
Checkups, sealants, fillings, habit appliances and orthodontics for your kids, in the same office where you are seen.
Pediatric dentistry is the preventive and restorative care of teeth from the first baby tooth through the teens.
We see children alongside their parents and siblings. Your child keeps one chart and one team from the first checkup into adulthood, and when orthodontics or Invisalign make sense, treatment happens in the same familiar office.
Every stage brings different risks. Here is what each visit focuses on.
A first visit by the first birthday. We check how teeth are erupting, look for bottle decay and show you how to clean them.
All 20 baby teeth are usually in. We watch thumb and pacifier habits, spacing and early cavities between teeth.
Permanent molars arrive, the right time for sealants. We track crowding and bite changes.
Orthodontic options, custom sports guards and wisdom teeth monitoring.
Preventive and restorative care for children, with oral surgery and orthodontics in the same office when a child needs more.
Regular visits that remove plaque and catch decay early.
A thin coating that seals the grooves of back teeth, where most childhood cavities start.
When your water is low in fluoride, we can prescribe supplements to strengthen enamel.
Small cavities treated early, with numbing delivered slowly through The Wand.
Help for children to stop thumb sucking before it shifts permanent teeth.
Orthodontic treatment, including Invisalign, in the office they already know.
Guards made to your child's teeth so they fit securely and get worn.
Stubborn baby teeth and teen wisdom teeth, removed in a familiar setting.

A pleasant first visit builds trust for every visit after it, so we keep it relaxed. Children are encouraged to ask questions and tell us what worries them.
Your child gets to know us and the room before anything starts.
We review dental and medical history, then check teeth, gums and bite.
A gentle cleaning when your child is ready, with each step explained in kid-friendly words.
We go over what we found and a home care routine for you and your child.
A tip for parentsKeep the build-up low key and skip words such as "needle" or "drill." We explain each step positively.
Many children feel uneasy at the dentist. Our team slows down, explains as we go and lets a child set the pace.
A computer-controlled system that delivers numbing at a slow, steady rate.
Conscious sedation for children who need help relaxing, always discussed with you first.
Comprehensive care, with visits shaped around your child's needs.
★★★★★"I also have dental anxiety and the atmosphere & team was super calming and eased my nerves."
Liz A., Google Review
★★★★★"She talked me through every step of the process, made me feel comfortable, and explained the issues she noticed in a way that was easy to understand."
Jessica B., Google Review
How a child breathes and sleeps is tied to how the jaw develops. Dr. Silva completed the American Academy of Dental Sleep Medicine Master Track and wrote Breathe Right: The Link Between Nutrition, Airway and Getting a Good Night's Sleep.
At checkups we look for signs that breathing may be affecting growth, and explain the next step if we see them.

Dr. Silva leads our children's care with the same relaxed approach she brings to adults, and invites families to call her Nelly. She volunteers with Moms N PA through the Pennsylvania Dental Association, Smiles that Care and Dentistry from the Heart.
We confirm what your plan covers and explain any out-of-pocket cost before treatment.
We accept all PPO dental insurance plans. We do not accept Medicaid.
No insurance? Our dental savings plan covers routine family care.
Spread the cost of larger treatment, such as orthodontics, over time.
What parents ask us most.
Plan the first visit when the first tooth appears, and no later than the first birthday. It is a short visit to check how teeth are coming in and show you how to clean them.
Usually, yes. Baby teeth hold space for permanent teeth and help children chew and speak, and some stay until about age 12. Decay is an infection that spreads, so we treat it while it is small.
Pediatric dentists complete two to three years of specialty training after dental school. Our dentists provide children's care as part of family dentistry, so the whole family is seen in one office. If your child needs a specialist, we explain why and talk through the options.
Most children stop on their own without lasting effects. Habits that continue as permanent teeth arrive can crowd teeth or change the bite, and a habit appliance can help a child stop.
Find the tooth and hold it by the crown, not the root. If you can, place it back in the socket and have your child bite on clean gauze; if not, keep it in milk. Contact our office right away, because a quick response improves the odds of saving it.
One office for the whole family. We also see children from Trappe, Skippack, Oaks, Royersford, Limerick, Phoenixville, Norristown and Blue Bell.
