Big Little Smiles

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Pediatric Dental Services

Preventive Care

Comprehensive Exam

It is ideal for your child to have a pleasant first meeting with the dentist. The exam allows your child’s dentist to check for cavities, gum disease, and discuss anticipatory guidance which will defer for each child based on their age.  Don’t wait until an emergency comes up to introduce them to the dental office.

kid viewing their dental x-rays on a tablet
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Thorough Dental Cleaning

Depending on each child’s comfort level their teeth will either be brushed with a high-powered or a manual toothbrush, flossed, and any tartar/staining will be removed with special dental instruments. The benefit of a dental cleaning is two-fold as it not only cleans the teeth and gums of any debris, but also educates the child and the parent on the proper oral hygiene skills. 

Radiographs (X-rays)

Radiographs aka x-rays are specific to every child’s needs depending on their age, cooperation, dental history, and if the dentist suspicious about dental decay. In case your child is recommended x-rays, our team will take them with your permission. 

  • Dental radiographs allow the dentist to see the whole picture. As children grow, so do their teeth which makes them come close together making it difficult to see at least two surfaces of the tooth. Dental radiographs allow the dentist to visualize the sides of the teeth knows as the “contacts” as well as, what is below the gumline. 
  • Digital x-rays emit 80% less radiation than the old film radiographs that they replaced. 
  • At BLSPD, we place emphasis on the importance of minimizing radiation in the pediatric population by using best practices developed by the American Academy of Pediatric Dentistry. 
  • Dental x-rays are not only diagnostic (allowing the dentist to spot cavities between the teeth) but also preventative as they can aid in early detection of orofacial issues and problems with development. 
  • Without x-rays, problems not visible clinically can go undetected.
  • There are several different types of x-rays. So, make sure you understand which your pediatric dentist prescribes and why. 
  • Radiographs are recommended when another form of diagnosis is likely to be less effective or has the potential to miss a finding such as dental caries. 
  • Radiographs are usually prescribed based on the child’s age and caries risk. 
  • Children with a low caries risk do not need x-rays as often. Thus, focusing on important daily preventative routines such as brushing, flossing, and limiting sugary foods and drinks to special occasions is important.


Fluoride is a mineral that is found in natural water sources. It has been a big factor in the decline in prevalence and severity of dental cavities. It has several caries-protective mechanisms of action. These include limiting the demineralization of the outer tooth layer and increasing its re-mineralization. Fluoride also stops dental caries by affecting the metabolism of bacteria that cause cavities. It comes in an easy paste that is applied to your child’s teeth with a little brush. 

Silver Diamine Fluoride

Silver Diamine Fluoride or SDF for short, is used to prevent suspicious areas from becoming cavities or slow down the progression of cavities until the child is cooperative enough to have restorative treatment done or the teeth exfoliate.  SDF works by killing the bacteria that causes cavities and re-mineralizing the damage that was done (this depends on the extent of the decay). Sometimes SDF is the only treatment needed when the cavities are very small. In other cases, SDF allows more time until child is cooperative enough to have the treatment completed.  This is a super quick procedure that involves the dentist painting a colorless liquid on the cavitated tooth or teeth.

Mouth Guards

  •  Sport mouthguards : prevent mouth and jaw injuries that can result from sports-related injuries. These include knocked-out teeth. 
  •  Nightguards: tooth grinding can happen regardless of age. Custom night guards are made to fit perfectly over your child’s teeth to prevent unnecessary tooth wear caused by grinding. 

 The majority of dental trauma includes tooth (crown) fracture, tooth avulsion (knocked-out), or tooth subluxation.

Dental Sealants

Sealant is a clear dental resin that is applied into the grooves of the teeth and dried by a UV lights. This makes it hard for bacteria and food to stay trapped in the pits and fissures of the tooth. Sealants do not last forever but rather prevent cavities on the back teeth during the most susceptible age. 

Restorative Care

Baby Root Canals

Baby root canals are often needed when the cavity approaches the tooth’s nerve. This procedure stops the progress of the cavity and minimizes the chances of an infection or abscess. The procedure is completed by cleaning out the center of the tooth where the nerve lives and placing soothing medicine. The tooth is then protected by placing a crown, as mentioned above. 


If your child’s cavity is too large to restore with a tooth-colored filling, a crown may be recommended. Crowns help protect the baby teeth, providing structure for the tooth. Crowning a tooth also maintains the space, allowing the eventual permanent tooth to erupt properly. If you are concerned about a silver crown, talk to Dr. Camilla Miskovich about the possibility of a tooth-colored crown! 

Tooth Color Filings

Should your child have a cavity, we use a resin tooth-colored filling to restore function and comfort to your child’s tooth. These fillings restore teeth to an attractive, healthy state!


Your child may need to have a tooth extracted. Most often, extractions are indicated due to infection or for orthodontic purposes. Dr. Camilla Miskovich will review your child’s needs and discuss treatment options with you.  

Space Maintenance

The baby teeth serve as space holders for the permanent teeth. With the loss of a baby tooth, neighboring teeth start migrating into that vacant space, potentially causing problems as your child grows. This loss may lead to the need for extensive orthodontic treatment at a later age. A space maintainer is placed in that area to hold the space open so that the adult tooth can erupt in a more appropriate position.

girl holding her extracted tooth
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Frenectomy Big Little Smiles Tongue Tie

Tongue Tie / Lip Tie​

Frenectomy, a specialized dental procedure, addresses tongue and lip ties in children, significantly improving their quality of life. Using precise laser technology, this minimally invasive treatment gently corrects these ties, promoting better feeding, speech, and oral health. At Big Little Smiles, we prioritize your child’s comfort and wellness, ensuring a positive and safe experience. Explore how frenectomy can be a pivotal step in your child’s developmental journey.

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