When preventive care is not enough, restorative dental treatments can bring your child’s smile back to exceptional oral health. From repairing cavities with simple fillings to gentle extraction of problem teeth, restorative treatment can help your child’s smile stay healthy.
Children have a set of 20 baby teeth. Adults have 32.
Pediatric dental crowns are typically recommended for kids who have large cavities, or who have a tooth that has been damaged or broken by dental trauma. Dr. Franklin will clean and prepare their tooth, and then choose a pre-fitted dental crown that can be placed directly over the damaged tooth structure to cover and protect it, restoring your child’s smile and bite.
Pediatric dental crowns have historically been limited to stainless steel, leaving your child with silver teeth that may make them feel self-conscious about their smiles. White Zirconia Crowns offer the same protection as stainless steel crowns, but they are white, matching the color of your child's natural teeth. Similarly to traditional stainless steel, these white crowns help seal a tooth after it has been damaged or broken. This option just leaves little patients with a seamless, confident smile. After your Dr. Franklin determines which option is best for them, they will proceed in the same way, cleaning and preparing the tooth, and then choosing a pre-fitted dental crown to be placed directly over the damaged tooth structure to cover and protect it.
If your child loses a baby tooth before they’re supposed to, Dr. Franklin may recommend a “space maintainer.” This dental prosthetic fits in the gap where the tooth used to be, preventing the other teeth from shifting and ensuring your child’s permanent or adult tooth erupts properly.
Frenectomies are used to treat Tethered Oral Tissues (TOTs) such as tongue ties and lip ties. TOTs occur when the “frenulum,” a band of connective tissue, is overdeveloped and impairs the natural movement of the lips, tongue, or both. During a frenectomy procedure, this band of tissue is released in order to restore your child’s ability to move their lips or tongue properly.
The pulp is the soft tissue in the center of the tooth that contains nerves and blood vessels. A pulpotomy is necessary when the pulp of a primary tooth becomes infected, typically as a result of a deep cavity or injury. The goal of the pulpotomy is to remove the infected pulp while preserving the healthy portion of the tooth. This helps to save the tooth and prevent the need for extraction, which can cause problems with spacing and alignment of the permanent teeth. After a pulpotomy, Dr. Franklin will typically place a protective, bioactive material over the remaining pulp and place a crown over the treated tooth to restore function and prevent further decay.
A baby tooth extraction is a dental procedure to remove a primary tooth that is no longer needed or causing problems due to crowding, extensive decay, or infection. The procedure is performed with local anesthesia or sedation and involves removing the tooth and cleaning the socket. The child may experience some discomfort and swelling after the procedure, but this can be managed with over-the-counter pain medication and following post-operative instructions. The permanent tooth will eventually move into the empty space to maintain proper spacing and alignment.
Nitrous oxide (laughing gas) sedation is often recommended for kids who may be nervous about a dental appointment. IV sedation is a method of deep sedation that’s delivered directly to the vein to ensure that they can sleep through their appointment.
Nitrous oxide, also known as "laughing gas," is a safe and effective sedative used in pediatric dentistry to help children relax during dental procedures. Nitrous oxide is a colorless, odorless gas that is mixed with oxygen and inhaled through a small mask placed over the child's nose. The gas takes effect quickly and provides a calming, relaxing feeling that reduces anxiety and discomfort. The child remains conscious and able to respond to the dentist's instructions throughout the procedure. After the procedure is completed, the nitrous oxide is turned off and the child begins to breathe normally again. The effects of nitrous oxide wear off quickly, allowing the child to return to normal activities right away. Nitrous oxide is a safe and effective option for helping children overcome dental anxiety and is a popular choice for pediatric dental procedures.
General anesthesia is a form of sedation used in pediatric dentistry to help children relax during dental procedures. The anesthesia is delivered directly into the bloodstream, providing a deeper level of sedation and allowing the child to be unconscious during the procedure. This type of sedation is typically used for children who have severe dental anxiety, a strong gag reflex, or a need for multiple or lengthy dental procedures. IV general anesthesia is administered by our qualified anesthesia provider and monitored closely throughout the procedure to ensure the child's safety and comfort. The child is unconscious and unresponsive during the procedure, and is unable to feel pain or discomfort. After the procedure, the child is taken to a recovery area to awaken from the sedation and be monitored until they are fully alert and able to return home. IV general anesthesia is a safe and effective option for children who require dental procedures.
Tooth enamel is the hardest structure in the human body; even harder than the femur bone!
Restorative dentistry is used to treat damaged or decayed teeth. This includes cavities and infections, as well as teeth that have been chipped, broken, loosened, or knocked-out prematurely due to oral trauma. Restorative treatments can also help prevent oral development issues after tooth loss, and resolve other oral health problems like tongue and lip ties.
Baby teeth are essential to your child’s ability to eat and chew properly as they grow up. And, even though they do fall out naturally as your child ages, premature baby tooth loss can cause oral development issues. This is because your child’s adult teeth follow the “paths” provided by their baby teeth when they begin to erupt. If your child loses one or more baby teeth too early, their permanent teeth may not emerge properly, leading to developmental issues that may require orthodontic intervention in the future.
Our dentists are experts in working with kids of all ages, and use a patient, kind, and informative approach to children’s dentistry that will help keep your child feeling safe and calm throughout their appointments. Beyond this, we also offer a variety of sedation methods that can help your child feel more comfortable during their treatment.
In most cases, treatments for children like pulpotomies, extractions, crowns, and fillings are covered in some capacity by insurance. However, each plan is different and has different coverage, deductibles, and yearly maximums. Consult with your insurer and your dentist to learn more and ensure that your child’s procedures are covered.
Most baby or primary teeth will have fallen out by the age of 12.