Children’s Dentistry

Find Your Children’s Dentist in Derry, NH

children's dentistry with a children's dentist Manchester NH and Londonderry NHHere at Vanguard Dental Group, we’re excited to provide dental care for everyone in your family. This includes giving excellent early dental care to your child at our Derry, NH, practice near Manchester, NH. Children should begin visiting when they are a year old—or when their first teeth are completely erupted—and should continue to come in for routine checkups every six months. A dentist for kids helps children prevent tooth decay and learn how to take care of their teeth and avoid cavities.

Vanguard Dental Group is a great place for young and old children alike. We’ll provide excellent general dental care and teach your children the best oral hygiene techniques in a fun and engaging manner. We will work with your children to help them understand the importance of healthy teeth and we’ll also develop long-term plans for your child’s health. Your child will be able to forge relationships with our doctors that could last a lifetime.

Children’s Dentistry Services:

  • Early Dental Care: Starting dental care early when a child is as little as one year old can prevent future teeth problems. The younger a child starts, the earlier they get to know their children’s dentist, and the more comfortable they will be with future visits to their dentist’s office.
  • Kids Orthodontics: If you have any questions about our braces for children or any of our orthodontic procedures, you can call our Derry, NH, office or schedule an appointment to talk about braces for kids today.
  • Dental Health for Kids: A dentist for kids knows that prevention is the key to a healthy mouth. Our dentists will teach their patients how to best take care of their teeth and prevent tooth decay and cavities.
  • Sedation Dentistry for Kids: We want all our patients to be at their most comfortable—especially your nervous young ones. Under some circumstances, a dentist for kids can administer laughing gas to help soothe dental anxiety and make a visit as relaxing as possible.
  • Frequently Asked Questions: Click here to view a list of some of the most frequently asked questions we receive from our patients about children’s dentistry and dental care for kids.


Early Children’s Dental Care in Derry, NH

family dental care in Derry NH and Salem NHTooth decay can start in baby teeth the moment the teeth start to appear in your child’s mouth. Preventing tooth decay in baby teeth can prevent tooth decay in permanent teeth.

Vanguard Dental Group in Derry, NH, near Salem, NH, starts offering appointments to young children once they have a good set of baby teeth. Your children’s dental center will help your child grow stronger, healthier, permanent teeth. Children who learn to take care of their baby teeth develop good habits that will aid them for the rest of their lives.

Benefits of Early Family Dental Care

  • The earlier your child starts coming into the dentist for family dental care, the sooner your dentist can provide vital family dental care with fluoride treatments and check ups for your child’s baby teeth.
  • Parents who bring their children in early for family dental care can learn how to best take care of their child’s teeth at home.
  • The earlier your child starts coming to the dentist for family dental care, the sooner they can start to establish a relationship with the staff, and the sooner your dentist can start getting to know your child so that he can best tailor his treatment to your child’s needs.
  • protect baby teeth in Derry Nh and Manchester NHWhen children start visiting their family dental care facility earlier they will feel more comfortable with dental visits.
  • Children who receive early family dental care get a jumpstart on cleanings, and the dentist can provide dental sealings if they are right for your child.
  • The sooner a child comes into their children’s dental center, the sooner the dentist can check for problems like thumb or finger sucking and plan accordingly.
  • Children who visit their children’s dental center early can develop good habits and learn how to best care for both their baby teeth, and their permanent teeth.

Kids Orthodontics in Derry, NH

orthodontics and braces for children with a Derry NH dentist in Manchester NHWhen your child’s permanent teeth grow in, they do not always grow in straight. Crooked teeth can lead to permanent discomfort, an inability to properly chew, diction issues, and other problems. At Vanguard Dental Group, our team is committed to making sure your child develops a healthy and proper bite. We offer early intervention orthodontics to help straighten your child’s teeth.

Every patient is different. At Vanguard Dental Group near Manchester, NH, and Londonderry, NH, we find the option that will get them the very best smile, whether that’s braces for children, or ClearCorrect for teens.

At our practice we offer:

Early Intervention Orthodontics:

We can provide younger children with retainers that will help their teeth grow in straight, no braces for children necessary. With early intervention orthodontics we can prevent a problem before it even starts, saving you time and money.

Braces for Kids:

If your child’s teeth have come in crooked, and it’s affecting their bite and lifestyle, they may need our braces for kids. Our braces for children allow our child patients to grow into a beautiful, healthy, straight smile that will serve them for the rest of their lives. Our braces for kids are individually tailored to suit your child’s needs. Braces for children are an excellent orthodontics choice for any parent who is concerned about their child’s smile.

Clear Correct:

If your teenager wants straight teeth, but doesn’t like the appearance of metal braces, at Vanguard Dental Group our orthodontics specialists offer clear correct braces. These plastic clear trays will straighten your son or daughter’s teeth without affecting their teeth’s appearance. The clear correct braces for kids are completely comfortable and invisible.

The options available here at Vanguard Dental Group make it easier than ever for children to develop straight, healthy teeth, no matter how old your child is or what their specific teeth-related desires are. If your child is developing crooked teeth. We want your child to have the best possible bite and the best possible health.

Click here to learn more about ClearCorrect


Dental Sedation for Children in Derry, NH

What Is Sedation Dentistry?

dental sedation with a sedation dentist in Derry NH and Londonderry NHDental sedation allows patients who normally suffer from dental anxiety to be more relaxed during their visit. Sedation dentistry provides relief and comfort for patients who might feel tense or anxious about their appointment. Children who have trouble going to the dentist can feel comfortable and relaxed during visits at our Derry, NH, practice. Your sedation dentist, can make a visit stress-free and more enjoyable for both you and your child.

How Dental Sedation Works

When you arrive at the family dentist office near Manchester, NH, and Londonderry, NH, your child’s sedation dentist will administer laughing gas before a procedure. This gas will help your child feel calm and relaxed during their appointment. Sedation dentistry helps ease your child’s tension, and help them feel better even when they are getting cavities filled. The effects of laughing gas dental sedation wear off after the visit is over and leave the patient with an even more positive memory of their experience.

Some Benefits of Dental Sedation:

  • Children who normally struggle during visits to their family dentist feel relaxed and at ease.
  • Children are more comfortable while dental work is being done.
  • Children feel less stress about visiting their family dentist.
  • Children who suffer from dental anxiety that are given dental sedation feel like their needs are being listened to.
  • Sedation dentistry allows your child’s family dentist to accomplish more in one appointment. It saves time.
  • It gives your family dentist an opportunity to show how much he cares about your comfort and well-being.

Children’s Dentistry Frequently Asked Questions

Why are my child's permanent teeth so dark compared to the baby teeth?
Permanent teeth are usually darker than primary (baby) teeth, so against the very white baby teeth, they appear dark.
Does my child really need x-rays and why?
Cavity finding x-rays (bitewings) should be taken once a year to check for decay between the back teeth. This will allow the cavities to be detected as soon as possible to allow for the least invasive treatment possible to be done. A panorex or full mouth x-ray is taken every three years to check for missing teeth, extra teeth developing, eruption problems, or any other abnormalities that may occur.
Why are my child's permanent teeth coming in behind the baby teeth?
Approximately 40% of lower front permanent teeth erupt behind the baby teeth that are still in the mouth. Sometimes the baby teeth need to be helped out by the dentist.
What is a crossbite and why should we correct it early?
Typically the lower arch (mandible) is contained within the upper arch (maxilla). Sometimes the teeth in the lower arch will extend out beyond the teeth of the upper arch, either on one side or both or in the front (anterior) teeth. This should be corrected early to prevent the mandible from growing improperly to one side or forward. The earlier the correction the better stability as the years progress.
Why does my child need a fluoride treatment twice a year at the dentist if they take fluoride at home?
Fluoride treatments in the dental office have a much higher concentration of fluoride and therefore are highly beneficial to strengthen the teeth and help prevent decay.
Why do I have to floss my child's or my teeth?
Brushing alone cannot remove all the plaque in the mouth. Plaque between the teeth can only be completely removed by flossing. This will help prevent decay between the teeth.
Why does my child have bad breath?
Bad breath can be caused by a number of factors including decay, airway problems (tonsils, adenoids, post nasal drip, colds), gastrointestinal issues (reflux), poor oral hygiene, and bacteria on the tongue.
What do large tonsils have to do with facial growth and teeth?
If tonsils are very large all the time, the tongue cannot relax back into the throat so they set forward which can promote the forward growth of the mandible. This will affect the way the teeth and arches meet together.
Why do baby teeth need to be filled?
Baby teeth are not only needed for proper chewing but they hold the space for and help guide the permanent teeth into the proper location.
If a back tooth is extracted, why do I need a space maintainer?
A space maintainer will hold the space open for the permanent tooth that is unerupted. Without a space maintainer, the surrounding teeth may drift forward or backward and block the spot that the permanent tooth needs to erupt.
Why a stainless steel crown on a baby tooth instead of a porcelain crown?
A porcelain crown is not cost-efficient for a baby tooth that will be lost.
Is a pulpotomy the same as a root canal treatment?
No, with a pulpotomy, only the nerve in the crown of the tooth is removed.
What is laughing gas? Is it safe? Can't we try the appointment without it first?
Laughing gas is a relative analgesia (medicated air) that is extremely safe and helps eliminate fear, nervousness, anxiety, and gag reflex. Once a procedure is started without laughing gas and a patient becomes anxious etc. especially a child, it is difficult to get the laughing gas mask on and the patient will have a hard time getting themselves and their breathing under control.
What's wrong with taking a bottle to bed or having juice(or other sugary drinks) in a sippy cup at my child's reach all the time?
Taking a bottle to bed causes decay because the sugar in the milk or juice pools around the teeth as the child drinks and then falls asleep. The sugar mixes with the plaque, creating acid which eats away at the enamel. The same thing happens with a sippy cup containing juice, milk or other drinks that contain sugar.
What is wrong with fruit roll-ups? Isn't there fruit in them?
Fruit roll-ups do not have fruit in them. They are fruit-flavored, but are mainly full of sugar as well as being sticky. Any sticky candy is not good for the teeth as they stay in the grooves long after they are eaten and cause decay. Fruit leather, made from real fruit, is a healthier alternative to fruit roll-ups or even fruit snacks, but it should still be eaten in moderation because of the added sugars. Fresh fruit is always the best for your children’s health and teeth!
Why are soft drinks bad for my teeth?

We try to educate our patients on the best ways to keep their teeth healthy. Brushing, flossing, and seeing the dentist regularly are very important to good oral health, but it goes further than that. Diet also plays a big role in keeping your teeth healthy.

Unfortunately, drinking carbonated soft drinks on a regular basis has become a way of life for many people in our country. The average American consumes 45 gallons of soft drinks per year! Many people are unaware of just how bad carbonated sodas are for their teeth.

Drinking sports drinks and carbonated sodas can do immense damage to tooth structure and lead to serious decay problems. Carbonated soda contains large amounts of sugar-some contain over 11 teaspoons of sugar per 12 oz. can! A 20 ounce bottle of Mountain Dew actually contains 19 teaspoons of sugar!! It’s not just the sugar content that is dangerous, however. Carbonated drinks also contain acids that eat away at the enamel of the teeth and make a person more prone to decay and dental enamel erosion.

People, like students, who tend to sip on soda throughout the course of a day and/or night while studying or working are at extreme risk for dental decay. “Sip all day-get decay” refers to the fact that when soda is consumed over a long period of time, your teeth are actually being bathed in acid over an extended period of time. Not to mention the fact that sugar in the soda is also converted to acid by the bacteria in the mouth, so together, that’s a good recipe for dental destruction!

Decay caused from carbonated soda

Though some people may think that diet carbonated sodas are better because they don’t contain sugar, they should know that diet sodas still contain the same acids that can do serious damage. People who think it’s safe to drink diet sodas throughout the day and between meals because they have no calories should know that the “Sip all day-get decay” scenario applies to them as well. It’s not just children or students who are at risk, but adults as well. If you must drink soda, it would be much better to limit it to once per day and drink it with a meal to reduce your exposure to sugar and acids. When finished eating, rinse your mouth with water first to neutralize the acids, then brush with fluoride toothpaste and rinse with water. Brushing your teeth in a high acid environment will erode tooth enamel.

Maybe sports drinks would be better for me to drink?

Many people equate sports drinks with fitness, and assume that they must be a healthy choice when exercising or extremely thirsty. This may not be the best assumption to make. Like carbonated sodas, sports drinks also contain a high level of sugar. Gatorade and Powerade, for example, contain as much as two-thirds the sugar in carbonated sodas!

Besides the damage caused to teeth from sugar, sports drinks, lemonade, energy drinks, fitness water and iced tea can actually cause irreversible damage (erosion) to dental enamel due to organic acids and additives contained in the sports drinks. Enamel is the thin, outer layer of hard tissue that helps maintain the tooth structure and shape, while protecting it from decay. The organic acids are very erosive to the dental enamel because they actually break down calcium, which is necessary to strengthen teeth and prevent gum disease. Studies have revealed that enamel damage caused by non-carbonated drinks and sports drinks was three to eleven times greater than carbonated sodas. Energy drinks and bottled lemonades were shown to cause the most harm to dental enamel.

When extremely thirsty, the best thing you could do is to drink regular water. When you are thirsty or dehydrated, your saliva level is lower than usual. Your saliva helps to naturally neutralize the acids in your mouth, therefore helping to reduce decay. If you are extremely thirsty and drink a sports drink, soda or bottled lemonade that is high in sugar and acid, your teeth are at a much greater risk for decay. If your saliva level is low, it will be difficult to neutralize the acids in the mouth. So, think of water first when your mouth is very dry and you are very thirsty-it really is your best choice for oral and physical well-being!

Fruit juices must be good for my children, right?

Decay caused by being put to bed with bottles of juice or milkWe know that as a parent you want to make the best choices for your children in order to ensure they eat right, stay healthy, and have healthy teeth. You may be surprised to learn that giving your children fruit juice can actually do a lot more harm than good. Fruit juices, even ones that are labeled “ALL NATURAL”, or “ORGANIC”, contain sugar, which, as we’ve discussed before, causes serious decay.

The decay problems that we see in our office are caused by fruit juices more than any other cause. Parents who are aware of the sugar in the juice and the risk for decay from that sugar sometimes think if they add water to the juice it will reduce the risk. This is actually incorrect. Even if juice were to be watered to a ratio of 10 to 1, it would still be just as dangerous. The sugar is still there, and there is still enough of it to get into every crack and crevice in your child’s teeth and can cause massive decay.

Children who are put to bed with bottles of juice are sure to have decay problems at a very young age. Bottles of milk at bedtime are just as detrimental to your child’s oral health. There are natural sugars in milk and fruit juice that will pool around the teeth while a child sleeps. When children sleep, their saliva flow is reduced, which does not allow for those sugars and acids to be washed away. The best practice is to not use a bottle at bedtime. If a bottle must be used at bedtime until the habit can be broken, only use fresh, unflavored, natural water in the bottle or sippy cup.

We hope this information will help you to maintain optimal oral health. Please feel free to ask our doctors or staff members any questions you have regarding this subject. We truly want to help you maintain the best oral and physical health possible!

Your children’s dentist will make sure that your child’s smile is healthy and beautiful, and that your child has a fun, enjoyable, comfortable experience at each visit to our dentistry office.

Call our office for an appointment today if you are in the Derry, NH area, including Manchester, NH, and Londonderry, NH.