Restorative Care

Restorative dental care focuses on repairing and restoring damaged or missing teeth to help you regain full function, comfort, and confidence in your smile.

🦷 Fillings

At Peak Pediatric Dentistry, we use resin composite fillings because they are safer, more natural-looking, and bond better to kids’ teeth than old-fashioned silver (amalgam) fillings. Composites are made from a tooth-colored material that blends in beautifully, so your child’s smile stays bright and natural. More importantly, resin bonds directly to the tooth structure, which allows us to remove less healthy tooth during treatment—helping preserve strength and integrity long term. Unlike amalgam, composites don’t expand and contract with temperature changes, which lowers the risk of cracks over time. We believe in using tried-and-true materials that are both conservative and effective—and resin composite is the clear choice for growing smiles.

Safe and Mercury-Free

At Peak Pediatric Dentistry, your child’s health and safety are our top priorities. That’s why we use white composite fillings made from tooth-colored resin instead of traditional amalgam fillings, which contain mercury. Composite fillings are mercury-free and biocompatible, giving parents peace of mind.

Natural, Beautiful Smiles

Kids want to feel confident about their smiles—and so do we! Composite fillings match the natural color of your child’s teeth perfectly, so cavities are repaired discreetly. Unlike silver amalgam, these fillings blend seamlessly and maintain a bright, healthy appearance.

Strong and Durable

Today’s composite materials are durable and bond directly to the tooth, which helps support the tooth structure and reduce the chance of cracking. While amalgam fillings last, composite fillings provide excellent long-term strength suitable for your child’s daily activities like chewing and speaking.

Less Drilling, More Comfort

Because composite fillings bond to the tooth, we often need to remove less healthy tooth structure during treatment. This means the filling process is less invasive and more comfortable for your child.

Environmentally Friendly Choice

White composite fillings are also a better choice for the environment since they don’t contain metal or mercury, making them safer to handle and dispose of responsibly.

👑 Choosing the Right Crown for Your Child’s Smile

At Peak Pediatric Dentistry, we offer a variety of crowns to restore teeth based on your child’s age, dental needs, and your preferences. For baby teeth (primary teeth), we commonly use Stainless Steel Crowns, Zirconia Crowns, and Bioflex Resin Crowns—each designed to protect the tooth and support proper function until it naturally falls out. For older kids with permanent teeth, we also offer custom-made crowns built to last for many years. Every crown we place is chosen carefully to fit your child’s unique situation while balancing durability, safety, and appearance.

Stainless Steel Crowns (SSC)

These are the gold standard for back baby teeth that are badly decayed or have had a pulpotomy (baby root canal). Stainless steel crowns are incredibly durable and can withstand years of chewing and grinding. They’re quick to place and ideal for younger kids who may need treatment done efficiently. They’re not the most aesthetic option, but they are time-tested and reliable—which is why many pediatric dentists still consider them the workhorse of kids’ dentistry.

Best for: Molars with large cavities or after nerve treatment.

Bioflex Resin Crowns

Bioflex crowns are made from a flexible, tooth-colored resin that blends in nicely with natural enamel. They’re great for families looking for a more aesthetic option at a lower cost than zirconia. While not as strong as stainless steel or zirconia, they hold up well in lower-stress areas and are easy to adjust and polish.

Best for: Younger children with moderate decay on front teeth or parents wanting a balance of appearance and affordability.

Zirconia Crowns

Zirconia crowns are white, ceramic-like crowns that look just like natural teeth. They’re a great option for parents who want a more aesthetic solution—especially for front teeth or visible molars. While they require more precision and prep work, they’re strong, biocompatible, and offer a beautiful, long-lasting result without any metal.

Best for: Front teeth or visible molars where appearance matters most.

Custom Crowns for Permanent Teeth

For older kids or teens with permanent teeth that need full coverage—whether from trauma, large cavities, or cosmetic concerns—we offer custom lab-made crowns. These are made from durable materials like porcelain or zirconia, shaped to fit your child’s bite, and color-matched for a natural look. These are meant to last for many years and are carefully crafted to support long-term oral health and confidence.

Best for: Permanent teeth that require long-lasting protection and aesthetics.

Overview of Tooth Repair

Children’s teeth can become damaged for many reasons—whether it’s a tumble during playtime, biting into something hard, tooth decay, or natural wear over time. Even baby teeth, though temporary, play a vital role in your child’s development. Damaged teeth can affect eating, speaking, self-esteem, and even the way adult teeth come in later.

At Peak Pediatric Dentistry, we take every chipped, broken, or decayed tooth seriously and offer gentle, timely treatment to restore your child’s oral health. Repairing teeth early not only prevents further damage or infection, but also supports your child’s comfort, confidence, and proper dental development. Our team focuses on making every visit stress-free with a calming environment, comforting amenities, and treatment options that are safe, effective, and tailored to growing smiles.

Treatment Options for Tooth Repair

We provide several advanced, minimally invasive options to repair damaged or decayed teeth. After a thorough exam, Dr. Austin Williams will recommend the best treatment based on your child’s age, the extent of the damage, and their overall oral health.

✔️ Bonding

  • For minor chips, small cracks, or cosmetic flaws, dental bonding is a simple and fast option.
  • We apply a tooth-colored resin to the affected area, carefully shape it to match the natural tooth, and cure it with a special light.
  • Bonding is pain-free, completed in one visit, and blends beautifully with your child’s smile.

✔️ Tooth-Colored Fillings

  • When a tooth is affected by decay or a small fracture, we use composite resin (not silver amalgam) to restore it.
  • These white fillings are durable, mercury-free, and designed to match the color of your child’s tooth.
  • Composite fillings also require less drilling, preserving more of the natural tooth structure.

✔️ Crowns

  • If a tooth has extensive decay or is severely broken, a crown may be the best option to protect and restore it.
  • Pediatric crowns cover the entire tooth, providing strength, support, and function.
  • We offer both stainless steel crowns (commonly used on back teeth) and white zirconia crowns for a more natural appearance on front teeth.

✔️ Veneers (Selective Use)

  • In special cases, especially for older children with permanent front teeth, we may recommend veneers to correct shape, size, or cosmetic flaws.
  • Veneers are thin shells of tooth-colored material bonded to the front surface of the tooth for a long-lasting, natural look.
  • While not common in very young children, they may be an option for older patients with aesthetic concerns.

At Peak Pediatric Dentistry, our goal is always to save natural teeth whenever possible using the most conservative methods.

But there are times when removing a tooth is the healthiest option for your child.

We may recommend an extraction if a baby tooth is severely decayed, infected, or damaged beyond repair—or if it’s blocking the proper eruption of a permanent tooth.

In some cases, extractions are needed as part of an orthodontic plan to create space or correct bite problems.

We always walk parents through the reasoning and timing behind any extraction, and we take extra care to make the experience as gentle and stress-free as possible.

If a baby tooth needs to come out, we make sure it’s for the right reason and done in the right way.

💫 Making Tooth Removal Effortless

Step 1: Local Anesthesia for Comfort

Before we begin, we thoroughly numb the treatment area to ensure your child does not feel any pain during the procedure. This starts with a topical anesthetic (numbing gel) applied to the gums, followed by a small, precisely placed injection of local anesthetic. Most children tolerate this step very well. Our team uses calm explanations, distraction techniques, and a gentle approach to help your child stay relaxed throughout the process.


Step 2: The Extraction Process

Once the area is fully numb, we carefully loosen the tooth using specialized pediatric instruments.

  • For primary (baby) teeth, the process is typically quick and straightforward. Baby teeth are smaller and have shorter roots, so removal is often completed in just a few minutes.
  • For permanent teeth or primary teeth with advanced decay, broken crowns, or abnormal root structure, the process may take slightly longer. In these cases, we take our time to ensure complete and safe removal with minimal trauma to surrounding tissues.

Throughout the procedure, we continually monitor your child’s comfort and well-being.


Step 3: Bleeding Control and Recovery

After the tooth is removed, we place sterile gauze over the extraction site and have your child gently bite down to help stop any minor bleeding. We’ll monitor them for a few minutes to ensure bleeding is controlled before discharge. In most cases, children recover quickly and return to normal activity within a few hours.


Post-Extraction Home Care Instructions

Proper aftercare is important to support healing and prevent complications. We provide printed and verbal instructions, which include the following guidelines:

  • Diet: Encourage soft foods such as smoothies, yogurt, scrambled eggs, or pasta for the first 24 hours. Avoid hard, crunchy, or sticky foods that could irritate the area.
  • Activity: Allow your child to rest and avoid vigorous physical activity for the remainder of the day.
  • Bleeding: It is normal to see slight oozing for the first few hours. Replace gauze as needed. If bleeding persists beyond 24 hours, contact our office.
  • Pain Management: Over-the-counter medications like acetaminophen (Tylenol) or ibuprofen (Motrin) are typically sufficient. We will advise you on the proper dosage based on your child’s age and weight.
  • Oral Hygiene: Gently brush the surrounding teeth, avoiding the extraction site for the first day. Rinsing with warm salt water can begin after 24 hours to keep the area clean.
  • Avoid Straws and Spitting: Suction and pressure can dislodge the blood clot, so discourage drinking from straws or spitting for at least 24 hours.

Will a Space Maintainer Be Needed?

If a primary molar is extracted before the permanent tooth is close to erupting, we may recommend a space maintainer to preserve proper spacing and prevent crowding. We will evaluate this on a case-by-case basis and schedule a follow-up appointment if needed.

Who knew getting teeth pulled could be this much fun?

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