Treatment Options

Treatment Options

1. Fillings and Restorations

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Children’s teeth will require treatment once decay sets in. The decayed portion of the teeth are meticulously removed from the tooth structure which then requires to be restored using filling materials.

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Various types of filling materials have been invented and used since ages. The popular silver amalgam fillings are now getting out- favoured by newer materials with better properties. In pediatric dentistry the commonly used materials are glass ionomer, resin modified glass ionomers, composite resins like white fillings or invisible fillings and sometimes multicolored fillings for novelty effect.

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Filling and restorative processes are generally painless but deeper and extensively decayed teeth treatment might just get a little discomforting requiring local anesthesia. With the advent of very thin, almost hairlike needles meant for local anesthesia, even the numbing process is getting increasingly acceptable for young kids.

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Sometimes deeper cavities might require certain medicament layering before final filling to protect and soothe the underlying nerves and taking care not to irritate them.

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Treatment procedures are done in our center in a way not to tire the patient and retain their cooperation. So spaced out treatment sittings are generally preferred.

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Dr Bhavsar is also one of the first professionals to use a chemo-mechanical cavity removal system called Carisolv imported from Sweden. With this system, only the decayed portion of the tooth are dissolved with chemicals thereby reducing the need of using the dreaded drill. And after this process the dissolved portions are removed using special instruments which makes the entire procedure quite pain free.

1. Fillings and Restorations

ser (4)

Children’s teeth will require treatment once decay sets in. The decayed portion of the teeth is meticulously removed from the tooth structure which then requires to be restored using filling materials.

t1

Various types of filling materials have been invented and used for ages. The popular silver amalgam fillings are now getting out- favored by newer materials with better properties. In pediatric dentistry, the commonly used materials are glass ionomers, resin-modified glass ionomers, composite resins like white fillings or invisible fillings, and sometimes multicolored fillings for novelty effects.

t3

Filling and restorative processes are generally painless but deeper and extensively decayed teeth treatment might just get a little discomforting requiring local anesthesia. With the advent of very thin, almost hairlike needles meant for local anesthesia, even the numbing process is getting increasingly acceptable for young kids.

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Sometimes deeper cavities might require certain medicament layering before final filling to protect and soothe the underlying nerves and take care not to irritate them.

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Treatment procedures are done in our center in a way not to tire the patient and retains their cooperation. So spaced-out treatment sittings are generally preferred.

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Dr. Bhavsar is also one of the first professionals to use a chemo-mechanical cavity removal system called Carisolv imported from Sweden. With this system, only the decayed portion of the tooth is dissolved with chemicals thereby reducing the need of using the dreaded drill. And after this process, the dissolved portions are removed using special instruments which makes the entire procedure quite a pain-free.

2. Root Canal endodontic treatment

Why root canal in milk teeth?

Whenever the milk teeth get infected with cavities they can be treated by fillings if decay is spotted early and the inner nerve (present in all teeth) is not damaged. However if the nerve does get affected because of decay or accidental fracture of teeth, then an advice should be sought from a pediatric dentist regarding treatment. Your pediatric dentist with the help of clinical examination and x-rays would be able to tell you if root canal is needed or not. If that particular tooth has still some time to go before their actual time of falling off, then it is advisable to retain that tooth by doing a treatment known as root canal. In this procedure we remove all the infected pulp (nerves) from within the tooth, clean the canals and fill them up with specially formulated materials. These materials are designed to be dissolved while the body is naturally reabsorbing the root in preparation of the tooth falling out to be replaced by permanent tooth later on in life.

IMPORTANT

Milk teeth and permanent teeth are two separate entities. The nerves of the milk teeth have no relation to the nerves of the permanent teeth. Therefore, doing a root canal treatment in milk teeth DOES NOT damage the permanent teeth formation. On the other hand by not doing a root canal in the decayed milk teeth, damage to the permanent tooth development may occur. The infection and the pus of the primary tooth can spread beyond their roots and damage the structure and eruption path of the developing underlying permanent tooth.

THE BENEFIT

Once the RC is done, the tooth is saved and brought back to a pain free and functional condition and this then serves the function for the child till they fall off naturally which is most desirable. Dr. Bhavsar is qualified to perform this procedure in ONE SITTING rather than call your child again and again. This way it becomes very much acceptable to the child. However if the child is brought late to the pediatric dentist and the swelling, pus formation, gum boil or an abscess has already occurred in connection with the damaged tooth then more sittings may be needed.

3. Crowns

Crowns are meant for complete coverage of extensively damaged teeth which are not possible to restore with fillings alone. Traditional stainless steel (SS) crowns and  the newer tooth colored natural looking Zirconia crowns are used for  primary as well as young permanent teeth. Such preformed crowns offer full coverage over the tooth structure leaving no chance for secondary decay formation. Various crown sizes are available for each and every teeth, thus correct crown selection is done by Dr. Bhavsar which are then trimmed, grinded selectively and fitted over the teeth in their proper positions, all in one sitting. Same is the case for anterior teeth, wherein strip crowns and zirconia crowns  are used. These crowns are relatively pliable, don’t fracture and maintain a snug fit during entire growth and development and movement of the jaws. The crowns are indicated especially after root canal treatment, over hypoplastic teeth and over badly broken down eroded teeth. These crowns also resist erosion and enhance the vertical height of the teeth.

4. Space Management And Space Maintainers

The milk teeth are ideally designed to fall off at regular intervals from between 6 to 12 years of age, so that new teeth can erupt turn by turn sequentially into their proper positions. But if the milk teeth are lost or removed prematurely the new teeth are only going to erupt at their destined time. Therefore space has to be maintained to prevent problems of irregularities and abnormal eruptions of permanent teeth from occurring. This can be done by using appliances known as space maintainers. It is always sensible to keep teeth in normal positions with a space maintainer which is comfortable, easy, and far less expensive than a major orthodontic treatment to move the teeth back in place.

What is a space maintainer?

A space maintainer “holds” the space until a new tooth grows in and prevents the teeth from moving toward empty spaces in the mouth.

5. Habit Correctors

What is a habit corrector?

A habit corrector is an appliance that helps stop certain repeated body motions (habits). Habit correctors help stop tongue thrusting (pressing the tongue against the front teeth when swallowing). They also help correct finger and thumb sucking. These habits can be bad for your teeth and jaws.

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5. Habit Correctors

What is a habit corrector?

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A habit corrector is an appliance that helps stop certain repeated body motions (habits). Habit correctors help stop tongue thrusting (pressing the tongue against the front teeth when swallowing). They also help correct finger and thumb sucking. These habits can be bad for your teeth and jaws.

6. Mouthguards

What is a mouthguard ?

  • A mouthguard is a specially made, rubber like cover which fits exactly over your teeth and gums, cushioning them and protecting them from damage.
  • It is important to wear a professionally made mouthguard whenever you play a sport that involves physical contact or moving objects. This includes cricket, hockey, football, boxing and other contact sports – which can cause broken and damaged teeth. Even cycling and skating can be a cause for broken or dislocated jaws. A mouthguard will help protect against these events.

When would I need a mouthguard?

When would I need a mouthguard?

  • It is important to wear a professionally made mouthguard whenever you play a sport that involves physical contact or moving objects. This includes cricket, hockey, football, boxing and other contact sports – which can cause broken and damaged teeth. Even cycling and skating can be a cause for broken or dislocated jaws. A mouthguard will help protect against these events.
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7. Early Orthodontics And Minor Tooth Movement

The primary aim of preventive and interceptive orthodontic treatment in the mixed dentition is to correct initial dental and orofacial irregularities creeping insidiously and to eliminate interferences toward the development of normal occlusion. Certain appliances and correctors using wires, elastics, and springs may be needed to correct and redirect the positions of newly erupting teeth and growing jaws. Get a thorough examination done by a pediatric dentist to diagnose such irregularities, for example, anterior crossbites wherein upper anterior teeth are placed on the inside of the lower anterior teeth when the mouth is closed or newly erupting teeth arriving on the outside or the inside the arch row of teeth etc.

7. Early Orthodontics And Minor Tooth Movement

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The primary aim of preventive and interceptive orthodontic treatment in the mixed dentition is to correct initial dental and orofacial irregularities creeping insidiously and to eliminate interferences toward the development of normal occlusion. Certain appliances and correctors using wires, elastics, and springs may be needed to correct and redirect the positions of newly erupting teeth and growing jaws. Get a thorough examination done by a pediatric dentist to diagnose such irregularities, for example, anterior crossbites wherein upper anterior teeth are placed on the inside of the lower anterior teeth when the mouth is closed or newly erupting teeth arriving on the outside or the inside the arch row of teeth etc.

8. Cosmetic Dentistry

This aspect involves :

  • Diastema closures i.e. closing of abnormal and unaesthetic looking gaps between the two front teeth. But closing of these gaps are to be considered only if your pediatric dentist recognizes them to be abnormal and requiring correction to regain aesthetics. And not if there are physiological gaps which are going to get corrected anyways naturally in due course of time
  • Correction of abnormally formed teeth for eg. peg laterals etc.
  • Bleaching i.e. whitening and lightening of teeth especially hypoplastic teeth, fluorosed teeth, children born with drug induced darker teeth, intrinsically stained teeth etc.
  • Lastly, coloured fillings, tooth jewels and tattoos, colored and invisible braces, tooth colored splints are also advocated, after all there is a huge swathe of children population who are into media, TV serials, movies, commercials etc.
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8. Cosmetic Dentistry

This aspect involves :

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  • Diastema closures i.e. closing of abnormal and unaesthetic looking gaps between the two front teeth. But closing of these gaps are to be considered only if your pediatric dentist recognizes them to be abnormal and requiring correction to regain aesthetics. And not if there are physiological gaps which are going to get corrected anyways naturally in due course of time
  • Correction of abnormally formed teeth for eg. peg laterals etc.
  • Bleaching i.e. whitening and lightening of teeth especially hypoplastic teeth, fluorosed teeth, children born with drug induced darker teeth, intrinsically stained teeth etc.
  • Lastly, coloured fillings, tooth jewels and tattoos, colored and invisible braces, tooth colored splints are also advocated, after all there is a huge swathe of children population who are into media, TV serials, movies, commercials etc.
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9. Dental Trauma Management And Emergencies

Trauma from falls at home, on the playground, or during athletic events is a frequent cause of injury to the teeth and soft tissues of the mouth. Often the extent of injury or its effects will not be obvious to even the most observant parent. The length of time between the accident and the treatment is often the most important factor in determining the prognosis for a tooth that has been injured. Early observation and treatment of injuries can reduce the danger of more serious problems occurring. A primary tooth that is fractured or discolored may become infected. The infection will in all probability seriously damage the succeeding permanent tooth.

The sooner the tooth is replaced the better the chance of success. If you have not managed to do it yourself, the dentist will put the tooth back. They may use a dental splint to fasten the tooth against the teeth on either side. In most cases this is successful and once the splint is removed, the tooth is stable. However, you will certainly need more treatment in the future.

9. Dental Trauma Management And Emergencies

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Trauma from falls at home, on the playground, or during athletic events is a frequent cause of injury to the teeth and soft tissues of the mouth. Often the extent of injury or its effects will not be obvious to even the most observant parent. The length of time between the accident and the treatment is often the most important factor in determining the prognosis for a tooth that has been injured. Early observation and treatment of injuries can reduce the danger of more serious problems occurring. A primary tooth that is fractured or discolored may become infected. The infection will in all probability seriously damage the succeeding permanent tooth.

The sooner the tooth is replaced the better the chance of success. If you have not managed to do it yourself, the dentist will put the tooth back. They may use a dental splint to fasten the tooth against the teeth on either side. In most cases this is successful and once the splint is removed, the tooth is stable. However, you will certainly need more treatment in the future.

10. Orthodontic Treatment

  • Older school and even college going children with established dental and skeletal deformities will need the services of an orthodontist. We have facilities of providing orthodontic therapy at our center, whenever required.
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10. Orthodontic Treatment

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  • Older school and even college going children with established dental and skeletal deformities will need the services of an orthodontist. We have facilities of providing orthodontic therapy at our center, whenever required.

11. Other Services $ Support

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Anti- cavity Infiltration system and prevention of incipient carious lessons.

Enamel Microabrasion System

A conservative technique that improves the appearance of teeth by restoring bright and superficial smoothness of enamel without causing structural loss.

Invisalign & Teeth Aligners

Using Scanners & CAD/CAM technology to treat crooked irregularly positioned teeth starting in early age. These aligners reposition and correct the teeth gradually and minutely over a period of time and are REMOVABLE

Boyles Apparatus

digital x-rays

11. Other Services $ Support

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Icon

Anti- cavity Infiltration system and prevention of incipient carious lessons.

Enamel Microabrasion System

A conservative technique that improves the appearance of teeth by restoring bright and superficial smoothness of enamel without causing structural loss.

Invisalign & Teeth Aligners

Using Scanners & CAD/CAM technology to treat crooked irregularly positioned teeth starting in early age. These aligners reposition and correct the teeth gradually and minutely over a period of time and are REMOVABLE

Boyles Apparatus

digital x-rays

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