Dr. Shelly Levin - Big Tooth Boca

Kids Sleep Dentistry – Big Tooth Boca

Kids sleep dentistry is a specialized dental service that provides sedation or anesthesia to children during dental procedures. Finding the right dental practice for your child’s needs is crucial to ensure that they receive safe and effective sleep dentistry services. It is important to choose a dental practice that specializes in pediatric dentistry and has experience in providing sleep dentistry services to children. In this article, we will discuss important factors to consider when choosing a pediatric dental office for kids sleep dentistry.

The Purpose of Kids Sleep Dentistry

Children may need sleep dentistry for a variety of reasons, such as:

  • dental phobia or anxiety
  • difficulty sitting still
  • developmental disabilities
  • extensive dental work that cannot be completed in a single visit

Sleep dentistry can also be used for procedures that may be uncomfortable or painful. That can include procedures such as root canals or extractions.

The benefits of sleep dentistry for children include:

  • reduced anxiety and fear
  • increased comfort during dental procedures
  • the ability to complete multiple procedures in a single visit

There are three main types of sleep dentistry: nitrous oxide, oral conscious sedation, and IV sedation. Each type of sleep dentistry has its own benefits and risks, and the type of sedation used will depend on the child’s individual needs and the complexity of the dental procedure.

Nitrous Oxide

Nitrous oxide, also known as laughing gas, is a mild form of sedation that is delivered through a small mask placed over the child’s nose. Nitrous oxide is safe and effective and wears off quickly, allowing children to resume normal activities soon after the procedure.

Nitrous oxide works by reducing anxiety and promoting relaxation. The child remains awake and alert during the procedure and can communicate with the dentist if necessary.

The pros of nitrous oxide include its safety, effectiveness, and quick recovery time. The cons include the need for the child to wear a mask, and the fact that it may not be effective for all children or for more complex dental procedures.

Nitrous oxide may be used for children who have mild to moderate anxiety or fear of the dentist, or for procedures that are not too complex. It is also a good option for children who may be resistant to other forms of sedation.

Kids Sleep Dentistry

Conscious Sedation

Conscious sedation is a moderate form of sedation that is administered orally or intravenously. The child is able to respond to verbal cues and is conscious but relaxed during the procedure.

Conscious sedation works by depressing the central nervous system and promoting relaxation. The child may feel drowsy or fall asleep, but can still be easily awakened.

The pros of conscious sedation include its effectiveness for more complex procedures and the fact that the child remains conscious and can follow instructions. The cons include a longer recovery time compared to nitrous oxide and the potential for side effects such as nausea or vomiting.

Conscious sedation may be used for children who have moderate to severe anxiety or fear of the dentist, or for procedures that are more complex and require deeper sedation.

IV Sedation

IV sedation, or intravenous sedation, is another form of conscious sedation that involves administering medication directly into the patient’s bloodstream through an IV. This method allows for a deeper level of sedation than nitrous oxide, while still keeping the patient conscious and responsive.

During IV sedation, the patient is closely monitored by the dental team to ensure their safety and comfort. The level of sedation can be adjusted as needed throughout the procedure. The effects of the medication may linger for a few hours after the procedure.

IV sedation may be recommended for children who are anxious or have difficulty sitting still for longer procedures. It is also commonly used for children with special needs or those who require extensive dental work.

As with any form of sedation, there are potential risks and side effects to consider. The pediatric dental team at Big Tooth Boca will thoroughly review the risks and benefits of IV sedation with parents and guardians to help them make an informed decision about their child’s dental care.

Preparing for the Appointment

Parents should inform the dental practice of their child’s medical history, allergies, and any medications they are currently taking. They should also follow the fasting guidelines provided by the dental practice and ensure that their child is well-rested and relaxed before the appointment.

Parents should expect their child to be closely monitored throughout the procedure. They may be asked to stay in the waiting room or accompany their child during the procedure, depending on the type of sedation used. The dental team will also provide instructions for aftercare and follow-up appointments.

After the Appointment

After your child’s sleep dentistry appointment, it’s important to know what to expect and how to properly care for your child during the recovery process. Here are some things to keep in mind:

Your child may feel groggy, dizzy or nauseous after the procedure, but these symptoms should subside within a few hours. It’s important to give your child plenty of rest and fluids and avoid any strenuous activities for the first 24 hours. Your child may also experience some discomfort or pain. This can usually be managed with over-the-counter pain medications recommended by the dentist.

Your dentist will provide you with detailed post-operative care instructions to help your child recover safely and comfortably. These may include recommendations on diet, oral hygiene, and medication use. Follow these instructions carefully to ensure that your child heals properly.

While rare, there are some possible side effects of sleep dentistry that parents should be aware of. These may include nausea, vomiting, dizziness, and confusion. If your child experiences any of these symptoms or has difficulty breathing, contact your dentist immediately.

It’s important to remember that every child’s recovery process is different. It’s normal for them to feel a little uneasy or uncomfortable after the procedure. Follow your dentist’s instructions and keep a close eye on your child’s condition. They should be back to their normal self in no time.

Why Choose Big Tooth Boca

Big Tooth Boca is a pediatric dental practice located in Boca Raton, Florida. We offer a range of dental services for children, including sleep dentistry. The practice is led by Dr. Shelly Levin-Rubin.

Dr. Shelly Levin-Rubin is a graduate of the Stony Brook University School of Dental Medicine. She is committed to providing compassionate and quality care for her patients. Dr. Levin is a diplomate of the American Academy of Pediatric Dentistry.

Big Tooth Boca has received numerous positive reviews from satisfied parents and patients. Many parents have praised Dr. Levin and her staff for their caring and gentle approach to dental care for children. Patients have also noted the comfortable and welcoming atmosphere of the practice.

Overall, choosing Big Tooth Boca means choosing a reputable and experienced pediatric dental practice. We prioritize the needs and comfort of your child.

Convenient Location

Big Tooth Boca

21301 Powerline Road Suite 208A

Boca Raton, FL 33433

Parents can call the office at 561-410-7741 to schedule an appointment. Alternatively, they can use the online contact form to request an appointment.

Big Tooth Boca is conveniently located off of Powerline Road, near the intersection of Glades Road and Yamato Road. Parents can easily access the office from I-95 or the Florida Turnpike. Detailed directions are available on the Big Tooth Boca website.


In conclusion, kids sleep dentistry is an important option for children who need dental treatment but may be anxious or unable to sit still during a procedure. There are several different types of sleep dentistry, including:

  • nitrous oxide
  • conscious sedation
  • IV sedation

Choosing the right pediatric dental practice for your child’s needs is crucial. Big Tooth Boca offers a welcoming and safe environment for children of all ages. Dr. Levin has extensive experience and qualifications in pediatric dentistry. The positive reviews and patient testimonials attest to the high-quality care that she and her team provide.

Conveniently located in Boca Raton, Florida. Big Tooth Boca makes it easy for parents to schedule appointments and bring their children in for the dental care they need.

Looking for a pediatric dental practice that offers sleep dentistry options for your child? Contact us today! 561-410-7741

5 Interesting Dental Facts | Kids Dentist 33433

Did you know your oral health can impact your overall health? We’ve compiled a list of 5 tidbits about your teeth and oral health. 

Say Cheese
Cheese has been found to promote dental health by helping prevent tooth decay. The calcium and phosphorus found in cheese help neutralize acid in the mouth. Acid can create dental erosion, which can cause decay that may require filling. Cheese creates a protective film around teeth and helps remineralize the enamel.

Keep Smiling
Your smile can make a difference. Studies have found that 50% of people consider a smile the first facial feature they notice. One study found that 88% of us remember people with beautiful smiles whenever we meet new people. This means attractive smiles are key to being more noticeable and remembered. 

Toothbrush Time
Don’t forget to replace your toothbrush at least once every three months. You should get a new toothbrush after recovering from any sort of viral infection, flu, or cold. You are more likely to be re-infected if these bacteria implant themselves on the bristles. 

You’re Unique
In your lifetime, you only get two sets of teeth— baby teeth and permanent teeth. It is important to take proper care of your permanent teeth. Did you know that no two people have precisely the same set of teeth? Your teeth are as unique as a fingerprint. This is the reason teeth are used by investigators for identification. Your tongue also has a unique print, though it is not commonly recorded. 

F.Y.I on Floss
Floss is a lot more useful than you may think. If you skip out on your daily flossing, you can miss cleaning up to 40% of your tooth surfaces. Flossing can also help prevent gum disease by removing plaque near the gum line. Floss has other alternative creative uses. The next time you are looking for a fun holiday project, grab some dental floss and a handful of cereal to string for the tree. Floss works well for repairing a bead necklace too! Bonus Fact: Health professionals are rated among the most trusted people in the U.S so make sure to call our Pediatric Dentist In Boca Raton and make an appointment today!

3 Ways Gummy Vitamins Can Impact Your Child’s Oral Health | Kids Dentist Boca Raton FL

Multivitamins are an excellent way to help children and adults receive nutrients that their diet lacks. For parents of picky eaters, this can be especially helpful. However, not all vitamins are created equally. Chewable, gummy vitamins are often marketed to children but carry risks to your child’s oral health. Here are three ways gummy vitamins affect your child’s oral health. 

1. Gummy Vitamins Stick to Your Child’s Teeth
Like gummy candy, particles of gummy vitamins can easily stick to your child’s teeth. Bacteria that causes decay feeds on sugars and food matters left on your teeth. Because they can be harder to clean by brushing, the risk of developing decay increases. If your child takes a gummy multivitamin, encourage them to brush their teeth thoroughly shortly after consuming one. Our dentist also suggests scheduling your child’s next visit to ensure a professional and thorough cleaning. 

2. Gummy Vitamins Contain Sugar
Compared to pills and harder, chewable multivitamins, gummy vitamins generally contain more sugar. Ingredients such as gelatin and sucrose are often found in gummy vitamins. Sugar feeds bacteria that can contribute to tooth decay. 

3. Don’t Confuse Them For Candy
Candy contributes to tooth decay because the sticky, sweet, sugary contents cling to teeth, promoting decay. Gummy vitamins are similar because they share several key ingredients with gummy candies. It is vitally important that your child never confuses a multivitamin for a candy. Consuming more vitamins than the suggested amount can lead to serious health complications. 

Multivitamins can help balance a diet that does not include key nutrients. While gummy vitamins are often a great way for children to be excited to take a vitamin, consider the risks they pose to your child’s oral health. If your child does regularly take a gummy multivitamin, have them brush their teeth after taking one. Taking a vitamin before brushing your teeth prior to bedtime is one way to ensure your child’s teeth remain clean. 

We advise you to consult your child’s pediatrician for information regarding which multivitamin supplements are best for your child. Children should receive at least two dental examinations per year, with additional visits needed for those with a high risk of developing decay or other oral health complications. 

To schedule your next visit to our office, please contact our dental team today.

3 Ways to Make Brushing Fun For Your Child | 33433 Pediatric Dentist

Little teeth will grow into a big smile. To ensure your child is on track for a lifetime of optimal oral health, it is important to instill good oral hygiene habits early in life. We understand that this can sometimes be a challenge. It’s hard to keep the interest of young children, which can make brushing twice a day for two minutes each time difficult to do. We’ve gathered a few pointers to help you and your child make brushing time a fun experience. 

Choose a Cool Toothbrush and Great Tasting Toothpaste

Make your child part of the process by allowing them to select a cool toothbrush. By choosing one with a favorite color or neat character on it, selecting a toothbrush can be fun. When it comes time to choose a toothpaste, pick one that is palatable to your child. Not all children find the mint flavors often used in adult toothpastes to be appealing. Instead, go for one with a taste your child loves. 

Timing is Everything 

It is essential that your child brushes for a full two minutes, twice each day. Two minutes can feel like a long time. Allow your child to control a timer to better engage them in their brushing. Use a sand timer, egg timer, or even a timing app on your phone. Many children also find it helpful to visually see how long they have been brushing.  

Brush Together 

Children learn by example. You can set a great example for your child by being a brushing role model. Brush together with your child. This also gives you the opportunity to correct any improper brushing habits they may otherwise do on their own. By brushing together, you are also emphasizing the importance of regular brushing each day. Show your child that proper oral hygiene is important. 

For most adults, brushing your teeth is second nature. For young children still learning, it can be challenging or boring. You can help your child prepare for a lifetime of optimal oral health by helping them feel comfortable brushing their teeth properly. Stick to cool toothbrush designs and fun flavors. Also try using a timer, and brushing together to further build good habits. Don’t forget that your child should visit us for regular examinations and professional cleanings

Contact our office to schedule your child’s next visit. 

6 Facts You Didn’t Know About Your Toothbrush | Boca Raton FL Kids Dentist

Do you ever think about your toothbrush? You use it twice a day, but how much do you know about it? We’ve compiled a list of interesting toothbrush facts. The next time you brush, consider these bits of trivia. 

1. Toothbrushes may be less common than mobile devices 

It is believed that more people own and use a mobile device than those who own and use a toothbrush. With nearly 8 billion mobile devices, the world has more mobile phones, tablets, and other gear than people. However, only 3.5 billion people are estimated to use a toothbrush. 

2. Origin story 

It is believed that the first modern toothbrush was invented by a prisoner in England. Sometime around 1780, William Addis created a toothbrush from bone and used swine bristle for the brush.  

3. A long history 

Long before Mr. Addis invented what we know as the toothbrush, ancient Egyptians, Babylonians, and Chinese crafted tools for cleaning their teeth. The ancient Chinese used “chewing sticks” to freshen breath as early as 1600 BCE. 

4.  What are the bristles? 

Originally, toothbrush bristles were primarily made from cow hairs or boar hair. Today, nylon is the material of choice, and has been since the 1930s. 

5. What color is your toothbrush? 

Blue is the most common toothbrush color. The second most common color is red. 

6. A home for bacteria 

More than 100 million bacteria call your toothbrush home. You don’t get sick regularly because, like your toothbrush, your mouth is home to hundreds of millions of bacteria. Your body is quite effective at fighting off these germs, but if you don’t change your toothbrush regularly or share with someone else, you might catch an illness. 

Now that you are a toothbrush expert, spread the word about the importance of regular brushing. Be sure to brush for two minutes twice each day. The American Dental Association recommends that you change your toothbrush every three to four months. If you have a weakened immune system or have been sick recently, you should replace your toothbrush. 

For more dental care tips, or to schedule your next visit to our office, please contact us. 

6 Tips for Preventing Tooth Decay in Children | Kids Dentist Boca Raton FL

Oral health is important at every stage in life. Just because your children are going to lose their primary (baby) teeth eventually doesn’t mean that we can ignore the importance of dental care. Tooth decay can be painful and uncomfortable to treat. To protect your child’s smile, it is vital to understand optimal preventive care.

1.      Explain the importance of routine dental care to your children and turn brushing and flossing into something fun that they look forward to each day. 

2.      Schedule routine appointments to our office for cleanings and dental exams. Your child should start seeing a dentist as soon as their first tooth emerges. Make sure to continue visiting us twice a year for optimal oral health.

3.      Include crisp and fibrous foods into your child’s diet. Fruits and vegetables high in water content help keep your child’s mouth hydrated. Foods such as apples increase saliva which inhibit bacteria from sticking to their teeth. 

4.      Avoid food and drinks that are high in sugar. Soda, juice and candy are all treats that most children love to eat. However, these can be detrimental to your child’s teeth and overall health.

5.      Drinking plenty of water throughout the day is one of the easiest and most effective ways to prevent tooth decay. Water flushes bacteria and acid away from teeth. Encourage your children to drink water especially after eating. 

6.      Ask us about dental sealants for your children. Sealants can add a layer of protection to your child’s teeth where bacteria build up to prevent damage. 

Tooth decay starts out as a small problem, but left untreated can lead to serious oral health issues. By adding a few minor habits into your daily routine, your child’s oral health can change for the better. Simple changes in diet and routine can keep cavities at bay. 

Call us today to schedule an appointment for your child.

Periodontal Disease in Children | Kids Dentist in Boca Raton

Periodontal disease is a bacterial infection in the gums that can impact the teeth and jawbone if left unchecked. About half of all children suffer from periodontal disease. Fortunately, if identified and treated early, its effects can be managed and even reversed to allow your child to return to optimal oral health through adolescence and beyond. 

There are several factors that can lead to the onset of periodontal disease in children. Poor oral hygiene and untreated plaque are the most common, but diet, diabetes, hormonal changes, and even genetic predisposition can increase your child’s risk. 

Your child should be screened for periodontal disease if their gums are:

·         Sore

·         Swollen

·         Red

·         Bleeding from brushing and/or flossing 

If left unchecked, periodontal disease can cause your child’s gums to pull away from the teeth, affecting the structure of the bone beneath and potentially impacting their jaw alignment and bite. Over time, bone and tooth loss can occur. 

Periodontal disease is preventable and highly treatable. Regular cleaning and exam appointments will help keep your child’s teeth and gums healthy. Teach your child about the importance of daily oral hygiene. If periodontal disease has begun, our doctor can help. Contact our office for your child’s periodontal screening today.

Chewing Gum for Your Oral Health | Best Kids Dentist Boca Raton FL

Sugary, sticky, and sweet candies can damage your teeth by increasing your risk of decay. Though gum can be considered a type of candy, chewing sugarless gum approved by the ADA can actually help protect teeth and prevent tooth decay. Here’s what you need to know about gum and your teeth. 

How it Works

Chewing gum helps increase the production of saliva. Chewing sugarless gum for twenty minutes following meals can help prevent tooth decay because the saliva helps wash away food and other debris from the surface of your teeth. Increased salivary flow can also neutralize acids that bacteria produce inside your mouth. Over time, acid can break down tooth enamel, leading to decay. Saliva contains calcium and phosphate, which aid in strengthening tooth enamel.

Look for the ADA Seal

The ADA Seal assures you that the gum is sugarless and has met the ADA’s criteria for safety and effectiveness. ADA-labeled products are tested to ensure they provide the benefits guaranteed by the seal. Companies must verify all relevant data with the ADA to become certified. If you are unable to brush for a short period of time, chewing gum with the ADA seal is a great option to help clean your teeth after a meal or snack. 

Can I Stop Brushing if I Chew Gum?

No. Chewing gum for twenty minutes after a meal helps but is not a replacement for brushing and flossing. You should brush at least twice each day, for two full minutes. Chewing gum also does not eliminate your need for regular dental examinations. Our dentist recommends scheduling two visits each year, with additional visits necessary for high-risk patients with oral health conditions. 

Chewing sugarless gum has noticeable benefits for your oral health, such as increasing the production of saliva. While this can help prevent the build up of decay-causing bacteria, chewing gum should not be used as a substitute for brushing or flossing. Our dentist recommends that if you are chewing gum, be sure to choose an ADA approved brand of sugarless gum.

To schedule your next visit, please contact our dental office




How to Get Your Kids to Eat Healthier | Boca Raton Best Kids Dentist

The food children eat affects their long term oral health. Some foods have nutrients teeth need. Others are full of acids and sugars that are harmful to teeth. With so many unhealthy food choices being marketed to children every day, it is vital that you take a stand. Offer fun, healthy snacks and model the better food choices you want your kids to make. 

Offer healthy snack choices. Kids should have a well-balanced and nutritional diet. This not only promotes overall health but also helps build a strong healthy smile. Nutrition is an important part of oral health. Teaching your kids about eating healthy and limiting sugary foods will help foster a balanced diet from an early age. This will form habits that will result in a lifetime of strong teeth and better health overall. 

Have fun with snacks. Promote a nutritious diet by getting creative with snack choices. If you show your kids that healthy snacks are fun, they will be more likely to eat them. Apple slices with peanut butter, fruit smoothies, and yogurt with granola or fruit are great examples of fun, yet healthy combinations. Remember to avoid soda and sugary drinks. These can leave sugars on teeth and can increase the risk of plaque and tooth decay. Water is always the best solution! Eating a well-balanced lunch and dinner is important as well. Make sure to add a variety of fruits and vegetables to every meal so that your kids become accustomed to them. 

Be a good role model. Children learn habits by following the example set by their parents. Send your kids the right message by eating plenty of fruits and vegetables yourself. Avoid sugary snacks that can cause cavities or gum disease. Be sure to practice good oral hygiene in front of your kids. If you brush and floss after meals and snacks, your kids will follow the example. Consider brushing together with your child to reinforce good brushing skills and habits. Make sure to brush at least twice a day, after breakfast and before bedtime. If it is possible, try to encourage your child to brush after lunch or after sweet snacks.

Follow up. Don’t forget it is also very important to have regular dental appointments for your child, and model healthy habits by seeing your own dentist regularly. If you have any further questions, feel free to contact us for more ideas on how to promote healthy snacking for great long term dental health!

One Simple Treatment Can Save Your Child’s Smile | Pediatric Dentist in Boca Raton

Our 33433 pediatric dentist might suggest dental sealants for your child during a visit to our office. Sealants are a way to protect your teeth against decay. With any dental treatment, it helps to understand the procedure and how it can impact your child’s oral health.

Why Get Sealants?

Sealants help to prevent tooth decay. Sealants are applied on the back teeth, where decay is most likely to develop. Our dentist will often recommend sealants for children and teens, but adults may benefit from sealants, as well.

The further your teeth are in the back of your mouth, the more difficult it can be to maintain the proper hygiene needed to keep them healthy. Sealants can prevent up to 80% of decay within the first two years alone. After 4 years, sealants continue to prevent as much as 50% of decay. Children without sealants are more than three times as likely to develop tooth decay than those with dental sealants.

When Should You Get Them?

Your child’s first molars usually become visible around age 6, with the second set around age 12. You will want to talk to us about the best course of action for keeping molars healthy. Sealants are most effective when they are done as soon as the molars break through. Regular examinations with our dentist will determine the best time to have sealants applied.

What Should I Expect?

Sealants are one of the simplest treatments we perform in our office. There is generally no discomfort associated with this process. We will first thoroughly clean your child’s teeth, and then use a special gel. The gel is then cleaned off before the sealant is applied. A small blue light is used to harden the sealant in a matter of moments.

What Concerns Should I Have?

There are no side-effects from sealants, and allergic reactions are extremely rare. However, talk to our doctor about any allergies your child has so we can discuss the best possible course of action.

Next Steps

Sealants last for years before needing to be reapplied. It is important to schedule regular visits to our office so that our dentist can check the condition of the sealants and teeth on an ongoing basis. If your child had sealants several years ago and you are unsure if they should be reapplied, schedule an appointment with our pediatric dental team in Boca Raton.

For more tips on keeping teeth healthy and for questions about dental sealants, contact our Boca Raton, FL pediatric dental office.