India’s spectacular growth halts – Malnutrition

Integrated Child Development Services (ICDS) program for children below 6 years and pregnant and nursing mothers. This program includes preschool education for children in the 3–6-year-age group, immunization of children and mothers, health checkup by medical officers, referral services for health, and education about importance of nutrition. Summary The children of India are malnourished because […]

India’s spectacular growth halts – Malnutrition

Syndromes associated with Ankyloglossia

Ankyloglossia can be a part of certain syndromes such as X-linked cleft palate (OMIM 303400) and van der Woude syndrome (OMIM 119300), Opitz syndrome and Kindler syndrome. Ankyloglossia is commonly seen as an isolated finding in an otherwise normal child. The incidence of ankyloglossia in various reports ranges from 0.02% to as high as 4.8% […]

Syndromes associated with Ankyloglossia

Nutrition is required for Healthy Mouth, why? — DrMadhusudhan’s Blog

Nutrition is essential for human development and is the focal point of health and well being. According to the WHO, Nutrition is the science of food and its relationship to health and Malnutrition is the cellular imbalance between the supply of the nutrients and the energy and the body’s demand for them to ensure growth, […] […]

Nutrition is required for Healthy Mouth, why? — DrMadhusudhan’s Blog

Nutrition is required for Healthy Mouth, why? — DrMadhusudhan’s Blog

Nutrition is essential for human development and is the focal point of health and well being. According to the WHO, Nutrition is the science of food and its relationship to health and Malnutrition is the cellular imbalance between the supply of the nutrients and the energy and the body’s demand for them to ensure growth, […] […]

Nutrition is required for Healthy Mouth, why? — DrMadhusudhan’s Blog

Saliva-The Versatile fluid

An outbreak of COVID-19 (coronavirus disease) is emerging and rapidly spreading worldwide. Saliva stands at the entry of respiratory system and was also found COVID-19 nucleic acid positive. Saliva is gaining importance day by day and is functionally equivalent to the serum maintaining a physiological state of the body, including hormonal, emotional, nutritional, and metabolic […]

Saliva-The Versatile fluid

Ankyloglossia or Tongue tie

Ankyloglossia or tongue tie is a congenital condition that results when the inferior lingual frenulum is too short and is attached to the tip of the tongue, limiting its normal movements. Ankyloglossia can lead to a range of problems such as difficulties in breast feeding, speech impediments, poor oral hygiene, malocclusion, inability in deglutition, thus being an undesired problem in normal life activity.

Etymologically, ‘ankyloglossia’ originates from the Greek words ‘agkilos’ (curved) and ‘glossa’ (tongue). Ankyloglossia, or tongue-tie, can be observed in neonates, children or adults.

Ankyloglossia is a developmental anomaly characterized by an abnormally short lingual frenulum and attachment of the tongue to the floor of the mouth. The condition is the result of a failure in cellular degeneration leading to a much longer anchor between the floor of the mouth and the tongue. The pathogenesis of ankyloglossia is unknown. Management for ankyloglossi includes timely and appropriate surgical intervention, followed by speech therapy which delivers pleasing results, often in a less time than expected. Surgical techniques for ankyloglossia can be classified into three procedures: (i) Simple cutting of the frenulum i.e. Frenotomy (ii) Complete excision of the whole frenulum i.e. frenectomy (iii) Frenuloplasty involves various methods to release the ankyloglossia and correct the anatomic situation.

Author’s comments

Tongue tie limits the functional ability and social embarrassment due to speech problem of the individual. Due to this condition, correction like combined surgical intervention and speech therapy is needed at the earliest.

Resources: Untying the Tongue Tie: A case report @ https://doi.org/10.18320/JIMD/201704.0372

India’s spectacular growth halts – Malnutrition

Integrated Child Development Services (ICDS) program for children below 6 years and pregnant and nursing mothers. This program includes preschool education for children in the 3–6-year-age group, immunization of children and mothers, health checkup by medical officers, referral services for health, and education about importance of nutrition.

Summary

The children of India are malnourished because of factors attributed to overpopulation, poverty, large family size, poor maternal health, adverse cultural practices, destruction of the environment, and lack of education, gender inequality, and inaccessible medical care. Growing malnourished children exhibit behavioral changes, including irritability, apathy, decreased social responsiveness, anxiety, attention deficits, impaired growth, poor school performance, and decreased intellectual achievement. However, malnutrition is also known to produce high morbidity and mortality and considering its effect on oral cavity, malnutrition is shown to have preeruptive and posteruptive effects. Oral health conditions, dietary practices, nutritional status, and general health status are all interrelated factors. Malnutrition adversely affects the oral structures. Malnutrition appears to have multiple effects on the oral tissues and subsequent development of oral disease. It results in altered tissue homeostasis, reduced resistance to microbial biofilms, and tissue repair capacity.

Author Comments

It is evident from this study that malnourished children are prone to compromised oral health. Motivation of anganwadi workers is necessary to explain the oral health-related problems through nonconventional ways such as short plays, videos, and games. Establishment of dental home is utmost important in these children, so that their unmet dental caries needs can be treated.

Resources

Nutritional Status and its Relationship with Dental Caries among 3–6-year-old Anganwadi Children
https://www.ijcpd.com/doi/IJCPD/pdf/10.5005/jp-journals-10005-1706

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