1380 South State Street
Dover, DE 19901
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Board Certified Pediatric Dentist
What is a pediatric dentist?
A pediatric dentist, like Dr. Julie, has an extra two years of specialized training after dental school 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 behavior, guiding their growth and development, and helping them avoid future dental problems.
With the additional education, pediatric dentists have the training which allows them to offer the most up-to-date and thorough treatment for a wide variety of pediatric dental problems.
How old should my child be to come to the dentist?
According to the America Academy of the
Pediatric Dentistry, your child should be seen by their 1st birthday or 6 months after the eruption of their first tooth.
Beginning dental care at an early age allows guidance for caring for your child's teeth and opportunities to address preventive issues that are important for healthy teeth and a pleasing smile. Early visits also help establish a positive relationship between our office and your child.
Why are baby teeth so important?
It is very important to maintain the health of primary teeth (baby teeth). Neglected cavities can cause pain and infection, and it can also lead to problems which affect the developing permanent teeth. Primary teeth are important for (1) proper chewing and eating, (2) providing space for permanent teeth and guiding them into position, and (3) permitting normal development of the jaw bones and muscles.
What kind of toothpaste should I use for my child?
Toothpaste approved by the American Dental Association is recommended. It is important to avoid using toothpastes with harmful abrasives on young teeth – most children’s toothpastes (with Fluoride!) are appropriate. Children under 2 should use a smear of toothpaste, while children 2-5 should use a pea-sized amount. Wipe any excess toothpaste from the mouth and encourage children not to swallow.
Why does my child need dental x-rays?
Radiographs (x-rays) are a necessary part of your child's dental diagnostic process. Without them, certain cavities will be missed. They also help survey developing teeth, evaluate results of an injury, or plan for orthodontic treatment. If dental problems are found and treated early, dental care is more comfortable for your child, and more affordable for you.
On average, our office will request bitewing radiographs approximately once a year and panoramic radiographs every 3-5 years. In children with a high risk of tooth decay, we will recommend radiographs and examinations every six months.
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 radiographs represent a far smaller risk than an undetected and untreated dental problem. Lead body aprons and shields will protect your child. Today's equipment restricts the beam to the area of interest.
How does my child's diet affect his/her teeth?
Healthy eating habits equal 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 (Check out www.ChooseMyPlate.gov). Frequent snacking often lead to cavity formation – so the more candy, junk food and generally unhealthy snacks your child eats, the greater chance he or she has for developing tooth decay.
It is also extremely important to pay attention to what your child is drinking! Soda, sports drinks, and juice (yes, even all-natural ones), are very bad for teeth at any age. Frequent consumption of these liquids leads to cavities in between the teeth. We recommend drinking lots of water and white milk for your child’s hydration needs.
What are sealants, fillings and crowns?
A sealant is a clear or shaded plastic material that is applied to the chewing surfaces (grooves) for the back teeth (premolars and molars), where most cavities in children can form. This sealant acts as a barrier to food, plaque, and acid, thus protecting the decay-prone areas of the teeth. However, cavities between the teeth are not protected by sealants. As long as there is no cavity in the tooth, sealants will be recommended for all children.
If your child has a cavity, a filling is placed after the cavity is removed. Most of the time, the filling is a tooth colored (white) filling, but there are certain situations in which a silver filling is necessary.
In a primary tooth, if a cavity is too large to restore with a filling, a crown may be recommend or the tooth may need to come out. If the cavity is too large and has involved the nerve of the tooth, then the nerve will be removed (pulpotomy) along with the cavity, and a crown will be placed. A crown can either be tooth colored or stainless steel. For front teeth, white crowns are routinely used for esthetics. For back teeth, stainless steel crowns are used for their durability and longevity. The purpose of the crown is to help provide structure for the tooth, to help maintain space for permanent teeth to erupt properly, and to help protect the remaining tooth.
All of these procedures are associated with a certain failure rate depending on the severity of disease, cooperation of patient during treatment, and individual response to the treatment. All treatment is recommended based on scientific criteria and clinical experience in the best interest of your child. If your child needs any of the above treatments, please talk to our staff about any questions or concerns that you may have.
What should be done about a cut or bitten tongue,
lip or cheek?
Apply ice to bruised areas. If there is bleeding, apply firm pressure with a clean gauze or cloth. If bleeding does not stop after 15 minutes or it cannot be controlled by simple pressure, take the child to the emergency room.
If the child chews their lip, tongue or cheek area after completion of dental treatment, an antibiotic may be necessary. Please call our office.
What can I do about my child’s toothache?
Clean the area around the sore tooth thoroughly. Rinse the mouth with warm salt water or use dental floss to dislodge impacted food or debris. DO NOT place aspirin on the gum or on the aching tooth. If the face is swollen or the pain still persists, contact our office as soon as possible.
My child accidently knocked out her permanent tooth, what should I do?
If the tooth is knocked out, try to replace back into socket or place in milk until you come to our office.
Contact our office as soon as possible.
Our soon has fractured his tooth. What do you suggest?
Rinse debris from injured area with warm water. Place cold compresses over the face in the area of injury. Placement of Vaseline over the area of the broken tooth will aid in decreasing sensitivity. Locate and save any broken tooth fragments in milk.
Contact our office as soon as possible.
Do you allow parents to come back with their children?
As the parent you are welcome to accompany your child into the treatment area during the initial exam. However, to better establish a trust with your child, we like to bring the children back by themselves. Expect your child to do well and enjoy their visit to our office and chances are they will do just that!