Restorative Dentistry

Dental Restoration

For the teeth that are restorable with dental fillings, we offer dental restoration with composite resin and glass ionomer cement. We do not use amalgam in our office. For young children who are likely to be anxious during the restorative appointment, the dental restoration is often recommended to be completed in conjunction with the use of laughing gas. We encourage the morning appointment for the restorative procedures for young children.

Pulpal therapy

The cavities that progress past the enamel and dentin into pulp chamber often time causes pain and discomfort. We offer many types of pulp therapy or root canal treatment based on the diagnosis. We always try our best to save the tooth for your child.

Pre-fabricated crowns

Pre-fabricated crowns in baby teeth are indicated when the decay extends to multiple surfaces of the tooth, and/or into the pulp chamber, in such a way that the regular dental restoration cannot hold on the tooth structure. The stainless steel crown is the standard treatment of choice for the posterior teeth due to its durability and functionality, and the white color crowns in the front teeth for esthetic as well as functionality. In certain circumstances when indicated, posterior white crown can also be applied.

Silver Diamine Fluoride

Silver diamine fluoride (SDF) is a topical medicament that has gained attention in recent years for its use in pediatric dentistry. It is a clear liquid composed of silver, water, fluoride, and ammonia. SDF has been found to have several beneficial effects in managing dental caries (tooth decay) in children.

Caries Arrest:

SDF has been shown to effectively arrest or slow down the progression of dental caries in children. It works by killing bacteria that cause tooth decay and forming a protective layer over the affected tooth, which helps prevent further decay.

Non-Invasive Treatment:

One significant advantage of SDF is that it is a non-invasive treatment option. It can be applied topically to the affected tooth without the need for drilling or anesthesia, which is particularly useful in managing dental caries in young children who may have difficulty cooperating with invasive procedures.

Treatment of Cavitated and Non-Cavitated Lesions:

SDF can be used to treat both cavitated (cavities) and non-cavitated lesions. For cavitated lesions, SDF can help arrest the decay process and provide temporary relief until a more definitive restoration can be performed. In non-cavitated lesions, SDF can halt the progression of early decay and prevent the need for invasive treatment.

Application Technique:

SDF is typically applied to the affected tooth using a microbrush or applicator. It is important to ensure that the tooth is clean and dry before application. The surrounding soft tissues (gums) should be protected with a barrier such as petroleum jelly or a rubber dam to minimize contact with SDF.

Staining:

One of the notable side effects of SDF is the potential for staining the affected tooth and adjacent tissues black or brown. This staining is a cosmetic concern, particularly when SDF is applied to anterior (front) teeth. However, it is important to note that the staining is superficial and does not cause any harm or structural damage to the tooth.

Follow-Up Care:

After the application of SDF, it is important to educate parents and caregivers on proper oral hygiene practices for the child. Regular follow-up visits with the dentist are essential to monitor the progress of the affected tooth and determine the need for additional treatment or restoration.