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Pediatric Dentistry Health Feed

Paediatric psoriasis Analysis

Dr.Nitin Hundre 88% (205ratings)
Doctor of Homeopathic Medicine (H.M.D.)
Homeopath, Belgaum
Paediatric psoriasis Analysis

Psoriasis is a chronic skin condition that occurs in children and adults. The typical appearance is of red, thickened, scaly patches on the skin (plaques). These plaques can vary in size and distribution from person to person. In some people it may affect small areas of skin while others may have large areas covering their body.
What kinds of psoriasis occur in children?
1.Each of the patterns of psoriasis described in adults can be seen in children. These include:
Flexural psoriasis (red areas between skin folds)
Scalp psoriasis (thick scales found on areas of the scalp)
Nail psoriasis (nail dystrophy related to psoriasis)
Acute guttate psoriasis (small red plaques occurring after an infection)
Chronic plaque psoriasis (red plaques with scaling occurring anywhere on the body)
Erythrodermic psoriasis (severe reddening covering most or all of the body)
Pustular psoriasis (severe pustules that arise acutely)
Photosensitive psoriasis (affecting areas of sun exposure)
Guttate, facial and flexural psoriasis are particularly common in children.
What causes psoriasis?
Psoriasis has a strong genetic component and is due to abnormal processes involved in regulation of the immune system.
Individuals may have flares in psoriasis in response to stress, injury, medications and infections (particularly streptococcal tonsillitis).
Psoriasis is not contagious, therefore, affected children do not need to be isolated from other children.
How is the diagnosis made?
The diagnosis of psoriasis is usually made clinically. This involves a doctor examining the skin and making the diagnosis based on the appearance of the affected areas.
The plaques tend to be distributed symmetrically.
They favour certain sites such as scalp, elbows and knees; or; skin folds such as behind ears, armpits and groin.
They are well circumscribed, red and scaly.
There is often a family history of psoriasis.
Occasionally, a skin biopsy may be necessary to distinguish psoriasis from other skin conditions that may appear similar.
How is the severity of psoriasis assessed?
Assessing severity of psoriasis can assist in deciding upon the most appropriate course of treatment. Severity of psoriasis can be determined in the following ways:
calculate the body surface area involved
estimate a PASI score (psoriasis area and severity index)
use a questionnaire to assess a person’s quality of life.
PASI score
A PASI score is a tool used to measure the severity and extent of psoriasis (Psoriasis Area and Severity Index). It takes a few minutes and experience to calculate it accurately.
Intensity
A representative area of psoriasis is selected for each body region. The intensity of redness, thickness and scaling of the psoriasis is assessed as none (0), mild (1), moderate (2), severe (3) or very severe (4).
8 people found this helpful

Paediatric Care A Concern!

Dr.Isha Malhotra 92% (7567ratings)
BDS
Dentist, Gurgaon
Paediatric Care A Concern!

Baby Bottle Tooth Decay

 Tooth decay in infants and toddlers is often referred to as Baby Bottle Tooth Decay, or Early Childhood Caries. Children need strong, healthy teeth to chew their food, speak and have a good-looking smile. Their first teeth also help make sure their adult teeth come in correctly. It’s important to start infants off with good oral care to help protect their teeth for decades to come.

You can help prevent your baby from getting cavities or developing what is called Baby Bottle Tooth Decay or Early Childhood Caries, by beginning an oral hygiene routine within the first few days after birth. Start by cleaning your baby’s mouth by wiping the gums with a clean gauze pad. This helps removes plaque that can harm erupting teeth. When your child's teeth begin to come in, brush them gently with a child's size toothbrush and a small amount of fluoride toothpaste, about the size of a grain of rice. For bottle feedings, place only formula, milk or breast milk inside and avoid using sugary beverages such as juice or soda. Infants should finish their bedtime and naptime bottle before going to bed.

Dental Emergencies

Accidents can happen anywhere, anytime. Knowing how to handle a dental emergency can mean the difference between saving and losing your child’s permanent tooth. For all dental emergencies, it’s important to take your child to the dentist or an emergency room as soon as possible.

Here are some tips if your child experiences a common dental emergency:

  • For a knocked-out tooth, keep it moist at all times. If you can, try placing the tooth back in the socket without touching the root. If that’s not possible, place it in between your child’s cheek and gum, or in milk. Call your dentist right away.
  • For a cracked tooth, immediately rinse the mouth with warm water to clean the area. Put cold compresses on the face to keep any swelling down.
  • If your child bites his tongue or lip, clean the area gently and apply a cold compress.
  • For toothaches, rinse the mouth with warm water to clean it out. Gently use dental floss to remove any food caught between the teeth. Do not put aspirin on the aching tooth or gum tissues.
  • For objects stuck in the mouth, try to gently remove with floss but do not try to remove it with sharp or pointed instruments.

Thumbsucking

Sucking is a natural reflex and infants and young children may suck on thumbs, fingers, pacifiers and other objects. It may help them relax or make them feel safe or happy. Most children stop sucking by age 4. If your child continues to thumb suck that after the permanent teeth have come in, it can cause problems with tooth alignment and your child’s bite. The frequency, duration and intensity of a habit will determine whether or not dental problems may result. Children who rest their thumbs passively in their mouths are less likely to have difficulty than those who vigorously suck their thumbs. If you are worried about your child’s sucking habits, talk to your dentist or consult your child's pediatrician.

Space Maintainers

Space maintainers help “hold space” for permanent teeth. Your child may need one if he or she loses a baby tooth prematurely, before the permanent tooth is ready to erupt. If a primary tooth is lost too early, adult teeth can erupt into the empty space instead of where they should be. When more adult teeth are ready to come into the mouth, there may not be enough room for them because of the lost space. To prevent this from happening, the dentist may recommend a space maintainer to hold open the space left by the missing tooth.

Sealants

Sealants are a fast and easy way of protecting your child’s teeth that act as barriers to cavity-prone areas. They are usually applied to the chewing surfaces of back teeth and sometimes used to cover deep pits and grooves. Sealing a tooth is fast and there is virtually no discomfort. As long as the sealant remains intact, the tooth surface will be protected from decay. Sealants hold up well under the force of normal chewing but may have to be reapplied if needed. Both primary and permanent teeth can benefit from sealants. Ask your dentist if sealants will help your child.

Mouthguards

Mouthguards can help protect your child from a dental emergency. They should be worn whenever your child is participating in sports and recreational activities. Mouthguards cushion blows that would otherwise cause broken teeth, injuries to the lips and face and sometimes even jaw fractures. If your child participates in such pastimes, ask your dentist about custom-fitted mouth protectors.

Malocclusion

Malocclusion, or bad bite, is a condition in which the teeth are crowded, crooked or out of alignment, or the jaws don’t meet properly. This may become particularly noticeable between the ages of 6 and 12, when a child’s permanent teeth are coming in. If not treated early, a bad bite can make it difficult to keep teeth and gums clean where teeth are crooked or crowded, increasing the risk for cavities and gum disease.

Bad bites can also:

  • Affect proper development of the jaws.
  • Make the protruding teeth at risk for chips and fractures.
  • Affect eating and speaking.
  • Make some teeth more likely to wear abnormally or faster than those that are properly aligned.

Anesthesia and Sedation

Your dentist might recommend that your child be administered anesthesia or sedation to relax them in order to safely complete some dental procedures.    

  • CONCLUSION : When your child’s first tooth appears, talk to your dentist about scheduling the first dental visit. Treat the first dental visit as you would a well-baby checkup with the child’s physician. Remember: starting early is the key to a lifetime of good dental health. Encourage healthy eating habits.

 

3 people found this helpful

Paediatric & pace maker

Dr.P Nagaraj 89% (3802ratings)
FRHS, Ph.D Paed Neuro Rehabilitation, MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Paediatric & pace maker
Paediatric & pace maker

Children with pacemaker can lead healthy and full lives. Heart blocks can be detected even in the foetal stage
43 people found this helpful

Bad Brath In Pediatrics!

Dr.Saumyaranjan Sahoo 85% (53ratings)
Fellow of Academy of General Dentistry (FAGD), BDS, osteem certified implant course
Dentist, Puri
Bad Brath In Pediatrics!

Bad breath is somewhat common, occurs in all ages, even children. It may be due to oral disease or latent 
Infection within the body. It should be noted that the accumulation of postnasal discharge can be caused by allergies, 
Colds and sinusitis which is the most common cause of bad breath. Other causes include dental caries and other 
Dental abscesses, mouth breathing, nasal foreign body, diseases such as digestive problems, asthma, liver disorders 
And diet. Elimination of bad breath in children is possible by using a series of recommendations. 

1 person found this helpful

Know More About Pediatric Urology Problems!

Dr.Datson George .P. 89% (535ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, MCh - Urology, Fellowship in Minimal Access Surgery.
Urologist, Ernakulam
Know More About Pediatric Urology Problems!

Pediatric urology problems related to kidney, ureter, bladder and prostate has to be diagnosed and treated early. Most of them can be cleared with laparoscopy and key hole methods!

Homeopathy For Paediatric Illness!

MD - Homeopathy, BHMS
Homeopathy Doctor, Chennai
Homeopathy For Paediatric Illness!

One of the most precious gifts of God is parenting. Parents’ lives are always filled with a number of responsibilities, with the health of their kids being not only one of them but also one of the most primary responsibilities, as each and every parent wish to see their children stay fit and healthy.

Benefits of Homeopathy Treatment for Illness in Children

Homeopathy works really well to treat a number of diseases. Still, it has a special connection with the problems which children tend to face. Homeopathy is the best possible treatment for illnesses affecting children. The unique benefits of homeopathy in treating some of the most common childhood problems are:

  1. Safe, Gentle and Free From Side Effects: Homeopathy offers the safest mode of treatment and hence it is ideal for kids. These are safe to use in very young babies as well, due to the non-existence of any kind of side-effects.
  2. Helps to Cure Permanently: Before prescribing homeopathy medicines for children, a homeopath records all the individual symptoms of the disease in a detailed manner. After collecting the symptoms, the most similar remedy is prescribed. The indicated remedy acts on individual symptoms and the disease gets cured of the root. Thus it is ideal for the kids.
  3. Increases Immunity and Resistance Power of Body Naturally: As per the principle of homeopathy, when anyone suffers from any kind of disease, resistance power gets affected. So, when a homeopathic medicine is prescribed, it acts as a vital force on the body and hence makes it stronger. Hence the stronger vital force helps to eliminate the force of the disease, thus increasing the resistance power. Kids, who have a delicate immune system and thus they are prone to getting ill, so for them, Homeopathy is an excellent method to help them stay healthy.
  4. It Can Be Used for Both Acute and Chronic Conditions: Childhood happens to be the most sensitive as well as the fundamental phase of life. So, in this situation, homeopathy works like magic in both kinds of diseases, acute and chronic. Acute illnesses include cough and cold, fever and chronic ones refer to asthma, cerebral palsy, etc.

You can easily take an online consultation for further treatment guidance from Homeopathy Doctors in Chennai and permanent cure without any side effects.

3454 people found this helpful

Pediatric Surgery - Everything You Should Be Aware Of!

Dr.Tarun Agarwal 87% (10ratings)
MBBS, MS - General Surgery
General Surgeon, Lucknow
Pediatric Surgery - Everything You Should Be Aware Of!

Pediatric surgeries are group of surgeries involving foetuses, infants and young kids. Surgeries are especially focused on treating pre-existing or new conditions that arise or may arise in a child’s life time. Unlike surgeries that are carried out on adults, Pediatric surgeries are a lot more complicated and need much more expertise. This is because of a number of reasons, including, tiny body parts to operate on, much lesser developed body’s defense mechanism, etc.

Pediatric surgeons, like any other surgeon, run a thorough diagnostic test before they proceed with surgery.

Here are some of the common pediatric surgeries:

Congenital Surgeries

These surgeries are carried out when the baby is still inside the womb and if any complications arise inside the womb, the surgeon takes action to resolve the issue. Although congenital surgeries aren’t uncommon, they are still very tricky with normally an increased risk factor.

Surgery for Acquired Conditions

These are the conditions that develop in children after they are born. Acquired health problems are common and they are easier to treat than congenital ones. Other kinds of surgeries are:

Appendicitis

When an appendix gets inflamed or infected, the surgeon removes it through surgery. These days the surgery for appendix in children has developed quite steadily as there are minimally invasive methods like laparoscopy that are used. These methods ensure minimal pain and after effects.

Biliary Atresia 

This is a congenital condition, where the bile juices from the liver are unable to reach the digestion process. The patient has to go through many diagnostic tests like ultrasound, nuclear medicine scans and liver biopsy, so that the surgeon can determine the blockages and the effects of the bile ducts. Then the surgeon performs the surgery where the bile ducts and the liver pathways are reconstructed.

Congenital Cystic Adenomatoid Malformation 

This is also a congenital condition, where lung tissue that is very essential in the breathing process isn’t formed correctly. Instead of the right kind of tissue, a defected one is formed. Doctors monitor their mothers during their pregnancies as this surgery is quite delicate, and after the baby is born, the surgeons perform surgery to remove this abnormal tissue.

Hirschsprung’s Disease

This disease is caused by abnormal reflexes in the neural system and causes abnormal bowel movements in the child’s body. That is why the surgeon performs long surgery to scoop out the enlarged part of the colon
and restore the bowel movements.

Pectus Carinatum 

This congenital condition is often mentioned as the “bowed chest” as abnormal growth is seen between the child’s ribs and the breast bone. The method of treating this surgery is quite complicated, which is why surgeons often use chest braces to push both the bones away.

Conclusion

Although most of the common pediatric surgeries are mentioned here, there are many other pediatric surgeries a surgeon has to perform. In any case, a good and experienced pediatric surgeon should be consulted for any such condition, owing to the inherent complexities involved in such surgeries.

3023 people found this helpful

Paediatric Short Heights - What Should Be Done?

Homoeocare Clinics 87% (23ratings)
Homeopathy Doctor, Delhi
Paediatric Short Heights - What Should Be Done?
Homeopathy can treat paediatric short height. True or False? Take the quiz to know more.
Start Quiz
66people took this quiz

10 Important Facts About Paediatric Liver Transplants!

Dr.Rajiv Lochan 85% (10ratings)
MBBS, MS - General Surgery, FRCS (edinburgh), MD - R & D, FRCS Intercollegiate
Liver Transplant Surgeon, Bangalore
10 Important Facts About Paediatric Liver Transplants!

Being told that your child needs a liver transplant may be scary but the truth is that this surgery has a very high success rate. Most children who have had a liver transplant lead long, healthy lives. Here are 10 facts you should know about pediatric liver transplants.



Fact 1 - Liver transplant is usually the last resort.
Doctors advise a liver transplant only when medication and other types of therapies fail to provide desired results. Hence, do not ignore the doctor’s advice if they say the child needs a transplant.

Fact 2 - A liver biopsy may be needed before a liver transplant
Not every child is a viable candidate for a liver transplant. Hence, a biopsy is usually conducted to check the child’s candidacy for the transplant.

Fact 3 - Children are scored along the MELD and PELD system to determine the urgency of a transplant
This stands for the Model for Endstage Liver Disease (MELD) scoring system and Pediatric End-stage Liver Disease (PELD) scoring system. The higher the score, the more urgent the need for a transplant.

Facts 4 - It may take a while for a donor liver to become available
Most donor livers come from recently deceased persons. Depending on the urgency of the child’s condition, the child will be placed on the waiting list for a donor liver. This can take anywhere from a few days to a few months.

Fact 5 - The only part of a healthy liver is transplanted to the child.
In the case of children, only part of the liver is transplanted as their liver has not yet reached its full size. Often a healthy liver will be partially transplanted to a child and partially transplanted to an adult.

Fact 6 - The child’s family members can donate part of their liver for a child’s liver transplant.
Family members with the same blood type can donate part of their liver to the child.

Fact 7 - Liver transplant surgery is performed under general anaesthesia.
This surgery is performed while the child is under general anaesthesia and hence he or she will not feel anything during the procedure.

Fact 8 - Your child may have to be hospitalized for a few weeks post-surgery
Children are usually hospitalized for a few weeks after the surgery so that the doctor can keep an eye on how the body is reacting to the new organ.

Fact 9 - There is a chance your child’s body may reject the donor organ
In some cases, the child’s body identifies the transplanted organ as an antibody and rejects it. Medication can help reduce the risk of this happening.

Fact 10 - Regular check-ups are needed after a transplant
Check-ups are required to check for any complications that may arise post-surgery. Eventually, this is needed only once or twice in the year.

3668 people found this helpful

Please suggest a safe medication for pediatric use in loose motion and indigestion.

Dr.G.R. Agrawal 97% (28633ratings)
DHMS (Hons.)
Homeopathy Doctor, Patna
Please suggest a safe medication for pediatric use in loose motion and indigestion.
Hello, I being a homoeopath can suggest you some recourse in homoeopathy, please. @ Aloe 30 -1 drop with 1tsfl of milk, thrice. Upto 6 months to cover loose motion. @.China 30-1 drops"""" in the same manner to check indigestion. To keep your baby healthy you need ro remain fit. Tk, care.
7 people found this helpful
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