Children’s Dentistry FAQ’s
We recommend you make an appointment to see Dr. Niloo as soon as your child gets his or her first tooth. The American Academy of Pediatric Dentistry recommends that a child is seen by six months after the first tooth erupts or by one year of age, whichever is first.
All dental specialists (pediatric dentists, orthodontists, oral surgeons, and others) begin by completing dental school, then continue their education with several years of additional specialized training. During training in the field of pediatric dentistry, Dr. Niloo gained extensive knowledge and experience in treating infants, children, and adolescents. Pediatric dentists enjoy working with children and bring to each patient our expertise in childhood development and behavior.
The first visit is usually short and simple. In most cases, we focus on getting to know your child and giving you some basic information about dental care. Dr. Niloo will check your child’s teeth for placement and health, and look for any potential problems with the gums and jaw.
If necessary, we may do a bit of cleaning. We will also answer any questions you have about how to care for your child’s teeth as they develop, and provide you with materials containing helpful tips you can refer to at home
The best preparation for your child’s first visit to our office is to maintain a positive attitude. Children pick up on adults’ apprehensions, and if you make negative comments about trips to the dentist you can be sure that your child will fear an unpleasant experience and act accordingly.
Show your child the pictures of the office and staff on the website. Let your son or daughter know it’s important to keep teeth and gums healthy, and that the doctor will help to do that. Remember that your dentist is specially trained to handle fears and anxiety, and our staff excels at putting children at ease during treatment.
We generally recommend scheduling checkups every six months. Depending on the circumstances of your child’s oral health, we may recommend more frequent visits.
Although they don’t last as long as permanent teeth, your child’s first teeth play an important role in development. While they’re in place, the primary teeth help your little one speak, smile, and chew properly. They also hold space in the jaw for permanent teeth.
If a child loses a tooth too early (due to damage or decay), nearby teeth may encroach on that space, which can result in crooked or misplaced permanent teeth. Also, your child’s general health is affected by the oral health of the teeth and gums.
Even before your baby’s first tooth appears, we recommend you clean his or her gums after feedings with a damp, soft washcloth. As soon as the first tooth appears, you can start using a toothbrush. Choose a toothbrush with soft bristles and a small head. You most likely can find a toothbrush designed for infants at your local drugstore.
Once your child has a few teeth, you can start using toothpaste on the brush. Use only a tiny amount for each cleaning, and be sure to choose toothpaste without fluoride for children under two, because too much fluoride can be dangerous for very young children. Always have your child rinse and spit out toothpaste after brushing, to begin a lifelong habit he or she will need when graduating to fluoride toothpaste. Children naturally want to swallow toothpaste after brushing, and swallowing too much fluoride toothpaste can cause teeth to stain.
You should brush your child’s teeth until he or she is ready to take on that responsibility, which usually happens by age six or seven.
Certain types of bacteria live in our mouths. When they come into contact with sugary foods left behind on our teeth after eating, acids are produced. These acids attack the enamel on the exterior of the teeth, eventually eating through the enamel and creating holes in the teeth, which we call cavities.
Be sure that your child brushes the teeth at least twice a day with fluoride toothpaste. Flossing daily is also important because flossing can reach spots between the teeth that brushing can’t.
Check with your pediatric dentist about a fluoride supplement that helps tooth enamel become harder and more resistant to decay. Avoid sugary foods and drinks, limit snacking, and maintain a healthy diet. And finally, make regular appointments so we can check the health of your child’s teeth and provide professional cleanings.
Sealants cover the pits and fissures in teeth that are difficult to brush and therefore susceptible to decay. We recommend sealants as a safe, simple way to help your child avoid cavities, especially for molars, which are hardest to reach.
Even children’s sports involve contact, and we recommend mouthguards for children active in sports. If your little one plays baseball, soccer, or other sports, ask us about having a custom-fitted mouthguard made to protect his or her teeth, lips, cheeks, and gums.
The large majority of children suck their thumbs or fingers as infants, and most grow out of it by the age of four, without causing any permanent damage to their teeth. If your child continues to suck after permanent teeth erupt, or if he or she sucks aggressively, let us know and we can check to see if any problems may arise from the habit.
We recommend taking X-rays around the age of two or three. The first set consists of simple pictures of the front upper and lower teeth, which familiarize your child with the process. Once the baby teeth in the back are touching one another, then regular (at least yearly) X-rays are recommended.
Permanent teeth start coming in around age six, and X-rays help us make sure your child’s teeth and jaw are healthy and properly aligned. If your child is at a high risk of dental problems, we may suggest having X-rays taken at an earlier age.
Yes. Some orthodontic problems are significant enough to require early intervention. However, if a patient is not yet ready for treatment, we will follow that patient’s growth and development until the time is right for treatment to begin.
Phase One treatment, if necessary, is usually initiated on children between the ages of 7 and 10. Phase One treatment usually lasts about 16-21 months. The primary objective for Phase One treatment is to address significant problems to prevent them from becoming more severe and to improve self-esteem and self-image.
It is best to assume that your child will need full braces even after Phase One treatment. The period following Phase One treatment is called the “resting period,” during which growth and tooth eruption are closely monitored. Throughout this period, parents and patients will be kept informed of future treatment recommendations.