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New Patient Health Form
| Fluoride Awareness Survey
Toothprints Dental I.D.
Ideally, your child's first dental visit
should be within six months of eruption of his/her first tooth.
You can make the first visit to the dentist enjoyable
and positive. Your child should be informed of the visit and told that the
dentist and his staff will explain all procedures and answer any
questions. The less to-do concerning the visit, the better.
It is best if you refrain from using words around your child that might cause unnecessary fear, such as needle, pull, drill or hurt. The office makes a practice of using words that convey the same message, but are pleasant and non-frightening to the child.
If your child is over the age of 3, we ask that you allow them to accompany our staff through the dental experience. We are all highly experienced in helping children overcome anxiety. Separation anxiety is not uncommon in children, so please try not to be concerned if your child exhibits some negative behavior. This is normal and will soon diminish. Studies and experience have shown that most children over the age of 3 react more positively when permitted to experience the dental visit on their own and in an environment designed for children.
To prevent "baby bottle tooth decay" (severe decay caused by an infant sucking on a bottle filled with milk or juice for long periods of time), avoid putting your child to bed with a bottle filled with any liquid containing sugar. If your baby needs a bottle at bedtime for comfort, use only plain water.
Mouth care should begin at birth. Gently wipe baby's gums with a soft, damp washcloth or gauze pad. When the first teeth appear, begin daily brushing, using a children's soft-bristle toothbrush to clean them.
If your child chips a tooth, save any
fragments and call our office immediately. Place the fragments in a glass
of milk or cool water. If a tooth is knocked out, rinse it in cool water
and gently replace it in the socket if possible. Hold it there while you
get to the dentist.
Dental radiographs (x-rays) help your dentist diagnose early cavities, abscessed teeth, cysts, tumors, congenitally missing teeth, and root fractures. Newest techniques and equipment insure a minimum radiation exposure and the highest safety level for your child.
We strive to make each and every visit to our office a fun one!
For your convenience when visiting our office, please print the new patient health forms and complete the information and bring it with you to your first visit.
Child New Patient Health History Form
Adult New Patient Health
History Form
To print the form you will need Adobe Acrobat Reader. If you do not have Adobe Acrobat, please click here to download it for free to your computer.
Please print and complete the Fluoride Source Awareness Survey. This survey is intended to increase parents' awareness of the potential sources of fluoride which your child is receiving from a a variety of sources.
Click here to print the Fluoride Source Awareness Survey
Toothprints®
Click here to view the Curriculum Vitae of David A. Tesini (Developer of Toothprints)
The Dental ID for
Safeguarding Children
One of the greatest fears of parents today are that their children will be
lost or stolen. Toothprints® is a simple technique for documenting
tooth and jaw characteristics and provides parents with additional piece of
mind. This program was developed by Dr. David Tesini and is offered to all
our patients free of charge. The toothprint program is highly acclaimed
nation-wide and has been incorporated into the Massachusetts Child
Identification Program(CHIP).
Toothprints® is an arch-shaped
thermoplastic wafer that you soften in hot water, then placed on the
patient's lower arch. The child bites into the wafer for 50 seconds
and then a 2-3 cool down period allows the toothprint to be placed in a bag
and sent home with the parents for safe keeping.
Toothprints® should be done at least every 2-3 years with minimum requires been;
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initial impression: Age 3 (or after all primary teeth have erupted)
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Update: Age 7 or 8 (or after the upper and lower incisors and the first permanent molars have erupted)
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Update: Age 12 or 13 (or after all permanent, excluding 3rd molars, have erupted)
Remember, the TOOTHPRINTS ID PROGRAM is
free to our patients. Call us
for more information and schedule an appointment that will only take a few
minutes.
MYCHIP.ORG - parents can find community and educational programs in Massachusetts by clicking on mychip.org. The dentist can make them for your child.
Your child’s safety is important to us! No one has a bite like yours.
