Services QandM Kids Dental Clinic

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Behavioural Management and
Sedation/ Anaesthesia

Hola

Tell Show Do

Voice Control

Restraints

Nitrous Oxide

I V sedation/ General Anaesthesia

Tell Show Do

We use this technique on virtually all young patients. We explain and show our young patients what we are going to do and how we do it.

Voice Control

This technique is used to intercept inappropriate behaviour as it begins. The dentist alters voice tone and volume to interject more authority.

Restraints

Very young children and some special needs patients who are not able to understand why they need dental treatment. This technique is used to protect them from harming themselves. We only use restraints when absolutely necessary and with parents’ permission.

Nitrous Oxide

Nitrous oxide/oxygen, known as laughing gas, is a blend of oxygen and nitrous oxide. It is given through a small breathing mask over the child’s nose, allowing them to relax, but without putting them to sleep.

The mild, non-addictive gas has an easy uptake and is quickly eliminated from the body with normal breathing. While inhaling nitrous oxide/oxygen, your child remains fully conscious and keeps all natural reflexes.

This is recognised by the American Academy of Paediatric Dentistry to a very safe and effective technique to use for treating children’s dental needs.

I V sedation/ General Anaesthesia

Deep sedation (IV Sedation) and/or outpatient general anesthesia are recommended for apprehensive children, very young children, and children with special needs who do not respond well to conscious sedation. This is because they render your child completely asleep.

The inherent risks if this option is not chosen include multiple appointments, the potential need for physical restraint to complete treatment, and the possibility of emotional and/or physical injury to your child in order to complete their dental treatment.

The risks of not receiving treatment include tooth pain, infection, swelling, the spread of new decay, damage to their developing adult teeth, and the potential for life-threatening hospitalization due to a dental infection.

Dentistry for Anxious Patients

Through the modern miracle of sedation dentistry, dentists can treat anxious patients and often accomplish dental work in one or two visits that may have required many more visits without it. Nitrous oxide and are the two conscious sedation techniques most commonly used to help patients relax.

Exams and Prevention

Dental Care for
Infants and Children Recare Appointment Preventive-Sealants Fluoride Treatment

Dental Care for Infants and Children

Most pediatric dentists will agree that regular dental care should begin by one year of age, with a dental check-up at least twice each consecutive year for most children.

Some children may need more frequent evaluations and care. In accordance with this recommendation, the following dental checklist for infants and toddlers has been provided by the Ameri can Academy of Pediatric Dentistry:

Birth to 6 months of age:

Clean your infant’s mouth with gauze after feedings and at bedtime. Consult your child’s pediatrician regarding fluoride supplements. Regulate feeding habits (bottle feeding and breastfeeding).

Six to 12 months of age:

The first tooth should appear by this time. Consult the Pediatric dentist for an examination. Brush teeth after each feeding and at bedtime with a small, soft-bristled brush. As your child begins to walk, stay alert of potential dental and/or facial injuries. Wean the child from breast or bottle by his/her first birthday.

Twelve to 24 months of age:

Follow the schedule of dental examinations and cleanings, as recommended by your child’s pediatric dentist. Generally, dental examinations and cleanings are recommended every 6 months for children and adults.

As your child learns to rinse his/her mouth, and as most deciduous (baby) teeth have erupted by this age, brushing with a pea-sized portion of fluoridated toothpaste becomes appropriate.

Restorative Treatment

With the many advances in anaesthesia, dental tools and behaviour management techniques and medications, the days of scary, painful visits are a thing of the past.

We have the training to coach your child through and ask that you let us do the explaining of procedures. Here is an introduction to some of the common dental treatments.

Fillings

Stainless Steel Crowns

Nerve Treatment

Cosmetic Tooth Bonding

Bleaching (Teeth Whitening)

Fillings

Many cavities can be filled with local anaesthesia and tooth coloured resin filling. During the procedure, we commonly use a rubber dam to help keep your child’s airway protected and the restoration as strong as possible.

There are cases where silver or other types of fillings are indicated.

Stainless Steel Crowns

Crowns are used in cases where a cavity has affected so much tooth structure that filling material cannot be used to repair the tooth. We offer several types of crowns depending on the location of the cavity.

For the front teeth we have white crowns and silver crowns with white facing. We choose which crown based on the patient’s bite and the extent of the cavity. For the back teeth we have stainless steel crowns.

Nerve Treatment

Very large cavities can result in tooth aches and nerve irritation or infection if a cavity has affected the nerve. We will clean out the infected part of the nerve, place an antibacterial medicine on the remaining nerve structure followed by a protective filling over the nerve.

Once a tooth has had nerve treatment, it is weakened and must have a crown placed over it to protect it.

Cosmetic Tooth Bonding

In the event of tooth fracture, malformed teeth, or tooth discolouration we are able to repair teeth by using tooth coloured composite material.

Bleaching (Teeth Whitening)

Often our teenagers, especially after braces, desire whiter teeth. We offer at home bleaching kits with custom made trays.

Children With Special Needs

My Child Has Special Needs, Will I Be Able To Bring Him To The Dentist?

Parents who raise children with special needs or complex medical conditions never take for granted the daily joys and challenges it brings.

Our paediatric dentists specifically undergo additional medical training to handle the multitude of conditions that may affect children, in order to completely manage the link between your child’s oral health and quality of life.

Our Dentists attend to children with:

Autistic Spectrum Disorder

Down’s Syndrome

Development Delay

Cerebral Palsy and Epilepsy

Blood Dyscrasias (I.E haemophilia)

Cardiac Conditions (I.E Septal Defects,
Cyanotic Conditions)

Asthma and Breathing Difficulties

Childhood Cancers

Hospital Care

Multidisciplinary Team of Specialists

Other rarer conditions found in children sometimes require the attention of a multidisciplinary team of specialists. In these cases, your child’s care will be carefully coordinated with his or her medical doctor to ensure utmost safety and efficiency.

Should hospital care be required, our doctor is currently accredited with the following hospital institutions:

Mount Elizabeth Orchard and Novena Hospitals

Gleneagles Hospital

Mount Alvernia Hospital

Eastshore Hospital

KK Women's and Children’s hospital

National Dental Care