Frequently asked questions

Most frequent questions and answers

A Pediatric Dentist is a specialist dedicated to the oral health of children and the monitoring of their facial growth and development. Tooth Booth Pediatric Dentistry is designed for treating children from infancy through adolescence, as well as the medically and physically compromised children.

The American Academy of Pediatric Dentistry recommends that a child’s first visit to the dentist should occur by 12 months of age. This first visit will enable Dr. Tom Lam to evaluate your child and introduce you to proper oral hygiene. Diet, fluoride, finger and pacifier habits and tooth eruption will be discussed to insure optimal oral health.

Primary teeth have been labeled “baby teeth”. However, the first tooth usually isn’t lost until 6 years of age and some primary molars must function until 12 or 13 years of age before they are replaced. Primary teeth are necessary for proper chewing, proper speech, the proper development of the jaws and for esthetics. Care of the primary teeth is important not only for proper function, but also to avoid a number of unpleasant conditions that result from their neglect.

The American Academy of Pediatric Dentistry advises:

  • Brush with a fluoride toothpaste twice a day.
  • Floss children’s teeth once a day.
  • Visit your pediatric or general dentist regularly.
  • Get enough fluoride through drinking water, fluoride products and, when indicated, through fluoride supplements.
  • Have sealants applied to the chewing surfaces of permanent back teeth or molars soon after they come in.
  • Snack moderately—no more than twice a day.

Though a balanced diet is certainly important in preventing cavities, experts agree that cavities are not only the result of what children eat, but also, how often they eat. Frequent snacking without brushing leaves food on the teeth longer and fosters tooth decay.

The chewing surface of children’s teeth are the most susceptible to cavities and least benefited from fluorides. Sealants are adhesive coatings that are applied to the tops of teeth and can be highly effective in preventing tooth decay. Studies show that 4 out of 5 cavities in children under age 15 develop on the biting surface of back molars. Molars commonly decay because plaque accumulates in the tiny grooves of the chewing surfaces. Sealants prevent the cavities that fluoride cannot effectively reach. As a preventive mechanism, sealants are an important part of a cavity-free generation.

Nitrous Oxide (laughing gas) is breathed by your child with oxygen during the restorative appointment. It is used to relax a mildly anxious child.

They are used when a baby tooth has been prematurely lost to hold space for the permanent tooth. If space is not maintained, teeth on either side of the extraction site can drift into the space and prevent the permanent tooth from erupting.

Here at Tooth Booth, we believe that every visit is important to ensure all of our patients are comfortable. In doing so, we always welcome the presence of a parent or legal guardian to accompany the patient in rooms at all times.  

What is Nitrous Oxide?

Because we specialize in pediatric dental care, we understand that every patient is unique. The Tooth Booth Pediatric Dentistry team members are professionally trained to accommodate all your child’s needs.

 

Some children experience some anxiety while in the dental chair. As a result, they cannot feel comfortable or sit still during treatment. Dr. Lam does not want to further upset these children and cause them bodily or emotional harm.

 

For these children, Dr. Lam may suggest the use of nitrous oxide/oxygen, which is a combination of two gases—oxygen and nitrous oxide. In this technique, a fitted mask is placed over the nose and as your child breathes normally, uptake of the nitrous oxide/oxygen occurs through the lungs. It is non-allergenic and well-tolerated. It has a rapid onset, is reversible, and can be administered in various concentrations.

 

Your child will remain fully conscious but smell a faint sweet aroma and experience a sense of well-being and relaxation. Because it often produces a feeling of giddiness or euphoria, it is also referred to as “laughing gas.” Some children have also reported dreaming and their arms and legs feel “tingly.”

 

The nitrous oxide/oxygen raises the pain threshold and may make time appear to pass more quickly. If your child often experiences worry or anxiety from the sights, sounds and/or sensations during dental treatment, nitrous oxide/oxygen may aid your child in responding more positively. Nitrous oxide/oxygen may also be used in combination with other sedative agents. Like with all procedures, Dr. Lam will discuss your child’s treatment options with you.

 

Please note that nitrous oxide/oxygen may not be effective for some children, especially those with severe anxieties, nasal congestion, or discomfort wearing the nasal mask. It may also have limited effects on patients with respiratory conditions. Please inform Dr. Lam of any respiratory conditions your child may have or any prescribed, herbal, or over-the-counter medications your child may be taking. We do ask that you follow all instructions provided by Dr. Lam prior to and after the procedure.

What Is Oral Conscious Sedation?

Sedation dentistry is most helpful for infants and children who:

-require extensive treatment

-suffer from severe anxiety

-have had traumatic dental experiences

-have a strong gag reflex

-are medically compromised or have special needs

 

Because we specialize in pediatric dental care, we understand that every patient is unique. The Tooth Booth Pediatric Dentistry team members are professionally trained to accommodate all your child’s needs. We are trained and certified in CPR, BLS, and Pediatric Advanced Life Support (PALS).

Some children experience a large degree of anxiety while in the dental chair. As a result, they cannot feel comfortable or sit still during dental treatment. Dr. Lam does not want to further upset these children and cause them bodily or emotional harm.

For these children, Dr. Lam may suggest the use of a technique called sedation, which according to the American Academy of Pediatric Dentists (AAPD) will help guide your child’s behavior during dental treatment. Medications, or pharmacological agents, can be used to help your child cooperate during dental treatment as well as reduce anxiety and discomfort. Unlike general anesthesia, sedation will not make your child unconscious—just more relaxed and drowsy.

This method is used to ensure your child’s safety and prevent injury from excessive movements. It also prevents the association of dental care with any negative connotations. Various medications can be used but are selected based on your child’s overall health, weight and level of anxiety. Please note that all medications are measured and administered by Dr. Lam to ensure the accuracy and effectiveness of the medication as well as to ensure the safety of the patient.

Sedation is generally safe but risks still do apply. Please discuss this option with Dr. Lam and always voice your questions or concerns so that he may address any issues prior to the procedure. Please inform Dr. Lam of any allergies to medication and any prescribed, herbal or over-the-counter medications that your child may be taking. We do ask that you follow all instructions provided by Dr. Lam prior to and after the procedure.

 

As always the Tooth Booth Pediatric Dentistry team encourages questions from parents and our young patients. Please let us know and we will be happy to address any concerns.

Special Needs

Because we specialize in pediatric dental care, we understand that every patient is unique. The Tooth Booth Pediatric Dentistry team members are professionally trained to accommodate all your child’s needs.

 

We understand that some children require special attention. Dr. Lam has had extensive training in pediatric dentistry in order to accommodate children with special needs. Our facility is designed and equipped for special patients. Because pediatric dentists have advanced training beyond dental school, they are the dental professionals of choice for the dental care of adults with special needs as well. We hope that Dr. Lam will be the dental professional of your choice.

 

In certain cases, children may need support beyond that of a gentle and caring manner to feel comfortable. Restraint or mild sedation may be beneficial for your special child. Dr. Lam has a comprehensive education in behavior management, child psychology and sedation. He will utilize a technique based on the specific health needs of your child. As with other procedures, Dr. Lam will discuss the benefits, limits and risks of that technique with you.

 

As always the Tooth Booth Pediatric Dentistry team encourages questions from parents and our young patients. Please let us know and we will be happy to address any concerns.ng content for this section. In order to be able to keep up with our high standards of service, we need a little more time. Please stop by again. Thank you for your interest!

Because we specialize in pediatric dental care, we understand that every patient is unique. The Tooth Booth Pediatric Dentistry team members are professionally trained to accommodate all your child’s needs.

 

We understand that some children require special attention. Dr. Lam has had extensive training in pediatric dentistry in order to accommodate children with special needs. Our facility is designed and equipped for special patients. Because pediatric dentists have advanced training beyond dental school, they are the dental professionals of choice for the dental care of adults with special needs as well. We hope that Dr. Lam will be the dental professional of your choice.

 

In certain cases, children may need support beyond that of a gentle and caring manner to feel comfortable. Restraint or mild sedation may be beneficial for your special child. Dr. Lam has a comprehensive education in behavior management, child psychology and sedation. He will utilize a technique based on the specific health needs of your child. As with other procedures, Dr. Lam will discuss the benefits, limits and risks of that technique with you.

 

As always the Tooth Booth Pediatric Dentistry team encourages questions from parents and our young patients. Please let us know and we will be happy to address any concerns.ng content for this section. In order to be able to keep up with our high standards of service, we need a little more time. Please stop by again. Thank you for your interest!

What if my child requires General anesthesia?

After a thorough examination, it may be necessary that your child be treated in the operating room under general anesthesia.  Following the American Academy of Pediatric Dentistry guidelines, Dr. Lam and his staff are fully trained and certified to perform full mouth dental rehabilitation under general anesthesia hospital protocols. 

 

The office will provide you with all the necessary paperwork to ensure your child will be taken care of in a timely manner. A completed history and physical form will be required to be completed by a  physician or pediatrician.

Emergencies

Because accidents do happen!

If your child has an accident involving a tooth, please call our office as soon as possible. If it is an after-hours emergency, please call our or send us an email at Toothbooth4kids@gmail.com. If possible, please state the nature of the injury, time of the injury, and upload any images of the site of the injuries.

If it is a life threatening emergency, please seek care with the emergency room, urgent care, or primary care provider immediately. 

The first hour after the accident is the most important in treatment of any dental trauma. If a permanent tooth is knocked out, please rinse but do not scrub the tooth with water. Place the tooth back in the socket if possible. If not, please place the tooth in a glass of milk or a clean wet cloth and proceed to our office immediately. If the tooth is fractured, please bring any pieces you are able to find.


Again, in the case of after-hour emergencies, please email us at Toothbooth4kids@gmail.com

Insurance providers

At Tooth Booth Pediatric Dentistry, we believe all patients, regardless of their dental insurance coverage, deserve access to general, premium and specialty dental services. We believe our patients need a variety of ways to make their dental care affordable. To fulfill this mission, our offices accept most insurance plans.  Please call our office for more details at (909) 945 2273