About UsGet to Know Dr. Shepherd and Pediatric Smiles
Dr. Adam Shepherd
Dr. Adam Shepherd is a Board Certified Pediatric Dentist and a Diplomate of the American Board of Pediatric Dentistry. He graduated Magna Cum Laude from the State University of New York at Buffalo School of Dental Medicine in 2009.
Our mission is to be the premier pediatric dental office in Utah. We are committed to being an enthusiastic team in caring for our patients. Our priority is to provide the best pediatric dentistry possible, including exceptional customer care with focus on prevention and education. We value parents’ time by being efficient while providing quality dental care they can appreciate.
We have a bright comfortable waiting room with a great train table, cool bubble fish tank and little kid’s room. Our fun office has great rooms full of your kids favorite characters! Cars, Dora, Tangled and Toy Story!
Dr. Casey Warren
Dr. Casey Warren grew up in Mapleton, Utah, and graduated from Springville High School. He considers it a privilege to practice orthodontics in his home-town. His wife, Emily, and their five children enjoy living in such a beautiful place and being surrounded by friends and family. Dr. Warren enjoys sports, the outdoors, and spending quality time with his family.
Dr. Warren graduated as valedictorian of the School of Health and Science at Utah Valley University. He received his Doctorate of Dental Surgery (DDS) from Baylor College of Dentistry, and was awarded the First Scholastic Honors Gold Medal and the Alpha Omega Award for graduating number one in his class. He completed his orthodontic specialty program at the University of Nebraska, where he received advanced training in various techniques including Invisalign, ceramic braces, self-ligating braces, and temporary anchorage devices (TADs).
Dr. Warren is currently a member of the American Association of Orthodontists and the American Dental Association. He has served as a representative for the American Association of Orthodontists. Through continuing education courses, Dr.Warren is current with the latest advances in orthodontics.
ServicesSee what we do
Specialized Dentistry for Children
Pediatric Smiles of Orem (serving all of Orem) provides comprehensive pediatric dental care for children of all ages. Specifically infants, children, adolescents and any dental patient with special needs. We have the extra training, knowledge and skills to provide specialist quality dental care for your child.
Pediatric Dental Care
All children have their own unique dental needs. Baby (primary) teeth are anatomically different from adult (permanent) teeth. Baby teeth are shorter than adult teeth, and the strong protective outer shell called enamel is much thinner than adult teeth. Because of this a very small cavity can quickly turn into a trouble maker. Your child’s personality will play the biggest role in their initial attitude towards their first dental visit. The hesitant child can become the resistant, crying, upset child if they do not feel comfortable at the dentist. As a pediatric dental specialist, Dr. Shepherd is skilled and trained in techniques that will help the hesitant child be calm at the dentist in most instances.
Our new office is state of the art and has been designed to provide high quality dentistry for children. There are many services that we offer to help with the care of your child’s oral health needs. Below is a comprehensive list. See the service drop down list for more details.
- Kids Dental Diagnostic Services
- Comprehensive Oral Exam (for new patient)
- Periodic Exams (routine check up every 3-6 months)
- Digital Radiography (x-ray films)
- Digital Panoramic Radiography
Tooth-Colored White Fillings For Kids
When cavities on baby (primary) teeth are small we are able to restore them with a tooth colored filling material. There are several types of white filling materials available. Depending on the size and location we can often place these white filings without having to use a local anesthetic thus keeping the appointment short and sweet for your little one.
Pediatric Dental Anesthetic Options
When local anesthetic is required we recommend the use of laughing gas (nitrous oxide) to make treatment easy and as painless as possible. Other sedation options are available depending on circumstances and preference.
Pediatric Dental Sealants
At Pediatric Smiles of Orem, we strongly recommend the placement of sealants on both baby (primary) and adult (permanent) teeth. A sealant is a safe and easy way to place a protective covering that fills in the deep grooves of our back molars. They can release fluoride onto the tooth’s enamel to help strengthen your child’s teeth and prevent cavities. Most children’s permanent molars erupt around age six (6). This is the ideal time to place sealants on these adult (permanent) teeth as they are not yet fully mineralized and are at high risk for developing cavities. The American Academy of Pediatric Dentistry supports the routine placement of sealants.
Pulpotomy (Baby Tooth Root Canal)
When decay reaches the nerve/pulp of the baby tooth a pulpotomy or baby root canal is necessary. Similar to the adult procedure some of the nerve/pulp of the tooth is removed. For children the procedure is a very short process, which allows the tooth to remain intact till ready to fall out naturally.
Pediatric Dental Anesthetic Options
We offer several options for the anxious and nervous child. A sedation is when we give your child a particular medicine or a combination of medicines that will relax your child enough to allow Dr. Shepherd to do the necessary dental work. Sedation is used when a child has a significant amount of dental work and would not tolerate well several return visits to complete the work.
As a pediatric dentist, Dr. Shepherd was trained in various sedation techniques. Below is a list of different types of sedation that we offer. What we use for your child will depend on their dental needs, age, and medical history.
Regardless of the type of sedation the child needs to have an empty stomach for at least 6 hours.
Oral Sedation for Children
Oral Sedation is where your child will drink a medicine that will make them sleepy. It is well received by most children as all they do is drink the medicine and watch a movie until they become sleepy. The onset of the medicines used is delayed because the drug has to go from the stomach to the intestine to the liver and then to the blood stream. This takes between 30 minutes to an hour depending on what meds are used. The medicines can sometimes cause vomiting and therefore your child is not allowed to have anything to eat or drink after Midnight the night before sedation. Because of the unpredictability of the drug absorption, some children do not become sleepy enough and we have to use an alternative method. Many children’s teeth are fixed by using this method without an issue.
Intra-Nasal Sedation for Children
Intra-Nasal sedation administers the medicine by using a misting device into child’s nasal passage. This method is used when the child is not likely to drink the medicine because of taste, age of the child or the child’s general unwillingness to drink the medicine. The advantage to this route of administration is fast onset since the drug is absorbed through the nasal mucosa and is directly in the blood stream. Less drug is given and the child recovers more quickly.
IV Sedation for Children
IV or intravenous sedation is where Dr. Shepherd or an Anesthesiologist will start an IV. The medicine to sedate the child is given through the IV line. This route of drug administration has several advantages over oral and Intra-Nasal sedation. The drug effect is almost instantaneous, less drug is used and Dr. Shepherd or the anesthesiologist can keep the child safely sedated until all work is done. The child is hydrated throughout the procedure with the IV fluid. Once the dental work is done there is no more drug given and the child recovers quickly. The difficulty of this sedation route is getting the IV started in a child. This is usually accomplished by giving the child a low dose of medicine to help slow them down enough to get an IV started. Once the IV line is in this becomes the most controlled form of sedation.
Pediatric Dental Emergencies
When there is a dental emergency such as trauma or infected – abscessed teeth Dr. Shepherd feels it is best to see them in our office. This is the best way to insure that your child gets the most appropriate care for their needs.
Q: What do I do if my child gets a tooth knocked out?
A: If your child is 6 or older there is a good chance that the tooth lost is an adult (permanent) tooth. This situation requires immediate attention. Call our office as soon as possible! There is a very narrow window to replant the lost tooth before it becomes hopeless to do so. If the child will let you, place the tooth back in the socket it came out of and have someone hold it in place as you travel to our office. If you cannot replant the tooth it would be best to place it in milk and call us as soon as possible. Our Phone number is:
A: If the child is 5 or younger there is a good chance that the tooth is a baby (primary) tooth. If this is the case bring your child to visit us as soon as you can for an evaluation. Often if one tooth is displaced, other teeth could affected as well. We need to see your child to make sure there are no long term consequences to the trauma.
Q: What if my child’s face is swollen or began swelling?
A: This is a sign that there could be an infected or abscessed tooth. This situation can turn into a medical emergency rather quickly and need dental attention as quickly as possible to prevent any serious complications.
Q: What if my child has a toothache?
A: You will want to visit the office promptly. Over-the-counter children’s pain medication, dosed according to your child€™s weight and age, might ease the symptoms. You may apply a cold compress or ice wrapped in a cloth to the face in the area of the pain, but do not put heat or aspirin on the sore area.
Q: Can dental injuries be prevented?
A: Your child’s risk for dental injuries can be reduced greatly by following a few simple suggestions. First, reduce risk for severe oral injury in sports by wearing protective gear, including a mouthguard. Second, always use a car seat for young children and require seat belts for everyone else in the car. Third, child-proof your home to prevent falls and electrical injuries. Regular dental check-ups provide Dr. Shepherd an opportunity to discuss additional age-appropriate preventive strategies with your child.
Children often have a single tooth or multiple teeth that are out of normal position. Pediatric dentists are in a unique position to diagnose these misaligned teeth when the child is very young. Dr. Shepherd is trained in the diagnosis and treatment of anterior and posterior cross bites. A cross bite is where the position on the top teeth relative to the lower teeth is reversed. Normal bite relation is where the top teeth are in front of the lower teeth when biting down. With a cross bite this is reversed where the lower teeth are in front of the upper teeth. This can occur with a single tooth, a few teeth or a whole quadrant of teeth. It is important to correct this when children are young to take advantage of their growth. Often cross bites occur due to lack of sufficient space to accommodate the teeth.
Frequently Asked QuestionsHave questions about pediatric dentistry? We have answers!
When should I start brushing my child's teeth?
As soon as your child’s first tooth appears! Bacteria (biofilm) will begin attaching to teeth as soon as the tooth is exposed to the oral environment. Use a soft bristled toothbrush and brush the tooth for a half a minute or so. As more teeth arrive increase the amount of time brushing. If your child is 18 months or older you should be brushing for about 2 minutes.
At what age should my child see a Pediatric Dentist?
Both the American Academy of Pediatric Dentistry (AAPD) and the American Academy of Pediatrics (AAP) recommend that the first dental visit should occur upon the eruption of the first primary (baby) tooth or when the child reaches 12 months of age. Which ever comes first. On average infants cut their first tooth around 6 months of age. There is a common misconception that your child does not need to see a dentist until they are 3 years of age. This is false. We have seen dental cavities in mouths as young as 10 months old. Also education is the key to prevention and we will discuss your child’s risk for cavities and what you can do as a caregiver to prevent dental decay.
What People Are SayingHear from real people about real experiences.
This is the best dentist office ever!! We are lifetime patients!
Meet Our Staff
Noelia is one of our treatment care coordinators. Noelia is originally from Paraguay but now lives in Orem. She married Preston a year ago and she says its the best decision she’s ever made! She and her husband love to go biking and hiking in the mountains, as well as camping and backpacking. She also loves to watch Netflix! Noelia speaks Spanish.
What does she love about her job? “I love that I can talk to patients with a positive attitude, answer questions they have and welcome all who come to our practice for the first time.”
Brooklyn is one of our dental assistants, and she is from Orem. She graduated from Timpanogos High in 2015, where she played volleyball and was a cheerleader. She loves to be with her family, and loves to watch football on TV, as well as at Lone Peak High where she her dad is a coach!
She loves the cute little kids that come into our office and their funny comments. She also loves to help kids and teach them the the dentist isn’t scary, and to make them feel comfortable in our office.
Brayden and his wife Carly have been married for two and a half years. Right now he’s working towards his degree in International Business, and plans to pursue dental school. He loves to play basketball and travel in his spare time.
What does he love about his job? “I love the opportunity to be around happy people who are enthusiastic about oral hygiene! I love watching and learning from Dr. Shepherd and gaining invaluable experience from a great office.”
She loves her job because she loves the variety that comes with it, working with so many fun kids, and helping them have a great experience!
Lindsey is from San Diego, California, although she grew up in a military family so she moved all over. She’s a dental assistant here in our office. She is currently a student at UVU, and she’s working towards getting into the Dental Hygiene program there. She likes to hang out with her family and friends and relax. She also loves $5 movie nights!
What does she love about her job? “I love interacting with the children and making the dental office an environment that they can have fun in.”
Stephanie is from San Diego, but now lives here with her husband Tyler. She is currently in dental assisting school at Practical Dental Assisting. In her spare time, she likes to read romance novels, run half marathons, and binge watch Netflix. She loves to go on walks in her neighborhood with her husband, as well as backpacking.
She loves her job as a dental assistabecause kids say the funniest things! She loves the variety in her job, and seeing all the kids and adults that come in. She also loves to help with braces in our office!
Katie grew up in Orem but now she lives in Eagle Mountain with her husband Mike, and their one year old puppy Tessie. Katie loves to travel, and attend sporting events. She especially loves the Red Sox! In her spare time she loves to decorate her house, play with her dog, and binge watch Netflix. Katie speaks Spanish.
What does she love about her job? “I love all the relationships with patients and parents. When people come in, it’s like seeing an old friend!”
Pediatric Smiles of Orem