415.479.4977

Pediatrics

Child

We have several important goals during your child's first visit to our office. First, we want to introduce your child to staff and the dental setting in as non-threatening a way as possible.

The Goals:
1. To provide pleasant introductions to the dental setting and staff, an overall positive experience for your child.
2. To perform a comprehensive exam and assessment of your child's dental health and needs, both now and future.
3. To obtain radiographs when possible in order to provide important additional diagnostic information.
4. To perform preventive measures such as cleaning, topical fluoride application, oral hygiene instructions and dietary guidance.
5. To provide the parents or guardians a thorough analysis of the child's dental and oral status, including restorative needs, orthodontic treatment needs, and home care recommendations.
6. To provide an assessment of treatment methods that would best serve, given your child's behavior and abilities.

Enamel Fluorosis

In severe cases of enamel fluorosis, the appearance of the teeth is marred by discoloration or brown markings. The enamel may be pitted, rough, and hard to clean. In mild cases of fluorosis, the tiny white specks or streaks are often unnoticeable.

Mesiodens

Mesiodens is the most common type of 'supernumerary' (extra) tooth. It is typically discovered on routine radiographs taken in young children (3-6 years of age) and is always located in the mid-line between the upper permanent central incisors. The most common complications of all supernumerary teeth (including mesiodens) is delayed or lack of eruption of the adjacent permanent teeth. Only about 25% of mesiodens erupt spontaneously, therefore most of them require surgical management. Treatment of mesiodens is deferred until permanent incisors have at least 2/3 of root development (between ages 7-9), since early treatment can cause damage to the unerupted permanent incisors.

Mouth Guard

Accidents can happen during any physical activity. A mouth protector can help protect the soft tissues of your tongue, lips and cheek lining. Over-the-counter stock mouth protectors are inexpensive, pre-formed and ready-to-wear. Boil and bite mouth protectors offer a better fit than stock mouth protectors. Softened in water, they are more adaptable to the shape of your mouth. Custom-fitted mouth protectors are made by your dentist for you personally. They are more expensive, but a properly fitted mouth protector will stay in place while you are wearing it, making it easy for you to talk and breathe.

Mucocele

This is a common benign lesion in children and adolescents that results from the rupture of the excretory ducts (very small tubes) that deliver saliva to the top tissues of the lips. More than 75% of mucocele are located on the lower lip and their size and color may vary, however, they tend to be relatively painless for the most part. Most of the time, patients report that these 'bumps' grow until they burst spontaneously, leaving small ulcers that heal within a few days. This does not mean the lesion is gone, as they often tend to re-appear weeks or months later. Most dentists will recommend surgical treatment for these lesions.

Open Bite and Cross Bite

These are two common problems in children that have their origin in discrepancies between the size of the jaws (top and bottom), or discrepancies between the size of the teeth and the amount of space available.

1. A posterior cross bite can appear at an early age, and depending on its cause (malpositioned teeth or misaligned jaws) treatment may be warranted early. It can involve one or both sides of the molar area and in some cases in can cause a 'shift' of the bite. Many appliances are available for treating this condition and your dentist will discuss in detail the risks and benefits of treating a posterior cross bite.

2. Anterior open bites refer to a condition in which the top and bottom front teeth are not in contact (they do not touch each other when the patient bites). The origins of open bites can be traced to habits that patients have or had in the past, and occasionally to discrepancies between the sizes of the jaws. Since most open bites in children are associated to an existing habit, treatment usually addresses the habit itself and is most effective when done at an early age. Many appliances are available for treating this condition and your dentist will discuss in detail the risks and benefits of treating an open bite in children.

services

San Rafael Cosmetic Dentist

Office Hours

  • Monday:
  • Tuesday:
  • Wednesday:
  • Thursday:
  • Friday:
  • Saturday:
  • 8:00 am - 6:00 pm
  • 8:00 am - 6:00 pm
  • 8:00 am - 6:00 pm
  • Closed
  • 8:00 am - 6:00 pm
  • 8:00 am - 1:00 pm


On Wednesdays a hygienist is available at 7:00am

Saturday appointments are available once a month

Contact Info
Phone | 415 479-4977
Fax | 415 479-5043
E-mail |

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