A pediatric dentist has an extra two years of specialized training after dental school and is dedicated to the oral health of children from infancy through the teenage years.  The very young, pre-teens, and teenagers all need different approaches in dealing with behavior,  guiding their cranio-facial growth and development, and helping them avoid future dental problems.

With the additional two-year residency, pediatric dentists have the training which allows them to offer the most up-to-date and thorough treatment for a wide variety of pediatric dental conditions.

According to the American Academy of Pediatric Dentistry and the American Dental Association, your child’s first visit should be around 6 months of age or after his or her first tooth erupts, and no later than your child’s first birthday. Although it may seem young, finding your child’s “dental home” is a key to a lifetime of good dental health.

According to the American Academy of Pediatric Dentistry and the American Dental Association, your child’s first visit should be around 6 months of age or after his or her first tooth erupts, and no later than your child’s first birthday. Although it may seem young, finding your child’s “dental home” is a key to a lifetime of good dental health.

Radiographs (x-rays) are a necessary part of your child's dental diagnostic process. Without them, certain cavities will be missed.  They also help notice if there are missing or extra teeth. If dental problems are found and treated early, dental care is more comfortable for your child, and more affordable to you.

On average, our office will request bitewing radiographs approximately once a year and panoramic radiographs every 3-5 years.  In children who are at a higher risk of developing tooth decay, we may recommend radiographs at more frequent intervals.

With contemporary safeguards and digital radiography, the amount of radiation received in a dental x-ray examination is extremely small.  The risk is negligible.  In fact, the dental radiographs represent a far smaller risk than an undetected and untreated dental problem.  Today's equipment restricts the x-ray beam to the specific area of interest limiting the amount of radiation.

A sealant is a composite material that is applied to the chewing surfaces of the back permanent teeth, where most cavities in children can form.  This sealant acts as a barrier to food, plaque, and acid, thus protecting the decay-prone areas of the teeth.  However, cavities between the teeth are not protected by sealants.

If your child has a cavity, a filling is placed after the cavity is removed. The filling can be tooth colored (white) or silver.

In a baby tooth, if a cavity is too large to restore with a filling, a crown may be recommended or the tooth may need to come out.  If the cavity is too large and has involved the nerve of the tooth, then the nerve will be removed (pulpotomy) along with the cavity, and a crown will be placed.  For front teeth, white fillings are used.  For back teeth, stainless steel crowns are used for their durability and longevity.  The purpose of the crown is to help provide structure for the tooth, to help maintain space for permanent teeth to erupt properly, and to help protect the remaining tooth. Your child may be a candidate for a white “tooth-colored” crown.  Dr. Claire and  Dr. Michele will discuss your child’s unique treatment options.

Dr. Claire and  Dr. Michele do not believe in holding a child down or wrapping

a child up in a device in order to fix a tooth. They believe that this can be traumatic to your child and can prevent your child from trusting or liking the dentist.  Instead, if your child is too anxious and/or very young, with extensive dental treatment needs, they may recommend your child be treated under general anesthesia.

Clean the area around the sore tooth thoroughly.  Rinse the mouth with warm salt water or use dental floss to dislodge impacted food or debris.

DO NOT place aspirin on the gums or on the aching tooth.

If the face is swollen or the pain still persists, contact our office as soon as possible. Avoid hot, cold and sweet foods.

Rinse debris from injured area with warm water.  Place cold compresses over

the face in the area of injury.  Placement of Vaseline over the area of the broken tooth will aid in decreasing sensitivity. If possible, locate and save any broken tooth fragments and place in milk.

Contact our office as soon as possible.

If after hours please call Dr. Claire Mielke ASAP at 651.300.4115.

The first thing to do is to try to remain calm.  This can be a very upsetting situation for both you and your child.

Always make sure your child has not passed out or is unable to remember the injury.

If this is the case, you will need to report to the emergency room for head trauma evaluation.

Next, determine if it is a permanent or baby tooth. If it is a baby tooth, DO NOT REIMPLANT.

Contact us immediately for instructions. If after hours, please call Dr. Claire Mielke ASAP at 651.300.4115.

If it is a permanent tooth, find the tooth and  pick it up by the crown of the tooth (the part you see in the mouth).

Try not to handle the root of the tooth. If there appears to be debris on the tooth, rinse with water, milk or saliva.

Next, place the tooth back in the socket and contact our office immediately. If you are uncomfortable with this, place the tooth in milk.

The best chance for survival of the tooth is if has been re-implanted within 30 minutes of the injury. This is why it is critical that you re-implant immediately. Your child will need to be seen shortly after, so the tooth can be splinted.

Your child should wear a mouth guard whenever he or she is in an activity with a risk of falls or of head contact with other players or equipment.

We usually think of football and hockey as the most dangerous to the teeth, but nearly half of sports-related mouth injuries occur in basketball and baseball.

Dr. Claire and  Dr. Michele will recommend the best mouth guard for your child.