Tiny Texans Pediatric Dentistry

Frequently Asked Questions (FAQs): Conservative Dentistry

How can we help you?

Finding the right pediatric dentist for your child is a big decision. We realize you will probably have a lot of questions to ask before you can decide which dentist is right for your family. At Tiny Texans Pediatric Dentistry, Dr. Christina and her entire team appreciate questions—and we look forward to providing you with answers.

There are some questions we tend to hear over and over, so we have compiled some of those here for your convenience. If you have a question that is not listed here, we invite you to give us a call. We look forward to discussing the dental needs of your little ones. 

Conservative Dentistry

Over-retained baby teeth are common, particularly in the lower front area of the mouth. In some cases, it looks like your child has two rows of teeth.

In most cases, the baby tooth is already loose but needs your child to wiggle on it more so it falls out, leaving room for the adult tooth to move into place.

Sometimes, the adult tooth comes in too far back from the baby tooth so that the root of the baby tooth is left intact and a dentist needs to remove it. We recommend that you come in and allow us to evaluate the baby tooth if it does not seem loose and the adult tooth is already erupting behind it.

In some cases, a baby tooth is over-retained because there is a missing adult tooth. This can be caused by trauma, obstructions, or late eruption—or the adult tooth is simply not there. It is just one of the reasons it’s so important to bring your child to the dentist from an early age for regular examinations. If your child needs treatment for over-retained baby teeth, Dr. Christina can make recommendations that are best for your child’s overall oral health and smile.

If you suspect your child has a cavity, you should contact our office immediately to set up an appointment. In the meantime, reduce high-sugar drinks like juice and soda, limit candy and other junk food, and keep the suspect area as clean as possible until the tooth can be evaluated by a dentist. If the tooth is causing any pain with eating or sleeping, please notify us about that when you call.

When you bring your child in, we will examine the area to determine whether or not it is a cavity. An x-ray might also be recommended. It if is decay, we will review treatment options, even if the cavity is in a baby tooth. A baby tooth cavity that is left with an untreated cavity runs the risk of spreading into the bone and gum, and it can even impact the adult tooth below it.

The dental process for kids is very similar to the way it works for adults. After the tooth is numbed, Dr. Christina will gently remove the decayed portion of the tooth, then sterilize the area. She will fill the spot with a tooth-colored composite to keep the decay from spreading. If the decay has already spread into the nerve chamber, the infected nerve will be cleaned, medicine placed, and the tooth covered with a silver crown. Sometimes cavities are too deep to be cleaned and saved, and an extraction could be recommended.

Dr. Christina has a way with children that helps them stay comfortable during the entire procedure. 

You can also talk to us about silver diamine fluoride as a treatment for cavities.

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