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Kids Dentistry



  • Pediatric Dentistry
  • Pediatric Orthodontics
  • Pediatric Dentistry
  • Sealants Before After

Dr. Rohan Virani & Dr. Priyal Virani - Pediatric Dentist in Mumbai


  • For Parents
  • For Kids
  • Your Child's First Dental Visit

Who Is A Pediatric Dentist?

Our Pediatric Dentist in Mulund has an additional three years of specialized training after dental college and is dedicated to the oral health of children from infancy through the teenage years. The very young, pre-teens, and teenagers all need different approaches in dealing with their behavior, guiding their dental growth and development, and helping them avoid future dental problems. Our pediatric dentist in mulund at trisa dental solutions is best qualified to meet these needs.

Why Are The Primary Teeth Important?

It is very important to maintain the health of the primary teeth. Neglected cavities can and frequently do lead to problems which affect developing permanent teeth. Primary teeth, or baby teeth are important for (1) proper chewing and eating, (2) providing space for the permanent teeth and guiding them into the correct position, and (3) permitting normal development of the jaw bones and muscles. Primary teeth also affect the development of speech and add to an attractive appearance. While the front 4 teeth last until 6-7 years of age, the back teeth (cuspids and molars) aren't replaced until age 10-13. Our pediatric dentist in mulund at trisa dental solutions is best qualified to meet these needs.

Eruption Of Your Child's Teeth

Children's teeth begin forming before birth. As early as 4 months, the first primary (or baby) teeth to erupt through the gums are the lower central incisors, followed closely by the upper central incisors. Although all 20 primary teeth usually appear by age 3, the pace and order of their eruption varies.

Permanent teeth begin appearing around age 6, starting with the first molars and lower central incisors. This process continues until approximately age 21.

Adults have 28 permanent teeth, or up to 32 including the third molars (or wisdom teeth).

Dental Emergencies

Toothache: Clean the area of the affected tooth. Rinse the mouth thoroughly with warm water or use dental floss to dislodge any food that may be impacted. If the pain still exists, contact our pediatric dentist in mulund at trisa dental solutions. Do not place aspirin or heat on the gum or on the aching tooth. If the face is swollen, apply cold compresses and contact our dentist in mulund at trisa dental solutions immediately.

Cut or Bitten Tongue, Lip or Cheek: Apply ice to injured areas to help control swelling. If there is bleeding, apply firm but gentle pressure with a gauze or cloth. If bleeding cannot be controlled by simple pressure, call our pediatric dentist doctor or visit Trisa Dental Solutions,Mulund.

Knocked Out Permanent Tooth: If possible, find the tooth. Handle it by the crown, not by the root. You may rinse the tooth with water only. DO NOT clean with soap, scrub or handle the tooth unnecessarily. Inspect the tooth for fractures. If it is sound, try to reinsert it in the socket. Have the patient hold the tooth in place by biting on a gauze. If you cannot reinsert the tooth, transport the tooth in a cup containing the patient's saliva or milk. If the patient is old enough, the tooth may also be carried in the patient's mouth (beside the cheek). The patient must see our pediatric dentist in mulund immediately! Time is a critical factor in saving the tooth.

Knocked Out Baby Tooth: Contact our pediatric dentist in mulund at Trisa Dental Solutions during any emergency.

Chipped or Fractured Permanent Tooth: Contact our pediatric dentist in mulund at Trisa Dental Solutions immediately. Quick action can save the tooth, prevent infection and reduce the need for extensive dental treatment. Rinse the mouth with water and apply cold compresses to reduce swelling. If possible, locate and save any broken tooth fragments and bring them with you to the dentist.

Chipped or Fractured Baby Tooth: Contact our pediatric dentist in mulund at Trisa Dental Solutions.

Severe Blow to the Head: Take your child to the nearest hospital emergency room immediately.

Possible Broken or Fractured Jaw: Keep the jaw from moving and take your child to the nearest hospital emergency room.

Dental Radiographs (X-Rays)

Radiographs (X-Rays) are a vital and necessary part of your child's dental diagnostic process. Without them, certain dental conditions can and will be missed.

Dental Radiographs

Radiographs detect much more than cavities. For example, radiographs may be needed to survey erupting teeth, diagnose bone diseases, evaluate the results of an injury, or plan orthodontic treatment. Radiographs allow our dentists in mulund at trisa dental solutions to diagnose and treat health conditions that cannot be detected during a clinical examination. If dental problems are found and treated early, dental care is more comfortable for your child and more affordable for you.

The American Academy of Pediatric Dentistry recommends radiographs and examinations every six months for children with a high risk of tooth decay. On average, our Pediatric Dentists in Mulund at Trisa Dental Solutions request radiographs approximately once a year. Approximately every 3 years, it is a good idea to obtain a complete set of radiographs, either a panoramic and bitewings or periapicals and bitewings.

Our Pediatric dentists are particularly careful to minimize the exposure of their patients to radiation. With contemporary safeguards, the amount of radiation received in a dental X-ray examination is extremely small. The risk is negligible. In fact, the dental radiographs represent a far smaller risk than an undetected and untreated dental problem. Lead body aprons and shields will protect your child. Today's equipment filters out unnecessary x-rays and restricts the x-ray beam to the area of interest. High-speed film and proper shielding assure that your child receives a minimal amount of radiation exposure.

What's The Best Toothpaste For My Child?

Tooth brushing is one of the most important tasks for good oral health. Many toothpastes, and/or tooth polishes, however, can damage young smiles. They contain harsh abrasives, which can wear away young tooth enamel. When looking for a toothpaste for your child, make sure to pick one that is recommended by the Indian Dental Association as shown on the box and tube. These toothpastes have undergone testing to insure they are safe to use.

Remember, children should spit out toothpaste after brushing to avoid getting too much fluoride. If too much fluoride is ingested, a condition known as fluorosis can occur. If your child is too young or unable to spit out toothpaste, consider providing them with a fluoride free toothpaste, using no toothpaste, or using only a pea size amount of toothpaste.

Does Your Child Grind His Teeth At Night? (Bruxism)

Parents are often concerned about the nocturnal grinding of teeth (bruxism). Often, the first indication is the noise created by the child grinding on their teeth during sleep. Or, the parent may notice wear (teeth getting shorter) to the dentition. One theory as to the cause involves a psychological component. Stress due to a new environment, divorce, changes at school; etc. can influence a child to grind their teeth. Another theory relates to pressure in the inner ear at night. If there are pressure changes (like in an airplane during take-off and landing, when people are chewing gum, etc. to equalize pressure) the child will grind by moving his jaw to relieve this pressure.

The majority of cases of pediatric bruxism do not require any treatment. If excessive wear of the teeth (attrition) is present, then a mouth guard (night guard) may be indicated.

The good news is most children outgrow bruxism. The grinding decreases between the ages 6-9 and children tend to stop grinding between ages 9-12. If you suspect bruxism, discuss this with our pediatrician or pediatric dentist.

Thumb sucking

Sucking is a natural reflex and infants and young children may use thumbs, fingers, pacifiers and other objects on which to suck. It may make them feel secure and happy, or provide a sense of security at difficult periods. Since thumb sucking is relaxing, it may induce sleep.

Thumb sucking that persists beyond the eruption of the permanent teeth can cause problems with the proper growth of the mouth and tooth alignment. How intensely a child sucks on fingers or thumbs will determine whether or not dental problems may result. Children who rest their thumbs passively in their mouths are less likely to have difficulty than those who vigorously suck their thumbs.

Children should cease thumb sucking by the time their permanent front teeth are ready to erupt. Usually, children stop between the ages of two and four. Peer pressure causes many school-aged children to stop.

Pacifiers are no substitute for thumb sucking. They can affect the teeth essentially the same way as sucking fingers and thumbs. However, use of the pacifier can be controlled and modified more easily than the thumb or finger habit. If you have concerns about thumb sucking or use of a pacifier, consult our pediatric dentist in mulund at Trisa Dental Solutions.

A few suggestions to help your child get through thumb sucking:

  • Children often suck their thumbs when feeling insecure. Focus on correcting the cause of anxiety, instead of the thumb sucking.

  • Children who are sucking for comfort will feel less of a need when their parents provide comfort.

  • Reward children when they refrain from sucking during difficult periods, such as when being separated from their parents.

  • Your pediatric dentist can encourage children to stop sucking and explain what could happen if they continue.

  • If these approaches don't work, remind the children of their habit by bandaging the thumb or putting a sock on the hand at night. Our pediatric dentist in mulund may recommend the use of a mouth appliance.

What Is Pulp Therapy?

The pulp of a tooth is the inner, central core of the tooth. The pulp contains nerves, blood vessels, connective tissue and reparative cells. The purpose of pulp therapy in Pediatric Dentistry is to maintain the vitality of the affected tooth (so the tooth is not lost).

Dental caries (cavities) and traumatic injury are the main reasons for a tooth to require pulp therapy. Pulp therapy is often referred to as a nerve treatment, children's root canal, pulpectomy or pulpotomy. The two common forms of pulp therapy in children's teeth are the pulpotomy and pulpectomy.

A pulpotomy removes the diseased pulp tissue within the crown portion of the tooth. Next, an agent is placed to prevent bacterial growth and to calm the remaining nerve tissue. This is followed by a final restoration (usually a stainless steel crown).

A pulpectomy is required when the entire pulp is involved (into the root canal(s) of the tooth). During this treatment, the diseased pulp tissue is completely removed from both the crown and root. The canals are cleansed, disinfected and, in the case of primary teeth, filled with a resorbable material. Then, a final restoration is placed. A permanent tooth would be filled with a non-resorbing material.

What Is The Best Time For Orthodontic Treatment?

Developing malocclusions, or bad bites, can be recognized as early as 2-3 years of age. Often, early steps can be taken to reduce the need for major orthodontic treatment at a later age.

  • Stage I: Early Treatment: This period of treatment encompasses ages 2 to 6 years. At this young age, our orthodontist in mulund at trisa dental solutions concerned with underdeveloped dental arches, the premature loss of primary teeth, and harmful habits such as finger or thumb sucking. Treatment initiated by our orthodontist in mulund at trisa dental solutions in this stage of development is often very successful and many times, though not always, can eliminate the need for future orthodontic/orthopedic treatment.

  • Stage II: Mixed Dentition: This period covers the ages of 6 to 12 years, with the eruption of the permanent incisor (front) teeth and 6 year molars. Treatment concerns deal with jaw malrelationships and dental realignment problems. This is an excellent stage to start treatment with our orthodontist in mulund at trisa dental solutions , when indicated, as your child's hard and soft tissues are usually very responsive to orthodontic or orthopedic forces.

  • Stage III: Adolescent Dentition: This stage deals with the permanent teeth and the development of the final bite relationship.

Early Infant Oral Care


Perinatal & Infant Oral Health

The American Academy of Pediatric Dentistry (AAPD) recommends that all pregnant women receive oral healthcare and counseling during pregnancy. Research has shown evidence that periodontal disease can increase the risk of preterm birth and low birth weight. Talk your doctor or our dentist in mulund at trisa dental solutions about ways you can prevent periodontal disease during pregnancy.

Additionally, mothers with poor oral health may be at a greater risk of passing the bacteria which causes cavities to their young children. Mother's should follow these simple steps to decrease the risk of spreading cavity-causing bacteria:-

  • Visit our dental clinic in mulund regularly.

  • Brush and floss on a daily basis to reduce bacterial plaque.

  • Proper diet, with the reduction of beverages and foods high in sugar & starch.

  • Use a fluoridated toothpaste recommended by the IDA and rinse every night with an alocohol-free, over-the-counter mouth rinse with .05 % sodium fluoride in order to reduce plaque levels.

  • Dont share utensils, cups or food which can cause the transmission of cavity-causing bacteria to your children.

  • Use of xylitol chewing gum (4 pieces per day by the mother) can decrease a child's caries rate.

Your Child's First Dental Visit-Establishing A Dental Home

The American Academy of Pediatrics (AAP), the American Dental Association (ADA), and the American Academy of Pediatric Dentistry (AAPD) all recommend establishing a Dental Home for your child by one year of age. Children who have a dental home are more likely to receive appropriate preventive and routine oral health care.

The Dental Home is intended to provide a place other than the Emergency Room for parents.

You can make the first visit to the dentist enjoyable and positive. If old enough, your child should be informed of the visit and told that the dentist and their staff will explain all procedures and answer any questions. The less to-do concerning the visit, the better.

It is best if you refrain from using words around your child that might cause unnecessary fear, such as needle, pull, drill or hurt. Our Pediatric dental clinic setup will make a practice of using words that convey the same message, but are pleasant and non-frightening to the child.

When Will My Baby Start Getting Teeth?

Teething, the process of baby (primary) teeth coming through the gums into the mouth, is variable among individual babies. Some babies get their teeth early and some get them late. In general, the first baby teeth to appear are usually the lower front (anterior) teeth and they usually begin erupting between the age of 6-8 months.

Baby Bottle Tooth Decay (Early Childhood Caries)

Baby Bottle

One serious form of decay among young children is baby bottle tooth decay. This condition is caused by frequent and long exposures of an infant�s teeth to liquids that contain sugar. Among these liquids are milk (including breast milk), formula, fruit juice and other sweetened drinks.

Putting a baby to bed for a nap or at night with a bottle filled with a liquid other than water can cause serious and rapid tooth decay. Sweet liquid pools around the child's teeth giving plaque bacteria an opportunity to produce acids that attack tooth enamel. If you must give the baby a bottle as a comforter at bedtime, it should contain only water. If your child won't fall asleep without the bottle and its usual beverage, gradually dilute the bottle's contents with water over a period of two to three weeks.

After each feeding, wipe the baby's gums and teeth with a damp washcloth or gauze pad to remove plaque. The easiest way to do this is to sit down, place the child's head in your lap or lay the child on a dressing table or the floor. Whatever position you use, be sure you can see into the child's mouth easily.

Sippy Cups

Sippy Cups

Sippy cups should be used as a training tool from the bottle to a cup and should be discontinued by the first birthday. If your child uses a sippy cup throughout the day, fill the sippy cup with water only(except at mealtimes). By filling the sippy cup with liquids that contain sugar (including milk, fruit juice, sports drinks, etc.) and allowing a child to drink from it throughout the day, it soaks the child's teeth in cavity causing bacteria.

Prevention : Care Of Your Child's Teeth


Good Diet = Healthy Teeth

Good Diet

Healthy eating habits lead to healthy teeth. Like the rest of the body, the teeth, bones and the soft tissues of the mouth need a well-balanced diet. Children should eat a variety of foods from the five major food groups. Most snacks that children eat can lead to cavity formation. The more frequently a child snacks, the greater the chance for tooth decay. How long food remains in the mouth also plays a role. For example, hard candy and breath mints stay in the mouth a long time, which cause longer acid attacks on tooth enamel. If your child must snack, choose nutritious foods such as vegetables, low-fat yogurt, and low-fat cheese, which are healthier and better for children's teeth.

How Do I Prevent Cavities?

Good oral hygiene removes bacteria and the left over food particles that combine to create cavities. For infants, use a wet gauze or clean washcloth to wipe the plaque from teeth and gums. Avoid putting your child to bed with a bottle filled with anything other than water.

For older children, brush their teeth at least twice a day. Also, watch the number of snacks containing sugar that you give your children.

The American Academy of Pediatric Dentistry recommends visits every six months to the pediatric dentist, beginning at your child's first birthday. Routine visits will start your child on a lifetime of good dental health.

Our pediatric dentist in mulund at trisa dental solutions ,may also recommend protective sealants or home fluoride treatments for your child. Sealants can be applied to your child's molars to prevent decay on hard to clean surfaces.

Seal Out Decay

A sealant is a a protective coating that is applied to the chewing surfaces (grooves) of the back teeth (premolars and molars), where four out of five cavities in children are found. This sealant acts as a barrier to food, plaque and acid, thus protecting the decay-prone areas of the teeth.


Before Sealant Applied After Sealant Applied
Before Sealant Applied After Sealant Applied

Fluoride

Fluoride is an element, which has been shown to be beneficial to teeth. However, too little or too much fluoride can be detrimental to the teeth. Little or no fluoride will not strengthen the teeth to help them resist cavities. Excessive fluoride ingestion by preschool-aged children can lead to dental fluorosis, which is a chalky white to even brown discoloration of the permanent teeth. Many children often get more fluoride than their parents realize. Being aware of a child's potential sources of fluoride can help parents prevent the possibility of dental fluorosis.

Kids Playing

Some of these sources are:-

  • Too much fluoridated toothpaste at an early age.

  • The inappropriate use of fluoride supplements.

  • Hidden sources of fluoride in the child's diet.

Two and three year olds may not be able to expectorate (spit out) fluoride-containing toothpaste when brushing. As a result, these youngsters may ingest an excessive amount of fluoride during tooth brushing. Toothpaste ingestion during this critical period of permanent tooth development is the greatest risk factor in the development of fluorosis.

Excessive and inappropriate intake of fluoride supplements may also contribute to fluorosis. Fluoride drops and tablets, as well as fluoride fortified vitamins should not be given to infants younger than six months of age. After that time, fluoride supplements should only be given to children after all of the sources of ingested fluoride have been accounted for and upon the recommendation of your pediatrician or pediatric dentist.

Certain foods contain high levels of fluoride, especially powdered concentrate infant formula, soy-based infant formula, infant dry cereals, creamed spinach, and infant chicken products. Please read the label or contact the manufacturer. Some beverages also contain high levels of fluoride, especially decaffeinated teas, white grape juices, and juice drinks manufactured in fluoridated cities.

Parents can take the following steps to decrease the risk of fluorosis in their children's teeth:-

  • Use baby tooth cleanser on the toothbrush of the very young child.

  • Place only a pea sized drop of children's toothpaste on the brush when brushing.

  • Account for all of the sources of ingested fluoride before requesting fluoride supplements from your child's physician or pediatric dentist.

  • Avoid giving any fluoride-containing supplements to infants until they are at least 6 months old.

  • Obtain fluoride level test results for your drinking water before giving fluoride supplements to your child.

Mouth Guards

Kid With Mouth Guard

When a child begins to participate in recreational activities and organized sports, injuries can occur. A properly fitted mouth guard, or mouth protector, is an important piece of athletic gear that can help protect your child's smile, and should be used during any activity that could result in a blow to the face or mouth.

Mouth guards deviced by our pediatric dentist in mulund at trisa dental solutions help prevent broken teeth, and injuries to the lips, tongue, face or jaw. A properly fitted mouth guard will stay in place while your child is wearing it, making it easy for them to talk and breathe.

Ask our pediatric dentist about custom and store-bought mouth protectors.

Xylitol Reducing Cavities

The American Academy of Pediatric Dentistry (AAPD) recognizes the benefits of xylitol on the oral health of infants, children, adolescents, and persons with special health care needs.

Additionally, mothers with poor oral health may be at a greater risk of passing the bacteria which causes cavities to their young children. The use of XYLITOL GUM by mothers (2-3 times per day) starting 3 months after delivery and until the child was 2 years old, has proven to reduce cavities up to 70% by the time the child was 5 years old.

Studies using xylitol as either a sugar substitute or a small dietary addition have demonstrated a dramatic reduction in new tooth decay, along with some reversal of existing dental caries. Xylitol provides additional protection that enhances all existing prevention methods. This xylitol effect is long-lasting and possibly permanent. Low decay rates persist even years after the trials have been completed.

Xylitol is widely distributed throughout nature in small amounts. Some of the best sources are fruits, berries, mushrooms, lettuce, hardwoods, and corn cobs; however,one cup of raspberries may contain less than one gram of xylitol.

Studies suggest xylitol intake that consistently produces positive results ranged from 4-20 grams per day, divided into 3-7 consumption periods. More consumption would not produce better results. Similarly, consumption frequency of less than 3 times per day showed no effect.

Beware of Sports Drinks

Sports Drink

Due to the high sugar content and acids in sports drinks, they have erosive potential and the ability to dissolve even fluoride-rich enamel, which can lead to cavities.

To minimize dental problems, children should avoid sports drinks and hydrate with water before, during and after sports. Be sure to talk to your pediatric dentist before using sports drinks.

If sports drinks are consumed:-

  • Reduce the frequency and contact time.

  • Swallow immediately and do not swish them around the mouth.

  • Neutralize the effect of sports drinks by alternating sips of water with the drink.

  • Rinse mouthguards only in water.

  • Seek out dentally friendly sports drinks.

Adolescent Dentistry


Tongue Piercing Is It Really Cool?

Pediatric Dentistry

You might not be surprised anymore to see people with pierced tongues, lips or cheeks, but you might be surprised to know just how dangerous these piercings can be.

There are many risks involved with oral piercings, including chipped or cracked teeth, blood clots, blood poisoning, heart infections, brain abscess, nerve disorders (trigeminal neuralgia), receding gums or scar tissue. Your mouth contains millions of bacteria, and infection is a common complication of oral piercing. Your tongue could swell large enough to close off your airway!

Common symptoms after piercing include pain, swelling, infection, an increased flow of saliva and injuries to gum tissue. Difficult-to-control bleeding or nerve damage can result if a blood vessel or nerve bundle is in the path of the needle.

So follow the advice of the Indian Dental Association and give your mouth a break skip the mouth jewelry.

Tobacco Bad News In Any Form

Tobacco in any form can jeopardize your child's health and cause incurable damage. Teach your child about the dangers of tobacco.

Smokeless tobacco, also called spit, chew or snuff, is often used by teens who believe that it is a safe alternative to smoking cigarettes. This is an unfortunate misconception. Studies show that spit tobacco may be more addictive than smoking cigarettes and may be more difficult to quit. Teens who use it may be interested to know that one can of snuff per day delivers as much nicotine as 60 cigarettes. In as little as three to four months, smokeless tobacco use can cause periodontal disease and produce pre-cancerous lesions called leukoplakias.

If your child is a tobacco user you should watch for the following that could be early signs of oral cancer:-

  • A sore that wont heal.

  • White or red leathery patches on the lips, and on or under the tongue.

  • Pain, tenderness or numbness anywhere in the mouth or lips.

  • Difficulty chewing, swallowing, speaking or moving the jaw or tongue; or a change in the way the teeth fit together.

Because the early signs of oral cancer usually are not painful, people often ignore them. If it's not caught in the early stages, oral cancer can require extensive, sometimes disfiguring, surgery. Even worse, it can kill.

Help your child avoid tobacco in any form. By doing so, they will avoid bringing cancer-causing chemicals in direct contact with their tongue, gums and cheek.

A good start to having Happy, Healthy Teeth is to take good care of them. By remembering these few simple steps you will be on your way to having a great smile!

  • Brush AND floss your teeth twice a day.
  • Eat healthy foods.
  • Visit your pediatric dentist at least twice a year.
  • Protect your teeth while playing sports.

Proper Brushing & Flossing

Proper Brushing

Proper brushing removes plaque from the inner, outer and chewing surfaces. The correct way to brush is to place your toothbrush at a 45 degree angle; start along gum line with a soft bristle brush in a gentle circular motion. Brush the outer surfaces of each tooth, upper and lower. Repeat the same method on the inside surfaces and chewing surfaces of all the teeth. Finish by brushing the tongue to help freshen breath and remove bacteria.

Flossing removes plaque between the teeth, where a toothbrush can't reach. Flossing should begin when any two teeth touch. Use about 18 inches of floss, winding most of it around the middle fingers of both hands. Hold the floss lightly between the thumbs and forefingers. Use a gentle, back-and-forth motion to guide the floss between the teeth. Curve the floss into a C-shape and slide it into the space between the gum and tooth until you feel resistance. Gently scrape the floss against the side of the tooth. Repeat this procedure on each tooth. Don't forget the backs of the last four teeth. If you have a difficult time flossing, be sure to ask an adult to help you.

Good Diet = Healthy Teeth

Good Diet

Healthy eating habits lead to healthy, happy teeth. Like the rest of the body, the teeth, bones and the soft tissues of the mouth need a well-balanced diet. Kids should eat a variety of foods from the five major food groups. Most snacks that kids eat can lead to cavity formation. The more frequently you snack, the greater the chance for tooth decay. How long food remains in your mouth also plays a role. For example, hard candy and breath mints stay in the mouth a long time, which cause longer acid attacks on tooth enamel. If you must snack, choose nutritious foods such as vegetables, low-fat yogurt, and low-fat cheese, which are healthier and better for your teeth.

Mouth Guards

When you participate in recreational activities and organized sports, injuries can occur. A properly fitted mouth guard, or mouth protector, is an important piece of athletic gear that can help protect your smile, and should be used during any activity that could result in a blow to your face or mouth. Mouth guards help prevent broken teeth, and injuries to the lips, tongue, face or jaw.

When should my Child first see the Dentist?

The first dental visit should be between 1 year of age.

Should I be giving my Child fluoride drops or tablets?

No. The water supply in Mumbai area is fluoridated. If you live in an area outside Maharashtra area, and you are not sure if your water is fluoridated, contact your local health department.

My child is over one year old and has no teeth. Should I worry?

Even though most children that age have a number of teeth, some children may have delayed tooth eruption. There is usually no concern about this. It is best to visit our Pediatric dentist at Trisa Dental Solutions for an expert opinion.

My child's permanent lower front tooth is coming in behind his baby tooth. What should be done?

If the baby teeth are moderately to very loose, there is no immediate treatment. Patience is recommended. This is a normal process. The tongue will push the permanent lower front teeth forward. If the teeth are not very loose, your child should be seen to take an x-ray and evaluate the situation.

I have heard that a nursing bottle can cause cavities on toddlers, at what age should I take my child off the bottle?

Your child should stop using a bottle when they are old enough to hold a cup. This usually occurs around one year of age. After this age a child should not be placed to sleep with a bottle because this may cause dental decay, increase the incidence of ear infections, and prolong the use of the bottle. If you put your child to sleep with a bottle, the best way to stop this habit is by placing only water in the bottle, or progressively diluting it untill it is all water. Then being firm with the child. Juice or milk in a cup will not cause the severe decay that a bottle will. This may cost the parents a bit of sleep, but it is important for future dental health.

Why are baby teeth important? Don't they fall out?

Baby teeth serve the important function of eating, speech, and esthetics (self image). These teeth not only help form the developing jaws, but they hold space for the permanent teeth so that a normal bite occurs. The last baby tooth falls out at about twelve years of age. A decayed baby tooth can become so badly decayed that it can do damage to the permanent tooth. At times severe infections of the face, head, and neck can be caused by infected baby teeth.

When can my child brush and floss their own teeth?

Dr. Priyal Virani at Trisa Dental Solutions recommends that parents brush their children's teeth for the first five to seven years of life, since young children lack the manual dexterity of proper tooth brushing. The toothbrush should be a child's size, with soft nylon rounded bristles. Toothpaste should not be used until the child is able to spit (three to four years of age) to avoid swallowing it. A pea-sized drop should be dispensed by the parent for young children. Flossing should be performed by the parent prior to brushing. Most children lack the proper manual dexterity to floss on their own until the age of ten and will need a parent's help and supervision.

What's the Best Toothpaste for my Child?

Tooth brushing is very important for good Oral Health. Many toothpastes may damage young smiles. The stronger abrasives can wear away tooth enamel on primary and young permanent teeth. When purchasing toothpaste for your child, make sure you choose one that is recommended by the Indian Dental Association. All of the IDA approved toothpastes have been tested for their safety. All children should spit out the toothpaste after brushing to avoid getting too much fluoride. If excess fluoride is ingested, fluorosis, or white staining of the teeth, can occur. If your child is too young or unable to spit out toothpaste, use a toothpaste without fluoride, or just brush their teeth with no toothpaste. In any case, only a "pea sized" amount of toothpaste should be used.