milk teeth

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hellooo!

how's everyone doing? *cupping one hand behind ear

*crickets sound*

.. 

okay. sounds great guys! *nervous chuckles

sooo now is 11:36pm and i am not even sleepy yet eventhough i had a longgggg day today. so before my eyes begging to sleep, i am going to rant a little about dental stuffs since it is weekday and i see people's teeth on a daily basis. (well you basically do that too. if you talk to people lah *smirk)

like the title suggested.. i am going to talk about.. milk teeth. 

why this topic? to be honest, i sort of having traumatic flashback about this one patient that i encountered in clinic last week. she was 3 years old girl, presented with recurrent swelling of gum on her upper front teeth. her mother complaint that she had multiple episodes of pain which causing her to stay awake at night, crying. 

sooo a little fact check, 
  • milk teeth start to erupt as early as 6 months old and completed by 3 years old. it could be varies but this is the common range.
  • milk teeth do not just get rotten on their own. its just.. you as the parents - are ignorant enough to let those kids go without a proper cleaned mouth. 
  • permanent teeth erupt at the age of 6 years old. 
okay continue. so after a thorough check up, the poor kid had a lot to be done. she was just 3 years old, but most of her teeth are rotten. and the main concern at that time was - her upper front root stumps, together with sinus tract (swelling with pus discharge). of course - she was veryyy young for extraction - considering of how long she would wait before permanent teeth erupt and how invasive the procedure would be for her. i was in doubt to treat her. but to just let her go back home with that condition, would make her suffer even more. and in a worst case situation, it can cause infection - facial cellulitis and may compromise her airway system. and welp, more medical attention needed.

soo to avoid all that, after considering things and discussion with her mom, we decided to take out her upper front teeth under local anaesthesia, with physical restraint. not going to lie, it was a whole lot of struggle.

if you're wondering how do we do it.. we wrapped the kid like kebab.. and put them still on the dental chair. it needs at least 4 people restraining the kid. i kid you not, it looks horrible. and of course, the kid would be traumatized for her whole life. she was just frikkin three. even me, as the operator - and 26 years old sophisticated woman - was traumatized by how i injured her gum and palate when i was administering the local anaesthesia to numb out her gum. with her screaming at the top of her lung, asking to be freed, i couldnt do it in a proper way. like - holy. i was freak out (inside). but still manage to stay calm on the outside though *coughcough. we managed to take out the tooth in less than 3 minutes, but (again) with a LOT of struggles and LOT of screaming.

some of you might say, 

'alah, gigi susu je pun. bukannya penting.'

skrtt skrttt. lemme stop you right there and knock these few informations in your head right at this moment. 

we encourage you to take care of your kids' teeth for a reason, okay? correction - REASONS.

other than to boost up a kids' confidence level, milk teeth are also important to keep the space still for proper eruption of permanent teeth. if it was extracted earlier than it should, the permanent teeth will lost their guide to erupt well in oral cavity. the kid may end up with crowded teeth when all teeth are fully erupt. and to correct that - orthodontic treatment needed, which may costs about thousands. wouldn't it be a waste if you can actually do the prevention earlier on? right? right?

RIGHT? 

i know you would agree with me. 

sooo, key point.
  • brush their teeth just like you did to your permanent teeth
  • crucial time - before sleep! since you do not use your mouth at night, so don't give the chance to them bacties to work at night
  • don't put kids to sleep with the bottle inside their mouth
  • don't add any sugary drink in bottle 
  • don't afraid to use fluoridated toothpaste to your kids. it will not cause them toxicity unless they purposely emptied out 2 tubes of toothpaste into their mouth at one go. *moon face*
  • get an early treatment if you can see any cavitation inside their mouth. the earlier, the better
mmm that's all the key points that i can think of right now. since.. i need to sleep.. it's 1am now. 

sooo till later. adios. 

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