Pediatric dental fillings are an important dental treatment used to restore cavities and damage in primary (baby) teeth. Many parents are concerned about their children’s oral health and wonder whether fillings can be applied to primary teeth. This comprehensive guide discusses everything you need to know about pediatric dental fillings, colorful filling options, and modern treatment methods in detail.
What Is a Pediatric Dental Filling?
A pediatric dental filling is a procedure in which teeth that have lost substance due to decay are restored to their natural form after the decayed tissue is removed, using various filling materials. The purpose of this treatment is to stop the progression of decay, eliminate sensitivity, preserve the vitality of the tooth, and maintain the tooth’s chewing and aesthetic functions.
Pediatric dental fillings, like those in adults, are dental treatments performed within the scope of dentistry. This treatment is applied when deemed necessary by a specialist dentist. Oral health is important from an early age, and since dental caries and tooth loss are more common in children, root canal treatment or fillings may be required when necessary.
Filling Primary Teeth
Primary teeth are the first teeth to erupt in the mouth. These teeth eventually fall out and are replaced by permanent teeth. Although primary teeth will eventually be lost, in some cases it is necessary to treat these temporary teeth.
Children may experience cavities and trauma-related fractures in their primary teeth. Fillings can be applied to restore fractured teeth. Additionally, fillings can be used to prevent decay from spreading to adjacent teeth. Since primary teeth act as guides for the healthy development of permanent teeth, early treatment of cavities is of great importance for proper dental alignment.
Pediatric Dental Filling Age Groups and Needs
The need for dental fillings in children varies by age group. Studies show that the highest need for fillings is observed in the 4–6 age group.
Dental Filling Needs by Age Groups in Children
Filling Needs by Age Group
- In the 0–3 age group, the need for dental fillings is observed at a rate of 15%. During this period, bottle caries and early childhood caries are commonly encountered.
- In the 4–6 age group, the need for fillings reaches the highest level at 45%. Children in this age group may require filling treatment due to early-onset cavities.
- In the 7–9 age group, the need for fillings occurs at a rate of 35%. During this period, the mixed dentition phase begins, and cavities may be seen in both primary and permanent teeth.
- In the 10–12 age group, the need for fillings decreases to 25%. Most primary teeth fall out and are replaced by permanent teeth during this stage.
Types and Materials of Pediatric Dental Fillings
Various materials are used for dental fillings in children. Each material has its own advantages and areas of use.
Types of Fillings Used in Children and Their Rates
Composite Fillings
Composite fillings stand out due to their tooth-colored appearance and aesthetic results. They are frequently preferred, especially for anterior teeth. These light-cured fillings work in harmony with the natural tooth structure and are long-lasting.
Composite fillings are used at a rate of 40% in children and are the most commonly used filling type. With color options that mimic the natural tooth shade, the filling is hardly noticeable.
Compomer Fillings
Compomer fillings are hybrid materials composed of a combination of composite and glass ionomer cements. They are used at a rate of 30% in children and are especially suitable for primary teeth.
Compomer fillings chemically bond to tooth enamel and release fluoride, reducing the risk of caries. They adhere to dental tissues with the help of chemically developed adhesive agents.
Glass Ionomer Fillings
Glass ionomer fillings are beneficial in preventing recurrent caries due to their fluoride release. This type of filling can be safely used especially in young children and primary teeth.
Glass ionomer fillings are used at a rate of 15% in children and are preferred for smaller cavities.
Colored Compomer Fillings
Colored compomer fillings are used at a rate of 12% in children and were developed to increase children’s interest in dental treatment. These fillings are made from the same material as tooth-colored fillings.
Colored Dental Fillings: A Special Solution for Children
Colored dental fillings represent an important innovation in pediatric dentistry. These fillings were developed to reduce children’s fear of dental treatment and to make the treatment process more enjoyable.
Colored dental filling materials for children
Benefits of Colored Fillings
Dental treatments can sometimes be challenging for young children. To make these treatments more enjoyable and motivate children, dentists may prefer using colored fillings.
Children who are allowed to choose the color of their filling become more attentive and interested in the procedure. As a result, treatment becomes an enjoyable experience for both the child and the family.
Color Options for Colored Fillings
Colored fillings are an excellent way to reduce anxiety during dental treatment. Bright colors such as red, blue, green, or yellow attract children’s attention.
Studies show that the most popular colors among children are:
- Pink: 25%
- Blue: 20%
- Green: 15%
- Purple: 12%
- Orange: 10%
Materials Used in Colored Fillings
Colored fillings are biocompatible, compomer-based materials. They are compatible with primary teeth and do not affect the physiological exfoliation age of the tooth. Compomer fillings have physical properties similar to primary tooth wear.
The colorful nature of these fillings encourages children to undergo treatment willingly and helps them overcome their fears more easily.
Pediatric Dental Filling Procedure
The pediatric dental filling procedure requires careful planning and execution and is generally performed in stages.
Examination and Diagnosis
Before the procedure, the child’s teeth are examined in detail and cavities are identified. The pediatric dentist begins by carefully examining the affected area.
Anesthesia Application
Depending on the depth of the cavity and the child’s cooperation, local anesthesia may be applied to numb the relevant tooth area. If the cavity is small and limited to the enamel, anesthesia may not be required as the child will not feel pain.
Local anesthesia may be used for comfort, and nowadays needle-free and painless methods are also preferred. The effect of anesthesia is felt fully within a short time.
Caries Removal
After anesthesia, the decayed tissue is completely removed using special instruments in a hygienic environment.
Filling Application
After caries removal, the appropriate filling material is selected, usually resin-based fillings. The material is chosen to match the tooth color and applied to the tooth.
A bonding agent is used to ensure adhesion, the cavity is filled, shaped carefully, and hardened.
Final Check
After adjusting the occlusion, the pediatric filling treatment is completed. The child’s comfort and well-being are prioritized.
Advantages of Pediatric Dental Fillings
Functional Advantages
Stops caries progression, preserves tooth structure, supports chewing and clear speech.
Aesthetic Advantages
Modern filling materials match the natural tooth color and provide an эстетically harmonious appearance.
Protective Advantages
Primary tooth fillings allow permanent teeth to erupt healthily, supporting overall oral health.
Post-Treatment Care
Oral Hygiene
Proper oral care determines the longevity of fillings. Children should brush twice daily, after breakfast and before bedtime, with parental assistance.
Dietary Adjustments
Sugary and starchy snacks between meals should be limited as they promote caries-causing bacteria.
Regular Check-Ups
Children should visit a pediatric dentist every 6 months for routine check-ups.
Complications and Solutions
During Treatment
For children who have difficulty remaining still, sedation may facilitate treatment.
After Treatment
Poor oral care may lead to recurrent caries, potentially requiring root canal treatment or extraction.
Alternative Treatments
- Stainless Steel Crowns for extensive decay
- Fissure Sealants to protect permanent teeth grooves
- Fluoride Applications to strengthen enamel
Success Factors
- Dentist’s experience (pedodontists yield better outcomes)
- Child’s age and cooperation
- Early diagnosis
Future Perspectives
Advances in technology and new materials continue to improve pediatric dental fillings, with a strong emphasis on preventive care.
Conclusion and Recommendations
Pediatric dental fillings are indispensable for protecting children’s oral health. Healthy primary teeth support overall development. Colored fillings make treatment more enjoyable and stress-free.
If brushing habits and regular dental visits are not established early, they become difficult to maintain later. Therefore, pediatric dental fillings and oral care are valuable investments in quality of life.
