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Kids Dentistry

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The Ins and Outs of Sedation Dentistry for Kids

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It’s normal for kiddos to feel scared or anxious about going to the dentist (even adults feel that way sometimes!). It’s often just because they don’t really know what to expect or they’re afraid it will hurt. When you come in to Kids Mile High to see a Stapleton or Englewood pediatric dentist Dr. Paddy or Dr. Roger, you can be rest assured they’ve received extensive training and have experience in helping even the most apprehensive patients feel comfortable and safe. Before we consider sedation dentistry for kids or anesthesia, we attempt behavior management techniques like positive reinforcement and tell-show-do where we get patients used to the sights and sounds of our tools to alleviate anxiety. Yet, there are times when dental sedation is the safest route.

What is Sedation Dentistry?

Sedation dentistry means using medication to make a patient very calm and comfortable during a dental treatment. While we’ll get into more detail on the different types, sedation dentistry for kids can range from something mild like nitrous oxide, which dulls pain and makes kids feel relaxed and happy, to general anesthesia, which entails them being in a deep sleep for the procedure.

When is Sedation Dentistry Used for Kids?

As we said before, in most cases, we try behavior management techniques before opting for dental sedation. However, there are cases when sedation dentistry is the best approach, such as with:

  • Very young patients who need extensive dental work
  • Patients with certain special health care needs, especially if multiple procedures are being performed
  • Kids who have an extremely strong gag reflex or cannot sit still to the point where their safety would be compromised
  • Children with severe dental anxiety, such as a case of having a true dental phobia

What are the Different Types of Dental Sedation?

At Kids Mile High, we offer the following types of sedation dentistry for children:

  • Nitrous Oxide – Nitrous oxide, sometimes called “laughing gas” or “happy gas,” is a colorless gas that’s mixed with oxygen and inhaled through a mask. It’s a mild sedative that makes kiddos feel extremely relaxed, “floaty,” euphoric and probably a little silly. Sounds like they’ll fit right in at Kids Mile, huh? It has the added benefit of reducing pain and discomfort. While patients can sometimes feel drowsy once the nitrous oxide starts working, they’ll be awake and conscious. So is nitrous oxide safe for kids? Yes. It’s been used for many years in dentistry and has minimal side effects. When we’re finished with the procedure, your child will breathe in pure oxygen for a few minutes to clear out any lingering nitrous oxide. They’ll feel back to normal quickly and can resume their regular activities almost immediately.
  • Oral Conscious Sedation – Oral conscious sedation offers moderate sedation so it’s a little stronger than nitrous oxide. Your child will take an oral medication before their procedure. It typically takes effect in about 20 minutes. The medication will make your child relaxed and drowsy, though they’ll still be conscious. It also dulls the senses to help alleviate discomfort. A lot of patients don’t remember the details of the procedure or the sensations clearly after it wears off.
  • In-Office General Anesthesia – With general anesthesia, your little one will be in a deep sleep and won’t feel or remember a thing. We have a special anesthesia suite so we can offer it in our office. An anesthesiologist will administer the anesthesia and monitor your child while Dr. Paddy or Dr. Roger work on their smile.

Is Dental Sedation Safe for Children?

Yes, dental sedation is safe for children as long as it’s administered by a professional. As pediatric dentists, Dr. Paddy and Dr. Roger are trained in sedation and can safely and effectively offer nitrous oxide and oral conscious sedation. We also provide in-office general anesthesia and have anesthesiologists from CarePoint Anesthesia come in and work with us to ensure it’s safe for patients. As with any procedure or medication, there are sedation dentistry risks. However, we take every step necessary to manage them and we always weigh the risks versus the benefits. We will perform a thorough evaluation of your child and get a comprehensive health history so we can determine if sedation is the safest and best choice for their individual needs.

If you’re looking for dentistry for kids in Englewood, Stapleton or, soon, Thornton, CO, look no further than Kids Mile High! If you do want to consider sedation dentistry for your child, we’ll evaluate your little one, go over the benefits and risks and answer all of your questions so you feel informed and confident in your decision. Schedule your child’s appointment today to learn more.

 

child holding onto red balloon smiling

What Parents Need to Know About Cavities in Children

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We know we’ve said it before but we’re saying it again, baby teeth are super important! Though it might not seem like these adorable, little, temporary teeth are all that susceptible to tooth decay, they are and teeth are at risk even before kiddos are introduced to the joys of candy and sugary treats. According to the Centers for Disease Control and Prevention, tooth decay is one of the leading chronic conditions in childhood in the United States. In fact, about 20% of kids between the ages of five and 11 have at least one untreated cavity. Yikes! Well, the good news is, tooth decay in children is preventable and we’re sharing what you need to know about kids and cavities.

What is Tooth Decay?

Tooth decay, also known as cavities or caries, is the destruction of the structure of the tooth. When the acids from plaque break down the tooth’s enamel by depleting calcium, holes can form and these holes are, you guessed it, cavities.

What are the Causes of Tooth Decay in Children?

Cavities in children start with the bacteria in the mouth. Where does the bacteria come from? Well, this might be a shocker but we often get these specific cavity-causing germs, which come from a group called mutans streptococcus, from our parents before the age of two. But, before you blame yourself, the vast majority of people’s mouths become colonized with the bacteria at some point. Anyway, the bacteria love carbohydrates (sugar and starches) and they snack on the carbs after a child eats or drinks something and a reaction occurs that produces acids. The acids are what deplete the tooth of minerals (demineralization) and mingle with saliva to form plaque, which sticks to the teeth. Over time, the acid eats away at the tooth enamel and causes cavities like we mentioned earlier. As you can see, every child is at risk for tooth decay but these factors can make the risk even greater:

  • Eating and drinking lots of sugary treats and starches
  • Little or no fluoride in your water supply
  • Not brushing and flossing regularly
  • High levels of cavity-causing bacteria in the mouth
  • Decreased saliva flow (can be the result of dehydration, mouth breathing, allergies or asthma, or certain medications)

What are the Signs of Cavities in Children?

Sometimes, a child will have a cavity but won’t exhibit any signs or symptoms. That’s why the best way to determine if a child has tooth decay – and to prevent it from happening at all – is to see a pediatric dentist. However, in general, here are some signs of tooth decay in children to look for:

  • White spots on the teeth, which is an indication that the enamel may be breaking down.
  • Brown or black spots on the teeth.
  • Sensitivity to sweet or cold foods and drinks.
  • Pain around a tooth (it’s often hard for a parent to detect cavities in toddlers or babies because they can’t verbalize that their tooth hurts but an older child can tell you outright they’re in pain)

What are a Child’s Tooth Decay Treatment Options?

When your child comes into our Denver or Englewood pediatric dental office, we examine their mouth, chat with you about their history and risk factors and, if necessary, take low-dose, digital x-rays so we can see inside and in between the teeth. Using this information, we’re able to diagnose cavities in kids. If we do find cavities, common child tooth decay treatment options include:

  • Taking a preventative approach in the earliest stages. Sometimes, we can catch emerging decay before an actual cavity has formed and promote remineralization instead of opting for a restorative treatment.
  • Removing decay and restoring the tooth with a composite filling. We use Herculite composite resin. It’s one of the strongest composites on the market and we match it to your child’s tooth color so it’s undetectable.
  • Performing a baby root canal, known as a pulpotomy or pulp therapy, in severe cases where decay has led to infection. A root canal can save the tooth and then we’re able to restore it with a NuSmile Zirconia crown. These crowns look completely realistic, are metal-free and very durable.

At Kids Mile High Pediatric Dentistry, we are all about making visits – even if they’re for restorative treatment – a positive experience for parents and kids alike. We’ll sit down with you and explain your child’s diagnosis and present you with your treatment options. We have some pretty high-tech tools, including the WaterLase MD and WaterLase iPlus lasers. So, in many cases, we can painlessly remove decay without a drill or even the need for shots. Additionally, Dr. Paddy and Dr. Roger are both experts in sedation dentistry for children. We’ll work with you to find a solution that ensures your child gets the care they need in a way that’s stress-free for both of you.

Preventing Tooth Decay in Children

As promised, on to the good news! Preventing tooth decay in children is absolutely possible. Here are some ways you can do just that:

  • Make sure your child flosses at least once daily as soon as any two teeth are touching and brushes twice a day for two minutes each brushing session once the first tooth erupts. Start off with a tiny smear of fluoride toothpaste and then increase it to a pea-sized amount when they turn three. Brush for them when they’re infants and toddlers and then be sure to monitor their brushing until they’re about seven- or eight-years-old.
  • Talk with your pediatric dentist about your child’s fluoride intake. Fluoride is essential for keeping kids’ teeth strong. If you don’t have fluoride in your water or your child only drinks bottled water, ask your dentist or pediatrician about fluoride supplements. They may also recommend adding a fluoride mouthwash to your child’s oral hygiene routine. Professional fluoride treatments, like the ones we offer at Kids Mile High, are beneficial too.
  • Encourage your little one to eat a well-balanced diet and limit sugary beverages, sweets and starchy foods like white bread and potato chips. We’re not saying you have to have a sugar-free household but enjoying treats in moderation will go a long way in preventing tooth decay in children.
  • Don’t put babies to bed with a bottle that contains anything other than water. Since even breast milk and formula contain sugars, it can lead to baby bottle tooth decay. Finish feedings before they doze off and consider wiping down their gums with a moist piece of gauze before putting them down.
  • Stick with small amounts of 100% fruit juice that has no sugar added if you want to give your child juice. Don’t let them have it in a sippy cup to slowly drink throughout the day. Instead, offer it only at a meal or a snack so their teeth aren’t constantly bathed in sugar.
  • Consider sealants. We use BPA-free sealants on the chewing surfaces of kids’ teeth. They’ve been shown to be extremely effective in preventing tooth decay since they act as a barrier and keep food, acid and bacteria from settling into the pits and grooves of the teeth.
  • Come in for regular check-ups and cleanings at your pediatric dentist. Not only can we find cavities early on when treatment is easier; we can also help you develop a stellar homecare routine.

We hope our guide to cavities in children can help you give your kiddo the oral hygiene knowledge and tools they need to ward off tooth decay. Remember, prevention is the best form of dentistry and it starts with a checkup! Book your child’s visit with an Englewood or Denver pediatric dentist at Kids Mile High today!

Dr. Roger and young paitent Kids Mile High

Meet Our Denver Pediatric Dentist: 20 Questions for Dr. Roger Castro

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Dr. Roger and young paitent Kids Mile HighYou may know Dr. Roger Castro as your super awesome Stapleton pediatric dentist who’s dedicated to making dental visits relaxed, positive and fun for kids and parents alike. However, did you also know when he’s not making smiles sparkle at Kids Mile High Pediatric Dentistry, he’s an ice cream aficionado and loves rooting for the San Francisco 49ers? Well, there are more fun facts where those came from. To help you get to know Dr. Roger a little better, we played a game of 20 questions.

  1. Where did you grow up?

I was born in El Salvador and I grew up in California, Texas, Tennessee, and Maryland.

  1. Why did you become a Denver pediatric dentist?

I like joking around with kids all day!

  1.     What is the best vacation you’ve ever taken?

The best vacation I ever went on was to South Africa.

  1.     Who is your role model?

My dad is my role model.

  1.     What’s your favorite thing about coming to work at Kids Mile High every day?

Seeing the colorful fish!

  1.     What are your three favorite ice cream flavors?

I love vanilla, cookies and cream, and peanut butter ice cream.

  1.     What’s your favorite movie?

Die Hard

  1.     What was the most challenging part of dental education?

Definitely the one million exams!!

  1.     How would you describe your perfect weekend?

My perfect weekend is watching sports with my baby on my lap.

  1.  Did you like going to dentist as a kid?

Yes, even though I bit the dentist!

  1.  What’s your favorite restaurant in Denver?

Snooze

  1.  What is something your patients would be surprised to learn about you?

I hate getting blood taken.

  1.  Which sports team do you root for?

The San Francisco 49ers, San Francisco Giants, and the New York Knicks

  1.  What do you think makes you different from other pediatric dentists?

I am silly!

  1.  If you could have a super power what would it be?

My super power would be time travel.

  1.  What was your first concert?

The first concert I went to was Wu Tang Clan with Rage Against the Machine.

  1.  What’s your spirit animal?

A squirrel

  1.  What’s the best advice you can give parents about caring for their kids’ teeth?

Encourage lots of water, fruits and veggies!!

  1.  What is your favorite food?

Maryland blue crabs

  1.  What is your favorite holiday?

Thanksgiving is my favorite holiday.

If you want to meet Dr. Roger in real life and learn more about what makes him such a fantastic Denver pediatric dentist, schedule a visit at Kids Mile High Pediatric Dentistry today!

girl-holding-dental-mouth-sample

Can You Straighten Teeth Without Braces? Meet Myobrace!

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girl-holding-dental-mouth-sampleThe vast majority of kids will eventually have crooked teeth to some degree and end up wearing braces or Invisalign Teen. In fact, in North America, about 80 percent of teens are currently receiving orthodontic treatment. While, sure, some of it’s determined by genetics, crooked teeth are more often than not caused by incorrect jaw and facial development, usually as the result of poor myofunctional habits, such as thumb sucking, reverse swallowing, tongue thrusting and mouth breathing. Emerging issues can be seen in kids as young as three and, many times, if not dealt with, this misalignment of the teeth and jaws can lead to the need for extensive orthodontic treatment or even surgery later in life. At Kids Mile High Pediatric Dentistry, both Dr. Paddy and Dr. Castro are trained in something called myofunctional orthodontics and we use the Myobrace system to get kids’ oral development back on track and help align the jaws and straighten teeth without braces.

Smile Concerns

The whole aim of braces, or any type of orthodontic treatment for that matter, is to fix malocclusions, or issues with the positioning, alignment or spacing of the teeth and jaws. Crooked teeth and jaws are a cosmetic concern and they can lead to teasing, make kids feel self-conscious and throw off the balance of a child’s facial features. Yet, it goes beyond appearance because malocclusions can also affect the airway, make teeth harder to clean, leading to cavities and gum disease, and interfere with the ability to chew and speak properly.

We can see some red flags from a fairly early age, such as impending crowding or a developing underbite. In certain cases, your dentist or orthodontist will recommend interceptive orthodontic treatment, also known as two-phase orthodontic treatment. With this approach, kids wear appliances or braces while they’re still growing. This is because, at this stage, growth and development of the teeth and jaws can be easily manipulated. Then, the child will have a resting period for a few years while the remainder of the permanent teeth come in and, finally, they’ll finish up with braces or Invisalign Teen when they’re a teenager. This all sounds great but the expense and time involved can be significant. Additionally, not all young kids are thrilled about wearing braces and the responsibility that comes with it, which is why many parents want to know how to get straight teeth without braces. That’s where Myobrace comes in!

What is Myobrace?

The Myobrace system is based on the principles of myofunctional orthodontics, or preventative pre-orthodontics. Dr. Paddy and Dr. Castro love the system because it’s a natural way to fix bad myofunctional habits (i.e., tongue thrusting, thumb sucking, mouth breathing and reverse swallowing) and exert light force to help align the jaws and teeth into their correct position. It also optimizes facial and jaw development, so teeth come in naturally straight, often without braces or extractions.

Myobrace consists of a series of removable, oral appliances that kids wear for one to two hours every day and overnight while they’re sleeping. They don’t have to wear them to school or out in public, which can be a concern when it comes to standard orthodontic appliances. In the first stage of treatment, the appliance is aimed at habit correction to improve the odds that the little one’s jaw will grow to its full size with enough room for all of the permanent teeth to come in. For kiddos with underdeveloped jaws, there may be a second stage that aids in arch development and there are appliances that can be used in combination with Myobrace. There is also an alignment stage that can use gentle pressure to encourage teeth to shift into their natural position. The last stage of Myobrace treatment is the retention stage and the goal is to make sure a child’s good oral habits are maintained. This can usually prevent the need for a permanent retainer.

In addition to the appliance component, kids also do myofunctional exercises, called trainer activities, to really get to the root of the problem. These exercises are kind of like a workout for their mouth and only take a few minutes a day. A lot of our young Englewood and Denver Myobrace patients find them to be pretty fun and kids can complete their exercises while watching television or doing their homework. At the end of treatment, Myobrace results include a properly developed and positioned jaw, aligned teeth and an open airway.

What are the Benefits of Myobrace?

  • Teaches children to breathe out of their nose
  • Helps kids find the correct tongue resting position
  • Encourages correct swallowing
  • Keeps the lips together
  • Exerts gentle force to develop and align the jaws and straighten teeth without braces
  • Improves facial development
  • Doesn’t need to be worn all day or at school
  • Removable, allowing for proper brushing and flossing
  • No food restrictions
  • Opens the airway, which can improve asthma, allergies and snoring
  • Corrects bad myofunctional habits, truly addressing the underlying cause of crooked teeth and underdeveloped jaws
  • Comfortable
  • Kids won’t experience a relapse like they often will with braces or Invisalign
  • Can be effective for children three- through 15-years-old
  • No complicated appliances or brackets and wires

Does Myobrace Work?

The Myobrace system does work! Studies have illustrated that it can be effective for a variety of cases. While braces might be the more well-known treatment, doctors have actually been using myofunctional orthodontics with great success for over 25 years. Because Myobrace tackles the root of a child’s malocclusion, the results are permanent. With traditional orthodontics, if you don’t wear a retainer afterwards and, sometimes, even if you do, the teeth will shift back to their old positions. This doesn’t happen with Myobrace. Though Myobrace results can vary depending on a number of factors, it allows many patients to avoid braces completely. In the small number of instances that braces are needed when a patient is a teenager, they typically only have to be worn for a short period of time.

Interested in learning more about how we can straighten teeth without braces? Or, want to find out if your child is a candidate for our Englewood or Denver Myobrace treatment? Schedule a visit at Kids Mile High Pediatric Dentistry today!

baby teeth

Everything You Need to Know About Your Child Losing Baby Teeth

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baby teeth

You made it through teething, got a few years of a break (well, as far as your kiddo’s pearly whites anyway) and, suddenly, your child’s first loose tooth enters the picture. The smile changes are back again in full force! Unlike sprouting those primary teeth, the process of a child losing baby teeth and getting their permanent ones isn’t typically painful. Once they get used to the sensation of a tooth being wiggly and realize it doesn’t hurt when it falls out, most kids enjoy this stage. The Tooth Fairy is involved after all. For the parents at our Englewood and Stapleton pediatric dental offices, it can be a different story. They often worry about the order of eruption or maybe their child’s loose tooth won’t come out or, perhaps, they’re concerned about the appearance of the new permanent teeth. To put your mind at ease, the team here at Kids Mile High Pediatric Dentistry is breaking down everything you need to know about your child losing baby teeth.

When do Kids Start to Lose Baby Teeth?

The average age for a child to lose their first tooth varies pretty dramatically. That’s why it’s totally understandable for parents to be concerned when their little one’s friends are getting visits from the Tooth Fairy but their child isn’t. Almost every baby teeth chart says kids start to lose baby teeth between the ages of six- and seven-years-old. This is pretty average but some children start losing baby teeth as early as age four and others begin as late as seven or even eight. It doesn’t necessarily mean something is wrong but it’s always best to check with your pediatric dentist if your child’s baby teeth seem to be hanging in there for longer than usual.

A baby tooth almost always falls out because the permanent tooth underneath it pushes it out as it starts to come in. Though sometimes, injury, cavities or other issues can result in a baby tooth falling out when there is no permanent tooth to replace it. When this happens, the other teeth have a tendency to want to fill in the space, which may lead to crowding. In these instances, we usually use a space maintainer to hold room for the grown-up tooth to come in later.

What Order do Kids Lose Baby Teeth?

One of the most common questions Dr. Paddy and Dr. Castro get is what order do kids lose baby teeth? Well, in most cases, the primary teeth fall out in the same order they erupted. The American Dental Association has a super handy baby teeth and permanent teeth eruption chart that will give you a good idea as to the timeline. Typically, the lower front teeth are the first to say goodbye, followed by the top front teeth. Much like the baby teeth order, the rest tend to fall out symmetrically, meaning the tooth on one side will shed around the same time as its partner on the other side of the mouth. Bottom teeth usually fall out before the same teeth in the upper arch.

Will Baby Teeth Fall Out on Their Own? Can I Help Them Along?

The vast majority of the time, baby teeth will fall out on their own. Every once in a while, Dr. Paddy and Dr. Castro have to help a tooth along and encourage it to erupt but this is rare. If a child’s loose tooth won’t come out, have them wiggle it gently with their tongue. Each tooth goes through a whole process where the root is broken down and absorbed and it can sometimes take a few months from the time a tooth gets wiggly to when it finally hits the road. So, we don’t recommend the old dental floss on the door knob trick or yanking it out since it might not be ready. Pulling a tooth before its time can lead to damage or infection.

Why are my Child’s Permanent Teeth so Big?

Around age four, a child’s jaw and face start to grow to accommodate the permanent teeth. Not only are there more permanent teeth than primary teeth, they’re also larger and not as white. They might even have visible ridges that will eventually smooth out as a child puts them to good use chewing and biting. The difference can be a bit startling at first but when all of the baby teeth are gone and you’re comparing these larger teeth to teeth of similar size, your child’s smile will look much like yours.

When do Permanent Teeth Grow in?

When the first baby tooth falls out (most likely one of the lower front teeth) around the age of six or seven, a permanent tooth should be right behind it. If a baby tooth falls out and no permanent tooth replaces it after six months, contact your pediatric dentist for evaluation. The tooth could just be taking its sweet old time or it could be due to an issue like a congenitally missing tooth. We’ll get to the bottom of it and make sure your child’s smile development stays on track.

In addition to the replacement teeth coming in, the first permanent molars also tend to grow in between six- and seven-years-old, which is why they’re sometimes called the “six-year molars.” This can be a little confusing because these teeth are erupting into an open area where there wasn’t baby teeth before. Some kids gets these permanent teeth first while others get their lower front teeth first.

From the time kids start losing baby teeth to the time the final one falls out, they’re in a phase known as “mixed dentition,” meaning they have a mixture of primary and permanent teeth. This mixed dentition stage lasts until 12- or 13-years-old. At this age, once the permanent second molars come in, kids have all of their grown-up teeth except for the wisdom teeth. If the wisdom teeth erupt at all, it’s usually between 17- and 21-years-old.

Since the permanent teeth need to last a lifetime and there are no backups waiting in the wings if they fall out, oral care becomes more important than ever. Encourage your child to brush those grown-up teeth twice a day, floss once daily and limit snacking and sugary treats. Be sure to keep up with regular dental checkups and cleanings too.

Throughout the process of your child losing baby teeth and gaining new ones, try to keep in mind that every child is unique and primary teeth usually make their exit when they’re ready. If you have questions or concerns about how your child’s smile is taking shape, schedule a visit at Kids Mile High in Englewood or Stapleton. We’ll work with you to keep your little one’s teeth healthy and strong!

 

mouthguards-protect-little-smiles

How Our Under Armour Mouthguards Keep Young Smiles Safe

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mouthguards-protect-little-smiles
Dr. Paddy and Dr. Castro go to great lengths as pediatric dentists in Stapleton and Englewood, CO to keep their patients’ smiles healthy. Hey, they’ve even given away a go-kart and perfected their floss dance all in the name of oral health! While when dental treatment is necessary, we use the latest technology and techniques to make it quick and comfy, the absolute best thing you can do for a child’s smile is focus on prevention. Of course, brushing and flossing play important roles in warding off cavities and keeping little teeth looking and functioning at their best, but there is something else that’s super important and often overlooked: mouthguards! Dental injuries in sports lead to a lot of missing teeth. In fact, more than five million teeth are knocked out each year in the United States and the majority of these incidents occur during sports or physical activity. That’s why we’re such big proponents of mouthguards for kids and we’re an authorized provider of Under Armour Performance Mouthwear. Read on to learn more about our favorite piece of sports’ equipment. Read More

Childrens-books-about-going-to-the-dentist

Our Favorite Children’s Books About Going to the Dentist

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Childrens-books-about-going-to-the-dentistIt’s not uncommon for children to be a little freaked out by the dentist. It’s mainly because they don’t know what to expect and often times, they pick up on adults’ hesitancies. It’s completely understandable. However, once they’ve hopped up into Dr. Paddy or Dr. Castro’s chair a few times and experience how awesome our Kids Mile High offices are, they’ll actually like visits. Getting over that initial anxiety before they’re comfortable with their favorite Englewood or Stapleton, CO pediatric dentist is the challenge though.

A while back, we wrote a post about helping children overcome a fear of the dentist and one of our ideas was reading books about the dentist. When kids see their favorite characters enjoying a cleaning and interacting with the doctor, it takes away some of the unknowns and helps put them at ease. Plus, you can’t go wrong encouraging reading. Here are some of our favorite children’s books about going to the dentist perfect for helping to prepare your child for an appointment:

Just Going to the Dentist (Little Critter) by Mercer Mayer 

Mercer Mayer is such a talented author and illustrator and the Little Critter series is a favorite of Dr. Paddy’s. In this book, Little Critter goes to the dentist for a check-up, which includes x-rays, and even has to have a cavity filled. Of course, he handles the situation with bravery and humor and kids will see that dental visits aren’t something to be frightened of. Interested in checking it out? You can put a hold on this one at the Englewood Public Library.  

Curious George Visits the Dentist by Margret and H.A. Rey

Curious George is always getting into shenanigans and his visit to the dentist is no exception. This one is probably the funniest in our list of the best children’s books about going to the dentist. It all starts when George bites into an apple and his tooth begins to hurt and wiggle. The man in the yellow hat decides a trip to the dentist is in order but, since it’s his first time, Curious George is a bit nervous. Thankfully, he overcomes his fear, learns the ins and outs of caring for his smile and has fun in the process.

Doctor De Soto by William Steig

This isn’t just one of the best children’s books about the dentist, it’s one of the best children’s books period and it even received a Newbery Honor. Yeah, we might be a little biased because the main character is a dentist but it’s quickly becoming one of the classics. Written by William Steig, the author who wrote Shrek!, the same book the movie was based on, it puts a unique, whimsical spin on dentistry that will help kids feel more relaxed and positive about their own appointments. The best part is that it’s geared towards children of all ages and parents will enjoy it too.

In the book, Dr. De Soto is a dentist and his wife is his assistant. They also happen to be mice. They have super dental skills and treat animals who have toothaches painlessly and quickly. They make a habit of avoiding treating animals who might eat them but all that changes when a fox with a taste for mice visits with severe tooth pain and they have to find a way to give him the care he needs without becoming a snack. Check it out from the Sam Gary Branch Library in Stapleton.

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The Berenstain Bears Visit the Dentist by Stan and Jan Berenstain

This is another of the classic children’s books on the dentist and features the beloved Berenstain Bears family. Dr. Bearson fills Brother Bear’s small cavity and then Sister Bear has to have a loose and dangling baby tooth removed. The story is geared towards the preschool set and it’s upbeat, positive and informative. The book is available at several Denver Public Library branches if you want to give it a read.

My Dentist, My Friend by P.K. Hallinan

A lot of the children’s books for the dentist do mention cavities, fillings and a few talk about getting teeth pulled. They all have a positive take on it and discuss it in a way that doesn’t elicit fear. That being said, you know your child best. If you’re gearing up for their first visit and they’re more sensitive and have considerable anxiety about it, your best bet may be opting for children’s books about visiting the dentist that make no mention of procedures like My Dentist, My Friend by P.K. Hallinan. This book focuses only on the positive aspects and is a step-by-step guide to dental visits, which can be really reassuring.

The Tooth Book: A Guide to Healthy Teeth and Gums by Edward Miller

We absolutely adore this comprehensive, lively, colorful guide for kids on taking care of their teeth and gums. It’s full of helpful information and awesome imagery. It really makes oral hygiene fun. It also has details telling children what to expect when they visit the dentist. While several of the children’s books about going to the dentist are meant for preschoolers and toddlers, elementary-aged kids will really like this one. It’s excellent for children who can read on their own and it will help them feel more engaged in their oral health.

While this list could go on for a quite a while, these are our favorite children’s books about going to the dentist because they mix humor, beautiful illustrations, good stories and fun. Demystifying dental visits by reading all about them is a powerful way to help kids get over their jitters. Head to the Public Library or swing by your local Denver bookstore (we’re partial to Second Star to the Right Children’s Books, Tattered Cover Book Store and The Bookies Bookstore) to find all of the best titles.

When you’re ready to tackle seeing the tooth doctor in real life, book – see what we did there? – an appointment at Kids Mile High Pediatric Dentistry in Stapleton or Englewood by giving us a call at (303) 779-5306 (Englewood) or (303) 399-5437 (Stapleton). We promise, we’ll make the experience exciting for your child and stress-free for you.  

 

Waterlase-Dentistry-for-Kids

What is WaterLase Laser Dentistry (and Why Kids Love it)?

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Waterlase-Dentistry-for-Kids

Laser dentistry is one of Dr. Paddy’s favorite innovations and not just because it sounds like something from a sci-fi movie (though that does give it some cool points). He also loves it because lasers help him perform all sorts of dental procedures with almost zero pain. In fact, we rarely have to give patients a shot of sleepy juice to numb them since, unlike with a drill, the technique doesn’t involve heat or vibration. At Kids Mile High, we offer pediatric WaterLase dentistry in Englewood, CO and Stapleton, CO. Today, we’ll be covering how WaterLase works and why our patients and their parents are such big fans.   

What is WaterLase Laser Dentistry?

We use both WaterLase MD and WaterLase iPlus lasers here at Kids Mile High. Though often referred to as laser dentistry, they’re actually types of water laser dentistry. So, what is water laser dentistry? Well, it relies on laser energy and water spray to help us perform different dental procedures on both the soft tissues, such as the gums, and the hard stuff like the teeth and bones.

The laser takes the place of other tools, including the drill and scalpel. Dr. Paddy uses the WaterLase hand piece to direct a concentrated beam of laser energy to the precise area of the tooth or gums that he’s treating. When the laser touches the surface, a reaction occurs with the water molecules and it can painlessly cut through the enamel or gum tissue. While the laser is doing its thing, a continuous spray of water cools the area, so no heat is felt, which is why it doesn’t hurt.

The pain associated with the drill is from the heat, vibrations and pressure. WaterLase has none of those things and when we use it for routine procedures like treating a cavity, the majority kids don’t need anesthetic. Bypassing the needles and the drill for any patient is a huge plus but it’s been particularly helpful for our littlest smiles. WaterLase lasers are safe and have been FDA-approved for treating kiddos and grown-ups.

Book a Consultation for WaterLase Dentistry Today!

What Treatments Can You Perform With WaterLase?

As a super duper water laser dentist, Dr. Paddy can use laser dentistry for a bunch of treatments. While you’ll want to schedule an appointment at KMH to see if your child is a candidate based on their needs, generally, these are some of the common WaterLase procedures we perform:

  • Removing tooth decay and cavity preparation
  • Frenectomy (releasing tongue- or lip-tie)
  • Removing growths or extra tissue (like when we eliminate excess gum tissue that’s covering an un-erupted tooth)
  • Gum disease treatment
  • Treatment of mouth ulcers or sores

Why WaterLase Laser Dentistry?

Needles and conventional dental tools tend to give young patients anxiety. Hey, even adults aren’t usually fans. WaterLase laser dentistry provides us with an amazing alternative to seriously improve patient experience by leaps and bounds. Some of the biggest perks include:

  • WaterLase is a lot more comfortable and pretty much painless.
  • Most patients don’t require shots for restorative procedures like getting a filling when using laser dentistry.
  • Minor surgery can also be done without shots or stitches.
  • Since we don’t have to use anesthesia and the laser is really accurate, we can treat multiple areas in one visit as opposed to having to space it out over numerous appointments. This saves you time but also by cutting down on the number of visits, the WaterLase dentistry cost is comparable to that of other forms of treatment.
  • We’re able to preserve more of the tooth’s natural structure and avoid injuries to the tongue, cheeks and lips because the laser is more precise than conventional tools, such as the drill.
  • The laser is much quieter than the drill, making it ideal for infants and patients who are afraid of the dentist.
  • The speed and comfort of laser dentistry ensures visits are stress-free for kids and parents.
  • Lasers can reduce bacteria, which is especially helpful when dealing with tooth decay or gum disease.
  • There’s less post-operative swelling, discomfort and bleeding and it encourages faster healing times.
  • The laser boosts the bond strength of restorations for fillings that last longer.
  • WaterLase can lessen the pain from ulcers or sores in the mouth and help facilitate healing.
  • It’s versatile. We put our WaterLase machines into action for a wide variety of procedures involving the teeth, gums and bone.

If you’re interested in WaterLase laser dentistry for you child, Dr. Paddy or Dr. Castro will examine your child and come up with an accurate diagnosis. If WaterLase is the best treatment option, they’ll walk you through everything you need to know to help you make a confident decision about your child’s smile.

To learn more about our WaterLase laser dentistry for kids, schedule an appointment at our Englewood or Stapleton, CO pediatric dental office.

FREE Spring Activities for Kids

The Best FREE Spring Activities for Kids in Stapleton, Englewood and Downtown Denver

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FREE Spring Activities for Kids

Dr. Paddy absolutely loves winter sports and it’s one of the reasons he moved to Denver and become an Englewood and Stapleton pediatric dentist. Yet, as much as he adores snow, Denver’s awesome all year long. Plus, he knows once February rolls around, kids can get a little stir crazy in between cold-weather adventures.

So, he’ll join the parents in the countdown to spring and in honor of the approaching season, we’ve put together a preview of upcoming opportunities for family fun. Of course, there are an array of cheap activities for kids in Englewood, Stapleton and downtown Denver but Kids Mile High Pediatric Dentistry is always up for a challenge, which is why we’re focusing only on free spring activities for kids. 

Children’s Festival of Stories 

McNichols Civic Center Building, 144 W. Colfax Avenue, Denver – While the first annual Children’s Festival of Stories is technically a few days shy of spring, we love the idea and it’s close enough so it makes our list of free Denver activities for kids. Historic Elitch Theatre and Second Star to the Right are joining forces to put on this celebration of stories and reading at the McNichols Civic Center Building, which was actually the home of Denver’s first public library at one time.

The festival will be held on Saturday, March 17 and Sunday, March 18 with an evening event for adults on Friday, March 16. Festivities will include all sorts of fun performances and activities, including appearances by children’s book authors and illustrators.

On Saturday, March 17 from 9am to 4pm, young readers (infancy through 14-years-old) as well as parents, fans of children’s books and educators can enjoy interactive storytimes, book signings, panel presentations, performances, creation stations and more. On Sunday, March 18 between 10am and 3pm, there will be free workshops for writers and artists eight-years-old and up. Kids (and parents!) can hone their craft and have a blast learning and creating. Registration is required for the workshops.

Go on an Art Walk 

Luckily, finding free Stapleton, CO spring activities for kids aren’t hard to find when you have such a vibrant community. Combine fresh air, exercise and culture by going on an art walk. Stapleton has 16 public art pieces with work from artists around the country that will pique your child’s curiosity. Use the Stapleton public art map to create a route or just freestyle one.

Family Day at the Opera 

Ellie Caulkins Opera House, 1385 Curtis Street, Denver – If you want to do something unique, let the kids experience the opera at the free Family Day event on Saturday, March 24. You’ll get the chance to take in a production sung in English by Opera Colorado’s Young Artists and also explore the Ellie Caulkins Opera House.

Cinderella will be performed at 10am and a performance of The Elixir of Love will be held at 1pm. An hour prior to each performance, there will be kid-friendly refreshments and activities. Reservations are required, so scoop up your free tickets online starting March 1.

Easter Egg Hunts 

Good, old-fashioned Easter egg hunts are the perfect free spring activities for kids in Denver. The Stapleton Egg Scramble will be held on Saturday, March 24 at 10am at Runway 35 (8863 E. 47th Avenue, Denver). It’s open to children and adults of all ages.

The Englewood Great Egg Scramble at Belleview Park (5001 S. Inca Drive, Englewood) will also be held on Saturday, March 24 at 10am. This one’s for kids ages one through eight (children will be grouped according to age). The event is free but donations will be accepted. The rain date is scheduled for Saturday, March 31.

Mommy and Me Movement & Creative Art Class  

McNichols Civic Center Building, 144 W. Colfax Avenue, Denver – The McNichols Civic Center Building is really the place to be this spring but what else is new? Anyway, the amazing Rebecca Kanov, founder of Arts & Minds, teaches free Denver mommy and me classes focused on movement and creative arts for parents and children (crawlers through four-years-old) at McNichols.

Children will get an introduction to dance, sensory play, breathing and yoga. Classes are held on Tuesdays at 11am through May 22. Complete the one-time waiver and register for the class by emailing [email protected] and confirming the date and number of tiny tots you’ll be bringing.

Spring Cleaning Includes a Trip to the Dentist. Book a Consultation Today!

Spring Break at the Library 

Englewood Library, 1000 Englewood Parkway – Looking for free Englewood spring activities for kids to keep your brood entertained during spring break this year? The Englewood Public Library will hold programs for children Monday, March 26 through Friday, March 30 at 1pm. The events will be tied to STEM, art, music and reading. There’s nothing wrong with keeping the learning going even when school’s out.  

Life-Size Candy Land 

Sam Gary Branch Library, 2961 Rosyln Street, Stapleton, Denver – The Sam Gary Branch Library is an excellent place to find free activities for kids in Stapleton, including regular storytimes. However, there’s one event scheduled this spring that’s a childhood dream come true: a life-sized game of Candy Land! The game, which is geared towards children ages three through eight, will be held on Friday, April 20 from 6 to 8pm in the library’s meeting room. For details on how to sign up, call the branch at (720) 865-0325.

Free Days at the Denver Botanic Gardens 

1007 York Street, Denver – The Denver Botanic Gardens is one of the top five botanic gardens in the country and it’s also home to the smaller, 3-acre Mordecai Children’s Garden, which is full of hands-on experiences and play. There are free days where admission doesn’t cost a dime throughout the year.

This spring, they’re scheduled for Sunday, April 8 and Tuesday, June 5. Can’t make those dates? The Chatfield Farms outpost in Littleton (8500 W. Deer Creek Canyon Road) will have free days on Tuesdays, March 6, April 3 and June 5.

Earth Day Celebration 

Littleton/Englewood Wastewater Treatment Plant, 2900 S. Platte River Drive, Englewood – Round up the family on Sunday, April 22 and celebrate Earth Day by giving the South Platte River a little TLC. This free Englewood, CO family event will involve a river walk and community clean up along a one-mile section of the river. Trash bags, vests, trash pickers and safety gloves will be provided as well as a light lunch after the work is done. For more information, contact Deb Parker at (303) 762-2638.

Día del Niño (Day of the Child) Celebrations

Denver – There are two fun, free Denver family events on Sunday, April 29 in honor of Día del Niño, a celebration of children observed by countries around the world. There will be a festival at the History Colorado Center (1200 N. Broadway) from 10am to 5pm with art-making activities and performances.

In partnership with the Denver Art Museum and other cultural organizations, The Clyfford Still Museum (1250 Bannock Street) will hold Día del Niño Family Day from 10am to 4pm. Watch live performances in the Museum’s forecourt and do art projects and activities before exploring the museum’s galleries. No registration necessary; just show up and celebrate!

Spring cleaning should always include a trip to the dentist. Get a jump start on the season and book a free consultation today.

Children and Halitosis (Bad Breath)

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It would be nearly impossible to sail through life without ever having stinky breath. After all, what kind of world would it be without garlic bread? While we often think of it as a problem that plagues adults, as most parents can attest, when it comes to bad breath kids aren’t immune either. In fact, halitosis (a fancy word for bad breath) can occur even in babies. A little morning breath is no big deal. However, mom and dad often get rightfully concerned when it’s persistent and lasts throughout the day even after brushing. Acute and chronic bad breath are typically caused by different things and we’ll go over the common culprits as well as how to get rid of bad breath in a child.

What Can Cause Bad Breath in Toddlers, Infants and Children?

Halitosis usually comes from the mouth but it can also originate in the nose or airway depending on the underlying cause. Who knew bad breath was such a complex issue? As a Denver pediatric dentist, here’s what Dr. Paddy sees most:

  • Morning Breath: When we’re sleeping, our saliva production slows way down. This lets odor-causing bacteria hang out and create a stink. Fortunately, this type of halitosis goes away when we brush our teeth and the spit starts flowing again.
  • Certain Foods: The digestive process begins as soon as you take a bite of food. Garlic, onions, cheese and other strong smelling foods start to breakdown in the mouth and as this happens, your kid’s breath doesn’t smell all that great. It’s a temporary type of halitosis and nothing to be alarmed about.
  • Poor Oral Hygiene: This is by far the number one reason kids develop bad breath. When children don’t brush and floss properly, food particles and plaque work their way into every nook and cranny and certain bacteria in the mouth have a heyday and release a stench. This can be even worse with children who are wearing fixed orthodontic appliances since they’re a little more challenging to keep clean.
  • The Tongue: The vast majority of odor-causing bacteria are on the back of the tongue where they attach to epithelial cells. These cells, bacteria and food particles get stuck in the crevices and decompose giving off a really foul smell.
  • Tooth Decay and Other Dental Problems: Cavities are decaying teeth and decay never smells good. Plus, teeth with cavities tend to trap food debris, which just adds to the problem. Abscessed teeth, mouth sores and damaged or improperly placed restorations can all stink or allow bacteria to accumulate too.
  • Gum Disease: Cavities, cavities, cavities. They’re the mouth monsters that get the most attention but gingivitis, or gum disease, is a serious concern too. When plaque and tartar build up on the teeth, the bacteria release acids and toxins that cause the gums to get infected and inflamed. One of the symptoms is bad breath.
  • Dry Mouth: This is a little like morning breath in that saliva isn’t washing away bacteria and food debris so the breath starts to smell. However, dry mouth, or xerostomia, doesn’t usually go away as easily as morning breath, particularly if it’s caused by medication or a medical condition. Dehydration can be behind dry mouth as well but it’s an easier fix.
  • Mouth Breathing: Mouth breathing, whether it’s a sleep habit or an occasional thing due to a stuffy nose, halts salvia production and causes dry mouth, leading to halitosis 
  • Sinus Infection: Sinus infections are another cause of bad breath that occurs frequently. The mucus makes its way down the back of the throat and gets comfy on the tongue. The bacteria then feed off the mucus and release smelly gases.  
  • Prominent Tonsils: Large tonsils or tonsils with deep pits are magnets for debris and oral and nasal secretions that decompose and smell bad. Also, tonsilloliths (whitish-yellow secretions) can form in the pits and as they break up, they give off a stinky odor.
  • Medications: Antihistamines, bronchodilators, antipsychotics, antidepressants, antispasmodics and several other medications are known to cause dry mouth and bad breath. When kids use antibiotics for an extended period, halitosis can also temporarily rear its head.
  • Health Conditions and Illnesses: There are a variety of health conditions that can result in halitosis in children including diabetes, the aforementioned sinus infections and postnasal drip, allergies, gastroesophageal reflux, infections in the respiratory tract, thrush, diabetes and, less commonly, liver and kidney issues, among others. Don’t panic. Just because your kid’s breath is unpleasant, it doesn’t mean they necessarily have a disease or serious health concern. However, if we’ve ruled out all other causes, visiting the pediatrician is a good idea.
  • Something Stuck in the Nose: Let’s face it, kids do some strange things as they explore the world around them and toddlers have been known to stick things in their nose. Whether it’s a small toy or a piece of food, it will cause inflammation, nasal secretions and eventually a bad odor. If, after all of your investigative work, you’re still asking yourself, “Why does my toddler’s breath smell so bad?,” it can’t hurt to take a look in their nose. If you do spot something and it happens to be a hard object, you can make an attempt to remove it yourself. The Cleveland Clinic suggests trying the “mother’s kiss” method a single time. To perform the “mother’s kiss,” put your hand over your little one’s mouth, close the nostril that isn’t obstructed with your finger and blow gently into their mouth. If it’s not successful or the object is soft, seek medical attention. If you don’t see anything but there’s a foul stench coming from one nostril or your child has a high fever and dark green mucus, contact their pediatrician.

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Kids Halitosis Remedies

  • Have your child brush their teeth at least twice a day for two minutes each time and floss once daily. For younger kids, you’ll probably need to brush and floss for them or at least provide a little assistance and supervision. Kids should brush the back of their tongue or use a tongue scraper too to get rid of the smelly coating.
  • Make breakfast a priority. Eating in the morning gets the saliva going and helps wash away food particles and bacteria.
  • To keep dry mouth at bay, children need to drink enough water throughout the day. They can also rinse with water after every meal or snack or whenever their mouth feels dry.
  • Another way to boost saliva production and say goodbye to bacteria is letting kids chew sugarless gum (they’ll love this one!). Look for gum containing xylitol, a natural way to fight cavities, and you’ll address two problems at once.
  • Give your child raw fruits and veggies as snacks. Crunchy things like carrot sticks or apple slices are “nature’s toothbrushes” since they can help scrape away plaque. Plus, if they fill up on healthy foods, they’ll be less likely to seek out sugary treats.
  • If halitosis is caused by cavities, gum disease or oral infections, your dentist will need to step in and treat the problem while also giving you instructions for home care.
  • Try to stop mouth breathing in its tracks if it’s a nighttime habit. Pediatric dentists are well versed in helping patients eliminate harmful oral habits.
  • Visit the pediatrician regularly and if bad breath is from a health condition, talk about possible treatments. If medication is the reason and a child is really bothered by their bad breath, you might want to discuss alternatives.
  • See your pediatric dentist for regular checkups and cleanings. We’ll keep your child’s oral health on track and kick dragon breath to the curb.

How We Get to the Bottom of Bad Breath in Kids

When kiddos come into our Denver pediatric dental practice with bad breath, we don’t just give them mints or tell them to brush and floss more. We want to find the underlying cause in order to best treat the problem. Here’s what you can expect:

  • The Sniff Test: Parents are sometimes surprised when Dr. Paddy gets a few inches away from their child’s mouth and sniffs. However, this is the most reliable way to diagnose halitosis and different smells can mean different things. For example, gum disease and tooth decay have distinct odors as do issues like uncontrolled diabetes.
  • Complete Medical History: Once we smell your child’s breath, we’ll chat with you about their health history, medical conditions and medications they’re taking.
  • Examination: An exam is necessary to check for problems such as cavities, gum disease, dry mouth, damaged restorations, mouth sores and debris and plaque around orthodontic appliances. These are all treatable and the sooner we uncover the problem, the sooner your child can regain their fresh breath.

A lot of causes of bad breath can be taken care of at home. However, if excellent oral hygiene, a healthy diet, plenty of water and other practices don’t help at all, schedule an appointment at Kids Mile High. Dr. Paddy has been trained in the unique oral health needs of kids. He can determine the reason why your child’s breath smells bad and take the steps to fix it.

Book Your Free Consultation Today!