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Catering to the dental needs of kids requires a special touch. Children are not little adults. Treating the dental challenges of children requires the patience, skills and expertise that Dr. Sonia provides. Pediatric dentists are specially trained to treat the oral health needs of children, from infancy through their teenage years. This involves in-depth knowledge about children's behavior, as well as their growth and development. Pediatric dental offices are also designed to make kids feel comfortable and relaxed – with plenty of toys, activities and a warm, inviting and fun décor.
There's nothing to fear with a dental exam. Your child's teeth will be visually examined for signs of plaque, tartar and tooth decay. Their gums will also be examined for puffiness or discoloration, which are signs of gum disease. A full set of dental X-rays may also be taken during the exam, to enable Dr. Sonia to see below the surfaces of the teeth. Dental exams typically end with a dental cleaning, to remove surface stains and buildup.
X-rays are NOT TAKEN AS A MATTER OF ROUTINE in our office.
Dr. Warren believes that they should be used very sparingly, noting that this has been the position of the American Academy of Pediatric Dentistry (AAPD), the American Dental Association (ADA) and the Food and Drug Administration (FDA), with tweaks here and there, since 1987.
The ADA, in fact, has a guiding principal called ALARA (As Low As Reasonably Achievable) regarding responsible radiologic practice, which states that, even once it’s been determined that x-rays are necessary, they should be as minimal as possible to reduce a patient’s exposure.
We exclusively use digital x-rays, which can lower radiation exposures by around 80 percent.
A dentist’s decision to take x-rays of a kid’s mouth, says Dr. Paul Casamassimo, who is the Director of the AAPD’s Pediatric Oral Health Research and Policy Center, should be based on the following: the child’s assessed risk of tooth decay, any signs of a problem that needs to be further investigated (such as pain, swelling, abnormal development), and how tightly together the baby teeth are spaced. “If we can see between the teeth,” he says, “we don’t expose them to radiation.” If there are spots that can’t be seen or felt, he explains, and x-rays of those teeth are taken and no problems are discovered, then the child can go up to two years without more x-rays.
Dr. Sonia Remolina Warren practices these "image gently" principles.
No matter how often you brush and floss, plaque and tartar deposits can still build up on your teeth. A professional teeth cleaning is the single most effective way to remove these deposits and prevent them from causing more serious problems in the future. While a traditional teeth cleaning involves manually scraping away these deposits with special dental tools, advances in dental technologies now give you more options for teeth cleanings.
A laser teeth cleaning, also known as an ultrasonic cleaning, is a popular alternative to traditional teeth cleanings. With a laser teeth cleaning, an ultrasonic scaler (rather than a manual probe) is used to remove deposits, kill harmful microbes and eliminate bacteria around the teeth and gums through high-frequency sound waves. Many patients find laser teeth cleanings more comfortable than traditional teeth cleanings because they are quicker, quieter and pain-free.
A deep cleaning may be recommended if excessive plaque and tartar deposits have developed below the gum line. Deep cleanings, also known as scaling and root planing, involve a two-part process: first, the stubborn deposits are removed, and then the root surfaces are smoothened. A deep cleaning helps prevent periodontal disease and restores gum tissues to a healthy state.
Tooth Colored (Composite) Fillings
Silver Diamine Fluoride
Silver Diamine Fluoride is an antimicrobial treatment for the infection that causes tooth decay and for the reduction in tooth sensitivity. Silver Diamine Fluoride has been used extensively in numerous countries around the globe for decades and is FDA approved. Click here for more information.
A dental crown may not make you feel like royalty, but it is one of the premiere treatments for teeth with extensive decay or damage. Dental crowns can also used to hold a dental bridge in place, cover misshapen or severely discolored teeth, or cover a tooth after a root canal procedure. Made of either porcelain-fused-to-metal, ceramic or gold, dental crowns are placed during a multi-step process and sometimes require more than one dental visit. The first step is a dental impression. A temporary crown is then placed to protect the tooth while the impression is sent to an offsite laboratory to create the final restoration. In some cases, same-day crowns are possible, so be sure to inquire. With good oral hygiene and minimal wear and tear, your child's beautiful new dental crowns can last up to 15 years.
Pulp Therapy (for baby teeth)
- Tooth pain for no apparent reason
- A tooth that is sensitive to temperature changes
- A broken tooth