Author Archives: joann

Is Dental Plaque the Main Cause of Dental Caries?

Our mouth is constantly bathed in saliva and is exposed to the passage of food, the oral flora and many other stimuli considering the variety of objects that people put in their mouths such as cigarettes, pipes, hair-grips and so on. Nevertheless, our mouth has a remarkable ability to resist and adapt according to these stimulations. Our teeth are also exposed to the same factors and they can be covered wholly or in part by food debris, soft and hard deposits.


Dental Plaque, the main cause of Dental Caries

Dental Plaque is a soft but adherent deposit of bacteria and their products, which forms on all tooth surfaces and other objects in the mouth, for example; fillings or dentures. This Plaque formation is a natural, physiological process and is an example of a biofilm, which means it is not a haphazard collection of bacteria but a complex association of many different bacterial species living together in a single environment. For instance, a newborn baby’s mouth is sterile but within a few hours, microorganisms appear; mainly Streptococcus salivarius. By the time the baby had his/ her first tooth out, a complex flora is established.


Basically, Dental Plaque is scarcely visible in thin layers and it can be revealed only by the use of a Plaque-Disclosing Agent. In thick layers, it can be seen as yellowish or grey deposits which cannot be removed with mouthwashes or by irrigation but can be brushed off. It is usual to find it on areas which are difficult to reach by tooth brushing, for example; in between teeth or in severely crowded teeth. When Dental Plaque calcified or mineralized, it will become Dental Calculus or commonly known as Tartar. It is a ‘stony crust’ that forms on teeth and has long been associated with Gums Disease. Having said that; Dental Plaque is the main cause of dental caries.


Dental plaque (in red) visible through plaque disclosing agent








Dental calculus/ tartar








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The Extra Tooth!


Did you ever wonder why do you find some children with a small extra tooth in between their permanent incisors?

The extra tooth! ©










This small little tooth is called Supernumerary Tooth.


A Supernumerary Tooth is one that is additional to the normal series and can be found in almost any region of the dental arch. Most supernumerary teeth are located in the upper incisors region commonly known as mesiodens. Their presence may give rise to a variety of clinical problems in the future for children.

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FAQs – Is Conscious Sedation Safe for My Children? (Part 2)













Intravenous (IV) Sedation (continued)

IV sedation performs under a hospital setting with fully-equipped facilities and it can only be administered by a certified anesthesiologist. There are strict rules and regulations set by every state’s Dental Board when it comes to anesthesia equipments and drugs used. Therefore, you should make sure your child is being treated by a qualified and experienced anesthesiologist. Continue reading

FAQs – Is Conscious Sedation Safe for My Children? (Part 1)







Nowadays, with the advancement of Sedation Dentistry, your child is able to receive a comforting yet soothing dental treatment. It is believe that one of the most important aspects to cultivate a positive attitude towards dental treatment is to let the child experience minimum pain and discomfort at any circumstances. Many concerns are raised regarding this issue and hence, here are 8 Frequently Asked Questions about Conscious Sedation for your children. Continue reading

Space Maintenance in Children





Space Maintainer is a fixed or removable appliance designed to preserve the space created by the premature loss of a tooth (can be primary or permanent tooth). Fixed Space Maintainer is not intended to be removed by the patient whereas Removable Space Maintainer is designed for easy removal for cleansing and/or adjustment. Continue reading

How to Root Canal a Baby Teeth

The purpose of root canal treatment with baby teeth is to keep the teeth in function until exfoliation, or at least for as long as they are important for occlusal development. Besides eating and speaking, many parents do not know that baby teeth (or primary teeth) also act as a guide for the underlying permanent teeth to erupt and at the same time they maintain the space on the arch so that the permanent teeth has enough room to grow when it is out. Continue reading

Top 5 Children Habits You Need to Know About (Part 2)

4. Bruxism

Bruxism or Grinding can be very harmful to your kids

It is a habitual grinding of teeth when the child is not chewing or swallowing. It is divided into Daytime Bruxism (Diurnal) or Night -time Bruxism (Nocturnal). Daytime Bruxism can be conscious or subsconscious grinding along with parafunctional habits and it is usually silent. On the other hand, Night-time Bruxism is categorized as subconscious grinding in a rhythmic pattern. Bruxism happens as a result of faulty fillings, improper teeth occlusion, genetic causes, neurological disturbances, occupational factors, over anxious or stressed children.



What do you notice?

From the tooth surfaces, you will observe your child’s teeth are very much worn off. This feature is called atypical wear facet, whereby the worn area are shiny, uneven with sharp edges on the upper and lower front teeth. Fillings may fracture or tooth may chip off as a result of grinding. Teeth will become mobile and very sensitive to cold and hot food. Besides that, your child may complain of muscular tenderness and fatigue around the cheek on rising in the morning. Jaw movements restricted and difficult in opening mouth for a long time.


Shiny, uneven sharp edges of wear facets. Credits to


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Top 5 Children Habits You Need to Know About (Part 1)

Oral habits in children are a major concern for the dentists and parents. A baby’s mouth acts as a primary device for exploring the environment and his or her lips and tongues are stimulated by instinctive sucking. By random movements, babies discover their hands and toes and use these to continue the stimulation of their mouth and related structures. Normal habits grow out of these in the early developmental stages. However, some babies do not. They continued to retain these habits until they are toddlers and it created further dental problems.

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10 Steps to Painless Wisdom Teeth Removal

Have you ever experience terrible toothache especially coming from your wisdom teeth? Getting sleepless nights due to the pain? The soreness that made you lose your appetite and you do not wish to talk. You are having bad mood swings and your daily work got disrupted all because of the little tooth from the back of your mouth? These are all the warning signs to visit your dentist right away and get the tooth removed!


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