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Little smiles.
Big futures.

Pediatric dentistry and orthodontics for Hampton Roads families, from the first tooth to the final retainer.

★★★★★5,930 Google reviews
Medicaid & most commercial plansNew patients welcome, no referral neededSedation & special-needs care

20+

Years caring for Hampton Roads families

★★★★★

5,930

Google reviews across all 12 offices

100,000+

Patients seen every year

1,250

Straight smiles deliveredSee the gallery →

★★★★★
Dr.Michael and Dental assistant Sara were awesome. They made this visit easy and less scary for my 3 year old as they were very kind and patient with my baby. It shows they really love what they do. Thank you!
Jamie R.
Newport News · Google review
★★★★★
Very nice people and great establishment! Took the time to inform and made my daughter feel comfortable! Highly recommend this place for any ortho needs!
Kayla H.
Newport News Ortho · Google review
★★★★★
They did so fantastic walking my little one through his first dentist appointment. Everyone there was helpful and caring and they really bring a sense of calm to the experience
Alexandra M.
Town Center · Google review

The smile timeline

How old is
your smile?

Pick an age. We'll show you what matters right now, and which door to walk through.

0–2 · First tooth

First visit by the first birthday.

Pediatric dentists recommend a first visit by age one, or within six months of the first tooth. It is a quick, happy look: lap-to-lap exam, fluoride varnish, and a plan for brushing, bottles and teething.

Book a first visit

Your checklist right now

Wipe gums and brush the first teeth with a rice-grain smear of fluoride toothpaste

No bottle in bed: milk and juice pool around new teeth overnight

Lift the lip once a month and look for white or brown spots

3–6 · Little kid

Build the habits that last.

Checkups every six months, cleanings that feel like a game, and sealants when the first permanent molars arrive around age six.

Book a checkup

Your checklist right now

Pea-sized fluoride toothpaste, twice a day, with a grown-up finishing the job

Ask about sealants when the six-year molars come in

Thumb-sucking past age four? Let us take a look at the bite

7–9 · Big kid

Time for a first ortho check.

Orthodontists recommend a first orthodontic check by age seven. Most kids just need monitoring, and the ones who need early treatment benefit most from catching it now.

Book an ortho check

Your checklist right now

First orthodontic screening with PRIME Orthodontics

Watch for crowding, crossbites or teeth that meet edge to edge

Mouthguards for any contact sport

10–14 · Tween

Braces season, made easy.

This is when most braces and aligner treatment happens. Ortho and kids dentistry share space at most of our offices, so cleanings and ortho visits can happen in one trip.

Book an ortho consult

Your checklist right now

Choose metal braces, clear braces or clear aligners

Sealants on the twelve-year molars

Extra cleanings during treatment keep teeth white under brackets

15+ · Teen & grown-up

Confidence for the next chapter.

We keep an eye on wisdom teeth, finish orthodontic treatment before graduation photos, and treat adults with clear aligners too.

Plan a visit

Your checklist right now

Wisdom-teeth check with a panoramic X-ray

Retainers for life: we will show you how to keep the result

Adults welcome at PRIME for braces and aligners

1 / 5
Swipe or drag to see every age
The best part? Seeing the result.1,250 straight smiles and counting. See real before-and-afters.Smile gallery →

Quick answers

Parents ask.
We answer.

The questions we hear most, answered in a sentence or two. Each one links to a full article with sources.

Browse all articles
When should my child have their first dental visit?

Within six months of the first tooth, and no later than the first birthday. It is a short, friendly visit focused on prevention.

Read: When should my child first see a dentist? →
What should I do if my child knocks out a tooth?

If it is a permanent tooth, handle it by the crown, keep it moist (milk works well), and call right away. Baby teeth are not put back in.

Read: Knocked-out tooth: the first 60 minutes →
Do you accept Medicaid?

Yes. We accept Virginia Medicaid and FAMIS dental (Cardinal Care Smiles) and most commercial plans. Children under 21 are covered for medically necessary dental care.

Read: Medicaid and insurance, decoded →
My child is scared of the dentist. How can I help?

Keep it simple and positive, skip scary words, and let us do the explaining. We use tell-show-do: every tool is named and shown before it is used.

Read: How to talk to an anxious child about the dentist →
Is laughing gas safe for my child?

The AAPD recognizes nitrous oxide ("laughing gas") as safe and effective for children. It works within minutes and wears off within minutes.

Read: Sedation, explained plainly →
When should my child get a first orthodontic check-up?

The American Association of Orthodontists recommends a first check-up no later than age 7. Most children do not need treatment yet.

Read: Why age 7 is the right time for a first ortho check →
What are sealants and does my child need them?

Sealants are a thin protective coating painted on the chewing surfaces of back teeth. The CDC reports they prevent about 80% of cavities for two years.

Read: Sealants, explained in 60 seconds →
Are dental X-rays safe for children?

Yes, when taken only when needed. Modern digital X-rays use very low doses, and the ADA no longer recommends lead aprons or thyroid collars.

Read: Are dental X-rays safe for kids? →
Are clear aligners as good as braces?

Both work well for the right case. Aligners need about 22 hours a day of wear; braces work without daily decisions and handle complex bites well.

Read: Braces or clear aligners? An honest side-by-side →
Do you see children with special needs?

Yes. Caring for children with special health care needs is a core part of pediatric dentistry. Tell us what helps and we plan the visit around it.

Read: A visit built around your child →

Tooth trouble?

Knocked out?
Call us now.

A permanent tooth has the best chance in the first 30 to 60 minutes. Pick it up by the crown, keep it in milk, and call.