Pediatric Dentistry

NH’s Best Kids’ Dentist

Pediatric Dentistry Services DerryOur pediatric dentistry practice is open to infants, children, teens and special needs patients. We are committed to providing a quality preventative dental environment for our patients that respects their emotional and dental needs. We aim to educate families about the importance of proper dental care and to provide our patients with positive dental experiences.

We serve children and teens in the Southern NH area, including Derry, Londonderry, Manchester, Windham, Salem, Chester, and Hampstead.

Our Pediatric Dentistry Services

Sedation & Anesthesia Options

Nitrous Oxide (Laughing Gas): Nitrous Oxide may be required to relax very apprehensive patients and patients with gag reflexes.
Conscious Sedation: Young children who are very anxious may require in-office sedation. See our Patient Resources section for more information on Conscious Sedation.
General Anesthesia: Children with extensive dental needs and special medical conditions may require treatment in the hospital, under general anesthesia. Parents will be given more detailed information.


An examination involves more than looking at teeth. The health history reviews the general health of your child and indicates whether there is any need for special dental care. The examination charts health and disease and is used to provide a diagnosis and treatment plan for your child.

Dental Examinations Derry | Dr. Jim and Delilah

Cleaning & Fluoride

Teeth are cleaned to remove plaque (bacteria) and calculus (hard plaque) that can cause gum disease and tooth decay. Topical fluoride is applied to the teeth to make them stronger and more resistant to tooth decay. A thorough cleaning and fluoride treatment every six months has been shown to be an extremely effective way to prevent dental disease.

Teeth Cleanings Derry | Abram and Alicia

Oral Hygiene Instructions

Prevention is the most important part of our practice. We will provide you and your child with dental hygiene instructions that will help maintain good oral health at home.

Bitewing Radiographs

Bitewings are used to determine the health of the teeth and bone. Cavities and unusual tooth shape and size are apparent on the bitewings.

Panoramic Radiographs

A Panoramic Radiograph provides an overall view of your child’s mouth and jaws. It reveals missing permanent teeth, extra teeth, abnormal growths, and other problems. A panoramic is normally taken every 3 – 5 years in 3 stages of dental development.


The chewing surfaces of children’s teeth are the most susceptible to cavities and least benefited by fluorides. Sealants (plastic coatings) are applied to the tops of teeth and are highly effective in preventing tooth decay.

Tooth Colored Fillings

Tooth Colored Fillings (Composites) are used to restore front teeth or where cosmetic appearance is important. Tooth colored fillings are used to repair fractured teeth and/or areas of decay. The shade of restorative material is matched as closely as possible to the color of the natural teeth. Tooth colored fillings may also be used for back teeth. Composites require excellent hygiene following restorations on teeth.

Ceramic Crowns

In addition to the stainless steel crowns we offer for pediatric patients, we also offer an all-ceramic, white crown. These are used when appropriate, and look like your child’s natural tooth. Dr. Haas or his clinical staff would be happy to answer any questions you may have about the ceramic crowns for children.

Stainless Steel Crowns

Stainless Steel Crowns are used to restore back teeth that are too badly decayed to hold silver fillings.

Pulp Treatment

Pulp Treatment is necessary when decay has spread to the nerve of the tooth. The procedure consists of treating the nerve of the tooth to avoid extracting the tooth.


Extractions are done only as a last resort. If a primary molar is removed prematurely, a space maintainer will be placed. Teeth may also be extracted for orthodontic reasons.

Space Maintainers

Space Maintainers are used when a primary tooth has been prematurely lost to hold space for the permanent tooth. If space is not maintained, teeth on either side of the extraction site can drift into the space and prevent the permanent tooth from erupting.

Interceptive Orthodontics

Correction of minor orthodontic problems such as a crossbite can be done with simple appliances.

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