We typically use a gluten-free fluoride gel that is brushed on the teeth. For children who are at a high risk for cavities, we sometimes use a fluoride varnish that sticks to the teeth a bit longer. For some patients, we will recommend supplemental fluorides when appropriate. Numerous clinical studies have been done that have reported the safety and efficacy of topical fluoride, but it is very important to remember that fluoride alone will not prevent tooth decay. It is important to brush at least twice a day, floss regularly, eat balanced meals, reduce sugary snacks, and visit your dentist on a regular basis.

A panographic x-ray (panorex) is taken to provide information regarding the growth, development and position of developing teeth and supporting tissues. Patients often ask if dental x-rays are safe. When using precautions as outlined by the American Academy of Pediatric Dentistry and the American Dental Association, x-rays are safe. Furthermore, we use digital x-rays that use even less radiation than traditional x-rays. Dental x-rays are not taken on every visit—we regularly review each patient’s unique situation and request x-rays only when necessary based on medical and dental history, regular screenings, age considerations, and risk for cavities.

In our opinion, we feel this is one of the best restorations in pediatric dentistry. Baby teeth are at greater risk of decay on all surfaces of the teeth and because they are smaller than permanent teeth fillings can be at a great risk of fracture. By covering the tooth with a cap, it will protect the tooth until it is ready to fall out. If this is the case with your child, we will discuss our recommendations in detail with you prior to any treatment.

Primary (baby) teeth usually stay in place until the permanent tooth comes in to replace it. Ideally, baby teeth should be preserved until the adult teeth push them out naturally. Unfortunately, some children lose baby teeth too early. In these situations a space maintainer is placed to save room in the mouth for the adult teeth. Space maintainers are custom-made, metal appliances cemented (glued) to the teeth. Properly used space maintainers will keep teeth from “shifting” and can help reduce the risk for orthodontic correction later.

Nitrous oxide induces a feeling of relaxation. Some kids will become giddy or get a big smile on their face, thus, the term, “laughing gas.” Nitrous Oxide is perhaps the safest sedative in dentistry. It is well tolerated, having a rapid onset, and is reversible, can be adjusted in various concentrations and is non-allergenic.

Nitrous oxide is mixed directly with oxygen and breathed in through the nose and as the gas begins to take effect, we use colorful adjectives to describe the relaxed feeling, like “Floating in the chair,” or “Felling squishy like a marshmallow.” Children sometimes state their arms and legs may feel “tingly” as well. The gas has a sweet smell and we often offer a variety of “flavors” (like root beer and watermelon) that help make for a very pleasant experience.

The effects of nitrous oxide are very good and well-received by our patients. It raises the pain threshold and may even make the time appear to pass more quickly. If your child is worried about having dental treatment, most always he or she may respond more positively with the use of nitrous oxide. In addition, it reduces the gag reflex which can interfere with effective dental treatment.

When used at appropriate dosages nitrous oxide is very safe to use during treatment and has no lingering side effects. It is eliminated from the body quickly after the gas is turned off. It will not put your child to sleep—he/she will remain awake during the entire procedure. When we are finished, the nitrous oxide gas will be turned off and typically let the patient breath oxygen for a few minutes.

It is important to note that nitrous oxide is not a replacement for local anesthesia (“novocaine”). It does, however, significantly minimize anything that a child would perceive as noxious or uncomfortable. With nitrous oxide, most children don’t even realize that we “numbed their tooth.”

In a very small percentage of children Nitrous oxide may not be effective, especially those children who have severe anxiety, nasal congestion or discomfort wearing a nasal mask. We will review your child’s medical history, level of anxiety, and treatment needs and inform you if nitrous oxide is recommended for your child.

A frenectomy is a common soft-tissue procedure that is performed on infants and children. It refers to the removal of the tight connective tissue (or frenum) from under the lip or under the tongue. Dr. Cara Kilgore provides frenectomy services primarily for infants in order to improve nursing and breastfeeding and occasionally on children to aid in speech development and in coordination with orthodontic treatment.

If it is determined a frenectomy is beneficial, the procedure is done using a soft-tissue laser. By using the soft-tissue laser, discomfort is minimized and healing is much faster when compared to using a traditional scalpel or scissor. Simple stretching exercises are required to minimize scar tissue and ensure the best healing possible. We encourage parents and caregivers to consult with us if they have any questions regarding this procedure.