Consultation
New Patient Exam & Periodic Assessment
Dental Treatment

Dental Treatment: Restorative Treatment

Restorative Treatment for Small Cavities

  • Amalgam fillings
  • Tooth coloured fillings
Amalgam Filling
Tooth Coloured Filling

Restorative Treatment for Large Cavities

For large cavities which the integrity of the tooth (especially primary teeth) is compromised:

  • Stainless steel crowns
  • Tooth coloured stainless steel crowns
  • Tooth coloured composite crowns
Stainless steel crown
Tooth coloured stainless steel crown
Before restoration
A Knee to Knee exam
After tooth coloured composite crowns

Why do you have to crown baby teeth? Don’t they fall out anyways?

Left: when a cavity is very large, a crown (stainless steel crown or tooth coloured stainless steel crown) is a more appropriate choice than a filling.

Right: An extensive filling does not hold the tooth structure together and it may fail. This is an example of a failed filling; part of the tooth has fractured as the integrity of tooth is compromised by the large cavity. The more appropriate restoration in this case would have been a stainless steel crown. Unfortunately this tooth has to be extracted.

For large cavity involving infection of the nerve (pulp):

  • Pulp treatment together with restoration (pulpotomy – part of the infected nerve is removed to prevent dental abscess and loss of the tooth)
  • Extraction

For very deep pits and grooves at risk of getting cavity:

  • Pit and Fissure Sealant
as
Before restoration
as
Before restoration

Left:  (arrows) pits and grooves naturally present on the tooth become bacteria and food traps.  These teeth are at risk of getting decay.

Right: notice the smooth surfaces on the tooth:  pits and grooves sealed by fissure sealant so that bacteria and food cannot accumulate.

Some of the bite problems, such as space loss, open-bite or cross-bite, may not be self-correcting. These problems can usually be successfully treated if it is discovered early and before your child’s facial structures have finished growing. Interceptive orthodontics is a mean of treating or preventing bite problems as a child’s face, teeth and other oral structures are developing. Ask us if you are concern about your child’s appearance and chewing efficiency.

Extensive Decay
Crossbite on the back teeth
Extensive Decay
Open bite of the front teeth due to thumb sucking