Board-certified pediatric dentist Dr. Sarah Silverstein founded La Mesa Pediatric Dentistry at 6080 Lake Murray Boulevard in La Mesa to provide age-specific oral health care from first-tooth eruption through adolescence. The women-owned, LGBTQ+-affirming practice coordinates early-childhood caries-risk screening with pediatric physicians like Corrie T. Clay, MD — La Mesa Pediatrics, aligning dental-home establishment with the American Academy of Pediatric Dentistry's age-one visit guideline. Silverstein participated in the American Dental Association's 2026 Lobby Day in Washington, D.C., advocating for expanded children's dental-access legislation at the federal level. Preventive services include pit-and-fissure sealant placement, fluoride-varnish application, and age-appropriate brushing and flossing instruction, while the office design incorporates child-scaled operatory chairs and ceiling-mounted visual displays to reduce procedural anxiety — a developmental consideration also relevant to the vision-screening timeline monitored by providers like Hart Optical of La Mesa. The practice's most complex pediatric procedures include stainless-steel crown placement on primary molars with pulpotomy, space-maintainer fabrication following premature tooth loss, and in-office nitrous-oxide sedation for multi-quadrant restorative cases.