Dentistry for Kids in Aloha, Oregon


Your teeth stick with you through your whole life if you are lucky. The best way to ensure that your children maintain a long and happy relationship with their teeth is to start positive oral health habits. One of the most important of those habits is to come in to our office on a bi-annual basis for cleanings and exams. We will go over their current oral health, answer any questions you or they may have, and re-enforce the positive habits you have been helping them build at home.



Your Child's First Visit

Your child's first dental visit will consist of a thorough review of your child's dental and health information and a comprehensive dental examination along with a discussion on proper diet, nutrition and good oral hygiene habits.

Depending on the age and needs of your child, we will complete a professional dental cleaning, conduct re-mineralization therapy, and take any necessary x-rays. Dr. Hai Pham will take time to discuss any concerns you may have, and prepare you for what you can expect during your child's oral development. If decay is found, the information collected will allow Dr. Hai Pham to prepare a treatment plan and recommend the best options for your child's dental care.

Please help us make the first visit enjoyable and positive! We encourage parents and caregivers to use positive stories about visiting the dentist, songs, and descriptive words to describe your child's upcoming visit.

Try to avoid using words around your child that might cause unnecessary fear. Words like "needle", "shot", "drill", or "hurt" may cause preventable anxiety and make the first dental visit more difficult for your child. At Hi5 Dentistry for Kids, we will work with you to make your child's first dental visit an adventure that sets a positive foundation for the rest of their life.

We encourage you to stay with your child during the initial examination, and during future visits you can let your child join us on their own, depending on age and comfort.























Preventive Care

Topics

Professional Cleanings
Examinations
X-rays (Radiographs)
Digital X-rays Advantages
The Happy Visit



Professional Cleanings
Professional cleanings performed by a certified hygienist are just as important to your dental health as daily brushing and flossing. Using specialized tools and training, your hygienist or dentist will:
•  Remove plaque build-up from the surfaces of teeth. (Bacteria in the mouth form plaque, which collects on teeth and causes decay, gum disease, and gingivitis.)
•  Remove tartar from teeth surfaces. (Tartar, or calculus, is plaque that has become so hardened on the teeth that its removal requires special procedures. Tartar below the gum line is also an indicator of gum disease.)
•  Remove surface stains from teeth through polishing.
•  Offer individualized guidance on the best home care for your preventive regimen. Our office recommends the Sonicare rechargeable toothbrush (www.sonicare.philips.com)


Examinations
Regular examinations help detect and prevent health issues before they become serious. Consistent dental check-ups help catch problems when they are small and easier to treat. Left unattended, small treatable problems become worse and may require more extensive, expensive procedures to repair. Dental examinations in our office generally include the following:
•  Oral Cancer screening with the Velscope
•  Visual and laser tooth decay evaluation
•  Visual gum disease examination
•  Gum pocket measurement and tracking
•  Digital X-ray examination to detect: tooth decay, cysts, tumors, problems below the gums and other hidden issues


Regular examinations are very important for your health. Remember, "An ounce of prevention is worth a pound of cure." –Benjamin Franklin


X-rays (Radiographs)
X-rays are a primary tool for early identification of dental problems. Detecting issues with X-rays before they become problems can save you money in the long run by preventing the need for more extensive, expensive procedures or surgeries. X-rays are primarily used to detect:
•  Internal tooth decay
•  Cysts (fluid filled sacks at the base of your teeth)
•  Tumors, both cancerous and non-cancerous
•  Impacted teeth
•  Teeth that are still coming in


Digital X-rays Advantages
Digital X-rays have several advantages over traditional film based X-rays:
•  They emit up to 90% less radiation
•  They are ready for examination nearly instantly
•  They can be viewed on a computer screen
•  Their image can be refined and enlarged
•  They are greener
•  no chemicals are needed for processing


The Happy Visit:
Now this can't help but make you smile!
We encourage all children who are new to our practice, whether other family members are already patients or not, to come visit us for an introduction to "Mr. Whistle", "Mrs. Squirty", and "Mr. Sunshine" and a fun visit filled with Magic, Stories, Prizes and Stickers... All at absolutely no charge! This offer for a free tour and introduction to our staff is also extended to "Kids at Heart" of all ages. Please call to schedule a Happy visit during regular office hours, and tell all of your friends and family!

Check out this fun and informative website:
ADA for Kids





Treating Decay

It's important to teach your child good oral hygiene habits early, because cavities can start even before babies have visible teeth! Babies have 20 primary teeth that are already present in the jaws when they're born. Primary teeth start coming in around 6 months of age, and create a healthy foundation for adult teeth by maintaining space in the jaw.

Do Baby Teeth Really Matter?
If a primary (baby) tooth is lost too early, the permanent (adult) teeth can start to move into the empty space and make it difficult for the other permanent teeth to find room when they come in. This leads to crooked or crowded teeth. Starting your baby off with the best oral care can lead to a lifelong healthy smile. Remember, both the American Academy of Pediatric Dentistry and the American Dental Association recommend that your child have their first visit no later than age two.

How do Cavities Start?
Cavities form when germs that feed on sugar and produce acid begin to eat away at the tooth enamel. If left untreated, cavities can continue to develop into the dentin and eventually the pulp, which can cause your child pain.

Babies are born without these harmful bacteria in their mouth, and studies have proven that parents typically infect their children before age 2. Bacteria is transferred when parents eat from the same eating utensil as their baby, or when you hold their toddler's pacifier in their mouth. If parents have had cavities themselves, they are more likely to have cavity-causing germs to pass along.

For a downloadable form from the American Academy of Pediatric Dentistry that talks more about early childhood cavities, click here.
















Early Orthodontics

Orthodontic treatment is primarily used to prevent and correct "bite" irregularities. Many factors can contribute to such irregularities, including genetic factors, the early loss of primary (baby) teeth, and damaging oral habits, such as thumb sucking and developmental problems.

Crooked teeth can affect a child's self-esteem and also makes oral hygiene and homecare difficult. Straight teeth help minimize the risk of tooth decay and childhood periodontal disease, by eliminating crevices and pockets caused by crooked teeth.

During regular visits, Dr. Pham is able to utilize several diagnostic tools that monitor orthodontic irregularities and will discuss early intervention strategies with you and your child if they feel it is necessary.

There are three primary stages of orthodontic treatment; early treatment (2-6 years old), middle dentition treatment (6-12 years old), and adolescent dentition (13 years old and up).

We invite you to call our office for any questions you have about the orthodontic treatment available at Hi5 Dentistry for Kids!




























Sports & Mouthguards

Your mother may have said it and it's still true: once you've gotten your adult teeth, you don't get any more. So take good care of them.

Kids don't think about the lifetime of oral health issues they could incur by not using adequate mouth and facial protection while playing in sports. So, we have to do their thinking for them: coaches, parents, league organizers, schools, and recreation programs. A chief aim of National Facial Protection Month is to raise awareness nationwide of the need for sport safety.

According to Dr. Robert Bray, president of the American Association of Orthodontists (AAO), "As experts in helping patients achieve a healthy, beautiful smile, the last thing my colleagues and I want to see is a smile ruined by a preventable injury."

Thankfully, many high-profile athletes are becoming public advocates for facial protections. Football hero Emmitt Smith is one, helping kids see that wearing a mouth guard is cool rather than weird. And the National Alliance for Youth Sports (NAYS) serves coaches, officials, administrators, parents, league directors and youngsters. NAYS advocates for safety through its 3,000 community programs in parks and recreation departments, Boys & Girls Clubs, YMCA and YWCA groups and more.

The AAO indicates that 80% of all sports-related emergency room visits occur in children ages 5 to 14. Don't let your child become part of that statistic. If worn properly and routinely, inexpensive mouth guards, helmets, protective eyewear, and face shields greatly reduce the risk of injury.















Kids With Special Needs

At Hi5 Dentistry for Kids, we work with children that have a wide range of needs. Many children (including patients diagnosed with high anxiety) can benefit from a graduated introduction to dental visits and dental care, particularly if it is their first experience.

The Special Needs Child
A knowledgeable dentist can help prepare you and your child for changes in oral structures, issues with feeding, and future development changes.

Some children lack the ability to fully open their mouths due to jaw development and may have difficulty brushing and flossing regularly, leaving them at risk for developing cavities. Children with sensory challenges may be averse to the texture or sensation of toothpaste and a toothbrush. Other children may have a limited diet higher in sugar which can affect oral development.

Finding a dental team that listens, becomes a therapeutic partner, and has resources available to families is key in establishing a life-long relationship toward the health of your child.

Sedation Dentistry
For children with special needs or high anxiety, our office provides several methods of sleep dentistry to calm their fears; call our office to learn more about sedation dentistry.






















Sedation Dentistry

For children with a high level of anxiety, those that have quite a bit of treatment to complete, or for those with special needs, sedation dentistry can assist families in ensuring their children have the oral care they need in a comfortable environment free of emotional or psychological trauma. There are many times where children who begin treatment with sedation are able to eventually complete treatment with only the help of Nitrous Oxide (laughing gas) because they have been able to build their confidence.

There are several types of sedation available: oral conscious sedation, IV conscious sedation, and general anesthesia. At Hai Pham DMD - Hi5 Dentistry for Kids, we offer oral conscious sedation and general anesthesia for our patients.

Oral Conscious Sedation

When children need oral conscious sedation, we will schedule a two hour block of time to complete the treatment appointment. It is extremely important that you follow all guidelines and instructions regarding food and liquids the day prior to, and the day of, the appointment.

Your child will be given a mixture of liquid medications about 30 minutes prior to their treatment. This medicine will help lower their inhibitions and may make them sleepy, although the sedatives are not intended to put your child to sleep. The sedation medicines given also have a slight amnesia effect. We talk very positively around your child during their appointment so that if they remember anything, it will be a good, happy feeling.

A child's safety is of utmost importance during a sedation appointment, so if the sedation guidelines are not followed completely, the appointment will be rescheduled and a re-booking fee may apply.

General Anesthesia (In-Office & Hospital)

Another option we offer at Hai Pham DMD - Hi5 Dentistry for Kids is general anesthesia, both in our dental office and in the hospital. We have a partnership with a well-established and experienced dentist anesthesiologist who visits our office once or twice a month to assist with patients who need to be completely asleep for their treatment.

For patients who have failed oral conscious sedation and have extensive treatment needs, as well as some children with special needs or who have medical conditions, we may recommend general anesthesia. Depending upon your child's medical history, we will make this full-sleep option available to you either in our office, or in the hospital.

During anesthesia, your child will be given IV medicines to assist them in falling completely asleep. The anesthesiologist will be constantly monitoring their progress throughout the dental appointment, making any corrections or handling any concerns that may arise.

These appointments are generally 6 to 7 hours in length, and will require several consultative appointments to coordinate insurance plan benefits, financial arrangements, and health histories.



Dental Emergencies

Dental emergencies can happen anywhere, gives us a call at Hi5 Dentistry for Kids When an emergency happens, the last thing you want to worry about is where to take your child! If your child needs emergency treatment, we recommend you call us immediately. We will make arrangements to see your child as soon as possible. We encourage you to start your child's dental visits by age one so that in the case of a dental emergency, your child can come to a safe and familiar environment.

Knocked-Out Tooth
Primary (Baby) Tooth
DO NOT insert a baby tooth back into the mouth or complications for the permanent tooth may result.

Knocked Out Permanent Tooth
Time is critical! Treatment within 30 minutes is the goal. Do not wash the tooth unless it is dirty. If it is dirty, rinse it gently with cool milk. If you don't have milk, rinse it with water. Try not to touch the root. Do not scrub the root or remove any attached tissue. Gently insert and hold the tooth in its socket. If this is not possible, "store" the tooth in the mouth next to the cheek. A young child may not be able to safely store the tooth in their mouth without swallowing it. Instead, have the child spit generously into a cup. Place the tooth in the cup with the saliva. If nothing else is available, place the tooth in a cup of water. The most important thing is to keep the tooth moist. If there is a tooth preservation kit, such as Save-a-Tooth®, transport the tooth in it. We recommend you come to our office immediately and call us on the way. Don’t forget to bring the tooth!

If you are more than an hour away from the dentist, it is probably best to go to the nearest Hospital Emergency Room. They can place the tooth in the proper solution that will keep the tooth viable for 24 hours. This gives you time to see the dentist for proper care.

Chipped Tooth
If there is facial or lip swelling, put a cold compress on the area. If there is pain, give children’s Motrin or Tylenol. Call our office as soon as possible.

Objects Caught Between Teeth
Often popcorn husks become caught between teeth or near the gum line. Gently try to remove the object with dental floss. If that does not work, come to our office.

Toothache
Brush the teeth with warm water and floss the teeth. Give your child what you would normally give him or her for pain relief. Do not put aspirin on the aching tooth or gum tissue. Call our dental office as soon as possible.








Our Doctors:
Hai Pham, DMD
Jenette Intrachat, DDS
Frank Hsieh, DDS, MSD

TOP DENTIST, Portland Monthly

Dr. Pham was featured in Portland Monthly, chosen
as one of the Top Dentists, Pediatric Dentistry, 2011, 2012, 2013, 2014, 2015.

Proud Member

Aloha
Hi5 Dentistry for Kids
NEW Address
3075 SE Century Blvd Ste 109
Hillsboro, OR 97123
Phone: (503) 642-1535

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Portland
Hi5 Dental - Pediatric Dentistry
2375 SW Cedar Hills Blvd
Portland, OR 97225
Phone: (503) 644-4749

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Office Hours

Monday - Thursday: 8am to 5pm
Friday: 8am to 12pm


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