At Smiles, we view our infant and toddler visits as seed planting visits for a lifetime of dental health. We will expertly guide you in navigating how to care for your infant’s mouth and your toddler’s newly erupted teeth. Establishing a dental home soon after your baby’s birth is a major step towards dental well-being and we are excited to welcome you!
Infant & Toddler Dentistry ·
Infant & Toddler Dentistry ·
Infant & Toddler Dentistry ·
Infant & Toddler Dentistry ·
Infant & Toddler Dentistry ·
Best Dental Care for Infants:
If you are wondering about how to best care for your infant’s mouth, the simple answer is: Start early! Research shows that promoting oral health for expecting mothers gives their babies a better opportunity in cultivating dental well-being. Fathers and siblings are also key players in the family’s dental health. A baby born in a dental-conscious family has a lesser chance of exposure to caries-causing bacteria through their home environment.
Oral Microbiome Health:
With the emerging science of oral microbiome, we are better understanding the importance of the equilibrium of oral flora and how its balance affects our oral and general health. Studies have proven that embracing healthy dental routines fosters healthy oral flora and general well-being. Parents with a healthy oral flora pave the path for better dental health for their children. When babies are born, getting them used to oral cleansing and establishing a scheduled feeding pattern will help promote friendly oral flora and an oral environment that is favorable for tooth structure preservation and mineralization.
American Academy of Pediatric Dentistry Recommendations:
According to The American Academy of Pediatric Dentistry (AAPD), the recommended timing of the first dental visit is when a baby gets their first tooth or by their first birthday. The AAPD also supports that oral guidance may be needed before these noted milestones. Breastfeeding or bottle-feeding challenges due to tethered oral tissues, like a tongue tie or a lip tie, are key examples. Teaming up with your lactation consultant and pediatrician, our team mindfully councils on tethered oral tissues and helps to nurture your earliest connections with your beloved baby.
Early Dental Visits:
During early dental visits, we discuss how to care for your infant’s mouth, what to expect when teething occurs, how to avoid trauma as your child learns to crawl and take those first steps, how to brush your toddler’s teeth, breastfeeding, bottle-feeding, pacifiers, oral habits and more.
Lip tie/Tongue tie:
Every newborn is born with a lingual frenulum and a labial frenulum. These are tissues that help to support the oral structures and connect the tongue to the floor of the mouth and the lip to the gums above the front teeth.
In utero, the tongue first forms attached to the floor of the mouth. As development progresses, it detaches leaving behind a connective tissue remnant called a frenulum. When this process of detachment is incomplete, a baby can be born with a tongue tie or what is known as ankyloglossia. If the labial frenulum remains very thick and tight, the upper lip can be restricted causing a lip tie.
True tongue ties and lip ties can impact both the baby and the nursing mother with a variety of symptoms. When these tissues are tight and short, the range of motion achieved by the tongue and the lip can be limited causing challenges in breastfeeding, bottle feeding, breathing and oral motor development.
Knowledgeable diagnosis and thoughtful consideration are the hallmarks of our infant and toddler dental care approach. The size, shape, and position of frenulums vary. Our gentle management is based on a clear understanding of what is considered to be normal anatomy and a heartfelt desire to support new parents in mindful decision making. We encourage a team approach with a Board-Certified Lactation Consultant and a feeding specialist to ensure a positive outcome.
The release of a tongue-tie or a lip-tie is a minor surgical procedure called a frenotomy/frenulotomy. Using topical anesthesia and our state-of-the-art Solea Co2 dental laser, the procedure is completed in less than a minute. Photobiomodultion or Light Therapy is introduced to enhance healing and comfort. Daily tissue stretches and team follow ups are necessary to ensure success.
What To Expect At My Child’s First Dental Visit:
Smiles’ Recommendations for Infant/Toddler Dental Visits:
The Smiles Steps to Infant oral health:
Hover or tap to reveal steps
1
Clean your baby’s mouth and gum pads with a soft, wet cloth after feeding to get them used to routine oral care. This will also help your baby to separate eating and sleeping.
2
Using a clean finger, gently rub your baby’s gum pads, and move from side to side in their mouth. You will notice that your baby’s tongue follows your finger. This is a good tongue exercise and helps comfort babies during teething.
3
Give your baby chewing toys to help simulate their jaw muscles for future chewing.
4
Your baby will begin to drool more often as their salivary glands mature and they get ready for teething. An organic moisturizer will help to keep their cheeks rash-free.
5
Start reducing the use of pacifiers as your baby approaches six months of age.
6
Begin using a toothbrush to clean newly erupted teeth as soon as they come in. Nighttime cleanings are super important to allow your baby to sleep with a clean mouth.
7
A tiny, rice-size amount of fluoride-free, baby/toddler toothpaste can make toothbrushing extra fun for your baby.
8
Book your first dental appointment!
FAQs for Infant/Toddler Dental Care:
How is the oral microbiome in infants and toddlers related to early childhood caries prevention?
Research has proven that the earlier a baby is exposed to cavity-causing bacteria, the higher chances they have of experiencing early childhood caries. Babies acquire oral bacteria by exposure to older individuals’ bacteria. As family members, we culture each other with our oral flora. This can also occur between children by sharing foods, utensils or toys.
A healthy microbiome is predominantly composed of friendly oral bacterial strains that live in harmony with our bodies rather than cause acid build up and tooth decay. When we promote our own healthy microbiome, we not only live a healthier life, but we also promote health for our young family members.
Good strategies to create a balanced microbiome include excellent oral hygiene, routine dental checkups and cleanings, healthy eating/snacking habits, limiting surgery foods and beverages, and eating whole food rich in nitrogen such as leafy greens.
What is the role of parents in preventing early childhood caries?
Understanding the habits that cultivate excellent oral health are important to promote dental well-being for ourselves and our children. Caring for our little ones’ mouths and nurturing health-conscious oral practices and routines are instrumental in preventing early childhood caries.
Structured feeding schedules are important for infants. As teeth begin emerging and infants start solid foods, it is time to set up a consistent oral hygiene regimen. Allowing a baby to sleep with a bottle is a well-known cause of baby bottle tooth decay, but less known is that on-demand nighttime breastfeeding can also compromise newly erupted teeth. Helping your baby separate sleeping and eating is a milestone that allows ease and comfort for the whole family. Cleaning baby’s mouth after a meal helps to create a prompt for this process in addition to promoting dental health.
What should I do if my baby has a lip tie or a tongue tie?
Lip and tongue frenula present in a wide variety of anatomical variations and clinical presentations. Not every shorter lip or tongue frenulum needs to be released. The benefits will depend on the size, shape, structure and position of the frenulum and how it is expected to adjust over time.
If feeding comfort is compromised, a team approach with a Board Certified Lactation Consultant and a feeding specialist will be needed. For babies that will benefit from a frenulum release or a frenulecomty, the procedure is completed with our state-of-the-art Solea Co2 laser, in less than a minute, after applying a topical anesthetic gel. Daily stretches and gentle tissue care will be needed for 2-3 weeks after the procedure to ensure successful results.
What oral hygiene products are recommended for infants?
A good practice is to clean your infant’s mouth with a wet terrycloth washcloth. This usually creates a pleasing sensation for babies. They enjoy sucking on the cloth and experiencing its nubby texture. It is also an effective way to clean the oral tissues. Alternatively, baby oral wipes can also be used. These come in a wide variety and usually contain flavorings and Xylitol, which acts as a tooth-safe sweetener.
Some teething rings have silicone bristles that babies enjoy. These can be used early on but once teeth begin to come in, we recommend a baby/toddler toothbrush with bristles to effectively remove plaque.
At what age should we let go of the pacifier?
The American Academy of Pediatric Dentistry recommends that pacifier use be limited starting six months of age. As teeth come in, the pacifier can cause occlusion and tooth coupling changes. Some babies become very attached to their pacifiers, so a gradual weening process is helpful. The goal is to let go of the pacifier before or by baby’s first birthday.
Here is a plan to reduce pacifier use:
- Limit the total number of pacifiers in the home to two
- Poke a hole in the tip of the nipple of both pacifiers using manicure scissors to help deflate the nipple
- Over the course of the next few days/weeks, progressively snip the tip of the pacifier nipple (do this to both pacifiers at the same time for consistency).
- With time, your baby will lose interest in the snipped nipple and the process allows for a gradual emotional release from the pacifier.
What should I do when my baby is teething?
Teething is a natural physiological process that is a new experience for babies. Signs that your baby is getting ready to teeth include drooling or gum rubbing and tender oral tissues. The desire to chew on a teething ring is very natural and can help the tooth to surface through the gums. Babies do not typically get sick because of teething, but they can be susceptible to picking up germs and viruses as they put their hands and other objects into the mouths.
We recommend a clean, chilled teething ring to help soothe your baby and numb sore gums. Homeopathic teething remedies or occasional Tylenol (please follow package instructions) can be added in the case of severe discomfort.
What oral hygiene products are recommended for toddlers?
As more teeth begin to come into your toddler’s mouth, you can continue using an appropriate bristle brush (manual or electric), adding floss to the regimen to keep closed contacts clean and consider introducing fluoridated toothpaste at nighttime. The amount of toothpaste recommended for toddlers by the AAPD is an amount equal to the size of a grain of rice up to a small green pea.
How can I make brushing fun for my toddler?
Place your toddler in a position that makes brushing easy. We like leaning toddlers back on the changing table or laying them on a bed. This way, you will be able to see well and complete good brushing. For squirmy toddlers, two adults are needed. One to brush and one to help hold your toddler’s hands. Do this gently while signing songs, clapping hands and being fun and positive. Anything that relaxes your toddler and helps keep them content is a good strategy.
Consider exploring fun toothpaste flavors to get your toddler excited about brushing. Most importantly, even if your toddler fusses, know that you are helping them by cleaning their teeth. It is an important part of keeping them healthy and loved. With some time and gentle persistence, they will soon enjoy the process!
What should I do about thumb or finger sucking?
Sucking is a natural instinct that humans are born with. It is very soothing for infants to suck on their fingers, thumbs and pacifiers in the early months of life. Many toddlers continue to suck their fingers as they enter preschool and beyond. We find that a palliative approach of gentle encouragement and positive reinforcement works best to help your child gradually lose interest in their sucking habit.
Nap time and nighttime are preferred times for finger and thumb sucking. There are plenty of devices that act as barriers to thumb sucking on the market today. You can try one of these if your child is up to it. During the day, keeping your toddler’s hands busy with activities is helpful. For kids who find it challenging to let go of their sucking habit and are starting to get their permanent teeth, orthodontic appliances can act as obstacles to sucking and can also improve the position of teeth that have shifted due to the sucking habit.
How many teeth should my toddler have?
Babies begin teething around the age of 6 months. The first teeth to come in are typically the lower incisors followed by the upper incisors. Teething patterns differ from one population to another but in general, the baby molars and canines will progressively follow the incisors resulting in a set of ten upper and ten lower primary teeth by the time your child is about three years of age.
How can I prevent oral trauma during toddlerhood?
Exploration is part of toddlerhood! New walking skills and a natural sense of curiosity makes keeping a close eye on toddlers a challenge. Creating a suitable playing environment is a great strategy to encourage safe independence. Soft pillows, cushions and padded flooring are great ideas. When it comes to the outdoors, grass is preferred to concrete. Adult supervision is needed on park equipment, steps and stoops where is is easy for toddlers to trip and fall.
What should I do if my toddler has an oral injury?
Stay as calm as possible. It is very common for toddlers to fall and bump their mouths. Check to see if your toddler’s head was bumped and go to the nearest emergency room if it was. If the trauma is limited to the mouth and teeth, use a wet washcloth to clean the mouth gently and slow down any bleeding. Lift your toddler’s lips to see if any teeth have been lost or displaced and contact our office to help you with the next steps. Thankfully, most cases of primary tooth trauma heal with some time and don’t typically impact the permanent dentition.
Two minutes, twice a day. That`s the ENTIRE secret. 🦷⏱️
No gadgets, no gimmicks, just consistency. Kids who brush twice daily and floss once a day set themselves up for healthy smiles that last a lifetime.
The trick isn`t knowing this, it`s making it a habit that stays with your young one forever.
Need help with your child’s dental care?
Contact our office 📞
Smiles Pediatric Dentistry & Orthodontics
Phone: (310) 837-6453
Email: info@smilesla.com
Address: 10582 W. Pico Blvd. Los Angeles, CA 90064
Growing smiles, one gentle visit at a time 🦷✨
#SmilesPediatricDentistryandOrthodontics #KidsOralHygiene #PediatricDentistLA #CavityPrevention #WestLAKidsDentist
Some Patients Become Part of Your Story 💛
Some patients come in for a few years. Others become part of your story.
Since 2008, we`ve had the privilege of watching Olivia grow from a little girl into an inspiring young woman. Seeing her return as a USC film student reminds us why we love caring for children and their families. Congratulations, Olivia! Thank you for allowing us to be part of your journey—we can`t wait to see where your future takes you.
At **Smiles Pediatric Dentistry & Orthodontics**, we believe every child deserves compassionate, personalized care in a welcoming environment. From first visits through the teen years, we`re honored to help families build healthy habits and lasting confidence.
📍 Smiles Pediatric Dentistry & Orthodontics | Los Angeles
📞 Schedule your child`s visit today.
#SmilesPediatricDentistry #DrReem #PediatricDentist #LosAngeles #USC #GrowingTogether
"Your Enamel Is Stronger Than Bone 🦷 Tooth enamel is the hardest substance in the human body, even stronger than bone, built to survive years of biting and chewing. ✨ The catch? Unlike bone, it can`t regenerate once it`s worn down, so any damage that happens is permanent. That`s why we spend so much time on prevention at every checkup, catching enamel wear early and helping kids build habits that protect it for life. Isn`t that amazing? 💙 Contact our office to schedule a checkup 📞
Smiles Pediatric Dentistry & Orthodontics Phone: (310) 837-6453 Email: info@smilesla.com Address: 10582 W. Pico Blvd. Los Angeles, CA 90064
Stronger Than Bone, Built to Last 🦷
#SmilesPediatricDentistryandOrthodontics #ToothEnamelFacts #PediatricDentistWestLA #KidsDentalFacts
Here`s a sweet surprise for new parents: baby`s first dental visit can happen before a full smile even shows up! 🍼🦷
The recommended time? Age ONE, or within six months of that first tooth peeking through. It`s not about looking for problems, it`s about setting your baby up so those problems never get the chance to start.
One early visit means we can catch feeding habits early, spot little things months ahead of time, and help your baby feel right at home in the dental chair from the very beginning 😌
Your baby should see a dentist before their first tooth even fully comes in. When did your little one have their first visit? We`d love to hear! 💬
Ready to get started? Contact our office to book baby`s first visit 📞
Smiles Pediatric Dentistry & Orthodontics Phone: (310) 837-6453 Email: info@smilesla.com Address: 10582 W. Pico Blvd. Los Angeles, CA 90064
Gentle care for growing smiles 🧡
#SmilesPediatricDentistryandOrthodontics #BabyFirstDentalVisit #InfantDentistWestLA #PediatricDentistLosAngeles #FirstToothCare
Every sip of juice begins a cycle that affects enamel 🍊
After sugar is consumed, bacteria create acids that temporarily soften the surface of the teeth. This process can last around 20 to 30 minutes.
When sipping happens throughout the day, that cycle continues repeatedly, giving teeth less time to recover 💧
Spacing drinks and choosing water in between helps the mouth return to balance.
At Smiles Pediatric Dentistry & Orthodontics, we focus on small daily habits that support long term oral health ✨
We’re here to help you build simple routines that protect your child’s smile
To schedule a visit, contact our office 📞
Smiles Pediatric Dentistry & Orthodontics
Phone: (310) 837-6453
Email: info@smilesla.com
Address: 10582 W. Pico Blvd.
Los Angeles, CA 90064
Thoughtful care for every stage of growth 🌱
#SmilesPediatricDentistryandOrthodontics #kidsdentist #PediatricDentist #PediatricOrthodontist #WestLosAngeles #acidattack #cavities #sugarandteeth #oralhealth
Great care begins with great collaboration. 🤝✨
We were honored to welcome an inspiring group of pediatric colleagues to Smiles Pediatric Dentistry & Orthodontics for our first Pediatricians Evening—an evening dedicated to strengthening the partnership between pediatric medicine and pediatric dentistry.
As the CSPD Liaison to AAP Chapter 2, our founder, Dr. Reem, is incredibly passionate about fostering these meaningful connections. Together, we shared ideas, toured our office, and explored opportunities for future collaboration—including the possibility of a webinar or podcast-style Q&A to continue these conversations for the benefit of the children and families we serve.
A heartfelt thank you to our wonderful guests and team:
Dr. Alexander Alcaraz (Herman Ostrow School of Dentistry of USC)
@ostrowusc
Dr. Blake Alban (UCLA Health)
@UCLAHealth
Dr. Noël Salyer, Dr. Karina Eastman, and Dr. Lily Marouf (Pacific Ocean Pediatrics)
@PacificOceanPediatrics
Dr. Ivy Vuong (Our amazing Smiles orthodontist)
@dr.ivyortho
Our fantastic team members, Sejal Thapa and Jocelyn Papaqui
Dr. Reem’s daughter, Isabel, who proudly welcomed our guests and gave tours of Smiles with so much warmth and enthusiasm!
A special thank you to Dr. Reem’s AAP Chapter 2 counterpart, Dr. Thomas Torices, for your encouragement and support of this collaboration. Although you couldn’t join us in person, your message beautifully reflected the spirit of the evening. Wishing you a speedy recovery!
This is just the beginning. Here’s to building stronger relationships, sharing knowledge across disciplines, and working together to help every child thrive. 🦷🚀
#PediatricDentistry #Pediatrics #InterdisciplinaryCare #Collaboration #ChildHealth #CSPD #AAP #USCDentistry #UCLAHealth #PacificOceanPediatrics #SmilesPediatricDentistry
🦷 PrintiSmile™ A Gentle, 3D-Printed Solution for Missing Baby Front Teeth
Losing a front baby tooth from an accident or infection can be emotional for both children and parents. 💛
At Smiles Pediatric Dentistry & Orthodontics, our founder, Dr. Reem Kabbarah, developed PrintiSmile™—an innovative, digitally designed, 3D-printed solution that gently replaces missing baby front teeth.
Using advanced digital scanning, custom CAD design, and in-house 3D printing, every PrintiSmile™ appliance is made specifically for your child for a comfortable, natural-looking fit. ✨
In her latest blog, Dr. Reem explains:
🦷 What PrintiSmile™ is
💻 How digital scanning and 3D printing work together
👨👩👧 How families are involved every step of the way
😊 How PrintiSmile™ helps restore confidence while waiting for permanent teeth to grow in
📖 Read the full article here:
https://smilesla.com/pediatric-dentistry-orthodontics/printismile-3d-printed-baby-front-teeth
________________________________________
🏥 About Smiles Pediatric Dentistry & Orthodontics
Smiles Pediatric Dentistry & Orthodontics provides compassionate, technology-driven dental and orthodontic care for infants, children, teens, and patients with special healthcare needs.
Founded by Dr. Reem Kabbarah, our West Los Angeles practice combines advanced digital dentistry with a gentle, child-centered approach to help every child smile with confidence. 💙
📍 West Los Angeles, CA
📞 (310) 837-6453
🌐 https://smilesla.com
#PrintiSmile #PediatricDentistry #PediatricDentist #3DPrintedDentistry #MissingBabyTeeth #LosAngelesPediatricDentist
#babyteethreplacement
#3dprinted
#sprintray
@exocadofficial
@sprintray
@cadcamspecialist
@iteroscanner
Teeth form in layers over time 🦷🌿
As teeth develop, they build layer by layer, similar to growth rings.
These layers can reflect stages of development and give insight into how teeth formed. Changes in tooth development can affect the final formation of the tooth in either shape or hardness, something we would like to address as early as a tooth begins erupting into the mouth.
This is one of the reasons dental checkups are so important during childhood.
At Smiles Pediatric Dentistry & Orthodontics, we focus on early detection and gentle guidance to support healthy development ✨
Did you know teeth form in layers like this? Share what surprised you below 💬
If you’d like to learn more about your child’s dental development, contact our office to schedule a visit 📞
Smiles Pediatric Dentistry & Orthodontics
Phone: (310) 837-6453
Email: info@smilesla.com
Address: 10582 W. Pico Blvd.
Los Angeles, CA 90064
Supporting healthy smiles every step of the way 💙
#SmilesPediatricDentistryandOrthodontics
#kidsdentist
#PediatricDentist
#PediatricOrthodontist
#WestLosAngeles
#toothdevelopment
#enamel
#oralhealth
