Dr Soha Sharif in Brookwater | Dentist & dental surgery

Dr Soha Sharif

Locality: Brookwater

Phone: +61 7 3202 4566

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• Dentist & dental surgery

16.01.2022 The term hypoplastic means less quantity of enamel, and the term hypomineralised means less mineralised tissue. Basically this involves a tooth which is less mineralised therefore more porous. A hypoplastic tooth has reduced amount of enamel so the surface may be rough. Your child may have teeth which have developed in this manner. The most common teeth to be affected are the second primary molars which erupt at the age of 2 ... years or in the permanent dentition the first permanent molars which erupt at age 6. Hypoplastic and hypomineralised teeth develop as a result of an event which has occurred during the development of the enamel. There have been over 100+ different sources identified in causing hypoplastic and hypocalcified teeth. Some of these causes include infections (tonsillitis, chest infections, ear infections, acute gastrointestinal infections etc), fevers, convulsions, nutritional imbalances, electrolyte imbalances, measles, chicken pox, hand, foot and mouth diseases, other viral infections, etc, etc. In some children when these infections or causes occur, the cells which lay down the enamel start to lay down enamel which is less mineralised and more porous therefore giving the appearance of mottled, yellow or white opacities, or the enamel is laid down in very thin sheets. These areas are more prone to breaking and wearing down and rough surfaces will attract plaque and food retention. Ultimately these teeth can become prone to developing decay. The severity of hypoplasia and hypocalcified teeth varies where some children will have very slight yellow/white flecks and no discomfort, ranging right through to where the entire tooth surface may be affected and the child experiences sensitivity to air and cold substances. The management of these teeth depends on the severity. Each child is different and in mild cases fissure sealants to protect the surfaces on top of the teeth can be applied or restorations. Where over 50% of the surface is involved a crown (stainless steel) may be required to protect the surface until the child is old enough to have a permanent gold or ceramic crown. In more severe cases a consultation with an orthodontist may be required and a decision to extract the severely affected teeth may be taken. This would allow the developing second permanent molars to take their place. An OPG radiograph is taken by the orthodontist which will show all the new developing permanent teeth and their position. The reason for taking out these severely affected teeth in children is to avoid them from having repetitive dental care (restorations, root canals, crowns) over time on these same weak teeth. If these weak teeth are extracted while the children are growing there is a good chance that the second permanent molars which are developing in the bone behind these affected teeth will drift forward and erupt into their spaces. See more

15.01.2022 This is about how to floss your teeth and teach this to your little ones!

13.01.2022 a useful video from Smoothdentist to improve our tooth brushing techniques.

11.01.2022 ERUPTION SEQUENCE OF PRIMARY AND PERMANENT TEETH

11.01.2022 Just as your child's baby teeth begin to fall out, the first permanent teeth erupt in his mouth. The four molars (not surprisingly, often called the six-year-old molars) - two in the upper jaw and two in the lower jaw - erupt through the gum that is at the back of the mouth behind his existing baby teeth. When teeth first come into the mouth they are more at risk for tooth decay. The most common teeth sealed are the permanent molars. These molar teeth arrive about 6 years of age and often have deep grooves on the chewing surfaces. Tooth brushing cannot clean these grooves properly. Over the years it has been reported that many of these new molar teeth will get tooth decay. What the sealant does is stick to the tooth so that food cannot collect in the deep molar grooves. This prevents them decaying!

09.01.2022 The common site for this occurrence is in the lower front tooth region. It happens in 30% of children. The appearance of two rows of teeth is due to the second teeth coming in behind the baby teeth. Your dentist should be consulted. An x-ray may be needed to determine how much of the root of the baby tooth remains. Sometimes the baby teeth need removal but in many cases they fall out after a few weeks.

05.01.2022 Trauma to baby teeth occurs frequently. Fortunately, most children have little if any visible damage to the baby teeth after trauma, however, it is possible for problems to develop following a traumatic dental incident so the teeth should be monitored closely. We recommend early evaluation after an accident to allow us to assess the severity of tooth trauma and form a plan for monitoring it over time, if needed. Below are two different types of trauma, other types of trauma w...ill be discussed in future posts. Concussion - the tooth has received a blow or bump that has injured the supporting structures without loosening it. Usually you will notice a small amount of bleeding around the gums surrounding the tooth but the tooth is not mobile or wiggly. Treatment usually involves monitoring with X-Rays and monitoring for signs and symptoms including, constant pain, abscess, swelling, mobility that can indicate further problems. Subluxation the tooth has received a blow or bump that has bruised the surrounding structure of the tooth and its root causing the tooth to become mobile. There will usually be some bleeding around the gums surrounding the tooth and the tooth will be mobile or wiggly. Treatment usually involves monitoring with X-Rays and monitoring for signs and symptoms that can indicate further problems.