This includes initial as well as periodic oral examinations, cleaning and fluoride treatment, and appropriate x-rays based on your child’s age, development, and individual needs. Along with removing the plaque and calculus (bacteria) from your child’s teeth that can cause cavities and gum disease, applying topical fluoride to make their teeth more resistant to decay, the doctors will perform a thorough oral exam and assess their orthodontic development.


The chewing surfaces of children’s teeth are the most susceptible to cavities and least benefited by fluorides. Sealants are applied to the tops or chewing surfaces of back teeth and are highly effective in preventing tooth decay. Sealants commonly last 3-5 years. Dietary habits such as chewing ice or hard candy can shorten the life expectancy of a sealant. No numbing is required to place them. Click here for more information on sealants.


This can range from simple tooth-colored fillings to full coverage stainless steel crowns for back teeth where the tooth is too badly decayed to hold a white filling.


Occasionally extraction of teeth is indicated as the best treatment choice. If a primary molar is removed prematurely, a space maintainer may be indicated. Some extractions are needed for orthodontic reasons to help facilitate tooth alignment.


Band and Loop - Pediatric Dentist in Cary, NCSpace maintainers are used when a primary tooth has been prematurely lost to hold space for the permanent tooth. If space is not maintained, teeth on either side of the extraction site can drift into the space and prevent the permanent tooth from erupting.


Nitrous oxide combined with oxygen is a very safe and effective way to relax a mildly anxious child. It will give your child a sense of well‐being and relaxation. At the end of the dental appointment, your child will breathe pure oxygen which will flush out all of the nitrous oxides and thereby eliminating any side effects.


In contrast to General Anesthesia(which renders your child unconscious), dental sedation is only intended to reduce the child’s anxiety and discomfort during dental visits. Young children are often unable to keep still long enough for a pediatric dentist to perform high precision procedures safely. Sedation makes the visit less stressful for both children and adults and vastly reduces the risk of injury. Sedation helps children relax, cope and feel happier about dental treatment. Dr. Chandak is the only doctor in our practice that treats children with oral sedation. Your child will need to be seen by her to determine if it is a viable option. To avoid multiple examination appointments, please ask to schedule with her if you think your child may need this option.


Dental treatment can be provided in a hospital setting with the aid of general anesthetic administered by a physician (anesthesiologist). Treatment is performed in a hospital operating room while the patient is completely asleep. An anesthesia gas is given to your child through a breathing tube that will keep them asleep during the procedure. All of their dental treatment needs can be completed in one visit.


There is substantial variation in the cost of different methods. Additional costs may/are incurred for each specific option as preparing, scheduling, and caring for the special attention your child needs requires significant time, resources and extra staff to safely and effectively treat your, child. Costs will vary depending on your child’s needs and will be discussed with you.


We urge you to seek a second professional opinion if you are uncomfortable with our treatment recommendations for your child.

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