FAQs
Wilmington Pediatric Dentistry
Why is it important to choose a pediatric dentist?
Pediatric dentists provide specialized care for children from infancy through adolescence, helping develop healthy smiles until they transition to a general dentist. These specialists undergo an additional 2-3 years of specialized training specifically focused on treating young children and adolescents, ensuring they receive appropriate dental care tailored to their developmental needs.Should I visit the dentist during pregnancy?
The American Academy of Pediatric Dentistry (AAPD) recommends that pregnant women continue regular dental checkups throughout pregnancy. Research indicates that mothers with poor oral health may have an increased risk of transmitting cavity-causing bacteria to their children, while periodontal disease can elevate risks of preterm birth and low birth weight. To reduce bacterial transmission risk, expectant mothers should maintain regular dental visits, practice daily brushing and flossing, consume a healthy diet rich in natural fiber, limit sugary foods, increase water consumption, and use fluoridated toothpaste to enhance oral health and prevent cavities.When will my child begin to get teeth?
Most children's first tooth emerges between 6 and 12 months of age, though earlier eruption is common. Typically, the two bottom front teeth (central incisors) appear first, followed by the four upper front teeth (central and lateral incisors). By age three, children generally have their complete set of primary teeth. Permanent teeth begin emerging around age 6, starting with first molars and lower central incisors. At approximately age 8, the lower and upper front four primary teeth (central and lateral incisors) begin to fall out as permanent replacements emerge. Additional permanent teeth start appearing around age 10, with eruption potentially continuing until about age 21. The adult dentition consists of 32 permanent teeth, including third molars (wisdom teeth).Why do I need to take care of baby (primary) teeth?
Although primary teeth are temporary, their premature loss can create space issues where adjacent teeth may crowd into the empty area. This crowding often leads to alignment difficulties when permanent teeth emerge, potentially resulting in crooked teeth and bite problems. Additionally, baby teeth serve an essential function in proper chewing and eating, which directly contributes to a child's nutritional intake and overall health.What is baby bottle tooth decay?
Baby bottle tooth decay represents one of the most prevalent forms of early childhood caries, resulting from prolonged exposure of infant teeth to sugary beverages. This condition primarily affects the upper front teeth, though other teeth may also develop decay. Early indicators include white spots on tooth surfaces or along the gum line, along with increased tooth sensitivity. As the condition progresses, more severe symptoms may develop, including brown or black spots on teeth, gum inflammation or bleeding, fever, and halitosis. If your child exhibits any of these symptoms, immediate consultation with a pediatric dentist is essential to prevent more complex dental complications.What if my child fractures or knocks out a tooth?
In case of a fractured tooth, collect all fragments and store them in a clean container with milk or the child's saliva. Never use water for transport of dental fragments or knocked-out teeth. Seek immediate dental attention to prevent infection and additional complications associated with dental trauma. When handling a knocked-out tooth, only touch the crown portion, avoiding contact with the root. Your pediatric dentist can repair the damaged tooth or restore it with a crown as appropriate for the specific injury.What if my child has a tongue, cheek or lip injury with excessive bleeding?
For oral soft tissue injuries involving the tongue, cheek, or lip with significant bleeding, apply clean gauze to the affected area to control hemorrhage. Ice application can also help reduce bleeding and swelling. If bleeding persists despite these measures, contact your pediatric dentist immediately or proceed to an emergency medical facility. Prolonged open oral wounds increase infection risk and require professional evaluation.What do I do for a persistent toothache?
For initial management of your child's toothache, have them rinse their mouth with warm water to provide temporary relief. If pain continues for more than 24 hours, contact your pediatric dentist for professional evaluation. Ongoing tooth pain often indicates underlying dental issues that require professional assessment and treatment.Why are dental radiographs (X-Rays) important?
Dental radiographs serve as crucial diagnostic tools that allow dentists to identify and treat conditions not visible during clinical examination. Beyond cavity detection, X-rays reveal erupting teeth, help diagnose bone pathologies, assess injury damage, and facilitate orthodontic treatment planning. Early detection of dental problems through radiography enables more comfortable treatment for children and more cost-effective care for parents. Modern dental X-ray equipment incorporates filtration systems that limit unnecessary radiation and restrict the beam to the specific area of interest, minimizing exposure. Pediatric dentists take extensive precautions to reduce radiation exposure, as the risk from dental radiographs is substantially lower than the potential harm from undetected dental conditions.When is the best time for orthodontic treatment?
Orthodontic issues can be identified as early as 2-3 years of age, allowing for preventative interventions that may reduce the need for extensive orthodontic treatment later. For children aged 2-6 years, primary concerns include oral habits such as finger or thumb sucking, underdeveloped dental arches, and premature loss of primary teeth. Between ages 6-12, treatment typically addresses jaw alignment and dental positioning issues. This age range represents an optimal period to initiate treatment, as children's hard and soft tissues generally respond effectively to orthodontic or orthopedic forces.What are shark teeth?
When adult teeth come in behind the baby teeth can be called “Shark Teeth” It is common, and occurs as the result of a lower baby tooth not falling out when the permanent tooth is arriving. In most cases, the baby tooth will fall out on its own within a couple months. If it doesn’t fall out on its own contact your pediatric dentist.Do you offer pediatric sedation?
We offer several options for safe and effective sedation. We use Nitrous oxide, sometimes called “laughing gas,” to help children become more comfortable during certain procedures. Nitrous oxide as a safe and effective sedative agent that is mixed with oxygen and inhaled through a small mask that fits over your nose to help you relax. It is not intended to put them sleep but instead is designed to help them feel calm and comfortable. The effects of nitrous oxide are temporary and wear off soon after the mask is removed. Every effort is made to ensure proper dosage and limit mild side effects, if any. More complex treatments may require deeper sedation to relieve both pain and anxiety. On occasion, general anesthesia through an IV may be used to cause a temporary loss of consciousness. Your child’s comfort and safety are very important to us.Do you use silver diamine fluoride (SDF)?
Yes. Silver diamine fluoride (SDF) is a liquid substance used to help prevent tooth cavities (or caries) from forming, growing, or spreading to other teeth. It can also help to arrest the cavities in young kids to hold on treatment until treatment can be done.


