How are Cavities Treated in Children in Ontario?

In Ontario, pediatric cavity treatment follows a pathway focused on early detection and minimally invasive techniques to preserve as much natural tooth structure as possible. Diagnostic processes typically involve digital X-rays to assess the extent of decay.

For early-stage decay, such as white spot lesions, veterinarians or dental professionals may use non-invasive strategies like professional fluoride varnish or dental sealants. When a cavity has progressed into a hole, the standard treatment involves children’s dental fillings. This process is designed to be gentle and child-friendly, often using air abrasion or quiet, modern tools to remove only the decayed portions of the tooth. The area is then restored using tooth-colored composite resin.

In cases of extensive decay that reach the inner nerve, a pulpotomy may be performed to save the primary tooth. This involves removing the infected pulp and placing a crown to restore the tooth’s function. Throughout these procedures, dental teams often use local anesthetic, child-friendly language, and behavior guidance techniques to ensure a stress-free experience. Families can also access support through government programs like Healthy Smiles Ontario and the Canada Dental Benefit to help manage the costs of these restorative treatments.


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