Dentistry for Kids at Great Grins for KIDS
Portland, OR


Happy dental patient at Great Grins for KIDS - PortlandHere at Great Grins for KIDS - Portland in Portland, OR we want all of our patients to have a smile that they can count of for years to come. Kids will depend on their teeth for the rest of their lives, which is why it’s so important to teach them great oral hygiene habits. Kis that understand the ins and outs of oral hygiene and who diligently take care of their teeth are more likely to enjoy their natural teeth for their entire life. For this reason, we offer a wide range of dental procedures ranging from preventive to restorative.
Preventive Dentistry Restorative Dentistry Sedation Dentistry
Emergency
Tooth Emergencies ◢

Tooth Emergencies
Knocked out tooth in glass of milk, for dental emergency appointments at Great Grins for KIDS - Portland.What do you do if your child gets hit in the mouth and damages their teeth?
The most important thing is to be calm and carry on. Seriously.
Calmly look in their mouth and see what the problem is:

1.  The tooth is gone. Where is it? Look for it in the mouth, pushed up into the gums, or on the ground.
•  If you cannot find the tooth, it may have been pushed up into the gums and a dentist will have to take x-rays to see what to do.
•  If you find the tooth, you can save it by very quickly putting it back into the bloody tooth socket. Minutes matter.
•  The tooth surface is covered with tiny living cells that make up the ligaments holding the tooth into the jaw bone. Keeping these cells alive is critical and dry cells are dead cells. NEVER let the root dry but also do not use plain water because water will explode the cells. Instead, use spit or milk or blood to keep the cells properly hydrated. If the root is dirty, gently clean the root with spit or milk before putting it back into the socket.
•  The blood in the socket is very nourishing for these cells and the best place in the world for the tooth root so putting it back in the socket right away is a top priority.
•  If you cannot get the tooth back into the socket, the next best thing to do it put the tooth into your child’s cheek to cover it with spit or quickly use milk to store the tooth.
•  Remember, minutes matter!
•  Now immediately go to a dentist’s office to get x-rays and secure the tooth in position.

2.  The tooth has been knocked out of position.
•  Try to put it back into place as soon as possible. You may need a dentist to numb it first but try to reposition it yourself, if you can.

3.  The tooth is badly broken. Look in the middle of the fracture for a red spot that might be the pulp.
•  If you can find the broken tooth fragments, put them into a plastic bag with a tiny bit of water to keep the fragments hydrated and take them to the dentist to see if they can be glued back onto the tooth.
•  The dentist might need to place a small nerve filling before bonding the tooth back into shape.

4.  The tooth is chipped but no red spot is showing.
•  Take some ibuprofen and/or acetaminophen and call the dentist for an appointment.


Preventive
Brushing & Flossing ◢
Cleanings & Exams ◢
Fluoride Treatments ◢
Sealants ◢
Space Maintainer ◢

Brushing & Flossing
Happy little girl after some brushing and flossing tips from Dr. MutschlerBrushing and flossing your teeth are the best ways to have your be teeth sparkling white and cavity free, your gums look good, and your breath smell swell.

How does brushing and flossing work?


Dental disease is caused by germs, many types of bacteria and yeast, to be exact. The bacteria stick to teeth by making a sticky waterproof glue that surrounds the germs and holds them tightly to the tooth. This combination of germs and glue is called dental plaque. Bacteria are present in every mouth and they multiply and grow by eating the same food that you do. The problem is that after they eat, they make wastes – germs poop! Their waste is lactic acid and this acid will dissolve tooth enamel and make a hole (cavities). Once there is a hole to hide in, the germs are much harder to clean off the tooth and they grow even faster, making more acid, and making the cavity even bigger. Over months and years, the cavities can grow big enough to cause tooth aches and even dissolve the whole tooth right down to the gums. Wow.

To prevent this disappearing act, we need to brush and floss to remove the dental plaque. Because the plaque is waterproof, just swishing with mouthwash does not work. It is like a bit like Vaseline petroleum gel on a mirror; throwing water at it just smears it around. You have to physically wipe it off with a wash rag or paper towel to get the mirror clean. For your teeth, we use a toothbrush to rub the top and sides of teeth and we use floss or a toothpick to rub clean between the teeth. To do a complete cleaning job, you need to use BOTH.

Flossing is one of the most important oral health activities that you can teach your child. In fact, flossing is more important than brushing. Our kids would sometimes go to bed late and to save time with the bedtime routine, we would have “Floss and Fluoride” nights and skip the toothbrushing. Now this was rare, but it demonstrates that we choose flossing over brushing in importance.

Floss comes both in boxes of long strands that you use your fingers to hold or you can buy the disposable floss handles. Floss handles make flossing much easier for parents because some small children can bite your fingers if you try to floss using fingers. Our office gives out floss handles that are reusable (so there is less plastic waste than the disposable ones) and it is cheaper too. Whichever type of floss you use, just USE IT.

If you have any questions please feel free to give us a call at (971) 470-0054
Cleanings and Exams

Cleanings, Exams and X-rays for Kids - Portland


Taking preventive steps can increase your child’s oral health. At Great Grins for KIDS - Portland, we take the time to work with parents and children in educating and demonstrating procedures while offering tips and techniques to have and maintain a healthy smile. With some guidance and simple preventive treatments we offer, we are increasingly seeing children reach adulthood without ever having a cavity, and we can show you how.

Dental Cleaning


Professional dental cleanings are performed by our hygienist and dental assistant. Cleanings are important to your child's dental health; they allow us to monitor levels of plaque buildup, demonstrate brushing and flossing techniques while providing crucial information. Daily brushing and flossing habits begin early, we want to help your child start off on the right foot.

The cleaning portion of the appointment is done with specialized child appropriate tools and kid-friendly language. We will:

•  Remove Plaque and Tartar: Plaque is a sticky substance that is naturally made in your mouth, it is a blend of saliva and food debris. The food debris in plaque often contains some level of sugar and bacteria. Plaque often settles on the surface of teeth and along the gumline. As the bacteria feed on the sugar in plaque, it then emits an acid that decays the enamel of the tooth creating holes in the enamel, often referred to as a cavity. Additionally, this bacteria can attack the gum tissue causing a bacterial infection known as gum disease. Tartar is plaque that has remained in place until it has dried and hardened.
•  Demonstrate Proper Brushing: We will discuss the correct type and amount of toothpaste with your child. We will also discuss the proper way to angle the toothbrush, toward the gums and to brush for two minutes twice a day.
•  Polish: Dental cleanings are concluded with a polish using a rotary brush and gritty toothpaste. This will remove extrinsic stains and give your child a brighter smile.

Dental Examinations


Following your child’s dental cleaning, they will meet with Dr. Fariba Mutschler or Dr. Mark Mutschler for a dental exam. Exams are done in two parts, first the review of digital x-rays and then a visual exam with a simple probe. Both parts are painless.

Examination through Digital X-ray


Digital x-rays are an incredible dental tool; they allow us to see things that are hidden. We can spot areas of decay between teeth, the growth of abscesses, and more. Additionally, x-rays allow us to review and watch the growth of your child’s permanent teeth when they are below the gumline. With today’s digital technology, the images are clear, large and gained with much less radiation than traditional x-rays.

Examination with a Probe


The dental tool known as a probe is simply a device we use to assist us in looking. We visually look at the coloring, texture, and growth of the soft and hard tissues in the mouth for anything out of the ordinary. This step is quick and painless.


We invite you to call us at (971) 470-0054 with any questions about your child's first visit!
Fluoride Treatments
Happy young man after his fluoride treatment at Great Grins for KIDS in Portland, ORBrushing and flossing are essential habits for your child, just as they are for you. However, children tend to have a more difficult time properly brushing and flossing their teeth, issues that can leave them susceptible to the development of decay and cavities. At Great Grins for KIDS - Portland, we can help to prevent the formation of decay, and protect developing adult teeth, with fluoride treatments.

What is Fluoride?


Fluoride is an element that occurs naturally in human teeth. It not only helps to protect the teeth from developing tooth decay and cavities, but it also aids in helping for proper development of the adult teeth in children. Every day, a natural process called demineralization occurs. This process causes the teeth to lose fluoride and other important minerals. Fortunately, they can all be replaced through a process called remineralization. However, how is fluoride replenished?

There are several different ways in which fluoride can be restored to your teeth. Fluoride is found in trace amounts in different types of foods as well as in treated tap water. Fluoride can also be found in specially formulated toothpaste and mouthwashes.

How Does Fluoride Protect Teeth?


Fluoride works with other minerals that are found within the teeth, including calcium and phosphate. It teams up with these minerals to create a powerful defense system against the attacks from the acids produced by plaque and bacteria. Fluoride is essential for providing tooth enamel with incredible strength, enabling it to effectively prevent the acid erosion that leads to decay and the formation of cavities.

Fluoride also works to help adult teeth developing below the gum line. Fluoride that is consumed is absorbed into the bloodstream where it combines with calcium and phosphate in the developing teeth. This aids in helping the teeth to become stronger, allowing them to be more decay resistant after they erupt.

Fluoride Treatments for Your Child


While brushing and flossing are essential habits for preventing tooth decay and cavities, as well as other oral health issues, children are often more prone to cavities than older patients. Children often do not brush properly, rush through their brushing and flossing routine, or even try to skip out on brushing and flossing altogether. All of these factors can significantly increase their risk of developing tooth decay and cavities.

We provide fluoride treatments for your child. These treatments are topical. After your child has had their teeth cleaned, we simply paint a fluoride gel onto the surfaces of their teeth. The fluoride gel absorbs directly into the enamel where it goes to work helping to strengthen the teeth to prevent decay. We do not need to wash away or otherwise remove the gel. However, we do recommend that your child abstains from drinking or eating anything for at least 30 minutes after the application of the fluoride treatments. This helps to ensure optimal results. Fluoride treatments are quick, painless, and safe, and they are generally applied after every cleaning every six months.

With fluoride treatments, we can help to prevent decay and cavities in the teeth of your child, as well as protect their developing adult teeth. For more information, and to schedule an appointment, call Great Grins for KIDS - Portland today at (971) 470-0054.
Sealants

Dental Sealants to Ward Off Cavities
Portland, OR


Cavity free young man thanks to dental sealants from Great Grins for KIDS in Portland, OR

Looking to Boost Your Child's Chances of Remaining Cavity Free?


For optimum dental health, the ADA and CDC recommend that children and teenagers receive a plastic coating on their back teeth called dental sealants. In fact, placing dental sealants on molars is the dental procedure with more evidence of preventing decay than any other dental procedure! Dental sealants are a thin, plastic coating painted on the rough chewing surfaces of your child's premolars and molars that harden with a bright blue light. Sealants cover the hard to clean pits and fissures present on the back molar teeth, preventing food and plaque from forming cavities. Dental sealants reduce cavities by an average of 75%, often protecting teeth for more than 10 years.

Sealants are typically applied to the first permanent molars about the age of 7, as soon as they fully erupt. Sealants are then applied once the child's permanent premolars and second molars erupt, around age 12. Sealing permanent teeth helps protect them through the most cavity-prone years, ages 6–14, but adults can also benefit from sealants if they have permanent teeth with no decay or dental work. Although dental sealants should be placed before any decay starts, research shows that even if a small amount of decay has started, sealants can actually prevent the decay from progressing once the sealant is properly placed and maintained. Sealants are checked at each cleaning and should be repaired or replaced as necessary. Most dental insurances cover the application of sealant in children. Make sure that your child's teeth are properly protected with dental sealants.

To schedule an appointment, call (971) 470-0054
Space Maintainer
Happy child with a healthy smile thanks to Great Grins for KIDS - Portland, ORIt is a rare day in my pediatric dentistry and orthodontic practice when I do not think about having enough space available for permanent teeth to grow in and line up properly. There are two situations when we worry about space in kids’ mouths:
1.  Naturally crowded teeth
2.  Prematurely lost primary teeth

Crowding


If teeth are crowded, sometimes teeth must be extracted to make room for the others to line up. Usually braces are needed after all the permanent teeth erupt, but extractions make the orthodontic treatment easier. Before all the permanent teeth erupt, maintaining the remaining space can be very helpful. We use a space maintainer called a Lower Lingual Arch for lower teeth and either an Upper Palatal Arch or a Trans-Palatal Arch for upper teeth. These appliances will stay in place until the permanent teeth erupt.

Lost Primary Teeth


Adults need to have an artificial tooth made to replace missing permanent teeth because the teeth on the other jaw can over erupt and disrupt the jaw function. Children are growing so much and their adult teeth come in soon enough that this is usually not a problem for kids. An artificial molar is not needed to replace missing primary teeth, just maintaining the space.

The primary (baby or milk) teeth are important for chewing and biting and speaking and especially for holding open the space needed for the permanent adult teeth to grow in. If a front baby teeth goes missing, we do not lose space very much so we do not have to replace missing front teeth or even make a space maintainer. Luckily, a gap-toothed grin in a kid is much cuter than in an adult!

But when a primary back tooth molar is lost by infection or trauma, the gingival gum fibers and the angle of the jaws closing together make for a strong tendency for the adjacent teeth to move into the newly open space. In other words, the space for the permanent tooth will be lost.

While initially the loss of a primary tooth does not seem like such a terrible thing, the future consequences could be the loss of a permanent tooth, extensive and expensive orthodontic appliances, and even an uncomfortable bite that causes abnormal wear on the poorly positioned teeth.

To avoid these problems, we routinely make a small appliance that spans the gap to keep the space open. This is called a band-loop space maintainer. It is made with a metal orthodontic band soldered to a wire stretching across the missing tooth’s space.

If more than one tooth is missing, another way to save the space is to use an appliance that goes from a permanent tooth on one side to one on the other side of the mouth. These are called a lower lingual arch to replace bottom teeth or a transpalatal arch to replace upper teeth. Often a lower lingual arch or transpalatal arch can keep the room that remains or even press the teeth to gain space.

Taking care of a space maintainer is easy; just don’t play with them and keep them clean.

To summarize, there are several types of space maintainers:


•  Band-loop space maintainers – the most common space maintainer, it is most useful for replacing a single tooth. They consist of a metal orthodontic band soldered to a wire that spans the missing tooth space.
•  Lower lingual arches (LLA) – also very common, are used to hold space open for more than one missing tooth or to help keep the lower incisors straight. Bands are placed on molars on both sides of the mouth then a soldered wire extends, on the tongue side, from one side to the other, touching the front teeth.
•  Upper lingual arches – these are just like the lower lingual arches but on the top. They also make nice retainers to help keep the upper incisors straight after early orthodontic treatment.
•  Transpalatal arches – metal bands on molars connect to each other with a wire that goes directly across the top of the mouth. These are useful for keeping molars in position without getting in the way of the front teeth.
•  Nance appliances – metal bands on upper molars are soldered to a wire that has a plastic pad touching the roof of the mouth (palate).
•  W-arches – these have metal molar bands soldered to a wire that rests against the inside of the molars and a large loop across the palate. These are useful for widening the upper dental arch.
•  Distal shoe space maintainers – these have a band around the tooth closest to the missing one. A bar extends back and digs into the gums to guide permanent tooth eruption. I avoid these whenever possible.

Each of these have different uses and each doctor has their favorites. Give us a call today at (971) 470-0054 to schedule an appointment.

Restorative
Fillings ◢
Root Canals ◢
Extractions ◢
Teeth Whitening ◢

Fillings
Kid with a Great Grin thanks to Dental Fillings - Pediatric Dentist Portland, OR

Composite Fillings


What are they?


Composite fillings are a mixture of glass or quartz filler in a plastic resin that produces a tooth-colored filling. They are sometimes referred to as composites or filled resins.

What limitations are there?


Composites might stain or discolor over time. Composite fillings are more difficult to place because they require a cavity that must be kept clean and dry during filling and so it generally takes longer to place a composite filling than an amalgam filling. The cost is moderate; more than a silver filling but much less than porcelain crowns or inlays.

What is good about them?


Composites can be "bonded" or adhesively held in a cavity, often allowing the dentist to make a more conservative repair to the tooth. Because the dentist removes less tooth structure when preparing the tooth, this results in a smaller filling than that of an amalgam.

Summary:


Composite fillings cost a little more because they mimic natural tooth color and the natural translucency of enamel, they provide excellent appearance, and they have good durability and resistance to fracture in small-to-mid size restorations in patients with normal chewing pressure.

Ionomers


What are they?


Resin Ionomers and Glass Ionomers are translucent, tooth-colored materials made of a mixture of acrylic acids and fine glass powders that are used to fill cavities, particularly those on the root surfaces of teeth.

What is good about them?


Ionomers release a small amount of fluoride that may be beneficial for patients who are at high risk for decay. Because the dentist removes less tooth structure when preparing the tooth, this results in a smaller filling than for an amalgam.

What limitations are there?


1.  Glass ionomers release more fluoride and tolerate moisture better than resin ionomers. Because they can fracture, glass ionomers are mostly used in small fillings in areas not subject to heavy chewing pressure or on the roots of teeth.
2.  Resin ionomers release less fluoride and are not as tolerant of wet conditions as glass ionomers. They also are used for small fillings and on the root surfaces of teeth: they have a better resistance to fracture but wear down.

Summary:


Ionomers work better than composites in wet areas but experience high wear OR fracture if large fillings are placed on chewing surfaces. Both glass and resin ionomers mimic natural tooth color but lack the natural translucency of enamel or composite

Amalgam Fillings


What are they?


Dental amalgam is a stable alloy made by combining elemental mercury, silver, tin, copper and other metallic elements. Although dental amalgam continues to be a safe, commonly used restorative material, its mercury content has raised some concern. However, the mercury in amalgam combines with other metals to render it stable and safe for use in filling teeth.

What is good about them?


Because amalgam fillings can withstand very high chewing loads, they are particularly useful for restoring molars in the back of the mouth where chewing load is greatest. They are also useful in areas where a cavity preparation is difficult to keep dry during the filling replacement, such as in deep fillings below the gum line. It remains a valued treatment option because it is durable, easy to use, highly resistant to wear and relatively inexpensive in comparison to other materials.

What limitations are there?


Disadvantages of amalgam include sensitivity to chewing metal foil and possible short-term sensitivity to hot or cold after placing the filling. The silver-colored filling is not as natural looking as one that is tooth-colored, especially when the restoration is near the front of the mouth, and shows when the patient laughs or speaks. Moreover, to prepare the tooth, the dentist may need to remove more tooth structure to accommodate an amalgam filling than for other types of fillings. Long term, there is a higher chance of breaking cusps off teeth if the amalgam fillings swell up.

Summary:


It has a long history of use and it wears well. It can be placed in wet areas better than composite and it is cheaper because it is easier to place. However, amalgam is dark colored, it can fracture teeth after many years, and can be sensitive to temperature and chewing metal foil, and usually more tooth must be cut away to place it.

If you have any questions, or if you'd like to schedule an appointment, please give us a call at (971) 470-0054.
Tooth Pulp & Root Canals

Tooth Pulps & Root Canals
Portland, OR


“Root canal? Ouch!” That is what most of my Portland patients tell me, but luckily root canal treatments take away toothaches to make you feel better.

Usually dentists prefer to treat infected root canal pulps before they start to hurt because this is the most comfortable way to go. Waiting for a tooth to hurt before starting root canal treatment is usually less comfortable.


Permanent teeth are alive with nerves and blood vessels located in the middle of the tooth in the area called the pulp. Bacteria infected pulps or teeth that have been traumatized may have damaged pulps that cannot heal. If the pulp cannot heal, the tooth will become painful and may cause serious health problems. To avoid these problems, the tooth must be extracted or receive root canal treatment.

The steps of permanent tooth root canal treatment:


•  Numb the tooth with local anesthetic, usually 4% articaine or 2% lidocaine (usually with 1:100,000 epinephrine).
•  Stretch a rubber dam over the tooth to keep bacteria in saliva from re-infecting the cleaned root canal.
•  Remove any decay with a handpiece drill and remove the infected pulp.
•  Use extremely small wire files to scrape the tissue from the canals in the roots.
•  Measure the length of the files to know exactly how far it is to the end of the root.
•  Rinse the infected material from the root canals with disinfectants, often sodium hypochlorite.
•  Soak triple antibiotics in the cleaned, shaped, and smooth canals to fight infection.
•  Pack pink, rubbery gutta percha into the root canals all the way to the tip, with runny sealer to fill in any gaps.
•  Place a filling in the hole and plan on a crown to hold the weakened tooth together.

Primary teeth with infected pulps are treated differently than permanent teeth.

Primary molars last until about age 11 or 12 so we like to save them with root canal treatment, if we can, instead of pulling them out and placing a space maintainer.

Because primary teeth roots need to dissolve away when the permanent teeth start to grow in, the root canal material used for baby teeth should be dissolvable or not go all the way down the root canals.


Most of the time, primary teeth with infected pulps are treated with a partial pulp removal called a pulpotomy.

The steps of primary (deciduous or baby) tooth pulpotomy procedure:


•  Numb the tooth with 4% articaine or 2% lidocaine (usually with 1:100,000 epinephrine).
•  Stretch the rubber dam around the infected tooth to seal out infected saliva.
•  Use a handpiece to drill away infected tooth and cut the infected tooth pulp in the top coronal pulp chamber.
•  Stop any bleeding with ferric sulfate, then swab out the chamber with diluted formocresol.
•  The infection is often only in the top of the tooth so using medicines like formocresol or ferric sulfate will treat painful nerves and kill the germs in the remaining pulp tissue.
•  Fill the pulp chamber with zinc oxide and eugenol filling to form a tight seal and prevent bacterial entry.
•  Place a tightly fitting stainless steel crown or a composite filling.


These pulpotomies are very successful for teeth that have not infected the bone supporting the tooth. If the bone around a tooth gets infected, then all the pulp tissue must be removed, even the root canal tissue. This complete pulp removal is called a pulpectomy.

A pulpectomy procedure is similar to the adult root canal treatment in that files are used to clean and shape but the material we use to fill the root canals is much different because the roots are supposed to be dissolved away as the permanent teeth erupt.

The root canal filling material for primary teeth must be resorbable or dissolvable. I use a material called Vitapex (a mixture of calcium hydroxide, iodoform, and silicone lubricant) with great success healing abscessed teeth.

Pulpectomy treatment for primary teeth is mostly reserved for only the most important teeth: the second primary molars before the eruption of the permanent molars.

When faced with the options of a painful toothache, a root canal, or an extraction, most people will be pleasantly surprised that those root canals are the best option and not an “OUCH!” after all.

Extractions

Tooth Extractions
Portland, OR


Extractions are easier than pulling teeth


The phrase "It was like pulling teeth" usually means that something is very difficult. Lots of people are worried about getting a tooth extracted. They usually think that they will have to go to sleep or that it is very difficult.

This is just not the case for almost every extraction that we do. A little numbing, a push, a squeeze, and you are done in a few minutes.

Sedation is an option for the faint of heart, but most do not need it. Often we amaze the little ones when we take the tooth out “magically” with a magic mirror and sleight of hand because they do not know the tooth was already pulled out. See our section on sedation for more information.


Today a girl from Gladstone needed several teeth out for her braces. After rubbing her gums with a powerful anesthetic gel, the shot was so comfortable that she did not know what I was doing. Once the anesthetic was working well, we discussed the difference between a push and a pinch and explained how teeth are connected to ears through the jaw bone so touching teeth is louder than normal. The gums were gently pushed away from the tooth and then the tooth is rocked back and forth. Shaking her whole head a little bit helped distract her from the sensation of firm pressure. Once the tooth was out, a gauze pad stopped the bleeding. And a prize brought out a smile. She was surprised to learn that the teeth were out – she did not even know!

This story demonstrates how young kids often worry about the numb feeling or they confuse pressure with pain. Explanations of what to expect using carefully chosen words make kids much more comfortable. We joke with the children that it was "Like pulling teeth - very easy!"

For more information, or if you'd like to schedule an appointment, please give us a call at (971) 470-0054.

Teeth Whitening

Teeth Whitening at Great Grins for KIDS in Portland, OR


Just like you, the smile of your child is the first thing that others notice. When they smile, their teeth are placed front and center. A dull, discolored smile can significantly impact the impressions they leave, whether they know it or not. Discoloration can even impact their confidence, leading them to hide their smile at any cost. Teeth whitening (or bleaching) is a simple, non-invasivedental treatment used to change the color of natural tooth enamel, and is an ideal way to enhance the beauty of your smile. Since teeth whitening only works on natural tooth enamel, it is important to evaluate replacement of any old fillings, crowns, etc. Replacement of any restorations will be done after bleaching so they will match the newly bleached teeth. At Great Grins for KIDS - Portland, we can restore the natural brightness to their smile, greatly improving their confidence with bleaching.

What is Bleaching?


Tooth enamel is naturally bright white in color. However, there are numerous factors that can contribute to discoloration, including the foods and beverages your child consumes, certain types of medications, and many more. Even natural factors, such as wear on the enamel or natural discoloration can lead to a dull smile that can significantly impact their confidence and lead your child to hide their smile from everyone around them. No one should feel embarrassed by their smile. Bleaching is a treatment designed to restore the bright white color to the tooth enamel, giving your child a more beautiful, more confident smile.

Reasons for Teeth Whitening


•  Naturally yellow or brown stained teeth
•  Normal wear of outer tooth layer
•  Stained teeth due to diet
•  Just want a brighter, whiter grin


How Does Bleaching Work?


We offer whitening trays to help your child achieve a whiter smile. It is also included in the price of orthodontic treatment to help enhance their smile following the removal of their braces. Whitening trays enable your child to whiten their teeth at home. To get trays, two visits are required. During the first visit, impressions are taken, which are used to create their trays. During the second visit, we provide your child with their trays, whitening solution, and instructions for use. The trays are meant to be worn twice a day or overnight depending upon their specific situation. If your child has any restorations, such as a crown or composite bonding, these will need to be replaced following bleaching as they cannot be whitened.


Why Not Use OTC Whiteners?


You have probably noticed a myriad of whitening products in the oral care aisle when you go shopping. There are rows and rows of whitening toothpaste, strips, gels, and more. These products only contain low levels of bleaching agents. They may be helpful if your child has minor surface stains, but if your child is looking for drastic results, professional treatment will provide the best results.

Is Bleaching Permanent?


While bleaching is effective, it is not permanent. Without proper care, discoloration can return. It is important that your child continue to brush and floss their teeth regularly and limit staining foods and drinks. Periodic touch-ups can also help your child maintain their new smile longer.

How Safe is Bleaching?


Many parents are concerned about the safety of bleaching. The treatment is both effective as well as safe. Your child may notice some tooth sensitivity during the course of their treatment. This is completely normal, and it can be managed with a toothpaste designed to treat sensitivity. Once their treatment is complete, the sensitivity will begin to subside, leaving only a beautiful, bright, confident smile.

With bleaching, we can help to give your child brighter teeth, greatly enhancing the quality of their smile. Call Great Grins for KIDS - Portland at (971) 470-0054 for more information and to find out if bleaching is right for your child today.
Making sure that we explain every action we take with easy-to-understand terms makes it easy for us to build trust with your kids

Young girl who knows how to take care of her teeth

Superior Service Starts Before Your Child’s Appointment


We know better than anyone that your child is thinking about their appointment with us well before getting in the car to come to our office. They may not be actively thinking about us, they may only have an idea about “the dentist,” but whatever it is, there is some preconceived notion about climbing into that dental chair. We want to make sure that our office is an inviting place for kids, someplace that they are always going to be excited to go. We keep plenty of books and toys in our office to keep them busy. Read more about your child's first visit.

We also make sure to keep our Wi-Fi free and accessible to all patients so that you can make the most of your time while waiting for their appointment to conclude.

We’re Here For You!


We know how important it is to have the right answer for your family right away – which is why we try always to be available to answer questions you may have during our business hours. Have a question about a strange thing going on in your kid’s mouth? Give us a call at (971) 470-0054, and we will do our best to answer your question, or make time for you in our schedule to be seen.

Dental Emergencies


If you or a loved one ever experience a dental emergency, please consider calling 911 right away if you believe the issue warrants it. We always try to make ourselves available to our clients who experience dental emergencies same-day. Please feel free to visit our dental emergencies page to educate yourself on what you can do in case of a dental emergency.
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