Services
A comprehensive approach to dental care
Pediatric Dentistry
- Consultations
- Preventive care
- Restorations
- Extractions
- Sedation
- General Anesthesia
- Endodontics
- Prosthodontics
- Cleft lip/palate pre-surgical infant orthopedics
- Management of acute dental infections
- Dental and facial trauma
- Autism desensitization program
The cost of dentistry depends on how extensive your child’s treatment is. Many insurance plans reimburse the majority of costs. MCP will cover the majority of basic dental care for children under 13 years of age, but often does not cover charges related to sedation, orthodontics or aesthetic/cosmetic procedures. Pre-determinations and estimates are available for procedures not covered.
Sedation
Our clinic offers multiple sedation options to assist your child through their dental treatment. Upon reviewing your child’s referral, one of our dentists will recommend a sedation method based on the age of your child, extent of dental work required, medical conditions, geographical constraints, etc.
Most of our patients are treated with conscious sedation; however, some children will require general anesthesia. These options are reviewed below.
1. Nitrous Oxide (“Laughing Gas”)
Nitrous oxide is one of the safest and most effective sedation techniques. It aims to reduce anxiety and discomfort for your child and facilitate their cooperation. Your child is awake throughout the procedure and breathes the nitrous oxide through a nasal mask. Patients recover almost immediately following the procedure.
Pre-Sedation Instructions
Your child must not eat 4 hours prior to their dental appointment. They can have clear fluids (e.g. water, apple juice or Gatorade) up to 2 hours prior to their appointment.
2. Oral Sedation With or Without Nitrous Oxide
Medications such as benzodiazepines and antihistamines are used with nitrous oxide to alleviate anxiety and distress. Your child may become drowsy, but they are not unconscious or “asleep.”
Pre-Sedation Instructions
Please arrive 30 minutes prior to your child’s procedure to allow the medication to take effect. You must remain at least 30 minutes after your appointment to allow the medication to wear off.
Your child must not eat 6 hours prior to their dental appointment. They can have clear fluids up to 2 hours prior to their appointment.
3. General Anesthesia 
General anesthesia is a medically controlled state that eliminates the sense of awareness, pain and movement during dental treatment. Dental surgery is reserved for children with extensive dental needs, the inability to cooperate, or those who are extremely fearful or anxious.
A consultation appointment is necessary to assess your child’s dental needs, review their general health and medical history, and discuss the details of the surgery. For patients who live more than 4 hours away, a phone consultation will be done prior to booking the surgery. In some cases, a clinical consultation may still be necessary.
Hospital-Based Dentistry
- Routine dental care including prevention, restorations and extractions for individuals with special health care needs of any age.
- We treat patients with medical conditions such as cancer, organ transplant, complex heart disease, moderate to severe hematological disorders, craniofacial anomalies, moderate to severe physical disabilities or medically diagnosed behaviour management issues such as developmental delay or autism.
- Mild and moderate sedation options are available, and in cases where we are unable to facilitate cooperation with sedation or there are extensive treatment needs, Dr. Geoff Smith has kindly agreed to treat our patients utilizing his adult operating room time at St. Clare’s Mercy Hospital.
Oral Oncology Clinic
The Dental Oncology Clinic provides specialized services for patients undergoing treatment, primarily for head and neck, blood, and skin cancers. People with these cancers may require the services of members of our specialized dental team to help manage and minimize discomfort, oral pain, and/or infections associated with treatment.
Oral Radiology
- Panoramic x-rays, intra-oral x-rays, conventional radiographic interpretation
- Cone beam CT interpretation
- Referrals for cone beam CT image acquisition with interpretation are now being accepted at Atlantic Oral Surgery and Implant Centre
Conventional and digital radiographs can be mailed to:
Janeway Dental Clinic300 Prince Philip Drive
St. John’s, NL, A1B 3V6
If using a secure email, digital radiographs can be emailed to dentistry@easternhealth.ca or through CDA net. Requests for a cone beam CT can be made at www.atlanticoralsurgery.ca.
Oral Pathology
The oral pathology service at the Janeway Dental Clinic in collaboration with the Health Sciences Centre provides diagnostic histopathology and cytology services to dentists practicing throughout the Atlantic provinces and Canada. Specimens are examined and diagnosed by Dr. Firoozeh Samim, an oral medicine/oral and maxillofacial pathologist.
For each specimen submission, an oral pathology report is returned to the contributing clinician. Dr. Samim is available to discuss reports, supporting superior patient care.
