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

Children have a more active life than adults which means they need to be fed every few hours for ensuring the intake of sufficient nutrients. It is advisable to avoid giving them sugary snacks like chips, biscuits or chocolates as they are high in saturated fats and low in nutrients. It is essential to give healthy snacks to your children that are rich in nutrients and keep them healthy.

Here are five healthy snacks that you can include in your children's diet:

1. Whole grain cereal
Whole grain cereal along with milk and fruits can be one of the healthiest snacks for your children as a bowl full of these contain vitamins and calcium. Whole grains also contain fiber which helps regulate the digestive system. In order to make it a tasty snack, you can add strawberries or sliced bananas to it, which will also add more flavors to it. You can also make oatmeal cakes which are delicious as well as healthy.

2. Smoothies
Children are fond of smoothies and milkshakes and you can make it healthier too. Use low fat yoghurt and blend it with frozen fruits like mangoes, pineapple or blueberries for a delicious treat. You can also make a milkshake with peanut butter and fruits which are packed with nutrients and fiber and experiment accordingly. Avoid making the smoothies sugary as they can be harmful for your child's health if they are consumed on a regular basis.

3. Cheese
Low-fat cheese is a healthy snack for children as it is rich in calcium and nutrients. Make it an interesting snack by but cutting cheese in fun shapes and making kabobs with fruits. You can also make healthy pizzas with vegetables like tomatoes, broccoli or bell peppers topped on whole grain pita bread. You can also make snacks out of salt-free pretzels which your child can have with low-fat cheese.

4. Healthy baked food
Sneak in the fruits and vegetables in the baked foods your kids love. You can make muffins with sweet potatoes which are rich in beta-carotene. You can also make banana bread which is a delicious treat for your kids. Moreover, crispy baked snacks out of oats and apples tossed together served with low-fat yoghurt on top can also be a good snack time idea.

5. Dry fruits
Dry fruits and unsalted nuts are really a great snack for your kids. You can serve raisin toasts to your children as they are rich in fiber and vitamins and more effective than other sugary snacks. You can make a creamy raisin mix and serve it with carrot sticks or sliced apples.


5 Healthy Snacks for Your Children

Anxiety is a common issue with growing teenagers. It is not the typical anxiety before exams or academic projects. It is more than that. Anxiety may be the result of the hormonal changes, which predominantly affect the adolescent years of growth. While your body copes with different changes, your mind tangles between the future liberty and present restrictions. Knowing certain facts about this anxiety trail can help you to cope with it.

1. Anxiety is not always a disease: Anxiety is not always a disease. It is a normal phenomenon among adolescent teenagers. However, in certain cases it may be severe for some teenagers. They may feel crippled with anxiety. Under such cases, one would require psychiatric help.

2. Talk to someone: A great way to relieve yourself from stress due to anxiety is to speak with someone. It can be a friend or someone close to share your thoughts. If you know the reason of your anxiety, share it, discuss it. You will definitely feel better.

3. Take a break: Entertainment and break from academic work and schedule is necessary for teenagers to lower anxiety traits. However, if the anxiety is due to peers, you may even take a break from them and engage in family.

4. Cry out loud: It is not a silly thing to cry when you are stressed under anxiety. Crying is an emotional outburst which essentially relieves the stress due to anxiety and lets you control the emotional disturbed state of mind.

5. Good sleep: Sleep is necessary for both mental and physical rest. You need to overcome from the fatigue of routine works, stressful events, peer factor, etc. Catching the essential 8 hour sleep is a great way to overcome anxiety issues.

6. Don t be conscious: Anxiety is a common factor among all your peers. You are not the only one coping with anxiety stress. So, take it light. Relax and don t be conscious about your anxiety problems. Consider them to be temporary.

7. Be confident: Losing confidence under the stress due to anxiety can be even more disastrous. The effects will never be better. So be confident about whatever you do, whether right or wrong. Every person learns from his own activities. Whether right or wrong, everything will give you a lesson. So you will never be a loser, you will win a lesson.

8. Don t feel stupid: Being stressed with anxiety is not abnormal or stupid. Everything is okay with you, and you are not the stupid fellow out there.

9. You are not weak: Anxiety is not a sign of weakness. You can rather make it your strength. Fight it back and keep your energy and enthusiasm high.

10. Anxiety is temporary: As you move ahead of the adolescent period, anxiety will faint. You will be more confident and matured, able to tackle anxiety. So consider it to be an affair of a few years.

10 Things To Know About Adolescent Anxiety

In recent years there has been a rise in gastrointestinal disease due to lifestyle changes. Conditions like irritable bowel syndrome, gastroesophageal reflux disease, nonalcoholic fatty liver, cancer of colon, liver and pancreas have been affecting the young and the elderly equally.

The advancement of medical science has given rise to a series of laparoscopic surgeries relating to gastrointestinal diseases. These surgeries are minimally invasive compared to open surgeries. Let s have a look at the various forms of gastrointestinal surgeries.

Conditions Cured through Gastrointestinal Surgeries:

Gastrointestinal surgery can be used to prevent and treat the following health disorders.

  Peptic ulcer disease
  Barrett s Esophagus
  Hiatal hernia
  Radiation bowel injury
  Gastrointestinal tumours
  Inflammatory bowel disease
  GERD
  Achalasia
  Malignant disease of the pancreas
  Malignant disease of the biliary tract
  Infectious disease of the colon and rectum

Types of Gastrointestinal Surgeries:

Some examples of gastrointestinal surgeries include  

  Colon Cancer Surgery   It may involve local excision which is done in the early stage of colon cancer. Here the doctor inserts a cutting tool into the colon to remove the cancerous growth. Colectomy is the next stage that is performed only when the cancer has spread to the nearby tissues.

  Oesophagal Cancer Surgery   It includes esophagectomy or removing the oesophagus partially leaving the patient with the ability to swallow.

  Gall Bladder Cancer Surgery - It involves four stages of treatment namely Cholecystectomy, Surgical Biliary Bypass, Endoscopic Stent Placement and Percutaneous Transhepatic Biliary Drainage. Each procedure is performed at different stages depending on the severity of the condition.

  Liver Disease Surgery   Liver disease surgery involves Partial Hepatectomy, Liver Transplant and Ablation used at different stages of cancer.

  Pancreatic Cancer Surgery   The four stages of pancreatic cancer surgery includes Whipple procedure, Total Pancreatectomy, Distal Pancreatectomy and Gastric Bypass.

Apart from these open surgeries, the laparoscopic procedures include  

  Laparoscopic Adrenalectomy
  Laparoscopic Appendectomy
  Laparoscopic Nephrectomy
  Laparoscopic Splenectomy

Benefits of a Gastrointestinal Surgery:

  Minimally invasive due to which scarring is less
  Shorter recovery period
  Reduced chances of infection
  Reduced chances of reoccurrence of the disease

Most of these benefits apply specifically to the gastrointestinal surgeries performed using the laparoscopic technique.

With the rampant increase in gastrointestinal diseases among the masses the wide ranges of gastrointestinal surgeries have made treatment and prevention easier and more accessible.

Gastrointestinal Surgery - Everything About It!

Sometimes children suffer from conditions where their feet may not be in proper shape or size, something that can affect their posture. Most of the times the disorders get corrected themselves as children grow up, but there can be situations where medical attention is required. These conditions can be normal variations in the anatomy as well which don't essentially require treatment. Some of the common orthopedic disorders found in children include:

1. Flatfeet

While most babies are born with flat feet which develop arches as they grow, in some case the arches remain underdeveloped even after they grow older. Their feet may turn inwards while they walk due to their flat nature. There is no inherent problem in this condition unless it becomes painful. Doctors may recommend special footwear with arches inserted for support to reduce the pain.

2. Toe Walking

Toe walking is not a disorder while your child is just learning to walk. Toddlers who continue to walk on their toes after the age of 3 may require medical attention. Toe walking on one leg or persistent toe walking can be due to other medical conditions like muscle weakness, cerebral palsy or autism. It is advisable to take your child to a therapist for casting the foot and ankle which can help stretch the muscles.

3. Pigeon Toes

In toeing or pigeon toeing is common among babies when they are first learning to walk. Sometimes children above 3 years walk with their toes inwards which can be due to femoral anteversion. This happens when upper part of the leg bends more than it naturally should, causing inward rotation of the feet. Specially designed shoes and braces can help to correct this condition. Usually, the condition corrects on its own with age and does not interfere with sport activities which involve running.

4. Knock-Knees

It is a common tendency among children aged between 3 and 6 to develop knock-knees (genu valgum), since their bodies go through natural shift in alignment. Usually, treatment is not required as the legs straighten out eventually. Knock knees on one side or persistent knock knees may require medical attention. Children with this disorder may suffer from pain hence in some cases surgery is recommended after the age of 10.


Common Orthopedic Disorders In Children

CAKUT or Congenital Anomalies of the Kidney and Urinary Tract is a group of simple to life-threatening malfunction or malformation of the ureters, kidney, bladders, testis, penis or female genitalia. These malformations are present from the birth when the genital or urinary system of the fetal starts developing. In young children, this kind of malformations can lead to renal transplantations and kidney failures. The primary cause of this kind of congenital problem with the urinary tract is genetic while other possible cause can be due to the environment.

Some of the most common Congenital problems with the urinary tract are:

Bladder Exstrophy: One of the most common congenital problems in children is bladder malformation. In this case, the bladder is flattened in shape and not round. So it will be exposed on the abdominal walls. This, in turn, will result in widely separated pelvic bones. Thus the function of female genitalia, penis and prostate will be affected. There are different types of Exstrophy and surgeries required for correcting them.
Undescended Testes: Usually, in the abdomen area, the testicles are formed. After the formation, they pass from the abdominal wall muscles and twist to the local place. This happens in the last few weeks of the pregnancy and is seen only in 5 percent of full-grown boys. Most of the times, testicles fall to the normal place in the first 6 months of their life. Any abnormality in the testicles or missing testicles can be due to problems in the testicular blood vessels or due to loss of blood flow to that particular area. Surgical and nonsurgical therapies like hormone management can be used to treat this kind of congenital problem.
Vesicoureteral Reflux: The Ureter is the tube in the human body that carries the urine from the kidneys to the bladder. When there is Vesicoureteral Reflux problem, then the urine flows back in the ureter. When the reflux of urine takes place, then that will get detained in that area and can cause damage to the kidneys. There are basically two types of Vesicoureteral Reflux and the primary condition is congenital problems. This problem can also be treated with the help of surgical and nonsurgical methods.
Hydronephrosis: Another very common congenital problem with the urinary tract in children is Hydronephrosis. The flow of the urine from the kidney can be prevented by any obstruction. This obstruction can result in fluids getting filled in the organs. There can be many disorders or problems associated such as Multicystic Dysplastic Kidney, Posterior Urethral Valve, Ureteropelvic Junction Obstruction and Idiopathic Hydronephrosis. There can be many other problems also associated along with these.

Congenital Problems With The Urinary Tract!

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