Composite Resin: 

  • An esthetic restorative material
  • Requires a longer time for placement
  • More technique sensitive
  • In cases where isolation or patient cooperation is compromised, resins are NOT the restorative material of choice

Resin-Modified Glass Ionomer:

  • This material uptakes and releases fluoride which is beneficial for children that are high risk for cavities
  • Can be placed when isolation or patient cooperation is a concern due to decreased moisture sensitivity
  • Increased wear potential than a composite resin restoration

Our team will discuss the advantages and disadvantages of tooth coloured restorations in each situation and make recommendations based on the best interest of your child.

Stainless Steel Crown

When a cavity has destroyed a tooth to the extent that there is little tooth structure left for a filling, or a pulpotomy has to be performed, we must support the remaining tooth structure with a stainless steel crown (SSC)

  1. Prefabricated crown that is adapted and cemented to individual teeth
  2. Extremely durable


  • Primary teeth with large cavities involving multiple surfaces
  • Pulpally treated tooth
  • Fractured tooth
  • Permanent tooth with developmental defects

 When the permanent tooth is ready to erupt, the SSC will loosen and fall out similar to a primary tooth.


When your child’s tooth has a deep cavity or the tooth has suffered an injury, an infection in the nerve of the tooth can occur. A pulpotomy is a very common procedure in which the infected portion of the nerve is removed and a medicament is placed to preserve the remaining healthy nerve tissue. A pulpectomy is completed when the pulp tissue is irreversibly infected or necrotic (dead). The entire nerve is removed to preserve the tooth. A Stainless steel crown is often the best restoration that can be placed for either procedure to protect the remaining tooth structure.

Space Maintainer

When a primary tooth is lost early due to a cavity or trauma, a space maintainer should be inserted to avoid space loss. If a space maintainer is not inserted, future orthodontic treatment may be necessary. 

The space maintainer is cemented in place and will be removed when the permanent successor is ready to erupt into the space. If the appliance loosens or dislodges, please notify us immediately and keep the appliance in a safe place for re-cementation.