Children's Tooth Development

The primary or baby teeth are important for many reasons. They are just as important as permanent teeth when it comes to chewing, speaking, and appearance. They also serve as space holders for the permanent teeth and provide guidance to the developing teeth and jaws. Most children have a full set of 20 primary teeth by the age of 3 years. They begin to lose these in exchange for permanent teeth by 6 or 7 years of age in a process that may continue until age 12 or later.

At GRPD, we may suggest space holding appliances or functional interceptive appliances to ensure proper alignment of the teeth and jaws.

Hidden Sugars

hidden sugars graph

Early Childhood Caries

This condition is officially known as Early Childhood Caries (ECC). It consists of an early and aggressive form of tooth decay usually involving the upper anterior teeth first, but can involve back molars and even lower anterior teeth in extreme cases.

This is a condition that is preventable. It results from inappropriate feeding practice, usually involving the bottle or sippy cups. It can also arise from frequent nighttime breast feeding. Beware, ECC can destroy teeth, cause dangerous infections and pain, and can lead to orthodontic problems by causing unnecessary tooth loss. It can also lead to nutritional, developmental, and speech problems.

Baby Bottle Decay is caused by frequent and long exposure of a child's teeth to liquids containing sugar such as milk, formula, fruit juices, soda and other sweetened liquids. These liquids fuel the bacteria in a child's mouth, which produces acids that attack enamel.

General Anesthesia

Pediatric dentists often treat patients who present special challenges related to their age, behavior, medical conditions, or other special needs. To address these challenges effectively in order to provide "predictable" and safe treatment, pediatric dentists may recommend treating your child under General Anesthesia. Pediatric dentists are, by virtue of training and experience, qualified to recognize the indications for such an approach and to render such care. When this alternative is necessary, and the patient is a suitable candidate medically, we are fortunate to be able to call upon one of several well trained dental anesthesiologists who will provide the anesthesia in our office. Learn More About Our Anesthesiologists! Dr.Pivnik and his staff will discuss all the necessary steps that must be taken in order to promptly and safely complete your child's dental treatment after this treatment option has been chosen.


Time is of the essence!

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(916) 638-8778

Patient Forms

Thank you for choosing Gold River Pediatrics. We are looking forward to treating you. For convenience sake and to make your appointment easier, we would like to capture information for your chart and our staff prior to you seeing our dental providers. We have two easy ways for you to give us your information.

1. Our on-line form: Click here New Patient Registration to access it.

2. If you aren't interested in filling out your information on-line, we have PDF forms you can print, fill out and bring with you to your appointment.

Health History Form
Parent Information
Parent Information SPANISH
Patient Information

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Gold River Pediatric Dentisty would love to meet you and your family
and provide your children with the dental care they need and give them all smiles they deserve!