25/11/2025
How to treat decay of Primary Teeth
Fluoride Treatments: If the decay is detected early, before it penetrates the enamel surface of the tooth, professional fluoride varnish treatments can help stop and reverse the decay. These treatments involve applying fluoride varnish, gel, liquid, or foam to the teeth to restore enamel where cavities have begun eroding.
Fillings: For decay that is limited in depth, tooth-colored fillings are commonly used. The decayed portion of the tooth is removed, and a filling is placed to restore the tooth’s health and appearance.
Pulp Capping Procedure: When decay is more moderate to severe and close to the nerve without exposing it, a pulp capping procedure may be necessary before filling placement.
Pulpotomy Procedure: In cases of severe decay with nerve exposure, a pulpotomy procedure involves removing infected pulp and placing medication. A crown (stainless steel or tooth-colored) is usually required after a pulpotomy.
Porcelain/Tooth-Colored or Primary Stainless Steel Crowns: Extensive decay that reaches the nerve of a primary tooth may require a crown. The dentist removes decayed parts, fills the tooth, and covers it with a custom-shaped crown for protection and cosmetic repair.
Root Canal: If decay reaches the inner pulp of a permanent tooth or if an abscess forms, a root canal may be necessary before placing a crown. This involves removing infected pulp, administering medication, and restoring the tooth with a filling.
Extraction: In cases where primary teeth are severely decayed or permanent teeth are beyond repair even with root canal treatment, extraction may be required. After extraction, space maintainers can prevent teeth from shifting out of place.
These treatment options aim to address decay in primary teeth effectively while considering the severity of the condition and individual circumstances.
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