Paediatric dentistry is the part of dentistry that focuses on the smallest. The paediatric dentist’s range of action covers all children ages from the youngest to teenagers.

The relationship with orthodontics is great, since they can be processes that are carried out at the same time or one after the other. However, the paediatric dentist must take care of the problems that arise in the first dentition.

The recommendation is that the first visit to the dentist with the exit of the teeth be made. It is very common for prevention processes to be started in the face of possible dental situations in the future, since as the child’s growth develops, it may pass through some or other states.

WHAT OTHER THINGS DOES THE PEDIATRIC DENTIST DO?

It is also responsible for detecting possible anomalies in the position of the jaws or teeth to refer to the orthodontist, specialist in orthodontics, and to make a restorative treatment if needed.

What is the main difference between dentistry and paediatric dentistry?

The main difference between regular dentistry and paediatric dentistry in the treatment of caries is the presence of temporary or milk teeth in children which causes the treatment to change, so that lesions that occur in the primary dentition will be treated way less conservative and more aggressive than those that occurred in permanent teeth, to avoid that, in the worst case, an inadequate treatment could be given to a temporary tooth that would later affect its successor.

Diseases included in paediatric dentistry.

Abnormalities of the structure and colour of the dentition. For example, hypo mineralization of incisors and molars, dental fluorosis, amelogenesis imperfecta (alteration of dental enamel of hereditary origin), the imperfect dentinogenesis, dental alterations due to lack of vitamin D and abnormal pigmentation due to the use of group antibiotics. of the tetracyclines.

Cavities. All children’s cavities, including so-called bottle-tooth decay, characteristic of young children who sleep with a pacifier soaked in some sweet substance, such as sugar or condensed milk.1 Preventive measures are very important, including first detection early of the main factors that weaken the dental enamel making it more prone to caries, and tips on feeding, brushing and sealing fissures. The complications of caries can be multiple, including pulpitis and abscess formation.

Dental trauma. Very common in childhood and adolescence, this section includes the avulsion or complete loss of the dental piece from the socket, the recommended treatment in this case would be the reimplantation of the piece in the shortest possible time, obtaining the better results when the reimplantation occurs before 30 minutes after the accident.

Malocclusions and disorders caused by alterations of the spaces between the teeth, within this group include the early and late eruptions. Some malocclusions are secondary to certain habits such as digital suction or nasal pathologies that cause continued mouth breathing.

A misalignment of the teeth or an incorrect way of biting can be solved thanks to the orthodontist in Pitampura placing orthodontics that fits perfectly to your needs.

What is an orthodontist in Pitampura?

Orthodontics is a specialty of dentistry that deals with diagnosing and preventing possible problems in terms of shape, position, and mobility of the different parts that make up our buccal area. That is to say, the orthodontist in Pitampura deals with tasks such as the alignment of the teeth or the correct bite. In addition, by orthodontics, we also understand that the devices themselves are fixed or removable for the correction and prevention of the problems.

Whether for pain or aesthetics, at the Vardhman Dental Care our orthodontists can help you recover your smile.

What problems can we solve?

The placement of orthodontics has different benefits and will also depend a lot on the type that we want or need to carry.

Solve functional problems

For example, bite problems, with this you get a higher quality of life and prevent new problems in the teeth. Thanks to our treatment you can correct problems caused by biting badly.

Alignment

Orthodontics also serves to achieve the correct alignment of the teeth. This can be used for aesthetic reasons, thus being able to enjoy a prettier smile, or also for health reasons. It can be used in children, adults or adolescents. Bad placement of different pieces can cause mechanical problems or the wear of some teeth.

A pretty smile

Getting aligned teeth and recovering their functionality also helps to achieve a beautiful smile. Poorly placed teeth can lead to self-esteem problems that we can easily solve with orthodontics in different age ranges

Types of orthodontics

Thanks to the different advances in orthodontics, an orthodontist in Pitampura can access numerous options that will be adapted to all types of people and to any objective. In this way, we get a customized solution for each patient.

 Metallic orthodontics

It is the most traditional, or the best known. It is the orthodontics that is composed of metal brackets. These are the small pieces that are placed individually on each tooth and that are joined by a thin thread of the same material. With them, we will correct problems of biting and alignment, either for health or aesthetics.

 Invisible orthodontics

In this case, orthodontics consists in the creation of splints totally adapted to the patient with a translucent material. Thanks to this, it is an almost invisible device that helps aesthetics. It is also removable, so it provides extra comfort and allows oral cleaning is easier.

Lingual orthodontics

It is totally invisible when smiling. This is because it is placed on the inside of the teeth, so it is very difficult to detect it at first sight. It fulfills the same function as traditional orthodontics, but is more discreet, which is why it is in high demand by adults.

There are more types of orthodontics, thanks to them you can find the one that best suits you to solve any aesthetic or functional problem in your mouth.

There are solutions for everyone, just call and make an appointment to inform you, or stop by any of our dental clinics.

Benefits of orthodontics

A lack of dental pieces, not only affects physically, but also psychological, so it is very important to remedy on time.

As we see, orthodontics can solve a wide range of problems, but it can offer many more benefits.

• Improvement of our health: First, it improves our oral health. Thanks to orthodontics, we can bite correctly again, enjoy more food, which helps you feel better and have a more balanced diet.
• Teeth more durable: With the alignment of teeth we will achieve greater durability of them and reduce the chances of suffering premature wear.
• Most beautiful smile: Aesthetics is one of the most common concerns today. Thanks to orthodontics, we get a perfect smile. The teeth are aligned, and this allows you to smile without worries. In addition, thanks to the new invisible orthodontics, the process is very simple since you look good even wearing braces.
• Improvement of self-esteem: Recovering the smile helps us to see each other and feel better. Therefore, using orthodontics can help you recover your self-esteem because you can smile with confidence.

Why Vardhman Dental Care?

At Vardhman Dental Care we are specialists in getting you to smile again, we have experienced orthodontist in Pitampura in constant training. Thanks to this we can advise you and place the most modern orthodontics thanks to the most advanced treatments.

We are up to date on the latest in orthodontics to be able to offer you the most personalized solution.

In addition, we use the best materials so you can enjoy a corrector of maximum quality and that has greater durability.

There are diseases and conditions that affect the tissues that support the dental organs or the structures that replace them. Prevent, diagnose and treat these conditions the handles  Periodontics, specialty of dentistry that is also dedicated to maintaining health, function and aesthetics of these structures and tissues.

Periodontitis and gingivitis are among the main pathologies that periodontics deals with  . Similarly it also deals with the prevention and treatment of other diseases such as periimplantitis. Gum disease is caused by bacteria when they are not removed by daily brushing and flossing, so it is totally preventable if daily use of these resources is made.

Periodontal diseases   (around the tooth) are very common and begin by injuring the gums. In most cases, it does not cause pain and, therefore, this problem goes unnoticed. However, its early detection and treatment are of utmost importance, because periodontal disease   ends with the life of the tooth (mobility, infection, extraction).

Inflammation in the gum area can progress to affect the surrounding bone and support the teeth. The three stages of gum disease – from less to more severe – are gingivitis, periodontitis and advanced periodontitis. Symptoms such as swollen, red, sensitive or bleeding gums; gums that recede or detach from the tooth; permanent bad breath or bad taste in the mouth; or loose teeth are those that should alert the patient in order to go to treat this condition that affects oral health.

The best professionals in Urbina Dental Clinic

Through different diagnostic mechanisms a specialist is the only person able to determine whether or not a periodontal treatment is required. The treatment of periodontics ranges from the education and correction of the oral hygiene technique, to the control of the bacterial plaque by the patient, to the removal of the plaque and stones from the bags around the teeth, polishing and smoothing the roots.

With this treatment, the gum adheres back to the tooth, thus eliminating inflammation. In more advanced cases in which the patient has unstable or moving teeth, the periodontal disease can be treated surgically, adjusting the bite, for example, joining the teeth with temporary splints to reduce movement obtaining more comfort and better function. Additional treatments may include orthodontics or placement of prosthetic devices.

Periodontics is not only the treatment of diseases, it also allows recovering lost tissue. In the case of gingival recessions as a result of periodontitis, or traumatic brushing, there are techniques that allow tissue regeneration, as well as grafts and complementary surgeries. In any case, it is important that the patient goes to periodic controls in order to prevent a new infection.

How can periodontal diseases be prevented?

To maintain good dental health we have to have a strict routine of cleaning since it is important to remove from the dental plaque of the tooth and gums on a daily basis, so we should brush twice a day, although it is advisable to perform after for each meal, in addition to brushing we must use any other interdental hygiene instrument such as: silk thread, interproximal brush, water jet or mouth rinses. The correct use of these instruments will prevent periodontal diseases and consequently their annoying symptoms.

Another important factor that intervenes in the prevention of this condition is the regular visit to the dentist, the cleaning that this makes us help to eliminate dental plaque in time. Although we have good hygiene, it is very difficult to completely remove the dental plaque by oneself, so it is recommended that we combine the daily hygiene that we do at home with the regular visit to the specialist. A light scraping is of great importance to maintain proper oral health.

It is important to mention that the dirt produced by the food we consume not only accumulates on the teeth, but also between the gums and the teeth. We mention this to highlight the importance of combining daily hygiene with the help of the dentist.

To remove the dental plaque that accumulates between the gums and teeth, we must visit at least 2 times a year to the dentist, this way would be reviewing the state of the gums, which is very important to avoid the fearsome periodontal disease.

What are the tools I can use to remove plaque or plaque?

The most important tool of all is the toothbrush, those soft bristle brushes are more efficient to remove plaque than hard brushes, however, the importance lies mainly in the way we use the brush. Currently, different techniques have been developed for tooth brushing, but the dentist’s opinion and the instructions that he can give us are always better.

In order for a toothbrush to eliminate bacterial plaque from the teeth and gums, it is necessary for its bristles to be in good condition. When the brush is opened, it can no longer remove tartar and there is a risk of accumulation of the plaque. bacterial plaque to form a periodontitis. Therefore, it is advisable to replace it when it is worn out.

The use of dental floss is important within oral hygiene because it helps to reduce the formation of bacterial plaque. This is because the thread can reach places where the toothbrush does not reach.

Interdental brushes and devices that spread water under pressure are tools that can complement hygiene techniques. Although these objects do not completely remove the dental plaque, they can perfectly eliminate the remains of food that favour the formation of tartar.

Another fundamental tool is the periodic visit to the dentist to control oral health. The dentist has the experience to determine the frequency with which oral hygiene should be performed. When this procedure is fulfilled, the appearance of periodontitis is avoided.

Causes of periodontal disease

The main cause of periodontal diseases is the accumulation of bacterial dental plaque between the gums and the tooth. When there is a large deposit of bacterial plaque the population of this responds with the appearance of gingivitis.

Those people who have greater sensitivity, either genetic or produced by external factors such as smoking, diseases such as diabetes, hormonal changes or the intake of antidepressant medications that have as a side effect the decrease in the production of saliva, making the mouth This most vulnerable, it is very common for periodontitis to occur.

If the bacterial plaque changes its composition, increasing the amount of germs, periodontitis evolves faster than normal.

Occasionally, with age the percentage of individuals suffering from periodontitis increases, it is believed that it is due to the deterioration of the organism’s defence system.

Can periodontitis be contagious?

Periodontal disease, known as periodontitis can easily be passed from parents to children even between couples, however, for this to occur the recipient must be sensitive to these bacteria.

Many studies infer that genetically susceptible people can get periodontal diseases through saliva, that is, when the couple or a family member comes into contact with contaminated saliva, there is a risk of getting periodontitis. For this reason, it is not uncommon for entire families to undergo periodontal treatments. So when a person of the direct family group is detected the illness, their relatives are made the respective medical check-up.

The state of oral health is related to the habits present in families. Sometimes we get parents with swollen and bleeding gums for not maintaining proper hygiene in the home, an action that has as a consequence that their children also develop this type of affections because they do not receive the proper education in oral hygiene. Also, there are responsible parents who are dedicated to teaching their children good hygiene habits and awareness of the importance of visiting the dentist periodically. Children who develop in this type of environment, usually have a healthy gum and teeth.

Relationship of periodontitis with other diseases

There are different factors that can be related to periodontitis, some with more influence than others. Among which we can mention the following:

1. Oral hygiene is a fundamental factor since, if you do not have good hygiene, the likelihood of tartar accumulating in your teeth and gums is high.
2. Tobacco: smokers are more likely to have stones in their teeth, in addition to deeper pockets between their gums and teeth, and also to destroy the tissues that fix their teeth. Tobacco has the characteristic of altering the defences that are normally found in the gums, allowing the bacteria that accumulate in this area to be more aggressive, in addition the tobacco components can alter the functionality of the teeth.
3. Diabetes: diabetic patients should be very attentive to the care of their teeth, especially the periodontal state. It is important to go to the dentist more often to control oral health, studies have shown that people with diabetes are more likely to lose teeth than a person in good health. For this reason, it is recommended that patients with diabetes have a lot of control with oral hygiene.
4. Cardiovascular diseases: recent research shows that periodontitis can be related to the development of cardiovascular diseases. Some specialists indicate that this is because the inflammatory proteins and the bacteria that are in the periodontal tissue, enter the bloodstream and manage to cause different effects in the cardiovascular system.
5. Age: the relationship with age does not necessarily imply the aging process but, the time in which bacterial plaques and calculus have affected the structure of the tooth.
6. Sex: many studies have shown that women maintain better oral hygiene, therefore, their periodontal status is better.

Other related factors are:

1. Race
2. Genetics
3. Virus
4. Local factors of the tooth.

How can periodontal diseases be cured?

Periodontal diseases are cured by completely eliminating the cause that produces them, that is, the plaque or tartar that is accumulated and calcified in the gums and teeth is eliminated.

When these deposits are already highly formed and are stuck, it is necessary to use special instruments to eliminate them. In cases where the depth of the detachment is less than 5 millimetres, you can go directly to the roots and carry out the decontamination process without removing the gum.

In cases where the depth of the detachment of the gum is greater than 6 millimetres, it is necessary to apply a microsurgery that allows the gum to be separated, to eliminate the tissue that is inflamed and that has occupied part of the bone area, decontaminate the root and stimulate the regeneration of the new bone.

The most effective treatment we can employ and the most economical is prevention. As long as this type of condition is detected in time, it will be easier to treat it, therefore, the treatment will be faster and more effective.

Many times affected people go to the dental office in a very advanced stage of the disease, when this happens the treatment is almost impossible, it is only to extract the affected tooth or teeth. For this reason it is important to prevent periodontal diseases.

Oral hygiene depends directly on us, maintaining good oral health is our task, so we must follow the recommendations of our dentist and periodically attend to prevent them from developing these types of diseases.

The Oral and maxillofacial surgerydeals with the treatment of diseases of the mouth, face and neck, and related craniofacial structures.

There is great pathological diversity at this regional level, which is why oral and maxillofacial surgery combines infectious-inflammatory, traumatic, tumoral and congenital or acquired malformation.

Surgical techniques in oral and maxillofacial surgery

Reconstructive surgery: It is dedicated to the anatomical restoration of the bone structure and the reconstruction of soft tissues. The objective is that the intervened zone recovers its normal structure. A very common example is dental rehabilitation with implants.

Plastic surgery: The most common treatment is to correct facial malformations. It also covers other procedures such as skin-related treatments or facial implants.

Regenerative surgery: It combines the procedures of regeneration of tissues and treatments with stem cells. The periodontal area is one of the most treated.

Types of oral and maxillofacial surgery interventions

The field of oral and maxillofacial Surgery comprises:

Surgery and oral medicine

Interventions that are performed within the oral cavity. It includes the surgical extraction of the molars and other teeth, also the periapical surgery, excision of cysts and benign tumours of the maxillary, periprosthetic surgery, placement of dental implants, plasty of braces and mucogingival surgery. This type of surgery is done in ambulatory regimen and under local anaesthesia.

Facial injuries

The blows or traumatisms that happen on the face usually have some special characteristics different from those that occur in other areas of the body. The reason is that they can cause alterations, both from a functional and aesthetic point of view, as well as problems of vision, respiration or chewing.

Tumours in the mouth, face or neck.

The surgery of oral tumours represents one of the most important areas of the specialty, due to the complexity of the interventions and their repercussion in the life of the patient.

Together with other surgical specialists, the maxillofacial surgeon is an important medical figure in the approach to tumour pathology.

Facial alterations

This oral surgery is also known as orthognathic surgery. This is the set of surgical procedures that have the purpose of correcting alterations in the shape, position or size of the elements of the patient’s face to obtain facial harmony. Dentofacial deformities may be congenital, arise in people’s growth phase, or result from trauma.

Pathology of the salivary glands

Maxillofacial surgery is frequently used to treat those pathologies of the inflammatory or salivary glands.

Pathology of the temporomandibular joint

Temporomandibular dysfunction syndrome causes pain and limitations in mandibular dynamics. In addition, the temporomandibular joint (TMJ) can be affected by some degenerative diseases or trauma.

There are multiple treatments to treat problems in the TMJ and its associated musculature, among which surgery is included.

Facial aesthetic surgery

Maxillofacial surgery intervenes in the field of aesthetic surgery of the face, along with other specialties: plastic surgery, dermatology, ophthalmology and otorhinolaryngology.

Diagnostic tests in oral and maxillofacial surgery

In the planning of the surgical intervention it is necessary to carry out a series of diagnostic tests in order to obtain a complete vision of the needs and characteristics of the patient.

General Radiology. X-rays are essential tests for diagnosing different types of facial bone lesions, such as malformations or malocclusions.

Biopsies . These tests may be necessary to determine if the lesions of the oral mucosa are due to a tumoral process.

Orthopantomography. It is a panoramic X-ray of the two jaws in order to have a complete image of them in a single plate. With this impression you can analyse the position of the teeth with more precision to plan the surgical procedure.

Magnetic resonance imaging . Very useful in the treatment of the temporomandibular joint, since it allows to fully visualize the articular disc.

3D studio. It is used to obtain a three-dimensional image of the area on which it is necessary to intervene surgically for a better planning of the process.

The splints or occlusal guards are removable appliances that some patients must wear on their teeth at night, in order to avoid the damage caused to the pieces due to dental grinding; This type of device is used to prevent or stop the wear, caused by the patient unconsciously, since it is usually at night when the tooth grinding activity is carried out, however some patients must also use it during the day .

There are different types of occlusal guards, recommended for the treatment of hyperactivity and bruxism, both conditions usually occur when the patient is under stress, so unconsciously squeeze the jaws and rub the teeth between them. The splints allow the temporo-mandibular joints to have a more stable joint position for some time; it is a reversible and non-invasive treatment, useful for temporo-mandibular disorders; They are also recommended to help reduce and normalize the abnormal muscle activity of the patient’s jaw, so that they do not wear their teeth.

The occlusal guards are made with hard or soft material depending on the patient, it can be placed on both the upper and lower teeth, although it is not advisable to place it on both at placed or extracted by the patient, we can use it at night during sleep or during the day; The success of the treatment depends on the type of device chosen, its manufacture, the adjustment and the commitment of the patient to use it. As it is a reversible treatment, it is only effective while it is worn, where we as dentists will indicate in detail how to introduce, remove and clean it.

Choosing the appropriate occlusal guard for patients is our job as dentists, assessing their needs based on the complete medical history, physical examination and diagnosis, identifying the cause of the disorder and the best type of care for your case; These are made to measure with a specialist in dental prostheses, who performs the device taking into account the patient’s teeth and soft tissues, such as gums and tongue.

Types of occlusal guards

The most common types of occlusal guards are those of muscle relaxation and anterior repositioning; the first are indicated when the patient needs to reduce their muscle activity that causes bruxism and that can generate wear, broken pieces and articulation problems among the most important, while the second is used to modify the position of the jaw when it is removed to the skull. However, there are more types of occlusal guards, for example, anterior bite plane, posterior bite plane, pivot point and the soft or aesthetic plane.

Advantage: 

• It allows us to make an accurate assessment of the cooperative attitude of the patient. (some patients simply cannot be treated).
• It allows to evaluate if the patient can be treated successfully, before preparing any tooth.
• If it is decided not to carry out the occlusal reconstruction either by the patient or the dentist, the occlusal guard can be discarded and no damage has been done.
• Patients of low economic power can be kept in good conditions for periods of indefinite time. Some patients will be motivated in the sense of finding an economic solution to be treated by an occlusal reconstruction
• Patient with physical risks can be kept asymptomatic.
• The C. Dentist can observe the progress or the lack of cooperation and desire of the patient to carry out an adequate home care.
• Reduce the number of remounts
• Patients with transient emotional problems tighten their teeth, causing dysfunction problems in the TMJ. By means of the occlusal guard they will be helped while passing through the critical period. At the end of the emotional crisis they will not clench their teeth and therefore they will not need the occlusal guard.
• It makes it easy to take the centric relationship records.
• It is a means of diagnosis (difference between ATM dysfunction caused by malocclusion due to generalized arthritis).
• It allows us to make the treatment plan with enough time.

Disadvantages:

• It requires great care in the adjustment in the mouth.
• It requires frequent visits to correct the occlusion:

1. The patient should return every 3 to 5 days in the first 2 weeks, depending on the symptomatology.
2. After the initial 2-week period, the patient should be seen weekly until the occlusal changes are minimal.
3. Then the patient should be checked every month. At least 2 months should pass without any changes in the occlusion before starting the definitive treatment.

• It is easily lost
• The centric relation occlusion should be refined with at least a tolerance of .001 “(the thickness of the cellophane paper of the cigarette packs). The anterior teeth from lateral to lateral should have a virtual space of .001 “at the moment of maximum intercuspation with centric relation (centric relation occlusion).
• Potential decalcification (when used for a long period).
• It can fracture with relative ease.
• It should be monitored that there is no contact of the anterior teeth with the guard in the first 2 weeks.