Excellence in Pediatric Dentistry
Coordinated by Dr. Silvia Chedid - 35 years of experience
Pediatric Dentistry under a new look
CARE SINCE PREGNANCY
Care for child oral health goes beyond cleaning, application of sealants and fluoride and conditioning of baby and child in the office.
From pregnancy, birth to the complete eruption of the baby teeth, it is role of the pediatric dentist to monitor the child's craniofacial growth. Dysfunctions and deviations can to be controlled and prevented through simple interventions carried out at the right time, with very positive results in the future.
You shouldn't wait for permanent teeth or adolescence to correct baby and child arch and bite problems
Prevention and control of deviations must be started as soon as a change is identified
Doubt #1
IS THE PEDIATRIC DOCTOR THE CHILD'S FIRST DENTIST? It shouldn't be. Childhood is the phase where small interventions make big differences in the future. Developmental changes in the baby's mouth and face – such as chin too far forward or chin too far back, cross bite or deep bite – should be addressed for the pediatric dentist as soon as they are identified, so that the prevention and redirection of growth can be carried out.
Doubt #2
SHOULD THE CHILD ONLY GO TO THE DENTIST WHEN THE FIRST TOOTH IS BORN? Mothers shouldn't wait that long. Absolute prevention begins in pregnancy (prenatal dental care). Ultrasound images reveal trends in teeth positioning and bite problems that can be intercepted soon after birth, especially in cases where parents/brothers they already have orthodontic problems (mandible protrusion or retrusion, missing teeth, open, deep or crossed bite).
Doubt #3
IS CHILD EXPECTED TO HAVE ORTHODONTIC PROBLEMS AT 5, 6, 7 YEARS? Many bite and tooth positioning problems in children over 5 years could be minimized or even avoided if prevention and deviation control had been initiated as soon as a change was identified. Simple interventions performed between 0 and 5 years of age bring very positive results. You don't have to wait for permanent teeth or adolescence to correct baby and child jaw and bite problems.
Our differentiated approach:
We do not just look at the teeth, but all the craniofacial development and growth of the baby and the child, aiming to prevent or minimize orthodontic problems in the future. In addition, the holistic assessment of the baby and the child - or that is, the understanding of your moment, your position in the family and social nucleus - it is important in defining the type of treatment to be performed.
FOR CHILDREN FROM 0 TO 5 YEARS
the consultation involves
guidelines about a series
of resources that contribute to its growth and healthy development:
BREAST-FEEDING
IT IS THE FIRST ORTHODONTIC TREATMENT OF THE BABY
We guide prenatal preparation for breastfeeding and after birth. Breastfeeding helps to strengthen the muscles of the face, p repairs the baby for chewing and breathing nasal , avoiding let the tongue stay poorly accommodated and that there are future problems with speech, occlusion and Deglutition
BREATHING
STIMULUS TO NASAL BREATH
Some babies need to be taught to breathe through their nose, which is very important for their orofacial development . We advise what to do in case of "mouth breathers"
DEVELOPMENT
ATTENTION TO THE CHILD'S GROWTH
Mainly between 0-5 years it is possible to change the pattern facial and stimulate the development of the baby's facial bones, with harmonizing the arches for eruption of the baby teeth in the best position. Orthodontics and Functional Jaw Orthopedics resources can be used for this.
SUCTION
WHEN THE BABY SUCKS HIS FINGER OR USES A BOTTLE AND PACIFIER
We reinforce the importance of natural food and we advise on how to eliminate the habit of non-nutritive or artificial sucking . When this is not possible, depending on the child's age or family condition, we advise on how to minimize damage to the arches caused by the use of these resources
FOOD
CHEWING IS THE SECOND ORTHODONTIC TREATMENT OF THE BABY
We advise on the gradual introduction of different textures, correcting possible chewing problems that may change the position of the teeth. The teeth of milk serve as a guideline for eruption of permanent teeth
ORAL HEALTH
PREVENTIVE AND CURATIVE TREATMENTS
Cleaning, use of sealants and fluoride, remineralization of early caries lesions and restorations. Caries guidance bottle, and tongue shampoo (short tongue brake can hinder breastfeeding and speech development) and of the baby's gums (monitoring of the relationship of the dental arches by the gingival ridges)
FOR CHILDREN OVER 5 YEARS
the consultation involves
guidelines about a series
of resources that contribute to its growth and healthy development:
DEVELOPMENT
ATTENTION TO THE CHILD'S GROWTH
Changes in the skeletal pattern can bring harmonizing the arcades. Orthodontics and Functional Jaw Orthopedics resources can be used, including Invisalign aligners.
ORAL HEALTH
PREVENTIVE AND CURATIVE TREATMENTS
Cleaning , use of sealants and fluoride, remineralization of early caries lesions and restorations. Education on oral hygiene , on the use of toothbrush and dental floss.
FOR PREGNANT WOMEN
the consultation involves
mother and baby care:
Starting at ultrasound images, it's possible observe trends in bite problems and teeth position in the baby , which can be intercepted soon after birth. Especialty 0-5 years, you can change the default facial and stimulate the development of the baby's facial bones ( jaw and maxillary), minimizing problems.
In the dental prenatal consultation, the parents are oriented about breastfeeding (evaluation of the maternal nipple, positioning of the baby, breastfeeding supports), suction (bottle and pacifier types) and newborn breathing.
The mother's oral health care influences the baby's oral health. Due to hormonal changes, the pregnant woman's gums may be more sensitive and bleed more easily, causing other oral problems. Infections and inflammation can affect the development of a baby's teeth, as well as causing premature births or pre-eclampsia.
The ideal period for pregnant women to seek professional care is in the second trimester of pregnancy, when you are more willing to remain lying down, but can be performed at any time.
Dental prenatal enables the absolute prevention
Ultrasound images reveal facial patterns and trends in occlusion problems that can be intercepted soon after birth.
Cases of babies in which the gestational ultrasound already reveals the chin back (retrognathia), conditions confirmed after birth.
Clinical Results
The pediatric dentist must work in the comprehensive care for child development. A national oral health survey conducted in 2010 in Brazil noted that 66.7% of 5-year-olds have any type of bite problem. There are not enough studies and conclusions to indicate that orthodontic treatment should start only in mixed dentition (when permanent teeth are born). It's an open field for further research and investigation.
THE The decision to treat or not to treat primary dentition (milk teeth) is not one-sided. It is up to the pediatric dentist to make a good diagnosis and define with the family and transdisciplinary specialists the best time to treat. Our clinical experience shows very positive results.
Based on our experience, scientific background and detailed clinical evaluation, we indicate which the most favorable techniques and procedures for each patient, in a work shared and discussed between professionals and the family and carried out safely and effectively
Clinical cases
Treating Bite Problems (such as cross bite, deep bite, open bite, jaw protrusion and retrusion, and agenesis - absence of teeth) right at the beginning of their installation, we can, with small and simple procedures , prevent them from establishing themselves at the level of skeletal alterations that are more difficult to be treated in the future
Baby at birth, chin too far back (retrognathia)
Mandible advancement, at 3 months and 25 days, after guidance on attachment and breast-feeding
child with 2 years and 3 months, with severe retrognathia
Mandible advancement after 1 month of exercises and massages. child continues in treatment
Mother observed jaw protrusion even before teeth erupted
Start of treatment at 1 year and 3 months
In 8 months of treatment, after exercise and massage orientations. child continues in treatment
The care for the child's oral health begins before birth and the prevention is the best treatment
Thus, we expanded the vision and clinical horizon of Pediatric Dentistry, which should go far beyond preventing caries in children
Our professionals are experienced, working under the guidance and supervision of Prof. Dr. Silvia Chedid.
We believe that Pediatric dentists must keep a close eye on the child, from the prenatal period, making interventions from birth and during their development.
We are trained to serve foreigners (English, French and Spanish)
Our Pediatric Dentistry Team:
Prof. Dr. Silvia José Chedid - 35 years of experience
CRO 30.168
Master and Doctor in Pediatric Dentistry by University of Sao Paulo
Specialist in Functional Jaw Orthopedics by the Federal Council and Regional Council of São Paulo (CFO/CROSP)
Specialist in Corrective Orthodontics by the Center for Studies, Training and Improvement in Dentistry (CETAO)
Specialist in Orthodontics by Roth Williams Center Brazil (REWISO)
Member of the scientific board of the São Paulo Association of Pediatric Dentistry (APO)
Member of the Oral Health Study Group of the Society of Pediatrics of São Paulo (SPSP)
Scientific Consultant of Pediatric Dentistry of the Brazilian Association of Dentistry (ABO)
Coordinator of the International Center for Education and Advanced Research in Health (CIEPAS)
Part of the team of Full Professor of the Department of Pediatric Dentistry at USP
Member of the International Association of Pediatric Dentistry (IAPD), Roth/Williams Orthodontic Center (REWISO) and the International Association for Dental Research (IADR).
Dr. Juliana Sayuri Kimura
CRO-SP 72,300
Specialist in Pediatric Dentistry (FUNDECTO - Faculty of Dentistry, USP)
Master and Doctor in Dental Sciences (Faculty of Dentistry, USP)
Collaborator at the Center for Trauma in Deciduous Teeth at USP
Professor Weekly Specialization in Pediatric Dentistry FUNDECTO/FOUSP
Professor of Integrated Children's Clinic and Specialization in Pediatric Dentistry UNIARARAS-FHO
Coordinator of the Dental Trauma Care Center (NATDENT) - UNIARARAS-FHO
Specialization Professor for Hispano-Hablantes FAOA/APCD
Member of the Brazilian Team of Pediatric Dentistry Teachers (EBO)
Dr. Natalia Queiroz de Oliveira
CRO-SP 125.841
Degree in Dentistry from the Methodist University of São Paulo
Post-Graduate Student in Pediatric Dentistry at the São Leopoldo Mandic Dentistry Faculty
Monitor at the Integrated Children's Clinic of the Methodist University of São Paulo
Fernanda Tucci
CRO-SP ASB 26,695
Oral Health Assistant at CETAO
Improvement in Customization in Orthodontic, Removable and Welded Braces by the Laborlyra Institute
Surgical Instrumenter by CEENPRO
Luciane Pereira de Sousa
CRO-SP ASB 24,767
Oral Health Assistant at CETAO
Oral Health Technician by CETAO
FREE Orientation EVENT for patients, guests and the general public
Our space:
IN THE MEDIA
