Smile More, Worry Less

Understanding our minimally invasive approach.

Montshire Pediatric Dentistry is committed to making dental visits a positive experience. Our minimally invasive approach reduces anxiety and discomfort, allowing your child to enjoy a healthy smile without the fear often associated with dental care.

As much as necessary and as little as possible.

At Montshire, we strive to provide your child with an outstanding dental experience and world-class care. Our 4 guiding principles are:

1. Make dental visits enjoyable for your child.: We focus on making dental visits fun and stress-free for your child.
2. Prevent dental disease and pain.: Preventive care is our priority to ensure your child's long-term oral health.
3. Maintain a healthy oral environment for life.: We support your child in developing habits for a lifetime of healthy smiles.
4. Accomplish #1-3 by doing as little as possible.: We always start with the least invasive and lowest risk solutions possible.

Grounded in Science: Our Approach to Minimally Invasive Dentistry

At Montshire Pediatric Dentistry, we continuously update our practices with the latest research and collaborate with experts nationwide to deliver the best care possible. Our minimally invasive approach incorporates cutting-edge medicaments, materials, and techniques to ensure effective and gentle treatment for your child. Below are a few examples of the advanced tools and methods we use, supported by scientific literature:

Silver Diamine Fluoride (SDF):

Silver Diamine Fluoride (SDF) is an antimicrobial liquid applied to teeth to eliminate bacteria, effectively stopping cavities and preventing future decay. This treatment addresses the root cause of cavities by removing harmful bacteria. Silver has been used for thousands of years in various medical applications, such as eye drops for infants and antimicrobial gauze. By using SDF, we often avoid the need for invasive procedures like local anesthesia (shots) and drill-and-fill dentistry.

See a few examples of scientific literature below that demonstrate SDF efficacy.

Protocol for Stopping Caries (Cavities) Using Silver Diamine Fluoride
Published January 2016
Use of Silver Diamine Fluoride in Children and Adolescents, Including Those with Special Health Care Needs
Published October 2017
The History and Use of Silver Diamine Fluoride in Dentistry
Published January 2018
Effectiveness of Silver Diamine Fluoride in Preschool Children
Published July 2012
How Silver Diamine Fluoride Works to Stop Caries (Cavities)
Published July 2012

Glass Ionomer:

We use glass ionomer, a versatile white material, for various treatments, including sealants, fillings, and crown placements. This material stands out because it releases minerals that rebuild and strengthen natural tooth structures. Its antimicrobial properties help combat decay, and its biocompatibility ensures it works harmoniously with your child's teeth. Glass ionomer's thermal properties match those of natural teeth, reducing the chance of leakage. Its straightforward application process requires less isolation, making treatments quicker and more comfortable.

See a few examples of scientific literature below regarding the use of glass ionomer.

Therapeutic Effect of Glass Ionomers
Published January 2011
Glass Ionomers in Concert with Silver Diamine Fluoride
Published January 2006
Effectiveness of Glass Ionomers
Published July 2012

Minimally Invasive Treatment for MIH:

Molar Incisor Hypomineralization (MIH) is a common condition affecting both baby and adult teeth. It presents two main clinical challenges: weakened tooth structure, which is more susceptible to breakdown, and hypersensitivity due to an increased concentration of nerve endings. To address these issues, we use Silver Diamine Fluoride and Glass Ionomer, which have proven highly effective. By following the technique outlined below, we can enhance your child's long-term dental health while minimizing the need for multiple uncomfortable visits.

Minimally Invasive Treatment for Molar Incisor Hypomineralization
Published November 2018

Hall Crowns:

The Hall crown technique enables us to place prefabricated crowns without the need for numbing or drilling. Stainless Steel Crowns, which cover the entire tooth, are highly effective in terms of predictability and longevity. If necessary, space for the crown can be created using orthodontic separators instead of drilling the tooth.

Study on the Success of Stainless Steel Crowns Placed with the Hall Technique
Published December 2014

Povidone Iodine:

Povidone Iodine is an over-the-counter antiseptic liquid that kills harmful bacteria in our mouth. It is an easy, effective way to prevent cavities in our mouth.

Efficacy of Povidone Iodine
Published January 2011
Protecting Teeth with Povidone Iodine
Published January 2010

Prevention:

A preventative approach to oral health is a complete game changer for the health of young mouths. We feel strongly about helping our patients understand the simple practices they can adopt to avoid costly and invasive treatments down the road. We want to assist in laying a foundation for a lifelong healthy smile.

Minimal Invtervention Dentistry and Caries (Cavities) Prevention
Published December 2014

Diet and Cavities:

Sugar and Dental Caries (Cavities)
Published December 2003

Fluoride Safety:

Fluoride helps to remineralize our teeth, kill bacteria, and prevents future tooth breakdown. It is safe to use in appropriate quantities.

Fluoride in Toddlers
Published February 2014

Diagnostic SED:

A diagnostic SED is a minimally invasive way to determine the vitality of a tooth. Using this technique improves the chances of success.

Frequently Asked Questions

Everything you need to know (almost).

According to the American Academy of Pediatric Dentistry (AAPD) Guidelines your childs first dental visit should be scheduled when their first tooth appears, or by their first birthday. At Montshire Pediatric Dentistry, we love getting to know you and your child as early as possible. Building a relationship with your child from a young age fosters trust and cooperation, setting them up for a lifetime of good oral health.
Dental x-rays have been proven to be very safe for children. We have invested heavily in state-of-the-art digital radiography equipment which creates an easier, less intimidating experience for your child. This process also results in 3 to 4 times less radiation exposure for your children (less than they would be exposed to in a 1 hour plane ride), all while creating more accurate and real-time imaging! You may also notice that we no longer use lead aprons when taking dental x-rays. This is because the ADA now recommends against their use, as they can potentially trap radiation and increase exposure.
Minimally invasive dentistry focuses on preserving as much natural tooth structure as possible. It involves using advanced techniques and materials to detect, diagnose, and treat dental issues in their earliest stages. This approach is less invasive than traditional dentistry, which often relies on more extensive treatments like fillings, crowns, bridges, and root canals. By catching problems early and using targeted, conservative treatments, minimally invasive dentistry can help patients maintain their natural teeth for longer with less discomfort and expense.
To make the most of your child's first dental appointment, please come prepared with - 1) Filled-out patient forms (patient forms will be shared with you once you have scheduled your child’s appointment) 2) If you have insurance your insurance card/information 3) A list of your child's current medications and medical conditions 4) Your child's most recent dental x-rays (if you have them). By having these documents ready, you can be fully present to support your child during their first visit.
Baby teeth play a crucial role in your child's development, even though they are temporary. They help children chew properly, aiding in nutrition and digestive health. They also assist in speech development, allowing children to learn to form words and sounds correctly. Additionally, baby teeth serve as placeholders for permanent teeth, guiding them into the proper positions as they emerge. Neglecting baby teeth can lead to decay, infection, and premature loss, which may cause misalignment of permanent teeth. Additioanlly, regular dental care for baby teeth helps establish good oral hygiene habits and ensures a healthy smile for years to come.
At Montshire, we understand that many children feel anxious about visiting the dentist. That's why we're committed to creating a calming, positive experience for every child. We encourage parent involvement, prioritizing communication and education throughout each visit. Our doctors take the time to explain findings and treatment options thoroughly, ensuring that families feel informed and comfortable. We've designed our office with soothing colors, gentle art, and soft toys to create a playful yet relaxing atmosphere. By fostering a positive relationship with dental care from an early age, we aim to help children develop a lifelong commitment to oral health without fear or anxiety.
The name Montshire is a fusion of Vermont and New Hampshire, celebrating our early beginnings. As we have expanded we have been honored to be welcomed into additional communities that we now proudly serve. Montshire symbolizes not just our history, but also the principles that drive us to deliver outstanding care to an increasing number of families.

Keene, NH

Claremont, NH

Sanford, ME

Henniker, NH

Amherst, NH

Dublin, NH

Rutland, VT

Brattleboro, VT