads us to the question: Is bruxism a medical or dental issue?

READ FULL ARTICLE HERE


Souce: https://www.rdhmag.com/pathology/oral-systemic/article/14169169/medical-problems-dental-solutions-bruxism-a-medical-or-dental-issue
Image: Vocal

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viernes, 26 de junio de 2020

Problems associated with dental implants

Dental Implants

While the dental implant procedure itself has a very high success rate, there is still a small percentage of patients who experience problems. Some of these problems are minor, and some are much more serious.

The success of a dental implant procedure is often related to:

1.- The dentist or surgeon’s skill
2.- The quality and quantity of the bone available in the patient
3.- The cleanliness of the materials used


4.- The patient’s healing ability
5.- The patient’s oral hygiene habits

The best way to reduce the complications of dental implant surgery is to only receive treatment from trusted, qualified, and competent dentists and oral surgeons. Also, the patient must practice excellent oral hygiene to avoid infection. Here is a list of some of the potential problems associated with dental implant surgery:

Infection

Infection in the surrounding bone and gums is probably the most common complication experienced by patients. Infection can happen as a result of a contaminated implant, a pre-existing infection, non-sterile techniques, or poor healing ability. Sometimes, infection occurs months or even years after the procedure.

Oral Medicine


Failed Osseointegration

Osseointegration is the firm anchoring of a dental implant into the bone around it. Sometimes the bone does not fuse around the threads of the implant, causing the implant to become uncomfortable, loose, or even come out completely.

This, however, is not a common problem, since the dentist or oral surgeon will usually x-ray the patient’s mouth before the procedure in order to determine which parts of the jawbone are dense enough to successfully hold the implant in place.

If osseointegration is unsuccessful the first time around, then the dental implant procedure can be attempted again later, once the patient has fully healed.

Damage to Surrounding Areas

Adjacent teeth, tissues, and nerves can sometimes be negatively affected by dental implant surgery, too. However, in most cases the dentist is able to identify potentially problematic areas by examining x-rays or CT scans. A proper surgical approach is then planned to find the ideal location and angle, minimizing the risk for complications.

But problems can still occur, even after all of the proper precautions are taken. For example, the jawbone can fracture when pressure is applied during the implant placement. Also, the sinus cavity can be perforated if the dental implant is placed improperly or if it is the incorrect length.

Another possible damage site is the nerve that runs through the lower jawbone. Sometime this nerve can be damaged during surgery, and other times the implant itself may be placed on top of the nerve, causing pain and numbness. If symptoms persist, then the implant will most likely need to be removed.

Post-Surgical Bleeding

A minor amount of blood is considered normal for the first day or two following the surgery. However, excessive bleeding or the appearance of blood after the initial two days is usually not normal. It’s best to contact your dentist immediately if this occurs.

Rejection by the Body

It is quite uncommon, but is still a possibility, that the body will consider the implant a harmful foreign object and will proceed to reject its presence in the mouth.

Fuente: www.cheerfuldentist.com


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viernes, 19 de junio de 2020

The causes and treatment of Dental Hypersensitivity

Dental Hypersensitivity

Hypersensitivity is more common than you might think, and is characterized as a sharp, stabbing pain of short duration and occurs when there are changes in temperature.

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Tooth sensitivity has several causes, some of them can be: gum recession and enamel wear. The dentist must evaluate and find the causative agent to prevent the patient from suffering from this pathology again.

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The dentist should make recommendations to the patient regarding the brushing technique and the type of toothbrush used by the patient. We share with the dental community an extensive and interesting article that tells us about dental hypersensitivity, its causes and treatments.

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jueves, 18 de junio de 2020

Is Your Child A Mouth Breather?

Mouth Breather

Have you noticed your children regularly breathe through her mouth during sleep, or even during the day? We usually do not pay heed to this habit and mouth breathing in children is usually ignored. Mouth breathing has been a concern among health care professionals because it can affect the long-term development of the face.

Children normally breathe through their mouth when they have a cold but chronic and regular mouth breathing leads to abnormal facial growth and dental development. It also leads to poor sleep due to obstructed upper airways, and this sleep can adversely affect their growth and academic performance.

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What causes mouth breathing?

• Allergic Rhinitis: Caused by allergies with dust mites, animal dander, grasses and pollens.

• Intra nasal defects, a common example is a Deviated Nasal Septum where it is difficult to breathe through the nose.

• Enlarged tonsils or adenoids: Repeated infection leads to overgrowth of lymphatic tissue in the adenoids obstructing the airway space and making mouth breathing necessary.

• Habitual: In some children, mouth breathing becomes a habit which needs to be interrupted.

What are the things that should be looked out for in children by the parents?

• Does the child sleep with his mouth open?

• Does the child keep his mouth open when distracted?

• Does the child snore?

• Does the child drool on the pillow?

• Is the child always sleepy during the day?

• Does the child get tired easily?

• Does the child often have a stuffy nose and/or runny nose?

• Does the child have difficulty concentrating?

Oral Medicine

If your answer to the above questions is a yes, your child could be a mouth breather and requires a visit to a pediatric dentist. What are the signs of mouth breathing the doctor will look out for?

• Dry lips

• Open mouth with lack of lip seal

• Dry mouth with inflamed gums and increased risk of decay

• Increasingly long and narrow face

• Narrow high vaulted palate

• Retrognathic mandible and maxilla

• Crowded teeth or lack of spacing between baby teeth

• Enlarged tonsils

• Dark circles under the eyes

• Forward head posture

What Can Be Done to Treat Mouth Breathing?

Mouth breathing may seem like an easy habit to change but unfortunately, it is not. All the muscles of the face and mouth have been programmed and trained to help the child breathe in an abnormal manner.

Therefore, in order to stop mouth breathing, the muscles must be re-trained to breathe in a normal manner that may require professional assistance.

The dental surgeon or pediatric dentist will:

• Assess the child for mouth breathing symptoms

• Screen for enlarged tonsils, deviated nasal septum or any underlying cause

• Intercept the habit and redirect normal facial growth and dental development through myofunctional therapy or exercises.

Mouth breathing if not corrected can lead to problems with general health, speech, dental health, under developed jaws, etc. But early intervention (as early as the age of 5) intercepts the habit and avoids its harmful impact. Give your child the gift of a healthy life by helping them to breathe normally all of the time.

Souce: newdelhitimes.com
Author: Dr. Anveeta Agarwal. Consultant Oral Pathologist, Associate Dental Surgeon Specialist at Dantah

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jueves, 16 de abril de 2020

Root Canal Treatment for children

Oral Medicine

To perform a root treatment, the morphological characteristics of the primary tooth must be known. Keep in mind that caring for a child is more complex, so a correct anesthesia technique should be performed.


Although the basic aims of endodontic therapy in children are the same as those in adults, ie the removal of infection and chronic inflammation and thus the relief of associated pain, there are particular difficulties and considerations.

Dental Anesthesia


👉 Read and download the full article "Root Canal Treatment for children" in PDF👈


Souce : nature.com
Authors : Carrotte, P. Endodontic treatment for children. Br Dent J 198, 9–15 (2005).

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