Smile Street Pediatric Dentistry offers a variety of treatment options depending on your child's anxiety needs. Dental treatment for a child involves two paths of discussion:
We see infants, children and adolescents ages 1-18 years old. We advise scheduling for the first dental visit by 1 year old.
As a pediatric dentist, Dr. Marissa is specially trained to manage patients with special healthcare needs. Children with special needs require a careful approach in the dental office, and Dr. Marissa takes pride in attending to their specific dental needs with the family.
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A visual exam will be done depending on the age of your child. If the patient permits, an effort will be made to take diagnostic x-rays, depending on the needs. During the first visit, typically a set of full-mouth x-rays are taken to thoroughly assess the child’s developing oral condition. A dental cleaning and fluoride application are also done at the first visit and at every six month recare visit. The doctor and her staff will also provide educational instructions on oral homecare at this visit. As an advocate of oral health, the doctor and her staff have the responsibility of not only removing decay and infection, but also educating the family about maintaining a healthy condition.
A recall visit is done bi-annually or every six months. X-rays are taken according to the American Academy of Pediatric Dentistry guidelines. A dental cleaning and fluoride are also completed. If cavities are diagnosed, a treatment visit will be scheduled.
Alloy or Amalgam: A.K.A. "silver fillings." These types of fillings contain a mixture of different metals. It is still a desirable filling of choice in children due to it’s strength and ease of application. Although not white in color, we find it lasts longer in primary as well as permanent teeth. It is still an acceptable dental material to the U.S. FDA.
Composite: A.K.A. "white fillings." These fillings are a synthetic resin material. They offer wonderful esthetics because they are white, however, are more technique sensitive, and tend to leak over time, causing a need for replacement.
Stainless Steel: These crowns are temporary crowns made of stainless steel metal. They fall off on their own when the permanent molar teeth erupt at around 8-11 years old. They are strong and can handle a tremendous amount of biting force.
White Crowns: These crowns are also temporary, and can also tolerate a large biting force. They are more esthetic because they are white, but are not as strong as stainless steel.
Primary teeth are important for chewing and esthetics, however, they also serve to hold a space for the permanent tooth developing underneath. Posterior primary molar extractions require spacer maintainers. They are stainless steel retainers that are cemented on neighboring teeth to hold the space for the permanent tooth. Depending on the number of teeth missing, the doctor will discuss the type of spacer necessary.
Nitrous Oxide Sedation (a.k.a. "laughing gas") is a mild form of sedation for a child who's anxiety levels are fairly minimal. It is inhaled and administered through a fruit scented device that sits gently on top of the child's nose. It has a rapid effect. Gas is continuously inhaled for the duration of treatment to help calm the nerves. Once treatment is complete, the child is placed on pure oxygen to rid of any nitrous oxide lingering in the system.
Oral Conscious Sedation is a more moderate form of sedation indicated for a child who's anxiety levels are more moderate. The child is brought in on an empty stomach in the morning, the weight calculated, and the sedative administered. Once the medication takes affect, we settle the patient in the treatment room and allow them to inhale the nitrous oxide gas for the duration of the treatment. The patient is fully alert with this method, but typically relaxed enough to allow any necessary dental treatment. The affects of oral conscious sedation are not always certain, therefore if the patient still demonstrates some difficulty during treatment, IV sedation can be discussed.
IV sedation is the deepest form of sedation for which an anesthesiologist will perform the sedation procedure as well as monitor patient vitals while the doctor completes all necessary treatment. This form of sedation is reserved for patients with extreme levels of anxiety and who typically require extensive amounts of dental treatment. It is also used for patients who have had unsuccessful oral conscious sedation visits.
Smile Street Pediatric Dentistry strives to stay up-to-date with the latest innovative technology. We believe that it makes it easier for parents and patients to understand treatment plans, and easier for the children to sit through a dental visit.
We have new iPads and WiFi in our lobby to keep kids entertained and occupied while they wait for their appointment.
Digital x-rays can emit up to 90% less radiation than conventional x-rays. The patient and parents also have the ability to view the x-ray on a large computer screen as opposed to a small light box.
We believe less is more when it comes to paper. We try to keep health history and patient information solely on our computer charting. It helps maintain patient confidentiality and makes patient files more readily accessible when necessary. Not to mention more "green."
Sometimes some teeth need a photo whether it is to show the parent a problematic area, or to monitor an ongoing oral condition.
It’s hard enough that you have to explain to your child that they need a dental visit. We try to make it easier on your child by providing a movie and headphones during each dental visit. Flat screen TVs are located above each dental chair in the office.