


Compassionate Pediatric Surgical Dentistry in Garden City, NY
At Maccaro Smiles, we know that sometimes little smiles need a bit more support. Our gentle, child-centered approach helps families navigate minor pediatric surgical procedures with comfort, clarity, and confidence. As a combined pediatric dentistry and orthodontic practice, we create a safe, encouraging environment where children feel understood, and parents feel reassured every step of the way.
Whether your child needs a simple baby tooth extraction or a quick laser frenectomy, our experienced team delivers leading care rooted in compassion, modern techniques, and decades of pediatric expertise. Schedule an initial visit with us today; we’re here to answer your questions and give your child the best care possible.
What Is Pediatric Surgical Dentistry?
Pediatric surgical dentistry involves minor surgical procedures to address conditions affecting your child’s teeth, gums, and oral structures. These treatments go beyond routine restorative care and are designed to resolve issues that could impact your child’s oral function, comfort, or future dental development. Our goal is always to preserve natural tooth structure whenever possible while ensuring your child’s long-term oral health.
Comfort-Focused Surgical Care for Little Smiles
Pediatric dental surgery can sound intimidating, but at Maccaro Smiles, we make the experience as easy and positive as possible. We provide comprehensive care for a wide range of dental-related problems:
Simple Baby Tooth Extractions
A gentle extraction may be recommended when a primary tooth is severely decayed, infected, not falling out naturally, or blocking or delaying the proper eruption of a permanent tooth. Properly timed extractions help guide the developing bite and protect permanent teeth from damage or misalignment.
Selective Permanent Tooth Extractions
We do everything we can to save permanent teeth. In rare cases, removing a permanent tooth is the healthiest option, most often when it is severely decayed, infected, or damaged beyond repair. Occasionally, an extraction may be recommended for orthodontic reasons to create space or improve the bite, and this is planned carefully with orthodontic input. For impacted permanent teeth or cases that require surgical management, we typically refer to a pediatric-friendly oral surgeon and coordinate care with your child’s dental team.
Laser Frenectomy (Tongue-Tie & Lip-Tie Release)
For children whose restricted frenums affect eating, speech, hygiene, or comfort, our team may perform a laser frenectomy. This quick procedure minimizes bleeding, reduces discomfort, supports faster healing, and takes only a few minutes. We offer frenectomies only when appropriate for in-office care.
Minor Soft-Tissue Procedures
Our team can address small soft-tissue concerns, such as tissue interfering with eruption or simple mucoceles, when treatment can be completed gently in-office. These minimally invasive procedures help restore comfort and support healthy oral function.
Emergency Pediatric Dental Surgery
For dental emergencies, such as infections, sudden pain, or injuries, we offer same-day emergency visits whenever possible, 24/7 on-call support, and gentle surgical intervention when needed. Our team helps relieve pain quickly with the least invasive approach for the situation.
When Advanced Surgical Care Is Needed
Although Maccaro Smiles provides many pediatric surgical treatments in-house, some procedures require specialized training, advanced sedation options, or hospital settings. In this case, we would connect you with a trusted pediatric oral surgeon or an oral & maxillofacial surgeon.
Situations that may require a referral include:
- Deeply impacted or complex teeth
- Surgical procedures requiring sedation beyond nitrous oxide
- Oral pathology requiring biopsy or extensive removal
- Cases needing general anesthesia
- Facial injuries or complex trauma
When referral is appropriate, we collaborate closely with trusted local specialists to ensure continuity and safety. Families remain supported by our team throughout diagnosis, referral, and follow-up.


Why Choose Maccaro Pediatric Dentistry for Surgical Care?
We understand that choosing a pediatric dentist is a big decision, and we’re honored that so many families in Garden City and beyond continue to place their trust in us. Here’s what makes our care stand out:
- Seamless coordination with specialists when advanced care is required.
- Strong community reputation throughout Garden City and surrounding Long Island neighborhoods with a five-star rating.
- Family-focused communication from expert pediatric dentists, so parents always feel informed and confident.
- A comfort-first approach with innovative, injection-free numbing and non-invasive treatment options to keep visits worry-free.
- Kid-friendly sedation with gentle nitrous oxide (“laughing gas”) to help kids feel calm and relaxed when needed.
- Decades of expertise from Dr. Henry Maccaro, who has been caring for children of all ages for over 40 years.
We treat every child the way we would treat our own, with patience, empathy, and exceptional clinical care.
See Why Garden City Families Trust Maccaro Pediatric Dentistry
Ready For Expert Pediatric Surgical Dentistry?
From routine extractions to frenectomies and beyond, our team at Maccaro Pediatric Dentistry is here to provide gentle, skilled treatment in a setting where your child feels safe and supported. If your child needs surgical dental care or if you have questions about whether a procedure is right for them, we’re here to help. Let’s work together to protect your child’s oral health and give them every reason to smile confidently.
Frequently Asked Questions About Pediatric Surgical Dentistry
No. We focus heavily on comfort. With local anesthesia, topical numbing, and optional nitrous oxide, most children only feel gentle pressure, not pain. Mild post-treatment soreness is normal and easily managed with age-appropriate, over-the-counter medication, unless otherwise directed by your child’s physician.
Most minor procedures heal within a few days, and laser soft-tissue treatments often heal within 24–48 hours. We give detailed at-home instructions and are available for support as your child recovers.
Absolutely. We specialize in behavior guidance and offer a calm, individualized approach for children with anxiety, sensory sensitivities, or neurodiverse needs.
One of our core goals is protecting developing permanent teeth. Every decision is guided by imaging, growth patterns, and long-term oral health considerations.