23. What if my child needs a filling, crown or root canal?

Fillings
If your child has a cavity that requires a filling, we explain the process in age-appropriate language to both you and your child. Our goal is to make the procedure as comfortable and stress-free as possible.
During the visit, the dentist gently removes the decay and fills the tooth using a safe, child-friendly material. Depending on your child’s age and comfort level, we may use local anesthesia or other calming techniques to minimize discomfort.

After a filling, mild sensitivity is normal for a short time. We provide clear instructions for care to keep the tooth healthy. Most children return to normal activities, including school, right away, and routine dental visits help prevent future cavities.

Tooth-Colored Fillings
Tooth-colored fillings blend seamlessly with your child’s natural teeth. Made of a special resin, they bond tightly to the tooth, strengthen it, and some release fluoride to help prevent new cavities. Unlike metal fillings, tooth-colored fillings require less removal of the tooth, don’t conduct heat or cold, and won’t darken over time. They are the most popular choice today.

To help children feel calm during a filling, we offer fun programs to watch or allow them to listen to music through headphones.

Crowns
Crowns are used to cover teeth that are too damaged or at risk of breaking. A crown acts as a protective “cap,” improving the strength or appearance of the tooth. Crowns are often recommended for large cavities or to restore the shape of chipped or damaged teeth.
For children, crowns are typically stainless steel when placed on baby teeth. We only recommend crowns when necessary to protect the tooth’s health and function.

Root Canals & Pulpotomies
-A root canal may be needed if a deep cavity causes pain or inflammation.
-Pulpotomy (Baby Root Canal)
A pulpotomy is a less invasive nerve treatment for baby teeth. The diseased portion of the tooth nerve is removed, and medicine is placed to preserve the tooth. Saving baby teeth is important to maintain space for adult teeth. Premature loss can cause crowding and may require braces later.

Extractions
While our goal is to save teeth whenever possible, sometimes removal is the best option. Reasons for extraction include:
-Large decay that cannot be restored
-Primary teeth that need help exfoliating
-Orthodontic concerns
-Infection of nerve tissue

Dr. Tyler, Dr. Sean, or Dr. Nate will explain why an extraction is recommended and how the space will be managed afterward.