Pediatric Dentistry

Building healthy habits early can set the foundation for a lifetime of good oral health. At Kotch Dental, we provide personalized dental care for children, from preventive visits and growing smiles to the evaluation and treatment of tongue ties and other oral concerns.

What Is Pediatric Dentistry?

Pediatric dentistry focuses on the dental and oral health needs of children as their teeth, jaws, and facial structures develop. From a child’s first teeth through the transition to an adult smile, regular dental care allows us to monitor growth, prevent dental problems, and address concerns as they arise.

Our approach extends beyond teeth and cavities. We also evaluate the oral structures that can influence function and development, including the tongue and surrounding tissues. When concerns such as a restrictive tongue tie are present, our doctors can evaluate whether treatment, including a frenectomy when appropriate, may be beneficial.

Prevent Dental Problems
Routine exams, cleanings, and preventive care can help reduce the risk of cavities and other common childhood dental concerns.
Monitor Growth & Development
Regular visits allow us to monitor your child's teeth, bite, jaws, oral tissues, and overall development as they grow.
Support Healthy Function
Evaluating concerns such as tongue ties can help identify restrictions that may affect normal oral movement and function.
Build Healthy Habits
Positive dental experiences and age-appropriate education help children develop habits that can protect their smiles for life.

When Should My Child Visit the Dentist?

Early and consistent dental care allows us to monitor your child’s developing smile and identify concerns before they become more complex. Visits also give parents an opportunity to ask questions about tooth development, oral habits, home care, and changes they may notice as their child grows.

Your child may need dental care for:

  • Routine dental examinations and professional cleanings
  • Cavity prevention and treatment
  • Fluoride treatments and dental sealants
  • Monitoring tooth, bite, and jaw development
  • Sports mouthguards and injury prevention
  • Tooth pain, sensitivity, or dental emergencies
  • Evaluation of tongue ties or restrictive oral tissues
  • Frenectomy when clinically appropriate

We’ll recommend care based on your child’s age, development, oral health, and individual needs.

What Should I Expect?

A Comfortable Introduction
We want children to feel safe and comfortable in the dental office. We'll introduce your child to the experience at an age-appropriate pace and explain what we're doing in simple, reassuring language.
Comprehensive Evaluation
We'll examine your child's teeth, gums, bite, and developing oral structures. When there are concerns about tongue movement or restrictive tissue, we'll also evaluate the lingual frenulum and how it may be affecting oral function.
Personalized Care
Depending on your child's needs, care may include a professional cleaning, fluoride, sealants, restorative treatment, or evaluation of a specific concern. If a tongue tie is identified, we'll discuss our findings and whether treatment is appropriate.
Growing Together
As your child grows, we'll continue monitoring their teeth, bite, oral tissues, and overall dental health. We'll adapt our recommendations as their needs change and provide guidance to help maintain a healthy smile at every stage.

Tongue Ties & Frenectomy

A tongue tie, or ankyloglossia, occurs when the band of tissue connecting the underside of the tongue to the floor of the mouth, the lingual frenulum, restricts normal tongue movement. The degree of restriction varies considerably, and simply having a visible frenulum does not necessarily mean treatment is needed.

When tongue movement appears restricted, our doctors evaluate both the anatomy and how the tongue is functioning before recommending treatment.

Tongue-Tie Evaluation

Our doctors evaluate the appearance, mobility, and function of the tongue to determine whether the frenulum is creating a meaningful restriction.

Functional Concerns

Depending on a child’s age and individual circumstances, restricted tongue movement may be associated with challenges involving oral function. Evaluation focuses on the individual child rather than appearance alone.

Frenectomy

When treatment is appropriate, a frenectomy releases restrictive frenulum tissue to improve tongue mobility. The procedure is recommended only when our evaluation indicates that the restriction is affecting function.

Laser Technology

When appropriate, laser technology may be used to perform a frenectomy with a precise, minimally invasive approach. We’ll explain the procedure, aftercare, and what to expect based on your child’s individual needs.

Caring for Your Child's Smile

Good dental habits begin at home. Children may need help brushing and flossing until they develop the coordination to clean their teeth effectively on their own. We’ll provide recommendations based on your child’s age and help you establish a routine that works for your family.

If your child receives a frenectomy or another dental procedure, we’ll provide specific aftercare instructions based on the treatment performed. Regular dental examinations allow us to continue monitoring your child’s teeth, gums, bite, oral tissues, and development over time.

Frequently Asked Questions

A child’s first dental visit is generally recommended by their first birthday or within six months of their first tooth appearing. Early visits allow us to monitor development while helping parents establish healthy brushing, diet, and preventive-care habits from the beginning.

A tongue tie occurs when the lingual frenulum, the tissue connecting the underside of the tongue to the floor of the mouth, limits normal tongue movement. Tongue ties vary considerably, so evaluation should consider function and mobility rather than appearance alone.

No. The presence of a tongue tie does not automatically mean treatment is necessary. Our doctors evaluate the degree of restriction and how it is affecting oral function before recommending a frenectomy. Treatment should be based on the individual child’s needs rather than the appearance of the frenulum alone.

A laser frenectomy uses dental laser technology to release restrictive frenulum tissue. When appropriate for the patient, the laser allows the doctor to work precisely with the targeted tissue. We’ll explain the procedure, expected healing, and individualized aftercare before treatment.