Infant Oral Examination

services_InfantThe concept of the dental home is at the forefront of pediatric dental practice today.  We recommend that infants establish a dental home either by age one or when the first tooth erupts.  This way, we can discuss about preventive dental regimens, consult on growth milestones and patterns, and provide anticipatory guidance in order to keep your child cavity free!

Composite (Tooth colored) fillings:

services_compositA composite (tooth colored) filling is used to repair a tooth that is affected by decay, cracks, or fractures.  The decayed or affected portion of the tooth will be removed and then filled with a composite filling.  There are many types of filling materials available, each with their own advantages and disadvantages.  Dr. Verma can discuss the best options for restoring your child’s teeth.  Composite fillings, along with silver amalgam fillings, are the most widely used today.  Because composite fillings are tooth colored, they can be closely matched to the color of existing teeth, and are more aesthetically suited for use in front teeth or the more visible areas of the teeth.

Pulpal therapies:

When baby or adult teeth have large cavities that are either close to or into the nerve tissue, the tooth may require a pulpal therapy, such as a pulpotomy (removal of a portion of the infected nerve tissue leaving healthy tissue), pulpectomy (removal of entire nerve tissue from canals), or root canal therapy.  Some signs and symptoms for possible pulpal therapy:

– An abscess (or pimple) on the gums.
– Sensitivity to hot and cold.
– Severe toothache pain.
– Sometimes no symptoms are present.
– Swelling and/or tenderness.

Crowns (Caps):

services_crownsCrowns (Caps) are required when the tooth is either too difficult to restore with a traditional filling, or a tooth requires a pulpal therapy, in which case the tooth is restored with a crown to protect the tooth from further breakdown.  Most often, stainless steel crowns are used to restore primary teeth, but there are options such as stainless steel crowns with white facings for esthetic areas of the mouth, or all-white zirconia crowns.  Dr. Verma can discuss the various options for your child.


When a tooth is infected or injured, then the tooth may require extraction in order to remedy any infection or pain.  This process is usually very simple in children.  Dr. Verma has many methods to make this experience as pleasant as possible for your child.

Space Maintainers:

services_spaceMaintainersWhen a baby tooth requires extraction or is lost well before the adult tooth replacing it is to come in, a space maintainer may be required in order to preserve the space.  These may be placed on one side of the mouth, or may extend to both sides of the mouth.  Dr. Verma can discuss the various options necessary for your child, should the need arise.

Habit Appliance Therapy:

If your child has habits such as thumbsucking, finger sucking, or tongue thrusting, Dr. Verma can discuss the various treatment options available.  They can be as simple as positive reinforcement or nailpolishes to try to stop the habit.  In some cases, a habit appliance may be required to help your child stop their habit.

Minor Orthodontic Therapy:

Dr. Verma offers many options for correction of minor crossbites or crowding in the primary and mixed dentition.  Speak with Dr. Verma if you have any concerns about your child’s teeth, bite, or smile.

Dental Emergencies and Trauma Therapy:

services_dentalEmergenciesIf your child sustains a dental emergency, such as a toothache, knocked out tooth, or fractured tooth, please call our office immediately.  In the cases of a knocked out permanent tooth, if you can place it back in the socket, that is best.  Otherwise, place in a glass of milk without cleaning it, and call our office immediately.  Dr. Verma is available 24/7 by phone and will determine if your child must be seen right away.

Nitrous Oxide:

Nitrous oxide, also known as laughing gas, goofy gas, or ice cream air, is a safe, effective anxiolygic agent used to calm a child’s fear of the dental visit and enhance effective communication.  Additionally, it works well for children whose gag reflex interferes with dental treatment.  It is a mixture of nitrous oxide and oxygen gases, and it works to minimize anxiety in the dental setting.  Dr. Verma can discuss the benefits of ntirous oxide, should your child require it.


If your child is not able to undergo treatment in the traditional dental setting, either due to extreme anxiety, inability to cooperate, or special needs, Dr. Verma can discuss options for treating your child under sedation.  This is accomplished with the help of Dr. Gordon Barnes, a dental anesthesiologist, who will come into the office to sedate your child in a safe and efficient manner.  If you have any questions about our sedation options, please do not hesitate to ask Dr. Verma.