
When you bring your child into our office, our goal goes far beyond fixing dental problems after they appear. As a functional and holistic pediatric dentist, we focus on predicting and preventing issues before they impact your child’s health. One of the most powerful tools we use to achieve this is saliva testing.
This approach allows us to move away from one-size-fits-all dentistry and create a truly personalized prevention plan for your child’s lifelong oral health. Understanding your child’s unique oral environment helps us protect their smile, strengthen enamel, and reduce cavity risk naturally.
Every child’s mouth is different. While many children may brush the same way and eat similar foods, their oral microbiome—the balance of bacteria in the mouth—can vary dramatically. This is why some children develop cavities easily, while others remain cavity-free.
In our pediatric dentistry practice, we follow functional, biological, and holistic principles. Saliva testing plays a critical role in understanding how your child’s mouth functions as part of their overall health. Rather than waiting for cavities to appear, saliva testing helps us identify risk factors early and take action proactively.
This personalized approach is especially important during childhood, when teeth, jaws, and habits are still developing.
Saliva testing is a simple, non-invasive process that provides valuable data we cannot see during a visual dental exam. It allows us to answer two essential questions:
Is your child at high risk for cavities, and what is driving that risk?
Through pediatric saliva testing, we evaluate biological factors that directly influence decay and enamel strength.
One of the most important elements we examine is saliva pH. A low pH means the mouth is acidic, creating an ideal environment for cavity-causing bacteria and rapid enamel breakdown.
We also assess buffer capacity, which measures how well saliva can neutralize acids after eating or drinking. Children with low buffer capacity remain in an acidic state for longer periods, increasing their risk of tooth decay.
Another critical factor is the presence of harmful bacteria, such as Streptococcus mutans and Lactobacillus. These bacteria are strongly associated with cavities and often explain why decay continues despite good brushing habits.
Together, these results form the foundation of a comprehensive caries risk assessment for children.
The greatest benefit of saliva testing in pediatric dentistry is that it leads to clear, actionable solutions. Instead of guessing, we can tailor home care routines and professional treatments to your child’s exact needs.
If testing shows high acidity, we may recommend specific dietary adjustments and pH-balancing strategies to protect enamel. When buffer capacity is low, targeted support such as xylitol-based products can help saliva neutralize acids more effectively.
If harmful bacteria levels are elevated, we may combine professional treatments like fluoride or hydroxyapatite varnish with precise brushing and flossing guidance. In some cases, additional preventive care such as sealants, laser treatments, supplements, or remineralization protocols may be recommended.
This personalized approach allows us to support your child’s oral microbiome rather than disrupt it, aligning perfectly with holistic pediatric dentistry principles.
Cavities are not just holes in teeth—they are signs of imbalance. By understanding your child’s saliva and microbiome, we can reduce future dental issues, improve enamel strength, and support overall immune health.
As a pediatric dentist in Walnut Creek, our goal is to empower parents with knowledge and tools that make prevention achievable at home. Small daily habits, guided by accurate data, can have a lifelong impact on your child’s health.
You are not alone in this journey. By utilizing advanced tools like saliva testing and translating those results into small, powerful daily habits, you are creating a custom defense plan for your child’s health.
My role is to support you, explain what these findings mean in clear terms, and make sure your child feels safe and confident at every visit. Together, we can build a foundation of health that lasts a lifetime.
— Dr. Negar Niki Boloorchi, Functional Dentist and Anesthesiologist for Children
Owner of Tooth + Tongue Special Dentistry in Walnut Creek, CA