Dr Raveena Manga

Dr Raveena Manga Family dental practice with a firm belief that prevention is the best cure.

I’m seeing an increasing number of parents who are concerned that their child may have a tongue tie. It is a hugely cont...
09/09/2024

I’m seeing an increasing number of parents who are concerned that their child may have a tongue tie. It is a hugely controversial topic and one that is quite polarising amongst paediatric health professionals.

Tongue ties didn’t just randomly develop in the last few decades. They’ve been around since the beginning of mankind. However, the diagnoses of tongue ties have exploded in the last few decades, which has led to an exponential number of frenotomies being performed globally. Some of these frenotomies are not done under the correct conditions, which often leads to failure of the procedure, worsening of symptoms and emotional trauma.

It’s crucial that your/your child’s tongue tie is diagnosed correctly, and that you get the correct advice for pre- and post-operative care. Bodywork and/or myofunctional therapy are imperative to the success of the treatment.

When the protocol is followed and the tongue is released adequately, the impact on one’s overall quality of life can be groundbreaking. We’ve seen and treated countless babies who were once unable to latch, able to breastfeed beautifully and comfortably. We’ve had mouth-breathing children learn to nasal breathe and sleep better.

The reality is, that the treatment can be hugely effective, but there is a time and a place for it. Just because a tongue tie is present, doesn’t mean it necessarily has to be treated.

Swipe through to learn about what tongue ties are, their symptoms, and how we can help treat them.

Many of the commercial mouthwashes on the market unfortunately contain a lot of nasties which harm the oral microbiome. ...
29/08/2024

Many of the commercial mouthwashes on the market unfortunately contain a lot of nasties which harm the oral microbiome.

While they are claim to kill off cavity-causing bacteria and freshen your breath, unfortunately they also kill off the beneficial bacteria which are crucial in maintaining microbiome. This can lead to dry-mouth, and an increased risk of dental and gum disease.

Ditch the mouthwash, and focus on good brushing and flossing.

Mouthbreathers tend to have really dry mouths which can increase the risk of developing cavities. Saliva lubricates the ...
27/08/2024

Mouthbreathers tend to have really dry mouths which can increase the risk of developing cavities.

Saliva lubricates the oral cavity, but also plays an important immune function by fighting off cavity-causing microbes, as well as maintaining optimal pH of the mouth.

If the mouth dries out, the teeth aren’t getting any of this wonderful immune protection, and it also becomes more acidic - both of which make you more susceptible to developing dental cavities.

Peri-menopause and menopause can be a really daunting and sometimes dreaded shift for many women, with fluctuating hormo...
21/08/2024

Peri-menopause and menopause can be a really daunting and sometimes dreaded shift for many women, with fluctuating hormones, crazy moods and physical changes that may make you feel quite dissociated from your body that you spent most of your life getting to know.

Unfortunately, your oral health can sometimes take a knock during perio-menopause or menopause. One of the main symptoms are dry mouth, which changes the oral microbiome and can increase your risk of oral disease.

It’s key to ensure that you focus on the basics during this time - hydration, exercise, nutrition, rest.

Also, reaching out to a health care professional may be helpful to help nurture and support all aspects of your life.

Almost a year and a half into my motherhood journey, and I’m finally feeling like I have both feet on the ground again.W...
24/07/2024

Almost a year and a half into my motherhood journey, and I’m finally feeling like I have both feet on the ground again.

Watching my little human grow and flourish is truly the biggest honour, and I am loving watching my little girl become the fierce and beautiful person that she is.

When my husband and I decided to have a child, we knew that we wanted to be as hands-on as we possibly could. Of course, this does come with its downfalls, the main one being that it separates me from my first baby - my Practice.

I so dearly love what I do and being able to make such a meaningful difference to so many peoples lives is a true privilege, and one that I never take for granted. The constant guilt that weighs on me from not being able to pour 100% of my capacity and energy into my business during this season of my life is sometimes debilitating.

I have to keep reminding myself that this indeed is just a season, and there will come a time where I will have more capacity for other aspects of my life.

I would like to express my sincere gratitude to all my loyal patients who have been so supportive and shown so much love and compassion over the last year and a half. I would also like to thank my patients for being so patient with me, I know that it is sometimes frustrating to wait weeks if not months to get an available appointment. I would like to urge anyone that would like to make an appointment with me to kindly add your name to the waiting list as we often get cancellations and may be able to accommodate you sooner.

However, my two amazing and highly skilled colleagues, Dr Ash and Dr Zainab, will also be available to attend to any of your dental concerns should you need immediate treatment.

Please watch this space for more information updates regarding the Practice.

Love, Raveena.

“Airway health” has been a buzzword that’s been on everyone’s lips for the past few years. I thought it would be a great...
17/07/2024

“Airway health” has been a buzzword that’s been on everyone’s lips for the past few years. I thought it would be a great time to redefine what this airway health or “airway dentistry” actually is, and how integral it is to overall health.

Airway-centric dentistry focuses on the upper airway, breathing tongue positioning and the position of the teeth and how they influence one another.

Ideally, the tongue should be resting against the palate, the lips should be closed and breathing should be through the nose. This ensures that the forces in the mouth are balanced and that the jaws grow properly.

If the tongue is positioned low in the mouth, the lips are open and breathing is through the mouth, the forces in the mouth completely change, and this has a knock-on effect on jaw development, oral health as well as general health and wellbeing.

I could talk about this for a long, long time. But to keep it short and simple, we should not and cannot adopt a siloed approach to this. Airway health goes hand in hand with dental health (amongst many other things!).

As always, root cause & the bigger picture are always front of mind.

Many expectant moms will be asked to have their iron levels tested in their third trimester and for good reason! This is...
15/07/2024

Many expectant moms will be asked to have their iron levels tested in their third trimester and for good reason! This is when all your iron stores get transferred to your baby via the placenta. So if you are iron deficient, chances are that your baby will be too, impacting your baby’s neurological development.

Around 6 months of age, your baby’s iron stores start to become depleted, and this is why starting my solids is important. However, it is really difficult to get sufficient iron from dietary sources alone.
Chat to your paed about starting your baby on an iron supplement to ensure they are getting enough from 6 months onwards.

Some dietary sources of iron include animal products such as red meat, chicken, eggs, as well as plant-based products such as beans, lentils, chickpeas or cruciferous vegetables.

Tips for boosting Iron Absorption:
✅ Pair with Vitamin C: Foods rich in vitamin C (like strawberries, bell peppers, and oranges) help increase iron absorption.
✅ Avoid Dairy: Avoid any dairy products (including breastmilk) an hour before and after giving the iron supplement. Calcium interferes with iron absorption.

Remember: Always consult with your paediatrician before making any significant changes to your baby's diet. Ensuring they get enough iron is key to supporting their growth and overall health.

Parents, share your favourite iron-rich recipes and tips in the comments below! 💬👇

Want to know how you can get your child to start nasal breathing? First up, we need to ensure that there are no anatomic...
09/07/2024

Want to know how you can get your child to start nasal breathing?

First up, we need to ensure that there are no anatomical issues (eg. a tongue tie, enlarged adenoids & tonsils, a deviated septum etc) that make it physically impossible to breathe through their nose.

If they’ve been given the all-clear, here are a few easy tips you can try at home:👃

🩷 Promote Proper Tongue Positioning: Teach your child the proper tongue positioning to encourage nasal breathing. The tongue should rest against the palate from the tip of the tongue, all the way to the back of the tongue. A great little exercise to help encourage this are tongue clicks. Try to hold the tongue suctioned against the palate for a few seconds, and then click.
🩷 Breath Awareness Exercises: Teaching your child about what their breath feels like (eg. where the breath cycle starts, the temperature of the air while inhaling and exhaling, how does your body feel while breathing, where does your tongue rest, are they breathing with their mouth or nose etc).
Breath awareness will help them eventually make the shift from mouth breathing to nasal breathing on their own when they catch themselves mouth breathing.

🩷 Create a little mantra such as “noses are for breathing, mouths are for eating and speaking”

🩷 Nasal hygiene is vital, especially before bedtime. A quick spray of some saline in each nostril can help maintain a clear upper airway which promotes nasal breathing.

By encouraging this simple yet powerful change, you can significantly improve your child’s overall well-being and development. Let’s help our kids breathe easier and live healthier!

Big Steps for Little Ones 📚🤸As a paediatric dentist and a mom, I'm always on the lookout for resources that can make den...
04/07/2024

Big Steps for Little Ones 📚🤸

As a paediatric dentist and a mom, I'm always on the lookout for resources that can make dental care a positive experience for our little ones.

I'm excited to share two wonderful books that my daughter loves!

I love them because they use really simple terms, ones that I often use in my consults with kiddies. They also provide tips for parents to help make brushing their teeth a bit easier, and how to prep their child for their first dental visit.

Book 1: We're Going to the Dentist 🦷
Meet Nancy and Teddy as they journey on their first dental check-up. This precious story gently introduces children to the dental office and all relevant personnel, explaining what happens in a way that’s fun and reassuring. It’s a fantastic way to prepare your little ones for their own dental visits, helping to ease any fears they might have. As a dentist, I've seen how impactful it is when children come in excited and informed about their visit.

Book 2: Let's Brush Our Teeth 🪥
Following two cousins as they learn the best way to brush their teeth. This delightful story makes brushing time an enjoyable routine, teaching kids the importance of oral hygiene in a fun and engaging way. Establishing good brushing habits early is so crucial, and this book is a perfect tool to help with that.

I found my copies at Bargain Books, but they’re also available at www.panmacmillan.co.za 🩵

Are you making the most of every breath? Breathing effectively goes beyond filling your lungs—it’s about enhancing your ...
28/06/2024

Are you making the most of every breath? Breathing effectively goes beyond filling your lungs—it’s about enhancing your health and vitality. 🫁

From nasal breathing, which filters and warms the air before it enters our lungs, to proper tongue placement, which can improve sleep quality and airway health.

Each of these focuses is designed to not only enhance your physical well-being but also to promote mental clarity and emotional balance. ⚖️

It’s commonly misconceived that the first trip to the orthodontist should be at 12 years old, or once all the permanent ...
25/06/2024

It’s commonly misconceived that the first trip to the orthodontist should be at 12 years old, or once all the permanent teeth have come through.

We need to shift this paradigm around this “milestone”. Introducing a term called “pre-orthodontics”.

This includes all measures we can take from as early as a few days old, to ensure your little one is growing and functioning optimally.

These include:

- Breastfeeding for as long as possible (I’m fully aware that this is not possible for some moms and babies, and that’s okay. But it is important to acknowledge the effect that breastfeeding has on overall jaw development and tongue functioning).

- Minimising use of the dummy (again, I’m fully aware that some parents and babies absolutely need the dummy for regulation, but it’s important to make an informed decision as to which dummy you choose, and when your child should ideally stop using it).

- Minimising thumb sucking

- Encouraging nasal breathing

- Myofunctional therapy

- Myobrace therapy

- Tongue tie releases (if clinically and functionally indicated)

- Early interceptive orthodontics

By harnessing your child’s innate ability to mould their jaws properly (via proper tongue positioning, breathing and swallowing patterns etc), we can attempt to minimise orthodontic treatment in the pre-teen phase.

Of course, there’s a time and place for conventional orthodontics, where jaws do need to be expanded to create space and teeth do need to be aligned.

I encourage parents to be proactive about their child’s orthodontic profile and find out what they can do from an early age.

Understanding craniofacial development in children is crucial for overall long term growth and function of the jaws and ...
18/06/2024

Understanding craniofacial development in children is crucial for overall long term growth and function of the jaws and teeth.

The trajectory of growth in the early years largely determines what the jaws and alignment of teeth will look like later in life. Other factors such as breathing patterns, sleep quality, behaviour, speech development and overall respiratory health can also be affected by this.

This why it’s so important to take your little ones to an airway-centric practitioner from an early age to screen for any red flags, and manage them if needed.

Remember:
- it’s much easier to break dysfunctional habits and relearn new ones at an early age
- it’s much easier to redirect growth at an early age, while the bones are relatively soft and malleable

Early assessment and intervention are key!

Address

25 Belmont Road
Cape Town
7700

Opening Hours

Monday 09:00 - 17:00
Tuesday 09:00 - 17:00
Wednesday 09:00 - 17:00
Thursday 09:00 - 17:00
Friday 09:00 - 17:00
Saturday 09:00 - 12:30

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