Most children have different dental and behavioral needs than adults. At Diamond Head Children’s Dentistry, our doctors are board certified pediatric dentists with extensive training, experience and certification. We are dedicated to the oral health of your children from infancy through the teenage years. We love what we do and we want to create positive experiences that are both fun and rewarding. By working together with your child to develop a level of trust, we ensure that each child gets the care and attention they deserve to form a solid foundation that will lead to excellent oral health and a positive attitude about going to the dentist well into their adulthood.
About Kids Teeth
Throughout your life you will have two sets of teeth: primary or "baby" teeth and secondary or permanent teeth. Many teeth begin forming before a child is born with primary teeth developing at 6-8 weeks in utero and some permanent teeth start to develop by week 20 in utero. Usually babies get their first tooth between 6-10 months of age. This will usually be the lower central incisors (the bottom front teeth). By the age of three, all the baby teeth should be in the mouth. This is a guideline and every child is different. Permanent teeth will usually begin to erupt into the mouth around the age of six. All the permanent teeth, except for wisdom teeth should be in the mouth by ages 12-14.
Common Dental Procedures
Sealants are a white resin material that is placed on the grooves of the chewing surface of the permanent molars. The grooves are difficult to clean, no matter how much a child brushes. By placing the sealants, we are decreasing the chances of getting decay by approximately 60 %. Once these sealants are placed, they usually last around 3 years. We check the sealants at every check-up and when they begin to wear we will replace them.
Stainless Steel Crowns
Stainless steel crowns are prefabricated and are adapted to the child's individual teeth. They are used when there is gross decay, decalcification, or developmental defects are present. They are also used if your child has to have a pulptomy that weakens the tooth and makes them prone to fracture. These crowns will usually last until the permanent tooth erupts.
A pulpotomy is a procedure that requires partial removal of the nerve tissue due to excessive amount of decay. The remaining vital tissue is then treated to preserve the function of the tooth. Then a stainless steel crown is placed over the tooth.
The best space maintenance is the preservation of the primary molars until they are lost naturally. Sometimes, when a tooth is unrestorable or infected, the tooth may have to be extracted. The purpose of the space maintainers is to hold space for the developing permanent teeth.
Hospital Dentistry Under General Anesthesia
General anesthesia may be indicated for children with extensive dental needs who are extremely uncooperative, fearful or anxious, or for the very young who do not understand how to cope in a cooperative fashion. General anesthesia can also be helpful for children requiring significant surgical procedures or patients having special health care needs. All work is done by Dr. Goto at Kapiolani Medical Center for Women and Children. At the time of your visit, we can help you determine if your child is a good candidate for hospital dentistry.