Dental sealants act as a barrier to prevent cavities. They are a plastic material usually applied to the chewing surfaces of the back teeth (premolars and molars) where decay occurs most often.

Thorough brushing and flossing help remove food particles and plaque from smooth surfaces of teeth. But toothbrush bristles cannot reach all the way into the depressions and grooves to extract food and plaque. Sealants protect these vulnerable areas by “sealing out” plaque and food.

Sealants are easy to apply. The sealant is painted onto the tooth enamel, where it bonds directly to the tooth and hardens. As long as the sealants remain intact the tooth surface will be protected from decay. During your regular dental visits, the dentist will check the condition of the sealants and reapply them when necessary.

Healthy Diet = Healthy Teeth

Fresh Fruit
Peanut Butter
Non-processed foods
Fresh Vegetables

Unhealthy Diet = Unheatlhy Teeth

Fruit Roll-ups/ Fruit Snacks
Jelly Beans/Skittles/Starburts
Dried Fruits/Raisins
Gummy Vitamins
Apple Juice/Fruit Punch/Gatorade/Soda
High Sugar Cereals
Granola Bars

It is commonly known as laughing gas, which helps relax children during their dental treatment. Nitrous oxide/oxygen is an effective relaxation technique WITH OUT putting the children to sleep.

Your child can benefit from nitrous oxide if he or she experiences one or more of the following:

High fear of dental care
Complex dental problems bur fairly cooperative
Past history of traumatic dental experiences
Fear of needles and shots
Difficulty getting numb
Sensitive teeth
Strong gag reflex

Nitrous oxide is a combination of Nitrous Oxide and Oxygen to help you child’s body achieve a relaxed state. This is the most popular form of anxiolysis used in pediatric dentistry today. The majority of children benefit from the use of nitrous oxide during their dental treatment as it makes for an overall calmer and more pleasant experience. Nitrous oxide is a colorless and faintly sweet smelling gas. It is absorbed rapidly, which allows a very fast onset. Patients, including children, respond appropriately to verbal commands and are able to carry on a conversation, and in most cases return to pre-procedure mobility with a speedy recovery of about two or three minutes. In kids, nitrous oxide will usually expedite the overall procedure due to its overall calming effect. It is also a mild analgesic and helps to suppress a strong gag reflex, which in turn makes for a smoother visit for many children.

We provide a beneficial service with General Anesthesia (GA) right here in our private practice.  GA may be indicated for children with extensive dental needs who are extremely uncooperative, fearful, anxious, or for the very young who are unable to understand.  GA also can be helpful for children requiring significant surgical procedures or patients with special health care needs.  General anesthesia works by controlling the unconsciousness that eliminates awareness, movement, and discomfort during treatment.  Dr. Holcombe works with a board-certified dental anesthesiologist, Dr. Zak Messieha, with specialized training using medications to safely put a child patient to sleep and avoid any traumatizing events.  This also avoids repeat appointments since all dental treatment is done in one visit, and parents have the comfort of being in a relaxed environment.
24ce31_2e64868ff7df4f369c403a15bca60853Each tooth has four main parts:
-enamel-the outer layer of the tooth
-dentin- the inner layer and the main part of the tooth
-pulp- part of the inside of the tooth that contains the nerve
-root- the part of the tooth that secures it into the jaw



While every child is different, most of the primary (baby) teeth come in between the ages of 4 and 25 months. The following are general guidelines for the eruption of baby teeth.

The teeth on the upper jaw usually erupt one to two months after the same tooth on the lower jaw. There are a total of 20 primary teeth. Usually, about one tooth erupts per month once the teeth have started coming in. There is normally a space between all baby teeth. This leaves room for the larger adult teeth to erupt.

Eruption of teeth happens at different times for each child. We have provided average ages of eruption and shedding:





Your child will begin losing their baby teeth around the age of 6.  The first teeth to be lost are usually the central incisors.  This is then followed by the eruption of the first permanent molars, which does not replace any baby teeth.  The last baby tooth is usually lost around the age of 12, and is the cuspid or second molar.  There will be a total of 32 adult teeth (including the wisdom teeth).