FAQ's

  1. What Is A Pediatric Dentist?

    The pediatric dentist has an extra two years of specialized training and is dedicated to the oral health of children from infancy through the teenage years. The very young, pre-teens, and teenagers all need different approaches in dealing with their behavior, guiding their dental growth and development, and helping them avoid future dental problems. The pediatric dentist is best qualified to meet these needs. Our office is specially designed with an open environment to treat children from infancy through the teen years, as well as the medically, mentally and physically compromised children.

    For more information about a pediatric dentist visit: The Pediatric Dentist

  2. Why Are The Primary Teeth So Important?

    It is very important to maintain the health of the primary teeth. Neglected cavities can and frequently do lead to problems which affect developing permanent teeth. Primary teeth, or baby-teeth are important for (1) proper chewing and eating, (2) providing space for the permanent teeth and guiding them into the correct position, and (3) permitting normal development of the jaw bones and muscles. Primary teeth also affect the development of speech and add to an attractive appearance. While the front 4 teeth last until 6-7 years of age, the back teeth (cuspids and molars) aren’t replaced until age 10-13.

    For more information about your child's first dental visit and their primary teeth visit:  American Academy of Pediatric Dentistry.

  3. How Often Should a Child See the Dentist?

    The American Academy of Pediatric Dentistry recommends a dental check-up at least twice a year for most children. Some children need more frequent dental visits because of increased risk of tooth decay, unusual growth patterns or poor oral hygiene. Your pediatric dentist will let you know the best appointment schedule for your child. Regular dental visits help your child stay cavity-free. Professional teeth cleanings remove debris that build up on the teeth, irritate the gums and cause decay. Fluoride treatments renew the fluoride content in the enamel, strengthening teeth and preventing cavities. Hygiene instructions improve your child's brushing and flossing, leading to cleaner teeth and healthier gums. If indicated, cavity-detecting or growth and development radiographs will be made.

     

     

  4. Dental X-Rays

    Radiographs (X-Rays) are a vital and necessary part of your child’s dental diagnostic process. Without them, certain dental conditions can and will be missed.

    X-Ray’s detect much more than cavities. For example, X-Rays may be needed to survey erupting teeth, diagnose bone diseases, evaluate the results of an injury, or plan orthodontic treatment. X-Rays allow dentists to diagnose and treat health conditions that cannot be detected during a clinical examination. If dental problems are found and treated early, dental care is more comfortable for your child and more affordable for you.

    The American Academy of Pediatric Dentistry recommends X-rays and examinations every six months for children with a high risk of tooth decay. On average, most pediatric dentists request radiographs approximately once a year. Approximately every 3 years it is a good idea to obtain a complete set of radiographs, either a panoramic and bitewings or periapicals and bitewings.

    Pediatric dentists are particularly careful to minimize the exposure of their patients to radiation. With contemporary safeguards, the amount of radiation received in a dental X-ray examination is extremely small. The risk is negligible. In fact, the dental X-rays represent a far smaller risk than an undetected and untreated dental problem. Lead body aprons and shields will protect your child. Today’s equipment filters out unnecessary X-rays and restricts the X-ray beam to the area of interest. High-speed film and proper shielding assure that your child receives a minimal amount of radiation exposure.

    For more information regarding X-ray's visit the following links:

    AAPD:

  5. Care of Your Child’s Teeth

    Begin daily brushing as soon as the child’s first tooth erupts. A "smidge" of fluoride toothpaste can be used after the child is old enough not to swallow it. If you have questions regarding whether or not your child is ready for fluoride toothpaste, PLEASE ask.  By age 4 or 5, children should be able to brush their own teeth twice a day with supervision until about age seven to make sure they are doing a thorough job. However, each child is different. Your dentist can help you determine whether the child has the skill level to brush properly.

    Proper brushing removes plaque from the inner, outer and chewing surfaces. When teaching children to brush, place toothbrush at a 45 degree angle; start along gum line with a soft bristle brush in a gentle circular motion. Brush the outer surfaces of each tooth, upper and lower. Repeat the same method on the inside surfaces and chewing surfaces of all the teeth. Finish by brushing the tongue to help freshen breath and remove bacteria.

    Flossing removes plaque between the teeth where a toothbrush can’t reach. Flossing should begin when any two teeth touch. You may wish to floss the child’s teeth until he or she can do it alone. Use about 18 inches of floss, winding most of it around the middle fingers of both hands. Hold the floss lightly between the thumbs and forefingers. Use a gentle, back-and-forth motion to guide the floss between the teeth. Curve the floss into a C-shape and slide it into the space between the gum and tooth until you feel resistance. Gently scrape the floss against the side of the tooth. Repeat this procedure on each tooth. Don’t forget the backs of the last four teeth.  To make things easier, the pre-made flossers that are readily available these days can be used instead of standard floss.

  6. Good Diet = Healthy Teeth

    Healthy eating habits lead to healthy teeth. Like the rest of the body, the teeth, bones and the soft tissues of the mouth need a well-balanced diet. Children should eat a variety of foods from the five major food groups. Most snacks that children eat can lead to cavity formation. The more frequently a child snacks, the greater the chance for tooth decay. How long food remains in the mouth also plays a role. For example, hard candy and breath mints stay in the mouth a long time, which cause longer acid attacks on tooth enamel. If your child must snack, choose nutritious foods such as vegetables, low-fat yogurt, and low-fat cheese which are healthier and better for children’s teeth. In our experience we have found that the single largest cause of tooth decay in children is their drinking pattern. Frequent use of soft drinks, sports drinks, sweetened ice tea or Kool-Aid spells disaster for a child’s teeth. Even all-natural fruit juices, with their high content of fructose, should be limited. Water and milk are the best. If you must make sweetened drinks, use Splenda, a natural carbohydrate and calorie free sweetener made from sugar.

    For more information about a good diet and healthy teeth visit: AAPD Snacking

  7. How do I prevent cavities?

    Good oral hygiene removes bacteria and the left over food particles that combine to create cavities. For infants, use a wet gauze or clean washcloth to wipe the plaque from teeth and gums. Avoid putting your child to bed with a bottle filled with anything other than water. See "Baby Bottle Tooth Decay" for more information.

    For older children, brush their teeth at least twice a day. Also, watch the number of snacks containing sugar that you give your children.

    The American Academy of Pediatric Dentistry recommends six month visits to the pediatric dentist beginning at your child’s first birthday. Routine visits will start your child on a lifetime of good dental health.

    Your pediatric dentist may also recommend protective sealants or home fluoride treatments for your child. Sealants can be applied to your child’s molars to prevent decay on hard to clean surfaces.

    Book recommendation:

    Look Mom...No Cavities! / How To Raise A Cavity-Free Child

  8. How Often Does My Child Need to See the Pediatric Dentist?

    A check-up every six months is recommended in order prevent cavities and other dental problems. However, your pediatric dentist can tell you when and how often your child should visit based on their personal oral health. Regular dental visits help your child stay cavity-free. Teeth cleanings remove debris that build up on the teeth, irritate the gums and cause decay. Fluoride treatments renew the fluoride content in the enamel, strengthening teeth and preventing cavities. Hygiene instructions improve your child's brushing and flossing, leading to cleaner teeth and healthier gums. If indicated, we may also take either cavity detecting or growth and development radiographs.

    For more information about a regular dental visits visit: AAPD Frequency of Visits.

  9. What are dental sealants and who benefit from them?

    The chewing surface of children’s teeth are the most susceptible to cavities and least benefited from fluorides. Sealants are adhesive coatings that are applied to the tops of teeth and can be highly effective in preventing tooth decay. Studies show that 4 out of 5 cavities in children under age 15 develop on the biting surface of back molars. Molars commonly decay because plaque accumulates in the tiny grooves of the chewing surfaces. Sealants prevent the cavities that fluoride cannot effectively reach. As a preventive mechanism, sealants are an important part of a cavity-free generation.

    For more information on Sealants visit the following:
    AAPD - Sealant Brochure 
    CDC - Sealant Information
     

  10. Baby Bottle Tooth Decay (Early Childhood Caries)

    One serious form of decay among young children is baby bottle tooth decay. This condition is caused by frequent and long exposures of an infant’s teeth to liquids that contain sugar. Among these liquids are milk (including breast milk), formula, fruit juice and other sweetened drinks.

    Putting a baby to bed for a nap or at night with a bottle other than water can cause serious and rapid tooth decay. Sweet liquid pools around the child’s teeth giving plaque bacteria an opportunity to produce acids that attack tooth enamel. If you must give the baby a bottle as a comforter at bedtime, it should contain only water. If your child won't fall asleep without the bottle and its usual beverage, gradually dilute the bottle's contents with water over a period of two to three weeks.

    After each feeding, wipe the baby’s gums and teeth with a damp washcloth or gauze pad to remove plaque. The easiest way to do this is to sit down, place the child’s head in your lap or lay the child on a dressing table or the floor. Whatever position you use, be sure you can see into the child’s mouth easily.

    Visit the following for more information:

    ADA - Statement on Early Childhood Caries

  11. When Will My Baby Start Getting Teeth?

    Teething, the process of baby (primary) teeth coming through the gums into the mouth, is variable among individual babies. Some babies get their teeth early and some get them late. In general the first baby teeth are usually the lower front (anterior) teeth and usually begin erupting between the age of 6-8 months.

    Children’s teeth begin forming before birth. As early as 4 months, the first primary (or baby) teeth to erupt through the gums are the lower central incisors, followed closely by the upper central incisors. Although all 20 primary teeth usually appear by age 3, the pace and order of their eruption varies.

    Permanent teeth begin appearing around age 6, starting with the first molars and lower central incisors. This process continues until approximately age 21.

    Adults have 28 permanent teeth, or up to 32 including the third molars (or wisdom teeth).

  12. Dental Emergency Situations

    Toothache/Swelling: Clean the area of the affected tooth thoroughly. Rinse the mouth vigorously with warm water or use dental floss to dislodge impacted food or debris. You can give your child Ibuprofen or Tylenol.  DO NOT place aspirin on the gum or on the aching tooth. If face is swollen apply cold compresses. Call the dentist.

    Cut or Bitten Tongue, Lip or Cheek: Apply ice to bruised areas. If there is bleeding apply firm but gentle pressure with a gauze or cloth. If bleeding does not stop after 15 minutes or it cannot be controlled by simple pressure, take child to hospital emergency room or call the pediatric dentist.

    Knocked Out Permanent Tooth: Find the tooth. Handle the tooth by the crown, not the root portion. You may rinse the tooth but DO NOT clean or handle the tooth unnecessarily. Inspect the tooth for fractures. If it is sound, try to reinsert it in the socket. Have the patient hold the tooth in place by biting on a gauze. If you cannot reinsert the tooth, transport the tooth in a cup containing the patient’s saliva or milk. The tooth may also be carried in the patient’s mouth. CALL THE PEDIATRIC DENTIST IMMEDIATELY! Time is a critical factor in saving the tooth.

    Knocked out Baby Tooth:  Apply pressure to stop the bleeding.  Give the child ibuprofen or Tylenol for discomfort. DO NOT ATTEMPT TO REIMPLANT THE TOOTH.  We do not re-implant primary teeth, doing so can cause additional harm.

    Head Trauma:  Go to the Emergency Room.

    For more information, visit:  AAPD Dental Emergencies

     

     

  13. Fluoride

    Fluoride is an element, which has been shown to be beneficial to teeth. The use of fluorides for the prevention and control of caries is documented to be both safe and highly effective. The Centers for Disease control states that on the basis of the available evidence, the usual recommended frequency of professionally applied topical fluoride treatments is semiannual. Because these applications are relatively infrequent, generally at 3- to 12-month intervals, fluoride poses little risk for enamel fluorosis, even among patients aged <6 years. The careful pediatric application technique used at our office reduces the possibility that a patient will swallow the "varnish" during application. However, too little or too much fluoride can be detrimental to the teeth. Little or no fluoride will not strengthen the teeth to help them resist cavities. Excessive fluoride ingestion by preschool-aged children can lead to dental fluorosis, which is a chalky white to even brown discoloration of the permanent teeth. Many children often get more fluoride than their parents realize. Being aware of a child’s potential sources of fluoride can help parents prevent the possibility of dental fluorosis.

    Some of these sources are:

    • Too much fluoridated toothpaste at an early age.
    • The inappropriate use of fluoride supplements.
    • Hidden sources of fluoride in the child’s diet.

    Two and three-year olds may not be able to expectorate (spit out) fluoride-containing toothpaste when brushing. As a result, these youngsters may ingest an excessive amount of fluoride during tooth brushing. Toothpaste ingestion during this critical period of permanent tooth development is the greatest risk factor in the development of fluorosis.

    Excessive and inappropriate intake of fluoride supplements may also contribute to fluorosis. Fluoride drops and tablets, as well as fluoride fortified vitamins should not be given to infants younger than six months of age. After that time, fluoride supplements should only be given to children after all of the sources of ingested fluoride have been accounted for and upon the recommendation of your pediatrician or pediatric dentist.

    Certain foods contain high levels of fluoride, especially: powdered concentrate infant formula, soy-based infant formula, infant dry cereals, creamed spinach, and infant chicken products. Please read the label or contact the manufacturer to determine the exact fluoride concentration. Some beverages also contain high levels of fluoride, especially: decaffeinated teas, white grape juices, and juice drinks manufactured in fluoridated cities. 

    Parents can take the following steps to decrease the risk of fluorosis in their children’s teeth:

    • Use baby tooth cleanser on the toothbrush in the very young child.
    • Place only a "smidge" of children’s toothpaste on the brush when brushing (not even a "pea" sized amount is necessary.
    • Account for all of the sources of ingested fluoride before requesting fluoride supplements from your child’s physician or pediatric dentist.
    • Avoid giving any fluoride-containing supplements to infants until they are 6 months old.
    • Obtain fluoride level test results for your drinking water before giving fluoride supplements to your child (check with local water utilities).

    For additional information please visit:  

    AAPD Fluoride Information

    Fluorosis

     

     

     

     

     

  14. What’s the Best Toothpaste for my Child?

    Tooth brushing is one of the most important tasks for good oral health. Many toothpastes, and/or tooth polishes, however, can damage young smiles. They contain harsh abrasives which can wear away young tooth enamel. When looking for a toothpaste for your child make sure to pick one that is recommended by the American Dental Association. These toothpastes have undergone testing to insure they are safe to use.

    Remember, children should spit out toothpaste after brushing to avoid getting too much fluoride. If too much fluoride is ingested, a condition known as fluorosis can occur. If your child is too young or unable to spit out toothpaste, consider providing them with a fluoride free toothpaste, using no toothpaste, or using only a "smidge" of toothpaste.

     

  15. What are Amalgams (Silver Fillings)?

    Silver fillings or amalgams are used to restore or "fill" decayed areas in teeth.  Dental amalgam has been studied and reviewed extensively, and has established a record of safety and effectiveness.  HOWEVER, our office no longer uses amalgam or "silver" filings.  We do this not because of health reasons, but rather because of ease of use of newer "composite" materials (tooth colored fillings) along with their increased strength and esthetics.  We do use silver "caps" or "stainless steel crowns," but not amalgam.

    Visit the following for more information:
     

    ADA Statement on Amalgam

  16. What are Composites (Tooth Colored Fillings)?

    Composites or tooth colored fillings are the principal material used in our office to restore teeth with decay. In anterior (front) teeth, the shade of the restoration material is matched as closely as possible to the color of the natural tooth.  Recent advances in the strength and wear properties of composite materials have allowed us to cease using amalgam in our office.

     

  17. What is a Pulpectomy?

    A pulpectomy is necessary when the nerve (pulp) of the tooth is dead or abscessed. The entire infected pulp is removed from the roots of the tooth and medication is placed in the root canals.  These teeth are usually covered with a crown or "cap".

  18. What is a Pulpotomy?

    A pulpotomy, or "baby root canal" as they are often called, consists of treating the coronal (top) portion of the nerve of a tooth with a medicated filling so as to maintain the vitality (life) of the tooth and avoid extraction or complete nerve treatment.  Baby teeth with large cavities often require pulpotomies as the nerve occupies a large portion of the inside of the tooth.  If a cavity extends into the nerve, it is necessary to either perform nerve treatment or extract the tooth.

    AAPD Guidelines on Pulpal Therapy

  19. What is Nitrous Oxide/Oxygen?

    Nitrous Oxide (laughing gas) is breathed by your child with oxygen during the restorative appointment. It is used to relax a mildly anxious child.  It is extremely safe, with the biggest risk being occasional nausea.  It does not put children to sleep, but rather causes a "tingly" and "warm" sensation.  It is always administered along with oxygen (at much higher concentrations than room air - usually 50% and higher), and at the end of the procedure the nitrous oxide is turned off and 100% oxygen is administered for several minutes in order to allow the nitrous oxide to exit the child's body.  Along with the relaxing effects that nitrous has, it also possesses analgesic effects which allow us to complete some treatments without the use of local anesthetics. 

    Visit the following for more information:


    AAPD - Nitrous Oxide Information

  20. What are Space Maintainers?

    Space Maintainers are used when a baby tooth has been prematurely lost in order to hold space for the permanent tooth to erupt. If space is not maintained, teeth on either side of the extraction site can drift into the space and prevent the permanent tooth from erupting.

    Visit the following for more information:


    AAPD - Space Maintainers

  21. Does Your Child Grind His Teeth At Night? (Bruxism)

    Parents are often concerned about the nocturnal grinding of teeth (bruxism). Often, the first indication is the noise created by the child grinding on their teeth during sleep, or, the parent may notice wear (teeth getting shorter) to the dentition. One theory as to the cause involves a psychological component. Stress due to a new environment, divorce, changes at school; etc. can influence a child to grind their teeth. Another theory relates to pressure in the inner ear at night. If there are pressure changes (like in an airplane during take-off and landing when people are chewing gum, etc. to equalize pressure) the child will grind by moving his jaw to relieve this pressure.  Still another theory revolves around the developing occlusion (bite) of a child - the grinding is merely the jaw trying to find a comfortable position.

    The majority of cases (just about all) of pediatric bruxism do not require any treatment. If excessive wear of the teeth (attrition) is present, then a mouth guard (night guard) may be indicated. The negatives to a mouth guard are the possibility of choking if the appliance becomes dislodged during sleep, it may interfere with growth of the jaws, and since children grow so much/quickly, the nightguard probably won't fit in a month anyway. The positive is obvious by preventing wear to the primary dentition.  Usually however, wear on the primary dentition is not a major concern.  The nerves in these teeth protect themselves by building up layers of calcium and other minerals. Sensitivity is not usually a problem 

    The good news is most children outgrow bruxism. The grinding gets less between the ages 6-9 and children tend to stop grinding between ages 9-12. If you suspect bruxism, discuss this with your pediatrician or pediatric dentist.

     

  22. Thumb Sucking

    Sucking is a natural reflex and infants and young children may use thumbs, fingers, pacifiers and other objects on which to suck. It may make them feel secure and happy or provide a sense of security at difficult periods. Since thumb sucking is relaxing, it may induce sleep.

    Thumb sucking that persists beyond the eruption of the permanent teeth can cause problems with the proper growth of the mouth and tooth alignment. How intensely a child sucks on fingers or thumbs will determine whether or not dental problems may result. Children who rest their thumbs passively in their mouths are less likely to have difficulty than those who vigorously suck their thumbs.

    Children should cease thumb sucking by the time their permanent front teeth are ready to erupt. Usually, children stop between the ages of two and four. Peer pressure causes many school-aged children to stop.

    Pacifiers are no substitute for thumb sucking. They can affect the teeth essentially the same way as sucking fingers and thumbs. However, use of the pacifier can be controlled and modified more easily than the thumb or finger habit. If you have concerns about thumb sucking or use of a pacifier, consult your pediatric dentist.

    A few suggestions to help your child get through thumb sucking:

    • Instead of scolding children for thumb sucking, praise them when they are not.
    • Children often suck their thumbs when feeling insecure. Focus on correcting the cause of anxiety, instead of the thumb sucking.
    • Children who are sucking for comfort will feel less of a need when their parents provide comfort.
    • Reward children when they refrain from sucking during difficult periods, such as when being separated from their parents.
    • Your pediatric dentist can encourage children to stop sucking and explain what could happen if they continue.

    If these approaches don’t work, remind the children of their habit by bandaging the thumb or putting a sock on the hand at night. Your pediatric dentist may also recommend the use of a mouth appliance, although this is something that we try to stay away from unless absolutely necessary.

    A good book regarding thumb habits is:  David Decides

    AAPD Info on Non-nutritive sucking habits

     

  23. Tongue Piercing – Is it Really Cool?

    You might not be surprised anymore to see people with pierced tongues, lips or cheeks, but you might be surprised to know just how dangerous these piercings can be.

    There are many risks involved with oral piercings including chipped or cracked teeth, blood clots, or blood poisoning. Your mouth contains millions of bacteria, and infection is a common complication of oral piercing. Your tongue could swell large enough to close off your airway!

    Common symptoms after piercing include pain, swelling, infection, an increased flow of saliva and injuries to gum tissue. Difficult-to-control bleeding or nerve damage can result if a blood vessel or nerve bundle is in the path of the needle.

    So follow the advice of the American Dental Association and give your mouth a break – skip the mouth jewelry.

     

    ADA Statement on Tongue Piercing

  24. Tobacco – Bad News in Any Form

    Tobacco in any form can jeopardize your child’s health and cause incurable damage. Teach your child about the dangers of tobacco.

    Smokeless tobacco, also called spit, chew or snuff, is often used by teens who believe that it is a safe alternative to smoking cigarettes. This is an unfortunate misconception. Studies show that spit tobacco may be more addictive than smoking cigarettes and may be more difficult to quit. Teens who use it may be interested to know that one can of snuff per day delivers as much nicotine as 60 cigarettes. In as little as three to four months, smokeless tobacco use can cause periodontal disease and produce pre-cancerous lesions called leukoplakias.

    If your child is a tobacco user you should watch for the following that could be early signs of oral cancer:

    • A sore that won’t heal
    • White or red leathery patches on your lips, and on or under your tongue
    • Pain, tenderness or numbness anywhere in the mouth or lips
    • Difficulty chewing, swallowing, speaking or moving your jaw or tongue; or a change in the way your teeth fit together

    Because the early signs of oral cancer usually are not painful, people often ignore them. If it’s not caught in the early stages, oral cancer can require extensive, sometimes disfiguring, surgery. Even worse, it can kill.

    Help your child avoid tobacco in any form. By doing so, they will avoid bringing cancer-causing chemicals in direct contact with their tongue, gums and cheek.

  25. Mouth Guards

    When a child begins to participate in recreational activities and organized sports, injuries can occur. A properly fitted mouth guard, or mouth protector, is an important piece of athletic gear that can help protect your child’s smile, and should be used during any activity that could result in a blow to the face or mouth.

    Mouth guards help prevent broken teeth, and injuries to the lips, tongue, face or jaw. A properly fitted mouth guard will stay in place while your child is wearing it, making it easy for them to talk and breathe.

    We HIGHLY recommend the use of mouthguards for most sports, including but not limited to:  basketball, football, soccer, baseball, softball, hockey, skateboarding, snowboarding, skiing, and rollerblading.

    Please feel free to ask us about custom and store-bought mouth protectors.

    We proudly sell ShockDoctor Mouthguards.

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