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Pediatric Dentistry

Understanding Children’s Oral Health, Growth & Habits

Pediatric dentistry is a preventive and developmental discipline that deals with the oral health of infants, children, and adolescents, with emphasis on growth, behavior, habits, and disease prevention.

Children are not miniature adults.
Their teeth, jaws, oral tissues, psychology, and habits are continuously evolving. Pediatric dentistry focuses on understanding this dynamic process and intervening at the right time—often before disease begins.

Why Pediatric Dental Care Is Important?

  • Oral health from birth to adolescence
  • Development of primary, mixed, and permanent dentition
  • Prevention and management of dental caries
  • Understanding and correction of oral habits
  • Monitoring jaw growth and occlusal development
  • Parent education and anticipatory guidance

Dental Caries in Children (Early Childhood Caries)

Dental caries in children is a multifactorial disease influenced by:

  • Frequent sugar exposure

  • Poor oral hygiene

  • Night-time bottle feeding

  • Lack of fluoride

  • Delayed dental visits

Why caries progress faster in children:

  • Thinner enamel

  • Larger pulp chambers

  • Poor plaque control

  • Limited pain perception in early stages

Prevention is always more effective than treatment.

Preventive Pediatric Dentistry

Core Preventive Measures

  • Oral hygiene instruction for parents and children

  • Professional cleaning when indicated

  • Fluoride application

  • Pit and fissure sealants

  • Dietary counseling

Preventive dentistry aims to maintain health, not merely treat disease.

Oral Habits in Children

Oral habits are learned or reflex actions that can significantly influence jaw growth and tooth position.

Common Oral Habits

1. Thumb / Finger Sucking

  • Normal up to 3–4 years

  • Harmful if persistent beyond this age

Possible effects:

  • Proclined maxillary incisors

  • Increased overjet

  • Anterior open bite

  • Narrow maxillary arch


2. Mouth Breathing

Often associated with:

  • Adenoids

  • Nasal obstruction

  • Allergies

Dental effects:

  • Long face syndrome

  • Narrow palate

  • Anterior open bite

  • Gingival inflammation


3. Tongue Thrusting

  • Tongue positioned between teeth during swallowing

Effects:

  • Open bite

  • Speech difficulties

  • Proclined incisors


4. Lip Biting / Nail Biting

  • Can cause localized malocclusion

  • Soft tissue trauma

  • Increased risk of infection

Self-Correcting vs Non-Self-Correcting Habits

Self-Correcting Habits

  • Thumb sucking before 3–4 years

  • Transitional tongue thrust during early dentition

These often resolve naturally as the child grows.


Non-Self-Correcting Habits

  • Thumb sucking beyond 4–5 years

  • Persistent mouth breathing

  • Established tongue thrust in mixed dentition

These require early intervention, habit counseling, or appliances.

Frequently Asked Questions

At what age should my child first visit a dentist?

Ideally by 12 months of age or within 6 months of the first tooth eruption.

Yes. Milk teeth are essential for chewing, speech development, and guiding permanent teeth into correct position.

Every 6 months, unless advised otherwise.

Yes. We use low-radiation digital X-rays only when necessary and with proper protection.

Frequent sugary foods, poor brushing habits, prolonged bottle feeding, and lack of fluoride protection.

Yes, if it continues beyond 4–5 years, as it may affect jaw and tooth alignment.