Choosing a dental practice with trust for the health and beauty of your child’s smile is an important decision. A positive first experience can build trust and influence your child’s view of dentistry for the rest of his or her live, so it’s important to make sure your son or daughter is comfortable with the doctor and staff.
Regular Exams and Cleanings
Regular exams are an important part of maintaining your child’s oral health. During your child’s regular exam, we will:
- Check for any problems that may not be seen or felt
- Look for cavities or any other signs of tooth decay
- Inspect the teeth and gums for gingivitis and signs of periodontal disease
- Perform a thorough teeth cleaning
Fluoride is very effective in preventing cavities and tooth decay and in preventing plaque from building up and hardening on the tooth’s surface. A fluoride treatment in a dentist’s office takes just a few minutes. After the treatment, your child will be asked not to rinse, eat, or drink for a period of time in order to allow the teeth to absorb the fluoride. Depending on your child’s oral health or the doctor’s recommendation, a fluoride treatment may be required every three, six, or 12 months.
Pit & Fissure Sealants
Sometimes brushing is not enough, especially when it comes to those hard-to-reach spots in your child’s mouth. It is difficult for a toothbrush to get in grooves on your child’s teeth. If left alone, those tiny areas can develop tooth decay. Sealants give your child’s teeth extra protection against decay and help prevent cavities.
Dental sealants bonds and hardens in the deep grooves on your child’s tooth’s surface. When a tooth is sealed, the tiny grooves become smooth and are less likely to harbor plaque. With sealants, brushing your child’s teeth becomes easier and more effective against tooth decay.
Sealants are typically applied to children’s teeth as a preventive measure against tooth decay after the permanent teeth have erupted. It is more common to seal “permanent” teeth rather than “baby” teeth, but every patient has unique needs, and your child’s dentist will recommend sealants on a case-by-case basis.
Sealants last from three to five years, but it is fairly common to see adults with sealants still intact from their childhood. A dental sealant only provides protection when it is fully intact, so if your child’s sealants come off, let your dentist know, and schedule an appointment for your child’s teeth to be re-sealed.
Pulpotomy & Pulpectomy
In the past, if your child had a permanent tooth with a diseased nerve, he or she would probably lose that tooth. Today, with a special dental procedure called “Pulpotomy” & “Pulpectomy”, your child’s tooth can be saved. When a tooth is cracked or has a deep cavity, bacteria can enter the pulp tissue and germs can cause an infection inside the tooth. If left untreated, an abscess may form. If the infected tissue is not removed, pain and swelling can result. This can not only injure your child’s jawbones, but it is also detrimental to his or her overall health.
Sometimes when children get a cavity that involves more than two surfaces of the tooth, a filling may not be adequate and a crown will need to be placed on the tooth to restore it. Teeth that have had previous pulpotomy treatment (nerve treatment) will also require stainless steel crowns to protect the tooth and provide strength. Stainless steel crowns are very predictable and long-lasting restorations for teeth in these situations.
We recommend that you make an appointment to see the dentist as soon as your child gets his first tooth. The American Academy of Pediatric Dentistry recommends that children be seen by six months after their first tooth erupts, or at one year of age, whichever comes first.
All dental specialists (pediatric dentists, orthodontists, oral surgeons, and others) begin by completing dental school and continue their education with several years of additional, specialized training. During training in the field of pediatric dentistry, your doctor gained extensive knowledge and experience in treating infants, children, and adolescents. Pediatric dentists enjoy working with children and bring to each patient expertise in childhood development and behavior. Because our office is geared toward young visitors, you’ll find that our staff, as well as our office design, decorations, and activities all work together to provide an especially friendly and comfortable environment for children.
The first visit is usually short and simple. In most cases, we focus on getting to know your child and giving you some basic information about dental care. The doctor will check your child’s teeth for placement and health, and look for any potential problems with the gums and jaw. If necessary, we may do a bit of cleaning. We will also answer any questions you have about how to care for your child’s teeth as they develop, and provide you with materials containing helpful tips.
The best preparation for your child’s first visit to our office is maintaining a positive attitude. Children pick up on adults’ apprehensions and if you make negative comments about trips to the dentist, you can be sure that your child will fear an unpleasant experience and act accordingly. Show your child the pictures of the office and staff on the website. Let your child know that it’s important to keep his teeth and gums healthy, and that the doctor will help him do that. Remember that your dentist is specially trained to handle fears and anxiety, and our staff excels at putting children at ease during treatment.
We generally recommend scheduling checkups every six months. Depending on the circumstances of your child’s oral health, we may recommend more frequent visits.
Although they don’t last as long as permanent teeth, your child’s first teeth play an important role in his development. While they’re in place, these primary teeth help your little one speak, smile, and chew properly. They also hold space in the jaw for permanent teeth. If a child loses a tooth too early (due to damage or decay) nearby teeth may encroach on that space, which can result in crooked or misplaced permanent teeth. Also, your child’s general health is affected by the oral health of the teeth and gums.
Even before your baby’s first tooth appears, we recommend you clean his gums after feedings with a damp, soft washcloth. As soon as his first tooth appears, you can start using a toothbrush. Choose a toothbrush with soft bristles and a small head. You can most likely find a toothbrush designed for infants at your local drugstore.
Once your child has a few teeth, you can start using toothpaste on the brush. Use only a tiny amount for each cleaning, and be sure to choose toothpaste without fluoride for children under two, as too much fluoride can be dangerous for very young children. Always have your child rinse and spit out toothpaste after brushing, to begin a lifelong habit he’ll need when he graduates to fluoride toothpaste. Children naturally want to swallow toothpaste after brushing, and swallowing too much fluoride toothpaste can cause teeth to stain. You should brush your child’s teeth for him until he is ready to take on that responsibility himself, which usually happens by age six or seven.
Certain types of bacteria live in our mouths. When these bacteria come into contact with sugary foods left behind on our teeth after eating, acids are produced. These acids attack the enamel on the exterior of the teeth, eventually eating through the enamel and creating holes in the teeth, which we call cavities.
Be sure that your child brushes his teeth at least twice a day with fluoride toothpaste. Flossing daily is also important, as flossing can reach spots between the teeth that brushing can’t. Check with your pediatric dentist about a fluoride supplement which helps tooth enamel become harder and more resistant to decay. Avoid sugary foods and drinks, limit snacking, and maintain a healthy diet. And finally, make regular appointments so that we can check the health of your child’s teeth and provide professional cleanings.
Sealants cover the pits and fissures in teeth that are difficult to brush and therefore susceptible to decay. We recommend sealants as a safe, simple way to help your child avoid cavities, especially for molars, which are hardest to reach.
Even children’s sports involve contact, and we recommend mouthguards for children active in sports. If your little one plays baseball, soccer, or other sports, ask us about having a custom-fitted mouthguard made to protect his teeth, lips, cheeks, and gums.
A large majority of children suck their thumbs or fingers as infants, and most grow out of it by the age of four, without causing any permanent damage to teeth. If your child continues sucking after permanent teeth erupt, or he sucks aggressively, let us know and we can check to see if any problems may arise from the habit.
We recommend taking X-rays around the age of two or three. The first set consists of simple pictures of the front upper and lower teeth, which familiarizes your child with the process. Once the baby teeth in back are touching each other, then regular (at least yearly) X-rays are recommended. Permanent teeth start coming in around age six, and X-rays help us make sure your child’s teeth and jaw are healthy and properly aligned. If your child is at a high risk of dental problems, we may suggest having X-rays taken at an earlier age.