Pediatric Dentistry

Child's First Pediatric Dental Visit

According to guidelines from the American Academy of Pediatric Dentistry (AAPD), your child should be seen by his/her pediatric dentist no later than six months after the eruption of the first tooth.

This visit mainly will involve counseling on oral hygiene, habits, and on the effects that diet can have on his/her teeth. It is NOT recommended to wait until age 3 to visit your dentist and as a general rule, the earlier the dental visit, the better the chance of preventing dental problems.

Children with healthy teeth chew food easily, learn to speak clearly, and smile with confidence. Start your child now on a lifetime of good dental habits.

The AAPD also recommends a dental check-up at least twice a year; however some children that may be at a higher-than-average caries risk may need to be seen more often.

Ankylosis

This refers to a tooth or teeth (primary or permanent) that have become "fused" to the bone, preventing it or them from moving "down" with the bone as the jaws grow. This process can affect any teeth in the mouth, but it is more common on primary first molars and teeth that have suffered trauma (typically the incisors). Treatment can vary depending on the degree of severity of the ankylosis (how "sunken into the gums" a tooth may appear). The degree of severity usually will vary depending on how early the process started, and as a general rule, the earlier it starts, the more severe the ankylosis becomes with age. Several considerations must be taken before any treatment is provided, and your dentist will discuss all the risks and benefits of each treatment option.

How Much Fluoride Is Too Much?

Fluoride is perfectly safe when used as directed by our dental office however there are some issues that can arise from using too much fluoride. Toxic levels of fluoride depend on person-to-person so it is important that you speak with us first before considering using a questionable amount of fluoride or if you have a child whose teeth are currently developing.

Fluorosis is a condition where exposure to too much fluoride causes defects in the tooth's enamel layer that often look like white patches or streaks across a tooth. In severe fluorosis cases, these patches or streaks can be brown in color making them a severe cosmetic concern and are often embarrassing for many people who have this condition. Fluorosis is most common in children with developing permanent teeth where fluoride levels are not properly applied and/or monitored but can become a problem to virtually anyone at any age.

If you think you have or have been told you have a mild to severe case of fluorosis, we want you to know that we can help lighten or remove the stains to teeth caused by excessive fluoride exposure. Request an appointment or call our office directly at 516-883-4477 to come in and have us take a look at your condition. In just one appointment we can significantly reduce the cosmetic blemishes of fluorosis.

Mucocele

This is a common benign lesion in children and adolescents that results from the rupture of the excretory ducts (very small tubes) that deliver saliva to the top tissues of the lips. More than 75% of mucocele are located on the lower lip and their size and color may vary, however, they tend to be relatively painless for the most part. Most of the time, patients report that these "bumps" grow until they burst spontaneously, leaving small ulcers that heal within a few days. This does not mean the lesion is gone, as they often tend to re-appear weeks or months later. Most dentists will recommend surgical treatment for these lesions.

Pulpotomy

Baby teeth that have large caries (cavities) and some degree of pain occasionally require that the "coronal" (top) portion of that tooth's nerve be removed before a filling or a crown (preferably) is placed. The main goal of this procedure is to preserve the baby tooth, since baby teeth help to maintain adequate room for the permanent teeth. Pulpotomies have published success rates that range from 60% to 90% and represent a good and reliable way to save a badly decayed baby tooth.

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