Mia · Age 6
On the I-19 Pathway
Phase 2 of 4 · Big Kid Visits
The I-19 Pathway™
Our pediatric care pathway — ages 0 through 19
Always Know What Your Child Needs Next
Most parents are guessing about their child's dental health. We have one coordinated plan, from your child's first tooth through age 19 — designed by the only pediatric office in north Arkansas that handles prevention, orthodontics, and complex treatment under one roof.
Most kids get dental visits.
Very few get a plan.
At every appointment, three things happen.
Check
We check what's appropriate for their age.
A 12-month-old gets a lip- and tongue-tie screen. A 6-year-old gets sealants on her first permanent molars. A 7-year-old gets a documented orthodontic evaluation — the age the American Academy of Pediatric Dentistry recommends. Different child, different milestone, same plan.
Document
We document what we found.
Intraoral photos, x-rays when indicated, and clinical notes go into your child's chart at every visit. The next dentist who sees them — even if that's the same of us six months from now — picks up exactly where this visit left off. Nothing has to be re-discovered.
What's next
We tell you what's next.
Before you leave, you get a written summary of what we did today, what we're watching, and what we expect to evaluate at the next visit. No guessing between appointments about whether something is normal or something to ask about.
What gets caught on a pathway
- 0–12 mo Lip- and tongue-tie screening at the first dental visit.
- Age 6 Sealants on the first permanent molars — the day they erupt is the day they're most cavity-prone.
- Age 7 Orthodontic evaluation — jaw growth, crossbites, airway. The window where small interventions prevent big ones.
- 7–12 Airway, palate, and habit-driven changes screened at every checkup.
- 17–19 Wisdom-tooth screening and the handoff to adult care.
That's the difference between a child who has been to the dentist and a child who is on a pathway.
I-19 Pathway
Pathway
- First SmilesAges 0–3✓
- Big Kid VisitsAges 4–6NOW
- Big DecisionsAges 7–12
- Lasting SmilesAges 13–19
Last visit · May 11, 2026
6-month cleaning + exam
Dr. Jensen's note Monitor #14 occlusal stain. Refer for ortho eval at age 7. Sealants on permanent molars placed today.
5 years of visits on file
Intraoral · May 2026 
Pano x-ray · 2026 
Ortho preview · 2027 Portrait · 2026 Every photo, every x-ray, every note — kept in one place.
Panoramic X-ray · May 11, 2026
Watch tooth #14 next visit — early occlusal staining.
What's coming up
- Age 7Orthodontic evaluation · Panoramic x-ray
- Age 9Airway re-check · Adenoid screening
- Age 11Pre-ortho records · Treatment planning
- Age 17Wisdom-tooth screening · Adult-care transition
Next appointment
Already a patient? Access the parent portal here.
The Four Phases
From their first tooth to adulthood — one plan, four phases, every milestone tracked.
First Smiles Ages 0–3
The smile starts before they can spell their name.
Lap exams, lip and tongue tie screening, eruption tracking, feeding guidance.
Big Kid Visits Ages 4–6
The first big-kid visit.
Full cleaning, comprehensive exam, first x-rays, sealants. Where the rope-gym becomes a memory.
Big Decisions Ages 7–12
The orthodontic decision window.
Documented orthodontic evaluation at age 7. Jaw growth, crossbites, airway, panoramic x-rays.
Lasting Smiles Ages 13–19
The smile they take into adulthood.
Comprehensive orthodontics, wisdom teeth evaluation, the first real conversations about vaping.
Step Inside
We didn't decorate a dental office. We designed a place a child wants to come back to for nineteen years.
A 30-foot pirate ship over a fish tank. A rope-gym hideout. A shark suspended in the open bay. TVs and headphones at every chair. No overhead dental chair lights — they're scary.
★ The Cavity Free Club
Walk out cavity-free, get your name on the wall — and a prize from the treasure chest.
At every checkup, kids who finish cavity-free pin a star with their name to our Cavity Free Club wall — a fishing-net display right inside the office. They also pick a prize from our treasure chest. It's small, and it's the highlight of a lot of visits.
How the Plan Works
One pathway. Every milestone. No guessing between visits.
Most pediatric offices treat each visit as an island. We treat each visit as the next step in a 19-year plan — documented, age-appropriate, and handed to you with what to watch for next, before you'd think to ask.
Every visit picks up where the last one left off.
Intraoral photos and clinical notes carry forward — your child's whole pathway in one record, not scattered across twelve appointments.
Transitions handled in-house.
Prevention, orthodontic evaluation, and complex treatment under one roof — no faxed referrals scattered across town, no lost charts.
You always know what's next.
At every visit we tell you what's appropriate now and what to watch for between now and the next milestone. Documented, written down, sent home.
ARKids First Provider
ARKids coverage details
The same I-19 Pathway, whether your family pays cash, has private insurance, or is on ARKids First (Arkansas Medicaid for kids). Serving Harrison, Mountain Home, Yellville, Berryville, Green Forest, and Branson, Missouri.
Visit
Find us on Highway 65 in Harrison, Arkansas.
We see families from across north Arkansas and southern Missouri. Look for the purple octopus — you can't miss it.
- Phone(870) 741-4746
- Hours
- Monday – Thursday · 8 AM – 5 PM
- Friday · 8 AM – 2 PM
- Closed weekends
Spanish, Vietnamese, and Marshallese spoken when needed. More on our team.
Finally, you can stop wondering if you're missing something.
We tell you exactly where your child is, exactly what's next, and exactly when to start watching for what comes after that.