Dr Manju Krishnan

05/10/2020

🔴Oral care for Infants and toddlers

🔺When to start brushing teeth:
✅ Rub your infant's gums after feeding,
before teeth appears using clean cotton  to remove bio-films.
✅ start brushing your baby's teeth twice a day when the first tooth appears.
✅use a smear of low fluoride toothpaste upto
3 years .
✅3-6 years use pea sized fluoride tooth
paste.

16/09/2020

The magic of Denture ✨

09/09/2020

🟢Oral care for children 👶

🔴Oral care for infants

❓ When and how we should start oral
care for infants?

✅Clean the baby's mouth before their
teeth come in.
After feeding the baby always wipes
the gum off with a warm,wet washcloth
or a dampened piece of gauze wrapped
around our finger.

07/09/2020

🔴Burning mouth syndrome (BMS)

- Burning sensation accompany many inflammatory or ulcerative disease of oral mucosa, but the term burning mouth syndrome is reserved for describing oral burning that has NO DETECTABLE CAUSE.

🔻Women are seven times affected than men
🔻10-15 % of post menopausal women
🔻Symptoms are most prevalent 3-12 yrs after menopause
🔻Rare before 30 ( 40 for men)

🔵Causes of BMS

🔺The causes remain unknown, but a number of factors have been suspected
🔺hormonal and allergic disorders
🔺salivary gland hypofunction
🔺chronic low-grade trauma
🔺psychiatric abnormalities
🔺as a complication of high blood pressure medications

🔵Symptoms of BMS

🔻burning or scalding sensation - Most commonly affects TONGUE 👅but may also affect lips, gums, palate, throat or whole mouth .
🔻mucosal pain
🔻dry mouth
🔻taste changes in mouth - bitter or metallic taste
🔻loss of taste
🔻irritated or raw feeling

🟢Treatment and Prevention

🔺Patient should me reassured of the benign nature of the symptoms.
🔺Patients with symptoms that are more severe often require drug therapy
🔺Avoid stress and avoid using to***co, acidic foods, spicy foods and carbonated beverages .

01/09/2020

🔴THUMB SUCKING HABIT

-Placement of thumb or one or more fingers in various depths into the mouth.

-Recent studies have shown that thumb sucking may be practiced even during intrauterine life.

-It is the first coordinated muscular activity of infant which meets both psychological and nutritive needs during feeding, deprivation of which leads to restless and irritability and this may motivate the infant to suck to thumb or finger for additional gratification

❓When do children stop thumb sucking

✅The presence of thumb sucking habit is considered quite normal till the age of 3.5- 4 yrs.
❎If the habit persists after the permanent teeth begin to erupt, orthodontic treatment may be necessary to overcome the resulting tooth displacement.
🔴Effects of thumbsucking depends on
- Duration
- Frequency
- intensity
➖The parent should be questioned on the frequency and duration of the habit

🔴The child's emotional status should be assessed by enquiring into such things as
🔻Feeding habits
🔻parental care of the child
🔻whether the parents are working

❓How can we stop Thumb sucking

🟢psychological approach

- it is usually said that children lacking parental care, love and affection resort to this habit
- Thus parents should be counseled to provide the child with adequate love and affection
- Parents should also be advised to divert the child's attention to other things such as play and toys.

During the treatment adequate emotional support and concern should be provided to the child by the parents.
Constant reassurance and encouragement should be provided to the child to gain his confidence

🟢Reminder therapy

1- intraoral approaches
Removable habit breakers
Fixed habit breakers
2-extraoral approaches
Use of bitter-tasting or foul-smelling preparation placed on the thumb that is sucked can make the habit distasteful.
Eg:- quinine,asafoetida, cayenne pepper.

✅Most children will stop the habit when then are ready, However, this is no reason to delay the start of treatment for other aspects of the malocclusion.

25/08/2020

🍼 Bottle Feeding

🍼👶Bottle feeding a newborn is very common. Feeding milk to your child from a bottle is called bottle feeding. Most children develop an attraction to the bottle since it is an extension and remembrance of their mother’s breast milk.
Recommended time to introduce the cup to the baby is from 6 months of age.The child may find it difficult to handle the cup. However, by the end of the first year you must try and stop the usage of the bottle as much as possible. Sippy bottles are best alternatives to try when the baby is around 10-12 months. After the age of 1 the child will have hand eye coordination and can hold the cup steadily.

❓Problems of bottle-feeding
- Tooth decay
-Obesity
-Anemia
-Ear infection
🚫How to stop bottle feeding
- Gradual weaning
Do not stop the bottle feeding at once, but gradually, so that child gets used to it
- Attraction towards the cup
Try to use attractive cups
eg:- Cartoon characters, painted
colorful cups
- Encourage the child
Praise the effort the child takes while drinking from the cup.
Encourage the child and show your appreciation
- Understand the child's need
Parents will have to stop using the bottle as a comforter for child's irritation & take extra effort in addressing the real reason of discomfort and spending more time playing or interacting with the child.

22/08/2020

# Space maintainers: These are appliances specially designed for kids for maintaining the space between the teeth, if one or more milk teeth are prematurely lost due to trauma or decay, which allows the permanent tooth to erupt into its correct position.

20/08/2020

https://youtu.be/OaSovqEimyA
Compression should be deeper -at least 5cm / 2 inches.
The rescuer should remove any thick clothing

http://www.ProCPR.org - Adult CPR is performed by checking for patient responsiveness, abnormal breathing, and contacting emergency services. Next, check for...

15/08/2020

https://youtu.be/TDrxN-rCi38
Conscious infant choking

https://www.ProCPR.org

13/08/2020

🦷Tooth cross-section.
Stages of tooth decay.
Consult your doctor before it reaches to nerves. Not every tooth ends up in Root canal treatment.
# stay safe # stay happy

10/08/2020