Children’s Denstistry

Also known as Paediatric Dentistry, we give this service special mention because our children are not simply miniature adults either in their healthcare needs or their mind-set.

Dr Sherina worked as a Senior House Officer across some of the most prestigious Paediatric Dental Departments in England, including the world famous Great Ormond Street Hospital.  Her experience treating children then, and in the years since, shapes our approach to child patients.

We aim to give them a strong foundation of oral health which should allow them to have an anxiety free relationship with any dental professional from childhood through to adulthood.

What is it?

The most important part of our dental examination for children, especially for a first visit, is acclimatisation. The goal for this first visit is to make each child comfortable in the dental environment and to do only as much as the child can handle. For some children, it will be a huge achievement just to sit on the dental chair by themselves. For others, they may be able to tolerate a full check-up and even move onto polishing or fillings if needed.

The Benefits

Regular dental check-ups for children allows us to build a relationship to help them on their way to good oral health. Regular examination of their oral health, hygiene and teeth, fillings and eruption phases allows us to catch problems early, and improve on treatment outcomes.

The Process

The dental check-up itself involves checking the general oral and peri-oral health of the patient. After checking the soft tissues of the mouth, and assessing the oral hygiene levels, the each tooth is assessed for caries, integrity of exisiting fillings and phase of eruption. During the dental check-up and consultation, oral hygiene and dietary counselling will also be provided. Along with a discussion regarding your child’s caries risk, and dental interventions to help reduce their risk such as fluoride treatments and fissure sealants.

The Cost

The dental examination and consultation fee varies depending on the complexity of each child’s needs. Examination and consultation fees start at $20 and are capped at $40.

What is it?

In children routine maintenance involves reinforcing good oral hygiene and dietary habits, and scaling & polishing.

The Benefits

The benefit of regular visits to the dentist is increased familiarity to combat the potential for dental anxiety to develop. In addition to the verbal reinforcement of good habits, the scaling & polishing allows children to become accustomed to dental treatment. Hopefully further intervention will be unnecessary, but should it be required, this early acclimatisation to dental treatment will allow them to accept other treatments more easily.

The Process

The oral hygiene and dietary counselling is given verbally along with demonstrations on tooth brushing techniques. For young children, these instructions are usually for the parent as well as the child.

Scaling & polishing with ultrasonic and polishing equipement is mainly for older children. In very young children we use a combination of hand scalers and gentle polishing with the dental apparatus. It is very important that every visit to the dentist is as positive as possible. Therefore we take our time, and check in frequently with the child to ensure they are happy with the process.

What does it cost?

The cost for a scale & polish in a child is $50. This is not a reflection of the time spent, rather our hope in pricing this way is that the treatment will be more accessible to our patients. We always encourage you to meet with our dentist for a consultation, and discussion of your particular needs and treatment costs.

What is it?

Fillings are placed to restore teeth to function and appearance after trauma, caries removal or tooth wear. Fillings can be separated into two categories – silver coloured or tooth coloured. It is very rare for our clinic to place silver coloured fillings anymore, but they are available if requested.

The Benefits

Fillings are most often carried out as part of the restorative process for caries treatment. They are intended to bring your child’s tooth to function, look good, and prevent the decayed lesion from growing.

Tooth decay is the most common reason for fillings in children, followed by damage from trauma. The nerves in children’s teeth are not as developed as in adult teeth, therefore they may not always complain of pain when their tooth has a hole. This makes the regular dental check-up even more important, as we often able catch problems before they have been able to cause your child any pain.

Tooth-coloured material science is improving all the time, our composite filling materials have the same if not better strength than the old silver coloured fillings, and have the advantage of bonding to and supporting the existing tooth structure.

The Process

Dr Sherina will discuss all the pros, cons and costs of your child’s treatment needs. If fillings are required, they will usually be under local anaesthetic. In a child, this is sometimes accomplished with the surface numbing gel. In other cases if the decay found is too extensive then the local anaesthetic injection will also be needed. If injection is needed, we prepare the area first with the surface numbing gel, and then use paediatric dental techniques developed through training and experience to make the injection as anxiety free as possible.

If you have any concerns regarding analgesia, please do let us know so that we can make the experience as anxiety free as possible.

Our dentist will then prepare the tooth for the filling. This means removing any decay or debris with dental drills and hand instruments. Although your won’t feel any pain, but they may be aware of vibration from the drills. This can be alarming when first experienced. Therefore in some cases, when the child is very young, we choose to avoid dental drills and carry out the caries removal carefully and painstakingly with hand instruments only.

Tooth coloured fillings take a few stages and require a clean and dry tooth. The dentist will apply an etching gel, which is washed off after a waiting period, then a bond layer is applied and ‘set’ with the light-curing machine. Lastly the filling is placed in layers, and set along the way. It is then polished and the bite is checked. It is ready to use right away, however it is always advisable to wait until the numbing wears off before allowing and eating or drinking.

What does it cost?

The cost of this treatment will depend on many factors like complexity and size. The fee range for a tooth coloured filling is $70-$150. We always encourage you to meet with our dentist for a consultation, and discussion of your particular needs and treatment costs.

What is it?

Extraction is the treatment to take a tooth out under local anaesthetic. It is usually done because a tooth can no longer be restored, is too mobile for eating, or for orthodontic treatment.

The Benefits

Extraction for orthodontic treatment allows the orthodontist to create sufficient space in your child’s mouth to align their teeth. It allows for a much more favourable orthodontic outcome.

Extraction due to poor dental prognosis is usually only carried out if all other options have been considered or tried. Under such circumstances, the main benefit will be removal of a source of pain and/or infection. In the case of mobile teeth, the extraction is done to help your child eat without discomfort, and in some cases to remove an obstruction from the path of the newly erupting adult tooth.

The Process

Extractions are done under local anaesthetic. This is numbing for just the tooth or area in question. Our clinic always applies a surface numbing gel before giving the local anaesthetic injection, to give almost pain free analgesia.

In very specific circumstances with mobile primary teeth, the surface numbing may be sufficient. We always avoid doing any more than absolutely necessary in young children, to help ensure their cooperation throughout the procedure.

If you have any concerns regarding analgesia, please do let us know so that we can make the experience as anxiety free as possible.

Once your child is numb, our dentist will gently apply pressure to the tooth from various sides to make it increasingly mobile. When it is quite loose within its socket, forceps are used to help deliver the tooth. This is usually achieved with the tooth intact, but if the tooth is very decayed, it may have to be taken out in pieces.

Once all of the tooth is out, the extraction site is checked, and a pack is placed to stop the bleeding. You will be given instructions in how to take care of the site to optimise healing. We will also prescribe some mouthwash and painkillers for your child.

What does it cost?

The cost of this treatment will depend on many factors. The fee range for a non-surgical extraction of primary teeth is $70-$120. We always encourage you to meet with our dentist for a consultation, and discussion of your child’s particular needs and treatment costs.

What is it?

Root canal treatment is the process of removing and infected nerve while saving the tooth. It is not a treatment that is frequently needed in children, but is available should the need arise.

The Benefit

Primary teeth become wobbly and fall out along a natural time line allowing the adult teeth to erupt into the mouth. In some cases, if a primary tooth has an inflamed nerve, but is still needed in the mouth, a root canal treatment can allow us to stabilise the tooth. The treatment will alleviate the pain, and infection, and allow the primary tooth to remain in the mouth until the adult tooth is ready to erupt. This process reduces the possibility of the adult teeth becoming crowded, and helps to simplify future orthodontic treatment, or even to avoid the need entirely.

The Process

Dr Sherina will discuss the problem and treatment options with you, along with the pros, cons, risks and costs.

The treatment is carried out under local anaesthetic, either just surface numbing or with injection as well. . Our clinic always applies a surface numbing gel before giving the local anaesthetic injection, to give almost pain free analgesia.

The affected nerve is then accessed through the crown of the tooth using dental drills. The whole or part of the nerve is removed, and appropriate medication placed. A filling is placed to restore the tooth, and occlusion is checked. In some cases a second visit is needed to clean further and replace the intra canal dressing. The root canal treated tooth will be monitored until the primary tooth falls out and the adult tooth erupts.

What does it cost?

Fees for root canal treatment in primary teeth will vary depending on complexity, ranging between $300 - $500. We always encourage you to meet with our dentist for a consultation, and discussion of your child’s particular needs and treatment costs.

What is it?

When teeth are crowded, or poorly aligned, orthodontic treatment can help to give your child ‘straight teeth’

The Benefits

Orthodontic treatment carried out during the adolescent years is a usually very successful. Treatment is relatively short, as children’s jaw bone’s are not yet as dense as they will become in adulthood. The other advantage to having this treatment done while young, is that it is very socially accepted. Your child won’t feel odd having braces, when most of her classmates will too. In fact some children may feel left out without braces!

Having an uncrowded, well aligned dentition will help your child with oral hygiene, and give them a great foundation towards a lifetime of good oral health.

The Process

If it is decided that you and your child wish to proceed with orthodontic treatment, you will be referred to our specialist orthodontist. They will either see you here in our clinic, or at one of their other central locations.

Your child will continue to see our dentist for monitoring of oral health throughout the orthodontic treatment and after it. Regular scaling & polishing and reinforcing of oral hygiene and diet counselling are even more critical while undergoing orthodontic treatment.

The treatment usually lasts between 6 -18 months. Our orthodontist will give you a full treatment plan, along with explaining pros, cons and costs. Your child will continue to be seen for orthodontic reviews after treatment is complete.

What does it cost?

The cost of orthodontic treatment can vary greatly depending on your child’s specific needs. We always encourage you to meet with our dentist for a consultation, and discussion of your child’s particular needs and treatment costs.

.

Comments are closed.