When to come, and what happens
| Age | What the visit is for |
|---|---|
| Around 1 year | A lap-to-lap look, advice on bottles, weaning and brushing, and nothing else. Mostly a conversation with you. |
| 2 to 5 | Riding the chair, counting teeth, a polish if they are willing. Fluoride varnish. We are building familiarity, not treating. |
| 6 to 9 | The first permanent molars arrive at six, usually without anyone noticing. Fissure sealants go on those. Early crowding is spotted and monitored. |
| 10 to 13 | Most adult teeth are through. This is when an orthodontic opinion is most useful, and when sports mouthguards start to matter. |
| Teenagers | Hygiene tends to collapse around fourteen. Short honest conversations work better than lectures, and we have them with the teenager rather than about them. |
"They are only baby teeth"
Baby teeth are placeholders with a job. Each one holds the space for the permanent tooth forming directly beneath it, and if one is lost early the neighbouring teeth drift into the gap, so the adult tooth arrives to find its space taken. That is a large share of the crowding treated with braces years later, and a space maintainer at the time would have prevented it. Decay in a baby tooth also hurts, wakes children at night, makes them eat on one side, and if it becomes infected it can damage the permanent tooth developing below.
What to say, and what never to say
Children read your anxiety before they read the room, and the words used in the car matter more than anything we do.
| Say this | Not this |
|---|---|
| "We are going to count your teeth." | "It will not hurt." You have just introduced hurting. |
| "The dentist will look and tell us how strong they are." | "You will only get a check-up, nothing else." Now anything else is a betrayal. |
| "I will be right there with you." | "Be brave." Bravery implies something to fear. |
| Nothing at all about previous visits | "I hate the dentist, but you will be fine." |
| Book a morning appointment | "If you do not brush, the dentist will drill your teeth." Never make us the punishment. |
We use the same vocabulary in the room. Sleepy juice, not injection. Wiggle out, not pull. Tooth shower and little brush, not drill. It is not a game, it is just avoiding words that carry a threat for a six-year-old.
What we actually do
- Examinations and prevention: fluoride varnish, diet advice that is practical rather than pious, and brushing technique taught to the child and the parent.
- Fissure sealants on the first permanent molars. A thin coating sealing the deep grooves where nearly all childhood decay starts. Painless, no drilling, and among the best value in all of dentistry.
- Fillings on baby teeth when needed, done in short appointments with plenty of warning about each step.
- Space maintainers when a baby tooth is lost too early, to hold the gap for the adult tooth.
- Trauma. Knocked-out and broken teeth, seen the same day. See below, because the first hour counts.
- Sports mouthguards, custom made. Football and basketball account for most of the broken front teeth we see in children.
If a tooth is knocked out
For a permanent tooth, the first hour decides whether it can be saved. Pick it up by the crown and never the root, rinse it briefly in milk or water without scrubbing, and if you can, push it gently back into the socket and have your child bite on a clean cloth. If you cannot, keep it in milk, not water, and come immediately. Call +961 71 400 667 on the way. A knocked-out baby tooth is different and should not be put back, because doing so can damage the adult tooth forming above it. Come in so we can check the socket. Full guidance is on our emergency page.
Anxious children, and when we refer
Roughly a third of our adult patients describe themselves as afraid of the dentist, and most of that started young. So nothing here is forced. A frightened child can spend an entire appointment simply sitting in the chair and leave having achieved exactly that, and we will count it a success. Tell-show-do, short visits, stop signals the child controls, and the parent in the room whenever it helps. When a child genuinely needs treatment that cannot be done cooperatively, we refer to a paediatric specialist for sedation rather than hold a child down for a filling. One bad appointment can cost someone thirty years of avoidance, and we are not willing to trade that for one finished tooth.