RESTORATIVE

Fillings

A composite (tooth colored) filling is used to repair a tooth that is damaged by decay, cracks, or fractures.  The decayed or affected portion of the tooth will be removed and then filled with a composite filling.

Because composite fillings are tooth colored, they can be closely matched to the colour of existing teeth, and are more aesthetically suited for use in front teeth or the more visible areas of the teeth. As with most dental restorations, composite fillings are not permanent and may someday have to be replaced.  They are very durable, and will last many years with proper care, giving you a long lasting, beautiful smile.

 

How are composite fillings placed?

 

Composite fillings are usually placed in one appointment.  While your child's tooth is numb, your dentist will remove decay as necessary.  The space will then be thoroughly cleaned and carefully prepared before the new filling is placed.  If the decay was near the nerve of the tooth, a special medication will be applied for added protection.  The composite filling will then be precisely placed, shaped, and polished, restoring your tooth to its original shape and function.

It is normal to sometimes experience sensitivity to hot and cold when some composite fillings are first placed, however this will subside shortly after your tooth acclimates to the new filling.

You will be given care instructions at the conclusion of your treatment.  Good oral hygiene practices, eating habits, and regular dental visits will aid in the life of your new fillings.

Crowns

When decay has destroyed a tooth to the extent that there is little support for a filling; or when a pulpotomy has to be performed, it is essential to support the remaining tooth structure with a crown (SSC). Placing a large restoration instead of a crown will often result in fracture of the unsupported tooth structure, necessitating further dental treatment.

SSC's are most commonly placed on back teeth (molars), but occasionally may be used in the front if additional support is necessary. When the permanent tooth is ready to erupt, the SSC will exfoliate (fall out), as would a normal tooth.

Pulpotomy

When a tooth has a deep cavity or has suffered a traumatic injury, bacterial infection of the nerve and blood supply to the tooth can occur. This tends to occur more often and more quickly in primary versus permanent teeth due to their thinner enamel, smaller size and relatively larger nerve. It may be necessary to cleanse and remove the infected portion of the nerve in order to save the tooth.

This is a very common procedure performed on primary teeth and after a pulpotomy has been completed, it is necessary to protect the remaining tooth structure with a stainless steel crown (cap).