Why Choose Smiles 4 Keeps?

With over 35 years in business, we’ve designED a practice entirely focused on pediatric care.

CONVENIENT LOCATIONS

Our Smile Centers provide high-quality services to our young patients in Northeast PA. With over 35 years in business, we’ve designed an office entirely focused on our pediatric care.

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INNOVATIVE TECHNOLOGY

We use all the latest equipment that allows us to treat children of all ages in the safest environment possible. We use in-office sedation to avoid hospitalization and most of our treatments are usually completed in one visit.

Dental Services Provided

PATIENT FINANCING

We have a variety of payment and financing options to help you pay for the dental care that your child or children need.

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Fun Downloads

Lunch Box Notes

What’s better than a healthy lunch to promote learning and good oral health? A lunch packed with positive, affirming notes to remind your child that he or she is loved and supported. Smiles 4 Keeps created fun, printable lunch notes to drop into lunch boxes when you want to add a little something to make their day. Simply download, print and cut!

Activity Sheets (Hojas de Actividades)

February is National Children’s Dental Health Month. Help promote the benefits of good oral health to your children with these fun downloadable activity sheets!

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at our Smile Centers in Bartonsville, Hazleton, Scranton and Wilkes-Barre.

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Latest From Our Blog

Lip & Tongue Tie 101: Everything You Need to Know

Lip and tongue ties are a common topic of conversation for new parents. It is a relatively new subject matter as it was a commonly missed diagnosis during infancy. Now both pediatricians and pediatric dentists are educating lactation consultants and parents about lip and tongue ties in hopes to alleviate many of the disruptions that [...]

Painful Tooth Eruption: What to do If Your Child’s New Tooth Hurts

Baby teeth are also called primary teeth or deciduous teeth. The process when a child’s baby tooth goes through the gums and becomes visible above the gum line is called tooth eruption. This process occurs when the child is just a little baby, and it continues through childhood and the teenage years. Each one of [...]

A Few of the Best Sugar Substitutes for Your Child’s Teeth

Kids seriously love sugar. From cereals to candies, sugary beverages, and more — kids are bombarded with sweetness. And it’s easy for them to get addicted. But as you may know, sugar is definitely not good for your child’s teeth. In fact, according to research published in the journal BMC Public Health, sugars are the […]

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LATEST NEWS

Lip & Tongue Tie 101: Everything You Need to Know

[vc_row][vc_column][vc_column_text]Lip and tongue ties are a common topic of conversation for new parents. It is a relatively new subject matter as it was a commonly missed diagnosis during infancy. Now both pediatricians and pediatric dentists are educating lactation consultants and parents about lip and tongue ties in hopes to alleviate many of the disruptions that occur during the early stages and prevent future concerns.[/vc_column_text][vc_accordion active_tab="false" collapsible="yes"][vc_accordion_tab title="Lip & Tongue Ties: What Are They?"][vc_column_text] The band of tissue behind your upper lip and under you tongue is clinically called a frenum. When these membranes have developed unusually short, thick, or tight, the bands of tissues tend to tether the tongue down to the floor of the mouth restricting movement and mobility of both lip and/or tongue to move comfortably and freely. As a result, the tie oftentimes interferes with breastfeeding, chewing, speech, oral hygiene, and other activities such as licking your favorite ice cream cone, licking the lips, kissing, or even playing an instrument. [/vc_column_text][/vc_accordion_tab][vc_accordion_tab title="Why is it Important to Treat a Lip or Tongue Tie?"][vc_column_text]Proper oral development and/or infant breastfeeding helps to expand the size of the palate, open the airway, oxygenate the blood, support brain growth, and helps to prevent future disorders like Obstructive Sleep Apnea. Tethered oral tissues have a huge affect on oral development in infants and children, which can lead breathing and airway concerns.[/vc_column_text][/vc_accordion_tab][vc_accordion_tab title="How To Recognize the Symptoms of Lip & Tongue Ties"][vc_column_text] A tongue-tie is a condition where an abnormally short, thick, or tight band of tissue binds the bottom of the tongue to the floor of the mouth. A lip tie is when the length and width of the band of tissue extends between the upper lip and gums above the upper front teeth. Both lip and tongue ties are congenital circumstances, which means children are born with them. They limit the movement of the lips and/or restrain the tongue which impacts most oral functions, like speaking, feeding, swallowing and most crucial, breathing. Some mothers may come to suspect a lip or tongue tie during their infant’s breastfeeding sessions. This is because tongue-tied babies are unable to draw the nipple as deeply into the mouth to receive adequate milk. Some babies with tongue or lip ties may only be able to nurse just enough to grow in their first few weeks but are not able to maintain enough nourishment to continue growing. These same children may have difficulty managing solid foods when they are older. [/vc_column_text][/vc_accordion_tab][vc_accordion_tab title="Baby Signs & Symptoms"][vc_column_text] Weak latch, or clicking sounds while nursing Gumming or chewing or choking while nursing Swallowing air (aerophagia) Reflux or colic Fatigue during eating Projectile spitting up during or after eating Struggle to gain weight; maintain weight, or weight loss Gagging, popping off the breast to gasp for air Lip blisters and callouses Gassiness (babies with ties often swallow a lot of air) Congestion Inability to hold a pacifier Milk consumption, dribbling from sides of mouth (excessive drooling) Heart-shaped tongue [/vc_column_text][/vc_accordion_tab][vc_accordion_tab title="Signs & Symptoms for a mother of an Infant with Lip or Tongue Tie"][vc_column_text] Cracked, blistered, bleeding nipples Plugged ducts Continual discomfort or pain during nursing Thrush/mastitis Compromised milk supply Long nursing sessions (or extremely short because baby gets tired) Postpartum depression [/vc_column_text][/vc_accordion_tab][vc_accordion_tab title="Child & Adolescent Signs & Symptoms"][vc_column_text] Impeded tongue movement Speech interference Difficulty swallowing Improper chewing/digestive issues Gum Recession Inability to clean teeth with tongue swipe Sleep and breathing problems Behavior and attention issues Nighttime walking Nighttime tooth grinding Spacing or gaps between front teeth [/vc_column_text][/vc_accordion_tab][vc_accordion_tab title="Lip And Tongue Tie Evaluation"][vc_column_text] Is your child having trouble with the movement of their lips or tongue? At Smiles 4 Keeps we recommend having your child assessed for a lip or tongue tie during the early phases of infancy to determine if there are any foreseen oral tissues and that everything is developing correctly. During this assessment, we will safeguard that the length and thickness of the lip and tongue tissues are appropriate and check for any signs or symptoms that your child may be experiencing. During these evaluations, our goal is to diagnose a tie as early as possible to prevent any developmental constraints. One of our Smiles 4 Keeps, specially trained providers will observe the length of the tie and its point of attachment to surrounding tissues. We will also consider any other symptoms that the child may be experiencing to help us achieve resolution. As far as physical signs, it is not uncommon for there to be a visible large space between the upper front teeth or for the tongue to have a heart shape at the tip with a cupped appearance[/vc_column_text][/vc_accordion_tab][vc_accordion_tab title="Lip And Tongue Tie Treatment"][vc_column_text] If your child is be subjected to a severe enough tie that negatively impacts their oral function or development, our maxillofacial surgery department can perform a simple procedure called a frenectomy to minimize the tie and restore proper function. From there, our team will continue to monitor your child’s oral development to ensure they are brought up with proper oral hygiene instruction [/vc_column_text][/vc_accordion_tab][vc_accordion_tab title="What to Expect: Frenectomy"][vc_column_text] The frenum tissue is very thin and easily treated with a laser or a traditional surgical approach. The tissue is number, then using our suggested surgical tools, is released by cutting and sealing. There is very minimal trauma to the tissue and sutures are not usually needed. There is little to no discomfort during the procedure and an expedited recovery. We do not recommend a “wait and see” approach when it comes to lip and tongue ties due to the range of potential developmental difficulties. The treatment for these conditions is quick, simple, and virtually devoid of complications. Therefore, if you suspect one of these conditional conditions, please do not hesitate to schedule an appointment with one of our providers. [/vc_column_text][/vc_accordion_tab][/vc_accordion][vc_column_text] Call to schedule your infant or child’s lip and/or tongue tie evaluation with one of our Smiles 4 Keeps providers today! [/vc_column_text][vc_empty_space][vc_column_text] Need to Schedule a Pediatric Dental Appointment? If your child is ready for his or her first pediatric dental visit, call Smiles 4 Keeps. Our friendly pediatric dentists provide gentle kid's dentistry using a variety of dental services. We have three convenient office locations in Northeast Pennsylvania catering to many areas. Here is the contact information, office hours, and business addresses for each of our office locations: Bartonsville: 3361 Route 611, Bartonsville, PA 18321 - Phone: 570-629-1142; Hours: Mon & Fri 9:00 am - 5:00 pm Scranton: 313 Mulberry St., Scranton, PA 18503 - Phone: 570-346-7760; Hours: Mon, Tues, Wed 9:00 am - 5:00 pm | Thurs - Fri: 8:00 am - 4:00 pm Wilkes-Barre: 900 Schechter Dr, Wilkes-Barre, PA 18702 - Phone: 570-822-4181; Hours: Mon- Fri 9:00 am - 5:00 pm [/vc_column_text][/vc_column][/vc_row]

Painful Tooth Eruption: What to do If Your Child’s New Tooth Hurts

[vc_row][vc_column][vc_column_text]Baby teeth are also called primary teeth or deciduous teeth. The process when a child’s baby tooth goes through the gums and becomes visible above the gum line is called tooth eruption. This process occurs when the child is just a little baby, and it continues through childhood and the teenage years. Each one of us will have two sets of teeth in life: baby teeth and permanent teeth.

A Few Facts About Tooth Eruption in Babies and Kids

  • Typically, girls will experience tooth eruption earlier in life than boys. Every child is different, though.
  • Baby teeth are smaller in size and whiter than the permanent (adult) teeth.
  • By the time a child is 2 to 3 years old, all of the primary teeth should have erupted. Later on in this blog post, we provide 2 lists depicting the approximate ages when baby teeth should erupt, and the approximate ages when adult teeth should erupt.
[/vc_column_text][vc_accordion collapsible="yes" disable_keyboard="" active_tab="false"][vc_accordion_tab title="Signs and Symptoms Associated With the Eruption of Baby Teeth"][vc_column_text]When your baby starts the phase of tooth eruption, there will be certain signs and symptoms that you’ll notice. The signs and symptoms include:
  • loss of appetite
  • increased saliva production in the mouth (may lead to increased drooling)
  • baby will place objects or fingers in the mouth
  • baby will bite on objects or fingers
  • irritation of the mouth
  • inflamed gums
  • tender gums
  • difficulty eating and chewing
  • minor bleeding when the tooth finally erupts through the gums
  • crankiness or agitation in general
  • interrupted sleep patterns or naptimes
  • redness on the cheek where the tooth is erupting
Those are the typical symptoms and signs associated with baby teeth eruption. If you notice your baby running a fever, vomiting, or having diarrhea, call your doctor as soon as possible. Also, if your child develops an earache or has signs of pain, he or she should be evaluated by your doctor to rule out infection.[/vc_column_text][/vc_accordion_tab][vc_accordion_tab title="When To Expect Baby Teeth to Erupt"][vc_column_text]We get asked this question quite often: When will my baby’s teeth start to come in? The following list will give you that answer! This list shows when your child’s primary teeth should erupt through the gums. Keep in mind, though, that eruption time differs from child to child.
  • upper and lower central incisors: 6 to 12 months of age (sometimes the upper central incisors erupt after the lowers)
  • upper and lower lateral incisors: 7 to 16 months of age
  • upper and lower cuspids (the canine teeth): 16 to 23 months of age
  • upper and lower first molars: 13 to 19 months of age
  • upper and lower second molars: 20 to 33 months of age
A baby will typically get all of his or her teeth by their third birthday. As a parent or caregiver, you should notice that your baby is in the teething phase when he or she is approximately 6 months old. Any time after the child’s third birthday, he or she will start losing their baby teeth, in which case the adult teeth will then begin to erupt.[/vc_column_text][/vc_accordion_tab][vc_accordion_tab title="When to Expect Adult Teeth to Erupt for Kids"][vc_column_text]Kid’s permanent, adult teeth will begin to erupt around the age of 6. The following list details when adult teeth will erupt for most kids. Just like baby teeth, the eruption time varies from child to child.
  • upper and lower central incisors: 6 to 8 years old
  • upper and lower lateral incisors: 7 to 9 years old
  • upper and lower cuspids (canine teeth): 9 to 12 years old (sometimes it takes longer for the upper cuspids to come in)
  • upper and lower first bicuspids (premolars): 10 to 12 years old
  • upper and lower second biscuspids (premolars): 10 to 12 years old
  • upper and lower first molars: 6 to 7 years old
  • upper and lower second molars: 11 to 13 years old
  • upper and lower third molars (wisdom teeth): 17 to 21 years old
[/vc_column_text][/vc_accordion_tab][vc_accordion_tab title="How to Relieve Tooth Eruption Pain"][vc_column_text] [caption id="attachment_439" align="alignright" width="150"]young girl patient with tooth eruption young girl patient at Smiles 4 Keeps[/caption] It is heartbreaking to see your child in pain, regardless of whether the pain is low, mild, or intense. Tooth eruption pain occurs when the new tooth is close in proximity to the gum line and begins to cut through the gum. A child can continue to feel discomfort or pain until the tooth is in the final position in the mouth. How do you relieve pain associated with erupting teeth? Here are a few ways:
  • Clean your finger and massage the gum in the area where the tooth will be erupting. This will help to ease the discomfort.
  • Buy and use an anesthetic cream. Orajel™ can be bought in most pharmacies. A topical analgesic, like benzocaine, can also be used.
  • Wet a clean cloth with cold water and let the baby suck and/or chew on it. Do this under adult supervision.
  • Use over-the-counter pain medications (acetaminophen or ibuprofen) formulated for kids. Follow the dosage instructions on the package. Do not use aspirin since kids cannot have it. Before giving any medication to your child, consult with his or her pediatrician or dentist.
  • Buy a teether for your child to bite on. They come in various shapes and sizes, including teething biscuits, rubber-like rings, and cool rings for teething. Do not buy one that is too small so your child does not choke. It is also a good idea to avoid using a teether filled with liquid; sometimes they can leak. Lastly, do not tie a teether around his or her neck since this poses as a strangulation hazard.
  • If your baby is constantly drooling, be sure to wipe the drool away frequently. The longer the drool stays on your baby’s face, the higher the chance he or she will develop a skin rash.
[/vc_column_text][/vc_accordion_tab][vc_accordion_tab title="Things You Should NOT Do During the Tooth Eruption Phase"][vc_column_text]There are a few things you and your child should avoid doing during the tooth eruption phase.

Do NOT be aggressive when caring for the child’s teeth and gums.

Always be gentle when brushing and flossing your child’s teeth. Teach him or her to be gentle, as well. After your child loses a tooth, a small wound may be apparent. During this stage, do not give your child a harsh rinse that contains alcohol or peroxide. Doing so may increase pain, harm the gums, and/or delay healing. Also be sure to avoid giving aspirin to kids. Never apply aspirin directly to the gums. It can burn the tissue.

Do NOT prematurely pull the loose tooth or wiggle it aggressively.

You can typically encourage your young son or daughter to push gently on the loose tooth by using his or her tongue or clean finger. The key word here is “gently.” Do not use this type of encouragement if the tooth isn’t very loose. You do not want to wiggle or pull the tooth out before it is ready. Doing so can cause unnecessary discomfort and pain for your child. Wiggling or pulling the tooth out prematurely can also run the risk of leaving a tooth fragment behind, which can lead to infection. If your child has an accident and knocks the tooth out early on, or if the accident promotes a tooth extraction, only a pediatric dentist should make this decision.

Do NOT avoid visiting the pediatric dentist on a regular basis.

As mentioned in previous sections, seek the advice and care from your pediatric dentist if you have any questions or before giving medications to your child. It is always best to keep regularly scheduled appointments with the dentist. This allows the dentist to keep an eye on any changes and to keep track of tooth growth. The appointments also allow you the opportunity to ask questions face to face. If your child has not lost any teeth by the time he or she is 8 years old, for instance, this is a good reason to schedule a dentist visit as soon as possible. Late tooth development can occur in some kids, and it should be monitored by a pediatric dentist. If you notice that adult teeth are erupting behind the baby teeth, schedule an appointment with the dentist. He or she may think it is best to extract the baby tooth, if necessary, or provide suggestions on what to do next. As always, if you have any questions at all, please call our pediatric dentists.[/vc_column_text][/vc_accordion_tab][vc_accordion_tab title="How to Care for Newly Erupted Teeth"][vc_column_text]What happens when the tooth erupts and you can see it above the gum line? What is the proper way to take care of newly erupted teeth? Keep taking care of your teeth. Do not stop brushing and flossing. Just brush lightly in the area where the newly erupted tooth is. You should also keep taking your child to the pediatric dentist as recommended (once every 6 months unless otherwise recommended).[/vc_column_text][/vc_accordion_tab][/vc_accordion][vc_empty_space height="32px"][vc_column_text]

Need to Schedule a Pediatric Dental Appointment?

If your child is ready for his or her first pediatric dental visit, call Smiles 4 Keeps. Our friendly pediatric dentists provide gentle kid's dentistry using a variety of dental services. We have three convenient office locations in Northeast Pennsylvania catering to many areas. Here is the contact information, office hours, and business addresses for each of our office locations:
  • Bartonsville: 3361 Route 611, Bartonsville, PA 18321 - Phone: 570-629-1142; Hours: Mon & Fri 9:00 am - 5:00 pm
  • Scranton: 313 Mulberry St., Scranton, PA 18503 - Phone: 570-346-7760; Hours: Mon, Tues, Wed 9:00 am - 5:00 pm | Thurs - Fri: 8:00 am - 4:00 pm
  • Wilkes-Barre: 900 Schechter Dr, Wilkes-Barre, PA 18702 - Phone: 570-822-4181; Hours: Mon- Fri 9:00 am - 5:00 pm
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