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Alley is a young alligator who goes for her first dental checkup before she has a dental "problem." The book attempts to present some of the basic things a child may see or experience in a very positive way. The book also presents terms that are commonly used by a pediatric dentist that are less intimidating to a child. Words such as "tooth counter" or "Mr. Thirsty" are substituted for "dental probe" or "dental suction." Alley Alligator's Awesome Smile attempts to instill a desire in children to be excited to care for their smile at an early age and reduce anxiety for future dental care.