Baby teeth serve the important function of eating, speech, and esthetics (self-image). These teeth not only help form the developing jaws, but they hold space for the permanent teeth so that a normal bite occurs. The last baby tooth falls out at about twelve years of age. A baby tooth can become so badly decayed that it can do damage to the permanent tooth. At times severe infections of the face, head, and neck can be caused by infected baby teeth. So it is important to restore baby teeth as soon as decay is first detected. Teeth with dental decay can be restored either with amalgam (silver) or tooth colored fillings. If the decay is extensive it will require the restoration with a crown.
Tooth Colored Fillings
In the past; cavities could only be treated with unsightly metal fillings that are alloys of silver and mercury. These fillings, especially when close to the front of the mouth, are highly noticeable and unaesthetic. Sometimes, the filling is so large that it causes discoloration of the entire tooth. These fillings (or restorations) often weaken teeth due to the large amount of the original tooth that has to be removed. Also, there is a risk of Mercury poisoning that is used in the filling. Modern dentistry has increasingly turned to tooth-colored, or composite, fillings as a strong, safe and more natural looking alternative. Composite fillings utilize a soft white plastic substance that is hardened with a blue light.
Treatment Appointments for Restoration
Parents can help us make the treatment appointment for restoration a successful and positive experience for their child. While talking to your child about the visit use positive words like fun, easy, tooth asleep, silver star, water spray etc. Do not use negative words like pain, hurt, needle, shot, tooth pulled etc. The entire procedure will be explained to your child and you before the procedure is performed. Pediatric Dentists are trained to deliver the local anesthetic painlessly. However, we do offer nitrous oxide and conscious sedation if the dentist sees the need for it. Once the procedure is completed a piece of gauze referred to as tooth pillow is placed between the cheek and the teeth to prevent your child from accidentally biting into the numb cheek and lip. When the anesthesia is wearing off your child will feel a tingling sensation which may be annoying to some children. Reaffirm to your child that the tooth is waking up. After treatment is completed you can help us to continue the positive experience by praising your child and referring to the "fun" time they had. Please avoid negative comments such as: Did it hurt? That wasn't so bad! You were so brave! Did you get a shot? Were you afraid? These comments could persuade your child in thinking there was a reason to be afraid, even though they were cooperative and had a good time, and may make their future visits more difficult.