Procedures provided at Happy Smiles For Kids include:
X-rays (also known as radiographs)
Why are x-rays taken?
Dental (intra oral) x-rays are taken for diagnostic reasons. It enables the dentist to see the existence and extent of any decay or pathology present. Without them, a definitive diagnosis cannot be made for accurate and appropriate treatment planning. The frequency of taking x-rays depends on several factors i.e. your child’s decay risk, whether early-stage lesions are being closely monitored, presence of pathology, and in the event of dental trauma. This will be determined by the specialist in accordance with evidence based publications and guidelines.
There are a range of different types of restorations available for children. The treatment planned will be tailored for each child according to their individual needs, risk factors and published evidence-based information.
- Resin: Commonly referred to as ‘white’ fillings, the resin restorative materials used by Happy Smiles For Kids are BPA free. They are commonly placed where there are small cavities and defects to be restored.
- Composite crowns are a customised crown made of ‘white’ resin material that is created for each tooth. Placement is indicated when there has been pulp therapy, multi-surface decay lesions, dental anomalies, and significant loss of tooth structure i.e. from trauma.
- Stainless steel crowns are most commonly placed on a restorable primary molar(s) that have had pulp therapy, developmental anomalies and/or loss of significant tooth structure. They are the strongest direct restorative option available for primary molars.
Stainless steel crowns can be placed on some permanent molars when there are significant anomalies present affecting the strength and integrity of the tooth i.e. hypomineralised permanent first molars. This is commonly an interim option placed during childhood to protect the crown of the tooth from further breakdown. They are placed with the view that a definitive coronal restoration i.e. porcelain or gold crown, will be placed when the patient has finished growing
When there has been breakdown of the tooth resulting in bacteria getting close to or into the pulp of the tooth, just placing a restoration on the tooth will not be the best option for treatment. In these cases, the ideal pulp therapy is indicated to provide the best outcome for the tooth to enable it to be retained. Unfortunately, teeth that are not restorable or have extensive infection cannot be managed by pulp therapy.
- Pulp cap: Direct or indirect - a special medicament is placed at the bottom of the cavity close to or over the pulp. The medicament’s role is to have an antibacterial effect to aid with the healing of the pulp
- Pulpotomy: involves the removal of vital pulp tissue from the pulp chamber of the tooth followed by placement of a medicament and restoration.
- Pulpectomy: involves the removal of pulpal tissues, thorough debridement of the root canal system and placement of a medicament before the tooth can be restored.
- Root canal therapy: we can assist with the initial stages of the process and focus on familiarisation with dental procedures to enable the patient to have completion of their treatment with Endodontic specialists or family dentist.
Soft tissue laser procedures
There are range of conditions that may cause concern in relation to a child’s oral health, as well as their functional development. This can include lip ties, tongue ties, erupted teeth and small swellings. Dr Evelyn Yeung and Dr Linda Huang have had additional training to provide surgical procedures using a diode laser. Some of the procedures provided (but not limited to) include:
- Removal and biopsy of soft tissue lesions i.e. mucoceles
- Lip tie release (upon referral)
- Anterior tongue tie release (upon referral)
- Surgical exposure of unerupted teeth
- Removal of excess soft tissues
Dr Evelyn Yeung believes that an individual approach is required when managing her patients, as not all children are alike. Particularly when it comes to attending the dentist for treatment, it is important to recognize that a child is not a ‘little adult’ who will automatically understand and accept the processes involved. As such, time and care will be taken to provide an approach and environment to create the most favorable process each child. On occasion, this may involve multiple frequent appointments to aid with a familiarization approach. Alternatively, there may be involvement of other health-care professionals to aid with managing phobias and developing strategies to enable children to have a healthy approach towards future dental care.