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MINIMAL INTERVENTION DENTISTRY Pediatric dentistry: Babies, Children and Adolescents

Patients with special needs

Children with developmental, physical challenges, or certain medical conditions can have special dental care needs. Consequently, Dr. Durán uses specific management techniques to meet your child’s special needs. In addition to this, some parents of children with special needs may experience stress or anxiety when asking questions about their child’s dental experience. As a result, we give parents the chance to walk through their child’s treatment.

Fear / Anxiety / Pain Management

Dr. Durán and her staff are specially trained to help make your child’s visit to the dentist as positive as possible. Clearly, we understand that children are often afraid of the dentist and all of us strive to help them overcome their fears. For this reason, we’re dedicated to creating positive experiences for families by building a playful environment, using child-friendly language, and applying behaviour management techniques.

Minimally Invasive Dentistry

We pride ourselves on taking a modern, conservative approach to dentistry. Therefore, the preservation of natural tooth structure is our top priority. Definitely, Minimally invasive dentistry (MID) is our standard care for managing carious lesions reducing discomfort during the treatment. Particularly, Atraumatic Restorative Treatment (ART) and the Hall Technique (HT) are solid examples of MID, and neither of which require local anesthetic nor use of rotary instruments.

First Visit

When Should Baby Visit the Dentist for the First Time?

According to the American Academy of Pediatric Dentistry, the first dental visit should be by age one or within six months of the eruption of the first tooth.

At this time, the dentist can give you information on:
  • Baby bottle tooth decay
  • Infant feeding practices
  • Mouth cleaning
  • Teething
  • Pacifier habits
  • Finger-sucking habits

Opening Hours

Monday 16:00h - 20:00h Wednesday 16:00h - 20:00h
Book an appointment, we will get back to you as quickly as possible.

Early Childhood Caries

According to the American Dental Association, Baby Bottle Tooth Decay occurs when an infant or toddler experiences bacterial buildup around their baby teeth.

Also known as “bottle mouth” or “bottle rot,” this condition usually affects the upper teeth in the front of the mouth. When left untreated, this condition can cause cavities in baby teeth. In severe cases, decay can lead to pain and tooth loss.

Here are some tips to avoid baby-bottle tooth decay:

  • After each feeding, you should gently wipe your baby’s gums with a clean wet cloth or gauze to remove bacteria.
  • If your child’s pacifier falls on the ground you may be tempted to put it in your mouth to clean it off, but avoid doing this. You do not want to swap saliva with your baby because this can introduce new decay-producing bacteria into their mouths.
  • Start using fluoride toothpaste on your child’s teeth once they turn 3 years old (only a pea-sized amount). Dr. Durán can tell you how much toothpaste should be used depending on your child’s age.
  • Avoid sugary drinks like fruit juices, which can increase cavities in your child.
  • Make sure your little one drinks their formula or milk and then has their gums and teeth properly cleaned before going down for a nap (do not put your child to bed with juice or milk).
  • Make sure that your child starts to incorporate healthy foods into their diet and limit sugar.
  • Bring your child in for their first dental visit by the time they turn one year old or once their teeth come in (whichever happens first).

Opening Hours

Monday 16:00h - 20:00h Wednesday 16:00h - 20:00h
Book an appointment, we will get back to you as quickly as possible.

Tooth brushing

When Can Kids Start Brushing Their Teeth?

The answer is: NOW!

  • We recommend that it occurs before the eruption of baby teeth; You can begin by massaging their gums with gauze or a clean cloth dipped in water.
  • As soon as your baby’s teeth have erupted, cleaning them with toothpaste is mandatory.

What toothpaste should I use?

  • Children between 6 months and 3 years: brush the teeth a minimum of 2 times a day with a toothpaste of 1000 parts per million (ppm) of fluoride in minimal quantity; this is the size of a “grain of rice.”
  • Likewise, for children between 3 and 5 years old: brush their teeth a minimum of twice a day with 1000 ppm fluoride toothpaste in pea amounts.
  • Following, from 5 years of age: brush their teeth a minimum of twice a day with a toothpaste of at least 1450ppm and a “pea” size; approximately the width of the brush head.
  • Finally, remember that once molars  have erupted (between 18-24 months) you must floss between their contact areas, every night.

When is my child ready to start brushing their own teeth?

  • It is important to note that until the age of 7-8, children are not skilled enough to perform effective oral hygiene alone, so it is the parent’s or caregiver’s responsibility to supervise and review brushing.

 



References:

 

  1. European Archives of Paediatric Dentistry. Guidelines on the use of fluoride for caries prevention in children: an updated EAPD policy document.: EAPD; 2019: 20:507–516.
  2. Importancia de la limpieza de la boca del Bebé. Sociedad Española de Odontopediatría. 2019
  3. American Academy of Pediatric Dentistry. Periodicity of examination, preventive dental services, anticipatory guidance/ counseling, and oral treatment for infants, children, and adolescents. The Reference Manual of Pediatric Dentistry. Chicago, Ill.: American Academy of Pediatric Dentistry; 2020:232-42. 

     

Opening Hours

Monday 16:00h - 20:00h Wednesday 16:00h - 20:00h
Book an appointment, we will get back to you as quickly as possible.

Pediatric Oral Habits

Does your child suck his thumb or bite his nails ?: We will tell you when to worry and what to do.

it bad for my child to suck his thumb?

  • Finger sucking is a natural and reflex habit in many babies during the first months of life (even inside the tummy!). However, if it persists, it becomes a very difficult habit to eliminate and in the long term can cause serious consequences in your child’s bite.
  • If your child is over 3 years old and still sucks his thumb, you should consult your pediatric dentist for advice.

Thumb Sucking

If the habit persists, what should I do?

  • Firstly, forget about yelling, punishing, or painting your thumb with a bad-tasting liquid.
  • Secondly, instead of concentrating on what not to do, it is important to first learn what you can do.
  • Finally, perhaps you can suggest your child to suck on a cloth or count their teeth by touching them with their tongue.

Should my child use a pacifier?

  • Babies usually have an intense sucking instinct, which on the one hand satisfies the need to feed, on the other hand it replaces the connection with their mother. That is why it offers them great pleasure. To satisfy this need, the child uses his fingers or other objects.
  • Therefore, the pacifier is an important and very common means of satisfying the infant’s need for sucking. Actually, it can work preventively against thumb sucking.
  • Frequently, efforts to avoid the use of pacifiers lead to thumb sucking, which is a simple replacement for the pacifier habit and has serious consequences on maxillary development.
  • Overall, the use of a pacifier is preferred to the use of fingers because the problem can be stopped more easily. The problem is generally stopped at a younger age and less damage is caused.

When should my child stop using a pacifier?

  • The use of a pacifier or the habit of sucking fingers must stop before the child turns four years old.
  • Indeed, the reason is that if there is any deformity in the jaws it will self-correct over time. However, if these habits extend beyond this age as seen with thumb sucking, the deformities may be permanent and difficult to correct.
  • Consequently, in these cases, the best person to consult is your pediatric dentist, who will advise you on the best ways to treat and break these habits.

And what about nail biting?

  • Children usually start to bite their nails without realizing it, often nibbling for the first time when they get bored.

How bad is this habit?

  • People who bite seriously can nibble on their nails or cuticles to the point of creating painfully raw skin or sores that bleed or become infected.

How can I help my child to overcome this habit?

  • Think about when and why your child bite their nails. Whether they are nervous or just bored.
  • Understanding the triggers can help you find a solution and overcome the habit.
  • Moreover, for a 3 to 4 year old kid, distraction is the best intervention.
  • Finally, if you see your child with their fingers in their mouth, it is important to give them some healthy food to chew on or invite them to color or maybe provide them a toy for entertainment.


 

 

 

 


References

  1. Kamdar, R. J., & Al-Shahrani, I. (2015). Damaging oral habits. Journal of international oral health : JIOH, 7(4), 85–87.
  2. American Association of Pediatric Dentistry. Bad-Habit Rehab. Yourchild Behavior (2010). 
  3. Peterson JE Jr, Schneider PE. Oral habits. A behavioral approach. Pediatric Clinics of North America. 1991 Oct;38(5):1289-1307. DOI: 10.1016/s0031

Opening Hours

Monday 16:00h - 20:00h Wednesday 16:00h - 20:00h
Book an appointment, we will get back to you as quickly as possible.
  • First Visit
  • Early Childhood Caries
  • Tooth Brushing
  • Oral Habits

Meet the Doctor

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Dr. Genny Durán

Dr. Genny Durán

Position: Pediatric Dentist

Thank you for visiting the website of Dr. Genny Durán, Pediatric Dentistry. Our site provides important information about our practice that will help you become familiar with Pediatric Dentistry provided in our office. Our practice is based on the principles of caries management by risk assessment, which allow us to develop and maintain a comprehensive protocol adequate for infant and young children oral care visits. We promote prevention rather than intervention, and this may be the best way to achieve long-lasting oral health for your child.

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What people say about our doctor?

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“Delighted with the attention of Dr. Genny, my son feels very calm and safe in his consultations, he always explains in detail very clearly and patiently to my son and me the entire procedure and what is the best way to take care of his teeth to keep them healthy. Thanks! “

Zuleika Palma
Zuleika Palma

“My son was 4 years old the first time I took him for review with Dr. Durán. At first, he was intimidated by the instruments and did not want to get on the couch, but Dr. managed to adapt it and it was a very positive experience for him. that consultation referred him to another specialist for a crossbite problem that had not been detected by the previous dentist. We are very grateful for the attention and dedication of Dr. Genny. “

José Miguel Martinez
José Miguel Martinez

“Our experience with Dr. Genny Durán has been fantastic. Her connection with the children is very good and makes them feel calm and confident. My daughter, who is somewhat fearful of doctors in general, was able to have a complete check-up and cleaning without any kind of reservation and she left there with a smile. Then she also dedicated herself to explain to the parents about the state of the child’s oral health and recommendations to follow. 100% recommended! “

Daniela Sanoja
Daniela Sanoja
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Our dental Software Program is designed to provide the much-needed administrative and clinical operational support that helps our dental practices thrive and run efficiently.

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High Quality Services

We understand it like four pillars: Empathy, responsiveness, reliability, and capability.

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New Technologies

Such as Minimally Invasive Dentistry techniques which makes possible painless, conservative caries removal

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Modern & Pleasant Interiors

Our minimalist dental office is designed to focus on clean, neutral color schemes that complement nearly any room décor.

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Free WiFi in Waiting Room

We have free guest wireless internet (wi-fi) access - search for the "KD-Guest" network.

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Helpful Personnel

Friendly and hardworking, our team is passionate about your care and works hard to help Dr. Durán provide you with the smile you deserve.

Professional Associations & Organizations

  • C.O.E.M.
  • I.A.D.R.
  • S.E.O.P.
  • E.A.P.D.

Genny Durán

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Contact us

Telephone: +34 910416044

 

Address: Calle de Montesa 24, Bajo A. Madrid, 28006.

 

Please don’t hesitate to call or e-mail us if you have any questions regarding your care.

More information on the CONTACT page.

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