Preventative Treatment:

During the first visit, we’ll do a thorough exam and discuss your child’s dental needs. We’ll be happy to teach you and your little one about the importance of proper oral hygiene and diet to keep your child’s teeth healthy. In the case treatment is needed, we’ll discuss all available options and help you make an appointment.

According to the American Academy of Pediatric Dentistry (AAPD), every child should see a dentist by the time they get their first tooth. The first dental visit should take place no later than their first birthday. Helping your little one get into the habit of regular dental visits early in life will set a positive attitude and great dental habits that will continue into adulthood.

Routine dental exams and cleanings will ensure that your child has healthy teeth and good oral hygiene. Proper home care is very important, but professional dental cleanings are necessary to get into those hard to reach places.

Fluoride is commonly used to keep children’s teeth healthy, strong, and cavity-free. Fluoride treatments at our office consist of a sticky but tasty varnish. This varnish adheres to the child’s teeth to prevent unnecessary ingestion and unpleasant long application. Professional fluoride treatments are usually recommended twice a year, but may be suggested more often if your child is especially prone to cavities. Depending on your child’s dental needs, we’ll discuss other forms of supplemental fluoride treatments, such as using fluoridated water, toothpastes, and mouth rinses.

One of the ways to keep your child’s teeth healthy and cavity free is to apply sealants. The application of a sealant is one of the easiest and most effective methods available today to prevent tooth decay. Sealants are usually placed in the deep grooves of the chewing surfaces of adult and baby molars. They help preserve these vulnerable areas by protecting them from food deposits and formation of plaque.

When your child begins playing sports, it’s important to invest in a high-quality mouth guard. They help protect your child’s teeth from sport related injury. Mouth guards are generally available to purchase over-the-counter, but one that’s custom made will provide superior protection to your child’s teeth and mouth. We’ll be happy to make one for your child to ensure their teeth stay extra safe.

Operative Treatment:

When treatment for a cavity is needed, we use BPA free white composite fillings. Not only are these white fillings safe, they are also very aesthetically pleasing.

Most baby molars do not fall out until the ages of twelve, and are very important for a smooth transition to adult teeth. Therefore, following a baby root canal, deep cavity, or a severe trauma to those teeth, we recommend placing stainless steel or white zirconia crowns to protect them from further damage. If this treatment is needed, we’ll be happy to discuss which crown is the best choice for your child.

A cavity involving the nerve of a tooth may cause excruciating pain for your child. The pain can be managed using painkillers (Motrin), but will recur until the underlying problem is resolved. When the nerve of a child’s tooth has been infected, it must be treated to alleviate the pain.

Baby root canals are performed to preserve the function and prevent premature loss of the affected tooth. An early loss of baby molars will result in problems with eruption of adult teeth and an absolute need for braces in the future. A pediatric crown is recommended to protect the tooth from further damage.

Injury to the front teeth is very common in children and adolescents. Fractured front teeth sometimes require a white cosmetic filling. A simple bonding procedure can easily fix the problem and keep the smile on your child’s face. Bonding is very similar to a white filling, but does not require any further tooth reduction.

Extractions are usually done to address extensively decayed, nerve-damaged, non-restorable teeth or orthodontic problems. To help make the procedure as comfortable as possible for your little one, we may recommend the use of nitrous oxide (laughing gas) and a local anesthetic.

Oral Appliances:

If after all the attempts to save a baby tooth and it’s still lost too early, we’ll recommend an appliance to preserve the space for the adult tooth. These appliances are called space maintainers and help prevent shifting and crowding of adult teeth down the line.

If your child has a habit of sucking their thumb, fingers, or pacifier, they may be causing unconscious damage to their mouth. These habits may lead to improperly shaped upper and lower jaws, misaligned teeth, and shift in a bite. Initially, we’ll use traditional counseling methods and positive reinforcement strategies, but this approach may not always work. We, then, will offer many types of custom-designed oral appliances that can help your child stop these harmful habits. We’ll offer encouragement so your child feels empowered and in control to stop the habit.

Emergency Treatment:

If your child is experiencing a true dental emergency, we can be reached at 914-949-6655. If it’s an after-hours emergency, leave us a message. We check our messages regularly. One of the doctors will call you back ASAP to advise on the plan of action. If your child appears to be suffering from injuries that extend beyond the mouth, lost consciousness, and experiencing profound bleeding, please call 911 or take your child to the emergency room immediately.

If your child has a toothache, clean the affected area with a toothbrush and toothpaste. Rinse the mouth vigorously with warm water and use dental floss. If your child needs a pain reliever, you can give them Tylenol or Motrin, but follow package directions. Do not place aspirin on the tooth itself or on the gums. If your child’s face is swollen, apply cold compresses and contact our office immediately. A swollen face indicates a serious problem and requires immediate attention.

Many children sustain facial and dental injuries from sports-related and other accidents. If your child has suffered an injury, please try to remain calm and call our office for advise.  We’ll be able to treat the injury at our office. If it’s an after hours injury, we will advise you on the best plan of action. If an injury is more serious and goes beyond involving the teeth and mouth, please call 911 or take your child to the emergency room.

 

If your child has lost (avulsed/knocked out) a permanent tooth, it’s very important that you seek treatment immediately to keep the tooth alive.  Please follow the steps below until you are able to contact us.

  1. Hold the tooth by the crown. Avoid touching the root.
  • Rinse the tooth with salt water or cold milk. NOTE: Do not use regular water to rinse/store the tooth.
  • If the root is intact, try to reinsert the tooth into the socket and have the child bite down normally. If unable to do so, place the tooth in a glass of cold milk and head to our office or your local ER immediately

If your child has knocked out a baby tooth, do not reinsert it. Come see us at first availability.

Behavior and Pain Management:

Our main goal is to make your little one comfortable and happy going to the dentist. There are a variety of different behavior management techniques and we’ll work with you and your little one to address any fear or worries you both might have. We’ll be happy to discuss all of these techniques with you and find the one that’ll work for your child.

Some of the advanced behavior management techniques are listed below:

Nitrous Oxide(Laughing Gas)
With this type of anesthesia a child wears a mask on their nose, which delivers the “laughing gas” (nitrous oxide). This is a very safe and effective way to calm an anxious patient. A child is fully awake for the procedure; and the effect of the laughing gas is gone as soon as it’s turned off, and pure oxygen is administered for 5 minutes.

General Anesthesia
General anesthesia is sometimes necessary for children who are unable, due to either age or maturity level, to cooperate during dental treatment. It’s also indicated in the events of severe dental injuries as well as for some patients with special health care needs. These services are provided at the specialized ambulatory centers or hospitals with a team of highly skilled doctors and a board certified anesthesiologist.

We’ll discuss all treatment options with you and make our recommendations as to what is the best way to treat your child while keeping them safe and comfortable.

This type of sedation is given as an inhalational agent, where the child wears a mask on their nose, which delivers the nitrous oxide. The patient inhales the agent and exhales the agent without processing the agent. This means they breathe it out the same way they breathe it in. This type of sedation is good to use with children who may have slight anxiety, or have limited work that needs to be done.

Nitrous oxide acts to change the nitrogen levels in the body, and creates a slight “happy” feeling in children. It does not put your child to sleep. Once your child is on 100% oxygen, they will have no residual effects. Nitrous oxide is the safest drug that we have in anesthesia and dentistry.

This type of sedation is good to use with children who may have slight anxiety, or have limited work that needs to be done.

General anesthesia is sometimes necessary for children that are unable, by either age or maturity level, to cooperate during dental treatment. These services are provided with a team of our highly skilled doctors as well as a board certified anesthesiologist.

General Anesthesia is most helpful for:

  • Children who require major treatment.
  • An extremely anxious child, or
  • Children who are medically compromised or have special needs.

Our team will discuss all treatment options with you and make recommendations as to what is the best modality to treat your child while keeping them safe and comfortable.

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