We use white fillings aka composite resin restorations for smaller cavities. This is a synthetic plastic material with great esthetics. If they are placed in baby teeth, you have to take great care of them because they could possibly leak underneath and require replacement or more treatment for the same tooth.
Stainless steel crowns
If your child has a larger cavity, they may require a full coverage crown to fix it. One option is a stainless steel (silver) crown made of biologically compatible metal. This is a very strong temporary restoration for a baby tooth. When the new permanent tooth erupts under the crown, the stainless steel crown falls off just like a regular baby tooth.
Kindercrowns or white crowns
Kindercrowns are a healthy esthetic alternative to silver crowns for the back teeth, and a stronger alternative to plastic resin crowns for the front teeth. They cannot be used in every case due to their technique sensitivity, size restrictions, and they do not take forces as well as the stainless steel crowns. Our pediatric dentists will work with you on making the best recommendation for your child.
Pulpotomy or nerve treatment
If the cavity goes into the nerve of the tooth or if a tooth breaks all the way to the nerve, a tooth may require a pulpotomy or “baby root canal.” We remove part of the nerve of the tooth and replace it with a medication that heals the tooth. When it is time for the new permanent tooth to replace the baby tooth that has had nerve treatment, it should fall out like any baby tooth. To cover and protect the tooth after we do a baby root canal, the tooth requires full coverage protection by a silver or white crown.
If a baby tooth is infected, infected, badly broken down with a large cavity, or cracked, it may require complete removal or extraction. Infection can happen due to a large cavity or sometimes, if the child injured the tooth.