Pristine Pediatric Dentistry Services

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tooth brushing image

Tooth Brushing

Children’s hands and mouths are different than adults. They need to use toothbrushes designed for children. Both adults and children should use brushes with soft, rounded bristles for gentle cleaning. Change to a new brush about every three months.

Wipe infant’s teeth gently with a moist, soft cloth or gauze square. As babies grow, use a child’s toothbrush with a small, pea-sized dab of toothpaste. By age two or three begin to teach your child to brush. You will still need to brush where they miss. Dentists and hygienists often advise children to use a gentle, short, back and forth motion to remove plaque. When children are older, they can switch to this method.

Hold the brush at a 45 degrees angle towards teeth and gums. Move brush back and forth with short strokes, about a half tooth wide.

Tips for Tooth Brushing:

  • Brush the inside and outside surfaces of each tooth, top, and bottom.
  • Hold the brush flat on top of the teeth and brush the chewing surfaces.
  • Gently brush the tongue to remove debris.
  • Floss between teeth daily.

Cavity Prevention

Most of the time cavities are due to a diet high in sugary foods and a lack of brushing. Limiting sugar intake and brushing regularly, of course, can help. The longer it takes your child to chew their food, the longer the residue stays on their teeth and the greater the chances of getting cavities.

Every time someone eats, an acid reaction occurs inside their mouth as the bacteria digests the sugars. This reaction lasts approximately 20 minutes. During this time the acid environment can destroy the tooth structure, eventually leading to cavities.

Consistency of a person’s saliva also makes a difference as thinner saliva breaks up and washes away food more quickly. When a person eats diets high in carbohydrates and sugars, they tend to have thicker saliva, which in turn produces more of the acid-producing bacteria that causes cavities.

Tips for Cavity Prevention:

  • Limit frequency of meals and snacks.
  • Encourage brushing, flossing, and rinsing.
  • Watch what you drink.
  • Avoid sticky foods.
  • Make treats part of meals.
  • Choose nutritious snacks.
tooth brushing image
tooth filling and restoration

Fillings & Restoration

We are a mercury-free practice. However, many people still have silver/mercury fillings in their mouths from years past. These fillings are not particularly pleasing to the eye, and we know that by unavoidable design, silver/mercury fillings ultimately result in a weaker tooth structure. Porcelain inlays and Tooth Colored Restorations (onlays) create fillings that are not only beautiful (or unnoticeable) but also add strength to weakened teeth. These restorations are aesthetically pleasing and very strong thanks to new bonding technologies.

Your First Appointment:

  • The old filling is removed along with any additional decay.
  • An impression is made of your teeth. A model of your teeth is made and sent to the lab.
  • A temporary onlay is placed on the tooth.

Your Second Appointment:

  • The temporary onlay is removed.
  • A conditioning gel is placed on your tooth to prepare it for the new onlay.
  • Bonding cement is placed on the tooth and a high-intensity light bonds the resin to the tooth.
  • The tooth is then polished.

Tooth Extractions

Dr. Kotlyar or Dr. Vainer may determine whether or not you or your child need a tooth extraction.  Some teeth are extracted because they are severely decayed, whereas others may have advanced periodontal disease. It is also possible that the tooth is broken in a way that cannot be repaired. Other teeth may need removal because they are poorly positioned in the mouth (such as impacted teeth), or in preparation for orthodontic treatment.

The removal of a single tooth can lead to problems related to your chewing ability, problems with your jaw joint, and shifting teeth, which can have a major impact on your dental health.

To avoid these complications, in most cases, Dr. Kotlyar or Dr. Vainer will discuss alternatives to extractions as well as the replacement of the extracted tooth.

tooth extractions
tooth decay

Tooth Decay

Several specific types of bacteria that live on the teeth cause decay. When sugar is consumed, the bacteria use the sugar and then manufacture acids that dissolve the teeth and cause an infection in the tooth. This infection is called decay.

Early Childhood Tooth Decay?

Babies who go to bed with a bottle of milk, formula, or juice are more likely to get tooth decay. Because the sugar in formula, milk, or juice stays in contact with the teeth for a long time during the night, the teeth can decay quickly.

Tips To Avoid Early Childhood Tooth Decay:

  • Put your child to bed with a bottle of plain water, not milk or juice.
  • Stop nursing when your child is asleep or has stopped sucking on the bottle.
  • Try not to let your child walk around using a bottle of milk or juice as a pacifier.
  • Start to teach your child to drink from a cup at about six months of age. Plan to stop using a bottle by 12 to 14 months at the latest.
  • Don’t dip your child’s pacifier in honey or sugar.

Types of Bites

Most of the bite problems (malocclusion) in children come out at around the age of 6 when the baby teeth give way to permanent teeth. Occlusion refers to the way the upper and lower teeth fit together. Usually, the front teeth should overlap slightly over the lower teeth. The back teeth (molars and premolars) should fit into the grooves of their opposite teeth without problems. If there are no problems, at around the age of 5 or 6, your baby’s front teeth will begin erupting in the right position.

Sometimes, though, problems occur during teeth eruption leading to malocclusion. A bad bite may occur when baby teeth erupt prematurely. Bite problems may also occur due to prolonged thumb sucking, use of pacifier or tongue thrusting. Tumors of the mouth and misalignment of the jaw also cause bite problems.

As a parent or guardian, you can save your child from developing bite problems if you know what to look for. The image showcases some of the common bite problems for which you should take your child to an orthodontist for a thorough evaluation.

types of bites
tooth decay

Solea Laser

Solea® is a breakthrough technology that enables virtually every cavity prep to be performed anesthesia-free, delivering a dental experience patients prefer. Solea also enables soft tissue procedures that are blood-free and suture-free with minimal post-op discomfort and remarkably rapid healing.

Benefits of the Solea Laser

  • Removing the need for Drills and Needles.
  • Deliver Better Outcomes
  • Fast and easy process