A loss of tooth or teeth is one of the biggest dental problems that someone can face. The irony is that people consider loss of teeth to be very insignificant. But in reality loss of teeth can lead to not only cosmetic problems, but also functional problems and an unstable chewing mechanism.

Loss of teeth can lead to many problems. Some of them are:
1. Supra eruption of opposing teeth
2. Compromised efficiency of chewing
3. Adjacent teeth might drift into the space created by missing teeth
4. Food tend to accumulate between teeth, which have moved
5. Food accumulation also leads to periodontal disease and caries
6. A lopsided chewing pattern as there is loss of equilibrium in the mechanism of chewing
7. The extracted area might reveal a loss of bone height
8. Problems of the temporomandibular joints, like closed bite and tmj osteoarthritis
9. The existing functional teeth might lead to problems due to overload
10. There are increased chances of cheek biting due to collapse of the cheek in the missing space, thus leading to functional and cosmetic problems
11. The frequency of tongue biting and ulceration might increase in the area of missing teeth or tooth
When missing teeth are replaced, one can easily restore the healthy look of the teeth and also prevent any other dental problems which are due to the missing teeth.

While replacement of the missing teeth it is of utmost importance that the equilibrium is maintained with the distribution of the forces caused by chewing. Care is also taken that the cosmetic outlook is also maintained in the treatment. 

Ideally the teeth when extracted or lost should be immediately replaced. This is because the replacement prevents the bone resorption or bone loss in the area and also retains the good bone. But a drawback is that such an immediate replacement might lead to limitation. Immediate treatment is usually done with the help of implants which easily fit in the sockets created by extraction. But even for this an analysis of the bone and gum health is necessary, thus leading to only a few instances for such replacements. Other alternative is that immediate removable dentures can be prepared and these can be replaced once the gums of the area have healed. The time period for this is usually 3 months. If these need to be fixed permanently then a waiting period of 3 months is mandatory for the settling and healing of the gums and bone of the area.

The 3 basic ways of fixing missing teeth are through implants, fixed bridgework (bridges and crowns) and dentures, which can be removed.

Missing Teeth and Problems Associated With It

Play is an important way, through which a child learns about the world. Through playful activities, children learn to socialize and communicate with others, solve problems, and use language effectively. 

Play is a form of expression   it is fun and all-important to cognitive, social, physical, and even emotional development. Learning through play is gaining recognition as a way to improve social and communication skills in children.

What does a playful approach to learning mean?

Playful learning implies that when children engage in enjoyable activities that are meaningful and relevant, they are able to memorize things for longer and develop holistic skills at the same time for lifelong learning. This usually takes place in a setting where the child has opportunities to take risks, share their experiences with others, and imagine new things.

How does playfulness help while learning?

Children who are engaged in playful activities are empowered to use their strengths and take part in experiences that they find relevant to their interests. Internal motivation and self-efficacy is the key to the characteristics of playful learning. 

Research suggests that parents who respond to their child s playful behaviour   by describing, labelling, or asking questions about the events or objects that are of interest to the child   improve intellectual and communication skills in them. In turn, kids develop a large vocabulary arming them with the necessary skills that are needed to acquire to perform well in academics. 

Parents can take a playful approach by following these tips  

Allow your child to be creative   through music and art   and express his/her thoughts more clearly. Sit by their side and watch them learn using different colours, shapes, and forms. 

Encourage your child to play with puzzles, or paint a picture, as it will encourage their artistic skills

Find out what triggers a positive response in your child and what prompts disruptive, challenging behaviour in him/her

When you interact with your child, talking and listening, singing and reading together, you are helping them learn about spoken and written communication, language, as well as conversational skills, such as taking turns and listening. 





A Playful Approach To Enhance Communication & Social Skills In Children!

Has your child been coughing frequently? Is the cough chronic in nature, making your child breathe rapidly and does he/she complain about a tightened chest? These symptoms signify that your child is having asthma. Asthma is a medical condition characterized by paroxysmal wheezing respiration dyspnoea. It is common in children and an affected child experiences difficulty in breathing, and a whizzing sound is produced, especially during expiration. Asthma may lead to severe health complications and needs immediate diagnosis and treatment.

Diagnosis: The diagnosis of asthma is based on the symptoms, medical history and a physical examination of the child.

The different modes of asthma diagnosis are as follows:

    Medical history and symptoms: You must tell the doctor about any history of breathing trouble with your child or whether there are chances of other inherited health conditions. You must explain your child's symptoms properly, which may include coughing, wheezing, chest pain or tightness and others if observed.
    Physical examination: A physical exam will be carried out in your child where the doctor will listen to his heart and lungs, and look for eye or nose allergies.
    Medical tests: A chest X-ray of the child has to be carried out, along with a simple lung function test known as spirometry. This test measures the amount of air present in the lungs and determines how fast it can be exhaled. Spirometry enables a doctor to determine the severity of the asthma. Some other tests are also carried out for the identification of asthma triggers. They include allergy skin testing, blood tests and X-rays to know if sinus infections are affecting the asthma. An asthma test determines the amount of nitric oxide in your child's breath.

Treatment: Based on your child's severity of asthma symptoms and his medical history, the doctor will provide you with an action plan to treat the same. This action plan explains all the medications your child requires, the dosage and schedule of the medicines. The plan also includes points on what to do when the asthma worsens and when an emergency treatment is required. Anti-inflammatory drugs are prescribed to children who require bronchodilator medication. All asthma medicines used by adults can be used in case of children but in lower dosages.

You should give the asthma medications to your child using a home nebulizer or a breathing machine. A nebulizer delivers asthma drugs by transforming them from liquid to a mist. The child gets the drug by breathing it via a face mask.

In order to control and manage asthma in children, they must avoid the triggers and should keep away from any source of smoke. A doctor must be consulted to know about the best diagnosis and treatment methods.

Asthma in Children: Diagnosis and Treatment

Lactose intolerance is a condition wherein you are not able to digest lactose, which is a sugar found in milk. Other foods that contain lactose include cheese and ice-cream. Inadequate production of the lactase enzyme in children causes lactose intolerance. This enzyme is produced in the intestine that helps in the digestion of lactose.


Lactose intolerance is often confused with milk intolerance. The symptoms are similar but they do not share the same cause. Milk allergy is an adverse reaction towards milk and it is a problem of the immune system, whereas lactose intolerance involves the digestive system.


Symptoms-
The symptoms of lactose intolerance are:
Bloating; on consumption of milk over a period of time
Diarrhea is also very common
Stomach pain
Nausea


Diagnosis-
It is self -diagnosable; just strike out foods containing lactose from your child s diet and see if the symptoms get better with time. If the symptoms happen to fade away gradually, then it certainly must ve been lactose intolerance.
However, it can be tricky as many non-dairy products also contain lactose.
If the child is lactose intolerant, then he/she might have to undergo a lactose breath test. This is used to test the levels of hydrogen in the child s breath after the child consumes a lactose solution. Usually, hydrogen levels are low in one s breath. However, if the lactose solution is not digested properly, then it will lead to a temporary increase in the levels of hydrogen in the breath, thus indicating lactose intolerance.


Treatment-
This disorder does not have a cure; so in case your child has lactose intolerance, you need to adjust his/her diet accordingly. Over-the-counter lactase is also available that helps in digesting lactose based foods. You can also go for the  lactose- free  milk variety for your child.


Lactose Intolerance in Kids

Tonsillitis is an affliction that plagues a fair share of people. Located at the back of your throat, tonsils are essentially two small glands, which contain white blood cells to defend your body against infection. However, on account of germ attacks, sometimes the tonsils get infected and this results in the swelling of the tonsil glands, which in turn causes sore throat and aligned maladies. 

Tonsillitis may be cured through surgical procedures. However, an isolated case of the inflammation of the tonsils need not warrant a surgery. Tonsillectomy or the surgical method of curing tonsillitis is only recommended for extreme cases of tonsillitis. Only the frequent sufferers of tonsillitis take recourse to tonsillectomy for a durable and effective solution. Surgeries are only done on those who have had at least seven bouts of strep throats within a span of a year. 

Tonsillectomies essentially involve surgical removal of the tonsils either using a scalpel or burning the tissues in the tonsils with the use of ultrasound vibrations. Usually performed under anesthesia, it is a fairly painless and a non-hazardous procedure. Tonsillectomies generally last for about an hour. However, the recovery period sometimes entail a few physical discomforts. Sore throat, difficulty in swallowing, pain in the jaws and ears are common symptoms of post tonsillectomy conditions. While there are palliative medicines available in the markets, adequate rest and proper diet speeds up the recovery. 

Tonsillectomy generally leaves no side effects and the success rate of this surgery is quite heartening. Tonsillectomy has also known to cure several other associated health problems in the likes of breathing troubles, sleep apnea, bleeding of the tonsil glands or cancerous developments in the tonsil glands. That aside, tonsillectomy is only performed on acute cases of tonsillitis and often regarded as the lender of last resort when medicines stop according any relief to the patient.

When to go for a Tonsil Surgery?

Is bedwetting a regular feature in your child? Has this been continuing for a long time and is making you concerned? Nocturnal enuresis is the condition in which a child passes urine when he sleeps at night, unknowingly. It is referred to as bedwetting or nightwetting in Ayurveda. Shayyamutra is the Ayurvedic name of this condition in which shayya refers to sleeping, and mutra means urine.

Ayurvedic guidelines and remedies

You must ensure that your child is getting sufficient sleep. A proper sleep schedule will make it easier for him to wake up when his bladder is full and he needs to urinate.
The bowel must be kept clear to prevent thread worms from troubling at night. They account for being an important cause for bedwetting.
Your child should abstain from food items such as green gram, potato, tea, chocolates, coffee, and spicy foods producing gas.
You must make sure that your child does not drink any liquid right before going to sleep. On the contrary, his bladder should be emptied before going to bed.
Bladder stretching exercises should be undertaken, which are effective for the management of bedwetting in children.
In children who experience bedwetting in spite of being grown up, the reason is usually stress. Stress may occur from various causes and it is important to bring your child s stress under control. For this, he should undertake yoga, mindful meditation, and other relaxation techniques.
There are various Ayurvedic home remedies, which are ideal for managing bedwetting in children. Some of them are as follows:

Fry one spoon of coriander seeds until it turns brown. Mix one teaspoon each of sesame seeds, babul gum, and pomegranate flowers and make a fine powder out of the ingredients. Add crystal sugar to the mixture and give this to your child before bedtime regularly.
Give half a cup of milk and Sarshapa in a powdered state to your child before he/she goes to sleep at night.
Ayurvedic remedies used for curing bedwetting in children aim at strengthening your nervous system and your urinary tract. Vishatinduka vati, Chandraprabha vati, and Shilajitwaadi vati are common Ayurvedic medicines used for treating bedwetting.
Deworming should be carried out for the infestation of intestinal worms, which may provide relief to your child.
Several medicinal herbs are also used for the Ayurvedic treatment of bedwetting. They include bimbi, kataka, amalaki, hareetaki, haridra, khadira, and a lot more.
It is recommended for you to consult an Ayurvedic practitioner before following any Ayurvedic remedy for your child for treating bedwetting. A doctor would prescribe the best remedies after diagnosing your child properly.

Bed Wetting in Children - How Ayurveda Remedies Can Help!

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