EverGrins

Pediatric Dentistry & Orthodontics

Pediatric Dentistry

Dental emergencies

Little accidents can lead to knocked out or broken teeth for little ones. Knowing how to best handle a dental emergency can make the difference between saving and losing a tooth. Whether you are new to our practice or a valued existing patient, you will receive prompt and compassionate care for your child’s dental emergency. We encourage you to call at the first sign that something is wrong so that we can help your child wear an EverGrins grin again.

When your child is experiencing a dental emergency, you can trust Dr. Pham. Even if your child has a dental emergency after hours, we are here for you! In the event of an after-hours dental emergency, Dr. Pham can be reached by calling the office. The emergency number for the doctor on call will be on the outgoing message. Please call the emergency number provided and leave a message with your name and phone number with a short message. The doctor will try to call back as soon as possible.

REACH US NOW
 

Dental emergencies

Little accidents can lead to knocked out or broken teeth for little ones. Knowing how to best handle a dental emergency can make the difference between saving and losing a tooth. Whether you are new to our practice or a valued existing patient, you will receive prompt and compassionate care for your child’s dental emergency. We encourage you to call at the first sign that something is wrong so that we can help your child wear an EverGrins grin again.

When your child is experiencing a dental emergency, you can trust Dr. Pham. Even if your child has a dental emergency after hours, we are here for you! In the event of an after-hours dental emergency, Dr. Pham can be reached by calling the office. The emergency number for the doctor on call will be on the outgoing message. Please call the emergency number provided and leave a message with your name and phone number with a short message. The doctor will try to call back as soon as possible.

REACH US NOW
 

Common dental emergencies

Rollover a common dental emergency below to learn more. If you suspect an urgent medical emergency, please dial 9-1-1 or take your child to an emergency room.

Toothache

We never want to see your child in pain! A consistent toothache will require a visit to the dentist. We will help you determine what your child needs to feel comfortable again. In the meantime, try to clean the aching area thoroughly. Rinse the mouth with warm salt water and/or use dental floss to dislodge impacted food or debris. DO NOT place aspirin on the gum or on the aching tooth. Give your child what you would normally give them for pain, such as Tylenol or Motrin.

Chipped Tooth

If a tooth is fractured and the nerve is not exposed, the tooth can be bonded, and both esthetics and function can be restored. Save the tooth, or the pieces of tooth, if possible, and we will get to work on restoring your child’s smile. Wrap the pieces in a wet gauze or cloth if possible. If the nerve is exposed, the nerve needs protection to lessen the likelihood of the tooth becoming non-vital. If the tooth becomes non-vital, root canal therapy can be performed at a later date.

Cuts & Bites

If your child has cut or bitten their tongue, lip, or cheek, first clean the affected area gently with a clean washcloth. Apply ice to affected or bruised areas. If there is bleeding on the affected area, apply firm but gentle pressure with a gauze, washcloth, or wet towel. If bleeding does not stop after 15 minutes, or it cannot be controlled by gentle pressure, go to the emergency room as soon as possible. Give us a call to help determine how serious the bite/cut is.

Swelling/abcesses

If your child is experiencing swelling or what you think may be an abscessed tooth, apply a cold compress to the affected area and call our office as soon as possible to get in for an examination with Dr. Trang Pham. The causes of tooth swelling/abscesses can be numerous. Whatever the cause, it can be a serious issue that is often the result of bacterial infection that requires immediate attention. We want to alleviate that discomfort and get your child back to feeling 100% as soon as possible.

Knocked Out Baby Tooth

If a baby tooth is knocked out do not try to place it back in the mouth. Replanting a primary tooth can lead to the risk of damaging the developing permanent tooth. Instead, let the child place the tooth under their pillow for the tooth fairy and give them a cold treat, such as a popsicle. This will lessen the swelling and slow any bleeding. Although it is normal for children to lose baby teeth, it is still important to call for an exam, as an accident may cause injury to the adult tooth underneath.

Knocked Out Adult Tooth

Find the tooth. Handle the tooth by the crown, not the root portion. You may gently rinse the tooth but DO NOT clean or handle the tooth unnecessarily. If it is sound, try to reinsert it into the socket ASAP. Have the patient hold the tooth in place by biting on gauze. If you cannot reinsert the tooth, transport the tooth in a cup containing cold milk or in patient’s mouth. Time is a critical factor in saving the tooth. See your pediatric dentist as soon as possible.

Toothache

We never want to see your child in pain! A consistent toothache will require a visit to the dentist. We will help you determine what your child needs to feel comfortable again. In the meantime, try to clean the aching area thoroughly. Rinse the mouth with warm salt water and/or use dental floss to dislodge impacted food or debris. DO NOT place aspirin on the gum or on the aching tooth. Give your child what you would normally give them for pain, such as Tylenol or Motrin.

Swelling/abcesses

If your child is experiencing swelling or what you think may be an abscessed tooth, apply a cold compress to the affected area and call our office as soon as possible to get in for an examination with Dr. Trang Pham. The causes of tooth swelling/abscesses can be numerous. Whatever the cause, it can be a serious issue that is often the result of bacterial infection that requires immediate attention. We want to alleviate that discomfort and get your child back to feeling 100% as soon as possible.

Chipped Tooth

If a tooth is fractured and the nerve is not exposed, the tooth can be bonded, and both esthetics and function can be restored. Save the tooth, or the pieces of tooth, if possible, and we will get to work on restoring your child’s smile. Wrap the pieces in a wet gauze or cloth if possible. If the nerve is exposed, the nerve needs protection to lessen the likelihood of the tooth becoming non-vital. If the tooth becomes non-vital, root canal therapy can be performed at a later date.

Knocked Out Baby Tooth

If a baby tooth is knocked out do not try to place it back in the mouth. Replanting a primary tooth can lead to the risk of damaging the developing permanent tooth. Instead, let the child place the tooth under their pillow for the tooth fairy and give them a cold treat, such as a popsicle. This will lessen the swelling and slow any bleeding. Although it is normal for children to lose baby teeth, it is still important to call for an exam, as an accident may cause injury to the adult tooth underneath.

Cuts & Bites

If your child has cut or bitten their tongue, lip, or cheek, first clean the affected area gently with a clean washcloth. Apply ice to affected or bruised areas. If there is bleeding on the affected area, apply firm but gentle pressure with a gauze, washcloth, or wet towel. If bleeding does not stop after 15 minutes, or it cannot be controlled by gentle pressure, go to the emergency room as soon as possible. Give us a call to help determine how serious the bite/cut is.

Knocked Out Adult Tooth

Find the tooth. Handle the tooth by the crown, not the root portion. You may gently rinse the tooth but DO NOT clean or handle the tooth unnecessarily. If it is sound, try to reinsert it into the socket ASAP. Have the patient hold the tooth in place by biting on gauze. If you cannot reinsert the tooth, transport the tooth in a cup containing cold milk or in patient’s mouth. Time is a critical factor in saving the tooth. See your pediatric dentist as soon as possible.
 
ic-house-teal

FROM THE HOUSE ON THE HILL

400 S 38th Ct, Ste A, Renton, WA 98055 / hello@evergrins.com / 425-255-6008
Mon-Thu 7:30 am – 4:30 pm / Fri-Sun CLOSED

 
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FROM THE HOUSE ON THE HILL

400 S 38th Ct, Ste A, Renton, WA 98055 / hello@evergrins.com / 425-255-6008
Mon-Thu 7:30 am – 4:30 pm / Fri-Sun CLOSED

Pediatric Dentistry

WHAT TO EXPECT AT YOUR FIRST VISIT

Your child will receive a thorough examination with Dr. Pham, where she’ll discuss results with our smile report card, offer recommendations for how to best care for your child’s teeth, and much more. Oral health education, tooth eruption, brushing techniques, flossing, healthy snacks and fluoride recommendations are just some of the topics discussed during your child’s initial cleaning and exam appointment. The American Academy of Pediatric Dentistry recommends a child visit the dentist for an initial oral evaluation within 6 months of the eruption of his/her first baby tooth and no later than their first birthday. It is important to start children early in the right direction to good dental hygiene and building healthy, life-long habits. 

 

TIPS TO KEEP YOU GRINNING

Try to arrive to your appointment about 10-15 minutes early. This gives our team a chance to review information with you prior to the appointment. If you would like to get an extra jump on your visit you can click on the buttons below to fill out New Patient and Financial forms.

NEW PATIENT FORM
FINANCIAL FORM
Health History Form

Tip #1

Your child should be informed of the visit and know the dentist and staff will explain all procedures and answer any questions. The less to-do concerning the visit, the better.

Tip #2

If you have dental anxiety or have had prior experiences which were less than ideal – try not to show or talk about your uneasiness with your children. They can pick up it and establish his or her own set of expectations based on your behavior.​

Tip #3

It is best to refrain from using words that can cause unnecessary fear, like needle, pull, drill, or hurt. Pediatric dental offices make a practice of using words that convey the same message, but are pleasant and non-frightening to a child.​

Tip #4

Use positive words to describe the upcoming visit. A relaxed, comfortable child will be able to associate those positive words with his or her trip to our office and really make for a smooth visit.​

Tip #5

Reading books about going to the dentist or “playing dentist” at home beforehand can be beneficial.​

Tip #6

Prepare your little one(s) by role playing with them about what our team will be doing. Get them comfortable opening his or her mouth and touching their teeth.​

Tip #7

Keeping a relaxed and positive attitude helps the most. Often a child’s behavior is related to their parent’s own anxiety.​

Tip #8

Talk to your children about going to the dentist. Let them know there will be laughing, toys, games and that we are going to make his or her teeth sparkle like a superhero or princess​

Tip #9

Don’t try to bribe your little one(s) to go to the dentist. This may give them the idea that going to the dentist is less than desirable.

Tip #1

Your child should be informed of the visit and told that the dentist and staff will explain all procedures and answer any questions. The less to-do concerning the visit, the better.​​

Tip #3

It is best to refrain from using words that can cause unnecessary fear, like needle, pull, drill, or hurt. Pediatric dental offices make a practice of using words that convey the same message, but are pleasant and non-frightening to a child.​

Tip #5

Reading books about going to the dentist or “playing dentist” at home beforehand can be beneficial.​

Tip #7

Keeping a relaxed and positive attitude helps the most. Often a child’s behavior is related to their parent’s own anxiety.​

Tip #2

If you have dental anxiety or have had prior experiences which were less than ideal – try not to show or talk about your uneasiness with your children. They can pick up it and establish his or her own set of expectations based on your behavior.​

Tip #4

Use positive words to describe the upcoming visit. A relaxed, comfortable child will be able to associate those positive words with his or her trip to our office and really make for a smooth visit.​

Tip #6

Prepare your little one(s) by role playing with them about what our team will be doing. Get them comfortable opening his or her mouth and touching their teeth.​

Tip #8

Talk to your children about going to the dentist. Let them know there will be laughing, toys, games and that we are going to make his or her teeth sparkle like a superhero or princess​

Tip #1

Your child should be informed of the visit and told that the dentist and staff will explain all procedures and answer any questions. The less to-do concerning the visit, the better.​​

Tip #2

If you have dental anxiety or have had prior experiences which were less than ideal – try not to show or talk about your uneasiness with your children. They can pick up it and establish his or her own set of expectations based on your behavior.​

Tip #3

It is best to refrain from using words that can cause unnecessary fear, like needle, pull, drill, or hurt. Pediatric dental offices make a practice of using words that convey the same message, but are pleasant and non-frightening to a child.​

Tip #4

Use positive words to describe the upcoming visit. A relaxed, comfortable child will be able to associate those positive words with his or her trip to our office and really make for a smooth visit.​

Tip #5

Reading books about going to the dentist or “playing dentist” at home beforehand can be beneficial.​

Tip #6

Prepare your little one(s) by role playing with them about what our team will be doing. Get them comfortable opening his or her mouth and touching their teeth.​

Tip #7

Keeping a relaxed and positive attitude helps the most. Often a child’s behavior is related to their parent’s own anxiety.​

Tip #8

Talk to your children about going to the dentist. Let them know there will be laughing, toys, games and that we are going to make his or her teeth sparkle like a superhero or princess​

Tip #9

Don’t try to bribe your little one(s) to go to the dentist. This may give them the idea that going to the dentist is less than desirable.

 
ic-house-green

FROM THE HOUSE ON THE HILL

400 S 38th Ct, Ste A, Renton, WA 98055 / hello@evergrins.com / 425-255-6008
Mon-Thu 7:30 am – 4:30 pm / Fri-Sun CLOSED

 
ic-house-green

FROM THE HOUSE ON THE HILL

400 S 38th Ct, Ste A, Renton, WA 98055 / hello@evergrins.com / 425-255-6008
Mon-Thu 7:30 am – 4:30 pm / Fri-Sun CLOSED

Pediatric Dentistry

Pediatric Dentistry Services

Our primary goal is focused on preventive dental care to keep everyone smiling. At EverGrins, we know how important early dental experiences are and how it sets the foundation for the lifetime of your child’s oral health. We give you and your child something to smile about with our tailored treatment plans and wide array of services. We strive to guide your child’s oral health care into a happy experience. We offer a full range of individualized pediatric dentistry services for infants, children, teens, and patients with special health care needs.

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OPEN-DOOR POLICY

We have an open-door policy, which means you are welcome to be with your child at all times, with the exception of oral sedation and general anesthesia appointments. Our goal is to develop a trusting relationship with your child and allow them to have a positive experience in receiving dental care. Studies have shown that most children react more positively when permitted to experience the dental visit on their own and in an environment designed for children. However, if you feel your presence would make your child more comfortable, you are welcome to accompany your child into the treatment room. For children 3 years of age and under, it is very helpful to have the parent in the room and often your child will be on your lap! For the safety and privacy of all patients at Dr. Pham’s office, we ask that all children who are not being treated remain in the reception room with a supervising adult. Keeping young teeth healthy is a team effort!

 
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PREVENTATIVE SERVICES

Fluoride treatments are effective in the prevention of tooth decay and cavities because they help to strengthen the teeth. Generally, after your child’s examination and cleaning, Dr. Pham will recommend what type of fluoride treatment is right for him/her. Be sure to contact us with any questions or to set up an appointment.

EverGrins is proud to offer BPA-free sealants that safely and effectively protect your child’s teeth. Dental sealants are thin plastic coatings that are applied to the grooves on the chewing surfaces of the back teeth to protect them from tooth decay. Most tooth decay in children and teens occurs on these surfaces. Sealants protect the chewing surfaces from tooth decay by keeping germs and food particles out of these grooves. By applying dental sealants, you can significantly decrease the chances of your child getting cavities. Sealants can last for many years if properly cared for. Therefore, your child will be protected throughout the most cavity-prone years. If your child has good oral hygiene and avoids biting hard objects, sealants will last longer. Dr. Pham will check the sealants during routine dental visits and recommend re-application or repair when necessary.

During your child’s first appointment, we will perform a thorough cleaning and examination that will help us determine proper diagnosis, caries risk level and treatment options. We place high importance on prevention of dental disease—some of the preventative services we provide include: dental prophylaxis (cleanings), fluoride treatments, digital radiographs (x-rays), sealants, mouth guards, oral hygiene instructions, dietary counseling, and anticipatory guidance counseling on growth and development concerns (i.e., teething, thumb or pacifier habits, injury prevention). We believe that healthy smiles should not stop at our office, so we will educate you and your child on how to make good food choices and how to properly brush and floss at home.

 

SILVER DIAMINE FLUORIDE

A new cavity-fighting liquid…Silver Diamine Fluoride (SDF) is a liquid medication that can be used to arrest, or stop, tooth decay. Silver diamine fluoride has been approved by the FDA for tooth sensitivity, but it is also very useful “off-label” for the treatment of tooth decay. The active ingredient in silver diamine fluoride is silver, a compound used in medicine for over a century because of its potent antimicrobial properties. Interestingly, it is very effective at killing the bacteria that is known to cause tooth decay.

This is especially helpful in small children who are not anxious about routine restorative care. Unlike other treatment methods used to treat tooth decay such as fillings, silver diamine fluoride is applied to the teeth with a brush. It takes less than 1 minute to apply with no noise, no drilling, and at the same time, it kills the bacteria that cause decay. If you would like more information regarding the use of silver diamine fluoride for your child, please contact our office. We are always happy to help.

 

TOOTH-COLORED FILLINGS AND CROWNS

Our state-of-the-art dental restorations can be used to return your child’s smile to its best. If the function or appearance of your loved one’s smile has been altered, Dr. Pham can restore it with a quick and simple restorative procedure. The type of dental restorations we use most frequently are tooth-colored fillings and crowns. Both methods will protect and build up your child’s teeth. 

Tooth-colored fillings

Tooth-colored fillings are typically used as a remedy for tooth decay. Some children are prone to cavities, which can lead to toothaches and other dental problems. Dr. Pham can protect your child’s comfort and health by using a BPA-free tooth-colored filling to restore the affected area and maintain a healthy and beautiful grin.

Tooth-colored crowns

Tooth-colored crowns are used to cover up the visible portion of a tooth that is weak or damaged due to decay, disease, or physical trauma. Crowns will strengthen the tooth and give it an appealing look. Dental crowns are frequently used to cover discoloration, breakage, large fillings, and poorly shaped teeth.
 
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Digital Radiography

EverGrins is proud to provide digital radiography with the lowest possible x-ray exposure. Our digital sensor is the high quality ScanX sensor used to view the teeth and structures not visible by other technology. Using this state-of-the-art digital x-rays allows us to diagnose problems quickly and accurately, which creates more specific treatment plans. Digital panoramic radiographs are also available for children to evaluate growth and development for orthodontic assessments and teens for evaluation of 3rd molars (wisdom teeth).

High quality

The digital radiography device can take a picture of your teeth and instantly display the image on a computer screen. The on-screen image will look like an X-ray, but it can be displayed at 400 percent. It allows a dentist to zoom into specific areas to gain a more accurate diagnosis.

Efficiency

Digital radiography takes less time and provides immediate observation of radiographic images.

Less Radiation

Using digital radiography provides 90 percent less radiation.

High quality

The digital radiography device can take a picture of your teeth and instantly display the image on a computer screen. The on-screen image will look like an X-ray, but it can be displayed at 400 percent. It allows a dentist to zoom into specific areas to gain a more accurate diagnosis.

Efficiency

Digital radiography takes less time and provides immediate observation of radiographic images.

Less Radiation

Using digital radiography provides 90 percent less radiation.

 
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SEDATION DENTISTRY

Dr. Pham and her team do their best to make your child feel relaxed and at ease, but sometimes, a child may feel anxious before or during treatment. There are different options Dr. Pham may suggest that are available if it appears cooperation or safety is an issue. Children who benefit from sedation dentistry may have:

  • Nitrous oxide, or better known as laughing gas, is a mild form of sedation for children who visit the dentist and may be anxious about their scheduled treatments. Nitrous oxide helps to ease patient’s fears to help them relax during their visit, and to receive dental treatment in a comfortable and safe manner.
  • Nitrous oxide is perhaps the safest sedative in dentistry. It is well tolerated, having a rapid onset, and is reversible, can be adjusted in various concentrations and is non-allergenic. Your child remains fully conscious. Additionally, nitrous oxide reduces the gag reflex which can interfere with effective dental treatment. You should inform our office regarding any respiratory condition that makes breathing through the nose difficult for your child.
  • Children are, of course, not all alike. Therefore, all of our dental services are tailored specifically to your child. In a very small percentage of children nitrous oxide may not be effective, especially those children who have severe anxiety, nasal congestion or discomfort wearing a nasal mask. We will review your child’s medical history, level of anxiety, and treatment needs and inform you if nitrous oxide is recommended for your child
  • Oral conscious sedation involves the use of sedative medications taken by mouth to help increase cooperation and to reduce anxiety or discomfort associated with dental procedures. It is beneficial when nitrous oxide alone is not effective for completion of dental treatment. It is used in combination with nitrous oxide to further relax your child. Once the medication is administered, it will be about 30-45 minutes before the medicine will have taken effect.
  • Oral conscious sedation is recommended for apprehensive children, very young children, and children with special needs. It is used to calm your child and to reduce the anxiety or discomfort associated with dental treatments. Your child may become drowsy, but they will not become unconscious.
  • Oral conscious 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. Success of completing dental treatment is highly dependent on the child. Your child may require multiple visits to complete their treatment needs. After the appointment, your child may NOT go to school and will need to be supervised by an adult.
  • There are a variety of different medications, which can be used for conscious sedation. Dr. Pham will prescribe the medication best suited for your child’s overall health and dental treatment recommendations. We will be happy to answer any questions you might have concerning the specific drugs we plan to give to your child.
  • General Anesthesia (GA) is recommended for extremely apprehensive children, very young children, and children with special needs that would not work well using other sedation options. This is performed in our office by a board certified anesthesiologist. GA sedation offers a less traumatic experience for your child and helps them to maintain a positive attitude towards their oral health. Your child will be “asleep” while the dentist is able to complete all of the necessary dental procedures in one visit. While the assumed risks are greater than that of other treatment options, if this is suggested for your child, the benefits of treatment this way have been deemed to outweigh the risks. The inherent risks if this is not chosen are multiple appointments, potential for physical restraint to complete treatment and possible emotional and/or physical injury to your child in order to complete their dental treatment. The risks of NO treatment include tooth pain, infection, swelling, the spread of new decay, damage to their developing adult teeth and possible life-threatening hospitalization from a dental infection.
  • Dr. Pham works with a board-certified dentist anesthesiologist with specialized training using various medications to safely put a child patient to sleep, monitor, and avoid a traumatizing event. This also avoids repeat appointments since all the dental treatment is complete in one visit, and parents have the comfort of being in a relaxed setting. Dr. Pham will review the benefits and risks of GA Sedation and why it is recommended for your child.

  • General Anesthesia (GA) is recommended for extremely apprehensive children, very young children, and children with special needs that would not work well using other sedation options. This is performed in our office by a board certified anesthesiologist, Dr. Andrea Fonner.

 
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SPECIALTY SERVICES

Even young children want to be proud of their smiles. Sometimes new teeth will erupt with a cosmetic defect. We offer a variety of cosmetic options such as enamel micro abrasion, composite bonding, white (zirconia) crowns for front and back teeth and many more options.

We offer the latest treatment options in pediatric dentistry. The application of Silver Diamine Fluoride is a wonderful alternative to traditional dental procedures.

We are proud to offer digital radiographs with the lowest possible x-ray exposure. Our digital sensor is the high quality ScanX sensor used to view the teeth and structures not visible by other technology. When the digital panoramic and/or intraoral images are taken, they immediately appear in your child’s paperless record.

We often take photos of the inside of your child’s mouth to compare to future visits. As the saying goes “a picture is worth a thousand words”

Sedation Dentistry, Individualized services for children with Special Needs, Grinning visits for anxious kids, Evaluation of Habits, Evaluation of Growth and Development, White Zirconia Crowns, White composite fillings, Extractions, Sports mouth guards, Nitrous Oxide, Exams, Cleanings, Sealants and much more.

 
ic-house-pink

FROM THE HOUSE ON THE HILL

400 S 38th Ct, Ste A, Renton, WA 98055 / hello@evergrins.com / 425-255-6008
Mon-Thu 7:30 am – 4:30 pm / Fri-Sun CLOSE

 
ic-house-pink

FROM THE HOUSE ON THE HILL

400 S 38th Ct, Ste A, Renton, WA 98055 / hello@evergrins.com / 425-255-6008
Mon-Thu 7:30 am – 4:30 pm / Fri-Sun CLOSED