We use Nitrous Oxide sedation to help our patients with the following:
- Reduce or eliminate anxiety.
- Reduce untoward movement and reaction to dental treatment.
- Enhance communication and patient cooperation.
- Raise the patient’s pain reaction threshold.
- Increase tolerance for longer appointments.
- Aid in the treatment of the mentally/physically disabled or medically compromised patient.
- Reduce gagging.
Pulpotomy (partial nerve treatment) and Pulpectomy ( complete nerve treatment)
When a cavity gets really deep, close to the pulp of a tooth or even into the pulp, the nerve tissue becomes irritated and inflamed. If the inflammation and infection continues without treatment, the tooth will likely eventually abscess. In primary teeth, either partial or complete nerve treatment is used in the process of trying to save and restore the tooth.
If a tooth has to come out before it’s ready, a space maintainer may be needed to prevent other teeth from drifting into the gap that remains until the permanent tooth comes in. Without the space maintainer, the area may become crowded and the permanent tooth could come in crooked or at an unusual angle, leading to problems and future orthodontic treatment.
Composite Filling( tooth-colored plastic and glass mixture).
- Improved aesthetics. Composite fillings can be closely matched to the color of existing teeth.
- Composite fillings micro-mechanically bond to tooth structure.
- Less healthy tooth needs to be removed for a composite filling.
- Composite fillings do have some degree of significant shrinkage during light curing, which led to inferior bonding interface. Shrinkage permits microleakage, which, if not caught early, can cause secondary caries (subsequent decay).
- In some situations,composite fillings may not last as long as amalgam (silver) fillings under the pressure of chewing especially if the filling is large.
- Composite fillings are very technique sensitive when placed. The prepared tooth must be completely dry (free of saliva and blood) when the resin material is being applied and cured. Posterior teeth (molars) are difficult to keep dry. Keeping the prepared tooth completely dry can also be difficult for any work involving treatment of cavities below the gum line.
- Due to the sometimes complicated application procedures and the need to keep the prepared tooth absolutely dry, composite restorations may take up to 20 minutes longer than equivalent amalgam restorations. Longer time in the dental chair may test the patience of children, making the procedure more difficult for the dentist.
Amalgam Fillings (silver)
- Not as technique sensitive and take less time to finish than composite fillings.
- Ideal for pediatric patients who can't sit still for a long period of time.
- Amalgam fillings take up to 24 hours to completely set so fracturing of the filling is possible during this time if care is not taken to avoid hard foods.
- Poor aesthetics
Full Coverage Restoration for Posterior Primary Teeth
Stainless Steel Crowns
- They are very durable, wear well and retentive.
- They may be used when moisture is present or when the patient exhibits less than ideal cooperation.
- Aesthetics are extremely poor.
Zirconia (white) Crowns
- They are not recommended in patients who grind their teeth.
- Greater tooth reduction is required.
- They take a bit longer to place than stainless steel crowns.
Full Coverage Aesthetic Restoration of Front Anterior Teeth
Composite Strip Crowns
Composite strip crowns are composite filled celluloid crowns forms. They have become a popular method of restoring primary anterior teeth because they provide superior aesthetics as compared to other forms of anterior tooth coverage. Composite strip crowns rely on dentin and enamel adhesion for retention. Therefore the lack of tooth structure, the presence of moisture or bleeding contributes to compromised retention. They are less resistant to wear and fracture more readily than other anterior full coverage restorations.
- It provides superior aesthetics.
- It is extremely technique sensitive.
- It is not as durable or retentive as Zirconia crowns and is not recommended on patients with a grinding habit or a deep bite.
- Adequate moisture control might be difficult on an uncooperative patient.
Zirconia (zirconium dioxide) crowns are made of solid monolithic Zirconia ceramic material.
- They are very aesthetic, with greater durability than composite strip crowns.
- They are not as technique sensitive as composite strip crowns as the fabricated crown is cemented with self-adhesive resin cement rather than bonding.
- Greater tooth reduction is required.
Services we offer for Kids