Amitha Hegde

Based on the 20 year experience of using the Twin Block appliance for the correction of Class II malocclusion with mandibular deficiency in the Department of Paediatric and Preventive Dentistry, A.b Shetty Memorial Institute of Dental Sciences, this book is a comprehensive and highly illustrated clinical and practical guide on the use of the Twin Block Appliance and its recent advances and modifications. The book gives an overview on the mechanism of action of the appliance from its clinical to the molecular level with emphasis on the changes brought by the appliance on the mandibular condyle and masticatory muscles, case selection parameters, appliance design and modification, chair side management of the appliance and finally the post treatment changes to be expected- skeletal, dental and soft tissue with an additional note on pitfalls that could be encountered during the treatment duration and its management strategies.

Several dental concerns like dental caries, periodontal problems, and genetic disorders can compromise a child's dentition. One of the leading factors that contribute to this is traumatic dental injury (TDI). Any kind of injury to the hard or soft tissue in and around the oral cavity is known as dental trauma. Dental trauma has become one of the major dental problems faced by children and adolescents. It is more expensive and time-consuming as compared to other traumatic injuries presented to the emergency hospital and clinics. Despite the preponderance associated with traumatic dental injuries (TDI), it can be noted that there is a lack of understanding and knowledge when it comes to the incidence, etiology, preventive measures for these injuries. Therefore the situation demands the development of appropriate educational and awareness programs, taking these adequate measures can help with slackening these rising numbers. Educating the individuals who oversee and handle children and are thus likely to be at the accident site TDI, has been deemed necessary.

In recent years remineralisation of lesions and caries arrest treatment has gained acceptance in the practice of minimally invasive dentistry. It is also promoted as a part of basic oral health care. It has been reported that arresting dentinal caries in primary teeth is possible without restorative intervention. Silver diamine fluoride(SDF) is an inexpensive topical fluoride used in many countries to treat dentinal caries across the age spectrum. It is very effective in arresting active caries in primary teeth without restorative intervention and is useful in maintaining form without making the child apprehensive.