pediatric dentistry
Welcome to

Patient Center

We strive to create a positive experience for your child’s visit to the dentist. Our doctor is a trained Pediatric Dental Specialist; dedicated to ensuring your child has their dental needs met with thoughtfulness and compassion. We love to answer questions and look forward to seeing you in the future. Thank you for allowing us the opportunity to serve you. Please contact us at (832) 280-7545.

First Visit

Welcome to Tooth in Boots!

Thank you for choosing us as your dental care provider. We ask that you be prepared to complete all insurance and health information that will allow us to begin and provide optimal dental care for your child.

Your child’s initial exam will be thorough and will include oral health care instructions specific to your child’s needs. All exams are individualized and provided in our state of the art facility, in the privacy of our dental rooms. Your child’s examination will include a detailed explanation of any existing problems, as well as treatment that may be needed in the future.

Emergency Information

Contact the Doctor

If your child avulses (knocks out) a tooth;

1.  Determine whether the tooth is a baby tooth or a permanent tooth (if you are not sure, please contact us immediately). **If it is a baby tooth, do not replant**

2.  For permanent teeth: Keep your child calm and avoid touching the root of the tooth.

3.  Rinse the tooth in cold water for 10 seconds and replant the tooth.

4.  Have your child bite on towel or tissue to hold tooth in position.

5.  If you can not replant the tooth, place the tooth in a small cup of milk or saline and call our office immediately.

Dr. Rugama can be reached at (832) 280-7545 during business hours and (281) 780-0499 after business hours. Please include your name, a brief message, and your return phone number for us to contact you.

New Patient Forms

Start Here

Please follow the link to a new page, complete it for your child’s first appointment.

Keep your teeth healthy

Why Good Dental Health is Important

Taking good care of your teeth and gums helps prevent tooth decay, gum disease, and bad breathe. Taking care of your teeth throughout your life can help you keep your teeth as you get older. A healthy mouth may help ward off larger health problems such as heart disease, stroke, and poorly controlled diabetes. The case for good oral hygiene and your overall health keeps getting stronger. Regular visits with your pediatric dental specialist helps keep you child’s teeth healthy and cavity free.

Baby Teething

All babies have their own teething schedules. We monitor this schedule for abnormal occurrences and give suggestions on how to manage infant behavior and discomfort levels during the teething process. The use of teething tablets or over the counter medications are not always the best option. Please contact us if you have any further questions.

Permanent teeth growing behind baby teeth (shark teeth).

As permanent teeth grow, they dissolved the root of the baby teeth. If a baby root does not dissolve, the permanent tooth will appear behind the baby tooth in a situation commonly known as having shark teeth. This situation is very common and usually resolves on its own. In some cases, the baby tooth is not loose and requires loosening by the patient or extraction by your Pediatric Dentist.

Tooth discoloration after trauma

Tooth discoloration is usually evident with in two weeks after trauma. Teeth may demonstrate a wide variety of color changes from grey to yellow. These colors are not an indication that the tooth needs to be removed. In most cases, the tooth will follow a normal pattern of function and exfoliation. Please call us to make an appointment if your child has experienced trauma or discoloration for a follow up exam.

Finger habits

Thumb sucking is a natural reflex for children. Sucking on thumbs, fingers or pacifiers may make babies feel secure and happy. This behavior may help with self-soothing and falling asleep. Once babies teeth come in, these finger habits may cause problems with grown and proper alignment of teeth. It can also cause changes to the roof of the mouth. If these habits have not discontinued by the age of 3, please call us to discuss tips on how to help your child break this habit


Brushing is a very important dental habit to acquire. Brushing should start at an early age, once the first baby tooth erupts. Brushing should be done twice a day with a preferred schedule of morning and night. Brushing with tooth paste before bed allows the teeth a clean environment and the ability to help fight off cavities. Brushing should be completed by parents until the age of 7 or 8, depending on your child’s ability, and should be further supervised throughout the teen age years as necessary. Hand eye coordination and the skill to maneuver a tooth brush to all tooth surfaces may take longer to acquire for some patients. A tooth brushing exam with your dental provider is recommend to identify problem areas and to help obtain proper form. Daily flossing helps reach areas in-between your teeth where tooth brushes cannot reach. We recommend daily flossing as soon as teeth begin to contact other teeth and no later than two year of age.


Get In Touch

Location: 22377 Bellaire Blvd. Ste 200 Richmond, TX, 77407

Telephone: (832) 280-7545

Hours: Monday-Friday: 8am – 5pm

Phone: 832-280-7545

22377 Bellaire Blvd. Suite 200 Richmond, Texas 77407


  • Emergency Number
  • (281) 780-0499


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