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At Ajyad Medical Center, is about YOU and not only your teeth. We believe in understanding and caring for the whole person so we take time to really know what it is you want and also what you need.
Pediatric Dentistry
  • Proper Tooth Cleaning

    The sooner the better! Starting at birth, clean your baby´s gums with a clean, damp wash cloth. Baby Orajel Tooth and Gum Cleanser is a good product to use instead of toothpaste because if does not contain flouride. Children under the age of 2 are unable to swich and spit, and often swallow the toothpaste. Ingestion of too much toothpaste containing fluoride could cause fluorosis which is discoloration of the enamel of the permanent teeth. Upon the appearance of the first baby tooth a soft-bristled toothbrush can be introduced and you may begin using a small, pea-sized amount of toothpaste.

    Once all the baby teeth have erupted, begin teaching your child to floss. Flossing will remove plaque and bacteria between the teeth where the toothbrush cannot reach. There are a variety of flossing aides that are available to help you get inside tiny mouths.


  • Healthy Diet for Healthy Teeth

    A healthy diet is a balanced diet that naturally supplies all the nutrients your child needs to grow. And what´s a balanced diet? One that includes the following major food groups every day: Fruits and Vegetables; Breads and Cereals; Milk and Dairy Products; Meat, Fish and Eggs. Your child must have a balanced diet for his or her teeth to develop properly. They also need a balanced diet for healthy gum tissue around the teeth. Equally important, a diet high in certain kinds of carbohydrates, such as sugar and starches, may place your child at extra risk of tooth decay.

    Be sure your child has a balanced diet. Then, check how frequently they eats foods with sugar or starch in them. Foods with starch include breads, crackers, pasta and such snacks as pretzels and potato chips. When checking for sugar, look beyond the sugar bowl and candy dish. A variety of foods contain one or more types of sugar, and all types of sugars can promote dental decay. Fruits, a few vegetables and most milk products have at least one type of sugar.

    Sugar can be found in many processed foods, even some that do not taste sweet. For example, a peanut butter and jelly sandwich not only has sugar in the jelly, but may have sugar added to the peanut butter. Sugar is also added to such condiments as catsup and salad dressings.

    Does this mean you have to remove ALL sugars from your child´s diet? Certainly not! Many provide nutrients your child needs. You simply need to select and serve them wisely. A food with sugar or starch is safer for teeth if it´s eaten with a meal, not as a snack. Sticky foods, such as dried fruit or toffee, are not easily washed away from the teeth by saliva, water or milk. So, they have more cavity-causing potential than foods more rapidly cleared from the teeth. Talk to our Pediatric Dentist about selecting and serving foods that protect your child´s dental health.

    And for some final advice:
    1. Ask our Dentist to help you assess your child´s diet.
    2. Shop smart! Do not routinely stock your pantry with sugary or starchy snacks. Buy "fun foods" just for special times.
    3. Limit the number of snack times; choose nutritious snacks.
    4. Provide a balanced diet and save foods with sugar or starch for mealtimes.
    5. Don´t put your young child to bed with a bottle of milk, formula, or juice.
    6. If your child chews gum or sips soda choose those without sugar.

  • Importance of Regular Dental Check-ups

    Our Dentists, as well as the American Academy of Pediatric Dentistry, recommends a dental check-up at least twice a year for most children. Some children need more frequent visits because of increased risk of tooth decay, unusual growth patterns or poor oral hygiene. We will discuss with you the best appointment schedule for your child.

    Regular dental visits help your child stay cavity free. Teeth cleanings remove debris that build up on the teeth, irritate the gums and cause decay. Fluoride treatments renew the fluoride content in the enamel, strengthening teeth and preventing cavities. Hygiene instructions improve your child´s brushing and flossing, leading to cleaner teeth and gums. Tooth decay isn´t the only reason for regular dental visits. We also provide an ongoing assessment of changes in your child´s oral health. For example, your child may need additional fluoride, dietary changes or sealants for ideal dental health. We may also identify orthodontic problems and suggest treatment or a referral to guide the teeth as they emerge in the mouth.

    During a regular check-up we will review your child´s medical history, examine the teeth and gums, oral tissues and jaws. Radiographs (x-rays) will be taken if indicated according to the guidelines set forth by the American Dental Association. The teeth will be cleaned and polished and a fluoride treatment will be applied. Our Pediatric Dentist will also talk with you about any recommended treatment that he feels is appropriate for your child at that time.

  • Sealants

    Sealants protect the surfaces of teeth with grooves and pits, especially the chewing surfaces of back teeth where most cavities in children are found. Made of clear or shaded plastic, sealants are applied to the teeth to help them remain cavity-free. Even if your child brushes and flosses carefully, it is difficult if not impossible to clean tiny grooves and pits on certain teeth. Food and bacteria build up in these depressions, placing your child in danger of tooth decay. Sealants "seal out" food and plaque, thus reducing the risk of decay.

    Research shows that sealants can last for many years. So, your child will be protected throughout the most cavity-prone years. If your child has good oral hygiene and avoids biting hard objects, sealants will last longer. Our Dentists will always check for lost or broken sealants on each check-up and replace them when needed.

    The application of a sealant is quick and comfortable. It only takes one visit. Our Dentists will condition and dry the tooth, apply the sealant and then allow it to harden. The treatment is very affordable; especially in view of the valuable decay protection it offers your child and is most often covered by dental insurances. In addition, sealants are less expensive and less invasive than having to treat the tooth with a filling in the future.

    All posterior teeth that have deep pits and grooves should be sealed, including both permanent and primary teeth. These are usually the molars and premolars, but any tooth with a deep groove will benefit from the placement of a sealant.

  • Baby Bottle Tooth Decay

    Nursing Bottle Tooth Decay (NBTD) is a condition which affects the teeth of very young children who are allowed to take a bottle or sip cup filled with a sugary liquid to bed or at naptime. This condition can be very severe and debilitating for the young child as well as very difficult to treat, not to mention very expensive to treat. NBTD is totally preventable by making the correct choices very early in your child`s life.

    It is important that you NEVER allow your child to take a bottle or sip cup to bed at night or during naptime that is filled with a sugar containing fluid such as milk, juice, fruit drinks or soda. The bacteria in the mouth utilize this sugar to produce an acid that remains on the teeth throughout the night resulting in damage to the enamel. This destruction begins as early as the first tooth appears.

    If your child takes a bottle or sip cup to bed or at naptime, remember to provide them with only water. It has also been discovered that mothers who breastfeed and allow children to sleep with them and nurse during the night will also develop a similar form of tooth decay.

    - Give the bottle/sip cup to the baby only during feeding.
    - Don't fill the bottle/sip cup with juice, fruit drinks or milk.
    - Don't use the bottle as a pacifier or at least fill it only with water.
    - Don't use the bottle/sip cup for prolonged times.
    - Don't leave the bottle/sip cup to the child during sleep.
    - After each feeding wipe the baby`s gums with a clean damp wash cloth or brush the teeth after the appearance of the first tooth.

  • oral habits

    Most children stop sucking on thumbs, pacifiers or other objects on their own between two and four years of age. No harm is done to the teeth or jaws. However, some children repeatedly suck on a finger, pacifier or other object over long periods of time. In these children, the upper front teeth may tip toward the lip or not come in properly.

    Our Pediatric Dentist will watch the way your child`s teeth come in and jaws develop, keeping the sucking habit in mind at all times.

    For most children there is no reason to worry about a sucking habit until the permanent front teeth are ready to come in.

    Most children stop sucking habits on their own, but some children need the help of their parents and our Dentist. When the child is old enough to understand the possible results of a sucking habit, our Dentist can encourage your child to stop as well as talk about what happens to the teeth if your child doesn`t stop. This advice coupled with support from parents, helps most children quit. If this approach doesn`t work, our Dentist may recommend a mouth appliance that blocks the habit until the child can stop.

  • tooth coming wrong

    The eruption of the lower permanent incisors behind or lingual to the retained primary incisors is often a source of concern for parents. In some instances, the root has resorbed and the tooth is held only by soft tissues. In other instances, the roots may not have undergone normal resorption and the teeth are solidly in place. Keep in mind that this is a common and normal occurrence.

    The tongue and continued bone growth play an important role in influencing the permanent tooth into a more normal position with time. In some cases, removal of the baby tooth is recommended. It has been suggested that if this condition is identified before 7.5 yrs. of age, it is unnecessary to remove the primary teeth because the problem will self-correct within a few months. In an older child, extraction would be the course of treatment.

  • Management of the Fearful or Anxious Child

    Our Dentists has had special training in helping anxious or fearful children feel safe and secure during their dental appointment. Also, we have gone to great lengths to create and office that is especially welcoming to his young patients. Dr. Ziegler`s staff choose to work in this office because they particularly like children. So, most children are calm, comfortable and confident when they visit us.

    Our Pediatric Dentist is trained in many methods to help your child feel comfortable with dental treatment. For example, in the "Tell Show Do" technique, Our Dental Staff might name the dental instrument he is going to use, demonstrate the instrument by using it to count your child`s fingers, then apply the instrument during treatment. The modeling technique is used in our open bay area. This is where a potentially fearful or anxious child is shown another patient who is doing very well for their treatment. Coaching, distraction and parental participation are other possibilities that we uses to give your child confidence during their appointment. But by far, the technique we use most is PRAISE. Every child does something right during a dental visit and we are eager to point that out to your child.

    Infants and some young children may feel more confident when parents are close by during treatment. With older children, the doctor-child communication is often enhanced if the parents remain in the reception room. We always invites parents to accompany their children to the treatment area during their first visit with us, and then makes a decision based on the child`s acceptance of dental care whether or not to allow the parents to stay during further treatment. In most instances, we are better able to gain your child`s attention and trust when you are not present. Also, when you are not present, our Pediatric Dentist does not have to compete with you for your child`s attention which makes the dental visit shorter and therefore more enjoyable and less stressful for your child. Of course, each patient is different so we have no rules set in stone.

  • Special Needs for Your Special Child

    Special children need special care. There are a variety of mental and development challenges that children are facing today, such as Down Syndrome, Mental Retardation, Cerebral Palsy, Autism, Hemophilia, Cystic Fibrosis, Craniofacial Syndromes, Cardiac Abnormalities and a host of other genetic or inherited conditions that makes the provision of routine dental care challenging.

    Dr. Ziegler has had two years of advanced training beyond dental school as well as a variety of yearly continuing education seminars that helps him keep current on the delivery of dental care to special needs patients. His education as a specialist focuses on care for children with special needs. In addition, Dr. Ziegler´s office is designed to be physically accessible for special patients. The practice,  because of the expertise of all the Dentists, are often the clinicians of choice for the dental care of adults with special needs.

    Some special needs children are very susceptible to tooth decay, gum disease or oral trauma. Others require medication or diet detrimental to dental health. Still other children have physical difficulty with effective dental habits at home. The good news is, dental disease is preventable. If dental care is started early and followed conscientiously, every child can enjoy a healthy smile.

    A first dental visit by the first birthday will start your child on a lifetime of good dental health. Our Pediatric Dentist will take a full medical history; gently examine your child's teeth and gums, then plan preventive care designed for your child´s needs.

    Your child will benefit from the preventive approach recommended for all children - effective brushing and flossing, moderate snacking, adequate fluoride. Home care takes just minutes a day and prevents needless dental problems. Regular professional cleanings and fluoride treatments are also very beneficial. Sealants can prevent tooth decay on the chewing surfaces of molars where four out of five cavities occur.

    Some children with special needs will require more support than a gentle, caring manner to feel comfortable during dental treatment. Restraint or mild sedation may benefit your special child. If a child needs extensive treatment, we may provide care at a local hospital. Our Clinicians has a comprehensive education in behavior management, sedation and anesthesia techniques. He will select a technique based on the specific health needs of your child, then discuss the benefits, limits and risks of that technique with you.

  • Sedation and Hospital Dentistry

    (Happy air, laughing gas etc.)

    Most children are calm, comfortable, and confident in Dr. Ziegler´s office. Because the practice specializes in treating children, he makes the children feel special. The office is especially designed for children. Staff members choose to work in a pediatric dental office because they like kids. Sometimes, however, a child feels anxious during treatment. Your child may need more support than a gentle, caring manner to feel comfortable. Sedation with nitrous oxide/oxygen is sometimes recommended. Nitrous oxide/oxygen is a safe, effective technique to calm a child´s fear of the dental visit.

    Nitrous oxide/oxygen is a blend of two gases, oxygen and nitrous oxide. When inhaled, it is absorbed by the body and has a calming effect. Normal breathing eliminates nitrous oxide/oxygen from the body. Your child will smell a sweet, pleasant aroma and experience a sense of well-being and relaxation. If your child is worried by the sights, sounds, or sensations of dental treatment, he or she may respond more positively with the use of nitrous oxide/oxygen. Nitrous oxide/oxygen is perhaps the safest sedative in dentistry. It is non-addictive. It is mild, easily taken, and then quickly eliminated by the body. Your child remains fully conscious, keeps all natural reflexes, when breathing nitrous oxide/oxygen.

    There are some special instructions when your child is to receive nitrous oxide/oxygen sedation. First, give your child little or no food before the dental visit. (Occasionally, nausea or vomiting occurs when a child has a full stomach.) Second, tell our Pediatric Dentist about any respiratory condition that makes breathing through the nose difficult for your child. It may limit the effectiveness of nitrous oxide/oxygen. Third, tell our Pediatric Dentist if your child is taking any medication on the day of the appointment.

    We know that all children are not alike! Every service is tailored to your child as an individual. Nitrous oxide/oxygen is not effective for some children, especially those who have severe anxiety, nasal congestion, extensive treatment needs, or discomfort wearing a nasal mask. If nitrous oxide sedation is not successful, we  can offer other alternatives to help your child during the dental visit.

    Sometimes a deeper or longer sedation is necessary to accomplish dental treatment on the very young child who has extensive dental needs or on patients who have special challenges that prevents them from being able to accept treatment in the dental office. General anesthesia at the local hospital is an option that is very successful in most children with these problems.

    General anesthesia is a management technique that uses medications to cause the child to become unconscious and asleep while receiving dental care. It is provided by a physician at the local hospital or surgery center who has special training in anesthesia.

    Children with severe anxiety and/or inability to cooperate are candidates for general anesthesia. These children may be young or have compromised health or special needs. They usually require extensive dental treatment and their anxiety cannot be controlled with conscious sedation techniques.

    Although there is some risk associated with general anesthesia, it is safe when administered by an appropriately trained individual in an appropriately equipped facility. Many precautions are taken to provide safety for the child during general anesthesia care. Patients are monitored closely during the general anesthesia procedure by personnel who are trained to manage complications. We will discuss the benefits and risks involved in general anesthesia and why it is recommended for your child.

    A physical examination is required prior to general anesthesia for dental care. This physical examination provides information to ensure the safety of the general anesthesia procedure. Your pediatric dentist and/or your general anesthesia provider will advise you about evaluation appointments that are required. Parents are instructed to report to the pediatric dentist any illness that occurs prior to the general anesthesia appointment. It may be necessary to reschedule the appointment. It is very important to follow instructions regarding preoperative fasting from fluids and foods. Usually patients are tired following general anesthesia.

    Your child will be discharged when alert and ready to depart. You will be instructed to let the child rest at home with minimal activity planned until the next day. Post-operative dietary recommendations will also be given.

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