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

Silver diamine fluoride or SDF is a medicament that has been used internationally for decades to arrest decay in baby and adult teeth and has recently been approved by Health Canada for its use to arrest caries. It can be used in children when their cooperation for traditional restorative dentistry is limited due to very young age, situational anxiety or intellectual and developmental disability. SDF only arrests decay and does not restore form or function to broken down teeth. Traditional restorations will eventually be needed to restore function but it is a method to allow us to “buy some time” as in interim therapy till cooperation can improve. SDF causes irreversible black staining of the caries and may even cause some staining of mouth or gingiva which is reversible. If this is an option for treatment you are interested. please discuss it thoroughly with us.

NITROUS OXIDE/LAUGHING GAS

Some children may be anxious about dental treatment and Nitrous oxide also known as “laughing gas” is an excellent option to help a child relax and relieve anxiety during dental treatment. It is extremely safe, reversible, non allergenic and has no long lasting effects. Your child will be awake and conscious during treatment with nitrous oxide.It is also excellent for children with a strong gag reflex.

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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