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drsushant's picture
Joined: 14 May 2011

 An abscess of gum can be effectively described as a pocket found on the gum lining filled with pus or infected liquid. Most gum abscess is found at the end of a tooth’s root and in between gums and teeth. Abscess of gum should be treated immediately to avoid complications and the spread of infection to other parts of the body and vital organs such as the heart and lungsPoor dental health care. A person should visit the dentist at least twice a year to periodically check any tooth and gum problem.

Poor dental healthy usually results to tooth decay and abscess of gum.
Periodontal diseases
Poor dental fillings. This allows bacteria to enter the gums and infect the area.
Fractured or traumatized tooth. Cracks along the various parts of the tooth can allow the entry of bacteria to the gums thereby causing abscess in the gums.
Hormonal changes
Allergic reaction to medicines
Genetic factors can also make you predispose to abscess of gum
Certain illnesses
Excessive smoking


Symptoms of Gum Abscess

Throbbing pain along the infected tooth or gum
Difficulty in chewing and swallowing
Extra sensitivity of tooth towards hot or cold foods and liquids
Swelling of the face
Tenderness of the affected gum area
Bleeding while tooth brushing
Loosening off of tooth
Bad breath
Chills and fever
Gum sores
Swollen lymph nodes below the jaw and neck
Bad taste in mouth

 Post your case presentations on www.dentistrytoday.info

 Post your case presentations on www.dentistrytoday.info

drsushant's picture
Joined: 14 May 2011

 Causes Of Abscessed Tooth In Children

Failure to maintain or teach proper hygiene in children is often the cause of the formation of cavities in the teeth of children.
Cavities in teeth of children are one of the main causes of abscesses, especially when the tooth is already very rotten.
The presence of bacteria is the main cause of abscess especially when it is present in the cavities and attacks the soft tissues and soon enough attacks the bones and other teeth tissue structures.Sugar that is present in the diet of children often causes the primary attacks regarding the structure of the tooth.
There are two types of tooth abscesses:

Periapical abscess – this is the type of abscess that starts from a dental pulp. Among the types of abscess, this has been identified as one of the most common ones that happen in children.
Periodontal abscess – this is the type of abscess that starts somewhere in the supporting bone of the teeth as well as the tissue structures.

While this may occur in children, this is more widespread in adult cases.
Symptoms Of Tooth Abscess In Children

There are a number of symptoms that signify the occurrence of abscess in the teeth of children. Some of these include the following:

Drainage of pus
Possible occurrence of vomiting, diarrhea, fever, chills, as well as nausea.
There may be some instances where there is redness, pain, and swelling in the face and mouth of the child.
The presence of some raised bumps in the groin, neck, or armpits of the child may also signify the presence of abscess in the tooth.
A child may also show some level of extra sensitivity of his or her tooth whenever eating or drinking heated food or drinks.
When a child complains of pain when his or her tooth is touched, then that is also a sign.
The obvious presence of cavities in the tooth of the child.
Home Remedies For Dental Abscess

The basic gargle a mixture of warm salt water is known to do the trick in decreasing the inflammation.
A warm tea bag on the tooth is also known to soothe the pain that the abscessed tooth may bring.
When the abscess bursts as in the instance of a gum boil, then possible medications may be needed, but immediate warm water used for rinsing should do the initial remedy.

 Post your case presentations on www.dentistrytoday.info

 Post your case presentations on www.dentistrytoday.info

drmithila's picture
Joined: 14 May 2011

Children with bad oral health or dental disease see the problems impact their lives in several ways.

One of the main ways involves the issues they encounter at school, according to a study done by the Ostrow School of Dentistry of the University of Southern California. The information appears in the September issue of the American Journal of Public Health.

The study was compiled after analyzing about 1,500 disadvantaged elementary school children in the Los Angeles Unified School District. The study compared their grades and attendance and looked at how the information matched up with their oral health records.

The figures showed that 73 percent of the children had dental caries. According to the study, children with tooth pain were about four times more likely to have a low grade point average in comparison to the children with good oral health.

There was also a clear correlation between children with dental pain and an increased number of absences.

The research showed that elementary school children missed about six days of school per year and high school students missed 2.6 days per year. For the elementary school children, 2.1 days were missed because of dental pain, on average. The figure was 2.3 days missed for high school students with dental pain. The parents also missed 2.5 days of work to care for their children with dental pain.

The transportation aspect was also a factor in this problem. About 11 percent of the children with a low ability to receive dental care—based on lack of insurance, the lack of access to transportation or other miscellaneous reasons—missed school for that reason. Just about 4 percent of children that had access to dental care missed school.

More dental education is necessary for parents to ensure that they understand the type of pain their children may be dealing with.


Drsumitra's picture
Joined: 6 Oct 2011

The area of furcation of temporary molars constitutes a zone of exchanges and rearrangements relating to the evolution of the sub-adjacent permanent tooth. It is subjected to the eruption of the latter and to the physiological modifications of the temporary tooth. Moreover, this area is the site of above-mentioned inflammatory or infections conditions, maintained or aggravated by anatomical factors (accessory canals, thin pulpar floor, with little calcified dentine and broad tubuli), physiological factors (multiplication of accessory canals, decrease in the floor and migration of the epithelial attachment), endodontic factors (pulpal involvement and its complications) and periodontal factors (septum syndrome). The pathology of furcation is an evolving lesion. When discovered early it can be treated by endodontic therapy, while, in a later phase, it will require the extraction of the tooth. The assessment is made on the basis of a X-Ray examination which permits the temporary tooth to be situated in its stable or labile phase, the condition of the pulpal floor to be evaluated and the stage of sub-adjacent germ mineralisation to be estimated. A periodontal arrangement, by coronal reconstitution, conditions the reliability of the endodontic therapies.


drsushant's picture
Joined: 14 May 2011

Children in New Zealand aren’t taking advantage of free dental care.

The information was mentioned at World Oral Health Day. Many parents aren’t enabling their children to receive the dental treatment that is free for children under 18 in New Zealand.

It’s essential for children to receive necessary dental treatment to prevent problems from developing in the future. It’s also important because good oral health leads to good overall health.

Dental care in the country has been free for many years now. There is also a major investment program in the works that will further aid dental care in the country. It will update and improve the current dental care that’s available for all children and teenagers through age 18.

The state of oral health in New Zealand has gotten better during the last quarter century but this investment will take it to the next level.


 Post your case presentations on www.dentistrytoday.info

 Post your case presentations on www.dentistrytoday.info

drmithila's picture
Joined: 14 May 2011

At least two common gene variants are linked to "clinically meaningful" differences in pain scores in children after major surgery, reports a study in the January issue of Anesthesia & Analgesia, official journal of the International Anesthesia Research Society (IARS)
"[O]ur study is highly suggestive of a genetic component in pain response among children," concludes the study by Dr Chantal Mamie and colleagues of Geneva University Hospitals, Geneva, Switzerland. But an accompanying editorial question the relevance of this and previous studies of pain-related genes for management of pain in individual patients.
Gene Variants Influence Pain Scores after Surgery …
The study was designed to explore whether several "candidate" gene variants affected pain scores in a group of 168 children undergoing major surgery -- either abdominal or bone and joint operations. The children and their parents were tested for variant forms ("polymorphisms") of six different genes previously reported as having a possible impact on pain.
The genetic results were compared with the children's pain scores, as routinely monitored during the 24-hour recovery period after surgery. During that time, the children had access to patient- (or parent- or nurse-controlled) analgesia with strong opioid (morphine-related) pain relievers.
Variants of two genes were related to "clinically meaningful" increases in pain scores -- at least four "peak" scores higher than six (on a ten-point scale) during the 24 hours after surgery. After adjustment for other factors, the risk of elevated pain scores was 4.5 times higher for children with a specific variant of the gene ABCB1, which affects the transport of opioid drugs to the central nervous system.
Risk of elevated pain scores was 3.5 times higher for children with a certain variant of the gene OPRM, a key target receptor for opioid binding. The associations with ABCB1 and OPRM variants remained significant after adjustment for patterns of gene inheritance from parents. Variants of two additional genes affecting pain perception -- NTRK and COMT -- were linked to more subtle, "subclinical" effects on pain scores.
… But Have No Effect on Use of Pain Medications
Surprisingly -- even though the gene variants affected pain scores -- they were unrelated to the total dosage of opioid medications used. The dosage of patient-controlled analgesia provides an important objective measure of pain and pain control after surgery.
"The present results are plausible given the known functionality of the candidate genes, and are consistent with the findings in adults," Dr Mamie and colleagues write. Although there has been a wealth of research on the genetic basis of pain in adults, the researchers add, "This first but small cohort study provides clues to further explore the genetic foundations of pediatric pain."
In an accompanying editorial, Drs Debra Schwinn and Ruth Landau of University of Washington, Seattle, put the findings in perspective. A decade ago, researchers thought that the discovery of genes affecting pain perception and opioid responses would soon play an important role in "individualizing" pain control after surgery. Subsequent studies have shown that the situation is more complex, and that the inheritance of pain susceptibility and opioid responsiveness is "probably less straightforward and predictable than previously foreseen."
Especially with the lack of effect on pain medication dosage, Drs Schwinn and Landau suggest that the presence of gene variants (genotype) may be less important than the way those genes are expressed in the individual (phenotype). Because of the complexity of the associations, they conclude, "[T]ailoring opioid analgesia based on selective genotyping is unlikely to occur anytime soon."