21 Muzzey St.
Lexington, MA 02421-5264
Tel: (781) 861-6120

FAQ

At what age should my child have his/her first dental visit?

"First visit by first birthday" is the general rule. To prevent dental problems, your child should see a pediatric dentist when the first tooth appears, usually between 6 and 12 months of age, certainly no later than his/her first birthday.

How often should my child see the dentist?

We recommend scheduling your child’s dental appointments every six months. We will do an oral exam, clean your child’s teeth and apply fluoride at each of these appointments.

Why should my child see a pediatric dentist instead of our regular family dentist?

Pediatric dentistry is a dental specialty that focuses on the oral health of young people. Following dental school, a pediatric dentist has two to three years additional specialty training in the unique needs of infants, children and adolescents, including those with special health needs.

What is baby bottle tooth decay and how can I prevent it?

Baby bottle tooth decay is a pattern of rapid decay associated with prolonged nursing. It happens when a child goes to sleep while breast-feeding and/or bottle-feeding. During sleep, the flow of saliva is reduced and the natural self-cleansing action of the mouth is diminished. Avoid nursing children to sleep or putting anything other than water in their bedtime bottle. Encourage your child to drink from a cup as they approach their first birthday. He/she should be weaned from the bottle at 12-14 months of age.

How should I clean my baby's teeth?

A toothbrush with soft bristles and a small head, especially one designed for infants, is the best choice for infants. Brushing at least once a day, at bedtime, will remove plaque bacteria that can lead to decay.

Can thumbsucking be harmful for my child's teeth?

Thumb and pacifier sucking habits that go on for a long period of time can create crowded, crooked teeth or bite problems. If they are still sucking their thumbs or fingers when the permanent teeth arrive, a mouth appliance may be recommended by your pediatric dentist. Most children stop these habits on their own.

What are dental sealants and how do they work?

Sealants are clear or shaded plastic applied to the teeth to help keep them cavity-free. Sealants fill in the grooved and pitted surfaces of the teeth, which are hard to clean, and shut out food particles that could get caught, causing cavities. Fast and comfortable to apply, sealants can effectively protect teeth for many years.

When should my child start using toothpaste?

We recommend using a fluoride toothpaste when your child's first baby molars emerge.  At this stage, it is important to limit the amount to no larger than a grain of rice.  As your child grows and becomes more comfortable spitting, the amount should increase to about the size of a pea.

How often should I replace my child’s toothbrush?

We recommend replacing your child’s toothbrush every three to four months, or if the bristles are noticeably worn. Also, if your child gets sick, replace the toothbrush after he/she is well again.

Should my child floss?

Yes! Your child will likely need your help to floss, and it is an important habit to start. Your child should be encouraged to floss at least one a day.

If my child gets a toothache, what should I do?

To comfort your child, rinse his/her mouth with warm salt water and apply a cold compress or ice wrapped in a cloth on your child's face if it is swollen. Do not put heat or aspirin on the sore area, but you may give the child acetaminophen for pain. See us as soon as possible.

Is my child getting enough fluoride?

Fluoride has been shown to dramatically decrease a person's chances of getting cavities by making teeth stronger. Fluoride in the drinking water is the best and easiest way to get it, but to make sure your child is getting enough fluoride, have your pediatric dentist evaluate the fluoride level of your child's primary source of water. If your child is not getting enough fluoride internally through water (especially in communities where the water district does not fluoridate the water or if your child drinks bottled water without fluoride), your pediatric dentist may prescribe fluoride supplements.

How safe are dental X-rays?

With contemporary safeguards, such as lead aprons and high-speed film, the amount of radiation received in a dental X-ray examination is extremely small. Even though there is very little risk, pediatric dentists are particularly careful to minimize the exposure of child patients to radiation. In fact, dental X-rays represent a far smaller risk than an undetected and untreated dental problem.

My child plays sports. How should I protect my child's teeth?

A mouth guard should be a top priority on your child's list of sports equipment. Athletic mouth protectors, or mouth guards, are made of soft plastic and fit comfortably to the shape of the upper teeth. They protect a child's teeth, lips, cheeks and gums from sports-related injuries. Any mouth guard works better than no mouth guard, but a custom-fitted mouth guard fitted by our doctor is your child's best protection against sports-related injuries.

When do the first teeth start to erupt?

At about 6 months, the two lower front teeth (central incisors) will erupt, followed shortly by the two upper central incisors. The remainder of the baby teeth appear during the next 18 to 24 months but not necessarily in an orderly sequence from front to back. At 2 to 3 years, all of these 20 primary teeth should be present.

What should I do if my child knocks out a permanent tooth?

First of all, remain calm. If possible, find the tooth and hold it by the crown rather than the root. Replace the tooth in the socket and hold it there with clean gauze or a washcloth. If you can't put the tooth back in the socket, place the tooth in a clean container with milk and take your child and the glass immediately to the pediatric dentist. The faster you act, the better your chances of saving the tooth.

How can I help my child through the teething stage?

Sore gums when teeth erupt are part of the normal eruption process. The discomfort is eased for some children by use of a teething biscuit, a piece of toast or a frozen teething ring. Your pharmacy should also have medications that can be rubbed on the gums to reduce the discomfort.

I noticed a space between my child's two upper front teeth. Is this cause for concern?

Usually, the space will close in the next few years as the other front teeth erupt. We can determine whether there is cause for concern.

If my child gets a cavity in a baby tooth, should it still be filled?

Primary, or "baby," teeth are important for many reasons. Not only do they help children speak clearly and chew naturally, they also aid in forming a path that permanent teeth can follow when they are ready to erupt. Some of them are necessary until a child is 12 years old or longer. Pain, infection of the gums and jaws, impairment of general health and premature loss of teeth are just a few of the problems that can happen when baby teeth are neglected. Also, because tooth decay is really an infection and will spread, decay on baby teeth can cause decay on permanent teeth. Proper care of baby teeth is instrumental in enhancing the health of your child.

What causes tooth decay?

Four things are necessary for cavities to form -- a tooth, bacteria, sugars or other carbohydrates and time. Dental plaque is a thin, sticky, colorless deposit of bacteria that constantly forms on everyone's teeth. When you eat, the sugars in your food cause the bacteria in plaque to produce acids that attack the tooth enamel. With time and repeated acid attacks, the enamel breaks down and a cavity forms.

What is early interceptive orthodontic treatment?

Early interceptive treatment, if necessary, is usually initiated on children between the ages of 7 and 10. Early interceptive treatment lasts about 12-21 months. The primary objective is to address significant problems to prevent them from becoming more severe and to improve self-esteem and self-image.

Do braces hurt?

Generally, braces do not "hurt." After certain visits, teeth may be sore for a few days. In these situations, pain medications such as Advil or Tylenol will ease the discomfort. However, after most visits, patients do not feel any soreness at all! We often remind our patients, “It does not have to hurt to work!”

Can I return to school the day I receive my braces?

Yes. There is no reason to miss school because of an orthodontic appointment.

Can I still play sports while wearing braces?

Yes. We recommend a mouth guard for all sports.

Are there foods I cannot eat while I have braces?

Yes. Once treatment begins, we will explain the complete instructions and provide a comprehensive list of foods to avoid. Some of those foods include: ice, hard candy, raw vegetables and all sticky foods (i.e. caramel and taffy). You can avoid most emergency appointments to repair broken or damaged braces by carefully following our instructions.

How often should I brush my teeth while in braces?

Patients should brush their teeth at least four times each day - after each meal and before going to bed. We will show each patient how to floss their teeth with braces and may also provide a prescription for a special fluoride, if necessary.

What is a retainer?

A retainer is a removable appliance made of a combination of metal wires and sturdy acrylic, and is designed to keep your teeth in place. This retainer is specially made from impressions of your teeth so that it fits snugly and comfortably in the roof of your mouth, while any wire or acrylic framing keeps your teeth in perfect position.

What are separators?

Separators are small elastics that fit snugly between certain teeth to move them slightly so bands can be placed around them later. Separators can fall out on their own if enough space has already been created. To determine if it needs to be replaced, slip some dental floss between the teeth; if it gets stuck, that means the separator hasn’t created enough room and needs to be replaced prior to your banding appointment.