Redmond: (541) 923-8666

Bend: (541) 312-2490

Pediatric Dental Associates

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Pediatric Dental Associates is proud to be serving the infants, children, and adolescents of Bend, Redmond, and the surrounding communities of Central Oregon. As a pediatric dental office, our mission is to provide the finest comprehensive and personalized care for patients and families. We are committed to clinical excellence, while building trusting relationships with our patients in a fun and comfortable environment. We value the profession of pediatric dentistry and understand that children have unique dental, behavioral, and emotional needs.

Our pediatric dentists and staff are specially trained to work with children and strive to eliminate the fears commonly associated with dentistry. In addition to treating existing dental problems, our office focuses on educating families about proper oral health and prevention of dental disease. As a pediatric dental office serving Central Oregon, we have a genuine desire to help kids achieve a cavity-free future!

Why a Pediatric Dentist?

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Pediatric dentistry is the specialty of dentistry that focuses on the oral health of young people. We run a pediatric dentist office that incorporates specialized training into pediatric dentistry, offering the best dental service available to children in Central Oregon. Two to three years of additional training are needed beyond dental school. This specialized program of study and hands-on experience prepares pediatric dentists to meet the needs of children from infancy through the teenage years. Pediatric dentists understand the growth and development of children, and are better able to treat patients in the most appropriate manner as they transition both dentally and skeletally from a child to an adult. Significant study is also devoted to the psychological aspects of guiding children through the dental experience. Pleasant visits to the pediatric dental office promote the establishment of lasting trust and confidence. A pediatric dentist practices in a “kid-friendly” facility, has pediatric sized instruments, and is better able to guide children through a dental procedure. As a pediatric dentist office in Bend, OR and Redmond, OR we serve the children of our community by approaching their dental care with these specialized skills.




About Us

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James Ford, DDS is a Board Certified pediatric dentist and has practiced for over 25 years. Dr. Ford received his Doctor of Dental Surgery degree from University of Texas San Antonio. He then went on to do a general practice residency at Oklahoma Children’s Memorial Hospital. Dr. Ford then completed his pediatric dentistry residency at Oregon Health Science University in Portland. Dr. Ford dedicates time and attention to each child and parent. He works hard to maintain his education and has been a leader in establishing a state-of-the-art practice. Some of Dr. Ford’s hobbies include fishing, skiing, and gardening.

Jay Vaikuntam, DDS joined Pediatric Dental Associates with experience in teaching and private practice. Dr. Jay earned his Doctor of Dental Surgery degree in India. He then completed his pediatric dentistry residency at Eastman Dental Center in Rochester, NY. Dr. Jay then spent time as the Pediatric Dental Program director at the University of Texas in San Antonio. Dr. Jay is Board Certified. His quiet demeanor and fun personality help children to feel comfortable and safe when in the office. Dr. Jay enjoys spending time with his family, golfing, traveling, music and reading.

Elise Burrus, DDS was born and raised in Milwaukee, WI. She graduated from Boston College in 2005, with a degree in Biology. She received her Doctor of Dental Surgery degree from Marquette University School of Dentistry in 2009, graduating with honors. Dr. Elise then completed a two-year residency at Children’s Hospital of Wisconsin and received her Pediatric Dentistry certificate in 2011. Dr. Elise is a Board Certified Pediatric Dentist. She enjoys outdoor activities including running, biking, fishing, and skiing. She loves to travel and is an avid Green Bay Packers football fan.

David Burrus, DDS was born and raised in Creswell, OR. Dr. David attended Eastern Oregon University and Marquette University School of Dentistry. He completed his dental degree in 2010, graduating with honors. In dental school, Dr. David met his wonderful wife, Elise. Following graduation, Dr. David pursued a two-year pediatric dental residency at Children’s Hospital of Wisconsin. He is a Board Certified Pediatric Dentist. Dr. David enjoys music, fishing, snowboarding, mountain biking, traveling, basketball and spending time with his family and their Golden Retriever, Daisy.

American Board of Pediatric Dentistry All of our dentists are certified by The American Board of Pediatric Dentistry (ABPD)! The ABPD certifies pediatric dentists based on standards of excellence that lead to high quality oral health care for infants, children, adolescents, and patients with special health care needs. Certification by the ABPD provides assurance to the public that a pediatric dentist has successfully completed accredited training and a voluntary examination process designed to continually validate the knowledge, skills, and experience requisite to the delivery of quality patient care. 




Office Information

Bend Office:

1820 NW Monterey Pines Suite 200, Bend, OR 97701 Phone: 541-312-2490 Fax: 541-312-3070
pediatric dentist office

Hours:

Mon-Thursday:
8am-5pm
Friday:
8am-2pm

Redmond Office:

413 NW Larch Ave Suite 201, Redmond, OR 97756 Phone: 541-923-8666 Fax: 541-504-2124
pediatric dentist office

Hours:

Mon-Thursday:
8am-5pm
Friday:
8am-2pm



Services

Prevention

Prophylaxis, X-rays, and Examination

Teeth cleaning (prophylaxis), X-rays, and examination by a dentist are all part of a patient’s prevention program. Bacteria in the mouth, called plaque, cause decay if not properly cleaned from the teeth. Although it may be possible to for a patient to remove most plaque with traditional home care methods (ie. toothbrush, floss, and mouth rinse), many pediatric patients have difficulty maintaining a plaque-free state for extended periods of time. Periodic cleanings by a dental professional are important to remove plaque, hardened plaque (calculus) and stain from the teeth, polish hard surfaces to minimize the accumulation and retention of plaque, and introduce dental procedures to the young child and apprehensive patient.

Appropriate x-rays are a valuable tool in oral health care. In general, children need x-rays more often than adults. Their mouths grow and change rapidly, and they are more susceptible than adults to tooth decay. In our pediatric dental office, X-rays are typically taken on a yearly basis to detect developing cavities between the teeth. Also, x-rays may be needed to survey erupting teeth, diagnose bone diseases, evaluate the results of an injury, or plan orthodontic treatment.

The developing dentition should be monitored throughout eruption and at regular clinical examinations. Unrecognized dental disease can result in exacerbated problems, which lead to more extensive and expensive care. The most common interval of examination is 6 months; however, some patients may require examination and preventative services at more frequent intervals. Evaluation by a dental professional and reinforcement of preventative activities contribute to improved overall oral health.

Sealants

Most cavities in children are found on the chewing surfaces of the back teeth. These teeth have deep grooves and depressions, which make them extremely difficult to clean of food and cavity-causing bacteria. Dental sealants protect these susceptible areas by covering the crevices of the back teeth with a clear or white resin material. Sealants create a much more cleansable area and “seal out” food particles and bacteria from residing on the tooth surface; thus reducing the risk of decay.

Placing sealants is easy and comfortable for the patient. The tooth is first cleaned, conditioned, and dried. The material is flowed onto the grooves of the tooth and hardened with a light. The patient is able to eat right away. Sealants last for several years but must be checked at regular dental appointments.

Fluoride

Fluoride is a naturally occurring element that is safe and effective for preventing tooth decay. Fluoride that is ingested through water, food, or supplements is incorporated into developing tooth structure. The tooth enamel becomes stronger and more resistant to acid from cavity-causing bacteria. Fluoride that is applied to the outside of teeth (from toothpaste, mouth rinse, gels and varnish) prevents loss of minerals from tooth enamel and promotes replacement of minerals that have been lost due to acid attacks. Topical fluoride is very effective in repairing early decay before it becomes an irreversible cavity. Fluoride also disrupts the bacteria in the mouth that cause cavities, reducing the amount of acid that is produced by these bacteria.

Central Oregon does not have a fluoridated water supply. However, not every child is in need of fluoride supplements. Therefore as a pediatric dentist in Bend, Oregon we determine each patients’ need for fluoride treatments individually. At Pediatric Dental Associates, we consider many factors prior to prescribing fluoride; the child’s age, risk of developing dental decay, and dietary sources of fluoride are important considerations. When fluoride supplements are prescribed, they should be taken daily to maximize benefit.

Pediatric Dental Associates uses the most appropriate fluoride protocols following routine teeth cleaning. Professionally applied topical fluoride treatments are proven to reduce the incidence of tooth decay. For children at higher risk of developing cavities, an “at home” regimen will be developed which may include a prescription strength formulation of fluoride toothpaste, fluoride mouth rinses, or brush-on fluoride gels.

Xylitol

Xylitol is a sugar substitute that is found naturally in various trees, fruits, and vegetables. Xylitol has the same relative sweetness as sugar but has fewer calories and no carbohydrates. Research has shown that xylitol inhibits the growth and acid-producing power of the bacteria that cause cavities. Intake of xylitol also reduces the adherence of bacteria to teeth. Xylitol can be a helpful component in reducing tooth decay if used on a consistent and long-term basis. Pediatric Dental Associates has a variety xylitol-containing products including chewing gum, mints, and toothpastes available for patients.

Treatment

Local Anesthesia

For most dental procedures, a local anesthetic is used to numb a specific tooth or area of the mouth. The dentist or hygienist will inject the anesthetic prior to the procedure. Pediatric Dental Associates never uses words that may frighten children such as “shot” or “needle”. Instead, phrases like “putting the tooth to sleep with sleepy juice” are used. Distraction and calming techniques are helpful when giving local anesthesia to divert the child’s attention from the injection. After the child has received a local anesthetic, they are monitored closely to prevent biting of the tongue, lip, or cheek. A cotton roll is placed in the mouth after the procedure and the parent or guardian is asked to monitor the child closely to prevent unnecessary injury to the mouth. It usually takes about two hours for anesthesia to wear off.

Dental Filling

Dental fillings are the most common restorative procedure done in a dental office. It is explained to young children that their tooth will be “washed” to remove “sugar bugs” with a “water whistler” or “tooth tickler”. After the decay is removed, a filling is placed to restore the form and function of the tooth. Placement of a filling is often referred to as a “painting” or “picture” on the tooth. Pediatric Dental Associates offers two types of fillings: silver amalgam or tooth-colored resin.

Pulpotomy (Baby Root Canal)

Decay progresses much more quickly in baby teeth and can enter the pulp, or nerve chamber, before the child complains of a toothache. In cases where decay has approximated the pulp of the tooth, a pulpotomy or “baby root canal” is indicated. The procedure involves removal of the largest part of the nerve. A medicated material is then placed into the nerve chamber of the tooth. The tooth is essentially vital, although all perception of pain or temperature is gone. Following this procedure, a stainless steel crown is placed over the top of the tooth. The purpose of this procedure is to treat the tooth so that it will be comfortably maintained until normal exfoliation time.

Stainless Steel Crown

Baby teeth are not compatible with large fillings. Over 30% of large fillings placed on baby teeth fail within 18-20 months of placement. Therefore, stainless steel crowns are recommended for baby molar teeth with significant decay. This type of restoration covers the entire tooth and is particularly important for younger children whose molar teeth are needed for a number of years. The procedure can be done in one appointment. The decay is removed and the tooth is prepared so that the crown will fit over the top of the tooth. Once the appropriate size is selected for the tooth, the crown is secured to the tooth with adhesive cement. The gums around the tooth may be tender for a few days.

Esthetic Veneered Crown

Large cavities on the front baby teeth of a young child should be restored to achieve proper speech development. Full coverage crowns are the sturdiest restoration for these teeth. Esthetic veneered crowns are stainless steel crowns with a white coating on the front to maintain natural esthetics and normal psychological development. Placement of an esthetic veneered crown follows the same procedure as a traditional stainless steel crown.

Extraction

Extractions may need to be performed for reasons such as: severe decay, infection or abscess, trauma, or for orthodontic purposes. Children are guided through the procedure by phrases such as “pushing on the tooth” or “wiggling for the tooth fairy”. After tooth removal, the patient should remain on a soft diet (no crunchy foods) until the extraction site has healed. Also, gentle brushing is encouraged to keep the area clean and promote healing.

Space Maintainer

A space maintainer is used when a baby tooth (usually a molar) is lost early due to decay or injury. Adjacent and opposing teeth can move and shift into the space of a prematurely lost baby tooth, which can create problems for the permanent tooth that needs to erupt into that space. A space maintainer helps to preserve the space needed for the permanent tooth. There are two types of space maintainers. A crown-loop or band-loop space maintainer is used when space maintenance is only needed on one side or if the permanent molars have not erupted yet. A loop of wire is attached to either a crown or a band on the tooth adjacent to the space of the prematurely lost baby tooth. The wire extends across the space to “hold” or preserve it. If the child has permanent molars, a bilateral space maintainer may be recommended, especially if a primary second molar is lost. Bilateral space maintainers are attached to bands on the permanent molars with a wire running behind all of the teeth. Space maintainers are fixed in the mouth with adhesive cement and are removed when the permanent tooth erupts. It is important to keep the appliance clean and to avoid sticky foods to prevent loosening of the space maintainer.

Nitrous Oxide

Nitrous oxide, commonly known as “laughing gas”, is used to reduce anxiety during dental treatment. Nitrous oxide is given through a small breathing mask that is placed over the child’s nose. With normal breathing, the nitrous oxide enters the lungs and has a mild sedative effect. The child is still awake but pain and time perception are altered. Nitrous oxide is a very safe and effective technique to use for treating children’s dental needs. The gas is mild, non-allergenic, has a rapid onset, is reversible, and is quickly eliminated from the body. While inhaling nitrous oxide, the child remains fully conscious and keeps all natural reflexes.

General Anesthesia

General Anesthesia

While many children do well for operative dental procedures, there are select cases where traditional in-office treatment cannot be tolerated. Children with extensive dental treatment needs who are very young (under the age of 4) typically cannot cope in a cooperative fashion for repeated procedures. In addition, toddlers are not capable of understanding the complex ideas involved in fixing cavities and why they have to sit still or be numb, which creates a barrier for the safe completion of treatment in office. Similarly, patients with developmental delays or special needs may have challenges with completing comprehensive dental care in the traditional office setting.

For these occasions, and on an individual case basis, outpatient general anesthesia may be recommended. General anesthesia renders the patient completely asleep, just as if he or she were having tonsils removed or ear tubes placed. All of the necessary dental treatment would be completed while the patient is asleep and being monitored by an anesthesiologist and medical personnel. General anesthesia is not a casual recommendation, but one provided with a consideration for the safety and well being of the patient. Risks and benefits of undergoing dental treatment under general anesthesia are carefully considered for each patient. In depth consultations are completed with families to provide a thorough understanding of the process and guidelines for dental surgery. A consultation with the pediatrician is scheduled to assess the health of the individual prior to scheduling a general anesthesia case. Once the physician has approved the case, an appointment is scheduled at the Redmond Surgery Center for an outpatient procedure.

For more information on general anesthesia and the Redmond Surgery Center, go to the following link: www.redmondsc.com




First Visit

At what age should children first visit the dentist?

The American Academy of Pediatrics (AAP), the American Dental Association (ADA) and the American Academy of Pediatric Dentistry (AAPD) all recommend that children visit the dentist by age one. The term “dental home” is used to describe the ongoing relationship between the dentist and the patient. The most important reason for establishing a dental home for a child by age one is to begin a thorough prevention program.

What happens during the dental visit at our pediatric dental office?

At our pediatric dentist office in both Bend, OR and Redmond, OR, first time oral health visits are primarily used to assess the child’s risk for dental disease, begin a dental prevention program, and determine the most appropriate dental appointment schedule for the child. The pediatric dentist will:

  • Review the child’s medical and dental history
  • Evaluate oral hygiene
  • Examine the child’s mouth
  • Obtain appropriate dental radiographs
  • Explain age-appropriate oral hygiene techniques
  • Recommend a preventative protocol based on the child’s risk of developing cavities
  • Answer questions and address specific concerns

The pediatric dentists and staff at Pediatric Dental Associates love to talk with patients and families in order to build a trusting and lasting relationship in the dental home!

How should I prepare my child for the first dental visit?

Children may be apprehensive about visiting the dentist. The doctors at Pediatric Dental Associates are experienced pediatric dentists and specialize in interacting with children and will explain procedures in a pleasant and non-frightening manner. Parents can help make the first dental visit enjoyable and positive by avoiding words such as “needle”, “shot”, or “drill”.

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Frequently Asked Questions

Why are the baby teeth so important?

Baby teeth help children speak clearly and chew naturally. They are also an important foundation for the permanent teeth, forming a path for permanent teeth to follow when they are ready to come in, or “erupt”.

What causes cavities?

Bacteria inside the mouth (called plaque) cause cavities. Plaque is a thin, sticky, colorless form of bacteria that constantly forms on teeth. The bacteria feed on sugars and carbohydrates and produce an acid that attacks tooth enamel. With time and repeated acid exposure, the enamel breaks down and a cavity forms.

What is baby bottle decay?

One serious form of tooth decay among young children is baby bottle tooth decay, also referred to by dentists as early childhood caries. This condition is caused by frequent and long exposures of an infant’s teeth to liquids that contain sugar. Among these liquids are milk, formula, fruit juice, and other sweetened drinks. Putting a baby to bed with a bottle filled with anything other than water can cause serious and rapid tooth decay.

How can I help prevent cavities?

Pediatric dentists agree that good oral hygiene removes bacteria and the left over food particles that combine to create cavities. Begin wiping the gums of an infant with a soft washcloth or soft toothbrush, even prior to tooth eruption, to establish a daily oral hygiene routine. Pediatric dentists believe that twice-daily brushing should begin as soon as the child’s first tooth erupts. Use a soft, small toothbrush and a half of a pea-sized amount of fluoride toothpaste until age 3. Pediatric dentists suggest that after age three, use a pea sized amount of fluoride toothpaste. Flossing should begin when two teeth touch, typically between 2 and 2 ½ years of age. A parent or other adult should help brush and floss until the child is at least eight years old. At that point, transition them to brushing and flossing independently, with occasional supervision. In addition, healthy eating habits lead to healthy teeth. Children should eat a well-balanced diet and minimize between meal snacks or drinks. The more frequently a child snacks, the greater the chance for tooth decay.

When do the first teeth come in? When will my child lose teeth?

The two front lower teeth come in first, around six months of age. The upper front teeth follow shortly thereafter. The remainder of the baby teeth appear during the next 18 to 24 months. All 20 of the baby teeth should be erupted between the ages of 2 and 3 years old. Eruption of permanent teeth (and loss of baby teeth) begins between 5 and 7 years and typically finishes by 13 years of age.

Are dental x-rays safe?

The pediatric dentists and staff at Pediatric Dental Associates are particularly careful to minimize the amount of radiation to which children are exposed. As a pediatric dental office, we maintain contemporary safeguards; the amount of radiation received in a dental x-ray examination is extremely small. In fact, the dental x-rays represent a far smaller risk than an undetected and untreated dental problem. Lead body aprons and shields are used to ensure safety and minimize exposure. Today’s pediatric dental equipment filters out unnecessary x-rays and restricts the x-ray beam to the area of interest. Also, the digital x-ray system used at Pediatric Dental Associates emits a fraction of the radiation than traditional film x-rays.

Can I stay with my child for the dental visit?

Yes, as a pediatric dentist office, we believe that keeping the parents and child involved in the process works well; parents are allowed in the treatment room at Pediatric Dental Associates. As pediatric dentists, it is our goal is to make children feel as comfortable as possible and the presence of the parent often helps achieve that goal. However, if the doctor or staff feels that parental presence is a hindrance to effective communication with the child, the parent may be asked to step outside the treatment area or remain as a silent observer.

Is it OK that my child sucks his/her thumb?

Sucking is a natural reflex for infants and young children. Pediatric dentists believe that most children should discontinue their sucking habit between the ages of 2 and 4 years. Thumb sucking that persists beyond age 4 can cause problems with correct growth of the mouth and tooth alignment. Praise, rewards, and positive reinforcement are all good ways to help children stop the habit.

When should my child stop using a pacifier?

Pacifier use should ideally discontinue between the ages of 18 months and 2 years. Pediatric Dentists believe that beyond that time, the pacifier can become a true “habit” and can also cause changes in jaw growth and tooth alignment. The pacifier is easier to control than the thumb sucking habit, and parents are encouraged take the pacifier away before dental problems occur.

My child grinds his/her teeth at night. What should I do?

Teeth grinding, or bruxism, is very common in children. Parents may hear their children grind their teeth at night or may begin to notice wear on their teeth. Children may grind their teeth due to the eruption of primary teeth at different times or to develop an even bite. Most children outgrow tooth grinding around 6 to 9 years of age as the permanent teeth erupt. The habit usually stops completely by age 13 when the baby teeth are gone.

What should I do in the case of a dental emergency?

Toothache: Gently clean the area around the sore tooth and use dental floss to dislodge any food trapped in between the teeth. Over the counter pain medicine such as acetaminophen or ibuprofen can be used for temporary pain relief. Never place aspirin next to an aching tooth. See a dentist as soon as possible. If the face appears swollen, contact a dentist immediately.

Cut tongue, lip, or cheek: Apply ice to injured areas to help control swelling. If there is bleeding, apply firm pressure with gauze or a clean cloth. If bleeding cannot be controlled by pressure, call a doctor or visit the hospital emergency room.

Broken tooth: Rinse the mouth with water and recover any broken tooth fragments, if possible. Contact the dentist as soon as possible.

Knocked out permanent tooth: Recover the tooth and hold it by the crown, or the top part of the tooth. Do not touch the root end of the tooth. Gently rinse (do not scrub) the tooth of any debris and reinsert it into the socket. Hold it in place by biting on a piece of gauze. If the tooth cannot be reinserted, place the tooth in a cup of milk. See a dentist immediately! Time is a critical factor in saving the tooth.

Possible broken jaw: Tie the mouth closed with a towel or handkerchief to keep the jaw from moving. Go to the nearest hospital emergency room.

Bleeding after a baby tooth falls out: Fold a piece of gauze and place it tightly over the bleeding area. If bleeding persists more than 15 minutes, call a dentist.

What is the best time for orthodontic treatment?

As pediatric dentists, we have found that there are typically two periods of time or “phases” of orthodontic treatments that are optimal in children. In our pediatric dental office, phase I treatment occurs in the mixed dentition, when the child has the four first permanent molars and permanent incisors erupted. This period is usually between the ages of 8-12 years. Phase I treatment is recommended for children with jaw relationship discrepancies and severe crowding that affects the eruption of the remaining permanent teeth. Phase II treatment occurs when all of the baby teeth are lost. This phase deals with alignment of all of the permanent teeth and development of the final bite relationship.




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