Gentle, Compassionate Dental Care for Your Child’s Smile
A Family-Owned Practice Dedicated to Nurturing Smiles in San Antonio
Welcome to San Antonio Pediatric Dentistry and Orthodontics. At our practice, Dr. Roel Gonzalez and Dr. Ana Lavermicocca-Gonzalez—together with our dedicated team—provide gentle, specialized dental care for children in a warm, family-friendly environment.
As a husband-and-wife team, we know firsthand the joys and challenges of family life. That’s why we’re committed to making every visit positive, comfortable, and perfectly tailored to your child’s growing smile. From a toddler’s very first check-up to orthodontic care for teens, our goal is to support your child’s dental journey with compassion and excellence.
We proudly care for families across Thousand Oaks, Alamo Heights, Stone Oak, and the greater San Antonio area, offering everything from preventive visits and same-day emergency care to braces, Invisalign®, and specialized pediatric treatments.
Your child’s comfort, health, and confidence are always our top priorities — because every child deserves a lifetime of happy, healthy smiles.
Comprehensive Pediatric Dental Services Tailored to Your Child's Needs
At San Antonio Pediatric Dentistry and Orthodontics, we believe every child deserves personalized dental care that addresses their unique needs. Our team specializes in treating children of all ages with gentle techniques and a kid-friendly approach that helps reduce anxiety.
We offer various comfort options, including nitrous oxide and oral conscious sedation with a licensed anesthesiologist available when needed. From dental emergencies to preventive care and specialized treatments like frenectomies and tongue tie release, our practice is equipped with the latest technology including digital X-rays and intraoral cameras to provide the highest standard of pediatric dental care.
Our mission extends beyond treatments—we’re committed to creating positive dental experiences that will benefit your child for a lifetime.
Trust us to guide your little ones toward lasting, healthy smiles!
Our Pediatric Services
Dental Exams
Regular dental exams are the foundation of good oral health for children in San Antonio. During your child’s exam at San Antonio Pediatric Dentistry, our doctors thoroughly check their teeth, gums, and mouth for any signs of concerns while monitoring growth and development.
We make these visits fun and educational, often using our special phrase “sugar bugs” to help children understand cavity-causing bacteria in a non-frightening way. Our digital X-ray technology allows for detailed, low-radiation imaging when necessary.
We recommend dental exams every six months starting from your child’s first tooth eruption or by their first birthday. These early visits help establish positive dental habits and allow us to catch potential issues before they become bigger problems.
Dental Cleanings
Professional dental cleanings are essential for maintaining your child’s oral health and preventing cavities. At our San Antonio pediatric dental practice, our gentle hygienists use kid-friendly techniques to remove plaque and tartar buildup that regular brushing can’t reach.
We take the time to make cleanings comfortable and educational for children of all ages. During each cleaning appointment, we’ll demonstrate proper brushing and flossing techniques tailored to your child’s developmental stage. Our team also measures blood pressure as part of our comprehensive approach to your child’s overall health.
Regular six-month cleanings help prevent cavities, gum disease, and establish lifelong dental habits that will benefit your child well into adulthood.
Fillings
When cavities appear, our San Antonio pediatric dentists provide gentle, tooth-colored composite fillings that keep your child’s smile healthy and natural-looking. We know dental treatment can sometimes feel intimidating for kids, so we take extra care to make the experience positive. Using child-friendly language — like calling cavities “sugar bugs” — and offering comfort options such as nitrous oxide and oral conscious sedation, we help children feel safe and relaxed every step of the way.
Our approach focuses on preserving as much of the natural tooth as possible while removing decay effectively. With modern techniques and durable materials, we create long-lasting fillings that blend beautifully with your child’s teeth, protecting their oral health and confidence. Families from Stone Oak, Alamo Heights, Thousand Oaks, and across San Antonio trust us to provide care that’s as compassionate as it is effective.
Traditional Fluoride
At San Antonio Pediatric Dentistry, we use professional-strength fluoride to give children an extra layer of protection against cavities. This quick and painless treatment helps strengthen tooth enamel, making it more resistant to the acids produced by cavity-causing “sugar bugs.” Kids love that fluoride comes in fun, friendly flavors, and parents love the lasting protection it provides.
Applied after cleanings, fluoride forms a protective shield that continues working for months. It’s especially helpful for children at higher risk of cavities or those with early signs of enamel weakening. Our doctors personalize each recommendation based on your child’s needs and oral health history, ensuring the right level of cavity protection while keeping every visit comfortable and stress-free. Whether you’re visiting us from Stone Oak, Alamo Heights, or nearby San Antonio neighborhoods, families know they can rely on our team for preventive care that keeps young smiles strong and healthy.
Silver Diamine Fluoride
Silver Diamine Fluoride (SDF) is an innovative, non-invasive treatment option we offer at our San Antonio pediatric dental practice to stop cavity progression without drilling. This FDA-approved liquid solution combines silver’s antimicrobial properties with fluoride’s enamel-strengthening benefits to effectively halt decay in its tracks.
SDF is particularly beneficial for very young children, those with special healthcare needs, or in cases where traditional fillings might be challenging. The application process is quick and painless—we simply brush the solution onto affected areas.
While SDF may cause darkening of the decayed portion of the tooth, it provides an excellent alternative to more invasive procedures and can prevent the need for sedation in many cases. Our doctors will discuss if SDF is appropriate for your child’s specific situation.
Silver Modified Atraumatic Restorative Treatment (SMART)
Silver Modified Atraumatic Restorative Treatment (SMART) represents the cutting edge of minimally invasive pediatric dentistry available to families in San Antonio, Stone Oak, and surrounding communities.
This innovative technique combines Silver Diamine Fluoride with glass ionomer fillings to treat cavities with minimal to no drilling. The procedure is gentle, quick, and significantly reduces anxiety for children who may fear traditional dental treatments. SMART is ideal for managing early decay, especially in primary teeth, as it effectively kills bacteria while sealing and protecting the tooth.
Our pediatric dentists often recommend this approach for younger patients or those with dental anxiety because it requires less time in the dental chair and typically doesn’t require anesthesia. This patient-centered approach aligns perfectly with our mission to provide comfortable, effective dental care for children throughout San Antonio.
Sealants
Dental sealants give extra protection to your child’s back teeth, which are more prone to cavities because of their deep grooves and hard-to-clean surfaces.
At San Antonio Pediatric Dentistry, we gently apply a thin, clear coating to the chewing surfaces of molars and premolars, creating a smooth shield that “sugar bugs” can’t break through. The process is quick, comfortable, and requires no drilling or numbing. With proper care, sealants can reduce cavity risk by up to 80% and last for several years.
We usually recommend sealants as soon as permanent molars appear, typically around ages 6 and 12. This preventive step is especially helpful for kids who are cavity-prone or have naturally deep grooves in their teeth. Families across Alamo Heights, Stone Oak, and surrounding San Antonio communities turn to our team for this simple, effective way to keep young smiles healthier for longer.