Pediatric Dentistry

Pediatric Check-Ups & Cleanings
Regular check-ups help to keep little mouths healthy and clean. Aside from being able to tackle tooth decay and other issues, it gives us the chance to teach kids how to properly brush and floss, and talk to them about their diet.
Digital X-Rays
With our state-of-the-art digital x-ray technology, we can effectively diagnose tooth decay. If your child has a missing tooth or an over-bite, the x-ray catches that too, so we can recommend treatment if necessary.
Hospital Dentistry
Our office is fully-equipped to handle most procedures. However, depending on the child’s anxiety level or other treatment needs, we may recommend the use of general anesthesia in a hospital setting. Our doctors perform all procedures themselves at Miami Children’s Hospital, and will take you through the entire process beforehand to ensure that you and your child feel completely at ease.
Nitrous Oxide
For some kids, the mere thought of having dental work can be scary. At Casa Smiles, we want kids to have a positive experience. We use nitrous oxide/oxygen here in the office whenever necessary. It’s a safe, effective sedative with no lingering effects. Your child remains fully conscious the entire time and may even feel giddy.
Sealants
No matter how well your child brushes, some chewing surfaces are difficult to keep clean. Sealants can offer protection against tooth decay and improve your child’s chances of staying filling-free. It only takes a few minutes to seal each tooth and a sealant can last several years.
Home Care for Tooth Removal

Complications are rare following the removal of teeth in children. The following suggestions regarding care of your child after tooth removal should be followed unless otherwise noted by your doctor.

  1. Bleeding – Minor bleeding or oozing may occur. Should bleeding continue, place one of the gauze pads provided over the wound and bite with firm pressure for 10-15 minutes.
  2. Discomfort and Pain – Only minor discomfort is expected after tooth removal. Medications such as Tylenol or Advil usually control this discomfort adequately.
  3. Diet – Drinking through a straw and chewing coarse foods should be avoided for the first 24 hours. To avoid dehydration, make sure your child continues to drink liquids.
  4. Exercise – Heavy, strenuous exercise should be avoided during the day of extraction.
  5. Oral Hygiene – Continue normal brushing of all teeth except near the area of tooth removal.
  6. Others – Avoid spitting and contact us if prolonged fevers and/or facial swelling presents.

Pediatric Dentistry

Pediatric Check-Ups & Cleanings
Regular check-ups help to keep little mouths healthy and clean. Aside from being able to tackle tooth decay and other issues, it gives us the chance to teach kids how to properly brush and floss, and talk to them about their diet.
Digital X-Rays
With our state-of-the-art digital x-ray technology, we can effectively diagnose tooth decay. If your child has a missing tooth or an over-bite, the x-ray catches that too, so we can recommend treatment if necessary.
Hospital Dentistry
Our office is fully-equipped to handle most procedures. However, depending on the child’s anxiety level or other treatment needs, we may recommend the use of general anesthesia in a hospital setting. Our doctors perform all procedures themselves at Miami Children’s Hospital, and will take you through the entire process beforehand to ensure that you and your child feel completely at ease.
Nitrous Oxide
For some kids, the mere thought of having dental work can be scary. At Casa Smiles, we want kids to have a positive experience. We use nitrous oxide/oxygen here in the office whenever necessary. It’s a safe, effective sedative with no lingering effects. Your child remains fully conscious the entire time and may even feel giddy.
Sealants
No matter how well your child brushes, some chewing surfaces are difficult to keep clean. Sealants can offer protection against tooth decay and improve your child’s chances of staying filling-free. It only takes a few minutes to seal each tooth and a sealant can last several years.
Home Care for Tooth Removal

Complications are rare following the removal of teeth in children. The following suggestions regarding care of your child after tooth removal should be followed unless otherwise noted by your doctor.

  1. Bleeding – Minor bleeding or oozing may occur. Should bleeding continue, place one of the gauze pads provided over the wound and bite with firm pressure for 10-15 minutes.
  2. Discomfort and Pain – Only minor discomfort is expected after tooth removal. Medications such as Tylenol or Advil usually control this discomfort adequately.
  3. Diet – Drinking through a straw and chewing coarse foods should be avoided for the first 24 hours. To avoid dehydration, make sure your child continues to drink liquids.
  4. Exercise – Heavy, strenuous exercise should be avoided during the day of extraction.
  5. Oral Hygiene – Continue normal brushing of all teeth except near the area of tooth removal.
  6. Others – Avoid spitting and contact us if prolonged fevers and/or facial swelling presents.
Dr. Iwanowski and Dr. Abreu are extremely knowledgeable and caring. My children absolutely love them! I loved the whole team and our visit could not have been more pleasant or professional.
- Jessica S.