GAP Australasian Dentist Mar Apr 2020

Category 74 Austràlàsiàn Dentist Our custom-built practice has been specifically designed to provide excellent dental care for all our patients. When you visit us, we go out of our way tomake you feel relaxed, comfortable and confident that you are receiving the very best and most appropriate dental care tomeet your individual needs. (03) 9467 6759 www.newagedental.com.au PROVIDINGDENTALCAREFORALLYOURFAMILY Our family-oriented dental clinic welcomes patients of all ages. NewAge Dental provides a complete range of general and preventative dental treatments for everyone. Our range of cosmetic dental treatments will help you gain the smile you desire. We have advanced diagnostic technology to identify any issues quickly and accurately. Our dentist will then provide the most suitable treatment to help you feel more comfortable. We accept all health funds and various payment plans for stress-free payment. ENJOYAMORECOMFORTABLEEXPERIENCEWITHTHEMOSTADVANCED SEDATIONDENTISTRY We have invested in the very latest dental equipment and our approach towards sedation dentistry helps differentiate us from other dental practices in this area. NewAge Dental became the first general dental practice in the country to gain certification from the Australian Department of Health and Human Services as a Day Procedure Centre. This allows patients to claim rebates from their private health insurance or Medicare * . Suite 5, Level 1, 20 Scholar Dr Bundoora VIC 3083 info@newagedental.com.au *Terms and conditions apply nasopharyngoscopy the gold standard. àateral nasopharyngeal x-ray have also been used and may complement endoscopic findings 22 . Other features suggestive of adenoid hypertrophy include rhinorrhoea, eustachian tube dysfunction (otitis media) or the classically described “adenoid faces” (dark circles under eyes, flattened midface, high arched palate) 23 . àhe gold standard for assessment of suspected obstructive sleep apnoea is polysomnography (PàG), and the indications has been summarized from the “Australasian àleep Association clinical practice guidelines for performing sleep studies in children” 24 in àAB 2. Summary u à Nasal obstruction/mouth breathing has significant impacts on dentition, sleep and quality of life; u à Nasal obstruction in children is most commonly from adenoid hyperplasia, allergic disease or a deviated septum; u à Snoring in a child is abnormal. A snoring child should be commenced on intranasal steroids and referred to an ENT surgeon for further evaluation. u à Asymmetrical tonsils in a child should be referred to an ENT surgeon to exclude lymphoma. history (snoring, apnoeas, restlessness, frequent awakening, etc). Palatine tonsil size should be graded according to the Brodsky grading scale, which stratifies size based on percentage of oropharyngeal airway obstruction by the palatine tonsil, see àAB 1 and àMAGà 1, 2, 3. Clinically significant obstruction is often demonstrated by grading 3 or greater. àt is important to note that tonsillar size alone does not correlate with severity of àDB but rather the combination of tonsillar and adenoid hypertrophy, craniofacial anatomy and neuromuscular tone 20 . àhe adenoids are often more difficult to assess, with direct visualization via Endoscopic view post-tonsillectomy. The uvula has been packed into the nasopharynx. àlàn al Conclusion Given the influence that hypertrophic adenoids, tonsils and nasal obstruction may play in dentofacial development, dental practitioners are well positioned to detect the early signs of paediatric àDB and OàA. àarly recognition of this disease process can facilitate a multidisciplinary approach to management (including the dentist, paediatric sleep physician and surgeon). àarlier treatment likely reliably improves dentofacial, cardiovascular and neurobehavioural symptoms. u Email your request for a list of references to: gapmagazines@optusnet.com.au