HAPPY dental

Every child begins to lose their baby teeth and get their adult teeth around the same time, however there are instances that may cause a delay or speed up the process.

Baby teeth are not only used for eating, they hold the space necessary for the permanent (adult) teeth to erupt. When the adult teeth begin to make their way in the direction of the mouth, they dissolve the root of the the baby tooth that is essentially in its way. This is this process that causes the baby teeth to become loose. Once most, if not all of the root has been dissolved, the tooth becomes very wiggly, and is ready to come out.

Answer:

Your child will begin to lose his baby teeth very close to the order in which they first made their appearance into your child's mouth. As the baby teeth are lost, the adult teeth begin to take their place. The following information is a general guideline as to when you can expect to see your child lose his baby teeth and "grow" in the permanent teeth.
Age Six to Seven

Between the ages of six and seven, your child may lose his first tooth. The lower central incisors are usually the first teeth that are lost, followed by the upper central incisors.

At this point, eating is slightly affected, although your child may prefer to do most of his chewing on the back teeth. Biting into hard foods may become difficult, when the front baby teeth are very wiggly and once they have been lost. Instead of giving your child a whole apple, carrot, or similar foods that require the need for biting with the front teeth, offer your child bite-sized pieces of hard foods. Smaller, bite-sized pieces are easily chewed with the back teeth, eliminating the need for the use of the front teeth.

Age Seven to Eight

The lateral incisors are the next baby teeth your child may lose. The lateral incisors are located in between the central incisor and cuspid.

Eating foods such as corn on the cob, chicken wings, and ribs becomes increasingly difficult. Again, offer a selection of foods that are easy to chew, in bite sized pieces.
Age Nine to Twelve
After a small break in tooth loss, the next baby teeth your child may lose are his upper and lower primary first molars. These baby teeth have been used to do most of the heavy chewing, of food such as meat and hard or raw vegetables. Because the second primary molar and the primary cuspid still remain in the mouth, your child might complain that food is becoming stuck between these teeth. If this is the case, have your child rinse or brush and floss his teeth after each meal, to avoid the accumulation of plaque on the teeth.

Between the age of nine and twelve, the lower cuspids are the next baby teeth in line to be lost. Your child might feel like all of his baby teeth have been lost at this point, however there is still a few more left to come.

Age Ten to Twelve

After losing 17 baby teeth, your pre-teen should finally lose the remaining three baby teeth, between age ten and twelve. The upper cuspid and the upper and lower primary molars are the last baby teeth your child will lose.

Not a Baby Anymore By the age of 13, your child will have most of his permanent teeth; with the exception of his wisdom teeth, which erupt between the ages of 17 and 21.

Impeccable oral hygiene is very important during your child's tooth eruption and exfoliation stages. Remember to encourage your child to brush and floss twice a day, and keep up with his regular visits to see the dentist. Cavity prevention, along with checking for the signs of malocclusion, are important aspects during your child's dental visits. Your dentist will also check for baby teeth that may have failed to fall out. This could be a sign that your child may need orthodontic treatment. An appointment to see an orthodontist for an evaluation may be recommended.

If you are concerned about how your child's baby teeth are falling out, or have questions about the permanent teeth that will soon take their place, book an appointment with your dentist.

Sources:

The American Dental Association. Oral Health Topics. Eruption Charts. http://ada.org/public/topics/tooth_eruption.asp Accessed September 22, 2009.

The Centers for Disease Control and Prevention provides important and up-to-date information to the public and healthcare providers on the recent outbreak of swine influenza in humans. Interim CDC Guidance for Clinicians & Public Health Professionals regarding case identification, Infection Control for Care of Patients with Confirmed or Suspected Swine Influenza A (H1N1) Virus Infection in a Healthcare Setting, mask and respirator use, and other topics pertinent to dental healthcare providers can be found by going to the main CDC swine flu Web site athttp://www.cdc.gov/swineflu/ in the section titled Guidance for Professionals. This information will be updated regularly and may change on a daily basis; check the Web site frequently. 

Dental healthcare providers are urged to view the main CDC swine flu Web site for the latest updates, but

Frequently Asked Questions from dental providers have been: 

1. What to do if a patient presents for routine treatment and has acute respiratory symptoms with or without fever?
2. What to do if a patient with acute respiratory symptoms requires urgent dental care? 

3. What to do if staff report to work with acute respiratory symptoms?

Infection control issues during patient assessment:

· Patients with an acute respiratory illness should be identified at check-in and placed in a single-patient room with the door kept closed. 
· Offer a disposable surgical mask to persons who are coughing, or provide tissues and no-touch receptacles for used tissue disposal. 
· The ill person should wear a surgical mask when outside the patient room.
· Dental healthcare personnel assessing a patient with influenza-like illness should wear disposable surgical facemask*, non-sterile gloves, gown, and eye protection (e.g., goggles) to prevent direct skin and conjunctival exposure. These recommendations may change as additional information becomes available. Check the CDC swine flu Web site for updates at http://www.cdc.gov/swineflu/guidelines_infection_control.htm.
· Patient and dental healthcare workers should perform hand hygiene (e.g., hand washing with non-antimicrobial soap and water, alcohol-based hand rub, or antiseptic handwash) after having contact with respiratory secretions and contaminated objects/materials.
· Routine cleaning and disinfection strategies used during influenza seasons can be applied to the environmental management of swine influenza

Routine cleaning and disinfection strategies used during influenza seasons can be applied to the environmental management of swine influenza. More information can be found at http://www.cdc.gov/ncidod/dhqp/gl_environinfection.html.

*Until additional specific information is available regarding the behavior of swine influenza A (H1N1), the guidance provided in the October 2006 “Interim Guidance on Planning for the Use of Surgical Masks and Respirators in Healthcare Settings during an Influenza Pandemic” http://www.pandemicflu.gov/plan/healthcare/maskguidancehc.html is being recommended at this time, and is reflected in the above recommendations. These interim recommendations will be updated as additional information becomes available.

Frequently Asked Questions

1) What to do if a patient presents for routine treatment and has acute respiratory symptoms with or without fever?
If the dentist suspects the illness could be due to swine influenza (symptoms include fever, body aches, runny nose, sore throat, nausea, or vomiting or diarrhea), elective dental treatment should be deferred and the patient should be advised to contact their general health care provider. The health care provider will determine whether influenza testing or treatment is needed. Refer to http://www.cdc.gov/swineflu/guidelines_infection_control.htm for case definition and other information.
2) What to do if a patient with acute respiratory symptoms requires urgent dental care? 
If urgent dental care is required and swine influenza A (H1N1) has either been confirmed or is suspected, the care should be provided in a facility (e.g., hospital with dental care capabilities) that provides airborne infection isolation (i.e., airborne infection isolation room with negative pressure air handling with 6 to 12 air changes per hour).
For aerosol-generating procedures, use a procedure room with negative pressure air handling. Personnel providing direct patient care for suspected or confirmed swine influenza A (H1N1 A (H1N1) cases should wear a fit-tested disposable N95 respirator when entering the patient room and when performing dental procedures. Respirator use should be in the context of a complete respiratory protection program in accordance with Occupational Safety and Health Administration (OSHA) regulations. Information on respiratory protection programs and fit test procedures can be accessed at www.osha.gov/SLTC/etools/respiratory. 
3) What to do if staff report to work with acute respiratory symptoms?
· Staff experiencing influenza-like-illness (ILI) (fever with either cough or sore throat, muscle aches) should not report to work. 
· Staff who experience ILI and wish to seek medical care should contact their health care providers to report illness (by telephone or other remote means) before seeking care at a clinic, physician’s office, or hospital. 
· Staff who were not using appropriate personal protective equipment during close contact with a confirmed, probable, or suspect case of swine influenza A (H1N1) virus infection during the case’s infectious period should receive chemoprophylaxis according to CDC guidance (http://www.cdc.gov/swineflu/recommendations.htm).
· Staff who have difficulty breathing or shortness of breath, or are believed to be severely ill, should seek immediate medical attention. 

Conclusion:Respiratory hygiene/cough etiquette infection control measures along with contact precautions are currently recommended for preventing transmission of swine influenza in a dental healthcare setting. CDC is working very closely with officials in states where human cases of swine influenza A (H1N1) have been identified, as well as with health officials in Mexico, Canada, and the World Health Organization. This is a rapidly evolving situation and CDC will provide updated guidance and new information as it becomes available.

Every individual’s teeth are unique with respect to the condition they are in. Therefore, it is important that the choice of a toothpaste be made after due consultation with a qualified dentist. A dentist first examines the oral condition of an individual and only then recommends a specific type of toothpaste, which will prove effective in remedying the issues that require resolution.

Some toothpaste brands have ingredients that prove effective in tartar control, whereas others are used for desensitizing sensitive teeth.

It is important that the toothpaste used by you, is approved by the Indian Dental Association (IDA). IDA grants approval to only those toothpaste brands that meet its criteria for effectiveness, safety, and scientific support for claims made through toothpaste advertisements.

Toothpaste brands that contain fluoride are good for teeth as they help prevent cavities in teeth. However, some of these brands are specifically not meant to be used by children below six years. This is because such children tend to swallow toothpaste. Further, too much fluoride in toothpaste can result in discoloration of permanent teeth.

Besides all these medically significant factors, personal preferences also do play a role in the choice of toothpaste brands by people. Some people like a spearmint flavor, whereas others like some other flavor. Gel-based or paste-based brands all compete for people’s attention. Some people change brands periodically for variety.

Toothbrushes are also available in the market in umpteen brands, designs, colors, head size, and bristle types. Hard bristle toothbrushes need to be used with caution as they may be harsh on gums. Soft bristles are good for teeth as well as gums.

Head size of a toothbrush should be large enough to clean teeth quickly, but should be sufficiently compact so as to easily move about in the mouth, without causing injury to gums. Choose a head size that is comparatively smaller in the case of children.

Bristle contour is another factor that merits attention. It should be chosen based on the advice of a dentist. Different types of bristle contours help effectively clean differently shaped and conditioned teeth and gums.

In any case, toothbrushes need to be replaced by new ones at least every three months, as by then the bristles have lost their contour. They will be worn, look misshapen or frayed. In no case should toothbrushes be dipped in hot water, as then the life of bristles is reduced and their shape and contour goes easily out of form.

 For More details mail me at dentist_rajasekhar@rediffmail.com

HAPPY dental

Visakhapatnam

Hollywood became fashionable super white teeth. The smiles of Beyonce, Paris Hilton, Jennifer Lopez, Thalia and other stars teeth are so white and bright as some pearls.

These teeth are not natural products obtained from the use or doctor visits and you too can have them.

Teeth stain with cigarettes, coffee, red wine and other strong colors of breaths, with the passage of time the teeth are more yellow by the cumulative result of the above. –

The uniforms and white teeth are considered beautiful smile is essential in all professions. Teeth in young people are health and beauty in people so young white teeth rejuvenate.

As tooth whitening
There are several tooth whitening systems:
Go to the dentist. (bleaching by a dentist)
Buy a system for whitening teeth home use (in-home bleaching systems)
Use toothpastes whitening (teeth whitening paste or whitening strips)

Dentists or dentists

Doctors have several ways to whiten teeth. The results are impressive and immediate. In a couple of hours have teeth star. The biggest drawback of course is cost. In India it  can cost from Rs.3000 to about Rs.5000  depending on where you live and the doctor. If you have severely damaged teeth, this is the best option.

Bleach in the house (in-home teeth bleaching)

The disadvantage is that the results are not immediate and there is no control of the desired tone. Several times can improve the tone of your teeth but depending on the initial state of your teeth may or may not achieve the same tone that the doctor could get.

 

Rejuvinate your smile at HAPPY dental

"Your smile,.Our care"

Dr.Rajasekhar.VS

Surgeon-Dentist

Labels: dental bleaching, teeth whitening