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About Pediatric Dentistry

What is the difference between a pediatric dentist and a general dentist?

Pediatric dentists are the pediatricians of dentistry. A pediatric dentist has two to three years specialty training following dental school and limits his/her practice to treating children only. Pediatric dentists are primary and specialty oral care providers for infants and children through adolescence, including those with special health needs.
At Jupiter Kids Dentistry and Orthodontics, we go a step further. We believe in treating the whole child. We monitor craniofacial and dental structures, and look at orthopedic and orthodontic issues to prevent sleep disorder breathing and temporomandibular joint (TMJ) pain/problems in the future.

What sets us apart from other pediatric dentists?

At Jupiter Kids Dentistry and Orthodontics, we are committed to your child’s whole health. We are not a fix-one-tooth-at-a-time practice. We take a comprehensive approach to care, focusing on your child’s entire mouth with the goal of ensuring they enjoy great oral health for a lifetime. We want to prevent decay and infection, as well as prevent any skeletal issues that a young child might experience.
We monitor craniofacial and dental structures and look at orthopedic and orthodontic issues to prevent sleep disordered breathing and skeletal issues that could affect them throughout their lifetime. We provide the highest standard of oral healthcare in a safe, fun, compassionate, and welcoming environment, and treat each child as an individual, just like a VIP.

When should I start taking my child to the dentist?

According to the American Academy of Pediatric Dentistry, in order to prevent dental problems, your child should see a pediatric dentist when the first tooth appears or no later than his/her first birthday.

At what age should my child see the orthodontist?

At Jupiter Kids Dentistry and Orthodontics, prevention is our focus. With early treatment, we develop the upper jaw, lower jaw, and surrounding muscles to their optimal positions and growth potential. This is an orthopedic treatment of the jaws and orofacial muscles, and should not be confused with orthodontic treatment, which primarily focuses on straightening teeth. Waiting until all permanent teeth have come through to begin treatment with braces can unfortunately lead to irreversible damage, affecting not only the teeth but also the child's overall health and development.
Poor myofunctional habits (poor oral habits) are evident before all permanent teeth are present, which means treatment of the causes can begin much earlier than originally thought. This can be as early as three years of age.
At every visit, Dr. Kamali and Dr. Taiym will evaluate your child for proper development of craniofacial and dental structures, and look at orthopedic issues to prevent sleep disordered breathing and skeletal issues. Based on your child’s unique needs, Dr. Kamali and Dr. Taiym will discuss possible treatment options.

Child Development

Are baby teeth really important?

Primary or "baby" teeth are important to your child’s present and future dental health. They encourage normal development of the jawbones and muscles, and help children speak clearly and chew naturally. They also save space for permanent teeth and guide them into position when they are ready to erupt. Remember, some baby teeth are not replaced until a child is 12 to 14 years old.

What causes crooked teeth?

The majority of children now have crooked teeth, which can be evident as early as the first year of life and can be attributed to hereditary factors. However, rather than blame genetics for crooked teeth and poor jaw development, modern research has produced evidence that points to other causes.Incorrect myofunctional habits such as mouth breathing, tongue thrusting, reverse swallowing, and thumb sucking can significantly contribute to crooked teeth. Allergies, asthma, and an open mouth posture also contribute to incorrect jaw development. Growing up, most of us had one or more of these myofunctional problems, which may have been the cause of incorrect dental and facial development.

Is mouth breathing normal?

If a child is a mouth breather, their tongue is unable to rest in the correct position and the mouth will remain open. This causes the muscles of the jaws and face to restrict correct forward growth, forcing it backwards and downwards, and resulting in narrow jaws and an underdeveloped face.
The medical profession now recognizes that mouth breathing is abnormal, affecting jaw and facial development, and is one of the main contributors of Sleep Disordered Breathing (SDB) problems. Symptoms include snoring, morning tiredness, and learning difficulties, with extreme cases stopping breathing at times during the night. This is the medical condition called Obstructive Sleep Apnea (OSA). If left untreated, SDB can lead to significant and serious health problems that cause poorer quality of life in adulthood.

Is snoring normal?

Most people think that snoring is just what some people do. So many people snore that it is considered normal. However, sleeping should be a silent activity. Snoring is not natural, and unless you are suffering from a cold or congestion, you should breathe effortlessly when you are awake or asleep.
Snoring can be indicative of a more serious health problem called obstructive sleep apnea (OSA) that can increase your risk of diabetes, hypertension, heart failure, and stroke. Children are not immune to sleep apnea.
According to the American Academy of Pediatrics (AAP), Sleep disturbances, including, obstructive sleep apnea syndromes (OSAS), are common in children and can result in significant health problems if left untreated. AAP further recommends that all children or adolescents who snore regularly be screened for OSAS. If the child does snore or has other signs or symptoms of OSAS, more specific screening should be performed

Issues That May Impact Your Child

What is lip-tie?

Upper lip-tie is where the upper lip is tethered to the upper gum. Although most infants have some degree of upper lip-tie, when it becomes large and tight enough, it may prevent the upper lip from flaring out or curling up, which is essential for breastfeeding in order to create an adequate seal with the breast. Also, some infants with upper lip-tie will exhibit an upper lip crease with the skin turning pale in an attempt to flare up during breastfeeding. If the upper lip tie is tight enough, an infant may have trouble feeding even from a bottle.

What is a tongue-tie?

Tongue-tie (otherwise known as ankyloglossia) is where the tip of the tongue is anchored to the floor of the mouth. Tongue-tie may extend all the way to the tip or it may extend partially to the tip resulting in a partial tongue-tie. There is also a condition called posterior tongue-tie in which the tongue-tie is hidden under the tongue lining.
The tongue must have the ability for proper movement in swallowing, breathing, chewing and speech. Evaluation of the tongue is an important step and should be identified as early as possible.
When it comes to newborns, tongue-tie can lead to feeding problems that can be quite distressing to both child and mother. With tongue-tie, the tip of the tongue is unable to help the infant draw the nipple into the mouth. It also prevents the tongue from being normally positioned between the nipple and lower gumline, leading the infant to chew on the nipple.
As children get older, tongue-tie can lead to craniofacial deformities and sleep breathing disorders as it fails to develop the palate normally. In a normal swallow the top of the tongue presses against the palate to develop the upper jaw.

Do kids get sleep apnea?

Sleep Disordered Breathing, more commonly known as sleep apnea, can occur in children. According to American Academy of Pediatric Dentistry (AAPD), obstructive sleep apnea (OSA) occurs in the pediatric population. Undiagnosed and/or untreated OSA is associated with cardiovascular complications, impaired growth (including failure to thrive), learning problems, and/or behavioral problems. In order to reduce such complications, AAPD encourages healthcare professionals to routinely screen their patients for increased risk for OSA and to facilitate medical referral when indicated.

  • •  Loud Snoring 3 or more nights per week
  • •  Excessive daytime sleepiness
  • •  Mouth breathing
  • •  Restless sleep
  • •  Difficulty staying asleep
  • •  Teeth grinding
  • •  Mood changes
  • •  Poor concentration or hyperactivity during the day
  • •  Morning headaches
  • •  Abrupt awakenings accompanied by shortness of breath
  • •  Night terrors
  • •  Bed wetting

  • Children with undiagnosed OSA are frequently misdiagnosed as having ADHD and placed on unnecessary medications.
    Dr. Taiym and Dr. Kamali have a major focus on detecting early signs and symptoms of sleep apnea. They realize that a team approach is sometimes necessary when treating sleep apnea and will refer to an ENT, sleep physician, or allergist when appropriate. If addressed early, children who may suffer from sleep apnea or airway issues, such as mouth breathing can be treated and cured in the majority of cases.

Do kids get TMJ problem?

Popping and clicking can occur at an early age. TMJ disorder can be influenced and caused by airway issues, mouth breathing, or insufficient nasal breathing. It is not normal for adults or children to have popping or clicking of their TMJ. If your child exhibits these symptoms, they are best addressed early. With early detection and treatment, TMJ disorder in children can be cured. Without early intervention, popping and clicking can eventually become painful and decrease the normal jaw joint function.

Are dental X-rays safe?

We have the most up-to-date technology to limit radiation exposure. Pediatric dentists are especially careful to limit the amount of radiation to which children are exposed. Lead aprons and digital radiography sensors are used to ensure safety and minimize the amount of radiation.

Treatments We Offer

How do you treat a tongue-tie and/or lip-tie?

Dr. Taiym and Dr. Kamali are experienced in the diagnosis and treatment of mild to severe tongue-tie and/or lip-tie. The procedure is called a frenectomy and is performed utilizing laser technology. Dr. Taiym and Dr. Kamali have been performing frenectomy procedures for over 13 years.
Before giving an option for treatment, a full examination is necessary to determine your child’s individual needs. If treatment is recommended, we can perform the procedure the same day in most cases, especially because many of our patients drive from great distances. We would be honored to care for your child and help you understand more about this misunderstood condition.

What is Myobrace®?

Myobrace® provides treatment options that address the underlying causes of crooked teeth before all the permanent teeth have emerged and often without the need for braces or extractions, allowing for healthy growth and development.
Suitable for a wide variety of orthodontic concerns, Myobrace® treatment offers a range of solutions for children aged 3 to 15, and is most effective in early childhood development stages from ages 6 to 10.
Myobrace treatment works by focusing on correcting the poor oral habits that are the underlying causes of orthodontic problems. Treatment involves the use of a series of oral appliances in conjunction with the patient education program, which assists in correcting poor oral habits by training the tongue to sit correctly in the roof of the mouth, teaching correct swallowing patterns, and instructing children to breathe through their nose. The effect produces straighter teeth and well-developed jaws, and improves facial development, as well as reducing the need for braces and extractions.
Based on your child’s unique needs, Dr. Kamali and Dr. Taiym will discuss possible treatment options.

Why does my child need fluorde?

Fluoride inhibits loss of minerals from tooth enamel and encourages remineralization (strengthening areas that are weakened and beginning to develop cavities). Fluoride also affects bacteria that cause cavities, discouraging acid attacks that break down the tooth. Fluoride application after a dental cleaning is especially important.

What is a sealant and how does it work?

Sealants protect the grooved and pitted surfaces of the teeth. Made of clear or shaded acrylic, sealants are applied to the teeth to help keep them cavity free. Sealants work by filling in the crevasses on the chewing surfaces of the teeth. This shuts out food particles and plaque that could be caught in the teeth, leading to cavities. The application is fast and comfortable, and can effectively protect teeth for many years.

What is a space maintainer snd why does my child need it?

If a baby tooth is lost too soon, the teeth beside it may tilt or drift into the empty space. Teeth in the other jaw may move up or down to fill the gap. When adjacent teeth shift into the empty space, they create a lack of space in the jaw for the permanent teeth. Therefore, permanent teeth are crowded and come in crooked. If left untreated, the condition may require extensive orthodontic treatment.
Space maintainers are appliances made of metal or plastic that are custom fit to your child’s mouth. They are small and unobtrusive, and most children easily adapt to them after the first few days. Space maintainers hold open the empty space left by a lost tooth. They steady the remaining teeth, preventing movement until the permanent tooth takes its natural position in the jaw. It is more affordable and easier on your child to keep teeth in their normal position with a space maintainer than to move them back in place with orthodontic treatment.

What is nitrous oxide?

Some children are given nitrous oxide/oxygen, or what you may know as laughing gas, to relax them for their dental treatment. Nitrous oxide/oxygen is a blend of two gases, oxygen and nitrous oxide. Nitrous oxide/oxygen is given through a small breathing mask that is placed over the child's nose, allowing them to relax without putting them to sleep. The American Academy of Pediatric Dentistry recognizes this technique as a very safe, effective technique to use for treating children's dental needs. The gas is mild, easily taken, and with normal breathing is quickly eliminated from the body. While inhaling nitrous oxide/oxygen, your child remains fully conscious and keeps all natural reflexes.

What is sedation?

Sedation is a technique to guide a child’s behavior during dental treatment. Medications are used to help increase cooperation and to reduce anxiety or discomfort associated with dental procedures. Sedative medications cause most children to become relaxed and drowsy. Unlike general anesthesia, sedation is not intended to make a patient unconscious or unresponsive.

Why does my child need sedation for treatment?

Sedation is used for a child’s safety and comfort during dental procedures. It allows the child to cope better with dental treatment and helps prevent injury to the child from uncontrolled or undesirable movements. Sedation promotes a better environment for providing dental care. Dr. Taiym and Dr. Kamali have performed over 3500 oral sedations, and you can trust their extensive experience to care for your child during dental treatment.

Why does my child need treatment under General Anesthesia?

General anesthesia may be indicated for children with extensive dental needs who are extremely uncooperative, fearful, or anxious; for children with special needs who would not work well under conscious sedation; or for the very young who do not understand how to cope in a cooperative fashion. General anesthesia renders your child completely asleep. This would be the same as if he/she were having tonsils removed, ear tubes, or hernia repaired. This is performed in a hospital or outpatient setting only. Dr. Taiym and Dr. Kamali choose to perform all of their outpatient general anesthesia treatment at Children's Medical Center of Plano. Dr. Taiym has performed over 1500 surgery cases. He has chosen Children's Medical Center Plano because of their great reputation and excellent specialists.

Reach Out To US

We hope this FAQ brochure has helped to answer all of your questions. Perhaps we even answered some questions you didn't realize you had!
If you do have remaining questions, or if you would like to discuss treatment options, please reach out to us. We look forward to being of assistance.