Each child receives a comprehensive treatment plan that addresses individual dental, developmental, and behavioral needs. Our staff received additional training to assess and identify your child’s level of comfort or disability. Our dental services span beyond tooth fillings, to include interceptive orthodontic treatment, habit therapy, preventive procedures, nitrous oxide sedation, conscious sedation, and hospital dentistry. We support the establishment of a dental home and encourage the first dental visit to occur before your child’s first birthday.

A description of some of the services we offer can be found below with their corresponding patient forms:

Dental Cleanings
During your visit to our office, your child will receive a professional dental cleaning to remove the buildup of plaque (a bacterial film that can cause decay) and tartar (hardened plaque). Your cleaning will include scaling (removing plaque and tartar by manual and electronic means), and polishing (finishing the surface of the teeth to make them shiny and clean). Regular professional cleanings help you maintain your beautiful smile.

Fluoride Varnish
In our office we use FlouroDose, a 5% sodium fluoride varnish. This treatment delivers the highest concentration of fluoride possible which is effective in the prevention of tooth decay when used in conjunction with a comprehensive oral hygiene program.

To receive the maximum benefits of your fluoride treatment, the varnish needs to remain on the tooth surface for the next 4 – 6 hours. During this time, we recommend the following:

  • Do not brush or floss your teeth
  • Eat a soft food diet
  • Avoid hot beverages and products containing alcohol

When dry, any excess varnish may appear “spotty” and may slide off the tooth surface. Do not worry, this will not affect product performance as there is still a full layer of varnish on the tooth. After treatment period is over, FluoroDose may easily be removed through tooth brushing and rinsing.

Sealants are used to fill in narrow grooves in a tooth that cannot be adequately cleaned by brushing. In some cases, the tooth structure has fine grooves or pits which accumulate plaque which will develop cavities over time. We apply a coating that seals the grooves and pits, making it possible to prevent decay. We recommend that all children should have sealants.

Bonding is performed to close spaces between your teeth, alter the alignment of your teeth, fill chipped teeth or for cosmetic purposes in order to help you achieve a stunning smile. Bonding involves adhering a composite resin material matched to the color of your tooth to the front of the tooth. A primer or bond agent is applied so the bonding material adheres to the surface. The composite resin material is placed on the tooth and hardened with a special light. Finally, the composite resin material is shaped and polished to a fabulous finish.

Sometimes cavities happen. When a tooth is damaged by decay, a filling can help restore the tooth back to its normal function and shape. If you have a tooth that requires a filling, we will first remove the decay, clean the affected area, and then restore the tooth with a filling material. A filling also helps prevent further decay by closing off any cracks or spaces where bacteria can enter.

It is our goal to offer advanced materials and techniques for your child’s teeth to ensure an esthetic finish and maximum protection from recurrent decay. Baby pictures and school photos are important to us too!

A crown, also referred to as a cap, is used to entirely cover a damaged tooth. A crown not only strengthens a tooth, but it can dramatically improve a tooth’s appearance, shape and alignment. Crowns may be used to replace a large filling when there is little tooth structure remaining, restore a fractured tooth or protect a weak tooth from fracturing, or cover a tooth that has had root canal treatment.

It is our goal to offer advanced materials and techniques for your child’s teeth to ensure an esthetic finish and maximum protection from recurrent decay. Baby pictures and school photos are important to us too! Our office now offers stainless steel crowns, stainless steel with “veneer” front crowns, and “white” zirconia crowns!

How To Take Care of Your Child’s Stainless Steel/ NuSmile Crowns
Avoid letting your child have sticky, tacky, candies such as chewing gum, caramels, Jolly Ranchers, Starburst, Tootsie Rolls, Milk Duds, airheads, suckers (or hard candy or any kind), etc. The cement we use to seat your child’s crown is very strong, but, his/ her crown can become loose or even come off completely when eating such foods. If a crown ever de-bonds, save it and call the office the next day. We can re-bond the crown easily.

Because plaque tends to gather at the gum lines around stainless steel crowns a bit more than uncrowned teeth, brushing is very important to prevent sore bloody gums. Be sure to brush you child’s teeth at least twice daily to maintain good overall oral hygiene.

When your child is ready to lose the crowned tooth, he/she will exfoliate the tooth naturally and the crown will stay attached to the tooth. This is completely normal.


Good oral hygiene should always be practiced since the loss of a single tooth can have major impact upon your oral health and appearance. Although we will use every measure to prevent tooth loss, sometimes there are still necessary occasions when a tooth may need to be extracted. For example, a tooth may need to be extracted if the following occurs:

  • Severe decay
  • Advanced periodontal disease
  • Infection or abscess
  • Orthodontic correction
  • Mal-positioned teeth
  • Fractured teeth or roots
  • Impacted teeth

Post Operative Instructions Following an Extraction

Your child may be numb for up to two hours. Please be aware that the numbness feels funny to you child and s/he may tend to rub, suck, chew or bite his/her lip/cheek/tongue. PLEASE watch your child and do not allow him/her to do this, as it will cause injury or discomfort once the numbness wears off.

When you get home, please give your child a pain reliever such as Ibuprofen before the numbness wears off to keep your child from experiencing any discomfort. The doctor may also give you a prescription pain reliever. Both should be used as directed.

PLEASE do not allow your child to drink from a straw for the rest of today. The suction could dislodge the clot that has formed in the extraction site.

Please have your child eat a soft, bland diet for the first couple of days; nothing sharp, crunchy or spicy, because the area may be a bit sensitive.

A clean mouth heals faster. Gentle brushing around the extraction site should be started this evening (as well as maintaining regular brushing everywhere else in the mouth).

Limited Orthodontics
Orthodontics is the art of using appliances to straighten and align teeth. Most commonly it involves the use of braces to move teeth into their proper position.

How To Take Care of Your Child’s Space Maintainer
The space maintainer may feel a little unusual at first, but after a few days, they will probably forget about it and not even know it is there.

It is very important to brush regularly. Although most all of our space maintainer designs are fairly easy to keep clean, they can act as a bit of a food trap. You may need to make a little extra effort to make sure that your space maintainer stays nice and clean.

Avoid eating sticky/ tacky candies, such as chewing gum, caramels, Jolly Ranchers, Starburst, Tootsie Rolls, Milk Duds, etc. as it will loosen the bands and get caught in the wires of your space maintainer.

Avoid pushing on your space maintainer with your fingers or tongue because that can bend or loosen it.

Should your space maintainer come loose for any reason, please contact our office the next day.

Nitrous Oxide Sedation
Nitrous oxide, also known as “laughing gas”, is commonly used to make treatment more comfortable. This sedation is inhaled through a mask that allows you to breathe in the medication and induces a state of relaxation. Local anesthetic will be administered in conjunction with nitrous oxide to eliminate pain.

Conscious Sedation
Conscious sedation is a behavior management technique employed for patients who are not able to tolerate dental treatment easily in the office with nitrous oxide. Conscious sedation is a depressed level of awareness often produced by taking an oral medication. Your child is still awake and breathing without support, but may exhibit significant drowsiness. Sedations can only be provided by qualified, state certified dentists and an evaluation by a pediatrician is required.

PreOperative Sedation Information for Dental Treatment
If we have recommended that your child receive an oral sedative to provide safe, comfortable, quality dental treatment. Please read and follow the instructions listed below to ensure that your child has a trouble-free dental experience here at our office and as you return home.

Do not allow your child to eat or drink anything after midnight the night before treatment. In fact, skip brushing to avoid an accidental sip.

Your child is welcome to wear comfortable pajamas (no footsy pajamas please). Please bring a change of clothes in case your child accidentally soils their pants.

It is imperative that your child takes the entire amount of the medication to receive its total benefits.

Some children may be more emotional as the medication takes effect. This is normal and to be expected. You child will remain sluggish and drowsy for several hours after his appointment.

After his dental appointment, your child should be closely supervised.

If your child is of age to attend school, please keep him home following the appointment. Riding bicycles, skateboards, etc. is not recommended for the remainder of the day.

As always, if you have any questions or concerns, please fell free to contact our office.

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Contact Us:

575 Rivergate Lane Ste 98 Durango, CO 81301
Phone: (970) 259-0600
Fax: (970) 259-0788

Office Hours:

8:00 am - 5:00 pm
8:00 am - 5:00 pm
8:00 am - 5:00 pm
8:00 am - 5:00 pm
8:00 am - 12:00 pm

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