3585 124th Ave NW Ste 400, Coon Rapids, MN 55433
Give Us A Call (763) 767-1524

Our Policies

Riverdale Pediatric Dentistry (R.P.D.) Policies

To the Parents of Pediatric Dental Patients:

We would like to welcome you and your children to Riverdale Pediatric Dentistry. As you may or may not know, a Pediatric Dentist is a dentist who has undergone a rigorous and specialized two to three year training program beyond dental school that uniquely prepares them to care for your child's special dental needs. The pediatric patient generally requires a different treatment approach than do adult patients. Children are not "small adults" neither physiologically nor psychologically. It is our goal to provide your child with the highest quality of dental care consistent with the American Dental Association and the American Academy of Pediatric Dentistry guidelines.

Please give us your full cooperation by becoming a partner in your child's dental treatment and observing the office policies outlined below.

In the treatment area:

Parents or guardians are encouraged to be in the treatment area during the initial exam so they may become acquainted with the dental office, its personnel and have the opportunity to review treatment needs with the specialist. At subsequent appointments, the presences of the parent or guardian in the treatment area will be established depending on the patient's needs. Parents or guardians are routinely asked to escort/accompany special needs children and those 3 years of age and younger. We discourage other children being allowed in the treatment rooms while siblings are receiving their dental care. This is done to ensure your child receives the best care under optimum and safe conditions.

Rescheduled and failed appointments:

If you wish to reschedule your child's appointment, we ask that you give us at least 48 hours advance notice. Cancellations received less than 48 hours will be considered a last minute failed appointment. We allow for one no-show, with the second no-show a $35 charge will be applied to your account. Three (3) failed appointments may result in dismissal from our clinic. Families who fail appointment dates with multiple children scheduled may not be allowed to schedule their children on the same day again.

Emergency treatment:

If your child is a patient of record and has a true dental emergency, such as trauma, uncontrolled bleeding, pain or swelling, please call the office at (763) 767-1524. If it is after hours an on call doctor will return your call. Please be aware, if you are calling the on call doctor after 8 pm, a call will be returned to you after 9 am the following day.The name and number of the on call doctor will be provided on our office answering machine.

Behavior Management

Because every child is different, we have a wide range of choices to help a child complete needed dental treatment. We will make a recommendation of behavior management methods for your child based upon your child's health history, special health needs, dental needs, type of treatment required, emotional and intellectual development, and your parental preferences.

The three main goals of behavior management are first to help a child feel relaxed and confident; second to guide a child in coping with dental treatment; and third to complete dental treatment as quickly and safely as possible.

To be a well-informed parent, you should know the choices available to help your child during dental treatment. Working together, we can select the best treatment methods to make your child's visit as safe and comfortable as possible.

A List of Behavior Management Methods

Tell-Show-Do: The pediatric dental team explains the treatment in words just right for the child's age and level of understanding, shows the child the treatment in a simplified manner, and then does the treatment.

Positive Reinforcement:

The pediatric dental team praises the child for any behavior that helps with treatment. Every child does something right during a dental visit.

Timeout or Parent Separation:

The child will be separated from his/her parent. While the parent is in the waiting room, the dental assistant will try to explain to the child in a very calm and comforting tone what the treatment will entail to help reduce his/her anxiety and make his/her visit a little more pleasant. Sometimes we get patients to cooperate more if the parents are not in the room. If the parent agrees to wait in the waiting room, a dental assistant or the doctor will update them periodically and let them know how their child is doing. When the child calms down and agrees to cooperate, the parent will be able to come back and stay for the remainder of the visit unless the child becomes uncooperative again. A dental assistant will always remain with the child however the doctor may have to leave the room to continue seeing other patients.


In this technique, the pediatric dental teams choose their treatment words carefully, pass instruments out of the child's sight, and occasionally distract the child's attention away from the treatment with conversation, music, or games.

Voice Control:

The pediatric dental team changes voice tone or volume to calm a child or get a child's attention. Typically, we speak in a soft, controlled tone and repeat messages as necessary. We may occasionally use a loud tone to discourage disruptive behavior or movements that can pose a risk to the child, such as reaching for a sharp instrument. If' you are not comfortable with the use of voice control with your child, then you should certainly speak to us about the issue.

Local Anesthetics:

A topical anesthetic can be applied with a cotton swab to prevent pain on the surface of the mouth. A local anesthetic, such as Novocain, may be injected in a specific area of a child's mouth to prevent discomfort during treatment. These local anesthetics cause temporary numbness that may last past the visit. Parents/Guardians must be careful about giving children hot food or liquids until the numbness wears off. Parents should also monitor their child after local anesthesia to ensure that they are not injuring themselves.

Nitrous Oxide / Oxygen Analgesia:

If a child is worried by the sights, sounds or sensations of dental treatment, they may respond more positively with the use of nitrous oxide / oxygen. Perhaps the safest analgesic in dentistry, nitrous oxide/oxygen can reduce anxiety and gagging in children and make long appointments easier. The child remains fully conscious during treatment. Recovery after treatment is rapid and complete. Nitrous oxide is not effective for children who are congested or will not breathe through their nose.

Physical Restraint:

Possibilities in this category include asking the parent/guardian to hold the child on his/her lap with arms and hands holding the child's hands and legs. Another approach is the use of a body wrap (pediwrap) that holds the child's arms and legs away from the mouth. A mouth prop may be used to help children who have a difficult time keeping their mouths open. Restraint may be recommended for children who are very young or have difficulty remembering the importance of keeping their hands away from dental instruments. Used only after alternative approaches have been considered, this approach is sometimes necessary to protect a child from the sharp, fast moving instruments required in dental treatment.


The parent or guardian will be informed if any of the above behavior management techniques are recommended prior to their usage.

General Anesthesia:

Medically speaking, general anesthesia is an induced state of unconsciousness. In practical terms, the patient is asleep and unable to respond to touch or voices. It is most often recommended for very young children with extensive treatment needs and/or an inability to communicate and cooperate. Sometimes it may also be the best way to provide treatment for children with special medical / developmental needs. All parents should know that children face the same risk under general anesthesia for dental treatment as for any other surgical procedure. Only highly qualified anesthesiologists and certified registered nurse anesthetists in a hospital setting provide the anesthesia services. Parents should talk openly with the pediatric dental staff about the benefits and risks of this treatment.

Thank you,
Darcy Rindelaub, D.D.S., M.S. Pediatric Dentist
Michelle Meiser, D.D.S. Pediatric Dentist
Laura Kottemann, D.M.D. Pediatric Dentist
Megan Kinder, DDS, Pediatric Dentist

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Office Hours

Mon: 8:00am - 5:00pm
Tue: 8:00am - 7:00pm
Wed: 8:00am - 5:00pm
Thurs: 8:00am - 7:00pm
Fri: 8:00am - 2:00pm

*3 Saturdays a month during school year from 8am - 1pm

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