Frequently Asked Questions
General Information
What is pediatric dentistry?
Pediatric dentistry is a specialized branch of dentistry focused on the oral health of infants, children, and adolescents, including those with special health care needs. Pediatric dentists receive two years of advanced training after graduating from dental school in order to provide the very best dental care for children from infancy through their teenage years. Every dentist at our office is a Diplomate of the American Board of Pediatric Dentistry, which is the highest level of distinction attainable by a pediatric dentist.
Why should my child see a pediatric dentist instead of a general dentist?
Pediatric dentists are uniquely qualified to care for children’s teeth, gums, and mouths throughout the various stages of childhood. They are trained to handle children’s behavior, make them feel comfortable, and address issues specific to growing and developing teeth.
First Visit and Subsequent Appointments
When should my child have their first dental visit?
The American Academy of Pediatric Dentistry recommends that a child should visit the dentist by their first birthday or within six months after their first tooth appears. Early visits help prevent dental problems and establish a positive relationship with the dentist.
What can I expect during my child’s first dental appointment?
During the first visit, we will examine your child’s mouth, teeth, and gums to check for any problems. We will clean your child’s teeth, discuss the use and application of fluoride, and provide guidance on brushing, flossing, and nutrition. The visit is also an opportunity for you to ask questions any questions you may have about your child’s oral health.
How often should my child see the dentist?
It is generally recommended that children visit the dentist every six months for routine checkups and cleanings. However, we may sometimes suggest a different schedule based on your child’s specific needs.
Dental Care at Home
How can I prepare my child for a dental visit?
Talk to your child about what to expect in a positive and encouraging way. Reading books or watching videos about visiting the dentist can help reduce anxiety. Avoid using words like “hurt” or “pain” and reassure them that the dentist helps keep their teeth healthy and strong.
How should I care for my child’s teeth at home?
Begin cleaning your baby’s mouth even before their teeth appear by wiping the gums with a soft, damp cloth. Once teeth emerge, use a small, soft-bristled toothbrush and a smear of toothpaste. Supervise brushing until your child can do it effectively on their own, usually around age 6–8.
When should my child start using toothpaste with fluoride?
The best time to begin using fluoride toothpaste depends on multiple factors. The recommendation of the American Academy of Pediatric Dentistry is to begin using a tiny amount of toothpaste about the size of a grain of rice as soon as the first tooth appears. For an individualized recommendation for your child, please discuss this question at your child’s first dental visit. If you decide to use fluoride toothpaste, please encourage your child to spit out the toothpaste after brushing and avoid swallowing it.
Common Dental Concerns
Are baby teeth really that important?
Yes, baby teeth (primary teeth) are essential for proper chewing, speech development, and maintaining space for permanent teeth. Healthy baby teeth contribute to overall health and well-being.
What should I do if my child has a toothache?
When your child complains of a toothache, the first priority is to comfort them and attempt to assess the cause (such as an injury, a loose tooth, a cavity, an infection, or food stuck between the teeth), then manage the pain with Motrin or Tylenol until you can see the dentist. If your child is experiencing severe pain or swelling, please visit the ER immediately rather than wait for your dental appointment.
What if my child knocks out a tooth?
If a permanent tooth is knocked out, hold it by the crown (not the root), rinse gently with milk, saline, or saliva, and try to place it back in the socket or keep it in milk. Seek immediate dental care. If it’s a baby tooth, do not attempt to reinsert it; contact your dentist for guidance.
How can I help prevent cavities?
Ensure your child brushes twice daily, flosses once a day, and eats a balanced diet low in sugary snacks and drinks. Regular dental checkups and professional cleanings are also important preventive measures.
Orthodontics and Development
Will my child need braces?
Pediatric dentists monitor the growth and development of your child’s mouth. If orthodontic issues are detected, your dentist may refer you to our orthodontist for a FREE consultation. We do braces right here in our office! Early assessment can help guide treatment and minimize future problems.
What can I do about thumb sucking or pacifier use?
Thumb sucking and pacifier use are normal in infants and young children. Most children stop on their own between ages 2 and 4. If the habit continues after permanent teeth erupt, talk to your pediatric dentist about strategies to help your child stop.
Special Dental Treatments
What are dental sealants?
Dental sealants are thin, protective coatings applied to the chewing surfaces of back teeth to help prevent cavities. They are safe, painless, and effective in reducing tooth decay in children and teens.
Does my child need fluoride treatments?
Fluoride treatments help strengthen tooth enamel and prevent cavities. Your dentist will assess your child’s risk for decay and may recommend fluoride treatments during regular checkups.
Dental X-Rays
are dental x-rays safe for my child?
Yes. Dental x-rays use very low levels of radiation and are considered extremely safe for children. Pediatric dentists take special precautions to minimize exposure, such as using lead aprons and high-speed digital x-ray technology. The benefits of dental x-rays far outweigh the minimal risks, as they allow dentists to identify issues that cannot be seen with the naked eye, including cavities between teeth, infections, bone development, any potential jaw abnormalities, and the position of developing teeth.
Why are dental x-rays important?
Dental x-rays are essential tools for diagnosing and monitoring oral health. They help us detect problems early, often before they become visible or cause discomfort. Early detection leads to more effective and less invasive treatment, ensuring your child maintains a healthy smile as they grow.
Nitrous Oxide (Laughing Gas) Safety
Is nitrous oxide (laughing gas) safe for children during dental treatment?
Yes, nitrous oxide, commonly known as laughing gas, is a safe and effective sedation method used in pediatric dentistry. It helps children relax and feel comfortable during dental procedures. Nitrous oxide is administered through a small mask placed over the nose, and its effects wear off quickly after the mask is removed. Children remain awake and responsive throughout treatment. The gas is non-addictive and has been used safely for decades. Pediatric dentists carefully monitor your child during its use to ensure their safety and comfort.
Why is nitrous oxide used?
Nitrous oxide is especially helpful for children who feel anxious, have a strong gag reflex, or require lengthy dental procedures. It promotes a calm and positive experience, helping children build confidence about visiting the dentist. Most children tolerate nitrous oxide very well, and recovery is rapid, allowing them to resume normal activities soon after their appointment.
Stainless Steel Crowns for Back Molars
Why are stainless steel crowns often recommended for back molars instead of white crowns?
Stainless steel crowns are commonly used for restoring back molars in children because they are exceptionally durable and resilient to the heavy biting and chewing forces found in these teeth. While white crowns (tooth-colored crowns) may be more esthetic, they can be prone to chipping or wearing down under stress, especially on molars where chewing pressure is greatest. Stainless steel crowns rarely break or wear out, making them the best choice for protecting and maintaining back baby teeth until they naturally fall out. Their reliability ensures lasting coverage and reduces the need for retreatment, offering peace of mind for both parents and dental professionals. Although they are not tooth-colored, their location in the back of the mouth means they are typically not visible when your child smiles or talks.
When is a Crown Necessary Instead of a Filling?
Why would my child need a crown instead of a filling?
A dental crown is recommended when a tooth has extensive decay, damage, or structural loss that cannot be effectively restored with a filling alone. Fillings are suitable for small or moderate cavities, but when a tooth’s integrity is compromised—such as a large cavity, a fracture, or after a pulpotomy—a crown provides full coverage and protection. Crowns help preserve the tooth’s function and strength, prevent further breakage, and maintain the space for permanent teeth. Pediatric crowns are designed to withstand the forces of chewing and last until the baby tooth naturally falls out. Your dentist will assess the extent of damage to determine the most appropriate treatment for your child.
When is a Pulpotomy Necessary?
What is a pulpotomy and when does my child need one?
A pulpotomy, often referred to as a “baby root canal,” is a dental procedure used to treat tooth decay or infection that has reached the nerve (pulp) inside a child’s primary (baby) tooth. It is necessary when the decay is too deep to be managed by a filling alone but the root of the tooth is still healthy. A pulpotomy removes the diseased portion of the pulp, preserves the remaining healthy tooth structure, and helps maintain the tooth’s function and space in the mouth until the permanent tooth is ready to erupt. This procedure can prevent pain, swelling, and premature tooth loss, supporting your child’s oral health and development.
General Anesthesia in Pediatric Dentistry
When is dental treatment using general anesthesia necessary for children?
General anesthesia may be recommended for children who are very young, have extensive dental needs, experience extreme anxiety, or have special health care needs that make it difficult to complete dental treatment safely in the dental office. It is also used for children who cannot tolerate treatment with other forms of sedation or when the procedure is lengthy or complex. General anesthesia allows dental care to be completed efficiently, comfortably, and safely in a single visit, often in a hospital or specialized surgical setting.
Is general anesthesia safe and effective for dental treatment?
Yes, general anesthesia is safe and effective when administered by trained professionals, such as anesthesiologists or dental anesthesiologists, in a controlled environment. Before recommending general anesthesia, your child’s dentist will review your child’s medical history and overall health to ensure the procedure is appropriate. Throughout the process, your child is carefully monitored to maintain their safety. While risks exist as with any medical procedure, complications are rare. The benefits of using general anesthesia include minimizing trauma, reducing anxiety, and helping children with special needs or extensive dental issues receive the care they require comfortably and successfully.
Insurance and Payment
Do you accept dental insurance?
Our office accepts most PPO and HMO insurance plans, and we also accept Denti-Cal. We will file claims on your behalf. Please contact our office directly to confirm we accept your insurance plan.
What if I don’t have dental insurance?
We offer an in-house plan providing discounted prices and other benefits for uninsured patients. Please call our office to discuss your options for affordable care.
Contact Us
If you have additional questions or would like to schedule an appointment, please contact our office. We are committed to providing the best possible dental care for your child!
Frequently Asked Questions
General Information
What is pediatric dentistry?
Pediatric dentistry is a specialized branch of dentistry focused on the oral health of infants, children, and adolescents, including those with special health care needs. Pediatric dentists receive two years of advanced training after graduating from dental school in order to provide the very best dental care for children from infancy through their teenage years. Every dentist at our office is a Diplomate of the American Board of Pediatric Dentistry, which is the highest level of distinction attainable by a pediatric dentist.
Why should my child see a pediatric dentist instead of a general dentist?
Pediatric dentists are uniquely qualified to care for children’s teeth, gums, and mouths throughout the various stages of childhood. They are trained to handle children’s behavior, make them feel comfortable, and address issues specific to growing and developing teeth.
First Visit and Subsequent Appointments
When should my child have their first dental visit?
The American Academy of Pediatric Dentistry recommends that a child should visit the dentist by their first birthday or within six months after their first tooth appears. Early visits help prevent dental problems and establish a positive relationship with the dentist.
What can I expect during my child’s first dental appointment?
During the first visit, we will examine your child’s mouth, teeth, and gums to check for any problems. We will clean your child’s teeth, discuss the use and application of fluoride, and provide guidance on brushing, flossing, and nutrition. The visit is also an opportunity for you to ask questions any questions you may have about your child’s oral health.
How often should my child see the dentist?
It is generally recommended that children visit the dentist every six months for routine checkups and cleanings. However, we may sometimes suggest a different schedule based on your child’s specific needs.
Dental Care at Home
How can I prepare my child for a dental visit?
Talk to your child about what to expect in a positive and encouraging way. Reading books or watching videos about visiting the dentist can help reduce anxiety. Avoid using words like “hurt” or “pain” and reassure them that the dentist helps keep their teeth healthy and strong.
How should I care for my child’s teeth at home?
Begin cleaning your baby’s mouth even before their teeth appear by wiping the gums with a soft, damp cloth. Once teeth emerge, use a small, soft-bristled toothbrush and a smear of fluoride toothpaste. Supervise brushing until your child can do it effectively on their own, usually around age 6–8.
When should my child start using toothpaste with fluoride?
As soon as the first tooth appears, use a tiny smear (about the size of a grain of rice) of fluoride toothpaste. For children ages 3 and up, a pea-sized amount is recommended. Encourage your child to spit out the toothpaste after brushing and avoid swallowing it.
Common Dental Concerns
Are baby teeth really that important?
Yes, baby teeth (primary teeth) are essential for proper chewing, speech development, and maintaining space for permanent teeth. Healthy baby teeth contribute to overall health and well-being.
What should I do if my child has a toothache?
Rinse your child’s mouth with warm water and check for any debris or swelling. Gently floss to remove any trapped food. Do not place aspirin on the gum or tooth. If the pain persists, contact your pediatric dentist to schedule an appointment.
What if my child knocks out a tooth?
If a permanent tooth is knocked out, hold it by the crown (not the root), rinse gently with water, and try to place it back in the socket or keep it in milk. Seek immediate dental care. If it’s a baby tooth, do not attempt to reinsert it; contact your dentist for guidance.
How can I help prevent cavities?
Ensure your child brushes twice daily with fluoride toothpaste, flosses once a day, and eats a balanced diet low in sugary snacks and drinks. Regular dental checkups and professional cleanings are also important preventive measures.
Orthodontics and Development
Will my child need braces?
Pediatric dentists monitor the growth and development of your child’s mouth. If orthodontic issues are detected, your dentist may refer you to our orthodontist for a FREE consultation. We do braces right here in our office! Early assessment can help guide treatment and minimize future problems.
What can I do about thumb sucking or pacifier use?
Thumb sucking and pacifier use are normal in infants and young children. Most children stop on their own between ages 2 and 4. If the habit continues after permanent teeth erupt, talk to your pediatric dentist about strategies to help your child stop.
Special Dental Treatments
What are dental sealants?
Dental sealants are thin, protective coatings applied to the chewing surfaces of back teeth to help prevent cavities. They are safe, painless, and effective in reducing tooth decay in children and teens.
Does my child need fluoride treatments?
Fluoride treatments help strengthen tooth enamel and prevent cavities. Your dentist will assess your child’s risk for decay and may recommend fluoride treatments during regular checkups.
Dental X-Rays
Are dental x-rays safe for my child?
Yes. Dental x-rays use very low levels of radiation and are considered extremely safe for children. Pediatric dentists take special precautions to minimize exposure, such as using lead aprons and high-speed digital x-ray technology. The benefits of dental x-rays far outweigh the minimal risks, as they allow dentists to identify issues that cannot be seen with the naked eye, including cavities between teeth, infections, bone development, any potential jaw abnormalities, and the position of developing teeth.
Why are dental x-rays important?
Dental x-rays are essential tools for diagnosing and monitoring oral health. They help us detect problems early, often before they become visible or cause discomfort. Early detection leads to more effective and less invasive treatment, ensuring your child maintains a healthy smile as they grow.
Nitrous Oxide (Laughing Gas) Safety
Is nitrous oxide (laughing gas) safe for children during dental treatment?
Yes, nitrous oxide, commonly known as laughing gas, is a safe and effective sedation method used in pediatric dentistry. It helps children relax and feel comfortable during dental procedures. Nitrous oxide is administered through a small mask placed over the nose, and its effects wear off quickly after the mask is removed. Children remain awake and responsive throughout treatment. The gas is non-addictive and has been used safely for decades. Pediatric dentists carefully monitor your child during its use to ensure their safety and comfort.
Why is nitrous oxide used?
Nitrous oxide is especially helpful for children who feel anxious, have a strong gag reflex, or require lengthy dental procedures. It promotes a calm and positive experience, helping children build confidence about visiting the dentist. Most children tolerate nitrous oxide very well, and recovery is rapid, allowing them to resume normal activities soon after their appointment.
Stainless Steel Crowns for Back Molars
Why are stainless steel crowns often recommended for back molars instead of white crowns?
Stainless steel crowns are commonly used for restoring back molars in children because they are exceptionally durable and resilient to the heavy biting and chewing forces found in these teeth. While white crowns (tooth-colored crowns) may be more esthetic, they can be prone to chipping or wearing down under stress, especially on molars where chewing pressure is greatest. Stainless steel crowns rarely break or wear out, making them the best choice for protecting and maintaining back baby teeth until they naturally fall out. Their reliability ensures lasting coverage and reduces the need for retreatment, offering peace of mind for both parents and dental professionals. Although they are not tooth-colored, their location in the back of the mouth means they are typically not visible when your child smiles or talks.
When is a Crown Necessary Instead of a Filling?
Why would my child need a crown instead of a filling?
A dental crown is recommended when a tooth has extensive decay, damage, or structural loss that cannot be effectively restored with a filling alone. Fillings are suitable for small or moderate cavities, but when a tooth’s integrity is compromised—such as a large cavity, a fracture, or after a pulpotomy—a crown provides full coverage and protection. Crowns help preserve the tooth’s function and strength, prevent further breakage, and maintain the space for permanent teeth. Pediatric crowns are designed to withstand the forces of chewing and last until the baby tooth naturally falls out. Your dentist will assess the extent of damage to determine the most appropriate treatment for your child.
When is a Pulpotomy Necessary?
What is a pulpotomy and when does my child need one?
A pulpotomy, often referred to as a “baby root canal,” is a dental procedure used to treat tooth decay or infection that has reached the nerve (pulp) inside a child’s primary (baby) tooth. It is necessary when the decay is too deep to be managed by a filling alone but the root of the tooth is still healthy. A pulpotomy removes the diseased portion of the pulp, preserves the remaining healthy tooth structure, and helps maintain the tooth’s function and space in the mouth until the permanent tooth is ready to erupt. This procedure can prevent pain, swelling, and premature tooth loss, supporting your child’s oral health and development.
General Anesthesia in Pediatric Dentistry
When is dental treatment using general anesthesia necessary for children?
General anesthesia may be recommended for children who are very young, have extensive dental needs, experience extreme anxiety, or have special health care needs that make it difficult to complete dental treatment safely in the dental office. It is also used for children who cannot tolerate treatment with other forms of sedation or when the procedure is lengthy or complex. General anesthesia allows dental care to be completed efficiently, comfortably, and safely in a single visit, often in a hospital or specialized surgical setting.
Is general anesthesia safe and effective for dental treatment?
Yes, general anesthesia is safe and effective when administered by trained professionals, such as anesthesiologists or dental anesthesiologists, in a controlled environment. Before recommending general anesthesia, your child’s dentist will review your child’s medical history and overall health to ensure the procedure is appropriate. Throughout the process, your child is carefully monitored to maintain their safety. While risks exist as with any medical procedure, complications are rare. The benefits of using general anesthesia include minimizing trauma, reducing anxiety, and helping children with special needs or extensive dental issues receive the care they require comfortably and successfully.
Insurance and Payment
Do you accept dental insurance?
Our office accepts most insurance plans, including Denti-Cal, and we will file claims on your behalf. Please contact our office directly to confirm we accept your insurance plan.
What if I don’t have dental insurance?
We offer an in-house plan providing discounted prices and other benefits for uninsured patients. Please call our office to discuss your options for affordable care.
Contact Us
If you have additional questions or would like to schedule an appointment, please contact our office. We are committed to providing the best possible dental care for your child!
