Pediatric Dentistry


Preventive and Diagnostic


Restorative
An oral evaluation is recommended every six (6) months to prevent cavities and detect any dental problems. During an oral evaluation, a thorough examination of the mouth, head, and neck is performed to detect abnormalities.
Regular cleanings help keep gums healthy and teeth cavity-free. A dental cleaning includes removal of tartar and plaque and polishing of the teeth to remove stains and prevent further buildup of plaque.
Fluoride is a natural substance that helps strengthen teeth and prevent decay. Fluoride treatments are administered at this office as an important component of pediatric dental treatment after the cleaning is completed. Since Long Island water is non-fluoridated, topical fluoride treatment in the office is highly recommended. The fluoride is applied to the teeth in varnish form.
Dental X-rays are a valuable diagnostic tool used to identify decay, extra teeth, bone defects, tumors, cysts and check the progress of previous procedures. Advances in technology now allow for digital X-rays, which reduce radiation exposure more than 50 percent, and produce instant, high-quality images that can be viewed immediately by the dentist and the patient. We recommend x-rays as infrequently as possible to minimize exposure to radiation.
During a regular check-up, oral hygiene instructions are given to both patient and parent.  Good home care can reduce the risk of plaque and tartar build-up which can lead to cavities and gum disease. Instructions include proper techniques for brushing, flossing, and using mouth rinses.
Dental sealants are made of a safe resin material (BPA free) which is applied to the surfaces of back teeth (molars) to prevent cavities.  The sealant material fills in the crevices of a tooth on the biting surface, preventing plaque and food from becoming trapped and causing a cavity. The sealant is painted directly onto the chewing surface of each tooth and then hardens with a light in 3 seconds. Sealants are applied in one visit and are pain-free!


Restorative


Aesthetic
Our office is completely mercury and BPA free! Tooth-colored fillings are the most safe, natural looking material used to fill cavities. Composite fillings are completed in one visit. Once the decay is removed, the tooth is filled with this composite material that hardens with a light in seconds.
Root canals may be necessary when a tooth has very deep decay which is close to or invades the nerve. A pulpotomy (baby root canal) involves removing the nerve of the baby tooth to avoid dental abscess. Once a baby tooth requires a pulpotomy, it must be restored with a crown.
A crown is a dental restoration that completely covers the outside of a severely decayed tooth. Stainless steel crowns are safe, non-toxic and do not contain any mercury.
A crown is a dental restoration that completely covers the outside of a severely decayed tooth. White crowns are much more esthetic than silver crowns and are safe, non-toxic and do not contain any mercury. While stainless steel crowns are reserved for molars only, porcelain crowns may be used on both front and back teeth.
Silver diamine fluoride (SDF) is an alternative approach to treatment of cavities in children. SDF is faster and cheaper than drilling and filling however the downside that when applied, SDF blackens the tooth. It is not appropriate to use in all cases.
A tooth that cannot be saved (abscessed) or needs to be extracted for orthodontic reasons may need to be removed. Generally nitrous oxide and “novacaine” are used for maximum comfort. Our Doctors are experts and will help alleviate any fears you and your child may have.


Interceptive Orthodontics


Preventive and Doagnostic
A habit appliance is useful to help stop a thumb or finger habit if your child is having difficulty on their own. Placing an appliance can help to minimize the harm and distortion the habits can have on the teeth and bone.
Baby teeth act as a guide for the eruption of the permanent teeth. Space maintainers are necessary when a baby tooth is extracted to keep adjacent teeth from drifting into the empty space. A space maintainer is made of stainless steel and is cemented to the tooth adjacent to the space (non-removable).


Aesthetic


Interceptive Orthodontics
If a child needs to have front teeth extracted or they were lost due to trauma, a pedi-partial can be made. A pedi-partial replaces whatever teeth were lost and is made of acrylic. It is permanently cemented to the back teeth and restores your child’s natural look.
Cosmetic bonding is a white restorative material most commonly used to repair fracture or decay in the front teeth. Since there is a high incidence of dental trauma and decay in young children, our Doctors frequently perform this procedure.
Whitening, also known as bleaching, is the procedure used to brighten teeth. In-office whitening usually requires only one office visit. A bleaching agent containing carbamide peroxide is applied to the teeth, and a laser light is then used to enhance the action of the whitening agent.


Sedation Dentistry


Sedation
Local anesthesia refers to a topical and/or injected anesthetic that will affect only the targeted area for a brief period of time to minimize or eliminate sensation or pain in that specific “localized” area during a dental procedure.
Oraverse is an injectible substance that is used to reverse the local anesthetic within 20 minutes to prevent lip biting. OraVerse is the first and only local anesthesia reversal agent that allows your child to be back to normal sensation twice as fast.
Nitrous oxide, sometimes referred to as “laughing gas” or “sweet air” is an effective and safe sedation agent that is inhaled through a mask that fits over your child’s nose. Your child will remain conscious the entire time. This gas helps them feel calm and relaxed while the Doctor performs the dental treatment.
Our office has a multiple licensed anesthesiologists on staff who can safely provide IV sedation/general anesthesia to your child. This service is provided in-office and can usually be scheduled within a week or 2. With this type of sedation, your child will be completely asleep during the treatment and will awaken having no recollection of the treatment itself. One additional benefit to this type of sedation is that your child will not be “numb” when they wake up, since novocaine is not necessary when the child is asleep. Of course, if the treatment could cause any post-op pain, novocaine may be used to make the child more comfortable following the procedure. This type of sedation is appropriate for a more apprehensive child and those children who might need more extensive dental work that would generally take 6o minutes or more to complete. Using this type of sedation ensures that all treatments can be completed in one visit.


Holistic Dentistry


Holistic Dentistry
The only kind of fillings our office provides is BPA free and mercury free fillings which are white in color. So not only are they very esthetic, but they are also very safe and pose no health risks!
All of the X-ray equipment in our office is state of the art digital technology. So not only are these X-rays better quality but they produce MUCH LESS radiation exposure for your child!
This natural product can be placed on a decayed tooth and can slow down (arrest) the decay; this avoids traditional “drilling and filling.” May not be appropriate for all cavities; ask your Doctor.
All gloves used in our office are latex free; however each child is offered a balloon at the end of treatment so if there are latex allergies in your family, please inform us prior to your child’s visit.
All our toothpastes, fluorides and restorative materials are gluten free.