Fillings & Restorations

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Composite (White) Fillings

Tooth fillings colored to look like a natural tooth are known as composite resin dental fillings. This plastic dental resin is strong, durable, and makes for a natural looking smile. These fillings are not only used by pediatric dentists to restore decayed teeth, but also to improve the appearance of misshapen, chipped or discolored teeth.

How we do it:

• Once the tooth is numb, our pediatric dentists will conservatively remove the decayed portion of the tooth.
• They will then condition the tooth, place a bonding material, and insert the composite resin filling in layers.
• The dentist uses a specially designed curing light, to harden the filling.
• When the process is finished, the dentist will shape, smooth, and polish the filling.

Crowns

When baby teeth have extensive decay, developmental defects, or require a nerve treatment (pulpotomy or pulpectomy), our pediatric dentists will often require a crown be placed over the tooth. Crowns also have better long-term success for young children who are prone to getting cavities, grind their teeth, or those with special needs. Crowns have excellent longevity and are designed to fall out with the underlying baby teeth, typically around age 10 or 12.

How we do it in one visit:

Once all of the decay is removed, we will use a very strong cement to adhere the crown to the remaining tooth structure. •
A crown keeps a baby tooth well sealed and protected from future decay or cracks. •

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Root Canals on Baby Teeth

Pulp is the inner, central tissue of the teeth. It contains nerves, blood vessels, connective tissue and cells. When severe cavities or an injury to the tooth has occurred, pulp therapy, also known as a “baby root canal,” is performed to maintain the health of the affected tooth and to prevent bacterial infection from traveling into the mouth, head or neck.

There are two types of nerve treatments performed:

Pulpotomy (partial root canal) –

• Only the diseased pulp tissue within the tooth is removed.
• Next, the dentist will place an antibacterial medication to help the healthy pulp tissue survive.
• Finally, our dentists will replace the damaged enamel portion by placing a crown over the tooth.

Pulpectomy (full root canal) –

• The whole pulp of the tooth will be removed from the inside of the crown and root.
• The empty root canal is then cleaned, disinfected and filled with material.

Again, the procedure is finalized with a crown over the tooth.

Extractions

There are many reasons kids may need their teeth extracted. Sometimes it is due to cavities, it may have become abscessed or simply won’t fall out on it’s own. Performing extractions is often necessary to ensure adult teeth grow in properly. We take recommendations from orthodontists and are happy to examine your child if you’re worried they’re not losing their teeth appropriately. Also, in case your child may be nervous about the tooth extraction, we have the option of using “laughing gas” to aid the procedure.

*Did you know: An abscessed tooth can lead to serious life threatening infection of the heart or brain if left untreated. Please call us immediately if you suspect your child has an abscessed tooth or has a facial swelling.

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