Teeth with dental decay can be restored either with amalgam (silver) or tooth colored fillings. If the decay is extensive it may require a crown.

Restorative Care

In a child’s mouth, baby teeth serve the important functions of eating, speech and esthetics (self-image). These teeth not only help form the developing jaws, but they also hold space for the permanent teeth so that a normal bite can occur. The last baby tooth falls out at about twelve years of age.

However, in the case of a decayed baby tooth, a tooth not taken care of properly can become so badly decayed that it can do damage to the permanent tooth, creating severe infections of the face, head and neck. For that reason, it is important to restore baby teeth from decay as soon as it is first detected.

Teeth with dental decay can be restored either with amalgam (silver) or tooth colored fillings. If the decay is extensive, the tooth may require a crown.


Amalgam (silver fillings)

Amalgam fillings have been used as a filling material for a long time. They have the longest track record of sustainability after gold. Amalgam fillings of comprised of an alloy of mercury with silver, tin, copper and zinc. There has been some concern about mercury poisoning with amalgam fillings during the recent years, but there has also been no significant data supporting it. The disadvantages of these fillings are that they are unaesthetic, require more tooth structure to be removed and may weaken the tooth due to the extent of preparation. For that reason, fillings are still the most widely used restorative material for children.


Tooth Colored Fillings

In the past, cavities could only be treated with unsightly metal fillings that were comprised of silver and mercury alloys. These fillings, especially when close to the front of the mouth, are highly noticeable and unaesthetic. In other cases, the filling is so large that it causes discoloration of the entire tooth. These fillings (or restorations) often weaken teeth due to the large amount of the original tooth that has to be removed. Modern dentistry has increasingly turned to composite restorations. Utilizing a palette of tooth shaded colorations, restorations are a strong, safe and more natural looking alternative to the silver filling. Composite fillings utilize a soft white plastic substance that is hardened with a blue UV light.


Restorative Visit

Our goal is to make your child’s dental visit a positive experience. With your cooperation and support, you can help us to achieve this goal. While talking to your child about this visit, use positive words like fun, easy, tooth asleep, silver star, water spray etc. Do not use negative words like pain, hurt, needle, shot, tooth pull etc., as it may frighten or unnerve some children.

The entire procedure will be explained to your child and you before the procedure is performed. Pediatric Dentists are trained to deliver the local anesthetic painlessly. However, we do offer nitrous oxide and conscious sedation if necessary. Once the procedure is completed, a piece of gauze referred to as “tooth pillow” is placed between the cheek and the teeth to prevent your child from accidentally biting into the numb cheek and lip. When the anesthesia is wearing off your child will feel the tingling sensation which may be annoying to some children. Reaffirm to your child that the tooth is waking up.

After treatment is completed, you can help us to continue the positive experience by praising your child and referring to the “fun” time they had. Please avoid negative comments such as: “Did it hurt?” “That wasn’t so bad!” “You were so brave!” “Did you get a shot?” “Were you afraid?” These comments could persuade your child in thinking there was a reason to be afraid, even though they were cooperative, had a good time. This may make their future visits more difficult.

Restorative care is an important and valuable procedure that will help keep your child’s smile looking the best it can be.


Doctor Carla Lalande is very good. Her office staff well they're very good but I would like to give a big shout out to Jasmine the young lady that handles the insurance approval . She really went above and beyond for me with my new dental insurance and I appreciate it very much. Keep up the good job Jasmine you're awesome.

Dale E.

Las Vegas, NV

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