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Showing posts from February, 2023

Dental problems in children: natal teeth & delayed tooth eruption (DTE)

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Dentition in children: essentials to know Two types of teeth erupt while children grow up to adulthood.  First, Temporary (also known as Primary or Deciduous) teeth & Then Permanent (also known as Secondary) teeth. Here are the differences between the two types of teeth. Temporary or Primary or Deciduous teeth Permanent or Secondary teeth Starts erupting at 6-7 MONTHS of life. Starts erupting at 6-7 YEARS of life. First tooth to appear: Central incisor tooth First tooth to appear: 1st Molar tooth Eruption completed by: 2.5-3 year age Eruption completed by: 2.5-3 year age Total number of teeth: 20  (premolar not present here) Total number of teeth: 32  Exfoliation of temporary teeth: begins at about 6 year age & continues till 12 years. Exfoliation of Permanent teeth: doesn’t happen.  SEQUENCE of Primary dentition Age  Eruption (Primary tooth) At birth No teeth (sometimes Natal teeth can be normal variant also) 6-7 months Central incisors 9-10 months Late...

Instruction to parents for bowel preparation before colonoscopy in children (Dr Sabya)

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PEDIATRIC COLONOSCOPY: BOWEL PREPARATION INSTRUCTION (Photograph_1: Myself performing an upper GI Endoscopy procedure) Proper bowel preparation prior to colonoscopy is VERY IMPORTANT . If your child’s bowels (small intestine and large intestine) are not cleaned out well enough, the procedure may have to be canceled or rescheduled for a later date. If you are unable to follow the instructions or have any questions, please reach out to your doctor or health care nurse.  2-3 days prior to the procedure:  Give the child a liquid or semisolid diet (milk, dal, fruit juice, soup or broth, khichri, dahlia) from 2-3 days prior to the procedure. Try to avoid solid food as it might be difficult to clear out with laxatives and interfere with the visibility of the gut for which the procedure is intended to be done primarily.  On the day before the procedure: Prepare PEGLEC solution [Polyethylene glycol with electrolytes for oral solution (137.15g); mix the whole packet with 2 liters o...