Traditional dental fillings are commonly made of ceramic and plastic compounds that closely resemble natural teeth in appearance. These composite resins are utilized on front teeth where aesthetics are important, and they can also be used on posterior teeth based on the location and extent of tooth decay. Another restorative option for teeth with missing structure is dental crowns. Crowns are suitable for cases where decay or enamel problems have resulted in significant tooth structure loss. Dental materials are designed to be strong and durable, enabling restored teeth to withstand the forces generated during chewing, particularly in the posterior region of the mouth.
Choosing the appropriate dental restoration for your child depends on several factors that impact performance, durability, longevity, and cost. These factors include the filling material used, the amount of remaining tooth structure, the placement technique, the chewing load the tooth will bear, and the expected lifespan of the primary tooth. Prior to commencing treatment, your dentist will discuss all available options and assist you in selecting the most suitable filling for your child’s specific case. It is useful to understand the two primary types of dental restorations: composite fillings and full coverage crowns.
Composite fillings, also known as white fillings, are applied to a prepared tooth after the removal of decay. They include materials such as glass ionomers, resin ionomers, and composite resins. The dentist prepares the tooth, places the filling, and makes necessary adjustments as required.
Crowns are frequently recommended for posterior teeth that have extensive decay or enamel abnormalities. They provide full coverage of the tooth surface and are designed to withstand chewing forces throughout the lifespan of the primary tooth. In cases where large decay reaches the pulp or nerve of the tooth, a pulpotomy or pulpectomy may be necessary. These procedures involve the removal of damaged nerve tissue and the placement of medication to maintain the tooth’s strength. Following the treatment, a crown will be placed over the treated tooth.