The primary or milk teeth begins to erupt at about 6 months of life with the complete set in place by 2.5 years of age, and the entire set is replaced by the age of 14. The benefits of some of the preventive dental measures are outlined below.

Maternal care during pregnancy: the teeth begin to form during the second trimester of pregnancy. It is very important that the maternal diet includes sufficient amounts of calcium, potassium, and fluoride for optimal tooth mineralization. Good tooth structure has greater resistance to decay than hypomineralized teeth.

Routine oral hygiene: for the first 6 months, though there are no teeth, after each nursing, end it with a spoonful or two of water to wash down the milk. Gradually, the gums can be just wiped with a gauze pad or soft cotton to remove any residual bacteria. The baby also gets used to this habit, and once the teeth are in, there are lesser bacteria for the decay process to begin.

Once the teeth begin to erupt, the nursing habits also need to be modified to ensure the baby is not allowed to go to sleep with a bottle. This is a common practice to put the baby to sleep and should be avoided to reduce the occurrence of nursing bottle caries.

Fluoride application: fluoride has been shown to have significant benefits in preventing caries. Once routine dental visits begin, then the dentist will be able to tell if fluoride needs to be applied. This can happen either in the form of a gel or varnish that is applied in the dental office or as a paste that is used at home. This helps in building resistance to decay.

Pit and fissure sealants: the tooth has a number of pits and fissures which are 8 times more vulnerable to decay than other surfaces. Deep pits are shown to harbor more bacteria and thereby greater incidence of caries. There are sealants which are thin resins that can be applied on the tooth, which can reduce bacteria accumulation and further decay.

Space maintainers: in the event that a child has lost a tooth, either due to trauma or decay and subsequent infection, then a space maintainer should be placed within the next 3 months. This helps in maintaining the space and establishing a good bite during the transition phase and later, once the permanent teeth are in place.

Orthodontic treatment: if there is malocclusion, then early intervention helps by reducing treatment time and getting better results as the teeth and periodontium are still very elastic and are more malleable to movement.

By doing these preventive measures early in life, the result is a child who has healthier teeth, less decay, less pain, and a happy smile all the time!

Benefits of Preventive Dental Treatments in Children

Is your child getting exhausted after a bout of cough? Does he or she suffer from constant wheezing and tightness of the chest? Does your child feel drained out after climbing a flight of stairs? Do you know a child who always seems to run out of breath and cannot participate in school sports tournaments or play outside for a long time? The child could be suffering from asthma, which is a serious breathing problem. Most children are affected by asthma. Staying in a polluted city just makes the condition worse.

Asthma - Know the disease

Asthma is a condition that causes inflammation of the airways, known as trachea and bronchioles.
The muscles around the airways constrict and prevent the smooth flow of air.
The lining of the bronchioles swell and block the airways.
Asthma is mostly triggered by an allergic reaction.
There is a difficulty in breathing out. Exhalation of air is often accompanied by a wheezing, that is, a whistling sound.
There is a constant shortness of breath, feeling out of breath and gasping for air.
There is an uncomfortable tightness in the chest, the feeling of not breathing in enough air.
Coughing bouts in the middle of the night, that leave the child feeling exhausted and completely out of breath.
Causes of Asthma 

Asthma is mostly triggered by asthma allergens. These allergens are mostly pollens and animal fur.

Exposure to pollution, such as dust and smoke
Heredity
Obesity
History of heartburn, GERD and acid reflux
Inflammation of sinus and airways
History of bronchial disorders and pneumonia
Viral infections
Chronic rhinitis
Low immunity causing constant cold and blockage of nose
Treatments of asthma

A nebulizer that turns asthma medicine into a mist can then be inhaled easily
An inhaler can be used to take in inhaled steroids into the lungs or a bronchodilutor
Try and avoid asthma triggers and allergens as much as possible
Avoid physical stress and heat
Get sufficient rest of about 7-8 hours every day

Troubled Breathing - Can It Be a Sign of Asthma?

Valvar aortic stenosis, commonly called aortic stenosis, is a disorder which occurs when the aortic valve of the heart becomes narrow. The narrowing of the valve prevents its full opening, and hence, blood flow from the heart to the aorta is restricted. When the aortic valve gets obstructed, the heart has to exert much more effort to pump the blood. The heart muscles get weakened as a result. This condition is more common in children.

Diagnosis of valvar aortic stenosis-
Before diagnosis, we should know about the symptoms of valvar aortic stenosis in children. They include:

 Feeling breathless
 Angina or chest pain with a feeling of pressure or tightness
 Syncope of fainting
 Palpitations and enhanced heartbeats
 A steady decline in regular activities and energy levels
 Fatigue due to little exertion
 Not gaining weight
 Poor eating patterns
 Problems in breathing

The wall of the left ventricle also thickens muscularly, and the thick wall occupies more space in the lower chamber of the heart and hence, the room for adequate blood supply is reduced. This may lead to heart failure.

Echocardiogram-
The initial test that is recommended for patients with symptoms of valvar aortic stenosis is doppler echocardiography. This test enables the doctor to estimate the aortic valve region, peak or mean transvalvular gradients and the maximum aortic velocity. These primary measures are required to assess the severity of the disease. Echocardiography provides important information on the valve function, left ventricular filling pressure and disruptions in other valves.

Other major tests which help in the diagnosis of valvar aortic stenosis include:
 Mri or magnetic resonance imaging, which provides images of internal body structures with great detail.
 Ct scan or computed tomography where three-dimensional images are extracted.
 Chest x ray
 Cardiac catheterization where a dye is used to highlight blockages, if any, in the heart.

Treatment-
Usually, there are no medicines for fixing valvar aortic stenosis as the disease is not reversible. Medicines can be used to treat the problems, which are caused by the condition.

Replacement of the damaged valve by surgery is the best treatment for valvar aortic stenosis. The surgery performed is called valvuloplasty. This is a cardioscopic surgery where a tube with a small balloon is inserted into a vein. The tube is guided into the heart, and the balloon is inflated. The balloon and tube are removed after the valve is opened. The damaged valve is replaced by mechanical valve or the valve of a cow or pig by an open-heart surgery.

Valvar aortic stenosis is a severe heart condition in children, and the only permanent remedy for this disease is a valve replacement surgery.

Diagnosis and Treatment of Valvar Aortic Stenosis in Children

Bathing  the newborn baby is a pleasurable experience both for the mother and the baby. It can also be defined as a process through which the mother and child bond. A mother understands the requirements of the child and the baby adapts itself to the cleanliness regime of the mother.
When should I start bathing my new born baby?
According to guidelines of WHO, initial bath for a term newborn weighing more than 2.5kg should be given 6 hours after birth. In the term low birth weight babies weighing less than 2.5kgs, only sponge bath is to be given, till the weight crosses 2.5kg.
Dip baths can be given once the umbilical cord falls off i.e. by 7 -10 days. Till then sponge baths are to be given.
How should I bathe my baby?
The room should be warm and free from draught of air as a wet baby can easily catch the chill. Check the temperature of the bath water before placing the baby in the bath tub. The depth of the water should be 5 cms upto the hip of the baby. Eyes can be cleaned by using one sterile water-soaked cotton swab for each eye. The Head should be washed last and dried first to prevent exposure due to large surface area. Pay special attention to skin folds of the neck, behind the ears, underarms, and diaper area. Also wash between the fingers and the toes.
What cleanser/ soap should I use for my baby?
Do not use soap for the first 1 month of life. After that, use any mild unmedicated soap or liquid cleanser with acidic/ neutral pH, that maintains the pH of the baby's skin. Avoid scented soaps and bubble baths.
How frequently should I bathe my baby?
In summer months, daily baths can be given. In winters, dip bath may be given twice/thrice a week and rest of the days, it is preferable to sponge the baby.
Hair wash can be given twice  a week.
A word of caution:
Never leave your baby unattended  to in the bath tub.Bath tub should be disinfected after use.

How Should I Bath My Baby

Puberty is a time when a girl's body begins to define itself in more womanly terms. This is the start of a process that will usher in decades of sexual activeness and child bearing years. The changes that a girl goes through during this period can be quite challenging with a play of hormones as well as physical changes, such as growth of hair in private parts and the development of breasts, among various other changes. When these changes come at an early age, it can be all the more challenging to cope and comprehend the process. The onset of early puberty is something that is becoming more and more common with girls between the age bracket of 12 &amp; 13. How can you help deal with early puberty? Here's a list of tips!

1. Self-Image: One of the most important side effects of early puberty remains one's image of the self, as this phase in life is characterised by the most dramatic physical changes that can leave a lifelong effect on the girl's mind. The reinforcement of positive self-image to help the girl grow more comfortable in her skin despite the wide array of feedback she may be getting from sources outside the home, will help in creating a positive impact on a lifelong basis.

2. Doubts: This is a time when the child goes through a number of doubts regarding looks and appearance as well as how well she may be able to cope with the onset of the new process. As parents, the best thing to do is to let the child explore this terrain even as you remain firmly in the background for hand holding when the child asks for it. This will help the girl become even more confident to take life's decision more efficiently and seriously.

3. Talking About It: The best thing to do is to talk things out. Once you start seeing the changes in the girl's appearance by way of hair growth and sudden sprouting of breasts and height, it is important to understand that puberty may be close by. So have a talk about menstrual cycles and the changes that the child will be seeing soon. This will help in mentally preparing the child and giving her the leeway to ask questions that you can answer over a period of time.

4. Opposite Sex: It would also be beneficial to discuss the changes in the behaviour of boys towards her, as this will help her blossom into a more confident lady in the years to come.

Remember to love and support your child through this important milestone of her life, as the way you reach can have a lasting impact on her.

How to Deal with Early Puberty

Iron is an essential nutrient and mineral that is required by adults and children alike. Iron helps move oxygen from the lungs to the rest of the body and helps muscles store and use oxygen. It is especially important for children because it aids development and prevents anaemia. Untreated iron deficiency in children can cause physical and mental delays. It can lead to less healthy red blood cells in the child's blood stream which will cause a delay in the growth of physical and mental faculties.

Risk factors for iron deficiency in children

Infants and children at highest risk of iron deficiency include:

Babies who are born prematurely or have a low birth weight
Babies who drink cow's milk before age 1
Breast-fed babies who aren't given complementary foods containing iron after age 6 months
Babies who drink formula that isn't fortified with iron
Children ages 1 to 5 who drink more than 24 ounces (710 milliliters) of cow's milk, goat's milk or soy milk a day
Children who have certain health conditions, such as chronic infections or restricted diets
Children ages 1 to 5 who have been exposed to lead
Adolescent girls also are at higher risk of iron deficiency because their bodies lose iron during menstruation.
Symptoms of iron deficiency anaemia

The signs and symptoms of iron deficiency anaemia in children may include:

Pale skin
Fatigue or weakness
Slow cognitive and social development
Inflammation of the tongue
Difficulty maintaining body temperature
Increased likelihood of infections
Unusual cravings for non-nutritive substances, such as ice, dirt or pure starch
Prevent iron deficiency in children

Take steps to prevent iron deficiency in your child by paying attention to his or her diet. For example:

Breast-feed or use iron-fortified formula. Breast-feeding until your child is age 1 is recommended. If you don't breast-feed, use iron-fortified infant formula.
Encourage a balanced diet. When you begin serving your baby solids, typically between ages 4 months and 6 months, feed him or her foods with added iron, such as iron-fortified baby cereal. For older children, good sources of iron include red meat, chicken, fish, beans and dark green leafy vegetables. Between ages 1 and 5, don't allow your child to drink more than 24 ounces (710 milliliters) of milk a day.
Enhance absorption. Vitamin C helps promote the absorption of dietary iron. You can help your child absorb iron by offering foods rich in vitamin C, such as melon, strawberries, kiwi, broccoli, tomatoes and potatoes.
Consider iron supplements. If your baby was born prematurely or with a low birth weight or you're breast-feeding a baby older than 4 months and he or she isn't eating two or more servings a day of iron-rich foods, talk to your child's doctor about oral iron supplements.
Make sure that you watch out for the tell tale signs of iron deficiency and take the necessary precautions to avoid the same.

Iron Deficiency - How it Puts Your Child at Risk

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