Pediatric restorative treatments (fillings) in Wheat Ridge

Composite fillings for kids

Composite is a type of restorative material that we use to fill cavities. It is made of synthetic resins and is chemically bonded to the tooth structure. Most patients know composite or resin fillings as “tooth color fillings”. We prefer a composite filling over other ones because they have high aesthetic and strength qualities. The only disadvantage of a composite filling is that it requires a completely dry environment while it is being placed. So if the cavity is deep by the gum line and we can’t stop the bleeding; we cannot use the material.

Amalgam fillings for children

Amalgam is another type of restoration material that we use for filling cavities. It is a mixture of different alloys such as copper, silver, tin, and mercury. The advantages of these fillings are the great strength to wear, bacterial resistance, and ease of application. Amalgam disadvantages are lack of aesthetics and mercury controversies. We only use amalgam fillings if, due to exceptional circumstances, we absolutely cannot use composite as a filling.

Some significant differences in primary teeth (baby teeth) vs. adult teeth

Sensitivities of the teeth

The nerves in baby teeth are not as sensitive as those in adult teeth. The positive side of this is that, in most cases, we can do a filling on a baby tooth without numbing. We usually just use N2O (happy gas) to help with the vibration sensation that can occur. The drawback of the nerve not being as sensitive is that, unlike adult teeth, your child will not complain of toothaches unless the tooth is severely decayed.

The thickness of the enamel (outer layer)

The enamel layer on baby teeth is a lot thinner than that of adult teeth, thus it takes a lot less time for baby teeth to get a cavity.

The size of the teeth

Baby teeth are structurally a lot smaller than adult teeth, thus they can only handle smaller fillings before they become structurally unsound. If a baby tooth has too many surfaces with decay, we have to recommend a crown as a safe restorative choice.

The location of the nerve

Baby teeth nerves are a lot closer to the outer layer, thus it does not take very long for decay to cause nerve damage. If this occurs, we recommend to treat the nerve and then place a baby crown on the tooth.

Due to all of these significant differences, we highly recommend that children see the dentist every 6 months.

Written By: Dr. Ngo

If your child received any of these treatments please read our Post-Treatment information on fillings.

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