Tetri’s Smile

Pediatric dentistry · Treatment

What if my child needs a filling or a crown?

When a child’s tooth has decay or damage, the options are explained to you before anything is done. This page describes the common treatments in plain words, so you know what each one is before a visit.

Periodontal care is the care of the gums and the bone that hold the teeth. The American Academy of Pediatric Dentistry advises a first visit by the first tooth and no later than the first birthday.

Who this is for

  • Parents told that their child has a cavity (a hole in a tooth caused by decay).
  • Parents of a child who lost a baby tooth early.
  • Parents preparing a child for a treatment visit.
The consultation comes first

Common treatments, in plain words

  • Filling. Repairs a tooth after the decay is removed.
  • Crown for a baby tooth. A cap that covers a baby tooth that needs more than a filling. It is meant to last until the tooth sheds, and it helps keep the tooth in place until then.
  • Space maintainer. A small appliance that holds a gap open after a baby tooth is lost early, so the adult tooth that follows has room.
  • Extraction. Taking out a tooth that cannot be kept. You get directions for caring for the area afterward.

What we do at our office

Ask the front desk which treatments will be offered at our office on pediatric days, and which are referred to another clinician.

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What happens at the visit

  1. A parent or legal guardian gives written consent before treatment.
  2. The dentist shows you the tooth and explains the options, including what happens if you wait.
  3. Each step is named, and the instrument shown, before the step is done.
  4. The visit pauses when your child needs a moment.
  5. You leave with written directions for care at home.

Risks and limits

  • A filling or a crown can wear, chip or need to be redone.
  • A baby tooth with deep decay may still need to come out later.
  • A space maintainer needs cleaning around it at home and checks at visits until the adult tooth arrives.
  • Treatment repairs damage; it does not stop new decay. Brushing and snacks still matter.
  • Some children need treatment over more than one visit.

Questions parents ask

Why repair a baby tooth that will fall out?

Baby teeth help a child chew and speak, and they hold space for the adult teeth. Some back baby teeth stay until about age 10 to 12.

Can I stay in the room during treatment?

Yes.

Will my child need more than one visit?

Sometimes. The dentist explains the plan and how many visits it is likely to take.

How do I care for the area after an extraction?

Follow the written directions you are given, and call 786-320-5445 if bleeding or pain does not settle.

Consent

Treatment needs written consent from a parent or legal guardian. If another adult brings your child with your signed authorization, that adult stays in the room.

Sources

  • American Academy of Pediatric Dentistry: aapd.org
  • American Dental Association, MouthHealthy: mouthhealthy.org
  • Centers for Disease Control and Prevention, oral health: cdc.gov/oral-health

Start with what is bothering you.

We examine everything first and show you the whole plan before you begin, including the option of waiting.

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