Feeding a baby comfortably and enjoyably is the most important aspect of a newborn’s life. In some cases, a restrictive band of tissue known as a ‘frenum’ that causes conditions such as a Tongue-tie or Lip-tie can jeopardize this beautiful relationship between a mother and her newborn. A ‘normal’ frenum functions to connect 2 parts of our body. For example, the frenum that connects the tongue to the floor of the mouth is called a ‘lingual frenum’. When the frenum is ‘restrictive’ in nature, just like webbed fingers or toes, a procedure is needed to relieve this attachment and help the baby and mom have a comfortable feeding experience.
In the past, this procedure used to be provided by ENTs or pediatricians with use of scalpel and sutures in hospital setting under general anesthesia. Due to the significant added risk of the general anesthesia to an infant’s development, many providers diminished the effect of this restrictive frenum. Many healthcare providers remain untrained regarding the best practice methods for a skillful and thorough in-office evaluation and treatment of frenum attachments.
In the last decade, there has been increased awareness of benefits of breastfeeding and positive effects of in-office frenectomy procedure. Advances in Laser technology have increased the awareness of most technologically savvy healthcare providers to its properties of tissue specific safety, virtually eliminating the need for scalpel, sutures or anesthetic in most cases, highly favorable coagulation and better healing of the surgical site. The newborns we treat can nurse immediately and moms report significant difference in personal comfort, baby’s consumption and efficiency while nursing/feeding.
Dr. Rishita is a well-known, skilled and qualified laser infant frenectomy provider. She is trusted by her colleagues and peers for her expertise in laser dentistry as she often gets referrals for the most complex cases. She has achieved the Advanced Laser Proficiency Certification from the Academy of Laser Dentistry. Her expertise in using Waterlaser safely and effectively is recognized by the World Clinical Laser Institute with their highest Mastership Certification. She has helped improve the quality of life of her patients including infants as young as 2 days old, who are struggling with challenges of nursing due to lip or tongue-tie issues as well as children with special health care or behavioral needs. When you meet her you’ll know why babies love her and parents trust her!
For more information click here to read more and to make an appointment for your baby’s evaluation with Dr. Rishita, contact our office today!
They're inside DVD players and scanner wands — and now, they are making their dental debut. Lasers are being used to detect tiny spots of tooth decay, treat gum disease, and remove cancerous cells in the mouth. They are also employed in gum surgery… even cavity treatments!
Dr. Rishita is the area’s most specialized and qualified Laser Dentist who can provide the most minimally invasive and conservative treatment options. The best part is that her expertise in using Waterlase iPlus 2.0 allows her to provide 95% of the procedures without need of local anesthesia (no needles) during our quick and comfortable appointments. Read more here.
According to the American Academy of Pediatric Dentistry, a child's first checkup should occur by age 1. At this important visit we will check the baby teeth for early cavities, show you how to care for a young child's mouth properly, go over your child's developmental milestones, and discuss the importance of good oral hygiene.
Learn more about the Age One Dental Visit.
Dental sealants are invisible plastic resin coatings that smooth out the chewing surfaces of the back teeth — the place where your child is most likely to get tooth decay. A sealed tooth is far less likely to develop a cavity, which could require expensive dental treatment and cause your child pain.
Learn more about Dental Sealants.
Fillings are used to seal a small hole (cavity) in your tooth that is caused by decay. This simple, painless procedure prevents decay bacteria from spreading further into your tooth, and possibly infecting the root canal. We offer non-metal, composite material based tooth-colored fillings that are long lasting, durable and esthetic for patients.
Learn more about Fillings.
Cosmetic bonding uses tooth-colored materials to replace missing tooth structure or hide minor defects like chips, discoloration, or irregular spacing. It's a great option for children and teens, who often need to wait for their teeth to mature before choosing a more permanent restoration.
Learn more about Bonding
When the decay is too large compared to the size of the rest of the tooth structure, then fillings are no longer adequate. Crowns are coverings placed over damaged teeth to strengthen them, and allow them to look and function normally again. Metal stainless steel crowns are sometimes recommended as an economic optional solution.
This procedure also known as ‘pulpotomy’ or ‘pulpectomy’ depending on the location and extent of infection, is the best method available to save a baby tooth that has decay which progressed to the nerve of the tooth. In the past, your dentist would have no other recourse but extract that tooth due to fear of pain, infection and swelling. Today, with a dental laser and baby tooth root canal treatment, Dr. Rishita is able to save the tooth and allow for proper development of jawbone.
During treatment, we remove the infected portion of the pulp with use of Waterlaser and seal it with a medication that restores the rest of the nerve. Then, your choice of esthetic tooth colored or metal stainless steel crown is placed on the tooth to protect and conserve its function until it is time for that tooth to fall out naturally many years later.
Fluoridated water has been called one of the most significant health achievements of the 20th century — but not every child gets enough fluoride. That's one reason why a topical fluoride supplement, applied here in the dental office, may be recommended for your child.
Learn more about Fluoride & Your Child.
If your child loses a baby tooth prematurely, a “space maintainer” may be needed to hold the space open until the permanent tooth comes in to fill it. This appliance will help your child's bite develop properly — and hopefully avoid the need for braces later on.
Learn more about Space Maintainers.
Besides being painful, a child's sports-related dental injury can mean time lost from school and work, plus substantial cost. A properly fitted, comfortable mouthguard, worn at practice and games, can greatly reduce the likelihood of serious dental and jaw injury.
Choose a mouth guard that your child feels is comfortable. If a mouth guard feels bulky or interferes with speech to a great degree, it is probably not appropriate for your child. Most guards are found in athletic stores. We can provide the best protection with custom fabricated soft mouthguards.
Learn more about Mouthguards for Children.
Sedation dentistry can be of great benefit to children and teenagers who would otherwise be anxious and fearful during dental treatment. With sedative medications, it's possible for your child to have a dental experience that's free of anxiety and pain.
When you have a dental emergency — whether it's caused by a sudden accident or chronic disease — your teeth and/or the tissues of the mouth that surround them need to receive proper care right away. As with any type of medical emergency, it's important to be aware, before you're actually in the situation, of what you can do to ensure the best outcome.
Traumatic Dental Injuries
Dental injury. A knocked-out permanent tooth requires quick thinking and immediate action. You'll increase the chances that the tooth can be saved if you pick it up without touching the root, gently clean it off with water, and put it back in its socket facing the correct way. Hold it in place with gentle pressure as you rush to the dental office or emergency room. If you can't replant it immediately, tuck it between the patient's cheek and gum, or carry it in a container of cold milk.
For a more traumatic injury such as a tooth that has been moved or loosened, treatment needs to occur within six hours. However, if there is uncontrollable bleeding, go immediately to the ER. Fortunately, other dental injuries that happen most frequently are less severe. The most common traumatic dental injuries are chipped teeth. If a tooth is chipped, try to find any pieces that have come off, as it might be possible to reattach them. Make an appointment for an office visit as soon as possible, and bring the pieces with you.
Learn more about Traumatic Dental Injuries.
Tooth Pain.Acute or persistent tooth pain always signals a need for an urgent visit to the dental office. The most common cause of dental pain is tooth decay, a bacterial infection that can spread through many parts of the tooth, and even into the gum tissue. Sometimes, tooth pain indicates that you may need a root canal treatment — a procedure that not only relieves the pain of an infection deep inside the tooth, but also can keep the tooth from having to be removed. Other times, pain may be caused by a loose filling or sensitive tooth. The only way to know for sure what's causing your tooth pain is to make an appointment at the dental office right away.
Learn more about Tooth Pain.
Injuries and infections involving the soft tissues of the mouth may also require emergency treatment. The tissues of the gums, tongue, or cheek lining can be damaged by accidental bites, falls, sports injuries, and scalding liquids. They may also suffer injury from foreign bodies that become lodged below the gum line, and they can develop painful and potentially serious abscesses. A periodontal (gum) abscess is a pus-filled sac caused by an infection and is usually quite painful. Abscesses require immediate attention at the dental office.
Any injury to the soft tissues of the mouth should be rinsed with dilute salt water. If there is visible debris, it should be cleared. Bleeding can usually be controlled by pressing a clean, damp material to the area for 10-15 minutes. If this does not work, go to the emergency room immediately.
A foreign body lodged beneath the gum line can sometimes be gently worked out with dental floss or a toothpick. But if this can't be accomplished easily, make a dental appointment so the area does not become damaged and/or infected.
Learn more about Gum Emergencies.
Although there can be discomfort associated with orthodontic treatment, there are only a few true orthodontic emergencies. They include trauma or injury to the teeth, face or mouth. Infection or swelling of the gums, mouth or face, and severe, unmanageable discomfort or pain in these areas can also be orthodontic emergencies. In any of these situations, seek immediate care from the dental office or emergency room — whichever is your best option. For loose, broken or irritating pieces of orthodontic hardware, please call the dental office for advice.
Learn more about Orthodontic Emergencies.
It's easier to treat many orthodontic problems during childhood because the body is still developing rapidly. Whether you need standard braces, clear aligners, or appliances like palatal expanders, it's possible to make big changes in a short period of time. We provide a comprehensive age appropriate orthodontic evaluation as a part of each periodic cleaning visit. Dr. Rishita will provide recommendations and referrals to expert and child friendly orthodontists in the area when the child is ready for optimal orthodontic treatment.
Learn more about the Early Orthodontic Treatment.
Proper dental care is even more important for children with special needs as it is for any child. Yet it's sometimes more difficult for kids with special needs to get optimal care. We can help, with appropriate procedures and extra personal attention in the office. Many children are referred to us with most complex medical conditions and need treatment at the Children’s National Medical Center for hospital dentistry under general anesthesia.
There are many options available to brighten and sparkle a smile. For children, there are many age and development related considerations. We offer in-office or take-home whitening products for teenagers after proper consideration, instructions and follow up monitoring of long lasting amazing results!
Learn more about Tooth whitening.