Child dentistry

Healthy teeth are important to your child's overall health. From the time your child is born, there are things you can do to promote healthy teeth and prevent cavities. For babies, you should clean teeth with a soft, clean cloth or baby's toothbrush. Avoid putting the baby to bed with a bottle and check teeth regularly for spots or stains. For all children, you should

Additionally, these patients have neglected their general health and have more medical problems than a comparable segment of the general population. When this trend is coupled with the acute oral problems which emerge due to poor oral health, dentists must consider the patient’s medical problem(s) and any corresponding prescribed medications before dental treatment can be initiated. This article will be a feature some of the most frequently occurring medical problems which I have seen among correctional patients, their impact on the ability to provide dental treatment, and their direct and indirect consequences upon oral health.

Hypertension



Hypertension is the most common chronic illness which afflicts the patients I treat. Although this disease afflicts 50% of patients 65 years of age and older, it is by no means restricted to the geriatric population. It is mandatory to take vital signs on all patients before the initiation of any dental treatment, especially treatment which is invasive. If blood pressure is elevated, a decision must be made whether to defer treatment especially for surgical procedures. The literature suggests treatment deferral at various cutoffs for systolic and diastolic blood pressure ranging from 160 to 180 and 100 to 110 respectively. I use the lower end of both ranges, e.g. 160/100 mm hg, as the point at which I will not proceed with oral surgery. Patients that have elevated blood pressure levels should be referred to the medical department for further evaluation and treatment to controlled levels before proceeding with dental treatment. Additionally, it is essential that vital signs are recorded before any surgical procedure for all patients, not just those know to have hypertension since epinephrine, an endogenous catecholamine, is added to local anesthetics to prolong anesthesia and aid in hemostasis. Epinephrine must be used cautiously in hypertensive and cardiac patients as it can raise the blood pressure.

Oral surgical treatment

Oral surgery is any procedure that involves cutting into or removing tissue from your mouth. It includes procedures like removing a tooth, gum surgery, and getting dental implants. Oral surgery also includes getting rid of diseased tissue from the mouth, correcting jaw problems, or repairing a cleft lip or palate.

Who does this procedure?


Your dentist may perform oral surgery or refer you to an oral surgeon, called an oral and maxillofacial surgeon. An oral surgeon is a dentist who has completed a university post-graduate specialty program in oral and maxillofacial surgery.

Oral and maxillofacial surgery is a specialty of dentistry that deals with the surgical treatment of disorders, diseases, injuries and defects of the hard and soft tissues of the oral and maxillofacial regions and related structures.

Sometimes, after minor oral surgery, you may have pain, bleeding and swelling. Proper care after oral surgery will help your mouth heal quickly and cleanly. Here’s what usually happens after oral surgery and how you can deal with it.

You have pain


Once the anesthetic (freezing) wears off, feeling some pain is normal. You might have the most pain in the first 24 to 48 hours after your surgery. Some soreness or discomfort at the site of the surgery may last for 3 to 5 days. The amount of discomfort is different from one person to another and from one operation to another.

What to do


Your dentist or oral surgeon may prescribe medication. Tell your dentist or oral surgeon about any other prescription medicines or herbal supplements you are taking. Take the medication exactly as your dentist or oral surgeon and pharmacist have instructed.
It is important to rest. If you are up and about, you may feel more discomfort. Call your dentist or oral surgeon if the pain does not get any better within 48 hours or at any time if you think there is a problem.