Pediatric Restorative Dentistry

There are several instances when pediatric restorative dentistry is essential for maintaining a healthy smile. Sometimes kids break or chip their teeth, develop cavities or they take medications that cause discoloration. In these cases, restorative treatments are necessary to preserve the health and functionality of the teeth. Some of the following restorative dentistry treatments can help to improve the look and health of the smile:


Crowns, also known as caps, are made to treat a tooth with severe decay, root canal, structural damage and/or developmental defects. There are two kinds of crowns that may be used: preformed and custom-fabricated.

  1. Preformed

Preformed crowns are made of stainless steel that may or may not be covered with tooth-colored veneers (depending on the location of the crown) to blend in with the rest of the teeth. Stainless steel crowns are more durable but are more frequently used on baby teeth instead of permanent teeth.

  1. Custom-Fabricated

Custom-fabricated crowns are usually made of metal that is covered with porcelain. They are made to match the tooth’s natural color and are custom designed to fit the tooth precisely. Custom-fabricated porcelain crowns are used on permanent teeth that have completely grown in.

The Process

The entire treatment process is virtually painless, involving few adjustments. The first step is to remove any decayed areas of the tooth if decay is the reason for the crown. The tooth is then filed down to make it a little bit smaller in order for the crown to fit over the tooth properly. Finally, the crown is cemented into place.


Fillings come in two different types; amalgam and tooth-colored fillings. The purpose of a filling is to fill the space where the decay has been taken out to provide an even bite and prevent food and debris from getting stuck in the space.

  1. Amalgam Fillings

These are the silver-colored metallic fillings that are often used on molars since they are left unseen in the back of the mouth. The materials used in the filling are perfectly safe and durable for longer lasting results.

  1. Composite Resin Fillings (Tooth-colored fillings)

The material used in these fillings are called composite resin and they are the same color as the average natural tooth. These fillings are safe to use and durable enough to be used anywhere in the mouth.

Why Do Baby Teeth Need to be Filled?

It’s important that a baby tooth with a cavity gets treated, because if it worsens, the tooth may need to be extracted. This leaves an open space for other baby teeth to move into, blocking future permanent teeth from growing in and causing orthodontic issues. Furthermore, teeth with cavities cause pain, abscesses, infections which lead to missed school days.

Advanced Children’s Dentistry offers pediatric restorative dentistry for patients of all healthcare needs. Schedule your child’s pediatric dental appointment at 516-758-KIDS.


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