1. Professor & Head, Dept. of Pedodontics, SIDS, Guntur, A.P
GOOD AFTERNOON
Dr. A. J. Sai Sankar M.D.S.,
Professor & Head, Dept. of Pedodontics, SIDS, Guntur, A.P

2. PEDODONTIST AND PEDIATRICIAN INTER-LIAISON

3. INTRODUCTION
“Oral health is an integral part of the overall health of children”

4. METHODOLOGY
Questions like-
Whether they are aware that a separate branch in dentistry deals with dental problems for children?
How often they refer child patients to a Pedodontist ? / and if so at what age?
When the teeth formation, eruption, exfoliation and occlusion settles?
Knowledge regarding the relationship between diet and dental caries.
Cariogenicity of breast milk/bovine milk and milk formulas
Timing of child’s first dental visit
Role of breast feeding on development of dental arches
Appropriate age to remove a NNS habits and its consequences on the dento- facial complex.
Importance of early preventive measures for special children
Early initiation of Dental Home concept

5. RESULTS Most of the pediatricians know and acknowledged
the importance of pediatric dentistry. (85%)
Even though they know the importance of breast feeding, most of them are not aware of its cariogenicity. (70%)
Much of them are not sure at what age they should refer a child to Pedodontist nor ill effects of NNS habit on stomatognathic system. (90%)
None of them are sure about the caries process, etio-pathogenesis , consequences and preventive aspects for the same.(90%)

6. DISCUSSION Importance of Pedodontics as a specialty
Why Pediatrician do not refer to a Pedodontist?
Why is it that timing of child patient referral to a Pedodontist is important?
- Importance
- AAP / AGP / AAPD guidelines

7. Understanding caries

8. Window of infectivity Streptococcus Mutans 19-31 months of age
Mode of Transmission
Importance

9. Influences the Growth & Development of the individual
Dental Caries Vs
Growth & Development
Severe Carious lesions ( if untreated)
Influences the Growth & Development of the individual
Pulpitis
Dental abscess
affects metabolic pathway
Erythropoiesis
Malnutrition
Suppress Haemoglobin production
Anaemia

10. BREAST FEEDING Emotional, immunological and nutritional benefits.
Fulfills Oral drive.
Reduced risk of having conditions like Acute Otitis Media; Gastroenteritis ; Diarrhea; Serious Infections and diseases; Leukemia; Asthma; Obesity
Helps in Craniofacial growth and development .
Higher IQ in breastfed children. Cholesterol and other types of fat in human milk support the growth of nerve tissue. .
POSITIVE
NEGATIVE
Frequent & prolonged BF -> leads to increased exposure of lactose to tooth surface -> increase in cariogenic bacteria
Early discontinuation of BF leads to NNS habits

11. Composition of Human Breast milk
4/12/2013 JC

12. Early childhood caries
On demand breast feeding
Bottle feeding during infancy (bedtime)
Use of honey dipped pacifiers
reasons
Leads to
Pain & Discomfort
Loss of tooth structure
Disturbed sleep
Space loss
Reduced
Food intake
Loss of
Self esteem
Effects Glucosteroid production
Malnutrition
Influences Growth & Development

13. BOTTLE FEEDING Leads to – Poor oral motor development
Respiratory disorders
Possibility of developing malocclusion
Increased risk of caries

14. Effect of BOVINE MILK & MILK FORMULA on caries activity
Cariogenicity of LIQUID PHARMACEUTICAL PREPERATIONS

15. NON NUTRITIVE SUCKING HABITS
Reasons
Consequences
Discontinuation problems
– stress, hunger, pleasure,
sadness, boredom,
hyperactivity etc.,
Timing of treatment

16. NOT TO FORGET…. Introducing DENTAL HOME concept by 1year
ANTICIPATORY GUIDANCE about G &D issues
“ healthy habits if introduced early in the life will tend to extend for the whole of the individual”
Early referral of the child patient to initiate preventive strategies, particularly for Special children

17. RECOMENDATIONS
Interaction with the Pedodontist will help the Pediatrician to guide the parents to prevent various dental problem early.
Emphasizing the timing of child first dental visit
Encouraging proper breast feeding technique followed by proper oral hygiene practice
Incorporating the information regarding the importance of oral health in medical curriculum

18. Thank you