Family, Cosmetic & Implant Dental Care in a
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Serving Henderson and Las Vegas, Nevada.

A first dental visit for your child may cause you anxiety, but your child does not know what to expect, and will generally follow your lead. Starting a child off with enjoyable,

Pediatric Dentistry Marielaina Perrone DDS

Pediatric Dentistry Can Be Fun!

comfortable dental visits can make it easier for both of you, and lead to a lifetime of worry free, healthy dental care. So what can be done to make the dental visits and treatment go as smooth as possible?

Tips For A Fun Dental Visit

-Start With Good Oral Hygiene, and a Healthy Diet at Home. Good nutrition, and proper brushing should help keep your child cavity free. Dental visits are much easier to cope with, and feel at ease with, when there is little work to be done. Stay away from , soda, sticky sweets, and fruit gummies. Drink lots of milk and water, keep juice to a bare minimum. Teach and help with brushing and flossing everyday. Your child’s first dental visit should hopefully not be due to dental decay causing a toothache.

-Choose The Right Dentist – Not all dentists are comfortable treating children. In my opinion, a family dentist is the perfect choice for the ease of scheduling and the fact that the dentist you choose can treat your child into adulthood. Plus, children feel like grown ups to go to the same dentist as their parents and older siblings.

-Have Older Siblings Act as Role Models. A younger child usually will try harder to do something that they see big brother or sister do. If there are no siblings, have your child sit in the office with you, and at the end, have them sit in your lap for a quick peek, and a ride in the chair.

-Start Young – The earlier a child visits the dentist, the better. This will make a child very familiar with the surroundings of the dental office. It is best that the first visit starts at age 1 or when the first tooth is visible. The initial visit generally is an introduction visit with oral hygiene education for parents.

 -Be Honest – Never try to fool or trick a child into doing something. Kids generally have a good sense of their surroundings and will react badly if they are tricked. Kids are quite strong and should be told what is going on so they can prepare themselves for it.

-Stay Positive – Most children’s dental fears arise from hearing their parents talk about their bad experiences of the dentist. Keep positive communication regarding dental care and dental treatment and visits with your children will go much smoother for all involved.

Pediatric Dentistry Marielaina Perrone DDS-Watch Your Words – Never use the words “shot” or “pain” words with children. Always use positive phrases to keep them happy. Negative words will transfer worry to the child.

-Communicate – Constant communication is needed to make this a great experience. If you encourage your child, and explain that they are going to have pictures taken of their teeth, their teeth polished and shined, etc. They will look forward to their appointment, and want to ask questions. A good dentist will also reinforce what you said and place your child at ease, answering questions, and explaining all that they do throughout the dental visit.

-Reward Good Behavior – Promise a reward for good behavior following dental treatment. Kids will associate the dentist with the prize and look past the actual visit toward what they may receive afterward, even if it is just a shiny, new toothbrush from the dentist. A second reward by you after the visit such as going to the park or a favorite place for lunch.

-Schedule Appointment Early In The Day – Arrange a dental visit as early as possible in the morning. This allows the visit to be done early in the day while the child is not tired and before the kids get wound up from the day. Kids deal with new things better when they are not exhausted.

Pediatric Dentistry Conclusion

Dental visits can be fun experiences. Most children who start young and problem free, can build a trust and confidence in themselves and their dentist. Children who learn good oral hygiene at a young age will thank their parents later in life when they experience less tooth related issues and stay healthier longer.

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Marielaina Perrone
2551 N. Green Valley Pkwy #A405 HendersonNV89014 USA 
 • 702-458-2929

Pediatric Dentistry is the area of dentistry treating children from birth through adolescence. Children are special patients and have different needs than adults. So the field of dentistry

Marielaina Perrone DDS Pediatric Dentistry

Pediatric Dentistry

developed a specialty of pediatric dentistry surrounding their needs. In general, pediatric dentistry takes care of severely broken down teeth requiring sedation. They also are great if your child is too fearful or disabled to handle treatment without sedation. Family dentists are also trained in pediatric dentistry and can treat children of all ages. A pediatric dentistry specialist is not always needed nor required for your children. Most children do quite well in a family dental practice and actually prefer to be with the rest of the family. The earlier a child starts with dental checkups, the easier it is on them and you. Problems are detected early and treatments can be quick and simple. Most children look forward to dental appointments when they have built a trust and confidence in their dentist. This is true for a family dentist or a pediatric dentist.

Whereas adult patients present with one set of teeth and its various issues. Children present to the dentist with three phases of teeth. These phases are called:

1) Deciduous Dentition (teeth) Phase. In this phase all of the child’s teeth are still baby or deciduous teeth. The child has not yet had any permanent teeth erupt.

2) Mixed Dentition Phase. This is where some of the child’s permanent teeth have erupted and replaced some of the primary teeth. So they have a mixture of primary and permanent teeth. This phase has also been coined the “ugly duckling phase”.

3) Permanent Dentition Phase. This is when all the child’s permanent teeth have erupted. This is the point where pediatric dentistry ends and adult dentistry begins.

Pediatric Dentistry Treatments

Dentistry for whole family

Pediatric Dentistry

-Oral Prophylaxis. Oral prophylaxis or prophy is another name for a children’s teeth cleaning by hygienist or dentist. The procedure involves some very light use of hand instruments to clean around teeth along with brushing and educational instructions. Education will be reinforced after every visit to ensure patient follows up at home and understands teh importance of keeping their teeth clean.

-Application of Fluoride. Fluoride applications can be done in two ways, through the tray method or the paint-on method. Both methods are quite effective at providing the developing teeth with the right amount of fluoride. It is totally a child’s personal preference. The choice is there to make it more comfortable on the child. Pediatric dentistry should always involve choices for the patient so they feel like they are intimately involved in making decisions in their dental care.

-Sealants. These are also called pit and fissure sealants because they are designed to fill in the pits and fissures that are part of a child’s teeth natural anatomy. It is recommended to place sealants on the molar and premolar teeth as soon as they come in. This is because you do not want to risk tooth cavities when you can have protection from the beginning. When properly applied and maintained, they can successfully protect the chewing surfaces of children’s teeth. By forming a thin covering over the pits and fissures, sealants keep out plaque and food, thus decreasing the risk of developing a cavity.  Since the covering is only over the biting surface of the tooth, areas on the side and between teeth are not protected by the sealant.

Pediatric dentistry for kids of all ages

Pediatric Dentistry

-Preventive Resin Restoration (also called PRR). This procedure is used in pediatric dentistry for teeth that have already developed very small cavities. This technique is similar

to a sealant but the small amount of decay must be removed first. Using a PRR will prevent the progression of the cavity from going any deeper into the tooth.

-Dental Bonding. Dentists are able to restore cavities that are larger than a PRR can fix using tooth colored dental materials. This will allow the teeth to remain white and not be noticeable upon smiling. Dental bonding is not as prevalent in pediatric dentistry as in other forms of dentistry.

-Pulp Therapy.The pulp (or nerve) of a tooth is the inner center of the tooth. Nerves, blood vessels, connective tissue and reparative cells are all inside the pulp. In pediatric dentistry the purpose of pulp treatment is to maintain the affected tooth so that

Marielaina Perrone DDS Pediatric Dentistry

Pediatric Dentistry

the tooth is not completely lost, and can hold the space for the permanent tooth. This can help retain a good bite and makes braces less likely. The main reasons in pediatric dentistry for pulp treatment are dental cavities and trauma. In pulp treatment the dentist removes the diseased pulpal tissue. An antibacterial agent is placed inside the tooth to prevent further bacterial growth and to calm the remaining nerve tissue in the tooth. A stainless steel crown usually follows this procedure.

-Stainless Steel Crowns. This type of Crown is used in pediatric dentistry to restore teeth that have been badly damaged due to large cavities, excessive teeth grinding or wear.  They are used when a filling is not possible in a tooth because of the amount of damage present. For front teeth, stainless steel crowns with white facing are used to help with aesthetics.

-Extractions. Tooth removal may be necessary in pediatric dentistry for various reasons, including, infection, risk of infection, preparation for orthodontics, over crowding, teeth growing behind other teeth, or for larger cavities that cannot be restored.

-Space Maintainers or early Orthodontic Evaluations. Space Maintainers are used to hold the proper amount of space for permanent teeth. When a primary tooth is lost too early, the teeth beside it may tilt or drift into that empty space. Teeth in the opposing jaw may move up or down to fill the gap.  As teeth beside the gap shift into the empty space, they create a lack of space in the jaw for the permanent teeth.  When this occurs, permanent teeth are over crowded and can come in crooked. If left untreated, the condition may require extensive and costly orthodontic treatment.

Space maintainers are used to in pediatric dentistry to prevent any drifting of teeth and loss of space in your child’s teeth.  They keep the remaining teeth in place until a permanent tooth fills that space. Space maintainers are appliances made out of metal and

Pediatric Dentistry

Pediatric Dentistry

are custom designed and fitted to your child’s mouth. Using space maintainers is more affordable and easier on your child than having to move those teeth back in place with orthodontic treatment.

Recognizing orthodontic issues early, gives the dentist more options to plan for the future as the rest of the teeth develop.

Pediatric dentistry has its own special challenges but with dedication by dentist, parents, and child it can be a great experience. Education needs to be at the forefront of all pediatric dentistry.

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Thumb sucking is a common habit and natural reflex for children. Sucking on thumbs, fingers, pacifiers or whatever they can get in their mouth may make babies feel secure and happy and help them learn about their world. Thumb sucking can continue as a child grows. They will use the thumb sucking to soothe themselves or help themselves fall asleep.

Children thumb sucking

Thumb sucking

Is Thumb sucking normal?

Babies have a natural rooting and sucking reflex. This can cause them to put their thumbs or fingers into their mouths. Thumb sucking can sometimes can occur even before birth. Because thumb sucking is soothing to babies, some slowly develop a habit of thumb sucking when they are tired, anxious or simply bored. Some children who are thumb suckers will only suck their thumb, while some will need to hold an object they treasure, like a security blanket or soft stuffed animal.

Does Thumb sucking cause any problems?

Unfortunately thumb sucking can cause problems for children if it continues. Thumb sucking in children younger than 4 is usually not an issue for development. Children who suck their thumbs often or with increased aggressiveness after 4-5 years of age, or those who are still sucking their

effects of thum sucking

Effects of Thumb sucking

thumbs at age 6, are at risk for dental  or speech problems. Once the permanent teeth begin to come in and develop in the mouth, the persistent thumb sucking may cause top teeth to push out and upward, and bottom teeth to push inward. This tooth movement can cause development of a “buck tooth” appearance, an inability to close the front teeth (open bite), damage to the roof of the mouth, and subsequent speech issues. Pacifiers cause similar issues as thumb sucking but the habit of using the pacifier is a far easier habit to break, it can be thrown out, a finger can not. What determines if thumb sucking causes dental problems or not is the intensity and length of time of the thumb sucking. Checking a child’s thumb for damaged skin and calluses can help determine the aggressiveness of the thumb sucking habit. Many children simply rest their thumbs in their mouth. These children are far less likely to develop any long term issues from their version of thumb sucking. On the other hand, an aggressive thumb sucker may develop issues with their primary and permanent teeth (if they are still thumb sucking at that point when they erupt.

Speech problems caused by thumb sucking are related to the misaligned teeth, distorted palate, and tongue thrusting. The tongue does not have the ability to find the correct placement for proper enunciation, and the tongue muscle needs to be retrained. Tongue thrusting is the pushing forward motion of the tongue when swallowing, causing a continued pressure on the teeth even when not thumb sucking.Speech problems can include not being able to properly say S’s, T’s and D’s, lisping, and tongue thrusting when talking.

Children who are thumb suckers may need treatment for the following reason:

-They have not stopped thumb sucking on their own by age 4-5.

-Speech problems are becoming noticeable.

child dental visit

child dental visit

-If they are teased or feel embarrassed by their sucking.

Treatment

At home treatment by children can include:

-Gentle reminders from parents and loved ones. When you notice your child sucking their thumb, gently remind him or her to stop. You should always avoid criticizing or making fun of your child. This will only create stress.

-Positive reinforcement. Positive reinforcement goes a long way in this area. Provide small rewards when they are not sucking their thumbs for extended periods of time. A reward could be as simple as an extra trip to the park or a slightly later bedtime.

-Competing response. Parents should give their child encouragement to do a different activity when they feel the urge to suck their thumbs. Could be something like squeezing a pillow.

Parents should also take away the child’s security blanket or stuffed animal during certain times of day. This will limit the amount of sucking. Another option is putting gloves on the hands or placing band aids over the thumb in question. This can help the child by reminding them they should not suck their thumbs.

If home treatment does not work and you are worried or feel frustrated about your child’s thumb sucking you should talk with your child’s dentist or doctor. There may be other treatment options, such as behavioral therapy, special nail polish for thumbnail, thumb devices, or devices for the mouth (habit appliances). A dental habit appliance is only a good idea for children who have not been able to stop thumb sucking on their own and have asked for help. It is usually something non removable, blocking the roof of the mouth to make thumb sucking impossible. It is worn for a few weeks to months and then removed by the dentist.

thumb sucking nail treatment

Thumb sucking nail treatment

Remember that thumb-sucking usually is not a problem until a child starts kindergarten or later. Most children will cease the activity on their own if you give them enough time. Slowly but surely, most children begin to stop thumb sucking on their own around ages 3-6 years old. If you notice changes in your child’s primary teeth, or are concerned about your child’s thumb sucking consult your dentist.

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Most kids, will always choose to do the fun activity over the boring one. If the task is not fun it will be rushed through or avoided all together. This can also apply to how well children brush and take care of their teeth. This is one area kids definitely need our guidance to maintain a healthy smile.

The following are four easy ways to encourage your kids to own their smile and at the same time improve their oral health:

1) Make Brushing Fun! - Most dentists recommend brushing for a minimum of two minutes. Two minutes can feel like forever for a kid. To get your child to brush and floss properly, try making Pediatric Dentistrya game out it. Set a timer for two minutes and challenge your child to brush until the timer goes off, or sing twinkle twinkle star twice. Cute, fun toothbrushes are in stores everywhere. Choose one that’s small enough for your child to hold comfortably by his or herself, with a small, rounded head and very soft, polished bristles. I also recommend an electric toothbrush for little ones. Makes it easier to use and makes them feel like big grown ups. Should be replaced every few months, particularly for preschoolers who tend to chew while they brush. For babies, a soft finger toothbrush, or wet washcloth are easiest to use for you and them. Some children’s toothbrushes also have lights that flash or music that plays which serves as a built-in timer. Set the timer again for two minutes for flossing. There are also fun flossers that make it easier to do the best job possible. Another tip would be to brush with your child — Stand side-by-side in front of the bathroom mirror and brush together. Have fun. Let your child mimic your brushing technique. I would also recommend the use of a plaque disclosing solution. This solution will allow you and them to see where the plaque is before brushing and what was missed after brushing. Then you can “help” them remove the last of the plaque. Once the color is gone, the plaque is too!

2) ”But Why??” Explain it all to them – It’s important for kids to know “Why” they are doing things. Brushing and flossing are no different. If they are simply told to do it, it becomes a chore and they will most likely resist. If they realize it’s a good thing for them,  or it is fun, they may be more likely to take the challenge on themselves. Be sure to explain the importance of brushing and flossing in simple terms kids can understand. For example: “Flossing is important because it removes cookies and food left between your teeth. Do you want tooth bugs stuck in between your teeth?” At your child’s next dental checkup, ask your dentist to show visually proper brushing and flossing techniques.Pediatric Dentistry

3) Monitor Sweets and Candy – It’s no secret that kids love candy and sweets. But it’s important for kids to know that eating too many sweets causes cavities. Try to keep sugary snacks limited to later in the day to ensure you child brushes away the sugar with his or her evening brushing and flossing regimen. Or if they are going to have sugar at other times make sure they at least rinse but preferably brush as well following the sweets. Also avoid fruit gummies or roll ups these are the worst types of sugar because they lodge between teeth, stick and stay . They are candy not healthy like actual fruit and they are not nutritious.

4) Give kids incentives to achieve – Set a goal with your child to get a “perfect score” the next time he or she has a dental checkup. This, of course, means your dentist finds no cavities! Establish a reward your child will earn for having a perfect checkup, such as that new video game or doll they have been wanting. Make sure they understand that brushing, flossing, and limiting sweets are all ways to reach their goal. You can even tape a photo of the reward to the bathroom mirror for daily reinforcement. Tell yourdentist about the reward system, so he or she can also encourage your child at each checkup. If you are still finding cavities, diet may need to be looked at more closely, and Fluoride may need to be incorporated. Ask your dentist to advise. Remember to schedule your child’s dental checkups every six months. Very important to stay on schedule and go when needed. You are laying the foundation for your child’s oral health throughout life.

Ask your dentist for more tips and tricks to keep our kids teeth cavity free!

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