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Specialist Dentistry in Chichester, West Sussex

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Paediatric Dentistry

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Paediatric Dentistry

As a practice, we believe that it is vital for children to have good dental health care at an early stage in their lives to ensure that they know the importance of good dental health. This helps ensure good dental health for the rest of their lives. We understand that sometimes this is not achieved and children may require more complex dentistry at a young age from extractions to restorations, which can be very frightening. This is why we have specialist children's dentists (Paediatric Dentist) working with Transform Smiles to ensure a smooth experience.  

Sometimes children may also need orthodontic treatment and for this, we will refer the child to our orthodontist. An orthodontist specialises in straightening and moving of teeth. The better positioning will improve appearance, the way that the teeth work together and how the mouth functions. Less strain is placed on the jaw-joints and the surrounding muscles tissue by spreading the workload of biting. Problems in these areas can lead to headaches and joint problems like clicking jaw. Oral health is also is greatly improved because straight teeth are much easier to keep clean!

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Paediatric Dentistry - Endodontics

The first treatment decision in young patients with one or more badly decayed teeth is whether to retain or extract these teeth. In most cases primary teeth can be saved by performing a pulpotomy, a method which removes the infected nerve tissue in the crown of the tooth, while the nerve in the root of the tooth remains vital.

After a pulpotomy, the tooth will need some structural support and a tight cover that protects the tooth from bacteria. This is achieved by using a crown. These can be silver (stainless steel) or white (zirconia). Both types will be cemented onto the tooth and remain until the tooth will naturally exfoliate. They can be fitted in a single appointment as they are pre-manufactured and can be amended and shaped to ensure a tight fit.

Paediatric Dentistry - Extractions

Our philosophy is to save primary teeth whenever possible, but there are occasions when an extraction may be necessary.

If this is the case then your child should not participate in any physical activities for the rest of the day. Try to give him/her as much rest as possible but keep their head upright to avoid bleeding. Furthermore avoid hot food and drinks until the anaesthetic wears off and be careful that he/she does not chew his/her cheek or lip and does not rinse out the area for the first 24 hours.

Paediatric Dentistry - Fissure Sealants

Fissure sealants are white, plastic coatings that are painted onto the biting surface of the back teeth. These biting surfaces are criss‐crossed with tiny hills (pits) and valleys (fissures), which provide a perfect breeding ground for bacteria. To prevent cavities in these pits and fissures you can cover them with a special composite varnish called fissure sealant, which has been shown to achieve a six‐fold reduction in caries development (compared to a tooth without fissure sealants).

The application of these fissure sealants are easy to do and children as young as 3 years of age are able to be comfortable with the procedure.

Paediatric Dentistry - Mouthguards

To avoid long-term damage caused by sports injuries, it is important to wear a professionally made mouthguard during any sports activity that involves physical contact or moving objects, like cricket, hockey, football, American football, boxing and rugby. A mouthguard will decrease the risk of damaging / breaking teeth and reduce the danger of dislocating the jaw. They are rubber‐like and custom made to fit exactly over the teeth and gums. This ensures teeth are cushioned and protected.

Paediatric Dentistry - Prostheses

Sometimes children lose more than just one of their teeth due to an accident, sickness or caries. If this creates a psychological problem a paediatric prostheses is a good option to help your child to regain the ability to chew, bite, and smile as normal.

Paediatric Dentistry - Restorations

When a child is diagnosed with tooth decay, the decay must be removed and the tooth restored. Depending on the size of the defect, the treatment usually involves the placement of a filling. At Transform Smiles we only use the newest materials such as Compomer or Composite (white filling material) and work with Rubber dam (an elastic piece of rubber stretched over the tooth during treatment to isolate the tooth from its environment – in particular from bacteria in the oral cavity), this will enhance the treatment quality.

Paediatric Dentistry - Space Maintainers

The primary molars maintain the space for the permanent teeth. If a primary molar is lost prematurely, fixed or removable space maintainers can take over this important function.

Fixed space maintainer

A fixed space maintainer is made of non‐allergic stainless steel and permanently attached to the neighbouring teeth. Once the permanent tooth grows into the space, the maintainer will be removed.

Removable space maintainer

A removable space maintainer should be worn at least 14 hrs (mostly during the night). Following the extraction, an impression will be taken and sent to a dental laboratory. The removable space maintainer will be custom made and your child will be able to choose a colour. If desired, a false tooth can be added (aesthetic space maintainer).

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