Pediatric Dental Fillings
Key Takeaway
Dental fillings are used to repair teeth damaged by decay. They help restore the function and integrity of the tooth, preventing further damage and the need for more extensive treatments. Regular checkups and early treatment of tooth decay are crucial to ensure long-term oral health for children and teens.
What Causes Tooth Decay?
Tooth decay is caused by a buildup of bacteria on the teeth. This bacteria produces acids that eat away at the enamel, creating cavities or holes in the tooth.
Children and teens are at a higher risk for tooth decay due to their developing oral hygiene habits and diets high in sugar and carbohydrates.
Tooth decay in primary and permanent teeth can have long-term effects on a child’s oral health if left untreated. That is why regular checkups are so important; they allow us to catch and treat decay early on before it becomes a more significant issue.
The Importance of Pediatric Dental Fillings
Dental fillings play an important role in maintaining the health and integrity of both primary teeth and adult teeth.
Primary Teeth (Baby Teeth):
- Preservation of space: Baby teeth serve as placeholders for permanent teeth. If a baby tooth is lost prematurely due to decay, it can cause the surrounding teeth to shift and lead to orthodontic problems in the future.
- Prevents infection and pain: Untreated cavities in primary teeth can lead to pain, infection, and abscesses. Dental fillings help remove decay and restore the tooth, preventing further damage and discomfort.
- Speech and chewing function: Healthy primary teeth are essential for proper speech development and chewing functions.
Adult Teeth:
- Prevents decay progression: Dental fillings halt the progression of tooth decay by removing the decayed portion and sealing the tooth. This prevents the decay from spreading deeper into the tooth and potentially reaching the nerve, which could result in the need for root canal treatment.
- Restores function: When a tooth is damaged or weakened due to decay, a filling restores its strength and function, allowing for normal biting and chewing.
- Preserves tooth structure: Dental fillings require the removal of only the decayed portion of the tooth, preserving as much healthy tooth structure as possible. This conservative approach helps maintain the overall strength and integrity of the tooth.
SMART Fillings
SMART (Silver Modified Atraumatic Restorative Technique) fillings are a minimally invasive and cost-effective approach to treating tooth decay in primary teeth.
These fillings use two different compounds: SDF (silver diamine fluoride) and glass ionomer cement.
SDF is a topical solution that kills bacteria and stops the progression of tooth decay. It is applied directly to the cavity and does not require any drilling or numbing.
Glass ionomer cement (GIC) is a restorative material that is a little lighter than other filling products. It is faster and easier to apply and does not require a completely dry tooth.
SMART fillings are a great option for our youngest patients because they do not require any numbing. It is also a great option for teeth with cavities that are not fully erupted yet.
Benefits of SMART Fillings
- Minimally invasive: No drilling or numbing is needed, making it a great option for pre- or non-cooperative children.
- Cost-effective: SMART fillings are less expensive than composite fillings.
- Quick and easy application: The entire procedure can be completed in one visit.
SMART Filling Procedure Details
SMART fillings are done over two appointments.
First appointment:
- The tooth is dried with air, then SDF is applied to the tooth with a small brush.
- Fluoride varnish is then painted over the area to seal it in.
Second appointment:
- Resin modified glass ionomer is placed over the cavity that has been treated with SDF. This creates a seal over the tooth that prevents oxygen from reaching the treated decay. GIC also releases a small amount of fluoride to help remineralize the tooth.
Aftercare and Recovery
There is no downtime with SMART fillings. Your child can eat and drink as usual after the procedure. However, it is recommended to avoid sticky or hard foods for a few days while the filling sets.
Composite Fillings
Composite fillings are tooth-colored restorations made of a mixture of plastic and glass particles. They are used to treat tooth decay in primary and permanent teeth.
Composite fillings bond directly to the tooth surface, creating a strong and durable seal. They are also biocompatible, meaning they do not cause irritation or allergic reactions in patients with sensitivities.
Benefits of Composite Fillings
- Aesthetically pleasing: Composite fillings blend in with the natural tooth color.
- Preserves healthy tooth structure: Composite fillings require less drilling and preparation compared to amalgam fillings, preserving more of the healthy tooth structure.
- Strong and durable: Once bonded, composite fillings are strong and can withstand normal biting and chewing forces.
Composite Filling Procedure Details
- The area around the tooth is numbed with a local anesthetic.
- Any decayed portion of the tooth is removed, and the tooth is thoroughly cleaned.
- The composite filling material is applied in layers and hardened with a special light.
- Once all layers are applied, the filling is shaped and polished to match the natural contours of the tooth.
Aftercare and Recovery
After a dental filling procedure, the mouth will be numb for a few hours. Avoid giving your child anything to eat or drink during this time to prevent them from accidentally biting their lip, cheek, or tongue.
Once the numbness wears off, they can resume normal eating and drinking habits. They may experience some sensitivity to hot or cold temperatures for a few days after the procedure, which is normal and should subside.
Did You Know…
A dental filling stops a cavity from progressing, but it does not mean that the tooth is now immune to decay. Good oral hygiene practices such as brushing twice a day, flossing, and regular dental checkups are essential for maintaining the health of the restored tooth and preventing future cavities.
| Feature | SMART Fillings | Composite Fillings |
|---|---|---|
| Invasiveness | Minimally invasive—no drilling or numbing required. | Requires drilling and numbing with local anesthetic. |
| Materials Used | SDF (silver diamine fluoride) and glass ionomer cement (GIC). | Mixture of plastic and glass particles, tooth-colored composite material. |
| Application Process | – SDF applied to the tooth to stop decay – Fluoride varnish seals the area – GIC placed to seal and protect the tooth | – Tooth is numbed and decay is removed – Composite material applied in layers and hardened with a special light – Shaped and polished for a natural look |
| Aesthetic Appearance | Blends with natural tooth color. | Blends with natural tooth color. |
| Cost | More cost-effective compared to composite fillings. | Generally more expensive than SMART fillings. |
| Durability | Provides functional protection but may be less durable than composite fillings. | Strong and durable, withstands normal biting and chewing forces. |
| Treatment Time | Quick and easy—completed in one visit with no numbing. | Takes more time due to numbing, preparation, and layering process. |
| Best For | – Young children or non-cooperative patients – Cavities in partially erupted teeth – Small or early-stage decay | – Older children or children that can tolerate longer appointments – Larger cavities on permanent teeth |
| Aftercare | No downtime; avoid sticky or hard foods for a few days while the filling sets. | Mouth will be numb for a few hours; some sensitivity to hot or cold may occur for a few days. |
| Longevity | May need replacement sooner than composite fillings. | Long-lasting when properly cared for with good oral hygiene. |
Comparison table of SMART fillings and composite fillings
Tips for Preparing Your Child for a Dental Filling
We know that dental procedures can be scary for kids and parents!
We want you to know that there is nothing to be afraid of, and we will do everything we can to make the experience as comfortable and positive as possible.
Here are some tips to help prepare your child for their dental filling:
- Stay calm: Children are very perceptive and can pick up on any anxiety or fear you may have. Stay calm and positive to help ease your child’s nerves.
- Bring comfort items: Let your child bring their favorite toy or blanket to help them feel more at ease during the procedure.
- Don’t overexplain before the visit: Usually, less information is better. Let them know that the dentist will explain the procedure to them before they begin. We have perfected explaining the procedure to children in a way that is age appropriate and informative without causing undue anxiety.
- Reward afterward: Plan a special treat or activity for after the procedure as a way to celebrate your child’s bravery and cooperation.
At Stanley Pediatric Dentistry, we are committed to providing the best dental care for your child in a comfortable and compassionate environment.
Our goal is to provide gentle and compassionate dental care in a fun and positive environment. We encourage parents to be involved in their child’s oral health and welcome any questions or concerns they may have.
We offer a range of services including preventive care, restorative treatments like composite fillings, and sedation dentistry for nervous or special needs patients.
If you are searching for a pediatric dentist that is accepting new patients, we can help! To book an appointment at our pediatric dental office in Overland Park, KS, call (913) 345-0331 or complete the online inquiry form.
FAQS
Do pediatric dentists do fillings?
Yes, pediatric dentists are trained to perform fillings on children’s teeth. They also use techniques and materials that are specifically designed for children’s unique dental needs.
Is it normal for a child to need a filling?
Yes, it is common for children to develop tooth decay and require fillings. This is why regular dental checkups are essential in detecting and treating cavities early on.
What is the best filling material for kids teeth?
The best filling material for kids’ depends on the location and extent of the decay. Your pediatric dentist will recommend the most appropriate type of filling for your child’s specific needs, whether it be SMART fillings or composite fillings. Both materials have their own unique benefits and are safe and effective for treating tooth decay in children.
Does my 5-year-old really need fillings?
If your dentist has recommended fillings, it is essential to follow through with the treatment. Ignoring tooth decay can lead to more serious dental problems and affect your child’s oral health in the long run. It is best to address cavities as soon as they are detected to prevent further damage and pain.
