If your child sustains a blow to head or jaw, loses consciousness, has blurred vision, dizziness or vomiting please take your child to the nearest emergency room or call 911. Otherwise, please call our office at any time; we always have a doctor on call.
If you notice that your child has a permanent tooth coming in and the baby tooth is not loose or has not exfoliated, don’t worry. We suggest that you wiggle that baby tooth over the next week or two. Offer lots of hard crunchy foods to help easy that baby tooth out. If it fails to come out or tightens back up call the office for a scheduled appointment.
If your child loses a baby tooth from an injury, try to remain calm. DO NOT TRY TO RE-IMPLANT IT. Call our emergency number and we will make sure to see you as soon as necessary.
For a broken tooth, rinse your child’s mouth out with warm water to clean out any debris or foreign matter. Use a cold compress on the child’s cheek or gum near the affected area to keep any swelling down. Call our office for a scheduled appointment.
If your child knocks out their permanent tooth try to reinsert it. Your child can keep the tooth in place until treatment by biting down on a wet piece of clean gauze or towel. If that is not possible, put the tooth in a glass of milk, saline solution, or saliva, and take your child and the glass immediately to our children’s dentistry office or an emergency treatment facility. Call our office immediately (828) 696-2227
Permanent tooth is chipped
Try to find the fractured piece, as we may be able to bond it back to the tooth, and call our office for assistance.
Pediatric dentistry restorative treatment
Subsequent restorative visits
At subsequent restorative visits, the dentist may recommend that your child enter the dental operatory room on their own or may have a parent first help them get situated in the dental chair and then return to the waiting room. During these type visits, a dental assistant will always accompany and stay with your child. Most parents agree that children tend to be more cooperative for other adults, especially uniformed professionals, than for their own parents.
This is because your own child understands exactly how their responses effect your underlying emotions. When accompanied by a parent, children almost exclusively focus on the parent in an attempt to elicit a response. This, in turn, makes it much more difficult to provide safe and effective care. It has been proven that children are also effective at reading anxiety and fear in a parent’s expressions and mannerisms. On the other hand, when a parent is not present during care, children tend to focus directly on the doctor and dental assistant who are continuously providing calming explanations, directions and distractions throughout the appointment.
Children also subconsciously understand a level of trust that accompanies allowing them to be escorted by a dental assistant alone for care. They realize that their parents would never put them in a situation where they could be harmed; therefore this provides a calming effect. When you allow your child to be alone for care, you are encouraging independence. Your child will be proud that he is “doing it by himself”. You are also letting your child know that you believe he is capable! Children whose parents believe they are capable become capable (and vice versa!). However, we ask that should you not be completely comfortable with
this method, please discuss this well prior to your child’s restorative visit.
We are happy to discuss additional options, such as obtaining periodic updates while in the waiting room, sneaking a peek into the operatory during treatment, or even remaining in the operatory room throughout the visits. Ultimately, we want both you and your child to be completely comfortable at every visit to our office. Should you decide that you want to remain in the room during treatment, we will need to know well in advance so we can schedule additional treatment time.
We try to approach each patient’s care individually, and thus are always open to any of your recommendations.
Parents sometimes inquire about how to describe upcoming treatment to their child prior to a restorative visit. Because most young children typically are not yet equipped with advanced coping skills, we suggest that parents avoid providing too many details about impending treatment. Words such as “needle,” “shot,” “pull,” “hurt,” “blood,” “pain,” or “drill,” should be avoided, as these tend to illicit negative emotions which have been found to dramatically increase pre-operative anxiety and thus precipitate poor cooperation. We recommend using easy to understand explanations, such as they have several “sugar-bugs” in their teeth that the dentist wants to remove. You may add that we will paint some sleepy jelly around the sick tooth, which will eliminate any discomfort.
In most cases, we are able to use various methods to distract the child from realizing that they are actually getting an injection and those individuals that don’t expect this, normally do perfectly fine. However, those children that have been pre-warned of this impending procedure are often very jumpy, anxious and tend to be uncooperative from the onset of the visit. Once a child is numb, our treatment becomes dramatically easier. We also recommend that parents of younger children schedule visits early in the morning when kids seem to be more alert and fresh. If possible, try to avoid scheduling visits just before their normal nap time.
We ask all our parents to feel free to contact our office at (828) 696-2227 during normal business hours to ask any questions regarding an anticipated visit or simply with a general dental question. Our doctors or an educated staff member will always be happy to answer any of your questions!
Questions and Answers
About pediatric dental visits
WHAT IF MY CHILD CRIES DURING HER DENTAL VISIT?
It is important to remember the difference between a real fear and an imagined one. As each of us steps into new environments, it is easy to imagine the worst happening to us. If we are logical, we can manage to conquer that fear. That’s what we are helping children to do – conquer their anxiety and imagined fears and become adept in a new environment.
Because we treat children with patience, the end result is a sense of accomplishment. Also, frustration can be a first step toward that goal. Frustration usually comes in the form of crying. Our years of experience tell us that this is a temporary phase that will pass when your child begins to feel in control and confident about being at the dentist.
WHAT IF MY CHILD IS TRULY AFRAID?
Dental visits don’t create fear, they overcome it. Training, by definition, is a discipline of drills and patterns designed to develop or expand a skill. It makes sense to protect your child from possible hazards. However, exposure to new experiences is essential to growth. Our professional pediatric dentistry team will approach your child’s fears with sensitivity and confidence. Soon, fears vanish. Trust blossoms in the bond between dental professional and child. Happy Visits may be one way that your child can receive the additional time and instruction that they need to train and practice for an up-coming treatment appointment. Together you and your child’s dentist will develop a plan to suit your child’s needs.