22 95th Drive NE

Lake Stevens, WA 98258

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Boy with sunglasses at MKDTreatment Types


Tooth decay is the most common chronic disease in kids today. While good oral hygiene and healthy eating reduce a child’s risk for getting cavities, even great kids can get them. There are a variety of treatment options available depending on the size of the cavity, what symptoms are present, or how the tooth was injured.  The Milestone Kids Dentistry team will take the time to explain the best options for your child to restore their happy, healthy smile.


What are Sealants?

Tooth colored coatings that are bonded to the deep grooves on the chewing surfaces of the back teeth.  The sealant aids in prevention of decay.


What are Composites?

Tooth colored (white) fillings that are used to replace tooth
structure after removal of decay or fracture.


What are Strip Crowns?

Full coverage, tooth colored fillings, bonded to the front teeth.  Typically used on primary teeth.  Strip crowns are not as strong as an adult crown and may chip and stain a bit over time.


What are Stainless Steel Crowns?

A crown that is put on a tooth with a larger cavity, or used for children that are at higher risk for decay.  These crowns are cemented to the baby tooth and will fall out with the baby tooth naturally.  They are silver in color and do not contain amalgam or mercury.


What is an indirect pulp cap?

In teeth with larger decay, a medication will be placed to help protect the health of the nerve and prevent sensitivity.  Sometimes the nerve will still inflame and may need additional treatment, which may include an extraction.


What is a Pulpotomy?

Complete nerve removal.  Performed when healthy nerve is no longer present due to large decay or trauma.  A medication is placed inside the tooth prior to the placement of a protective crown.  The purpose is to maintain the health of the tooth as long as possible.  Sometimes the tooth will still inflame and may need additional treatment, which may include an extraction.


What is an Extraction?

The removal of a tooth.  This is performed for a variety of reasons, including severe tooth decay, infection, injury, or when the baby tooth will not fall out naturally and the permanent tooth is erupting.  In some cases a space maintainer may be required.


What are Space Maintainers?

A space maintainer is used to hold space for a permanent tooth when a baby tooth has been prematurely lost. If space is not maintained, teeth on either side of the missing tooth can drift into the space and prevent the permanent tooth from erupting.


What is Silver Diamine Fluoride?

A special type of fluoride that when applied to teeth acts as an antibiotic and can arrest (stop) dental decay from progressing.  This is a newer medication in the United States, but has an extremely safe track record, and has been used internationally for decades.  The downside of this medicine is that it stains the decay black, and will also stain any soft tissue it touches temporarily black.  If some of the medication gets on your child’s skin, it may take up to a month for the discoloration to go away.  Depending on the cavity your child’s tooth may still require future treatment.

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