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"Today was my daughter's first visit to FPD. After a traumatic experience with her previous dentist, each dental visit since has been just as traumatic. FPD made my daughter feel safe and in control. There was no screaming or tears. My daughter left happy, excited, and is looking forward to her next visit!"

Tara R.

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Restorative

The material selected to restore a tooth is dependent on several factors, including: if it is a permanent tooth or a baby tooth, where the tooth is located and/or how large the cavity is.  When a tooth has a cavity, various procedures may be used to treat the disease.


Local Anesthetic (Numbing):
When it is necessary to numb an area, our office specializes in using distracting techniques to make it the most comfortable experience possible!  First, a topical anesthetic (jelly) will be placed over the area to reduce the sensation of the injection.  We take great care to keep everything out of the view of the patient and remove the focus from the procedure being performed.  These techniques, combined with the use of nitrous oxide (laughing gas), typically make the experience easy and most children do not realize what is going on!

Overview PDF: Numbness

Post Operative Instructions:

  • The sensation of being numb after the appointment is typically the most challenging aspect for a child to understand.  
  • It may take 1-4 hours for the numbness to wear off
  • Avoid eating foods that require much chewing
  • A soft food diet is recommended
  • Monitor your child closely so that he/she does not bite their tongue, cheeks or lips

Post Operative Instructions Numbness (PDF)



Amalgam (SILVER fillings):
Amalgam is typically the restoration of choice for teeth with large decay or when the strongest material is needed so the tooth can withstand strong biting and grinding forces.  

Overview PDF: Amalgam (SILVER) Fillings

Post Operative Instructions:

  • If your child is numb, please follow the post-op instructions for numbness
  • The filling will not reach maximum hardness for 24 hours; therefore, a soft food diet for the day is encouraged.  Milkshakes, smoothies, yogurt, applesauce and macaroni and cheese are great choices
  • To properly place the filling, work may be done just below the gumline; therefore, expect your child’s gums to be sore for 2-3 days.  Your child’s gum tissue may bleed upon brushing for the next few days.  To help with healing, keep the area clean by gently brushing two to three times a day and flossing
  • For any discomfort, Tylenol® or Ibuprofen® is recommended

Post Operative Instructions PDF



Resin (WHITE) Fillings & Crowns:

Resin is a moldable material and is available in several different shades so that it can be custom matched to the natural tooth color.  We use resin for small fillings or when working on a tooth where esthetics is a concern.  If your child had large decay or a fracture on a front tooth, we may recommend a resin crown to cover the entire tooth.  Resin material is not as strong as the original tooth and great care must be taken for maintenance.

Overview PDF: Resin (WHITE) Fillings

Post Operative Instructions:

  • If your child is numb, please follow the post-op instructions for numbness
  • Avoid sticky, hard candies and chewing on ice to prevent breaking the filling or crown  
  • If resin was used on front teeth, avoid biting into hard foods such as apples, carrots and corn on the cob
  • Limit drinking or eating dark colored beverages and foods as this may cause staining and discoloration of the resin material
  • To help with healing, keep the area clean by gently brushing two to three times a day and flossing
  • For any discomfort, Tylenol® or Ibuprofen® is recommended

Post Operative Instructions (PDF)


Stainless Steel Crowns:

A stainless steel crown is a prefabricated SILVER crown that covers the entire visible portion of the tooth.  They are used to restore the tooth when a large portion of the tooth is lost due to decay or a fracture.  The crown will provide strength back to the tooth so that the tooth can sustain normal biting forces.

Overview PDF: Stainless Steel Crowns

Post Operative Instructions:

  • Your child will be numb so please follow the post-op instructions for numbness
  • To seat the crown correctly, work must be done just below the gumline; therefore, expect your child’s gums to be sore for 2-3 days.  Your child’s gum tissue may bleed upon brushing for the next few days.  To help with healing, keep the area clean by gently brushing two to three times a day and flossing
  • Do not let your child pick at the crown.  Although it is cemented in the mouth, continuous force and pressure can pull off the crown
  • Your child should avoid sticky, hard candies (i.e. taffy, suckers and caramels) for the life of the crown.  These sticky foods can cause the crown to become loose

Post Operative Instructions Stainless Steel Crowns (PDF)


Space Maintainers:
Primary (baby) teeth are important for holding space for the un-erupted permanent tooth.  With early loss of a primary tooth, the neighboring teeth may tip or drift into the space, leaving little or no space for the permanent tooth to erupt.  A spacer is recommended to preserve the space and prevent this from happening.  There are several different types of space maintainers, and they are custom made to fit your child’s mouth.  Once placed, permanent tooth eruption will be monitored and the spacer will be removed when needed; therefore it is important for your child to follow-up with us for routine check-up appointments.

Overview PDF: Space Maintainers

Post Operative Instructions:

  • Your child will be numb.  Please follow the post-op instructions for numbness
  • To seat the spacer correctly, work must be done just below the gumline; therefore, expect your child’s gums to be sore for 2-3 days.  .  Your child’s gum tissue may bleed upon brushing for the next few days.  To help with healing, keep the area clean by gently brushing two to three times a day and flossing
  • Do not let your child pick at the space maintainer.  Although it is cemented in the mouth, continuous force and pressure can pull off the space maintainer
  • Your child should avoid sticky, hard candies (i.e. taffy, suckers and caramels) for the life of the space maintainer.  These sticky foods can cause the space maintainer to become loose

Post Operative Instructions Space Maintainers (PDF)


Pulpotomy:
A 'pulpotomy' is performed when decay is large and has reached the nerve of a tooth.  A pulpotomy is done to remove the pulp tissue that may have been exposed to bacteria in hopes of saving the tooth and preventing it from becoming abscessed.  First, the decay is removed from the tooth.  Next, the top portion of the nerve is removed and a special medicine is placed to sterilize the area, help soothe the tooth and seal the remaining exposed nerve.  The tooth is finally restored by placing a stainless steel crown, covering the remaining tooth structure and providing strength to withold the biting forces.

 

 

 

 

 

 

 

 
 

© Fishers Pediatric Dentistry. All Rights Reserved
9126 Technology Lane, Suite 100
Fishers, IN 46038

Phone: 317-598-9898 | Fax: 317-596-9659
Located near I69 and 116th Street, behind Super Target.
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