118 N Main St, Belmont, NC 28012

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Children playing football outdoors, at risk for common dental injuries in active kidsA scraped knee heals in days but a chipped or knocked-out tooth can affect a child for years if it is not treated quickly and correctly.  Between the playground, the soccer field and the backyard trampoline, active kids face plenty of chances for a fall or collision that lands squarely on their smile.  Knowing what to do in the moments after an injury and where to turn for care can make all the difference in how a young tooth recovers.

At Main Street Pediatric Dentistry of Belmont, Dr. Matthew Savage has spent over 20 years helping children through dental injuries with calm, prevention-focused care.  As the only dentist at the practice, he creates consistent treatment plans from a child’s first visit through every chip, scrape or emergency call that follows, giving families a steady place to turn for pediatric dental emergency care whenever an accident happens.

How Active Play Leads to Dental Injuries

Kids test their limits every day and that is part of what makes childhood so much fun to watch.  Bike rides, backyard games of tag and unexpected falls at the playground account for a large share of childhood dental injuries.  Contact sports add another layer of risk, as collisions and flying equipment can chip a tooth or knock one loose in an instant.  Because young mouths are still growing, even a seemingly small impact can affect a permanent tooth that has not fully erupted yet.

A nationwide review of high school sports injuries found nearly one in five reported injuries during competition involved the head or face, showing how often young athletes face this kind of trauma.  Not every injury looks dramatic. A small chip on a front tooth or a bump that darkens a tooth’s color deserves the same prompt attention as a more obvious break.

Treating Chipped, Cracked and Knocked-Out Teeth

When a child comes in after an injury, Dr. Matthew Savage moves quickly to assess the damage and ease any fear the child might feel about being at the dentist.  He also takes time to explain to parents what happened and what comes next in simple terms, which helps children feel calmer even after a scary moment.  Digital x-rays help him check for damage below the gumline or to a tooth’s root that would not be visible otherwise, which matters even when an injury looks minor on the surface.

The right treatment depends on the type and severity of the injury:

  • Small chips or cracks: smoothed and restored with tooth-colored fillings to protect the tooth and match its natural look.

  • Larger fractures:  can require additional treatment to restore strength and appearance to a badly damaged tooth.

  • Injuries reaching the nerve: treated with pulp therapy to relieve pain and save the tooth whenever possible.

  • Knocked-out permanent teeth: re-implanted quickly, with calm guidance on how to handle the tooth until we can see your child.

 

Whatever the injury, our goal is to restore both the tooth and your child’s confidence in as few visits as possible.

Preventing Injuries Before They Happen

A well-fitted mouthguard is one of the simplest ways to protect a child’s teeth during sports and rough play and it should be worn at every practice and game rather than saved for the big matches.  Packing an extra mouthguard in a sports bag and replacing one that no longer fits are both easy habits that add real protection over time.  Helmets, padding and close supervision during bike rides, skateboarding and playground time all lower the risk of a fall turning into a dental emergency.

Regular dental exams also give Dr. Matthew Savage a chance to spot loose teeth, thin enamel or bite issues that raise a child’s risk of injury before an accident ever happens.  Families who want to learn more about his background and approach to care can visit his page to see what makes his practice different.

Trust Main Street Pediatric Dentistry With Your Child’s Smile

Active kids will always find new ways to test their teeth and Main Street Pediatric Dentistry is ready whenever that happens.  Dr. Matthew Savage brings over 20 years of experience as a board-certified pediatric dentist to every visit and as the only dentist at the practice, he offers the same consistent, gentle care from routine checkups to emergency calls.

If your child has chipped a tooth, knocked one loose or simply needs a checkup after a hard fall, our pediatric dental team and Dr. Savage is ready to help right away.  Reach out today through our contact form to schedule a visit and give your child’s smile the care it deserves.  You can also can schedule an appointment online or call us and we can help.

Scared young boy at the dentist after a dental emergency

One second your child is racing across the yard or diving for a ball at practice and the next second they are standing in front of you holding a tooth. The panic that follows is real but the first few minutes after a tooth gets knocked out matter more than almost anything else that happens next. Knowing what to do right away, before you even pick up the phone, can make the difference between a tooth that gets saved and one that does not.

At Main Street Pediatric Dentistry of Belmont, Dr. Matthew Savage and the pediatric dental team treat these moments as part of everyday practice. Our team handles dental emergencies for kids throughout Belmont and the surrounding communities and we would rather you call us with questions than guess on your own. If your child has ever knocked out a tooth or you want to be ready before it happens, this guide walks through exactly what to do first.

Take a Breath Before You Act

Children look to the adults around them to gauge how serious a situation is, so your response in that first moment sets the tone. Speak calmly and check for other injuries first, especially to the lips, jaw, or head because a hard enough hit to knock out a tooth can sometimes cause additional trauma, including head trauma. Once you know your child is otherwise okay, you can shift your focus to the tooth itself.

Handling a Baby Tooth

If the tooth belongs to a younger child, there is a decent chance it is a primary tooth rather than a permanent one. Baby teeth generally should not be put back into the socket because reinserting one can further damage the permanent tooth developing underneath the gum line. Instead, clean the area gently with a damp cloth, control any bleeding with light pressure and call our office so we can check for any damage to the surrounding gum or bone.

Handling a Permanent Tooth

Permanent teeth are a different story and speed matters. According to HeadStart.gov’s guidance on oral injuries, checking whether the tooth is a baby tooth or a permanent one is one of the first steps caregivers should take because the response differs for each. If it turns out to be permanent, act fast and follow these steps.

  • Pick the tooth up by the crown, never the root, to avoid damaging the delicate cells that help it reattach.
  • Try to place it back into the socket facing the right direction or keep it moist ideally in milk or your child’s saliva if that is not possible to minimize dry time.
  • Get to our office to have Dr. Savage evaluate the situation or an emergency room right away because a permanent tooth has the best chance of survival when it is replanted within the first hour with minimal dry time.

Every minute the tooth spends outside the mouth lowers the chance of a successful reattachment, so do not wait to see if the bleeding stops on its own before reaching out.

Get the Right Care Quickly

Once you have handled the tooth itself, bringing your child to a dentist who treats these situations often becomes the next priority. Main Street Pediatric Dentistry sees families for dental emergencies throughout Belmont and surrounding areas.

Our first visit page covers how we welcome new patients and families often appreciate knowing that Dr. Matthew Savage, a board certified pediatric dentist, is the only dentist treating patients at our practice, so your child sees a familiar, consistent face at every appointment, including emergency ones.

Schedule a Consultation With Main Street Pediatric Dentistry of Belmont Today

A knocked out tooth is frightening, but it does not have to end badly. With calm handling in the first few minutes and prompt follow up care, many teeth can be saved or managed in a way that protects your child’s smile long term. Dr. Matthew Savage brings more than 20 years of experience as a board certified pediatric dentist to every emergency visit and our pediatric dental team works to keep kids comfortable even on their hardest days.

If your child has a dental emergency or you simply want a plan in place before one happens, please call our office.

Shot of a young little boy lying down on a dentist chair while getting a checkup from the dentist.A cavity does not have to mean a mouth full of metal for your child anymore. Tooth-colored fillings repair the tooth while blending in so completely that most parents cannot even tell where the work was done.

At Main Street Pediatric Dentistry of Belmont, Dr. Matthew Savage treats cavities with tooth-colored dental fillings designed to protect your child’s tooth without drawing attention to the repair.  As the only dentist in the practice, he provides consistent care from your child’s first visit through every checkup so treatment decisions build on what he already knows about your child’s smile, habits and comfort level.  This kind of continuity means fewer surprises at each appointment and a treatment plan that grows with your child instead of starting over with a new provider each time.

How Tooth-Colored Fillings Work

Tooth-colored fillings, also known as composite fillings, are made from a blend of resin and finely ground glass particles shaded to match your child’s natural enamel. Dr. Savage removes the decayed portion of the tooth then bonds the composite material directly to the healthy structure that remains, sealing out bacteria and restoring the tooth’s shape.

This bonding process means less of the natural tooth needs to be removed compared to older filling materials. According to the CDC, half of children aged 6 to 9 have already had a cavity in a primary or permanent tooth, so filling decay early is one of the most common types of care a growing smile will need.

Because the material hardens under a special curing light rather than needing time to set, most fillings are completed in a single visit. Dr. Matthew Savage’s gentle approach and behavior management training help even nervous first-time patients stay relaxed through the process, which is one reason so many families continue to bring their children back for routine care year after year. Because composite fillings hold up well under normal chewing pressure, they work for molars and front teeth alike, giving Dr. Savage flexibility no matter where a cavity forms.

Why Families Choose Composite Fillings for Kids

Parents often ask Dr. Matthew Savage what sets composite fillings apart from older metal options and a few clear advantages stand out especially for kids who are still building confidence in the dental chair.

  • Natural appearance: Tooth-colored fillings blend with the surrounding enamel so the repair stays discreet even when your child laughs or smiles for a class photo.

  • Less tooth removal: The bonding process lets Dr. Savage preserve more of your child’s original tooth structure instead of shaping the cavity to hold the filling in place.

  • Mercury free: Composite material contains no mercury unlike traditional amalgam fillings, which brings peace of mind to many parents.

  • Added strength: The bond helps support the remaining tooth structure rather than simply filling a gap left behind by decay, which can help the tooth stay stronger over time.

Each of these benefits adds up to a filling that protects your child’s tooth today and holds up well for years as their smile continues to grow and change.

Trust Main Street Pediatric Dentistry of Belmont With Your Child’s Smile

Dr. Matthew Savage is a board certified pediatric dentist with over 20 years of experience treating children’s teeth. He built Main Street Pediatric Dentistry of Belmont around gentle, consistent care that helps kids feel comfortable at every visit, from a first checkup all the way through more involved treatment like fillings, sealants,  white crowns, and extractions.

Whether your child needs a first exam or some type of treatment, our team is ready to help protect their smile for years to come. Contact us today to schedule an appointment.

 

Pediatric dentist treating a young child's teeth in the dental chairWhen your child loses a baby tooth earlier than expected, your first instinct might be to simply wait for the permanent tooth to grow in. After all, it can feel like a natural part of growing up. But that open gap in your child’s smile can quietly cause real problems over time if nothing is done to preserve it. Without the right intervention, neighboring teeth can slowly drift into that empty space, leaving little room for the permanent tooth to erupt correctly and potentially setting the stage for alignment issues down the road.

At Main Street Pediatric Dentistry of Belmont, Dr. Matthew Savage takes a prevention-first approach to every child’s dental care. As the only dentist at the practice, Dr. Matthew Savage follows each patient from early childhood through the college years, making consistent and well-informed decisions at every stage. When a baby tooth is lost too soon, space maintainers are one of the most effective tools available for keeping your child’s development on the right path.

What Is a Space Maintainer?

A space maintainer is a dental appliance that holds the gap left behind by a prematurely lost baby tooth. It keeps the neighboring teeth from shifting inward while your child waits for the permanent tooth to come in.

Fixed space maintainers are cemented in place and require no adjustment by the child or parent at home. The type recommended will depend on which tooth was lost, your child’s age and their overall stage of dental development.

Why Early Tooth Loss Matters More Than You Think

Baby teeth do far more than help your child chew and speak. They act as natural guides, holding space in the jaw for the permanent teeth that will follow. When a baby tooth is lost too early, whether from decay, injury, or a dental emergency, the neighboring teeth can shift into the open space. Over time, this narrowing can lead to crowding and misalignment that may require more extensive orthodontic treatment later on.

According to a 2025 systematic review published by the National Institutes of Health, dental space maintainers are highly effective at preventing dental misalignment following the premature loss of primary teeth. Early, proactive care is one of the best investments you can make for your child’s long-term oral health.

Signs Your Child May Need a Space Maintainer

Not every case of early tooth loss calls for a space maintainer but there are several situations where one is strongly recommended. Dr. Matthew Savage will evaluate your child’s specific circumstances, but common indicators include:

  • A baby molar was lost before the permanent tooth was close to erupting
  • The permanent tooth is not expected to grow in for a year or more
  • Neighboring teeth are beginning to shift toward the gap
  • X-rays show that the permanent tooth is still developing and will not emerge soon

A thorough dental exam is the best way to determine whether a space maintainer is the right step for your child. Dr. Matthew Savage will review current X-rays and factor in your child’s age and development before making any recommendations.

What to Expect During Space Maintainer Treatment

Getting a space maintainer placed is a comfortable, low-stress experience for most children. Dr. Matthew Savage takes precise measurements and impressions of your child’s mouth to create an appliance that fits just right.

Many dentists will take an impression of the area using alginate putty, however Dr. Savage uses an intraoral dental scanner. So no more gagging when taking impressions. Kids love it because they can watch the scan of their teeth show up on the computer screen, like magic. Once in place, most kids adapt to it quickly. Routine checkups allow us to monitor the appliance and make sure everything is progressing as it should.

When the permanent tooth begins to emerge on its own, the space maintainer is simply removed. In some cases, a space maintainer may also work alongside early orthodontics to address broader developmental concerns and set your child up for the best possible outcome.

Give Your Child’s Smile the Best Start at Main Street Pediatric Dentistry of Belmont

At Main Street Pediatric Dentistry of Belmont, we believe the decisions made during your child’s early years of dental development have a lasting impact on their smile for life. With over 20 years of experience and board certification in pediatric dentistry, Dr. Matthew Savage brings both the skill and personal attention that growing smiles deserve. As a locally owned and operated practice, your child always sees the same familiar face, building the kind of trust that makes every visit a positive one.

If you are wondering whether your child could benefit from a space maintainer or simply want to stay ahead of any concerns, we would love to hear from you. Contact our office today to schedule an appointment and give your child the thoughtful, prevention-focused dental care they deserve.

Young boy checking his teeth in a mirror with his pediatric dentistIf your child’s teeth seem crowded, their bite looks off, or their upper jaw looks narrow, you may have already been told to “just wait and see.” And sometimes, watching growth over time is the right answer. But there are also situations where waiting too long can make things harder to correct later. A narrow upper jaw, developing crossbite, crowded teeth, mouth breathing, or even regular snoring can all be signs that an early evaluation may be helpful.

These concerns are often easier to evaluate during childhood, while the jaws and facial structures are still growing. At Main Street Pediatric Dentistry of Belmont, Dr. Matthew Savage brings a prevention-first philosophy to every stage of your child’s oral development. With over 20 years of experience and board certification in pediatric dentistry, he is able to identify developing bite, jaw, and growth concerns early and recommend the right next step at the right time. For some children, early orthodontic expansion may be a well-timed way to guide growth before problems become more complex.

What Is Early Orthodontic Expansion?

Early orthodontic expansion, sometimes called palatal expansion, is a form of interceptive orthodontic treatment used to widen a child’s upper jaw. It works by applying gentle, consistent pressure to the two halves of the palate before they fully fuse together.

A device called a palatal expander is placed in the mouth and gradually widens the upper arch over a period of weeks or months. As the palate expands, the goal is to create more room for permanent teeth, improve the way the upper and lower teeth fit together, and support more balanced jaw development.

Why Timing Makes All the Difference

The bones in a child’s jaw do not fully fuse until the early teen years, which means there is a meaningful window during childhood when expansion may be easier and more effective than it would be later, hopefully without surgery or tooth removal. According to the American Association of Orthodontists, all children should be screened by age 7, as this is when there are enough permanent teeth present to detect jaw and alignment issues before they worsen.

That does not mean every child needs treatment at age 7. And it does not mean every 4- or 5-year-old with crowding or snoring needs an expander. But it does mean that early evaluation matters. In some children, concerns such as a narrow jaw, crossbite, crowding, mouth breathing, or regular snoring may be worth looking at even earlier.

Some children benefit from simply being monitored. Some children are best referred to an orthodontist. And some younger children may benefit from early appliance therapy before age 7, especially if there is a narrow upper jaw, crossbite, crowding, early tooth loss, mouth breathing, or airway-related concerns. At Main Street Pediatric Dentistry of Belmont, Dr. Savage can evaluate these concerns early and, when appropriate, provide certain early treatments himself, including space maintainers and palatal expansion for select younger children. The goal is not to rush every child into treatment. The goal is to identify the right child, at the right age, and choose the right next step.

What Snoring, Mouth Breathing, and Airway Have to Do with It

Many parents today are hearing more about airway, sleep, and early orthodontic expansion. If your child snores regularly, sleeps with their mouth open, breathes mostly through their mouth, grinds their teeth, has a very narrow smile, or seems restless during sleep, those are important things to mention during their dental visit.

These signs can have many possible causes, including allergies, enlarged tonsils or adenoids, nasal obstruction, jaw growth patterns, or a narrow palate. A palatal expander does not “fix” every airway problem, and it is not the right answer for every child. But in certain cases, a narrow upper jaw may be part of the bigger picture. This is one reason Dr. Savage likes to evaluate children early. In those cases, Dr. Savage may recommend monitoring, placing an appliance in our office and beginning early expansion treatment, referring to an orthodontist, or coordinating with your child’s pediatrician or ENT.

Signs Your Child May Benefit From Early Expansion

Not every child will need a palatal expander, but there are several signs that an evaluation is worth having. Common indicators include:

  • Upper teeth sitting inside the lower teeth on one or both sides
  • Permanent teeth coming in crowded or overlapping
  • A noticeably narrow upper jaw or narrow smile
  • A high or narrow palate
  • Baby teeth being lost in an irregular pattern
  • Regular snoring, mouth breathing, or sleeping with the mouth open
  • Restless sleep or frequent nighttime waking
  • Difficulty keeping lips comfortably closed at rest

Current dental X-rays and a thorough exam give Dr. Savage a more complete picture of what is happening beneath the surface, including how incoming permanent teeth are positioned and whether the jaw appears to have adequate room for them to erupt properly.

What to Expect During Treatment

When an expander is recommended, the process is gentle and manageable for most children. One nice thing at Main Street Pediatric Dentistry is that Dr. Savage does not have to use that gooey alginate putty to take a mold. Instead, he uses an intraoral digital scanner, kind of like a magic wand. Kids usually think it is pretty cool, and there is no gagging with a mouthful of impression material.

The expansion process typically takes a few months, followed by a retention period to allow the new position to stabilize. Most children adjust to their expander fairly quickly and are able to speak, eat, and go about their days without major disruption. A thorough dental exam and review of your child’s growth history will guide every recommendation. In some cases, early expansion may also work alongside other treatments, such as space maintainers, to help keep all aspects of your child’s development on track.

Give Your Child’s Smile the Best Start at Main Street Pediatric Dentistry of Belmont

At Main Street Pediatric Dentistry of Belmont, we believe that proactive care during childhood creates a foundation that lasts a lifetime. Dr. Matthew Savage is a board-certified pediatric dentist with over 20 years of experience and a genuine commitment to gentle, prevention-focused treatment. As the only dentist at the practice, he knows each child’s history, development and personality, making it possible to identify concerns early and address them thoughtfully.

If you have noticed crowding, a narrow smile, or any bite irregularities in your child, we would love to take a closer look. Contact our office today to schedule an evaluation and find out whether early orthodontic expansion could be the right next step for your child’s smile.

Pediatric dentist providing gentle dental care to a young childFew things matter more to a parent of a child with special needs than knowing the people caring for their child are truly prepared to meet them where they are. Sensory sensitivities, communication differences, and unexpected changes in routine can all make the dental chair feel overwhelming for a child who experiences the world differently. Sounds, unfamiliar smells, bright overhead lights and close proximity to someone new are all factors that can trigger real distress. The good news is that with a provider who is well prepared for these moments, dental visits can become something your child approaches with growing confidence.

At Main Street Pediatric Dentistry of Belmont, Dr. Matthew Savage has built his practice around exactly this kind of care. With 20 years of experience and a genuine passion for working with children of all needs and backgrounds, he brings a calm, patient and adaptive approach to every appointment. Our special needs dentistry services are built on the belief that every child deserves compassionate care tailored to who they are.

What Are Behavior Management Techniques?

Behavior management techniques are a set of strategies pediatric dentists use to help children feel comfortable, safe and in control during dental treatment. Rather than rushing through a procedure, these approaches focus on building trust, reducing anxiety and creating an environment where children can engage at their own pace.

Communication is central to the process, with Dr. Matthew Savage using simple, clear language and a calm, consistent demeanor to help children feel at ease. For children with special needs, these techniques are especially meaningful because they are adaptable, allowing them to respond in real time to what a child is communicating, whether verbally or not.

How These Techniques Make a Difference

Research consistently supports the role of tailored behavior management in helping children have more successful dental visits. A 2022 systematic review published by the National Institutes of Health found that all psychological behavior management techniques studied helped reduce fear and anxiety in pediatric patients. For children with special needs, a carefully matched approach can mean the difference between a visit that feels manageable and one that is distressing for everyone involved.

Approaches We Use in Our Office

Dr. Matthew Savage draws from a range of evidence-based techniques to meet each child where they are. Depending on the child’s needs, this may include any of the following:

  • Tell-Show-Do: Dr. Matthew Savage explains and demonstrates each step before it happens, reducing the fear of the unknown.
  • Celebrating small wins and cooperative moments helps build confidence over time.
  • Audio-visual tools, including the TVs mounted on our ceiling, give children a positive focal point during treatment.
  • Comfort tours: introducing the dental environment gradually across multiple visits helps children build comfort at their own pace.

No two children are the same and Dr. Matthew Savage takes time to understand each child’s triggers, preferences and comfort level before and during every visit, adjusting the approach as needed to make the experience as positive as possible.

Infographic showing behavior management techniques used in pediatric dentistry for children with special needs

When Sedation Dentistry Offers Additional Support

For some children with special needs, even the most thoughtful behavioral approach may not provide enough support on its own. In these situations, sedation dentistry can provide a safe and effective layer of care, allowing necessary treatment to be completed comfortably and without distress.

Dr. Matthew Savage will always have a thorough conversation with your family about all available options to determine the safest and most appropriate path forward. Laying the right foundation from the first visit makes it easier to build the kind of collaborative, trusting relationship that supports every step of your child’s dental care.

Give Your Child the Compassionate Dental Care They Deserve at Main Street Pediatric Dentistry of Belmont

At Main Street Pediatric Dentistry of Belmont, we believe every child, regardless of their needs or background, deserves a dental experience that feels safe, calm and supportive. Dr. Matthew Savage is a board-certified pediatric dentist with over 20 years of experience and a deep commitment to gentle, individualized care. As the only dentist at the practice, he develops a real relationship with each child over time, which makes a meaningful difference for children who thrive with familiarity and consistency.

If you have a child with special needs and are looking for a dental home where they will be seen, heard and cared for, we would love to connect with your family. Contact our office today to schedule an appointment and let us show you what compassionate, patient-centered pediatric care looks like.

Visit Main Street Pediatric Dentistry of Belmont Today

Office Hours:

Monday - Friday: 8:00 AM - 5:00 PM


Saturday: By Appointment Only


Sunday: Closed

Main Street Pediatric Dentistry office