Radiographs (x-rays) are vital to ensure a thorough dental examination for your child.
Radiographs are used to detect cavities, evaluate the eruption of teeth, evaluate teeth and the supporting bone following trauma, plan for orthodontic treatment, and detect any disease of the bone. Without the use of x-rays many dental conditions are not visible until they become a more serious problem.
The American Academy of Pediatric Dentistry recommends children receive radiographs every 6-12 months depending on their risk for cavities. As your child’s permanent teeth begin to erupt a larger, panoramic, radiograph is recommended. This allows your dentist to evaluate all existing and developing teeth, bone, and other orofacial structures.
Pediatric dentists take every precaution possible to minimize radiation exposure for patients and employees. Our office is pleased to offer digital radiographs which lower the radiation exposure for your child compared to conventional radiographs. This coupled with the use of a lead apron and collar exposes your child to minimal radiation.
When your pediatric dentist detects a cavity during their examination they will recommend a means to restore the tooth in both form and function. Depending on the size of the cavity the area may be numbed to ensure your child is comfortable throughout the procedure. Often a “raincoat” or non-latex rubber dam is placed to protect your child from any debris during the cavity removal. Once the cavity is removed the tooth will be restored.
Depending on the size of your child’s cavity your pediatric dentist may recommend a crown, or “cap”, to protect their teeth. Baby teeth are small and often a cavity is large enough that the remaining tooth structure is insufficient to hold a filling. These caps are silver; however, white crowns are available to meet more esthetic needs.
A pulpectomy is the removal of all pulpal tissue from the crown and root of the tooth. The space is then disinfected and a restorable material placed to allow normal eruption of the permanent tooth underneath.
A pulpotomy removes the affect portion of the pulp and places an agent that calms the remaining nerve and removes any residual bacteria. The tooth is restored with a full coverage stainless steel crown to help seal the pulp from further injury.
Indirect Pulp Cap
An indirect pulp cap is the removal nearly all of the cavity leaving small portion over the nerve of the tooth. A medicine is placed that allows the tooth to heal itself from the inside out and prevents further growth of the bacteria. The tooth is then filled with a restoration to help prevent bacteria from re-invading the tooth.
Baby teeth are small but the nerve and blood vessels, ‘dental pulp’, inside of them are much larger in proportion than in adult teeth. Often cavities in baby teeth progress quickly towards the pulp and cause pulpal inflammation in the area. Sometimes this can cause some discomfort on that tooth, other times your child will have no symptoms.
The purpose of pulpal therapy is to remove the affected pulpal tissue place an inert material inside the tooth that allows the tooth to remain in the mouth until it is naturally lost. These procedures are often called “baby root canal”, “indirect pulp cap”, “pulpotomy”, or “pulpectomy”.
We make every attempt to save teeth here at Silverdale Dental Center; however, there are times when the removal of a tooth is recommended. Teeth which have a large cavity that would prohibit the placement of a filling or crown, have a large infection, or have had trauma making them unsafe to remain in the mouth are all possible scenarios when an extraction could be recommended. Since baby teeth are a placeholder for permanent teeth we often place an appliance to save the space for the developing tooth to erupt.