4th Pediatric Infectious Diseases Conference
 
 
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Pedi Poll
Today's Poll
Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?
No, it should be used only after drug sensitivity report
Yes, under guidance of an infectious disease expert
DENTISTRY FOR CHILDREN
Dentistry For Children
Dr. Firdaus P. Bativala
B.D.S.(Bombay), D.D.S.(New York),M.S.(New Jersey)
Dental Surgeon
Consulting Prosthodontist and Implantologist
Dr. Annie Thomas, B.D.S (Mangalore)



ERUPTION DATES :

The primary teeth consist of 20 teeth {4 incisors, 2 canines and 4 molars in each arch}. The eruption sequence in the primary dentition usually follows a definite pattern. Central incisors erupt first, followed by lateral incisors, first molars, canines and 2nd molars.

Eruption Dates - Figure1

The upper (maxillary) central incisors erupt at 6 months of age, then the lower (mandibular) lateral incisors at 7-8 months, then the upper lateral incisors at 8-9 months. At about 1 year, the first primary molars appear, followed by primary canines at 16 months. 2nd primary molars erupt at 2 years.

There may be a little variation in the time of eruption of these teeth ; it usually doesn't signify any abnormality in the eruption.

At around 6 years of age, the child's lower first permanent molars erupt. Along with it, the permanent central incisors may also come in.

Eruption Dates - Figure2

Variations from these factors coupled with discrepancies in tooth and jaw size and also heredity may be factors in producing certain types of malocclusion.

MALOCCLUSION :

Is when teeth do not erupt in the normal position causing unsightly appearance, crowding of teeth & food entrapment (preventing proper cleaning). It is usually caused by discrepancies in the jaws & tooth size, heredity, variations from the usual eruption sequence & finally habits like thumb sucking & mouth-breathing.

Malocclusions may be broadly classified into 2 categories:

  • Dental (because of teeth erupting unfavourably)
  • Skeletal (because of deformity of the bone - this may need to be corrected surgically.)

Dental malocclusions may be corrected by orthodontic brackets and wires, depending upon the categories they fall under. Not all the cases are treated by extraction of teeth to realign the rest. Removable plates may be worn by the patient for the specified time to correct the tooth position.
Orthodontia (the branch of dentistry that deals with correcting malalignment of teeth) requires constant monitoring by the dentist and the patient is required to be co-operative and motivated. Here, parents play a very important role. Their encouragement & interest can motivate the child into completing the treatment.
For malocclusion to be corrected & treated at the right time, the child's regular visit to the dentist is mandatory.

 
 
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