Tooth Colored Fillings
Tooth colored fillings are comprised of a natural-looking, tooth colored resin that provides durable and long-lasting protection against further tooth decay. Compatible with dental sealants, tooth colored fillings allow your child to maintain their self-esteem and confidence while they talk, smile and eat. An added benefit to a tooth-colored filling is that we are able to preserve more of the natural tooth structure.
Crowns may be placed on the front teeth if a significant amount of tooth structure is missing or if the tooth needs a baby root canal. A crown protects a tooth from fracture and possible re-decay. A small amount of tooth structure is removed from every plane of the tooth and a tooth-colored crown is fabricated from composite. Sometimes, your pediatric dentist will choose to place a zirconia crown which is a newer generation all ceramic crown if there is extensive tooth loss. Zirconia crowns combine durability with esthetics. These crowns are very esthetic but require good home care.
Stainless steel crowns
Stainless steel crowns are placed when there is extensive tooth structure missing from a posterior tooth or if a posterior tooth has underwent root canal therapy. The crowns are pre-fabricated in many different sizes and placed chair side by your pediatric dentist. These crowns protect the tooth from further decay and last much longer than fillings. The crowns are made of a non-reactive stainless steel so an allergic reaction is very rare. Your pediatric dentist will discuss with you whether she will be placing a filling or a crown depending on your child’s age and extent of decay.
A tooth with large decay that extends to the nerve portion of the tooth will typically require a pulpotomy or ‘baby root canal.’ Your child will not always complain of pain even if he or she needs a pulpotomy because once the decay has reached the nerve, the nerves dies and no longer conducts any sensation. A baby root canal is much less extensive than a traditional adult root canal therapy and usually requires only one appointment. All the decay in the tooth is removed and the top portion of the tooth nerve or ‘pulp’ is removed. A sedative filling material is used to fill the tooth and the tooth is prepared for a crown. A tooth that has received a pulpotomy is generally weakened so a crown will provide better coverage and protection than a filling.