Services

INFANT EXAMS

An infant exam is recommended when the first baby tooth comes in or at least by the first birthday!

Besides an examination of the oral cavity, the main goal during an infant exam is to formulate a thorough prevention program as babies can be at high risk for cavities due to several factors.Our exam will consist of a “Knee to Knee“ exam where the child lies on the laps of the parent and dentist so that we may examine, demonstrate proper brushing technique to you and apply fluoride vitamins to the child’s teeth if they have any. Oral health, nutrition, injury prevention and teeth milestones are all topics that will be discussed.

RECARE EXAMS

We recommend regular exams every six months. Such exams allow us to examine and detect any issues that may later become big problems if left untreated and undetected. To aid in our examinations, we typically need to take X-rays. Xrays are usually based on an individual risk for caries and allow us to examine for decay between the teeth that may not be visible by a visual exam alone. The checkup will include a thorough cleaning to remove any buildup, polishing of teeth and application of fluoride. Oral hygiene and brushing techniques as well as dietary counseling will be discussed with both child and parent.

PREVENTION

SEALANTS- Sealants are an excellent non invasive treatment approach to prevent cavities. Sealants are made of a white material that is painted on the deep grooves on the tooth that would otherwise trap food and bacteria. “Sealing out” plaque and food helps decrease the risk for decay. Sealants last many years and are a great prevention method for cavities.

FLUORIDE- Fluoride is a naturally occurring compound that is both safe and effective for prevention of tooth decay. It is found in many dental products such as toothpastes and rinses. Fluoride makes teeth more resistant to decay as it incorporates itself into the outer layer of teeth known as enamel and strengthens the tooth structure.

SPACE MAINTAINERS- When a child loses a tooth early due to trauma or decay, space maintainers are usually recommended to prevent loss of space that may result in future crowding of permanent teeth. Space maintainers come in different shapes and forms and are usually cemented to an existing tooth in the mouth.

THUMB AND FINGER SUCKING- At a young age, sucking the digits is very normal and comforting for the child. Most children usually stop this habit on their own, but if the habit persists, we can offer several options to help your child stop before irreversible changes occur to the developing teeth.

RESTORATIVE TREATMENT

FILLINGS- When a child has decay, it is necessary to remove the cavity and treat the tooth before it gets worse. Usually if the decay is small, white fillings are placed on teeth and look very much like the natural tooth.

CROWNS- Crowns are a great treatment option for baby teeth with large cavities. Where the cavity is large and the filling may not be strong enough to last, a crown is usually recommended. It is a “one time” treatment for the tooth that ensures that once the baby tooth is covered by a crown, no further treatment will be necessary until the permanent tooth comes in. Crowns can be silver or white. White crowns are very esthetic and usually placed on front teeth whereas silver crowns can be placed on back teeth as they are not visible on these teeth and are an excellent long term treatment option for a baby tooth.

SILVER DIAMINE FLUORIDE

Have you heard of silver diamine fluoride and are curious if it will work for your child? At Hifive Kids Dental we can provide you with information and discuss the advantages and disadvantages of this substance.

SDF is a liquid substance known to help prevent existing tooth cavities from growing and it can also stop cavities from spreading to your child’s other teeth. The components are silver diamond and fluoride- the silver kills the bacteria and the fluoride helps strengthen tooth enamel. It is a very safe substance that has been used internationally for decades and is now being used across the US and Canada.

SDF is applied topically by being brushed directly on to the surfaces of teeth effected by cavities. A few applications may be required and we will assess its effectiveness over a few months. The downside to SDF is that it does turn the cavitated area of the tooth a dark gray or “black” which is usually not a problem when applied to the molars that are in the back of the mouth. However, if applied to front teeth, the discoloration can be seen and will need to be addressed with white fillings later on.

SDF is not meant to be a long term solution to cavities, however it can allow us to “buy time” if you feel your child is not ready for dental treatment just yet- for instance if they are younger than three years old and have some cavities. It may also be helpful for special needs children who are not able to tolerate traditional dental treatment. It does not restore form or function to the tooth and eventually fillings will have to be placed in teeth that are broken down as a result of cavities but works very well as interim treatment.

We want parents to make informed decisions regarding their child’s oral health, and we would love to discuss this option in detail with you if you are interested in it. Our office specializes in dentistry for kids, so if you are looking for a children’s dentist in Pickering, give us a call today!

NITROUS OXIDE/LAUGHING GAS

Anxiety can be real when it comes to dental visits for children or adults. We here at Hifive Kids Dental understand these fears and do our best to make our little patients visits as comfortable and fun as possible! We accomplish this in many ways- toys and books in the front area to help release anxiety about “first” visits and telling/showing the child everything we are going to do in child friendly terms before we do it. We find these techniques really help combat fears and allows the child to become more engaged and excited about their visit! We are a kids dental office in Pickering and our office is catered only to children and all their dental needs.

When children need to have fillings or other types of dental work done, the Tell-show-do method is very effective but we may need additional “anxiety-relieving” techniques to help the child cope with the loud sounds and even sensations of our tools. Nitrous oxide is one of the safest methods we use to accomplish this. Historically known as “laughing gas” it can help relieve anxiety for many children during dental treatment. It is a very safe, effective anxiolytic gas that has no long lasting effects and even helps suppress the gag reflex for the little ones who are prone to gagging. Nitrous oxide will not put your child to sleep- your child will be awake, alert and able to respond to all verbal communication during treatment. The effects of the gas quickly wear off once the treatment is done and your child can walk and talk happily all the way home!

While nitrous oxide is one option for dental treatment, there are several other ways to complete dental treatment for children.We usually assess a child’s level of anxiety during an exam and will suggest appropriate treatment recommendations for your child. We can discuss all other options with you and help you make an informed decision about the route you feel would work best for your child. If you have any questions or require more information, do not hesitate to contact our kids dental office for more details or fill out the form below!

ORAL Conscious SEDATION

When Nitrous oxide is not enough, especially for children with severe dental anxiety or young age, oral sedation can come in handy. Oral sedation involves a “juice” drink that is an anxiety relieving medication that will help them be more relaxed and allow us to complete dental treatment. A child will be calm but not asleep during oral sedation and should be able to communicate.

SLEEP DENTISTRY

General anesthesia or Sleep dentistry is a good means of completing dental treatment on children with extensive dental needs, special needs patients or children who are too young to have the cooperative ability to have dental work done. With general anesthesia, all of the child’s needs including x-rays, cleaning and all dental work are completed in one visit and the child is usually back to normal by the evening.

DENTAL EMERGENCIES

For patients of record and for after hour emergencies, please call Dr. Murad’s cell phone that is listed on our answering service. Emergencies needing immediate attention: Abcess or Swelling causing difficulty in breathing or swallowing or if the child is listless and unresponsive due to swelling- please go to ER IMMEDIATELY

  • Broken jaw- go to ER immediately
  • Child had concussion/amnesia- ER first then come visit us
  • Other Dental Emergencies- see below:

ORTHODONTICS

Your child is a good candidate for orthodontics or braces if they have healthy teeth, gums and good oral habits. The most common conditions requiring braces are overbite, underbite and crowding. A consult with an orthodontist is typically recommended at age 7. However, if a child has alignment issues or other bite issues with baby teeth, the child should and can be treated with certain appliances in early treatment or phase I orthodontics to correct these issues before they cause severe problems with the permanent dentition. If you are concerned about any of these issues, please ask us so that we can address your concerns. If your child is a patient of record and has regular checkups at our office, we will evaluate bite issues at every six month check.

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