Dealing with cavities is an important aspect of pediatric dentistry. If tooth decay develops, baby teeth and permanent teeth alike should be treated right away to prevent further complications. Many treatments can stop decay and repair the tooth for a fully restored smile.
It is necessary to take action when tooth decay develops in young children. Fortunately, there are many pediatric dentistry options to consider. The right treatment depends on a variety of factors, including:
A dentist can help guide parents towards the ideal treatment plan.
When tooth decay is in its beginning stages, a topical application of silver diamine fluoride can help keep it from spreading. The liquid has antimicrobial properties to kill cavity-causing bacteria, while the fluoride helps strengthen tooth enamel to prevent further erosion. Though it is not a permanent solution for tooth decay, silver diamine fluoride can be used in mild cases when more invasive treatments are not ideal. In general, it is only used on baby teeth that will later fall out on their own.
The most commonly used treatment option for cavities is fillings. The dentist removes the decayed material, cleans the affected tooth, and fills the existing space with either composite resin or amalgam silver. While resin fillings look more natural, amalgam is often sturdier, especially in young children whose habits can be tough on teeth. Metal fillings are usually recommended for molars and other teeth toward the back of the mouth.
If tooth decay is severe and impacts the health of the tooth structure, crowns may be needed to preserve the damaged tooth. Otherwise, a child may have to have the tooth extracted. Decayed material is removed and the tooth is ground down and fitted for a cap, which is usually made of durable stainless steel. If a child needs a crown on a permanent tooth, a dentist may recommend a porcelain, ceramic, or resin option instead. Like fillings, dental crowns are very durable and are designed to last for many years.
Sometimes, tooth decay can progress so extensively that the tooth cannot be saved, even with substantial pediatric dentistry treatment. It may crumble, fall out on its own, or need to be removed by a dentist. If this occurs with a baby tooth, it is important that alignment is maintained to allow the permanent teeth to come in properly. The dentist may place a space maintainer in the child's mouth immediately after an extraction or tooth loss. This small metal appliance keeps the remaining teeth from shifting until the permanent replacements grow in.
Even with good dental hygiene, cavities are still common among young children. If a child does develop tooth decay, there are many treatment options that can be used to restore a healthy, happy smile. Parents should follow a dentist's recommendations to ensure better oral health, both immediately and long-term.
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