Frequently Asked Questions

Questions? Check the frequently asked questions  below to see if we have the answers you're looking for!

General

What does "Montshire" mean?

The name Montshire is taken from "Vermont" and "New Hampshire". It represents the area we serve and raise our families. We feel fortunate and grateful to call this incredibly beautiful area our home.

Do you allow parents in the treatment room?

Of course! Dr. Jonny has been in practice over 8 years and has always welcomed parents to be active participants in every dental experience. The Montshire Pediatric Dental team understands parents play an instrumental role in successful dental outcomes. 

When should I first bring my child to the dentist?

According to the American Academy of Pediatric Dentistry (AAPD) Guidelines: "In order to prevent dental problems and best set your child up for success, your child should see a pediatric dentist when the first tooth appears, or no later than his/her first birthday." At Montshire Pediatric Dentistry, we love getting to know you and your child as early as possible. Building a relationship with a child beginning at a young age is paramount. This investment fosters trust, cooperation, and rapport. We recommend being proactive and promote prevention.

What about X-Rays?

Radiographs (X-Rays) are an important component of a comprehensive examination. They allow the dentist to track development and detect tooth decay. At Montshire Pediatric Dentistry, we use the latest digital technology to lower and minimize the level of radiation. With these modern safeguards, including the environmentally friendly lead-free apron, the amount of radiation received in a dental X-ray examination is extremely small. Feel free to ask us any questions or concerns you may have regarding radiographs. 

Why choose a pediatric dentist for your child?

A pediatric dentist exclusively treats infants, toddlers, adolescents, and patients with special needs. Pediatric dentists are specialists that complete additional training at a nationally recognized Pediatric Dental Residency Program. Dental school is 3-4 years and a pediatric dental residency requires an additional 2-3 years above and beyond dental school. Through this training, pediatric dentists acquire the skills necessary to best treat your child and give the best care.

What does it mean for my child's Pediatric Dentist to be "board certified?"

Not all pediatric dentists are "board certified". Board certification means your pediatric dentist is a Diplomate of the American Board of Pediatric Dentistry (ABPD).  A Diplomate of the ABPD is a pediatric dentist who, successfully and voluntarily, passed the highest level of written and oral examination. Board certification signifies the pinnacle in achievement of a rigorous educational path over many years beyond dental school. Dr. Jonny is proud to be a Diplomate of the ABPD. 

Why are baby teeth important?

It is important to maintain a healthy primary dentition (baby teeth). Untreated cavities can result in discomfort and pain.  In severe cases, decay may result in hospitalizations, absence from school, and damage to permanent teeth.
 
Primary teeth are important for:
1) adequate chewing and eating
2) providing space for the adult teeth to erupt into the mouth correctly
3) proper speech development.
 
The front four teeth typically fall out between the ages of 6-8, whereas the back teeth are not usually replaced until the ages 10-13 yrs. 
 
Starting infants off with good oral health can help protect their teeth into adulthood. We ultimately try to help form habits that lead to a lifetime of excellent oral health.

What is a sealant?

Sealants work by filling in the anatomical crevasses (grooves) on the chewing surfaces of the teeth - where 80% of cavities are found. This clear or shaded material protects the decay-prone areas of the teeth from food and bacteria. Sealant placement is fast, comfortable, and can effectively protect teeth from cavities for many years.

Does my child need braces? If so, when?

A key aspect of the dental exam is to monitor the growth and development of the occlusion (how the teeth come together). 
 
Developing malocclusions (incorrect bite) can be recognized even during infant exams. It is often possible to intervene during childhood to prevent the need for extensive and more invasive orthodontic treatment in the future.
 
During your child’s dental exam, the pediatric dentist will discuss the nature of your child’s occlusion - and any current or possible future orthodontic recommendations based on the skeletal and dental relationship.  
 
The American Association of Orthodontists (AAO) recommends that every child see an orthodontist by around age 7.

My child grinds her teeth at night. It is quite loud and concerning. What do I do?

Grinding (or bruxism) is very common in children and rarely has negative effects on a growing child. The reason why children grind varies. The prevailing theory as to the cause involves a psychological component. Different circumstances including stress due to a move, divorce, changes at school, etc. can lead a child to grind his/her teeth. Another common theory attributes physiologic stress as a key factor in grinding as well.
 
Fortunately, most children outgrow this grinding phase as their permanent teeth erupt and the bite stabilizes. If you are worried, talk to us about your concerns at the next visit. Occasionally in older children, a night guard/appliance is indicated.

What about thumb(digit)-sucking?

Sucking is a natural reflex and serves an important purpose. It can provide a sense of security and contentment for a young child. Sucking can be relaxing and help a child fall asleep. 
 
Most children stop thumb-sucking on their own between ages 2-4. However, it is not uncommon to continue sucking beyond pre-school years. If your child is still sucking when the permanent teeth begin to erupt (typically age 6), it may be time to consider taking action to alter the habit. Extended sucking affects the teeth and arch forms of the mouth and may increase the need for orthodontic treatment in the future.
 
If you suspect your child’s thumb sucking may be affecting your child's oral health, please give us a call and schedule a visit. 
 

Appointments

What are your office hours?

Please read our office hours below:

Mon - Fri  |  8am - 5pm
Sat & Sun  |  Closed

Please note that our office will be closed in observance of the following holidays:

New Year’s Day, President’s Day, Good Friday, Memorial Day, Fourth of July, Labor Day, Thanksgiving, Friday after Thanksgiving, Christmas

How do I schedule an appointment?

For your convenience, we offer the following methods to schedule your appointments:

  • Online scheduling: To request appointment availability, please click here to fill out the form. Our scheduling coordinator will contact you to confirm your appointment.
  • Call our office at 603-354-3895.
  • Email us with your preferred date or day of the week and time range, and our scheduling coordinator will contact you to confirm your appointment.

What do I need to bring to my child's first appointment?

  • Completed Patient Forms
  • Insurance card/information.
  • List of current medications and medical conditions.
  • X-rays taken in the last 6 months (if available).

What if I need to reschedule?

Please call our office at least 24 hours in advance of your appointment. We’ll work with you to help you find another date that fits your schedule.

Treatments

Why do I need to discuss my child's medical health with the dentist?

Many medical conditions present additional symptoms in the mouth and can affect oral health, so your child's medical information is very important in diagnosing issues with their teeth, gums and mouth.

How often do fillings need to be replaced?

Fillings can last for many years, but over time they wear down, discolor, crack and sometimes fall out. Early detection of problems with fillings can help you avoid getting cavities under the filling and causing more serious decay. Let us know if you’re experiencing any pain. We’ll check your fillings at every visit to determine if any need to be replaced.

Do you use composite (tooth colored) or amalgam (silver) fillings?

Composite fillings are widely preferred to amalgam today to fill new cavities and replace old fillings needing repair. However, there are some instances when amalgam is still recommended, based on your individual health profile. In addition, some insurance providers will not approve composite fillings in posterior teeth, which would increase your out-of-pocket expenses.

Sedation

What types of sedation do you use?

Many dental procedures can be completed under local anesthesia. However, to help anxious patients relax, or for more complex procedures, inhalation sedation and nitrous oxide are available.

What is Inhalation Sedation?

Known as nitrous oxide or “laughing gas,” you’ll experience a feeling of euphoria after just 2-3 minutes of breathing in the gas. Your child will be aware of their surroundings and able to respond to questions. Inhalation sedation has very few side effects and is eliminated from the body within 3 to 5 minutes after the gas supply is stopped.

Insurance & Financial

What payment options do you offer?

Montshire Pediatric Dentistry offers several payment options:

  • We accept state insurance!
  • Insurance - We accept most major insurance providers! Call us for details.
  • Cash, check or credit card at the time of service
  • Payment plans – For major treatments, we will work with you to develop a payment plan.

Do you require payment at the time of the visit?

If you have insurance through one of our approved providers, only your estimated portion of the fees will be required at the time of service.

If you do not have insurance, we will require payment at the time of service or as specified in your payment plan.

Do you offer financing options?

Yes, through Care Credit we offer both short-term interest-free financing and longer-term financing with low monthly payments. We will be happy to work with you to find the best payment option for you!

Call Today! 603-354-3895

We can't wait to meet you, we want to be your dentist!