Pediatric Dentistry


Untreated dental cavities in kids are a serious dental problem that is faced by many parents. One in every five children has a problem with dental cavities. While we know the application of dental fluoride is a well-known preventive measure in children, it’s not the choice of treatment when there are deep cavities present.

Untreated dental decay extending in deeper layers of the tooth requires mechanical removal with hand instruments or drills. This lost tooth structure is restored using filling material.

But can we really follow all clinical steps and complete the treatment in uncooperative patients too?

Children with low cooperation levels need noninvasive intervention until a certain age, after which the drill and fill concept can be applied to them. Hence non-invasive interim intervention i.e. no drill concept is necessary for arresting dental cavities. One such intervention which has helped all Pediatric Dentist is the application of Silver Diamine fluoride (SDF)

What is SDF?

SDF is an inexpensive, non-invasive medicament that is applied topically. It is 38% SDF, a silver fluoride with the addition of ammonia. SDF has FDA and drug administration approval and can be used in arresting dental cavities 

Is SDF effective?

SDF has been used internationally for decades to arrest caries in primary as well as permanent teeth. SDF is twice the strength of commercially available fluoride varnish hence proving to be effective means of arresting cavities. 

Who is the right candidate for the application of SDF?

SDF has its main use in children and adolescents when patients co-operation for dental treatment is limited may be due to young age, situational anxiety, or developmental and intellectual disabilities. 

Applying SDF will not restore the form and function of teeth like the traditional filling. It’s just a means to stop the decay process and prevent the child from developing any form of deeper cavities. 

If the SDF application is done without a plan for future filing, it could provide a reservoir for exacerbation of the decay process via the food impaction in the cavity and thus increasing the 

SDF has clinical utility in children and adolescents when patient cooperation for restorative dentistry is limited due to young age, situational anxiety, or intellectual and developmental disabilities. Application of SDF does not restore form and function to teeth with dental caries as do traditional restorations.

The use of SDF without a plan for restoration of the decayed teeth could provide a reservoir for exacerbation of the caries process via food impaction in cavitated lesions and subsequent metabolism of fermentable carbohydrates to acid by cariogenic bacteria.

Also, if teeth are not restored with appropriate fillings it can lead to disturbance in the child’s bite relationship and jeopardize the space needed for permanent teeth to erupt. Hence the application of SDF IS not a replacement for the filling of a tooth. Rather it is an effective interim therapy that is used as part of a comprehensive treatment plan supervised by a dentist within a dental home.

Side effects of Using SDF?

SDF applied to any dental cavity or any tissue of mouth, lips or skin causes significant black staining due to the presence of Silver oxide. Staining of skin and oral mucosa tends to resolve within a few days as the cells present in the skin slough off. In contrast, any dental cavities treated with SDF remain permanently black which is a significant aesthetic problem, especially in anterior teeth

How does SDF work?

SDF works because Silver and fluoride can stop dental decay. Silver has antibacterial properties which makes it a perfect agent to stop decay. Fluoride increases the rate at which the tooth can be remineralized and it also increases resistance to harmful acids. Also, fluoride has antimicrobial properties 

Benefits of SDF

Non-invasive – As treatment just required the application of the solution without drilling

Safe – It’s FDA approved and does not contain harmful agents

Cost-effective – Compared to invasive treatments, the cost of treatment is less

Quick – Treatment can be completed in a short time

SDF vs Drilling 

SDF is the best alternative to filling cavities in small children. This is a non-invasive treatment that requires minimum time compared to the time needed for filling. The sound of the drill or its sensation can at times be scary for children and make them dislike dental clinics. So to avoid these factors, it’s always better to use a non-invasive procedure for the start and later move with the invasive part.

Talk with your Pediatric Dentist today for more details on SDF.

Call us or Whatsapp us at +91-9141160212 to book an appointment today! or just drop into our Dental Clinic at RR Nagar in Bangalore

Dental Implants Dentures, Crowns and Bridges

Benefits of implant-supported dentures

Are you tired of loose ill-fitting dentures and don’t feel like wearing your dentures at all?

Denture fitness is a widespread problem faced by multiple patients. There can be various reasons for the ill-fitting nature of dentures but don’t worry we have a solution for your dental concern which is implant-supported overdentures. 

Implant-supported Dentures are a special type of prosthesis which use dental implants as the main source for stability and tight fix. In other words, implant-supported overdentures have a combined quality of dental implants and removable Dentures.  So if we have an alternative to the route removable dentures with good stability and support why not opt for the same!!

Who can benefit from implant-supported overdentures?

If your old dentures are not comfortable for you and they just slip when you are speaking,  Implant-supported overdentures can be a great option to look for. These Dentures provide a sound foundation, thereby improving chewing and speech efficiency. But the main requirement for placement of such dentures is excellent and sufficient density and thickness of residual bone available so that it can hold implants firmly in place.

How do implant-supported dentures function?

On the inner side of dentures, overdenture attachments are placed whose corresponding part is seated over the implants. Both these corresponding attachments fit into each other perfectly, thus preventing the moving or slippage of dentures.

Fixed versus removable prosthesis design

Most patients prefer fixed types of dentures to have the feel of natural teeth. Also in most situations with good bone present and if patients maintain adequate oral hygiene, a fixed implant will be a comfortable and suitable treatment option

As there is an extra cost associated with the fabrication of fixed dentures,  they are costlier than removable ones.  However, implant-supported dentures appear to have fewer routine maintenance requirements.

Utilization of two or four implants leads to excellent function and gives good support. During the treatment planning, it is important to ensure all criteria of the amount of bone present, and the space present is adequate so that the fabrication of denture is not vulnerable to fracture

Steps involved

Initially, your dentist will evaluate entirely to check if you are the ideal candidate for the procedure. This will involve clinical examination and medical and dental history. 

If you are fit for treatment,  the next step will be of extraction of all remaining teeth. Following this, a healing period of a few months will be needed to allow for bone to regenerate and this is followed by further CT scan to evaluate the condition of the bone.

Immediately after tooth extraction, a temporary denture will be given. 

The next step involved the placement of implants which is a surgical procedure carried out under local anesthesia which will again be followed by a healing period. The waiting period after the placement of implants is of 3 to 4 months. After a few months depending on healing next step will be of placement of screw caps for implants following which measurements will be made and sent to a lab for fabrication of overdenture.

Once overdenture is received from the lab they are attached to the implants placed in the jaws with fine precision so that the denture gets engaged with the implants and prevents any movement of the denture.

What are the Advantages of implant-supported overdentures?

For some patients who are not satisfied with the removable dentures because of poor fit or loose nature of denture, implant-supported overdentures can be a boon for any form of defects in gums as generally, the normal Dentures become loose if any growth occurs on gum or if the bone height is reducing.

  1. Patients have superior mastectomy, functional and quality score
  2. Maintenance of oral hygiene is easier 
  3. Aesthetics is superior 
  4. It’s a long-term fixed kind of treatment  option.

Call us or Whatsapp us at +91-9141160212 to book an appointment today! or just drop into our Dental Clinic at RR Nagar in Bangalore

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