Pediatric Dentistry in Tenafly, NJ

Is it time for your child's next dental visit? At East Madison Dental Tenafly, our team treats every member of the family with the same gentle, attentive approach. Kids will feel right at home receiving dental treatment from our pediatric team in Tenafly, NJ! 

Preventive Dentistry for Kids

young child getting her teeth checked at East Madison Dental TenaflyOptimal oral hygiene, a healthy diet, and maintaining regular dental visits starting at age one or the eruption of a child's first tooth, are all critical components of maintaining a lifetime of healthy smiles.

Choosing in-office preventive treatments at East Madison Dental Tenafly, including fluoride treatment and sealants, are safe, easy ways to protect the natural teeth and help keep cavities away. Even though baby teeth are normally replaced by permanent teeth, it is important for them to fall out naturally for optimal growth and development of the child.

Custom-Fitted Athletic Mouthguards

Professionally fitted sports mouthguards can eliminate or reduce unwanted traumatic injuries to the teeth (such as fractures and dislocations) and surrounding tissues during collision and contact sports. Ask your dentist about fabricating a custom-fitted mouthguard to provide optimal protection for your child's athletic activity!

Dental Fillings for Kids

Smaller cavities in the primary or baby teeth are often restored with dental fillings. The traditional material is made of silver amalgam and can be used for teeth in the back of the mouth where isolation from fluids may be more challenging. A tooth-colored material called composite is made of resin and powdered glass fillers and provides a natural-looking appearance. Both types of fillings are ultra-durable and can resist heavy forces. Our dentist will help you determine the best filling material for your needs and lifestyle! 

Silver Diamine Treatment

Silver Diamine Treatment is approved to treat dentin sensitivity and is effectively used as a caries-arresting agent. The treatment acts mainly on the tooth structure to promote remineralization and slow down the progression of a cavity or halt it completely. The American Academy of Pediatric Dentistry (AAPD) supports the use of SDF, and our team at East Madison Dental Tenafly is proud to offer this treatment to our young patients! SDF is not to be used in patients with a silver allergy.


For the anxious pediatric patient, your dentist can apply the atraumatic restorative technique (ART) for smaller cavities in both the primary and permanent teeth. ART allows a restoration to be completed without the use of handpieces and often without the injection of local anesthetics. Instead, hand instruments are used to remove most of the decalcified tooth structure before placing glass ionomer.

When SDF is used with ART, it is called silver modified atraumatic restorative technique (SMART). This technique first treats the cavity with silver diamine treatment to address decay before filling the tooth with glass ionomer. Since SDF stains the tooth black, the tooth may appear grey under the filling.

Dental Crowns for Children

young child laughing during his dentist appointmentPreformed metal crowns, also known as stainless steel crowns (SSCs), are the restoration of choice for primary molars that have extensive cavities. Stainless-steel dental crowns are also supported in children who have high caries-risk, due to the crowns' proven longevity. After the decay is removed, your child's dental crown will be fitted then cemented in place. 

Thanks to CEREC technology, we can provide same-day restorations at our Tenafly dental office! 

Strip Crowns

Strip crowns are full coronal restorations composed of a white filling. They are indicated for decayed primary incisor teeth when the cavity is present on multiple surfaces or if there is loss of tooth structure that involves the edge of the tooth. Strip crowns provide excellent esthetic results but requires cooperative behavior for better results. It is important to avoid biting on the restored incisors to prevent chipping of the restoration. 

Dental Extractions

Sometimes, when there is a dental abscess, swelling, or loss of too much tooth structure, a child's primary tooth is typically unable to be saved and requires a gentle tooth extraction. Sometimes this may also be the case for permanent teeth if root canal treatment cannot be performed for the patient.

Most of the time, primary teeth can be wiggled out safely at home with clean hands. If however, the adult teeth are ectopic or coming in an abnormal position then your dentist can help extract the primary tooth to allow proper eruption of the permanent teeth or refer the child to an orthodontist if more movement of teeth is required.

Orthodontic Appliances

Space maintainers are metal appliances that can be used to prevent greater space loss when primary teeth are lost prematurely. This can be a band and loop when a single primary molar in the back of the mouth is missing. A bilateral appliance (such as a nance or lower lingual holding arch) that extends across both sides of the mouth may be indicated when multiple teeth are missing.

These appliances will be cemented on the existing back teeth until the permanent tooth erupts into the adjacent space or possibly until the child is ready to begin orthodontic treatment. It is especially important for children to have proper oral health care at home, and an appropriate diet to maintain their healthiest smile and keep oral appliances from breaking.

Habit Appliances

Non-nutritive sucking habits (such as thumb or finger sucking and pacifier use) are a normal part of early development but can become problematic if prolonged. Habits are recommended to be discontinued by age 2. However, when they persist beyond age 4 or 5, there is an unfavorable impact on the growth of the teeth and their surrounding structures. 

When the permanent teeth have erupted, and it's time to stop the habit, a habit appliance such as a tongue crib can be offered as an alternative treatment option for patients who have been unable to outgrow the habit on their own. A habit appliance acts by blocking the tongue. With additional home exercises, it can retrain the tongue muscle. It may need to stay in the mouth for at least 12 months to completely break the habit and prevent relapse.

Emergency Dental Treatment for Kids

Childhood dental emergencies and injuries can be common, and are quickly treated at East Madison Dental Tenafly. Some common causes of a dental emergency in children can be food impaction (when food gets stuck in or around the teeth), swollen gums, tooth decay, wiggly tooth, tooth eruption, tooth fracture, trauma, or dental abscess or infection.

Laughing Gas Sedation for Kids

little girl smilingMild sedation dentistry can be safely achieved for slightly anxious children (and adults) using laughing gas. This form of sedation can make the patient happy and giggly. It can also be called “ice cream air” because of its sweet smell. It is breathed in together with oxygen by wearing a mask over the nose and helps your child feel more relaxed while staying awake. After treatment is completed, 100% oxygen is breathed in and the nitrogen levels are returned to normal with no residual effects.

Higher levels of sedation (with oral or IV conscious sedation, or general anesthesia) may be needed if your child requires extensive treatment, is extremely anxious, is medically compromised or has special needs.

Schedule Your Child's Next Dentist Appointment

Our pediatric dentist and team are here to make your child's dental experience as comfortable and stress-free as possible! Contact us today to schedule your child's next dentist appointment.

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