Pediatric restorative dentistry focuses on repairing and restoring children's oral health, particularly when teeth are damaged due to decay, trauma, or developmental issues. Below is an explanation of common dental procedures used in pediatric restorative dentistry, tailored to the unique needs of young patients:

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1. Dental Composite Resin Fillings

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​Dental Composite Resin Fillings

• Purpose: Repair teeth damaged by cavities and restore their shape and function.

• Procedure: The dentist removes decay and fills the tooth with a material such as composite resin (tooth-colored) is used in pediatric dentistry for its natural look.

• Considerations: Local anesthesia may be used if needed, though small cavities sometimes don’t require it. The procedure is usually quick, completed in one visit, and behavior management techniques help keep your child comfortable.​

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2. Dental Crowns

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• Crowns on Primary Teeth

• Purpose: Restore severely decayed, fractured, or weakened teeth that cannot be repaired with a filling alone.

• Procedure: The dentist removes decay, shapes the tooth, and places a preformed crown. Common types include:

• Stainless Steel Crowns (SSCs): Durable, cost-effective, silver crowns, ideal for back teeth.

• Zirconia Crowns: Tooth-colored, strong ceramic crowns, often used for front teeth or when a natural appearance is preferred.

• Considerations:  Zirconia crowns cost more but provide superior aesthetics, while both types protect the tooth until it naturally falls out.

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3. Pulpotomy

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• Pulp Therapy (Baby Tooth Root Canal)

• Purpose: Treat a tooth with deep decay that has reached the nerve while keeping the roots healthy.

• Procedure: The dentist removes the infected pulp in the crown, applies a medicated material to the remaining pulp, and seals the tooth with a filling or crown (often stainless steel).

• Considerations: Less invasive than a full root canal, it saves the primary tooth and prevents extraction.

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4. Pulpectomy

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• Pulpectomy (Full Baby Tooth Root Canal)

• Purpose: Treat a tooth where decay or infection has reached the entire pulp, including the roots.

• Procedure: The dentist removes all pulp from the crown and roots, cleans the canals, fills them with a resorbable material, and restores the tooth with a crown.

• Considerations: More extensive than a pulpotomy, used for severe infections, and preserves primary teeth until natural replacement.​​

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5. Tooth Extraction

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• Tooth Extraction

• Purpose: Remove a tooth that is too severely damaged, infected,.

• Procedure: The area is numbed with local anesthesia, and the tooth is gently removed. Sedation may be used for anxiety or complex cases.

• Considerations: Space maintainers may be recommended to keep adjacent teeth in place and support proper alignment for permanent teeth.

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6. Space Maintainers

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• Space Maintainers

• Purpose: Keep space open for permanent teeth when a primary tooth is lost early due to decay or injury.

• Procedure: A custom device (fixed or removable) is placed in the gap. Fixed maintainers are cemented to nearby teeth; removable ones resemble a retainer.

• Considerations: Passive appliances that require regular check-ups to ensure proper function as your child grows.​​

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7. Sealants

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• Dental Sealants

• Purpose: Prevent cavities in the grooves and pits of molars, which are prone to decay in children.

• Procedure: The dentist cleans the tooth, applies a gel, then paints a thin layer of liquid sealant that is hardened with a curing light.

• Considerations: A preventive measure to reduce the need for future dental repairs.

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Each procedure is customized based on the child’s age, tooth development, and specific dental condition. 

 

 

 

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