Day Office Hours
Monday 10:00-6:00
Tuesday 11:00-7:00
Wednesday 10:00-5:00
Thursday 11:00-7:00
Sunday 10:00-4:00
Closed Friday & Saturday

Services Offered

Dental Wellness Care
  • Oral Examinations
  • Lowest radiation digital x-rays
  • Thorough cleanings
  • Brushing & Flossing Instructions
  • Fluoride treatments
  • Sealants
  • Sports Guards
  • Orthodontic Evaluation & referral
Dental Restorations
  • Oral Examinations
  • Lowest radiation digital x-rays
  • Thorough cleanings
  • Brushing & Flossing Instructions
  • Fluoride treatments
  • Sealants
  • Sports Guards
  • Orthodontic Evaluation & referral
Emergency Dental Care
  • Oral Examinations
  • Lowest radiation digital x-rays
  • Thorough cleanings
  • Brushing & Flossing Instructions
  • Fluoride treatments
  • Sealants
  • Sports Guards
  • Orthodontic Evaluation & referral
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Your Child’s First Visit

The American Academy of Pediatric, the American Dental Association, and the American Academy of Pediatric Dentistry all recommend establishing a “dental home” for your child by one year of age.  Children who have a dental home are more likely to receive appropriate preventative and routine oral health care.

You can make the first visit for your child enjoyable and positive.  If your child is old enough, it is important to tell them that they get to visit the dentist and he or she will explain everything that is going to happen and will answer all of their questions.

It is best if you refrain from using words around your child that may cause unnecessary fear, such as needle, pull teeth, drilling, hurt, shot, procedure, surgery, etc. Pediatric dental offices make a practice of using words that convey the same message, but are pleasant and non-frightening to the child.

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Dental Radiographs (X-Rays)

X-rays are a useful tool that can help Dr. Tamar Gruenbaum spot signs of tooth decay so that it can be treated before it gets worse.

Before deciding to take x-rays, Dr. Tamar Gruenbaum will examine your child’s teeth for signs of decay and discuss your child’s nutrition, oral hygiene, and fluoride use. If the doctor has reason to suspect that your child is at risk for tooth decay, x-rays may be in order.

Ridgewood Valley Pediatric Dentistry uses several types of x-rays to make a diagnosis.

  • Bitewing x-rays show both upper and lower teeth in the same film and show molars from the crown to the level of the bone. Bitewings can help a dentist spot decay between teeth and changes in bone that are the result of gum disease.
  • Periapical x-rays show an entire tooth from the crown to beyond the end of the root in the jaw bone. Periapical x-rays include all the teeth in one part of the upper or lower jaw. They can help a dentist diagnose problems below the gum line, such as impacted teeth, abscesses, or cysts.
  • Panoramic x-rays show all the teeth in one x-ray. They can help the dentist see the positions of unerupted teeth and abscesses and evaluate your child’s growth and development. Periapical or panoramic x-rays can be used to monitor the development of the wisdom teeth and evaluate for Orthodontic referrals.

Dental x-rays of children are only taken when necessary. Just because your insurance plan covers a certain number of x-rays, that does not necessarily mean you should have them taken on the insurance plan’s frequency. Your dentist will use clinical judgment to decide when x-rays are necessary for your child.

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IV Sedation

baby

IV or intravenous sedation is used to safely sedate your child to the point where dental procedures can be done safely and painlessly. IV sedation at Ridgewood Valley Pediatric Dentistry is administered by a Dental Anesthesiologist who specializes in caring for patients needing sedation in the dental office setting. Your child’s sedation will be performed solely by the anesthesiologist, and they will not perform any other component of the dental procedure.

If your child is being sedated in our office with IV sedation there are some very important pre-operative and post-operative instructions from our office. All of these instructions will be reviewed by our office prior to your child’s sedation. Please call our office if you would like another copy of instructions emailed to you.

Many parents are scared about starting an IV in their child, which is required to administer sedation medications. Our anesthesiologist has vast experience in this area and has many methods to accomplish this goal. After the IV is placed, it will be used to administer sedative drugs, and any additional medications that may be necessary. This is administered according to the child’s weight.

Patients are usually ready to leave the office within one hour of the conclusion of the procedure. Children are discharged when somewhat drowsy, and will usually require carrying. They must have adult supervision for the remainder of the day and not be allowed to participate in any activities in which lack of coordination or alertness would endanger them.

IV sedation is not appropriate for all children. There are certain medical and physical limitations that may not make your child a good candidate for IV sedation. For this reason it is very important that any medical condition or medication use be shared with both the pediatric dentist and the anesthesiologist.

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Dental Emergencies

What to Do When Your Child Has a Dental Emergency

If you face a dental emergency, give us a call immediately. If you need urgent treatment after hours, you can call our emergency service at (201) 652-2707 and/or go to the local emergency room. We are always here to assist when your child’s dental health is at risk.

Many pediatric dental emergencies arise. Some emergency situations require immediate attention and if they occur you should call us immediately and/or go to the emergency room:

TOOTHACHE:  Clean the area of the tooth.  Rinse the mouth thoroughly with warm water or use dental floss to dislodge any food that may be impacted.  If the pain still exists, contact our office.  Do not place aspirin or heat on the gum or on the aching tooth.  If the face is swollen, apply cold compresses and contact our office immediately.

CUT OR BITTEN TONGUE, LIP, or CHEEK:  Apply ice to injured areas to help control swelling.  If there is bleeding, apply firm but gentle pressure with gauze or cloth.  If bleeding cannot be controlled by simple pressure, call your pediatrician or seek emergency care.

KNOCKED OUT BABY TOOTH: Call our office.

KNOCKED OUT PERMANENT TOOTH:  Call our office.  If possible, find the tooth.  Try not to touch the root portion of the tooth. You may rinse the tooth with water only.  DO NOT clean with soap, scrub, or handle the tooth unnecessarily.  If possible, reinsert the tooth into the socket.  If you cannot reinsert the tooth, place the tooth in a cup containing the patient’s saliva or milk.

CHIPPED OR FRACTURED TOOTH:  Call our office.  Rinse the mouth with water and apply cold compresses if any lip trauma present.

SEVERE BLOW TO THE HEAD: Call 911, or take your child to nearest emergency room immediately.

POSSIBLE BROKEN/FRACTURED JAW:  Keep the jaw from moving and take your child to the nearest emergency room.

If, for any reason, you can not reach our office’s on call doctor, please go to the emergency room or other urgent care facility immediately.

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Eruption of Your Child’s Teeth

It is very important to maintain the health of the baby (primary) teeth.  Neglected cavities can, and frequently do, lead to problems which can affect developing permanent teeth.

Primary teeth are important for:

  1. Proper chewing and eating
  2. Providing space for adult (permanent) teeth
  3. Permitting normal development of the jaw bones and muscles.

Primary teeth also affect the development of speech and add an attractive appearance. While the front four teeth last until 6-7 years of age, the back teeth (cuspids and molars) are not replaced until age 10-13, so regular visits to Ridgewood Valley Pediatric Dentistry is very important.

Teeth vary in size, shape and their location in the jaws. These differences enable teeth to work together to help you chew, speak, and smile. They also help give your face its shape and form. At birth people usually have 20 baby (primary) teeth, which start to come in (erupt) at about 6 months of age. They fall out (shed) at various times throughout childhood. By age 21, all 32 of the permanent teeth have usually erupted. Below are the eruption charts for baby (primary) teeth and adult (permanent) teeth.

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Questions For Dr. Gruenbaum

How Do I prevent Cavities in My Child’s Teeth?

ORAL HYGIENE:    Good oral hygiene removes bacteria and  food particles that combine to create cavities.  For infants, use a wet gauze or clean washcloth to wipe the plaque from your child’s teeth and gums.  Avoid putting your child to bed with a bottle filled with anything other than water.  For all children, we recommend brushing their teeth  twice a day and flossing once daily.  We also recommend a fluoride rinse for those children that are able to rinse and spit out.

GOOD DIET:    Healthy eating habits lead to healthy teeth.  Like the rest of the body, the teeth, bones, and the soft tissues of the mouth need a well-balanced diet.  Children should eat a variety of foods from the five major food groups.  Most snacks that children eat can lead to cavity formation. The more frequently a child snacks, the greater the chance for tooth decay.  How long food remains in the mouth also plays a role.  For example, hard candy and breath mints stay in the mouth a long time, which cause longer acid attacks on the tooth enamel. If your child must snack, choose nutritious foods such as vegetables, low-fat yogurt, and low-fat cheese, which are healthier and better for children’s teeth.

DENTAL VISITS:    The American Academy of Pediatric Dentistry recommends visits every six months to the pediatric dentist, beginning at your child’s first birthday.  These visits are very important and will prevent small issues from turning into larger problems such as toothaches and loss of teeth.

What are Sealants?

A sealant is a clear or shaded BPA Free material that is applied to the chewing surface (grooves) of the back teeth (premolars and molars), where four out of five cavities in children are found.  The sealant acts as a barrier to the food, plaque, and acid, thus protecting the decay prone areas of the teeth.

What is Pulp Therapy?

The pulp of a tooth is the inner central core of the tooth.  The pulp contains nerves, blood vessels, connective tissue, and reparative cells.  The purpose of the pulp therapy is to maintain the vitality of the affected tooth so the tooth is not lost.

Dental caries (cavities) and traumatic injury are the main reasons for a tooth to require pulp therapy.  The two most common forms of pulp therapy in children’s teeth are the pulpotomy or pulpectomy.

A pulpotomy removes the diseased pulp tissue within the crown portion of the tooth.  Next, an agent is placed to prevent bacterial growth and to calm the remaining nerve tissue.  This is followed by a final restoration, such as a stainless steel crown.

A pulpectomy is required when the entire pulp is involved (into the root canals of the tooth).  During this treatment, the diseased pulp tissue is completely removed from the tooth.  The canals are cleansed, disinfected and filled with a resorbable material.  Then, a stainless steel crown is placed.

What is a Stainless Steel Crown?

A stainless steel crown covers the whole tooth.  This is indicated when decay has destroyed a large portion of the tooth, or a pulpectomy/pulpotomy has been done.  This helps to support the remaining tooth structure and allows the baby tooth to stay in the mouth and keep the space for the permanent tooth to erupt.  The stainless steel crown should last until the tooth naturally comes out.

What Material is Used for Fillings?

Resin (tooth-colored) fillings are recommended to restore the portion of your child’s tooth that has been destroyed by decay.  Resin is the best restorative (filling) material for your child, as it actually bonds to the tooth and allows a more conservative restoration.

Why is Space Maintenance Important?

If your child loses a primary tooth due to trauma or decay earlier than expected, keeping that space open for the permanent tooth is extremely important.  The placement of a space maintainer will steady the remaining teeth and allow the permanent tooth to come into natural position.

Why are Primary (Baby) Teeth Important?

It is very important to maintain the health of the primary teeth.  Cavities that have been neglected can and frequently do lead to problems, which affect developing permanent teeth.  Primary teeth, or baby, teeth are important for:

  1. Proper chewing
  2. Providing space for the permanent teeth and guiding them into the correct position
  3. Permitting proper development of the jaw bones and muscles.

Primary teeth also affect the development of speech and add to an attractive appearance. While the front 4 teeth last until 6-7 years of age, the back teeth (cuspids and molars) aren’t replaced until age 10-13.

Will my Child Need to See an Orthodontist?

Orthodontics is important for aesthetics, the health of your child’s bite, and the prevention of crooked and overcrowded teeth.  Dr. Tamar Gruenbaum will evaluate your child’s teeth and in most cases, she will recommend children see an orthodontist by age 7.

Even if your child’s teeth look straight, there could be a problem that needs monitoring as he or she grows and develops. Anything that is noted during your child’s exam will be discussed with you and a referral to an orthodontist will be given if the dentist determines it is appropriate.

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Resources

Brushing Chart

Word Scramble

Breaking Habits

Word Search

Maze

Coloring Sheet

Picture Search

Experiment

Crossword