303 North Keene St. Ste. 206-210
Columbia, MO 65201

(573) 817-2222
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WHAT OUR PATIENTS ARE SAYING

"EVERY experience my family has had at Plaza Dental Group has been amazing. The office staff is extremely polite and helpful." - Amy L.
"The staff are extremely nice, understanding & very informative. There was no waiting at all. When I called to make an appointment I was seen the same day.”-Amanda H.
"Once you walk in you will find complimentary drinks and a positive, professional environment." - Mike M.
"I just can't say a single bad word about my experience with Plaza Dental! I look forward to my appointments." - Camille R.
pediatric dental specialist

Specialized Care Beyond Compare

Pediatric Dental Specialist

Why see a pediatric dentist?

Pediatric dentists are specialists in treating the unique needs of children. A pediatric dentist has completed two to three years of specialty training beyond dental school. He or she only treats the oral health needs of infants and children through adolescence, including those with special health needs.

Choosing a pediatric practice to trust with the health and beauty of your child’s smile is an important decision. A positive first experience can build trust and influence your child's view of dentistry for the rest of his or her live, so it’s important to make sure your son or daughter is comfortable with the doctor and staff.

Special training: Pediatric dentists receive post-doctoral training in child psychology, behavior modification, and pharmacology. Pediatric dentists also undergo yearly training and re-certification to stay current with the most recent developments in technology and patient care.

Education for parent and child: Pediatric dentists explain preventive care, hygiene, and treatments in simple, easy-to-understand terms.

A comfortable environment: It’s very important for your child to feel comfortable in our office. We create a safe place with a fun atmosphere for your little one to enjoy.

Pediatric Treatments

Regular Exams and Cleanings | Digital X-Rays | Fluoride | Sealants | White Fillings | Extractions | Space Maintenance | White and Silver Crowns | Root Canals


exams and cleanings

Regular Exams and Cleanings

Regular exams are an important part of maintaining your child's oral health. During your child's regular exam, we will:

  • Check for any problems that may not be seen or felt
  • Look for cavities or any other signs of tooth decay
  • Inspect the teeth and gums for gingivitis and signs of periodontal disease
  • Perform a thorough teeth cleaning

Your child's exam will take about 45 minutes. Each regular exam includes a prophylaxis, in which we will clean, polish, and rinse the teeth to remove any tartar and plaque that have built up on the teeth.

Visiting our office every six months gives you the chance to talk to the doctor about any questions you may have about your child's oral health. Regular exams are offered by appointment only, so please contact our practice today to schedule your child's next dental exam and teeth cleaning.

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Digital X-Rays

Using current diagnostic technology is just as important as staying up to date on the latest treatment techniques. Because our practice is dedicated to providing your child with the safest and most convenient treatment options available, we utilize advanced digital X-ray technology in our office.

Is a digital X-ray really safer?

We believe that reducing the amount of radiation exposure is extremely important. Although the amount of radiation used in dental X-rays is very small, the effect is cumulative, so all radiation counts. Digital X-rays can reduce your child's exposure to radiation by up to 80 percent!

What are the advantages of digital X-rays?

  • There is no need to wait for the X-ray film to be developed before it can be viewed, so the entire checkup can be a lot shorter.
  • The digital images can be enlarged and manipulated, giving the doctor a clear, more detailed look at your child's teeth.
  • Because your child can see the image enlarged on a screen, she can better understand why taking care of her teeth is important.
  • It's better for the earth! There is no need to use harmful chemicals to process film.

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Fluoride

flourideFluoride is very effective in preventing cavities and tooth decay and in preventing plaque from building up and hardening on the tooth’s surface. A fluoride treatment in a dentist’s office takes just a few minutes. After the treatment, your child will be asked not to rinse, eat, or drink for a period of time in order to allow the teeth to absorb the fluoride. Depending on your child's oral health or the doctor’s recommendation, a fluoride treatment may be required every three, six, or 12 months.

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Sealants

sealantsSometimes brushing is not enough, especially when it comes to those hard-to-reach spots in your child's mouth. It is difficult for a toothbrush to get in between the small cracks and grooves on your child's teeth. If left alone, those tiny areas can develop tooth decay. Sealants give your child's teeth extra protection against decay and help prevent cavities.

Dental sealants are a plastic resin that bonds and hardens in the deep grooves on your child's tooth’s surface. When a tooth is sealed, the tiny grooves become smooth and are less likely to harbor plaque. With sealants, brushing your child's teeth becomes easier and more effective against tooth decay.

Sealants are typically applied to children’s teeth as a preventive measure against tooth decay after the permanent teeth have erupted. It is more common to seal “permanent” teeth rather than “baby” teeth, but every patient has unique needs, and your child's dentist will recommend sealants on a case-by-case basis.

Sealants last from three to five years, but it is fairly common to see adults with sealants still intact from their childhood. A dental sealant only provides protection when it is fully intact, so if your child's sealants come off, let your dentist know, and schedule an appointment for your child's teeth to be re-sealed.

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White Fillings

crownsAt Plaza Dental Group we place white dental fillings called composites.  These are high strength plastic materials that mimic the appearance of natural teeth.

White fillings are usually placed in one appointment. While your child's tooth is numb, the dentist will remove decay as necessary. The space will then be thoroughly cleaned and carefully prepared before the new filling is placed. The composite filling will then be precisely placed, shaped, and polished, restoring your child’s tooth to its original shape and function.

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Extractions

extractionsThere are times when it is necessary to remove a tooth. Sometimes a baby tooth has misshapen or long roots that prevent it from falling out as it should, and the tooth must be removed to make way for the permanent tooth to erupt. At other times, a tooth may have so much decay that it puts the surrounding teeth at risk of decay, so the doctor may recommend its removal. Infection, orthodontic correction, or problems with a wisdom tooth can also require removal of a tooth.

When it is determined that a tooth needs to be removed, your child's dentist may extract the tooth during a regular checkup or may request another visit for this procedure. The root of each tooth is encased within the jawbone in a “tooth socket”, and the tooth is held in that socket by a ligament. In order to extract a tooth, the dentist must expand the socket and separate the tooth from the ligament holding it in place. While this procedure is typically very quick, it is important to share with the doctor any concerns or preferences for sedation.

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Space Maintenance

If your child’s tooth has come out too soon because of decay or an accident, it is important to maintain the space to prevent future space loss and dental problems when permanent teeth begin to come in. Without the use of a space maintainer, the teeth that surround the open space can shift, impeding the permanent tooth’s eruption. When that happens, the need for orthodontic treatment may become greater.

Types of Space Maintainers

Space maintainers can be made of stainless steel and/or plastic, and can be removable or fixed (cemented to the teeth).

Removable

A removable space maintainer looks much like a retainer with plastic blocks to fill in where the tooth is missing. If your child is older and can reliably follow directions, a removable space maintainer can be a good option.

Cemented

A band-and-loop maintainer is made of stainless steel wire and held in place by a crown or band on the tooth adjacent to the empty space. The wire is attached to the crown or loop and rests against the side of the tooth on the other end of the space.

A lingual arch is used on the lower teeth when the back teeth on both sides of the jaw are lost. A wire is placed on the lingual (tongue) side of the arch and is attached to the tooth in front of the open space on both sides. This prevents the front teeth from shifting backwards into the gap.

In the case of a lost second primary molar prior to the eruption of the first permanent molar, a distal shoe may be recommended. Because the first permanent molar has not come in yet, there is no tooth to hold a band-and-loop space maintainer in place. A distal shoe appliance has a metal wire that is inserted slightly under the gum and will prevent the space from closing.

Caring for Your Child’s Space Maintainer

  • Your child should avoid sticky foods, including candy and chewing gum.
  • Encourage your child not to push or tug on the space maintainer with the fingers or tongue.
  • Keep your child’s space maintainer clean through effective brushing and flossing.
  • Your child should continue to see the pediatric dentist for regular dental visits.

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Root Canals

root canalsIn the past, if your child had a permanent tooth with a diseased nerve, he or she would probably lose that tooth. Today, with a special dental procedure called “root canal treatment”, your child's tooth can be saved. When a tooth is cracked or has a deep cavity, bacteria can enter the pulp tissue and germs can cause an infection inside the tooth. If left untreated, an abscess may form. If the infected tissue is not removed, pain and swelling can result. This can not only injure your child's jawbones, but it is also detrimental to his or her overall health.

Root canal treatment involves one to three visits. During treatment, the dentist will remove the affected tissue. Next, the interior of the tooth will be cleaned and sealed. Finally, the tooth is filled with a dental composite. If the tooth has extensive decay, your doctor may suggest placing a crown to strengthen and protect the tooth from breaking. As long as your child continues to care for his or her teeth and gums with regular brushing, flossing, and checkups, the restored tooth can last a lifetime.

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White and Silver Crowns

Sometimes when children get a cavity that involves more than two surfaces of the tooth, a filling may not be adequate and a crown will need to be placed on the tooth to restore it. Teeth that have had previous pulpotomy treatment (nerve treatment) will also require stainless steel crowns to protect the tooth and provide strength. Stainless steel crowns are very predictable and long-lasting restorations for teeth in these situations.


Pediatric Dental FAQs

When should I schedule my child's first visit to the dentist?

We recommend that you make an appointment to see the dentist as soon as your child gets his first tooth. The American Academy of Pediatric Dentistry recommends that children be seen by six months after their first tooth erupts, or at one year of age, whichever comes first.

How is a pediatric dentist different from other dentists?

All dental specialists (pediatric dentists, orthodontists, oral surgeons, and others) begin by completing dental school and continue their education with several years of additional, specialized training. During training in the field of pediatric dentistry, your doctor gained extensive knowledge and experience in treating infants, children, and adolescents. Pediatric dentists enjoy working with children and bring to each patient expertise in childhood development and behavior. Because our office is geared toward young visitors, you'll find that our staff, as well as our office design, decorations, and activities all work together to provide an especially friendly and comfortable environment for children.

What happens during my child's first visit to the dentist?

The first visit is usually short and simple. In most cases, we focus on getting to know your child and giving you some basic information about dental care. The doctor will check your child's teeth for placement and health, and look for any potential problems with the gums and jaw. If necessary, we may do a bit of cleaning. We will also answer any questions you have about how to care for your child's teeth as they develop, and provide you with materials containing helpful tips.

How can I prepare my child for his first dental appointment?

The best preparation for your child's first visit to our office is maintaining a positive attitude. Children pick up on adults' apprehensions and if you make negative comments about trips to the dentist, you can be sure that your child will fear an unpleasant experience and act accordingly. Show your child the pictures of the office and staff on the website. Let your child know that it's important to keep his teeth and gums healthy, and that the doctor will help him do that. Remember that your dentist is specially trained to handle fears and anxiety, and our staff excels at putting children at ease during treatment.

How often should my child visit the dentist?

We generally recommend scheduling checkups every six months. Depending on the circumstances of your child's oral health, we may recommend more frequent visits.

Why do baby teeth need special care?

Although they don't last as long as permanent teeth, your child's first teeth play an important role in his development. While they're in place, these primary teeth help your little one speak, smile, and chew properly. They also hold space in the jaw for permanent teeth. If a child loses a tooth too early (due to damage or decay) nearby teeth may encroach on that space, which can result in crooked or misplaced permanent teeth. Also, your child's general health is affected by the oral health of the teeth and gums.

What's the best way to clean my baby's teeth?

Even before your baby's first tooth appears, we recommend you clean his gums after feedings with a damp, soft washcloth. As soon as his first tooth appears, you can start using a toothbrush. Choose a toothbrush with soft bristles and a small head. You can most likely find a toothbrush designed for infants at your local drugstore.

At what age is it appropriate to use toothpaste to clean my child's teeth?

Once your child has a few teeth, you can start using toothpaste on the brush. Use only a tiny amount for each cleaning, and be sure to choose toothpaste without fluoride for children under two, as too much fluoride can be dangerous for very young children. Always have your child rinse and spit out toothpaste after brushing, to begin a lifelong habit he'll need when he graduates to fluoride toothpaste. Children naturally want to swallow toothpaste after brushing, and swallowing too much fluoride toothpaste can cause teeth to stain. You should brush your child's teeth for him until he is ready to take on that responsibility himself, which usually happens by age six or seven.

What causes cavities?

Certain types of bacteria live in our mouths. When these bacteria come into contact with sugary foods left behind on our teeth after eating, acids are produced. These acids attack the enamel on the exterior of the teeth, eventually eating through the enamel and creating holes in the teeth, which we call cavities.

How can I help my child avoid cavities?

Be sure that your child brushes his teeth at least twice a day with fluoride toothpaste. Flossing daily is also important, as flossing can reach spots between the teeth that brushing can't. Check with your pediatric dentist about a fluoride supplement which helps tooth enamel become harder and more resistant to decay. Avoid sugary foods and drinks, limit snacking, and maintain a healthy diet. And finally, make regular appointments so that we can check the health of your child's teeth and provide professional cleanings.

Does my child need dental sealants?

Sealants cover the pits and fissures in teeth that are difficult to brush and therefore susceptible to decay. We recommend sealants as a safe, simple way to help your child avoid cavities, especially for molars, which are hardest to reach.

My child plays sports. How can I protect his teeth?

Even children's sports involve contact, and we recommend mouthguards for children active in sports. If your little one plays baseball, soccer, or other sports, ask us about having a custom-fitted mouthguard made to protect his teeth, lips, cheeks, and gums.

What should I do if my child sucks his thumb?

A large majority of children suck their thumbs or fingers as infants, and most grow out of it by the age of four, without causing any permanent damage to teeth. If your child continues sucking after permanent teeth erupt, or he sucks aggressively, let us know and we can check to see if any problems may arise from the habit.

When should my child have dental X-rays taken?

We recommend taking X-rays around the age of two or three. The first set consists of simple pictures of the front upper and lower teeth, which familiarizes your child with the process. Once the baby teeth in back are touching each other, then regular (at least yearly) X-rays are recommended. Permanent teeth start coming in around age six, and X-rays help us make sure your child's teeth and jaw are healthy and properly aligned. If your child is at a high risk of dental problems, we may suggest having X-rays taken at an earlier age.

State required disclaimer: Cosmetic dentistry and tooth whitening are specialty areas not recognized by the ADA and require no specific educational training to advertise these services. Dr. Lisenby and Dr. Harden are general dentists. Dr. Pftitzinger, Dr. Pickens, Dr. Arun and Dr. Misischia are dental specialists.

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