SERVICES

 

Orthodontics

Dr. Clay McEntire, a board-certified orthodontist and owner of Amley-McEntire orthodontics, provides interceptive and comprehensive orthodontics in office at Shiny Happy Smiles on Thursdays. This allows for easy coordination of appointments and true comprehensive care. For cleaning appointments, we can coordinate appointments to have wires removed prior to the cleaning and radiographs and replaced after. This allows for a more thorough cleaning and better diagnostic images. Ultimately, it can save parents trips between offices as well because it is all done under one roof.

Interceptive orthodontics

A timely evaluation will lead to significant treatment benefits for the following conditions:

  • Anterior crossbite

  • Posterior crossbite

  • Severe crowding

  • Open bite

  • Severe overjet

  • Ectopic eruption

  • Class III growth

  • Oral habits

Comprehensive orthodontics

  • Invisalign

  • Damon Clear

  • Damon System

 
  • A dental cleaning is performed every 6 months to remove plaque and calculus from the teeth. An exam is performed by the doctor to evaluate growth and development and to evaluate soft and hard tissues. We will evaluate diet and oral hygiene and provide appropriate education. Additionally, a fluoride varnish will be applied.

  • We thoroughly examine all soft and hard tissues in the oral cavity. We will also gladly provide a second opinion.

  • Pediatric dentists are trained in various behavior management techniques and have received specialized training in helping individuals with special health care needs. Dr. Rebecca additionally completed extensive training with the Leadership Education in Neurodevelopmental and Related Disabilities (LEND) program at Civitan Sparks Center during her residency. This training aims to provide long-term, graduate level interdisciplinary training as well as interdisciplinary services and care for individuals with disabilities, such as Autism Spectrum Disorder.

  • In our practice, we offer composite or glass ionomer restorations, which are white in coloration.

  • The best way to prevent dental trauma is by wearing a mouth guard while participating in sports or when riding any equipment such as bikes or scooters. We fabricate custom sports guards at our office that offer ideal protection.

  • A professionally applied fluoride varnish will be completed at each cleaning appointment with parental consent. A fluoride varnish helps reduce cavities, prevent cavity progression and strengthen enamel.

  • Typically, baby teeth are shed naturally, but removal by the dentist is sometimes necessary. Permanent tooth extractions for orthodontic purposes or due to cavities can also be indicated.

  • The best way to prevent dental trauma is by wearing a mouth guard while participating in sports or when riding any equipment such as bikes or scooters. We fabricate custom sports guards at our office that offer ideal protection.

  • A professionally applied fluoride varnish will be completed at each cleaning appointment with parental consent. A fluoride varnish helps reduce cavities, prevent cavity progression and strengthen enamel.

  • Description text goes hereTypically, baby teeth are shed naturally, but removal by the dentist is sometimes necessary. Permanent tooth extractions for orthodontic purposes or due to cavities can also be indicated.

  • The unexpected happens! Dr. Rebecca provides after hours emergency services to all patients of record. Once you establish as a patient with our practice you can rest assured that we will provide care after hours or on weekends if a dental emergency arises.

  • Crowns are commonly indicated with: hypoplastic enamel, extensive missing tooth structure, cavities between the teeth with high cavity risk, or following a baby root canal. Baby teeth crowns have a 95% success rate and typically do not require any future treatment. We offer traditional stainless-steel crowns and white zirconia crowns.

  • Laughing gas, or nitrous oxide, is a safe odorless gas that is administered via a nasal hood that rests on the nose. When inhaled, the gas can reduce anxiety and pain. It is also very helpful in reducing gag reflexes. Your child responds normally to verbal commands and vital signs are stable during administration. Laughing gas will be completely out of their system prior to dismissal and has no lingering side effects.

  • Silver diamine fluoride or SDF has been used in Japan for >40 years. It is utilized to arrest, or stop, the cavity process or delay progression. This is very helpful in young or fearful children that traditional treatment is not possible, individuals with special healthcare needs, teeth that are cavitated but nearing exfoliation, or partially erupted teeth that cannot be treated until the tooth fully erupts. 68% of carious lesions in primary teeth would be expected to be arrested two years after SDF application!

  • When a cavity or trauma is to the nerve, a root treatment is indicated. A pulpotomy, or a baby root canal, is a quick procedure that removes the top portion of the nerve that is inflamed. Then, a medication to reduce the bacteria is applied and the tooth is then built back up with various materials and covered with a crown typically. In some instances, a filling may be placed after.

  • Baby teeth are to be maintained until natural exfoliation, but due to trauma or cavities, this is not always possible. Space maintainers are intraoral appliances that literally maintain the space! Maintaining the space prevents shifting of teeth that could impact the eruption and alignment of the permanent teeth. We fabricate chair-side band and loop space maintainers, so your child can leave with the space maintainer the same day! Other times, we need bilateral space maintainers that require lab fabrication. We utilize an intraoral scanner to obtain digital models for fabrication. An intraoral scanner eliminates the “goopy” material that historically was required for an impression.

  • Preventing cavities is our main priority! A great preventative service is the application of sealants. Sealants form a protective coating over the pits and grooves of permanent and primary molars to prevent cavities. A child who receives sealants is 72% less likely to receive restorative services over the next 3 years!

  • Thumb sucking or tongue thrust are hard habits to break! An intraoral appliance, such as a bluegrass appliance, can prevent your child from sucking their thumb or thrusting their tongue. This appliance utilizes a spinning roller to break the habit and give the front teeth a chance to return to a normal position.

  • Tongue and lip ties can limit the proper use of the tongue or upper lip. In infants, this can affect breastfeeding significantly due to difficulties with latch. In older children, this can limit speech or natural cleansing of the teeth. We utilize laser treatment to release tethered tissues if indicated.

    Please visit the tab Tongue & Lip Ties for more information.

  • Reducing radiation to your child is our priority! Dr. Rebecca prescribes radiographs based off age, cavity risk, and clinical findings and suggest radiographs only when the image will yield diagnostic information that is important for the health of your child.  We utilize digital imaging with sensors. Because the sensors are digital your child  is also exposed to significantly less radiation than a traditional dental x-ray – up to 90% less!

 
  • Most dental procedures in children are completed using local anesthesia with or without laughing gas. However, very young, fearful, or children who are unable to tolerate treatment in the traditional dental setting may require sedation to safely complete quality dentistry. Additionally, individuals with special health care needs or individuals requiring extensive dental work may require sedation to complete dental treatment. Sedation is utilized for your child’s safety and comfort during the dental procedure, and it is utilized to protect your child’s developing psyche so that dental anxiety or fear do not develop during their formative years.

    We utilize Pediatric Dental Anesthesia Associates (PDAA) for sedation dentistry. All doctors are pediatric anesthesiologist that administer the sedation. A pediatric anesthesiologist is a medical doctor who has completed 4 years of college, then 4 years of medical school, followed by 4-5 years of training in anesthesiology including specialty training in pediatric (infants and children) anesthesiology. This typically includes more than 12,000 hours of clinical training. PDAA utilizes anesthesiologist with the highest level of training available, so you can be assured your child receives the safest care.

    If your child is an ideal candidate and the required dental treatment is minimal, oral sedation may be recommended.