Milton Ntragatakis, DDS
Tania Markarian, DDS
Brittany Heffernan, DDS
1824 Pearl Road Brunswick, Ohio 44212 [map]
Our mission to give our patients the best and most advanced dental care possible.
Dr. Milton, Dr. Tania, Dr. Brittany and their team regularly attend seminars and conferences devoted to new treatments, new technologies and excellent patient care practices. With patient care as our top priority, this is our commitment to you and
Dr. Milton Ntragatakis
Dr. Milton's FUN and Caring personality is contagious!
He was born and raised in Athens, Greece but his dream to become a pediatric dentist
brought him to Ohio at an early age. He received a Bachelor of Science in Biochemistry
from Youngstown State University, and his dental degree from Case Western Reserve
University School of Dental Medicine. Upon graduation, Dr. Milton was the only one in
his class to be selected for the Pediatric Dental Residency program of Rainbow Babies
and Children’s Hospital in Cleveland. There, he was awarded the position of the Chief
Resident, while he invested two additional years treating infants, children and young
adults in conjunction with several other medical specialties.
Upon completion of his specialty training, Dr. Milton was invited to join the faculty of Case Western Reserve University. As a professor at Case Western Reserve University, he was the first dentist to receive a Multidisciplinary Clinical Research Grant from the Cleveland Clinic that enabled him to conduct cutting-edge research in the field of pediatric dentistry. It is this knowledge and expertise that he now brings to the Brunswick area.
When not in the office or involved in church activities, Dr. Milton enjoys spending time with his wife, Jenny, and his kids, Marina and Alex. In their spare time, the Ntragatakis’ family loves to travel, and spend quality time at home!
Dr. Milton is a member of the American Academy of Pediatric Dentistry, the American Board of Pediatric Dentistry, the American Dental Association, the Ohio Dental Association, the Greater Cleveland Dental Society, the American and International Association of Dental Research, as well as the American Dental Education Association.
Dr. Tania Markarian
Dr. Tania is a graduate of Case Western Reserve University School of Dental Medicine where she holds a faculty position for more than 10 years now.
This is where she met Dr. Milton and they have been collaborating on several pediatric dental cases ever since. Dr. Tania finished her Pediatric Dental Residency at University Hospitals of Cleveland where she still holds a part-time clinical appointment. Her passion for excellence is second to none and her addition to our team has brought the highest level of patient care to Brunswick.
When not practicing dentistry, Dr. Tania enjoys spending time making memories with her three children, Elias, Joseph and Maya. She is also a proud Lifebanc ambassador. She loves volunteering for this wonderful non-profit organization and supporting its mission of healing and saving lives through organ donation.
Dr. Tania is a member of the American Dental Association, the American Academy of Pediatric Dentistry, the Ohio Dental Association and the Greater Cleveland Dental Society.
Dr. Brittany Heffernan
Dr. Brittany was born and raised in Northeast Ohio. She completed her undergraduate degree in Zoology at Miami University in Oxford, Ohio. Dr. Brittany continued her education at The Ohio State University College of Dentistry and received her dental degree. After dental school she moved to the Eastern Shore of Maryland to complete her Pediatric Dental residency and received her certificate of advanced graduate study from Lutheran Medical Center.
She is very excited to return to Ohio to be close to family and friends. When Dr. Brittany is not practicing dentistry, she enjoys exploring new places, following Cleveland sports teams and spending time with her husband, Dr. John Heffernan and their puppy, Henry.
Dr. Brittany is a member of the American Academy of Pediatric Dentistry.
Our primary asset is our talented and friendly staff..
Your child’s appointment will be comfortable and enjoyable because
of the extensive training our team has received and the relaxed environment that we have created.
We cultivate a relationship with each of our patients, which not
only ensures better children’s dental care, but also turns a visit
with Dr. Milton, Dr. Tania and Dr. Brittany into a visit between friends. Our team members look forward to enjoying a long term relationship with both you and your children.
Monday - Friday 8:00 a.m. – 5:00 p.m.
Saturday 8:00 a.m. – noon
We try our best to accommodate our patients as much as possible when scheduling appointments. We have found that children with extensive dental work or preschool children are better to be seen early in the morning when they are fresher and can have a more positive experience. Some appointments may require the child to miss some school; however, these are considered excused absences. With continued care, appointments during school can be kept to a minimum.
We request 48-hours notice if you need to cancel your appointment.
We are aware that unforeseen events sometimes require missing an appointment, but we ask for your help as a courtesy to all of our patients. Continued broken confirmed appointments may result in
an additional charge.
Our office is committed to helping you maximize your insurance benefits. Because insurance policies vary greatly, we can only estimate your coverage in good faith but cannot guarantee coverage due to the complexities of insurance contracts. Your estimated patient portion must be paid at the time of service. As a service to our patients, we will bill insurance companies for services and allow them 45 days to render payment. After 60 days, you are responsible for the entire balance, paid-in-full. If you have any questions, our courteous staff is always available to answer them.
Dr. Milton, Dr. Tania and Dr. Brittany, along with the American Academy of Pediatric Dentistry recommend you bring your child in by his or her first birthday.
During your first visit, you will be introduced to our Pediatric Dental Team, given an office tour and discuss your child’s unique smile and ways to keep it beautiful for years to come.
Depending on the age of your child, he or she will either be given a lap-examination (where your baby’s head will rest on our doctor’s lap while their body is on your lap) or a regular exam in the doctor’s chair.
We request that you complete our First Visit Forms prior to arriving for your appointment. This helps our office keep your and everyone else’ scheduled visit on time.
Patient Registration Form (medical history form included)
Medical History Form (for enrolling more than one child)
Braces for Kids
Dr. Milton, Dr. Tania and Dr. Brittany are pediatric dentists, specializing in the treatment and prevention of dental disease, as well as the overall oral health of children. Through extra years of schooling, training, experience, and certification, a pediatric dentist is uniquely qualified to treat the dental needs of infants, children, adolescents and those with special health care needs.
Why Choose a Pediatric Dentist?
A pediatric patient not only has a different dentition than adults but he/she may have specific dental and behavioral needs that are unique to a child. These needs may include dental sealants, fluoride applications or home treatments, or just simply education in oral hygiene. In addition to treating existing dental problems, our office focuses on prevention through patient and parent education. Our mission is to provide all of the educational tools necessary for our patients to enjoy a cavity-free future.
Preventive Oral Hygiene Instruction:
This includes proper brushing, flossing and eating habits, ideal fluoride levels and the use of pit and fissure sealants. We strive to provide a fun, educational environment where children learn about the importance of good dental hygiene.
This includes children’s fillings, crowns and prosthesis, including treatment of the often devastating nursing bottle decay. Dr. Milton,
Dr. Tania and Dr. Brittany are committed to discussing all options before these procedures and answering all questions you may have. Always working for the goal of a healthy smile is her priority.
Growth and Development and Braces:
A bite that does not meet properly ( a malocclusion) can be inherited, or some types may be acquired. Some causes of malocclusion include missing or extra teeth, crowded teeth or misaligned jaws. Accidents or developmental issues, such as finger or thumb sucking over an extended period of time, may cause malocclusions. Some minor malocclusions may be corrected in our office, however, severe malocclusions will need to be treated by an orthodontist.
The American Association for Orthodontists recommends that every child have an orthodontic evaluation by the age of 7.
Early detection and treatment gives your child the edge - a much better chance for natural and normal development. One advantage of having
Dr. Milton, Dr. Tania and Dr. Brittany for your child’s dental home is that we monitor their growth & development on a regular basis. Our parents truly appreciate having orthodontic treatment done in our office. This allows them to coordinate cleaning and check-up appointments with orthodontic appointments. By working with the natural growth instead of against it, we can prevent problems from becoming worse, and give your child a lifetime of healthy smiles!
Studies have shown that people who have straight teeth are more likely to smile more. This can lead to a greater self esteem which may lead to a more fulfilling life.
Pediatric dentists like Dr. Milton, Dr. Tania and
Dr. Brittany have an extra two years of specialized training after dental school and are dedicated to the oral health of children from infancy through the teenage years. The very young, pre-teens, and teenagers all need different approaches in dealing with behavior, guiding their growth and development, and helping them avoid future dental problems. With the additional education, pediatric dentists have the training which allows them to offer the most up-to-date and thorough treatment for a wide variety of pediatric dental problems.
According to the American Academy of Pediatric Dentistry (AAPD), your child should visit the dentist by his/her 1st birthday or at least 6 months after the eruption of the first tooth. Beginning dental care at an early age allows guidance for caring for your child's teeth and opportunities to address preventive issues that are important for healthy teeth and a pleasing smile. Early visits also help establish a positive relationship between the dentist and your child.
With each subsequent visit, your child will mature and confidence and trust will most likely increase. Usually after age 3, we will begin preventive care visits which include examination, cleaning, fluoride treatments, and appropriate radiographs.
It is very important to maintain the health of primary teeth (baby teeth). Neglected cavities can cause pain and infection, and it can also lead to problems which affect the developing permanent teeth. Primary teeth are important for (1) proper chewing and eating, (2) providing space for permanent teeth and guiding them into position, and (3) permitting normal development of the jaw bones and muscles.
Radiographs (x-rays) are a necessary part of your child's dental diagnostic process. Without them, certain cavities will be missed. They also help survey developing teeth, evaluate results an injury, or plan for orthodontic treatment. If dental problems are found and treated early, dental care is more comfortable for your child, and more affordable for you.
On average, our office will request bitewing radiographs approximately once a year and panoramic radiographs every 3-5 years. In children with a high risk of tooth decay, we will recommend radiographs and examinations every six months.
With contemporary safeguards, the amount of radiation received in a dental x-ray examination is extremely small. The risk is negligible. In fact, the dental radiographs represent a far smaller risk than an undetected and untreated dental problem. Lead body aprons and shields will protect your child. Today's equipment restricts the beam to the area of interest. Our office also employs digital radiography which allows us to decrease the amount of radiation exposure.
A sealant is a clear or shaded plastic material that is applied to the chewing surfaces (grooves) for the back teeth (premolars and molars), where most cavities in children can form. This sealant acts as a barrier to food, plaque, and acid, thus protecting the decay-prone areas of the teeth. However, cavities between the teeth are not protected by sealants. As long as there is no cavity in the tooth, sealants will be recommended for all children.
If your child has a cavity, a filling is placed after the cavity is removed. Most of the time, the filling is a tooth colored (white) filling, but there are certain situations in which a silver filling is necessary. In our practice, when a tooth needs a filling, a sealant is placed over the filling and the remaining tooth for added protection.
In a primary tooth, if a cavity is too large to restore with a filling, a crown may be recommend or the tooth may need to come out. If the cavity is too large and has involved the nerve of the tooth, then the nerve will be removed (pulpotomy) along with the cavity, and a crown will be placed. A crown can either be tooth colored or stainless steel. For front teeth, white crowns are routinely used for esthetics. For back teeth, stainless steel crowns are used for their durability and longevity. The purpose of the crown is to help provide structure for the tooth, to help maintain space for permanent teeth to erupt properly, and to help protect the remaining tooth.
Small procedures in cooperative children can often be done under local anesthesia with or without nitrous oxide. The most common form of sedation we routinely use in our office is nitrous oxide (laughing gas). This is given through a small breathing mask which is placed over the child's nose. The AAPD recognizes this technique as a very safe, effective technique to help relax your child during treatment.
Slightly more involved procedures in certain children will require the use of an oral medication along with nitrous oxide to help relax your child and facilitate cooperation with the procedure. These procedures are scheduled carefully, we require your child to be fasting the morning of the procedure, and also be free of any respiratory symptoms in the two weeks preceeding the procedure. Often we ask that two adults be present so that one is able to sit in the back seat with your child on the drive home.
Some children require an extensive amount of dental work. In these situations, it is difficult for a small child to cooperate fully and often the treatment cannot be done properly. For these children, we may recommend treating your child under general anesthesia.
We do not have any policy that restricts parents from being with their child during their visit. We do feel that children vary as individuals. It has been our experience that most children do better with the parents waiting in the reception area. There are exceptions, and there are certain children who will have a better experience if the parents are with them throughout the visit.
Our preference is to have one parent with the child for their initial visit. If the child requires treatment during another visit, the need for parental presence should be discussed between the dentist and the parent and decided on a case by case basis.
Apply ice to bruised areas. If there is bleeding, apply firm pressure with a clean gauze or cloth. If bleeding does not stop after 15 minutes or it cannot be controlled by simple pressure, take the child to the emergency room.
Clean the area around the sore tooth thoroughly. RInse the mouth with warm salt water or use dental floss to dislodge impacted food or debris. DO NOT place aspirin on the gum or on the aching tooth. If the face is swollen or the pain still persists, contact our office as soon
Find the tooth. Handle the tooth by the crown, not the root portion. You may rinse the tooth, but DO NOT wipe or handle the tooth unnecessarily. Inspect the tooth for fractures, if there are no fractures, try to reinsert it into the socket. Have the patient hold the tooth in place by biting on a gauze. If you cannot reinsert the tooth, transport the tooth in a cup containing milk. If there is no milk, place the tooth in a cup containing the patient's own saliva. DO NOT place the tooth in water. Call our office immediately or go to your nearest emergency room. Time is a critical factor in saving the tooth.
Rinse debris from injured area with warm water. Place cold compresses over the face in the area of injury. Locate and save any broken tooth fragments in milk. If your child experiences severe pain, contact our office as soon as possible.
What is a pediatric dentist?
How old should my child be to come to the dentist?
Why are baby teeth so important?
Why does my child need dental x-rays?
What are sealants, fillings, and crowns?
What about sedation?
Can I go back with my child?
What can be done about a cut or bitten tongue, lip, or cheek?
What can I do about my child’s toothache?
My child knocked out her permanent tooth, what should I do?
Our son has fractured his tooth. What do you suggest?
Whether an accident happens during our normal business hours or not, know that you can call us and have your child treated promptly.
Call our office at 330.220.6363. If it is after hours or on the weekend, either Dr. Milton, Dr. Tania or their team member will get back to you.
Breastfeeding Health Videos
The Lip and Tongue Tie Problem
When parents meet us for the first time to discuss their child's tongue or lip-tie, the first question they ask is "Why has no one ever mentioned this to me before?" This is usually followed by a second and third question, "Is the procedure really necessary?" and "What will happen if we do not do it?" To answer all these questions, a complete oral examination is always required so that we can discuss all the clinical and, when appropriate, x-ray findings. Diagnosis and rational for treatment of Tongue-Tie.
A common myth that is often repeated is that "the frenum will stretch and that we do not need to treat this condition." The reality is that a tongue-tie, by interfering with normal tongue mobility, can exert a harmful effect on many aspects of life. Ankyloglossia is a relatively common finding in the newborn population (approximately 3%) and represents a significant proportion of breastfeeding problems. Sadly, it is one of the most misdiagnosed and overlooked congenital abnormality observed in children today.
The Academy of Breastfeeding Medicine suggests the following be used when evaluating whether a newborn requires a revision of the frenum: Un-sustained latch, Creased, blanched or bleeding nipples after feeding, Prolonged feeds, Mom in severe pain with latch, Unsatisfied infant after prolonged feeds, incomplete breast drainage, Infant falls asleep on the breast, Gumming or chewing on the nipple, Infected nipples, Plugged ducts, Poor weight gain or Failure to thrive, and Inability to hold pacifier.
Dr. Milton is a father of 2 children and big proponent of natural parenting!
Because of his life experiences (his son was born with both a lip and a tongue tie), Dr. Milton has been involved extensively in helping infants and mothers who wish to breastfeed. His concerns, brought him close to Dr. Larry Kotlow, an internationally known expert on the diagnosis and treatment of ankyloglossia www.kiddsteeth.com. Under Dr. Kotlow’s guidance, Dr. Milton became proficient in the diagnosis and treatment of lip-ties (LT), Anterior and Posterior Tongue Ties (ATT/PTT). Dr. Kotlow's eBook and YouTube library have lots of info that is helpful. Be sure to watch his infant assessment video first.
Click here for more about Diagnosis and Treatment of Tongue and Lip Tie.
If your child has been diagnosed with an Upper Lip or Tongue Tie, Dr. Milton, Dr. Tania and Dr. Brittany recommend three important steps:
STEP 1: Professional Support Group.
Depending on the Symptoms your child exhibits, Dr. Milton and Dr. Tania recommend that every parent gets their appropriate Support Group together BEFORE any revision takes place. That Support group may include but not limited to a Lactation Consultant, a Craniosacral Therapist, a Speech Therapist or a Chiropractor.
STEP 2: State of the Art Laser Treatment.
There are many ways to revise a tongue-tie and a lip-tie, including cautery, scissors and scalpel, but the safest, least invasive and most effective treatment is the Laser.
Our State of the Art Lasers offer:
• Excellent hemostasis (risk of bleeding significantly reduced),
• Bacteriocidal effects (little chance of any type of infection)
• Photobiomodulation effects (reduce inflammation and improve healing) and
• NO need to place infant into the OR or sedation!
The laser is a much kinder method of revision, unlike electrosurgery, which actually burns the tissue and the scalpel which cuts deeper than needed. There is little damage to adjacent tissue when using the laser, therefore healing is quicker and less post-operative discomfort occurs. In reality, the procedure is simpler and quicker than a filling, requiring no anesthesia or stitches!
STEP 3: Active Wound Management.
Active wound management includes the “stretching” exercises that prevent the reattachment of the tissue. This is where the participation of you, the parent, is vital for the success of the treatment, along with all necessary follow-up from the Support Group assembled in step 1. Without proper follow-up, even the best revision may reattach, leading to recurrence of symptoms and the need for further treatment
Benefits of Laser Dentistry
Our Laser Training & Certifications
Laser Dentistry Videos
No Heat, Vibration, or Pressure, NO Pain!
Brunswick KiDDS’ Lasers are virtually pain-free! That’s because the primary causes of pain are Heat, Vibration and Pressure associated with the use of the traditional dental drill. Without the use of the drill, our lasers allow us to perform many dental procedures, without shots, without the need for anesthesia, and without any numbing at all!
Microscopic Elimination of Bacteria!
Brunswick KiDDS’ Lasers are extremely precise and accurate in their ability to remove tooth decay. Since they use light energy, they can eliminate even microscopic amount of bacteria and infection while leaving surrounding areas unaffected.
Preservation of Tooth Structure!
Brunswick KiDDS’ Lasers are much friendlier than drills to your child’s teeth. Dental drills can only drill out the decay, often creating a hole bigger than the original cavity. Our lasers are so precise, they conserve almost all of the natural tooth structure, resulting in a smaller and stronger restoration that can last for a lifetime!
Because Brunswick KiDDS’ Lasers are virtually pain-free, extremely precise and accurate, they often require no numbing or any other medication before and during treatment. Additionally, our lasers reduce the amount of bleeding, post-operative pain, swelling and the need for pain medication after treatment. It is the Natural way of doing Dentistry!
Less Visits, Less Anxiety!
Brunswick KiDDS’ Lasers are FAST and effective for both Hard and Soft tissue (teeth and gums), most of the time requiring no numbing or additional medication during or after treatment. As a result, we can often treat all areas of decay in one or two appointments, reducing the amount of anxiety that build up every time your child has to come back for treatment!
Because of Dr. Milton’s training and expertise, here are some of the Brunswick KiDDS benefits you can enjoy:
• Expert Diagnosis and Management of your little one’s oral health care needs!
• State-of-the-Art Laser Equipment as directed by Dr. Kotlow himself!
• Weekly emergency appointments to make sure you will never have to wait!
• Same-Day Treatment available for our families who travel from afar!
• Certified by the American Board of Pediatric Dentistry to see infants as early
as a day after birth for the evaluation and revision of abnormally attached frenums.
• NO need for sedation, or to place infants in the operating room, for any laser treatment.
• In-Network with most insurance companies, so you can get Maximum Reimbursement
from any dental procedure.
Dr. Milton is a Member of the following local, national & international associations:
Nationally & Internationally
Academy of Laser Dentistry
International Affiliation of Tongue-Tie Professionals
American Dental Association
American Academy of Pediatric Dentistry
American Board of Pediatric Dentistry, Diplomate
Greater Cleveland Dental Society
Medina Dental Society
Ohio Dental Association
Ohio Academy of Pediatric Dentistry
We’re proud of all the great things our patients and their families have been saying about Dr. Milton,Dr. Tania & Dr. Brittany!
My son is 6 and has major anxiety about dentists. The staff here is wonderful, kids get a prize when they are done and as a mom I could not be happier. Anyone considering a visit should just make the appointment already, your kids will thank you! – Lynn Doran Jones
Just left your office after our first visit and was absolutely impressed! Everyone was very friendly. So glad I took the chance and gave you a try! – Michele Stemen Martz
Did I tell you, Thank You when we left your office? If not, I am saying it now. You guys are the very best. The kids have no fear. Wish I myself could use you. Thank You. – Loretta M. Cole
Best dental office, period! The whole staff is amazing and kind... so great with kids that might be a little 'scared' that first visit!
Ways to Schedule an Appointment...
1824 Pearl Road, Brunsick, Ohio 44212
We are available
Monday - Friday 8:00 a.m. – 5:00 p.m.
Saturday 8:00 a.m. – noon