Children Dentistry

The American Dental Association (ADA), the American Academy of Pediatrics (AAP), and the American Academy of Pediatric Dentistry (AAPD) all recommend that children have an established “dental home” by their first birthday or as soon as they get their first tooth.  It is important to help children develop healthy habits while they are young so their teeth remain strong for a lifetime.

At Twin Branch Dental we understand how important it is to keep kids smiling throughout their time with us.  We want to show your children that the dentist really can be FUN!  We always start by giving them their very own pair of sunglasses and then letting them pick their favorite show to watch on the ceiling while we work.  Their appointments end with a visit to the toy machines where they get a token to pick out a special prize for being so great!


Twin Branch Dental Dental, 309 Bittersweet Road #105 Mishawaka, IN 46544, Emergencies Same Day, Clear Aligners, Orthodontics, Orthodontist, Teeth Whitening, Same Day Wisdom Tooth Extractions, Same Day Endodomtics, Endodontist, Root Canals, dental veneers, implants, implant, crown, crowns, veneer, Bridges, bridge, fillings, sealants flouride treatment, dental exams, x-rays, teeth cleanings, childs first dental visit, General dentistry, emergency dentistry, cosmetic dentistry, restorative dentistry, preventative dentistry, dentures, denture partial full, periodontal therapy, sedation dentistry, Dr. Mike Hewlett and Dr. Andrew Zaremba

First Visit

We want your child’s first dental visit to be a positive experience.  If your child is old enough to understand, they should be told about their appointment.  It is best to not make a big deal out of their visit…try to treat it as if it is just another normal day.  Our team strives to gain your child’s trust so they can have little (if any) apprehension at the dentist.

Why Are Baby Teeth Important?

The health of your child’s baby (primary) teeth is very important for a number of different reasons.  While your child’s front four teeth only last until they are 6-8 years old, their back teeth aren’t lost until the ages of 10-13.

The first function of baby teeth is to allow your child to properly eat, chew, and speak.  Baby teeth are also essential to help maintain adequate space for the growing permanent teeth and guide them into the right position.  Neglecting your child’s primary teeth can lead to problems that in turn may affect their developing permanent teeth. 

Care of Your Child’s Teeth

You should begin cleaning your child’s gums with a soft cloth and water from the time they are born.  As soon as their teeth begin to erupt, proper tooth brushing is one of the most important things you can do to help protect your child’s teeth from cavity-causing bacteria.  You should use a soft-bristled toothbrush with a small amount of toothpaste (no more than a pea-sized amount) and be sure that your child spits out the excess toothpaste after they are finished.  

Wherever your child’s teeth touch together you need to floss as well.  Those tight spaces often trap food and bacteria, which can in turn lead to the formation of cavities.  At most local retailers, children’s floss picks can be found in the dental care aisle.  These picks are usually much easier for kids to use than traditional dental floss.  In addition to all the above, it is important that you help your child brush his or her teeth.  It is good to let them “help,” but young children lack the coordination to effectively brush their teeth on their own. Follow up with them and brush their teeth after they have a turn.

Eruption of Your Child’s Teeth

Your child’s teeth begin forming before they are even born.  Most children get their first teeth (the lower 2 front teeth) between the ages of 6-10 months. Most children have all 20 of their primary teeth by the time they are 3 years old, but the order they come in and timing varies.

Children’s permanent teeth begin coming in when they are around 6 years old.  The first permanent teeth to appear are the first molars and lower front 2 teeth (the central incisors).  Adults have 28-32 permanent teeth (depending on how many wisdom teeth develop).

Thumb Sucking

Infants and young children may suck their thumb, fingers, a pacifier, or a variety of other objects.  Sucking is a natural reflex that often helps them feel a sense of security and calm.  While it is not a problem when they are younger, sucking habits that continue after a child’s permanent teeth have begun to erupt can lead to problems with proper jaw growth and alignment of teeth (such as crowding and anterior open bite, see photo below).  We recommend children stop thumb sucking by the time they are 2-4 years of age.

Sippy Cups

Sippy cups are utilized as an intermediate training tool between baby bottles and an adult cup.  At mealtimes you may fill your child’s sippy cup with liquids other than water (milk, juice, etc.), but throughout the day it should contain water only.  Allowing your child to sip on sugary drinks throughout the day can break down their enamel and cause significant tooth decay.


Sealants are a protective coating applied to help “fill in” the deep grooves on back teeth (their permanent molar and premolar teeth).  Children often have difficulty keeping these teeth clean due to their limited dexterity and how far back these teeth are in the mouth.  In fact, 80% of cavities in children are diagnosed on their molars and premolars.  Sealants function to “seal out” food, acid, and decay-causing bacteria in order to help prevent cavities. Most insurance plans cover these preventive procedures at no cost to you. For patients without dental insurance, our office is a local dentist that accepts payment plans.

When is the Best Time for Braces?

While some teeth alignment problems can be diagnosed and corrected as early as ages 4-6, most orthodontic treatment begins between the ages of 8-12.  We recommend children go for their first orthodontic consult around the time they turn 8 years old.  While they may still have some of their baby teeth at this point, their hard and soft tissues are very responsive to treatment at this time.   

Visit Us


309 N Bittersweet Rd #105,
Mishawaka, IN 46544