Medically Reviewed by Dr. Hariharan, BDS (2002), MDS – Pediatric Dentistry (2008)
Lead Dentist, Dr. Hari’s Dental Centre
Reader, Department of Pediatric and Preventive Dentistry, SRM Dental College & Hospital, Chennai
Over 20+ years of clinical experience across pediatric dentistry, prosthodontics, orthodontics, implants, and oral & maxillofacial surgery
Every parent wants their child to grow up with a healthy smile. Good oral health starts early, from the first baby tooth to the arrival of permanent teeth. Children’s teeth, jaws, and needs change as they grow, so their dental care should match their age and stage. It should not be a smaller version of adult treatment. A pediatric dentist in Chennai is trained to provide this kind of care for infants, children and teenagers.
At Dr. Hari’s Dental Centre in Medavakkam, children’s dental care is led by Dr. Hariharan, a pediatric dentist, along with a team that works with children every day. This page explains what a pediatric dentist does, the treatments available, when to bring your child in, how to care for your child’s teeth at home, and what to expect during a visit.
Who is a Pediatric Dentist?
A pediatric dentist (also called a pedodontist) is a dentist who has completed extra training after BDS, usually a three year MDS in Pediatric and Preventive Dentistry. This training covers how children’s teeth and jaws grow, how to treat baby teeth and young permanent teeth, and how to help children feel calm during treatment.
Children are not small adults. Their teeth have thinner enamel, their nerves sit closer to the surface, and their jaws are still growing. A child’s attention span and fears are also very different from an adult’s. A pediatric dentist learns to plan treatment with all of this in mind.
A pediatric dentist in Chennai does more than treat cavities. A big part of the work is guiding parents on brushing, diet and habits at home, so that problems can be prevented before they start.
Why Dental Care Matters in Childhood
Many parents think baby teeth do not matter because they will fall out. In fact, baby teeth do important work for many years. The last baby back teeth usually stay in the mouth until around age 10 to 12.
Baby teeth help children to:
- Chew food properly and get good nutrition
- Speak clearly and form sounds correctly
- Smile with confidence
- Hold space for the permanent teeth growing underneath
Decay in baby teeth can spread quickly because the enamel is thin. It can cause pain, infection, swelling and early tooth loss. An infected baby tooth can sometimes affect the permanent tooth forming below it. If a baby tooth is lost too early, nearby teeth can drift into the gap, and the adult tooth may come in crooked.
Regular dental visits in childhood help to:
- Prevent cavities and gum problems
- Track how teeth are coming in
- Spot bite and alignment problems early
- Build good brushing habits
- Reduce fear of the dentist over time
- Teach children to care for their own teeth
When problems are found early, treatment is usually simpler, shorter and easier for the child.
Children’s Dental Care at Dr. Hari’s Dental Centre
At Dr. Hari’s Dental Centre, each child’s treatment plan is based on their age, dental health, and comfort level. The dentist explains the plan to parents before any treatment starts. Children are given time to settle in, and each step is explained to them in simple words.
As a pediatric dentist in Chennai, Dr. Hariharan focuses on prevention and early care. The centre also has dentists trained in pedodontics, orthodontics, and gum care, so children can be referred within the same clinic when they need specialist care. This means parents do not need to visit different clinics for different problems.
- Address: No 3, 13th Street, Jayachadran Nagar, Jalladianpet, Medavakkam, Chennai 600 100 (behind Jeyachandran Textiles)
- Timings: 9 AM to 8 PM
- Phone: +91 98400 36061 / +91 44426 16865
Meet the Dental Team
Dr. Hariharan
Chief Pediatric Dentist and Managing Director
- Qualification: BDS, MDS (Pediatric Dentistry), FICCDE (USA)
- Education:
- BDS (2002), Tamil Nadu Government Dental College and Hospital, Chennai (The Tamil Nadu Dr. M.G.R. Medical University)
- MDS in Pediatric Dentistry (2008), JSS Dental College and Hospital, Mysore (Rajiv Gandhi University of Health Sciences, Bangalore)
- Experience: Over 20+ years
- Current role: Reader, Department of Pediatric and Preventive Dentistry, SRM Dental College and Hospital, Chennai
Before starting an examination, Dr. Hariharan talks to the child directly in words they understand. His focus is on prevention and finding problems at an early, simple stage. His areas of work include behavior management, preventive care, treatment of decayed baby teeth, pulp therapy, space maintainers and full mouth treatment under general anesthesia for children who need it. Alongside his clinical work, he teaches and trains postgraduate students in pediatric dentistry.

Dr. Esther Albina Mathews
Associate Periodontist
- Qualification: BDS, MDS (Periodontics and Implantology)
- Education: Master of Dental Surgery in Periodontics and Implantology
- Experience: Over 8+ years
Dr. Esther Albina Mathews works on the prevention, diagnosis and treatment of gum disease. Children and teenagers with bleeding or swollen gums may be referred to her for gum care. She explains why each habit matters, not just what to do, so both children and parents can follow the advice at home.

Dr. Rajalakshmi
Dental Surgeon (General Dentistry)
- Qualification: BDS
- Education: Bachelor of Dental Surgery
- Experience: Over 5+ years
Dr. Rajalakshmi provides checkups, cleaning and fillings, and has a special interest in orthodontic care and root canal treatment. With nervous children, she adjusts her pace, explains more and pauses when needed. She also guides families on brushing routines at home.

Dr. Abirami M
Dental Surgeon (General Dentistry)
- Qualification: BDS
- Education: Bachelor of Dental Surgery
- Experience: Over 2+ years
Dr. Abirami M provides preventive and restorative care and keeps appointments light and friendly for younger children. She encourages families to book routine checkups instead of waiting for a problem.

Dr. Dhivya
Associate Periodontist
- Qualification: BDS, MDS (Periodontics and Implantology)
- Education: Master of Dental Surgery in Periodontics and Implantology
- Experience: Over 5+ years
Dr. Dhivya treats gum problems and helps patients keep their natural teeth healthy. She explains each step in plain words, so parents understand the reason behind her advice.

Dr. Selseya R
Pedodontist
- Qualification: MDS (Pedodontics)
- Education: Master of Dental Surgery in Pedodontics
- Experience: Over 4+ years
Dr. Selseya R cares for the oral health of infants, children and teenagers. She focuses on gentle, child friendly treatment in a calm setting, so that young patients feel safe during their visit. She also guides parents on daily care, diet and habits that protect their child’s teeth.

Dr. B. Meena Priya
Orthodontist
- Qualification: MDS (Orthodontics)
- Education: Master of Dental Surgery in Orthodontics
- Experience: Over 5+ years
For children and teenagers, Dr. B. Meena Priya checks how the teeth and jaws are growing and treats crowding, gaps and bite problems. Treatment options include braces, clear aligners and growth guiding appliances, based on the child’s age and needs.

Dr. D.S. Pavithra Sri
Restorative Dentist
- Qualification: BDS
- Education: Bachelor of Dental Surgery
- Experience: Over 5+ years
Dr. D.S. Pavithra Sri provides cleaning and restorative care, such as fillings and repair of damaged teeth. She believes in preventing disease before it starts and takes time to teach children and parents simple oral care habits.


What Parents Can Expect at the Clinic
- Child friendly setting: The waiting area and treatment rooms are set up to feel less clinical for children.
- Digital X rays when needed: Used only when the dentist needs them, with low radiation exposure.
- Plans made for each child: Treatment is planned around the child’s age, dental history and comfort level.
- Focus on prevention: Regular checkups and early care are part of every child’s plan.
- Clear explanations: Parents are told about the findings, treatment choices and costs before anything begins.
- Parents involved: Parents are welcome to stay with younger children and take part in decisions about care.
How Children’s Teeth Develop
Knowing what to expect at each age helps parents spot problems early.
Birth to 6 Months
Babies are born with 20 baby teeth already forming inside the jaws. Even before teeth appear, you can wipe your baby’s gums with a soft, clean, damp cloth after feeds.
6 Months to 3 Years
The first tooth usually appears around 6 months, often a lower front tooth. Some babies get their first tooth earlier and some later, which is usually normal. By about age 3, most children have all 20 baby teeth.
3 to 6 Years
All baby teeth are in place. The jaws keep growing, and small gaps may appear between the front teeth. These gaps are normal and help make room for the larger adult teeth.
6 to 12 Years
This is the mixed teeth stage. The first permanent molars come in behind the baby teeth around age 6, without any baby tooth falling out. Many parents do not notice these new teeth, but they are permanent and need good care. Baby teeth fall out one by one as adult teeth come in.
12 Years and Above
Most permanent teeth are in place by about age 12 or 13, except the wisdom teeth. This is a common age for braces if the teeth are crowded or the bite is not right.
Teething: What Parents Should Know
Teething can make babies fussy, drool more and want to chew on things. Some babies have mild gum swelling and disturbed sleep.
Simple ways to ease teething:
- Gently rub your baby’s gums with a clean finger
- Offer a clean, chilled (not frozen) teething ring
- Wipe away drool often to prevent skin rash
Avoid teething gels with numbing agents unless your doctor or dentist advises them. Do not tie anything around your baby’s neck for teething. High fever, diarrhea or a rash are not normal signs of teething, so speak to your child’s doctor if these happen.
Common Dental Problems in Children
Tooth Decay and Cavities
Tooth decay is the most common long term disease in children. It starts when germs in plaque feed on sugar and make acid. The acid slowly dissolves the enamel and forms a hole, called a cavity. Early decay may look like white chalky spots near the gums. Later, it turns brown or black.
Early Childhood Caries
Also called baby bottle tooth decay, this happens when young children often sleep with milk, formula or sweet drinks in their mouth. The upper front teeth are usually affected first. It can progress quickly and may need treatment under general anesthesia if many teeth are involved.
Thumb Sucking and Other Habits
Thumb sucking, finger sucking and pacifier use are normal in babies and toddlers. If these habits continue beyond about age 4, they can push the front teeth forward and change the shape of the jaw. Tongue thrusting and mouth breathing can also affect how the teeth and jaws grow.
Crooked or Crowded Teeth
Crowding, gaps, overbite, underbite and crossbite often show up in childhood. Some of these problems are easier to correct while the jaws are still growing.
Gum Problems
Bleeding or swollen gums in children are usually caused by plaque buildup along the gumline. Better brushing often helps. Gum problems that do not improve should be checked.
Tooth Sensitivity
Some children feel pain with cold or sweet foods. This may be due to decay, worn enamel or a cracked tooth.
Dental Injuries
Falls, play and sports can chip, crack, loosen or knock out teeth. Front teeth are injured most often.
Weak or Discolored Enamel
Some children have enamel that did not form properly. These teeth may have white, yellow or brown patches and can decay faster. They need extra protection and closer checkups.
A pediatric dentist in Chennai can usually spot these problems early, before they cause pain.
Pediatric Dental Treatments at Dr. Hari’s Dental Centre
Dental Checkups
A checkup includes looking at the teeth, gums, tongue, jaws and bite. The dentist checks for decay, tracks how the teeth are coming in and looks for habits that may affect growth. Parents get advice suited to their child’s age.
Professional Cleaning
Even with good brushing, plaque can harden into tartar in some areas. Professional cleaning removes this buildup and helps keep the gums healthy.
Fluoride Application
Fluoride is a mineral that makes enamel stronger and more resistant to acid. A fluoride varnish is painted on the teeth in a few minutes. It can help lower the risk of cavities, especially in children who are more likely to get decay.
Dental Sealants
Back teeth have deep grooves on their chewing surfaces where food and germs get trapped. A sealant is a thin coating that fills these grooves and makes the teeth easier to clean. Sealants are often placed on permanent molars soon after they come in.
Tooth Colored Fillings
Small cavities are cleaned and filled with a material that matches the color of the tooth. Some materials used for children also release fluoride to help protect the tooth.
Pediatric Crowns
When a baby tooth is badly decayed or broken, a filling may not be strong enough. A pediatric crown covers the whole tooth and protects it until it falls out naturally. Stainless steel crowns are commonly used for back teeth, and tooth colored crowns, such as zirconia, may be used for front teeth.
Pulpotomy and Pulpectomy
When decay reaches the nerve of a baby tooth, it can cause pain and infection. In a pulpotomy, the infected part of the nerve in the crown of the tooth is removed. In a pulpectomy, the nerve is removed from the roots as well, and the canals are filled. These treatments help save the tooth so it can keep holding space for the adult tooth.
Space Maintainers
If a baby tooth is lost early due to decay or injury, nearby teeth can move into the gap. A space maintainer is a small appliance that keeps the space open until the permanent tooth comes in.
Early Orthodontic Care
Some bite problems are easier to correct while the jaws are still growing. Early treatment may use simple appliances to guide jaw growth, correct a crossbite or stop a habit like thumb sucking. Not every child needs early treatment, so the dentist will advise based on your child’s needs.
Habit Breaking Appliances
For children who continue thumb sucking or tongue thrusting, a small appliance may be used to help stop the habit, along with gentle encouragement at home.
Dental Injury Care
Chipped, cracked, loose or knocked out teeth are assessed and treated based on the type of injury and whether it is a baby or permanent tooth. Follow up visits are often needed to check the tooth over time.
Treatment Under General Anesthesia
Very young children or very anxious children who need a lot of treatment may not be able to sit through many visits. In such cases, treatment may be done under general anesthesia in a single session, after a careful health check. Read more about sleep dentistry.
Dental Care for Children with Special Needs
Children with conditions such as autism, ADHD, cerebral palsy or Down syndrome may find dental visits harder. Bright lights, sounds and new people can feel overwhelming. Some children may also be more likely to get cavities or gum problems due to diet, medicines or difficulty brushing.
At Dr. Hari’s Dental Centre, parents are encouraged to share their child’s needs before the visit. The team can plan shorter visits, a quieter time of day, or a step by step approach to help the child get used to the clinic. When needed, treatment can be planned under general anesthesia.
What Happens During Your Child’s Visit
Many children feel nervous because they do not know what will happen. Here is the usual sequence at Dr. Hari’s Dental Centre:
- Settling in: Your child gets a few minutes to feel comfortable before anything starts.
- Talking with parents: The dentist asks about your child’s health, habits and any concerns.
- Gentle examination: The teeth, gums, jaws and bite are checked, and each step is explained to your child.
- X rays if needed: Digital X rays are taken only when needed.
- Treatment plan: The dentist explains the plan, number of visits and cost to parents.
- Treatment at your child’s pace: Care is given in small steps that your child can manage.
- Home care advice: You receive tips for home care and a date for the next visit.
How to Prepare Your Child for the First Visit
- Talk about the visit in a calm and positive way
- Avoid words like “pain,” “needle” or “hurt”
- Read a simple picture book about going to the dentist
- Choose a time when your child is usually rested and fed
- Bring any medical reports and a list of medicines your child takes
When Should Your Child See a Pediatric Dentist?
Children need dental visits at several stages:
- At the first tooth or first birthday: The usual time for the first visit.
- Before starting playschool or school: A good time for a routine check.
- Ages 6 to 12: As baby teeth fall out and permanent teeth come in, regular visits help track this change.
- Around age 7: A first check of the bite and jaw growth, even if no treatment is needed yet.
- Before sports: To check for injury risk and fit a mouthguard if needed.
- Right after a dental injury: Chipped, loose or knocked out teeth need quick care.
- Every six months: Routine visits that catch most problems early.
Regular visits to a pediatric dentist in Chennai help keep small problems from becoming bigger ones.
What is the Right Age for the First Dental Visit?
Dental bodies such as the American Academy of Pediatric Dentistry advise a first visit within six months of the first tooth coming in, or by the first birthday, whichever comes first.
Early visits help to:
- Track oral development from the start
- Find problems that parents may not see
- Give parents practical advice for their child’s age
- Help your child feel at ease with the dentist, so later visits are less stressful
At the first visit, the dentist may look at your child’s teeth while your child sits on your lap. The visit is short and gentle, and much of it is spent guiding parents.
Signs Your Child Should See a Dentist Soon
- Tooth pain: May mean decay, infection or injury.
- Bleeding gums: Often a sign of gum inflammation or poor brushing.
- Sensitivity: Pain with hot, cold or sweet foods should be checked.
- Trouble chewing: May point to a dental problem.
- Bad breath that does not go away: Can be linked to decay, infection or poor oral hygiene.
- White, brown or black spots on teeth: May be early or advanced decay.
- Swelling of the face or gums: May be a sign of infection and needs prompt care.
- Late tooth eruption: Worth checking if teeth are coming in much later than expected.
- Teeth grinding at night: Can wear down teeth and should be checked.
If you notice any of these signs, book a visit with a pediatric dentist in Chennai instead of waiting for the next routine checkup.
Dental Emergencies in Children
Knocked Out Tooth
For a permanent tooth, hold it by the crown, not the root. Rinse it gently and keep it in milk. Try to see a dentist within an hour. A knocked out baby tooth should not be put back in, as this can harm the adult tooth below. Your child should still be checked.
Chipped or Broken Tooth
Rinse your child’s mouth with water and keep any broken pieces in milk. Apply a cold pack outside the face to reduce swelling and see a dentist soon.
Toothache
Rinse with warm water and gently floss to remove any food stuck between the teeth. Do not place aspirin or any medicine directly on the gums. See a dentist to find the cause.
Swelling of the Face
Swelling may be a sign of infection. See a dentist the same day. If your child has a high fever or trouble breathing or swallowing, go to a hospital emergency department straight away.
Call Dr. Hari’s Dental Centre before you come, so the team can guide you.
Pediatric Dentist or General Dentist: What Is the Difference?
General dentists treat patients of all ages, including children. A pediatric dentist has extra training focused only on children. This includes:
- Child growth: Knowledge of how children’s teeth and jaws develop at each age.
- Behavior management: Ways to help children feel calm and cooperate during treatment.
- Treatment of baby teeth: Procedures such as pulp therapy, pediatric crowns and space maintainers.
- Care for special needs: Experience with children who need extra support during treatment.
- Sedation and general anesthesia: Training to plan treatment safely for children who cannot cooperate in the chair.
For routine care, both can help. For young children, anxious children or complex treatment, a pediatric dentist is often advised.
Food and Your Child’s Teeth
What and how often your child eats has a big effect on their teeth.
- How often matters more than how much: Each time a child eats sugar, the teeth face an acid attack for about 20 to 30 minutes. Frequent snacking keeps the teeth under attack all day.
- Watch for hidden sugar: Biscuits, packaged juices, flavored milk, chocolates and sticky sweets are common sources.
- Sticky foods stay longer: Toffees, dry fruits and chips stick to the teeth and feed germs for longer.
- Choose tooth friendly snacks: Fresh fruit, vegetables, cheese, curd, plain milk, nuts (for older children) and boiled eggs.
- Water is best: Offer plain water between meals instead of juice or soft drinks.
- Keep sweets with meals: If your child has sweets, give them with a main meal rather than as a separate snack.
Protecting Teeth During Sports
Children who play cricket, football, hockey, skating or martial arts are at higher risk of dental injury. A mouthguard helps protect the teeth, lips and jaw. A custom mouthguard made by the dentist fits better and is more comfortable than a store bought one. Children with braces should also wear a mouthguard during contact sports.
Cost and Insurance
The cost of treatment depends on what your child needs. A routine checkup and cleaning cost less than a filling, crown or pulp treatment. At Dr. Hari’s Dental Centre, parents receive a cost estimate before any treatment begins. The clinic accepts some dental insurance plans, so please call ahead to confirm cover for your policy.
Areas Served
Dr. Hari’s Dental Centre is located in Jalladianpet, Medavakkam. Families visit from nearby areas such as Sholinganallur, Velachery, Pallikaranai, Perungudi, Adambakkam and Tambaram. For parents in South Chennai looking for a pediatric dentist in Chennai, the clinic is a short drive from these areas.
Technology and Techniques Used
- Digital X rays: Clear images with low radiation exposure.
- Minimally invasive care: Keeps as much healthy tooth as possible.
- Tooth colored materials: Fillings and crowns that look natural.
- Sterilization: Instruments are sterilized after every use, and surfaces are cleaned between patients.
Helping Children with Dental Fear
Fear of the dentist is common in children. The team uses simple methods to help:
- Talking to the child directly, not only to the parent
- Praising the child during the visit
- Explaining each step in words suited to the child’s age
- Using the “tell, show, do” method, where the child hears and sees what will happen before it is done
- Allowing a signal, such as raising a hand, to ask for a break
- Going at the child’s pace
Parents can help too. Stay calm, avoid sharing your own fears about the dentist, and praise your child after the visit.
Daily Dental Care Tips for Parents
- Brush twice a day: Use fluoride toothpaste in the morning and at night. A rice grain sized smear is enough for children under 3, and a pea sized amount for ages 3 to 6.
- Help with brushing: Most children need an adult’s help with brushing until about age 7 or 8.
- Brush for two minutes: Use a soft brush and gentle circles on all sides of the teeth.
- Floss once a day: Once teeth touch each other, flossing removes plaque a brush cannot reach.
- Do not rinse after brushing: Spitting out the extra toothpaste without rinsing keeps more fluoride on the teeth.
- Limit sugary foods and drinks: Frequent sugar is the main cause of childhood cavities.
- Avoid bedtime bottles with milk or juice: Give only water at bedtime.
- Change the toothbrush: Replace it every three months, or sooner if the bristles are worn.
- Keep up six monthly visits: Routine checkups help find problems while they are still small.
Book Your Child’s Dental Visit
Whether your child needs a routine checkup, preventive care or treatment for a specific concern, an early visit usually means simpler care. To book an appointment at Dr. Hari’s Dental Centre, call +91 98400 36061 or book online.
Conclusion
Dental care in childhood sets the base for a lifetime of healthy teeth. Regular checkups, early treatment, good food choices and good habits at home help children avoid pain and feel comfortable at the dentist. If you are looking for a pediatric dentist in Chennai, Dr. Hari’s Dental Centre in Medavakkam is open from 9 AM to 8 PM for children’s dental care.
Read also: Invisalign Treatment in Chennai.



