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Flossy Pediatric

We're so glad you're here!

You will experience a fun, exciting environment, where you and your children will feel at ease. Our office is specifically designed to improve your child’s dental visit. We have chosen to use the most up-to-date dental materials that are mercury free and latex free. The x-ray technology we utilize is the safest digital technology and the most accurate. We believe you will feel the difference after your first visit.

Meet Our Doctors

Dr. Josh Twiss
Board Certified Pediatric Dentist
Dr. Josh and his wife Marianne live in Carolina Forest with their teenage son and two young daughters. They can relate to the challenges of raising young children through the pandemic. In 2013 Dr Josh headed back west to practice near his family. After starting a successful private pediatric dental practice in the competitive Bay Area of California, he relocated to a place that better represents his values. Marianne’s sister and her family have lived in Myrtle Beach nearly two decades and she has taken the kids to visit their cousins every summer since they were born. Dr. Josh successfully completed dental school at the State University of New York at Buffalo in 2010 where he was awarded “most outstanding potential in pediatric dentistry”. 

Following dental school, Dr. Josh completed an additional year of training earning his Advanced Education in General Dentistry (AEGD) at the University of New Mexico. During his time in New Mexico, Dr Josh decided pediatric dentistry was his life’s calling and completed two additional years of pediatric dental training in New York at the Women and Children’s Hospital of Buffalo. Dr Josh is Board Certified, the highest achievement within his specialty and continues to acquire continuing education to provide his patients with the latest techniques and technology. It has been a dream come true opening a practice in Myrtle Beach where Dr. Josh can serve the needs of the community.
Dr. Amy Lewis
Board Certified Pediatric Dentist
Dr. Amy's favorite thing about being a pediatric dentist is the connection she makes with her small patients. Their authenticity and character make her job very rewarding. She believes that every patient visit should be positive and strives to make that happen!
Dr. Amy grew up in Wild and Wonderful West Virginia. She attended West Virginia University  dental school and graduated in 2012. She spent the next four years serving as a general dentist for underserved populations in a community health center. That's where she found her passion for working with children! She then completed a three year specialty program in Pediatric Dentistry at the University of Illinois, Chicago where she concurrently earned a Master of Public Health. Upon completion of her specialty program she became board certified in  her field.

Dr. Amy has two kids of her own that she spends most of her free time with. Together they enjoy exploring outside, music, bike rides and making every day an adventure!
Dr. Rory Smith
Board Certified Pediatric Dentist
IV Sedation
Dr. Rory is excited to build healthy young smiles in the Myrtle Beach community. He and his family have enjoyed many adventures around Myrtle Beach and South Carolina over the years. Dr. Rory strives to make children’s and parent’s dental experiences as positive as possible, while educating them about healthy teeth and dental care. He and his wife, Kerri, are raising three active sons who keep them on their toes! Having a child on the autism spectrum gives Dr. Rory a unique perspective on parenting and delivering healthcare for children with special needs.

Dr. Rory graduated with his Bachelor’s degree from the University of Texas, then earned his Doctor of Dental Surgery degree from Texas A&M - Baylor College of Dentistry. During dental school, his specific interest in pediatric oral health came to life with a pediatric externship, dental assistant work opportunities, and a mission trip to Mexico. He then completed a year of General Practice Residency at the University of Oklahoma Medical Center Children’s Hospital and two years of Pediatric Dentistry residency at the Women’s and Children’s Hospital of Buffalo/UB Dental program. He has practiced pediatric dentistry in Virginia for over ten years. Outside of his practice, he and his family enjoy a schedule full of sports, movies, swimming, camping, hiking and biking together.
Dr. Jacob Myers
Board Certified Pediatric Dentist
Your child's first visit to the dentist is an important one and it is our goal to make every visit enjoyable and positive. We understand that every parent has worries about how his or her child will behave at the dentist. Your help in preparing your child for their first appointment is important. We suggest staying positive, we want your child to develop a favorable opinion of the dentist.

Please do not share with your child any anxiety you may have about dentists. Try to avoid using words that may cause unnecessary fear such as "hurt", "pain", "shot", "needle:, "drill" or "pull"; we use age appropriate and non-threatening words to explain our equipment and procedures. Reassure your child that the friendly doctor and staff will explain everything to him or her and answer all questions.


Your child's first visit to the dentist is an important one and it is our goal to make every visit enjoyable and positive. We understand that every parent has worries about how his or her child will behave at the dentist. Your help in preparing your child for their first appointment is important. We suggest staying positive, we want your child to develop a favorable opinion of the dentist.

Please do not share with your child any anxiety you may have about dentists. Try to avoid using words that may cause unnecessary fear such as "hurt", "pain", "shot", "needle:, "drill" or "pull"; we use age appropriate and non-threatening words to explain our equipment and procedures. Reassure your child that the friendly doctor and staff will explain everything to him or her and answer all questions.

Patient Forms

Privacy Practices


The first visit to the office can be a challenging and new experience for many children, especially if they have had a negative experience in another dental office. Parents should not be surprised or embarrassed if their child cries, this is a normal and age appropriate coping skill. Dr. Josh and his staff are skilled at connecting with and assessing the level of cooperation of your little ones. Parenting styles vary significantly and we will do our best to accommodate your preferences. With regular dental visits, your child's confidence and comfort grows; laying an important foundation for lifelong dental health. At Flossy Pediatric Dentistry, our doctors and staff are specially trained in child development and behavior management. Our goal is to build lasting relationships with our patients from infancy through college and instill in them the skills and desire to have a lifetime of good oral health and habits!

The First Appointment

Please be aware that during the first appointment, treatment such as fillings or extractions will NOT be done. We use the first visit to get to know your child and gain his or her confidence in us, to assess your child’s dental needs, and to evaluate behavior to determine the best approach to take in any necessary treatments.  

Parents are welcome to come to the treatment room with their child as silent observers. For the safety and privacy of all patients, other children who are not being treated should remain in the reception room with a supervising adult. Exceptions will be made for parents with infants.


Your child’s first visit to the dentist can set the stage for a lifetime of good oral health. And as your baby grows, regular dental visits will be just as important as regular visits to the pediatrician. That's why it's crucial to find a practice that offers comprehensive baby, child, adolescent, and special-needs dentistry in a soothing, kid-friendly environment. You want your child to feel comfortable and secure when visiting the dentist, and Flossy Pediatric Dentistry can provide the perfect environment. We offer an array of services that will grow with your children through the years, and put them on the right path for a lifetime of good oral health.

No two children are alike, and we understand that certain patients require a specific approach. Dr. Josh is experienced with special needs dentistry, and treats these patients with the care and compassion they deserve.

Dental Cleanings & Fluoride Treatments

Baby Exams

Digital X-rays

Dental Sealants

Restorative Care including Crowns, Fillings

Root Canals (baby teeth), and Extractions

Tooth-Colored Fillings and Crowns

Minimal Sedation with Nitrous Oxide (“Laughing Gas”)

Oral Sedation and General Anesthesia When Necessary

Space Maintainers (Spacers)

Sports Dentistry including Exams & Athletic Mouthguards

Emergency and Dental Trauma Care

Limited Orthodontic Treatment


We practice ALARA (As Low As Reasonably Achievable) which is a safety principle fundamental to minimizing radiation exposure. We are committed to using the most accurate digital imaging equipment requiring the lowest ionizing radiation exposure.

The standard of care dictates what is clinically acceptable for the geographic region you live in. The following chart shows what x-rays we take and when for your child:

Radiation Chart From Dental X-RAY



Any Visit Under 3
No imaging unless problem specific
First Visit 3-6
2 Occlusal Images
(taken only once to see developing permanent teeth on top and bottom front teeth unless problem specific)
2 Bitewing Images
(to evaluate for cavities, frequency once per year) If the child has open contacts between their back teeth and visual inspection is possible, cavity check x-rays can be delayed
Ages 6+
4 Bitewing Images
(frequency once per year after first permanent molars grow in)
Age 8
Panoramic Image
(taken once at age 8 to evaluate growth and development of adult teeth/orthodontic screening)
Age 14
Image Full Mouth Series
(or as soon as braces come off for comprehensive evaluation for cavities)
Age 15
Panoramic Image
(to evaluate wisdom teeth)


We are insurance friendly! We accept all PPO insurances and we are a preferred provider for many PPO insurances. We know high quality dentistry is expensive and we will help get the most out of your insurance and pay the least out-of-pocket. Call for a pre treatment estimate.



We had such an amazing experience at Flossy Pediatric Dentistry. Dr. Josh and his entire staff are all friendly and have such vibrant energy.

Everyone was so welcoming and genuinely happy to be there! The waiting room was thought out with meticulous detail for everyone. My 13 month old had a great time playing with the kitchen while waiting for our appointment.

Took my daughter in today for her very first dentist appointment. Ashley and Dr. Josh were both very sweet and gentle with my daughter who is shy. The office is set up with toys and cool games for the kiddos.

Read More Real Reviews


0-3 Year Olds

Life has changed for you, but what a great change!  Most babies are born without teeth, but the mouth still needs to stay clean!  Gently wipe your baby's gums after feedings.  Avoid the transmission of cavity causing bacteria and other sick germs by limiting behaviors where saliva is shared.  This includes the sharing of utensils or cups with your baby.  Teething usually starts around 6 months and continues until 2-3 years old.  We do recommend using a "smear" of fluoridated toothpaste when brushing your child's teeth.  This is equivalent to a rice grain amount of toothpaste.  Not much!  It is best to establish feeding times for your baby or young child.  Babies with frequent contact with formula throughout the day or who are put to sleep with bottle can develop cavities very rapidly.  As babies learn to walk, injuries are common.  Be sure to protect your babies teeth by placing barriers on sharp corners and hard surfaces such as brick fireplaces and bathtub faucets.  Pacifier habits should be discontinued by their 2nd birthday.  By age 3, you should encourage your child to discontinue any thumb or finger habit.

4-5 Year Olds

This is a very fun age!  Kid's imaginations are soaring and they love life.  Keep their teeth clean with a "pea size" amount of fluoridated toothpaste 2 times per day.  Spit out but don't rinse.  Spaces will become much tighter so flossing is needed.  Make brushing teeth fun!  Sing songs, make noises, etc.  Let them brush independently, but always brush after them to make sure the teeth are being properly cleaned, especially before bedtime.  Establish a nighttime routine that includes brushing teeth.  Studies show that kids sleep better with these routines that include brushing teeth.  We encourage reading to your kids instead of screen time!  If thumb or finger habits continue to this age, you will most likely see bony changes.  Intervention may be needed depending on the child.


Around 6 years old, permanent teeth start coming into the mouth starting with the 6 year molars.  These teeth usually have many deep grooves and sealants are recommended to prevent cavities in these grooves.  Studies show that kids don't have the hand eye coordination to brush properly until 7-8 years old.  So be sure to brush after your kids if the plaque is not properly being brushed away.  Emphasize brushing in small circles around the gumline to prevent gingivitis.  Sometimes interceptive orthodontics is needed at this age.  As your child starts their growth spurt, modifications can be made in their facial growth through oral appliances or limited orthodontics.  Children also become more active in sports at this age.  Mouth guards are recommended to protect your child's teeth.

We encourage every parent to have a basic understanding of the most important topics related to their child’s oral health at each stage of development. Click the boxes to learn more about each stage.


Kids are gaining more independence at this age and making more decisions regarding their diet and nutrition.  During recall cleaning visits, we will educate your child on these decisions for their dental health and overall health.  Sodas, sports drinks, energy drinks and junk food are consumed by many teens and healthier options are encouraged.  By this age, kids most likely have all their permanent teeth and proper oral hygiene is demonstrated.  Evaluations for orthodontics are completed at this age and referrals are given if needed.


Evaluated for possible wisdom teeth removal occurs during this period. Proper diagnosis requires a Panoramic x-ray to confirm the positioning of the teeth and timing of removal if necessary. High school is also a critical time to touch up sealants and reinforce healthy personal oral hygiene habits before graduation.


Congratulations! If you are pregnant or are planning to become pregnant, your oral health is very important to you and your baby.  Research shows the bacteria that can cause cavities and gum disease in a mother's mouth can easily be passed to her child.  Unhealthy gums and teeth have also shown negative affects in unborn children.  Healthy smiles for your baby begin during pregnancy.  So we encourage moms to take advantage of our free consult at Flossy Pediatric Dentistry to discuss steps you can take during your pregnancy to promote good oral health for mom and baby. You can download a brochure below that highlights 7 things expecting parents should know about their baby's oral health.


Pediatric dentists are specifically trained to treat the dental needs of young individuals and adults with special needs.  We realize your child may see many different doctors and specialists.  Establishing a dental home is key to oral health and prevention.  When making an appointment, please let us know that your child has special needs, as well as any medications, arrangements or concerns you may have.  This will allow our office to prepare better for any special situations.  We may recommend a site visit only.  This allows your child to become accustomed to the surroundings, noises and staff of our dental office.  This is also more likely to assure a happy first visit.  Site visits are complimentary and will be recommended by the dentist if needed.


We recommend brushing 2 times per day with a fluoride toothpaste and flossing as soon as the contacts between teeth are tight.  Be sure to use light pressure and go in slow circular motions.  The angle of the toothbrush should allow you to get the plaque out from below the gums too.  Even at a young age, studies have shown that the bacteria that cause cavities can start making a home in the grooves of the tongue before kids even have teeth.  Therefore, we recommend brushing the gums and tongue with a soft-bristle toothbrush or cloth.  Anything you can do to make brushing teeth fun for little kids is helpful.  Sing songs, make noises, talk about getting the sugar bugs out, etc.


A good general rule for a healthy diet is to stay to the outside sections of the grocery store.  Many foods in the middle of stores are processed sugars and carbohydrates that are not good for you.  For snacks, instead of chips, crackers, cookies and gummy fruit snacks, it is best to give them whole fruits and vegetables, cheese, nuts and even yogurt. Bottles should only have water, breastmilk and formula.  

Babies should NEVER be put to sleep with the bottle, as this causes rapid tooth decay (baby bottle tooth decay).  The sippy cup should not have anything except water in it throughout the day.  If you want to give you child white milk or 100% juice, then do it during meals.  A good expression to remember is juice just once, milk with meals, and water whenever.  These are the lifestyle choices we recommend, but there are birthday parties and times for celebration that should be celebrated!


Sports Dentistry is the prevention and treatment of oral and facial sports injuries as well as related oral diseases and their manifestations.  Our team highly encourages the use of a custom mouthguard for contact sports.   While the main role of a properly fitted mouthguard is to protect the oral structures, studies are now showing possible links to the prevention of concussions.


If your child has suffered a blow to the head, has lost consciousness, or any other life-threatening emergency, please call 911 or proceed to your nearest emergency room. If your child faces a dental emergency, call us immediately. We are always here to assist when your child’s dental health is at risk. Here are some tips on dealing with urgent dental situations:


If your child is experiencing dental pain, please call the office to schedule an appointment.

Facial Swelling

If you notice facial swelling or a swollen cheek, please call our office immediately. However, if facial swelling approaches the eye or is causing your child to have trouble breathing, this is a medical emergency and you need to call 911 or go to the nearest emergency room.

Broken Tooth/Filling

If your child breaks or chips a permanent tooth, try to find the pieces of the tooth, apply a cold compress to the area and call our office to make an appointment.

Cut Lip, Tongue or Cheek

If your child falls or has trauma to the lips gums or cheek, apply a cold compress to the sites that are bleeding. Inspect the mouth to see if any teeth are loose. Give Motrin (preferred) or Tylenol to reduce inflammation and pain. Call our office to see if an appointment is needed.

Knocked out Teeth (Permanent)

If your child knocks out a PERMANENT tooth, this is a dental emergency. Put the tooth in milk; not water. Call our office immediately. Try not to touch the root of the tooth. If this happens at school or a sporting event, look for an athletic trainer or a school nurse to see if they have Sav-A-Tooth Solution. This solution keeps the cells of the tooth living longer.

Knocked out Teeth (Baby)

If your child knocks out a baby tooth, we can’t put it back in the mouth. The priority is to not damage the developing permanent tooth underneath. Rinse your child's mouth and bite on a cold washcloth. Call our office to see if an appointment is needed. Find the tooth and get them excited about the tooth fairy! We hear the tooth fairy is extra generous with an unexpected tooth loss!

Loose Space Maintainer

Although rare, sometimes the cement that holds a space maintainer in place can fail. Usually this failure is related to consuming sticky candy or biting on something very hard that dislodges the metal band. Regardless of the cause, as soon as space maintainer becomes loose it needs to be removed from the child’s mouth, cleaned, and recemented if possible. If the space maintainer comes completely out at home, try to save it as it is custom fit for your child’s tooth.


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5002 Carolina Forest Blvd.
Myrtle Beach, SC 29579

Office Hours

7 am - 2 pm
7 am - 2 pm
7 am - 2 pm
7 am - 2 pm
7 am - 12 pm
(Office Hours Subject to Change)
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